Inclusion Criteria:  between 15-60 years of age English speaking minor participants must have one parent consent to research and treatment must have at least one qualifying somatic complaint (seizure-like spells, pain, nausea) or have psychosocial distress related to the management of their medical conditions (comorbid panic attacks, low mood, etc.).  Exclusion Criteria:  severe psychopathology (e.g., psychosis, active suicidality, moderate to severe intellectual impairment).