Inclusion Criteria:  Having experienced one of the ICD 10 I20-I25 CVD events:  120 unstable angina stable angina 121 NSTEMI STEMI initial encounter 122 NSTEMI STEMI subsequent encounter 124 acute coronary syndrome 125 coronary arteriosclerosis with angina Discharged from the RHJ VAMC inpatient care facilities Diagnosis of Major Depressive Disorder on the basis of the Structured Clinical Interview for DSM 5 (First, Williams, Karg, & Spitzer, 2015)  Exclusion Criteria:  Coronary Artery Bypass Grafting (CABG) Having a household member who is already enrolled in the study Active psychosis or significant dementia at screening Suicidal ideation with clear intent Current alcohol use disorder rated severe Concurrent enrollment in another clinical trial for depression