Inclusion Criteria:  Adults (age 18 or older) fluent in English able to provide informed consent meet current criteria for OUD (as defined by a Rapid Opioid Dependence Screen) are receiving methadone, buprenorphine, and/or naltrexone for OUD meet current criteria for an anxiety and/or depressive disorder (based on the Patient Health Questionnaire and the Generalized Anxiety Disorder Questionnaire).  Exclusion Criteria:  active suicidality psychosis bipolar disorder