Inclusion Criteria:  Spanish or English-speaking Registered patient of Scripps Health Type 1 diabetes Glycosylated Hemoglobin (HbA1c) ≥ 8% in last 90 days Screen positive for diabetes distress  Exclusion Criteria:  Severe medical or psychological conditions that would interfere with participation based on the opinion of a provider Plans to move out of the San Diego area in the next 12 months Lack of technology capability required to complete online surveys and telemedicine visit