Inclusion Criteria:  fluent in written and spoken English and/or Spanish willingness to participate in pre/ post/ session-by session assessments and 15 individual psychotherapy treatment sessions individual identifies as transgender, Two-Spirit, or nonbinary (or somewhere along the gender minority spectrum) individual identifies as Black, Indigenous/Native, or otherwise as a person of color not currently in individual therapy with another therapist  Exclusion Criteria:  reports current, unmanaged serious/persistent mental health symptoms requiring inpatient treatment (e.g., hallucinations, delusions) individual does not identify as transgender, Two-Spirit, or nonbinary (or somewhere along the gender minority spectrum) currently in therapy with an individual therapist