Modeling Multi-level Dyadic Behavior to Transform the Science and Practice of Psychotherapy Process and Outcome.

Exclusion Criteria

• •1. At high risk for suicide, that, in the clinical opinion of the investigator, would warrant a higher level of care such as hospitalization or intensive outpatient programs
• •2. Current depressive episode has psychotic features
• •3. Current depressive episode has been present for \> 104 weeks
• •4. Meets criteria for substance use disorders, as defined by DSM-5, in the past 3 months, except for caffeine or nicotine. (Limited substance use, not meeting criteria for substance use disorders, is not exclusionary).
• •5. Meets DSM-5 criteria for prior manic or hypomanic episode (bipolar I or II disorder) or a psychotic disorder including schizoaffective disorder or schizophrenia
• •6. Meets DSM-5 criteria for antisocial personality disorder (MINI)
• •7. Significant, unstable, psychiatric co-morbidity that, in the opinion of the investigators, requires an alternative treatment approach (i.e., unstable eating disorder, unstable borderline personality disorder)
• •8. Significant unstable medical illness that may explain depressive symptoms such as epilepsy, autoimmune disorder, chronic pain, or unstable endocrine disorder
• •9. Cognitive deficits that would preclude completion of study questionnaires or participation in psychotherapy
• •10. Unable to unwilling to comply with study requirements (i.e., complete forms, attend sessions)