Mobile Cognitive Behavioral Therapy for Stroke

Who May Qualify: - Age 40-79 - Presence of clinically-significant anxiety and/or depression (as determined by an eligibility evaluation) - Stroke that occurred 1 month or more prior to study initiation - Capacity to provide consent - No greater than mild cognitive difficulties based on an eligibility evaluation conducted as part of the study - If taking medication for depression and/or anxiety, must be on a stable dose for a minimum of 8 weeks prior to study initiation - Ability to use iPhone or iPad independently - Home internet access - Willingness to participate in the full study duration. Who Should NOT Join This Trial: - Aphasia of moderate or greater severity (as determined during an eligibility evaluation) - Non-fluency in English - History of a bipolar or psychotic disorder - Current alcohol or substance use disorder - Active suicidal ideation - Current engagement in psychotherapy is not grounds for exclusion unless the individual's psychotherapy is primarily focused on CBT - Severe depression and/or anxiety based on the initial evaluation and clinical judgment of the study doctor, which warrants a higher level of care and/or immediate referral to psychiatric services - Any other clinical or medical reason in the study doctor's initial screening evaluation that suggests the study is not appropriate for the participant Always talk to your doctor about whether this trial is right for you.