Intervention: Study participants will take part in one of two psychotherapy classes currently ongoing at the CRC. CBTm is a four session (90 minutes per session) introduction to cognitive behavioral skills for managing symptoms of anxiety and depression. The content includes an introduction to mindfulness, challenging maladaptive thoughts, behavioral activation, exposure, managing anger, problem-solving and goal-setting strategies, sleep hygiene, and healthy living guidelines. Managing Difficult Emotions is based on DBT, an intervention developed by Dr. Marsha Linehan (2014). It is an eight session (90 minutes per session) introduction to selected DBT skills related to mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. Although both of these classes have been developed to target transdiagnostic psychological distress, several examples related to suicidal ideation and behavior will be used when teaching the skills. Classes are delivered in PowerPoint format, and class sizes typically range from 10 to 25 patients. Sessions have been developed to stand alone, and patients can join either class at any session. Patient participation is encouraged but not required.