Implementation of Transdx Group for POTS

Inclusion Criteria:

- Adolescent participants must be

1. between the ages of 13-18 years old,

2. english speaking, and

3. have been diagnosed with autonomic dysfunction, dysautonomia, orthostatic
intolerance, and/or POTS.

- Participants must also:

1. endorse symptoms of autonomic dysfunction on the COMPASS 31 (measures are
described below), and show

2. moderate functional impairment, and/or

3. some psychiatric symptoms in the domains of anxiety and/or depression.

- FDI scores must be greater than 12 (see Kashikar-Zuck et al., 2011 for an empirical
rationale).

- Must have attended at least one day of school per week during the past month.

- On the measures of anxiety (SCARED) and depression (CDI), the adolescent's scale score
must be above the "average" range based on T scores (CDI) or within the "clinical"
range (SCARED).

- Each participant must have at least one English-speaking parent/legal guardian who can
provide informed consent for the adolescent, as well as participate in the study.

- Each adolescent and their parent/legal guardian(s) must be English-speaking.

Exclusion Criteria:

- Adolescent participants;

1. wards of the state,

2. endorse active homicidal or suicidal ideation,

3. have an intellectual disability, a pervasive developmental disability or
significant developmental delay,

4. endorse an active substance use disorder, and

5. are currently participating in individual or group psychotherapy.

6. do not have in-network health insurance that covers Health and Behavior
interventions, or

7. are unable to self-pay.

- Parent/legal guardian(s) are

1. unwilling to participate in the study,

2. are non-English speaking, or

3. have an intellectual disability, a pervasive developmental disability or
significant developmental delay, and/or

4. do not have legal custody of the adolescent participant.