Cognitive Rehabilitation for Veterans With MDD-related Cognitive Functioning Deficits

Inclusion Criteria: 1. Veterans 18 years of age or older 2. Self-reported concerns about cognitive functioning deficits or clinical concerns about cognitive functioning deficits documented in EHR 3. meets DSM-5 criteria for MDD and receiving treatment for this diagnosis at the Portland VA within the past year 4. moderate or greater depressive symptoms as assessed by a PHQ-9 score ≥ 10 5. current cognitive functioning deficits as determined by performance on at least two measures in one cognitive domain (i.e., memory, attention/processing speed, language, executive functioning) falling ≥1 SD below their age-appropriate norms in the absence of memory impairment. Exclusion Criteria: 1. impaired capacity to understand study risks and benefits 2. history of TBI as defined by American College of Rehabilitation Medicine and VA/DoD criteria 3. meets DSM-5 criteria for a substance use disorder other than nicotine use disorder in the past 6 months 4. meets DSM-5 criteria for dementia, psychotic disorder, or "with psychotic features" specifier 5. active suicidal intent with significant clinical risk 6. auditory or visual impairments that would prevent ability to participate in cognitive rehabilitation group or assessments. Eligibility will be established by electronic medical record review conducted by study staff and will be confirmed by the Veteran during the initial phone call.