Inclusion Criteria:

• * Age range: ≥40 to ≤89 years
• * Hospitalized at UH Cleveland Medical Center (UHCMC) with anticipated length of stay following recruitment ≥ 2 days as documented in electronic health record (EHR)
• * Diagnosed (i.e., ICD-10 code within the EHR) with either COPD (J44) or HF (I50) with confirmed ICD-10 code in EHR
• * Able to read and understand English
• * Screening positive for depression and/or anxiety as evidenced by: GAD-7 anxiety score ≥ 10 and PHQ-9 depression score ≥ 10
• * Access to WiFi, active email address \& laptop, tablet, and/or PC with videoconferencing capabilities
• * Has reliable support person who can be available to respond in case of a medical emergency at any time
• * Has reliable access to a mobile device with active data plan

Exclusion Criteria:

• * Significant hearing and/or visual impairment as documented in EHR
• * Unable to independently provide consent (i.e., no proxy consent)
• * Active suicidal ideation documented in inpatient psychiatry note during current hospital admission or expressed at any point verbally or in writing to study staff
• * Severe psychological comorbidity (e.g., psychosis, schizophrenia) that would prevent patient from engaging fully in intervention as documented in EHR
• * Currently admitted to intensive care unit
• * Receiving active cancer treatment (e.g., chemotherapy, radiation, immunotherapy) as documented in EHR
• * Diagnosed with medical condition likely to be terminal within 24 weeks as documented in EHR
• * On wait list for heart transplantation or ventricular assist device (VAD) as documented in EHR
• * NYHA Stage IV HF or end-stage COPD as documented in EHR
• * Receiving hospice care as documented in EHR
• * Active substance abuse as documented in EHR