Inclusion Criteria:

   - Self reported diagnosis of invasive breast cancer who has currently or within last 12
   months been in active treatment (surgery, chemotherapy, or radiation) or on endocrine
   therapy

   - Self-identified anxiety (persistent worry or nervousness), depression (feeling sad,
   little interest or pleasure in doing things or hopeless), or sleep disturbance.

   - Breast cancer related treatment (surgery, radiation, chemotherapy) or endocrine
   therapy within the last 12 months

   - Self identifies as Spanish speaking

   - Self identifies as Latinx / Latina / Latino

   - Ability to understand and the willingness to sign a written informed consent document.

Exclusion Criteria:

   - Non-Spanish speaking

   - other diagnosis besides invasive breast cancer (ie Ductal carcinoma in situ (DCIS),
   fibroadenoma, abnormal mammogram but not yet with final diagnosis, non-breast cancer
   patients)

   - comorbid bipolar affective disorder or psychotic disorder (as self-identified by
   patient after asking "do you have any other psychiatric conditions")

   - inability to physically or psychologically attend group sessions, and by discretion of
   the study coordinator.

   - Patients currently participation in stress reduction or mindfulness
   groups/interventions will be excluded from participation

   - Cancer "survivors" if not in active or endocrine treatment