CONSORT flow diagram of CaRISMA trial. Participant flow through screening, randomization, allocation, and follow-up. Numbers of participants screened and randomly assigned to CBT or Education arms, completed assessments, missed follow-ups, and withdrawals at 3 and 6 months are shown. LTF, lost to follow-up. For potential participants that were not interested in the intervention study, they were offered enrollment in the "Comparison Group" that required participants complete questionnaires only. Data for comparison group is not reported. LTF, Lost to follow up.