Using mHealth to Improve Adherence and Reduce Blood Pressure in Individuals With Hypertension and Mood Disorders

Inclusion Criteria: * Age range: from 21 to 80 * Have a clinical diagnosis of either Bipolar Disorder or Major Depressive Disorder as determined by a standardized diagnostic interview, the Mini-International Neuropsychiatric Interview (MINI) * Have elevated systolic blood pressure ≥130 at screening at least 2 different times during the screening period * Have received a diagnosis of hypertension per patient self-report at least 6 months prior to enrollment * Have been prescribed at least one regularly scheduled antihypertensive medicine for 3 or more months since diagnosis * Have difficulty with adherence to prescribed antihypertensive medication currently or in the past based on one of the following questions: Do you ever miss doses of your prescribed medications for high blood pressure? Or b. Do you ever try to manage your high blood pressure on your own without medication? * For those with MDD, currently being prescribed an antidepressant medication * Have their own cellular phone in order to receive text messages as part of the intervention Exclusion Criteria: * Unable/unwilling to participate in psychiatric interviews. This will include individuals, who may be too psychotic to participate in interviews/rating scales * Unable/unwilling to give written, informed consent to study participation * In the interest of patient safety, individuals who are at high immediate risk for suicide will be excluded from study participation. The suicide risk assessment will be informed …