Distress Tolerance for Benzodiazepine Discontinuation

Inclusion Criteria: * Age 18 or older * Receiving OAT (methadone or buprenorphine) for at least 2 weeks * Regular BZD use defined by BZD use 3 or more times per week in past month by self-report and positive urine screen at time of recruitment * Provides permission to contact current BZD prescriber if being prescribed BZDs * Speaks English * Wants to discontinue BZD use * Capacity to provide informed consent Exclusion Criteria: * Pregnant, confirmed by urine pregnancy test * Cognitive impairment, as indicated by Montreal Cognitive Assessment (MoCA): must score at least 26 on the MoCA with a one-point adjustment for individuals with formal education of 12 years or fewer * Any past month illicit opioid determined by self-report or urine drug test; illicit defined as non-medical use * Receiving ongoing psychosocial treatment for BZD use disorder * Uncontrolled seizure disorder (i.e. seizure in prior 90 days), or past BZD withdrawal seizure * Current suicidality or homicidality * Current psychotic symptoms