Treating Chronic Pain and Depression in HIV+ Patients in Primary Care Settings

Inclusion Criteria: * Chronic Pain (pain duration for at least six months with a mean score of 5 or higher on the BPI Pain Interference Scale) * Pain severity of 40 or higher on a Visual Analog Scale (0-100) indicating "worst pain in the last week" * At least one trial of PCP-recommended medication (i.e. acetominophen, NSAIDS, skeletal muscle relaxants) judged through interviews with patients and PCPs * QIDS score of ≥ 9 (depression severity) * Stable dose of an antidepressant, if using, for the previous 2 months * Age 18 or older * HIV+ Exclusion Criteria: * Lifetime DSM-IV diagnosis of bipolar disorder, schizophrenia, or other chronic psychotic condition * Current DSM-IV diagnosis of substance dependence for alcohol, sedative/ hypnotic drugs, stimulants, or cocaine * Suicidal ideation or behavior requiring immediate attention * In psychotherapy or in a multidisciplinary pain management program * Expected surgery in the next 6 months * Pain thought to be due to cancer, infection, or inflammatory arthritis * Pregnancy