Mindfulness Based Cognitive Therapy for Youth With Anxiety at Risk for Bipolar Disorder

Inclusion Criteria: * 10-17 years old * At least one parent with bipolar disorder * Meets clinical criteria for a specific anxiety disorder * PARS -5 item scale score \> 10 at screening and baseline of initial study phase * Fluent in English; * Provision of written informed consent/assent * Agrees to participate in 75% of sessions Exclusion Criteria: CANNOT Have any of the Following: * Documented diagnosis of mental retardation or IQ \<70 * Previous participation in mindfulness-based treatment * Substance use disorder within last 3 months * Judged clinically to be suicide risk * Concurrent treatment with psychotropic medication (certain exceptions apply, ask for details) * Psychotherapy initiated within 2 months prior to screening or plan to initiate psychotherapy during study participation * Any lifetime diagnosis of bipolar disorder, cyclothymia, schizophrenia, or other psychotic disorder * Any symptom that requires admission to an inpatient psychiatric unit * Anxiety symptoms resulting from acute medical illness or acute intoxication or withdrawal from drugs or alcohol