Effective Management of Emotional Response to Generate Well-Being Post-HF Exacerbation

Inclusion Criteria: * Adult male and female patients, age ≥ 18 hospitalized at Duke inpatient service because of heart failure * NYHA Class ≥ II Exclusion Criteria: * Significant cognitive impairment, indicated as a mini-mental state exam (MMSE) total score of 23 or lower * Lack of convenient internet access outside of hospital * Alcohol or other drug dependence/abuse within past 90 days as evaluated by review of medical record and patient interview (SCID) * Severe physical disability (visual, sensory or motor) that may interfere with study participation (assessment, online interactive learning) * History or presence of psychoses, bipolar disorder, and/or severe personality disorders as evaluated by review of medical record and patient interview (SCID) * Life-threatening co-morbidity with the likelihood of 50% mortality in one year * Active suicidal ideations * Female patients of childbearing potential * Treatment with electroconvulsive therapy or transcranial magnetic stimulation within past 90 days * Uncorrected hypothyroidism or hyperthyroidism