Post-Traumatic Stress Symptoms (PTSS) in Transplant Recipients

Inclusion Criteria:

The patient:

   - and/or their parent(s)/guardian must be able to understand and provide informed
   consent in English or Spanish;

   - is prescribed tacrolimus (either brand or generic formulation); and

   - has been seen in the enrolling center's clinic at least twice in the last two years.

Exclusion Criteria:

The patient:

   - received a transplant less than 18 months prior to enrollment;

   - has had more than one transplant (including marrow replacement);

   - or their parent(s)/guardian is actively psychotic or severely disoriented due to any
   cause, including hepatic encephalopathy (temporary exclusion);

   - or their parent(s)/guardian has been diagnosed with severe intellectual disability as
   defined in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition
   (DSM-5);

   - is not medically stable or is hospitalized;

   - is currently enrolled in a study that aims to improve adherence to medical
   recommendations;

   - is receiving cognitive behavioral therapy for confirmed or suspected diagnosis of
   Post-Traumatic Stress Disorder (PTSD) at enrollment;

   - is receiving psychotropic medications for a confirmed or suspected diagnosis of PTSD.