Positive Minds Strong Joints for Knee Osteoarthritis

INCLUSION CRITERIA: * Age≥50 * BMI ≤ 40 kg/m2 * Self-identify as Black (including African American) * Knee pain ≥4/10 on a 11 numeric scale over the past week * Scored 5 or more on either the Patient Health Questionnaire (PHQ-9) and/or the Generalized Anxiety Disorder 7-item Scale (GAD-7) * Can speak and understand English at a sufficient level to understand the study procedures and informed consent * Available for study duration * Able to attend remote sessions EXCLUSION CRITERIA * Knee, hip or ankle replacement * Intra-articular corticosteroid or hyaluronic acid knee injection within 3 months * Knee surgery within past 6 months * Currently receiving or received within 3-months any PT for knee OA * Currently receiving or received within 3 months any mental health intervention (excluding pharmacologic treatments) * Planning to initiate physical therapy for joint or low back pain in the next 3months * Planning to initiate any mental health treatment (excluding pharmacologic treatments) in the next 1 month. * Systemic inflammatory arthritis (e.g., rheumatoid arthritis) * Neurologic conditions (e.g., stroke, Parkinson's disease, etc.) * Contraindications to starting an exercise program. * Suspected substance abuse * Lack capacity to consent * Pregnancy (self-report) * Participation in another clinical trial for any joint or muscle pain * Planning for a major surgery in the next 6 months * Having high risk mental health symptoms (active suicidality, bipolar disorder, mania, psychosis, schizophrenia) * Receiving chemotherapy or radiation therapy for cancer (except non-melanoma skin cancer)