The majority of people living with HIV in New York State are over 50, with HIV and its syndemic drivers disproportionately affecting older women and people of color. Our community-participatory team utilized the ADAPT-ITT model to adapt an evidence-based intervention for teletherapy, leading to an online pilot targeting stigma and depression among a group of older women in the Bronx, NY. In this workshop, we will discuss the adaptation and pilot process, teach the steps of community-participatory intervention adaptation, and role play a session including a stigma-targeting mindfulness intervention.