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Alongside rapid developmental changes, adolescents simultaneously seek agency, identity, and social acceptance while simultaneously experiencing increases in anxiety, which was worsened by COVID-19 (Sugarman, 2017). (Guessoum, et al., 2020; Racine et al., 2021). This mixed methods study sought to address adolescent mental health deficits exacerbated by COVID-19 in rural Montana through a novel intervention combining cognitive behavioral therapy (CBT) and mindfulness-based stress reduction strategies (MBSR) with Equine-Assisted Learning (EAL) (Beck, 2021; Kabat-Zinn, 1990). The results of this study indicated significant improvements in participant mental health outcomes and cortisol levels, which were further supported by qualitative data of participant perspectives.