Optimizing Low Vision Rehabilitation in Emotionally Distressed Patients With Inherited Retinal Diseases

Inclusion Criteria: * Diagnosed with vision impairment with IRD etiology * Must have had a clinical exam with an IRD specialist within the three months of assignment to Arm * Have had a Goldmann visual field that was tested with III-4e isopter within the last year * Have a disability greater than zero theta in any of the domains of Michigan Retinal Dystrophy Questionnaire (MRDQ) * Have an indication from the IRD specialist that the ocular condition will not deteriorate over the next 1- year * Able to participate in 10 weeks of ERT sessions while being physically located in Michigan (these will take place in the first 10 months of the study) Exclusion Criteria: * Having other ocular comorbidities including those associated with an IRD such as control of cystoid macular edema (CME) * Functional needs regarding low vision (i.e. activities of daily living) have been adequately addressed per a study low vision specialist * Current mental health therapy * The participant must not have an elevated suicidal intention (SI) or suicide risk based on Patient Health Questionnaire (PHQ-9) further information collected at screening (If suicidal intentions are identified, the study staff will complete the suicide protocol (per protocol) * If the participant is using medication for mental health or psychiatry concerns, participants must be on a stable dose of the medication (1-month of taking), otherwise will be excluded * Inability to complete study task requirements