Introduction Art therapy is effective for older adults by stimulating cognitive processes, helping to externalize and express emotions, and creating the potential for meaningful activity. Mindfulness has been shown to improve working memory and focus, and enhance integration of verbal and nonverbal processing. Phototherapy involves taking, viewing, manipulating, and interpreting photographs as a therapeutic process. Because of its relatively easy accessibility, spontaneity, and the ability to easily correct errors, phototherapy is an especially approachable form of art therapy compared to painting or drawing. The explosion of digital tools for phototherapy in the past 5 years offers the capability to maximize the potential of this modality by facilitating combination of both mindfulness and phototherapy for exponential treatment impact. In this study we report preliminary findings from a digital phototherapy-based mindfulness group in the SAGE program within the Division of Geriatric Psychiatry at McLean. The primary objective of this study was to assess the feasibility and qualitative effectiveness of a mindfulness-based phototherapy group for older adults experiencing anxiety and depression. Methods This was an observational pilot study of a 13-week group of 4 older women. Each session was 60 minutes long, which was later expanded to 75 minutes to allow times for mindfulness exercises and group sharing. Each participant learned how to take pictures and use the MyMoments, Union, Fuse, & Collage apps on their iPhone and iPad. Effectiveness was evaluated both qualitatively and quantitatively, by collecting unstructured participant feedback at Week 13 and administering the Rosenburg Self-Esteem Scale (RSES) and the Day to Day Experiences Scale at baseline and Week 13. Results We demonstrated that an approach combining digital phototherapy with mindfulness is feasible and possible to implement in a group of older adults. We also demonstrated the feasibility of teaching this cohort the use of apps for phototherapy in a group setting. While we did not conduct quantitative analysis of intervention efficacy, we noted 3 out of 4 patients scored higher on the Day to Day Experiences Scale at Week 13 compared to baseline; in addition, on the RSES at Week 13, participants endorsed statements indicative of higher self-esteem compared to baseline. Qualitative feedback indicated that participants felt a sense of mastery and continued interest in both mindfulness and phototherapy practices. Conclusions Our preliminary study points to the vast potential of incorporating technologies to accelerate and expand the process of art therapies such as phototherapy. Our findings bear replication and quantitative validation but point to the possibility of improving self-esteem and mindfulness skills in older adults. They may also serve as a model of how to incorporate digital tools into the process of clinical care in group and individual settings. This research was funded by This study was supported by the McLean Hospital Division of Geriatric Psychiatry.