Group Therapy

Overview

Group therapy is a form of psychotherapy where one or more trained therapists work with several clients together in a group setting. Rather than being a one-on-one experience, group therapy brings people with similar struggles together to support each other, learn coping strategies, and grow emotionally and socially.

Goals of Group Therapy

Group therapy is designed to help people :

  • Gain insight into their behaviors and thoughts
  • Reduce feelings of isolation
  • Improve interpersonal skills
  • Practice new behaviors in a safe environment
  • Learn from others’ experiences
  • Receive support and feedback from peers and therapists

Common Types of Group Therapy

Psychoeducational Groups

Focus : Teaching about specific mental health conditions (e.g., anxiety, depression, PTSD) and coping mechanisms.

Structure : Curriculum-based with discussions.

Support Groups

Focus : Sharing experiences and mutual support for specific issues (e.g., grief, addiction, chronic illness).

Structure : Often peer-led or lightly facilitated.

Interpersonal Process Groups (IPGs)

Focus : Understanding how individuals relate to others and exploring relationship dynamics.

Structure : Insight-based, with deep emotional processing.

Cognitive Behavioral Therapy (CBT) Groups

Focus : Identifying and changing negative thinking patterns and behaviors.

Structure : Structured sessions with practical exercises.

Skills Development Groups

Focus : Building specific psychological skills (e.g., emotional regulation, mindfulness, communication).

Example : DBT skills groups (Dialectical Behavior Therapy).

Process-Oriented or Psychodynamic Groups

Focus : Deep exploration of unconscious processes, emotional patterns, and inner conflicts.

Structure : Loosely structured, often open-ended.

Structure of Group Therapy

  • Group Size :   Usually 5 to 12 participants.
  • Sessions :   60–120 minutes.
  • Frequency :   Weekly or bi-weekly.
  • Duration :   be short-term (8–12 weeks) or long-term (ongoing).
  • Facilitator :   A licensed therapist or psychologist trained in group dynamics.

Benefits of Group Therapy

  • Reduces feelings of isolation and shame
  • Provides multiple perspectives and feedback
  • Builds social skills and empathy
  • Offers a safe space for practicing vulnerability
  • Enhances self-awareness
  • More cost-effective than individual therapy
  • Encourages accountability and consistency

Considerations & Challenges

  • Confidentiality must be respected by all members
  • Initial anxiety about speaking in front of others is common
  • Group dynamics can vary — some may talk more or less than others
  • Not for everyone — some may benefit more from individual therapy

Who Leads Group Therapy?

  • Psychologists
  • Psychiatrists
  • Licensed Professional Counselors (LPCs)
  • Licensed Clinical Social Workers (LCSWs)
  • Marriage and Family Therapists (MFTs)

How Group Therapy Works

  • Usually 5–15 members
  • Sessions last 60–90 minutes, once or twice a week.
  • May be open (new members can join anytime) or closed (same members throughout).
  • Facilitated by a licensed therapist or counselor.
  • Ground rules for confidentiality and respectful communication.

Common Techniques Used

  • Role-playing
  • Guided discussion
  • Mindfulness and grounding exercises
  • CBT strategies (thought records, reframing)
  • Sharing personal experiences and giving feedback