Group Therapy
Support, skills, and connection—delivered in a structured, clinician-led group setting.
What is Group Therapy?
Group therapy is a form of psychotherapy where a small group of people (typically 6-12 participants) meet regularly with one or more trained therapists to work toward therapeutic goals. Unlike support groups, which are often peer-led and unstructured, group therapy is led by licensed mental health professionals and follows evidence-based treatment protocols. Group therapy has been used successfully for decades to treat depression, anxiety, substance use disorders, trauma, grief, and many other mental health conditions.
Research consistently shows that group therapy is as effective as individual therapy for many conditions—and in some cases, more effective. Groups provide unique therapeutic benefits that individual therapy cannot: the opportunity to learn from others' experiences, practice social skills in a safe environment, receive feedback from multiple perspectives, reduce isolation by connecting with people facing similar challenges, and witness others' progress (which builds hope and motivation).
Group therapy is often more affordable than individual therapy, making mental health treatment accessible to more people. Many people participate in both individual and group therapy simultaneously, using individual sessions for personal issues and group sessions for skill-building, support, and interpersonal learning.
How Group Therapy Works
Structured, Clinician-Led Sessions
Group therapy sessions are structured and facilitated by licensed therapists who guide discussions, teach skills, ensure safety, and help members apply what they're learning. Sessions typically last 60-90 minutes and meet weekly, though some groups meet more or less frequently depending on the focus and intensity of treatment.
The therapist sets the agenda, introduces topics or skills, facilitates discussion, ensures everyone has a chance to participate, manages group dynamics, and maintains confidentiality and respect. Unlike support groups where anyone can share anything, group therapy is focused and goal-oriented.
Types of Therapy Groups
Psychoeducational groups focus on teaching information and skills—like coping skills for depression, anger management techniques, or relapse prevention strategies. These groups are often time-limited (8-12 weeks) with a set curriculum.
Process groups focus on interpersonal learning and self-awareness. Members discuss their experiences, relationships, and feelings, receiving feedback from others and learning how they come across to people. These groups are often ongoing rather than time-limited.
Support groups provide mutual support and encouragement for people facing similar challenges (like grief, chronic illness, or caregiving). While less structured than psychoeducational groups, they're still facilitated by professionals who ensure safety and therapeutic benefit.
Confidentiality and Safety
Confidentiality is essential for group therapy to work. At the first session, the therapist establishes ground rules: what's shared in group stays in group, members treat each other with respect, no interrupting or cross-talk, and everyone participates at their own comfort level. These rules create a safe environment where people feel comfortable being vulnerable.
While therapists are bound by the same confidentiality laws as in individual therapy, group members are also expected to maintain confidentiality. Most people take this seriously because they want the same privacy for themselves. Your therapist will address any confidentiality concerns you have before you join a group.
Participation at Your Own Pace
A common concern about group therapy is "Will I have to talk?" The answer is: you participate at your own comfort level. While active participation enhances benefits, you're not forced to share personal details before you're ready. Many people start by listening and observing, then gradually share more as they feel comfortable.
The therapist will invite you to participate but won't put you on the spot. You can say "I'd rather just listen today" and that's okay. Over time, most people find that sharing becomes easier as trust builds within the group.
Benefits of Group Therapy
Reduces Isolation
Mental health struggles can feel incredibly isolating. Group therapy shows you that you're not alone—others understand what you're going through. This reduces shame and normalizes your experience.
Provides Multiple Perspectives
In individual therapy, you get one therapist's perspective. In group, you receive feedback and insights from multiple people with diverse experiences, helping you see your situation in new ways.
Builds Social Skills
Group therapy is a safe place to practice communication, assertiveness, setting boundaries, giving and receiving feedback, and managing conflict—skills that transfer to relationships outside of therapy.
Instills Hope
Seeing others who are further along in recovery provides hope and motivation. You witness that change is possible and learn strategies that have worked for others.
Offers Mutual Support
Helping others in the group is therapeutic for you too. It builds self-esteem, reinforces your own learning, and creates meaningful connections.
More Affordable
Group therapy typically costs less than individual therapy, making regular mental health treatment more accessible and sustainable long-term.
What to Expect in Group Therapy
Before joining a group, you'll typically meet with the group therapist individually to ensure the group is a good fit for your needs and goals. The therapist will explain the group's focus, format, rules, and expectations. Some groups are "closed" (same members throughout, no new members added), while others are "open" (members can join at any time).
The first group session can feel awkward or anxiety-provoking—this is completely normal. Most people feel nervous about sharing with strangers. The therapist will help everyone get comfortable, establish ground rules, and create a safe environment. After a few sessions, most people find that group becomes a highlight of their week.
Group therapy requires commitment. Regular attendance is important because it builds trust and cohesion within the group. Missing sessions disrupts your progress and affects the group dynamic. If you commit to a group, plan to attend consistently.