Initially, the idea of group therapy terrified me. What if I can’t “control” the group? What if I can’t think of anything to say? And the overly dramatic, What if everyone gets up and walks out?
Group facilitation wasn’t always comfortable, and I made many mistakes, but I grew. I realized it’s okay to be counselor and human; at times, humans say dumb stuff, hurt each other’s feelings, and don’t know the answer.
This resource guide provides practical information and tools for group therapy for mental health practitioners.
Group Therapy Guidelines
Group therapy is an evidence-based treatment for substance use and mental disorders. An effective group calls for a skilled clinician to meet treatment standards.
Professional associations, such as the American Group Psychotherapy Association, have developed best practice guidelines based on scientific data and clinical research. The Association for Specialists in Group Work created best practice guidelines for group work and guiding principles.
Additionally, SAMHSA promotes research-based protocols and has published several group therapy guides for best practice, including TIP 41: Substance Abuse Treatment: Group Therapy, Substance Abuse Treatment: Group Therapy – Quick Guide for Clinicians, and Substance Abuse Treatment: Group Therapy Inservice Training (a training manual), in addition to group workbooks/facilitator guides for anger management, stimulant use disorder, and serious mental illness.
Book Recommendations
Disclaimer: This section contains affiliate links. As an Amazon Associate I earn from qualifying purchases.
- Group Exercises for Addiction Counseling (2012) by Dr. Geri Miller
The book itself is small in size but packed with helpful information and creative ideas.
- 250 Brief, Creative & Practical Art Therapy Techniques: A Guide for Clinicians and Clients (2019) by Susan I. Buchalter
This guide provides detailed instructions for each activity along with thought-provoking discussion questions.
Textbooks
Groups: Process and Practice (2017) by Marianne Schneider Corey, Gerald Corey, & Cindy Corey
The Theory and Practice of Group Psychotherapy (2020) by Irvin D. Yalom & Molyn Leszcz
(For additional book recommendations, see Resources for Mental Health Professionals and Must-Read Books for Therapists.)
Icebreakers & Activities
Fun Facts: My favorite icebreaker activity involves passing out blank slips of paper to each group member and instructing them to write a “fun fact” about themselves, something no one else in the group would know.
Depending on the crowd, you may want to tell clients not to write anything they wouldn’t want their peers to know. (I adopted this guideline after a client wrote about “sharting” himself.) Once everyone has written something, have them fold their papers and place in a container of some sort (a gift box, paper bag, plastic bowl, etc.) Group members take turns passing around the container (one-at-a-time) and picking a slip to read aloud. They must then guess who wrote it. (Give them at least three guesses before turning it over to the rest of the group.)
Icebreaker Question Cards: A similar but more structured activity is to write out questions ahead of time and have clients take turns drawing and answering the questions. Questions can be silly, thought-provoking, or to illicit a strong emotional response (depending on audience and goals).
People Search: This activity utilizes a list of traits, feats, talents, or experiences. Each client receives the list and is given x amount of time to find someone in the group who is a match; that individual will then sign off. The first person to have their list completely signed sits down; they win.
(Prizes optional, but always appreciated.) During the debriefing, it’s fun to learn more (and thereby increase understanding and compassion).
First Impressions: This works best with group members who don’t know each other well. It’s important for group members to at least know each other’s names (or wear name tags). Each group member has a sheet of paper with various “impressions.”
Clients write other group members’ names for each impression. In addition to enhancing a sense of community, this activity provides an avenue for discussing harmful stereotypes and stigma.
Affirmations Group: Affirmations groups can be powerful, generating unity and kindness. The effect seems to be more pronounced in gender-specific groups. There are a variety of ways to facilitate an affirmations group, ranging from each person providing an affirmation to the client on their right to individuals sharing a self-affirmation with the group to creating a self-affirmation painting.
Another idea is to give each client a sheet of paper. (Consider using quality, brightly-colored paper/posterboard and providing markers, gel pens, etc.) Clients write their name on it and then all the papers are passed around so each group member has the opportunity to write on everyone else’s sheet. Once their original paper is returned to them, they can read and share with the group. This can lead to a powerful discussion about image, reputation, feeling fake, etc.
Most Likely & Least Likely to Relapse: This activity works best with a well-formed group and may require extra staff support. It’s good for larger groups and can be highly effective in a therapeutic community.
Clients receive blank pieces of paper and are tasked to write the names of who they think is most likely and least likely to relapse. After writing their own name on the sheet, they turn it in to staff (effectively allowing staff to maintain a safe and productive environment). Staff then read each sheet aloud (without naming who wrote it). If they choose, clients can share what they wrote and provide additional feedback. (Most do.) Clients selected as “most likely” (in either category) have the opportunity to process with other group members and staff.
Access more group therapy worksheets and handouts here.
Additional Group Activities
- 36 Addiction Recovery Group Activities (Addictions, 2018)
- 39 Group Counseling Activities: Making Therapy Fun & Transformative (The Mental Desk, 2023)
- 60 Substance Abuse Group Therapy Activities (Two Dreams, 2015)
- 60 MORE Substance Abuse Group Therapy Activities (Two Dreams, 2016)
- Group Activities (Expressive Therapist)
- Group Therapy Activities for Adults (Love To Know)
- Group Therapy Activities for Substance Abuse & Relapse Prevention (Oxford Treatment Center, 2020)
- Music Therapy Activity Ideas
Psychoeducation & Process Groups
In need of fresh material? It can be easy to fall into a rut, especially if you’re burnout or working with a particularly challenging group. The following three PDF downloads are lists of ideas/questions for groups.
- 101 Group Topics (for mental health and addiction)
- Discussion Topics for SUD Groups (for addiction)
- Discussion Questions for Multifamily Groups (for addiction)
Additional Ideas for Psychoeducation & Process Groups
- Positive Psychology: Your Ultimate Group Therapy Guide (+ Activities & Topic Ideas) (2020)
- THERAPlatform: Psychoeducational Group Topics (2019)
Practical Tips for Psychoeducation & Process Groups
As a group facilitator, consider incorporating some sort of experiential activity, quiz, handout, game, etc. each group to engage clients and keep them engaged.
A sample agenda for a 60-minute group:
- Group members check in (5 minutes)
- Handout review (clients take turns reading) (5-10 minutes)
- Group discussion/processing (10-15 minutes)
- Restroom/smoke break (5 minutes)
- Roleplay or short video clip (to visually present what was covered in the handout/discussion) (5-10 minutes)
- Facilitator summarizes and asks group members how they will incorporate what they learned or how they’re feeling (5 minutes)
- Group members have the opportunity to respond (5-10 minutes)
If an experiential or interactive exercise isn’t feasible, provide coffee or snacks; sitting for 45 minutes is difficult for some, and 90 minutes can be unbearable.
Another idea is to have a “fun” or “free” group. Ideas include going bowling, having a potluck, Starbucks run, game group, escape room, nature walk, etc.
Dealing with Challenges
Clients are not always willing therapy participants; some are court-ordered to attend or there to have privileges restored. Some attendees may be there “voluntarily,” but only to save their marriage or keep a job, not believing they need help. In residential treatment, clients attend mandatory groups as part of the daily schedule.
Even when attendance is truly voluntary, a group member may be in a bad space. Maybe they’re stressed about the rent or just got into a fight with their significant other. Or what if the AC is broken and the group room is 80 degrees?
Anticipating challenges is the first step to effectively preventing and managing them.
Click here for a helpful article from Counseling Today that addresses the concept of client resistance.
Tips for Dealing with Challenges
1. If possible, co-facilitate. One clinician leads while the other observes. The observer remains attuned to the general “tone” of the group (e.g., facial expressions, body language, etc.)
2. Review the expectations at the beginning of every group. Ask clients to recall the guidelines (instead of you telling them). This promotes a collaborative spirit.
3. After guidelines are reviewed, explain that while interrupting is discouraged, there may be times when you interject to maintain the overall wellness and safety of the group. (Knowing this, a client is less likely to get angry or feel disrespected when/if it happens.)
4. And if during group you must interrupt, apologize and explain the rationale.
5. Avoid power struggles at all costs, especially when a client challenges the benefits of treatment. Challenging the efficacy of treatment (or you as a clinician) is a defense mechanism. If the group is relatively healthy, you may want to illicit feedback from other group members before responding. Sometimes, the best response is simply “okay,” or none at all… and keep moving to avoid the group becoming a complaint session. You could also acknowledge the client’s perspective and ask to meet with them after group to discuss.
6. If a client becomes angry or tearful, give them time to vent for a moment or two (don’t “Band-Aid”); they may be able to self-regulate. (If they do self-regulate, share your observations and offer praise.)
7. If a client’s anger escalates to a disruptive level, ask them to take a break. At this point, their behavior is potentially triggering other group members. Don’t raise your voice. Stay calm and be respectful but firm. Direct them to step out and ask them to return when they’re ready.
8. If a client is disrespectful (cursing at you or another client, name-calling, insulting, etc.) while escalated, let them know it’s not okay, but don’t attempt to provide feedback. (A simple, “Hey, that’s not okay,” will suffice.) Bring it up with the client later when they’re able to process.
9. Once the escalated client exits the room, acknowledge what happened and let the group know you intend to follow up with that person. If a group member wants to talk about it, ask them to limit their share to how it made them feel, but stress that it’s not okay to talk about an absent group member. (“How would you feel if we talked about you when you weren’t here?”) Strongly suggest that they wait until the person returns (and is open) to have a group discussion (if appropriate).
10. After a major blow-up (and once everyone is calm), it can be beneficial for the group to process it with the person who escalated. Group members can empathize/relate, share their observations and/or how it made them feel, and offer feedback.
11. If other disruptive behaviors occur in group (side conversations, snoring, etc.) address them in the moment objectively (without shaming). Point out the behavior and explain how it’s disruptive to the group. Refer back to the group guidelines. Ask group members to comment as well. If you let a behavior persist, hoping it will eventually stop, you’re sending the message that it’s okay, not only to the person who is disruptive, but to the entire group. This impacts the integrity of the group and opens things up for additional disruptive behaviors.
12. For clients who monopolize, are constantly joking, or who attempt to intentionally distract by changing the topic, objectively point out your observations. When appropriate, ask other group members to comment on your observations and provide feedback to their peer.
13. If, on the other hand, one or several clients seem disengaged or unmotivated, consider asking why, privately or in the group, whichever is clinically appropriate.
14. If there’s a general level of disengagement, bring it up in the group. Remain objective and state your observations.
15. Anticipate that at times, people may not have much to say. (Consider that while there’s always something to learn or process, that doesn’t mean someone is ready to or has the emotional energy to.) Maybe they’re distracted or tired or feeling “talked out.” It’s good to have backup plans: watch a psychoeducational film, take a walk in the park, listen to meditations or music, provide worksheets, education reading material, or coloring sheets.
16. Always keep in mind a client’s stage of change, their internal experiences (e.g., hearing voices, social anxiety, paranoia, physical pain, etc.), external circumstances (e.g., recent medication change, loss of housing, conflict with roommates, etc.), and history of trauma. What looks like resistance may be something else entirely.
Professional Group Therapy Organizations
- Australian Association of Group Psychotherapists
- American Group Psychotherapy Association
- American Society of Group Psychotherapy & Psychodrama
- Association for Specialists in Group Work
- Canadian Group Psychotherapy
- Eastern Group Psychotherapy Association
- Great Lakes Group Psychotherapy Society | GLGPS
- Group Therapy Association of Los Angeles
- Houston Group Psychotherapy Society
- International Association for Group Psychotherapy & Group Processes
- International Association for Social Work with Groups, Inc.
- Mid-Atlantic Group Psychotherapy Society
- Northeastern Society for Group Psychotherapy
- Northern California Group Psychotherapy Society
- Philadelphia Area Group Psychotherapy Society
- Society of Group Psychology & Group Psychotherapy (APA)
Academic Articles
- Adverse Outcomes in Group Psychotherapy | Roback, H. B. (2000). Adverse outcomes in group psychotherapy: Risk factors, prevention, and research directions. The Journal of Psychotherapy Practice and Research, 9(3), 113–122.
- Complexities with Group Therapy Facilitation in Substance Use Disorder Specialty Treatment Settings | Wendt, D. C., & Gone, J. P. (2018). Complexities with group therapy facilitation in substance use disorder specialty treatment settings. Journal of Substance Abuse Treatment, 88, 9–17.
- Differences that Make a Difference | Change-Caffaro, S., & Caffaro, J. (2018). Differences that make a difference: Diversity and the process group leader. International Journal of Group Psychotherapy, 00: 1-15.
- Group Interventions | Ezhumalai, S., Muralidhar, D., Dhanasekarapandian, R., & Nikketha, B. S. (2018). Group interventions. Indian Journal of Psychiatry, 60(Suppl 4), S514–S521.
- Group Therapy for Substance Use Disorders | Wendt, D. C., & Gone, J. P. (2017). Group therapy for substance use disorders: A survey of clinician practices. Journal of Groups in Addiction & Recovery, 12(4), 243–259.
- Modeling Cohesion Change in Group Psychotherapy | Tucker, J. R. (2016). Modeling cohesion change in group psychotherapy: The influence of group leader behaviors and client characteristics. Graduate Theses and Dissertations, 15175.
- Self-Efficacy and Substance Use Outcomes for Women in Single-Gender Versus Mixed-Gender Group Treatment | Cummings, A. M., Gallop, R. J., & Greenfield, S. F. (2010). Self-efficacy and substance use outcomes for women in single gender versus mixed-gender group treatment. Journal of Groups in Addiction & Recovery, 5(1), 4–16.
Online Articles
- Benne & Sheats’ Group Roles: Identifying Both Positive & Negative Group Behavior Roles | An article about the 3 categories of group roles: task roles, personal and social roles, and dysfunctional or individualistic roles (Source: MindTools)
- Effective Group Therapy | (2023) Putting together a successful group involves thinking not only about the structure of the group but about the interactions between group members and how those interactions can support the therapeutic process. (Source: American Psychological Association)
- Evidence on the Effectiveness of Group Psychotherapy | A short article from American Group Psychotherapy Association
- Forming, Storming, Norming, & Performing | Discusses the stages of team formation. The theory is often applicable in group therapy. (Source: MindTools)
- Group Therapy | (2019) A short but informative article on the role of group therapy in treatment and types of groups (Source: GoodTherapy)
- An Interview with Irvin Yalom | (2007) A interview with one of the leading individuals in the realm of group therapy
- Keys to Great Group Therapy | (2019) An article with expert advice from experienced clinicians (Source: American Psychological Association)
- Psychotherapy Guide: Group Therapy vs. Individual Therapy | (Source: American Addiction Centers) (2019) This article discusses the advantages and disadvantages of group therapy as treatment for substance use disorders
Additional Links
- Center for Group Studies | The Center provides a unique method of group training. Principles and techniques are based on the theory that the group is a powerful agent of change.
- Group Dynamics | This blog provides some links and book chapters on various topics related to the study of groups. You can also find teaching resources related to group dynamics.
- Management Library | This site provides free resources for managers, entrepreneurs, and leaders. Much of the content on facilitation and teams is applicable to group facilitation.
- My Group Guide | A great tool for those who do not have the time to find worksheets/handouts for their clients, group activities, and other resources.
- Resources in Group Psychotherapy | Helpful resources and links for group psychotherapy from the Sacramento Center for Psychotherapy, including an online forum.
- Systems-Centered Training & Research Institute | SCTRI is an non-profit organization with members from all around the world that supports training and research in the systems-centered approach.
