People often enter therapy believing that their problems are unique and specific to them—that something is wrong with them and they have little, if any, options.  Often, thinking they are alone in their experience can lead to shame.

In individual therapy, the client and clinician work together to normalize these experiences, understand the root of the presenting problems, identify therapeutic goals, and develop healthier, more helpful thought and behavioral patterns. Individual therapy creates an environment that allows clinicians and clients to remain distinctly focused on the individual client, which many find very helpful. Nevertheless, it is worth acknowledging that individual therapy, by nature, cannot offer the perspective of other individuals encountering similar problems or the support they may provide; this, instead, is an attribute unique to group therapy. 

What is group therapy?

There are a variety of different modules of group therapy. Still, all therapeutic groups share a few common goals: to help individuals increase their understanding of themselves and others, gain clarity about their personal goals, develop the necessary skills to acquire them, and provide support along the way.

Some of the most common group types include psychoeducational groups, counseling groups, and psychotherapy groups. The following is a brief description of each:

Psychoeducational groups focus primarily on improving group members’ cognitive, behavioral, and affective skills by utilizing structured procedures to introduce, understand, and integrate factual information. Parenting skills groups and substance abuse prevention groups are both examples of psychoeducational groups.

Counseling groups focus primarily on helping group members resolve the everyday difficulties of living by utilizing interpersonal and problem-solving skills that emphasize conscious feelings, thoughts, and behavior. Counseling groups focus on preventing or remediating specific, short-term issues, such as those concerning one’s career, education, personal life, or development.

Psychotherapy groups focus primarily on helping individuals struggling with psychological problems and interpersonal problems concerned with daily life by alleviating specific symptoms or presenting psychological issues. Group members often struggle with acute or chronic mental or emotional problems that lead to marked distress and or impairment in functioning, including depression, eating disorders, anxiety, and psychosomatic disorders.

  1. One or more therapists with specialized training lead groups which consist of about five to fifteen group members and generally meet for one or two hours per week. However, it is important to remember that groups can differ in structure, frequency, duration, size, location, and membership depending on their defined therapeutic purpose. 

What are the benefits of group therapy?

As mentioned, group therapy can provide individuals with what individual therapy inherently cannot: a community of individuals sharing similar experiences.

One of our most basic desires and needs as human beings is connection and belonging. However, when we feel alone or isolated in our experiences, especially those that have the potential to harm their life, it is not uncommon to begin to wonder if there is something wrong with us.  A thought pattern that often leads to feelings of shame and further isolating. Shame, as defined by Brené Brown, is “as the intensely painful feeling or experience of believing that we are flawed and therefore unworthy of love and belonging – something we’ve experienced, done, or failed to do makes us unworthy of connection.”  Brown continues, “shame is much more likely to be the source of destructive, hurtful behavior than the solution or cure…the fear of disconnection can make us dangerous.” By providing a meaningful sense of community, group therapy directly challenges these feelings of isolation and shame by assuring people are alone and that others share similar problems and experiences.

This sense of community also allows group members to receive support and support others, each contributing to the treatment process in a significant way. Obtaining help from others facilitates the bonding of a group, otherwise known as the therapeutic alliance. Briefly, a therapeutic alliance refers to the relationship between clinician and client (or, in this case, group members) achieving a shared belief of what the treatment goals and tasks are, and a personal bond made up of reciprocal positive feelings has been developed. A therapeutic alliance is how beneficial changes occur and is therefore considered by many to be an essential aspect of successful therapy. On the flip side, giving support to others facilitates growth and learning. Group members each have their unique personalities and background, creating a sense of diversity within the group compared to individual therapy. It translates to group members offering various perspectives, problem-solving skills, and coping mechanisms that may help other members discover new ways of working through their concerns. As a whole, discussing personal concerns with others who have had similar experiences, meeting with support, understanding, guidance based on what has worked for others instills a clear sense of hope within individuals that it is possible to create a different life. 

In addition to the valuable support one gains from group therapy, formal groups also offer benefits beyond self-help and community. Because licensed mental health professionals lead formal groups with specialized training, they introduce and teach members strategies proven to help manage specific presenting problems, receiving expert guidance along the way. The benefit of doing this group learning (as opposed to in individual therapy) is that members can practice newly learned behavior in a safe environment and receive honest feedback about the effect that their behavior has on others. Doing so also promotes communication and socialization skills, allowing group members to learn how to express their concerns and accept criticism from others. 

Joining a group

Groups can be an excellent choice of treatment for people experiencing a range of issues. If you consider joining a group, talking with your individual therapist (if you have one) or a general doctor can help you find one appropriate for you. You may also want to consider the following questions:

Is it an open or closed group? An open group refers to groups whose new members can join at any time, so the window of time between finding and joining the group can be pretty small. It also means new members may experience a period of adjustment as they get to know and feel comfortable with other members who have been part of the group for longer. A closed group refers to groups whose members all join simultaneously, meaning one may have to wait a couple of weeks or months after finding the group for it to begin. However, since group members are introduced to each other concurrently and going through the acclimation together, a stronger sense of bonding may occur.

How many people are in the group? Smaller groups provide more time to focus on each individual, while larger groups can offer greater diversity and more perspectives.

Is group therapy the right choice for me? Group therapy offers a ton of valuable benefits to a wide range of people, but it’s not always for everyone—and that’s okay! Consider factors like your willingness to engage in therapeutic discussions while being open and honest about personal experiences in a group setting. For some, this can seem overwhelming and uncomfortable, and finding an individual therapist to work with maybe the best treatment option—it’s all about what works for you!

Associate Therapists Caroline G. Brown, LMSW, and Antoinette Bonafede, LMSW, will be leading a Dialectical Behavioral Therapy group starting in January 2022. If you would like to discover group membership in-depth, please feel free to reach out to either Caroline or Antoinette via email with any questions!

Sources:

(1) Corey, M. S., Corey, G., & Corey, C. (2013). Groups: Process and practice. Cengage Learning.

(2) Boardman, Sally. “The Importance of Developing a Sense of Belonging.” Life Skills Group, 2020, www.lifeskillsgroup.com.au/blog/belonging. 

(3) Brown, Brené. “Shame v. Guilt.” Brené Brown, 21 Aug. 2019, brenebrown.com/blog/2013/01/14/shame-v-guilt/. 

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