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Group Therapy

Group therapy can help people in addiction recovery learn effective coping strategies in a supportive environment. Learn how group therapy works at FHE Health.

The public perception of psychotherapy primarily exists as a personal, one-on-one event, but this is only one option. In mental health programs and addiction rehabilitation, group therapy can be an exceptionally powerful tool. Available alone or in conjunction with individual therapy, group therapy provides a safe space in which to discuss challenges, ideas and experiences with others going through similar circumstances.

It’s normal to feel skeptical about group therapy if you’ve never experienced it before, but it has proven benefits as part of a holistic treatment program. A 2025 study published in Behavioral Sciences found that participants in group therapy experienced a 24% reduction in depression scores and a 19% increase in life satisfaction compared to a control group that showed no significant changes.

At FHE Health, we embrace group therapy as a key part of our rehabilitation programs in Deerfield Beach, South Florida. Our addiction medicine professionals encourage group experiences to help you progress toward a healthy, strong and stable future.

What to Expect in Group Therapy

Interpersonal learning in group therapyUnlike individual therapy, which generally features one therapist and one patient, group therapy usually involves one or more psychologists who lead a group of anywhere from five to 15 patients. Small groups allow each member more time to speak and focus on their specific issues. However, some people find that a larger group reduces anxiety about speaking and provides more opportunities to learn from others. The size and scale of a group depends on the number of individuals in a particular program and their needs, but a small group is often thought to be most suitable for promoting a comfortable, inclusive environment.

Most groups exist to target a specific problem, like learning about the disease of addiction and overcoming abusive substance use habits. They can also form part of a mental health program, targeting conditions like depression, anxiety, panic disorders and bipolar disorder.

Meeting structures vary but often include discussion on a topic related to the group’s purpose. All participants are encouraged to play an active role by sharing, providing feedback and remaining engaged in discussion.

The principles of group therapy are similar from one format to another and hinge on the basis of universality. All group members have similar experiences to share, offering interpersonal learning and social opportunities. Through regular group work, participants become exposed to a range of perspectives and ways of thinking, allowing them to learn new coping strategies and grow together.

Most group therapy sessions last from 30 to 90 minutes but are most commonly around an hour in duration. This provides enough time for all members to share as needed without resulting in a loss of interest.

Group sessions can be open or closed. In an open group, new members can join at any time, while in a closed group, all members begin and end a course of therapy at the same time. At FHE Health, our groups are generally open to accommodate new members to our programs.

The Structure of Group Therapy

Example of a group therapy session structureIn a typical group therapy session, the psychologist leading the group begins by introducing the day’s topic. This theme will likely be related to the course of treatment, like feelings of remorse after drug use or exploring the causes of addiction. To start a discussion, the therapist will likely ask a question, such as a request for particular experiences, and encourage group members to share. This information can then lead to additional conversations in the same vein.

Some groups move from one topic to another organically, while others are encouraged to stay close to a particular day’s topic or theme. Others may not have a topic and instead ask that members talk about thoughts, feelings or attitudes that they wish to share or discuss.

Certain group members are more inclined to share than others, and this is normal and natural. To keep all group members involved, psychologists may ask questions directly of participants. Members of a group are encouraged to be as open as possible; while sitting quietly and listening to others’ stories can still be beneficial, active participation is the goal.

Benefits of Group Therapy

Benefits of group therapy infographicWhen starting rehabilitation, you might feel uncomfortable, stressed or anxious. The idea of participating in a group setting may exacerbate these feelings, at least initially, but there are many benefits of group therapy.

Discussing issues with others who understand what you’re going through can help you develop more effective coping strategies and solutions to problems. In addition, listening to the thoughts, ideas and challenges of others can help you put your issues into perspective. While everyone’s journey to recovery is different, others are likely to have experienced similar problems or circumstances. It can be helpful to realize that you’re not alone and that other people are dealing with similar roadblocks.

Diversity is another advantage of group therapy. Those from different cultures, races, and backgrounds may offer new ways of tackling problems and thinking about situations. Observing the different ways other people approach their recovery could provide helpful ideas you wouldn’t have encountered outside a group therapy setting.

Group therapy sessions in a rehabilitation setting are also beneficial in that they are led by trained professionals in psychology, providing structure and groundwork not always present in organic group settings. These professionals can teach you proven coping strategies to help you make progress in recovery.

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Overcoming Anxiety in Group Learning

The power of groups in therapyAnxiety often holds people back from seeking help. The stress of potentially being judged, facing critiques from peers or simply opening up about sensitive subjects can make many people uncomfortable. Group settings can be overwhelming by nature, especially for those with a dual diagnosis or who are embarrassed, ashamed or stressed about being in a treatment program. However, group therapy can help you overcome this anxiety, improving your recovery progress and gaining support from people who understand your feelings and experiences.

Patients experiencing severe distress often feel unique and isolated in their despair. Spending time in group therapy can provide reassurance that you’re not alone. In fact, patients often express shock at how similar their stories and experiences are to their peers in treatment. While no two people have exactly the same story, their lives often follow similar paths. Working toward recovery together can help relieve any anxiety you feel about discussing addiction and embracing treatment.

“Some clients may feel hesitant to open up in group, but this goes away as clients experience our groups, which are led by professionals that help them see the benefits, consistent with research, showing the best practices of group therapy to be more beneficial than individual therapy for many disorders,” says Chief Clinical Officer Dr. Nelson.

Settings for Group Therapy

Group psychotherapy can take place in many settings within the continuum of care at FHE Health and beyond. The most common include:

  • Residential: In inpatient programs, participants meet in groups one or more times a day to discuss topics related to the course of treatment, personal feelings about residing in inpatient care and other topics to support successful recovery. Group therapy in a residential setting can lead to tight bonds between group members living and participating in therapy together.
  • Outpatient: Group therapy is at the center of outpatient programs, keeping those who have completed residential treatment engaged with the recovery community. Partial hospitalization programs may have two long group sessions per day of treatment, while an intensive outpatient program may have just one.
  • Aftercare: The end of a structured rehabilitation program isn’t necessarily the end of group therapy. FHE Health has our own alumni nights that include community events and meetings. We also host a number of open, weekly groups on our South Florida campus that are available after formal treatment has ended. Many members of the recovery community also choose to continue on in other forms of group therapy, such as Alcoholics Anonymous.

Types of Group Therapy

The Substance Abuse and Mental Health Services Administration (SAMHSA) identifies five common group therapy models used during substance use disorder treatment. Often, groups combine more than one model depending on the participants’ needs.

Cognitive Behavioral/Problem-Solving Groups

Cognitive behavioral therapy (CBT) is an effective therapy used to help change unwanted behaviors, particularly early in the treatment process. CBT uses a range of techniques to reframe negative self-talk and thought patterns that lead to substance use. In these sessions, clients can develop the coping skills they need to recover from addiction. They set short-term and long-term goals and monitor their thoughts and behavior to replace unhelpful strategies with positive tools for health and wellness.

Interpersonal Process Groups

This type of interpersonal therapy promotes change and healing from a psychodynamic point of view. This theory suggests that behavior is determined by several internal mental conflicts, driven by our early experiences and perceptions. As group members interact with one another and discuss the given topics, individuals work with the facilitator to identify thought and behavior patterns that contribute to substance use disorder. This model is appropriate for various stages of recovery and group demographics.

Psychoeducational Groups

This type of group therapy involves learning about the physical, medical, mental and behavioral impacts of substance abuse. Psychoeducational group therapy is most appropriate for people with limited knowledge or understanding of the potential consequences of substance use. This approach can also help patients become ready to seek treatment for addiction and educate families about substance use disorder.

Skills Development Groups

In this type of program, therapists teach people the skills they need to achieve and maintain a substance-free lifestyle. For example, group members may learn how to relax and handle stress, manage anger, deal with cravings and stay away from substance use triggers. During each group session, members role-play with each other and get a chance to put these skills into practice. Most patients can benefit from learning these skills, but the therapist may assess the group first to determine the most helpful strategies.

Support Groups

Peer support groups provide guidance during the major lifestyle changes required for recovery and provide a valuable peer support community. Group members develop improved self-confidence and practice interpersonal skills, as well as discussing practical concerns about sober living and other aspects of recovery. While support groups can be effective at any stage of substance use disorder treatment, they’re especially helpful for people who are new to addiction therapy.

Group Therapy at FHE Health

At FHE Health in South Florida, we provide compassionate, evidence-based addiction care to a diverse range of patients. All programming, both residential and outpatient, incorporates substantial exposure to group therapy delivered alongside other clinically proven treatments.

Our programs are dual-accredited by The Joint Commission and CARF and combine mental health and addiction support. We address the social, biological and psychological causes of substance misuse while managing symptoms. This holistic approach treats the whole person, delivering individualized care designed to support lasting recovery.

When you choose FHE Health, our interdisciplinary team will work with you to determine the most appropriate treatment pathway for your needs. The FHE team includes licensed therapists, board-certified psychiatrists, and other highly trained professionals who work collaboratively to deliver responsive care for every patient.

If you or someone you know is considering seeking help for addiction or mental health challenges, we are here to help. Contact FHE Health to learn more about our approach to group therapy or for admissions information.

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Frequently Asked Questions About Group Therapy

What is group therapy?
Group therapy involves a small group of patients meeting regularly with a licensed therapist. During sessions, participants share experiences, discuss problems and provide peer support under professional guidance. This type of therapy can help people in recovery build connections, gain insight and develop effective coping strategies.
Do I have to divulge personal secrets to the group?
Group therapy is designed to be a space where individuals can meet together with other people working to manage similar issues. There is no rule that a person must reveal secrets that they are uncomfortable about sharing in a group setting. Some people are comfortable being very open; others are more reserved in what they are willing to share. Yes, clients in the group are asked to participate, but they are not required to divulge secrets unless they choose to.

In treatment contexts where 12-step groups like AA meet, there is typically a focus on accountability; however, it’s not a mandate that participants confess their deepest, darkest secrets or wrongdoings. Instead, group therapists encourage participants to share the experiences they’re comfortable sharing and to participate in group discussions.

What should I expect during group therapy?
During group therapy, a licensed therapist will provide a structured format for each session. For example, they may invite members to participate in open discussions, coping skill exercises or guided conversations. Therapists facilitate participation by encouraging each group member to join in at their own pace.
What do group therapy leaders do?
Group therapists facilitate the discussion and ensure that each session remains supportive and helpful for participants. They plan group meetings so that each session features at least one important topic that’s relevant to those present. Leaders also help to keep the discussion on track in order to fulfill the objectives of the session.

Therapists set the tone for the group and help to make sure that participants feel safe and respected as they contribute their thoughts and experiences to group conversations. They also ask questions to generate discussions and provide expert feedback.

Ready to Make a Change?

We understand that the treatment process can be difficult at times. At FHE, we are committed to assisting you in making progress towards a new life free from the grips of addiction.

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