Are there different kinds of group therapy?

Taking the first step toward healing can feel overwhelming, and with so many options out there, it’s natural to wonder what kind of support is right for you. If you’re exploring therapy, you’ve likely come across group therapy. It’s a powerful tool for connection and growth, but it can also bring up questions and uncertainties. What is it really like? Will I have to share my deepest secrets with strangers? Is it as effective as one-on-one counseling?

We hear these questions all the time, and we want to help demystify the process. Think of this as a conversation, a chance to explore the different kinds of group therapy and find out how they can support your healing journey. Together, we’ll look at what group therapy is, the different kind of group therapy, and what you can expect from a typical session. Our goal is to give you the clarity and confidence to decide if this path feels right for you.

Most common kinds of group therapy

Just as every person’s healing journey is unique, so are the kinds of group therapy available to support it. There isn’t a one-size-fits-all approach; instead, different models are designed to meet different needs, whether you’re looking to understand a diagnosis, learn practical skills, or simply connect with others who get it. Understanding these various approaches can help you identify what might work best for you. Let’s walk through some of the most common types of group therapy you’ll encounter in counseling and treatment settings.

Psychoeducational groups

Psychoeducational groups are all about learning. These groups focus on providing information and education about a specific disorder, like addiction or anxiety, or a particular life challenge. The main goal is to empower participants with knowledge. By understanding the science behind what you’re experiencing, you can begin to normalize your feelings and learn concrete coping strategies. For example, a group for individuals with a dual diagnosis might explore how substance use and depression can influence each other, giving everyone a clearer roadmap for managing their health.

Cognitive behavioral therapy (CBT) groups

Cognitive behavioral groups are structured sessions that help you identify and change the unhelpful thought patterns and behaviors that can keep you stuck. The focus here is on the present moment and developing practical skills to better manage your life. The goal is to equip you with tools to handle triggers, reduce stress, and navigate cravings. A therapist might lead the group through role-playing exercises, such as practicing how to confidently say “no” in a triggering social situation, all within a supportive setting. Learning about different therapeutic models, like in this comparison of CBT vs. ACT, can further clarify this approach.

Support groups

Support groups are probably what most people picture when they think of group therapy. These are forums where people with shared experiences can connect, listen, and offer mutual encouragement to other group members. Whether the focus is on recovery, grief, or parenting, the primary goal is to reduce isolation and foster a strong sense of community. There’s incredible healing power in simply being in a room with people who understand your journey without needing an explanation. A great example is a weekly group for adults in early recovery, where participants can openly discuss their challenges and celebrate their successes together.

Skills development groups

As the name suggests, skills development groups are focused on teaching specific, practical life skills to improve daily functioning. These groups are highly practical and can cover a wide range of topics, from communication and anger management to financial literacy and stress reduction. The goal is to enhance your ability to navigate life’s challenges in a healthier, more effective way. For instance, a group might learn and practice mindfulness techniques together as a tool for managing anxiety in everyday situations.

Interpersonal process groups

Interpersonal process groups are a bit different. They are less structured and focus on exploring how members relate to one another in the here-and-now. The group itself becomes a laboratory for understanding your own relationship patterns. The goal is to gain insight into how you connect with others and to improve your social and communication skills in real-time.

A therapist might guide a discussion about a recent conflict within the group, helping members understand their reactions and practice healthier ways of expressing themselves. This approach shares some similarities with how psychodynamic therapy works by bringing unconscious patterns to the surface.

Relapse prevention groups

Relapse prevention groups are designed specifically for individuals in addiction recovery. These sessions are focused on the practical work of maintaining sobriety. According to the Substance Abuse and Mental Health Services Administration, these groups help participants identify personal triggers, develop effective strategies for coping with cravings, and build a strong support system. This kind of focused work is a key offering in comprehensive addiction treatment, including our relapse prevention program at Red Ribbon Recovery.

Dialectical behavior therapy (DBT) groups

Dialectical behavior therapy (DBT) groups are a type of skills-based group that teaches four key sets of strategies: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. The ultimate goal is to help individuals who experience intense emotions build a life they feel is worth living. DBT is particularly effective for conditions that often co-occur with substance use, such as borderline personality disorder or complex trauma, because it provides concrete tools for managing overwhelming feelings without turning to harmful behaviors.

Benefits of Group Therapy

Deciding to join a group can feel like a big leap, so it’s helpful to understand the unique advantages it offers. The experience is more than just talking; it’s about connecting, learning, and healing in a community. Research consistently shows that group therapy is just as effective as individual therapy for many conditions. Here are some of the core benefits:

• You are not alone. One of the most powerful moments in group therapy is realizing that other people have similar struggles, fears, and experiences. This sense of universality helps dissolve shame and isolation, reminding you that you belong.
• It inspires hope. Seeing others who are further along in their recovery journey can be incredibly motivating. Witnessing their progress and hearing their stories provides tangible proof that healing is possible, which can instill a deep sense of hope.
• You gain new perspectives. In a group, you’ll hear diverse viewpoints and learn different ways of approaching problems. Listening to how others have navigated challenges can offer fresh insights and solutions you might not have considered on your own.
• It’s a safe place to practice. The group provides a supportive environment to practice new social skills, set boundaries, and express your feelings. It’s a safe space to try out new behaviors before taking them into your daily life.
• You can help others, too. Supporting other members of the group can be a deeply rewarding experience. By offering encouragement or sharing your own wisdom, you build self-esteem and recognize the value you bring to others.

At Red Ribbon Recovery, we see these powerful benefits come to life every day in our treatment plans. We believe that connection is a fundamental part of the healing journey.

What to expect in a group session

Walking into your first group therapy session can feel intimidating, but knowing what to expect can ease some of that anxiety. Most groups consist of 5 to 15 participants and typically meet for 60 to 90 minutes each week. Some groups are “open,” meaning new members can join at any time, while others are “closed” and include the same members for a set number of sessions.

Creating a safe space is the top priority. From the very first meeting, the therapist will establish ground rules that every member agrees to follow. The most important rule is confidentiality. What is shared in the group stays in the group. This rule is not just a guideline; for substance use treatment, it’s protected by federal regulations like 42 C.F.R. Part 2, which ensures your privacy is strictly maintained. This foundation of trust allows participants to feel comfortable opening up.

The therapist’s role is to be a facilitator, not a lecturer. They guide the conversation, ensure everyone has a chance to speak, and help the group explore themes and patterns. According to practice guidelines, a group therapist has four primary functions, including fostering a caring environment and helping members find meaning in their experiences. One of the most common fears is feeling pressured to share, but that’s not how it works. You are always in control of what you disclose, and participation happens at a pace that feels comfortable for you. Sometimes, just listening can be just as powerful.

Frequently asked questions

Understanding the different kinds of group therapy

A dedicated treatment provider like Red Ribbon Recovery can also help with this process. We conduct thorough assessments to understand your unique situation and match you with the right groups within our outpatient programs. Taking this first step is an act of courage and a commitment to your own well-being. Healing and connection are within reach.

Choosing the right path on your recovery journey is a deeply personal decision, and it’s okay to take your time exploring the different kinds of group therapy. Whether it’s learning new coping skills, finding a community that understands, or simply knowing you’re not alone, group therapy offers many avenues for healing. If you’re ready to take the next step or just want to talk through what might work for you, our compassionate team is here to help. You can call us at (888) 899-3880 or learn more about our approach at Red Ribbon Recovery by contacting us. Taking that first step toward connection is a powerful move toward a brighter, healthier future.