Group therapy is a very effective way to treat addiction and substance use disorders. Getting support from peers with similar struggles helps people feel less alone on their path to recovery.

Recovery can feel overwhelming at first. To help, group programs offer a safe space to start the journey with others, and there are different types of group therapy available, guided by a trained therapist.

The shared experiences in group therapy for addiction recovery offer valuable opportunities to celebrate progress, solve problems together, and provide support through lived experiences that truly understand the struggle. Studies suggest that group therapy can lead to longer-lasting change, often more so than individual therapy alone, for those dealing with addiction.

What Is Group Therapy for Drug Addiction?

Group therapy is a type of psychotherapy where one or more therapists lead a session with several people at once. It is offered in many settings, including private practices and rehab centers. As a core component of group therapy for addiction recovery, these sessions bring together people with similar challenges to share their experiences and learn vital coping skills. Groups usually have 6 to 12 participants and a trained therapist to guide the discussion. While it can be used alone, it is often part of a larger treatment plan that includes individual therapy  for a complete approach to recovery.

In a group setting for substance use, participants better understand addiction, exchange coping strategies, and form supportive relationships; this collaborative approach makes group therapy for addiction recovery a powerful tool for building a sense of community. People have the opportunity to practice new behaviors, receive feedback, and build a strong support network; these elements of group therapy for drug addiction are essential for improving long-term recovery outcomes and treatment engagement.

This form of therapy is used in many programs, from outpatient to residential settings. By taking part in group therapy, people can practice new skills, get feedback from others, and feel more connected to those on a similar path. It has been proven to improve recovery outcomes by making support networks stronger.

The most effective treatment programs will combine several therapeutic approaches. This helps address both addiction and any co-occurring mental health concerns like anxiety, depression, or trauma. A plan that blends group therapy with other methods often produces the best outcomes for people recovering from substance use disorders.

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Types of group therapy

Group addiction therapy is offered in many forms, with each one focused on different parts of the recovery process, ensuring that individuals receive the specific type of peer support they need most. Some groups are designed for people in early recovery to learn about addiction. Others focus on preventing relapse by teaching strategies to manage triggers and maintain sobriety.

There are also psychoeducational groups that provide information about substance use and its effect on families. These groups help participants understand their addiction and build stronger support systems.

In certain cases, group therapy is used to help with co-occurring conditions such as anxiety, depression, or stress. Other groups may focus on specific populations, like those of a certain age, gender, or people involved in the justice system. Some programs also offer culturally specific groups that incorporate cultural values into the recovery journey.

While each type has a specific goal, they all aim to help people connect, share their experiences, and support one another. Some common types of group therapy include:

  • Cognitive Behavioral Groups
  • Interpersonal Groups
  • Psychoeducational Groups
  • Skill Development Groups
  • Support Groups
  • Grief and Loss Groups
  • Process-Oriented Groups
  • Motivational Enhancement Groups
  • Mindfulness-Based Groups
  • Family Support Groups
  • Relapse Prevention Groups
  • Peer Recovery Support Groups

Group therapy techniques

Most group therapy sessions happen in a room where participants sit in a circle; this intentional setup ensures everyone can see each other, fostering an open and supportive environment of trust. At the start of a session, members may introduce themselves and share their reasons for being in therapy or give updates on their progress.

The structure of a session is shaped by the therapist’s approach and the group’s goals. Some therapists use a flexible, open style where members contribute freely. Others have a more structured plan with specific exercises designed to teach new skills like positive coping strategies.

Group therapy for addiction treatment is commonly used in substance use treatment programs, and its structure can vary based on the therapeutic approach being used to ensure each participant’s needs are met. For example, cognitive behavioral therapy (CBT) may include structured activities that challenge unhealthy thoughts and behaviors, while interpersonal therapy may encourage more open conversations about relationships and communication styles.

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What group therapy can help with

Group therapy is a flexible treatment that can address many mental health and emotional challenges. It provides a supportive environment where people with similar issues can connect and learn new coping strategies. Some of the common conditions treated with group therapy include:

  • Addiction
  • Substance use disorder (SUD)
  • Alcohol use disorder (AUD)
  • Depression
  • Anxiety
  • Stress
  • Trauma and post traumatic stress disorder (PTSD)
  • Obsessive-Compulsive Disorder (OCD)
  • Phobias
  • Grief and loss
  • Personality disorders
  • Eating disorders (e.g., bulimia, anorexia, binge eating disorder)
  • Anger management
  • Domestic violence
  • Chronic pain and illness

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If you or a loved one are struggling with substance use or mental health disorder, request a confidential call now. Our team is ready to guide you through understanding the admissions process, treatment options, costs and more. Taking this step is a sign of strength and the beginning of your path to a healthier future.

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Effectiveness of group therapy

Group therapy for addiction recovery is known to be highly effective for treating substance use disorders and many other mental health conditions, as the mutual support and shared experiences can greatly improve treatment participation.

Research indicates that group therapy can produce results similar to individual therapy. These outcomes include better abstinence rates, lower substance use, and improved psychological well-being. For example, methods like cognitive-behavioral therapy (CBT) in group settings, especially when combined with medication-assisted treatment and individual counseling, improve recovery.

What makes group therapy particularly effective is its power to create a strong sense of community. Individuals struggling with addiction often feel a sense of loneliness. Group therapy offers a safe space to connect with others who understand, which reduces stigma and encourages commitment to their treatment plan.

Is group therapy as effective as individual therapy?

Group therapy and individual therapy each have their strengths, and the effectiveness of one over the other largely depends on the individual’s needs, preferences, and the specific goals of treatment. Both types of therapy can be powerful tools in the treatment of substance use disorders, mental health conditions, and personal development. However, they serve different purposes and often complement each other in a well-rounded treatment plan.

In many situations, group therapy provides benefits that cannot be found in individual sessions. A key advantage is its ability to build community and support. Sharing stories with peers facing similar challenges helps reduce feelings of isolation. The feedback from others who have firsthand experience can be very impactful for a person on their journey.

On the other hand, individual therapy allows for a more personalized approach. A therapist can focus entirely on one client’s specific triggers and goals, providing tailored strategies. It also offers a higher level of privacy, which some people prefer when discussing sensitive topics. For those with complex issues, individual sessions can offer a deeper exploration than a group setting might allow.

Research shows that combining group and individual therapy often leads to the best outcomes. This approach allows clients to receive personal attention while also gaining the social support and shared learning of a group. Studies suggest this blend can be more effective than using only one method; essentially, incorporating group therapy for addiction treatment alongside individual care provides the comprehensive support needed for those with co-occurring disorders.

Are you or a loved one struggling with addiction to alcohol or other drugs? Call today for a confidential conversation with a treatment specialist.

What are support groups and how do they work?

Support groups may seem similar to therapy groups, but they operate differently. Instead of being led by a professional therapist, support groups are guided by peers who have firsthand experience with the same challenges.

  • Peer-led: Support groups are run by people with shared experiences, not licensed therapists. This creates an informal, self-help atmosphere where members learn from each other.
  • Free and accessible: A major advantage is that support groups are usually free. They are available at various times, allowing you to attend as often as you need to fit your schedule.
  • Non-clinical: Unlike therapy, support groups do not diagnose or formally treat disorders. They provide a safe space for people to share experiences, offer support, and encourage one another’s recovery efforts.
  • Community-focused: The core of a support group is its sense of community. It brings people with similar struggles together to help each other stay committed to recovery, often serving as a vital bridge to more clinical group therapy for drug addiction settings.

What types of support groups are available for addiction?

Many different kinds of support groups are available. While some are based on the 12-step model used by Alcoholics Anonymous (AA) and Narcotics Anonymous (NA), there are also alternatives for those seeking a different structure.

The 12-step model centers on admitting a loss of control over substance use, connecting with a higher power, and building a sober community. Common 12-step groups include:

  • Alcoholics Anonymous
  • Narcotics Anonymous
  • Cocaine Anonymous
  • Heroin Anonymous
  • Marijuana Anonymous

While these groups are well-known, the 12-step framework may not be the right fit for everyone. If so, several other types of support groups can be explored. Finding the right one may take time, and it is okay to try different meetings. Some alternatives include:

  • SMART Recovery: SMART Recovery focuses on building motivation, managing urges, and leading a balanced life. The program is run by trained volunteers, and while groups are free, donations are welcome.
  • Secular Organizations for Sobriety (SOS): SOS provides an alternative for those who prefer a non-religious approach to recovery. It is a self-help community that focuses on sobriety without the spiritual component of groups like AA.
  • Women for Sobriety: Designed specifically for women, this organization offers in-person and online support meetings. These groups empower women through principles designed to encourage personal growth and lasting sobriety.

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Sources

  1. National Institute of Mental Health. (2021). Psychotherapies.
  2. National Institute on Drug Abuse. (2019). Step by step guides to finding treatment for drug use disorders.
  3. Tracy, K., et al. (2016). Benefits of peer support groups in the treatment of addiction. Substance Abuse and Rehabilitation.
  4. National Institute on Drug Abuse. (2020). Principles of drug addiction treatment: A research-based guide (3rd ed).
  5. Carroll K. M. (2004). Behavioral therapies for co-occurring substance use and mood disorders. Biological psychiatry, 56(10), 778–784.
  6. Substance Abuse and Mental Health Services Administration. (2021). Group Therapy in Substance Use Treatment.
  7. Karsberg, S.H., Pedersen, M.U., Hesse, M. et al.(2021). Group versus individual treatment for substance use disorders: a study protocol for the COMDAT trial. BMC Public Health.

About the content

Last updated on: Feb 10, 2026
Jodi Tarantino (LICSW)

Written by: Carli Simmonds. Carli Simmonds holds a Master of Arts in Community Health Psychology from Northeastern University. From a young age, she witnessed the challenges her community faced with substance abuse, addiction, and mental health challenges, inspiring her dedication to the field.

Jodi Tarantino (LICSW)

Medical reviewed by: Jodi Tarantino, LICSW. Jodi is an experienced, licensed Independent Clinical Social Worker (LICSW) and Program Director with over 20 years of experience in Behavioral Healthcare, demonstrating expertise in substance use disorders, mental health disorders, crisis intervention, training development, and program development. She is a skilled leader in business development with a Master of Social Work (MSW) in Community and Administrative Practice from the University of New Hampshire.

Red Ribbon Recovery is committed to delivering transparent, up-to-date, and medically accurate information. All content is carefully written and reviewed by experienced professionals to ensure clarity and reliability. During the editorial and medical review process, our team fact-checks information using reputable sources. Our goal is to create content that is informative, easy to understand and helpful to our visitors.

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