Group Therapy for Substance Abuse & Addiction

Group therapy is a specific form of psychotherapy that is provided by one or more therapists, to a group of people, at the same time. Studies show that when administered properly, group therapy can be as effective as individual therapy.

dThe guiding principle of group therapy for substance abuse is “power in numbers.” The ultimate goal of group therapy is to create a sense of belonging or relatability through understanding, which happens when group members share their common experiences with drug and alcohol addiction. Group therapy provides those in recovery from substance use disorders with peer support and accountability in an environment where they can learn new skills and coping mechanisms from each other.

This article explains group therapy, including how it works, what it helps with, and who it is for.

Nearby Rehabs that Offer Group Therapy

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What Is Group Therapy?

The first recorded session of group psychotherapy was in 1906, when Dr. J. H. Pratt, a Boston physician, provided group instruction about home care to tuberculosis patients. While working with these patients he noticed the beneficial emotional side effects that occurred as a result of these group sessions.

Group therapy was then proven especially helpful in the 1940s in treating World War II veterans who had experienced trauma as a result of combat. In 1944, the US Army released a report commending the benefits of group therapy. It’s since become an increasingly popular type of therapy.



Group Therapy vs Individual Psychotherapy

Techniques used in group therapy differ from those employed in individual therapy. Individual therapy consists of one-on-one sessions where the therapist focuses on the individual feelings and needs of the patient. During group therapy, the therapist often facilitates discussions amongst group members which are designed to help people share experiences and work towards solutions to problems together.

Whether group therapy or individual therapy is most effective depends entirely on the individual and their unique needs. It’s common for people who are recovering from substance abuse to participate in both individual and group therapy. When paired together, individual therapy and group therapy complement each other as part of a comprehensive addiction treatment program.

General Characteristics of a Group

According to the American Psychological Association, therapy groups can be of any size but usually contain 5-15 people on average. Sessions are commonly held on a weekly basis and last 1-2 hours.

Group sessions are designed to be either open or closed. Open groups allow members to join at any time. Whereas, closed groups are made up of a specific group of people who all become members at the same time.

Some patients will only do group therapy, whereas others may attend group sessions alongside individual therapy and other treatments. Group therapy may occur more frequently (e.g. on a daily basis) if an individual is enrolled in an inpatient addiction treatment program or participating in a self-help support group, such as Alcoholics Anonymous.

Types of Group Therapy for Addiction Treatment

There are several different kinds of group therapy commonly used in treating substance use disorders. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), they generally fall into one of the following types of therapeutic models:






Other forms of group therapy include:






Benefits of Group Therapy for Addiction Recovery

Recovering from a substance use disorder can feel isolating. Group therapy provides an opportunity for people in recovery from substance abuse to learn more about themselves, and their relationships with others, while being surrounded by a small community of people who have similar issues and experiences.

Group therapy provides members with a sense of belonging and acceptance, which can help boost confidence and self-esteem. Overall, sharing experiences and emotions with one’s peers has shown to reduce stress, guilt, and shame among group members.

As a result, group therapy becomes a place in which members can learn how to avoid engaging in destructive behaviors, such as seeking out substances, and instead, practice new, healthy coping behaviors alongside their peers.

Group therapy also provides psychologists with a unique perspective. Instead of relying on a patient’s self-reports, in a group setting, therapists can observe relational patterns in action, as individuals reveal their struggles through interactions with other group members.

Many of the underlying root causes of addiction stem from traumas that happened in groups (I.e. family, school, religion). During therapy sessions, the therapy group acts as a stand-in for one’s family of origin. This provides individuals with the opportunity to address and heal old wounds derived from past group settings (for example, social anxiety, low self-esteem and interpersonal conflicts) in a way that’s simply not possible in individual sessions.

Goals of Group Therapy

The goals for group therapy are based on specific therapeutic elements, designed to achieve a range of positive benefits. These include:













How Group Therapy Helps Treat Substance Abuse

According to SAMHSA, group therapy is designed to help people in recovery move through the six stages of recovery. These include:







Group Therapy With Other Treatments

Depending on the severity of the addiction and the substances being abused, the patient may need to undergo medical detox and medication-assisted treatment before they’re able to begin group therapy.

For example, individuals with an opioid use disorder may require medications such as methadone or buprenorphine to manage withdrawal symptoms. Often, mental health professionals will determine when an individual is ready for group therapy. Depending on the patient and the type of group therapy, a therapist may refer them to group therapy immediately or, alternately, once they reach the maintenance phase.

What to Expect in a Group Therapy Session

During group therapy, chairs are often arranged in a circle so that everyone in the group is able to see each other during the session. However, if the group is larger, seating may be arranged in rows facing a podium. While therapy sessions vary depending on the type of group therapy, group sessions tend to have the following structure:

  1. Introduction



In addition to the above, the group therapist or facilitator may also use a variety of different learning tools, including, audio and visual aids, homework, memory improvement techniques, written projects, and role-playing.

How Long Does Group Therapy Last?

The length of time an individual will remain in group therapy depends on a variety of factors, including the type of therapy being administered, a person’s level of motivation to participate, and what stage of recovery they’re in.

Substance abuse treatment programs often require patients to attend a minimum number of sessions over a set period of time (e.g. 6 sessions over a 3-month period). However, group therapy sessions lasting up to one year may also be recommended. These kinds of therapy sessions usually take place at an outpatient rehab center or as part of an intensive outpatient program.

If an individual is being treated at an inpatient treatment center, they may attend group therapy daily for the duration of their stay.

Lastly, if an individual is in the maintenance stage of recovery, they may choose to join a support group, 12-step group, or another relapse prevention group, for peer accountability and support. In the case of 12-step groups, many people are active members for years.

How Effective is Group Therapy in Treating Addictions?

According to the American Psychological Association (APA), group therapy works as well as individual therapy for many conditions. Over 50 clinical trials have compared patients who participated in individual or group treatment, and all studies found that both formats produced the same level of improvement for a variety of mental health and substance use disorders.

Studies have also shown that interacting with peers during group therapy provides unique therapeutic benefits. In fact, according to Stanford University’s Irvin David Yalom, MD, author of the 2005 book “The Theory and Practice of Group Psychology,” participating in group therapy with one’s peers may be more helpful than receiving guidance from a therapist since people are more likely to connect and identify with their peers.

Support groups such as 12-step programs like Alcoholics Anonymous (AA) can also be very effective in helping people in recovery from substance abuse. In fact, the National Institute on Alcohol Abuse and Alcoholism looked at people who were formally treated, informally treated (attended AA meetings), and untreated individuals who suffered from alcohol abuse, and found that 49% of individuals who attended AA were abstinent, as compared to 46% of people who received formal treatment.

It’s also important to note that group therapy exceeds the APA’s Society of Clinical Psychology’s standards for efficacy in treating bipolar disorder, major depressive disorder, panic disorder, post-traumatic stress disorder (PTSD), social phobias, obsessive-compulsive disorder, bulimia nervosa, binge-eating disorder, substance use disorder, schizophrenia, borderline personality disorder, and general personality disorder.

Questions to Ask When Considering Group Therapy

While group therapy is known to be effective in treating substance abuse disorders, research shows that it is most effective when the group members have a common identity and a sense of shared purpose.

Furthermore, research shows that two leaders or group therapists are better than one. Members of co-led groups experience greater benefits than those who participate in individually led groups. An additional person who can listen and respond makes a difference when group leaders are trying to follow multiple interactions.

Therefore, it’s important to find a group therapy scenario that is well-suited to your personal needs. Before choosing group therapy, here are some questions to consider.

If you’re unsure of what kind of group therapy would be best, speak with a mental health professional. They’ll be able to provide you with the necessary information so you can make the best decision for you or your loved one.

Cost of Group Therapy

The cost of group therapy varies based on factors such as location, frequency of treatment, and individual insurance coverage. However, group therapy is often up to half the cost of individual therapy, which makes it an attractive option for many people.

Group therapy is usually offered as part of an inpatient or outpatient addiction treatment program and therefore, included in the overall cost of rehab.

Insurance

Depending on your insurance plan, the cost of group therapy may be covered to a certain extent. Many insurance plans will cover group therapy as long as it is evidence-based, run by a professional, and medically necessary.

Additionally, individuals may also receive coverage if group therapy is part of a comprehensive addiction treatment program. Under the Affordable Care Act in the United States, substance abuse treatment must be covered under ACA insurance plans. ACA plans also can’t disqualify you for having a pre-existing substance use disorder or cap spending on addiction treatment. Many private medical insurance providers also offer addiction treatment coverage to varying degrees.

When researching which rehab options that include group therapy, consult your insurance provider to find out what kind of coverage is available.

Free and Low-cost Group Therapy Options

In addition to the options outlined above, many free and low-cost group therapy options exist. Addiction recovery support groups and 12-Step programs such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) are usually free, although you may be asked to contribute to operational costs such as room rental, coffee, and snacks.

Your doctor is a valuable source of local information. They will be able to put you in touch with support groups and group therapy providers in your area that work in addiction recovery.

Risks and Drawbacks of Group Therapy

Although there are many benefits to group therapy, there are also drawbacks that make it not suitable for everyone.








Get Help With Addiction Group Therapy

Regardless of where you are on your addiction recovery journey, group therapy can generate a sense of belonging, peer support, and personal accountability while also providing individuals with the necessary coping skills to live a fulfilling life free of alcohol and drug addiction.

If you or a loved one is struggling with drug or alcohol addiction, know that you’re not alone and that treatment is available. We are here to help.

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Addiction Centers That Provide Group Therapy

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    1
    Top 10 in Group Therapy
    4.9
    (436 reviews)
    Boca Recovery Center – Galloway is a drug and alcohol rehab in Galloway, NJ. They provide inpatient addiction treatment and medical detox. Boca Recovery’s New Jersey Drug & Alcohol Rehab, located in Galloway, New Jersey offers residential addiction treatment, medical detox, and medication-assisted treatment in an immersive treatment s
    It was a fine everyone was helpful and nice food was good too
    Eric Kantor
    1 day ago
    Had a great experience at Boca recovery everyone was so helpful thanks to all staff members and clinical members
    Harripersaud Subick
    2 days ago
    Boca Detox saved my life quite literally. I recommend if you are struggling that you reach out to these people. Sissy is my favorite person here so shout out to her..but honestly all the staff are great and they care about saving lives
    Richard Forguson
    2 days ago
    Boca Recovery Center - Galloway NJ 8205
    7
    7
    Boca Recovery Center Galloway NJ, exterior with brand sign Boca Recovery in Galloway, NJ front door exterior Boca Recovery Galloway, NJ dining room interior
    1
    Top 10 in Group Therapy
    5.0
    (16 reviews)
    Soberman’s Estate, located in Cave Creek, Arizona, is an alcohol and drug rehab center that provides addiction treatment services to adult men, professionals, and public figures. They are a discrete, luxury rehab for individuals aged 30 to 80 years old. This location caps their treatment center at ten men at a time. Soberman’s Estate focuses on
    I had a great experience overall and would recommend it to anyone wanted to jump start their sobriety!!
    Kevin Crawford
    1 month ago
    Very professional, great counselors, and a very good learning experience. Gave me structure and coping skills. Additionally, the psychiatric counseling was top notch.
    Gregory Gheen
    4 months ago
    When it came to the realization I needed help to overcome my addiction, I ended up choosing to go to Sobermans. I couldn’t have been more grateful for this choice and the experience. I can’t say enough about the accommodations, setting, and food. However those things mean nothing without the proper staff. The best thing about Sobermans is their people. The care I received from each and every member of staff there was overwhelming. I’ve since returned for some aftercare and Alumni events, and upon my return, it feels like home. I would highly recommend Sobermans for any man that needs help with addiction or getting your mind cleared. I promise, if you put in the effort that their staff does, you will leave different person!
    backfortyhunter Rose
    5 months ago
    Soberman's Estate
    5
    5
    The facilities at Soberman's Estate in Cave Creek, AZ 1 The facilities at Soberman's Estate in Cave Creek, AZ 2 The facilities at Soberman's Estate in Cave Creek, AZ 3 The facilities at Soberman's Estate in Cave Creek, AZ 4
    1
    Top 10 in Group Therapy
    5.0
    (64 reviews)
    Symetria – Hurst Outpatient Rehab and Suboxone Clinic in Hurst, Texas, is a private drug rehabilitation clinic for adults. The CARF accredited clinic offers various withdrawal medications to help clients get started with their recovery journey. You’ll also have access to treatments such as the intensive outpatient program (IOP), one on one
    BEST PLACE EVER. I have tried various other doctors/clinics and none of them even begin to compare to this one. The staff here is absolutely amazing. I can’t even make a single complaint. Dr Son is the best as well. He explains everything and you truly feel like he understands you. I can proudly say this, this place saved my life. If you or someone you know needs help getting off opiates do it right the first time and come here. You won’t be disappointed. If you are specifically struggling with fentanyl please don’t waste your time with other ways. I have tried 6 other methods from lazer therapy to having the earpiece to suboxone. Methadone is the key to our current fentanyl crisis. This clinic makes recovery possible again!
    Mason
    1 month ago
    Entire staff was friendly, helpful and supportive throughout the whole process from reception to nurses to counselors
    William Maddux
    2 months ago
    The nurses at the hurst location and also Samantha the receptionist are all so kind and compassionate!! They all go above and beyond the call of duty. They should all be praised for their hard work and their kindness to their patients!!
    Debbie Tyler
    2 months ago
    Symetria Recovery - Hurst TX 76054
    5
    5
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    1
    Top 10 in Group Therapy
    4.8
    (298 reviews)
    The Steps To Recovery addiction treatment center is situated in Levittown, Pennsylvania. At this drug rehab center, patients can expect to engage in a unique treatment approach that focuses on helping individuals recover through authenticity, intimacy, community connection, and transparency. Steps to Recovery offers a serene and private environ
    Great experience, professional staff, and flexibility of program was perfect for me! Feel like a new person. Thank you!
    Doug Bradley
    1 month ago
    Steps to recovery was a great program. The bhts were great and understood what I was going through with a lot of them being in recovery as well. As well as the therapists being well trained and met my needs. Overall a wonderful program that I would return to.
    Omi Floyd
    1 month ago
    My treatment here was absolutely a success. I came here highly depressed with a negative outlook on life with zero hope. In combination with group therapy and individual therapy, my whole perspective was changed. I’m leaving here refreshed and ready for what life has in store for me. Would absolutely recommend to anyone who is struggling with substances and or their mental health.
    Abronah Chandler
    1 month ago
    Steps to Recovery PA 19056
    6
    6
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    2
    Top 10 in Group Therapy
    4.8
    (323 reviews)
    Check iconClaimed
    Clients seeking treatment for alcohol addiction may be required to undergo detox first. The detox process ensures any abused substances are out of a client’s system and that they are in a healthy frame of mind when they enter residential treatment. Detox is overseen and closely monitored by medical staff. The residential program takes clients
    Going to avenues was the absolute best move I could have made..First thing I noticed was alot of people actually cared not gonna lie it was a struggle I wanted to leave more than once but I was always talked down from the caring staff that was around..There isn’t a better place the food is good, played a ton of basketball and threw the football around the fires and speakers at nite very cool only thing that was hard was the gender ban but it was that way for a reason.. Today im over a year clean and doing great in life and I can’t thank avenues enough..Its a great place but you have to give it a chance its not easy have to be ready to just give in and learn a new way of life!
    sean hunter
    1 week ago
    Staff was friendly and seemed to really care, the day was broken up well, food was acceptable. Overall a positive experience as far as rehabilitation can go…
    Conor Smith
    1 week ago
    The staff was always great! They helped me through many situations while I was in treatment. They game me the upmost care! They helped me find my way home.
    Dark
    1 week ago
    Avenues Recovery Center at Lake Ariel PA 18436
    5
    5
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    1
    Top 10 in Group Therapy
    4.9
    (111 reviews)
    If you’re looking for a Christian-based men’s drug rehab center, S2L Recovery in Woodbury, Tennessee, might be the place for you or your loved one. Located at the top of Short Mountain, and overlooking the green hills of Middle Tennessee, this residential and detox clinic boasts a one-to-one staff/patient ratio so there’ll always be someone t
    Come here with a open mind and heart. It can and WILL change your life in all ways. Trust the process and trust God! Could go on and on about how amazing this place, I’ll forever be grateful!
    Trevor Woodard
    1 month ago
    Everything about this place is great. Anyone struggling with addiction and wants to build a relationship with Jesus Christ this is the place to come.
    Zach Walman
    2 months ago
    S2l recovery saved my life spiritually emotionally and physically speaking all classes and staff are very friendly and supportive people with my best in mind… Food is excellent… Lots of support and love here people are great
    Andrew
    2 months ago
    S2L Recovery TN 37190
    6
    6
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    1
    Top 10 in Group Therapy
    4.8
    (309 reviews)
    Check iconClaimed
    Located in Watsonville, California, Elevate Addiction Services provides alcohol and drug rehab services to men and women suffering from addiction. Their levels of care include detox, inpatient treatment, and outpatient treatment. Elevate Addiction Services provides a wide continuum of care that meets each person where they are in their recovery pro
    I recently completed the 30 day Core Peogram at Elevate Addiction Services in Watsonville. After two relapses following decades of previous sobriety, I knew I could benefit from an intensive inpatient residential program to set me bsck on the right path again. I’m so grateful I found Elevate right away. The 12 Steps originally got me sober, and I have no issues with AA/NA, but Elevate is based on SMART Recovery, which is built on a different foundation from the 12 Step program. I gained new insights through the intensive workbooking and structured group sessions, as well as my time spent with my on-site therapist. There’s a big emphasis on Mindfulness at Elevate, so be prepared to meditate and practice breathwork frequently. The rural location is serene, with spectacular views of the Pajaro Valley, and the wildlife is abundant. If you enjoy nature, this is a wonderful, peaceful location. The ranch-style property doesn’t look or feel institutional at all. The facilities are a bit worn (it was originally built 50+ years ago as a retirement home for nuns), so if you’re looking for a luxury rehab, this probably isn’t the place for you. But if you could benefit from delicious meals, CrossFit and yoga, volleyball and pickleball and a well-stocked game, book and DVD library, look no further! Every single employee has gone through the program themselves, so they really understand what you’re going through. Many people opt to stay on past their 60-90 day programs to train as staff members. The facilitators are caring, kind and helpful. The folks in the detox center are supportive and gentle. The security staff are strict but reasonable. Monday-Saturday, the schedule is very structured, with plenty of breaks and evening free time, and Sundays are completely free all day and night. You will be expected to do chores and follow rules. After an initial 7 day “blackout” period, clients have access during free time to shared cell phones in a common room, and once a week you have an opportunity to use your personal cell phone/laptop in a more private space. Visits from friends/family are limited, subject to pre-approval and only take place on Fridays from 3-6pm. The structure and rules are in place to help keep you focused on what you came there to do in the first place: get clean and sober! Overall, Elevate offers clients the opportunity to hit “pause” on the chaos of using and drinking, the tools to gain clarity and insight, and the strength and will to go back to living a clean and sober, productive life.
    N. D.
    1 week ago
    Elevate was such a great program, it’s really changed my way of thinking for a positive Thank you Elevate!!!
    michael gonzales
    2 weeks ago
    It was the best program I could ever ask for going in at 18 I wasn’t courted to do anything the work is straight forward and really helped me to grow and mature thank you so much elevate you made me feel welcomed comforted and made me want to stay
    Jayden Evans
    2 weeks ago
    Elevate Addiction Services CA 95076
    5
    5
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    1
    Top 10 in Group Therapy
    4.9
    (307 reviews)
    Boca Recovery Center in Pompano Beach, Florida is located just 10 miles north of Fort Lauderdale. We provide comprehensive rehabilitation services ranging from medical detoxification and residential treatment to specialized programs that meet your unique needs. Boca Recovery Center in Pompano Beach, is an addiction treatment facility in Florida. Th
    Great experience! All the staff is great Thank you for everything Nikki!
    Eric Bryant
    2 days ago
    I have had the pleasure of working closely with Boca Recovery Center in Florida for years, and they continue to set the bar high. The team is professional, compassionate, and always focused on doing what’s best for their clients. Their consistency and integrity make them one of the most trusted names in the field, and I’m proud to recommend them without hesitation.
    Ali Moore
    2 days ago
    This place is absolutely amazing. I was treated with respect and dignity by every single staff member and they did not give up on me although I left and came back multiple times.
    Santiago Gamboa
    3 days ago
    9
    9
    Boca Recovery Center Detox FL 33060 boca recovery pompano beach cafe boca recovery pompano beach gym boca recovery pompano beach exterior
    2
    Top 10 in Group Therapy
    4.9
    (205 reviews)
    The Boca Recovery Center is a luxury alcohol and drug rehab center for adults in Bloomington, Indiana. They specialize in cutting edge addiction treatment provided in a residential setting. One unique part of this alcohol and drug rehab in Indiana is the peaceful, secluded setting. If recovering in a clinical hospital setting doesn’t sound very a
    Staff was amazing. Very comforting and friendly. Made me feel at home while going through a difficult time. Thank you Boca Recovery Center
    Mandy Jo
    3 days ago
    Great living space, great food, great groups, amazing staff. I have no complaints at all. The staff would do anything possible to make your stay as comfortable as possible.
    Dustin Adams
    3 days ago
    Boca has helped me tremendously with my addictions that I’ve had, All of their staff has been wonderful and very professional, and I would recommend anybody that has any type of problems with any type of addictions or mental health to get into Boca. They certainly helped me..🙂
    Roger Burkholder
    3 weeks ago
    Boca Recovery Center Bloomington IN
    6
    6
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    1
    Top 10 in Group Therapy
    4.8
    (388 reviews)
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    Avenues Recovery Center in Clarksville, Indiana, is an inpatient drug and alcohol detox and rehab center. They strive to provide individuals receiving treatment with a loving environment and attentive medical care. You’ll be away from toxic environments and triggers and have the opportunity to focus on developing life skills that will support you
    Great groups and staff very good people here
    Bryan Johnson
    1 week ago
    They helped me immensely. Learned a lot about myself.
    Charles Meadows
    1 week ago
    So grateful for avenues clarksville, they helped me start a journey that.i couldn’t have been more grateful, they saved my life. Shout out to all the staff. 😍
    Brandon Terry
    1 week ago
    Avenues Recovery Center at Louisville IN 47129
    4
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