Starting a Group

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Startinga Group

Treatmentssuch as psychotherapy in health care are offered using diversemethods. Group therapy is one of the options of solving healthconcerns and creating a positive development of patient`s life.Individuals suffering from similar disorders are grouped and offeredtreatment in a collective manner. The technique of developing grouptherapies ensures that patients do not feel lonely or neglectedduring the treatment process. Many groups are developed to targetissues such as obesity, chronic diseases, and other disorders. Thereadiness of clients is an aspect that must be considered whenplacing them in groups (Yalom, Houts, Newell, &amp Rand, 2014).Moreover, ethnicity and culture are important aspects of developingtherapy groups. The paper discusses the required aspects andpotential issues of starting a therapy group.

Aspectsof Group Design

Cliniciansare supposed to focus on different aspects when developing therapygroups. The group design process is critical because it ensureseffective selection and matching of clients. As a leader, itnecessary to emphasize on different items when designing groups.

Goals of Group

Agoal is an aspect that gives direction on which strategies to employbased on the target problem. As a leader, it is important toestablish a goal when starting a therapy group. The common problem tobe solved will be identified at the initial stages of the groupdesign. The goal of the group will then be aligned with theidentified problem (Yalom &amp Leszcz, 2015). As a leader, it wouldbe easy to manage a therapy group that has a suitable goal becausethe applied efforts will be directed to a specific issue.

Group Norms

Groupnorms help in regulating the behavior of the clients in a group. As aleader, it would be difficult to respond to various social situationswithout group norms. The attendance requirements will be outlined andcommunicated to each group member in advance. The clients will alsobe assured privacy of any personal information shared during thetreatment process. Confidentiality will be ensured through deploymentof qualified clinicians who understand healthcare ethics (Yalom,Houts, Newell, &amp Rand, 2014). An interactive environment will bepromoted to ensure that healthy relationships are established. Theconsideration of the group norms will ensure that the limitedproblems are encountered during the design process.

Self-Help Groups and Therapy Groups

Self-helpgroups involve individuals facing a common problem such as addiction,who mutually support each other. Therapy group includes a therapistwho offers help to many clients at the same time. Understanding andidentifying the option to be used to deliver treatment helps inestablishing effective intervention techniques (Yalom &amp Leszcz,2015). Moreover, the resources needed during the treatment will befocused on the type of technique to be applied. The goal of the groupand the availability of resources will be considered when selectingthe treatment option.

Resistant and Disruptive Clients

Theimplementation of care is encountered by diverse challenges.Disruptive clients create an environment that hinders the delivery oftreatment. As a leader, it is important to understand the conditionof each client to ensure that the extremes are identified. Selectionand matching of the clients will be monitored to ensure thatdisruptive clients are excluded from the group. Strategies will beidentified to help in minimizing resistance to treatment andeliminating disruptive behavior (Yalom, Houts, Newell, &amp Rand,2014). The group design will ensure that clients’ satisfaction isachieved and relevant concerns addressed appropriately.

Forms of Power

Theapplication of power is an aspect that will be considered in thegroup design. Different forms of power will be identified andimplemented based on the set goals to ensure that minimal conflictsare witnessed when offering the treatment. Diversity is achieved whengroup therapy is selected. Various forms of power will be needed tomanage different situations. For instance, coercive power will beapplied to deal with disruptive behavior in the group. The ability toinfluence the group members facilitates the creation of a commondirection (Yalom &amp Leszcz, 2015). A high expertise will be neededto help in addressing diverse issues that may arise during thetreatment.

Consequences for Relapse

Relapsemay occur when implementing group therapy. The design will considerthe possibility of relapse and ensure that advanced treatment optionsare set to address the issues. Consequences associated with relapsewill be identified during the group design. Clients who would requirefurther treatment will be excluded from the group during thetreatment or at the selection stage (Norcross, 2012). Group therapywill be considered unsuccessful if many cases of relapse arewitnessed.

Retention of Group Members

Thegroup design will incorporate methods of addressing retention ofgroup members. Some individuals may feel uncomfortable in the groupand choose to leave. An environment that favors all the clients willbe developed and implemented during the treatment. Moreover,interaction with each client will be initiated to ensure that theyare understood effectively. Motivation strategies will beincorporated in the group design to create a positive environment tothe clients (Yalom &amp Leszcz, 2015). Client satisfaction andconcerns will be given the highest priority when delivering thetreatment.

Potential Issues

Diverseissues may be witnessed at each stage of the group developmentprocess. The orientation stage may be associated with interactionchallenges. Reaching a consensus may be difficult because the clientswill not have developed trust with the leader. Accessing the clientsmay also be an issue because of the diversity of location. Besides,the beginning stage may face issues of poor relationship between theleader and the clients. The group members may disagree on some pointsmaking it difficult to implement treatment. Provision of a conduciveenvironment may be difficult because of the diversity of theindividuals (Yalom, Houts, Newell, &amp Rand, 2014). Moreover, themiddle stage, which focuses on achieving a productive change, may beassociated with resistance from clients. The clients may notcooperate during the treatment making it impossible to attainbehavior change. Furthermore, the end stage may be impossible ifrelapse is witnessed. Negative results that would demand furthertreatment hinder the termination of the group therapy.


Thepossible issue in each stage can be eliminated suing self-carestrategies. Interaction and relationship issues can be solved bymaintaining social support. The development of a positive attitudewill ensure that little resistance is experienced. Clients canmaintain their emotions to ensure that they benefit from thetreatment. Stopping negativity will ensure that disagreements areavoided and a sense of common direction is achieved. Understandingthe goal of the group will help the clients to cooperate and takepart in the activities. Negative results are influenced by theinadequate involvement of the clients. Developing trust with theclinicians will enable the client to benefit from the subjectedtreatment (Norcross, 2012). Preparing for change will also help theclient to associate well with the leaders. Respect of the leaderswill lead to the development of a good and positive relationshipduring treatment.

Inconclusion, group therapies are effective methods of implementingtreatment because they enable clients to feel comfortable. Differentaspects such as goal and norms are considered when designing atherapy group. Issues may be encountered at each stage ofdevelopment, which needs to be addressed for effective implementationof treatment. Self-care strategies can be employed to minimizepotential issues of group therapy.


Norcross, J. C. (2012). Psychotherapist self-care:Practitioner-tested, research-informed strategies. ProfessionalPsychology: Research and Practice, 31(6), 710.

Yalom, I. D., &amp Leszcz, M. (2015). Theory and practice ofgroup psychotherapy. Basic books.

Yalom, I. D., Houts, P. S., Newell, G., &amp Rand, K. H. (2014).Preparation of patients for group therapy: A controlled study.Archives of General Psychiatry, 17(4), 416-427.