Group Therapy Session Parts, #1 – The Grounding

Your clients have just arrived for their group therapy session, and, likely, they have dozens of topics on their mind and very few of these thoughts might actually be about where they are now. I find it beneficial to open each group and individual session, with a grounding, resourcing, or mindfulness exercises. This supports clients in practicing these tools, while supporting them in landing in the here and now. The following are some suggestions:

Breathing Exercises

I like using a Hoberman Sphere when demonstrating breathing techniques, to represent inhales, holds, and exhales. You can pass the sphere in a circle allowing each client to be able to guide the group in breathing.

Senses Exercises

  • 5 Senses Mindfulness Exercise
    • An augment I made to the 5 sense, is in explaining the exercise I will either que the group to focus on sensations far away and then bring it closer or even internally, or to start close and then allow the awareness to expand further and further away. The way I choose depends on what the group needs more, are they scattered and need help focusing inwards or are they too internally focused and need support in expanding their focus.
  • Safe Place Exercise
  • Silly LIttle Questions
    • This helps increase activation of the pre-frontal cortex for clients that may be more stressed upon arrival to group. Examples of Silly Little questions include:
      • How many yellow items can you see?
      • How many different scents can you notice?
      • How many shades of green can you currently see?
      • How many textures can you feel?
  • Taking in the Good

Movement Exercises

Take your time introducing and explaining exercises. Let the clients know about the physiological and neurological benefits. After you have lead clients through the exercises a couple times, empower them to co-lead the exercise with you, then to lead the exercise on their own. Encourage clients to practice these exercises every day. If they are able to repeat these exercises for 20-30 seconds 8-10 times a day, it can support increasingly being able to access calm states when under stress. Ways to incorporate regular practice could include setting a phone alarm or through marking, such as every time one walks through a door or washes their hands.

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