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Group Topics for Substance Use & Addiction Recovery

Group therapy and recovery-focused support groups play a vital role in helping people heal from substance use disorders. These settings offer a safe, structured space where participants can share their experiences, learn from one another, and build the skills needed to navigate life in sobriety. Whether someone is just beginning their recovery journey or strengthening long-term sobriety, the sense of community found in group work can make a meaningful difference.

Within these groups, conversations often center on themes that support personal growth and relapse prevention. While no two sessions are exactly the same, many groups explore similar topics designed to encourage reflection, resilience, and connection. Learn about some of the most common group therapy and recovery discussion topics or contact our Atlanta drug and alcohol rehab center to learn how we utilize groups during treatment.

What Are Recovery Groups?

When one or more licensed clinicians or therapists work with multiple participants simultaneously, it is called group therapy. They help you and your peers work on various aspects of addiction recovery using evidence-based tools and techniques commonly used in addiction treatment to help you achieve and maintain recovery.1,2 There are various types of group therapies, including psychoeducation groups, skills development groups, process groups, cognitive behavioral groups, and more.

There are also peer led addiction support groups, like 12-step groups, that you may find beneficial that complement traditional treatment methods like group therapy. In addiction support groups, like facilitation groups, you can learn from people going through the same thing you are.1

Psychoeducational Groups

In a psychoeducational group, a licensed therapist typically shares information about substance use disorders. They may also introduce and train you in assertiveness, communication, and problem-solving, which are essentail components of psychoeducation.3

Skills Development Groups

In a skills development group, a therapist will help you identify behavior changes, set goals, and teach you how to implement the skills you learn. They will help you build self-efficacy, reinforce your learning, and teach you in a clear, relevant way to your situation. Common skills to work on are communication, coping, problem-solving, assertiveness, and social skills.4

Cognitive-Behavioral Groups

Cognitive-behavioral therapy (CBT) focuses on changing unhealthy thought processes that may be driving you to engage in harmful behaviors. In CBT groups, you will be able to examine your thoughts and emotions, work with peers to develop strategies for dealing with triggers, change thoughts regarding substance use, and cope with challenging situations without using drugs or alcohol.1,4

Support Groups

Support groups are peer-run meetings where you can share your story, give and get feedback, and socialize with people who understand what you are going through. The most popular support groups include 12-step facilitation groups, like Alcoholics Anonymous (AA) and Narcotics Anonymous (NA), and 12-step alternative groups like SMART Recovery.5

Interpersonal Processing Groups

If you want to focus on improving your relationships, an interpersonal process group can help. Interpersonal processing groups help you address parataxic distortions, where characteristics of past familial, cultural, and social factors influence current relationships.2

Relapse Prevention Groups

Relapse prevention groups will help you develop strategies for decreasing the chances that you will relapse by reducing behaviors that may lead to relapse. It also enables you to manage a relapse if it does occur. You can learn how to deal with triggers and cravings and cope with everyday life issues.6

Specialized Groups

Specialized topics for addiction recovery groups are those that aren’t traditional but are essential to recovery treatment for overall well-being. Some call these groups complementary therapies, which may include holistic methods like mindfulness meditation, yoga, acupuncture, massage, biofeedback, guided imagery, and music therapies.7

Addiction Recovery Group Topics

Addiction group therapy sessions play a pivotal role in the recovery process for individuals battling substance abuse. These sessions offer a supportive environment where participants can share experiences, learn from each other, and develop coping strategies.2

As with group activities, topics for substance abuse groups also vary and sometimes overlap, to provide flexibility to incorporate multiple themes and recovery topics to reach the most individuals within the group.8 Below are some common recovery topics for groups.

Practicing Gratitude

Group leaders will incorporate group topics for recovery, such as gratitude, by defining it and having you discuss how to apply it in your daily lives. Gratitude is about recognizing and appreciating the good things in your life, even in hard times. Gratitude can help you build and maintain long-lasting, positive relationships with yourself and others.9

Triggers for Substance Use

A trigger is something that tempts you to start using substances again after a period of abstinence. Triggers can be emotional, social, a pattern, or part of withdrawal. Examples of triggers include stress, boredom, attending a social event, smells, or other reminders that may produce cravings.10 In group therapy, you can learn how to cope with triggers.

Relapse Prevention Skills and Strategies

Group topics for addiction include relapse prevention strategies. As a group topic for substance use disorders, you will discover skills like emotional regulation, realistic outcome expectancies, coping with stressors, dealing with cravings, support systems, and motivation to maintain recovery.6

The Importance of Sleep

The topic of sleep is crucial to recovery because lack of sleep is a risk factor for relapse. A sub-topic on sleep includes sleep expectancies, or your beliefs about sleep in relation to your substance use disorder. You may also learn about sleep, including creating a healthy sleep environment, sleep behaviors, and sleep therapies.11

The Significance of Self-Care

Self-care refers to the actions you take to restore your overall physical and mental health when you enter recovery. Self-care strategy topics for recovery often include mindfulness-based interventions, cognitive-behavioral therapies, personal development, and digital self-care resources.12

Letting Go and Forgiveness

To let go and forgive means you intentionally reduce the negative emotions and responses you have about yourself or another person. Group topics for substance abuse, such as forgiveness, are essential in support groups, like AA, where reframing and neutralizing negative experiences tend to reduce or eliminate negative emotions that may lead to relapses.13

Childhood Experiences And Trauma

The effects of childhood traumatic experiences can leave lasting effects and make it difficult to overcome a substance use disorder. However, group interventions can help, such as CBT, dialectical behavior therapy (DBT), and cognitive processing therapy (CPT). You will get social support, a feeling of understanding and belonging, and resources from others in the group.14

Stress Management

Stress is part of the entire course of a substance use disorder. Learning to handle stress and improve mental well-being through psychological interventions can support your recovery. Examples of stress management topics include progressive muscle relaxation, guided imagery, healthy lifestyles, and autogenic training.15

Isolation and Loneliness

Isolation refers to the absence of physical interaction with others in social settings, which differs from loneliness. You may feel alone in a crowd because there is a discrepancy between the actual quality and support you receive from your relationships and your perception of them. Both isolation and loneliness may lead to substance use. One group topic may be how mindfulness can ease feelings of isolation and loneliness.16

Group Therapy Benefits

Group therapy focused on substance use group topics can offer you many benefits that you may not be able to experience in individual therapy. Not only can you learn crucial skills and strategies for recovery, but you can also get the following17:

  • Support network of people who understand your situation
  • People to listen to you and give you feedback
  • People to brainstorm ideas and solutions to problems
  • Realization that you are not alone
  • Diversity of people who can offer different perspectives
  • Leadership from trained and licensed professionals

Addiction Group Therapy Activities

Recovery group topics and activities will vary daily based on participants’ needs. However, some general group therapy activities include the following:

  • Listing activities or creative tasks to do instead of using drugs.
  • Anger management activities, including therapists providing guidance on different anger styles and instructions on anger management techniques.18
  • Conflict resolution activities that teach you specific steps to resolve problems healthily.18
  • Identifying unhelpful habits, which involves listing and discussing patterns you’d like to change and exploring healthier alternatives to replace them.18
  • Brainstorming affirmations, where your group creates a list of simple, positive statements that recognize individual growth and progress in recovery. This activity is inspired by research on “micro-affirmations,” which shows that small, encouraging words and gestures can strengthen a person’s sense of self, hope, and well-being in recovery.19
  • Goal setting, which gives you things to work toward; in a group, you can create a detailed plan to reach your goals.
  • Mindfulness, which teaches you to take a moment to stop, focus on the present, be aware of your surroundings, and tend to your physical and mental recovery needs.12

Addiction Recovery Group Therapy at Empowered Recovery Center

At Empowered Recovery Center, we specialize in recovery topics for group therapy discussion. Group therapy increases self-esteem, reduces anxiety, and provides a safe place for people who have struggled with substance abuse to talk about their recovery. Groups also enable those in recovery to discuss mental illness, core issues in their lives, the consequences of abusing substances and unhealthy habits, and building healthier ones.

Having addiction recovery topics to discuss is incredibly powerful, either on its own or in addition to individual therapy. Joining a substance abuse group can additionally improve an individual’s chance of long-term sobriety.

Contact us at Empowered Recovery Center today for more information about our substance abuse group topics during therapy sessions. Our experienced rehab admissions team can help answer any questions you may have about our addiction treatment programs, the costs of rehab, how to use your insurance to pay for rehab, and more. Call our addiction rehab in Atlanta or verify your benefits online to get started.

References

  1. Wendt, D. C., & Gone, J. P. (2017). Group Therapy for Substance Use Disorders: A Survey of Clinician Practices. Journal of groups in addiction & recovery, 12(4), 243–259. https://doi.org/10.1080/1556035X.2017.1348280. Retrieved on 11/19/2025 from https://pmc.ncbi.nlm.nih.gov/articles/PMC6289265/.
  2. Malhotra A, Mars JA, Baker J. (2024). Group Therapy. Retrieved on 11/20/2025 from https://www.ncbi.nlm.nih.gov/books/NBK549812/.
  3. Sarkhel, S., Singh, O. P., & Arora, M. (2020). Clinical Practice Guidelines for Psychoeducation in Psychiatric Disorders General Principles of Psychoeducation. Indian journal of psychiatry, 62(Suppl 2), S319–S323. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_780_19. Retrieved on 11/20/2025 from https://pmc.ncbi.nlm.nih.gov/articles/PMC7001357/.
  4. Magill, M., Martino, S., & Wampold, B. E. (2020). The process of skills training: A content analysis of evidence-based addiction therapies. Journal of substance abuse treatment, 116, 108063. https://doi.org/10.1016/j.jsat.2020.108063. Retrieved on 11/20/2025 from https://pmc.ncbi.nlm.nih.gov/articles/PMC7399208/.
  5. Kelly, J. F., Levy, S. A., & Hoeppner, B. B. (2023). An investigation of SMART Recovery: protocol for a longitudinal cohort study of individuals making a new recovery attempt from alcohol use disorder. BMJ open, 13(2), e066898. https://doi.org/10.1136/bmjopen-2022-066898. Retrieved on 11/20/2025 from https://pmc.ncbi.nlm.nih.gov/articles/PMC9900056/.
  6. Menon, J., & Kandasamy, A. (2018). Relapse prevention. Indian journal of psychiatry, 60(Suppl 4), S473–S478. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_36_18. Retrieved on 11/20/2025 from https://pmc.ncbi.nlm.nih.gov/articles/PMC5844157/.
  7. U.S. Department of Veterans Affairs. (2025). Substance use disorder treatment: Complementary approaches. Retrieved on 11/20/2025 from https://www.va.gov/WHOLEHEALTHLIBRARY/tools/substance-use-disorder-treatment-complementary-approaches.asp.
  8. Wendt, D. C., & Gone, J. P. (2018). Complexities with group therapy facilitation in substance use disorder specialty treatment settings. Journal of substance abuse treatment, 88, 9–17. https://doi.org/10.1016/j.jsat.2018.02.002. Retrieved on 11/20/2025 from https://pmc.ncbi.nlm.nih.gov/articles/PMC5990965/.
  9. Charzyńska E. (2021). The Effect of Baseline Patterns of Spiritual Coping, Forgiveness, and Gratitude on the Completion of an Alcohol Addiction Treatment Program. Journal of religion and health, 60(3), 1796–1817. https://doi.org/10.1007/s10943-021-01188-8. Retrieved on 11/20/2025 from https://pmc.ncbi.nlm.nih.gov/articles/PMC8137607/.
  10. U.S. Department of Health and Human Services. (n.d.). Smokefree.gov: Know your triggers. Retrieved on 11/20/2025 fromhttps://smokefree.gov/challenges-when-quitting/cravings-triggers/know-your-triggers.
  11. Spadola, C. E., Wagner, E., Slavish, D. C., Washburn, M., Ogeil, R. P., Burke, S. L., Grudzien, A., & Zhou, E. S. (2023). Sleep and substance use: Practice considerations for social workers. Journal of social work practice in the addictions, 23(1), 24–38. https://doi.org/10.1080/1533256x.2022.2159642. Retrieved on 11/20/2025 from https://pmc.ncbi.nlm.nih.gov/articles/PMC11460772/#S3.
  12. Folgueiras-Vila, A., Martorell-Poveda, M. A., Del Señor Sesmilo-Martínez, M., Vidal-Massot, P., & Ortega-Sanz, L. (2025). Self-Care in Addiction Recovery: A Scoping Review. International journal of mental health nursing, 34(5), e70124. https://doi.org/10.1111/inm.70124. Retrieved on 11/20/2025 from https://pmc.ncbi.nlm.nih.gov/articles/PMC12409770/.
  13. Krentzman, A. R., Webb, J. R., Jester, J. M., & Harris, J. I. (2018). Longitudinal Relationship between Forgiveness of Self and Forgiveness of Others among Individuals with Alcohol Use Disorders. Psychology of religion and spirituality, 10(2), 128–137. https://doi.org/10.1037/rel0000152. Retrieved on 11/20/2025 from https://pmc.ncbi.nlm.nih.gov/articles/PMC5995557/#S11.
  14. Griffin, S. M., Lebedová, A., Ahern, E., McMahon, G., Bradshaw, D., & Muldoon, O. T. (2023). PROTOCOL: Group-based interventions for posttraumatic stress disorder: A systematic review and meta-analysis of the role of trauma type. Campbell systematic reviews, 19(2), e1328. https://doi.org/10.1002/cl2.1328. Retrieved on 11/20/2025 from https://pmc.ncbi.nlm.nih.gov/articles/PMC10182838/.
  15. Louvardi, M., Chrousos, G. P., & Darviri, C. (2021). The Effect of Stress Management Techniques on Persons with Addictive Behaviors: a Systematic Review. Materia socio-medica, 33(3), 213–218. https://doi.org/10.5455/msm.2021.33.213-218. Retrieved on 11/20/2025 from https://pmc.ncbi.nlm.nih.gov/articles/PMC8563055/.
  16. Herczyk, J. M., Zullig, K. J., Davis, S. M., Mallow, J., Hobbs, G. R., Davidov, D. M., Lander, L. R., & Theeke, L. (2023). Association of Loneliness and Mindfulness in Substance Use Treatment Retention. International journal of environmental research and public health, 20(16), 6571. https://doi.org/10.3390/ijerph20166571. Retrieved on 11/20/2025 from https://pmc.ncbi.nlm.nih.gov/articles/PMC10454177/.
  17. American Psychological Association. (2019). Psychotherapy: Understanding group therapy. Retrieved on 11/20/2025 from https://www.apa.org/topics/psychotherapy/group-therapy.
  18. Western Oregon University. (n.d.). Conflict and anger management. Retrieved on 11/20/2025 from https://wou.edu/health/resources/student-health-101/emotional-wellness/conflict-anger-management/.
  19. Topor, A., Bøe, T. D., & Larsen, I. B. (2018). Small Things, Micro-Affirmations and Helpful Professionals Everyday Recovery-Orientated Practices According to Persons with Mental Health Problems. Community mental health journal, 54(8), 1212–1220. https://doi.org/10.1007/s10597-018-0245-9. Retrieved on 11/20/2025 from https://pmc.ncbi.nlm.nih.gov/articles/PMC6208994/.

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