Groups meet once or twice weekly at a specific time. Each session runes for at least one hour. During the session, the therapist encourages each member of the group to express her or his feelings and thoughts, in particular about their reactions to other members. The therapist identifies processes being brought out not only within the members, but also between them. In this way, the group discovers unhelpful patterns that repeat styles from earlier in life. With these insights, the group explores more effective ways to cope with anxiety and other uncomfortable feelings.

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Group work sometimes is carried out alongside individual sessions, where the material arising in the group can be explored one-one-one with the therapist before being brought back to the group for further exploration.