Schizophrenia Group Therapy Ideas And Their Mental Health Benefits

Medically reviewed by Julie Dodson, MA, LCSW
Updated May 2nd, 2025 by BetterHelp Editorial Team

Schizophrenia is a serious mental disorder that can cause significant disruptions to a person's life. During an episode, schizophrenia may cause an individual to feel disconnected from reality. While there is no cure for schizophrenia, various treatment options, including group therapy sessions (reorder clauses for better clarity), can help individuals improve their symptoms and manage the condition.  

Schizophrenia is one of the mental health conditions that impact how a person thinks, feels, and behaves. Negative symptoms, including decreased motivation and expression of emotion, are seen in most adults with schizophrenia.  These can have a great impact on daily life. These symptoms tend to lead to social withdrawal and impairment in interpersonal relationships. Early intervention in psychiatry goes a long way in enhancing recovery in the long run. Schizophrenia has a proclivity for inducing anxiety and depression, so proper treatment is needed. Treatment plans should be designed to represent each individual's unique needs, ensuring they receive personalized therapy and support to manage their condition effectively.

For a person with schizophrenia, being properly treated through a combination of therapy, medication, and social support is important for improving their life. Depression and anxiety also tend to happen and, if not treated, can exacerbate their condition. Research in psychiatry highlights that structured therapy can help manage both psychotic symptoms and co-occurring mental health conditions. Family members and caregivers are also very important in helping people stay on their treatment regimen, providing emotional and practical support. Early and continued treatment of negative symptoms can result in better functioning and a better quality of life for people with this disorder.

If you or a loved one is living with schizophrenia, it may be helpful to learn more about the condition, available treatment options, and how group settings and group therapy activities can make a difference.  

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Explore evidence-based treatments for schizophrenia

What is schizophrenia?

Schizophrenia is a mental illness affecting an individual's thoughts, feelings, and behavior. It may involve several symptoms, including experiences where the individual feels disconnected from reality. Schizophrenia may require lifelong treatment, which can include medication, therapy, and, in some cases, hospitalization. However, many patients with schizophrenia and other mental health conditions who receive mental health treatment can live fulfilling lives. Research in psychiatry suggests that early intervention plays a crucial role in managing schizophrenia spectrum disorder effectively. Studies in the International Journal of Mental Health indicate that structured cognitive behavioral group therapy may improve daily functioning. 

What are the symptoms of schizophrenia? 

Understanding possible symptoms may help you recognize if you or a loved one may be experiencing schizophrenia. The symptoms of schizophrenia can vary but may include the following. 

Hallucinations

A person experiencing hallucinations may see, feel, or hear a stimulus that isn't present. Auditory hallucinations, often called "hearing voices," may be the most common form of hallucination in patients with schizophrenia. A randomized controlled trial found that integrating cognitive remediation into therapy can help individuals reduce the impact of auditory hallucinations.

Delusions

Delusions are false beliefs. Like hallucinations, they are not rooted in reality. However, instead of being based on stimuli an individual experiences, delusions involve maladaptive thought patterns. Examples of possible delusions include the belief that the government is monitoring their movements, that they have exceptional traits like the ability to read other people's minds, or that they can prevent a major disaster from occurring. Psychotic symptoms such as delusions are common in schizophrenia or schizoaffective disorder, often requiring structured treatment approaches.

Disorganized behavior

Disorganized behavior refers to unusual or inappropriate behavior that does not seem to be under the person's control. This behavior can show up as unpredictability, agitation, or silliness. Disorganized behavior may include bizarre postures, unresponsiveness, excessive movement, a movement that does not serve a purpose, or resistance to instructions from others. Cognitive behavioral group therapy can help individuals with schizophrenia develop better decision-making and coping strategies to manage unpredictable behavior. 

Disorganized thinking and speech

Disorganized speech can be demonstrated through disorganized thinking, answers to questions that do not make sense, unrelated streams of thought, sentences that do not flow, ineffective verbal communication, and "word salad," in which an individual expresses a jumble of meaningless words that are unintelligible to others. A therapist often incorporates social skills training in group therapy to help participants improve communication abilities.

"Negative" symptoms

Negative symptoms refer to a reduced ability or lack of ability to function as usual. These can include neglecting personal hygiene, appearing to lack emotion, behaving in socially inappropriate ways, avoiding social interactions, and losing interest or enjoyment in daily activities. A National Institute of Health study suggests that enhancing self-esteem through structured psychotherapy can significantly reduce negative symptoms.

If you are experiencing suicidal thoughts or urges, contact the National Suicide Prevention Lifeline at 988. Support is available 24/7.

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Treatment and strategies for managing schizophrenia symptoms for better mental health

Schizophrenia does not have a cure, but there are steps patients with the condition can take to manage their symptoms. Common treatment options include the following: 

  • Medications 
  • Individual therapy
  • Social skills training
  • Family therapy
  • Group therapy

A structured mental health treatment plan that includes group sessions may enhance recovery outcomes.

Research suggests group therapy can be effective in improving symptoms of schizophrenia
 

Schizophrenia group therapy ideas

Talking through concerns related to schizophrenia in a group setting with others experiencing the condition may offer numerous benefits for patients with schizophrenia. Several dynamics within group therapy for schizophrenia may be helpful for those experiencing the condition, including the following. 

Shared experiences

Living with schizophrenia can be perceived as isolating, as it is not a common mental health condition or disorder. Researchers estimate that about 0.85% of the global population experiences schizophrenia at some point in their life. Being able to talk through similar experiences and challenges (delete – ‘Participating in a group therapy session with others going through similar challenges’) may be one of the most significant benefits of group therapy.

In group sessions, participants (both children and adults) may feel less alone, learn positive coping strategies modeled by other group members, and reduce anxiety about their condition. It may also be helpful for patients to share their frustrations and successes in an environment with those who can relate to what they are experiencing. Sharing experiences can also help a person develop emotional resilience and learn from others facing similar struggles.  Studies in psychotic disorders and psychiatry highlight the benefits of structured therapy in improving mental health conditions. 

Social interaction

Because one of the possible symptoms of schizophrenia is avoiding social interaction, finding ways to connect can be therapeutic. Adults who engage in group therapy may experience reduced depression due to the support of their peers. Mental health treatment often includes group therapy, which creates opportunities for social interaction with others, and it may also incorporate the practice of social skills in sessions.

A group therapy setting may also seem like a more comfortable space for social interaction for some patients and adults, as they will be in a place with others experiencing similar difficulties. In this case, social interaction is an already-established aspect of the experience, helping each person feel less isolated. In some cases, there may also be opportunities to include family members, friends, and loved ones of patients with mental health conditions in this supportive environment. For many, building these connections can have a lasting impact on their life, offering both emotional support and practical coping strategies.

Skills development

Some symptoms of schizophrenia may result in difficulty navigating aspects of daily life. Group therapy can help patients and participants support each other and learn from each other in developing and expanding certain skills that may reduce challenges, including treatment adherence, medication, and interpersonal relationships. Group therapy sessions might also focus on skills aimed at improved quality of life, such as art therapy. A therapist may use cognitive behavioral therapy techniques to help patients manage negative symptoms and thoughts effectively. Individuals with schizophrenia who are actively treated in group settings may find it easier to manage their anxiety and depression. Many adults benefit from structured therapy programs that address emotional regulation and social skills, fostering long-term well-being.

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Explore evidence-based treatments for schizophrenia

How to find support for schizophrenia 

Schizophrenia can seem overwhelming and isolating, but you are not alone if you live with this condition. There are resources to help patients address symptoms and continue to live healthy lives. Mental health treatment options vary, and finding the right approach can improve overall well-being. Many adults diagnosed with schizophrenia benefit from structured therapy programs that provide consistent support. Developing coping strategies can make a significant difference in managing negative symptoms and daily challenges.

Because some schizophrenia symptoms can impact a person's ability to function, it may sometimes be difficult for a person with the condition to access in-person individual or group therapy treatments. If this is the case for you, online therapy through a platform like BetterHelp may be impactful. However, note that schizophrenia can often require intensive medical intervention, so online therapy may not be the only treatment for a person experiencing the disorder. Instead, it can be a complement to other treatment options. A therapist can help individuals navigate their emotions and build resilience. Some therapy platforms also offer guided exercises designed to reduce anxiety and improve emotional regulation. Engaging in consistent therapy sessions can enhance a person's sense of stability and well-being.

Research has demonstrated that online therapy can be effective for various mental health conditions, including schizophrenia. For instance, one study examined a telehealth psychoeducation intervention for individuals with schizophrenia and their families, and it found that individuals with schizophrenia who participated in the online intervention reported lower perceived stress and a higher perceived level of social support. The researchers concluded that their findings demonstrated the feasibility and impact of providing telehealth-based psychosocial treatments, including online therapy groups. 

Online therapy programs often focus on helping participants develop healthy communication habits. Some interventions incorporate mindfulness techniques to help manage stress and emotional distress. Many patients report an improved quality of life when therapy is combined with additional support systems.

Takeaway

People with schizophrenia can experience intense and distressing symptoms, but several treatment options are available, including medication, individual therapy, and group therapy. Group therapy focusing on shared experiences, social interactions, and skills development may help people with schizophrenia manage their symptoms and live fulfilling lives. For support with these and other concerns, consider contacting a therapist online or in your area.

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