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Charles George VA Medical Center - Asheville, NC


Mental Health Therapy Groups

Therapy Groups

12 Step Education Group

This is a 7 session education group. The primary goal of this group is to take the mystery out of programs like AA and NA. Also to address myths about the fellowship such as this being a "religious program" or "I am not bad enough to need AA". Participants are encouraged to attend outside 12-step meetings while in the Group.  The final session focuses on the 12-Traditions of AA/NA Groups.

12 Step Facilitation Group

This is a 12-session group that uses the Twelve-Steps as a way to help Veterans with recovery from substance use. Topics include acceptance, surrender, emotions, and relationships.  The program talks about the disease concept of addiction and uses genograms, showing family substance use, consequences, and integrating what the Veteran has learned about family addiction.

Acceptance and Commitment Therapy for  Depression Group

Veterans develop the ability to accept distressing and avoided thoughts, emotions, memories, and sensations, while at the same time, learn to make powerful, life-enhancing choices that are consistent with their personal values.  Oversimplified, you might say, “hold and move.”   “Hold” your experience and “move” forward in your life.

Anger Management Group

Codependency Group

Codependency is a 12-week group where we teach what codependency is, where is comes from, how to identify and change behaviors including: setting boundaries, learning to love oneself and communicating clearly.

Cognitive Behavioral Therapy- DEPRESSION

Helps Veterans to explore their thought patterns and identify which beliefs are harming or helping their recovery. Veterans learn new patterns of thinking and to develop new, positive behaviors.  Therapy focuses on relationships among thoughts, feelings, and behaviors with the goal of improving mood.  

Cognitive Behavioral Therapy for Chronic Pain (CBT-CP)

Teaches Veterans how to better manage chronic pain and improve the quality of life.  Encourages Veterans to explore strategies beyond medication to cope with chronic pain.  Goal of the therapy is to help Veterans take an active, problem-solving approach to deal with the many challenges associated with chronic pain. 

Cognitive Behavioral Therapy for Substance Use Disorders

Cognitive-Behavior Therapy for Substance Use Disorders (CBT-SUD) is a 12-week group. The philosophy of the CBT centers around challenging unhelpful thoughts and beliefs about ourselves, others, and the world. The group focuses on building coping skills to identify recovery values and make fundamental changes in one’s life.

Cognitive Processing Therapy-Aftercare Group

Cognitive Processing Therapy-Military Sexual Trauma Group

Combat PTSD Support Group

Support group for combat Veterans to support each other through related challenges such as anniversaries of combat exposures and supporting each other in their recovery process with mental health challenges.

Combat PTSD/SUD Group

Support group for combat Veterans to support each other through related challenges such as anniversaries of combat exposures and supporting each other in their recovery process with mental health challenges and substance use.

Come As You Are

This group is for Veterans who need the ‘drop in’ group flexibility. This group is for veterans want to support one another as they themselves are wanting to reduce the harm of substances in their lives, working toward sobriety, or are seeking a group to support their continued sobriety.  This is a drop in group, so only half travel pay will apply for Veterans. In this 60 minute support group, veterans will provide support to one another with the focus of building motivation to make changes (big or small) in life.

Coping Skills Group

Develop the ability to experience life from a “Wise Mind” perspective by learning and practicing DBT coping skills.  These skills help to change behaviors, emotions, and thinking patterns associated with problems in daily living. 

Couples Group

This is a12-week couples group, which is based on the IBCT model. Through this group, couples will gain a deeper understanding of their partner and the relationship problems they are facing. We will review some communication skills to help couples have healthier and more positive ways of interacting.

Early Recovery Skills Group

This is a psychoeducational group that focuses on evidence-based SUD and relapse prevention skills and knowledge. The Group has 20 weeks of material broken up into Modules that are five sessions each including Commitment, Relapse Prevention, Interpersonal Skills, and Life Skills. This group adds new members every 5 weeks.

Exploring Change

This group is called Exploring Change. This group may be a good fit for you if you are currently using substances (alcohol and/or drugs). The goal of this group is to give you a chance to evaluate your substance use and its role in your life- whether or not you have plans to make changes. This group includes non-judgmental feedback, exploration of your personal values, and a chance to consider how to live your life according to what’s most important to you. In this group you may decide not to make changes in your use, to set goals around reducing the negative effects of substances in your life, or quit substances altogether. It’s up to you. Abstinence from substances is not a requirement for this group.

Foundation for Change

This 10-week group will explore the foundations for personal change and movement toward recovery behaviors, including: exploring personal values and how these relate to change; exploring importance of change; building personal confidence to change; and, if folks are ready, change planning.

Sleep Solutions

Veterans learn how to manage insomnia by targeting thoughts and behaviors that interfere with sleep. Therapy provides education on sleep hygiene, sleep patterns, and relaxation strategies to aid sleep. Veterans will learn to monitor sleep patterns with the use of a daily sleep diary.

Integrative Behavioral Couples Therapy (IBCT)

IBCT is an evidence-based treatment for couples. The goals of IBCT are to improve relationship satisfaction by increasing acceptance and intimacy between the couple, improving couple’s understanding of their relationship, and promoting positive interactions. The therapy consists of an initial assessment phase of 4 sessions. Then active treatment phase begins and varies in length, based on the couple’s needs.

LGB Support Group

The Support Group offers a safe place for LGB Veterans to discuss and explore topics related to relationships, sexuality, health, identity, stress, and many more.

Life Abilities Group

Brief (4 sessions) psychoeducational groups focused on Recovery from PTSD, Depression, Stress Management, Anger Management, PTSD Education for Families, Women’s Issues, Women and Personal Trauma/PTSD.  Good introductory format for Veterans who are new to psychotherapy.  

Living WRAP

This group will focus on experiential aspects of WRAP rather than psychoeducational aspects. Veterans will encourage and support each other in living their Wellness Plan.  Graduates of WRAP will be welcome in this group as will any Veterans who have an interest in participating.

Managing Depression

Therapy for depression focuses on promoting positive relationships and resolving relationship problems due to life changes, relationship conflicts, loss, or other issues.

MCEC Parenting Workshop

These are stand-alone workshops which will be offered at various dates throughout the year. These workshops offer families skills to assist in raising more resilient and healthy children, as well as strengthening family relationships.  Workshops include practical tools and strategies that families can start using right away.

Mental Health Peer Support Group

Military Sexual Trauma Group

Any Veteran who was sexually traumatized while serving in the military is eligible to receive counseling regardless of gender, service connection, or era of service. To help Veteran’s deal with the emotions of military sexual trauma and regain confidence in everyday life.

Motivational Interviewing (MI)

Veteran-centered strategy used to elicit and strengthen motivation for change. The intervention can be used flexibly to engage Veteran’s in treatment, to support Veterans through transitions and referrals, and to support Veterans in charting an active course in recovery. 


Support group for OEF/OIF/OND Veterans dealing with PTSD. Veterans are encouraged to support each other. The group also reviews how to use a Wellness Plan on a daily basis to manage symptoms and PTSD and live a healthy lifestyle.

OEF/OIF/OND Support Group

Support group for OEF/OIF/OND Veterans. Veterans are encouraged to support each other. The group also reviews how to use a Wellness Plan on a daily basis to manage symptoms and live a healthy lifestyle.

Orientation to SUD Program

This 4 week group is focused on orienting veterans to the programs available within the Substance Use Disorder program and an opportunity to connect with other Veterans who have experienced similar challenges. Veteran will identify individual treatment goals and explore motivation for recovery.  At the conclusion of this group, each veteran will have an individualized treatment plan and clarity for what their next steps are within this Outpatient program.

Peer Focus Support Group

A group to help Veterans plan ahead for their week and treatment schedules. Group will also explore how participants are using key concepts of recovery in daily life.

Problem Solving Skills Group

Teaches Veterans practical “problem-solving skills.” This intervention enhances the Veteran’s ability to identify, discover, and create effective ways of coping with stressful problems in living.  It enhances optimism, fosters effective emotional regulation and improves problem-solving ability.

PTSD Education for Families

Psychoeducational classes to help family members/caregivers learn more about PTSD. We will cover PTSD basics, look at how PTSD can impact family life and relationships, and will also discuss PTSD treatment and resources. Participants will also learn some basic skills for healthier communication and there will be an emphasis on self-care.

PTSD Peer Support Group

Support group for Veterans with PTSD. This group provides Veterans with similar experiences to support one another. This group also reviews the use of a Wellness plan to live a healthy lifestyle. The importance of identity beyond diagnosis is also covered.

PTSD-Cognitive Processing Therapy Group

Encourages the Veteran to look at how the traumatic event is understood and interpreted and coped with as he or she tries to regain a sense control in his or her life.  Patients work through “stuck” points related to trauma.  Trauma-related beliefs are explored as well as issues related to safety, power, control, trust, intimacy, and self-esteem. 

Relapse Prevention Group

This is a 4 week group focused on questions the Veteran’s bring to the recovery process. Group leader will provide information on health in early recovery, the process of treatment for substance abuse, what are the treatments that are available for addiction, goal setting, staying motivated for recovery, and what to do should a relapse/crisis occur.  

Restoration in Recovery Group

This group considers topics such as homelessness, financial difficulties, community support systems, spirituality, and physical and mental wellness. This group discusses barriers and pitfalls associated with maintaining recovery from substance use while dealing with areas of restoration. One objective of this group is to develop a Wellness Plan to strengthen the recovery process such as Wellness Recovery and Action Planning.

SAFE- Support and Family Education

SAFE is a monthly support and educational group for family members and caregivers of any Veteran who is living with any mental health issue, including PTSD.

SARRPT Alumni Group

This is a drop in group for individuals who have completed the residential SARRTP program. It is run by Peer Support Specialist David Loewen, and meets the first and third Saturdays of each month in the basement multipurpose room at 3pm. This group does not require a referral.

Seeking Safety

This is a 12-week group for veterans who have both PTSD and substance abuse. The goal of this group is for veterans to learn safe coping skills. The group focuses on building coping skills to handle triggers and life stressors. There are options for closed* group or open* group.

Spirituality in Recovery

This open group we will be centered around steps two and three from the 12 steps for AA/NA. The first part of each group will be open discussion from veteran responses in their journals, and there may be some role playing.  The goal of this group is to explore change through spiritual attributes as seen in steps two and three.

Stress Management

This 8-week group addresses stress management techniques through the lens of understanding our nervous system and our autonomic reactions to our environment. Each group teaches specific tools to help manage stress through an educational format as well as experiential exercises.

Substance Use Disorder (SUD) Support Group

Teaches clients how to make and maintain changes in substance use and improve their quality of life. Encourages clients to adopt an active, problem-solving approach to cope with the many challenges associated with substance use conditions.

TBI Group

Targets mild TBI.   Provides psycho-education, skills, and compensatory strategies to manage cognitive deficits.

Transgender Support Group

The Transgender Support Group offers a safe and confidential place for transgender Veterans to share thoughts and feelings about their experiences, to explore creative ways to cope with challenges they encounter, to learn from one another, and to support and be supported by one another.

Trauma Resiliency Model

Focused on OEF/OIF/OND Veterans. Therapy focuses on biological approach to trauma and teaches specific techniques to help rebalance the nervous system.  For Veterans who are resistant to trauma processing, therapy helps to normalize their experiences and offers skills to rebalance the nervous system.  The skills help develop a sense of personal mastery and self-management over intense physical and emotional states. 


A Peer-led Veteran owned group wherein Veterans develop a fictional scenario of a “Veteran X’ including this Veteran’s psychosocial stressors and then work as a group, over the course of a year, to navigate the obstacles faced by Veteran X on the road to recovery in a supportive collaborative environment.

Women’s Processing Group

This group is for women at mid-life (40’s and older), and the topics focused on include assertiveness, coping with anger, expressing values and needs, relationships, setting boundaries, grief, and other relevant struggles with coping though exercises, group discussion, art projects and homework to facilitate growth and change.

Women Living with PTSD

Women’s Group

This group is for women Veterans of the PRRC to learn from and support each other.

WRAP Group

Wellness Recovery Action Planning- a group to teach Veterans how to develop a plan to maintain their wellness, recognize triggers and early warning signs of relapse, respond to warning signs, and develop a plan for times of crisis.