In this article, I share thoughts about how to do group therapy in an outpatient setting with clients struggling with Borderline, Narcissistic, and Schizoid Adaptations. I discuss some of the basics of what I do, how I do it, and why I do it. My goal is modest. This is an introduction to the topic, not an exhaustive treatment. It is my hope that other group leaders can learn from my mistakes and find some tips that might help them understand how to work more effectively with this set of clients. I am not suggesting that my approach is the only one, the best one, or that everyone should use it. My aim is simply to give the reader some elemental information on personality adaptations and group therapy that I wish that I had known when I started my first psychotherapy group.

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