6 min read
May 1, 2026

Support Group Ground Rules: What to Include

Writing ground rules for your group? What to include, how to introduce them in session one, and a set you can copy and adapt.
Pritika B. Gonsalves, PhD, MA
Director of Psychological Content & Expert-Led Support Programs, MentalHappy
Pritika B. Gonsalves, PhD, MA
Director of Psychological Content & Expert-Led Support Programs, MentalHappy
Director of Psychological Content & Expert-Led Support Programs, MentalHappy
Support Group Ground Rules: What to Include

Ground rules written after a problem tend to read as a reaction to one person. Written before, they are simply how the room works, which is the entire reason to write them now.

Here is a set you can copy, what each rule is actually for, and how to introduce them so the group owns them rather than tolerating them.

A set you can copy

Keep it short enough to read aloud in three minutes. Seven rules is about the limit before people stop listening.

  1. What is said here stays here. Not repeated outside this group, not to partners, not without names, not as "someone in my group". The one exception: if someone is at risk of serious harm, I may have to act, and I will tell you if I do.
  2. No advice unless it is asked for. We listen first. If you want suggestions, say so.
  3. Speak from your own experience. "I" rather than "you" or "people like us".
  4. You can always pass. No explanation needed, and nobody will comment on it.
  5. One conversation at a time. No side conversations, no private messages during the session.
  6. We start and finish on time. Arrive when you can; leave if you need to.
  7. Disagreement is fine. Dismissing someone is not. Two people can have had opposite experiences of the same thing and both be right.

What each rule is actually for

Confidentiality

Vagueness is what breaks this rule, not malice. Most breaches are a detail mentioned to a spouse by someone who genuinely did not think that counted. Spelling out that it does is what prevents it.

The limit matters too. A promise of absolute confidentiality is one you cannot keep, and naming the exception in session one is far better than invoking it unannounced in session nine.

No advice unless asked

The single most useful rule in any support group. Without it, a member describes a difficulty and three people offer solutions, the helpers feel useful and the person who spoke feels handled rather than heard. This is the rule that most often makes people say a group felt different from anything else.

Speak from your own experience

Stops generalization, which is where most avoidable friction comes from. "That never helps" is a claim about everyone; "that didn't help me" is a contribution.

You can pass

Protects the quiet members, and counter-intuitively increases how much people speak. A group where passing is visibly normal is a group where speaking is a choice rather than a performance.

One conversation at a time

Obvious in a room, essential online, where a side thread in the chat is invisible to whoever is speaking and corrosive when discovered.

Time

A group that starts late teaches people the start time is approximate. Ending on time also protects members from the session that runs on because nobody wanted to interrupt someone.

Disagreement

Worth stating explicitly, because groups often assume harmony is the goal and go quiet rather than differ. The first mild disagreement in a group is usually a sign of health.

How to introduce them

  1. Read them aloud in session one. Not a link, not a document, read them.
  2. Say what each is for in a sentence. A rule people understand is a rule they keep.
  3. Ask what is missing. Almost every group adds one, and the one they add tends to be the one they enforce hardest.
  4. Get explicit agreement. A nod round the room. It sounds ceremonial and it changes what happens later.
  5. Recap in one line whenever someone new joins. Not the full reading, but not silence either.

Then let the group own them. When you need to intervene later, you are pointing at an agreement everyone made rather than exercising authority, which is a far easier position to hold.

Using them when something goes wrong

The point of having written rules is that enforcement stops being personal.

What happensWhat to say
Someone gives unasked-for advice"Before we go to suggestions. Does anyone recognize this?"
Someone has talked for a long time"That's a lot to be carrying. I want to make sure others get time. Has anyone else been sitting with something like that?"
Someone dismisses another member"We can hold both of those. They were different experiences."
Side conversation in the chat"Let's keep it to one conversation, drop it in the main thread if it's for everyone."
Someone is clearly in distressSlow down, speak to them directly, and follow up privately after. Do not assess anyone in front of the group.

Light and early beats heavy and late. A rule mentioned in passing the first time it is bent rarely has to be enforced properly later.

Rules worth adding for particular groups

  • Groups about bereavement or trauma: a note about detail. People can say what happened without describing it graphically, because others in the room may not be able to hold it that week.
  • Groups about recovery: whether the group is a place to talk about use, and in what terms.
  • Groups that include family members: whether what is said can be discussed at home between the two people who both attend. This is the one that most often causes trouble if unaddressed.
  • Online groups: no recording, no screenshots, and what happens if the facilitator drops out.
  • Any group where members may know each other outside: what acknowledgment looks like if you meet in public.

Do not add all of these. Add the ones your group's subject actually raises, and keep the list readable.

What not to put in

  • Anything that sounds clinical. Treatment agreements, contracts and consent forms change what the group is, and imply something it is not.
  • Mandatory participation. Participation that has been extracted is worth very little.
  • Attendance requirements you will not enforce. A rule you ignore teaches the group that rules are optional.
  • Rules about other people's feelings. "Be positive" or "no negativity" makes a support group unusable for the people who most need it.

That last one deserves emphasis. A group that has quietly forbidden difficulty will be pleasant, well-attended for a while, and useless.

Questions about ground rules

What rules should a support group have?

A workable minimum: confidentiality with its limits stated, no advice unless asked, speak from your own experience, you can always pass, one conversation at a time, start and finish on time, and disagreement is fine but dismissing someone is not. Seven is about the limit before people stop listening.

How do I introduce ground rules to a support group?

Read them aloud in the first session rather than linking to a document, say in one sentence what each is for, ask the group what is missing, and get explicit agreement. Most groups add their own rule, and that is often the one they enforce hardest.

What should I say about confidentiality?

Be specific rather than general: nothing said here is repeated outside the group, including to partners, including without names. And state the limit. That if someone is at risk of serious harm you may have to act. A promise of absolute confidentiality is one you cannot keep.

What do I do when someone breaks a ground rule?

Address it lightly and early, pointing at the agreement rather than the person. "Before we go to suggestions. Does anyone recognize this?" does more than a formal correction. A rule mentioned in passing the first time it is bent rarely needs enforcing properly later.

Should I make participation mandatory?

No. Participation that has been extracted is worth very little, and a group where passing is visibly normal is one where people speak more, not less. Make the choice real and most members eventually use it to speak rather than to opt out.

Sources

  • Substance Abuse and Mental Health Services Administration. Value of peers. samhsa.gov
  • Anxiety & Depression Association of America. Guide to starting your own support group. adaa.org
  • Mental Health America. Support group facilitation. mhanational.org
  • National Alliance on Mental Illness. Support group facilitator guidance. nami.org
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