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Self Worth Group

Self Worth Group Information

Building From Within: A Self-Worth Process Group

This 12-week psychoeducational group is designed to help you explore, strengthen, and love yourself—from developing a deeper sense of self-worth to moving toward self-actualization. Through structured learning, introspection, and encouraging group conversations, participants will have the chance to gain a better understanding of themselves, boost their confidence, reinforce healthy boundaries, and acquire tools for ongoing personal development within a supportive and compassionate setting.

Your Growth Starts With One Step. Fill out the form below to get started.

“To sign up for the group please complete the following informed consent form, which also serves as your registration.”

If you have any questions or concerns please contact the facilitator Stephanie Thom.

Facilitator: Stephanie Thom, LPC
Group Length: 12 Weeks
Meeting Time: 90 minutes per session
Location: Restore Counseling Therapist office – 1240 Clairmont Rd, Decatur GA 30030
Date: Starting Friday September 11th at 6:00pm to 7:30pm (flexibility on Thursdays if agreed- upon by the group).
Cost: $75 per group session

Self Worth form

Building From Within: A Self-Worth Process Group

Facilitator: Stephanie Thom, LPC

Group Length: 12 Weeks

Meeting Time: 90 minutes per session

Location: Restore Counseling Therapist office – 1240 Clairmont Rd, Decatur GA 30030

Date: Starting Friday September 11th at 6:00pm to 7:30pm (flexibility on Thursdays if agreed- upon by the group).

Cost: $75 per group session

Purpose of the Group

Building From Within is a therapeutic process group designed to help participants explore and strengthen their sense of self-worth. Throughout the 12-week group, members may explore topics including

The group may include guided discussions, therapeutic exercises, reflection activities, educational materials, practical coping tools, and opportunities for participants to share and learn from one another.

Participation in the group is voluntary. However, because the therapeutic process depends on consistency, trust, and the development of group cohesion, members are asked to carefully consider their commitment before joining.

1. Twelve-Week Group and Eight-Week Financial Commitment

This group is designed as a 12-week therapeutic experience. Participants are encouraged to attend all 12 sessions whenever possible

By signing this agreement, I understand and agree to make a minimum financial commitment of eight (8) group sessions, regardless of whether I attend every scheduled session during that period.

The cost of the group is $75 per week/session.

Therefore:

2. Attendance and Participation

Regular attendance is important to the safety, trust, and effectiveness of the group. Each participant’s presence contributes to the development of the group process.

I agree to:

I understand that participation does not require me to disclose anything before I am ready. However, I also understand that meaningful participation may involve appropriately sharing thoughts, feelings, experiences, and reflections.

3. Confidentiality

Confidentiality is essential to creating a safe and trusting group environment.

I agree to respect the privacy of all group members. I will not disclose, repeat, post, record, photograph, or otherwise share another member’s personal information, identity, experiences, statements, or participation outside of the group.

This means I agree:

I understand that the facilitator is ethically and legally required to protect confidentiality but may be required to disclose information under certain circumstances, including but not limited to situations involving

I also understand that although all group members will agree to maintain confidentiality, the facilitator cannot guarantee that another participant will never disclose information outside of the group. If a participant believes confidentiality has been violated, they are encouraged to notify the facilitator.

4. Respectful and Nonjudgmental Group Environment

This group is intended to provide a supportive environment where members can explore their experiences without fear of ridicule, hostility, or unnecessary judgment.

I agree to:

The purpose of the group is not to determine who is right or wrong. Members are encouraged to remain curious, respectful, and open to different perspectives.

5. No Judgment, Criticism, or Personal Attacks

I understand that vulnerability may be an important part of the group process. Therefore, I agree not to use another member’s disclosures against them.

I will make a sincere effort to avoid:

I understand that the facilitator may redirect conversations, establish limits, address disruptive behavior, or take other clinically appropriate action when necessary to protect the safety and integrity of the group.

6. No Dual Relationships While the Group Is Active

To protect therapeutic boundaries and reduce the risk of conflicts, favoritism, discomfort, or complications within the group process, participants agree to avoid developing new dual relationships with one another while the group is active.

A dual relationship may include, but is not limited to, developing an additional relationship outside the therapeutic group such as a close friendship, romantic or sexual relationship, business relationship, financial relationship, or other relationship that could affect the safety or dynamics of the group.

While the group is active, I agree:

I understand that group members may encounter one another outside of group. Casual or unavoidable contact does not necessarily constitute a dual relationship. Participants are encouraged to respect one another’s privacy and allow each person to decide whether or not to acknowledge the group relationship in public.

7. Communication Outside of Group

I understand that contact between group members outside of sessions can affect the therapeutic process and group dynamics.

I agree to use good judgment regarding communication outside of the group and to avoid interactions that could:

If concerns arise involving contact between members outside of group, I understand that I may discuss those concerns with the facilitator.

8. Personal Responsibility and Emotional Safety

I understand that group therapy may involve discussing difficult thoughts, feelings, memories, relationships, or experiences. At times, participation may bring up uncomfortable emotions.

I understand that:

If I experience an emergency or immediate danger, I understand that I should seek appropriate emergency assistance rather than waiting for the next group session.

9. Respect for the Therapeutic Process

I understand that each group member may progress differently. I agree not to compare my healing, insight, participation, or growth to that of another participant.

I understand that there is no guarantee of a particular therapeutic outcome. My progress may depend on many factors, including my participation, readiness for change, outside circumstances, and willingness to practice insights and skills outside of group.

I agree to approach the process with honesty, respect, and a willingness to reflect on my thoughts, emotions, behaviors, values, and patterns.

10. Facilitator’s Right to Protect the Group

I understand that the facilitator has a professional responsibility to maintain a safe and therapeutically appropriate group environment.

If my behavior significantly disrupts the group, repeatedly violates group agreements, threatens the emotional or physical safety of others, breaches confidentiality, creates an inappropriate dual relationship, or otherwise interferes with the therapeutic process, the facilitator may address the concern with me and determine appropriate next steps.

Possible actions may include:

I understand that removal from the group does not automatically eliminate my agreed-upon financial responsibility for the minimum 8-week commitment, except where otherwise required by law or agreed upon in writing.

Participant Acknowledgment and AgreementBy signing below, I acknowledge that I have read and understand this Informed Consent and Group Agreement for the Building From Within: A Self-Worth Process Group.

I have had the opportunity to ask questions and receive clarification regarding the group’s purpose, expectations, confidentiality, attendance, financial commitment, boundaries, and rules of participation.

I understand that:

I voluntarily agree to participate under these terms.

Purpose of the Group

Building From Within is a therapeutic process group designed to help participants explore and strengthen their sense of self-worth. Throughout the 12-week group, members may explore topics including self-worth, self-knowledge, self-understanding, self-identity, self-compassion, self-acceptance, self-love, self-respect, self-care, self-esteem, self-efficacy, and self- actualization.

The group may include guided discussions, therapeutic exercises, reflection activities, educational materials, practical coping tools, and opportunities for participants to share and learn from one another.

Participation in the group is voluntary. However, because the therapeutic process depends on consistency, trust, and the development of group cohesion, members are asked to carefully consider their commitment before joining.

1. Twelve-Week Group and Eight-Week Financial Commitment

This group is designed as a 12-week therapeutic experience. Participants are encouraged to attend all 12 sessions whenever possible. By signing this agreement, I understand and agree to make a minimum financial commitment of eight (8) group sessions, regardless of whether I attend every scheduled session during that period. The cost of the group is $75 per week/session.

Therefore:

  • The minimum financial commitment is 8 sessions at $75 per session, for a total minimum commitment of $600.
  •  If I attend and participate for all 12 weeks, the total cost will be $900. I understand that I am financially responsible for a minimum of 8 sessions even if I miss one or more sessions, arrive late, leave early, or choose to discontinue the group before completing the 8-week minimum commitment.
  • After the 8-week minimum commitment has been met, any remaining scheduled sessions that I choose to attend will be charged at $75 per session.
  • Missing a session does not eliminate my financial responsibility for that session if it falls within my 8-week minimum commitment
  •  I understand that fees and payment expectations should be discussed with the facilitator if I have questions before signing this agreement.

2. Attendance and Participation

Regular attendance is important to the safety, trust, and effectiveness of the group. Each participant’s presence contributes to the development of the group process.

I agree to:

  • Make a good-faith effort to attend sessions consistently and arrive on time.
  • Notify the facilitator as soon as reasonably possible if I know I will be absent or late.
  • Understand that I may miss important information or group experiences when I am absent.
  • Respect the group’s scheduled beginning and ending times.
  • Participate at a level that feels appropriate while recognizing that active engagement may support my therapeutic growth.

I understand that participation does not require me to disclose anything before I am ready. However, I also understand that meaningful participation may involve appropriately sharing thoughts, feelings, experiences, and reflections.

3. Confidentiality

Confidentiality is essential to creating a safe and trusting group environment.

I agree to respect the privacy of all group members. I will not disclose, repeat, post, record, photograph, or otherwise share another member’s personal information, identity, experiences, statements, or participation outside of the group.

This means I agree:

  • What is shared in group stays in group. I will not discuss another member’s personal story with family, friends, coworkers, on social media, or with others outside the group.
  • I will not identify another group member as a participant in the group without that person’s permission.
  • I will not record group sessions in any form without the explicit permission of the facilitator and all participants.
  • I will respect each member’s right to privacy.

I understand that the facilitator is ethically and legally required to protect confidentiality but may be required to disclose information under certain circumstances, including but not limited to situations involving:

  • Suspected abuse or neglect of a child, elderly person, or other vulnerable individual when reporting is required by law.
  • A serious and imminent risk of harm to myself or another person.
  • A valid court order or other legal requirement.
  • Other circumstances in which disclosure is required or permitted by applicable law and professional ethical standards.

I also understand that although all group members will agree to maintain confidentiality, the facilitator cannot guarantee that another participant will never disclose information outside of the group. If a participant believes confidentiality has been violated, they are encouraged to notify the facilitator.

4. Respectful and Nonjudgmental Group Environment

This group is intended to provide a supportive environment where members can explore their experiences without fear of ridicule, hostility, or unnecessary judgment.

I agree to:

  • Treat all group members with dignity and respect.
  • Allow members to have experiences, beliefs, values, and perspectives that may differ from my own.
  • Speak from my own experience by using statements such as “I think,” “I feel,” and “My experience has been.”
  • Avoid shaming, insulting, mocking, belittling, or attacking another member.
  • Avoid arguing with other members in a hostile, aggressive, or disrespectful manner.
  • Avoid pressuring another participant to agree with me or disclose information they do not wish to share.
  • Listen without interrupting whenever possible. Offer feedback only in a respectful and constructive manner and when appropriate within the therapeutic process.
  • Understand that disagreement can occur without disrespect.

The purpose of the group is not to determine who is right or wrong. Members are encouraged to remain curious, respectful, and open to different perspectives.

5. No Judgment, Criticism, or Personal Attacks

I understand that vulnerability may be an important part of the group process. Therefore, I agree to respect the personal disclosures of other group members and never use their openness or shared experiences against them.

I will make a sincere effort to avoid:

• Judging, criticizing, or dismissing another member’s personal experiences.
• Giving unwanted advice in a way that minimizes or disregards another person’s feelings, experiences, or choices.
• Arguing simply for the purpose of proving another member wrong.
• Attacking or disrespecting another person’s character, identity, beliefs, or experiences.
• Using sarcasm, ridicule, intimidation, or hostile language toward another participant.
• Repeatedly challenging or confronting another member in a way that compromises their emotional safety.

I understand that the facilitator may redirect conversations, establish appropriate boundaries, address disruptive behavior, or take other clinically appropriate action when necessary to protect the safety, well-being, and integrity of the group.

6. No Dual Relationships While the Group Is Active

To protect therapeutic boundaries and reduce the risk of conflicts, favoritism, discomfort, or complications within the group process, participants agree to avoid developing new dual relationships with one another while the group is active.

A dual relationship may include, but is not limited to, developing an additional relationship outside the therapeutic group, such as a close friendship, romantic or sexual relationship, business relationship, financial relationship, or any other relationship that could affect the safety or dynamics of the group.

While the group is active, I agree:

• Not to pursue romantic or sexual relationships with other group members.
• Not to enter into business or financial arrangements with other members.
• Not to intentionally develop a new close personal relationship with another participant that may interfere with the therapeutic group.
• To avoid placing another member in a situation that could create pressure, divided loyalties, or discomfort within the group.
• To discuss concerns with the facilitator if I discover that I already have an outside relationship with another group member or if an outside relationship develops unexpectedly.

I understand that group members may encounter one another outside of the group. Casual or unavoidable contact does not necessarily constitute a dual relationship. Participants are encouraged to respect one another’s privacy and allow each person to decide whether or not to acknowledge the group relationship in public.

7. Communication Outside of Group

I understand that contact between group members outside of sessions can affect the therapeutic process and overall group dynamics.

I agree to use good judgment when communicating with other members outside of the group and to avoid interactions that could:

• Violate confidentiality.
• Create exclusion, cliques, or divisions within the group.
• Pressure another participant into unwanted or uncomfortable contact.
• Create a dual relationship that conflicts with the group agreement.
• Continue or escalate conflict that occurred during a group session.

If concerns arise regarding contact between members outside of the group, I understand that I may discuss those concerns with the facilitator.

8. Personal Responsibility and Emotional Safety

I understand that group therapy may involve discussing difficult thoughts, feelings, memories, relationships, or experiences. At times, participating in the group may bring up uncomfortable or challenging emotions.

I understand that:

• I am responsible for communicating with the facilitator if I feel overwhelmed or need additional support.
• I may choose not to answer a question or share information that I am not ready to discuss.
• I am encouraged to practice healthy boundaries and self-care throughout the group process.
• The facilitator may encourage me to seek additional individual, medical, psychiatric, crisis, or other professional support when clinically appropriate.
• Group therapy is not an emergency or crisis service.

If I experience an emergency or immediate danger, I understand that I should seek appropriate emergency assistance rather than waiting for the next group session.

9. Respect for the Therapeutic Process

I understand that each group member may progress at a different pace. I agree not to compare my healing, insight, participation, or growth with that of another participant.

I understand that there is no guarantee of a specific therapeutic outcome. My progress may depend on many factors, including my participation, readiness for change, outside circumstances, and willingness to practice the insights and skills discussed outside of the group.

I agree to approach the process with honesty, respect, and a willingness to reflect on my thoughts, emotions, behaviors, values, and patterns.

10. Facilitator’s Right to Protect the Group

I understand that the facilitator has a professional responsibility to maintain a safe and therapeutically appropriate group environment.

If my behavior significantly disrupts the group, repeatedly violates group agreements, threatens the emotional or physical safety of others, breaches confidentiality, creates an inappropriate dual relationship, or otherwise interferes with the therapeutic process, the facilitator may address the concern with me and determine appropriate next steps.

Possible actions may include:

• Redirecting or limiting certain behaviors during the group.
• Discussing the concern with me privately.
• Reviewing the group agreement and expectations.
• Developing a plan to address the concern.
• Recommending additional or alternative services.
• Determining that continued participation in the group is no longer clinically appropriate.

I understand that removal from the group does not automatically eliminate my agreed-upon financial responsibility for the minimum 8-week commitment, except where otherwise required by law or agreed upon in writing.

Participant Acknowledgment and Agreement

By signing below, I acknowledge that I have read and understand this Informed Consent and Group Agreement for the Building From Within: A Self-Worth Process Group.

I have had the opportunity to ask questions and receive clarification regarding the group’s purpose, expectations, confidentiality, attendance, financial commitment, boundaries, and participation requirements.

I understand that:

• The group is a 12-week therapeutic group.
• I am making a minimum 8-week financial commitment.
• The cost is $75 per week/session.
• My minimum financial responsibility is $600, even if I miss sessions or discontinue participation before completing the 8-week commitment.
• I agree to respect the confidentiality and privacy of all group members.
• I agree to help maintain a respectful and nonjudgmental group environment.
• I agree not to engage in hostile arguing, personal attacks, ridicule, or disrespectful behavior toward other members.
• I agree to avoid developing new dual relationships with group members while the group is active.
• I understand that the facilitator may intervene when group rules or therapeutic boundaries are violated.

I voluntarily agree to participate under these terms.

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