Group psychotherapy is a treatment modality in which specially selected patients are placed into a group guided by a trained therapist in order to help affect behavioral change and personality modification. This is achieved by using a variety of technical maneuvers and theoretical frameworks. The leader of the group uses group members' interactions in order to produce the desired change of goal. Early experiences of Arab participation within a group have been disappointing and have resulted in some therapists discontinuing this form of psychotherapy, and relying on individual approaches. The permissive attitude of having emotions expressed freely in the group and the use of a non-directive approach have led to conflicts within the patient and between patients in the group. These conflicts were difficult to resolve and ended many times in an angry withdrawal of patients and a few divorces within the patient groups. It is important to identify those aspects that might have a detrimental effect on interaction and a negative effect on group therapy. Techniques need to be modified in light of the culture to ensure an optimum outcome of therapy.