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Relapse Prevention Group Therapy
Staying on Track in Recovery from OCD, Anxiety, & Perfectionism
What Is the Relapse Prevention Group?
The Relapse Prevention Group is the longest running group at River City OCD Clinic (8 years)! The group meets twice monthly in two different formats (in-person & online), giving members the flexibility to participate in the way that works best for them.
This group is meant for individuals who have already completed individual therapy using evidence-based approaches such as Exposure and Response Prevention (ERP), Acceptance and Commitment Therapy (ACT), or other mindfulness-based therapies.
Historically, our attendees have reported a wide range diagnoses and struggles including:
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OCD (all themes and subtypes)
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Anxiety disorders
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Eating disorders
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Social anxiety
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Specific phobias
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PTSD
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Body-focused repetitive behaviors (BFRBs), such as hair-pulling or skin-picking
We share a common goal: To build meaningful lives motivated by our values, not fear, discomfort, or uncertainty.
Group Meeting Details
In-Person Relapse Prevention Group
River City OCD Clinic
4010 Dupont Circle, Suite 600
Louisville, KY 40207
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Meets monthly every second Tuesday
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5:30-7:00 PM EST
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Adults (18+)
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$65 per meeting
Online Relapse Prevention Group
*Meets via Zoom (link sent to attendees via email)
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Meets monthly every third Wednesday
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5:30-7:00 PM EST
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Adults (18+)
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$65 per meeting
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Guided discussion questions provided prior to meetings
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ERP- & ACT-informed skills with real-life application(s)
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Facilitated by Dr. Street Russell
*There is a 4-person minimum for every meeting to help maintain meaningful discussion and group engagement.
Group Discussion Questions 2026: Relapse Prevention Group
Each month, participants are given access to a set of discussion questions to help guide reflection and group conversation. Many of the questions are paired with excerpts or quotes from influential books and articles in the OCD and anxiety treatment world.
These prompts are designed to help members continue building on the work that brought them to recovery in the first place. They didn't get this far by chasing certainty or getting rid of their intrusive thoughts, but by strengthening the habits, perspectives, and values-based actions that have helped them stay engaged in life even when anxiety resurfaces.
In-Person Group: Discussion Questions 2026
Noticing how the mind’s rules and protective strategies shape our experience—and building flexibility in how we respond to them
Our responsibility to interpret the meaning of an event and choose a response, acceptance of emotion leads to freedom, and taking values-based risks
Acting on what we've learned, daily practices that help us stay focused on living our values, and aspects of life we're seeking to reclaim in recovery
Online (Zoom) Group: Discussion Questions 2026
Mindfulness skills for OCD, anxiety, and perfectionism, avoiding discomfort, and creating space for difficult emotions
Resisting urges to debate something that feels unfair or incomplete, seeing intrusive thoughts as "advice" from the brain, and recovering our footing more quickly
Recovery is strengthened by staying present and making values-based commitments despite uncertainty or feelings of discomfort
The role of recreation in recovery, using self-compassion, and learning that thoughts and feelings are experiences, not facts
Why These Discussions Matter
Recovery isn’t just about what happens in therapy—it’s about what happens after.
The Relapse Prevention Group offers a continuation of the skills and strategies you learned in individual therapy with one important distinction:
You don't have to do it alone. There's a community of individuals who understand what it's taken to reach this stage of recovery, and know what it will take to recover long-term.
Dr. Brandon Bumbalough & Sara Wallace Explain the Benefits of Group Therapy for OCD on WHAS-11's Great Day Live!
Services That Target OCD Using Evidence-Based Approaches are Accessible in Kentucky, Indiana, and Many Locations Today
At River City OCD Clinic, our clinicians specialize in ACT-enhanced ERP for all OCD subtypes and presentations, as well as anxiety and perfectionism. We offer individual therapy, group therapy, intensive outpatient treatment (IOP), and telehealth services throughout Kentucky and across participating PSYPACT states through Dr. Street Russell.