Group psychotherapy — structured clinical viva

You are the psychiatry registrar. A consultant asks you to justify starting an outpatient group programme and to answer basic process and evidence questions. A 32-year-old with recurrent depression and interpersonal sensitivity is referred; they fear groups will 'humiliate them.' Discuss definition and formats, therapeutic factors and cohesion, selection and contraindications, leadership of process problems, landmark evidence (format equivalence, depression/anxiety/PTSD/schizophrenia groups, DBT/MBT multiperson packages), and how you would explain limited confidentiality.