Inclusion Criteria:  Struggles with issues of shame or self-criticism Have an Outcome Questionnaire (OQ-45) total score at or above 64 (i.e., denoting psychiatric distress in the clinical range) Are willing to commit to at least 4 sessions of group treatment Are willing to complete the OQ-45 and GQ (standardized CAPS measures) on a weekly basis Are willing to have group be their primary mode of treatment to ensure group will be the primary vehicle for change Are willing to complete the study measures  Exclusion Criteria  Clients who do not meet criteria or decline to participate