Art therapy treatment groups can be beneficial in addressing the gaps in the treatment of adults in the recovery of self-injurious behaviors (SIB). A literature review is used to explore the immense impact of SIB on adults and adolescents, with a focus on the long-term nature of SIB. This literature review results in an art therapy group proposal that addresses the specific needs of this population that were identified. This is the first known group proposal that specifically addresses the needs of adults with SIB during their recovery journey. The group is centered around building skills to maintain recovery from SIB.