Beginning with the topic of group-readiness, this chapter examines the use of drama therapy in adolescent groups. Drama therapy is defined within a developmental model, and the benefits of this approach, as they relate to play, spontaneity, expression and engagement, are discussed. The authors emphasize distancing, a balance of expression and containment, the importance of metaphor, and the use of the group as a playspace for identity formation. A summary of a short-term group in an outpatient setting that reviews a sequence of improvisational activities is provided.