Drug users who participated in interviews about treatment experience, had largely not tried group therapy, and while not opposed in principle were often not attracted to the idea (Holt et al. 2007). The need to talk in front of other people (particularly about illicit drug use) was a commonly cited barrier to participating in group work. Some users found that it was an important first step in addressing problems underlying their drug dependency and that group participation lessened their sense of isolation. Choice was an important determinant of the perceived value of group counselling for service users. Little value was generally placed on group participation by those who had had participation imposed on or required of them (such as by a court).