In this paper, the author considers the benefits of adding group therapy to psychoanalytic treatment. He traces the historical division between the modalities; he then describes the evolution of combined treatment, advantages of the group modality, and some of the reasons for therapists’ resistance to it. Through clinical example, he describes developmental blocks that became clear during a patient’s analysis, countertransference responses he became aware of during the analysis, and his assessment of the potential risks and benefits of adding group therapy, taking into account specifically the fact that he co-leads the group with his spouse. The author then describes how some of the patient’s developmental blocks – such as concreteness, affective restriction, limited empathic capacity, and disconnection between mind and body -were engaged after the addition of group therapy, particularly highlighting the to-and-fro between modalities during working-through. Subsequent discussion addresses the indications for the addition of group therapy, specific therapeutic elements gained through combined treatment, and technical challenges confronting the combined therapist.