If you have a chronic illness or live with chronic pain, it’s highly likely that you have attended a support group at least one time since your diagnosis. Did the experience go something like this?

Despite feeling exhausted and in pain, you decided you would attend the group anyways. By the time you got there you were running late, couldn’t find the suite number, and finally just parked and hiked to an upstairs room in a dark wing of the hospital. You quietly found a seat, a hard, sticky seat. People smiled at you, but soon they got back to their discussion and it seemed no one was feeling encouraged by it. They argued over the side effects of medicine being worth the benefits, two people tried to convince you to buy a juicer from them, and soon you were ready to run screaming from the room. It’s too depressing!

Aren’t support groups supposed to be a valuable coping tool?

Yes! David Spiegel, MD, has proven in his studies that support groups improve the quality of life for the participants. While recent studies have shown that the patient may not live longer due to the support groups themselves [See the Sept. issue of CANCER, the journal of the American Cancer Society,] there is no denying that having your feelings validated by those who understand will help you sleep better at night. So here are some icebreaker games for small groups to perk up the people!

You may have attended a support group in the past or perhaps you are looking for leadership ideas for one you are starting. Regardless of how long you have (or have not) participated in one, it’s likely that you’ve seen how quickly the groups can move from being an honest and sharing place to a session of complaints and even quarreling. Would you like some fresh icebreaker games for small groups to perk people up?

Whether you lead a support group or just participate, chances are you’ve noticed how slippery the slope is when people start talking about their illness. These ideas will work for any groups, from an Aspergers support group in Dallas to a bipolar support group in Birmingham. Alabama. And they are excellent to have when you are creating a proposal for starting up a support group. Here are 10 ways to make your illness support group get some giggles back between the trials.

1. Before your meeting, cut out some smiley faces and sad faces and glue them on each side of a stick or a plastic knife. When everyone goes around the room to share about their experiences or emotions of the week, ask people to make sure they are able to hold up both “faces’. For example, Beth may say, “I’m not looking forward to my joint replacement surgery and all the rehab afterwards” while holding up the sad side of the stick. And then she flips it to think of something positive to say “I feel blessed though, that the insurance is covering a lot of the expenses and my friends have volunteered to help take care of my children.”

2. Redefine your conception of what counts as indoor games for small groups. For example, start a JOY box and ask everyone to bring an item for it that someone else can take home with them. Have each person choose an item at the end of the meeting. It could be a silly toy, a cartoon, a rubber fish, or great book, a poem, a note someone sent that encouraged you, or even a funny DVD. Ask everyone to return them at the next meeting and exchange it for another item. Refresh the box up now and then.

3. Let your small group write a silly theme as their next icebreaker. If anyone plays the guitar, have them help. You can pick a well known song. Write your own lyrics. Have fun with it and open or close each meeting with it. Comedian Anita Renfroe has a fun parenting song to get you brainstorming.

4. Bring some corny things to use during your meetings. Avoid making anyone feel pressured to use them. (If you force someone to wear a clown nose she may never come back) Have them available, however, and encourage goofiness before getting down to the real reasons you are there. Oriental Trading supply is the source of thousands of funny items guaranteed to spur a giggle.

5. Though it can be a challenge, don’t let your group tune into a platform for any member to talk continuously about his or her disease, the treatments, alternative treatments and even complaints. If someone tends to dominate the conversation, let your group know you are implementing the use of a timer to make sure everyone has equal opportunity to share. Set whatever guidelines you wish, for instance, you could allow people to vent for sixty seconds on any topic. Or they could share about an alternative treatment they’ve found useful, but when the timer rings, time is up!

6. Ask everyone to bring an item to include in a gift basket encouragement for someone else. It may be someone who cannot attend the group someone having surgery, or a friend of someone recently diagnosed. Put your ideas together about things people would like. Don’t forget personal notes or even sticky notes on a small gift can mean the most.

7. Have a fun night out. You can act your age and go to a nice sit-down restaurant or head over to Chuck E. Cheese for some pin ball. It can definitely be a successful icebreaker for small groups because people who haven’t opened up much in the group may feel relieved to have this environment to get to know others.

8. Provide handouts or items that encourage people to thrive with illness. For example, National Invisible Chronic Illness Awareness Week always has fun items like bumper stickers, static clings, stickers, pins, mugs, etc. with the different themes like, “My illness is invisible but my hope shines through!”

9. Invite guest speakers who you trust will speak positively. Inform your speakers that they can “tell it like it is” but that you always want people to leave the meeting feeling energized; not depressed. Let them know they can use props, tell a joke, or do whatever it takes to keep people paying attention.

10. The people in your group are quite amazing and able to make a difference. This is important for them to remember since they often feel so out of control. Your group may not be able to actually walk for charity, but they can likely work at a registration table, pass out bottles of water for a walk/run, or even just hand out presents to kids at the children’s hospital. Teens with chronic illness often get support groups can be great motivators for these kinds of outings. Find a project people are passionate about where they can see they are making a difference in the lives of others.

Illness can be one of the most isolating experiences people have, and support groups provide a sense of belonging in the midst of this. The levels of relationship that form in the group, however, are significantly influenced by how uplifting the leader makes the group environment. None of us want to leave a meeting feeling worse than when we came, but rather refreshed and motivated to live the best life possible. With just a few changes, your support group can go from being a simple meeting, to becoming a lifeline for those involved.