Group counseling is an effective counseling modality with LGBTQIA clients, yet much of group counseling literature does not account for the experience of prejudice and marginalization that LGBTQIA youth encounter. Relationships with families and peers of LGBTQIA youth have a significant impact and special consideration must be taken when designing and implementing group counseling. Consequently, we argue the use of Relational Cultural Theory (RCT) in a group context can bring discussions of controlling images, social inequities, and foster growth and relational resilience. We present a case example where the tenets of RCT are explored and provide implications for counselors.