Current research supports the use of exposure-based treatments for posttraumatic stress disorder (PTSD) and integrated treatments show potential for enhanced symptom reduction. This pilot study developed a manualized group treatment integrating art interventions with exposure, grounding, and narrative therapy for five adults with PTSD who were survivors of childhood sexual abuse. A relationship between participation in the group and reduction of PTSD and depression symptoms was found, suggesting the potential benefit of this kind of integrated treatment.