The purpose of this practice article is to describe group counseling conducted with young adults with intellectual disability enrolled in a comprehensive transition program at a university in the southern United States. There are very few guidelines available for counselors working with young adults with intellectual disabilities. The aim of this article is to provide a brief review and application of relevant literature and describe the tools and techniques used when running these groups (both virtually and in person) to assist other counselors in their efforts. Implications for practice are presented, as well as recommendations for future research with this population.