This paper explores the implementation, course of treatment, achievements and limitations of an art therapy domestic violence prevention group in Mexico. The group was part of a Mexican pilot program utilizing a solution-focused model developed by Stith, McCollum, and Rosen (2007) in the U.S. The art therapy group served Otomí clients, who are members of a unique indigenous sub-culture within Mexican society. A brief literature review discusses domestic violence, solution-focused treatment, couples groups, and the particular complexities of working inter-culturally. The course of treatment is presented and the achievements and limitations of the program are briefly evaluated within the context of cultural and societal factors. Art making as a culturally sensitive facilitator of treatment is discussed. Challenges associated with language, poverty, and health are considered in terms of clients’ ability to complete the program and maximize its effectiveness.