This reflective essay seeks to detail lessons learnt from conducting group work for migrant workers with COVID-19. In response to rapidly emerging psychosocial needs, Medical Social Workers (MSWs) from Tan Tock Seng Hospital conceptualised and facilitated activities targeted at improving the workers' psychosocial wellbeing. The need for response to rapidly evolving psychosocial needs meant limited time for systematic needs assessment and evaluation of activities. Activities encouraging non-verbal forms of expression were useful in overcoming language barriers and adoption of the participatory paradigm for ongoing assessment and evaluation of the activities helps create a more culturally appropriate intervention for this vulnerable population.