Psychotherapy, or talk therapy, can occur in different forms. Group therapy and individual therapy are the two main types that can help an individual learn the positive coping skills that are necessary to live a healthy life.
But which one is best? The answer to this question can be answered through a number of different factors. Each person’s specific needs generally take precedence, and which option is best will depend on the individual and what they aim to achieve.
Individual therapy is a form of talk therapy that takes place during a one-on-one session. A therapist can be a social worker, counselor, psychiatrist, or psychologist.
During sessions, the therapist helps the individual to work through emotions and feelings that may be distressing. It helps the person to learn positive and healthy coping skills to get through situations that could potentially lead to further complications.
There are different types of techniques used during individual therapy sessions that help the person learn these skills. Cognitive-behavioral therapy (CBT) is a form of therapy that helps individuals to identify and change poor thinking that results in negative behaviors such as drug and alcohol abuse. Dialectical behavior therapy (DBT) is a form of one one-on-one therapy that helps those who feel intense emotions to get through their feelings without self-sabotage. It helps teach them how to regulate their emotions.
Often, individuals who struggle with substance use disorders have experienced some form of trauma in their lives. Whether it be physical or emotional abuse, or the sudden loss of a loved one, trauma can lead to severe impacts to someone’s life. Trauma therapy is a beneficial form of therapy for individuals who have experienced these situations.
Group therapy can be beneficial to individuals who feel like they are alone. They provide a space to become educated on healthier ways of handling situational stress. Rather than turning to drugs and alcohol, the experience of peers in a group setting can help the individual to avoid these substances as they arise.
12 nofollow noopener noreferrer3>CBT and DBT are techniques that are often used during group sessions. These techniques help to provide group insights into how distressing situations can be handled, healthily, without further impacts to the individual’s lifestyle.
Family therapy is a beneficial form of group therapy. This helps in situations where the family unit has been compromised. Often, when a loved one struggles with substance abuse and addiction, their actions can take a toll on the structure of the family. These individuals may feel like they’ve caused irreparable damage. However, a group family session can aid in preventing further damage, and help to heal the damage that has occurred.
Individual therapy costs can vary greatly. Factors like location, credentials, and therapeutic approach can play a role in the cost of this much-needed help. The cost of individual sessions with a professional therapist can range from $75 to $200 or, sometimes, more. Sometimes, insurance can offset the costs associated with professional therapy. Other times, when insurance isn’t available, there are sliding scales that help offset some of the out-of-pocket costs.
Similarly to individual sessions, group therapy costs can vary widely. Location, approach, qualifications, and the focus of the group sessions can play a role in the costs. Generally speaking, though, these sessions can cost between $30-$100 per session, sometimes more.
Again, insurance can help offset these costs, and sliding scales can also help to offset the out-of-pocket costs. These sessions are less personal, with more people, contributing to the lower cost.
Because individual therapy occurs on a one-on-one basis, the benefits can include the ability to explore deeply personal issues, with a professional, who can help guide an individual through the emotions that can arise. Focused attention provides the ability to create quicker progress.
However, the downside to this personalized attention is the cost. The success of this form of therapy depends on the dynamics and connection between the individual and their therapist. Having someone that can be connected with helps to make the individual feel comfortable enough to get into their deeper feelings and emotions.
Group therapy can offer a form of connection with people who are experiencing similar struggles. It can provide a safe and neutral space to get guidance from others who have undergone a similar circumstance.
However, because it is a group setting, it can be more uncomfortable to share the situation. Those who struggle with drugs and alcohol place themselves in compromising situations that may be difficult to discuss in these settings.
Therapy is a vital component of the healing process. Individuals who struggle with substance abuse or mental health conditions often need to invest time in themselves and participate in a therapy program.
Individual or group therapy depends on the individual and their needs. If you or a loved one are struggling and need extra help, Lexington Addiction Center is available. We offer help to those individuals who find themselves struggling so that they can begin on a path to recovery.
Call us today and begin your journey to a better life.
Group therapy and individual therapy are both effective forms of psychological support, but they differ in structure, focus, and the way participants engage with treatment. Individual therapy involves one-on-one sessions with a therapist, creating a private, personalized space to explore thoughts, emotions, patterns, and behaviors. This format allows the therapist to tailor interventions specifically to the individual’s unique history, mental health needs, trauma background, and personal goals. It’s often used when deep, focused work is needed or when someone has barriers to sharing in a group setting. Group therapy, on the other hand, brings together several people who share similar challenges — such as addiction, anxiety, or depression — under the guidance of one or more clinicians. In this environment, participants learn from each other’s experiences, build peer support, and practice interpersonal skills in real time. While individual therapy emphasizes personal insight and tailored coping strategies, group therapy emphasizes shared experiences, feedback from peers, and community reinforcement. Many treatment plans include both formats because they serve complementary purposes: individual therapy fosters personal growth and safety, whereas group therapy builds connection, relatability, and practical social skills. Understanding these differences helps individuals choose the right combination of support for their recovery journey.
Individual therapy tends to be more beneficial when a person has deeply personal or complex emotional issues that require focused, confidential exploration. For example, someone with a history of trauma, co-occurring mental health conditions (such as PTSD or severe anxiety), or challenges with trust may benefit from the privacy and intensity of one-on-one sessions. In individual therapy, the clinician can tailor treatment approaches — like cognitive-behavioral therapy (CBT), psychodynamic therapy, or trauma-focused therapies — to the client’s specific experiences and needs. This setting allows for uninterrupted attention, more time per session for self-reflection, and immediate feedback without fear of judgment from peers. For people who struggle with social anxiety, fear of vulnerability around others, or difficulty opening up in a group, individual therapy creates a safer, more controlled environment. Individuals also use individual therapy to explore specific goals — like understanding patterns of self-sabotage, developing emotion-regulation skills, or working through interpersonal wounds — at their own pace. While group therapy has many advantages, individual therapy is often the best choice when personalized, confidential, and intensive support is required to untangle deeply rooted emotional challenges.
Group therapy offers several unique advantages that complement — and sometimes even surpass — the benefits of individual therapy, especially for people in recovery. One of the main strengths is peer support and shared experience. When people see others facing similar struggles, it reduces feelings of isolation and shame, helping individuals realize they are not alone in their challenges. Group settings provide natural opportunities for practicing communication, empathy, and interpersonal skills, which are essential for building healthy relationships outside of therapy. Hearing different perspectives can broaden insight and provide real-world coping strategies that may not emerge in one-on-one sessions. Participants often experience mutual encouragement and accountability, which reinforces commitment to goals and recovery. Group therapy also offers a sense of belonging and community, which can be especially powerful for people who have felt disconnected due to addiction, depression, or anxiety. Another benefit is that group dynamics can mirror real-life interactions, giving people a safe space to test new behaviors, receive feedback, and navigate conflict in a controlled, supportive environment. Overall, group therapy enhances social learning, reduces stigma, and builds resilience through connection — making it an invaluable part of many treatment plans.
Yes — and in fact, many treatment plans combine both group and individual therapy because each format addresses different aspects of healing. Individual therapy allows for deep, personalized attention where the clinician can tailor interventions to the person’s personal history, thought patterns, and emotional regulation needs. This format is ideal for working through trauma, identifying core beliefs, and developing self-awareness. Group therapy, on the other hand, reinforces social support, interpersonal learning, and peer accountability. Participating in both provides a balanced approach: individual sessions help clients build insight and internal coping skills, while group sessions allow them to practice those skills in a social context and receive real-time feedback. Many residential or outpatient programs structure their schedules to include a mix of group topics — such as coping skills training, relapse prevention, and psychoeducation — alongside individual check-ins. This dual approach ensures that while personal healing is prioritized, individuals also build connection, community, and social resilience. Combining both formats often leads to more comprehensive growth, increased emotional regulation, and greater long-term stability because it addresses both the internal and external facets of recovery.
Social dynamics in group therapy contribute significantly to recovery because much of healing happens within the context of connection and community. In group therapy, participants witness others sharing vulnerabilities, setbacks, and triumphs, which helps normalize their own experiences and reduce shame. This social mirroring builds empathy and mutual understanding, strengthening emotional bonds and fostering a sense of belonging. People learn to give and receive feedback, confront challenging interpersonal dynamics, and practice healthy communication skills in real time — all within the safety of a guided therapeutic environment. These social interactions help participants understand how patterns like avoidance, defensiveness, or anxiety show up in relationships and how to respond differently. For many individuals whose addiction or mental health struggles have eroded trust or connection, group therapy rebuilds confidence in social engagement. Peer encouragement and accountability further enhance motivation and adherence to treatment goals. Group settings also expose participants to diverse coping strategies and life stories, which broadens perspective, reduces judgment, and increases resilience. In essence, the social dynamics become a microcosm of real life, offering a training ground for healthier relationships and emotional regulation outside of therapy.
Yes — while group therapy offers many benefits, there are certain situations where it may not be the most appropriate primary form of treatment. For individuals with severe social anxiety, paranoia, or certain personality disorders, the presence of multiple people in a therapeutic setting can feel overwhelming or unsafe at first. People who are actively in crisis, experiencing acute psychosis, or in immediate danger of self-harm may benefit more from individualized, intensive support until they stabilize. Additionally, someone with a history of trauma that involved breaches of trust or interpersonal violation may find it difficult to engage in group settings initially; for these individuals, building a strong therapeutic alliance in individual therapy first can provide the foundation needed to participate meaningfully in groups. Some people also struggle with the self-consciousness or fear of judgment that can arise in a group context, which may inadvertently trigger avoidance or discomfort rather than engagement. In these cases, clinicians often recommend a phased approach: start with individual therapy to build safety, coping skills, and emotional regulation, then gradually introduce group therapy once the person feels more secure. Ultimately, therapy plans should be individualized, and a clinician can help determine whether group, individual, or a combination of both is most appropriate for the person’s unique needs.
Deciding which type of therapy is best — group, individual, or both — involves evaluating several personal factors and working with a qualified clinician to tailor the plan to your needs. One key consideration is your comfort level with sharing in a social environment. If you feel anxious or unsafe discussing personal issues in front of others, starting with individual therapy may be the right choice. If you thrive on connection, relatability, and learning from others’ experiences, group therapy might be especially beneficial. Another factor is the nature of your challenges: deep trauma, complex co-occurring conditions, or intense emotional regulation difficulties often benefit from personalized attention in individual therapy. Conversely, issues tied to interpersonal skills, social support, or recovery community integration may be well supported in a group setting. Your goals also matter — if building social confidence and long-term peer support is a priority, group therapy can be invaluable; if exploring core beliefs and personal history is central, individual therapy provides that space. Many people benefit most from a blended approach because it offers both focused attention and communal support. A therapist can help you assess your personality, comfort level, history, and treatment goals to create a plan that maximizes your chances of progress and long-term success.
Participating in therapy — whether group, individual, or both — offers long-term benefits that extend far beyond the immediate treatment period. Therapy provides tools for emotional regulation, stress management, and coping with triggers, which are essential for sustained recovery. In individual therapy, people develop greater self-awareness, insight into patterns of thoughts and behavior, and personalized strategies to address underlying issues like trauma, anxiety, or depression. These skills become internal resources that support resilience in daily life. Group therapy adds social reinforcement, peer support, and a sense of community, all of which reduce isolation and strengthen motivation. Over time, group connections often form informal networks of accountability and encouragement that extend into life outside treatment. Consistent therapeutic engagement also enhances interpersonal skills — such as communication, conflict resolution, and empathy — which improves relationships with family, friends, and coworkers. Therapy helps individuals replace maladaptive coping strategies with healthier alternatives, increasing self-confidence, stability, and quality of life. Most importantly, therapy fosters a deeper understanding of oneself and one’s triggers, which reduces the likelihood of relapse and equips individuals to navigate challenges with clarity and resilience. The gains from therapy become a foundation for lifelong wellness, not just short-term symptom relief.
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