Group Therapy: An Evidence-Based Approach to Mental Health Treatment
By Neha Juneja
Therapist | Mental Health Professional
Group therapy is a method of therapeutic intervention based on the exploration and analysis of both internal (emotional) and external (environmental) conflicts and the group process. [LEGO, 1996]
Group therapy is an identifiable system consisting of at least 3 people who share a common goal. [NUDELMAN, 1986]
Group therapy is a “hall of mirrors” in which people can see themselves reflected in others. [FOULKES, 1975]
Group psychotherapy is an effective form of therapy in which a small number of people meet together under the guidance of a professionally trained therapist to help themselves and one another. There are many different approaches to group therapy but they share in common creating a safe, supportive, and cohesive space to address personal, relationship, and societal issues.
DURATION: Group therapy treatment is subject to a high degree of variation and can take weeks to months or years to achieve relief from symptoms and a normal life. Providers should structure the ending of therapy processes to prepare patients for eventual departure, focusing on achieving goals until that date.
GOALS: The process goals of group therapy are to facilitate patients’ growth in comfort and function within the group. The outcome goals of group therapy are applied to the patient’s life outside of the group and include behavior corrections, development of interpersonal and relationship skills, education, the installation of preventative measures and coping skills, and an eventual return to normal functioning within society.
GROUP VS. INDIVIDUAL THERAPY EFFECTIVENESS
The answer to the question, “Which is better: group or individual therapy?” is actually relatively straightforward: “Neither.” It really depends on the individual and what’s best suited for them and their needs. In general, research finds that both group therapy and individual therapy are relatively equivalent in their effectiveness in addressing substance use disorder and a broad range of mental health disorders, too. If it’s an option, try both to see what feels right for you.
Nonetheless, both formats of therapy have advantages and disadvantages. Deciding which one to engage in is a personal choice that depends on an individual’s needs, goals, and the types of therapies available.
ADVANTAGES:
- Research indicates that group therapy effectively treats various psychiatric and behavioral disorders, with patients often reporting reduced symptoms and positive effects through Yalom Therapeutic Factors. Proper screening before therapy sessions ensures benefits.
- Group therapy is an effective treatment method, but providers can also incorporate concurrent treatment methods like conjoint therapy and combined therapy. Conjoint therapy allows patients to learn individually and apply teachings in a group setting, while combined therapy allows for thorough assessment and individual coaching. Special care is needed for homogeneity.
- Group therapy offers cost-efficiency and flexibility due to fewer trained professionals and insurance coverage. It allows providers to schedule sessions during after-work and school hours, increasing attendance and reducing wait times in high-volume areas. This approach can also reduce wait times.
- Group format enables healthcare professionals to serve as co-therapists, providing on-the-job coaching and enhancing access to trained professionals, particularly in low-resource areas.
