Nexus Academy | Personalized Drug & Alcohol Rehab

Individual Teen Therapy vs. Group Therapy for Teens: Which is Right for Your Child?

Individual Teen Therapy vs. Group Therapy for Teens

Mental health treatment centers in Arizona use two main approaches to address teen-specific mental health disorders such as anxiety and depression: individual and group teen therapy. Even though both aim to improve teen mental wellness and overall life quality, they differ in approach, structure, and techniques. This article from Nexus Teen Academy takes an in-depth look at individual vs. group therapy for teens to help you find the right treatment for your teen based on their conditions and needs. Let’s get started!

Understanding Individual Teen Therapy 

Individual teen therapy is a structured primary treatment for troubled teenagers. It offers adolescents a chance to have a closed discussion about their lives with therapists, making it easier for them to open up about their encounters and everyday struggles. Individual therapy is highly effective as it lowers participants’ guard, allowing them to be as open and transparent as possible.

Individual Teen Counseling Benefits and Goals 

Individual teen therapy aims to offer socially anxious kids a safe and supportive environment to address their behavioral, emotional, and psychological challenges for improved self-worth, social skills, self-awareness, coping mechanisms, and personal growth. Its benefits include:

  • It fosters open discussions about adolescents’ thoughts and emotions
  • Closed discussions with therapists help adolescents obtain more insight into their challenges
  • It helps adolescents become more self-aware
  • It uses tailored strategies for teen mental health support
  • It empowers teens to become more resilient and develop healthier/ improved coping skills

Tailored Techniques for Adolescents 

Common tailored therapy techniques used during one-on-one therapy include:

  • Cognitive-behavioral therapyCognitive-behavioral therapy helps adolescents identify and challenge negative thinking and behavioral patterns. It is premised on the idea that emotions influence actions; therefore, we can change our feelings and behaviors by changing our thoughts.
  • Acceptance and Commitment TherapyAcceptance and Commitment Therapy for teens helps adolescents accept what they can’t change and commit to taking goal-oriented actions to change what they can.
  • Dialectical Behavior TherapyDialectical Behavior Therapy teaches teenagers how to manage their emotions, handle difficult situations, and develop healthy coping skills. It also teaches teens to accept who they are as they work on challenging negative behaviors.
  • Motivational Interviewing– Motivational interviewing is an evidence-based practice promoting the universality of teen conditions. It helps participants recognize that they are not alone in their struggles, helping them explore their issues and work on finding solutions.

Understanding Group Therapy for Teens 

Group therapy offers teenagers added support and guidance to work on their mental health issues. These types of group sessions are administered to several teenagers with similar struggles and moderated by a professional therapist or counselor. Depending on the program, a group usually consists of 8-9 teens.

Adolescent Group Counseling Goals and Benefits 

Teen group therapy aims to provide adolescents with mental health challenges a safe and supportive space to cope with their issues, become more self-aware, and grow resilient. Its benefits include:

  • It allows teens to learn important life skills such as better communication skills, conflict resolution, and problem-solving
  • It helps teens become more self-aware
  • It teaches teens how to better cope with their issues and manage stress healthily
  • Social confidence group sessions help teenagers find their voices, increasing their confidence and self-esteem
  • Skilled group therapist helps teens feel less isolated
  • Teens learn to be more understanding and compassionate by interacting with other group members facing similar challenges.

Dynamics and Peer Support in Group Therapy

Group treatment fosters peer support by bringing teens facing similar issues together. This inspires a sense of belonging, shared experiences, and reduced feelings of stigma or isolation. The participants’ relationships, interactions, and communication patterns also offer insight into their interpersonal behaviors as they reflect real-life relationships, helping them to make necessary changes and navigate issues more effectively.

How Do They Work? 

How Individual Therapy for Teens Works 

Teen individual sessions involve one-on-one meetings between teens and therapists once or twice a week, usually lasting 50-60 minutes. They offer teens a chance to discuss their struggles, social insecurities, and self-doubts. As teens share their experiences, ranging from substance abuse to mental health issues, therapists help them understand their feelings, thought patterns, the underlying causes of their issues, and how to cope.

How Group Therapy for Teens Work 

Teen group therapy sessions are pretty relaxed. Once the group therapist unveils the day’s topic and offers an overview of what should be covered, the floor is opened to teens struggling with their feelings and experiences regarding the subject (with the therapist’s guidance and support). Teenagers share their stories and perspectives as the session progresses, helping them build trust and understanding and learn from each other.

Group sessions offer teens resources and tools to develop healthy coping skills and make positive changes. The therapist winds up the session by sharing constructive feedback on what was discussed and offering group work or instructions for further exploration.

Key Differences Between Individual and Group Therapy for Teens 

Here are some of the main differences between individual and group therapy for teens:

One-on-one Attention in Individual Therapy 

Individual therapy sessions are highly individualized as they involve one-on-one meetings between the teen and the therapist. On the other hand, group therapy is often administered to eight to nine teenagers simultaneously by one therapist, making it less individualized. This explains why the former is highly recommended for teens trapped in complex challenges or acute situations.

Peer Interaction and Support in Group Therapy 

Unlike individual therapy, group therapy is administered to several teens with similar challenges, fostering a peer community for interaction and support. This allows participants to obtain unique perspectives, coping strategies, and insights they may not find in individual therapy. It also helps teens to have better peer relationships.

Teen Therapy Confidentiality and Privacy Considerations 

Therapists are legally and ethically required to uphold client privacy at all times (save for special occasions). Since individual therapy involves one-on-one interactions with mental health professionals, teenagers don’t have to worry about confidentiality breaches or privacy concerns. On the other hand, teens participating in group therapy are not under any legal obligation (it’s purely ethical) to maintain confidentiality, which creates a window for confidentiality breaches. Group therapy also requires sharing personal stories and experiences with others, raising privacy issues.

Therapeutic Techniques and Approaches

Both Individual and group therapy approaches employ different techniques in addressing teen mental health, substance abuse, or behavioral issues. Since individual therapy offers a more personalized treatment approach, therapists often use behavioral techniques and person-centered therapy tailored to teen-specific needs. On the other hand, group therapy relies on peer interactions, best supported by methods such as peer support, interpersonal process discussions, mindfulness, relaxation, psychoeducation, and role-playing.

When to Consider Individual Therapy for Your Teen 

Specific scenarios or teen situations require personalized or individualized treatment. Let’s help you identify signs or situations that warrant individual therapy.

Identifying Signs for Individual Therapy 

You should consider this therapeutic approach if your teenager shows the following signs:

  • Persistent feelings of sadness or anxiety
  • Sudden and constant mood/ behavioral changes
  • Difficulty coping with daily stressors
  • Recurrently engaging in self-destructive behavior
  • Challenges handling major life events
  • Unresolved trauma
  • Increased sense of hopelessness/ helplessness
  • Self-harm tendencies or suicidal ideation

Common Scenarios Where Individual Therapy is Recommended 

Individual therapy is highly recommended for teens in the following scenarios:

  • When dealing with mental health issues requiring personalized treatment plans, such as severe depression, anxiety, or PTSD.
  • When a teenager is experiencing major life events or transitions, such as the loss of a loved one
  • When dealing with chronic stress
  • When dealing with unresolved trauma or self-destructive behaviors
  • When addressing suicidal ideation or attempts
  • When dealing with extreme cases of self-harm
  • When a teenager requires a structured, confidential space to explore their feelings, thoughts, and behaviors.

Discussing Individual Therapy for Teens: Tips for Parents 

The following tips can help you convince your teen to attend and actively participate in an individual therapy program:

  • Choose the right time and place to have the conversation, then begin by sharing your concerns and expressing why you believe they could benefit from individual therapy
  • Offer all the benefits of individual therapy, highlighting how it can help them enhance their mental well-being and overall quality of life.
  • Give your teenager a chance to speak and share their concerns
  • Do not force individual therapy on them. Instead, present it as an option
  • If your teenager agrees to individual therapy, involve them in choosing a program, therapist, or treatment center
  • Remind them that therapists are under a legal and ethical obligation to maintain client confidentiality
  • Listen to and address their fears or misconceptions
  • Reassure them of your support throughout the process
  • Do not rush them if they are hesitant. Instead, give them time to decide, making it known that you are available if they need further information or assistance.

When to Consider Group Therapy for Your Teen 

Group therapy works best for specific scenarios or teen conditions. Let’s find out more.

Identifying Signs for Group Therapy

Teenagers with the following signs are likelier to benefit from group therapy:

  • Increased isolation or social withdrawal
  • Struggles with self-worth or self-identity
  • Poor social behaviors or communication skills
  • A desire for peer support
  • Difficulty managing interpersonal relationships
  • A willingness for diverse perspectives and shared experiences

Common Scenarios Where Group Therapy is Recommended

Teen group therapy is commonly used for the following scenarios:

  • Where the issue at hand does not require individualized treatment
  • Where the teen can benefit from peer interactions or shared experiences
  • Where group therapy is compatible with the teenager’s needs
  • Where the teen is interested in learning from other teenagers’ experiences
  • Where the teen is open to and interested in sharing their thoughts and emotions with others
  • Where a more cost-effective therapy option is preferred.

Discussing Group Therapy with Your Teen: Tips for Parents

Use the following tips when proposing group therapy to your teenager:

  • Offer a detailed description of group therapy, including how it works and its potential benefits
  • Remind your teenager that they are not alone and that lots of teenagers attend group therapy and find it beneficial
  • If your teenager agrees to group therapy, work with them to identify programs focused on their needs. You can contact us for a comprehensive assessment if you are unsure of their needs.
  • Invite them to try group therapy just once if they are hesitant
  • Only push if they are interested or confident. Remember, they have to decide on their own for better outcomes. You can revisit the proposition later
  • Inform them that you will be there for them every step of the way

Choosing the Right Approach for Your Teen 

How can you determine the best approach for your teenager between group and individual therapy? Simple: Consider certain factors or consult a mental health professional for guidance. Here is what you should know:

Factors to Consider when Deciding Between Individual and Group Therapy 

Individual Needs

Individual therapy is highly recommended for teens needing individualized treatment or personalized attention, such as those with severe disorders or crises. In contrast, group therapy benefits teenagers with relatively less severe issues that can be best addressed through peer support, increased interpersonal interactions, and shared experiences.


Owing to the personalized nature of individual therapy, the cost is more than group therapy, as the latter is offered to several teens simultaneously. Therefore, group therapy may be the best option if you are looking for a cost-effective approach.

Nature of the Challenge

Teens with personal or private issues require individual therapy, while group therapy can benefit teenagers whose issues need shared experiences and interpersonal dynamics.


Therapeutic goals such as skill-building can be best achieved through group therapy, while goals that require addressing individualized experiences or symptoms or deeply personal issues warrant individual treatment.

Privacy and Confidentiality Concerns

Individual therapy is more private and confidential as it involves closed discussions with therapists legally and ethically obligated to maintain client confidentiality. In contrast, group therapy is less personal and confidential as it involves several participants.

Consulting a Mental Health Professional for Guidance 

We have licensed and highly experienced mental health experts at Teen Mental Health Treatment Center in Arizona who can help you choose between teen individual or group therapy after comprehensively assessing your teenager’s conditions and needs. Feel free to contact us or book a free consultation.

Which One is Better? 

There is no better approach between group and individual therapy as both are highly beneficial when tailored to teenagers’ needs. While individual therapy best serves cases that require personalized treatment or individual attention, group therapy is highly recommended for issues that can benefit from shared experiences, peer support, and interpersonal interaction.


Even though teen individual and group therapies differ in structure and approaches, they both promote adolescent well-being. Our goal at Nexus Teen Academy is to help you find the right treatment approach and techniques for your teen. We have a range of experts who work with teens, parents, and caregivers to identify specific needs and therapeutic goals and ensure only the proper treatment approaches and techniques are used. We also allow parents to use insurance when paying for their teen’s treatment. Feel free to verify your insurance with us.

Frequently Asked Questions (FAQs)

1. Can My Teenager Switch Between Group and Individual Therapy if Needed?

Yes. Teen mental health treatment centers allow adolescents to switch between therapy programs based on evolving needs and preferences. Most teenagers begin with individual therapy (to address personal concerns) and then switch to group therapy once they are more comfortable or if they require peer support. The vice versa also happens when teenagers in group therapy need more personalized attention.

2. How Long Does Each Session Typically Last for Individual and Group Therapy?

Most individual therapy sessions last 50-60 minutes, while group therapy sessions take 60-90 minutes or longer, owing to the huge number of participants. Note that this duration can be influenced by a number of factors, including the therapeutic approaches used, participants’ treatment needs, and the therapist’s preferences.

3. Can My Teenager Participate in Both Individual and Group Therapy Simultaneously?

Yes. Therapists often combine group and individual therapy for comprehensive treatment. Such a combination, usually called complementary therapy, helps teens with complex issues address personal needs and the social aspects of their challenges.

4. Are There Any Potential Downsides to Group Therapy for Teenagers?

Despite its benefits, group therapy has the following downsides:

  • It is not as focused or intense as individual therapy
  • It has a more significant potential for confidentiality breaches
  • Some participants may ride on the successes of others
  • It is less flexible, i.e., fitting the treatment into one’s schedule may be impossible
  • It is usually inappropriate for specific individuals, such as extremely shy or antisocial teenagers.

5. Can My Teenager Form Lasting Friendships in Group Therapy?

Yes. Some connections and friendships formed during group therapy extend beyond the treatment duration. Remember, as teenagers interact and share experiences, they can develop lasting bonds, leading to long-lasting friendships.

6. Are There Age Restrictions for Group Therapy Participation?

The age restriction for group therapy participation depends on several factors, including the nature of the issues, group dynamics, and the specific program/ provider. At Nexus Teen Academy, we administer group therapy to teens aged 13-17.

7. Can My Teenager Choose the Gender of Their Therapists in Both Types of Therapy?

It’s easier for teens to choose their therapist’s gender in individual therapy as it can be easily tailored to their needs and preferences. However, this can be challenging in group therapy owing to the number of participants unless everyone unanimously agrees to a specific therapist.

8. Are There Any Alternative Therapies Besides Traditional Talk Therapy for Teenagers?

Yes. There are several other effective therapies besides traditional talk therapy. They include creative and experiential approaches such as art, music, dance/movement, and equine therapies.

9. Can My Teenager Participate in Group Therapy If They Have Social Anxiety?

Group therapy can help address teen social anxiety. However, socially anxious teens generally undergo individual therapy first, where they are treated using tailored cognitive-behavioral therapy plans for improved outcomes.

10. What are Some Common Challenges Teenagers Face in Group Therapy?

Common challenges teenagers face in group therapy include privacy and confidentiality concerns, anxiety or uneasiness when sharing personal experiences with others, fear of criticism or judgment, and difficulty establishing genuine connections due to background or personality differences. These challenges can hinder therapy progress.

11. Can My Teenager Receive Medication Management Alongside Therapy?

Yes. Treatment professionals often administer medication alongside therapy to help manage symptoms or stabilize teenagers. Medication is also commonly used during detox to lessen withdrawal symptoms’ impact or duration.

12. Are There Specific Group Therapy Options for Teenagers with Eating Disorders?

Yes. Group therapy offers a safe, structured, supportive environment for teens with eating disorders to share challenges, experiences, and recovery goals. Therapists help participants address the common causes of eating disorders, such as self-worth, body image, and poor coping strategies. However, more often than not, group therapy complements individual therapy and pharmacological interventions in treating eating disorders.

13. What Happens If My Teenager Doesn’t Feel Comfortable in Their Therapy Group?

Encourage your teenager to inform the group therapist or facilitator if they feel uncomfortable in their therapy group. The therapist will use their training and experience to address the cause of their discomfort or offer strategies to make them feel more comfortable. Sometimes, the teen may be transferred to another group that better matches their needs and preferences.

14. How Can I Help My Teenager Transition Between Individual and Group Therapy If Needed?

You can help your teenager transition from individual and group therapy by:

  • Having a gentle discussion about the reasons for their transition and addressing any fears or concerns they may have
  • Reminding them that therapy offers them a safe space to grow and that you will always support their mental well-being journey.
  • Encouraging them to participate in the therapeutic approach they transition to actively.
  • Staying involved in their treatment post-transition by monitoring their progress and experiences.
author avatar