Choosing the right type of therapy for your child can feel overwhelming. With so many options available, parents often find themselves asking an important question: Should my child participate in group therapy or would one-on-one therapy be a better fit?
Both formats can be highly effective and supportive. The key is understanding how each approach works and how it aligns with your child’s unique needs, goals, and personality. This guide will walk you through the differences, benefits, and considerations to help you make a confident, informed decision.
Understanding One-on-One Therapy
One-on-one therapy involves individualized sessions where your child works directly with a Nebraska ABA therapist. This format is commonly used in therapies such as ABA therapy, speech therapy, occupational therapy, and counseling.
The biggest advantage of one-on-one therapy is personalization. Sessions are designed specifically around your child’s strengths, challenges, and learning pace. Therapists can focus entirely on your child without competing distractions, allowing them to adjust strategies in real time and address concerns as they arise.
This approach is often ideal for children who:
- Need intensive support or skill-building
- Are easily distracted or overwhelmed
- Are working on very specific behavioral, communication, or emotional goals
However, one-on-one therapy does have limitations. Because sessions are individualized, children may have fewer opportunities to practice social interaction with peers. Skills learned in a private setting may also require additional support to generalize to real-world environments like school or community settings.
Understanding Group Therapy
Group therapy brings together a small number of children who work with one or more therapists at the same time. These sessions are often designed to target shared goals such as social skills, communication, cooperation, or emotional regulation.
One of the greatest benefits of group therapy is the opportunity for natural peer interaction. Children can practice skills like turn-taking, sharing, problem-solving, and conversation in a structured but realistic setting. Watching peers can also be a powerful learning tool, especially for children who benefit from modeling.
Group therapy can be especially helpful for children who:
- Are working on social skills or peer relationships
- Learn well by observing others
- Are ready to practice skills in a more dynamic environment
That said, group therapy may not be the best fit for every child at every stage. Some children may feel overstimulated, anxious, or frustrated in group settings, especially if they need a high level of individual support or structure.
Key Factors to Consider When Making Your Decision
Your Child’s Therapy Goals
Start by identifying what you want your child to gain from therapy. If the primary focus is building foundational skills, reducing challenging behaviors, or addressing specific developmental delays, one-on-one therapy may be more effective. If the goal is improving social interaction, communication with peers, or teamwork skills, group therapy may be a better match.
Your Child’s Personality and Comfort Level
Every child responds differently to social environments. Some children thrive around others and enjoy group activities, while others may feel anxious or withdrawn. Consider how your child typically reacts in group settings such as classrooms, playdates, or extracurricular activities.
Skill Level and Readiness
Children who are early in their therapy journey often benefit from individual sessions where they can learn skills step by step. As those skills strengthen, group therapy can provide opportunities to practice and apply them with peers. Readiness matters, and it’s okay if group therapy comes later.
The Type of Challenges Being Addressed
Behavioral challenges, communication delays, or emotional regulation difficulties may require focused, individualized attention at first. Social challenges, on the other hand, often benefit from real-time interaction with peers in a supportive group environment.
Learning Style
Some children learn best through repetition and direct instruction, which is common in one-on-one therapy. Others learn by observing and engaging with peers, making group therapy a valuable option.
Is a Combination of Both the Best Option?
For many children, the most effective approach isn’t choosing one format over the other, but combining both. One-on-one therapy can be used to build foundational skills, while group therapy helps children practice and generalize those skills in social situations.
This blended approach allows therapy to grow with your child. As needs change, therapy formats can shift to ensure continued progress. Flexibility is often key to long-term success.
Questions to Ask Your Child’s Therapy Provider
Before deciding, it’s helpful to talk openly with your child’s therapy team. Consider asking:
- Which ABABtherapy format best supports my child’s current goals?
- How do you determine readiness for group therapy?
- Can my child transition between one-on-one and group therapy over time?
- How is progress measured in each setting?
- How do you support children who struggle in group environments?
Clear communication with providers can help ensure your child receives the right level of support at the right time.
Conclusion
There is no one-size-fits-all answer when it comes to choosing between group and one-on-one therapy. Every child is different, and what works best may change over time. By considering your child’s goals, personality, and readiness and by working closely with trusted professionals, you can make a decision that supports meaningful growth and confidence.
Whether your child benefits most from individualized attention, peer interaction, or a combination of both, the most important factor is providing consistent, compassionate support tailored to their needs.
Heartwise Support, an ABA therapy in Nebraska, can help you determine the best therapy approach for your child. Contact our experienced therapists today to create a customized plan that supports skill-building, social growth, and confidence in every setting.



