Cognitive-Behavioral Therapy in Groups

Second Edition

Peter J. Bieling, Randi E. McCabe, and Martin M. Antony

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The leading guide to group-based cognitive-behavioral therapy (CBT) has now been significantly revised with 70% new material, reflecting over 15 years of research and clinical advances. Too often, CBT training resources treat groups as simply an extension of individual therapy. Filling an important need, this text helps students and practitioners build essential skills for leveraging group process to optimize outcomes. Featuring sample dialogues, clinical pointers, and troubleshooting tips, the book provides practical answers to group leaders' most pressing questions. Effective protocols for treating specific disorders are presented, with a focus on CBT techniques and group process factors unique to each type of group.

New to This Edition

“This is the book I would have liked to have been able to read when I started running CBT groups….A very valuable resource for professionals setting up and running CBT groups for a wide range of clients, as well as for professionals supervising CBT groups.”

Cognitive Behavioral Therapy Book Reviews (on the first edition)

“Group CBT is similarly effective to individual CBT, but is more cost-effective and allows for more clients to be treated in a given period of time. Unfortunately, most evidence-based CBT protocols are developed for individual delivery, with only superficial instructions for how to deliver in groups. Bieling, McCabe, and Antony offer a much-needed corrective, expertly explaining how to set up and manage CBT groups for a range of presenting problems and disorders. A 'must have' for any clinician.”

—Peter J. Norton, PhD, School of Psychology, Counseling and Psychotherapy, Cairnmillar Institute, Melbourne, Australia

“I am very impressed with this text, which is superior to many others in its comprehensiveness, thoroughness, and use of evaluative data. It presents up-to-date information on how to do group CBT for a wide range of clinical problems. Students will benefit greatly from the authors' extensive experience and the up-to-date information they provide on group composition, preparation of group members, recommended session agendas, and assessment strategies. Clinical examples from actual groups are an essential feature. A great bibliography is included so students can learn more about various group CBT applications.”

—Charles D. Garvin, PhD, School of Social Work (Emeritus), University of Michigan

“The majority of clinicians are still trained in doing CBT with individuals only, making this broad-ranging, comprehensive guide essential reading. The second edition has been revised throughout to include updates from the literature and to achieve the explicit aim of making the book more user friendly. Significant revisions reflect the latest advances in our understanding of the nature and treatment of psychological disorders, such as the merger of the various anxiety disorders into a single chapter, the incorporation of 'third-wave' approaches, and the chapter on transdiagnostic treatment in acute inpatient settings. This state-of-the-art book should be read by any clinician or student who wants to integrate CBT techniques with group process factors.”

—Simon A. Rego, PsyD, ABPP, Chief of Psychology, Montefiore Medical Center, Bronx, New York; Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine

Table of Contents

I. General Principles and Practice of Cognitive-Behavioral Therapy Groups

1. Possibilities and Group Dynamics

2. Structure, Process, and Challenges in CBT Groups

3. Behavioral and Cognitive Strategies in CBT Groups

4. Mindfulness-Based Cognitive Therapy

5. Structuring and Delivering Group CBT in Acute Inpatient Settings, Emily MacKillop & Randi E. McCabe

II. CBT Groups for Specific Populations and Presenting Problems

6. Anxiety Disorders, Bailee Malivoire & Martin M. Antony

7. Obsessive-Compulsive Disorder in Adults sample

8. Trauma- and Stressor-Related Disorders, Jenna E. Boyd & Randi E. McCabe

9. Mood Disorders

10. Eating Disorders

11. Substance Use Disorders, Tracy O’Leary Tevyaw & Peter M. Monti

12. Borderline Personality Disorder, Amanda A. Uliaszek, Tahira Gulamani, & Janice R. Kuo

13. Psychosis and Psychotic Disorders, Tania Lecomte

III. Conclusions

14. Challenges in Group Therapy



About the Authors

Peter J. Bieling, PhD, is Professor in the Department of Psychiatry and Behavioural Neurosciences at McMaster University in Hamilton, Ontario, Canada, andClinical Consultant for the Ontario Structured Psychotherapy Programat St. Joseph’s Healthcare Hamilton. Dr. Bieling is a Founding Fellow of the Academy of Cognitive Therapy and has written extensively about cognitive-behavioral therapy (CBT) for depression. In addition to his research activities and academic work, he is an active therapist and teacher of CBT.

Randi E. McCabe, PhD, is Professor in the Department of Psychiatry and Behavioural Neurosciences at McMaster University in Hamilton, Ontario, Canada, and Director of the Anxiety Treatment and Research Clinic at St. Joseph's Healthcare Hamilton. Her research focuses on anxiety and related disorders and the development and evaluation of cognitive-behavioral interventions. She has published over 160 peer-reviewed papers and eightbooks. Dr. McCabe served as president of the Canadian Association of Cognitive and Behavioural Therapies (CACBT) and is a Fellow of the Canadian Psychological Association, the Association for Behavioral and Cognitive Therapies, and the CACBT.

Martin M. Antony, PhD, is Professor of Psychology at Toronto Metropolitan University in Toronto, Ontario, Canada, and Provincial Clinical and Training Lead for the Ontario Structured Psychotherapy Program. Previously, Dr. Antony was founding director of both the Anxiety Treatment and Research Clinic and the Psychology Residency Program at St. Joseph’s Healthcare Hamilton. He has published over 300 scientific articles and chapters and 33 books in areas related to cognitive-behavioral therapy and anxiety-related disorders, and has presented his work widely across four continents. A Fellow of the Royal Society of Canada, he is past president of the Canadian Psychological Association and the Association for Behavioral and Cognitive Therapies.


Tracy A. O'Leary Tevyaw, PhD, Providence VA Medical Center; Brown University

Peter M. Monti, PhD, Brown University

Tania Lecomte,PhD,Universite de Montreal, Quebec

Amanda A. Uliaszek,PhD,University of Toronto - Scarborough, ON

Tahira Gulamani, MA,University of Toronto - Scarborough, ON

Janice R. Kuo,PhD,Palo Alto University, CA

Jenna E. Boyd,PhD,Anxiety Treatment and Research Clinic, St. Joseph’s Healthcare Hamilton, ON

Bailee Malivoire, MA, ON, Canada

Emily MacKillop, PhD,Clinical Neuropsychology Service, ON


Practitioners, students, and instructors in clinical psychology, social work, psychiatry, nursing, and counseling.

Course Use

Serves as a text in graduate-level courses on cognitive-behavioral therapy, group psychotherapy and counseling, and social work practice with groups.
Previous editions published by Guilford:

First Edition, © 2006
ISBN: 9781606234044
New to this edition: