This study examined the use of group cognitive behavioral therapy (CBT) in addressing psychological distress of female survivors of domestic violence. It was conducted by involving survivors of domestic violence who have been receiving legal aid support from Ethiopian Women Lawyers Association (EWLA) situated in Addis Ababa. The study was a mixed method research of both quantitative and qualitative approaches. The pretest posttest control group true experimental design particularly guided the collection and analysis of the quantitative data. Randomly selected sixty participants were assigned randomly to the treatment and control groups, each with 30 participants. To assess the psychological distress level of the research participants, Kessler Psychological Distress Scale (K10) was used at two occasions, pretest and posttest. Participants in the treatment group received eight group CBT sessions for three hours, two times in a week. After the intervention, focus group discussion (FGD) was held with members of the treatment group to pinpoint challenges and opportunities of providing group CBT based on their experiences. In addition, interview was conducted with counselors who facilitated the group CBT sessions in order to identify existing challenges and prospects from their point of view. Paired samples t-test indicated that there was statistically significant decrease in psychological distress from baseline (M = 27.46, SD = 6.11) to post test assessment (M = 17.31, SD = 7.12, t (25) = 13.36, p < 0.05 in the experimental group. The mean decrease in psychological distress was 10.15 with 95% confidence interval ranging from 8.589 to 11.719. On the other hand, the paired samples t-test result of the control group showed no statistically significant difference in psychological distress scores from baseline (M = 27.43, SD = 6.09) to post test assessment (M = 27.97, SD = 6.12, t (29) = -1.017, p = 0.32). The mean difference in psychological distress was -.533 with 95% confidence interval ranging from -1.606 to 0.540. In addition, independent samples t-test indicated significant difference in psychological distress scores between the treatment group (M = 17.12, SD = 7.12) and control group (M = 27.97, SD = 6.12; t (54), p = 0.00). The majority of participants in the experimental group showed very high (53.3%) and high (33.3%) psychological distress before treatment. Similarly in the control group, it was found 43.3% high and 40% very high psychological distress during pre-test. After the group CBT, the treatment group showed statistically significant reduction in the level of psychological distress from pretest to posttest mean of psychological distress. However, there was no statistically significant difference in psychological distress scores of pretest to posttest mean of psychological distress in the control group. Moreover, there was significant difference in mean psychological distress between the treatment and control groups after group CBT intervention. With regard to the prospects of group CBT, findings from both the FGD and interview show that the group CBT enabled participants to identify common negative or dysfunctional thoughts in-built by the abusive relationship; instillation of hope; shared lived experiences; supported each other as well as group cohesiveness was observed as a catalyst for cognitive and behavioral shift. Failure of doing assignments was identified as a major challenge in providing group CBT. The study also shows it was economically challenging for most of the participants to attend the therapy sessions as well as most of them arrive late and irregular attendance was observed. Based on the findings of the study it was suggested that group CBT will have paramount importance in addressing the psychological distress of survivors of domestic violence but it needs further comprehensive studies in the area.rnKeywords: Group CBT, domestic violence, psychological distress, Kessler Psychological Stress Scale