Support Groups in Surbiton

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I offer small group support and therapy sessions for your employees, staff members, management, volunteers, residents, etc. Long term or short term focused sessions with a view to improving your team's wellbeing. Critical incident debriefing is also available.
Photo of Susan Bailey, Psychotherapist, MA, MBACP Accred
Hosted by Susan Bailey
Psychotherapist, MA, MBACP Accred
Group meets in Romford RM3
I offer small group support and therapy sessions for your employees, staff members, management, volunteers, residents, etc. Long term or short term focused sessions with a view to improving your team's wellbeing. Critical incident debriefing is also available.
01708 973315 View 01708 973315
This is a therapeutic support group for parents of children and adults with additional needs. Additional needs being defined as learning disabilities, neurodivergence, mental health difficulties or long term health conditions. The focus will primarily be upon the emotional and psychological challenges of being a carer, with some space to think about the practical implications. We will look at family dynamics with a view to enhancing the well being of all family members, including the person with additional needs. This will be a small group setting as I would like to focus on generating a safe and supportive environment.
Photo of Zoe Leanne Hedderly - Zoe Hedderly Transpersonal Psychotherapy , Psychotherapist, MBACP
Hosted by Zoe Hedderly Transpersonal Psychotherapy
Psychotherapist, MBACP
Group meets in London SE18
This is a therapeutic support group for parents of children and adults with additional needs. Additional needs being defined as learning disabilities, neurodivergence, mental health difficulties or long term health conditions. The focus will primarily be upon the emotional and psychological challenges of being a carer, with some space to think about the practical implications. We will look at family dynamics with a view to enhancing the well being of all family members, including the person with additional needs. This will be a small group setting as I would like to focus on generating a safe and supportive environment.
020 4572 4552 View 020 4572 4552
If any of the following challenges interfere with the quality of your life MBT is highly recommended: Difficulties regulating intense emotions that lead you to behaving in ways you don’t understand; Chaotic relationships where you either frantically pursue or impulsively cut the other person off; Fear of abandonment and trying to avoid it at all costs; Impulsive urges and risky behaviours that lead to feelings of self-hate or shame; Episodes of extreme emotional pain and attempts to stop it with self-harm, alcohol, drugs or sex; Anger, emotional sensitivity and recurrent depression.
Photo of Luka Hadrych - DBT in Mind Team, Psychotherapist, MSc, MUKCP
Hosted by DBT in Mind Team
Psychotherapist, MSc, MUKCP
Group meets in London N1
If any of the following challenges interfere with the quality of your life MBT is highly recommended: Difficulties regulating intense emotions that lead you to behaving in ways you don’t understand; Chaotic relationships where you either frantically pursue or impulsively cut the other person off; Fear of abandonment and trying to avoid it at all costs; Impulsive urges and risky behaviours that lead to feelings of self-hate or shame; Episodes of extreme emotional pain and attempts to stop it with self-harm, alcohol, drugs or sex; Anger, emotional sensitivity and recurrent depression.
020 3870 3919 View 020 3870 3919
This group comes together to offer support to each other in exploring personal and professional concerns. The confidential setting enables a space where trust is developed so that you can become aware of how you experience others as well as how you are experienced by them. This increased awareness of relationship patterns brings about long lasting and creative changes that enables deeper and more meaningful relationships both inside – and consequently outside of the group. The group is relevant if you struggle with feeling isolated, insecure or lacking in confidence and wish to find different ways of connecting – both to yourself and those around you.
Photo of Sara Wainstein, Psychotherapist, MA, MUKCP
Hosted by Sara Wainstein
Psychotherapist, MA, MUKCP
Group meets in London NW3
This group comes together to offer support to each other in exploring personal and professional concerns. The confidential setting enables a space where trust is developed so that you can become aware of how you experience others as well as how you are experienced by them. This increased awareness of relationship patterns brings about long lasting and creative changes that enables deeper and more meaningful relationships both inside – and consequently outside of the group. The group is relevant if you struggle with feeling isolated, insecure or lacking in confidence and wish to find different ways of connecting – both to yourself and those around you.
020 3823 6204 View 020 3823 6204
Group psychotherapy offers a nurturing space for individuals to explore and gain insight into their personal challenges. It is perfect for those facing difficulties in interpersonal relationships or dealing with past and current traumas, anxiety, frustration, or anger. Issues are explored in an atmosphere of trust and confidentiality. Through the relationships between group members, an opportunity is provided to reflect on how past patterns of behaviour can manifest themselves in the present, impeding growth and creativity. For an initial consultation or more information, please contact me.
Photo of Dr Boguslaw Potoczny, Psychotherapist, PhD, MUKCP
Hosted by Dr Boguslaw Potoczny
Psychotherapist, PhD, MUKCP
Group meets in Tunbridge Wells TN1
Group psychotherapy offers a nurturing space for individuals to explore and gain insight into their personal challenges. It is perfect for those facing difficulties in interpersonal relationships or dealing with past and current traumas, anxiety, frustration, or anger. Issues are explored in an atmosphere of trust and confidentiality. Through the relationships between group members, an opportunity is provided to reflect on how past patterns of behaviour can manifest themselves in the present, impeding growth and creativity. For an initial consultation or more information, please contact me.
020 3962 0106 View 020 3962 0106
This group provides connection and a space to belong whilst working through the transition into adulthood. Many young adults experience difficulty with identity formation, belonging and establishing a sense of direction. This group provides a supportive, structured space for individuals aged 20–25 to explore these challenges as well as difficulties around relationships, anxiety and self-esteem alongside peers who share similar experiences.
Photo of Jodi Mishcon, Psychotherapist, DCounsPsych, MBACP
Hosted by Jodi Mishcon
Psychotherapist, DCounsPsych, MBACP
Group meets in London NW11
This group provides connection and a space to belong whilst working through the transition into adulthood. Many young adults experience difficulty with identity formation, belonging and establishing a sense of direction. This group provides a supportive, structured space for individuals aged 20–25 to explore these challenges as well as difficulties around relationships, anxiety and self-esteem alongside peers who share similar experiences.
020 3835 4359 View 020 3835 4359
You feel frustrated, you feel that you are not being the best version of yourself, and that you are not living your best life. You want to move beyond this feeling of being stuck. I use Cognitive Behavioural Therapy (CBT) to help you manage these transitions and forge a way forward. I offer both F2F & group sessions in W67HB with no more than 4-6 participants, and online sessions. Contact me today to schedule a free 15-minute consultation and take the first step towards a more satisfied you. Please see an outline on the main profile page.
Photo of Karen Mary Collender - The Mind Reset Hub: Groups - Best Life Motivation, Psychotherapist, MA, MBABCP
Hosted by The Mind Reset Hub: Groups - Best Life Motivation
Psychotherapist, MA, MBABCP
Group meets in London W6
You feel frustrated, you feel that you are not being the best version of yourself, and that you are not living your best life. You want to move beyond this feeling of being stuck. I use Cognitive Behavioural Therapy (CBT) to help you manage these transitions and forge a way forward. I offer both F2F & group sessions in W67HB with no more than 4-6 participants, and online sessions. Contact me today to schedule a free 15-minute consultation and take the first step towards a more satisfied you. Please see an outline on the main profile page.
020 4572 9278 View 020 4572 9278
Abit of jealousy in a relationship can often be alluring. However, when one is consumed with thoughts of jealousy and intentions are driven from a place of insecurity, unhealthy behaviours manifest. Therefore, limiting any potential of creating your ideal relationship. This online group therapy is based on psychoanalytic psychotherapy principles. With the guidance of the facilitator the group will explore how past issues and experiences are relevant to the present. Through an in-depth understanding of yourself and your past, you build resilience, increase self esteem, learn to love yourself more resulting in you being more secure in your relationship.
Photo of Lordia Lewis-Spencer, Counsellor, MBACP
Hosted by Lordia Lewis-Spencer
Counsellor, MBACP
Group meets in Swanscombe DA10
Abit of jealousy in a relationship can often be alluring. However, when one is consumed with thoughts of jealousy and intentions are driven from a place of insecurity, unhealthy behaviours manifest. Therefore, limiting any potential of creating your ideal relationship. This online group therapy is based on psychoanalytic psychotherapy principles. With the guidance of the facilitator the group will explore how past issues and experiences are relevant to the present. Through an in-depth understanding of yourself and your past, you build resilience, increase self esteem, learn to love yourself more resulting in you being more secure in your relationship.
0333 016 1014 View 0333 016 1014
We are CBT, Mindfulness and ACT focused therapy clinic, working in London and Online. We provide therapy in English and Italian. Our specialties include: Bipolar Disorder, Stress & Anxiety disorders (Panic, GAD, OCD, HA, SA), Perfectionism and Impostor Syndrome, Trauma & PTSD, Long Term Conditions, Low Self Esteem, Depression.
Photo of Dr Alice Fiorica, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Hosted by Dr Alice Fiorica
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Group meets in London N1
We are CBT, Mindfulness and ACT focused therapy clinic, working in London and Online. We provide therapy in English and Italian. Our specialties include: Bipolar Disorder, Stress & Anxiety disorders (Panic, GAD, OCD, HA, SA), Perfectionism and Impostor Syndrome, Trauma & PTSD, Long Term Conditions, Low Self Esteem, Depression.
020 8103 3924 View 020 8103 3924
I run once weekly psychotherapy groups on Monday and Fridays currenly meeting online. Groups are a very cost effective treatment and provide a space to work through your issues inreal time with other people (Max 8 people) The groups meet weekly for 90 minutes.
Photo of Dr Stuart Stevenson, Psychotherapist, DCounsPsych, MUKCP
Hosted by Dr Stuart Stevenson
Psychotherapist, DCounsPsych, MUKCP
Group meets in London N19
I run once weekly psychotherapy groups on Monday and Fridays currenly meeting online. Groups are a very cost effective treatment and provide a space to work through your issues inreal time with other people (Max 8 people) The groups meet weekly for 90 minutes.
020 4538 0752 View 020 4538 0752
I facilitate an open psychotherapy group for women wanting to explore issues related to pregnancy and motherhood. Group therapy is often very beneficial for women seeking support, self-awareness, and self-acceptance. You will find that a group is challenging, enriching, and a safe environment in which to explore your experience of yourself and of others. You will be asked to abide by a framework of confidentiality and mutual respect. The group runs at Kensington Counselling on Thursday mornings. It is an open group, which means that you can join as soon as there is a place available. Sessions are 90 minutes and cost £35.
Photo of Henrietta Rose Whitfield, Psychotherapist, DCounsPsych, MUKCP
Hosted by Henrietta Rose Whitfield
Psychotherapist, DCounsPsych, MUKCP
Group meets in London SW7
I facilitate an open psychotherapy group for women wanting to explore issues related to pregnancy and motherhood. Group therapy is often very beneficial for women seeking support, self-awareness, and self-acceptance. You will find that a group is challenging, enriching, and a safe environment in which to explore your experience of yourself and of others. You will be asked to abide by a framework of confidentiality and mutual respect. The group runs at Kensington Counselling on Thursday mornings. It is an open group, which means that you can join as soon as there is a place available. Sessions are 90 minutes and cost £35.
020 3675 0453 View 020 3675 0453
Addiction may occur in literary every sphere of life e.g. substances, alcohol, gambling, internet, pornography, food etc. Every addiction is an expensive habit as well as detrimental for personal health, wellbeing and development. The impact is not only on oneself but on one’s family, relatives and friends. Spirituality on the other hand provides the framework of love, compassion and acceptance for uplifting the person and supporting healthy life choices and stable recovery. The group establishes connections providing an effective learning context. Counselling facilitation in this context supports a safe way to successful recovery. This is an online group.
Photo of Dr Yordan K. Zhekov, Counsellor, PhD, MBACP
Hosted by Dr Yordan K. Zhekov
Counsellor, PhD, MBACP
Group meets in London W11
Addiction may occur in literary every sphere of life e.g. substances, alcohol, gambling, internet, pornography, food etc. Every addiction is an expensive habit as well as detrimental for personal health, wellbeing and development. The impact is not only on oneself but on one’s family, relatives and friends. Spirituality on the other hand provides the framework of love, compassion and acceptance for uplifting the person and supporting healthy life choices and stable recovery. The group establishes connections providing an effective learning context. Counselling facilitation in this context supports a safe way to successful recovery. This is an online group.
01923 936765 View 01923 936765
The group is suitable for people who want to improve the way they communicate with others and recognise why they may be communicating or reacting in certain ways with particular people. Finding new ways of expressing yourself, without creating conflict. suitable for all types of relationship issues, personal. marriage, family, work related or neighbours
Photo of Nicola Potter - Nicola Potter Psychotherapy , Psychotherapist, MBACP Accred
Hosted by Nicola Potter Psychotherapy
Psychotherapist, MBACP Accred
Group meets in Sevenoaks TN14
The group is suitable for people who want to improve the way they communicate with others and recognise why they may be communicating or reacting in certain ways with particular people. Finding new ways of expressing yourself, without creating conflict. suitable for all types of relationship issues, personal. marriage, family, work related or neighbours
01732 905005 View 01732 905005
Our Online Group starts on Thursday 11th September. Please get in touch for more details.
Photo of Tijana Urosevic, Psychotherapist, MBACP
Hosted by Tijana Urosevic
Psychotherapist, MBACP
Group meets in London NW6
Our Online Group starts on Thursday 11th September. Please get in touch for more details.
020 4572 6133 View 020 4572 6133
Often, we may feel isolated with our problems, believing that no one truly understands what we’re going through. One of the greatest advantages of group therapy is the sense of connection it fosters, bringing together people who face similar challenges. Realizing that we’re not alone, and that we can also provide support to others, can be deeply comforting and empowering. Other key benefits of group therapy include: • Peer feedback and encouragement • Learning healthier coping strategies • Expressing feelings more clearly • Developing effective communication skills • Receiving emotional support • Offering support to others
Photo of Georgios E. Bligouras, Psychotherapist, MSc, MBACP Accred
Hosted by Georgios E. Bligouras
Psychotherapist, MSc, MBACP Accred
Group meets in London SW9
Often, we may feel isolated with our problems, believing that no one truly understands what we’re going through. One of the greatest advantages of group therapy is the sense of connection it fosters, bringing together people who face similar challenges. Realizing that we’re not alone, and that we can also provide support to others, can be deeply comforting and empowering. Other key benefits of group therapy include: • Peer feedback and encouragement • Learning healthier coping strategies • Expressing feelings more clearly • Developing effective communication skills • Receiving emotional support • Offering support to others
020 3984 7729 x0044 View 020 3984 7729 x0044
Men’s Therapeutic Group – Grow Stronger Together A supportive space for men to explore emotions, relationships, and personal growth without judgment. Combat isolation, stress, and societal pressures through guided discussions and evidence-based techniques (CBT, mindfulness). Topics include anger, vulnerability, purpose, and communication. For: Men facing life transitions, anxiety, relationship struggles, or seeking deeper self-awareness. Format: Weekly 90-minute sessions with 12 members max for trust and connection. Benefits: Reduced isolation, emotional resilience, practical coping tools, and authentic camaraderie. Break the stigma. Find strength in shared growth.
Photo of Rotimi Gabriel Akinsete, Counsellor, MSc, MBACP
Hosted by Rotimi Gabriel Akinsete
Counsellor, MSc, MBACP
Group meets in London SE1
Men’s Therapeutic Group – Grow Stronger Together A supportive space for men to explore emotions, relationships, and personal growth without judgment. Combat isolation, stress, and societal pressures through guided discussions and evidence-based techniques (CBT, mindfulness). Topics include anger, vulnerability, purpose, and communication. For: Men facing life transitions, anxiety, relationship struggles, or seeking deeper self-awareness. Format: Weekly 90-minute sessions with 12 members max for trust and connection. Benefits: Reduced isolation, emotional resilience, practical coping tools, and authentic camaraderie. Break the stigma. Find strength in shared growth.
020 3319 6478 View 020 3319 6478
Living Life to The Full With God Devotional will teach you important life skills that aim to help empower, elevate, equip and encourage you in your marriage relationship. You will learn how to understand your anxieties, worries, anger and discontentment. You will understand why you feel as you do. Choose to do activities that improve your well-being. Identify blocks or activities that makes you feel worse. Become calmer, more assertive, more compassionate, and supportive of your spouse. You will also build resilience and learn how to flourish as a couple.
Photo of Dawn Aruoma, Counsellor, MA, ACC Reg
Hosted by Dawn Aruoma
Counsellor, MA, ACC Reg
Group meets in Barking IG11
Living Life to The Full With God Devotional will teach you important life skills that aim to help empower, elevate, equip and encourage you in your marriage relationship. You will learn how to understand your anxieties, worries, anger and discontentment. You will understand why you feel as you do. Choose to do activities that improve your well-being. Identify blocks or activities that makes you feel worse. Become calmer, more assertive, more compassionate, and supportive of your spouse. You will also build resilience and learn how to flourish as a couple.
07480 802691 View 07480 802691
Are you grieving the loss of a loved one? Join our 10-week bereavement support counselling group for adults seeking to understand their feelings, learn coping strategies, and share memories in a safe, non-judgmental space. Through open conversation, evidence-based techniques, and peer support, we’ll explore grief, challenge myths, and find ways to heal while honoring your loved one’s memory. Whether you feel overwhelmed or simply want to connect, you’re welcome here. No prior therapy experience is needed—just a willingness to share and support others. Spaces are limited; contact us to reserve your place.
Photo of Daria Modina, Psychotherapist, MUKCP
Hosted by Daria Modina
Psychotherapist, MUKCP
Group meets in London N2
Are you grieving the loss of a loved one? Join our 10-week bereavement support counselling group for adults seeking to understand their feelings, learn coping strategies, and share memories in a safe, non-judgmental space. Through open conversation, evidence-based techniques, and peer support, we’ll explore grief, challenge myths, and find ways to heal while honoring your loved one’s memory. Whether you feel overwhelmed or simply want to connect, you’re welcome here. No prior therapy experience is needed—just a willingness to share and support others. Spaces are limited; contact us to reserve your place.
020 4538 6234 View 020 4538 6234
This group is for people of colour who are seeking to healing and to grow from experiences of racial trauma. There is also a group available for professionals who would like to focus on performing safely in workplaces where they have experienced workplace trauma and racial bullying.
Photo of Esther John - Minds in Session, Psychologist, MSc, HCPC - Clin. Psych.
Hosted by Minds in Session
Psychologist, MSc, HCPC - Clin. Psych.
Group meets in London SW11
This group is for people of colour who are seeking to healing and to grow from experiences of racial trauma. There is also a group available for professionals who would like to focus on performing safely in workplaces where they have experienced workplace trauma and racial bullying.
020 3763 3993 View 020 3763 3993
The group is suitable for supervisors and therapists (including trainees) from any modality working with individuals and or couples. Topics covered can include case reviews, ethical issues, emotional response to the material, legal issues, counter-transference, use of self in clinical work, diagnostic skills, treatment planning and interventions. (£35.00 for 1.5 hours.) I am UKCP and BACP Accredited. I am an accredited Psychosexual and Relationship Psychotherapist (COSRT). and supervisor. I also have availability for individual supervision (£50.00 for an hour's session) In addition I provide supervision to anyone who requires it such as medical professionals, mental health workers and social workers.
Photo of Rosalind Simpson, Psychotherapist, COSRT Accred
Hosted by Rosalind Simpson
Psychotherapist, COSRT Accred
Group meets in London N16
The group is suitable for supervisors and therapists (including trainees) from any modality working with individuals and or couples. Topics covered can include case reviews, ethical issues, emotional response to the material, legal issues, counter-transference, use of self in clinical work, diagnostic skills, treatment planning and interventions. (£35.00 for 1.5 hours.) I am UKCP and BACP Accredited. I am an accredited Psychosexual and Relationship Psychotherapist (COSRT). and supervisor. I also have availability for individual supervision (£50.00 for an hour's session) In addition I provide supervision to anyone who requires it such as medical professionals, mental health workers and social workers.
020 3856 8640 View 020 3856 8640

See more therapy options for Surbiton

FAQs - About Group Therapy and Support Groups

How can I find a support group in Surbiton?

To find a support group in your area, start by entering your city, postcode, or the name of the group into the search bar at the top of the page. When searching, consider whether you prefer an in-person or virtual group. This can help you decide how broad your geographic search should be. If you are open to virtual groups, you might want to search by state instead of just your city, especially if there are limited options nearby.

Once you complete your search, you can use the filters to narrow the results by selecting specialties (such as grief, trauma, or eating disorders), therapeutic approaches, age groups, and other criteria to find a group that best fits your needs.

How does group therapy work?

Group therapy is led by one or more trained therapists and provides a space where participants can process their experiences and learn from others facing similar challenges. Groups may focus on a specific issue—such as addiction, grief, physical illnesses, parenting, or caregiving—or they may center around a particular therapeutic approach, such as Cognitive Behavioural Therapy (CBT), social skill development, or Exposure Therapy. Some groups are also designed for specific populations, such as teens, veterans, or LGBTQ+ individuals.

It’s also important to distinguish group therapy from peer-led support groups, like Alcoholics Anonymous. While both can offer valuable support, therapy groups are typically led by licensed professionals and follow a more structured format. Therapy groups often meet for a fixed length of time with a consistent group of members, while many peer support groups meet for an indefinite period of time with members coming and going.

What are the benefits of group therapy?

Group therapy offers several important benefits. It brings together people facing similar challenges—whether related to mental health, physical health, or life transitions—and creates a supportive environment where participants can exchange feedback, share experiences, and learn from one another. Hearing different perspectives can help individuals discover new coping strategies and practical tools they may not have encountered on their own. Sharing personal experiences, such as coping with a serious illness or navigating family struggles, can also reduce feelings of isolation and foster a sense of connection and understanding. In addition to emotional support, group members often gain useful, real-world advice from peers who have faced similar situations.

Group therapy is typically more affordable than individual therapy and, for certain conditions, can be equally effective. Many groups also include structured activities—such as guided journaling, cognitive-behavioural exercises, or role-playing—to help participants develop concrete skills they can apply in daily life.

Is group therapy as effective as individual therapy?

It is difficult to make a blanket statement about the effectiveness of support groups, as they vary widely in focus and the conditions they address. However, support groups can be highly valuable in helping individuals gain emotional support and achieve meaningful treatment outcomes. For certain conditions, such as substance use, research has shown that group therapy can be particularly effective—sometimes just as effective as individual therapy—in supporting long-term recovery.

Many professionals attribute the effectiveness of group therapy to the unique benefits of the group setting, which fosters peer-to-peer learning and a sense of connection through shared experiences. Group settings also offer accountability and encouragement from both facilitators and fellow participants, which helps sustain motivation and supports continued progress. These factors together play a key role in promoting the overall effectiveness of group therapy.

How much does group therapy cost?

Group therapy is typically less expensive than individual therapy, with sessions typically costing between £45 to £60 each. In comparison, individual therapy can cost anywhere from £60 to £150 or more per session, even with insurance. Some therapists or organizations offer low-cost or free group therapy options, particularly through community centers or non-profit organizations. In some cases, groups may require payment upfront for a set number of sessions, such as paying for six weekly sessions at the first meeting. However, many providers offer payment plans to help make participation more accessible if this upfront payment is required.

Does insurance cover group therapy?

If you have private insurance, your plan may cover some if not all of your group therapy sessions. You should contact your insurance provider to determine if they provide coverage for group therapy sessions and to determine what, if any, requirements they might have in order for your sessions to be covered, such as a referral from your GP or medical specialist.

How long does group therapy last?

The length of each group therapy session typically ranges from 45 minutes to two hours, depending on the therapy approach, the group’s goals, and how often the group meets. In some cases, group therapy is part of a larger treatment program, such as an Intensive Outpatient Program (IOP), where group sessions complement individual therapy and are scheduled as part of the program’s overall structure.

The duration of participation in a group also varies. Some groups are designed to be short-term, lasting anywhere from 6 to 24 weeks—for example, bereavement groups or skills-based groups like those using Dialectical Behavioural Therapy (DBT). Other groups may be longer-term, lasting a year or more, and some ongoing support groups meet indefinitely, allowing participants to stay as long as they find the group helpful.

What are the limitations of support groups?

Support groups offer many benefits, but they also have certain limitations. Unlike therapy groups, many support groups do not provide formal therapeutic treatment and are not led by licensed mental health professionals. For individuals seeking clinical treatment for specific mental health diagnoses—such as depression, eating disorders, or substance use—individual therapy or group therapy led by a licensed professional may offer more personalised and specialised care.

The effectiveness of a support group also depends heavily on the group’s participants and the overall group dynamic. When members engage respectfully and offer constructive support, the group can foster valuable peer-to-peer learning. However, if certain participants dominate discussions, provide inaccurate advice, or create conflict, it can disrupt the group’s sense of safety and reduce its effectiveness. Confidentiality can also be harder to maintain in support groups, particularly in open groups where participants can join or leave at any time. With new members regularly entering the group, it can be more difficult to build and sustain a consistent sense of trust and privacy.