Support Groups in Twickenham

We are a group of 3 psychotherapists/ counsellors living and working in London, who set up a practice together called Teenmatters, offering specialist support to those at the beginning, middle and end of adolescence (which extends to the mid 20s) as well as to parents supporting their children through this period of transition. We set up our practice specialising in this demographic as were aware of the challenges and distress faced by many children, teenagers and their parents (such as family breakdown, school pressures, social media and relationship challenges) but also aware of the lack of provision locally.
Photo of Elizabeth Jane Straker - TeenMatters, Psychotherapist, MSc, MUKCP
Hosted by TeenMatters
Psychotherapist, MSc, MUKCP
Group meets in Twickenham TW1
We are a group of 3 psychotherapists/ counsellors living and working in London, who set up a practice together called Teenmatters, offering specialist support to those at the beginning, middle and end of adolescence (which extends to the mid 20s) as well as to parents supporting their children through this period of transition. We set up our practice specialising in this demographic as were aware of the challenges and distress faced by many children, teenagers and their parents (such as family breakdown, school pressures, social media and relationship challenges) but also aware of the lack of provision locally.
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The Listening Circle is designed to help people overcome their negative emotions, including stress relief, anger management, anxiety, and depression. We meet fortnightly on a Thursday evening or Friday morning. The group is co-facilitated by Dr. Kate Alobaid. During the lockdown, we are communicating via Zoom.
Photo of Dr Robert Owen, Psychotherapist, PhD, MNCPS Acc.
Hosted by Dr Robert Owen
Psychotherapist, PhD, MNCPS Acc.
Group meets in Twickenham TW1
The Listening Circle is designed to help people overcome their negative emotions, including stress relief, anger management, anxiety, and depression. We meet fortnightly on a Thursday evening or Friday morning. The group is co-facilitated by Dr. Kate Alobaid. During the lockdown, we are communicating via Zoom.
01748 902219 View 01748 902219

More Groups Nearby

The Understanding Brain Injury Group supports people adjusting to life after brain injury. The group combines education, discussion, and practical exercises to address changes in memory, attention, emotions, and daily functioning. Using an integrative approach with CBT, ACT, and CFT, participants build coping skills, self-compassion, and confidence. Sharing experiences reduces isolation and fosters connection, while practical strategies help regain independence and re-engage with meaningful activities. The group provides a safe, collaborative, and supportive environment to navigate challenges and promote resilience, understanding, and hope after brain injury.
Photo of Sara Simblett, Psychologist, PhD, HCPC - Clin. Psych.
Hosted by Sara Simblett
Psychologist, PhD, HCPC - Clin. Psych.
Group meets in London W1G
The Understanding Brain Injury Group supports people adjusting to life after brain injury. The group combines education, discussion, and practical exercises to address changes in memory, attention, emotions, and daily functioning. Using an integrative approach with CBT, ACT, and CFT, participants build coping skills, self-compassion, and confidence. Sharing experiences reduces isolation and fosters connection, while practical strategies help regain independence and re-engage with meaningful activities. The group provides a safe, collaborative, and supportive environment to navigate challenges and promote resilience, understanding, and hope after brain injury.
020 4634 7371 View 020 4634 7371
-develop your skills and ability to deal with challenging and difficult situations by understanding stress and learning coping strategies. -come and learn the benefits of mindfulness and stress reduction. Learn a range of techniques to help improve your wellbeing. -Learn the steps you can take to combat stress and handle the challenges modern day life brings.
Photo of Vanessa Aggrey, Counsellor
Hosted by Vanessa Aggrey
Counsellor
Group meets in London W1U
-develop your skills and ability to deal with challenging and difficult situations by understanding stress and learning coping strategies. -come and learn the benefits of mindfulness and stress reduction. Learn a range of techniques to help improve your wellbeing. -Learn the steps you can take to combat stress and handle the challenges modern day life brings.
07481 346101 View 07481 346101
Are you experiencing difficulties in relationships or perhaps struggling to adjust to change or finding yourself isolated? Do you have questions or face challenges relating to aspects of your identity? If so, this group could be for you. Group Therapy is a powerful medium for connection, belonging, mutual respect and understanding. The insights gained in the group can be transferred to support important relationships and address life goals outside of the group. All new members will be supported through a series of individual meetings before joining the group.
Photo of Dr Dean Flanagan, Psychologist, PsychD, HCPC - Ed. Psych.
Hosted by Dr Dean Flanagan
Psychologist, PsychD, HCPC - Ed. Psych.
Group meets in London WC1B
Are you experiencing difficulties in relationships or perhaps struggling to adjust to change or finding yourself isolated? Do you have questions or face challenges relating to aspects of your identity? If so, this group could be for you. Group Therapy is a powerful medium for connection, belonging, mutual respect and understanding. The insights gained in the group can be transferred to support important relationships and address life goals outside of the group. All new members will be supported through a series of individual meetings before joining the group.
020 3835 6408 View 020 3835 6408
Promotes a sense of belonging which encourages acceptance and support for those new to the school community, encouraging self-esteem and enables the more vulnerable young people to feel more accepted in a group space. Using a variety of inter-personal skills, listening to others and accepting diversity in a safe environment. Developing cognitive and social competence, positive peer interaction, exploring negative fears to help and support one another within a therapeutic environment, enabling them to share their experiences, whilst supporting each other, as we find solutions and I teach them strategies to cope.
Photo of Amanda Jane Morris, Psychotherapist, DCounsPsych, MBACP
Hosted by Amanda Jane Morris
Psychotherapist, DCounsPsych, MBACP
Group meets in Bromley BR1
Promotes a sense of belonging which encourages acceptance and support for those new to the school community, encouraging self-esteem and enables the more vulnerable young people to feel more accepted in a group space. Using a variety of inter-personal skills, listening to others and accepting diversity in a safe environment. Developing cognitive and social competence, positive peer interaction, exploring negative fears to help and support one another within a therapeutic environment, enabling them to share their experiences, whilst supporting each other, as we find solutions and I teach them strategies to cope.
07723 492342 View 07723 492342
This 75-minute-long session takes place weekly with a maximum of 8 participants and 1 facilitator. Here we will delve deeper into living a life in recovery, and how to sustain and expand your recovery journey so that you continue to grow and flourish. The work with group dynamics will continue and new behaviours that facilitate further healing will continue to be encouraged, alongside an exploration of recovery-based themes such as spirituality and creativity.
Photo of Caroline Jench, Psychotherapist, MA
Hosted by Caroline Jench
Psychotherapist, MA
Group meets in London SW10
This 75-minute-long session takes place weekly with a maximum of 8 participants and 1 facilitator. Here we will delve deeper into living a life in recovery, and how to sustain and expand your recovery journey so that you continue to grow and flourish. The work with group dynamics will continue and new behaviours that facilitate further healing will continue to be encouraged, alongside an exploration of recovery-based themes such as spirituality and creativity.
020 3917 4558 View 020 3917 4558
Navigating the pain of family breakdown, co-parenting conflict, and court systems? Struggling with not seeing your children as much, or at all? Ongoing Conflict with your ex? Legal stress/financial strain? Feeling misunderstood, angry, powerless? Trying to hold it together while breaking down underneath? Actively in court proceedings? Trying to rebuild after them, or simply carrying the silent weight of fatherhood lost or limited? This space is for you. Together, we'll explore, healthy ways to process anger, grief, and shame. Boundaries. Communication. Reclaiming your power. Anchored in integrity, and parenting from presence, not proximity.
Photo of Thomas Brosnan, Psychotherapist, MSc, MBACP
Hosted by Thomas Brosnan
Psychotherapist, MSc, MBACP
Group meets in London N3
Navigating the pain of family breakdown, co-parenting conflict, and court systems? Struggling with not seeing your children as much, or at all? Ongoing Conflict with your ex? Legal stress/financial strain? Feeling misunderstood, angry, powerless? Trying to hold it together while breaking down underneath? Actively in court proceedings? Trying to rebuild after them, or simply carrying the silent weight of fatherhood lost or limited? This space is for you. Together, we'll explore, healthy ways to process anger, grief, and shame. Boundaries. Communication. Reclaiming your power. Anchored in integrity, and parenting from presence, not proximity.
020 8059 4365 View 020 8059 4365
The 12-step programme is a form of therapy which provides clients with a set of twelve clear steps towards addiction recovery. These steps are structured to create a beginning-to-end transformation from the early stages of acceptance all the way to rebuilding your connection with others. We are currently registering people for this group. The maximum number of people per group is twenty. Register to get a space
Photo of Matthew Aruoma - ukassurance Counselling Service, Counsellor, ACC Reg
Hosted by ukassurance Counselling Service
Counsellor, ACC Reg
Group meets in Barking IG11
The 12-step programme is a form of therapy which provides clients with a set of twelve clear steps towards addiction recovery. These steps are structured to create a beginning-to-end transformation from the early stages of acceptance all the way to rebuilding your connection with others. We are currently registering people for this group. The maximum number of people per group is twenty. Register to get a space
020 3835 3203 View 020 3835 3203
A weekly group run for adolescents using creative therapy methods. This group gives a space for young people to express their feelings in a safe space using a combination of creative and talking therapy. The group setting can allow shared experience, greater self confidence and a deeper understanding of their emotions. All creativemediums are welcomed to be used. Please message me for more details.
Photo of Roisin Conheady, Psychotherapist, MA, HCPC-Art Therap.
Hosted by Roisin Conheady
Psychotherapist, MA, HCPC-Art Therap.
Group meets in London E9
A weekly group run for adolescents using creative therapy methods. This group gives a space for young people to express their feelings in a safe space using a combination of creative and talking therapy. The group setting can allow shared experience, greater self confidence and a deeper understanding of their emotions. All creativemediums are welcomed to be used. Please message me for more details.
01273 110558 View 01273 110558
Discover trauma-informed support in a safe, respectful, non-disclosing, and confidential environment. Our supportive workshop explores coping strategies, boundaries, and rebuilding confidence. Whether you are early in recovery or strengthening existing tools, you may find this beneficial. Learn to:• Re-establish boundaries• Build confidence saying NO, develop coping strategies and connect with others Guided by experienced and registered facilitators who understand recovery is personal and that you are not alone. Book at michellescounsellingandtraining.co.uk
Photo of Michelle Green, Counsellor, MBACP
Hosted by Michelle Green
Counsellor, MBACP
Group meets in Bexleyheath DA7
Discover trauma-informed support in a safe, respectful, non-disclosing, and confidential environment. Our supportive workshop explores coping strategies, boundaries, and rebuilding confidence. Whether you are early in recovery or strengthening existing tools, you may find this beneficial. Learn to:• Re-establish boundaries• Build confidence saying NO, develop coping strategies and connect with others Guided by experienced and registered facilitators who understand recovery is personal and that you are not alone. Book at michellescounsellingandtraining.co.uk
020 4538 4167 View 020 4538 4167
In my clinic (HN Psychology), we offer a 6 week group focusing on strategies to manage cognitive difficulties (i.e. thinking skills) that may have occurred due to brain injury or neurological illness. Group structure varies depending on the participants that attend and what they would like to focus on. The below is a rough guide however of general structure: Session 1: Cognitive difficulties and goal setting Session 2: Attention and Memory Session 3: Planning and Organisation Session 4: Fatigue Session 5: Use of technology Session 6: Looking forwards
Photo of Charlotte Atkin, Psychologist, PsychD, HCPC - Clin. Psych.
Hosted by Charlotte Atkin
Psychologist, PsychD, HCPC - Clin. Psych.
Group meets in London SW11
In my clinic (HN Psychology), we offer a 6 week group focusing on strategies to manage cognitive difficulties (i.e. thinking skills) that may have occurred due to brain injury or neurological illness. Group structure varies depending on the participants that attend and what they would like to focus on. The below is a rough guide however of general structure: Session 1: Cognitive difficulties and goal setting Session 2: Attention and Memory Session 3: Planning and Organisation Session 4: Fatigue Session 5: Use of technology Session 6: Looking forwards
020 4572 8932 View 020 4572 8932
This online course is a programme based on Cognitive Behavioural Therapy (CBT). The course aims to equip you with the skills needed to break the cycle of depression and to help manage your symptoms better. CBT looks at how we think and behave in certain ways in response to situations or events, and how these things can impact upon how we feel both physically and emotionally. CBT looks at making changes to how we think and the things we do, as this can improve how we feel.
Photo of Dr Aisan Ghaemian, Psychotherapist, PhD, MBABCP
Hosted by Dr Aisan Ghaemian
Psychotherapist, PhD, MBABCP
Group meets in London N10
This online course is a programme based on Cognitive Behavioural Therapy (CBT). The course aims to equip you with the skills needed to break the cycle of depression and to help manage your symptoms better. CBT looks at how we think and behave in certain ways in response to situations or events, and how these things can impact upon how we feel both physically and emotionally. CBT looks at making changes to how we think and the things we do, as this can improve how we feel.
0800 669 6281 View 0800 669 6281
Our Core belief is that 'A family doesn't need to be perfect it just needs to be united'. We start out on the journey of family life with loving intentions, only to discover it can be a challenging. Parents of children with learning difficulties and mental health issues can be socially isolated and lonely. Our group is inclusive, non-judgemental and monitored by an experienced counsellor and led by a Nita Underwood. The centre is located in a unique private setting where you can safely share 'face-to-face' life experiences openly and honestly.
Photo of Catherine Salvi Coombs - Surrey's Learning and Counselling Centre, Counsellor, SNCPS Acc.
Hosted by Surrey's Learning and Counselling Centre
Counsellor, SNCPS Acc.
Group meets in Dorking RH5
Our Core belief is that 'A family doesn't need to be perfect it just needs to be united'. We start out on the journey of family life with loving intentions, only to discover it can be a challenging. Parents of children with learning difficulties and mental health issues can be socially isolated and lonely. Our group is inclusive, non-judgemental and monitored by an experienced counsellor and led by a Nita Underwood. The centre is located in a unique private setting where you can safely share 'face-to-face' life experiences openly and honestly.
01306 773115 View 01306 773115
In Buddhism the Sangha or ‘Community of like minded Souls’ is considered one of the 3 essential parts of Human development, a part often sacrificed or missed in our busy lives. A Spiritual path or practice can feel lonely at times; this group’s principal intention is to provide an honouring space for individual growth and connection with others in community. A chance to be with others who are likewise interested in the deepening and broadening of their awareness and their capacity to hold their authentic Selves.
Photo of Oliver Baum, Psychotherapist, MNCPS Acc.
Hosted by Oliver Baum
Psychotherapist, MNCPS Acc.
Group meets in Woking GU21
In Buddhism the Sangha or ‘Community of like minded Souls’ is considered one of the 3 essential parts of Human development, a part often sacrificed or missed in our busy lives. A Spiritual path or practice can feel lonely at times; this group’s principal intention is to provide an honouring space for individual growth and connection with others in community. A chance to be with others who are likewise interested in the deepening and broadening of their awareness and their capacity to hold their authentic Selves.
01483 608675 View 01483 608675
The thought of joining a therapy group, might seem daunting, but it is a safe and confidential space. The group provides the opportunity to explore the interpersonal relationships that emerge between group members. This process facilitates personal understanding that can lead to change. A therapy group is particularly useful if you are struggling with anxiety, depression, relationship difficulties, a history of unprocessed trauma, bereavement or loss. There are up to eight members of the group with one therapist. The group is not structured and the members all contribute to the issues that are discussed. Please contact me for more information.
Photo of Kim Spicer, Psychotherapist, MSc, MUKCP
Hosted by Kim Spicer
Psychotherapist, MSc, MUKCP
Group meets in London NW3
The thought of joining a therapy group, might seem daunting, but it is a safe and confidential space. The group provides the opportunity to explore the interpersonal relationships that emerge between group members. This process facilitates personal understanding that can lead to change. A therapy group is particularly useful if you are struggling with anxiety, depression, relationship difficulties, a history of unprocessed trauma, bereavement or loss. There are up to eight members of the group with one therapist. The group is not structured and the members all contribute to the issues that are discussed. Please contact me for more information.
020 3828 7304 View 020 3828 7304
londonjungians is a group of highly experienced London trained Analytical Psychologists, who have all undergone psychological and analytical trainings, and have extensive clinical experience, working in private practice as well as private organisations and public institutions, such the Government and the NHS.
Photo of Raffaella Hilty, Psychotherapist, MA, MUKCP
Hosted by Raffaella Hilty
Psychotherapist, MA, MUKCP
Group meets in London NW2
londonjungians is a group of highly experienced London trained Analytical Psychologists, who have all undergone psychological and analytical trainings, and have extensive clinical experience, working in private practice as well as private organisations and public institutions, such the Government and the NHS.
020 8629 5259 View 020 8629 5259
FINAL CALL - Many men carry a lot on their own – keeping it together for others while quietly feeling overwhelmed, shut down or disconnected. This group offers a confidential space to talk honestly with other men who get it. Over 12 weeks we’ll explore themes like shame, anger, intimacy, power and vulnerability, and how cultural expectations of “being a man” have shaped you. The group runs in?person in Leyton, E10 on Tuesday evenings. (Then JAN, APRIL SEPT rotation) If this speaks to you, get in touch to arrange a free 20?minute initial call.. tom@tomevanstherapy.com www.tomevanstherapy.com
Photo of Tom Evans, Psychotherapist, UKCP Trainee
Hosted by Tom Evans
Psychotherapist, UKCP Trainee
Group meets in London E10
FINAL CALL - Many men carry a lot on their own – keeping it together for others while quietly feeling overwhelmed, shut down or disconnected. This group offers a confidential space to talk honestly with other men who get it. Over 12 weeks we’ll explore themes like shame, anger, intimacy, power and vulnerability, and how cultural expectations of “being a man” have shaped you. The group runs in?person in Leyton, E10 on Tuesday evenings. (Then JAN, APRIL SEPT rotation) If this speaks to you, get in touch to arrange a free 20?minute initial call.. tom@tomevanstherapy.com www.tomevanstherapy.com
020 7870 1263 View 020 7870 1263
An intimate therapeutic space to Learn, Heal and Grow. Exploring the roles you play, the impact of racism, the glass ceiling in the work place, work life balance, emotional well-being, and self care. Monday's at 7.00pm starting March 1st 2021, for 8 weeks £60 pay as you or £480.00 upfront. Information session Monday 11th September email dee@room2talk to register your interest.
Photo of Dee Albert - Dee@Room2talk, Psychotherapist, MSc, MBACP
Hosted by Dee@Room2talk
Psychotherapist, MSc, MBACP
Group meets in Ruislip HA4
An intimate therapeutic space to Learn, Heal and Grow. Exploring the roles you play, the impact of racism, the glass ceiling in the work place, work life balance, emotional well-being, and self care. Monday's at 7.00pm starting March 1st 2021, for 8 weeks £60 pay as you or £480.00 upfront. Information session Monday 11th September email dee@room2talk to register your interest.
01895 547681 View 01895 547681
Relationships shape every aspect of our lives, yet they can often feel complicated, challenging, or even overwhelming. This online group provides a supportive space to explore the dynamics of your relationships – whether with partners, family members, or friends – while developing deeper self-awareness and practical skills to foster healthier connections. Limited to 8 members, weekly sessions focus on understanding attachment styles and how they influence relationships; learning to set and maintain healthy boundaries; identifying patterns blocking connection; developing effective communication skills; and navigating conflict resolution with confidence and clarity. Next group starts early October 2025. To apply: lysakelly@icloud.com
Photo of Lysa Kelly, Psychotherapist, MA, MBACP Accred
Hosted by Lysa Kelly
Psychotherapist, MA, MBACP Accred
Group meets in London NW1
Relationships shape every aspect of our lives, yet they can often feel complicated, challenging, or even overwhelming. This online group provides a supportive space to explore the dynamics of your relationships – whether with partners, family members, or friends – while developing deeper self-awareness and practical skills to foster healthier connections. Limited to 8 members, weekly sessions focus on understanding attachment styles and how they influence relationships; learning to set and maintain healthy boundaries; identifying patterns blocking connection; developing effective communication skills; and navigating conflict resolution with confidence and clarity. Next group starts early October 2025. To apply: lysakelly@icloud.com
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See more therapy options for Twickenham

FAQs - About Group Therapy and Support Groups

How can I find a support group in Twickenham?

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.