Support Groups in 13601

On hold due to COVID-19 restrictions
Photo of John Randall - Creekside Counseling Services Watertown & Oswego, Counselor, LMHC, CASAC, EMDR
Hosted by Creekside Counseling Services Watertown & Oswego
Counselor, LMHC, CASAC, EMDR
Group meets in Watertown, NY 13601
On hold due to COVID-19 restrictions
(315) 816-4326 View (315) 816-4326
Anger management therapy provides a clear set of guidelines. It gives the person a controlled platform for the release of their emotions. It aims to achieve constructive responses, rather than destructive ones. People in therapy are encouraged to examine what triggers their anger. They try to become aware of their emotions at each level of arousal. People learn how to use those signs as a map to control their anger.
Photo of John Randall - Creekside Counseling Services Watertown & Oswego, Counselor, LMHC, CASAC, EMDR
Hosted by Creekside Counseling Services Watertown & Oswego
Counselor, LMHC, CASAC, EMDR
Group meets in Watertown, NY 13601
Anger management therapy provides a clear set of guidelines. It gives the person a controlled platform for the release of their emotions. It aims to achieve constructive responses, rather than destructive ones. People in therapy are encouraged to examine what triggers their anger. They try to become aware of their emotions at each level of arousal. People learn how to use those signs as a map to control their anger.
(315) 816-4326 View (315) 816-4326

Online Groups

This 4 week evening group provides a supportivec space for parents of pre-adolescent teens to navigate social media and the challenges raising kids in a digital world. Parents will learn practical strategies for setting healthy boundaries around social media, strengthening communication and addressing online concerns. Feb 26, March 5, 12, 19 - Thursdays 6-7pm
Photo of Katherine S. Hyatt - Branches of Growth Mental Health Counseling, PLLC, Counselor, LMHC, NCC, RYT
Hosted by Branches of Growth Mental Health Counseling, PLLC
Counselor, LMHC, NCC, RYT
Group meets in East Syracuse, NY 13057
This 4 week evening group provides a supportivec space for parents of pre-adolescent teens to navigate social media and the challenges raising kids in a digital world. Parents will learn practical strategies for setting healthy boundaries around social media, strengthening communication and addressing online concerns. Feb 26, March 5, 12, 19 - Thursdays 6-7pm
(315) 415-0308 View (315) 415-0308
Experiencing current or past issues involving how you identify? Contact me for details about engaging in individual work. This one-on-one experience discusses many topics under the LGBTQ umbrella.
Photo of Rita Worlock, Clinical Social Work/Therapist, LCSW, LPMFT, CASAC-T, CCTP, RYT
Hosted by Rita Worlock
Clinical Social Work/Therapist, LCSW, LPMFT, CASAC-T, CCTP, RYT
Group meets in Liverpool, NY 13088
Experiencing current or past issues involving how you identify? Contact me for details about engaging in individual work. This one-on-one experience discusses many topics under the LGBTQ umbrella.
(315) 658-6496 View (315) 658-6496
Spiral River provides experiences and practices to inspire awareness and to renew the spark in our soul; to live in harmony to our full potential internally, in relationships, and in the world. We weave elements of Movement, Expressive Arts, and Nature in heart-opening ways for our souls, mind and bodies to intertwine. Experiences are sensory and uplifting, time for deep inner work, creativity, opportunities to reflect, and connect. Spiral River flows from the life stories within us and the power to draw on those stories for transformation, healing, healthy change and compassion. Facilitators: Lisa Maynard and Dena Adler
Photo of Lisa DiTucci Maynard - Lisa D. Maynard, LMSW, ACSW, TCTSY-F, Clinical Social Work/Therapist, LMSW, ACSW, TCTSY-F, RYT
Hosted by Lisa D. Maynard, LMSW, ACSW, TCTSY-F
Clinical Social Work/Therapist, LMSW, ACSW, TCTSY-F, RYT
Group meets in Rochester, NY 14610
Spiral River provides experiences and practices to inspire awareness and to renew the spark in our soul; to live in harmony to our full potential internally, in relationships, and in the world. We weave elements of Movement, Expressive Arts, and Nature in heart-opening ways for our souls, mind and bodies to intertwine. Experiences are sensory and uplifting, time for deep inner work, creativity, opportunities to reflect, and connect. Spiral River flows from the life stories within us and the power to draw on those stories for transformation, healing, healthy change and compassion. Facilitators: Lisa Maynard and Dena Adler
(585) 580-2247 View (585) 580-2247
TheraTea is a warm, supportive group for postpartum moms to gather, connect, and care for themselves in a nurturing space. Held Sundays at 10:00 AM, beginning 2/08, this group meets at a holistic health and wellness retreat center, offering a calm and restorative environment to slow down and breathe. Together, we’ll sip tea, share openly, and explore the emotional, mental, and physical experiences of the postpartum season. TheraTea is a judgment-free space for reflection, gentle discussion, and community—whether you’re navigating new motherhood, adjusting to changes, or simply craving connection with other moms. Rest, reconnect, and refill your cup! ??
Photo of Tracy Carmody, Counselor, MS, LMHC, NCC, CASAC-M, CCTP
Hosted by Tracy Carmody
Counselor, MS, LMHC, NCC, CASAC-M, CCTP
Group meets in Manlius, NY 13104
TheraTea is a warm, supportive group for postpartum moms to gather, connect, and care for themselves in a nurturing space. Held Sundays at 10:00 AM, beginning 2/08, this group meets at a holistic health and wellness retreat center, offering a calm and restorative environment to slow down and breathe. Together, we’ll sip tea, share openly, and explore the emotional, mental, and physical experiences of the postpartum season. TheraTea is a judgment-free space for reflection, gentle discussion, and community—whether you’re navigating new motherhood, adjusting to changes, or simply craving connection with other moms. Rest, reconnect, and refill your cup! ??
(315) 557-6059 View (315) 557-6059
"Learning to Live With the Death of a Loved One" is a group for the grieving person. Grief is like no other experience we have in life. Therefore, there is no handbook on how to grieve well because for the first time, you are dealing with losing them for the last time. This group will allow you to learn ways to cope with your grief, develop a healthy relationship with your grief, and feel a connection with others also grieving. You can attend group in person or virtually.
Photo of Roger D. Howard, Counselor, LMHC-D
Hosted by Roger D. Howard
Counselor, LMHC-D
Group meets in Liverpool, NY 13090
"Learning to Live With the Death of a Loved One" is a group for the grieving person. Grief is like no other experience we have in life. Therefore, there is no handbook on how to grieve well because for the first time, you are dealing with losing them for the last time. This group will allow you to learn ways to cope with your grief, develop a healthy relationship with your grief, and feel a connection with others also grieving. You can attend group in person or virtually.
(315) 873-2726 View (315) 873-2726
Join this small in person group in Manlius at a beautiful holistic health & wellness retreat center. Learn coping strategies and interventions for living with obsessive compulsive disorder, high anxiety. and panic. This is an opportunity to build connections for sustained wellness while reducing isolation. Group will offer education on inference based CBT to address maladaptive patterns of thought, provide education on methods of coping, including somatic approaches, and connect you with like minded individuals seeking to reduce isolation. If unable to attend in person, please inquire about ability to attend virtually.
Photo of Tracy Carmody, Counselor, MS, LMHC, NCC, CASAC-M, CCTP
Hosted by Tracy Carmody
Counselor, MS, LMHC, NCC, CASAC-M, CCTP
Group meets in Manlius, NY 13104
Join this small in person group in Manlius at a beautiful holistic health & wellness retreat center. Learn coping strategies and interventions for living with obsessive compulsive disorder, high anxiety. and panic. This is an opportunity to build connections for sustained wellness while reducing isolation. Group will offer education on inference based CBT to address maladaptive patterns of thought, provide education on methods of coping, including somatic approaches, and connect you with like minded individuals seeking to reduce isolation. If unable to attend in person, please inquire about ability to attend virtually.
(315) 557-6059 View (315) 557-6059
A powerful weekend workshop Nov 8 (6pm) to Nov 10 (3PM) that will undoubtedly bring you awareness and healing on the physical, emotional and spiritual levels of your being. The program incorporates various processes to increase awareness and move you in the direction of a healthier and happier life. Imagine spending, not a 45 minute session, but a whole weekend devoted to becoming a healthier and happier you. It is the most cost effective therapeutic experience! It is nothing short of amazing with some powerful insight coupled with a healthy dose of fun and laughter. Register on the website. Early bird discount available.
Photo of Ellen Peterson, Clinical Social Work/Therapist, LCSW, CHT
Hosted by Ellen Peterson
Clinical Social Work/Therapist, LCSW, CHT
Group meets in Hamilton, NY 13346
A powerful weekend workshop Nov 8 (6pm) to Nov 10 (3PM) that will undoubtedly bring you awareness and healing on the physical, emotional and spiritual levels of your being. The program incorporates various processes to increase awareness and move you in the direction of a healthier and happier life. Imagine spending, not a 45 minute session, but a whole weekend devoted to becoming a healthier and happier you. It is the most cost effective therapeutic experience! It is nothing short of amazing with some powerful insight coupled with a healthy dose of fun and laughter. Register on the website. Early bird discount available.
(607) 208-7836 View (607) 208-7836
A neuroscience-informed emotional regulation skills group. This structured small-group program teaches Emotional Freedom Techniques (EFT), commonly known as “tapping,” as a practical, evidence-informed tool for reducing anxiety, emotional overwhelm, and stress-related symptoms. The group integrates cognitive, somatic, and nervous-system–based approaches to help participants build sustainable emotional regulation skills in real time. EFT combines elements of cognitive reframing, exposure principles, and gentle acupressure-point stimulation (tapping) to support the body’s stress response system. Participants learn to identify emotional triggers, track physiological activation, and apply tapping sequences that reduce intensity and increase clarity, flexibility, and self-regulation.
Photo of Alisa G Woods, Counselor, PhD, LMHC
Hosted by Alisa G Woods
Counselor, PhD, LMHC
Group meets in Potsdam, NY 13676
A neuroscience-informed emotional regulation skills group. This structured small-group program teaches Emotional Freedom Techniques (EFT), commonly known as “tapping,” as a practical, evidence-informed tool for reducing anxiety, emotional overwhelm, and stress-related symptoms. The group integrates cognitive, somatic, and nervous-system–based approaches to help participants build sustainable emotional regulation skills in real time. EFT combines elements of cognitive reframing, exposure principles, and gentle acupressure-point stimulation (tapping) to support the body’s stress response system. Participants learn to identify emotional triggers, track physiological activation, and apply tapping sequences that reduce intensity and increase clarity, flexibility, and self-regulation.
(315) 903-7049 View (315) 903-7049
This group is for individuals who require OASAS treatment after impaired driving offenses or other legal issues related to substance abuse. The group is also for folks who are interested in understanding more about their use of alcohol or drugs or who are looking for support as they try to modify or terminate their use of alcohol or drugs. This evening group is held in my private office in a very comfortable setting on the canal in Fairport, NY and is open to all who are curious about their substance use
Photo of Diane J Fauth, Counselor, LMHC, NCC
Hosted by Diane J Fauth
Counselor, LMHC, NCC
Group meets in Fairport, NY 14450
This group is for individuals who require OASAS treatment after impaired driving offenses or other legal issues related to substance abuse. The group is also for folks who are interested in understanding more about their use of alcohol or drugs or who are looking for support as they try to modify or terminate their use of alcohol or drugs. This evening group is held in my private office in a very comfortable setting on the canal in Fairport, NY and is open to all who are curious about their substance use
(585) 571-8024 View (585) 571-8024
A "suicide survivor" is someone who has lost a loved one or friend to suicide. This type of bereavement is complicated by questions not associated with other losses by death. I conduct the groups personally, and have carried on research on suicide for over twenty years. Two books I have written on the subject are available through amazon.com under my name.
Photo of Max Malikow, Counselor, LMHC
Hosted by Max Malikow
Counselor, LMHC
Group meets in Syracuse, NY 13203
A "suicide survivor" is someone who has lost a loved one or friend to suicide. This type of bereavement is complicated by questions not associated with other losses by death. I conduct the groups personally, and have carried on research on suicide for over twenty years. Two books I have written on the subject are available through amazon.com under my name.
(315) 474-4357 View (315) 474-4357
Skaneateles Psychology Associates is offering a weekly Women's Therapy group. This therapy group is available to women of all ages who are struggling with depression, anxiety, family challenges, stress, isolation, or relationships issues.
Photo of Audrey Van Voolen, Psychologist, PhD
Hosted by Audrey Van Voolen
Psychologist, PhD
Group meets in Skaneateles, NY 13152
Skaneateles Psychology Associates is offering a weekly Women's Therapy group. This therapy group is available to women of all ages who are struggling with depression, anxiety, family challenges, stress, isolation, or relationships issues.
(315) 819-3025 View (315) 819-3025
Stuck in a cycle of stress or burnout? This integrative class bridges the gap between talk therapy and physiological regulation. We combine the grounding movement of Restorative Yoga with the precision of LENS (Low Energy Neurofeedback). As you move through gentle, nervous-system-calming poses, I provide a brief LENS session. This FDA-cleared, non-invasive technology mirrors your brain’s frequencies to "unstick" patterns of anxiety, brain fog, and exhaustion. Address the body and brain simultaneously for a full-system reset. No active participation is required—just rest. Find your way back to calm at Eos Health Center.
Photo of Samantha Green, Counselor, LMHC
Hosted by Samantha Green
Counselor, LMHC
Group meets in Webster, NY 14580
Stuck in a cycle of stress or burnout? This integrative class bridges the gap between talk therapy and physiological regulation. We combine the grounding movement of Restorative Yoga with the precision of LENS (Low Energy Neurofeedback). As you move through gentle, nervous-system-calming poses, I provide a brief LENS session. This FDA-cleared, non-invasive technology mirrors your brain’s frequencies to "unstick" patterns of anxiety, brain fog, and exhaustion. Address the body and brain simultaneously for a full-system reset. No active participation is required—just rest. Find your way back to calm at Eos Health Center.
(585) 986-8535 View (585) 986-8535
Psychoeducation and processing groups address: Reinventing Yourself, Grief/Loss, Relationships, End of Life Planning, Anger Management, and Parenting Skills.
Photo of Dawn L Weidner, Clinical Social Work/Therapist, LCSW, CASAC
Hosted by Dawn L Weidner
Clinical Social Work/Therapist, LCSW, CASAC
Group meets in Ontario, NY 14519
Psychoeducation and processing groups address: Reinventing Yourself, Grief/Loss, Relationships, End of Life Planning, Anger Management, and Parenting Skills.
(315) 302-1679 View (315) 302-1679
This group is for individuals who are considering or who have has bariatric surgery for weight loss. This group is led by a trained psychotherapist and offers professional expertise in addressing emotional and psychological aspects related to bariatric surgery and weight wellness. In this group members will receive emotional support, strategies for coping such as stress management, navigating pre and post surgery challenges. Members are free to explore their thoughts and feelings regarding body image and self esteem. We also cover psychological resilience, developing skills to overcome and manage setbacks, and maintain long-term success.
Photo of Todd Ray, Clinical Social Work/Therapist, LCSW-R, BCBC, CNC, CPT
Hosted by Todd Ray
Clinical Social Work/Therapist, LCSW-R, BCBC, CNC, CPT
Group meets in Camillus, NY 13031
This group is for individuals who are considering or who have has bariatric surgery for weight loss. This group is led by a trained psychotherapist and offers professional expertise in addressing emotional and psychological aspects related to bariatric surgery and weight wellness. In this group members will receive emotional support, strategies for coping such as stress management, navigating pre and post surgery challenges. Members are free to explore their thoughts and feelings regarding body image and self esteem. We also cover psychological resilience, developing skills to overcome and manage setbacks, and maintain long-term success.
View
Coping with anxiety and depression while parenting is a group with a personalized approach. This program is meant for adult parents who have mental illness and limited parenting strategies. Group members will learn practical mindfulness skills to help stay grounded even when experiencing the worst kid meltdowns. Parents will discover the building blocks to improving the relationship with their child based on love and mutual respect. The goal of this program is to reduce anxiety and depression, while moving beyond parental pitfalls. This group is offered via telehealth. Parents will participate in a 1-hour group once a week for 8 weeks.
Hosted by Daskalakis Psychological Services, PC
Verified Verified
Group meets in Fulton, NY 13069
Coping with anxiety and depression while parenting is a group with a personalized approach. This program is meant for adult parents who have mental illness and limited parenting strategies. Group members will learn practical mindfulness skills to help stay grounded even when experiencing the worst kid meltdowns. Parents will discover the building blocks to improving the relationship with their child based on love and mutual respect. The goal of this program is to reduce anxiety and depression, while moving beyond parental pitfalls. This group is offered via telehealth. Parents will participate in a 1-hour group once a week for 8 weeks.
(315) 836-3156 View (315) 836-3156
My Trauma Recovery Group provides a safe, supportive space for individuals who have experienced trauma to explore their experiences, build resilience, and develop healthier coping strategies. Through guided discussions, skill-building exercises, and peer support, participants learn to manage emotional dysregulation, address underlying anger or grief, and enhance their capacity for self-compassion and healing. This group is designed to foster empowerment, encourage accountability, and promote lasting personal growth in a compassionate, trauma-informed environment.
Photo of Tessah Stevens, LMSW, CDVS-I, CPTS-I, CAMS-I
Hosted by Tessah Stevens
Verified Verified
Group meets in Fulton, NY 13069
My Trauma Recovery Group provides a safe, supportive space for individuals who have experienced trauma to explore their experiences, build resilience, and develop healthier coping strategies. Through guided discussions, skill-building exercises, and peer support, participants learn to manage emotional dysregulation, address underlying anger or grief, and enhance their capacity for self-compassion and healing. This group is designed to foster empowerment, encourage accountability, and promote lasting personal growth in a compassionate, trauma-informed environment.
(315) 929-2324 View (315) 929-2324
The relationship educational all day workshop will take place twice per year. This is not covered under insurance and will be announced re time, location etc
Photo of Joseph P. Carlino, Clinical Social Work/Therapist, LCSW -R, CP
Hosted by Joseph P. Carlino
Clinical Social Work/Therapist, LCSW -R, CP
Group meets in Geneva, NY 14456
The relationship educational all day workshop will take place twice per year. This is not covered under insurance and will be announced re time, location etc
(585) 332-5721 View (585) 332-5721
Often, after the whirlwind of pregnancy, birth and coming home, a sense of isolation sets in- even for the most well adjusted of women. The Motherhood Experience is a professionally run group, which supports mothers during the adjustment and transition into motherhood. Each week, a different topic will be processed, assisting new mothers in gaining confidence, decreasing worry, and re-establishing the 'new normal' of life. Topics may include: New/conflicting/confusing emotions, sleeping, relationships, boundaries, time management, birth stories, new identify, communication, and body image, among others. All discussions will be facilitated in a supportive and validating way.
Photo of Jennifer Price - Maternal Mental Health Counseling of Rochester, Counselor, LMHC, PMH-C, IPPE-C
Hosted by Maternal Mental Health Counseling of Rochester
Counselor, LMHC, PMH-C, IPPE-C
Group meets in Fairport, NY 14450
Often, after the whirlwind of pregnancy, birth and coming home, a sense of isolation sets in- even for the most well adjusted of women. The Motherhood Experience is a professionally run group, which supports mothers during the adjustment and transition into motherhood. Each week, a different topic will be processed, assisting new mothers in gaining confidence, decreasing worry, and re-establishing the 'new normal' of life. Topics may include: New/conflicting/confusing emotions, sleeping, relationships, boundaries, time management, birth stories, new identify, communication, and body image, among others. All discussions will be facilitated in a supportive and validating way.
(585) 598-0559 View (585) 598-0559

See more therapy options for 13601

FAQs - About Group Therapy and Support Groups

How can I find a support group in 13601?

To find a support group in your area, start by entering your city, zip code, 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 Behavioral 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-behavioral 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 $50 and $75 each. In comparison, individual therapy can cost anywhere from $100 to $200 or more per session, even with insurance. Some therapists or organizations offer low-cost or free group therapy options, particularly through community centers or nonprofit 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?

As with individual therapy, insurance coverage for group therapy varies based on factors such as your specific insurance plan, the purpose of the group, your diagnosis, and whether the group provider is in-network. Many insurance plans cover group therapy sessions that address diagnosable mental health conditions, such as substance use disorders, anxiety, or depression.

However, groups that focus on topics not directly tied to a mental health diagnosis—such as parenting support or divorce recovery—are less likely to be covered. Because coverage can vary widely, it’s important to check with your insurance provider before joining a group to confirm whether the sessions will be covered and what out-of-pocket costs you may be responsible for.

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 Behavioral 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 personalized and specialized 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.