Support Groups in 18901
Learning to let go of destructive codependent behaviors that impact all of your relationships. Learn healthier behavior choices for healthier relationships. See options for new communication skills. Break free of old destructive behavior. Develop new healthier and beneficial responses.
Next group start date: Wednesday 02/26/20 6:30pm-8:00pm.
Group will meet for an initial 6 weeks.

Being in private practice for 29 years as a psychotherapist/coach my areas of expertise include: pre/postpartum depression adjustment support, blended family adjustment, parenting support, co-dependency, panic/anxiety disorders, eating disorders, and depression. I work with individuals and couples . In addition to my areas of expertise; I have been a speaker, conducted groups and seminars on career/education, workplace stress, addictions, emotional/stress eating, postpartum depression, and relationships.
Doylestown. Donation basis, informal group for social skills and connection. This is a very fun, casual, and warm group... Saturdays 12-2

Hosted by Peter J. Ryan
Licensed Professional Counselor, MSc, LPC, FOT
Verified Verified
Group meets in Doylestown, PA 18901
Availability Spring 2025: I have WEEKLY and biweekly in-person appointments available, no waiting list for now.
Adult individual counseling focuses on relationships, communication, awareness, and self-regulation to treat anxiety and depression, and to help with life changes.
We offer adult and men's groups Wednesday evenings. Autistic younger adult support Saturdays 12-2 pm. Queers for Queers meet every other Friday, 6pm.
I have been working with families and children for 30 years and with adults for nearly 15 years.
We offer a variety of groups both for adults, couples and adolescents. We are willing to create groups when possible as requested by our patients

Hosted by Ellen J. Faulkner, Ph.D. Psychotherapy
PhD, NCPsyA
Verified Verified
Group meets in Doylestown, PA 18901
After working for over 42 years as a psychotherapist/psychoanalyst I welcome patients who are ready to do in depth work in psychotherapy and find lasting change. Psychoanalysis is an extraordinary opportunity to enrich your life, find the person you were meant to be, and experience the contentment and joy that you have been missing. Whether you are looking for marriage/couples counseling, dealing with personal issues or feel unsatisfied with brief therapy you've experienced, my patients find me to be warm, kind, insightful, accepting, and supportive. My group practice works with both adults and children. www.faulknertherapy.net
Transgender/Gender Identity Adolescent/Teen Therapy Group Ryan Lynch, LCSW is the facilitator of our Transgender/Sexual Identity Group for Teens. This group meets weekly and clients are placed in groups by age. In this group we will talk about the process of understanding gender identity and the family’s response to this process as well as society’s prejudice and projection onto kids who are in this process. Please text or call Ryan Lynch at 443-553-5696 for information about joining.

Hosted by Ryan Lynch
Clinical Social Work/Therapist, LCSW, MEd, CST
Verified Verified
Group meets in Doylestown, PA 18901
Hello Im Ryan Lynch, I'm a Sex and Relationship Therapist. Some couples don't need sex therapy at all, they just need couples therapy. Some need both. As a Couples Therapist I will help you to identify and understand the issues that you are struggling with such as issues with intimacy, communication, sexual dysfunction, compatibility, trauma, anxiety, depression, codependency, and self-worth.
Anima Mundi means "World Soul" and has eclectic roots. A primary idea behind the concept of Anima Mundi is that everything in the cosmos is interconnected, including the human experience. Such concepts appear to be something people are looking for as we confront events that can cause striking responses in ourselves and in people with whom we interact. This group aims to facilitate a sense of personal growth and empowerment to face a rapidly changing world. Pay what you can to participate. Fees proposed are requested not required.

Hosted by Kimberly Stanley
Licensed Professional Counselor, MS, NCC, LPC, RYT200
Verified Verified
Group meets in Doylestown, PA 18901
I specialize in adults seeking non-denominational and inclusive psycho-spiritual counseling and depth work. My clients may meet criteria for anxiety, depression, OCD, PTSD, or feel that they live live with some neurodivergence. Our work begins with more traditional psychotherapeutic techniques that identify coping skills and cognitions, but then we will aim to take a deep dive into embodied, somatic experiences and feelings of connection to your innermost Self and the world around you. I have unique education, experience, and training to guide you towards more conscious relationships with your inner and outer world.
Infertility is a unique and difficult struggle. Finding support from others who are going through similar challenges can help. This group meets monthly and is free of charge. The group provides: emotional support and encouragement, educational information and resources, and a chance to share with others who understand your struggles. RSVP to Jennifer Riley is necessary to join this group.

Hosted by Jennifer Riley
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Group meets in Doylestown, PA 18901
Taking the first step to talk to a therapist can be overwhelming and frightening. It takes strength and courage, but it can be life changing. My goal is to create a safe, caring and nonjudgemental space for clients to be heard and understood. It is my privilege to work with individuals and couples to instill hope, empowerment, and support personal growth. Communicating feelings in a safe environment promotes healing through expression, which often leads to insight into self and more meaningful connections with others. Taking the first step is the most difficult step.
Every Tuesday in May! Parenting is tough, but you don’t have to do it alone! Parenting Mindfully is a 4-session workshop designed to help you better understand your child’s development, strengthen your relationship, and build essential skills for navigating big emotions and behaviors with confidence. Join Us As We Explore: Parent-Child Attachment – Foster connection and security in your relationship. Basics of Brain Development – Understand how your child’s brain grows and learns. Executive Functions – Support attention, flexibility, and self-control in everyday life. Emotional Regulation– Help your child (and yourself!) manage big feelings effectively.

Hosted by Meghan Devine
Psychologist, PsyD, BCBA
Verified Verified
Group meets in Doylestown, PA 18901
Welcome! You have come to the right place whether you're seeking therapy, assessments, or parenting support. My practice emphasizes the importance of empowering parents through training and coaching, equipping them with the tools and strategies they need to support their children's growth and development effectively. I offer comprehensive assessments for ADHD, autism, learning differences, gifted/talented, behavioral assessments, IQ testing, & mood disorders for individuals of all ages. We will work together to navigate life's challenges and set yourself or your family up for success. Contact me to inquire about parenting workshops!
8 Group Sessions - 7pm Tuesdays Starting on November 5th 2024, with breaks during the holidays. Dates: Nov. 5th, 12th, 19th, December 3rd, 10th, 17th, and January 7th and 14th. Topics: Mindfulness & Meditation, DBT, Healthy Relationships, Navigating Young Adulthood, and more! Ages: 14-18. $25 per session - $200 overall for the 8 sessions. Sign up by calling (215)220-4500. This group is for teens who want a space to feel seen, heard, and understood while gaining valuable tools to help them cope with life stressors. There will be 8-10 group participants.

Hosted by Scarlett Waldman
Marriage & Family Therapist Associate, MA
Verified Verified
Group meets in Doylestown, PA 18901
Embracing a holistic and person-centered approach, I customize sessions to address the unique needs of each client. My primary goal is to prioritize the establishment of a secure, nonjudgmental space for collaboratively addressing issues. I draw upon a diverse range of theoretical perspectives to provide the most beneficial techniques and interventions.
Come join us to explore your personal relationship with anxiety in an experiential way! 5 Fridays in October from 6:30pm-8:00pm in person with COVID 19 vaccination identification required, maximum of 10 participants. If interested, please call the office at 215-822-1975. Dates: 10/1, 10/8, 10/15, 10/22, 10/29. Cost: $250

Hosted by Alicia Navarro (Joseph)
Marriage & Family Therapist, LMFT, CET2, CCTP, CFTP, CGP
Verified Verified
Group meets in Doylestown, PA 18901
I specialize in working with couples and/or relationship issues, veterans, grief & loss, trauma, and anxiety. I believe that therapy is a place where we can get to know ourselves better as well as how to be our best selves in our important relationships. My style as a therapist includes providing thorough assessment and structure with my clients. I utilize evidence based modalities basing a treatment plan on the client's unique needs for the individual, couple, or family. I believe that when individuals come to seek relationship help, they deserve direct feedback, encouragement, and support in figuring out their needs. Investing in
Healing & Empowerment- This group is aimed at those who want to actively explore their past experiences of sexual abuse and to promote sexual healing.

Hosted by Tamara Dana Kanter
Licensed Professional Counselor, PhD
Verified Verified
Group meets in Doylestown, PA 18901
I work with a range of people from those searching for self growth to those struggling with mild to serious mental health issues. I use a variety of approaches including insight oriented, cognitive behavioral, play therapy, sand tray work with children and adult, and trauma work. I believe strongly in the importance of establishing and maintaining the strong therapeutic alliance for the best outcome and for the most genuine, authentic work. If you are interested, please contact me for more information about my therapeutic, emotional healing practice. I offer free informational interviews.
This is a group for parents of kids with ADHD who are on medication and who are not. We guide parents in dealing with the different issues that present for kids with ADHD. There are often issues with organization at home and school that can wreak havoc on a family. We also discuss issues with the inability to keep a routine, time management, keep up with academics, hygiene, nutrition, sleep and a very messy bedroom. We gather as a group so parents can support each other in their journey to walk beside their adolescent/child with ADHD.

Hosted by Michael Bondar
Psychiatric Nurse Practitioner, PMHNP, BC
Verified Verified
Group meets in Doylestown, PA 18901
Hello, I am a psychiatric provider in the Philly area. I am offering in-person and virtual appointments. I work with a wide array of disorders such as depression, anxiety, OCD, ODD, ADHD, ASD, borderline personality disorder, addiction, eating disorders, and self harm/suicidal ideations. I treat clients ranging from 6-90 years, however my specialty is children, teens, and young adults. I strive to create a comprehensive treatment plan for my clients. To ensure the best care, I work with my client's parents, therapists, doctors and teachers. I can prescribe genetic testing to make certain my clients are on the right medications.
Adoptees between the ages of 13-16, meet once a month for peer support. A safe environment is offered to build friendships while addressing emotional challenges associated with being adopted and normal adolescent stress and anxiety. Cognitive Behavior Therapy (CBT) coping skills and Dialectical Behavioral Therapy (DBT) are provided by the facilitator and explored by the group. Please call with any questions and to see if your teen is eligible to join. ***GROUP NOT CURRENTLY MEETING

Hosted by Donna M. Kane
Licensed Professional Counselor, MA, LPC
Verified Verified
Group meets in Doylestown, PA 18901
I have a true passion for working with adults and adolescents who are suffering from an inability to form healthy relationships with their loved ones. My office offers a warm setting for people of all ages to feel safe and explore their "child within". I use play and art therapy as well as evidenced based techniques to empower parents and help them to connect with their child and unlock their full potential. I love helping families grow with healthy coping skills. I also truly enjoy working with adults to explore their own past and how it affects their relationships today.
In this group Eileen and a therapist identify and discuss how ADHD affects children and also their parents. We discuss how ADHD can affect school, home, sports, and a child or adolescent social environment. We guide parents on how to handle issues that come up for ADHD kids with medication side effects, appetite, sleep, emotional ups and downs, impulsivity, and academics. Embracing the positive qualities of your child/teen with ADHD while also learning to manage the not-so-positive qualities that come with this diagnosis is equally important. These kids need encouragement and to be recognized for their wins.

Dr. Mitchell Kho is the Founder and Medical Director of P.S. Psychiatry which is a located in Doylestown PA and King of Prussia, PA and serves all of PA both virtually or in-person. Dr. Kho and his providers work with children, adolescents, young adults, adults, and older adults. Their clients come to them with issues such as depression, anxiety, OCD, ODD, ADHD, self harm, ODD, eating disorders, postpartum depression, mood instability, bipolar disorder, addictions, autism spectrum disorders,women in menopause, men with sexually dysfunction issues, and the mental health issues for athletes with concussions/sports injuries.
Coming Soon. Exact location to be determined. (Doylestown, PA Area)

Hosted by Lael Rasch
Pre-Licensed Professional, MA, CPC, MFT
Verified Verified
Group meets in Doylestown, PA 18901
Do you desire to awaken to your deepest passion, to your life purpose, to your potential? Are you ready to craft a life and relationship of your own creative and bold design? Are you in the midst of a life transition desiring to more fully align with your core values and make space for more peace, passion and pleasure? Are you ready to up-level and transform your relationships and more masterfully connect, communicate and cohabitate? I'd be honored to partner with you and support you in creating a life that is in full alignment with your deepest desires, a life infused with joy and abundance, a life that you absolutely love.
Are looking for connection and support. Learn skills to use your ADD/ADHD to your advantage and have more balance in life. I use a holistic and positive coaching approach. Starting in October 2024 on Tuesdays at lunch time from 12:00-1:00. Reach out for more information. $40 per session

Hosted by Jackie Silverhardt
Clinical Social Work/Therapist, MSW , LCSW
Verified Verified
Group meets in Doylestown, PA 18901
I help give my clients the tools that they need to live their life with less stress and worry. I offer all my clients a supportive place to discuss anything on their mind. I also work with clients that have been suffering for some time and are ready for something different. If you are ready to make significant change to your lifestyle to feel better. I also offer a holistic approach looking at the root cause of mental health issues. I have studied nutrition and functional medicine. I offer both short term therapy and long-term depending on your needs. I work with teens, adults. Many of my clients are in their 70s and 80s.
Midlife is the beginning of many transitions in women's lives. Change occurs in many spheres as children leave home; parent's age, and relationships face new challenges. This group will help women at midlife and beyond (40 and up) address the issues that arise as they move through life's stages and explore strategies to help them thrive and open up new paths of well-being and self-efficacy at every age. Mindfulness practices will be incorporated in the ongoing group process to help manage stress and address complex issues. Sandy Berstein, LMFT, MSN, CS

Hosted by Amy Tielemans & Associates
Marriage & Family Therapist, LMFT, MBA, MA
Verified Verified
Group meets in Doylestown, PA 18901
I work with individuals, couples and families. It doesn't matter how many people are sitting in the office, I view each individual within the context of the systems they live in each day. We are all part of many systems, marital, family, school, community, work. The relationships and importance each of these systems place on individuals can sometimes can lead to breakdowns in communication and mental health issues, such as depression and anxiety. Treating the dysfunction in the relationship often restores the feeling of wholeness in an individual and of course leads to stronger deeper relationships between individuals.
Group members will learn: · To recognize of their "signs" of anxiety and negative thoughts · Understand how their anxiety and negative thoughts lead to feelings of "dread/doom" · Strategies to break this vicious cycle and better control their emotions, thoughts, and behavior · To manage anxiety through gradual, repeated practices and exposure to feared situations

Hosted by Josephine Cooper
Clinical Social Work/Therapist, LCSW
Verified Verified
Group meets in Doylestown, PA 18901
Is your pre-teen or teen doubting themselves because the feel like they don’t fit the same mold as their peers? Have they expressed feeling alone, lonely or excluded? Have they experienced a loss or a trauma that is impacting their day to day life? The challenges children face today are many and the resulting feelings show up in the way they behave and feel. Possibly feeling sad or anxious, having frequent stomach and head aches, and/or behavioral and mood changes. Are you overwhelmed, feeling as though you can't make this better for your child? It only takes one family member's stress to throw the whole family off balance.
A group for women who are transitioning from being married to single life. If you are separated, getting divorced or are divorced and having a difficult time managing this new chapter in your life, it's always helpful to have support among other's who are going through the same. I am a therapist for over 20 years working with individuals and couple. Fee is $50. We need at least 4 to women to start the group. Email me if you are interested in being placed on a list. leeanne@leeanneenglert.com

Hosted by Lee Anne Englert
Licensed Professional Counselor, LPC, MA
Verified Verified
Group meets in Doylestown, PA 18901
Do Holistic and spiritual approaches to therapy appeal to you? Clients connect to my services because they want to work through their struggles from a body/soul/mind/emotion perspective. I guide couples and individuals in their quest to transform life's challenges into a tapestry of wisdom. I passionately embrace the depth of each person's journey to heal their past traumatic wounding and foster the development of true empowerment. Embracing the ancient teachings of shamanism, we will journey into non-ordinary realities where you will heal fragmented aspects and begin to know your true self.
In this group Eileen and a therapist identify and discuss how ADHD affects children and also their parents. We discuss how ADHD can affect school, home, sports, and a child or adolescent social environment. We guide parents on how to handle issues that come up for ADHD kids with medication side effects, appetite, sleep, emotional ups and downs, impulsivity, and academics. Embracing the positive qualities of your child/teen with ADHD while also learning to manage the not-so-positive qualities that come with this diagnosis is equally important. These kids need encouragement and to be recognized for their wins.

Hosted by PS Psychiatry
Psychiatric Nurse Practitioner
Verified Verified
Group meets in Doylestown, PA 18901
PS Psychiatry works with children, adolescents, adults, and older adults to evaluate, diagnose and ultimately find the most effective medication with the goal of symptom management. We have three psychiatric providers offering weekday, week nights and weekend availability. Our providers are compassionate, caring and easily accessible. Collaborating with client's therapists and doctors is a key part of our process. We gather all pertinent information to ensure our client's are getting the right medication.
This group is for veterans of any age, period of service, or any branch of the military services who are having difficulties in their relationships, experiencing depression or anxiety, or are having difficulty adjusting to life after military service for any reason. Please call 484-477-8744 or email TAlanSchweizerMFT@gmail.com for more info.

Hosted by T. Alan Schweizer
Marriage & Family Therapist, MEd, LMFT
Verified Verified
Group meets in Doylestown, PA 18901
Have you experienced an event in your life that brings repeated negative thoughts and feelings? Do you feel stuck in life or in your relationships? Do you feel like you're just going through the motions? If you answered yes to any of these questions then you're in the right place. A good therapist is like a mirror that helps you see parts of yourself and others that you may not see on your own and for over 25 years I have worked with people to help them to make the changes needed for happiness and the life they deserve.
See more therapy options for 18901
FAQs - About Group Therapy and Support Groups
How can I find a support group in 18901?
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.
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.
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.
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.
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.
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.
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.
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.