Support Groups in 19104

Council for Relationships is a nonprofit organization whose mission is to help people from all walks of life improve their important relationships by providing exemplary therapy, educating and training clinicians in the family systems approach, and advancing the behavioral health field through research. Our approach to counseling is the Systemic Model, meaning that we focus on the important relationships in our clients' lives. It is our belief that relationships are the very core and basis of mental health. www.councilforrelationships.org
Photo of Amy Jones, Clinical Social Work/Therapist, MSW, MFT, LCSW
Hosted by Amy Jones
Clinical Social Work/Therapist, MSW, MFT, LCSW
Group meets in Philadelphia, PA 19104
Council for Relationships is a nonprofit organization whose mission is to help people from all walks of life improve their important relationships by providing exemplary therapy, educating and training clinicians in the family systems approach, and advancing the behavioral health field through research. Our approach to counseling is the Systemic Model, meaning that we focus on the important relationships in our clients' lives. It is our belief that relationships are the very core and basis of mental health. www.councilforrelationships.org
(267) 458-5647 View (267) 458-5647
Dr. Mitch PsyD & Lisa Couples Life Coach Specialize in Marriage/Couples, Alcohol, Infidelity & Parenting Workshops. We have 35 Years of Co-Leading our Workshops (Male/Female Perspective). Our Private Workshops are Not Traditional Counseling. We Provide Two Professionals that Specialize in the Treatment of Relationships and Communication. We are Opened: Days, Eve's, Weekends & Same Day Appt's Available. These Workshops are Designed for a Rapid Recovery and are Powerful & Comprehensive. Our Marriage/Couples, Alcohol & Anxiety Workshops have an 85% Rate of Success when you Complete our Program.
Photo of Mitch Lisa - Dr. Mitch-Lisa Marriage/Couple Workshop Specialist, PsyD, MSW, Life, Coach
Hosted by Dr. Mitch-Lisa Marriage/Couple Workshop Specialist
Verified Verified
Group meets in Philadelphia, PA 19104
Dr. Mitch PsyD & Lisa Couples Life Coach Specialize in Marriage/Couples, Alcohol, Infidelity & Parenting Workshops. We have 35 Years of Co-Leading our Workshops (Male/Female Perspective). Our Private Workshops are Not Traditional Counseling. We Provide Two Professionals that Specialize in the Treatment of Relationships and Communication. We are Opened: Days, Eve's, Weekends & Same Day Appt's Available. These Workshops are Designed for a Rapid Recovery and are Powerful & Comprehensive. Our Marriage/Couples, Alcohol & Anxiety Workshops have an 85% Rate of Success when you Complete our Program.
(332) 291-8321 View (332) 291-8321
I’m excited to announce that I’m leading a 10-week group for Black men starting Tuesday Sept 1st 2020! The group is open to all folks who identify as Black men that reside in the state of Pennsylvania! (***If you are homophobic, transphobic, or oppressive to any marginalized identities, this group is NOT for you). Topics include: Unpacking Toxic Masculinity, How we show up in relationships, Trauma and how we respond, Self-care, and much more! It’ll be $50 and there are sliding scale options for folks need it. Be sure to reserve your spot ASAP!
Photo of Marvin A Toliver, Clinical Social Work/Therapist, LCSW
Hosted by Marvin A Toliver
Clinical Social Work/Therapist, LCSW
Group meets in Philadelphia, PA 19104
I’m excited to announce that I’m leading a 10-week group for Black men starting Tuesday Sept 1st 2020! The group is open to all folks who identify as Black men that reside in the state of Pennsylvania! (***If you are homophobic, transphobic, or oppressive to any marginalized identities, this group is NOT for you). Topics include: Unpacking Toxic Masculinity, How we show up in relationships, Trauma and how we respond, Self-care, and much more! It’ll be $50 and there are sliding scale options for folks need it. Be sure to reserve your spot ASAP!
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This is a long-term process group for individuals seeking to better understand their relational style and to work through dynamics with others in real time. This group is a great way to practice and enhance communication skills, increase your understanding of yourself and others, and gain support from peers.
Photo of Katy Cording, Psychologist, PsyD, CGP
Hosted by Katy Cording
Psychologist, PsyD, CGP
Group meets in Philadelphia, PA 19104
This is a long-term process group for individuals seeking to better understand their relational style and to work through dynamics with others in real time. This group is a great way to practice and enhance communication skills, increase your understanding of yourself and others, and gain support from peers.
(484) 262-4057 View (484) 262-4057
Dr. Mitch PsyD & Lisa Couples Life Coach Specialize in Marriage/Couples, Alcohol, Infidelity & Parenting Workshops. We have 35 Years of Co-Leading our Workshops (Male/Female Perspective). Our Private Workshops are Not Traditional Counseling. We Provide Two Professionals that Specialize in the Treatment of Relationships and Communication. We are Opened: Days, Eve's, Weekends & Same Day Appt's Available. These Workshops are Designed for a Rapid Recovery and are Powerful & Comprehensive. Our Marriage/Couples, Alcohol & Anxiety Workshops have an 85% Rate of Success when you Complete our Program.
Photo of Mitch Lisa - Dr. Mitch-Lisa Marriage/Couple Workshop Specialist, PsyD, MSW, Life, Coach
Hosted by Dr. Mitch-Lisa Marriage/Couple Workshop Specialist
Verified Verified
Group meets in Philadelphia, PA 19104
Dr. Mitch PsyD & Lisa Couples Life Coach Specialize in Marriage/Couples, Alcohol, Infidelity & Parenting Workshops. We have 35 Years of Co-Leading our Workshops (Male/Female Perspective). Our Private Workshops are Not Traditional Counseling. We Provide Two Professionals that Specialize in the Treatment of Relationships and Communication. We are Opened: Days, Eve's, Weekends & Same Day Appt's Available. These Workshops are Designed for a Rapid Recovery and are Powerful & Comprehensive. Our Marriage/Couples, Alcohol & Anxiety Workshops have an 85% Rate of Success when you Complete our Program.
(332) 291-8321 View (332) 291-8321
This is a therapy group that encourages men to increase their emotional awareness and to practice emotional expression, so they can confidently navigate relationship issues and thrive in social settings. Please reach out if you want to learn more about yourself through others and would like to participate in this group experience.
Photo of Mike Butera, Marriage & Family Therapist, LMFT
Hosted by Mike Butera
Marriage & Family Therapist, LMFT
Group meets in Philadelphia, PA 19104
This is a therapy group that encourages men to increase their emotional awareness and to practice emotional expression, so they can confidently navigate relationship issues and thrive in social settings. Please reach out if you want to learn more about yourself through others and would like to participate in this group experience.
(215) 382-6680 x4346 View (215) 382-6680 x4346
This is a therapy group that brings gender diverse folks together to support each other through the increasingly oppressive political climate while focusing on interactions between group participants. Please reach out if you want to lean more about yourself through others and would like to participate in this group experience.
Photo of Mike Butera, Marriage & Family Therapist, LMFT
Hosted by Mike Butera
Marriage & Family Therapist, LMFT
Group meets in Philadelphia, PA 19104
This is a therapy group that brings gender diverse folks together to support each other through the increasingly oppressive political climate while focusing on interactions between group participants. Please reach out if you want to lean more about yourself through others and would like to participate in this group experience.
(215) 382-6680 x4346 View (215) 382-6680 x4346

More Groups Nearby

Ages 13–17 | $30/session ? In-person (Collegeville, PA): Every Thursday, 6–7 PM This weekly hangout blends art, journaling, and storytelling to help LGBTQ+ teens build confidence and community in a low-pressure, creative space.
Photo of Tracey O'Neill, Pre-Licensed Professional
Hosted by Tracey O'Neill
Pre-Licensed Professional
Group meets in Collegeville, PA 19426
Ages 13–17 | $30/session ? In-person (Collegeville, PA): Every Thursday, 6–7 PM This weekly hangout blends art, journaling, and storytelling to help LGBTQ+ teens build confidence and community in a low-pressure, creative space.
(484) 371-7414 View (484) 371-7414
Groups include peer support and focus on coping skills, emotional regulation, interpersonal connection. Rainbow Club: For ages 9-13 who identify as Lesbian, Gay, Bisexual, Transgender, Gender Expansive or Queer/Questioning. Includes peer support, identity exploration and therapeutic processing and psycho-education. Pride Squad: For ages 14-17 who identify as Lesbian, Gay, Bisexual, Transgender, Gender Expansive or Queer/Questioning. Includes peer support, identity exploration and therapeutic processing and psycho-education. Pronouns Unlimited: For ages 14-17 who identify as Transgender, Non-Binary, Gender Expansive, GenderQueer or Gender Questioning. Includes peer support, identity exploration and therapeutic processing and psycho-education
Photo of Mindy Bell - Tranquil Solutions Counseling Center, LLC, Licensed Professional Counselor, LPC
Hosted by Tranquil Solutions Counseling Center, LLC
Licensed Professional Counselor, LPC
Group meets in Downingtown, PA 19335
Groups include peer support and focus on coping skills, emotional regulation, interpersonal connection. Rainbow Club: For ages 9-13 who identify as Lesbian, Gay, Bisexual, Transgender, Gender Expansive or Queer/Questioning. Includes peer support, identity exploration and therapeutic processing and psycho-education. Pride Squad: For ages 14-17 who identify as Lesbian, Gay, Bisexual, Transgender, Gender Expansive or Queer/Questioning. Includes peer support, identity exploration and therapeutic processing and psycho-education. Pronouns Unlimited: For ages 14-17 who identify as Transgender, Non-Binary, Gender Expansive, GenderQueer or Gender Questioning. Includes peer support, identity exploration and therapeutic processing and psycho-education
(610) 295-5199 View (610) 295-5199
New Group! in Mt. Airy, Phila. For adoptive families & children under 4. Discuss Development, Adoption Issues, Attachment, Communication, Behavior, Relationships. Children recently placed or home for a while. Beginning late october, '13. Call or email for more info and fees.
Photo of Elaine Frank, LCSW
Hosted by Elaine Frank
Verified Verified
Group meets in Philadelphia, PA 19131
New Group! in Mt. Airy, Phila. For adoptive families & children under 4. Discuss Development, Adoption Issues, Attachment, Communication, Behavior, Relationships. Children recently placed or home for a while. Beginning late october, '13. Call or email for more info and fees.
(215) 650-3271 View (215) 650-3271
Led by El McCabe, Ph.D. Adult Group for individuals ages 18-45 meets Tuesdays 6:30-7:30 pm WHO: This group is for you, if: You are questioning your sexual orientation or gender identity ? You want to process your coming out experience(s) or trauma related to your identity ? You want to connect with other members of the larger LGBTQ+ community ? You want to process other life issues with a group of people within the same community WHAT: We will challenge each other to: ? Make positive life changes ? Grow in relationships ? Take care of ourselves
Photo of Andrea Bloomgarden - Bloomgarden, Ostroff & Associates, Psychologist, LCSW, LPC, PhD, PsyD
Hosted by Bloomgarden, Ostroff & Associates
Psychologist, LCSW, LPC, PhD, PsyD
Group meets in Philadelphia, PA 19102
Led by El McCabe, Ph.D. Adult Group for individuals ages 18-45 meets Tuesdays 6:30-7:30 pm WHO: This group is for you, if: You are questioning your sexual orientation or gender identity ? You want to process your coming out experience(s) or trauma related to your identity ? You want to connect with other members of the larger LGBTQ+ community ? You want to process other life issues with a group of people within the same community WHAT: We will challenge each other to: ? Make positive life changes ? Grow in relationships ? Take care of ourselves
(215) 874-3854 View (215) 874-3854
We are pleased to offer a "greatest hits" DBT skills group starting on November 19th, 2024 and running for 12 weeks. If you're interested in getting started with Dialectical Behavior Therapy and are looking for an unintimidating introduction, this is the group for you! We will cover a core skill every week within the mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness modules. There will be opportunities to share feedback with fellow group members regarding skill practice and ask questions from trained facilitators. This group will be held virtually and will capped at a small number of adult participants.
Photo of Emily Koppenhofer, Licensed Professional Counselor, MA, MSEd, LPC
Hosted by Emily Koppenhofer
Licensed Professional Counselor, MA, MSEd, LPC
Group meets in Philadelphia, PA 19128
We are pleased to offer a "greatest hits" DBT skills group starting on November 19th, 2024 and running for 12 weeks. If you're interested in getting started with Dialectical Behavior Therapy and are looking for an unintimidating introduction, this is the group for you! We will cover a core skill every week within the mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness modules. There will be opportunities to share feedback with fellow group members regarding skill practice and ask questions from trained facilitators. This group will be held virtually and will capped at a small number of adult participants.
(267) 729-9590 View (267) 729-9590
This group is a Telehealth group designed for adolescents who are currently looking on rebuilding a healthy communication, healthy boundary setting, and the ability to begin preparing for their next steps in life. This group is highly beneficial for individuals who are working towards healing their mental wellbeing with other’s who are just as determined to live a healthy life a young emerging adult. This group is for individuals 14 to 18 years old.
Photo of Kerry Toole, Licensed Professional Counselor, LPC, CADC
Hosted by Kerry Toole
Licensed Professional Counselor, LPC, CADC
Group meets in Langhorne, PA 19047
This group is a Telehealth group designed for adolescents who are currently looking on rebuilding a healthy communication, healthy boundary setting, and the ability to begin preparing for their next steps in life. This group is highly beneficial for individuals who are working towards healing their mental wellbeing with other’s who are just as determined to live a healthy life a young emerging adult. This group is for individuals 14 to 18 years old.
(267) 619-7188 View (267) 619-7188
This group is to help men and women who are in their 20's and 30's struggling with a diversity of issues including singleness/marriage, depression, anxiety, relationships, trauma, stress ect. The group is designed to help each other investigate the unhelpful dynamics that are occurring and support each other in finding new avenues for growth, happiness, and fulfillment.
Photo of Jennifer Houk, Licensed Professional Counselor, MS, LPC
Hosted by Jennifer Houk
Licensed Professional Counselor, MS, LPC
Group meets in Philadelphia, PA 19102
This group is to help men and women who are in their 20's and 30's struggling with a diversity of issues including singleness/marriage, depression, anxiety, relationships, trauma, stress ect. The group is designed to help each other investigate the unhelpful dynamics that are occurring and support each other in finding new avenues for growth, happiness, and fulfillment.
(215) 688-5781 View (215) 688-5781
Teen Girls Empowered groups are weekly groups designed to support teenage girls with challenges around self-esteem and body image, depression and anxiety, peer and family conflict, and stress about school and future plans. Teens will increase knowledge of healthy ways to cope with adolescent challenges and be encouraged to utilize new skills outside of group. Please visit www.centerforfamilyempowerment.com for more information on fees and group schedules.
Photo of Jessica Paist - The Center for Family Empowerment, MA, LMFT
Hosted by The Center for Family Empowerment
Verified Verified
Group meets in Jenkintown, PA 19046
Teen Girls Empowered groups are weekly groups designed to support teenage girls with challenges around self-esteem and body image, depression and anxiety, peer and family conflict, and stress about school and future plans. Teens will increase knowledge of healthy ways to cope with adolescent challenges and be encouraged to utilize new skills outside of group. Please visit www.centerforfamilyempowerment.com for more information on fees and group schedules.
(215) 613-4758 View (215) 613-4758
Live, online grief support group for those who have lost a sibling to the disease of substance abuse. Free of charge; sponsored by Steps4Hope. Contact: abrotherslovee@gmail.com
Photo of Nancy Buckwalter, Clinical Social Work/Therapist, LCSW
Hosted by Nancy Buckwalter
Clinical Social Work/Therapist, LCSW
Group meets in Malvern, PA 19355
Live, online grief support group for those who have lost a sibling to the disease of substance abuse. Free of charge; sponsored by Steps4Hope. Contact: abrotherslovee@gmail.com
(484) 313-4287 View (484) 313-4287
Improve balance between your needs and others. Learn to give and receive genuine support. Improve your self esteem. Develop meaningful friendships. Learn to trust. Learn to self-nurture. A time and place to take care of you, in a supportive, empowering environment. *For women ages 26 and up* *March 3-May 5, 2016* *Visit www.psychologyandcounseling.net for more information*
Photo of Jeffrey Walters - Psychology & Counseling Associates, P.C., Psychologist
Hosted by Psychology & Counseling Associates, P.C.
Psychologist
Group meets in Collegeville, PA 19426
Improve balance between your needs and others. Learn to give and receive genuine support. Improve your self esteem. Develop meaningful friendships. Learn to trust. Learn to self-nurture. A time and place to take care of you, in a supportive, empowering environment. *For women ages 26 and up* *March 3-May 5, 2016* *Visit www.psychologyandcounseling.net for more information*
(610) 970-5234 View (610) 970-5234
The transformative power of creativity is healing, connecting and expansive. No art experience is necessary. You will learn enjoyable creative practices that offer freedom to disrupt doubts, re-shape unwanted thoughts and ease stressful patterns. My studio/office is a safe and brave place to play, explore, get messy, and to stand in your authentic being. I supply all art materials and guidance that become tools to gain insight, lighten your distress and make the "a-ha" moments stick. Enjoy the camaraderie and support of the group to share fresh perspectives and solutions and feel grounded and aligned with yourself.
Photo of Lauren Pokras, Clinical Social Work/Therapist, LCSW
Hosted by Lauren Pokras
Clinical Social Work/Therapist, LCSW
Group meets in Philadelphia, PA 19119
The transformative power of creativity is healing, connecting and expansive. No art experience is necessary. You will learn enjoyable creative practices that offer freedom to disrupt doubts, re-shape unwanted thoughts and ease stressful patterns. My studio/office is a safe and brave place to play, explore, get messy, and to stand in your authentic being. I supply all art materials and guidance that become tools to gain insight, lighten your distress and make the "a-ha" moments stick. Enjoy the camaraderie and support of the group to share fresh perspectives and solutions and feel grounded and aligned with yourself.
(215) 261-5691 View (215) 261-5691
This is a group for parents led by an Adolescent Therapist and a Psychiatric Provider. Our goal is to educate parents on the treatment options available for anxious teens. Parents will be educated on various types of therapy for anxiety such as DBT, CBT, and others. We educate parents on the the latest cutting edge medications for teens with anxiety, and the benefits and the side effects. We help parents understand the concept of depersonalization and how to connect with their daughter who was once connected with her family but suddenly has retreated into herself and has withdrawn from the family.
Photo of Ariel Virk - Welsh Therapy, Licensed Professional Counselor, M, A
Hosted by Welsh Therapy
Licensed Professional Counselor, M, A
Group meets in Doylestown, PA 18901
This is a group for parents led by an Adolescent Therapist and a Psychiatric Provider. Our goal is to educate parents on the treatment options available for anxious teens. Parents will be educated on various types of therapy for anxiety such as DBT, CBT, and others. We educate parents on the the latest cutting edge medications for teens with anxiety, and the benefits and the side effects. We help parents understand the concept of depersonalization and how to connect with their daughter who was once connected with her family but suddenly has retreated into herself and has withdrawn from the family.
(215) 607-6844 View (215) 607-6844
This group is designed to provide both psychoeducation surrounding trauma and allow group members to process their experiences in a safe manner while creating connectivity in the community and move towards healing. The group is being offered virtually only at this time.
Photo of Kristine M. Dolce, Pre-Licensed Professional, MS
Hosted by Kristine M. Dolce
Pre-Licensed Professional, MS
Group meets in Philadelphia, PA 19118
This group is designed to provide both psychoeducation surrounding trauma and allow group members to process their experiences in a safe manner while creating connectivity in the community and move towards healing. The group is being offered virtually only at this time.
(215) 509-5167 View (215) 509-5167

See more therapy options for 19104

FAQs - About Group Therapy and Support Groups

How can I find a support group in 19104?

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.