Support Groups in 23226

This group provides a supportive and nonjudgmental space for individuals in recovery from alcoholism to share experiences and explore emotions. Through guided discussion and peer support, members process challenges related to sobriety. Together, members foster connection, understanding, and empowerment as they continue healing and growth on the path of long-term recovery. Date and time to be determined based on participant availability. Cost: $15 per session.
Photo of Katherine Anne Bereznicki, Pre-Licensed Professional, QMHP-T
Hosted by Katherine Anne Bereznicki
Pre-Licensed Professional, QMHP-T
Group meets in Richmond, VA 23226
This group provides a supportive and nonjudgmental space for individuals in recovery from alcoholism to share experiences and explore emotions. Through guided discussion and peer support, members process challenges related to sobriety. Together, members foster connection, understanding, and empowerment as they continue healing and growth on the path of long-term recovery. Date and time to be determined based on participant availability. Cost: $15 per session.
(804) 567-8791 View (804) 567-8791
Dr. Pittman leads the DBT Skills Training groups at Richmond Family Psychology. During Winter/Spring 2026, two skills groups are offered and run parallel to each other: DBT Skills Training for Teens, and DBT Skills Training for Parents/Caregivers. Groups run on Thursdays from February 5 - April 30, 2026. It is recommended, but not required, that both parents and teens sign up for their respective group. Group members will learn and practice the skills during group sessions and complete skills practice in between sessions. Handouts and worksheets will be provided.
Photo of Sarah Pittman, Psychologist, PhD, LCP
Hosted by Sarah Pittman
Psychologist, PhD, LCP
Group meets in Richmond, VA 23226
Dr. Pittman leads the DBT Skills Training groups at Richmond Family Psychology. During Winter/Spring 2026, two skills groups are offered and run parallel to each other: DBT Skills Training for Teens, and DBT Skills Training for Parents/Caregivers. Groups run on Thursdays from February 5 - April 30, 2026. It is recommended, but not required, that both parents and teens sign up for their respective group. Group members will learn and practice the skills during group sessions and complete skills practice in between sessions. Handouts and worksheets will be provided.
(804) 597-9110 View (804) 597-9110
Revelations Behavioral Health We support individuals, couples, and families, from ages 4 to 65+, in navigating mental health and behavioral challenges. By matching you with a therapist who best fits your needs, we aim to foster a strong, trusting therapeutic relationship. Our goal is to create a safe and supportive to ensure that you feel comfortable and understood every step of the way. We provide counseling services for various mental health disorders, issues at home & work, and recovery counseling.
Photo of Donald William Edwards - Revelations Behavioral Health, Licensed Mental Health Counselor, BSW, MDiv
Hosted by Revelations Behavioral Health
Licensed Mental Health Counselor, BSW, MDiv
Group meets in Richmond, VA 23226
Revelations Behavioral Health We support individuals, couples, and families, from ages 4 to 65+, in navigating mental health and behavioral challenges. By matching you with a therapist who best fits your needs, we aim to foster a strong, trusting therapeutic relationship. Our goal is to create a safe and supportive to ensure that you feel comfortable and understood every step of the way. We provide counseling services for various mental health disorders, issues at home & work, and recovery counseling.
(804) 215-7995 View (804) 215-7995
Intensive Outpatient Treatment for Substance Use Disorders is available at Archstone Counseling & Treatment. For people who have a severe problem stopping their substance use, but not so severe that residential treatment is necessary. If you are going to residential it is very important to return to the community and attend this level of care. Relapse is high following residential treatment without intensive follow up care. Residential is great for total focus on sobriety and immediate core issue work, but once back home you will need help as the problems and temptations will still be there! Many Insurances accepted.
Photo of Susan M Archer, Clinical Social Work/Therapist, LCSW
Hosted by Susan M Archer
Clinical Social Work/Therapist, LCSW
Group meets in Richmond, VA 23226
Intensive Outpatient Treatment for Substance Use Disorders is available at Archstone Counseling & Treatment. For people who have a severe problem stopping their substance use, but not so severe that residential treatment is necessary. If you are going to residential it is very important to return to the community and attend this level of care. Relapse is high following residential treatment without intensive follow up care. Residential is great for total focus on sobriety and immediate core issue work, but once back home you will need help as the problems and temptations will still be there! Many Insurances accepted.
(804) 413-9439 View (804) 413-9439
Meeting for clergy women to share and create community centered on wholeness and personal development. For more information, please call VIPCare or write VIPCare's Executive Director, Douglas M. Thorpe, at dthorpe@vipcare.org
Photo of Douglas Thorpe - Virginia Institute of Pastoral Care (VIPCare), Licensed Professional Counselor, PhD, DMin, MSW, LCSW, LPC
Hosted by Virginia Institute of Pastoral Care (VIPCare)
Licensed Professional Counselor, PhD, DMin, MSW, LCSW, LPC
Group meets in Richmond, VA 23226
Meeting for clergy women to share and create community centered on wholeness and personal development. For more information, please call VIPCare or write VIPCare's Executive Director, Douglas M. Thorpe, at dthorpe@vipcare.org
(804) 681-2511 View (804) 681-2511
Revelations Behavioral Health provides outpatient and telehealth therapy services for individuals across the state of Virginia. We serve children, adolescents, and adults, offering support tailored to each stage of life. In-Person Appointments available at our Bremo Road location Telehealth Services accessible throughout Virginia We accept Medicaid, private insurance, and Tricare for military families Whether you're looking for help navigating life challenges, supporting your child’s mental wellness, or maintaining emotional balance, our dedicated clinicians are here to help. ? Call us today at 804.215.7995 ? Visit us online at www.revelationsbh.com
Photo of Donald William Edwards - Revelations Behavioral Health, Licensed Mental Health Counselor, BSW, MDiv
Hosted by Revelations Behavioral Health
Licensed Mental Health Counselor, BSW, MDiv
Group meets in Richmond, VA 23226
Revelations Behavioral Health provides outpatient and telehealth therapy services for individuals across the state of Virginia. We serve children, adolescents, and adults, offering support tailored to each stage of life. In-Person Appointments available at our Bremo Road location Telehealth Services accessible throughout Virginia We accept Medicaid, private insurance, and Tricare for military families Whether you're looking for help navigating life challenges, supporting your child’s mental wellness, or maintaining emotional balance, our dedicated clinicians are here to help. ? Call us today at 804.215.7995 ? Visit us online at www.revelationsbh.com
(804) 215-7995 View (804) 215-7995
Teens today are living through a uniquely challenging period in their lives. You are expected to figure out life, plan a future, and manage a social life, all while navigating the wild seas of adolescence. Phew, that’s a lot! But guess what? You don’t have to do it alone. Whether you're dealing with anxiety, stress, self-esteem, or just need to talk so you do not feel alone in your experience; we're here. Our practice is dedicated to helping teenagers navigate the path to adulthood with resilience and confidence. Emotional Regulation, Distress Tolerance, Self-Esteem, & Relationships
Photo of Sarah Dihmes, Psychologist, PhD, BCB
Hosted by Sarah Dihmes
Psychologist, PhD, BCB
Group meets in Richmond, VA 23226
Teens today are living through a uniquely challenging period in their lives. You are expected to figure out life, plan a future, and manage a social life, all while navigating the wild seas of adolescence. Phew, that’s a lot! But guess what? You don’t have to do it alone. Whether you're dealing with anxiety, stress, self-esteem, or just need to talk so you do not feel alone in your experience; we're here. Our practice is dedicated to helping teenagers navigate the path to adulthood with resilience and confidence. Emotional Regulation, Distress Tolerance, Self-Esteem, & Relationships
(424) 622-3155 View (424) 622-3155
A free monthly support group for adults with OCD meeting virtually
Photo of Gail M Quick, Psychologist, PhD, LCP
Hosted by Gail M Quick
Psychologist, PhD, LCP
Group meets in Richmond, VA 23226
A free monthly support group for adults with OCD meeting virtually
(804) 374-9621 View (804) 374-9621
This group meets online to support any man struggling with addictive or self-medicating behaviors during this isolating time. All forms of self-medicating welcome such as: pornography, sex, drugs/alcohol, food, video games, work, gambling and relationships. This is a group of 8-10 men that learn tools to more effectively maintain healthy long-term sobriety. The group is actively engaged in each other's lives outside of group time throughout the week via text/phone. The opposite of addiction is not sobriety; It's connection!
Photo of Chris Chandler, Licensed Professional Counselor, LPC, LPCC, CSAT-S
Hosted by Chris Chandler
Licensed Professional Counselor, LPC, LPCC, CSAT-S
Group meets in Richmond, VA 23226
This group meets online to support any man struggling with addictive or self-medicating behaviors during this isolating time. All forms of self-medicating welcome such as: pornography, sex, drugs/alcohol, food, video games, work, gambling and relationships. This is a group of 8-10 men that learn tools to more effectively maintain healthy long-term sobriety. The group is actively engaged in each other's lives outside of group time throughout the week via text/phone. The opposite of addiction is not sobriety; It's connection!
(757) 590-9203 View (757) 590-9203
2026 Dates: April 14th, 2026 - September 29th, 2026 The Eco Art Therapy group will be facilitated by myself, a Board Certified Registered Art Therapist (ATR-BC). This group will be held outdoors (weather permitting) and will utilize a mixture of natural found and traditional art materials. The Eco Art Therapy Group is for adults, aged 18 and up. This group will be a safe space to explore concerns such as, but not limited to, life transitions, anxiety, identity, and grief. Self pay or some insurances are accepted - Please email me to learn more.
Photo of Alana Chandler, Art Therapist, MS, LPC, ATR-BC
Hosted by Alana Chandler
Art Therapist, MS, LPC, ATR-BC
Group meets in Richmond, VA 23226
2026 Dates: April 14th, 2026 - September 29th, 2026 The Eco Art Therapy group will be facilitated by myself, a Board Certified Registered Art Therapist (ATR-BC). This group will be held outdoors (weather permitting) and will utilize a mixture of natural found and traditional art materials. The Eco Art Therapy Group is for adults, aged 18 and up. This group will be a safe space to explore concerns such as, but not limited to, life transitions, anxiety, identity, and grief. Self pay or some insurances are accepted - Please email me to learn more.
(804) 391-7797 View (804) 391-7797

More Groups Nearby

A group where mothers of children under 12 can come together and support each other in their parenting struggles and victories, and then share solutions to the common problems of childhood---tantrums, defiance, poor sleep, sibling rivalry, eating issues, sadness, anger, grief, bad dreams, poor school performance, low self-confidence, aggression, shyness, etc.
Photo of Ellie Shumaker, Clinical Social Work/Therapist, MA, LCSW
Hosted by Ellie Shumaker
Clinical Social Work/Therapist, MA, LCSW
Group meets in Richmond, VA 23230
A group where mothers of children under 12 can come together and support each other in their parenting struggles and victories, and then share solutions to the common problems of childhood---tantrums, defiance, poor sleep, sibling rivalry, eating issues, sadness, anger, grief, bad dreams, poor school performance, low self-confidence, aggression, shyness, etc.
(804) 409-9962 View (804) 409-9962
This group is designed for women who have experienced trauma and are seeking a safe, supportive space for healing. Led by Dr. Altman—an experienced therapist with specialized training in group therapy—this group offers a chance to reconnect, grow, and heal alongside others who understand. Cultivate a sense of belonging, reduce isolation, rebuild trust, and strengthen your capacity for healthy relationships. We focus on key topics each week, supported by handouts that encourage personal reflection and present-focused discussion. Whether you're ready to share or prefer to listen, this is a space where your presence matters. Details: https://margaretnormanpc.com/groups-1
Photo of Dr. Jan Altman - Dr. Jan Altman, Psychologist, PhD, LCP
Hosted by Dr. Jan Altman
Psychologist, PhD, LCP
Group meets in Henrico, VA 23228
This group is designed for women who have experienced trauma and are seeking a safe, supportive space for healing. Led by Dr. Altman—an experienced therapist with specialized training in group therapy—this group offers a chance to reconnect, grow, and heal alongside others who understand. Cultivate a sense of belonging, reduce isolation, rebuild trust, and strengthen your capacity for healthy relationships. We focus on key topics each week, supported by handouts that encourage personal reflection and present-focused discussion. Whether you're ready to share or prefer to listen, this is a space where your presence matters. Details: https://margaretnormanpc.com/groups-1
(804) 259-2181 View (804) 259-2181
Executive Dysfunction Support Group is a micro-group of 5-10 individuals aged 18 or older experiencing executive dysfunction. One session weekly on Wednesday night from 5:00pm - 6:30pm (1.5 hours). The first session will be Wednesday, May 21, 2025. This support group will be 100% virtual. Sessions are $15 per/week and there is an option to pay upfront for the eight weeks at a rate of $100 total. Review our website for more details, to download a brochure and to learn how to register.
Photo of Carrie Hartwell - Mental Health Advocates, Licensed Professional Counselor, PhD, LCSW
Hosted by Mental Health Advocates
Licensed Professional Counselor, PhD, LCSW
Group meets in Richmond, VA 23229
Executive Dysfunction Support Group is a micro-group of 5-10 individuals aged 18 or older experiencing executive dysfunction. One session weekly on Wednesday night from 5:00pm - 6:30pm (1.5 hours). The first session will be Wednesday, May 21, 2025. This support group will be 100% virtual. Sessions are $15 per/week and there is an option to pay upfront for the eight weeks at a rate of $100 total. Review our website for more details, to download a brochure and to learn how to register.
(804) 492-0979 View (804) 492-0979
Offering clinical consultation and supportive guidance for newly licensed providers and/or clinicians in solo practice, with support for case conceptualization, ethical decision-making, and professional growth. Please feel free to reach out for more information.
Photo of Heather D. Cole, Licensed Professional Counselor, MEd, LPC
Hosted by Heather D. Cole
Licensed Professional Counselor, MEd, LPC
Group meets in Richmond, VA 23230
Offering clinical consultation and supportive guidance for newly licensed providers and/or clinicians in solo practice, with support for case conceptualization, ethical decision-making, and professional growth. Please feel free to reach out for more information.
(804) 476-8808 View (804) 476-8808
At the end of this group you will understand the difference between primary and secondary emotions and what they do for us. You will identify why anger is a secondary emotion. You will have knowledge of strategies to tame the angry monster within us.
Photo of Adina Silvestri, Licensed Professional Counselor, EdD, LPC
Hosted by Adina Silvestri
Licensed Professional Counselor, EdD, LPC
Group meets in Richmond, VA 23229
At the end of this group you will understand the difference between primary and secondary emotions and what they do for us. You will identify why anger is a secondary emotion. You will have knowledge of strategies to tame the angry monster within us.
(804) 621-7126 View (804) 621-7126
Are you engaged, remarried, or a co-parenting couple? Are you a foster or adoptive parent? Do you need assistance with boundary setting, reciprocal respect, territory issues, sibling rivalries, prioritizing your marriage, dealing with comparison issues, and/or jealousy and resentments between the biological parent and new spouse? There are strategies to help you strengthen your marriage and family and crate the healthy, loving environment you desire. Contact me to learn more!
Photo of E. Tracci Parham - HLF Christian Counseling, Pastoral Counselor, MAPC
Hosted by HLF Christian Counseling
Pastoral Counselor, MAPC
Group meets in Prince George, VA 23875
Are you engaged, remarried, or a co-parenting couple? Are you a foster or adoptive parent? Do you need assistance with boundary setting, reciprocal respect, territory issues, sibling rivalries, prioritizing your marriage, dealing with comparison issues, and/or jealousy and resentments between the biological parent and new spouse? There are strategies to help you strengthen your marriage and family and crate the healthy, loving environment you desire. Contact me to learn more!
(434) 595-3691 View (434) 595-3691
This one time 90-minute virtual class is for people who look “fine” on the outside but feel stuck in anxious overdrive. Using neuroscience-based strategies, you’ll learn how to interrupt anxiety loops, increase a sense of safety, and regain control over your reactions, without relying on avoidance, reassurance, or willpower. This is a class and not psychotherapy. Call or text 423-275-2121 or e-mail me through Peychology today for more information.
Photo of Dr. Meghan Rooney, Psychologist, Psy.D.
Hosted by Dr. Meghan Rooney
Psychologist, Psy.D.
Group meets in Richmond, VA 23233
This one time 90-minute virtual class is for people who look “fine” on the outside but feel stuck in anxious overdrive. Using neuroscience-based strategies, you’ll learn how to interrupt anxiety loops, increase a sense of safety, and regain control over your reactions, without relying on avoidance, reassurance, or willpower. This is a class and not psychotherapy. Call or text 423-275-2121 or e-mail me through Peychology today for more information.
(804) 589-5903 View (804) 589-5903
This structured, confidential group supports male survivors in addressing present-day challenges connected to childhood sexual abuse. Limited to six participants, members are carefully screened for readiness and must also be in individual therapy. Sessions emphasize safety, grounding, and mutual respect, beginning with guided meditation and brief check-ins. Details of abuse is not discussed in group. Members share present and past life experiences at their own pace, with space for feedback if desired. To respect each member, consistent attendance is expected. The group fosters connection, resilience, and healing through shared stories, mindful practices, and honoring each member’s journey.
Photo of Andrew Napoli, Clinical Social Work/Therapist, LCSW
Hosted by Andrew Napoli
Clinical Social Work/Therapist, LCSW
Group meets in Henrico, VA 23238
This structured, confidential group supports male survivors in addressing present-day challenges connected to childhood sexual abuse. Limited to six participants, members are carefully screened for readiness and must also be in individual therapy. Sessions emphasize safety, grounding, and mutual respect, beginning with guided meditation and brief check-ins. Details of abuse is not discussed in group. Members share present and past life experiences at their own pace, with space for feedback if desired. To respect each member, consistent attendance is expected. The group fosters connection, resilience, and healing through shared stories, mindful practices, and honoring each member’s journey.
(804) 534-2364 View (804) 534-2364
In a private and comfortable setting you will expand your awareness on the behavioral, medical, and psychological consequences of substance use; reposition thinking patterns and actions that lead to addiction; develop and improve coping skills required to break free from addiction; focus on the desire to change within oneself; explore into a communication style and social skills in a supportive environment through processing. Meets either court-mandate for Virginia or out-of state requirement. VASAP Provider / ASAM Certified.
Photo of Kimbely Williams, Drug & Alcohol Counselor, MSW, CSAC
Hosted by Kimbely Williams
Drug & Alcohol Counselor, MSW, CSAC
Group meets in Glen Allen, VA 23060
In a private and comfortable setting you will expand your awareness on the behavioral, medical, and psychological consequences of substance use; reposition thinking patterns and actions that lead to addiction; develop and improve coping skills required to break free from addiction; focus on the desire to change within oneself; explore into a communication style and social skills in a supportive environment through processing. Meets either court-mandate for Virginia or out-of state requirement. VASAP Provider / ASAM Certified.
(804) 944-8730 View (804) 944-8730
At Therapeutic Counseling & Consulting we focus on individuals and couples that are struggling with adjustments and changes in their life whether they are past or current. Therapeutic Counseling & Consulting therapists work with adults, adolescents and children. I assist individuals and child who are experiencing stress, anxiety, sadness and/or having a difficult time managing your emotions.
Photo of Angela W Fitzgerald, Resident in Marriage and Family Therapy, LMHP-R, M Ed, MFT-R
Hosted by Angela W Fitzgerald
Resident in Marriage and Family Therapy, LMHP-R, M Ed, MFT-R
Group meets in Glen Allen, VA 23059
At Therapeutic Counseling & Consulting we focus on individuals and couples that are struggling with adjustments and changes in their life whether they are past or current. Therapeutic Counseling & Consulting therapists work with adults, adolescents and children. I assist individuals and child who are experiencing stress, anxiety, sadness and/or having a difficult time managing your emotions.
(804) 391-7833 View (804) 391-7833

See more therapy options for 23226

FAQs - About Group Therapy and Support Groups

How can I find a support group in 23226?

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.