Support Groups in 65806

“We don’t heal in isolation, but in community” S. Kelley Harrell It can be especially difficult to build a community of support when depression can leave us exhausted and wanting to isolate. Group can become a place of healing connection with peers. Together we can learn about symptoms of depression, how they are expressed in us as individuals. While coping skills are important it is also important to improve the connection with the body. Cost $5-25 with sliding scale. Some insurances accepted. This group is an “open” group meaning new members may join at any time if available
Photo of Erica Boan, Licensed Professional Counselor, BS, MA, LPC
Hosted by Erica Boan
Licensed Professional Counselor, BS, MA, LPC
Group meets in Springfield, MO 65806
“We don’t heal in isolation, but in community” S. Kelley Harrell It can be especially difficult to build a community of support when depression can leave us exhausted and wanting to isolate. Group can become a place of healing connection with peers. Together we can learn about symptoms of depression, how they are expressed in us as individuals. While coping skills are important it is also important to improve the connection with the body. Cost $5-25 with sliding scale. Some insurances accepted. This group is an “open” group meaning new members may join at any time if available
(417) 763-6049 View (417) 763-6049
Process Painting is Intuitive, subconscious and emotional painting.... Wonderful container to BE, ACCEPT, and CLEAR pain, trauma and unlock or unblock your creativity... with Expressive arts we use movement, music and improvisational interaction to experience and express blocked and shared emotion. Be in the present moment with others, be held in an accepting, sacred and honoring space, be free to be yourself and be loved and honored exactly as you are!
Photo of Candace Faith Frugé, Licensed Professional Counselor, MA, ABT, LMT, LPC
Hosted by Candace Faith Frugé
Licensed Professional Counselor, MA, ABT, LMT, LPC
Group meets in Springfield, MO 65806
Process Painting is Intuitive, subconscious and emotional painting.... Wonderful container to BE, ACCEPT, and CLEAR pain, trauma and unlock or unblock your creativity... with Expressive arts we use movement, music and improvisational interaction to experience and express blocked and shared emotion. Be in the present moment with others, be held in an accepting, sacred and honoring space, be free to be yourself and be loved and honored exactly as you are!
(417) 671-0717 View (417) 671-0717
A welcoming environment to connect with other women who are experiencing postpartum issues. Ladies of all ages are welcome whether you are a first time mom or a mom of several children. We will develop a sense of universality through relating with one another, hearing each person’s story, and learning practical tools to make it though this tender and complex season.
Photo of Hannah L Littlepage, Licensed Professional Counselor, MS , LPC
Hosted by Hannah L Littlepage
Licensed Professional Counselor, MS , LPC
Group meets in Springfield, MO 65806
A welcoming environment to connect with other women who are experiencing postpartum issues. Ladies of all ages are welcome whether you are a first time mom or a mom of several children. We will develop a sense of universality through relating with one another, hearing each person’s story, and learning practical tools to make it though this tender and complex season.
(417) 216-6943 View (417) 216-6943
The brain is wired for connection but trauma wires the brain for protection. Group can be a safe, slow place to be able to heal through connection. Psycho education will be provided, skills will be offering and support given and received by group members. This group is an “open” group meaning new members may join at any time if there is still an opening.
Photo of Erica Boan, Licensed Professional Counselor, BS, MA, LPC
Hosted by Erica Boan
Licensed Professional Counselor, BS, MA, LPC
Group meets in Springfield, MO 65806
The brain is wired for connection but trauma wires the brain for protection. Group can be a safe, slow place to be able to heal through connection. Psycho education will be provided, skills will be offering and support given and received by group members. This group is an “open” group meaning new members may join at any time if there is still an opening.
(417) 763-6049 View (417) 763-6049
Peer support group! Make connections with others who have similar experiences, meet and be comfortable learning about yourself and others, enjoy expressing yourself, sharing your thoughts and experiences in an accepting environment. Address emotional and relational concerns within personal, work and social environments. Be in the present moment with others, be held in an accepting, sacred and honoring space, be free to be yourself and be loved and honored exactly as you are!
Photo of Candace Faith Frugé, Licensed Professional Counselor, MA, ABT, LMT, LPC
Hosted by Candace Faith Frugé
Licensed Professional Counselor, MA, ABT, LMT, LPC
Group meets in Springfield, MO 65806
Peer support group! Make connections with others who have similar experiences, meet and be comfortable learning about yourself and others, enjoy expressing yourself, sharing your thoughts and experiences in an accepting environment. Address emotional and relational concerns within personal, work and social environments. Be in the present moment with others, be held in an accepting, sacred and honoring space, be free to be yourself and be loved and honored exactly as you are!
(417) 671-0717 View (417) 671-0717
TBA. Interpersonal group therapy is a powerful way to learn about ourselves and our relationships with others. It is an opportunity to understand your relational patterns and experiment with new ways of interacting. Use the group experience to heal old wounds and approach life in new ways in order to gain more satisfying relationships.
Photo of Candace Faith Frugé, Licensed Professional Counselor, MA, ABT, LMT, LPC
Hosted by Candace Faith Frugé
Licensed Professional Counselor, MA, ABT, LMT, LPC
Group meets in Springfield, MO 65806
TBA. Interpersonal group therapy is a powerful way to learn about ourselves and our relationships with others. It is an opportunity to understand your relational patterns and experiment with new ways of interacting. Use the group experience to heal old wounds and approach life in new ways in order to gain more satisfying relationships.
(417) 671-0717 View (417) 671-0717

More Groups Nearby

Open process and support group. Individual therapy is not required. We require one intake appointment and a 90-day commitment. This commitment helps ensure group cohesion and safety. Group is a 75-minute session. Each group is led by counselors trained as sex addiction therapists (CSAT) by the International Institute of Trauma and Addiction Professionals. The neurobiological basis of trauma and addiction are the foundation of our approach. Addiction is viewed as a behavioral problem not a moral failure. Community is the anecdote to addiction. We offer a professional and discreet environment to find your new people, places, and patterns.
Photo of Diana Eul - Alpha Omega Delta Counseling, Counselor, LPC, NCC, CSAT®-S, CPTT®-S, CMAT®
Hosted by Alpha Omega Delta Counseling
Counselor, LPC, NCC, CSAT®-S, CPTT®-S, CMAT®
Group meets in Springfield, MO 65804
Open process and support group. Individual therapy is not required. We require one intake appointment and a 90-day commitment. This commitment helps ensure group cohesion and safety. Group is a 75-minute session. Each group is led by counselors trained as sex addiction therapists (CSAT) by the International Institute of Trauma and Addiction Professionals. The neurobiological basis of trauma and addiction are the foundation of our approach. Addiction is viewed as a behavioral problem not a moral failure. Community is the anecdote to addiction. We offer a professional and discreet environment to find your new people, places, and patterns.
(417) 736-4562 View (417) 736-4562
What do we say when someone we care about is grieving? We feel powerless to help, not knowing what to say to make things better. The thing is, nothing we can say will make grief better, it's what we don't say that will help. This class will help you learn what to say and how to support those who are deeply grieving. You will gain a sense of peace and comfort with the knowledge of both large and small ways you can lend support and strength to those in need.
Photo of Richelle Massengale, Licensed Professional Counselor, MS, LPC
Hosted by Richelle Massengale
Licensed Professional Counselor, MS, LPC
Group meets in Springfield, MO 65804
What do we say when someone we care about is grieving? We feel powerless to help, not knowing what to say to make things better. The thing is, nothing we can say will make grief better, it's what we don't say that will help. This class will help you learn what to say and how to support those who are deeply grieving. You will gain a sense of peace and comfort with the knowledge of both large and small ways you can lend support and strength to those in need.
(417) 815-6365 View (417) 815-6365
Attention: This is a group for those struggling with unwanted and compulsive sexual behaviors; it is group therapy, not just a 12-step meeting. It is a closed group, opens periodically (a few times per year) to graduate existing members and/or add new members. Contact Boyd Allen at (417) 233-4499 for more information.
Photo of Boyd Allen - Boyd Allen, MS, LPC, CSAT, Licensed Professional Counselor, MS, LPC, CSAT, CMAT
Hosted by Boyd Allen, MS, LPC, CSAT
Licensed Professional Counselor, MS, LPC, CSAT, CMAT
Group meets in Springfield, MO 65804
Attention: This is a group for those struggling with unwanted and compulsive sexual behaviors; it is group therapy, not just a 12-step meeting. It is a closed group, opens periodically (a few times per year) to graduate existing members and/or add new members. Contact Boyd Allen at (417) 233-4499 for more information.
(417) 233-4499 View (417) 233-4499
Do you have a teens that struggles with emotions, is suicidal or self-harms. DBT for Adolescents is designed to help teens 12 to 18 with emotional regulation, distress tolerance, and Interpersonal effectiveness skills. This group runs once a week for 1.5 hours, then parents have a monthly group to learn how to effectively work with your teen.
Photo of Bridget Richards, Clinical Social Work/Therapist, LCSW
Hosted by Bridget Richards
Clinical Social Work/Therapist, LCSW
Group meets in Ozark, MO 65721
Do you have a teens that struggles with emotions, is suicidal or self-harms. DBT for Adolescents is designed to help teens 12 to 18 with emotional regulation, distress tolerance, and Interpersonal effectiveness skills. This group runs once a week for 1.5 hours, then parents have a monthly group to learn how to effectively work with your teen.
(417) 246-4808 View (417) 246-4808
This group is designed to include six (6) people. The group will teach clients about the concepts and use of Dialectics as a mode of emotional control. Clients will be offered a concise and up to date wealth of information in regards to DBT and how to get the most out of DBT skills training group. I believe people should start therapy with the end of it in mind. Prices at reasonable and medicaid insurance is accepted. Classes are being formed now.
Photo of Dr. Jonnie Mae Middletonlotte, Licensed Professional Counselor, PhD, MS, LPC
Hosted by Dr. Jonnie Mae Middletonlotte
Licensed Professional Counselor, PhD, MS, LPC
Group meets in Springfield, MO 65804
This group is designed to include six (6) people. The group will teach clients about the concepts and use of Dialectics as a mode of emotional control. Clients will be offered a concise and up to date wealth of information in regards to DBT and how to get the most out of DBT skills training group. I believe people should start therapy with the end of it in mind. Prices at reasonable and medicaid insurance is accepted. Classes are being formed now.
(417) 283-4940 View (417) 283-4940
This is an open process group with rolling enrollment. Individual therapy at Alpha Omega Delta is not required to participate. We require one intake appointment and a 90-day commitment. This commitment helps ensure group cohesion and safety. Group is a 75-minute group session. Each group is led by two counselors trained as sex addiction therapists by the International Institute of Trauma and Addiction Professionals (IITAP). The neurobiological basis of trauma and addiction are the foundation of our approach. Addiction is viewed as a behavioral problem not a moral failure.
Photo of Diana Eul - 417 Sex Help, Licensed Professional Counselor, LPC, CSAT, CPTT, CCBRT
Hosted by 417 Sex Help
Licensed Professional Counselor, LPC, CSAT, CPTT, CCBRT
Group meets in Springfield, MO 65804
This is an open process group with rolling enrollment. Individual therapy at Alpha Omega Delta is not required to participate. We require one intake appointment and a 90-day commitment. This commitment helps ensure group cohesion and safety. Group is a 75-minute group session. Each group is led by two counselors trained as sex addiction therapists by the International Institute of Trauma and Addiction Professionals (IITAP). The neurobiological basis of trauma and addiction are the foundation of our approach. Addiction is viewed as a behavioral problem not a moral failure.
(417) 807-3757 View (417) 807-3757
Relationships have you exhausted, spiraling, or confused? Are you ready to build the skills to become a conscious companion yourself and develop a conscious partnership or relationship with others? With this monthly meeting membership, I will speak on a relationship topic for 30 minutes, followed by a 30 minute Q&A where you can ask me your questions and pressing relationship concerns. Together, we will step towards healthy one topic at a time!
Photo of Melody Brave, Clinical Social Work/Therapist, MSW, LCSW
Hosted by Melody Brave
Clinical Social Work/Therapist, MSW, LCSW
Group meets in Springfield, MO 65807
Relationships have you exhausted, spiraling, or confused? Are you ready to build the skills to become a conscious companion yourself and develop a conscious partnership or relationship with others? With this monthly meeting membership, I will speak on a relationship topic for 30 minutes, followed by a 30 minute Q&A where you can ask me your questions and pressing relationship concerns. Together, we will step towards healthy one topic at a time!
(417) 350-8807 View (417) 350-8807
Open process and support group. Individual therapy is not required. We require one intake appointment and a 90-day commitment. This commitment helps ensure group cohesion and safety. Group is a 75-minute session. Each group is led by counselors trained as sex addiction therapists (CSAT) by the International Institute of Trauma and Addiction Professionals. The neurobiological basis of trauma and addiction are the foundation of our approach. Addiction is viewed as a behavioral problem not a moral failure. Community is the anecdote to addiction. We offer a professional and discreet environment to find your new people, places, and patterns.
Photo of Diana Eul - 417 Sex Help, Licensed Professional Counselor, LPC, CSAT, CPTT, CCBRT
Hosted by 417 Sex Help
Licensed Professional Counselor, LPC, CSAT, CPTT, CCBRT
Group meets in Springfield, MO 65804
Open process and support group. Individual therapy is not required. We require one intake appointment and a 90-day commitment. This commitment helps ensure group cohesion and safety. Group is a 75-minute session. Each group is led by counselors trained as sex addiction therapists (CSAT) by the International Institute of Trauma and Addiction Professionals. The neurobiological basis of trauma and addiction are the foundation of our approach. Addiction is viewed as a behavioral problem not a moral failure. Community is the anecdote to addiction. We offer a professional and discreet environment to find your new people, places, and patterns.
(417) 807-3757 View (417) 807-3757
Happiness - Explores your strengths, build positive emotions and relationships, and learn ways to deal with negative experiences. Search for Growth - Explore how you are wired and get to know yourself better. Search for Purpose - Explore your future goals and finding what makes you feel excited to get out of bed in the morning through the Japanese philosophy of “Ikigai,” or “life of purpose.”
Photo of Rhonda Ferguson - Synergy Counseling Center, Treatment Center
Hosted by Synergy Counseling Center
Treatment Center
Group meets in Springfield, MO 65804
Happiness - Explores your strengths, build positive emotions and relationships, and learn ways to deal with negative experiences. Search for Growth - Explore how you are wired and get to know yourself better. Search for Purpose - Explore your future goals and finding what makes you feel excited to get out of bed in the morning through the Japanese philosophy of “Ikigai,” or “life of purpose.”
(417) 595-0742 View (417) 595-0742
This group is for parents seeking support, practical strategies, and community as they navigate the challenges of raising children. Using Cognitive Behavioral Therapy (CBT) principles, the group helps parents develop effective communication, positive discipline techniques, and stress management skills. You'll learn how to manage your emotions, foster healthy relationships, and create a nurturing environment to support your child's well-being. This 6-week closed group meets weekly for 90-minute sessions, offering a safe space to share experiences, gain insight, and receive guidance. Topics include managing tantrums, setting boundaries, and building resilience in children, with practical tools you can apply immediately.
Photo of Diana Gregory, Clinical Social Work/Therapist, LCSW
Hosted by Diana Gregory
Clinical Social Work/Therapist, LCSW
Group meets in Springfield, MO 65897
This group is for parents seeking support, practical strategies, and community as they navigate the challenges of raising children. Using Cognitive Behavioral Therapy (CBT) principles, the group helps parents develop effective communication, positive discipline techniques, and stress management skills. You'll learn how to manage your emotions, foster healthy relationships, and create a nurturing environment to support your child's well-being. This 6-week closed group meets weekly for 90-minute sessions, offering a safe space to share experiences, gain insight, and receive guidance. Topics include managing tantrums, setting boundaries, and building resilience in children, with practical tools you can apply immediately.
(314) 912-2157 View (314) 912-2157
Using Brene Brown's "Connections" curriculum, this 12 part program offers a multifaceted approach to address issues relating to shame and to learn to develop shame resilience. The class is particularly suited for populations in treatment for substance abuse, abuse and trauma survivors, and individuals facing challenging life transitions requiring additional help with their relationships with others as well as enhancing their self esteem and self confidence.
Photo of Kristal McCleary, Licensed Professional Counselor, LPC
Hosted by Kristal McCleary
Licensed Professional Counselor, LPC
Group meets in Springfield, MO 65804
Using Brene Brown's "Connections" curriculum, this 12 part program offers a multifaceted approach to address issues relating to shame and to learn to develop shame resilience. The class is particularly suited for populations in treatment for substance abuse, abuse and trauma survivors, and individuals facing challenging life transitions requiring additional help with their relationships with others as well as enhancing their self esteem and self confidence.
(417) 344-5002 View (417) 344-5002
This class will be offered in three parts; What is Burnout?, Recovering from Burnout, and Rebuilding Better after Burnout. You will learn what got you to where you are, how you can recover physically, mentally, and spiritually, and how to create the healthy, happy life you so desire and deserve! You will leave class with concrete techniques and a set plan to turn things around and life your best life moving forward.
Photo of Richelle Massengale, Licensed Professional Counselor, MS, LPC
Hosted by Richelle Massengale
Licensed Professional Counselor, MS, LPC
Group meets in Springfield, MO 65804
This class will be offered in three parts; What is Burnout?, Recovering from Burnout, and Rebuilding Better after Burnout. You will learn what got you to where you are, how you can recover physically, mentally, and spiritually, and how to create the healthy, happy life you so desire and deserve! You will leave class with concrete techniques and a set plan to turn things around and life your best life moving forward.
(417) 815-6365 View (417) 815-6365
Recharge, reset, and reclaim balance with our monthly burnout coaching membership—a dedicated space for support, strategy, and transformation. Each month, you'll join a one-hour community call designed to help you manage stress, prevent burnout, and build resilience. We will spend the first half of the hour learning new skills and information, then the last part of the hour, you will be able to ask me anything that you wanted to ask a therapist but haven't been able to.
Photo of Richelle Massengale, Licensed Professional Counselor, MS, LPC
Hosted by Richelle Massengale
Licensed Professional Counselor, MS, LPC
Group meets in Springfield, MO 65804
Recharge, reset, and reclaim balance with our monthly burnout coaching membership—a dedicated space for support, strategy, and transformation. Each month, you'll join a one-hour community call designed to help you manage stress, prevent burnout, and build resilience. We will spend the first half of the hour learning new skills and information, then the last part of the hour, you will be able to ask me anything that you wanted to ask a therapist but haven't been able to.
(417) 815-6365 View (417) 815-6365
This group is designed for individuals with OCD or health anxiety who need skills to manage their intrusive thoughts and obsessional doubts, which often lead to compulsive behaviors like reassurance-seeking, checking, or avoidance. This group is based on Inference-Based CBT, which is an evidence-based treatment useful for OCD and health anxiety. The program is 12 modules in total, with plans to conduct the group over 8 weeks on Wednesday evenings from 5:15 - 6:30 pm. The next group is open for enrollment, with hopes to begin January 15, 2025.
Photo of Dr. Rachael Herrington Roldan, Psychologist, PhD
Hosted by Dr. Rachael Herrington Roldan
Psychologist, PhD
Group meets in Springfield, MO 65804
This group is designed for individuals with OCD or health anxiety who need skills to manage their intrusive thoughts and obsessional doubts, which often lead to compulsive behaviors like reassurance-seeking, checking, or avoidance. This group is based on Inference-Based CBT, which is an evidence-based treatment useful for OCD and health anxiety. The program is 12 modules in total, with plans to conduct the group over 8 weeks on Wednesday evenings from 5:15 - 6:30 pm. The next group is open for enrollment, with hopes to begin January 15, 2025.
(417) 213-5434 View (417) 213-5434

See more therapy options for 65806

FAQs - About Group Therapy and Support Groups

How can I find a support group in 65806?

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.