Support Groups in 75033

Social skills therapy isn't just for specific groups of kids. It can benefit any child, diagnoses or not, who needs practice and coaching to become a more socially mindful and successful communicator. * Join in and connect with peers * Read social cues and navigate social situations * Engage in cooperative negotiation & conflict management * Use flexible thinking * Take the perspective of others * Use mindfulness mediation to calm thoughts and feelings, and learn to understand internal emotions. Click on this link to enroll: https://form.jotform.us/72347261963158
Photo of Jeanine Roddy - Frisco Feeding & Speech Therapy, MA, CCC, SLP
Hosted by Frisco Feeding & Speech Therapy
MA, CCC, SLP
Verified Verified
Group meets in Frisco, TX 75033
Jeanine Roddy, M.A., CCC-SLP., has successfully practiced speech therapy, feeding therapy and communication skills training for over 12 years. Jeanine and our certified SLP's are focused on the evaluation and treatment of preschool and school age children with executive functioning issues related to ADHD, speech and language impairments, feeding disorders, and social skills training. If you are interested in reading about what parents say about Jeanine and our speech therapists you can check our Google reviews or click here: https://goo.gl/maps/h8YkBaj3XMN2
(469) 629-7299 View (469) 629-7299
Do opposites attract? Or, do birds of a feather flock together? Whether you're single or in a relationship, this workshop is for you. You'll learn about different ways psychologists have conceptualized personality. Understand what factors make up your personality and how personalities interact in a romantic relationship to make the relationship better or worse. Learn what factors to consider when choosing a partner or when dealing with your current partner. Go to my website to register for this workshop scheduled for 6/26/18.
Photo of Shaalon Joules, Psychologist, PhD
Hosted by Shaalon Joules
Psychologist, PhD
Verified Verified
Group meets in Frisco, TX 75033
I conduct diagnostic evaluations, intelligence testing, personality testing, and cognitive-behavioral therapy. I work mostly with clients age 18 and older. In treatment, issues addressed include anxiety disorders, coping with stress, relationship/marital issues, cultural/spiritual issues, mood disorders, and issues related to aging. I also conduct workshops on different psychological topics. For example, how to manage differences in personality or financial attitudes in a romantic relationship. Or, how to manage conflict in romantic relationships. Workshop details can be found on my website.
(469) 242-2194 View (469) 242-2194
Photo of Priya Singhvi, Licensed Professional Counselor, LMFT-S, LPC-S, CFT™
Hosted by Priya Singhvi
Licensed Professional Counselor, LMFT-S, LPC-S, CFT™
Verified Verified
Group meets in Frisco, TX 75033
(469) 874-6793 View (469) 874-6793
Our group provides a non-judgmental environment to explore your sexual behaviors, emotions, and relationships. Unlike traditional SAA groups, our group is led by a licensed therapist who has extensive training in sex addiction recovery. Our group leaders have all "done the work" and achieved lasting recovery, meaning you will always work with someone who knows exactly what you're going through. This group is designed to meet the unique needs of individuals struggling with compulsive sexual behaviors, regardless of how symptoms are presenting.
Photo of Drew Driver, Licensed Professional Counselor, CSAT-C, LCDC-I, NCC, MA
Hosted by Drew Driver
Licensed Professional Counselor, CSAT-C, LCDC-I, NCC, MA
Verified Verified
Group meets in Frisco, TX 75033
If you are struggling to control your unwanted sexual behaviors, despite your best efforts, and it has put significant strain on relationships, family, job, or other areas of your life: I see you. I have walked the road you are on - successfully - and look forward sharing the way through with you. Sexuality is a normal, healthy part of adult life that can increase your emotional intimacy, strengthen your sense of self-image, and act as a buffer to outside stressors. In short, sex matters. But when sexual behaviors become compulsive, destructive, or illegal, it's time to get help.
(945) 800-4018 View (945) 800-4018
There are two SA groups: Mondays 6:30-8pm & Tuesdays 7-8:30am. Each group allows men to find stability for the early stages of sexual addiction recovery in a confidential environment online. We will use the Facing The Shadow workbook(s) by Dr. Patrick Carnes to build a solid base for consistent sobriety. There will be weekly "check-ins" for positive accountability. We will not just talk but put the principles into practice with action and a "band of brothers" strategy that has been proven to provide life-changing results. This group will meet weekly for 9-12 months.
Photo of Bruce Andrew Thomas, Marriage & Family Therapist Associate, LPC-A
Hosted by Bruce Andrew Thomas
Marriage & Family Therapist Associate, LPC-A
Verified Verified
Group meets in Frisco, TX 75033
There is a pathway to peace. I have specialized CSAT training that offers restoration & recovery for couples in crisis and individuals in distress affected by sex/porn addiction and/or abuse related issues. At Haven Counseling, you will find confidential therapy allowing you to talk safely about private struggles. I have been in that place and know the way out. Research-based, proven methods will help you find hope and recovery. It takes A LOT of courage to ask for help, but making the call or booking the session online can change your life. It has certainly changed mine.
(214) 915-2624 View (214) 915-2624
Stonebriar Counseling Associates offers anger management classes with our certified anger management specialist. Through our anger management classes, evaluations, and coaching sessions - we assess anger issues along with the persons needs and coping skills. We then teach empirically based skills such as; relaxation, behavioral, and cognitive strategies that incorporate emotional intelligence in the areas of development.
Photo of Robert Good - Stonebriar Counseling Associates
Hosted by Stonebriar Counseling Associates
Verified Verified
Group meets in Frisco, TX 75033
Stonebriar Counseling Associates is a diverse group of private mental health therapists who provide counseling services for children, teens, adults, families, and all forms of relationship counseling such as marriage, divorce, couples, and premarital. We offer a comforting, supportive, non-judgmental therapeutic environment to work on difficult issues and mental health symptoms. Our focus is to help individuals heal, energize, and become aware of their inner strengths. At Stonebriar Counseling Associates we focus not on a diagnosis but rather the best care for our clients by giving them hope today for a better tomorrow.
(833) 969-1368 View (833) 969-1368
Whether you're single or in a relationship, this workshop is for you. Get comfortable talking about money matters because it is part of your daily life! Understand what your financial personality is and how that affects your compatibility with your current or future significant other. Identify your financial views/goals and learn how to manage differences in financial personalities. Go to my website to register for this workshop scheduled for 6/19/18.
Photo of Shaalon Joules, Psychologist, PhD
Hosted by Shaalon Joules
Psychologist, PhD
Verified Verified
Group meets in Frisco, TX 75033
I conduct diagnostic evaluations, intelligence testing, personality testing, and cognitive-behavioral therapy. I work mostly with clients age 18 and older. In treatment, issues addressed include anxiety disorders, coping with stress, relationship/marital issues, cultural/spiritual issues, mood disorders, and issues related to aging. I also conduct workshops on different psychological topics. For example, how to manage differences in personality or financial attitudes in a romantic relationship. Or, how to manage conflict in romantic relationships. Workshop details can be found on my website.
(469) 242-2194 View (469) 242-2194
Intensive Outpatient Program (IOP) includes groups three times per week and individual therapy or family therapy weekly. This structure offers support and assists in developing new coping strategies, reaching goals, improving family relationships, exploring and identifying maladaptive thinking and behaviors, and developing new strategies to improve your life.
Photo of Stephanie McGill, Drug & Alcohol Counselor, LCDC
Hosted by Stephanie McGill
Drug & Alcohol Counselor, LCDC
Verified Verified
Group meets in Frisco, TX 75033
Hi, I'm Stephanie McGill, and I have been helping families restore structure, find peace of mind, and recover from mental health and substance abuse challenges for more than 12 years. I enjoy working with families, teens, and couples. I strive to understand your life challenges and goals and then work with you on developing a treatment plan to reach your desired outcomes. Access Counseling Group is CARF accredited, meaning we hold ourselves to a much higher standard than the State licensing boards. I look forward to partnering with you on your road to recovery.
(214) 380-3351 View (214) 380-3351
Curiosity is the main reason most teenagers (and children) search out "sex" and other sexual terms. The Pandora's box of pornography can seem innocent at first, but the magnetic draw can very quickly become addictive and lead the young person to isolation, keeping secrets, and a double life. Our weekly teen recovery group in Frisco, TX seeks to confidentially help teenagers between 13-18 find practical solutions to reclaim their brains. Please reach out to see if this group might be a good fit.
Photo of Bruce Andrew Thomas, Marriage & Family Therapist Associate, LPC-A
Hosted by Bruce Andrew Thomas
Marriage & Family Therapist Associate, LPC-A
Verified Verified
Group meets in Frisco, TX 75033
There is a pathway to peace. I have specialized CSAT training that offers restoration & recovery for couples in crisis and individuals in distress affected by sex/porn addiction and/or abuse related issues. At Haven Counseling, you will find confidential therapy allowing you to talk safely about private struggles. I have been in that place and know the way out. Research-based, proven methods will help you find hope and recovery. It takes A LOT of courage to ask for help, but making the call or booking the session online can change your life. It has certainly changed mine.
(214) 915-2624 View (214) 915-2624
This group is for couples who are uncomfortable talking to each other about sex and what they like. Many couples know how to have sex, but when it comes to talking about what turns you on or when you want to have sex you expect your partner to know. This group will help move barriers.
Photo of Tatiana Smith Robinson, Licensed Professional Counselor, MA, LPC-S
Hosted by Tatiana Smith Robinson
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Group meets in Frisco, TX 75033
Is your relationship in a relationslip? Lack of sex and communication? Infidelity? Forgetting to Date your spouse? Are life's issues getting overwhelming? Is it hard to cope and get your stress under control? Let me help you in these areas. If you're looking for extra support and guidance through a challenging situation, marriage, or you're just ready to move in a new direction in your life, I look forward to hearing from you and working with you to achieve your goals.
(469) 214-0275 View (469) 214-0275
Confidential recovery group for couples overcoming the trauma of betrayal and infidelity. Group is limited to four couples at a time. This is a twelve week processing group, with a tailor made curriculum, that includes: full group time, split sessions between husbands and wives, check-ins, and professional and peer feedback. Cost per couple is $250/month.
Photo of Bruce Andrew Thomas, Marriage & Family Therapist Associate, LPC-A
Hosted by Bruce Andrew Thomas
Marriage & Family Therapist Associate, LPC-A
Verified Verified
Group meets in Frisco, TX 75033
There is a pathway to peace. I have specialized CSAT training that offers restoration & recovery for couples in crisis and individuals in distress affected by sex/porn addiction and/or abuse related issues. At Haven Counseling, you will find confidential therapy allowing you to talk safely about private struggles. I have been in that place and know the way out. Research-based, proven methods will help you find hope and recovery. It takes A LOT of courage to ask for help, but making the call or booking the session online can change your life. It has certainly changed mine.
(214) 915-2624 View (214) 915-2624
The (Women only) group's focus is to teach specific anger control skills and prosocial means of managing individual impulse control necessary for healthy and happy interpersonal relationships.
Photo of Kevin D. Curry III, Licensed Professional Counselor, MEd, LPC, BCPC, CART
Hosted by Kevin D. Curry III
Licensed Professional Counselor, MEd, LPC, BCPC, CART
Verified Verified
Group meets in Frisco, TX 75033
I am honored to have the opportunity to work with you and assist you in reaching your desired goals and optimal level of health. My approach to service provision is based in the foundational precept that every individual is a special, unique being that deserves unconditional positive regard, respect, and full autonomy. If you choose to receive services from me I can assure you that you will be afforded the highest level of commitment to your concerns; precise and thoughtful interventions; and efficiency in reaching your targets.
(469) 535-7812 View (469) 535-7812
Our evening Intensive Outpatient Program (IOP) is designed to balance recovery with your busy schedule. We focus on healing the whole family by restoring structure through clear expectations, rules, and boundaries. Participants attend group sessions three times a week and individual or family sessions once a week. Family involvement is essential for eligibility. Our multi-disciplinary team works with you and your family to provide the support needed for lasting recovery, all while respecting your time and commitments. We're here to help you rebuild and heal together.
Photo of Irene Little - Access Counseling Group, Treatment Center, LCDC, ICADC, ADCIII, CCC-SLP, LMFT-S
Hosted by Access Counseling Group
Treatment Center, LCDC, ICADC, ADCIII, CCC-SLP, LMFT-S
Verified Verified
Group meets in Frisco, TX 75033
We mend the hole in your family by healing the whole family. Since 2007 we have guided families to recovery from substance use and mental health disorders. We strive to understand individual and family goals and create a personalized plan tailored to those needs. Our approach focuses on what works best for you, ensuring lasting recovery. Our treatment includes individual and family counseling and intensive outpatient groups. Commitment to attendance, accountability, and family involvement is essential for success. Together, we’ll rebuild, restore, and reclaim a future free from addiction.
(972) 360-9422 View (972) 360-9422
This group is for young girls ages 10-13 to help with self-esteem, confidence, self-image, friends, and decision making.
Photo of Tatiana Smith Robinson, Licensed Professional Counselor, MA, LPC-S
Hosted by Tatiana Smith Robinson
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Group meets in Frisco, TX 75033
Is your relationship in a relationslip? Lack of sex and communication? Infidelity? Forgetting to Date your spouse? Are life's issues getting overwhelming? Is it hard to cope and get your stress under control? Let me help you in these areas. If you're looking for extra support and guidance through a challenging situation, marriage, or you're just ready to move in a new direction in your life, I look forward to hearing from you and working with you to achieve your goals.
(469) 214-0275 View (469) 214-0275
Whether you're single or in a relationship, this workshop is for you. Even if the best of relationships, we all hit a rough patch. Sometimes it's brief. Sometimes it seems to last forever. Regardless, we all hope our relationship can return to smoother times. Learn about the main factors that destroy relationships and how to overcome them so that your relationship flourishes. Go to my website to register for this workshop scheduled for 6/12/18.
Photo of Shaalon Joules, Psychologist, PhD
Hosted by Shaalon Joules
Psychologist, PhD
Verified Verified
Group meets in Frisco, TX 75033
I conduct diagnostic evaluations, intelligence testing, personality testing, and cognitive-behavioral therapy. I work mostly with clients age 18 and older. In treatment, issues addressed include anxiety disorders, coping with stress, relationship/marital issues, cultural/spiritual issues, mood disorders, and issues related to aging. I also conduct workshops on different psychological topics. For example, how to manage differences in personality or financial attitudes in a romantic relationship. Or, how to manage conflict in romantic relationships. Workshop details can be found on my website.
(469) 242-2194 View (469) 242-2194

More Groups Nearby

Are you a parent? Do you feel overwhelmed, frustrated, confused, or exhausted? Is your child not meeting your expectations? Ready for change? Then this group is for you! The focus is on helping you learn the skills needed to build a stronger relationship with your child. Please call for further information.
Photo of Chelsea Yurkovich, Licensed Professional Counselor, PhD, LPC-S, RPT
Hosted by Chelsea Yurkovich
Licensed Professional Counselor, PhD, LPC-S, RPT
Verified Verified
Group meets in Highland Village, TX 75077
I believe counseling is a supportive environment within which all persons can seek both understanding and acceptance. Within my counseling work, I emphasize the importance of a trusting, therapeutic relationship with each and every client in order to allow for healthy growth and change. My passion lies with working with children, adolescents, and families in a safe, non-judgmental environment. My experience includes working with children, adolescents, teens, parents, and adults dealing with various mental health issues.
(972) 200-1415 View (972) 200-1415
Join this virtual group to learn strategies to cope with trauma, build a healthy & safe relationship with yourself and others, & to increase coping skills. Members from Texas, Florida, Louisiana, or Virginia welcomed, max 8 participants. Thursdays 8:00am-9:00am CT. $50/group- billed monthly. This group is designed to offer tools and support for those who are healing from past hurts or trauma. We cover topics such as Red & Green flags, Taking Back Your Power, Healthy Relationships, Detaching from Emotional Pain, Making Meaning, Recovery Thinking, Setting Boundaries, Coping with Triggers, Healing from Anger & more.
Photo of Michelle Spurgeon, Clinical Social Work/Therapist, MSSW, LCSWS
Hosted by Michelle Spurgeon
Clinical Social Work/Therapist, MSSW, LCSWS
Verified Verified
Group meets in Dallas, TX 75214
Clients I work with may be trying to find their footing after overwhelming experiences, traumatic experiences, experiencing anxiety, or a big change. So much is different, but there are moments when it feels hard- harder than you hoped it would be by now. You’ve wondered how much those challenges have impacted who you are, how you feel, and how you connect in relationships. Even if you’ve found ways to get by- it doesn’t have to keep being this hard. I want to come alongside you on this journey and discover how much better it can become.
(469) 770-9470 View (469) 770-9470
Modern men today are living in a world filled with conflicting messages about sexuality and masculinity. It’s easy to feel caught between social norms and the spiraling cycle of shame. If you’ve tried behavioral modification techniques only to find them lacking, this group offers a different path. Rather than simply focusing on behavior change, this group takes a maturity-centered approach, offering a supportive space to navigate challenges with honesty and clarity—guiding you toward deeper alignment with the heart of Christ. Sexual maturity is not merely about behavior modification. It’s about conforming to the heart of Christ.
Photo of Huy Lam, Licensed Professional Counselor, LPC
Hosted by Huy Lam
Licensed Professional Counselor, LPC
Verified Verified
Group meets in Melissa, TX 75454
I'm a professional counselor licensed in Texas, based in Melissa, and a PhD candidate at East Texas A&M. I work with couples, individuals and groups in a variety of issues, like relational conflicts, trauma, depression, anxiety, identity, loneliness, directionless, sexuality, and men’s issues.
View
I have four groups: (1) a Tuesday night group for general sex addiction, (2) a Saturday morning group for general sex addiction, (3) a Saturday morning group that is for longer term recovery, and (4) a Saturday morning group that is for intimacy issues. Groups meet for 90 minutes to report sobriety, threats to sobriety, tools to deal with those threats, and regular recovery activity to maintain sobriety. Each group concludes with a discussion of a practical tool to increase sobriety and recovery. Groups are also encouraged to support each other outside of the group sessions. Bi-monthly Saturday workshops are also conducted.
Photo of Eric Tooley, Licensed Professional Counselor, LPC, CSAT, CCPS, IAT, CCBRT-C
Hosted by Eric Tooley
Licensed Professional Counselor, LPC, CSAT, CCPS, IAT, CCBRT-C
Verified Verified
Group meets in McKinney, TX 75070
I help clients struggling with sexual issues and how those affect their relationships. Pornography use, affairs, emotional affairs, and online affairs can have a devastating effect on our primary relationship. How do you stop the behavior that is doing the damage? How can you repair the damage that has been done? Is the relationship salvageable at all? I can help. If you are not in a primary relationship, I can show you how the above behaviors may be keeping you from the successful intimate relationship that you desire.
(972) 433-5585 View (972) 433-5585
An ongoing teen group focused on social interactions through gaming such as Animal Crossing and Stardew Valley.
Photo of Vanessa Gill - Counseling Center of North Texas, Clinical Social Work/Therapist, LCSW
Hosted by Counseling Center of North Texas
Clinical Social Work/Therapist, LCSW
Verified Verified
Group meets in Wylie, TX 75098
***Now offering telehealth services*** Counseling Center of North Texas has multiple therapists with the education, experience, and desire to help you or a loved one with whatever obstacles you may face including conflict with family, relationships, school, and/or work, depression, anxiety, ADHD and other mental health disorders, grief/trauma, stressful life events, adoptions, domestic violence, child abuse and neglect, and self-harm/other unhealthy coping skills. Christian counseling is available. We see children 3 and up, adolescents, adults, and seniors for individual, marital, family, and group counseling.
(469) 275-4107 View (469) 275-4107

See more therapy options for 75033

FAQs - About Group Therapy and Support Groups

How can I find a support group in 75033?

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.