Support Groups in 92093

Support group for brain tumor patients and caregivers.
Photo of Valerie Rock, Psychologist, PsyD
Hosted by Valerie Rock
Psychologist, PsyD
Verified Verified
Group meets in La Jolla, CA 92093
I believe in providing a collaborative and supportive environment to maximize the therapeutic experience. I help clients cope with negative thoughts and behaviors that may hinder relationships and overall quality of life. Therapy is focused on building and nurturing interpersonal relationships and decreasing daily stress, by assisting clients in capitalizing on strengths and defining goals.
(619) 405-9898 View (619) 405-9898

More Groups Nearby

This group is a resilience-focused group focused on teaching and discussing self-care strategies, emotional regulation skills, and practical suggestions to promote health and emotional well-being, especially after the experiencing the extended period of isolation and high anxiety that the COVIC Pandemic created. Positive peer support will be encouraged. Maximum number of group members - 12 people.
Photo of Miriam Chor Freitas - Miriam Chor Freitas, LCSW., Clinical Social Work/Therapist, LCSW
Hosted by Miriam Chor Freitas, LCSW.
Clinical Social Work/Therapist, LCSW
Verified Verified
Group meets in Poway, CA 92064
Are you struggling with mental health challenges that are robbing you of your quality of life? Are you tired of feeling sick and tired and are you ready to transform your life? If so, let's do this! I'm a therapist who has worked with very diverse clients on trauma and a variety of other mental health issues and challenging life circumstances for over 15 years. It's is not our difficulties that define us but our willingness to recognize the problem and start the journey towards health and healing.
(858) 256-7984 View (858) 256-7984
Our hope is to provide a place to help our clients achieve their life goals, explore life-circumstances, move through difficult life transitions, repair injured relationships, develop a better understanding of themselves or a family member, decrease destructive behaviors, and move their healing forward. Our work is based on the belief that we are each influenced by a variety of factors including life experiences, family histories, and genetic predispositions. An increased understanding of ourselves and the things that influence our lives enable us to make more conscious healthier choices and changes.
Photo of Christiana Silva, Psychologist, PhD
Hosted by Christiana Silva
Psychologist, PhD
Verified Verified
Group meets in La Mesa, CA 91942
Dr. Silva is the Chief Behavior Health Officer for San Diego based mental healthcare provider Fusion Care Group. Fusion Care Group is changing the way people think about and receive mental health service and support. We offer a welcoming and accepting environment where you can feel calm and comfortable while in our care. Our relaxed, modern atmosphere and our amazing, highly trained Psychologists, Psychiatrists and therapists are here for you. Our hope is to provide a place to help our clients achieve their life goals, explore life-circumstances, move through difficult life transitions.
(619) 916-4099 View (619) 916-4099
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! To join, complete this form: https://form.jotform.com/managerchg/men
Photo of Chris Chandler, Licensed Professional Counselor, LPCC, LPC, CSAT-S
Hosted by Chris Chandler
Licensed Professional Counselor, LPCC, LPC, CSAT-S
Verified Verified
Group meets in San Diego, CA 92101
My passion is to help people rebuild their relationship with God; to thrive in sobriety. I have extensive experience with individuals that struggle with addictive and compulsive behaviors such as: sex, pornography, drugs, alcohol, codependent relationships, etc. Over the past few years, I obtained more specialized education to specifically assist with sex, pornography and lust addiction through the work of Dr. Patrick Carnes Ph.D; a pioneer in the field of sex addiction. His work combined with a method to heal relational/attachment wounds, called "IFS", is the best strategy that I have found for recovery.
(213) 556-3714 View (213) 556-3714
Photo of Tim Lloyd, Marriage & Family Therapist, PhD, LMFT, BCBA, MCAP
Hosted by Tim Lloyd
Marriage & Family Therapist, PhD, LMFT, BCBA, MCAP
Verified Verified
Group meets in San Diego, CA 92108
(407) 543-1368 View (407) 543-1368
What are your next steps? Are you looking for meaningful connection with others dealing with some of the same challenges and life transitions? Join a group of women with similar experiences and concerns. This therapist led group provides a safe space for sharing, making connections, and growing together. Psychologist Jody Helmus, Ph.D brings real world experience, humor, and enlightenment to help women through divorce become aware of the new life opportunities and supports to help you thrive.
Photo of Julieann Myers - Julieann Myers-Center for Healthy Change, Clinical Social Work/Therapist, LCSW, MAC, EMDR, CSAT, TRMII
Hosted by Julieann Myers-Center for Healthy Change
Clinical Social Work/Therapist, LCSW, MAC, EMDR, CSAT, TRMII
Verified Verified
Group meets in Del Mar, CA 92014
I am a Clinical Social Worker, Masters Level Addiction Counselor, Certified in EMDR, Couples Institute Trained -Couples Therapist, and an approved EMDRIA consultant. I work from Attachment and Trauma Informed Frameworks.after more than three decades I couple my intuitive knowledge with the latest psychotherapeutic and empirically-based approaches in counseling. I especially enjoy working with individuals, families and couples in an immersive/intensive structured model. Additionally, I work in tandem with Katy Joy Freeman an LMFT licensed therapy who works online with clients.
(858) 330-5098 View (858) 330-5098
I run a weekly DBT skills group that is informative, engaging, and entertaining. DBT skills groups focus on the following areas: Mindfulness, Emotion Regulation, Distress Tolerance, and Interpersonal Effectiveness. These skills are especially helpful for clients who are looking to stop problematic behaviors, but EVERYONE can benefit from learning DBT skills.
Photo of Julie Trim - Julie Trim, PhD & Associates, Psychologist, PhD
Hosted by Julie Trim, PhD & Associates
Psychologist, PhD
Verified Verified
Group meets in San Diego, CA 92121
Hello! Our clinic specializes in depression, anxiety, disordered eating and eating disorders (EDs), trauma and PTSD, and difficulties with emotion regulation. We also have extensive experience in providing therapy to college students, athletes, and LGBTQ clients. We offer a DBT skills group, a body image group, and a perfectionism group. Whenever possible, we use treatments that have proven efficacy, but we customize treatment to the particular needs of our clients. We approach our clients with respect, warmth, and cultural humility and feel that having a strong therapeutic relationship is central to the success of therapy.
(858) 295-0435 View (858) 295-0435
STARTS 10/9/24 every Wednesday evening for 7-weeks. Using primarily Cognitive Behavioral Therapy (CBT), this group will help empower women to regain control of their lives. CBT is a therapy treatment that helps people see the relationship between their beliefs, thoughts, and feelings, and subsequent behavioral patterns and actions. Women will explore their negative perceptions about self-worth, value and identity and how it directly influences responses to situations. Negative perceptions allow women to surrender their control, power and voice to others, which allow their own maltreatment. By learning effective coping skills, women will encourage one another's empowerment.
Photo of Darlene R Townes - Dr. Darlene Townes, PsyD - The Fountain, Psychologist, PsyD
Hosted by Dr. Darlene Townes, PsyD - The Fountain
Psychologist, PsyD
Verified Verified
Group meets in San Diego, CA 92126
Do you struggle with negative thoughts affecting your identity, mood or behaviors? Have you been diagnosed with a chronic mental illness? Do you feel stuck in your life due to emotional or physical pain from relationships, traumatic events or marginalization? Do you long for a safe person to process these events or unspoken secrets too unbearable to speak out-loud? Maybe you are having problems in your relationships, communication, or too many non-negotiable areas. Well, you are not alone.
(858) 264-0511 View (858) 264-0511
Photo of Dr. Sara Giglio Patterson, Psychologist, PhD
Hosted by Dr. Sara Giglio Patterson
Psychologist, PhD
Verified Verified
Group meets in San Diego, CA 92117
(858) 943-2871 View (858) 943-2871
This is an ongoing group for adolescent girls in grades 7-9 who struggle with understanding, acquiring and using appropriate social skills. The main goal is to improve social interaction skills through psycho-education, rehearsal, processing and other functional activities. Groups Is held in Encinitas, CA Dates: Tuesdays 4:30-5:45 Space: Limited to 6 individuals per group
Photo of Valerie L. Zar, Psychologist, PsyD
Hosted by Valerie L. Zar
Psychologist, PsyD
Verified Verified
Group meets in Encinitas, CA 92024
Is your pre-teen or teen-age child unusually irritable, withdrawn, sad, angry or tearful? Teens will often open up to therapists when they don't talk to parents. If your teen is refusing school, or not enjoying life, s/he may be struggling with anxiety or depression, inadequate social skills, bullies, feeling different, sexual identity, parental divorce, or body image worries. I offer a warm, nurturing and safe environment for adolescents to share their feelings and start to feel better about themselves. I enjoy helping adolescents and parents find their way during these difficult times.
(760) 621-0547 View (760) 621-0547
We emphasize the right of families and individuals to complete treatment goals and receive services that enhance our human dignity and are consistent, continuous and intense as needed. We work for the right to linguistically and culturally competent mental health services. We voice people's needs and promote cultural psychology.
Hosted by Sonia Carbonell
Psychologist, PsyD
Verified Verified
Group meets in San Diego, CA 92120
I love the work I do, although it involves dealing with people's painful life events and dynamics. I strongly believe in change. I am privileged because daily I witness our human capacity for healing and growth. My ideal client is the one ready to face truth, find hope and strength to change his or her life circumstances. My style, training, and professional experience emphasize understanding culture, working in the context of family and community, completing treatment goals, developing prevention plans and understanding our individual and family histories (short and long term treatment according to family or individual's needs).
(619) 320-6296 View (619) 320-6296
Coming Home Together is a group for Asian American adults who are interested in exploring the relationship between Asian American identity and mental health. It can be hard to discuss mental health in Asian American communities, which feels very isolating. This group can be a great place to build connections with other people who have similar life experiences or interests. You will get to process your experience as an Asian American navigating mental health amidst family expectations, cultural tensions, and other influential factors with the support of a therapist and other group members.
Photo of Esther Chau, Marriage & Family Therapist, MS, LMFT
Hosted by Esther Chau
Marriage & Family Therapist, MS, LMFT
Verified Verified
Group meets in San Diego, CA 92116
Welcome! I'm so glad you are here. I work with clients, often Asian American/BIPOC, who want to try something new in order to know themselves more deeply and fully. Are you ready to engage in re-building fulfilling relationships - within yourself and with others? Using Internal Family Systems (IFS) therapy, my role is to be a collaborative, compassionate witness who supports you as you explore and connect with parts of yourself that have been pushed away or ignored. Experiences I often work with include anxiety, grief, and trauma which can be caused by painful relationships, stressful life changes, and family/cultural expectations.
(619) 870-8580 View (619) 870-8580
Has anyone ever told you that your life would make a good story? There is clarity and connection that comes from writing a story for an audience (even just an audience of one), that can be transformational. This process is not about writing skills, only your willingness to dig deeper into understanding yourself as the main character. I can work with you individually or in a group to help you see your story in a way that may be different than the one you have told yourself. No matter how the story starts and ends, the hero is always you.
Photo of Anna Menniti, Marriage & Family Therapist, MA, LMFT
Hosted by Anna Menniti
Marriage & Family Therapist, MA, LMFT
Verified Verified
Group meets in Carlsbad, CA 92011
In times of transitions like getting married, having kids, getting divorced or changing careers, the wounds you thought were dealt with, can unexpectedly resurface. Past trauma (large or small) may have always been in the background unknowingly affecting every decision you ever made. Unresolved trauma can manifest as issues around self-esteem, depression, anxiety, or a pattern of choosing the wrong partner, or a job that makes you feel stuck. Maybe it manifests in the feeling of longing for something you don't have, even when you feel like you have it all.
(760) 227-5264 View (760) 227-5264
We don't believe in a "one-sided" therapeutic approach ... with the Family Bootcamp - parents are involved too. So, while the youth are experiencing the wilderness, parents remain in St. George and participate in an intensive two day "Parenting Boot Camp." Under the direction of Daniel Sanderson, Ph.D., parents engage in two days of comprehensive parent training sessions focused on the discovery and disruption of unhealthy family dynamics. Dr. Sanderson's trademark theory of Developmental Vacation provides the underpinnings of the instruction.
Photo of Kena Frey - Family Bootcamp, Treatment Center, LCSW
Hosted by Family Bootcamp
Treatment Center, LCSW
Verified Verified
Group meets in Escondido, CA 92027
Based in beautiful St. George, Utah; the Family Bootcamp provides youth and parents with a life-changing five day intense, therapeutic wilderness experience in the heart of the high desert, majestic red rocks in Southern Utah. A Family Bootcamp is the ideal intervention for families that are not yet ready to place their teen in a long-term residential treatment program but are seeking help learning to manage problematic behaviors that are occurring in the home.
(866) 370-0317 View (866) 370-0317
A support group for survivors of childhood trauma, focusing on those with parental figures who had personality disorders and/or substance abuse disorders.
Photo of Whitney Carter, Licensed Professional Counselor, LPC
Hosted by Whitney Carter
Licensed Professional Counselor, LPC
Verified Verified
Group meets in La Mesa, CA 91942
Currently accepting new telehealth clients in California, Tennessee, and Kentucky. I am a therapist with 10+ years experience, specializing in Grief, Loss & Trauma. I work primarily with adults who experienced childhood trauma and military trauma. I previously worked with active duty, veterans, and families through the DoD and VA contracting in Tennessee before relocating to California with my therapy dog, Patrick.
(931) 348-4149 View (931) 348-4149
At Personal Evolution Psychotherapy (PEP), we offer DBT Skills Groups designed to help you manage emotions, reduce stress, and improve relationships. You will learn: - Mindfulness: Staying present and managing daily emotions. - Distress Tolerance: Coping with stress without increasing distress or causing harm. - Interpersonal Effectiveness: Improving communication, setting boundaries, and advocating for yourself. - Emotional Regulation: Gaining control over your emotions, changing emotion-driven thinking, and problem-solving effectively. Using these skills can improve every aspect of your life. Call or email PEP today for more information!
Photo of Soojin Poole - Soojin Poole - Personal Evolution Psychotherapy, Marriage & Family Therapist, LMFT
Hosted by Soojin Poole - Personal Evolution Psychotherapy
Marriage & Family Therapist, LMFT
Verified Verified
Group meets in San Diego, CA 92108
Is excessive worry or sadness limiting your life? Do you want to feel better and live a life worth living? Helping our clients overcome social anxiety, depression, communication & relationship issues, panic, excessive worry & depression is our primary focus. Visit Us at www.PersonalEvolutionPsychotherapy.com. By using proven therapy methods (We are Dialectical Behavior Therapy - DBT specialists) we will focus on specific problems, solutions, skills & reachable goals. We provide much more than traditional talk therapy & help you get results to help control your emotions & your life. By doing this we can help more quickly. Call us today to schedule an appointment.
(619) 787-6676 View (619) 787-6676
Group Teletherapy participation available : Additional groups available are Co-Dependent Recovery, High Conflict Parenting, DV- Offender and Victim, Study Group (Holding on when you want to let go - Changing to Hope when life is falling apart (Sheila Walsh)
Photo of Linda Murlene Ojeda, Marriage & Family Therapist Associate, MFTA, CAT, DV/VOC, SUD, EMDR
Hosted by Linda Murlene Ojeda
Marriage & Family Therapist Associate, MFTA, CAT, DV/VOC, SUD, EMDR
Verified Verified
Group meets in La Mesa, CA 91942
Get back to your best you! I believe therapy provides support in processing through what's working and what's not working for you to improve and build on your personal strengths. During our sessions we can work towards developing new coping skills while improving your relationships in this process. I am here to support you towards reaching your personal goals while reinforcing your core values. Through this process I will collaboratively work with you to bring hope, joy, and a renewed outlook on life.
(858) 240-8292 View (858) 240-8292
Groups empower you to become self-aware, counter negative thoughts, grow, hold firm to our values and/or accept life. Come enhance your skills to make choices that literally work for You! VIRTUAL Mon or Tue 6-7pm PST $50 each or insurance. LiT Choices Cognitive Behavioral Therapy (CBT) ~Mindfulness~Strength~Acceptance. Tuesday’s CBT groups include LYDIA “KAYE” DARR, J.D. a Certified Christian Life Coach since 2011 whose mission is to empower individuals to bring about the change they desire. “Live Real, Bold, Loved, Free!” Four session minimum.
Photo of Latrese Thompson, Licensed Professional Clinical Counselor, MS, LPCC, CRC
Hosted by Latrese Thompson
Licensed Professional Clinical Counselor, MS, LPCC, CRC
Verified Verified
Group meets in San Diego, CA 92105
Virtual group or individual therapy. Stuck or unmotivated to take action when you think about becoming a better you. It’s time to challenge those negative thoughts together in a confidential safe environment where you may share your feelings without the fear of judgment. Experiencing symptoms of or at-risk for medical, physical and/mental disorders, stress, anxiety, depression, grief, loss, trauma, relationships or career challenges? Contact me to discuss and define choices that literally work for you in short term, ongoing or occasional individual, family and/or group therapy.
(858) 500-1238 View (858) 500-1238
As an Art Therapist, I believe that everyone is an artist. This one-time, immersive expressive arts group offers a space to explore creativity, self-reflection, and connection in a supportive, therapeutic setting. Through a blend of somatic work and art therapy, participants will engage in deep self-exploration, awaken their inner creativity, and gain insight into different parts of themselves. This three-hour intensive is an opportunity to experience the healing power of art in a group setting—no ongoing commitment required. No art experience necessary. Next group begins in April!
Photo of Shannon Jones - Shannon Jones - Holistic Therapy, Marriage & Family Therapist Associate, AMFT, AT
Hosted by Shannon Jones - Holistic Therapy
Marriage & Family Therapist Associate, AMFT, AT
Verified Verified
Group meets in San Diego, CA 92104
Are you feeling lost, stuck, or like there’s no solid ground beneath your feet? If you’ve found your way here, I believe you’ve already taken a significant step on your journey toward personal growth. Whether you’re seeking clarity, acceptance, or a deeper sense of well-being, I’m here to support you. As a trauma-informed therapist, I take a holistic and humanistic approach, integrating mindfulness, somatic therapy, and art therapy into our work together. My goal is to create a compassionate, judgment-free space where we can explore patterns and relationships to help you rediscover connection, fulfillment, and joy in your life.
(858) 257-0319 View (858) 257-0319
RSVP is required. To RSVP or if you have questions, PLEASE ONLY EMAIL GROUP4OCD@GMAIL.COM, this is different than the email that is linked in my PT profile. Free support groups for adults (18+) who have been diagnosed with OCD. 3 Options for Support Groups: Virtual group open to anyone in California-takes place the 1st Tuesday of the month from 6-730pm. In person support groups offered in San Diego, Hillcrest neighborhood. In person support groups taking place the 3rd Monday of the month from 6-730pm.
Photo of Susan C Chudy - Susan Chudy, LCSW, Clinical Social Work/Therapist, LCSW
Hosted by Susan Chudy, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Group meets in San Diego, CA 92103
She/Her/Hers. Update: 3/20/2025- I have current availability for new clients! If you are looking for acceptance, understanding, and time to really focus on you, I think that we would be a great fit! I’m interested in getting you on board and establishing goals that we can both agree on-the alliance with my client is very important to me. With two decades of experience in treating OCD and related conditions, I am committed to helping individuals regain control over their lives. My approach is grounded in evidence-based practices, and I am passionate about working collaboratively with clients to create tailored treatment plans
(619) 391-2854 View (619) 391-2854
FAQs - About Group Therapy and Support Groups

How can I find a support group in 92093?

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.