Support Groups in 94203

An ongoing support/process group for men of all ages. When men come together to help each other heal, magical things can happen. Join us!
Photo of Chris Tickner, Marriage & Family Therapist, PhD, MFT
Hosted by Chris Tickner
Marriage & Family Therapist, PhD, MFT
Verified Verified
Group meets in Sacramento, CA 94203
We all want to feel better from time to time. We get stuck, sad, scared, alone. And right now during these uncertain times, many of us are struggling. Well, there is good news! The field of psychology, through research in neuroscience, has uncovered new powerful and effective ways that really work to build our resilience, improve our lives and relationships, and help us feel more connected and alive. I want to help you experience all of that. You just need to reach out, which is hard. I promise you though, if you take that step, you will feel better.
(818) 492-9270 View (818) 492-9270
Join Us! If you want to Reconnect and Rebuild Relationship with Self, join this small and intimate 8 week group is for you! This would be an excellent complement if you are engaged in individual therapy services or have completed therapy and need extra support. Led by Me, a licensed psychotherapist- Join other women who get it! Issues related to anxiety, depression, relationships, people pleasing, perfectionism, childhood trauma/wounding and emotion dysregulation are common topics and themes! This is NOT psychotherapy, but a support/skill building group.
Photo of Kara Cruz - Kara Cruz - Kara Cruz Psychotherapy & Wellness, Marriage & Family Therapist, MA, LMFT, PMH-C
Hosted by Kara Cruz - Kara Cruz Psychotherapy & Wellness
Marriage & Family Therapist, MA, LMFT, PMH-C
Verified Verified
Group meets in Sacramento, CA 94203
You’ve Been Putting Yourself Last for Too Long. You’ve spent so much time taking care of everyone else that somewhere along the way, you lost yourself. You push through exhaustion, silence your needs, and tell yourself you’ll get back to you—eventually. But eventually never comes. It’s not just burnout. It’s deeper. It’s self-abandonment. Maybe you don’t trust yourself the way you trust others. Maybe you’ve learned that saying no comes with consequences. Maybe you’ve been so busy proving your worth that you’ve forgotten your own needs. Therapy and Wellness Groups for Women focused on Anxiety, Trauma and ADHD.
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We will meet weekly for 8 weeks to discuss all 10 Principles of Intuitive Eating. Members will learn, explore, discuss, and support one another in understanding and embodying these principles from a Health at Every Size Perspective. All bodies welcome. Reach out to book a free consult and see if this group would be a good fit. This group offers sliding scale pricing so no one is turned away due to lack of funds! Learn more here: www.mind-body-counseling.com
Photo of Martha Greenburg, Marriage & Family Therapist, LMFT
Hosted by Martha Greenburg
Marriage & Family Therapist, LMFT
Verified Verified
Group meets in Sacramento, CA 95816
Martha specializes in working with couples who keep having the same fights, challenges and stuck points around sex, communication, or emotional intimacy. Maybe you've felt disconnected or lonely in your marriage. Differences in libido, erectile dysfunction, struggles with orgasm, or sexless relationships are just some of Martha's specialties. She also supports individuals or couples dealing with codependency, attachment and rebuilding trust after infidelity or ruptures of trust. Martha is also trained in discernment therapy.
(530) 489-4990 View (530) 489-4990
Motherless Mothers Support Group 6-week support group for mothers or mothers to be currently aged 18 and older, who lost their mothers prior to the age of 22.  This group will provide a safe and nurturing place where women can connect and share their grief experiences and discuss the challenges that come from being a motherless mother. Please contact me for a brief screening prior to participation.  Group sessions are 75 minutes, 6 consecutive weeks, and the cost for the entire 6-week session is $350.  Participants need to be pre-registered and prepaid prior to the first session.  Sliding scale may be available.
Photo of Stephanie Brodsky, Clinical Social Work/Therapist, LCSW
Hosted by Stephanie Brodsky
Clinical Social Work/Therapist, LCSW
Verified Verified
Group meets in Sacramento, CA 95816
I have over 20 years of experience working with individuals, couples, adolescents and families. I specialize in working with issues including depression, anxiety, trauma, grief and loss. I help individuals with addictions issues, parenting, and have a special interest in pain management and pregnancy/postpartum counseling. I have special training in mindfulness techniques, addiction and mind/body connection as well as cross-cultural issues. My approach to therapy is supportive, educational, challenging and collaborative.
(916) 525-8570 View (916) 525-8570
An EMDRIA-certified EMDR therapist is part of an international community of trauma therapists on the cutting edge of brain-body healing. This virtual consultation group is for EMDR-trained therapist who are ready to take their next step toward certification. New group beginning January 2022.
Photo of Sharon Skelton, Marriage & Family Therapist, LMFT
Hosted by Sharon Skelton
Marriage & Family Therapist, LMFT
Verified Verified
Group meets in Sacramento, CA 95816
Have you lost your footing? I am a Certified EMDR Therapist specializing in traumatic grief counseling and helping people find their center after traumatic events. Sudden losses or traumatic events can throw you off balance. Unattended losses and past traumas can leave you feeling disconnected from the people you love. I use EMDR therapy and other therapeutic modalities to help people make sense of what's happened so they can live more joyfully in the present.
(916) 259-3941 View (916) 259-3941
Peer pressure, social acceptance, or escape, whatever the reason,substances use/abuse occurs all too often among our youth. The most difficult and potentially problematic stage of psychosocial development according to Erikson, appears to be the time of adolescence "Identity vs Role Confusion." This stage alone without the introduction of mood altering is challenging. Empower your children to succeed. For additional information or to sign up, contact Dorothy at: (916) 925-1459
Photo of Guy E Washington, Psychologist, PsyD, MA
Hosted by Guy E Washington
Psychologist, PsyD, MA
Verified Verified
Group meets in Sacramento, CA 95825
Collaboration is always in order when addressing individual differences and needs, since no two people are the same. My approach is to work close with patients utilizing empirically vallidated techniques conveyed in a user friendly manner. Identifying core conflicts, enhancing patient understanding and education,and treating underlying causes, not symptoms, is essential if relief from the distress is to be achieved.
(916) 913-9186 View (916) 913-9186
Group uses art therapy expressed through mandala format and visually represents character traits from Positive Psychology, as well as group processing and discussion of ways to use traits in coping and problem solving.
Photo of Faith Matter-Kratzer, Marriage & Family Therapist, LMFT, ATR
Hosted by Faith Matter-Kratzer
Marriage & Family Therapist, LMFT, ATR
Verified Verified
Group meets in Dixon, CA 95620
Welcome, I appreciate your interest in exploring the options of my practice. As a registered Art Therapist and Marriage and Family Therapist my approach tends to be interactive. I value a strength-based perspective with clients that focuses on identifying and building strengths as a means to achieve your goals, especially approaches to well being and happiness. I often use solution-focused and narrative approaches that include skill building through cognitive-behavioral techniques. I provide a variety of modalities to address clients' needs which includes art therapy groups for teens and adults as means of support and expression.
(707) 207-8489 View (707) 207-8489
Neurodivergent and struggling? Trying to figure it all out? Adulting? Navigating systems? Emotional regulation? Executive Dysfunction? Making or keeping friends? Life transitions or big changes? Come join us for a therapeutic process group!
Photo of Jackie MacNear, Marriage & Family Therapist, MA, LMFT
Hosted by Jackie MacNear
Marriage & Family Therapist, MA, LMFT
Verified Verified
Group meets in Davis, CA 95616
As a fat, queer, neurodivergent disruptor of societal norms and systems, I hold a strength-based attachment focused framework that values and celebrates all genders, sexualities, bodies, ethnicities, cultures, abilities, family structures, religions, and socio-economic locations. I see these intersectionalities as a beautiful tapestry of personal empowerments which can become the foundation from which we work collectively to identify, address and dismantle systems of oppression. I believe humans shouldn’t be pathologized in a society designed to keep people sick and stuck.
(530) 451-0350 View (530) 451-0350
A one-day, in-person workshop guided by an AASECT Certified Sex Therapist. Tailored for enhancing intimacy, this session empowers you to articulate desires and practice consent conversations. Explore practical skills to overcome common relationship hurdles, like desire disparities and miscommunication. Engage directly with others in a safe, inclusive space that is affirming of diversity. Gain actionable tools for immediate implementation, fostering clearer communication and consent conversations. Secure your spot now. Limited spaces available for optimal learning. For more information, contact Katie.
Photo of Katie Arlene Baptist, Clinical Social Work/Therapist, LCSW, CST
Hosted by Katie Arlene Baptist
Clinical Social Work/Therapist, LCSW, CST
Verified Verified
Group meets in Sacramento, CA 95825
I hold affirming space for visionary, non-conforming, pleasure seekers in California who need support and some inspiration for their sexual self-discovery journeys. I am an AASECT certified sex therapist, and provide education, skill building, and a shame free zone to talk about desire, identity, and relationships.
(916) 347-9741 View (916) 347-9741
This group is for men and women interested in: Improving relationship skills and managing related anxiety, depression, anger and isolation; deepening your capacity for intimacy, closeness and connection; exploring how you impact others and how others impact you; learning more about yourself as an individual and as part of larger relational contexts such as partnerships, families, friendships, work environments, etc.; and augmenting your individual or couples therapy with opportunities to try out new "ways of being" in a safe, supportive environment so you can communicate your needs more effectively.
Photo of Mitchel Adler, Psychologist, PsyD, CGP
Hosted by Mitchel Adler
Psychologist, PsyD, CGP
Verified Verified
Group meets in Davis, CA 95616
My practice focuses on helping people develop healthier relationships with themselves and others. I believe in building a safe, respectful and compassionate relationship with my clients where we can exchange direct, honest, and meaningful feedback. Within this trusting relationship, we can explore your challenges and strengths so that you have more healthy choices regarding your life goals. Whether you struggle with anxiety, depression, stress, anger, isolation, grief or relationship issues, or if you simply want to live more authentically and fully, there is hope. Key elements in the change process include curiosity and a desire to learn about yourself.
(530) 639-8000 View (530) 639-8000
Are you interested in learning how to use conflict to strengthen your marriage? This workshop, influenced by techniques and strategies developed by psychotherapist Terrance Real, will give you and your spouse the roadmap to make sure you are succeeding in your interactions so that you can fully and wholeheartedly show up in your relationships. Here you will learn the five losing and winning strategies for relationships, how to effectively give feedback, how to properly utilize time out’s, perspective taking, and committing to change so that you can feel more deeply connected with your partner.
Photo of Kimberly Ciardella - The Path Wellness Center: Dr. Kimberly Ciardella, Marriage & Family Therapist, PsyD, LMFT
Hosted by The Path Wellness Center: Dr. Kimberly Ciardella
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
Group meets in El Dorado Hills, CA 95762
Finding you here, means you are looking for answers, for purpose, for reasons, for meaning. You feel sadness, you feel rage, you feel fear, AND sometimes you feel NOTHING, you feel emptiness, numbness, you feel a deep void. You're disconnected from everything that brings you life, the things that bring you joy, the people you love, but most of all you are disconnected from your SELF. Whether you are in the throes of anxiety or depression, moving through a traumatic experience, working to repair your relationships or coping with Premenstrual Dysphoric Disorder (PMDD), you are brave for reaching out and we are here to help.
(916) 907-8939 View (916) 907-8939
Join our weekly virtual weekend 1 hour drop in support group. Moms are always wearing different hats, shifting gears, multi-tasking. For moms with ADHD and/or moms parenting kids with ADHD, we don’t need to figure it out all by ourselves. Let’s learn together and share our best ADHD symptom managing hacks! Every Saturday 1pm to 2pm PT. Donation of $20 to reserve your spot at our next group. Donations cover administrative costs incurred by Melinda Andes (formerly Pollack), our Associate Clinician for generously volunteering her time and professional skills to facilitate weekly support meetings.
Photo of Maria Estante - Exposure Therapy Designs, Counselor
Hosted by Exposure Therapy Designs
Counselor
Verified Verified
Group meets in Sacramento, CA 95816
Welcome to Exposure Therapy Designs! We’re here to provide virtual EMDR (Eye Movement Desensitization Response), Cognitive Processing Therapy (CPT) or EMDR for PTSD, and Exposure and Response Prevention (ERP) with Acceptance and Commitment Therapy (ACT) for OCD. Our clinicians offer teletherapy for residents of California, Connecticut, Delaware, Florida, Hawaii, Indiana, Massachusetts, Nevada, South Carolina, Vermont, and Virginia. Please note that we treat all types of OCD but NOT Relationship or Partner themed OCD. For ROCD please go to the IOCDF website practitioner directory/
(949) 710-2089 View (949) 710-2089
You may be aware that there were emotional problems in your family when you were growing up. However, you may not appreciate the ways in which these problems continue to affect you, even as an adult. Your emotional and psychological wellbeing, your work, and your present and future relationships may be affected by having grown up in a home where parental distress was a significant problem. This group is designed to provide a supportive environment to explore the specific ways that distress in your family continues to influence your life.
Photo of Nathaniel Mills, Psychologist, PhD
Hosted by Nathaniel Mills
Psychologist, PhD
Verified Verified
Group meets in Sacramento, CA 95816
I treat adults suffering from anxiety, depression, and relationship difficulties in my midtown Sacramento office. I've found success working with intelligent people stuck in situations they can't think their way out of. I enjoy challenging cases and working with diverse clients. I enjoy LGBT clients, people struggling with existential issues, and busy people trying to balance life with career. I have extensive experience working with treatment-resistant Depression, Anxiety, and Bipolar Disorders and can often help clients with innovative treatments. I am also Past President of the Sacramento Valley Psychological Association.
(916) 722-7792 View (916) 722-7792
Successful parenting begins in your heart, and then continues on a moment-to-moment basis by engaging your children when feelings run high, when they are sad, angry or scared. You'll learn to show up in a particular way when it really counts and build life-long coping skills. In this fun and interactive class you'll learn this 5 step, research-based process that has proven to bring families closer together and is effective with all ages.
Photo of Lori Pearring, Marriage & Family Therapist, MA, LMFT
Hosted by Lori Pearring
Marriage & Family Therapist, MA, LMFT
Verified Verified
Group meets in Elk Grove, CA 95624
Relationships are tough. I can help you de-escalate conflict, rebuild trust and safety. You can learn to repair and forgive past hurts and stop your negative patterns. Let me help you be a safe haven for each other. Emotion Focused Therapy, a research-based approach, has clinically proven to help 7 out of 10 couples! As a Certified Primal Question coach, I use a tool that my clients say "accelerates therapy".
(916) 823-3703 View (916) 823-3703
This group is a safe and support environment where teens learn more about themselves, their emotions, their behaviors, and how to become more skillful in response to the challenges they are facing. Skills are taught and practiced in four different modules including Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness. The entire series is 28 weeks in length.
Photo of Erin Leah Patterson - Livity Treatment Center, Treatment Center, LPCC, CEDS-C
Hosted by Livity Treatment Center
Treatment Center, LPCC, CEDS-C
Verified Verified
Group meets in El Dorado Hills, CA 95762
We are an outpatient treatment program offering specialized care for individuals struggling with disordered eating. We are effective in treating the behaviors as well as the underlying issues that fuel them. Service offerings include individual therapy, group therapy, nutrition therapy, and workshops.
(916) 426-6009 x700 View (916) 426-6009 x700
Provides support and guidance to individuals struggling with eating issues. Pre-screening required. Groups to be announced.
Photo of Rita Ann Rich - Rita A. Rich, Psy.D., RN, PsyD, RN
Hosted by Rita A. Rich, Psy.D., RN
PsyD, RN
Verified Verified
Group meets in Elk Grove, CA 95758
Are you looking to have deeper and more meaningful relationships? Would you like to enhance how you communicate and resolve conflicts? The opportunity to facilitate you on your journey with safety, empathy, wisdom and non-judgmental understanding is my goal. Together we can improve or resolve challenging, devastating, and traumatic issues you have encountered. You are very courageous to seek therapy to facilitate your healing, growth and recovery.
(916) 472-0936 View (916) 472-0936
The decision to have Weight Loss surgery is not taken lightly. This group's goal is to explore all the different psychological aspects that can potentially influence the long term success of the surgery and to take control of your outcome. Contact me for more information.
Photo of Sonja Reinecke - Sonja Reinecke Weight Loss and Emotional Eating , Marriage & Family Therapist, MA, LMFT
Hosted by Sonja Reinecke Weight Loss and Emotional Eating
Marriage & Family Therapist, MA, LMFT
Verified Verified
Group meets in Roseville, CA 95661
Do you feel trapped in an endless cycle of emotional eating, binge eating, or struggling with your weight? Have you tried diet after diet, only to find yourself right back where you started—feeling frustrated, ashamed, and out of control? Emotional eating is deeply tied to emotions, past experiences, and ingrained coping mechanisms. If you’ve been feeling stuck, I want you to know that you don’t have to go through this alone. Taking the first step toward healing can feel scary, but you don’t have to be “ready” or have it all figured out. All you need is the willingness to start.
(916) 265-2253 View (916) 265-2253
Photo of Ashley Morgan, Marriage & Family Therapist, LMFT, MA
Hosted by Ashley Morgan
Marriage & Family Therapist, LMFT, MA
Verified Verified
Group meets in Roseville, CA 95661
(916) 884-5108 View (916) 884-5108
Spiritual abuse occurs when a spiritual leader or system uses their power to control, coerce, manipulate or exploit their followers.Critical thinking, and personal opinions are discouraged. Leaving a restrictive group can be very scary and isolating. One of the most effective ways of processing a difficult loss is sharing with others who have had a similar experience. Embracing personal values, encouragement to be curious and inquisitive and learning to trust ourselves are some of the things we hope to gain from getting support in this group.
Photo of Debbie Warner Glander, Marriage & Family Therapist, MA, LMFT
Hosted by Debbie Warner Glander
Marriage & Family Therapist, MA, LMFT
Verified Verified
Group meets in Davis, CA 95616
Shame, anxiety, overwhelming stress and relationship difficulties can disrupt our ability to live a mindful and conscious life. Working with adults and adolescents to promote acceptance, empathy and compassion is my primary interest and the approach I take in therapy. I also have experience and a passion for working with clients who are struggling with Eating Disorders and body image issues. I feel that the energy between therapist and client is the first step in healing emotional wounds and promoting positive changes.
(530) 363-1212 View (530) 363-1212
Our free virtual parent support group is facilitated by a licensed therapist and offers parents of teens a vital lifeline in today's challenging parenting landscape. This weekly online group provides a safe, confidential space where caregivers connect, share experiences, and exchange resources. Participants gain support as they navigate complex issues such as mental health concerns, substance abuse, behavioral problems, academic pressures, and social media challenges. By fostering a supportive community, we empower parents to build resilience, practice their own self-care, and guide their teens through adolescence with confidence and compassion. Register for this community group on our website.
Photo of Our Admissions Team - Teen Mental Health Residential Treatment Center, Treatment Center
Hosted by Teen Mental Health Residential Treatment Center
Treatment Center
Verified Verified
Group meets in Sacramento, CA 95864
At Evolve, we provide compassionate, individualized care to help teens navigate challenges and rediscover hope. We offer therapeutic programs for teens, including short-term residential treatment. Our RTC for teens serves only six clients at a time, allowing for truly individualized care, 24/7 support and supervision, and evidence-based therapies. In addition, Evolve provides structured outpatient therapy for teens through our full-day teen Partial Hospitalization Program (PHP) and after-school teen Intensive Outpatient Program (IOP). Rooted in compassion and connection, our teen treatment programs help adolescents heal and grow.
(279) 800-3589 View (279) 800-3589

See more therapy options for 94203

FAQs - About Group Therapy and Support Groups

How can I find a support group in 94203?

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.