Support Groups in 94619

In-person support group for parents of transgender teens and young adults. Come together in all the stages of understanding and acceptance, grief and loss, ally ship and celebration. Share complex feelings, stories and wisdom in an environment of love and support. Next meeting is May 26, 2024.
Photo of Stacy Donovan George, Marriage & Family Therapist, LMFT
Hosted by Stacy Donovan George
Marriage & Family Therapist, LMFT
Group meets in Oakland, CA 94619
In-person support group for parents of transgender teens and young adults. Come together in all the stages of understanding and acceptance, grief and loss, ally ship and celebration. Share complex feelings, stories and wisdom in an environment of love and support. Next meeting is May 26, 2024.
(510) 314-8566 View (510) 314-8566
We meet on the 1st Tuesday of the month 9am-11am PST by Zoom video meeting for consultation about transgender, non binary and questioning children, teen and adults clients. Consult with a Gender Therapist with 25+ years of experience in the field as well as with other talented therapists from around the nation. Time Zone PST. A second "Advanced Gender Therapist" group offered 4th Fridays at 10am and on 3rd Fridays at 10am (Child, Teen and Adult-Focused)
Photo of Lisette R Lahana, Clinical Social Work/Therapist, LCSW
Hosted by Lisette R Lahana
Clinical Social Work/Therapist, LCSW
Group meets in Oakland, CA 94619
We meet on the 1st Tuesday of the month 9am-11am PST by Zoom video meeting for consultation about transgender, non binary and questioning children, teen and adults clients. Consult with a Gender Therapist with 25+ years of experience in the field as well as with other talented therapists from around the nation. Time Zone PST. A second "Advanced Gender Therapist" group offered 4th Fridays at 10am and on 3rd Fridays at 10am (Child, Teen and Adult-Focused)
(707) 596-9696 View (707) 596-9696
It’s time to shift the narrative of perimenopause. Thriving in Community is designed to be a supportive container for women in California navigating the (often bumpy) perimenopause transition. If you are craving connection, understanding and a safe place to process your experience. Join us. The group will be part talk, part creative process, and part psychoeducation. This group is specifically for women living in the state of California. Enrolling now. Reach out for more information.
Photo of Jessika Fruchter - Perimenopause and Midlife Mental Health, Marriage & Family Therapist, MA, LMFT
Hosted by Perimenopause and Midlife Mental Health
Marriage & Family Therapist, MA, LMFT
Group meets in Oakland, CA 94619
It’s time to shift the narrative of perimenopause. Thriving in Community is designed to be a supportive container for women in California navigating the (often bumpy) perimenopause transition. If you are craving connection, understanding and a safe place to process your experience. Join us. The group will be part talk, part creative process, and part psychoeducation. This group is specifically for women living in the state of California. Enrolling now. Reach out for more information.
(510) 405-5785 View (510) 405-5785

More Groups Nearby

Are you ready to watch your child conquer their "what ifs" and anxieties? Join us for BRAVEHEART, our one day two-hour parent-child workshop, designed specifically for anxious kids between the ages of 6 and 10 years. We're dedicated to helping them break free from the worries that are holding them back, using fun and engaging activities to cultivate resilience and encourage bravery. Enrollment open for Nov 5th Fall Workshop!
Photo of Kat Schoolland, Marriage & Family Therapist, CA10337, ORT2523
Hosted by Kat Schoolland
Marriage & Family Therapist, CA10337, ORT2523
Group meets in Sausalito, CA 94965
Are you ready to watch your child conquer their "what ifs" and anxieties? Join us for BRAVEHEART, our one day two-hour parent-child workshop, designed specifically for anxious kids between the ages of 6 and 10 years. We're dedicated to helping them break free from the worries that are holding them back, using fun and engaging activities to cultivate resilience and encourage bravery. Enrollment open for Nov 5th Fall Workshop!
(415) 493-9229 View (415) 493-9229
Dialectical Behavior Therapy (DBT) is an evidence-based approach designed to reduce emotion dysregulation, impulsive behavior, self-harm and suicidal ideation, and treat other mental health or behavioral issues. The goal of DBT is to help teens change ineffective behavior patterns by learning skills that will help them reach their goals. Our programs include four DBT skills groups a week that cover core mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance. Teens learn a new DBT skill in each group. Our staff help teens practice these skills so that they know how to use them in their daily lives.
Photo of Kara Gross - Evolve Residential Treatment Centers for Teens, Treatment Center
Hosted by Evolve Residential Treatment Centers for Teens
Treatment Center
Group meets in Walnut Creek, CA 94598
Dialectical Behavior Therapy (DBT) is an evidence-based approach designed to reduce emotion dysregulation, impulsive behavior, self-harm and suicidal ideation, and treat other mental health or behavioral issues. The goal of DBT is to help teens change ineffective behavior patterns by learning skills that will help them reach their goals. Our programs include four DBT skills groups a week that cover core mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance. Teens learn a new DBT skill in each group. Our staff help teens practice these skills so that they know how to use them in their daily lives.
(925) 478-7606 View (925) 478-7606
Located in the heart of downtown Palo Alto, The Palo Alto Psychology Group is a partnership of Stanford-trained clinicians dedicated to evidenced-based treatment. We specialize in a range of clinical approaches to the treatment of various mood, anxiety, and related disorders. We work with our patients, tailoring evidenced- based clinical approaches to their individual needs. Our clinicians are also integrally familiar with the stresses and challenges of living and working in Silicon Valley and focus their work on navigating the specific challenges individuals confront in this area.
Photo of Jason Angel, Psychologist, PhD
Hosted by Jason Angel
Psychologist, PhD
Group meets in Palo Alto, CA 94301
Located in the heart of downtown Palo Alto, The Palo Alto Psychology Group is a partnership of Stanford-trained clinicians dedicated to evidenced-based treatment. We specialize in a range of clinical approaches to the treatment of various mood, anxiety, and related disorders. We work with our patients, tailoring evidenced- based clinical approaches to their individual needs. Our clinicians are also integrally familiar with the stresses and challenges of living and working in Silicon Valley and focus their work on navigating the specific challenges individuals confront in this area.
(650) 466-7917 View (650) 466-7917
I lead 3 Mixed Intimacy process groups that meet on Tuesdays, from 12:30-2:00, 4:00-5:30, and 5:50-7:20, ongoing since 1987. Membership is stable, allowing in depth sharing, honest feedback, challenge and support among members. Topics may include all areas of human life and vary as members introduce issues most important to them. Group focus is relational and intimate, and flows between relationships members have to each other as well as their primary relationships with people in their lives.
Photo of Margee Wapman, Clinical Social Work/Therapist, LCSW, RMBP
Hosted by Margee Wapman
Clinical Social Work/Therapist, LCSW, RMBP
Group meets in Menlo Park, CA 94027
I lead 3 Mixed Intimacy process groups that meet on Tuesdays, from 12:30-2:00, 4:00-5:30, and 5:50-7:20, ongoing since 1987. Membership is stable, allowing in depth sharing, honest feedback, challenge and support among members. Topics may include all areas of human life and vary as members introduce issues most important to them. Group focus is relational and intimate, and flows between relationships members have to each other as well as their primary relationships with people in their lives.
(650) 866-8943 View (650) 866-8943
This group is ideal for individuals who have unhealed or irreparable relationships with their families of origin; people who find it challenging to build safe, intimate, and lasting relationships. The group offers a welcoming space to explore honest emotions and uncover patterns that shape your relationships. Together, we’ll delve into the dynamics that influence our lives, providing a unique opportunity for reflection, personal growth, and connection. The group meets every Tuesday afternoon 4-6 in Berkeley,
Photo of Dara Javid, Marriage & Family Therapist, JD, LMFT
Hosted by Dara Javid
Marriage & Family Therapist, JD, LMFT
Group meets in Berkeley, CA 94704
This group is ideal for individuals who have unhealed or irreparable relationships with their families of origin; people who find it challenging to build safe, intimate, and lasting relationships. The group offers a welcoming space to explore honest emotions and uncover patterns that shape your relationships. Together, we’ll delve into the dynamics that influence our lives, providing a unique opportunity for reflection, personal growth, and connection. The group meets every Tuesday afternoon 4-6 in Berkeley,
(510) 775-1210 View (510) 775-1210
Dialectical Behavioral Therapy (DBT) offers structured support for emotional regulation, stress coping, and improved relationships in individuals struggling with various issues, including depression, anxiety, trauma, OCD, and personality disorders. This group can assist you in learning effective mindfulness practices, distress tolerance, and communication skills. Group sessions focus on sharing experiences, validating each other, and learning DBT techniques. The group setting encourages connection, empowerment, and consistent practice of therapeutic tools. The eight-session program covers various DBT skills, ultimately aiming to promote healing and reclaiming a sense of self-control.
Photo of Elizabeth Huck, Associate Clinical Social Worker, IFS, DBT, EMDR
Hosted by Elizabeth Huck
Associate Clinical Social Worker, IFS, DBT, EMDR
Group meets in Berkeley, CA 94704
Dialectical Behavioral Therapy (DBT) offers structured support for emotional regulation, stress coping, and improved relationships in individuals struggling with various issues, including depression, anxiety, trauma, OCD, and personality disorders. This group can assist you in learning effective mindfulness practices, distress tolerance, and communication skills. Group sessions focus on sharing experiences, validating each other, and learning DBT techniques. The group setting encourages connection, empowerment, and consistent practice of therapeutic tools. The eight-session program covers various DBT skills, ultimately aiming to promote healing and reclaiming a sense of self-control.
(415) 704-6912 View (415) 704-6912
Peer Consultation Group for therapists who want to practice Dialectical Behavioral Skill building, in a supportive and peer run circle (of up to 10 clinicians).
Photo of Myra Altenau - DBT certified: Myra Altenau, PhD, Psychologist, PhD
Hosted by DBT certified: Myra Altenau, PhD
Psychologist, PhD
Group meets in Piedmont, CA 94610
Peer Consultation Group for therapists who want to practice Dialectical Behavioral Skill building, in a supportive and peer run circle (of up to 10 clinicians).
(707) 709-8039 View (707) 709-8039
Dialectical Behavioral Therapy (DBT) offers structured support for emotional regulation, stress coping, and improved relationships in individuals struggling with various issues, including depression, anxiety, trauma, OCD, and personality disorders. This group can assist you in learning effective mindfulness practices, distress tolerance, and communication skills. Group sessions focus on sharing experiences, validating each other, and learning DBT techniques. The group setting encourages connection, empowerment, and consistent practice of therapeutic tools. The eight-session program covers various DBT skills, ultimately aiming to promote healing and reclaiming a sense of self-control.
Photo of Veronica Ghabour, Licensed Professional Clinical Counselor, LPCC
Hosted by Veronica Ghabour
Licensed Professional Clinical Counselor, LPCC
Group meets in Palo Alto, CA 94301
Dialectical Behavioral Therapy (DBT) offers structured support for emotional regulation, stress coping, and improved relationships in individuals struggling with various issues, including depression, anxiety, trauma, OCD, and personality disorders. This group can assist you in learning effective mindfulness practices, distress tolerance, and communication skills. Group sessions focus on sharing experiences, validating each other, and learning DBT techniques. The group setting encourages connection, empowerment, and consistent practice of therapeutic tools. The eight-session program covers various DBT skills, ultimately aiming to promote healing and reclaiming a sense of self-control.
(650) 910-4414 View (650) 910-4414
This IFS (Internal Family Systems) and mindfulness-based therapy group offers a safe, supportive space to heal from trauma, grief, anxiety, depression, relationship challenges, work stress, and life transitions. You’ll explore your inner world, understand your “parts,” and cultivate deep self-compassion. Through experiential practices and meaningful group connection, you’ll gain practical tools to process unresolved emotions and navigate daily stress with greater clarity and resilience—while feeling truly seen, supported, and empowered. Schedule your free consultation to get started.
Photo of Sierra Flynn, Marriage & Family Therapist, LMFT, EMDR, IFS
Hosted by Sierra Flynn
Marriage & Family Therapist, LMFT, EMDR, IFS
Group meets in San Francisco, CA 94132
This IFS (Internal Family Systems) and mindfulness-based therapy group offers a safe, supportive space to heal from trauma, grief, anxiety, depression, relationship challenges, work stress, and life transitions. You’ll explore your inner world, understand your “parts,” and cultivate deep self-compassion. Through experiential practices and meaningful group connection, you’ll gain practical tools to process unresolved emotions and navigate daily stress with greater clarity and resilience—while feeling truly seen, supported, and empowered. Schedule your free consultation to get started.
(415) 936-1976 View (415) 936-1976
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 Kara Gross - Evolve East Bay Teen Treatment Center, Treatment Center
Hosted by Evolve East Bay Teen Treatment Center
Treatment Center
Group meets in Danville, CA 94526
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.
(925) 886-0258 View (925) 886-0258
The Stress and Addiction group is a process-oriented space where clients build social skills, manage stress, and gain self-awareness through peer support. It’s ideal for those dealing with anxiety, depression, trauma, and addiction. Whether clients seek abstinence, harm reduction, or are uncertain about change, the group offers a supportive environment. We focus on the deeper causes of harmful coping strategies and help members develop healthier ways to manage life’s challenges.
Photo of Mark Schiller, Psychiatrist, MD
Hosted by Mark Schiller
Psychiatrist, MD
Group meets in Corte Madera, CA 94925
The Stress and Addiction group is a process-oriented space where clients build social skills, manage stress, and gain self-awareness through peer support. It’s ideal for those dealing with anxiety, depression, trauma, and addiction. Whether clients seek abstinence, harm reduction, or are uncertain about change, the group offers a supportive environment. We focus on the deeper causes of harmful coping strategies and help members develop healthier ways to manage life’s challenges.
(650) 209-7943 View (650) 209-7943
Groups are designed to provide support for those interested in exploring their relationship to substances and wanting to make change. Positive changes include moderation goals or abstinence from certain substances is explored. Harm Reduction strategies including the stages of change, "drug, set, setting" analysis, dealing with the inner critic, family dynamics, and moderate goal setting, are explored. Members increase awareness of their patterns ofsubstance use. Come away with strategies to reach your substance use goals. Share experiences with struggles to moderate or abstain from substance use so that they can work toward a more healthy and fulfilling lifestyle.
Photo of Cynthia Hoffman - You Rule Therapy, Marriage & Family Therapist, MA, LMFT, CST
Hosted by You Rule Therapy
Marriage & Family Therapist, MA, LMFT, CST
Group meets in San Francisco, CA 94110
Groups are designed to provide support for those interested in exploring their relationship to substances and wanting to make change. Positive changes include moderation goals or abstinence from certain substances is explored. Harm Reduction strategies including the stages of change, "drug, set, setting" analysis, dealing with the inner critic, family dynamics, and moderate goal setting, are explored. Members increase awareness of their patterns ofsubstance use. Come away with strategies to reach your substance use goals. Share experiences with struggles to moderate or abstain from substance use so that they can work toward a more healthy and fulfilling lifestyle.
(415) 878-1515 View (415) 878-1515
DBT is an evidence based treatment proven effective in addressing mood instability, relationship challenges, impulsive behavior and problematic thought patterns. This virtual group for adults provides space for folks to learn coping skills in the following modules: mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness.
Photo of Erica J Nelson- Mayer - Beginner's Mind Psychotherapy, Clinical Social Work/Therapist, LCSW
Hosted by Beginner's Mind Psychotherapy
Clinical Social Work/Therapist, LCSW
Group meets in San Mateo, CA 94402
DBT is an evidence based treatment proven effective in addressing mood instability, relationship challenges, impulsive behavior and problematic thought patterns. This virtual group for adults provides space for folks to learn coping skills in the following modules: mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness.
(650) 613-4834 View (650) 613-4834
It's never easy when a marriage or significant relationship ends. Whatever the reason for the split, whether you wanted it or not, the breakup of a relationship can turn your whole world upside down. It triggers all sorts of painful and unsettling feelings. This is a support group to express your feelings and process how the end of your relationship is affecting you. Group members engage in active listening and are eager to connect with you through meaningful dialogue. Why endure the pain associated with breakups alone, when you can be supported by group members? Insurance accepted
Photo of Jayn Rajandran - Dr. Jayn Rajandran PsyD / Jayn.Org, Marriage & Family Therapist, PsyD, PCC, LMFT, IO, CGE, DTS
Hosted by Dr. Jayn Rajandran PsyD / Jayn.Org
Marriage & Family Therapist, PsyD, PCC, LMFT, IO, CGE, DTS
Group meets in San Francisco, CA 94102
It's never easy when a marriage or significant relationship ends. Whatever the reason for the split, whether you wanted it or not, the breakup of a relationship can turn your whole world upside down. It triggers all sorts of painful and unsettling feelings. This is a support group to express your feelings and process how the end of your relationship is affecting you. Group members engage in active listening and are eager to connect with you through meaningful dialogue. Why endure the pain associated with breakups alone, when you can be supported by group members? Insurance accepted
(415) 237-2282 View (415) 237-2282
Existential Exploration Groups and Workshops--in person in the Bay Area and online for all.
Photo of Dr. Penelope Asay, Psychologist, PhD, ABPP
Hosted by Dr. Penelope Asay
Psychologist, PhD, ABPP
Group meets in Oakland, CA 94610
Existential Exploration Groups and Workshops--in person in the Bay Area and online for all.
(510) 462-3753 View (510) 462-3753
This online group will provide community and practical support for women who want more peace and freedom from anxiety. If you are feeling overwhelmed, fearful, alone and unsure about what to do, this is an opportunity to find refuge and cultivate practical tools for navigating high levels of stress and uncertainty. The group will incorporate meditation, psycho-education and breathwork to help facilitate more resilience in your every day life.
Photo of Jennifer Lilly, Marriage & Family Therapist, MFT
Hosted by Jennifer Lilly
Marriage & Family Therapist, MFT
Group meets in Oakland, CA 94609
This online group will provide community and practical support for women who want more peace and freedom from anxiety. If you are feeling overwhelmed, fearful, alone and unsure about what to do, this is an opportunity to find refuge and cultivate practical tools for navigating high levels of stress and uncertainty. The group will incorporate meditation, psycho-education and breathwork to help facilitate more resilience in your every day life.
(415) 237-2667 View (415) 237-2667
Group process focuses on building interpersonal communication skills - learning to respond to one another in the moment with thoughts and feelings. Becoming more connected creates a healing and supportive environment.
Photo of Constantine Kazos, Marriage & Family Therapist, MA, LMFT
Hosted by Constantine Kazos
Marriage & Family Therapist, MA, LMFT
Group meets in Redwood City, CA 94063
Group process focuses on building interpersonal communication skills - learning to respond to one another in the moment with thoughts and feelings. Becoming more connected creates a healing and supportive environment.
(650) 284-2064 View (650) 284-2064

See more therapy options for 94619

FAQs - About Group Therapy and Support Groups

How can I find a support group in 94619?

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.