Support Groups in 98026

This ONLINE group is designed to support women on their inner journey to a place of safety, belonging, and wholehearted living. Grounded in science and contemplative wisdom, we will steadily and compassionately become home to our deepest sense of Self and our true nature. Facilitation of the group process will center on the skills and practices offered in Deirdre Fay’s book: "Becoming Safely Embodied: A Guide to Organize Your Mind, Body, and Heart to Feel Secure in the World." I am starting a new online group. If you are interested in participating, please email me.
Photo of Leslie B Savage, Marriage & Family Therapist, MS, LMFT, MdFT, FOT
Hosted by Leslie B Savage
Marriage & Family Therapist, MS, LMFT, MdFT, FOT
Group meets in Edmonds, WA 98026
This ONLINE group is designed to support women on their inner journey to a place of safety, belonging, and wholehearted living. Grounded in science and contemplative wisdom, we will steadily and compassionately become home to our deepest sense of Self and our true nature. Facilitation of the group process will center on the skills and practices offered in Deirdre Fay’s book: "Becoming Safely Embodied: A Guide to Organize Your Mind, Body, and Heart to Feel Secure in the World." I am starting a new online group. If you are interested in participating, please email me.
(425) 358-3374 View (425) 358-3374
Women's Support Group Is a non-profit organization. One group meets in Bellevue and the other group meets at Swedish Edmonds Hospital. Each group is involved with Persian and English speaking women who need to socialize with others in a relaxing and peaceful setting. Women share their feelings and learn how to deal with trauma, grief, depression and loss. This group learns educational topics related to women's issues. Entertainment and refreshments are provided by the group. A translator is available for the audience. All ages are welcome.
Photo of Sharon Aboosaidi, Counselor, PhD
Hosted by Sharon Aboosaidi
Counselor, PhD
Group meets in Edmonds, WA 98026
Women's Support Group Is a non-profit organization. One group meets in Bellevue and the other group meets at Swedish Edmonds Hospital. Each group is involved with Persian and English speaking women who need to socialize with others in a relaxing and peaceful setting. Women share their feelings and learn how to deal with trauma, grief, depression and loss. This group learns educational topics related to women's issues. Entertainment and refreshments are provided by the group. A translator is available for the audience. All ages are welcome.
(206) 745-3402 View (206) 745-3402

More Groups Nearby

Currently recruiting for a consultation group aimed at recent graduates (up to 6 years post grad) of counseling, social work and psychiatry programs. Group will be 4-8 members and candidates will be curious about the psychodynamic elements at play in a clinical setting, open to a beginner's mind and seeking community as you begin your clinical career. My intention is to foster a low-stakes environment where questions can be asked, curiosity explored and ideas challenged. Members will be asked to bring clinical material for group discussion as well as a desire to share something of yourself.
Photo of Kim Richan, Clinical Social Work/Therapist, LICSW
Hosted by Kim Richan
Clinical Social Work/Therapist, LICSW
Group meets in Seattle, WA 98112
Currently recruiting for a consultation group aimed at recent graduates (up to 6 years post grad) of counseling, social work and psychiatry programs. Group will be 4-8 members and candidates will be curious about the psychodynamic elements at play in a clinical setting, open to a beginner's mind and seeking community as you begin your clinical career. My intention is to foster a low-stakes environment where questions can be asked, curiosity explored and ideas challenged. Members will be asked to bring clinical material for group discussion as well as a desire to share something of yourself.
(253) 200-9298 View (253) 200-9298
Many people who have experienced religious trauma struggle with self-doubt, anxiety, fear of punishment, difficulty trusting themselves, or challenges in relationships and identity. This group will provide a safe, supportive space for participants to: ? Process their experiences with others who understand ? Explore the psychological and emotional impact of religious conditioning with special consideration for the impacts of purity culture and shame ? Learn tools for grounding, self-trust, and nervous system regulation ? Reclaiming a sense of empowerment, personal choice, beliefs and values ? Cost: $50 per week, $300 total
Photo of Lizette Larned, Counselor, MACP, LMHC-A
Hosted by Lizette Larned
Counselor, MACP, LMHC-A
Group meets in Seattle, WA 98112
Many people who have experienced religious trauma struggle with self-doubt, anxiety, fear of punishment, difficulty trusting themselves, or challenges in relationships and identity. This group will provide a safe, supportive space for participants to: ? Process their experiences with others who understand ? Explore the psychological and emotional impact of religious conditioning with special consideration for the impacts of purity culture and shame ? Learn tools for grounding, self-trust, and nervous system regulation ? Reclaiming a sense of empowerment, personal choice, beliefs and values ? Cost: $50 per week, $300 total
(425) 585-4412 View (425) 585-4412
This group meets weekly in order to provide education and support to partners of sex addicts during their time of trauma, grief, and loss. Open group. Please call or inquire via email to view days/times of group meetings.
Photo of Susan Moynihan, Counselor, LMHC, CSAT
Hosted by Susan Moynihan
Counselor, LMHC, CSAT
Group meets in Renton, WA 98057
This group meets weekly in order to provide education and support to partners of sex addicts during their time of trauma, grief, and loss. Open group. Please call or inquire via email to view days/times of group meetings.
(206) 866-5575 View (206) 866-5575
Tending the Fire Within: This is an on-going, facilitated process group where we embrace and explore issues that men often find themselves struggling with. Together we share and learn to work with our anger, shame, loneliness, fear, grief, and sense of power in order to create lives with more meaning, vitality, and connection. By telling our stories and supporting each other's experience, we delve more deeply into our own unique expressions of masculinity and learn how we can feel more alive by holding our issues with compassion and heart. Call for more details or to inquire about joining.
Photo of Jordan K. Wolfe, Licensed Mental Health Counselor , LMHC, CGP
Hosted by Jordan K. Wolfe
Licensed Mental Health Counselor , LMHC, CGP
Group meets in Seattle, WA 98109
Tending the Fire Within: This is an on-going, facilitated process group where we embrace and explore issues that men often find themselves struggling with. Together we share and learn to work with our anger, shame, loneliness, fear, grief, and sense of power in order to create lives with more meaning, vitality, and connection. By telling our stories and supporting each other's experience, we delve more deeply into our own unique expressions of masculinity and learn how we can feel more alive by holding our issues with compassion and heart. Call for more details or to inquire about joining.
(206) 759-8093 View (206) 759-8093
Do you feel stuck in patterns of despair, burnout or agitation? Are you looking for ways to access your wise and whole self? Do you want practices that can be a place of refuge you can return to over and over? Yoga Therapy is a creative, compassionate, mindful and embodied approach to healing that supports you to find the seeds of wisdom and healing inside yourself. In this immersion, we will work with the body, breath, mind and heart to support you connect to your inherent wholeness.
Photo of Laura Humpf - Seed Yoga Therapy, Marriage & Family Therapist, LMFT
Hosted by Seed Yoga Therapy
Marriage & Family Therapist, LMFT
Group meets in Seattle, WA 98118
Do you feel stuck in patterns of despair, burnout or agitation? Are you looking for ways to access your wise and whole self? Do you want practices that can be a place of refuge you can return to over and over? Yoga Therapy is a creative, compassionate, mindful and embodied approach to healing that supports you to find the seeds of wisdom and healing inside yourself. In this immersion, we will work with the body, breath, mind and heart to support you connect to your inherent wholeness.
(206) 429-4940 View (206) 429-4940
A Support Group for After Adverse Religious Experiences. In this virtual group, we will learn more about how adverse religious experiences impact various areas of life, work towards embracing authenticity, and develop tools for grounding and confidence. People who have experienced any adverse reactions or encounters due to religion may have difficulties with personal agency, freedom of expression, and authentic identities. The goal for this group is to provide a safe space for individuals to process the impact religion has had on any and all aspects of life that could be an intrusion for daily activities. Free to join.
Photo of Rebekah Hinson, Pre-Licensed Professional, BA
Hosted by Rebekah Hinson
Pre-Licensed Professional, BA
Group meets in Seattle, WA 98104
A Support Group for After Adverse Religious Experiences. In this virtual group, we will learn more about how adverse religious experiences impact various areas of life, work towards embracing authenticity, and develop tools for grounding and confidence. People who have experienced any adverse reactions or encounters due to religion may have difficulties with personal agency, freedom of expression, and authentic identities. The goal for this group is to provide a safe space for individuals to process the impact religion has had on any and all aspects of life that could be an intrusion for daily activities. Free to join.
(425) 310-4128 View (425) 310-4128
Dynamic groups helping couples move from Co-Dependency to Co-Commitment. REQUIREMENTS: Bi-Weekly 6-Month Commitment, Confidentiality, Attendance, Active Participation. THE BENEFITS OF COUPLES THERAPY GROUPS: Normalizing difficult marital struggles, observing stressful issues in other couples, which allows you to self-confront and to call out the best in yourself, without the stress of being in it.
Photo of Robyn Renee, Counselor, MA, LMHC, CIIP
Hosted by Robyn Renee
Counselor, MA, LMHC, CIIP
Group meets in Everett, WA 98201
Dynamic groups helping couples move from Co-Dependency to Co-Commitment. REQUIREMENTS: Bi-Weekly 6-Month Commitment, Confidentiality, Attendance, Active Participation. THE BENEFITS OF COUPLES THERAPY GROUPS: Normalizing difficult marital struggles, observing stressful issues in other couples, which allows you to self-confront and to call out the best in yourself, without the stress of being in it.
(425) 654-1763 View (425) 654-1763
This group is for psychotherapists who would like to get to know the expressive and unconscious dynamics of their own bodies so as to be more fully present and accessible to themselves and their patients.
Photo of Dr. Lisa Fladager, Counselor, PhD, LMHC, BC-DMT, CMA
Hosted by Dr. Lisa Fladager
Counselor, PhD, LMHC, BC-DMT, CMA
Group meets in Langley, WA 98260
This group is for psychotherapists who would like to get to know the expressive and unconscious dynamics of their own bodies so as to be more fully present and accessible to themselves and their patients.
(360) 727-6655 View (360) 727-6655
This support group is for people navigating building soft skills for work, family and friends. We'll use play, games, movement, space, and sound to create new ways of being together. This group is great for adults who want to learn social games together, and reflect on their use at work, school, or with family. The group is co-facilitated by a play therapist and a drama therapist. We aim to make the group, fun, supportive, & add a lil whimsy to your week.
Photo of Chessie Rebecca Snider, Counselor, MEd-MHP, LMHCA, NCC
Hosted by Chessie Rebecca Snider
Counselor, MEd-MHP, LMHCA, NCC
Group meets in Seattle, WA 98108
This support group is for people navigating building soft skills for work, family and friends. We'll use play, games, movement, space, and sound to create new ways of being together. This group is great for adults who want to learn social games together, and reflect on their use at work, school, or with family. The group is co-facilitated by a play therapist and a drama therapist. We aim to make the group, fun, supportive, & add a lil whimsy to your week.
(206) 825-6719 View (206) 825-6719
The Women’s Depth Collective is a therapist-facilitated circle for inner work, reflection, and integration. If you are a woman in the midst of identity transition (navigating midlife, experiencing loss, religious or belief changes, relational shifts, etc.) and are curious, reflective, and emotionally aware—we hope you’ll join us. This is a space for those seeking spiritual exploration outside traditional religion, and have a willingness to engage in self-reflection and group process. This is an invitation to hold, and be held by, the collective.
Photo of Elizabeth Bryant, Marriage & Family Therapist Associate, LMFTA, MS
Hosted by Elizabeth Bryant
Marriage & Family Therapist Associate, LMFTA, MS
Group meets in Bellevue, WA 98005
The Women’s Depth Collective is a therapist-facilitated circle for inner work, reflection, and integration. If you are a woman in the midst of identity transition (navigating midlife, experiencing loss, religious or belief changes, relational shifts, etc.) and are curious, reflective, and emotionally aware—we hope you’ll join us. This is a space for those seeking spiritual exploration outside traditional religion, and have a willingness to engage in self-reflection and group process. This is an invitation to hold, and be held by, the collective.
(425) 472-4634 View (425) 472-4634
An Art Camp run by therapists, for teens! Created for 11-15yr olds. participants will explore ways to identify emotions, cope with stress, express themselves, and take care of themselvesTHROUGH painting, drawing, clay, aromatherapy, crafts, writing, yoga, jewelry-making, and more! August 9th, 10th, 16th, 17th 10am to 3pm
Photo of Hannah Herkert Lewis, MA, LMHC
Hosted by Hannah Herkert Lewis
Verified Verified
Group meets in Snohomish, WA 98290
An Art Camp run by therapists, for teens! Created for 11-15yr olds. participants will explore ways to identify emotions, cope with stress, express themselves, and take care of themselvesTHROUGH painting, drawing, clay, aromatherapy, crafts, writing, yoga, jewelry-making, and more! August 9th, 10th, 16th, 17th 10am to 3pm
(206) 202-8677 View (206) 202-8677
Explore your life story by writing and sharing your experiences with a small supportive group. Revisiting memories of the past with insights from the present helps to provide balance and new meaning. See Classes at wwwEstherConway.com for more details or to get on waiting list for classes beginning in 2017
Photo of Esther Fredholm Conway, Psychologist, PhD
Hosted by Esther Fredholm Conway
Psychologist, PhD
Group meets in Port Townsend, WA 98368
Explore your life story by writing and sharing your experiences with a small supportive group. Revisiting memories of the past with insights from the present helps to provide balance and new meaning. See Classes at wwwEstherConway.com for more details or to get on waiting list for classes beginning in 2017
(360) 301-4564 View (360) 301-4564
This is an adult DBT skills group that meets Mondays from 4:30 to 6:00 pm. The group focuses on building practical skills in mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. It is structured, skills-based, and supportive, with an emphasis on applying DBT tools to everyday life. Participation requires having an individual therapist, and entry into the group includes a required orientation session.
Photo of Marisol M Swords, Licensed Mental Health Counselor Associate , MS, LMHCA
Hosted by Marisol M Swords
Licensed Mental Health Counselor Associate , MS, LMHCA
Group meets in Seattle, WA 98116
This is an adult DBT skills group that meets Mondays from 4:30 to 6:00 pm. The group focuses on building practical skills in mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. It is structured, skills-based, and supportive, with an emphasis on applying DBT tools to everyday life. Participation requires having an individual therapist, and entry into the group includes a required orientation session.
(206) 759-7438 View (206) 759-7438
This is a support group for couples navigating the joys and challenges of new parenthood, moderated by experienced therapists. This group offers a safe and supportive space to strengthen your partnership, share experiences, and gain tools to manage the emotional and practical shifts that come with welcoming a child. Guided by trained therapists, you’ll build connection and resilience as you embrace this new chapter as a team.
Photo of Trevor White - Constellation Therapy PLLC, Marriage & Family Therapist, LMFT, MS
Hosted by Constellation Therapy PLLC
Marriage & Family Therapist, LMFT, MS
Group meets in Seattle, WA 98103
This is a support group for couples navigating the joys and challenges of new parenthood, moderated by experienced therapists. This group offers a safe and supportive space to strengthen your partnership, share experiences, and gain tools to manage the emotional and practical shifts that come with welcoming a child. Guided by trained therapists, you’ll build connection and resilience as you embrace this new chapter as a team.
(206) 466-3011 View (206) 466-3011
Jet City Psychological Services offers evidence-based, culturally responsive individual therapy for adults across Washington state via telehealth. We empower individuals to live meaningful and fulfilling lives through the use of evidence-based treatments and skills. We work with each person to create a treatment plan that is informed by their personal goals and values. Therapy is an active component in one’s journey to wellness, and the progress seen is tightly connected to the effort a person puts forth. Thus, we expect each individual to commit to the therapy process, including attending sessions and practicing skills between sessions.
Photo of Dr. Kristen Strack, Psychologist, PhD
Hosted by Dr. Kristen Strack
Psychologist, PhD
Group meets in Seattle, WA 98126
Jet City Psychological Services offers evidence-based, culturally responsive individual therapy for adults across Washington state via telehealth. We empower individuals to live meaningful and fulfilling lives through the use of evidence-based treatments and skills. We work with each person to create a treatment plan that is informed by their personal goals and values. Therapy is an active component in one’s journey to wellness, and the progress seen is tightly connected to the effort a person puts forth. Thus, we expect each individual to commit to the therapy process, including attending sessions and practicing skills between sessions.
(206) 210-1385 View (206) 210-1385
Join Our Ongoing Virtual Support Group for Sexual Behavior Recovery. This confidential online group offers support and evidence-based treatment for men struggling with problematic or compulsive sexual behaviors (sexual addiction). Participants gain practical tools to align their actions with their values, rebuild intimacy in relationships, and create a more fulfilling life. Each week, we explore a range of topics designed to provide a comprehensive and balanced treatment experience. Our approach uses proven, skills-based methods to support lasting personal growth and behavioral change. Ready to take the first step? Send us a message today to get started!
Photo of Christopher Hipp, Counselor, MA, LMHC
Hosted by Christopher Hipp
Counselor, MA, LMHC
Group meets in Seattle, WA 98103
Join Our Ongoing Virtual Support Group for Sexual Behavior Recovery. This confidential online group offers support and evidence-based treatment for men struggling with problematic or compulsive sexual behaviors (sexual addiction). Participants gain practical tools to align their actions with their values, rebuild intimacy in relationships, and create a more fulfilling life. Each week, we explore a range of topics designed to provide a comprehensive and balanced treatment experience. Our approach uses proven, skills-based methods to support lasting personal growth and behavioral change. Ready to take the first step? Send us a message today to get started!
(206) 339-4435 View (206) 339-4435
Being neurodivergent in a mostly neurotypical world can be draining. This weekly group creates a place to show up authentically, connect with people who get it, and learn real strategies that actually work for your brain. Each session starts with a relaxed check-in and intro, then we dive into weekly topics like executive function, sensory regulation, masking, boundaries, relationships, identity, or finding community. We’ll share information, reflect together, and practice skills through simple activities. There’s always room for members to bring their real-life wins and struggles into the conversation and receive support from peers and facilitators.
Photo of Kelli Cuhaciyan, Pre-Licensed Professional, BA
Hosted by Kelli Cuhaciyan
Pre-Licensed Professional, BA
Group meets in Seattle, WA 98104
Being neurodivergent in a mostly neurotypical world can be draining. This weekly group creates a place to show up authentically, connect with people who get it, and learn real strategies that actually work for your brain. Each session starts with a relaxed check-in and intro, then we dive into weekly topics like executive function, sensory regulation, masking, boundaries, relationships, identity, or finding community. We’ll share information, reflect together, and practice skills through simple activities. There’s always room for members to bring their real-life wins and struggles into the conversation and receive support from peers and facilitators.
(425) 494-5094 View (425) 494-5094
This is an experiential, unstructured therapy group where members are invited to bring in whatever feels most alive or important each week. The focus is on the here-and-now; the interactions and connections that unfold within the group itself. Together, we pay attention to how patterns of relating emerge, repeat, and shape our experience of others. The group becomes a living reflection of your relationships outside of it, offering opportunities for awareness, feedback, and new ways of engaging that feel more genuine and connected.
Photo of Derek Harris, Licensed Mental Health Counselor, MA, LMHC
Hosted by Derek Harris
Licensed Mental Health Counselor, MA, LMHC
Group meets in Seattle, WA 98122
This is an experiential, unstructured therapy group where members are invited to bring in whatever feels most alive or important each week. The focus is on the here-and-now; the interactions and connections that unfold within the group itself. Together, we pay attention to how patterns of relating emerge, repeat, and shape our experience of others. The group becomes a living reflection of your relationships outside of it, offering opportunities for awareness, feedback, and new ways of engaging that feel more genuine and connected.
(206) 201-1865 View (206) 201-1865

See more therapy options for 98026

FAQs - About Group Therapy and Support Groups

How can I find a support group in 98026?

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.