Support Groups in El Dorado Hills, CA

Teens learn how to cope with: Anxiety, Depression, Peer Pressure, Self-Esteem, Peer Relationships, Anger Management.
Photo of Jessica Wolff, Marriage & Family Therapist, MA, LMFT, CYT
Hosted by Jessica Wolff
Marriage & Family Therapist, MA, LMFT, CYT
Verified Verified
Group meets in El Dorado Hills, CA 95762
From a Holistic prospective, I consider the mental, physical, and spiritual factors that influence a person's well-being and to help people heal and thrive on a deeper level. As a Licensed Psychotherapist, Certified Life Coach and a Certified Yoga Teacher, my approach is designed to create a sense of self-awareness to better understand the connections between body, mind, and relationships leading to how these elements interplay with mental health. Combining Psychotherapy with Life Coaching Techniques will manifest your dreams as well as clear what is hindering your realization of the life you desire .
(916) 512-6993 View (916) 512-6993
This group is a safe and support environment where adults 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 Davene Fecteau, Counselor, MS, LPCC
Hosted by Davene Fecteau
Counselor, MS, LPCC
Verified Verified
Group meets in El Dorado Hills, CA 95762
Welcome. I am passionate about coming alongside my clients and helping them reach their goals. With you as the expert on your own internal experience, my role in therapy is to collaborate with you and encourage you to go deep into healing work so that you can be present, accept what is, and take an active self-leadership role in your life.
(916) 252-3103 View (916) 252-3103
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 Alexis Brown, Associate Clinical Social Worker, ASW
Hosted by Alexis Brown
Associate Clinical Social Worker, ASW
Verified Verified
Group meets in El Dorado Hills, CA 95762
Hi! I’m so glad you’re here. Are you or your teen struggling with behavioral concerns, trauma, depression, anxiety or coping strategies that no longer serve you? I have experience in helping adolescents, adults, groups and families honor themselves and their stories. I can provide support in processing emotions, learning and integrating coping skills, and making environmental adjustments.
(916) 580-2071 View (916) 580-2071
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 Patterson, Counselor, MC, LPCC, CEDS-C
Hosted by Erin Patterson
Counselor, MC, LPCC, CEDS-C
Verified Verified
Group meets in El Dorado Hills, CA 95762
Whatever has brought you here, welcome. If you or a loved one are struggling with eating disorder behaviors or other self-destructive behaviors, I am effective at treating these and addressing the underlying issues that fuel them.
(916) 426-6009 x700 View (916) 426-6009 x700
Curriculum Includes: 1. Women's Issues; 2. Building Positive regard; 3. What's Working & What's Not; 4. Boundaries; 5. Self-Talk; 6. Communication Skills; 7. Listening Skills; 8. Anger Management Skills; 9. Parenting. Please contact me for current information.
Photo of Lynn D Aamot, Marriage & Family Therapist, MA, LMFT
Hosted by Lynn D Aamot
Marriage & Family Therapist, MA, LMFT
Verified Verified
Group meets in El Dorado Hills, CA 95762
My main focus is on relationships, your relationship with yourself, and with others. I believe the key to having healthier children and families is to strengthen and improve the above mentioned relationships, and to build a strong relationship bond between parent(s) and their child(ren). My style is energetic, straightforward and honest with a touch of humor. I have many years experience working in the group setting with men or women around their anger awareness/management and relationship issues.
(530) 394-2008 View (530) 394-2008
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
Join other mamas and babies in this safe, supportive space to process the transition to motherhood. This group has an emphasis on self-care and mindfulness. No prior experience necessary. This group will help you learn somatic tools for regulating your nervous system, process your birth experience, learn simple, effective self-care practices and help you experience more joy and less stress in motherhood. This is a drop-in group; we meet in-person every Wednesday at 1pm at our office in El Dorado Hills. Cost is $35 a session. Register on our website!
Photo of Kim Burris - The Holistic Counseling Center, Kim Burris LMFT, Marriage & Family Therapist, MA, LMFT
Hosted by The Holistic Counseling Center, Kim Burris LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
Group meets in El Dorado Hills, CA 95762
If you're tired of feeling burdened by your past, battling anxiety, or stuck in an endless cycle of stress and self-sabotage, we can help. Our therapists work with individuals, teens, and couples, and specialize in treating: Anxiety, Depression, Postpartum (PPD/PPA), Trauma, Relationships, Self-Esteem, Stress, & Life Purpose. Modalities include: Internal Family Systems (IFS), CBT, Somatic Therapy, Depth Work, Spiritual Psychology and Psychodynamic Therapy. We can help you unearth the root cause of your symptoms, find relief from your pain, and start rebuilding your life.
(916) 352-7565 View (916) 352-7565
A group for men struggling with sex addiction, compulsive sexual thoughts, impulses, or behaviors. This is a process-oriented, group that addresses the emotional needs, wounds or traumas that have enabled the addiction to continue. We give tools to achieve "sobriety" and emphasize living from the "authentic self," experiencing intimacy through learning to share from the deeper places of our hearts, and give empathy to one another without judgement or problem-solving. Note: To ensure a positive experience, new members must be screened prior to joining. This group is NOT designed for men who have physically or sexually assaulted others.
Photo of Bob Parkins, Marriage & Family Therapist, MS, LMFT
Hosted by Bob Parkins
Marriage & Family Therapist, MS, LMFT
Verified Verified
Group meets in El Dorado Hills, CA 95762
Helping You Heal, Grow, and Strengthen Relationships I work from a Christian perspective to help individuals and couples heal from emotional wounds and relationship struggles. Whether you're facing depression, anxiety, anger, addiction, or the pain of broken relationships, I integrate faith with psychological techniques to support your healing journey. My clients come from all backgrounds, and for those who prefer a strictly clinical approach, I respectfully focus on evidence-based therapeutic methods.
(916) 527-9946 View (916) 527-9946
This group is a place where we focus on increasing skillful behavior and decreasing harmful behavior. Skills are learned and practiced in four different modules including Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness. If you or a loved one are struggling with navigating this phase of your life, your emotions, and/or struggling with destructive behaviors (eating disorder behaviors, self harm, substance use issues, intensity in relationships, etc) this group will provide invaluable tools. The entire series is 28 weeks in length.
Photo of Kendra Hester, Marriage & Family Therapist Associate, AMFT
Hosted by Kendra Hester
Marriage & Family Therapist Associate, AMFT
Verified Verified
Group meets in El Dorado Hills, CA 95762
Hello and welcome! Are you or your child struggling with an eating disorder or body image issues and don't know where to start? Are you are feeling alone, overwhelmed, or uncertain about navigating eating disorder recovery? I have experience working with teenagers, groups, families, and adults as they work to build a life free of eating disorder behaviors and in alignment with their core values.
(916) 270-6988 View (916) 270-6988
Bringing Baby Home is a workshop to prepare parents for life with baby, while strengthening the couple's relationship. At this time, I am providing this unique and beneficial program with individual couples. Please call to inquire.
Photo of Lisa Androvich, Marriage & Family Therapist, LMFT, RPT
Hosted by Lisa Androvich
Marriage & Family Therapist, LMFT, RPT
Verified Verified
Group meets in El Dorado Hills, CA 95762
Are there areas in life that you find challenging to manage? Parenting? Relationships? Stress? Do you need to strengthen the relationship lines with your partner, your children, your parents? Are past wounds preventing you to live the life you once imagined for yourself? I feel strongly about developing a collaborative relationship with you, and about helping you see choices you have to move toward an experience that is rewarding and gratifying. If you are unsure of where to begin, I am happy to assist you in that process.
(916) 341-9230 View (916) 341-9230
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
This group places a focus on increasing skillful behavior and decreasing maladaptive behavior. Skills are learned and practiced in four different modules including Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness. If you or a loved one are struggling with navigating your emotions and/or destructive behaviors (eating disorder behaviors, substance use issues, intensity in relationships, etc) this group will provide invaluable tools. The entire series is 28 weeks in length.
Photo of Erin Patterson, Counselor, MC, LPCC, CEDS-C
Hosted by Erin Patterson
Counselor, MC, LPCC, CEDS-C
Verified Verified
Group meets in El Dorado Hills, CA 95762
Whatever has brought you here, welcome. If you or a loved one are struggling with eating disorder behaviors or other self-destructive behaviors, I am effective at treating these and addressing the underlying issues that fuel them.
(916) 426-6009 x700 View (916) 426-6009 x700
Curriculum: 1. Men's Issues; 2. Anger Management Skills; 3. Time Outs; 4. Learning Feelings Language; 5. Relationship Skills; 6. Communications Skills; 7. Listening Skills; 8. Alcohol/Drug Use. Please contact me for current information.
Photo of Lynn D Aamot, Marriage & Family Therapist, MA, LMFT
Hosted by Lynn D Aamot
Marriage & Family Therapist, MA, LMFT
Verified Verified
Group meets in El Dorado Hills, CA 95762
My main focus is on relationships, your relationship with yourself, and with others. I believe the key to having healthier children and families is to strengthen and improve the above mentioned relationships, and to build a strong relationship bond between parent(s) and their child(ren). My style is energetic, straightforward and honest with a touch of humor. I have many years experience working in the group setting with men or women around their anger awareness/management and relationship issues.
(530) 394-2008 View (530) 394-2008
Learn and practice skills for handling emotionally challenging situations: listening skills, following instructions and rules, impulse control, positive attention seeking, personal boundaries, problem solving skills, increasing self-esteem, providing parents with progress reports and techniques to enhance skills learned in group.
Photo of Jessica Wolff, Marriage & Family Therapist, MA, LMFT, CYT
Hosted by Jessica Wolff
Marriage & Family Therapist, MA, LMFT, CYT
Verified Verified
Group meets in El Dorado Hills, CA 95762
From a Holistic prospective, I consider the mental, physical, and spiritual factors that influence a person's well-being and to help people heal and thrive on a deeper level. As a Licensed Psychotherapist, Certified Life Coach and a Certified Yoga Teacher, my approach is designed to create a sense of self-awareness to better understand the connections between body, mind, and relationships leading to how these elements interplay with mental health. Combining Psychotherapy with Life Coaching Techniques will manifest your dreams as well as clear what is hindering your realization of the life you desire .
(916) 512-6993 View (916) 512-6993
This group is a place where we focus on increasing skillful behavior and decreasing harmful behavior. Skills are learned and practiced in four different modules including Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness. If you or a loved one are struggling with navigating this phase of your life, your emotions, and/or struggling with destructive behaviors (eating disorder behaviors, self harm, substance use issues, intensity in relationships, etc) this group will provide invaluable tools. 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
Whether you are working, a full time student or parenting, chronic stress can harm our health and relationships. Research on stress has determined that chronic stress decreases our life span by 6-7 years and contributes to health issues. Managing stress is not enough: learning to reduce stress and manage our emotions about stressful circumstances is the goal. This group will focus on identifying stressors, understanding the impact on health and relationships, and learning ways to stress less and enjoy life. If you are struggling with health or relational issues related to stress, this is the group for you.
Photo of Margaret Denise Brauns, Marriage & Family Therapist, MS, LMFT
Hosted by Margaret Denise Brauns
Marriage & Family Therapist, MS, LMFT
Verified Verified
Group meets in El Dorado Hills, CA 95762
Our mental fitness is just as important as our physical fitness. Investing in our total health includes learning how to manage challenges, emotions and relationships. I work with adults, teens and couples on issues such as stress, anxiety and depression. Allowing yourself to receive support during periods of stress or change can create opportunities for growth. Self-awareness and learning coping skills can help with navigating through current and future challenges. Whether you are new to therapy or returning, be confident that investing in mental health is a step toward living the life you imagined.
(916) 459-4620 View (916) 459-4620
If you or family member is suffering from Body Dysmorphic Disorder (BDD), a group may support the mental health care you are receiving. BDD is treated successfully through collaborative work with doctors and therapists which may include Individual and/or Group Therapy. The ideal participant is aware of BDD and motivated to treat and overcome this disabling condition. Participants will learn strategies to treat Body Dysmorphic Disorder as well as receive the added benefit of group support. Meeting times will be in the evening. Please contact Margaret for more details.
Photo of Margaret Denise Brauns, Marriage & Family Therapist, MS, LMFT
Hosted by Margaret Denise Brauns
Marriage & Family Therapist, MS, LMFT
Verified Verified
Group meets in El Dorado Hills, CA 95762
Our mental fitness is just as important as our physical fitness. Investing in our total health includes learning how to manage challenges, emotions and relationships. I work with adults, teens and couples on issues such as stress, anxiety and depression. Allowing yourself to receive support during periods of stress or change can create opportunities for growth. Self-awareness and learning coping skills can help with navigating through current and future challenges. Whether you are new to therapy or returning, be confident that investing in mental health is a step toward living the life you imagined.
(916) 459-4620 View (916) 459-4620
An 8-week group for those who feel depleted from taking on others' energy and emotions, who have been told they are “too sensitive” or have been labelled “people pleasers,” and for those who are ready to reclaim energy and power they have given away. Here you will learn... What it means to be an Empath and what causes empath overwhelm. The energy systems of the body and how they impact you. The importance of grounding. Discernment between your emotions and those of others. How to create boundaries and protect your energy.
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
Group goals will focus on: Strengthening self-esteem, Creating a positive self-image, Handling peer pressure, Becoming a positive role model, Handling pressure and anxiety, Creating a strong support system, Healthy social media use
Photo of Jessica Wolff, Marriage & Family Therapist, MA, LMFT, CYT
Hosted by Jessica Wolff
Marriage & Family Therapist, MA, LMFT, CYT
Verified Verified
Group meets in El Dorado Hills, CA 95762
From a Holistic prospective, I consider the mental, physical, and spiritual factors that influence a person's well-being and to help people heal and thrive on a deeper level. As a Licensed Psychotherapist, Certified Life Coach and a Certified Yoga Teacher, my approach is designed to create a sense of self-awareness to better understand the connections between body, mind, and relationships leading to how these elements interplay with mental health. Combining Psychotherapy with Life Coaching Techniques will manifest your dreams as well as clear what is hindering your realization of the life you desire .
(916) 512-6993 View (916) 512-6993
This group places a focus on increasing skillful behavior and decreasing maladaptive behavior. Skills are learned and practiced in four different modules including Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness. If you or a loved one are struggling with navigating your emotions and/or destructive behaviors (eating disorder behaviors, substance use issues, intensity in relationships, etc.) this group will provide invaluable tools. 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
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See more therapy options for El Dorado Hills

FAQs - About Group Therapy and Support Groups

How can I find a support group in El Dorado Hills?

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.