Support Groups in Lagunitas, CA

Since 2003 I have facilitated groups and workshops for former members of cults, coercive groups and relationships. These groups & relationships include political, religious, teacher-student, self-help, multi-level marketing, family, partnerships. Resources are sent prior to the workshop. Participants address relevant issues in their lives, current & past, gain support for healing from loss & trauma; learn successful skills; make sense of their experience, pursue individual goals. Topics include children born & raised, coercive influence and manipulation; red & green flags in relationships; personal rights; disconfirming inaccurate beliefs from ideologies; trauma & CPTSD; healthy & unhealthy groups & leaders; narcissistic abuse & protecting self; challenges; successes; self-care.
Photo of Colleen Russell, Marriage & Family Therapist, MA, LMFT, CGP
Hosted by Colleen Russell
Marriage & Family Therapist, MA, LMFT, CGP
Group meets in Lagunitas, CA 94938
Since 2003 I have facilitated groups and workshops for former members of cults, coercive groups and relationships. These groups & relationships include political, religious, teacher-student, self-help, multi-level marketing, family, partnerships. Resources are sent prior to the workshop. Participants address relevant issues in their lives, current & past, gain support for healing from loss & trauma; learn successful skills; make sense of their experience, pursue individual goals. Topics include children born & raised, coercive influence and manipulation; red & green flags in relationships; personal rights; disconfirming inaccurate beliefs from ideologies; trauma & CPTSD; healthy & unhealthy groups & leaders; narcissistic abuse & protecting self; challenges; successes; self-care.
(415) 843-1934 View (415) 843-1934

More Groups Nearby

This is a psycho-educational group that is topic driven. The group is for six-weeks. Each week will be a new topic. Each session will be a mixture of sharing, discussion and education. The size is limited to 6 people. Materials included. This group is for anyone who is living with chronic illness and wants to learn skills they can use every day to feel better and to find hope. Start Date: 9/22/19 COST: $240 includes all materials
Photo of Angela M Anderson - Angela M. Anderson, LCSW, Clinical Social Work/Therapist, LCSW, MA
Hosted by Angela M. Anderson, LCSW
Clinical Social Work/Therapist, LCSW, MA
Group meets in Oakland, CA 94602
This is a psycho-educational group that is topic driven. The group is for six-weeks. Each week will be a new topic. Each session will be a mixture of sharing, discussion and education. The size is limited to 6 people. Materials included. This group is for anyone who is living with chronic illness and wants to learn skills they can use every day to feel better and to find hope. Start Date: 9/22/19 COST: $240 includes all materials
(510) 257-9468 View (510) 257-9468
Emotional regulation is an awareness and understanding of one’s emotions and their impact on behavior and the ability to manage those emotions in a positive way. This group will help clients learn to effectively manage their emotions in their day-to-day lives. Clients will learn skills such as awareness about emotions and about the way that our thinking can regulate our emotions, cognitive emotion regulation strategies, learning the differences between the positive and negative strategies that we use to regulate our emotions, recognizing the use of good and bad strategies in everyday situations This is a skill-building group that encourages active participation.
Photo of Betsy Klinger, Counselor, LPCC
Hosted by Betsy Klinger
Counselor, LPCC
Group meets in Corte Madera, CA 94925
Emotional regulation is an awareness and understanding of one’s emotions and their impact on behavior and the ability to manage those emotions in a positive way. This group will help clients learn to effectively manage their emotions in their day-to-day lives. Clients will learn skills such as awareness about emotions and about the way that our thinking can regulate our emotions, cognitive emotion regulation strategies, learning the differences between the positive and negative strategies that we use to regulate our emotions, recognizing the use of good and bad strategies in everyday situations This is a skill-building group that encourages active participation.
(415) 594-4121 View (415) 594-4121
This group is a six-week therapy group for women, blending the Internal Family Systems (IFS) model and mindfulness. This group is tailored for those navigating grief, trauma, relationship shifts, and career challenges along with a safe space for exploration. I offer guided exercises, discussions, & compassionate support to empower you to deepen your self-awareness and resilience. Each session delves into parts recognition, self-compassion, healing exiled parts, and integrating the inner self. Join this transformative journey, celebrating progress and setting intentions for ongoing transformation. 'Embracing Change' offers women strength, solace, and authentic resilience. Contact me for a free consultation.
Photo of Daishea Poole, Marriage & Family Therapist, LMFT
Hosted by Daishea Poole
Marriage & Family Therapist, LMFT
Group meets in San Francisco, CA 94132
This group is a six-week therapy group for women, blending the Internal Family Systems (IFS) model and mindfulness. This group is tailored for those navigating grief, trauma, relationship shifts, and career challenges along with a safe space for exploration. I offer guided exercises, discussions, & compassionate support to empower you to deepen your self-awareness and resilience. Each session delves into parts recognition, self-compassion, healing exiled parts, and integrating the inner self. Join this transformative journey, celebrating progress and setting intentions for ongoing transformation. 'Embracing Change' offers women strength, solace, and authentic resilience. Contact me for a free consultation.
(760) 227-2830 View (760) 227-2830
Change How You Feel by Changing the Way You Think. This Group will help you develop something valuable from you current discomfort. It will help you feel better and feel continue to have value in your life long, long after your problems are gone. The group provides structure that help you proceed rapidly in making changes. This group teaches method s that have been to be helpful with mood problems such as panic, anger, guilt, jealously, shame, anxiety and depression. You will learn to solve relationship problems, improve your self-esteem , and become more confident.
Photo of Dr. Nata-Andrea Bolsheva-Blizenko - Spiritual Unification Istitute of AIWP, Pastoral Counselor, Counsel, PC, FNCPC, FNCCCE
Hosted by Spiritual Unification Istitute of AIWP
Pastoral Counselor, Counsel, PC, FNCPC, FNCCCE
Group meets in San Francisco, CA 94118
Change How You Feel by Changing the Way You Think. This Group will help you develop something valuable from you current discomfort. It will help you feel better and feel continue to have value in your life long, long after your problems are gone. The group provides structure that help you proceed rapidly in making changes. This group teaches method s that have been to be helpful with mood problems such as panic, anger, guilt, jealously, shame, anxiety and depression. You will learn to solve relationship problems, improve your self-esteem , and become more confident.
(415) 524-7894 View (415) 524-7894
Embodied Voice is a somatic therapeutic workshop that is designed to help you reconnect with your body, regulate your nervous system, and foster a calm, grounded presence in your life. It includes gentle movement and breathwork to release tension, vocalizing exercises to explore sound, resonance and inner power (no singing experience needed), and tools to address anxiety, overwhelm, or disconnection. The goal is to foster play, creativity, and attunement to your authentic self.
Photo of Carter Bostwick - Carter Bostwick Somatic Therapy, Marriage & Family Therapist Associate, AMFT, MA, BFA
Hosted by Carter Bostwick Somatic Therapy
Marriage & Family Therapist Associate, AMFT, MA, BFA
Group meets in Fairfax, CA 94930
Embodied Voice is a somatic therapeutic workshop that is designed to help you reconnect with your body, regulate your nervous system, and foster a calm, grounded presence in your life. It includes gentle movement and breathwork to release tension, vocalizing exercises to explore sound, resonance and inner power (no singing experience needed), and tools to address anxiety, overwhelm, or disconnection. The goal is to foster play, creativity, and attunement to your authentic self.
(415) 997-6335 View (415) 997-6335
I am starting a list of interested folks in a twinless twin group. Twinless twins or womb survivors are people who lost their twin or sibling in utero or shortly thereafter. Together we will share experiences and process through art, community and ritual. Womb Survivors Can Experience: Survivor’s guilt , A sense something is missing, Strong desires to merge/fear of merging, A felt near death experience, Connection to the unknown, Grief and/or Curiosity about how this experience may impact them. Please reach out if you're interested! Must live in CA. Will most likely be virtual.
Photo of Elaine Walker, Marriage & Family Therapist, MA, LMFT
Hosted by Elaine Walker
Marriage & Family Therapist, MA, LMFT
Group meets in San Francisco, CA 94115
I am starting a list of interested folks in a twinless twin group. Twinless twins or womb survivors are people who lost their twin or sibling in utero or shortly thereafter. Together we will share experiences and process through art, community and ritual. Womb Survivors Can Experience: Survivor’s guilt , A sense something is missing, Strong desires to merge/fear of merging, A felt near death experience, Connection to the unknown, Grief and/or Curiosity about how this experience may impact them. Please reach out if you're interested! Must live in CA. Will most likely be virtual.
(415) 329-1456 View (415) 329-1456
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 Berkeley, CA 94704
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) 895-9524 View (415) 895-9524
Your past doesn’t define you. This 6-week trauma-processing group provides a safe space for adult survivors of childhood physical, emotional, or sexual abuse. Through guided discussions, coping strategies, and inner child healing, you’ll gain tools to manage triggers, set boundaries, and build resilience. Connect with others who understand your journey and reclaim control over your life. You are stronger than you think. Reach out for a free diagnostic tool and a 20-minute consultation to see if this group is right for you. Healing is possible—you don’t have to do it alone.
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 Oakland, CA 94609
Your past doesn’t define you. This 6-week trauma-processing group provides a safe space for adult survivors of childhood physical, emotional, or sexual abuse. Through guided discussions, coping strategies, and inner child healing, you’ll gain tools to manage triggers, set boundaries, and build resilience. Connect with others who understand your journey and reclaim control over your life. You are stronger than you think. Reach out for a free diagnostic tool and a 20-minute consultation to see if this group is right for you. Healing is possible—you don’t have to do it alone.
(415) 704-6912 View (415) 704-6912
Being pregnant again after a miscarriage, perinatal loss or termination for medical reasons can present a host of unique and painful challenges. Many find that they are holding two realities at once – the hope and dreams that come with a new pregnancy, and the grief and anxiety that occur following a loss. It is important to know you are not alone; there are others on this path with you and many who have walked this path before. Join us for a four-week expressive arts support group in which we will explore the joys and difficulties of being pregnant again.
Photo of Laura Rose, Marriage & Family Therapist, MA, LMFT
Hosted by Laura Rose
Marriage & Family Therapist, MA, LMFT
Group meets in Oakland, CA 94609
Being pregnant again after a miscarriage, perinatal loss or termination for medical reasons can present a host of unique and painful challenges. Many find that they are holding two realities at once – the hope and dreams that come with a new pregnancy, and the grief and anxiety that occur following a loss. It is important to know you are not alone; there are others on this path with you and many who have walked this path before. Join us for a four-week expressive arts support group in which we will explore the joys and difficulties of being pregnant again.
(415) 335-4199 View (415) 335-4199
PAWC's provider group is among the largest in CA and includes only Board Certified or Licensed Practitioners. Our doctors focus on your needs and feelings, while PAWC collaborates with you, your doctor and insurers to keep administration smooth and easy. During your treatment, practitioners and staff work together well to create a seamless care experience, including support for scheduling, billing and managing prescriptions. Our doctors collaborate with each other and listen to patient needs and interests. PAWC Psychiatrists are able to collaborate regularly with Psychologists on the PAWC team.
Photo of Ella Aguilar Donis, Psychiatrist, MD
Hosted by Ella Aguilar Donis
Psychiatrist, MD
Group meets in San Francisco, CA 94118
PAWC's provider group is among the largest in CA and includes only Board Certified or Licensed Practitioners. Our doctors focus on your needs and feelings, while PAWC collaborates with you, your doctor and insurers to keep administration smooth and easy. During your treatment, practitioners and staff work together well to create a seamless care experience, including support for scheduling, billing and managing prescriptions. Our doctors collaborate with each other and listen to patient needs and interests. PAWC Psychiatrists are able to collaborate regularly with Psychologists on the PAWC team.
(415) 301-3198 View (415) 301-3198
See description for Group number 1.
Photo of Jack W Maslow, Clinical Social Work/Therapist, LCSW
Hosted by Jack W Maslow
Clinical Social Work/Therapist, LCSW
Group meets in Kentfield, CA 94904
See description for Group number 1.
(415) 683-7348 View (415) 683-7348
— ONLINE GROUP FORMING JANUARY 2026 — For over 25 years, I’ve been honored to guide dozens of women as they transform sexual wounding and shame and embrace a more joyful, truth-empowered sexuality. Group members often experience vicarious healing and new possibilities as they witness one another’s honesty, courage, and growth. You’ll receive support and encouragement to cultivate a more gratifying relationship with your sexuality—one grounded in pleasure, desire, and choice. You were meant to know what freedom, self-love, and bliss feel like—in your body, on your terms. Curious to learn more? Let’s connect!
Photo of Beth Apfelbaum, Marriage & Family Therapist, MFT
Hosted by Beth Apfelbaum
Marriage & Family Therapist, MFT
Group meets in Oakland, CA 94609
— ONLINE GROUP FORMING JANUARY 2026 — For over 25 years, I’ve been honored to guide dozens of women as they transform sexual wounding and shame and embrace a more joyful, truth-empowered sexuality. Group members often experience vicarious healing and new possibilities as they witness one another’s honesty, courage, and growth. You’ll receive support and encouragement to cultivate a more gratifying relationship with your sexuality—one grounded in pleasure, desire, and choice. You were meant to know what freedom, self-love, and bliss feel like—in your body, on your terms. Curious to learn more? Let’s connect!
(650) 209-7942 View (650) 209-7942
Girls Group is for 7th and 8th grade girls who want to build supportive friendships and feel more confident in themselves. Group runs from March 6th through April 24th. The cost is $500 for 8 sessions.
Photo of Andrea Weicker, Marriage & Family Therapist, LMFT
Hosted by Andrea Weicker
Marriage & Family Therapist, LMFT
Group meets in Oakland, CA 94618
Girls Group is for 7th and 8th grade girls who want to build supportive friendships and feel more confident in themselves. Group runs from March 6th through April 24th. The cost is $500 for 8 sessions.
(510) 694-1783 View (510) 694-1783
Therapy Group
Photo of Natasa Nordman, Marriage & Family Therapist, LMFT
Hosted by Natasa Nordman
Marriage & Family Therapist, LMFT
Group meets in Berkeley, CA 94705
Therapy Group
(925) 854-4473 View (925) 854-4473
Windows Health Clinic is hosting dialectical behavior therapy (DBT) skill-building group sessions in-person for adults. DBT is a type of cognitive behavioral therapy that builds and employs four major skills: mindfulness, distress tolerance, interpersonal effectiveness, and emotional regulation. By leveraging these skills, one can interrupt negative thinking patterns and build self-acceptance, a sense of safety, and emotional control. Accepts insurance and can bill out-of-network.
Photo of Dr. Lacey Lynn Palmer, Marriage & Family Therapist, PhD, LMFT, CDS
Hosted by Dr. Lacey Lynn Palmer
Marriage & Family Therapist, PhD, LMFT, CDS
Group meets in Cotati, CA 94931
Windows Health Clinic is hosting dialectical behavior therapy (DBT) skill-building group sessions in-person for adults. DBT is a type of cognitive behavioral therapy that builds and employs four major skills: mindfulness, distress tolerance, interpersonal effectiveness, and emotional regulation. By leveraging these skills, one can interrupt negative thinking patterns and build self-acceptance, a sense of safety, and emotional control. Accepts insurance and can bill out-of-network.
(415) 358-3840 View (415) 358-3840
This popular, pioneering training course is for healing arts practitioners wishing to bring the healing powers of nature into their work with clients. Group draws students from around the globe and meets for an initial 8-day immersion on the land in west Marin County, CA and continues with 8 live biweekly online video classes. See all the details for this and our other ecopsychology training programs at https://www.wildernessreflections.com/
Photo of David Talamo, Marriage & Family Therapist, LMFT, CHT
Hosted by David Talamo
Marriage & Family Therapist, LMFT, CHT
Group meets in San Rafael, CA 94901
This popular, pioneering training course is for healing arts practitioners wishing to bring the healing powers of nature into their work with clients. Group draws students from around the globe and meets for an initial 8-day immersion on the land in west Marin County, CA and continues with 8 live biweekly online video classes. See all the details for this and our other ecopsychology training programs at https://www.wildernessreflections.com/
(415) 347-8803 View (415) 347-8803
This group provides a supportive space for graduate students in mental health programs to process the stressors (within their programs and beyond) associated with training to become mental health clinicians. Through this group, you will find social support among other students, "commonize" the challenges associated with this period of your life, and develop coping skills for your present and future as mental health clinicians. If you are interested in learning if this could be a good fit for you, please reach out for more information.
Photo of Madi Marcus, Psychologist, PsyD
Hosted by Madi Marcus
Psychologist, PsyD
Group meets in El Cerrito, CA 94530
This group provides a supportive space for graduate students in mental health programs to process the stressors (within their programs and beyond) associated with training to become mental health clinicians. Through this group, you will find social support among other students, "commonize" the challenges associated with this period of your life, and develop coping skills for your present and future as mental health clinicians. If you are interested in learning if this could be a good fit for you, please reach out for more information.
(415) 858-1573 View (415) 858-1573
Group starting for women who would like support as they navigate the emotional roller-coaster of online dating. Online dating can take it's toll on your self esteem, hope and well being. It is impersonal and often demoralizing yet, it is the way of our world. Come join this group if you would like support as you deal with the ups and downs of online dating. Our group will be a place where you can both give and get support from other women who are undoubtedly feeling some of the same difficult emotions. Group launch with 3+ women interested.
Photo of M J Barrett, MA
Hosted by M J Barrett
Verified Verified
Group meets in Sebastopol, CA 95472
Group starting for women who would like support as they navigate the emotional roller-coaster of online dating. Online dating can take it's toll on your self esteem, hope and well being. It is impersonal and often demoralizing yet, it is the way of our world. Come join this group if you would like support as you deal with the ups and downs of online dating. Our group will be a place where you can both give and get support from other women who are undoubtedly feeling some of the same difficult emotions. Group launch with 3+ women interested.
(628) 265-3400 View (628) 265-3400
This group is intended for adults (18+) looking to explore how gender impacts their relationships. People of all gender, relationship style, and relationship status welcome. We will explore gender fluidity and power dynamics in a safe environment for all. Please contact me for more info prior to attending.
Photo of Julie S Lehman, Marriage & Family Therapist, MS, LMFT
Hosted by Julie S Lehman
Marriage & Family Therapist, MS, LMFT
Group meets in San Rafael, CA 94901
This group is intended for adults (18+) looking to explore how gender impacts their relationships. People of all gender, relationship style, and relationship status welcome. We will explore gender fluidity and power dynamics in a safe environment for all. Please contact me for more info prior to attending.
(415) 578-5306 View (415) 578-5306

See more therapy options for Lagunitas

FAQs - About Group Therapy and Support Groups

How can I find a support group in Lagunitas?

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.