Support Groups in Poway, CA

There is a growing body of research and evidence of potentially powerful benefits of yoga in healing trauma symptoms, anxiety and depression. Yoga can be utilized in individual therapy sessions - however there is an added benefit of practicing in the community context of a group. I recommend and will offer a series of Yin Yoga classes to anyone who is open to trying this practice proven to calm the nervous system, improve mood and sleep. The sessions will be held on Zoom on Sunday evenings. Please email or message me for details.
Photo of Nela Cavelis, Clinical Social Work/Therapist, LCSW
Hosted by Nela Cavelis
Clinical Social Work/Therapist, LCSW
Group meets in Poway, CA 92064
There is a growing body of research and evidence of potentially powerful benefits of yoga in healing trauma symptoms, anxiety and depression. Yoga can be utilized in individual therapy sessions - however there is an added benefit of practicing in the community context of a group. I recommend and will offer a series of Yin Yoga classes to anyone who is open to trying this practice proven to calm the nervous system, improve mood and sleep. The sessions will be held on Zoom on Sunday evenings. Please email or message me for details.
(858) 321-8162 View (858) 321-8162
Have you thought..."I'll never be able to trust them again" or "I have no idea what to do to make things better." If so this workshop is for you. Broken trust happens to every couple at varying degrees from little white lies to infidelity. Restoring trust in your partner is a difficult but not impossible task. Come join Sam and Kerri to learn valuable tips on how trust is restored in relationships. This Workshop is now available online at www.thrive-at-home.com under "Online Resources" for FREE
Photo of Kerri Moehlenpah, Marriage & Family Therapist, MA, LMFT
Hosted by Kerri Moehlenpah
Marriage & Family Therapist, MA, LMFT
Group meets in Poway, CA 92064
Have you thought..."I'll never be able to trust them again" or "I have no idea what to do to make things better." If so this workshop is for you. Broken trust happens to every couple at varying degrees from little white lies to infidelity. Restoring trust in your partner is a difficult but not impossible task. Come join Sam and Kerri to learn valuable tips on how trust is restored in relationships. This Workshop is now available online at www.thrive-at-home.com under "Online Resources" for FREE
(619) 577-4933 x700 View (619) 577-4933 x700
Check out my website for further details.
Photo of Miriam Chor Freitas - Miriam Chor Freitas, LCSW., Clinical Social Work/Therapist, LCSW, RYT, EMDR-CI
Hosted by Miriam Chor Freitas, LCSW.
Clinical Social Work/Therapist, LCSW, RYT, EMDR-CI
Group meets in Poway, CA 92064
Check out my website for further details.
(858) 256-7984 View (858) 256-7984
This is a small and confidential group (up to 8 women) designed to support women navigating the stigma, shame, isolation, and relationship-challenges associated with HSV/Herpes diagnosis. It will provide a safe container for you to learn, grow and heal with other women who can relate and support you along the way. Herpes is a very manageable medical condition; yet, the psychological trauma can be debilitating. The group requires an 8-week commitment to make sure that group members get to know each other and create group cohesion. Doing intakes now - NEXT COHORT STARTS ONLINE ON 6/30/26.
Photo of Miriam Chor Freitas - Miriam Chor Freitas, LCSW., Clinical Social Work/Therapist, LCSW, RYT, EMDR-CI
Hosted by Miriam Chor Freitas, LCSW.
Clinical Social Work/Therapist, LCSW, RYT, EMDR-CI
Group meets in Poway, CA 92064
This is a small and confidential group (up to 8 women) designed to support women navigating the stigma, shame, isolation, and relationship-challenges associated with HSV/Herpes diagnosis. It will provide a safe container for you to learn, grow and heal with other women who can relate and support you along the way. Herpes is a very manageable medical condition; yet, the psychological trauma can be debilitating. The group requires an 8-week commitment to make sure that group members get to know each other and create group cohesion. Doing intakes now - NEXT COHORT STARTS ONLINE ON 6/30/26.
(858) 256-7984 View (858) 256-7984

More Groups Nearby

For many, co-parenting can be civil, comfortable, natural - and maybe even pleasant. For others, this is simply not the case. There is a misconception that co-parenting will get easier as kids get older. On the contrary- bigger (older) kids come with bigger decisions (schools, extra-curricular activities, driver's license, college, etc.) that require consistency and a mutual agreement between parents. I can help navigate the challenging and lifelong relationship with your ex-partner, with whom you are raising a child/children together in two separate homes.
Photo of Mari Regala Kline, Clinical Social Work/Therapist, LCSW
Hosted by Mari Regala Kline
Clinical Social Work/Therapist, LCSW
Group meets in San Diego, CA 92123
For many, co-parenting can be civil, comfortable, natural - and maybe even pleasant. For others, this is simply not the case. There is a misconception that co-parenting will get easier as kids get older. On the contrary- bigger (older) kids come with bigger decisions (schools, extra-curricular activities, driver's license, college, etc.) that require consistency and a mutual agreement between parents. I can help navigate the challenging and lifelong relationship with your ex-partner, with whom you are raising a child/children together in two separate homes.
(619) 292-0372 View (619) 292-0372
At Coastline Counseling Group we have associate and licensed therapists who are all qualified to treat a range of relational and therapeutic issues. All are trained in Gottman Couples Therapy as well a trauma informed care utilizing CBT, DBT, IFS, and EMDR modalties. However, first and foremost we value a person centered approach meeting each client where there are without agenda. Our office is warm and engaging making our clients feel comfortable and welcome. We value coming alongside our clients and creating a plan moving forward together.
Photo of Rebecca D. Dennison, Marriage & Family Therapist, MA, LMFT
Hosted by Rebecca D. Dennison
Marriage & Family Therapist, MA, LMFT
Group meets in Carlsbad, CA 92008
At Coastline Counseling Group we have associate and licensed therapists who are all qualified to treat a range of relational and therapeutic issues. All are trained in Gottman Couples Therapy as well a trauma informed care utilizing CBT, DBT, IFS, and EMDR modalties. However, first and foremost we value a person centered approach meeting each client where there are without agenda. Our office is warm and engaging making our clients feel comfortable and welcome. We value coming alongside our clients and creating a plan moving forward together.
(760) 621-8033 View (760) 621-8033
Seeking happiness and fulfillment in your life? Juggling the work-life-relationship balance? Join life coaching group to explore all your possibilities and learn strategies to get where you want to be! Let's give your mental fitness a boost and help you achieve the goals to get you where you want to be!
Photo of Kim Jones, Marriage & Family Therapist, MA, MFT
Hosted by Kim Jones
Marriage & Family Therapist, MA, MFT
Group meets in San Diego, CA 92130
Seeking happiness and fulfillment in your life? Juggling the work-life-relationship balance? Join life coaching group to explore all your possibilities and learn strategies to get where you want to be! Let's give your mental fitness a boost and help you achieve the goals to get you where you want to be!
(858) 204-2599 View (858) 204-2599
A supportive, attachment-based parenting group focused on building stronger, more connected family relationships. This group offers practical tools for understanding behavior through a relational lens, strengthening emotional connection, and supporting regulation for both parent and child. Together, we’ll explore topics such as co-regulation, emotional development, boundaries with connection, and responding to big feelings with confidence. Parents will leave with simple, effective strategies to use at home, along with a sense of community and support. Open to parents of children of all ages. This is a free, welcoming space to learn, reflect, and grow in your parenting journey.
Photo of Gillian Steffey, Pre-Licensed Professional, MS, AMFT
Hosted by Gillian Steffey
Pre-Licensed Professional, MS, AMFT
Group meets in Oceanside, CA 92058
A supportive, attachment-based parenting group focused on building stronger, more connected family relationships. This group offers practical tools for understanding behavior through a relational lens, strengthening emotional connection, and supporting regulation for both parent and child. Together, we’ll explore topics such as co-regulation, emotional development, boundaries with connection, and responding to big feelings with confidence. Parents will leave with simple, effective strategies to use at home, along with a sense of community and support. Open to parents of children of all ages. This is a free, welcoming space to learn, reflect, and grow in your parenting journey.
(442) 264-3863 View (442) 264-3863
Being diagnosed with a head injury can be anxiety provoking. In this psychoeducational group, we will review sleep hygiene habits and how to keep your thinking balanced and positive. One session will be taught by a sport nutritionist and devoted to healthy eating and identifying foods nourishing to the brain. We will review breathing techniques and practice meditation. Members will have an opportunity to share with others who are going through as similar journey so they don't feel alone or isolated in their recovery. Collaboration of care with Dr. Hickmann and your primary provider is encouraged.
Photo of Sara Hickmann, Psychologist, PhD
Hosted by Sara Hickmann
Psychologist, PhD
Group meets in San Diego, CA 92103
Being diagnosed with a head injury can be anxiety provoking. In this psychoeducational group, we will review sleep hygiene habits and how to keep your thinking balanced and positive. One session will be taught by a sport nutritionist and devoted to healthy eating and identifying foods nourishing to the brain. We will review breathing techniques and practice meditation. Members will have an opportunity to share with others who are going through as similar journey so they don't feel alone or isolated in their recovery. Collaboration of care with Dr. Hickmann and your primary provider is encouraged.
(917) 809-6299 View (917) 809-6299
This small, therapist-led group is for individuals who feel self-aware but still stuck in recurring emotional or relational patterns. Many have done therapy before, yet find that insight alone hasn’t led to lasting change. Using a trauma-informed, attachment-based, and somatic approach, we’ll work with protective patterns (like anxiety or avoidance), process underlying emotions, and understand how these show up in relationships. Designed for those ready for deeper change, not just coping skills. 6 week program on Wednesdays 5–6pm, $500, In-person in Carlsbad or virtual in CA. Brief screening required.
Photo of Kendra Claire Wilhelm, Marriage & Family Therapist, BS, MA, LMFT
Hosted by Kendra Claire Wilhelm
Marriage & Family Therapist, BS, MA, LMFT
Group meets in Carlsbad, CA 92008
This small, therapist-led group is for individuals who feel self-aware but still stuck in recurring emotional or relational patterns. Many have done therapy before, yet find that insight alone hasn’t led to lasting change. Using a trauma-informed, attachment-based, and somatic approach, we’ll work with protective patterns (like anxiety or avoidance), process underlying emotions, and understand how these show up in relationships. Designed for those ready for deeper change, not just coping skills. 6 week program on Wednesdays 5–6pm, $500, In-person in Carlsbad or virtual in CA. Brief screening required.
(619) 367-8413 View (619) 367-8413
Meeting Wednesdays at 9am HST / noon PST in the months of August and September! Eight weekly 90 minute long virtual groups and all genders are welcome. This is a support group that welcomes people who have been managing and recovering from long COVID. This is an anti-oppressive, inclusive group where we value compassion, accountability, and mutual support. Please email me to set up an intake video introduction. Intakes are $125 for 30 minutes and groups are $75 each with a maximum of 10 people.
Photo of Natalie Spautz - The Conscious Partnership® , Marriage & Family Therapist, MA, LMFT
Hosted by The Conscious Partnership®
Marriage & Family Therapist, MA, LMFT
Group meets in San Diego, CA 92104
Meeting Wednesdays at 9am HST / noon PST in the months of August and September! Eight weekly 90 minute long virtual groups and all genders are welcome. This is a support group that welcomes people who have been managing and recovering from long COVID. This is an anti-oppressive, inclusive group where we value compassion, accountability, and mutual support. Please email me to set up an intake video introduction. Intakes are $125 for 30 minutes and groups are $75 each with a maximum of 10 people.
(628) 888-1206 View (628) 888-1206
Joy, excitement, uncertainty and the unknown... Parenting is a multi-faceted experience that can pull us in various directions. With our peer parenting lab (tailored for parents of newborns through age 5), we intend to create a community of parents who support each other in finding clarity and embracing a more preferred way of relating to our children. Each Lab will focus on a particular topic and specific skills. By providing a safe and collaborative space to talk about our challenges as parents, we aim at strengthening the connections with our families, ourselves, and our communities.
Photo of Lodovica Guidarelli, Marriage & Family Therapist, MS, LMFT
Hosted by Lodovica Guidarelli
Marriage & Family Therapist, MS, LMFT
Group meets in San Diego, CA 92103
Joy, excitement, uncertainty and the unknown... Parenting is a multi-faceted experience that can pull us in various directions. With our peer parenting lab (tailored for parents of newborns through age 5), we intend to create a community of parents who support each other in finding clarity and embracing a more preferred way of relating to our children. Each Lab will focus on a particular topic and specific skills. By providing a safe and collaborative space to talk about our challenges as parents, we aim at strengthening the connections with our families, ourselves, and our communities.
(858) 465-7008 View (858) 465-7008
PTSD is one of the most debilitating injuries to suffer from. It affects all areas of your life regardless of how you sustained the injury (e.g., sexual assault, physical assault, cumulative traumas, acute trauma, chronic, or complex, single incident, learning about a sudden and violent incident to a family member or friend, etc.). The devastation of such an injury is overwhelming and it is destructive to all areas of the person's life. This group will help you retake your life and grow from PTSD instead of being hindered by PTSD.
Photo of Dr. Alan Acre, Psychologist, PsyD
Hosted by Dr. Alan Acre
Psychologist, PsyD
Group meets in San Diego, CA 92123
PTSD is one of the most debilitating injuries to suffer from. It affects all areas of your life regardless of how you sustained the injury (e.g., sexual assault, physical assault, cumulative traumas, acute trauma, chronic, or complex, single incident, learning about a sudden and violent incident to a family member or friend, etc.). The devastation of such an injury is overwhelming and it is destructive to all areas of the person's life. This group will help you retake your life and grow from PTSD instead of being hindered by PTSD.
(619) 566-7336 View (619) 566-7336
Anxiety has become a common problem with many different approaches to promise to eliminate or beat anxiety. This 18 week group is designed to teach members about their anxiety, how it is maintained, and how to improve skills to change their relationship with their anxiety so they can let go of the efforts that ultimately maintain their anxiety.
Photo of Chris Tammariello - Cognitive Behavioral Therapy Services (CBTS), Clinical Social Work/Therapist, LCSW
Hosted by Cognitive Behavioral Therapy Services (CBTS)
Clinical Social Work/Therapist, LCSW
Group meets in Carlsbad, CA 92008
Anxiety has become a common problem with many different approaches to promise to eliminate or beat anxiety. This 18 week group is designed to teach members about their anxiety, how it is maintained, and how to improve skills to change their relationship with their anxiety so they can let go of the efforts that ultimately maintain their anxiety.
(760) 933-9601 View (760) 933-9601
Group Meets Tuesdays at 4pm and focuses on life transitions, coping skills and social support.
Photo of Jade Arbelo, Marriage & Family Therapist, LMFT, MA, CADC
Hosted by Jade Arbelo
Marriage & Family Therapist, LMFT, MA, CADC
Group meets in Encinitas, CA 92024
Group Meets Tuesdays at 4pm and focuses on life transitions, coping skills and social support.
(442) 300-9256 View (442) 300-9256
Healing After Narcissistic Abuse is a virtual support group for those recovering from emotionally abusive or manipulative relationships. This group provides psychoeducation, therapeutic support, and peer connection in a safe, validating space. Topics include gaslighting, codependency, trauma, grief, boundary-setting, and rebuilding self-worth. You'll gain insight into the effects of narcissistic abuse and learn tools to support your healing. Whether you're just beginning to recognize the patterns or are well into your recovery, this group offers guidance, community, and space to reclaim your voice.
Photo of Aj Wagner, Clinical Social Work/Therapist, LCSW
Hosted by Aj Wagner
Clinical Social Work/Therapist, LCSW
Group meets in San Diego, CA 92108
Healing After Narcissistic Abuse is a virtual support group for those recovering from emotionally abusive or manipulative relationships. This group provides psychoeducation, therapeutic support, and peer connection in a safe, validating space. Topics include gaslighting, codependency, trauma, grief, boundary-setting, and rebuilding self-worth. You'll gain insight into the effects of narcissistic abuse and learn tools to support your healing. Whether you're just beginning to recognize the patterns or are well into your recovery, this group offers guidance, community, and space to reclaim your voice.
(619) 493-3857 View (619) 493-3857
Dialectical Behavior Therapy (DBT) is an evidence-based approach designed to reduce emotion dysregulation, impulsive behavior, self-harm and suicidal ideation, and treat other mental health or behavioral issues. The goal of DBT is to help teens change ineffective behavior patterns by learning skills that will help them reach their goals. Our programs include four DBT skills groups a week that cover core mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance. Teens learn a new DBT skill in each group. Our staff help teens practice these skills so that they know how to use them in their daily lives.
Photo of Kara Gross - Evolve Mental Health Residential Treatment Center, Treatment Center
Hosted by Evolve Mental Health Residential Treatment Center
Treatment Center
Group meets in Encinitas, CA 92024
Dialectical Behavior Therapy (DBT) is an evidence-based approach designed to reduce emotion dysregulation, impulsive behavior, self-harm and suicidal ideation, and treat other mental health or behavioral issues. The goal of DBT is to help teens change ineffective behavior patterns by learning skills that will help them reach their goals. Our programs include four DBT skills groups a week that cover core mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance. Teens learn a new DBT skill in each group. Our staff help teens practice these skills so that they know how to use them in their daily lives.
(866) 754-3984 View (866) 754-3984
This group is for women 40+ who want to learn to make the most out of this life stage through education, skill-building, mutual support, and lots of laughter. This group will explore relationships, hormonal changes, and other challenges of midlife.
Photo of Coryll Walsh, Licensed Professional Counselor, LPCC
Hosted by Coryll Walsh
Licensed Professional Counselor, LPCC
Group meets in Carlsbad, CA 92008
This group is for women 40+ who want to learn to make the most out of this life stage through education, skill-building, mutual support, and lots of laughter. This group will explore relationships, hormonal changes, and other challenges of midlife.
(760) 302-1589 View (760) 302-1589
This is an Eating Disorder's coping skills and support group for women in their twenties. This group provides a safe and supportive environment whereby women learn tools to deal with their eating disorder while gaining invaluable support. Developing a healthy body image while learning how to deal with societal and media triggers is also addressed. Creating healthy self esteem, re-defining one's values and strengthening the self is core to overcoming one's obstacles. Meeting and sharing in this group format assists with reducing feelings of shame, and developing courage and strength.
Photo of Karen Therese Wilson, Clinical Social Work/Therapist, MSW, LCSW
Hosted by Karen Therese Wilson
Clinical Social Work/Therapist, MSW, LCSW
Group meets in La Jolla, CA 92037
This is an Eating Disorder's coping skills and support group for women in their twenties. This group provides a safe and supportive environment whereby women learn tools to deal with their eating disorder while gaining invaluable support. Developing a healthy body image while learning how to deal with societal and media triggers is also addressed. Creating healthy self esteem, re-defining one's values and strengthening the self is core to overcoming one's obstacles. Meeting and sharing in this group format assists with reducing feelings of shame, and developing courage and strength.
(619) 780-2507 View (619) 780-2507
Join us to discuss The Gifts of Imperfection with other Brene Brown fans. This Book Club will be facilitated by 2 Certified Daring Way clinicians. We'll discuss the Guideposts, answer questions, and share our experiences in implementing these concepts. Wednesday December 5th (Part 1) and 19th (Part 2) only. 7pm - 8pm. $10 per night.
Photo of Dr. Gricelda Fragoso G, Psychologist, PsyD
Hosted by Dr. Gricelda Fragoso G
Psychologist, PsyD
Group meets in Encinitas, CA 92024
Join us to discuss The Gifts of Imperfection with other Brene Brown fans. This Book Club will be facilitated by 2 Certified Daring Way clinicians. We'll discuss the Guideposts, answer questions, and share our experiences in implementing these concepts. Wednesday December 5th (Part 1) and 19th (Part 2) only. 7pm - 8pm. $10 per night.
(760) 203-5383 View (760) 203-5383

See more therapy options for Poway

FAQs - About Group Therapy and Support Groups

How can I find a support group in Poway?

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.