Support Groups in Sacramento County, CA

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8-week course taught twice per year. MSC is a research-based program designed to teach self-compassion. High self-compassion is associated with improvements in anxiety, depression, relationship satisfaction, body image, trauma resiliency, and maintaining health-related behaviors like diet and exercise. For more info visit our website.
Photo of Luana Coloma, Psychologist, PsyD
Hosted by Luana Coloma
Psychologist, PsyD
Group meets in Sacramento, CA 95833
8-week course taught twice per year. MSC is a research-based program designed to teach self-compassion. High self-compassion is associated with improvements in anxiety, depression, relationship satisfaction, body image, trauma resiliency, and maintaining health-related behaviors like diet and exercise. For more info visit our website.
(510) 401-3798 View (510) 401-3798
I provide small group therapy for those suffering from complex PTSD due to being in a relationship with a narcissist.
Photo of Micaela Marie Van Dine, Marriage & Family Therapist, MS, MA
Hosted by Micaela Marie Van Dine
Marriage & Family Therapist, MS, MA
Group meets in Sacramento, CA 95816
I provide small group therapy for those suffering from complex PTSD due to being in a relationship with a narcissist.
(916) 507-1817 View (916) 507-1817
MSC is a research-based training program in self-compassion. Self-compassion has been linked to trauma resiliency, body satisfaction and appreciation, healthy aging, decreased depression, decreased anxiety, increased relationship satisfaction, and maintenance of health-related behaviors like diet and exercise. Our teachers were trained by Kristin Neff, Ph.D. and Christopher Germer, Ph.D., the developers of the program. More general information about MSC can be found on the Center for MSC website: www.centerformsc.org. More detailed information about our course can be found on our website: www.threeriversmindfulness.com. Registration is required to attend.
Photo of Sean Cook - Sage River Psychotherapy, Psychologist, PsyD
Hosted by Sage River Psychotherapy
Psychologist, PsyD
Group meets in Sacramento, CA 95819
MSC is a research-based training program in self-compassion. Self-compassion has been linked to trauma resiliency, body satisfaction and appreciation, healthy aging, decreased depression, decreased anxiety, increased relationship satisfaction, and maintenance of health-related behaviors like diet and exercise. Our teachers were trained by Kristin Neff, Ph.D. and Christopher Germer, Ph.D., the developers of the program. More general information about MSC can be found on the Center for MSC website: www.centerformsc.org. More detailed information about our course can be found on our website: www.threeriversmindfulness.com. Registration is required to attend.
(916) 525-8938 View (916) 525-8938
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 Jiyoung Kim, Clinical Social Work/Therapist, LCSW, EMDR, IFS
Hosted by Jiyoung Kim
Clinical Social Work/Therapist, LCSW, EMDR, IFS
Group meets in Sacramento, CA 95816
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.
(916) 884-2801 View (916) 884-2801
Foresight helps you find your path to mental wellness. We’re a community of mental health experts who offer a dynamic range of care that flexes with your particular needs and goals. Our team includes licensed therapists, psychiatric providers, researchers, a dedicated care team and more who bring you a thoughtful experience that blends traditional therapy with a technology-backed approach. Our providers build meaningful relationships with you, and our digital member experience helps enhance your care in between sessions. We help you go deeper inward, getting to know you well, and heal and grow on the path that feels right for you.
Photo of Monika Paschal, Clinical Social Work/Therapist, LCSW
Hosted by Monika Paschal
Clinical Social Work/Therapist, LCSW
Group meets in Sacramento, CA 95814
Foresight helps you find your path to mental wellness. We’re a community of mental health experts who offer a dynamic range of care that flexes with your particular needs and goals. Our team includes licensed therapists, psychiatric providers, researchers, a dedicated care team and more who bring you a thoughtful experience that blends traditional therapy with a technology-backed approach. Our providers build meaningful relationships with you, and our digital member experience helps enhance your care in between sessions. We help you go deeper inward, getting to know you well, and heal and grow on the path that feels right for you.
(916) 232-9004 View (916) 232-9004
Free DBT Skills Training Group held via Zoom
Photo of Carisa Sherwood - Life Practice Counseling Group, Marriage & Family Therapist, MA, MFT
Hosted by Life Practice Counseling Group
Marriage & Family Therapist, MA, MFT
Group meets in Sacramento, CA 95821
Free DBT Skills Training Group held via Zoom
(916) 525-8632 View (916) 525-8632
Regarding recovery from sex addiction and betrayal trauma, who you see matters. We are the experts in the field with 3 CSAT therapists/specialty trained staff. For over 2 decades the Lifestar program has been providing recovery treatment/therapy groups for those struggling with compulsive sexual behaviors and for their partners who are faced with relational betrayal trauma. Often have clients come to us when they have tried other methods but have not had positive results. Our workbooks are time tested and our structured process of recovery and healing have helped thousands of clients to recovery and heal their relationships.
Photo of Leslie Haws, Marriage & Family Therapist, MA, CSAT
Hosted by Leslie Haws
Marriage & Family Therapist, MA, CSAT
Group meets in Gold River, CA 95670
Regarding recovery from sex addiction and betrayal trauma, who you see matters. We are the experts in the field with 3 CSAT therapists/specialty trained staff. For over 2 decades the Lifestar program has been providing recovery treatment/therapy groups for those struggling with compulsive sexual behaviors and for their partners who are faced with relational betrayal trauma. Often have clients come to us when they have tried other methods but have not had positive results. Our workbooks are time tested and our structured process of recovery and healing have helped thousands of clients to recovery and heal their relationships.
(916) 507-0922 View (916) 507-0922
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 Sierra Flynn, Marriage & Family Therapist, LMFT, EMDR, IFS
Hosted by Sierra Flynn
Marriage & Family Therapist, LMFT, EMDR, IFS
Group meets in Fair Oaks, CA 95628
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.
(916) 252-3124 View (916) 252-3124
The Overgivers Club is support group for women who are: Overgivers, people-pleasers, eldest daughters, parentified daughters, caretakers, and overfunctioners. This 8-week workshop will be facilitated by Beatriz Azevedo-Reis and Natanya Ackerly, who are MFT Trainees under the supervision of William Schult, LMFT#111556. This group is not a crisis service or a replacement for individual therapy. If you are in immediate danger or experiencing a mental health emergency, please call 988 or go to the nearest emergency room.
Photo of Beatriz Azevedo-Reis, Pre-Licensed Professional
Hosted by Beatriz Azevedo-Reis
Pre-Licensed Professional
Group meets in Sacramento, CA 95825
The Overgivers Club is support group for women who are: Overgivers, people-pleasers, eldest daughters, parentified daughters, caretakers, and overfunctioners. This 8-week workshop will be facilitated by Beatriz Azevedo-Reis and Natanya Ackerly, who are MFT Trainees under the supervision of William Schult, LMFT#111556. This group is not a crisis service or a replacement for individual therapy. If you are in immediate danger or experiencing a mental health emergency, please call 988 or go to the nearest emergency room.
(916) 249-9976 View (916) 249-9976
I run a group periodically in which up to seven men get together to talk about their challenges and how to find solutions, without the pressure of outside influences. The next begins January 30, 2019. If you're interested, reach out. Let's talk.
Photo of Steve Debenedetti-Emanuel, Marriage & Family Therapist, LMFT
Hosted by Steve Debenedetti-Emanuel
Marriage & Family Therapist, LMFT
Group meets in Sacramento, CA 95816
I run a group periodically in which up to seven men get together to talk about their challenges and how to find solutions, without the pressure of outside influences. The next begins January 30, 2019. If you're interested, reach out. Let's talk.
(916) 251-9923 View (916) 251-9923
Do you have a spouse or significant other who struggles with an addiction? If so, this is the group for you. This is a 12 week supportive psychotherapy group for spouses of individuals struggling with addiction. This group offers a supportive environment where partners can share their experiences, feelings, and challenges. The group will focus on several key areas such as education about addiction, emotional support, coping strategies, setting boundaries, professional guidance, and personal growth. The group meets once a week for 90 minutes each session. The cost is $70.00 per meeting per participant.
Photo of Paula Kenney, Marriage & Family Therapist, PsyD, LMFT
Hosted by Paula Kenney
Marriage & Family Therapist, PsyD, LMFT
Group meets in Sacramento, CA 95825
Do you have a spouse or significant other who struggles with an addiction? If so, this is the group for you. This is a 12 week supportive psychotherapy group for spouses of individuals struggling with addiction. This group offers a supportive environment where partners can share their experiences, feelings, and challenges. The group will focus on several key areas such as education about addiction, emotional support, coping strategies, setting boundaries, professional guidance, and personal growth. The group meets once a week for 90 minutes each session. The cost is $70.00 per meeting per participant.
(916) 822-2042 View (916) 822-2042
Discover 5 essential tools to find your calm as a stressed, overworked mom. Learn how tools to instantly relax and ground yourself amidst chaos. Unlock simple breathwork techniques to regulate emotions cultivating inner peace. Connect with nature, even with a busy schedule, restoring mental well-being. Support your nervous system through self-care practices like meditation and yoga. Tap into energy work practices to release stress and rebalance your mind-body connection. Join our group tailored for overwhelmed moms, where we'll dive deep and provide support - to Find Your Calm as a Mom and regain control over any situation!
Photo of Catherine O'Brien, Marriage & Family Therapist, MA, LMFT, PPS
Hosted by Catherine O'Brien
Marriage & Family Therapist, MA, LMFT, PPS
Group meets in Sacramento, CA 95816
Discover 5 essential tools to find your calm as a stressed, overworked mom. Learn how tools to instantly relax and ground yourself amidst chaos. Unlock simple breathwork techniques to regulate emotions cultivating inner peace. Connect with nature, even with a busy schedule, restoring mental well-being. Support your nervous system through self-care practices like meditation and yoga. Tap into energy work practices to release stress and rebalance your mind-body connection. Join our group tailored for overwhelmed moms, where we'll dive deep and provide support - to Find Your Calm as a Mom and regain control over any situation!
(916) 668-6408 View (916) 668-6408
We are a interventional psychiatry practice specializing in treatment resistant depression with Neurostar TMS therapy, SPRAVATO Esketamine, and ECT priviledged providers. We serve the greater Sacramento area and are focused on providing cutting edge treatment and personalized mental health care.
Photo of Ksenia Voronina, Psychiatrist, MD
Hosted by Ksenia Voronina
Psychiatrist, MD
Group meets in Folsom, CA 95630
We are a interventional psychiatry practice specializing in treatment resistant depression with Neurostar TMS therapy, SPRAVATO Esketamine, and ECT priviledged providers. We serve the greater Sacramento area and are focused on providing cutting edge treatment and personalized mental health care.
(916) 596-9697 View (916) 596-9697
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 Kelly Albrecht, Associate Clinical Social Worker, ASW
Hosted by Kelly Albrecht
Associate Clinical Social Worker, ASW
Group meets in Fair Oaks, CA 95628
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.
(916) 659-8271 View (916) 659-8271
Led by Rhonda S. Calvin, LMFT, this six?week group offers a safe, empowering space for girls ages 10–17 to explore anxiety with honesty, courage, and connection. Through guided activities, expressive arts, and real conversations, participants learn practical coping skills they can use at school, at home, and with friends. The group helps girls understand their emotions, build confidence, and strengthen their sense of identity. Together, they learn to turn fear into fuel, transforming anxious thoughts into resilience, self?trust, and inner strength. This is a space to grow, be seen, and feel supported.
Photo of Rhonda Shirell Calvin - The Growth Space Psychotherapy, Marriage & Family Therapist, LMFT
Hosted by The Growth Space Psychotherapy
Marriage & Family Therapist, LMFT
Group meets in Sacramento, CA 95825
Led by Rhonda S. Calvin, LMFT, this six?week group offers a safe, empowering space for girls ages 10–17 to explore anxiety with honesty, courage, and connection. Through guided activities, expressive arts, and real conversations, participants learn practical coping skills they can use at school, at home, and with friends. The group helps girls understand their emotions, build confidence, and strengthen their sense of identity. Together, they learn to turn fear into fuel, transforming anxious thoughts into resilience, self?trust, and inner strength. This is a space to grow, be seen, and feel supported.
(916) 974-9722 View (916) 974-9722
Cultivate relationships, train the mind to quiet and focus. Tame anxious thoughts that prevent healthy social connection. We offer the opportunity to connect with the body, build spatial awareness, and build connections. We have been customizing social skills training programs since 2004 to assist families living with high functioning autism. We hold groups to assist people of all ages to practice social a skills, providing the most practical opportunities to learn. These individualized social/life skills training programs teach families and individuals how to take the skills they learn in the office and apply them to their work, classroom, and family life.
Photo of Leona Kashersky - Healing Pathways Psychological Services Inc, Psychologist, PsyD
Hosted by Healing Pathways Psychological Services Inc
Psychologist, PsyD
Group meets in Sacramento, CA 95818
Cultivate relationships, train the mind to quiet and focus. Tame anxious thoughts that prevent healthy social connection. We offer the opportunity to connect with the body, build spatial awareness, and build connections. We have been customizing social skills training programs since 2004 to assist families living with high functioning autism. We hold groups to assist people of all ages to practice social a skills, providing the most practical opportunities to learn. These individualized social/life skills training programs teach families and individuals how to take the skills they learn in the office and apply them to their work, classroom, and family life.
(916) 794-8436 View (916) 794-8436
1st Wednesday: Men on the Spectrum, 2nd Wednesday: Women on the Spectrum, 3rd Wednesday: Teens on the Spectrum, 4th Wednesday: Adults with intellectual disability
Photo of Haleigh Scott, Psychologist, PhD
Hosted by Haleigh Scott
Psychologist, PhD
Group meets in Sacramento, CA 95825
1st Wednesday: Men on the Spectrum, 2nd Wednesday: Women on the Spectrum, 3rd Wednesday: Teens on the Spectrum, 4th Wednesday: Adults with intellectual disability
(916) 824-3522 View (916) 824-3522
This is a VIRTUAL space for individuals who struggle with food and body image to process, share coping strategies, build community & receive help. Led by a licensed clinical social worker and ED survivor. Please visit merotherapy.com/support-group for more info and to get started!
Photo of Samantha Mero, Clinical Social Work/Therapist, LCSW, EMDR, PMH-C
Hosted by Samantha Mero
Clinical Social Work/Therapist, LCSW, EMDR, PMH-C
Group meets in Sacramento, CA 95817
This is a VIRTUAL space for individuals who struggle with food and body image to process, share coping strategies, build community & receive help. Led by a licensed clinical social worker and ED survivor. Please visit merotherapy.com/support-group for more info and to get started!
(916) 502-9948 View (916) 502-9948
Join our 8-week Brainspotting Group to heal from trauma and reduce symptoms like anxiety, depression, relationship issues, avoidance, nightmares, and flashbacks. Using Brainspotting, a somatic therapy that targets where trauma is stored in the brain, you’ll process deep emotional pain that talk therapy often can’t reach. Each session blends psychoeducation, group discussions, and Brainspotting exercises to help alleviate trauma symptoms and activate the brain’s natural healing abilities. Connect with others on a similar journey, share experiences, and work through challenges in a safe, supportive environment. Experience the transformative power of trauma healing and recovery.
Photo of Kendra Lewis, Associate Clinical Social Worker, ASW, DBT, IFS
Hosted by Kendra Lewis
Associate Clinical Social Worker, ASW, DBT, IFS
Group meets in Fair Oaks, CA 95628
Join our 8-week Brainspotting Group to heal from trauma and reduce symptoms like anxiety, depression, relationship issues, avoidance, nightmares, and flashbacks. Using Brainspotting, a somatic therapy that targets where trauma is stored in the brain, you’ll process deep emotional pain that talk therapy often can’t reach. Each session blends psychoeducation, group discussions, and Brainspotting exercises to help alleviate trauma symptoms and activate the brain’s natural healing abilities. Connect with others on a similar journey, share experiences, and work through challenges in a safe, supportive environment. Experience the transformative power of trauma healing and recovery.
(916) 885-4708 View (916) 885-4708
Welcome! Crosstown Psychology is a Mental Health therapy group practice with clinicians who specialize in treating individuals with mental health conditions. Our team here at Crosstown Psychology provides individual therapeutic services for children, teenagers, and adults who are facing challenges with depression, anxiety, ADHD, trauma, and much more. We also provide neuropsychological testing services for ADHD. While based in Sacramento California, Crosstown Psychology also offers virtual mental health care throughout California.
Photo of Dr. Melissa Joslin, Psychologist, PsyD, LCSW
Hosted by Dr. Melissa Joslin
Psychologist, PsyD, LCSW
Group meets in Sacramento, CA 95825
Welcome! Crosstown Psychology is a Mental Health therapy group practice with clinicians who specialize in treating individuals with mental health conditions. Our team here at Crosstown Psychology provides individual therapeutic services for children, teenagers, and adults who are facing challenges with depression, anxiety, ADHD, trauma, and much more. We also provide neuropsychological testing services for ADHD. While based in Sacramento California, Crosstown Psychology also offers virtual mental health care throughout California.
(209) 219-2574 View (209) 219-2574

See more therapy options for Sacramento County

FAQs - About Group Therapy and Support Groups

How can I find a support group in Sacramento County?

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.