Support Groups in Hardin County, KY

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"Art for the Heart" is a seven-week group that will focus on building connections and utilizing art as a coping skill to manage negative emotions. The group will start on June 2, 2026, and it will meet weekly on Tuesdays at the AIM office in Radcliff, KY. No artistic experience required.
Photo of Beth A. Myers, Clinical Social Work/Therapist, LCSW
Hosted by Beth A. Myers
Clinical Social Work/Therapist, LCSW
Group meets in Radcliff, KY 40160
"Art for the Heart" is a seven-week group that will focus on building connections and utilizing art as a coping skill to manage negative emotions. The group will start on June 2, 2026, and it will meet weekly on Tuesdays at the AIM office in Radcliff, KY. No artistic experience required.
(270) 374-5119 View (270) 374-5119
Intensive Outpatient Program - For patients recovering from Substance Abuse, DUI Classes
Hosted by AIM Wellness - Radcliff, KY
Counselor, LPCC-S
Group meets in Radcliff, KY 40160
Intensive Outpatient Program - For patients recovering from Substance Abuse, DUI Classes
(270) 835-4668 View (270) 835-4668
We will be developing group options soon! Please check back for more information.
Photo of Emily Neel - Silverleaf Sexual Trauma Recovery Services, Licensed Professional Clinical Counselor, LPCC, PhD, PsyD
Hosted by Silverleaf Sexual Trauma Recovery Services
Licensed Professional Clinical Counselor, LPCC, PhD, PsyD
Group meets in Elizabethtown, KY 42701
We will be developing group options soon! Please check back for more information.
(270) 506-0120 View (270) 506-0120
Telehealth parenting groups. The Empowered Parent is a 12-week group program designed to help parents build confident, connected, and effective parenting skills. Through guided discussions, role-playing, and hands-on activities, parents explore topics such as understanding child behavior, setting healthy limits, emotional regulation, and effective communication. Rooted in authoritative, democratic parenting principles, this program supports parents in moving from reactive responses to proactive, intentional strategies. Participants will gain practical tools to strengthen their relationship with their child, reduce power struggles, and foster cooperation at home. All are welcome -no perfect parenting required, just a willingness to grow.
Photo of Regina Hancock, Licensed Professional Clinical Counselor, LPCC-S
Hosted by Regina Hancock
Licensed Professional Clinical Counselor, LPCC-S
Group meets in Elizabethtown, KY 42701
Telehealth parenting groups. The Empowered Parent is a 12-week group program designed to help parents build confident, connected, and effective parenting skills. Through guided discussions, role-playing, and hands-on activities, parents explore topics such as understanding child behavior, setting healthy limits, emotional regulation, and effective communication. Rooted in authoritative, democratic parenting principles, this program supports parents in moving from reactive responses to proactive, intentional strategies. Participants will gain practical tools to strengthen their relationship with their child, reduce power struggles, and foster cooperation at home. All are welcome -no perfect parenting required, just a willingness to grow.
(270) 721-7843 View (270) 721-7843
Learn to manage your anger with this 12 week online group using evidence-based practices. The goal of this group is to increase emotional regulation skills, decrease anger and aggression, and decrease substance use. This group will utilize SAMSHA’s anger management curriculum.
Photo of Sadie Rogers, Licensed Professional Counselor Associate , LPCA
Hosted by Sadie Rogers
Licensed Professional Counselor Associate , LPCA
Group meets in Elizabethtown, KY 42701
Learn to manage your anger with this 12 week online group using evidence-based practices. The goal of this group is to increase emotional regulation skills, decrease anger and aggression, and decrease substance use. This group will utilize SAMSHA’s anger management curriculum.
(270) 279-8270 View (270) 279-8270
Telehealth only. Anger Management is a 12-week psychoeducational group program designed to help adults understand and manage problematic anger responses. Using evidence-based approaches including cognitive-behavioral therapy (CBT) and mindfulness, participants will explore the root causes of anger, identify personal triggers, and build practical skills for emotional regulation. Topics include stress management, effective communication, conflict resolution, and relapse prevention. Through group discussion, skill-building exercises, and weekly practice, participants develop healthier ways to express anger and strengthen their relationships. This program offers a supportive, non-judgmental space to create meaningful, lasting change — one step at a time.
Photo of Regina Hancock, Licensed Professional Clinical Counselor, LPCC-S
Hosted by Regina Hancock
Licensed Professional Clinical Counselor, LPCC-S
Group meets in Elizabethtown, KY 42701
Telehealth only. Anger Management is a 12-week psychoeducational group program designed to help adults understand and manage problematic anger responses. Using evidence-based approaches including cognitive-behavioral therapy (CBT) and mindfulness, participants will explore the root causes of anger, identify personal triggers, and build practical skills for emotional regulation. Topics include stress management, effective communication, conflict resolution, and relapse prevention. Through group discussion, skill-building exercises, and weekly practice, participants develop healthier ways to express anger and strengthen their relationships. This program offers a supportive, non-judgmental space to create meaningful, lasting change — one step at a time.
(270) 721-7843 View (270) 721-7843

Online Groups

Best Life is a counseling provider for individuals, couples and families who are looking for safe, affirming and professional spaces where they can begin to address ongoing challenges with mental health, daily functioning, communication, and relationships. We are a practice comprised of therapists who specialize in specific populations in order to provide the best services possible and address your needs. We have a four-office suite, a conference room which can be rented, as well as HIPAA compliant tele-therapy services within the state of Kentucky. We are ready, willing and able to help you achieve your BEST LIFE!
Photo of Tiffany Farmer, Marriage & Family Therapist, MSSW, LMFT
Hosted by Tiffany Farmer
Marriage & Family Therapist, MSSW, LMFT
Group meets in Saint Matthews, KY 40207
Best Life is a counseling provider for individuals, couples and families who are looking for safe, affirming and professional spaces where they can begin to address ongoing challenges with mental health, daily functioning, communication, and relationships. We are a practice comprised of therapists who specialize in specific populations in order to provide the best services possible and address your needs. We have a four-office suite, a conference room which can be rented, as well as HIPAA compliant tele-therapy services within the state of Kentucky. We are ready, willing and able to help you achieve your BEST LIFE!
(502) 443-9947 View (502) 443-9947
**Authentic Men** is about living true to yourself—trusting your heart, instincts, & values rather than bending to outside pressure or expectation. It means speaking your truth, making choices that align with who you are, and refusing to hide behind roles or approval. Authenticity isn’t always easy; it requires courage to stand apart from what’s “normal.” Yet, as C.G. Jung said, “The privilege of a lifetime is to become who you truly are.” Real strength comes from integrity, vulnerability, and the willingness to be the man you are—not the one you think others want you to be.
Photo of Dr. C. Shawn Oak, Marriage & Family Therapist, PhD, MSSW, LMFT, CCS, LCSW
Hosted by Dr. C. Shawn Oak
Marriage & Family Therapist, PhD, MSSW, LMFT, CCS, LCSW
Group meets in Louisville, KY 40243
**Authentic Men** is about living true to yourself—trusting your heart, instincts, & values rather than bending to outside pressure or expectation. It means speaking your truth, making choices that align with who you are, and refusing to hide behind roles or approval. Authenticity isn’t always easy; it requires courage to stand apart from what’s “normal.” Yet, as C.G. Jung said, “The privilege of a lifetime is to become who you truly are.” Real strength comes from integrity, vulnerability, and the willingness to be the man you are—not the one you think others want you to be.
(502) 443-1275 View (502) 443-1275
The Batterer Intervention Program (BIP) group is a structured, court-approved psychoeducational and accountability-based group designed for individuals who have engaged in intimate partner violence, coercive control, or abusive behaviors. The group’s primary focus is behavior change, victim safety, and personal responsibility, rather than anger management alone.
Photo of Dennis Hall - Panacea Healthcare, Counselor, LCADC, LPCA, CADC, CCS
Hosted by Panacea Healthcare
Counselor, LCADC, LPCA, CADC, CCS
Group meets in Frankfort, KY 40601
The Batterer Intervention Program (BIP) group is a structured, court-approved psychoeducational and accountability-based group designed for individuals who have engaged in intimate partner violence, coercive control, or abusive behaviors. The group’s primary focus is behavior change, victim safety, and personal responsibility, rather than anger management alone.
(502) 251-8255 View (502) 251-8255
This three-hour group session will offer a structured and supportive environment, focusing on recovery strategies, coping mechanisms, and holistic approaches to address substance abuse issues. Participants will engage in interactive discussions, therapeutic activities, and receive individualized care tailored to their specific needs. We are committed to fostering a community of support and healing, and we believe this program will be a valuable resource for those seeking to overcome addiction and rebuild their lives.
Photo of Alecia Mosley, Clinical Social Work/Therapist, LCSW
Hosted by Alecia Mosley
Clinical Social Work/Therapist, LCSW
Group meets in Louisville, KY 40212
This three-hour group session will offer a structured and supportive environment, focusing on recovery strategies, coping mechanisms, and holistic approaches to address substance abuse issues. Participants will engage in interactive discussions, therapeutic activities, and receive individualized care tailored to their specific needs. We are committed to fostering a community of support and healing, and we believe this program will be a valuable resource for those seeking to overcome addiction and rebuild their lives.
(502) 206-0572 View (502) 206-0572
In DBT Skills Group you’ll learn: Core Mindfulness Skills, Emotion Regulation Skills, Distress Tolerance Skills, Interpersonal Effectiveness Skills. For those struggling with depression, anxiety, trauma/PTSD, substance misuse, relationship challenges, eating disorders, body dysmorphia, or with other difficulties managing emotions and relationships, dialectical behavioral therapy (DBT) is an evidence-based treatment that can help you reduce your distress, cope more effectively, and create a life worth living.
Photo of Tanya Moreno Fluke, Counselor, LPCC, NCC, C-DBT
Hosted by Tanya Moreno Fluke
Counselor, LPCC, NCC, C-DBT
Group meets in Taylorsville, KY 40071
In DBT Skills Group you’ll learn: Core Mindfulness Skills, Emotion Regulation Skills, Distress Tolerance Skills, Interpersonal Effectiveness Skills. For those struggling with depression, anxiety, trauma/PTSD, substance misuse, relationship challenges, eating disorders, body dysmorphia, or with other difficulties managing emotions and relationships, dialectical behavioral therapy (DBT) is an evidence-based treatment that can help you reduce your distress, cope more effectively, and create a life worth living.
(502) 414-8957 View (502) 414-8957
This group will provide a basic introduction to Intuitive Eating principles and practical tools to navigate the obstacles that inevitably arise when we attempt to give up dieting for good. Clients will be offered a safe space in which to share their personal stories and struggles to navigate self nourishment in a culture that demonizes larger bodies. We will examine the effects of weight stigma on all aspects of our lives and relationships, ways to find and be part of a size-inclusive support system, and how to manage the healthcare system in a larger body.
Photo of Elyse Rochman, Clinical Social Work/Therapist, LCSW
Hosted by Elyse Rochman
Clinical Social Work/Therapist, LCSW
Group meets in Goshen, KY 40026
This group will provide a basic introduction to Intuitive Eating principles and practical tools to navigate the obstacles that inevitably arise when we attempt to give up dieting for good. Clients will be offered a safe space in which to share their personal stories and struggles to navigate self nourishment in a culture that demonizes larger bodies. We will examine the effects of weight stigma on all aspects of our lives and relationships, ways to find and be part of a size-inclusive support system, and how to manage the healthcare system in a larger body.
(502) 906-6636 View (502) 906-6636
Trying to conceive can be daunting, overwhelming, and scary. Millions of couples struggle with this issue and you don't have to face this journey alone. Please consider joining us for informative and inspiring monthly sessions. The group is facilitated by Dr. Jamie Brodarick, Licensed Marriage and Family Therapist. Dr. Brodarick has vast professional experience in treating couples experiencing infertility, and has personal experiences with IUIs and IVFs. Guest speakers will include Registered Dieticians, Reproductive Endocrinologists, OB-GYNS, authors, and more.
Photo of Dr. Jamie Brodarick, Marriage & Family Therapist, PhD, LMFT
Hosted by Dr. Jamie Brodarick
Marriage & Family Therapist, PhD, LMFT
Group meets in Prospect, KY 40059
Trying to conceive can be daunting, overwhelming, and scary. Millions of couples struggle with this issue and you don't have to face this journey alone. Please consider joining us for informative and inspiring monthly sessions. The group is facilitated by Dr. Jamie Brodarick, Licensed Marriage and Family Therapist. Dr. Brodarick has vast professional experience in treating couples experiencing infertility, and has personal experiences with IUIs and IVFs. Guest speakers will include Registered Dieticians, Reproductive Endocrinologists, OB-GYNS, authors, and more.
(502) 236-5075 View (502) 236-5075
We provide state approved Drug & Alcohol Assessments & counseling groups in Bowling Green, KY. We offer both 90 day and 52-week programs, as well as state certified DUI Assessments and counseling groups. Need a drug or alcohol test? We can help with that! We are non-judgmental, and some of the only fully-licensed counselors in the county! Our goal is to provide the most comprehensive substance abuse treatment you can find in the area. Please call for more information: (270) 904-4945 and check out our website: www.moretolifecounseling.com
Photo of Dr. Jonathan Lee, Marriage & Family Therapist, DBS, MA, LMFT, CHT
Hosted by Dr. Jonathan Lee
Marriage & Family Therapist, DBS, MA, LMFT, CHT
Group meets in Bowling Green, KY 42104
We provide state approved Drug & Alcohol Assessments & counseling groups in Bowling Green, KY. We offer both 90 day and 52-week programs, as well as state certified DUI Assessments and counseling groups. Need a drug or alcohol test? We can help with that! We are non-judgmental, and some of the only fully-licensed counselors in the county! Our goal is to provide the most comprehensive substance abuse treatment you can find in the area. Please call for more information: (270) 904-4945 and check out our website: www.moretolifecounseling.com
(270) 246-5495 View (270) 246-5495
Our experience enables us to offer effective outpatient, individualized, therapeutic treatment. We treat a number of mental health disorders, and provide a equitable atmosphere to individuals, families, and couples.
Photo of Daisy E Brown - The Champion Therapy Center LLC, Clinical Social Work/Therapist, MSW, LCSW, CCTP
Hosted by The Champion Therapy Center LLC
Clinical Social Work/Therapist, MSW, LCSW, CCTP
Group meets in Lexington, KY 40505
Our experience enables us to offer effective outpatient, individualized, therapeutic treatment. We treat a number of mental health disorders, and provide a equitable atmosphere to individuals, families, and couples.
(859) 666-6087 View (859) 666-6087
This group is designed to guide young girls, grades 6-8, and give them the opportunity to feel empowered, gain self-awareness, develop positive coping mechanisms, improve daily problem-solving skills, feel connected with other girls, and make healthy decisions as they grow through adolescent years. This group will last 6 weeks and will be a total cost of $270 per participant. There are a limited number of spots available so do not miss your opportunity! Contact us today at 502-612-9129.
Photo of Ashlee Brooke Colville, Licensed Professional Clinical Counselor, LPCC
Hosted by Ashlee Brooke Colville
Licensed Professional Clinical Counselor, LPCC
Group meets in Louisville, KY 40223
This group is designed to guide young girls, grades 6-8, and give them the opportunity to feel empowered, gain self-awareness, develop positive coping mechanisms, improve daily problem-solving skills, feel connected with other girls, and make healthy decisions as they grow through adolescent years. This group will last 6 weeks and will be a total cost of $270 per participant. There are a limited number of spots available so do not miss your opportunity! Contact us today at 502-612-9129.
(502) 373-6595 View (502) 373-6595
The Neurodivergent Adult Group is a supportive space for adults who identify as ADHD, autistic, or otherwise neurodivergent to connect, reflect, and grow in community. This group centers authenticity, shared experience, and nervous system awareness, offering a place where masking can soften and self-understanding can deepen. Sessions blend guided discussion, psychoeducation, and practical tools for navigating burnout, executive functioning, relationships, and identity. Participants are encouraged to engage at their own pace, with options for listening, sharing, or simply being present. The goal is to build connection, reduce isolation, and support folks in creating a life that fits their needs.
Photo of Sydney Wilson, Clinical Social Work/Therapist, LCSW
Hosted by Sydney Wilson
Clinical Social Work/Therapist, LCSW
Group meets in Bowling Green, KY 42104
The Neurodivergent Adult Group is a supportive space for adults who identify as ADHD, autistic, or otherwise neurodivergent to connect, reflect, and grow in community. This group centers authenticity, shared experience, and nervous system awareness, offering a place where masking can soften and self-understanding can deepen. Sessions blend guided discussion, psychoeducation, and practical tools for navigating burnout, executive functioning, relationships, and identity. Participants are encouraged to engage at their own pace, with options for listening, sharing, or simply being present. The goal is to build connection, reduce isolation, and support folks in creating a life that fits their needs.
(270) 817-4009 View (270) 817-4009
The Neurodivergent Adult Group is a supportive space for adults who identify as ADHD, autistic, or otherwise neurodivergent to connect, reflect, and grow in community. This group centers authenticity, shared experience, and nervous system awareness, offering a place where masking can soften and self-understanding can deepen. Sessions blend guided discussion, psychoeducation, and practical tools for navigating burnout, executive functioning, relationships, and identity. Participants are encouraged to engage at their own pace, with options for listening, sharing, or simply being present. The goal is to build connection, reduce isolation, and support folks in creating a life that fits their needs.
Photo of Sydney Wilson, Clinical Social Work/Therapist, LCSW
Hosted by Sydney Wilson
Clinical Social Work/Therapist, LCSW
Group meets in Bowling Green, KY 42104
The Neurodivergent Adult Group is a supportive space for adults who identify as ADHD, autistic, or otherwise neurodivergent to connect, reflect, and grow in community. This group centers authenticity, shared experience, and nervous system awareness, offering a place where masking can soften and self-understanding can deepen. Sessions blend guided discussion, psychoeducation, and practical tools for navigating burnout, executive functioning, relationships, and identity. Participants are encouraged to engage at their own pace, with options for listening, sharing, or simply being present. The goal is to build connection, reduce isolation, and support folks in creating a life that fits their needs.
(270) 817-4009 View (270) 817-4009
I am a therapist that works with several other amazing therapists at this location. We provide a broad range of therapy services from individual, couple, and family in conjunction with case management.
Photo of Michelle W Usery, Marriage & Family Therapist, LMFT
Hosted by Michelle W Usery
Marriage & Family Therapist, LMFT
Group meets in Lexington, KY 40504
I am a therapist that works with several other amazing therapists at this location. We provide a broad range of therapy services from individual, couple, and family in conjunction with case management.
(859) 493-8255 View (859) 493-8255
This is an educational and support group for parents of estranged adult children that focuses on a specific issue each week relevant to estrangement. It will continue for 7 weeks every Wednesday October 22-December 12 for 1 hour and 15 minutes: 10:30-11:45 or 3-4:15. The group will begin with a brief check-in, a 20 minute educational presentation followed by discussion and ending with a concrete coping skill. Please email me at dr.revbeverly@gmail.com to register. Limited to 10 participants $250
Photo of Dr. Beverly Weinhold, Licensed Professional Clinical Counselor, DMin, LPCC, LMHC
Hosted by Dr. Beverly Weinhold
Licensed Professional Clinical Counselor, DMin, LPCC, LMHC
Group meets in Louisville, KY 40207
This is an educational and support group for parents of estranged adult children that focuses on a specific issue each week relevant to estrangement. It will continue for 7 weeks every Wednesday October 22-December 12 for 1 hour and 15 minutes: 10:30-11:45 or 3-4:15. The group will begin with a brief check-in, a 20 minute educational presentation followed by discussion and ending with a concrete coping skill. Please email me at dr.revbeverly@gmail.com to register. Limited to 10 participants $250
(502) 521-1491 View (502) 521-1491

See more therapy options for Hardin County

FAQs - About Group Therapy and Support Groups

How can I find a support group in Hardin 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.