Support Groups in Amherst, MA
I offer this group for healthcare professionals because I’ve seen that overtaxed docs, RNs, NPs, PAs, CNMs and other medical professionals need a place to slow down and process their experiences in the field. Participation in this group will help give voice to the stray thoughts and observations that otherwise have nowhere to go; to process emotions by working them through on the page, and then sharing them with a group of people who get it. Tapping into one’s creativity and sense of fun and experimentation can also help keep burnout at bay.

I specialize in working with people feeling challenged by relationships, work, parenting (from pregnancy through empty nest), and aging, as well as people struggling with trauma, grief, and loss. I start from the position that past experiences and attachments have profound effects on our everyday lives, and our abilities to move forward. I have an interest in working with those who navigate multiple cultures and communities (through, for example, racial identity, class background, immigration, religion, gender, and sexuality), as well as those who work in education, healthcare, nonprofit, and creative fields.
If you are guy in grad school, you've probably experienced challenges with some or all of the following: work/life balance, relationship issues, focus and concentration, anxiety, hesitance to reach out for support or connection, isolation, and more. This 90-minute workshop focuses on recognizing the issues that are common to men pursuing graduate studies and strategies for: self-care, breaking isolation, managing time, and navigating the complexities of graduate school. If you'd like to be notified when the next workshop will be held, or be added to the waitlist, email or call me through psychology today.

You want to talk about what's on your mind, but it's tough. You don't want someone to try to 'fix' you, give you unwanted advice, or make you feel judged. You want a confidential space where you can talk things out, reflect, and really be heard. I believe that you have a strong desire to grow and succeed within you, no matter how buried or blocked. You don't need people to tell you what to do, but maybe a space to slow down and make sense of things. I specialize in working with grad students, ADHD, men's issues, and relationship and interpersonal concerns. I also frequently provide support to other therapists.
Dreams are inner teaching stories. They are personal and sacred and guide us to what our unconscious needs us to know and integrate. Each dream is perfect and only needs our honest devotion to decipher its message. The facilitator and group will support the dreamer to enter into their dream world and engage with the dreamscape. Meaning emerges as we allow ourselves to experience the symbolic language of the imaginal realm. We will respectfully support each person's unique story without projection and interpretation. No prior experience is necessary.

Hosted by Erica lorentz
Licensed Professional Counselor, LPC, Jungian, Analyst, IAAP
Group meets in Amherst, MA 01002
Most of my clients are interested in what their inner world is trying to tell them through dreams, emotions, physical symptoms, etc. Anxiety, depression, anger, compulsion, illness, PTSD, etc. are the body/mind's way of guiding us as to how we need to grow. My clients want to discover, heal, and come to terms with their inner truth. My training and personal experience with verbal and nonverbal/somatic processes enable us to access the dynamic flow between the conscious mind and the unconscious. As clients learn to dialogue with the unconscious they discover their own truth. I am grateful to the unconscious for this guidance.
I now have my grief group open for those under 50 years of age who lost a parent recently starting Tuesday, October 22, 2024. Each group is a closed and intimate for up to six (6) members. Tuesdays from 5:30 pm until 7:00 pm for eight weeks. Dates: October 22, October 28, November 5, November 12, November 19, December 3, December 10, and December 17 (we skip the Tuesday before Thanksgiving). Where: My office in downtown Amherst. Cost: $480 for all eight weeks. Call or email Dean Janeff to register at 512-333-4820 or janeffcounseling@gmail.com.

Things that happened to us in childhood create how we see ourselves and how we show up in relationships. Whether through neglect or abuse, we give up on our feelings, needs, vulnerability, and human connection. And as a result, as adults we feel alone, anxious, or hopeless. I can help you claim what was not afforded to you while you were growing up. And live a life with vitality, flow, a sense of belonging, depth in relationship, and authentic aliveness. I have master level training to help you find personal freedom from the past and live your best days now. You can make shifts that are life changing and long term!
NAMES AND CNOTACTS BEING TAKEN FR NEW GROUP STARTING IN MAY /JUNEnd the constant self-criticism which interferes with your healing and growth.! This ongoing group is organized into three 5-week modules. Through education, practice and discussion, group participants will learn and apply Wise Attention (Mindfulness) and Self- Kindness to daily life. Join leave or repeat at the start of any module. Mod 1: Reduce: worry, fear, sadness, irritation, anger, restlessness, and isolation. Mod 2: Transform: judgment, self-criticism, and hopelessness. Mod 3: Cultivate: creativity, focus, well-being and belonging.

I ‘ve worked with people trying to reignite their creativity, those seeking relief from panic attacks, depression or the impact of past trauma on present experience. those working with challenges in relationships & families, dealing with racial trauma or identity or navigating institutions & workplaces. My ideal client is someone who wants to feel seen and heard, who is curious & wants to suffer less, more fully enjoy their life & relationships and be empowered to make their unique contribution to the world. I particularly welcome BIPOC clients, mixed race as I am, the neuro-diverse, & those who seek to do good for others.
Parents of kids with special needs have challenges: needing to become an expert in your child’s disability; managing in the face of logistical, physical, and emotional complications; functioning with little time to yourself, and often a sense of isolation from other parents who look like they have it easier. I am offering this group because the potential for burnout is high for hardworking parents who’ve had to sacrifice to care for their family. Finding an inner spark and fostering your creativity is one way to lift burnout; connecting with other parents dealing with similar challenges is another.

I specialize in working with people feeling challenged by relationships, work, parenting (from pregnancy through empty nest), and aging, as well as people struggling with trauma, grief, and loss. I start from the position that past experiences and attachments have profound effects on our everyday lives, and our abilities to move forward. I have an interest in working with those who navigate multiple cultures and communities (through, for example, racial identity, class background, immigration, religion, gender, and sexuality), as well as those who work in education, healthcare, nonprofit, and creative fields.
Start date: Ongoing; Sessions: Ongoing; The group focuses on two things: relationships and anxiety. In the group, people talk about their relationships and anxiety in a safe and engaging space. They try to understand why they feel the way they do alongside the other group members, and learn new ways to manage their anxiety. They also talk about their past experiences and how they affect their relationships and anxiety now. Learn more about the group at https://advancepsychotherapy.org/ppg

Hosted by Advance Psychotherapy Practice
Clinical Social Work/Therapist
Group meets in Amherst, MA 01002
We have immediate openings, across the lifespan, for the following insurances: Blue Cross Blue Shield Optum and Optum products: Allways, Harvard Pilgrim, Oxford, Connecticare TUFTS Medicare Private Pay ($100/session) Become a client on our website: www.advancepsychotherapy.org. Those who are interested in receiving services from us should fill out the following form:
VIRTUAL GROUP; Number of sessions: 10 Start date: January 28th; https://advancepsychotherapy.org/flsg: This group is for those looking to process in community how to break up with diet culture and develop a more trusting and compassionate relationship with yourself and your body. Group members offer each other feedback, engage in empathetic listening, building community, and practice sharing their stories in a safer space. We welcome you whether this is day one or day one thousand on your journey.

Hosted by Advance Psychotherapy Practice
Clinical Social Work/Therapist
Group meets in Amherst, MA 01002
We have immediate openings, across the lifespan, for the following insurances: Blue Cross Blue Shield Optum and Optum products: Allways, Harvard Pilgrim, Oxford, Connecticare TUFTS Medicare Private Pay ($100/session) Become a client on our website: www.advancepsychotherapy.org. Those who are interested in receiving services from us should fill out the following form:
For adults navigating emotional overwhelm, moral injury, and trauma responses in the face of growing social and political instability—including the genocide in Gaza, repression of dissent, economic instability and threats to marginalized communities. Grounded in anti-colonial, trauma-informed care and relational care the group explores how to stay emotionally present without collapse, how past trauma interacts with present fear, and how to act with integrity in uncertain times. Open to adults physically located in Massachusetts at the time of session. Participation requires individual intake session with therapist .Insurance accepted. Meets via HIPAA-compliant Zoom.. 4 participants required to start.

I ‘ve worked with people trying to reignite their creativity, those seeking relief from panic attacks, depression or the impact of past trauma on present experience. those working with challenges in relationships & families, dealing with racial trauma or identity or navigating institutions & workplaces. My ideal client is someone who wants to feel seen and heard, who is curious & wants to suffer less, more fully enjoy their life & relationships and be empowered to make their unique contribution to the world. I particularly welcome BIPOC clients, mixed race as I am, the neuro-diverse, & those who seek to do good for others.
More Groups Nearby
This group is not currently being offered. Stay tuned!

I support conscious, compassionate people in healing emotional overwhelm, reclaiming their clarity, and stepping fully into their deeper purpose.
My holistic approach supports you in transforming your life with insight, confidence, and compassion. With decades of experience in psychotherapy, life coaching, and mindfulness, I help you navigate relationship struggles, anxiety, and self-worth challenges while reconnecting with a deeper sense of purpose. As you heal and grow, you don’t just find relief—you rediscover your capacity to live with intention, contribute meaningfully, and help create a more compassionate, awakened world.
The spring "Girl Power" group is an 8-week art therapy group for teen (cis-gender) girls exploring issues of peer relationships, self-esteem, healthy sexuality, life goals, and coping. We use many art modalities to express thoughts and feelings, including collage, drawing, painting, clay, writing, drama, etc. Next group starts April 23, 2019, pending enrollment. Cash/Check accepted, $35-45 sliding slace per session (no insurance for the group). $120 deposit due on or before 4/23, remaining amount due in mid-May. One excused absence allowed.

Practicing since 1999, I have extensive experience treating PTSD/trauma (sexual abuse/assault, partner violence, etc.) and anxiety with EMDR. I'm an EMDRIA approved consultant (for clinicians), preferring short-term EMDR clients. I have a sexual health certification and am comfortable working with consenting non-monogamy, TGNC, and am kink-aware. We use your strengths to overcome current and historical obstacles, including burnout and life stress. Also, now offering private pay intensive EMDR sessions as my ongoing practice is full. Go to stephaniebairdlmhc.wordpress.com for info. I have a small 2-day a week practice.
Our group offers a quiet, inviting and confidential environment, free of judgement, stigma or discrimination, for caregivers caring for a loved one with a memory related condition. The group has met weekly for over ten years in Northampton, Massachusetts. In 2012, Nell Lake, a local journalist, embedded herself into our group for two years. The results of her observations of group members and their loved ones was her 2014 book, "The Caregivers: A Support Group's Stories of Slow Loss, Courage, and Love." The group continues to hold a level of support and intimacy around the shared experience of caregiving.

Hosted by Bruce Bradley-Gilbert
Counselor, LMHC, CADC-II, ATR-BC
Group meets in Northampton, MA 01060
For the past 30 years I have enjoyed my work as a psychotherapist, art therapist and group psychotherapist. My practice is in Northampton, MA. I have available hours on Fridays and weekends. I facilitate two family support groups later in the afternoon and evening each week (scroll down to the bottom of this page to learn more.) In addition to my private practice, my counseling work takes me out to the Berkshires, to the Austen Riggs Center in Stockbridge, MA. My primary treatment objective is to support families and individual’s to discover their personal motivation to change.
Start date: January 28th; Sessions: 10; Participants will consider the impact of widefelt societal stressors on our individual and collective mental health and functioning. Participants will be invited to reflect upon and share their experiences of grief, dread and anxiety within a group setting that aims to foster interpersonal connection and mutual support. We will be processing the implications and impact of topics such as current global events, the political climate in the United States, the COVID-19 pandemic, and the climate crisis, with consideration given to experiences of vicarious trauma and burnout. Learn more at https://advancepsychotherapy.org/bpr

Hosted by Advance Psychotherapy Practice
Clinical Social Work/Therapist
Group meets in Hadley, MA 01035
We have immediate openings, across the lifespan, for the following insurances: Blue Cross Blue Shield Optum and Optum products: Allways, Harvard Pilgrim, Oxford, Connecticare TUFTS Medicare Private Pay ($100/session) Become a client on our website: www.advancepsychotherapy.org. Those who are interested in receiving services from us should fill out the following form:
Skills training education is focused on three separate types of life skills, presented in modules: Emotion Regulation (10 week course), Distress Tolerance (10 week course) and Interpersonal Effectiveness (8 week course); Each module incorporates the core skill of Mindfulness. Participants will meet weekly for a 90 minute confidential and supportive class. Enrollment is open at the beginning of each module. Each group begins with a mindfulness exercise, a review of the previous week's lesson and introduction of new material. Brief homework is assigned to help individuals practice and reinforce the skills during the week.

Since 2004, I have been practicing as a psychotherapist in Massachusetts, working with individuals of all ages, as well as with couples and families. My approach involves exploring the circumstances that contribute to current issues and creating a tailored approach to reach resolution. I employ various therapeutic perspectives and specialize and am a certified provider of Dialectical Behavior Therapy (DBT). My aim is to help people tap into their own inherent strengths to reduce negative emotions, manage conflicts effectively, and enhance overall life satisfaction.
Dialectical Behavior Therapy (DBT) teaches how to manage emotions, relationships and stress in effective and meaningful ways. These life skills are helpful for all people, and adolescence is a great time to learn them. DBT provides strategies to set us up for happiness and confidence in our lives. This program provides support to teens and their parents as they learn and practice implementing these skills. This program is designed for one family at a time and is tailored to your specific needs.

Since 2004, I have been practicing as a psychotherapist in Massachusetts, working with individuals of all ages, as well as with couples and families. My approach involves exploring the circumstances that contribute to current issues and creating a tailored approach to reach resolution. I employ various therapeutic perspectives and specialize and am a certified provider of Dialectical Behavior Therapy (DBT). My aim is to help people tap into their own inherent strengths to reduce negative emotions, manage conflicts effectively, and enhance overall life satisfaction.
An exciting opportunity for men to safely explore thier personal relationships with significant others,children,parents,siblings,and friends,leading to a better understanding of self,development of new skills,and positive solutions to difficulties men may encounter in their daily lives.Societal expectation of masculinity and its impact personal expectations,goals,and interactions will also be explored. Special attention will be placed on understanding of men and relationships from a family systems perspective.

Hosted by John 'Jack' Bonina
Clinical Social Work/Therapist, MS, MSW, LICSW
Group meets in Northampton, MA 01060
My approach with clients recognizes that most people are looking for tangible help, don't have a lot of time between work and family, and want to feel like they are moving toward a better understanding of solutions to address their difficulties. My work with clients acknowledges these issues. I take a very active role in counseling to explore the options with my clients, provide new knowlege of issues where relevant, and help an individual to reach their potential. Issues related to marital/partner, parenting/child, family,work,school,stress, anxiety, depression, and substance abuse are all areas I work with.
First Tuesday of every Month from 6:30 pm to 8:00 pm. MEETS VIRTUALLY. This monthly education and support group is for parents and caregivers of children or teens with an ADHD diagnosis. We host guest speakers that present on a variety of ADHD topics. The ADHD Parent Support Group is open to any parent/caregiver and is a FREE service sponsored by Northampton Area Pediatrics. For meeting links or questions, please contact: ValleyADHDfamilies@gmail.com

Hosted by Spark ADHD Coaching & Consulting (Meg Taylor)
Verified Verified
Group meets in Northampton, MA 01060
Are you or a loved one struggling with ADHD symptoms? Is ADHD limiting productivity, performance, or self-esteem at work, home, or school or negatively impacting relationships? Feeling like you (or your child) are not meeting your potential, and not sure where to turn next? If you are seeking ADHD information and resources, understanding and support, and customized structures and systems to plan, organize, prioritize, remember, and self-manage your professional, academic, personal, or home life, reach out today to see if Spark ADHD services might be right for you.
Start date: Ongoing; Sessions: Ongoing; Processes of aging are complex and lifelong. This group is open to adults who are grappling with themes related to aging, whether that be individuals who are moving closer to the end of their lives, those who are transitioning into adulthood, those caring for others in their lives who are growing older (at any stage of life), or any other life transition marked by the passing of time. Learn more about this group at https://advancepsychotherapy.org/poa

Hosted by Advance Psychotherapy Practice, Southwick
Clinical Social Work/Therapist, LICSW
Group meets in Hadley, MA 01035
Welcome to Advance Psychotherapy Practice, conveniently located on College Highway in Southwick, MA. We proudly serve the Southwick and greater Westfield areas, offering compassionate and professional psychotherapy services to individuals, children and teens. Whether you’re seeking support for yourself or a loved one, we are here to help guide you toward healing and growth.
This is an on-going group and supportive space for female identifying teens to express themselves through facilitated therapeutic arts exercises designed to: support healthy self-esteem, reduce stress, practice mindful self care, establish a regular practice of writing, art making and self-reflection (This is a supportive and creative arts group, not a therapy group) . For info/details of the launch date of the next Teen Lounge email artstalounge@gmail.com or see www.artstarlounge.com

Hi I'm Marie, I am an art therapist and owner of ArtStar: Creative Arts Lounge. I work with women and teen girls who feel overwhelmed by their thoughts and emotions, struggle with self-doubt, depression, anxiety or are managing a major life transition. I help women become more present and connected, get free of harsh self-judgment and shame so they can learn to trust their intuition, connect to their authentic self and begin to experience a more joyful and meaningful life.
6 wk group using art, writing and mindfulness techniques to explore, release and reflect on what you want and need (and aspire to) as you step into the next chapter of your life. Group reserved for women who are newly separated/divorcing/within the 1st year since finalizing their divorce. Meets online. Email for info/details/dates, generally runs on Sunday mornings. Next group starts May 18th. See link below to register.

Hi I'm Marie, I am an art therapist and owner of ArtStar: Creative Arts Lounge. I work with women and teen girls who feel overwhelmed by their thoughts and emotions, struggle with self-doubt, depression, anxiety or are managing a major life transition. I help women become more present and connected, get free of harsh self-judgment and shame so they can learn to trust their intuition, connect to their authentic self and begin to experience a more joyful and meaningful life.
See more therapy options for Amherst
FAQs - About Group Therapy and Support Groups
How can I find a support group in Amherst?
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.
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.
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.
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.
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.
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.
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.
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.