Support Groups in Chestnut Hill, MA

TGC is a unique group for 7th-12th-grade girls who are looking for a safe place to develop the skills that will enable them to create and sustain healthy relationships with themselves and others in their world. CTC is for girls who are transitioning to college. Virtual coaching is also available on an as-needed basis throughout their college experience.
Photo of Pamela Sigal Willsey, Clinical Social Work/Therapist, LICSW, PCC
Hosted by Pamela Sigal Willsey
Clinical Social Work/Therapist, LICSW, PCC
Group meets in Chestnut Hill, MA 02467
TGC is a unique group for 7th-12th-grade girls who are looking for a safe place to develop the skills that will enable them to create and sustain healthy relationships with themselves and others in their world. CTC is for girls who are transitioning to college. Virtual coaching is also available on an as-needed basis throughout their college experience.
(617) 612-4375 View (617) 612-4375
This experiential group approved for 31.5 CEs and runs from Jan. 17-21, 2024 is for therapists who run groups or work in practices and are feeling exhausted, frustrated, pained, and a desire to quit. This group can be a retreat for you to learn how your feelings, thoughts, bodily sensations, and desires experienced in your role as therapist may reflect authority and group dynamics that could be contributing to burnout. Register at www.leadershipgrc.com to learn how finding your voice, and speaking to your experiences, can help uncover organizational dynamics operating below the surface and address burnout.
Photo of Sheri-Ann Cowie, Pre-Licensed Professional, PhD
Hosted by Sheri-Ann Cowie
Pre-Licensed Professional, PhD
Group meets in Chestnut Hill, MA 02467
This experiential group approved for 31.5 CEs and runs from Jan. 17-21, 2024 is for therapists who run groups or work in practices and are feeling exhausted, frustrated, pained, and a desire to quit. This group can be a retreat for you to learn how your feelings, thoughts, bodily sensations, and desires experienced in your role as therapist may reflect authority and group dynamics that could be contributing to burnout. Register at www.leadershipgrc.com to learn how finding your voice, and speaking to your experiences, can help uncover organizational dynamics operating below the surface and address burnout.
(267) 329-0328 View (267) 329-0328

More Groups Nearby

This is a 10-week program designed to equip participants with practical skills to manage emotions, improve relationships, and cope with distressing situations. DBT includes Mindfulness: Cultivating present-moment awareness and acceptance, Distress Tolerance: Learning new strategies to manage distressing situations. Emotion Regulation: Understanding emotions and effectively managing responses. Interpersonal Effectiveness: Developing skills for assertive communication and building healthy relationships. Whether difficult relationships with your spouse, your coworkers, your family, this skills-based group helps you navigate relationships and life's inevitable ups and downs more effectively. Be ready to learn and be more aligned with yourself and your values.
Photo of Cindi B Scrimgeour, Counselor, LMHC
Hosted by Cindi B Scrimgeour
Counselor, LMHC
Group meets in Medway, MA 02053
This is a 10-week program designed to equip participants with practical skills to manage emotions, improve relationships, and cope with distressing situations. DBT includes Mindfulness: Cultivating present-moment awareness and acceptance, Distress Tolerance: Learning new strategies to manage distressing situations. Emotion Regulation: Understanding emotions and effectively managing responses. Interpersonal Effectiveness: Developing skills for assertive communication and building healthy relationships. Whether difficult relationships with your spouse, your coworkers, your family, this skills-based group helps you navigate relationships and life's inevitable ups and downs more effectively. Be ready to learn and be more aligned with yourself and your values.
(508) 684-7991 View (508) 684-7991
Process and Prayer is an intentional space for growth in Faith, inner healing, and experiencing freedom through Christ. Together we will reflect, pray, worship, and invite Jesus to work in Forgiveness and Restoration, creating a safe place for hearts to be renewed. Mondays for 8 weeks. Join us on this journey. It is guided reflection: participants are prompted to reflect on past actions, resentments, fears, or mistakes—inner healing journaling. Journaling or writing down your inventory is common. Sign up at savinggracewb.com or 508-443-4362. This is an ongoing online group. Join anytime. Insurance coverage possible.
Photo of Catarina De Jesus, Counselor, MEd, LMHC
Hosted by Catarina De Jesus
Counselor, MEd, LMHC
Group meets in West Bridgewater, MA 02379
Process and Prayer is an intentional space for growth in Faith, inner healing, and experiencing freedom through Christ. Together we will reflect, pray, worship, and invite Jesus to work in Forgiveness and Restoration, creating a safe place for hearts to be renewed. Mondays for 8 weeks. Join us on this journey. It is guided reflection: participants are prompted to reflect on past actions, resentments, fears, or mistakes—inner healing journaling. Journaling or writing down your inventory is common. Sign up at savinggracewb.com or 508-443-4362. This is an ongoing online group. Join anytime. Insurance coverage possible.
(508) 286-7980 View (508) 286-7980
Two free zoom seminars: January 21, 2025 Parenting The Emotionally Extreme Teen and February 4, 2025 DBT Skills Overview. Please visit my website (google my full name) and visit Classes and Events to register. Both are online and not in person.
Photo of Renee Hoekstra, Psychologist, PsyD, MA
Hosted by Renee Hoekstra
Psychologist, PsyD, MA
Group meets in Lawrence, MA 01840
Two free zoom seminars: January 21, 2025 Parenting The Emotionally Extreme Teen and February 4, 2025 DBT Skills Overview. Please visit my website (google my full name) and visit Classes and Events to register. Both are online and not in person.
(781) 423-1587 View (781) 423-1587
The Complex Trauma Institute is offering a recurring, 12-week, co-ed group: Complex Trauma 201: Creative Coping. Begins Fall 2024 and will explore different types of traumas, what it means to process experiences safely, how to engage in self-care, manage activation, among other related topics. This is not a process group, but group members are welcome to share their thoughts, questions, and experiences as beneficial to themselves and the group. Group meets in-person, Thursday evenings from 5:30-7:00 in Melrose, MA. Cost is $1,000 flat rate due before the first session; insurance not accepted.
Photo of Sierra Spinney, Clinical Social Work/Therapist, LICSW
Hosted by Sierra Spinney
Clinical Social Work/Therapist, LICSW
Group meets in Melrose, MA 02176
The Complex Trauma Institute is offering a recurring, 12-week, co-ed group: Complex Trauma 201: Creative Coping. Begins Fall 2024 and will explore different types of traumas, what it means to process experiences safely, how to engage in self-care, manage activation, among other related topics. This is not a process group, but group members are welcome to share their thoughts, questions, and experiences as beneficial to themselves and the group. Group meets in-person, Thursday evenings from 5:30-7:00 in Melrose, MA. Cost is $1,000 flat rate due before the first session; insurance not accepted.
(339) 204-9504 View (339) 204-9504
Take the next step in your healing journey with our 12-week virtual Women's Trauma group, where you'll work on a personal goal and receive support from others who understand. In a safe and encouraging space, you’ll get feedback, guidance, and inspiration to keep moving forward. This group is run by an expert in the field of trauma and recovery and is for women with stable life circumstances and a support system—not actively self-harming or abusing substances. Ready to invest in your growth? Email us at admin@1awellness.com
Photo of Kristina Harter, Psychologist, PhD
Hosted by Kristina Harter
Psychologist, PhD
Group meets in Cambridge, MA 02138
Take the next step in your healing journey with our 12-week virtual Women's Trauma group, where you'll work on a personal goal and receive support from others who understand. In a safe and encouraging space, you’ll get feedback, guidance, and inspiration to keep moving forward. This group is run by an expert in the field of trauma and recovery and is for women with stable life circumstances and a support system—not actively self-harming or abusing substances. Ready to invest in your growth? Email us at admin@1awellness.com
(617) 858-6389 View (617) 858-6389
A group for gay men (25-50yo) who want more satisfying sexual/ romantic relationships. Even though things look good on the outside: good job, nice place, decent friends but secretly on the inside are you struggling with finding the kind of long term relationship that you're looking for? Are you concerned about the amount of time it takes online to meet guys - and afterward find yourself feeling alone and guilty? Or you have a boyfriend but have questions about monogamy? Connect and get support for the small changes that you will make to get your sexual/intimacy needs met.
Photo of Scott Garvin, Counselor, MA, LMHC, LPC
Hosted by Scott Garvin
Counselor, MA, LMHC, LPC
Group meets in Brookline, MA 02446
A group for gay men (25-50yo) who want more satisfying sexual/ romantic relationships. Even though things look good on the outside: good job, nice place, decent friends but secretly on the inside are you struggling with finding the kind of long term relationship that you're looking for? Are you concerned about the amount of time it takes online to meet guys - and afterward find yourself feeling alone and guilty? Or you have a boyfriend but have questions about monogamy? Connect and get support for the small changes that you will make to get your sexual/intimacy needs met.
(617) 606-4292 View (617) 606-4292
This group is comprised of 5-8 individuals who meet face to face to share their struggles and concerns. The power of process group lies in the unique opportunity to receive multiple perspectives, support, encouragement and feedback from other individuals, and a trained psychologist, in a safe and confidential environment. Group provides individuals an opportunity to deepen their level of self-awareness and to learn how they relate to others. Members are encouraged to give support and feedback to others, and to work with the reactions and responses that other members' contributions bring up for them.
Photo of Dr. Karen Cutting, Psychologist, PsyD
Hosted by Dr. Karen Cutting
Psychologist, PsyD
Group meets in Concord, MA 01742
This group is comprised of 5-8 individuals who meet face to face to share their struggles and concerns. The power of process group lies in the unique opportunity to receive multiple perspectives, support, encouragement and feedback from other individuals, and a trained psychologist, in a safe and confidential environment. Group provides individuals an opportunity to deepen their level of self-awareness and to learn how they relate to others. Members are encouraged to give support and feedback to others, and to work with the reactions and responses that other members' contributions bring up for them.
(351) 200-9675 View (351) 200-9675
Mindfulness is a vital and incredibly effective tool for managing stress and anxiety. Each 60 minute session will teach a mindfulness skill or concept, provide a guided mindfulness practice, and offer the optional opportunity to briefly discuss the concept/activity as a group. Members can attend any amount of sessions they like. Sessions are offered most weekdays and are often covered by insurance. If interested, email Dr. Cadet to set up a brief ~15 minute phone consult to determine if the group will be a good fit for your needs.
Photo of Melanie Cadet, Psychologist, PhD
Hosted by Melanie Cadet
Psychologist, PhD
Group meets in Quincy, MA 02169
Mindfulness is a vital and incredibly effective tool for managing stress and anxiety. Each 60 minute session will teach a mindfulness skill or concept, provide a guided mindfulness practice, and offer the optional opportunity to briefly discuss the concept/activity as a group. Members can attend any amount of sessions they like. Sessions are offered most weekdays and are often covered by insurance. If interested, email Dr. Cadet to set up a brief ~15 minute phone consult to determine if the group will be a good fit for your needs.
(617) 315-6821 View (617) 315-6821
Share lived experiences, reduce shame and stigma. Share strategies to manage negative thoughts. Contact - info@awakenmindcenter.com, Group Leaders - Libby Flavin, LICSW and Elizabeth Spahn, MA
Photo of Asma Rashid, Psychiatrist, MD, MPH
Hosted by Asma Rashid
Psychiatrist, MD, MPH
Group meets in Boston, MA 02116
Share lived experiences, reduce shame and stigma. Share strategies to manage negative thoughts. Contact - info@awakenmindcenter.com, Group Leaders - Libby Flavin, LICSW and Elizabeth Spahn, MA
(617) 500-3181 View (617) 500-3181
IF you want to get to the core of repeated patterns and issues, and love spiritual/shamanic work, this group is for you! We delve into the soul of your family and redirect an unwanted pattern into a new, conscious soul agreement. You must be experience this work to really understand the power and effect it has!
Photo of Molly Salans, Clinical Social Work/Therapist, LICSW, LMFT
Hosted by Molly Salans
Clinical Social Work/Therapist, LICSW, LMFT
Group meets in Westford, MA 01886
IF you want to get to the core of repeated patterns and issues, and love spiritual/shamanic work, this group is for you! We delve into the soul of your family and redirect an unwanted pattern into a new, conscious soul agreement. You must be experience this work to really understand the power and effect it has!
(978) 424-4301 View (978) 424-4301
This weekly in-person support group is a safe space for queer and questioning individuals aged 14-17. We focus on support, connection, psycho-education, and building emotional/relational skills. We're currently assessing interest and availability for this group, so please reach out if you'd like to be added to our waitlist!
Photo of Tiana McCrory, Clinical Social Work/Therapist, LICSW, MSW, C-DBT, CCATP, CCTP
Hosted by Tiana McCrory
Clinical Social Work/Therapist, LICSW, MSW, C-DBT, CCATP, CCTP
Group meets in Wellesley, MA 02482
This weekly in-person support group is a safe space for queer and questioning individuals aged 14-17. We focus on support, connection, psycho-education, and building emotional/relational skills. We're currently assessing interest and availability for this group, so please reach out if you'd like to be added to our waitlist!
(339) 217-8966 View (339) 217-8966
Our weekly sessions aim to address the challenges faced both on and off duty. The group aims to discuss various subjects, including (but not exclusively): Work Environment Stressors (Administration/Colleagues/Career), Work-Life Balance , Compassion Fatigue/Vicarious Trauma, Self-Care, Burnout, Addiction.
Photo of Steve Bisson, Counselor, MA, LMHC
Hosted by Steve Bisson
Counselor, MA, LMHC
Group meets in Holliston, MA 01746
Our weekly sessions aim to address the challenges faced both on and off duty. The group aims to discuss various subjects, including (but not exclusively): Work Environment Stressors (Administration/Colleagues/Career), Work-Life Balance , Compassion Fatigue/Vicarious Trauma, Self-Care, Burnout, Addiction.
(508) 928-9041 View (508) 928-9041
Feeling lonely or discouraged in your search for meaningful relationships? This group creates a safe, supportive space for young adults to explore challenges, build self-confidence, and develop healthier ways to connect. This group is here to remind you that you don’t have to figure it out alone. Spots are limited—reach out today to learn more or save your place!
Photo of Sara P Silva - Avista Counseling LLC, Clinical Social Work/Therapist, MSW, LICSW
Hosted by Avista Counseling LLC
Clinical Social Work/Therapist, MSW, LICSW
Group meets in Andover, MA 01810
Feeling lonely or discouraged in your search for meaningful relationships? This group creates a safe, supportive space for young adults to explore challenges, build self-confidence, and develop healthier ways to connect. This group is here to remind you that you don’t have to figure it out alone. Spots are limited—reach out today to learn more or save your place!
(508) 465-2047 View (508) 465-2047
This 6 week virtual group offers opportunities for parents who have experienced the death of a child (25 years or younger) to honor their child's story, reflect on their individual grief journeys, brainstorm coping techniques and find camaraderie within a community of caregivers who understand the uniquely complicated experience of mourning a young child. Exact dates to be decided based on interest.
Photo of Kristin Drouin, Clinical Social Work/Therapist, LICSW, APHSW-C
Hosted by Kristin Drouin
Clinical Social Work/Therapist, LICSW, APHSW-C
Group meets in Waltham, MA 02453
This 6 week virtual group offers opportunities for parents who have experienced the death of a child (25 years or younger) to honor their child's story, reflect on their individual grief journeys, brainstorm coping techniques and find camaraderie within a community of caregivers who understand the uniquely complicated experience of mourning a young child. Exact dates to be decided based on interest.
(617) 812-6084 View (617) 812-6084
DBT is a specialized treatment protocol that addresses problematic behaviors that individuals have developed to cope with overwhelming emotions. Some of these behaviors may be self-injury, suicidal thoughts/behaviors, substance use, sudden and intense anger, and difficulty in relationships. DBT combines unconditional validation of an individual's emotional experience while teaching concrete strategies to manage intense emotions effectively and build "a life worth living." Our full DBT programs include DBT Skills Groups, DBT Individual Therapy, Skills Coaching for Parents, and in-the-moment coaching. We also accept referrals for our DBT Skills Group as adjunct to traditional therapy.
Photo of Kerrie Toole - Castlebrook Counseling Services, Inc., Treatment Center, LICSW
Hosted by Castlebrook Counseling Services, Inc.
Treatment Center, LICSW
Group meets in Westborough, MA 01581
DBT is a specialized treatment protocol that addresses problematic behaviors that individuals have developed to cope with overwhelming emotions. Some of these behaviors may be self-injury, suicidal thoughts/behaviors, substance use, sudden and intense anger, and difficulty in relationships. DBT combines unconditional validation of an individual's emotional experience while teaching concrete strategies to manage intense emotions effectively and build "a life worth living." Our full DBT programs include DBT Skills Groups, DBT Individual Therapy, Skills Coaching for Parents, and in-the-moment coaching. We also accept referrals for our DBT Skills Group as adjunct to traditional therapy.
(508) 475-9110 View (508) 475-9110
New offering an 8-week virtual ACT (Acceptance and Commitment Therapy) group for people experiencing primary infertility. This group offers more than coping strategies—it’s a place to connect, heal, and practice new ways of relating to infertility stress. This group is based on empirical evidence that ACT and mindfulness reduce infertility stress. Link for more info - https://forms.gle/ydz1dCiRbXKURJhV7
Photo of Liz Stein, Psychologist, PsyD
Hosted by Liz Stein
Psychologist, PsyD
Group meets in Brookline, MA 02445
New offering an 8-week virtual ACT (Acceptance and Commitment Therapy) group for people experiencing primary infertility. This group offers more than coping strategies—it’s a place to connect, heal, and practice new ways of relating to infertility stress. This group is based on empirical evidence that ACT and mindfulness reduce infertility stress. Link for more info - https://forms.gle/ydz1dCiRbXKURJhV7
(617) 397-4863 View (617) 397-4863
There is someone in your life who needs to be the center of attention. At first, this was bearable, but now it's a problem that is consuming too much of your energy. Group therapy will help you understand narcissism, teach you skills to navigate these relationships, provide you a community of people with similar experiences, and help you re-prioritize your well-being. This group meets weekly on Thursdays at 7pm EST and has current openings.
Photo of Danielle Pinals, Counselor, MA, LMHC
Hosted by Danielle Pinals
Counselor, MA, LMHC
Group meets in Boston, MA 02130
There is someone in your life who needs to be the center of attention. At first, this was bearable, but now it's a problem that is consuming too much of your energy. Group therapy will help you understand narcissism, teach you skills to navigate these relationships, provide you a community of people with similar experiences, and help you re-prioritize your well-being. This group meets weekly on Thursdays at 7pm EST and has current openings.
(508) 863-4918 View (508) 863-4918
*FULL - REACH OUT FOR NEXT SESSION DETAILS* We meet weekly via zoom. Between weeks you will receive journal prompts & daily guided self-exploration exercises that build off each other. You will learn to be more fully present in your daily life, have stronger connections & relationship w/ yourself & others, identify & explore patterns of self-sabotage, failure & success and how to identify your inner voice from the voices of others. Includes guided mediations and breath work exercises that will walk you through the focus of each week. -- $350 for 6 weeks.
Photo of Amy Hopkinson, Counselor, LMHC, LPC, NCC, TF-CBT
Hosted by Amy Hopkinson
Counselor, LMHC, LPC, NCC, TF-CBT
Group meets in Boston, MA 02127
*FULL - REACH OUT FOR NEXT SESSION DETAILS* We meet weekly via zoom. Between weeks you will receive journal prompts & daily guided self-exploration exercises that build off each other. You will learn to be more fully present in your daily life, have stronger connections & relationship w/ yourself & others, identify & explore patterns of self-sabotage, failure & success and how to identify your inner voice from the voices of others. Includes guided mediations and breath work exercises that will walk you through the focus of each week. -- $350 for 6 weeks.
(781) 679-1943 View (781) 679-1943

See more therapy options for Chestnut Hill

FAQs - About Group Therapy and Support Groups

How can I find a support group in Chestnut Hill?

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.