Support Groups in Mitchellville, MD

This virtual group is aimed toward women battling infertility and the TTC journey.his group centers shared understanding, emotional processing, and connection with others who can relate to the unique complexities of this experience. Sessions are facilitated with a focus on stress management, coping and resilience strategies, and community support.
Photo of Bonita Smith, Counselor, LCPC-S
Hosted by Bonita Smith
Counselor, LCPC-S
Group meets in Mitchellville, MD 20721
This virtual group is aimed toward women battling infertility and the TTC journey.his group centers shared understanding, emotional processing, and connection with others who can relate to the unique complexities of this experience. Sessions are facilitated with a focus on stress management, coping and resilience strategies, and community support.
(301) 719-2508 View (301) 719-2508
This virtual group therapy is ideal for women in the "fourth trimester" and beyond. This group emphasizes connection, emotional wellbeing, and support during a time of significant transition and identity change. Sessions are grounded in maternal mental health and offer a sense of community during the early parenting journey.
Photo of Bonita Smith, Counselor, LCPC-S
Hosted by Bonita Smith
Counselor, LCPC-S
Group meets in Mitchellville, MD 20721
This virtual group therapy is ideal for women in the "fourth trimester" and beyond. This group emphasizes connection, emotional wellbeing, and support during a time of significant transition and identity change. Sessions are grounded in maternal mental health and offer a sense of community during the early parenting journey.
(301) 719-2508 View (301) 719-2508

More Groups Nearby

Most of us have some mental and emotional booby-trap. Mindsight is a revolutionary approach to freedom from these traps that is solidly based on the most current breakthroughs in neuro-science. Through the use of meditation, the tools of psychotherapy, and the findings of neuro-science we can now precisely and effectively re-wire our brains.
Photo of Mary Strueber - Mary Strueber, LCPC Psychotherapy & Counseling, Licensed Clinical Professional Counselor, LCPC
Hosted by Mary Strueber, LCPC Psychotherapy & Counseling
Licensed Clinical Professional Counselor, LCPC
Group meets in Annapolis, MD 21403
Most of us have some mental and emotional booby-trap. Mindsight is a revolutionary approach to freedom from these traps that is solidly based on the most current breakthroughs in neuro-science. Through the use of meditation, the tools of psychotherapy, and the findings of neuro-science we can now precisely and effectively re-wire our brains.
(443) 267-4899 View (443) 267-4899
We offer DBT for teens and young adults struggling with intense emotions, impulsivity, relationship issues, or shutdown. Through weekly skills groups and individual therapy, clients learn mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. Our DBT approach is practical, supportive, and tailored to real-life challenges. For teens, we also involve parents to support progress at home. DBT is especially effective for those feeling stuck in patterns of avoidance or reactivity. With consistent support, clients gain confidence, emotional stability, and tools to make lasting, meaningful changes in their lives.
Photo of Rebecca Kullback - Metropolitan Counseling Associates, Treatment Center, LCSW-C, PhD, MD
Hosted by Metropolitan Counseling Associates
Treatment Center, LCSW-C, PhD, MD
Group meets in Bethesda, MD 20814
We offer DBT for teens and young adults struggling with intense emotions, impulsivity, relationship issues, or shutdown. Through weekly skills groups and individual therapy, clients learn mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. Our DBT approach is practical, supportive, and tailored to real-life challenges. For teens, we also involve parents to support progress at home. DBT is especially effective for those feeling stuck in patterns of avoidance or reactivity. With consistent support, clients gain confidence, emotional stability, and tools to make lasting, meaningful changes in their lives.
(240) 724-4958 View (240) 724-4958
Individuals meeting to lend support, learn from each other, and receive instruction/coaching from therapist who is certified nutrition counselor with long track record of success.
Photo of Joan Weill, Clinical Social Work/Therapist, LCSW-C
Hosted by Joan Weill
Clinical Social Work/Therapist, LCSW-C
Group meets in Silver Spring, MD 20910
Individuals meeting to lend support, learn from each other, and receive instruction/coaching from therapist who is certified nutrition counselor with long track record of success.
(240) 650-8240 View (240) 650-8240
Older Adult Support Group
Photo of Francine Schwartz, Clinical Social Work/Therapist, MSW, MBA, LCSW-C
Hosted by Francine Schwartz
Clinical Social Work/Therapist, MSW, MBA, LCSW-C
Group meets in Silver Spring, MD 20906
Older Adult Support Group
(301) 298-7027 View (301) 298-7027
OPEN ONGOING GROUP -- FINDING PEACE & CONNECTIVENESS in these uncertain, very stressful times. This will be a Holistic therapeutic process oriented, skill-building, and ongoing support GROUP. We will discuss and practice how to become aware of mind/body and spiritual awareness, stressors, acceptance, and ways to grow. You will learn how to "Pause Daily" to compassionately nurture you and your authentic-self first to find ongoing peace and strength. You can call or write me to find out more about this group. SIGN UP at www.authenticallyu.org soon. You can ALWAYS choose a perception and way of life to help you.
Photo of Marilyn B. Spenadel - Authentically U Counseling, LLC - Marilyn Spenadel, Licensed Clinical Professional Counselor, MS, LCPC, ACS
Hosted by Authentically U Counseling, LLC - Marilyn Spenadel
Licensed Clinical Professional Counselor, MS, LCPC, ACS
Group meets in Rockville, MD 20852
OPEN ONGOING GROUP -- FINDING PEACE & CONNECTIVENESS in these uncertain, very stressful times. This will be a Holistic therapeutic process oriented, skill-building, and ongoing support GROUP. We will discuss and practice how to become aware of mind/body and spiritual awareness, stressors, acceptance, and ways to grow. You will learn how to "Pause Daily" to compassionately nurture you and your authentic-self first to find ongoing peace and strength. You can call or write me to find out more about this group. SIGN UP at www.authenticallyu.org soon. You can ALWAYS choose a perception and way of life to help you.
(240) 426-8344 View (240) 426-8344
Target Participants: New mothers (up to 1 year postpartum) seeking emotional support, practical coping strategies, and a sense of community during the transition into motherhood. Babies are welcome to attend as needed. Theoretical Frameworks Utilized: Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), Narrative Therapy Group Goals: Explore and reframe personal narratives surrounding postpartum experiences and early motherhood to foster self-compassion and reduce self-judgment Enhance emotional regulation and coping skills Improve communication to strengthen relationships and confidently express needs during early motherhood. Format: Check-in, Psychoeducation & experiential exercises Guided group discussion, Reflective closing with take-home prompts
Photo of Elaine Powell, Pre-Licensed Professional
Hosted by Elaine Powell
Pre-Licensed Professional
Group meets in Gaithersburg, MD 20878
Target Participants: New mothers (up to 1 year postpartum) seeking emotional support, practical coping strategies, and a sense of community during the transition into motherhood. Babies are welcome to attend as needed. Theoretical Frameworks Utilized: Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), Narrative Therapy Group Goals: Explore and reframe personal narratives surrounding postpartum experiences and early motherhood to foster self-compassion and reduce self-judgment Enhance emotional regulation and coping skills Improve communication to strengthen relationships and confidently express needs during early motherhood. Format: Check-in, Psychoeducation & experiential exercises Guided group discussion, Reflective closing with take-home prompts
(240) 266-3054 View (240) 266-3054
Move your body AND bond with baby! This is a community movement class for parents and their babies who are navigating the perinatal/early parenting period, and wish to feel connected with their bodies again while also creating calm and comfort with their little. Through guided movement and responsive play, you will learn to connect, bond, and co-regulate with your child in a safe, relaxing environment. Held at Dance of Life, LLC all Tuesdays except 2nd Tuesday of the month.
Photo of Kristine Purcell, Licensed Clinical Professional Counselor, BC-DMT, LCPC, PMH-C
Hosted by Kristine Purcell
Licensed Clinical Professional Counselor, BC-DMT, LCPC, PMH-C
Group meets in Annapolis, MD 21409
Move your body AND bond with baby! This is a community movement class for parents and their babies who are navigating the perinatal/early parenting period, and wish to feel connected with their bodies again while also creating calm and comfort with their little. Through guided movement and responsive play, you will learn to connect, bond, and co-regulate with your child in a safe, relaxing environment. Held at Dance of Life, LLC all Tuesdays except 2nd Tuesday of the month.
(301) 541-8284 View (301) 541-8284
ReEvolve, LLC is a diverse Practice, dedicated and committed to providing individualized client Centered treatment to meet the needs of our clients. Our Anxiety and Depression Group, is a 8 week group which focuses on the whole person to get to the root cause of their depression and anxiety. We employ a Holistic model which emphasize, Nutrition, Life Style, Spirituality & Cognitive Behavioral focuses. In these sessions We empower and equip our clients to eradicate depression and anxiety from their lives. We promote Whole-Health and believe healing begins with acknowledgement and commitment to create change.
Photo of Garnet J Nelson - Garnet Nelson - ReEvolve Therapy, Clinical Social Work/Therapist, LCSW, LCSW-C, BCD
Hosted by Garnet Nelson - ReEvolve Therapy
Clinical Social Work/Therapist, LCSW, LCSW-C, BCD
Group meets in Montgomery Village, MD 20886
ReEvolve, LLC is a diverse Practice, dedicated and committed to providing individualized client Centered treatment to meet the needs of our clients. Our Anxiety and Depression Group, is a 8 week group which focuses on the whole person to get to the root cause of their depression and anxiety. We employ a Holistic model which emphasize, Nutrition, Life Style, Spirituality & Cognitive Behavioral focuses. In these sessions We empower and equip our clients to eradicate depression and anxiety from their lives. We promote Whole-Health and believe healing begins with acknowledgement and commitment to create change.
(301) 517-6463 View (301) 517-6463
This support group is designed for pre-licensed and early-career mental health professionals working toward independent practice as Licensed Professional Counselors (LPCs). Participants receive guidance and consultation from a board-approved clinical supervisor while developing the skills needed to establish and sustain a private practice. The group focuses on both clinical growth and the practical realities of transitioning from trainee to independent clinician. Topics: Operating a practice as an LGPC, Clinical decision-making and case conceptualization, Ethical and legal considerations in independent practice, Managing documentation, insurance and self-pay models, Developing clinical identity, Boundaries, burnout prevention, Navigating supervision and licensure requirements.
Photo of Barbara Adika - Clinical Supervision and Private Practice Startup, Licensed Clinical Professional Counselor, LCPC, LPC
Hosted by Clinical Supervision and Private Practice Startup
Licensed Clinical Professional Counselor, LCPC, LPC
Group meets in Gaithersburg, MD 20878
This support group is designed for pre-licensed and early-career mental health professionals working toward independent practice as Licensed Professional Counselors (LPCs). Participants receive guidance and consultation from a board-approved clinical supervisor while developing the skills needed to establish and sustain a private practice. The group focuses on both clinical growth and the practical realities of transitioning from trainee to independent clinician. Topics: Operating a practice as an LGPC, Clinical decision-making and case conceptualization, Ethical and legal considerations in independent practice, Managing documentation, insurance and self-pay models, Developing clinical identity, Boundaries, burnout prevention, Navigating supervision and licensure requirements.
(240) 384-5073 View (240) 384-5073
In addition to our evidence-based substance use and mental health therapy services, We provide robust academic support by certified and credentialed teachers to ensure the client’s schoolwork stays up to date. We help clients catch up on school work and teach individualized learning strategies to build academic confidence.
Photo of Sandstone C - Sandstone Care Teen & Young Adult Treatment Center, Treatment Center, MD, LPC, LAC, CAC-III, CSAC-A
Hosted by Sandstone Care Teen & Young Adult Treatment Center
Treatment Center, MD, LPC, LAC, CAC-III, CSAC-A
Group meets in Rockville, MD 20852
In addition to our evidence-based substance use and mental health therapy services, We provide robust academic support by certified and credentialed teachers to ensure the client’s schoolwork stays up to date. We help clients catch up on school work and teach individualized learning strategies to build academic confidence.
(240) 858-0384 View (240) 858-0384
Legacy Counseling & Consulting, LLC delivers outpatient therapy, group therapy, and consulting services. We focus on helping individuals who have endured trauma, grief/loss, life transitions, relationship issues, work stress, anxiety, depression, and self-esteem issues. We treat individuals of all walks of life, no matter the age, race, or gender affiliation. We specialize in trauma-related issues and have experience treating sexual assault survivors, survivors of mass trauma, and first responders. As minorities, we have a shared understanding of the emotional impact of being marginalized. Our team values cultural competency and ensuring that all ethnicities are provided equal support.
Photo of Tracey Lynne Williams, Clinical Social Work/Therapist, DSW, LCSW-C, LCSW
Hosted by Tracey Lynne Williams
Clinical Social Work/Therapist, DSW, LCSW-C, LCSW
Group meets in Ellicott City, MD 21043
Legacy Counseling & Consulting, LLC delivers outpatient therapy, group therapy, and consulting services. We focus on helping individuals who have endured trauma, grief/loss, life transitions, relationship issues, work stress, anxiety, depression, and self-esteem issues. We treat individuals of all walks of life, no matter the age, race, or gender affiliation. We specialize in trauma-related issues and have experience treating sexual assault survivors, survivors of mass trauma, and first responders. As minorities, we have a shared understanding of the emotional impact of being marginalized. Our team values cultural competency and ensuring that all ethnicities are provided equal support.
(443) 218-9727 View (443) 218-9727
Schedule: Tuesday, September 23, 2025 5:00 PM – 6:00 PM Stress Awareness – Identifying Sources of Stress Thursday, September 25, 2025 5:00 PM – 6:00 PM Healthy Coping Skills for Stress Relief Tuesday, September 30, 2025 5:00 PM – 6:00 PM Introduction to Trauma – Effects on Mind & Body Thursday, October 02, 2025 5:00 PM – 6:00 PM Grounding & Mindfulness Techniques for Trauma Tuesday, October 07, 2025 5:00 PM – 6:00 PM Life Changes & Adjustment – Navigating Transitions Thursday, October 09, 2025 5:00 PM – 6:00 PM Building Resilience During Difficult Times
Photo of Justin Deitrick, Licensed Clinical Professional Counselor, LCPC
Hosted by Justin Deitrick
Licensed Clinical Professional Counselor, LCPC
Group meets in Baltimore, MD 21224
Schedule: Tuesday, September 23, 2025 5:00 PM – 6:00 PM Stress Awareness – Identifying Sources of Stress Thursday, September 25, 2025 5:00 PM – 6:00 PM Healthy Coping Skills for Stress Relief Tuesday, September 30, 2025 5:00 PM – 6:00 PM Introduction to Trauma – Effects on Mind & Body Thursday, October 02, 2025 5:00 PM – 6:00 PM Grounding & Mindfulness Techniques for Trauma Tuesday, October 07, 2025 5:00 PM – 6:00 PM Life Changes & Adjustment – Navigating Transitions Thursday, October 09, 2025 5:00 PM – 6:00 PM Building Resilience During Difficult Times
(443) 332-3763 View (443) 332-3763
The Everyday Mindfulness Skills Group is a 12-week therapy group for adults who feel overwhelmed or stressed and would like to learn mindfulness skills to increase a sense of balance, resilience, and feelings of peace and well-being. Learn to focus your awareness on the present moment and to reduce struggling with difficult experiences by being more accepting and less judgmental. The group is led by Dr. Tamara Levin, an experienced licensed clinical psychologist at The Snow Psychology Group. An individual intake session is required prior to joining the group. Eligible for insurance reimbursement.
Photo of Amanda Thompson, Psychologist, PhD
Hosted by Amanda Thompson
Psychologist, PhD
Group meets in Rockville, MD 20852
The Everyday Mindfulness Skills Group is a 12-week therapy group for adults who feel overwhelmed or stressed and would like to learn mindfulness skills to increase a sense of balance, resilience, and feelings of peace and well-being. Learn to focus your awareness on the present moment and to reduce struggling with difficult experiences by being more accepting and less judgmental. The group is led by Dr. Tamara Levin, an experienced licensed clinical psychologist at The Snow Psychology Group. An individual intake session is required prior to joining the group. Eligible for insurance reimbursement.
(301) 901-8712 View (301) 901-8712
A Virtual Therapy & Education Group for Adults coping with Divorce . Clients will learn coping skills to help them process their feelings and transition to a place of healing. Materials included.
Photo of Mary Carlough - Healing By Design LLC, Clinical Social Work/Therapist, LCSW-C
Hosted by Healing By Design LLC
Clinical Social Work/Therapist, LCSW-C
Group meets in Chevy Chase, MD 20815
A Virtual Therapy & Education Group for Adults coping with Divorce . Clients will learn coping skills to help them process their feelings and transition to a place of healing. Materials included.
(571) 946-8517 View (571) 946-8517
https://www.thebridgeswellnessgroup.com/
Photo of Dr. Tricialand M. Hilliard T, Licensed Clinical Professional Counselor, EdD, LCPC, NBCC, CAGCS, ACS
Hosted by Dr. Tricialand M. Hilliard T
Licensed Clinical Professional Counselor, EdD, LCPC, NBCC, CAGCS, ACS
Group meets in Hyattsville, MD 20784
https://www.thebridgeswellnessgroup.com/
(301) 685-0860 View (301) 685-0860
This is a group for women, who have experienced trauma and are looking for clinical recovery and treatment with other women with similar life circumstances.
Photo of Lisa M. Ford - Harmony Wellness Counseling and Consulting Center,, Clinical Social Work/Therapist, LCSW-C, LCSW, LICSW, LMSW
Hosted by Harmony Wellness Counseling and Consulting Center,
Clinical Social Work/Therapist, LCSW-C, LCSW, LICSW, LMSW
Group meets in Laurel, MD 20708
This is a group for women, who have experienced trauma and are looking for clinical recovery and treatment with other women with similar life circumstances.
(443) 747-7462 View (443) 747-7462
Group provides life coaching and support for adolescents and young adults. Issues include:eatingdisorders,relationships,sexuality, self esteem, anxiety,mood disorders and family issues.
Photo of Marci Kressin Malnik - Marci K. Malnik,LCSW-C, LLC, Clinical Social Work/Therapist, LCSW-C
Hosted by Marci K. Malnik,LCSW-C, LLC
Clinical Social Work/Therapist, LCSW-C
Group meets in Rockville, MD 20850
Group provides life coaching and support for adolescents and young adults. Issues include:eatingdisorders,relationships,sexuality, self esteem, anxiety,mood disorders and family issues.
(240) 850-4733 View (240) 850-4733
Are you ready to heed the call to adventure and embark on the heroine's quest to achieve your vision of success? Are you ready for a breakthrough? If you are ready to take your life to the next level and start living your Vision of Success you should join this online community and attend our retreats and Powerful Women Networking Events. Visit our Facebook page: Vision Quest Retreats with Dr. Nicole Cutts, click "like" and you are in! Visit www.VisionQuestRetreats.com and sign up for our mailing list to receive info on upcoming events!
Photo of Nicole Cutts, Psychologist, PhD
Hosted by Nicole Cutts
Psychologist, PhD
Group meets in Rockville, MD 20850
Are you ready to heed the call to adventure and embark on the heroine's quest to achieve your vision of success? Are you ready for a breakthrough? If you are ready to take your life to the next level and start living your Vision of Success you should join this online community and attend our retreats and Powerful Women Networking Events. Visit our Facebook page: Vision Quest Retreats with Dr. Nicole Cutts, click "like" and you are in! Visit www.VisionQuestRetreats.com and sign up for our mailing list to receive info on upcoming events!
(202) 568-8546 View (202) 568-8546

See more therapy options for Mitchellville

FAQs - About Group Therapy and Support Groups

How can I find a support group in Mitchellville?

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.