Support Groups in Walled Lake, MI

At Viewpoint Psychology and Wellness, our mission is to assist individuals of all ages and backgrounds in creating change for themselves and reaching their highest potential. Viewpoint is an outpatient Mental Health practice that provides psychological and psychiatric services. Whether you are looking for therapy and counseling, psychological assessment, diagnosis and testing, medication management or are interested in a health and wellness-based model, we are here to address your concerns and provide effective treatment. Our focus is on the needs of our clients and how we can help them achieve their goals.
Photo of Sherry DeGrazia, Clinical Social Work/Therapist, LMSW
Hosted by Sherry DeGrazia
Clinical Social Work/Therapist, LMSW
Verified Verified
Group meets in Walled Lake, MI 48390
We start therapy due to situational stressors or an ongoing stressor, such as mood disorders, anxiety or depression. I have been providing guidance, coaching and understanding for over 9 years. Our brains as well as our bodies are complicated yet amazing! To maintain mind, body and spiritual balance is difficult, but not impossible, As a therapist, I have experience working with adults, teens, and children. I specialize in working with individuals with Trauma, anxiety, depression and ADHD. My role, as a therapist is to support each client in learning how to listen and properly respond to their mind/bodies on a daily basis.
(248) 669-9500 x714 View (248) 669-9500 x714

More Groups Nearby

You will learn effective coping strategies to reduce stress in your life. Learning meditation, breathing exercises and psycho-educational strategies to help you face and reduce your life stressors. Getting centered to eliminate the stress and learn better ways to handle everyday challenges.
Photo of Connie L Akins, Licensed Professional Counselor, MA, LPC
Hosted by Connie L Akins
Licensed Professional Counselor, MA, LPC
Verified Verified
Group meets in West Bloomfield, MI 48322
Accepting New Clients!! - If you are tired of struggling with stress, anxiety, or depression give me a call. You will find me to be a caring, compassionate Licensed Professional Counselor that delivers client centered therapy in a trusted environment. Services are offered with an approach that helps you feel confident as you progress towards resolving problems and successfully attaining your goals. I offer CBT, solution-focused, brief and long term counseling . If you are ready to move forward, please don't hesitate to give me a call so you can turn your life around.
(248) 834-2614 View (248) 834-2614
GROUP FOR WOMEN WHO HAVE LOST THEIR HUSBANDS OR PARTNERS TO PHYSICAL ILLNESS AND HAVE HELPED THEIR LOVED ONE. COME TOGETHER TO DISCUSS THE ADJUSTMENT WITHOUT CARETAKING AND ADAPTING ON ONE'S OWN WITH HOME, FAITH, FAMILY, VOLUNTEERISM, FRIENDS AND WORK. TALK ABOUT NEW FINANCIAL AND SOCIAL RESPONSIBILITIES AND COMMITMENTS. GRIEF, BEREAVEMENT, MOURNING AND COMARADERIE WITH WOMEN CONFRONTING SIMILAR SITUATIONS. BUDDYING UP TO HELP ONE ANOTHER. CONFIDENTIAL GROUP. INSURANCE OR FEE.
Photo of Rochelle Anixt Gold, Clinical Social Work/Therapist, LMSW, ACSW, MA
Hosted by Rochelle Anixt Gold
Clinical Social Work/Therapist, LMSW, ACSW, MA
Verified Verified
Group meets in Birmingham, MI 48009
Shall we talk about the issues you face? You may not be sure how to deal with them on your own. We could talk them through and consider the best solutions that would ease your mind by removing worrisome thoughts. Learning how to resolve some of these issues with people you relate to all the time will increase their understanding of you.
(248) 327-3501 View (248) 327-3501
This group is for Adult Children of Narcissistic Personality Disordered parents. If you feel anxious and empty in your parental relationship, were expected to jump whenever needed but unsupported when you had needs, were blamed, disrespected, misunderstood, yet cannot confront them about anything they do to you without cold dismissal, no empathy, denial and hostility, and verbal or emotional abuse, join us First Tuesdays of Month from 6:30PM-8PM sharp. This is a confidential sharing/ support/learning group (not therapy). Cost: $25.00 per person. RSVP: 248-788-4230 to make sure group's on.
Photo of Laurel A. Sills - Laurel A. Sills, Psy.D., PLLC, Psychologist, PsyD, LP
Hosted by Laurel A. Sills, Psy.D., PLLC
Psychologist, PsyD, LP
Verified Verified
Group meets in Farmington Hills, MI 48334
Do you want to get well and stay well? I will assess and treat your problems using an integrative, multi-systems approach tailored to your issues (past and present) with short-term dynamic, cognitive-behavioral, spiritual, EMDR & relaxation therapy. I'll help you overcome your fears, negative beliefs to heal yourself and your relationships in short-term therapy with lasting results . Build your self-trust, confidence, assertiveness and find joy. Stop suffering. Couples, singles, straight/LBGTQ. Please CALL vs. email for more specific information about my training, your needs, insurances accepted and to make appointment.
(248) 581-4906 View (248) 581-4906
Are you exploring or transitioning your gender identity and seeking community support? This community care and processing group will move through ideas and feelings around gender, expression, and fluidity in our individual gender experiences. Great for those looking for immediate support while waiting for individual therapy. Insurance and private pay accepted. Reduced fee available for qualifying folks. Group occurs on Thursdays from 7P - 8P ET. Drop into a group today, following initial registration and screening process.
Photo of Jasper H Wurster, Licensed Professional Counselor, MA, MAAT, LCPC, LPC
Hosted by Jasper H Wurster
Licensed Professional Counselor, MA, MAAT, LCPC, LPC
Verified Verified
Group meets in Royal Oak, MI 48067
Do you feel stuck, unmotivated, or not like "yourself"? I'm here to help you find peace of mind, freedom, & personal relief to take charge of your life. I'm an Integrative Internal Family Systems counselor & Adlerian art therapist, with 12+ years of experience, who excels in addressing mood shifts, anxiety, work-life balance, grief, & trauma. I listen with an insightful, patient disposition and an engaging, compassionate heart when we talk about your values, identities, and challenges. Together, we approach obstacles to discover new solutions & apply intuitive skill sets, gaining newfound confidence, authenticity, & wholeness.
(331) 214-5354 View (331) 214-5354
Photo of Paula Christian Kliger, Psychologist, PhD, ABPP
Hosted by Paula Christian Kliger
Psychologist, PhD, ABPP
Verified Verified
Group meets in Birmingham, MI 48009
(947) 333-8190 View (947) 333-8190
Currently accepting LLC's for group supervision. Provides group license supervision for MI LLC's (limited license counselors.) Participants will be asked to prepare a case consult to present regularly to the group. Resources, networking opportunities with other group members, and case consult services will be offered regularly. Group can be hybrid, will be held 1-2 times per month in Troy. Limited to 4-5 participants to allow for increased participation for all LLCs. Pre-registration is required. 90 minutes per group.
Photo of Linnea Sieh, Counselor, MA, LPC
Hosted by Linnea Sieh
Counselor, MA, LPC
Verified Verified
Group meets in Troy, MI 48083
It can be challenging to address your mental health concerns alone. As your counselor, I woud be honored to work together with you, or your child/teen, in a collaborative effort to discover new ways to cope with stressors and improve the quality of life. I utilize creative strength and interest based interventions to ensure an affirming and welcoming environment for clients from ages 4 and up- both neurodiverse and neurotypical. My counseling style is non-judgemental and is flexible to better respond to individual client needs. I also offer Supervision for Michigan LLC clinicians who are seeking full licensure.
(248) 846-0345 View (248) 846-0345
Clients will identify the source of anger and learn various techniques to help control their negative reactions. This is an ongoing weekly virtual meeting serving up to 8 clients per group. Clients are encouraged to be open and honest with themselves. This group is designed to challenge clients to make personal improvements. THIS IS A NO JUDGEMENT ZONE
Photo of Nina Y Jackson - NY Jackson Consulting Svcs, LLC-4Ur Health Therapy, Licensed Professional Counselor, MA, LPC, SCL
Hosted by NY Jackson Consulting Svcs, LLC-4Ur Health Therapy
Licensed Professional Counselor, MA, LPC, SCL
Verified Verified
Group meets in Southfield, MI 48033
I am Nina Jackson, Owner of NY Jackson Consulting Services. My service to you includes over 20 years of experience in the counseling field as a school counselor, academic advisor, and mental health therapist. The primary population I serve are teens, young adults/adults as well as all types of families. I have worked with clients addressing a wide range of concerns including depression, anxiety, anger management, grief, trauma, relationship issues, and family/parenting problems. I also specialize in life skills development, goal setting, and career development.
(947) 207-3689 View (947) 207-3689
FERTILITY ISSUES FOR MEN AND WOMEN, INDIVIDUALS AND COUPLES DECIDING ON ASSISTED REPRODUCTIVE TECHNOLOGY (IVF, ICSI), FAMILY PLANNING, ADOPTION.SURROGACY, POSSIBLE FOSTER PARENTING - EMOTIONAL ISSUES RELATED TO INFERTILITY AND FAMILY PLANNING. EVALUATION INCLUDING FULL MEDICAL AND PSYCHOLOGICAL WRITE-UP. REFERRAL TO OB-GYN, REPRODUCTIVE SPECIALIST & GROUP EXPERIENCE.
Photo of Rochelle Anixt Gold, Clinical Social Work/Therapist, LMSW, ACSW, MA
Hosted by Rochelle Anixt Gold
Clinical Social Work/Therapist, LMSW, ACSW, MA
Verified Verified
Group meets in Birmingham, MI 48009
Shall we talk about the issues you face? You may not be sure how to deal with them on your own. We could talk them through and consider the best solutions that would ease your mind by removing worrisome thoughts. Learning how to resolve some of these issues with people you relate to all the time will increase their understanding of you.
(248) 327-3501 View (248) 327-3501
Help your teen improve coping & reduce anxiety with our 6-week educational courses! $125 weekly - 1 hour personalized coaching sessions. Includes text & email support in between sessions, personalized coaching workbook, action plan assignments after 6 weeks & parent/family involvement. *Are you still unsure if this service is right for your teen? Check out our 5-Star Google reviews about working with our teen skills coach, McKenzie, to learn more about the potential impact of this service!
Photo of McKenzie Luker - Wise Practice Skills, CTRS
Hosted by Wise Practice Skills
CTRS
Verified Verified
Group meets in Troy, MI 48098
Feeling overwhelmed with the demands in your life? Struggling to manage those demands effectively? We specialize in providing Dialectical Behavior Therapy (DBT) Skills Coaching that will help you become more present in your life, learn to effectively balance emotions, manage a crisis & strengthen your relationships! We combine teaching & application of the core Dialectical Behavior Therapy skills of Mindfulness, Emotion Regulation, Distress Tolerance & Interpersonal Effectiveness and tailor them to your specific needs.
(248) 422-0507 View (248) 422-0507
This is a group for individuals who are struggling with sexual compulsion and other unwanted sexual behaviors, including infidelity led by a Certified Sex Addiction Therapist (CSAT). Group is based on the 30 task CSAT model & will Complete the basic tasks necessary for successful recovery and healing; they will cont. to focus on developing necessary skills & creating specific skills in order to avoid triggers & reduce shame/guilt; increase intimacy, trust, attachment in order to create, implement & maintain a healthy sexual recovery plan.
Photo of Akanksha Madan, Licensed Professional Counselor, LPC, CCPS, CSAT, CMAT, EMDR
Hosted by Akanksha Madan
Licensed Professional Counselor, LPC, CCPS, CSAT, CMAT, EMDR
Verified Verified
Group meets in Farmington Hills, MI 48331
Are you struggling with feeling betrayed by your partner's infidelity or are you the one who betrayed your partner and wants to stop their compulsive sexual behavior but just can't no matter how hard you try? I am trained to help you, your partner, and your relationship. I understand the emotional turmoil these experiences can inflict, my clients often grapple with feelings of devastation, mistrust, and emotional disarray stemming from infidelity or their compulsive behaviors. They seek not only understanding & healing but also aim to reclaim their sense of agency to restore their relationship with self and others.
(734) 822-9323 View (734) 822-9323
We address the specific developmental needs of teens 12-17 years of age. The adolescent IOP is an innovative program to immediately address teens with problem use of drugs or alcohol. The program is designed to facilitate change and support the family with insuring long term sustained recovery. Group program meets 3 hours per day 3 days per week. A family session is conducted once per week. Family is the most important contributor to an adolescent's long-term success. Our program includes the family system in effort to be most effective.
Photo of Bruce Goldberg - River's Bend PC, Treatment Center, LMSW, ACSW, SAP, CAADC
Hosted by River's Bend PC
Treatment Center, LMSW, ACSW, SAP, CAADC
Not Verified Not Verified
Group meets in Troy, MI 48083
River's Bend PC is a full-service outpatient clinic that has been serving children, adolescents and adults for over 25 years. We offer comprehensive treatment services for mental health and chemical dependence at several levels of care. River's Bend PC provides its cost-effective behavioral health treatment in an outpatient setting. Our overall goal is to stabilize and maximize each client's well-being through the use of brief psychotherapy and appropriate psychotropic medications, if needed, in a dignified and respectful way.River's Bend PC is centrally located in the Troy area. Our highly qualified therapeutic staff consists of licensed professionals in Social Work, Psychology, Counseling, Marriage and Family Therapy, Substance Abuse Counseling and Psychiatry. Our offices provide a relaxing environment with convenient hours of operation and a dynamic range of services, from individual to group therapy for a wide variety of situations. River's Bend PC is accredited by The Joint Commission for Behavioral Health Care Services.
(248) 585-3239 View (248) 585-3239
Photo of Nicole Lee Pollack, Master Social Worker, LMSW, CSW
Hosted by Nicole Lee Pollack
Master Social Worker, LMSW, CSW
Verified Verified
Group meets in Southfield, MI 48076
(947) 777-0141 View (947) 777-0141
Virtual Peer Consultation Group for Licensed Clinical Mental Health Professionals
Photo of Shavon Walton, Clinical Social Work/Therapist, MSW, LMSW, MSM
Hosted by Shavon Walton
Clinical Social Work/Therapist, MSW, LMSW, MSM
Verified Verified
Group meets in Farmington Hills, MI 48331
You're smart and you know it but sometimes you feel like an imposter. You thrive in ordered spaces, but your environment doesn't reflect that. You're competitive but struggle with even the slightest criticism. You can have months to complete a project that you could complete in a couple of days - tops. Yet you put it off, until the last week - or even days - stressing the whole time but managing somehow to pull it off at the last minute. You're creative but can get overwhelmed with the vastness of ideas and thoughts that come to your mind, so much so that it is difficult for you to focus and develop your ideas to completion.
(947) 282-5193 View (947) 282-5193
Galvin Growth Group is a diverse practice of therapists with specialized backgrounds, including children & adolescents, adults, adjustment disorders, anxiety, depression, ADHD & executive functioning, alcohol and substance abuse. We do psychological evaluations as well. Many of our therapists have a background in K-12 education, they help children thrive both in school and in their personal lives. Some therapists specialize in working with adults, including individuals, couples, and adults with addiction issues. Our approach is integrative and includes techniques such as cognitive behavioral therapy, acceptance and commitment therapy, client-centered therapy, behavioral approaches, and motivational interviewing. We offer Animal Assisted Therapy.
Photo of Max Carney, Limited Licensed Psychologist, MA, TLLP
Hosted by Max Carney
Limited Licensed Psychologist, MA, TLLP
Verified Verified
Group meets in Novi, MI 48375
My ideal clients presenting problems would consist of adults struggling with controlling their behavior. These individuals may experience not feeling in control of themselves. Individuals may feel as if outside obligations or internal struggles has taken over their lives and feel stuck in an abusive cycle.  These clients would want to decrease impulsive and destructive behavior. These clients would seek control over their behavior for the betterment of themselves and those they love. These clients will want the stability they may have never experienced. Stability will look like financial, emotional, physical, and relational.
(734) 323-4897 View (734) 323-4897
Photo of Deborah Grossi, Licensed Professional Counselor, MA, LPC
Hosted by Deborah Grossi
Licensed Professional Counselor, MA, LPC
Verified Verified
Group meets in Novi, MI 48377
(248) 599-2440 View (248) 599-2440
Education class designed for someone with their first legal charge related to substances or as a prevention strategy. Is held for 90 minutes weekly. Check to see if we take your insurance or $40 out of pocket. The class is held Wednesdays from 7-8:30 p.m. and is in person only.
Photo of Tobi Russell - Rochester Area Counseling Services, Licensed Professional Counselor, PhD, LPC, CAADC, CCS-M, CCTP
Hosted by Rochester Area Counseling Services
Licensed Professional Counselor, PhD, LPC, CAADC, CCS-M, CCTP
Verified Verified
Group meets in Rochester Hills, MI 48307
Making the decision to schedule an appointment with a counselor takes a great deal of courage. Our therapists recognize that and work hard to make sure that you feel comfortable from the moment you walk in the door. Understanding that individuals have different schedules in their lives, we provide a variety of options in the morning, afternoon, evening, or weekends depending on your needs. Give yourself the gift of self-care and give us a call.
(248) 826-2637 View (248) 826-2637
We have on-going skills groups that are open at the start of each Mindfulness Rotation. DBT-A (pre/teen&family),DBT-Young Adult, DBT Adult; Individual skills group available per need. Stimulating and Comforting Environment. (Time of group is different for each group)
Photo of Grace Rawlins - MI Awareness, Clinical Social Work/Therapist
Hosted by MI Awareness
Clinical Social Work/Therapist
Verified Verified
Group meets in Lake Orion, MI 48362
MIAwareness provides quality mental health services mindfully to individuals, couples, and families of all ages. We take pride in tailoring our services to meet the needs of those that we serve with radical genuineness. Our therapists have compassion, and commitment to the therapy that they provide creating a balanced therapeutic environment. MIAwareness teaches clients to tend to the whole person: mind, body, soul, natural supports, and community. You are already making effective strides towards building your Radical Self! Awareness&Validation Starts Now!
(248) 831-0802 View (248) 831-0802
This open group meets every 2nd and 4th Saturday of month from 10am-12pm for teens ages 14-18. Through art, clients will be able to express positive feelings, externalize difficult emotions, and gain insight into any negative symptoms they may be experiencing.
Photo of Karen R Smigelski - Willows Edge, Inc, Licensed Professional Counselor, MA, LPC, ATR
Hosted by Willows Edge, Inc
Licensed Professional Counselor, MA, LPC, ATR
Verified Verified
Group meets in Oxford, MI 48371
Willows Edge prides itself on not being your “traditional” therapy center. We provide comprehensive services that encompass the mind, body, and spirit in a nonclinical, non judgmental environment. We offer all of our clients unconditional positive regard with a belief that ALL people deserve quality care. Our clients will leave with a new sense of purpose and well-being. Counseling is offered to individuals of all ages (3 to senior), couples and families, and we encompass all areas of concerns. Our philosophy is to be the premier center for all psychological, creative, intellectual, physical, social, & spiritual needs to all people.
(586) 250-4043 View (586) 250-4043
Opening up for Fall and winter 2022 groups
Photo of Alexis Stone, Clinical Social Work/Therapist, MSW, LMSW
Hosted by Alexis Stone
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Group meets in Birmingham, MI 48009
Are you looking for change, and seeking your happier self, healthier partnership, or assistance for a child? Then I am here to help you identify problem areas, learn to effectively communicate with others, learn to set limits, and improve overall well-being. I provide a person centered approach in a supportive, welcoming, and confidential environment. I do not believe in one approach fits all therapy. I offer a wide array of best-practices, evidence-based approaches that are adjusted to address individual needs. I am committed to helping you heal in a way that brings lasting changes.
(248) 282-4247 View (248) 282-4247

See more therapy options for Walled Lake

FAQs - About Group Therapy and Support Groups

How can I find a support group in Walled Lake?

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.