Support Groups in Eatontown, NJ
Measures variability of response time (consistency), response time, impulsivity, inattention. Measure ability to stay on task, attention span duration, degree of restlessness, ability to complete a task, ability to control emotions and ability to interact socially. Testing uses tools appropriate to children under the age of 12.

Measures variability of response time (consistency), response time, impulsivity, inattention. Measure ability to stay on task, attention span duration, degree of restlessness, ability to complete a task, ability to control emotions and ability to interact socially. Testing uses tools appropriate to children under the age of 12.
Is your daughter having trouble with "mean girls" or "girl drama" at school? Does she have difficulty making or keeping friends? Our Girls' groups help girls cope with these as well as other difficulties girls struggle with including body image/dieting, peer pressure, dating, drugs and alcohol. These dynamic groups help empower girls through use of Sand Play Therapy, yoga and hands on socialization. Goals of increased self esteem, love and acceptance of self, and respect of self and body are themes throughout the group. Please contact Toni Zachos-Kaplan at 732.380.1575 ext. 304 for group schedule.

Hosted by Lighthouse Counseling & Sand Play Training Center
Clinical Social Work/Therapist, LCSW
Group meets in Eatontown, NJ 07724
Is your daughter having trouble with "mean girls" or "girl drama" at school? Does she have difficulty making or keeping friends? Our Girls' groups help girls cope with these as well as other difficulties girls struggle with including body image/dieting, peer pressure, dating, drugs and alcohol. These dynamic groups help empower girls through use of Sand Play Therapy, yoga and hands on socialization. Goals of increased self esteem, love and acceptance of self, and respect of self and body are themes throughout the group. Please contact Toni Zachos-Kaplan at 732.380.1575 ext. 304 for group schedule.
The Integrated Adolescence Program is a new offering that innovates the mental health treatment of teenagers (14-18) and their families who are experiencing anxiety, depression, or who are recovering from trauma. The program provides two levels of care depending on the need of the adolescent and their family; Intensive Out- Patient (IOP) or Partial Hospitalization Programming (PHP). IOP will offer 3 days per week for at least 3 hours per day of support for up to 12 weeks, while the PHP will offer 5 days for 5 hours a day of wellness recovery involvement for up to 16 weeks.

Hosted by Integrated Adolescence Program IOP
Treatment Center, Dr, LCSW, RYT, PMHNPBC, ATR-P
Group meets in Eatontown, NJ 07724
The Integrated Adolescence Program is a new offering that innovates the mental health treatment of teenagers (14-18) and their families who are experiencing anxiety, depression, or who are recovering from trauma. The program provides two levels of care depending on the need of the adolescent and their family; Intensive Out- Patient (IOP) or Partial Hospitalization Programming (PHP). IOP will offer 3 days per week for at least 3 hours per day of support for up to 12 weeks, while the PHP will offer 5 days for 5 hours a day of wellness recovery involvement for up to 16 weeks.
A child is likely to benefit from the program if they: Have no friends or few friends; are bossy, controlling, or aggressive ; are shy, reserved, or inattentive; have trouble sharing or resolving conflicts; Are ignored, rejected, or bullied; or are rarely invited to birthday parties or play dates. Ages 4-18 years old. 4 seperate groups will be held. Each for one hour. Private insurance will be billed if insurance covers group. First group held in the office in Eatontown. Thereafter groups to be held in the community. Parents are responsbile for community costs. Group will run for 8 weeks starting in September 2025.

A child is likely to benefit from the program if they: Have no friends or few friends; are bossy, controlling, or aggressive ; are shy, reserved, or inattentive; have trouble sharing or resolving conflicts; Are ignored, rejected, or bullied; or are rarely invited to birthday parties or play dates. Ages 4-18 years old. 4 seperate groups will be held. Each for one hour. Private insurance will be billed if insurance covers group. First group held in the office in Eatontown. Thereafter groups to be held in the community. Parents are responsbile for community costs. Group will run for 8 weeks starting in September 2025.
Group Ended: Do you hide your true self in relationships? Are your decisions colored by guilt or shame? Do you feel stuck and can't move forward? Understanding and confronting your feelings, behavior and reactions to your family and your important relationships takes great courage and promotes growth and self-confidence. This group will give you an opportunity to do this in a safe environment, guiding you on your path to a better and happier life. Come join us on this journey! Meet other individuals, who like you, want to start living again....

Hosted by Susan Estomin
Clinical Social Work/Therapist, MSW, LCSW
Group meets in Eatontown, NJ 07724
Group Ended: Do you hide your true self in relationships? Are your decisions colored by guilt or shame? Do you feel stuck and can't move forward? Understanding and confronting your feelings, behavior and reactions to your family and your important relationships takes great courage and promotes growth and self-confidence. This group will give you an opportunity to do this in a safe environment, guiding you on your path to a better and happier life. Come join us on this journey! Meet other individuals, who like you, want to start living again....
Becoming a parent changes everything—and you don’t have to navigate alone. This free group offers a supportive space to process your experience, connect with others, and gain practical tools to care for your emotional health. It’s open to moms up to one year postpartum. This group starts July 9th and meets Wednesdays at 6:30 PM for virtual sessions. Weekly themes include: Welcome & Orientation, Birth Stories & Processing, Identity & Role Changes, Baby Blues vs. Postpartum Depression, Anxiety & Intrusive Thoughts, Relationships & Communication, Sleep, Self-Care & Guilt, Attachment & Bonding, Managing Expectations & Comparison, Grief, Loss & Unspoken Feelings, Building Your Support Network

Becoming a parent changes everything—and you don’t have to navigate alone. This free group offers a supportive space to process your experience, connect with others, and gain practical tools to care for your emotional health. It’s open to moms up to one year postpartum. This group starts July 9th and meets Wednesdays at 6:30 PM for virtual sessions. Weekly themes include: Welcome & Orientation, Birth Stories & Processing, Identity & Role Changes, Baby Blues vs. Postpartum Depression, Anxiety & Intrusive Thoughts, Relationships & Communication, Sleep, Self-Care & Guilt, Attachment & Bonding, Managing Expectations & Comparison, Grief, Loss & Unspoken Feelings, Building Your Support Network
The Enhanced DBT program at Integrated AfterCare is designed to honor the totality of the survivor - not just her pain, but also her joy, wisdom, and strength. We encourage our clients to accept themselves as they are even as we help them develop the capacity for post-traumatic growth. The program is founded on compassionate, evidence-based care, combining traditional DBT techniques with clinical yoga and meditation practices. We work with women and female adolescents who are struggling to feel mindful and embodied, who hope to reconnect with a sense of wholeness, of meaning, of possibility.

Hosted by Integrated Care Concepts & Consultation
Clinical Social Work/Therapist, MD, LPC, LCSW, LCADC
Group meets in Eatontown, NJ 07724
The Enhanced DBT program at Integrated AfterCare is designed to honor the totality of the survivor - not just her pain, but also her joy, wisdom, and strength. We encourage our clients to accept themselves as they are even as we help them develop the capacity for post-traumatic growth. The program is founded on compassionate, evidence-based care, combining traditional DBT techniques with clinical yoga and meditation practices. We work with women and female adolescents who are struggling to feel mindful and embodied, who hope to reconnect with a sense of wholeness, of meaning, of possibility.
In this group, we’ll help you develop a toolbox of coping strategies to use when you're experiencing difficult emotions and feeling burdened by past experiences. As a result, you’ll be able to reduce unwanted stress and anxiety, feel supported through connection with others, and feel confident in your ability to regulate your thoughts and emotions. Group sessions will focus on checking in with one another, teaching and practicing EMDR-based skills, along with time for questions and discussion related to EMDR treatment. We accept insurance for this group.

In this group, we’ll help you develop a toolbox of coping strategies to use when you're experiencing difficult emotions and feeling burdened by past experiences. As a result, you’ll be able to reduce unwanted stress and anxiety, feel supported through connection with others, and feel confident in your ability to regulate your thoughts and emotions. Group sessions will focus on checking in with one another, teaching and practicing EMDR-based skills, along with time for questions and discussion related to EMDR treatment. We accept insurance for this group.
Our interactive Social Skills groups use Sand Play Therapy, therapeutic games and yoga to improve socialization skills, increase comfort in social situations, enhance self esteem, promote mutual respect and empathy for others, improve peer relations, build friendships, learn relaxation techniques and body awareness. Children are grouped together by various factors, including chronological age, maturity level, gender and personality. Due to these factors, we will often allow participants slightly older or younger than the stated ages above. Please contact Toni Zachos-Kaplan at 732.380.1575 ext. 304 for group schedule.

Hosted by Lighthouse Counseling & Sand Play Training Center
Clinical Social Work/Therapist, LCSW
Group meets in Eatontown, NJ 07724
Our interactive Social Skills groups use Sand Play Therapy, therapeutic games and yoga to improve socialization skills, increase comfort in social situations, enhance self esteem, promote mutual respect and empathy for others, improve peer relations, build friendships, learn relaxation techniques and body awareness. Children are grouped together by various factors, including chronological age, maturity level, gender and personality. Due to these factors, we will often allow participants slightly older or younger than the stated ages above. Please contact Toni Zachos-Kaplan at 732.380.1575 ext. 304 for group schedule.
The College Board provides a broad range of accommodations to students with documented disabilities. Eligible students must apply and be approved before they can use accommodations on College Board tests. Psychological evaluations including testing of cognitive and academic functionality is typically required. An effective report from your psychologist supported by appropriate testing can mean the difference between success and failure in the application process.

The College Board provides a broad range of accommodations to students with documented disabilities. Eligible students must apply and be approved before they can use accommodations on College Board tests. Psychological evaluations including testing of cognitive and academic functionality is typically required. An effective report from your psychologist supported by appropriate testing can mean the difference between success and failure in the application process.
Measures adolescents' specific worries about school performance, the future, negative reactions of others, fears including loss of control, and physiological symptoms associated with anxiety. Measures concerns regarding thoughts of being treated unfairly by others, feelings of anger and hatred.

Measures adolescents' specific worries about school performance, the future, negative reactions of others, fears including loss of control, and physiological symptoms associated with anxiety. Measures concerns regarding thoughts of being treated unfairly by others, feelings of anger and hatred.
Life is more complex for a child growing up with addiction in their family. This unique group allows girls to connect with other girls who know what it is like to have a family member with a drug and/or alcohol addiction. Participants will learn coping and relaxation skills, as well as drug and alcohol education and prevention. Sand Play Therapy, yoga and hands on socialization are used to address these goals, while also seeking to raise the impacted self esteem of girls impacted by addiction. Please contact Toni Zachos-Kaplan at 732.380.1575 ext 304 for group schedule.

Hosted by Lighthouse Counseling & Sand Play Training Center
Clinical Social Work/Therapist, LCSW
Group meets in Eatontown, NJ 07724
Life is more complex for a child growing up with addiction in their family. This unique group allows girls to connect with other girls who know what it is like to have a family member with a drug and/or alcohol addiction. Participants will learn coping and relaxation skills, as well as drug and alcohol education and prevention. Sand Play Therapy, yoga and hands on socialization are used to address these goals, while also seeking to raise the impacted self esteem of girls impacted by addiction. Please contact Toni Zachos-Kaplan at 732.380.1575 ext 304 for group schedule.

Hosted by Heather Koenigsfest
Licensed Professional Counselor, MA, LPC, LCADC, ACS, NCC
Group meets in Eatontown, NJ 07724
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Whether it be the loss of a loved one or a major life transition, loss can be challenging, sometimes debilitating. Your experience with grief and loss is unique to you. With the support of others experiencing personal loss, in a guided and nurturing environment, the deep emotions and hurdles of living a peace-filled life can be explored. Hope can be restored.

Hosted by Darlene M. Lewis
Licensed Professional Counselor, LPC, SAC, NBCC
Group meets in Fair Haven, NJ 07704
Whether it be the loss of a loved one or a major life transition, loss can be challenging, sometimes debilitating. Your experience with grief and loss is unique to you. With the support of others experiencing personal loss, in a guided and nurturing environment, the deep emotions and hurdles of living a peace-filled life can be explored. Hope can be restored.
The Dialectical Behavior Therapy skills group is a comprehensive cognitive-behavioral treatment for young adults who have difficulties with impulse control, mood disturbances, anxiety, depression, self-destructive behaviors, eating disorders, addictive behaviors, interpersonal skills and chronic suicidal ideation. The following 5 modules will be taught: Mindfulness, Distress Tolerance, Emotion Regulation, Interpersonal Effectiveness and Walking the Middle Path.

Hosted by Meredith O'Brien
Clinical Social Work/Therapist, LCSW, CCIEDC
Group meets in Fair Haven, NJ 07704
The Dialectical Behavior Therapy skills group is a comprehensive cognitive-behavioral treatment for young adults who have difficulties with impulse control, mood disturbances, anxiety, depression, self-destructive behaviors, eating disorders, addictive behaviors, interpersonal skills and chronic suicidal ideation. The following 5 modules will be taught: Mindfulness, Distress Tolerance, Emotion Regulation, Interpersonal Effectiveness and Walking the Middle Path.
This group is led by my colleague Kayla Lopes. Learn to value yourself and appreciate the person you are. Understand the basics of what self esteem and confidence are, what creates and discourages our confidence, and how to reframe a negative self image. We will assess how we feel about ourselves, engage empowering coping strategies, and break down the barriers holding us back from our best selves. This is a virtual group for high school females that starts June 2nd 2024, and runs for 8 weeks. Learn more and register at mindbodyccs.com/groups or call our office at 732-475-0043

Hosted by Erika Pettersen - Mind & Body CCS
Licensed Professional Counselor, LPC
Group meets in Freehold, NJ 07728
This group is led by my colleague Kayla Lopes. Learn to value yourself and appreciate the person you are. Understand the basics of what self esteem and confidence are, what creates and discourages our confidence, and how to reframe a negative self image. We will assess how we feel about ourselves, engage empowering coping strategies, and break down the barriers holding us back from our best selves. This is a virtual group for high school females that starts June 2nd 2024, and runs for 8 weeks. Learn more and register at mindbodyccs.com/groups or call our office at 732-475-0043
8 week Daring Way groups $595.00 plus $30 materials fee Includes: Materials & Daring Way Workbook, Snacks & beverages Sharing, growth, self-inquiry, laughter, connection, meditation and art. Held at both offices. If you think you're interested or want additional information, please contact me directly for a free consultation call. Payment plans are available, $100 non-refundable deposit is required to reserve your spot. This group is limited to a max of 8 participants. After completion, participants are eligible and invited to join the once per month Women's Daring Way process group to continue the work and progress.

Hosted by Dawn Marie Campagnola
Marriage & Family Therapist, LMFT, MACP, CDWF, CYT
Group meets in Red Bank, NJ 07701
8 week Daring Way groups $595.00 plus $30 materials fee Includes: Materials & Daring Way Workbook, Snacks & beverages Sharing, growth, self-inquiry, laughter, connection, meditation and art. Held at both offices. If you think you're interested or want additional information, please contact me directly for a free consultation call. Payment plans are available, $100 non-refundable deposit is required to reserve your spot. This group is limited to a max of 8 participants. After completion, participants are eligible and invited to join the once per month Women's Daring Way process group to continue the work and progress.
If pleasing others seems to guide your thoughts and inhibit you from moving forward, it may be time to begin a new journey of self care. Co-dependency is a pattern of thinking and behaving that develops when one is involved with a chemically dependent or controlling person. It can be a spouse, parent, friend, or co-worker. The need to change or control another is a difficult behavior to heal. Feeling responsible for others can really exhaust the best of us. Healthier relationships can unfold as you empower yourself. It is never too late. You are exactly where you are supposed to be.

Hosted by Wendy Brundage Huntley
Clinical Social Work/Therapist, MSW, LCSW
Group meets in Holmdel, NJ 07733
If pleasing others seems to guide your thoughts and inhibit you from moving forward, it may be time to begin a new journey of self care. Co-dependency is a pattern of thinking and behaving that develops when one is involved with a chemically dependent or controlling person. It can be a spouse, parent, friend, or co-worker. The need to change or control another is a difficult behavior to heal. Feeling responsible for others can really exhaust the best of us. Healthier relationships can unfold as you empower yourself. It is never too late. You are exactly where you are supposed to be.
With all the Challenges going on in our world, who couldn't benefit from being HAPPIER? Stacey Rose is HAPPY to announce she is offering another Happiness Group after its past success. A 7 week group where you will learn tools to create more Happiness in Your Life! Through a combination of learning through experiences, discussion & creative exercises to help you access your inner smile. As the holidays approach, we can all benefit from learning how to focus on our strengths, kindness, and you will walk away with concrete TOOLS you can use immediately to create more hope and happiness in YOUR life.

Hosted by The Rose Relationship Learning Center, LLC
Clinical Social Work/Therapist, PhD, LCSW
Group meets in Ocean, NJ 07712
With all the Challenges going on in our world, who couldn't benefit from being HAPPIER? Stacey Rose is HAPPY to announce she is offering another Happiness Group after its past success. A 7 week group where you will learn tools to create more Happiness in Your Life! Through a combination of learning through experiences, discussion & creative exercises to help you access your inner smile. As the holidays approach, we can all benefit from learning how to focus on our strengths, kindness, and you will walk away with concrete TOOLS you can use immediately to create more hope and happiness in YOUR life.
Grief and loss therapy group for parents who have suffered or are suffering from the loss of a child due to substance abuse. Please call Dr. Hager at 732-587-6377 for more information.

Hosted by Jean Hager
Clinical Social Work/Therapist, DSW, LCSW, LCADC
Group meets in Tinton Falls, NJ 07724
Grief and loss therapy group for parents who have suffered or are suffering from the loss of a child due to substance abuse. Please call Dr. Hager at 732-587-6377 for more information.
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FAQs - About Group Therapy and Support Groups
How can I find a support group in Eatontown?
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.