Support Groups in North Carolina

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Substance abuse groups with 10 or fewer participants use a combination of Cognitive Behavioral Therapy (CBT), mindfulness, and Motivational Interviewing (MI) to support recovery. CBT helps individuals identify and change harmful thought patterns linked to substance use, while mindfulness techniques teach awareness and stress management to control cravings. MI focuses on enhancing motivation for change, resolving ambivalence, and strengthening commitment to recovery goals. The small group setting fosters personal interaction, providing a supportive environment where participants can share experiences, develop coping strategies, and build self-efficacy to overcome addiction.
Photo of Dr. Tawanda Bennett Matthews - Tech Talk Therapy, LLC, Drug & Alcohol Counselor, PP, DDiv, MA, CADC
Hosted by Tech Talk Therapy, LLC
Drug & Alcohol Counselor, PP, DDiv, MA, CADC
Group meets in Troy, NC 27371
Substance abuse groups with 10 or fewer participants use a combination of Cognitive Behavioral Therapy (CBT), mindfulness, and Motivational Interviewing (MI) to support recovery. CBT helps individuals identify and change harmful thought patterns linked to substance use, while mindfulness techniques teach awareness and stress management to control cravings. MI focuses on enhancing motivation for change, resolving ambivalence, and strengthening commitment to recovery goals. The small group setting fosters personal interaction, providing a supportive environment where participants can share experiences, develop coping strategies, and build self-efficacy to overcome addiction.
(910) 898-4079 View (910) 898-4079
When trust is broken, healing can feel complicated. You don't have to navigate it alone. Harold Counseling is holding an open support group for women who have experienced betrayal trauma in their romantic relationships, such as infidelity, pornography, prostitution, etc. This group will provide a safe and private space for members to support one another, discuss their experiences, and learn skills to help cope. Our first meeting will be at 12pm Wednesday September 23rd. Every session is $35. Snacks will be provided.
Photo of Melissa Delgado, Pre-Licensed Professional, BA
Hosted by Melissa Delgado
Pre-Licensed Professional, BA
Group meets in Winston Salem, NC 27106
When trust is broken, healing can feel complicated. You don't have to navigate it alone. Harold Counseling is holding an open support group for women who have experienced betrayal trauma in their romantic relationships, such as infidelity, pornography, prostitution, etc. This group will provide a safe and private space for members to support one another, discuss their experiences, and learn skills to help cope. Our first meeting will be at 12pm Wednesday September 23rd. Every session is $35. Snacks will be provided.
(336) 729-2360 View (336) 729-2360
Dialectical Behavioral Therapy (DBT) is an evidence-based treatment created to assist your teenager in building skills that will help them regulate difficult emotions, urges to self-harm, and create a life worth living! DBT is designed to help individuals who struggle to regulate extreme emotions, suicidal ideation, self-harm behaviors, negative thinking, and difficulty with relationships. Our DBT program is a 6-month commitment of a 24-week skills course ($1,440) and a 50-minute individual session ($125) weekly. As well as a parent/guardian commitment to attend an 8-session DBT family support course (cost: $480).
Photo of Lora Pilcher, Licensed Clinical Mental Health Counselor, MA, NCC, LCMHC, LPC
Hosted by Lora Pilcher
Licensed Clinical Mental Health Counselor, MA, NCC, LCMHC, LPC
Group meets in Pinehurst, NC 28374
Dialectical Behavioral Therapy (DBT) is an evidence-based treatment created to assist your teenager in building skills that will help them regulate difficult emotions, urges to self-harm, and create a life worth living! DBT is designed to help individuals who struggle to regulate extreme emotions, suicidal ideation, self-harm behaviors, negative thinking, and difficulty with relationships. Our DBT program is a 6-month commitment of a 24-week skills course ($1,440) and a 50-minute individual session ($125) weekly. As well as a parent/guardian commitment to attend an 8-session DBT family support course (cost: $480).
(910) 460-3613 View (910) 460-3613
Free monthly support group for persons with Lyme Disease and other tick-borne illnesses. Zoom meeting is the first Friday of the month at 3:30PM - contact Michelle for the link. In person meeting is the 3rd Saturday of the month at 1:00 PM, address below. Check out our Facebook page at https://www.facebook.com/groups/WNCLyme.
Photo of Michelle McKinzie, Clinical Social Work/Therapist, LCSW, CIMHP
Hosted by Michelle McKinzie
Clinical Social Work/Therapist, LCSW, CIMHP
Group meets in Asheville, NC 28805
Free monthly support group for persons with Lyme Disease and other tick-borne illnesses. Zoom meeting is the first Friday of the month at 3:30PM - contact Michelle for the link. In person meeting is the 3rd Saturday of the month at 1:00 PM, address below. Check out our Facebook page at https://www.facebook.com/groups/WNCLyme.
(828) 475-5258 View (828) 475-5258
This group is for anxious perfectionists looking for skills to redefine their lives and build a life worth living. Get grounded, present, and free from suffering.
Photo of Lela Saffle, Clinical Social Work/Therapist, MA, LCSW
Hosted by Lela Saffle
Clinical Social Work/Therapist, MA, LCSW
Group meets in Black Mountain, NC 28711
This group is for anxious perfectionists looking for skills to redefine their lives and build a life worth living. Get grounded, present, and free from suffering.
(828) 678-6837 View (828) 678-6837
Building Compassion for Self and Others Through Mindfulness and Somatic Practice. 6-week Learning, Skills & Support Group. ::: Offering practical tools for cultivating increased compassion, insight, and well-being in your daily life. Particularly well-suited to those who may struggle with self-criticism, shame and/or anxiety, Embodying Mindful Compassion offers both cognitive and somatic practices for building capacity for compassion towards yourself and others and in facing life’s challenges with greater ease and flexibility. Groups are ongoing - contact me for next start date.
Photo of Stephanie Howarth, Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC, P-SEP
Hosted by Stephanie Howarth
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC, P-SEP
Group meets in Asheville, NC 28801
Building Compassion for Self and Others Through Mindfulness and Somatic Practice. 6-week Learning, Skills & Support Group. ::: Offering practical tools for cultivating increased compassion, insight, and well-being in your daily life. Particularly well-suited to those who may struggle with self-criticism, shame and/or anxiety, Embodying Mindful Compassion offers both cognitive and somatic practices for building capacity for compassion towards yourself and others and in facing life’s challenges with greater ease and flexibility. Groups are ongoing - contact me for next start date.
(828) 374-9365 View (828) 374-9365
Enhance your bond with hands on activities to support feeding, sleeping, and infant interaction. This group is designed for parents and their pre-crawling babies and utilizes coaching, education, play and bodywork therapy. Meet friends, build your community of support, and nurture the foundation of your parent-child relationship. This group meets weekly. Please contact me for more info.
Photo of Jess Cooper Ahlum, MA, NBC-HWC
Hosted by Jess Cooper Ahlum
Verified Verified
Group meets in Wilmington, NC 28403
Enhance your bond with hands on activities to support feeding, sleeping, and infant interaction. This group is designed for parents and their pre-crawling babies and utilizes coaching, education, play and bodywork therapy. Meet friends, build your community of support, and nurture the foundation of your parent-child relationship. This group meets weekly. Please contact me for more info.
(910) 386-0147 View (910) 386-0147
Clearwater Counseling and Consulting, PLLC, was founded by Elizabeth Kovacs, LCSW, in 2019 as a place of support for adults coping with the stress of caregiving, parenting, chronic illness, and family tension. Located on the shores of Lake Norman, Clearwater Counseling seeks to be a place of comfort and affirmation where teenagers, adults, and senior citizens can find solutions and healthy coping skills.
Photo of Elizabeth W. Kovacs, Clinical Social Work/Therapist, LCSW
Hosted by Elizabeth W. Kovacs
Clinical Social Work/Therapist, LCSW
Group meets in Cornelius, NC 28031
Clearwater Counseling and Consulting, PLLC, was founded by Elizabeth Kovacs, LCSW, in 2019 as a place of support for adults coping with the stress of caregiving, parenting, chronic illness, and family tension. Located on the shores of Lake Norman, Clearwater Counseling seeks to be a place of comfort and affirmation where teenagers, adults, and senior citizens can find solutions and healthy coping skills.
(980) 372-8547 View (980) 372-8547
My goal for this group is to provide folks with REAL tools and strategies for navigating stages of relapse, setting boundaries, practicing self-compassion, and learning some coping skills surrounding distress tolerance. With this group you will: Walk away with an action plan and a community as you navigate your relationship with alcohol; Gain realistic tools for how to effectively cope with alcohol cravings; Engage in a safe and supportive environment to strengthen a sense of community; Develop a deeper understanding of the impact alcohol has in your daily life; and build coping skills to manage mental health triggers.
Photo of Makenzie Wilbourn, Licensed Professional Counselor, LCMHC, LCAS, CCS
Hosted by Makenzie Wilbourn
Licensed Professional Counselor, LCMHC, LCAS, CCS
Group meets in Candler, NC 28715
My goal for this group is to provide folks with REAL tools and strategies for navigating stages of relapse, setting boundaries, practicing self-compassion, and learning some coping skills surrounding distress tolerance. With this group you will: Walk away with an action plan and a community as you navigate your relationship with alcohol; Gain realistic tools for how to effectively cope with alcohol cravings; Engage in a safe and supportive environment to strengthen a sense of community; Develop a deeper understanding of the impact alcohol has in your daily life; and build coping skills to manage mental health triggers.
(828) 812-0805 View (828) 812-0805
Learn to reconnect to your authentic self through a series of meditation techniques and writing prompts. Meditation and writing exercises can increase self-awareness and help with acceptance as well as growth. No writing experience required, just a willingness to be compassionate towards self and others. Start date: TBA Fee: $20 per group session Please call or email for a free group screening session.
Photo of Christina Sapien-Iezzi, Licensed Professional Counselor, LCMHC
Hosted by Christina Sapien-Iezzi
Licensed Professional Counselor, LCMHC
Group meets in Durham, NC 27705
Learn to reconnect to your authentic self through a series of meditation techniques and writing prompts. Meditation and writing exercises can increase self-awareness and help with acceptance as well as growth. No writing experience required, just a willingness to be compassionate towards self and others. Start date: TBA Fee: $20 per group session Please call or email for a free group screening session.
(984) 229-8308 View (984) 229-8308
The pupose for the Stress Management Group: Enhance Employee Well-being Mental and Physical Health, Increase Productivity, Foster Better Work Relationships, Promote Work-Life Balance, Encourage Professional Growth, Reduce Absenteeism and Turnover, Improve Job Satisfaction and to Increase Organizational Efficiency
Photo of Michelle R Heggie, Clinical Social Work/Therapist, LCSW, LCAS-A, CPLC
Hosted by Michelle R Heggie
Clinical Social Work/Therapist, LCSW, LCAS-A, CPLC
Group meets in Fuquay Varina, NC 27526
The pupose for the Stress Management Group: Enhance Employee Well-being Mental and Physical Health, Increase Productivity, Foster Better Work Relationships, Promote Work-Life Balance, Encourage Professional Growth, Reduce Absenteeism and Turnover, Improve Job Satisfaction and to Increase Organizational Efficiency
(919) 737-7264 View (919) 737-7264
This group is designed to help teens strengthen executive functioning skills in a supportive and engaging environment. Participants will learn strategies for time management, task initiation, organization, and breaking down assignments into manageable steps. Through creative activities like schedule building and time-blocking, teens will gain tools to manage daily responsibilities with more confidence and control.
Photo of Chloe Villazor, Clinical Social Work/Therapist, LCSWA
Hosted by Chloe Villazor
Clinical Social Work/Therapist, LCSWA
Group meets in Cary, NC 27511
This group is designed to help teens strengthen executive functioning skills in a supportive and engaging environment. Participants will learn strategies for time management, task initiation, organization, and breaking down assignments into manageable steps. Through creative activities like schedule building and time-blocking, teens will gain tools to manage daily responsibilities with more confidence and control.
(984) 271-8409 View (984) 271-8409
Being a teen girl is a conflicting experience. Pressure to be perfect is exhausting, while the feelings of being "not enough" and constant self-judging are pervasive. The desire to fit in is overwhelming. Through engaging, creative, hands-on exercises, teens discover and experience the difference between fitting in and belonging. This group also gives young women the opportunity to develop their own definitions of trust and courage, practice self-compassion, tap into their authenticity, identify their personal values, and engage in their lives and relationships from a place of worthiness. We will incorporate Art, Yoga, and Discussion!
Photo of Allison Grubbs, Clinical Social Work/Therapist, LCSW, LCAS, CCS, CDWF, RYT
Hosted by Allison Grubbs
Clinical Social Work/Therapist, LCSW, LCAS, CCS, CDWF, RYT
Group meets in Raleigh, NC 27603
Being a teen girl is a conflicting experience. Pressure to be perfect is exhausting, while the feelings of being "not enough" and constant self-judging are pervasive. The desire to fit in is overwhelming. Through engaging, creative, hands-on exercises, teens discover and experience the difference between fitting in and belonging. This group also gives young women the opportunity to develop their own definitions of trust and courage, practice self-compassion, tap into their authenticity, identify their personal values, and engage in their lives and relationships from a place of worthiness. We will incorporate Art, Yoga, and Discussion!
(919) 666-3451 View (919) 666-3451
This group is offering to veterans struggling with PTSD, family separation/reunification and bonding of Brothers and Sisterhood.
Photo of Joseph Randolph Carlton - Life Adjustment Solutions, Marriage & Family Therapist, MA, LMFT
Hosted by Life Adjustment Solutions
Marriage & Family Therapist, MA, LMFT
Group meets in Charlotte, NC 28262
This group is offering to veterans struggling with PTSD, family separation/reunification and bonding of Brothers and Sisterhood.
(704) 727-4897 View (704) 727-4897
Our mission at Perry & Light Counseling Services is to provide compassionate counseling and strategic consulting services. Guided by a commitment to holistic well-being, we strive to foster positive transformations in individuals and organizations. Through personalized support, innovative strategies, and a client-centric approach, we aim to be a beacon of hope, facilitating resilience, understanding, and sustainable success in every journey we encounter.
Photo of Dr. Tatenda Perry, Clinical Social Work/Therapist, DPA, LCSW-S, LCAC
Hosted by Dr. Tatenda Perry
Clinical Social Work/Therapist, DPA, LCSW-S, LCAC
Group meets in Raleigh, NC 27617
Our mission at Perry & Light Counseling Services is to provide compassionate counseling and strategic consulting services. Guided by a commitment to holistic well-being, we strive to foster positive transformations in individuals and organizations. Through personalized support, innovative strategies, and a client-centric approach, we aim to be a beacon of hope, facilitating resilience, understanding, and sustainable success in every journey we encounter.
(984) 341-0328 View (984) 341-0328
Now enrolling: Trauma & Recovery for Women (Virtual Group) This group is designed for women navigating trauma, stress, and emotional patterns that feel difficult to break. In this supportive and structured space, we will focus on: • Understanding trauma and its impact • Building emotional regulation skills • Strengthening self-worth and boundaries ? Weekly virtual sessions ? Insurance accepted: Aetna, BCBS, Cigna ?? Limited to 6 participants If you’re interested, message me directly or schedule a consultation.
Photo of Lissette Torres, PhD(c), MS, LCAS, DBT, DV
Hosted by Lissette Torres
Verified Verified
Group meets in Charlotte, NC 28262
Now enrolling: Trauma & Recovery for Women (Virtual Group) This group is designed for women navigating trauma, stress, and emotional patterns that feel difficult to break. In this supportive and structured space, we will focus on: • Understanding trauma and its impact • Building emotional regulation skills • Strengthening self-worth and boundaries ? Weekly virtual sessions ? Insurance accepted: Aetna, BCBS, Cigna ?? Limited to 6 participants If you’re interested, message me directly or schedule a consultation.
(704) 703-5935 View (704) 703-5935
We walk many paths throughout life. Some we choose, some choose us and some are chosen for us. Regardless of where life has taken you and where you find yourself in the now, WellStreams Professionals are here to help you clear out barriers to choosing your future life path. Let's work together to support you through challenges and empower you to become all you are intended to become.
Photo of Keith Devine, Counselor, MACC, LCMHC
Hosted by Keith Devine
Counselor, MACC, LCMHC
Group meets in Statesville, NC 28677
We walk many paths throughout life. Some we choose, some choose us and some are chosen for us. Regardless of where life has taken you and where you find yourself in the now, WellStreams Professionals are here to help you clear out barriers to choosing your future life path. Let's work together to support you through challenges and empower you to become all you are intended to become.
(704) 269-4396 View (704) 269-4396
Nurturing Me, Nurturing You is an 8-week Mommy & Me group for those navigating pregnancy, postpartum, and the emotional shifts of early motherhood. This group offers a supportive, compassionate space to process the ups and downs, share your story, and feel less alone during a season of big change. Together, we focus on building emotional steadiness, deepening self-compassion, strengthening your connection with your baby, and finding grounding in the middle of both the beautiful and the heavy.
Photo of Crystal D Anderson - Crystal Sky Counseling & Consulting, PLLC, Licensed Clinical Mental Health Counselor, LCMHC, LCAS-A, NCC
Hosted by Crystal Sky Counseling & Consulting, PLLC
Licensed Clinical Mental Health Counselor, LCMHC, LCAS-A, NCC
Group meets in Mocksville, NC 27028
Nurturing Me, Nurturing You is an 8-week Mommy & Me group for those navigating pregnancy, postpartum, and the emotional shifts of early motherhood. This group offers a supportive, compassionate space to process the ups and downs, share your story, and feel less alone during a season of big change. Together, we focus on building emotional steadiness, deepening self-compassion, strengthening your connection with your baby, and finding grounding in the middle of both the beautiful and the heavy.
(336) 551-6831 View (336) 551-6831
SoulCollage® is a process of making collage cards through an intuitive selection of images from magazines and photos. Cards can represent parts of your personality, experiences, and relationships. Individuals are guided in reflection and sharing of cards for deeper exploration. Individuals become present to their unique and many-faceted Self in a new way. This illumination often empowers us to find a new and stronger inner voice. This is a simple & creative process that holds deep meaning for many and does not require artistic ability. I enjoy sharing this process in individual, group, or retreat settings.
Photo of Arika Morrison, Licensed Professional Counselor, MS, LCMHCS
Hosted by Arika Morrison
Licensed Professional Counselor, MS, LCMHCS
Group meets in Lake Junaluska, NC 28745
SoulCollage® is a process of making collage cards through an intuitive selection of images from magazines and photos. Cards can represent parts of your personality, experiences, and relationships. Individuals are guided in reflection and sharing of cards for deeper exploration. Individuals become present to their unique and many-faceted Self in a new way. This illumination often empowers us to find a new and stronger inner voice. This is a simple & creative process that holds deep meaning for many and does not require artistic ability. I enjoy sharing this process in individual, group, or retreat settings.
(828) 471-4840 View (828) 471-4840
Utilizing a Narrative Focused Trauma Care with a Somatic lens , we will delve deeper into stories with care + curiosity in a communal space together. Please inquire if you are interested in joining a group. *Optional Supplemental Reading includes: To Be Told (Dan Allender), Body Keeps the Score (Bessel van der Kolk), The Wisdom of Your Body (Hillary McBride), No Bad Parts (Richard Schwartz)
Photo of Meredith McDaniel, Licensed Clinical Mental Health Counselor, LCMHCS, LPC
Hosted by Meredith McDaniel
Licensed Clinical Mental Health Counselor, LCMHCS, LPC
Group meets in Mooresville, NC 28115
Utilizing a Narrative Focused Trauma Care with a Somatic lens , we will delve deeper into stories with care + curiosity in a communal space together. Please inquire if you are interested in joining a group. *Optional Supplemental Reading includes: To Be Told (Dan Allender), Body Keeps the Score (Bessel van der Kolk), The Wisdom of Your Body (Hillary McBride), No Bad Parts (Richard Schwartz)
(704) 326-4410 View (704) 326-4410

See more therapy options for North Carolina

FAQs - About Group Therapy and Support Groups

How can I find a support group in North Carolina?

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.