Support Groups in Brecksville, OH

Cleveland Psychiatry Associates (CPA) is a full service mental health and addictions practice located in Brecksville Town Center one block from the intersection of Ohio routes 82 and 21. We provide psychiatric services as well as individual, couples, and family therapy. We provide trauma specific treatment, addictions counseling, and treatment for a range of behavioral health issues, such as depression, anxiety, bipolar disorder, BPD, Eating disorders, and use a range of treatment protocols such as EMDR, ACT, CBT, DBT, and others.
Photo of Carla J Penner, Counselor, LPCC-S
Hosted by Carla J Penner
Counselor, LPCC-S
Group meets in Brecksville, OH 44141
Cleveland Psychiatry Associates (CPA) is a full service mental health and addictions practice located in Brecksville Town Center one block from the intersection of Ohio routes 82 and 21. We provide psychiatric services as well as individual, couples, and family therapy. We provide trauma specific treatment, addictions counseling, and treatment for a range of behavioral health issues, such as depression, anxiety, bipolar disorder, BPD, Eating disorders, and use a range of treatment protocols such as EMDR, ACT, CBT, DBT, and others.
(440) 291-3180 View (440) 291-3180

More Groups Nearby

Monthly coaching/therapy group for those who don't want to be in or cannot afford individual therapy. Focus: teaching the finer points of tapping, helping to set the focus of the monthly personal work, and assisting with issues that are particularly difficult to shift. Each month, at least one person will do work with me, while others will both learn from these demonstrations and get the "borrowing benefits" from tapping along. This group will begin as soon as there are enough people registered for it. I will then add the times and the exact location (2.24.18).
Photo of Holly Timberlake, Psychologist, PhD, DCEP
Hosted by Holly Timberlake
Psychologist, PhD, DCEP
Group meets in Hudson, OH 44236
Monthly coaching/therapy group for those who don't want to be in or cannot afford individual therapy. Focus: teaching the finer points of tapping, helping to set the focus of the monthly personal work, and assisting with issues that are particularly difficult to shift. Each month, at least one person will do work with me, while others will both learn from these demonstrations and get the "borrowing benefits" from tapping along. This group will begin as soon as there are enough people registered for it. I will then add the times and the exact location (2.24.18).
(330) 476-9938 View (330) 476-9938
This integration group is led by Adriana online, specifically for patients undergoing our rapid treatment options, along with psychiatry and talk therapy. TMS and ketamine change the brain so quickly that patients find this free group helpful in developing their new identity apart from disease.
Photo of Carlos Molina, Psychiatrist, MD
Hosted by Carlos Molina
Psychiatrist, MD
Group meets in Akron, OH 44333
This integration group is led by Adriana online, specifically for patients undergoing our rapid treatment options, along with psychiatry and talk therapy. TMS and ketamine change the brain so quickly that patients find this free group helpful in developing their new identity apart from disease.
(330) 476-7358 View (330) 476-7358
Serenity Counseling Solutions will be holding a FREE support group for family and friends of those who passed from an overdose. The group will be held the first Saturday of the month from 10am-11am. Please feel free to come and bring anyone you feel would benefit. We do ask that you pre-register so we can get an estimated head count. Register by leaving your name, phone number, and your relationship to those who have passed from this terrible epidemic. You can e-mail serenitycounselingsolutions@gmail.com or call 440-479-5145 to register.
Photo of Jessica M Wiener - Jessica Wiener, Counselor, MEd, LPCC-S, PhD
Hosted by Jessica Wiener
Counselor, MEd, LPCC-S, PhD
Group meets in Mentor, OH 44060
Serenity Counseling Solutions will be holding a FREE support group for family and friends of those who passed from an overdose. The group will be held the first Saturday of the month from 10am-11am. Please feel free to come and bring anyone you feel would benefit. We do ask that you pre-register so we can get an estimated head count. Register by leaving your name, phone number, and your relationship to those who have passed from this terrible epidemic. You can e-mail serenitycounselingsolutions@gmail.com or call 440-479-5145 to register.
(440) 328-4415 View (440) 328-4415
Now accepting interest-inquiries for open group practices and closed group therapy / trainings. Currently being considered are boutique yoga intensive trainings or workshops; advanced breathwork; expressive voice release; trauma-informed /-sensitive care; somatic practices for practitioners and teachers; and integrating IFS into daily life. Prices and schedules will vary widely, from single drop-in workshops to 3-6 month subscription series. I encourage you to reach out for a consult call, to discuss the best fit for you - and so i may include you in the vision as things unfold. All identities, all levels, all abilities welcome!
Photo of Heather L Anderson Boll - Heather Anderson Boll - EMDR Therapist / Somatic, Counselor, LPCC, Somatic, IFS, EMDR, Yoga
Hosted by Heather Anderson Boll - EMDR Therapist / Somatic
Counselor, LPCC, Somatic, IFS, EMDR, Yoga
Group meets in Northfield, OH 44067
Now accepting interest-inquiries for open group practices and closed group therapy / trainings. Currently being considered are boutique yoga intensive trainings or workshops; advanced breathwork; expressive voice release; trauma-informed /-sensitive care; somatic practices for practitioners and teachers; and integrating IFS into daily life. Prices and schedules will vary widely, from single drop-in workshops to 3-6 month subscription series. I encourage you to reach out for a consult call, to discuss the best fit for you - and so i may include you in the vision as things unfold. All identities, all levels, all abilities welcome!
(216) 714-8947 View (216) 714-8947
EmpowerHer is a supportive group for women who have experienced relationship issues such as stalking, physical, and emotional abuse. Through the use of cognitive behavioral therapy techniques, members will learn to challenge negative thought patterns, develop healthy coping strategies, and build self-esteem. Together, they will create a safe space to share their experiences, gain empowerment, and work towards healing and growth.
Hosted by Dr. Matt Stanley
Psychologist, PhD
Group meets in Westlake, OH 44145
EmpowerHer is a supportive group for women who have experienced relationship issues such as stalking, physical, and emotional abuse. Through the use of cognitive behavioral therapy techniques, members will learn to challenge negative thought patterns, develop healthy coping strategies, and build self-esteem. Together, they will create a safe space to share their experiences, gain empowerment, and work towards healing and growth.
(440) 821-0051 View (440) 821-0051
We practice fidelity to the Linehan model of DBT, and offer skill group for adults that teach the skills of Mindfulness, Distress Tolerance, Emotion Regulation, Interpersonal Effectiveness, and the Middle Path. All adult DBT skills groups are offered online and are open to clients in over 40 states.
Photo of Amy Kalasunas, Counselor, LPCC-S, CCMHC
Hosted by Amy Kalasunas
Counselor, LPCC-S, CCMHC
Group meets in Shaker Heights, OH 44122
We practice fidelity to the Linehan model of DBT, and offer skill group for adults that teach the skills of Mindfulness, Distress Tolerance, Emotion Regulation, Interpersonal Effectiveness, and the Middle Path. All adult DBT skills groups are offered online and are open to clients in over 40 states.
(216) 208-6075 View (216) 208-6075
This is a monthly yoga class intentionally designed to use mindful movement, somatic exercises, and grounding breathwork as tools for recovering from trauma and regulating the nervous system. Students are guided to focus on your inner experience and encouraged to use choice in pose modifications. A combination of slow vinyasa flow and restorative poses will be incorporated to create a sense of balance and ease. All levels of experience are welcomed. Cost is $15. Sign up at www.thewellnessdenohio.com
Photo of Shannon Braxton, Counselor, LPCC-S
Hosted by Shannon Braxton
Counselor, LPCC-S
Group meets in Cuyahoga Falls, OH 44223
This is a monthly yoga class intentionally designed to use mindful movement, somatic exercises, and grounding breathwork as tools for recovering from trauma and regulating the nervous system. Students are guided to focus on your inner experience and encouraged to use choice in pose modifications. A combination of slow vinyasa flow and restorative poses will be incorporated to create a sense of balance and ease. All levels of experience are welcomed. Cost is $15. Sign up at www.thewellnessdenohio.com
(234) 231-6307 View (234) 231-6307
Starting in February, I will be offering supervision and consulting services for therapists (LPC and ATR-P) seeking their independent license in Ohio. My area of expertise includes medical art therapy in a pediatric setting, acute psychiatric and detoxification group work, private practice with 5+ years specializing in individual and group work with teens 12-17, adult trauma recovery using EMDR, and most recently running an online practice with adults seeking support for anxiety, trauma, and midlife. I will be offering group and individual supervision. Please reach out and I will keep you posted when these services officially begin.
Photo of Jody Pittner, Licensed Professional Clinical Counselor, LPCC, LPAT
Hosted by Jody Pittner
Licensed Professional Clinical Counselor, LPCC, LPAT
Group meets in Strongsville, OH 44136
Starting in February, I will be offering supervision and consulting services for therapists (LPC and ATR-P) seeking their independent license in Ohio. My area of expertise includes medical art therapy in a pediatric setting, acute psychiatric and detoxification group work, private practice with 5+ years specializing in individual and group work with teens 12-17, adult trauma recovery using EMDR, and most recently running an online practice with adults seeking support for anxiety, trauma, and midlife. I will be offering group and individual supervision. Please reach out and I will keep you posted when these services officially begin.
(440) 517-5419 View (440) 517-5419
PHP clients can expect to attend therapy groups Monday through Friday for about six hours per day with various breaks. Clients in partial hospitalization can also expect to receive a minimum of 1 hour of individual counseling per week. PHPs can last from one to six months or as little as one week. Prior to completion of partial hospitalization, the clinical team will help you plan for your ongoing care and will make sure you have all the information you need, pertaining to discharge recommendations and referrals.
Photo of Sadigoh Galloway - Your Recovery Counseling, Treatment Center
Hosted by Your Recovery Counseling
Treatment Center
Group meets in Beachwood, OH 44122
PHP clients can expect to attend therapy groups Monday through Friday for about six hours per day with various breaks. Clients in partial hospitalization can also expect to receive a minimum of 1 hour of individual counseling per week. PHPs can last from one to six months or as little as one week. Prior to completion of partial hospitalization, the clinical team will help you plan for your ongoing care and will make sure you have all the information you need, pertaining to discharge recommendations and referrals.
(216) 930-1250 View (216) 930-1250
Group Topics but not limited to: Anxiety, Depression, Medication Management, Addiction, selfcare, emotional regulation, SUD, Suicide, Abuse of all types.
Photo of Quinta Tangoh - Lajean's Mental Health Boutique, Psychiatric Nurse Practitioner, MSN, PMHAPRN, CNP-BC
Hosted by Lajean's Mental Health Boutique
Psychiatric Nurse Practitioner, MSN, PMHAPRN, CNP-BC
Group meets in Fairlawn, OH 44333
Group Topics but not limited to: Anxiety, Depression, Medication Management, Addiction, selfcare, emotional regulation, SUD, Suicide, Abuse of all types.
(234) 231-0908 View (234) 231-0908
An on-going group for young adults ages 18 to 29, including college students who are home for summer break. Teaches individuals how to stay calm and mindful in difficult situations; effectively manage out -of-control emotions and eliminate behaviors such as cutting, isolation, suicidal thoughts/ threats; reduce the pain of intense emotions; reduce anxiety levels; and get along with family and friends. It is an opportunity to learn coping skills within a supportive environment.
Photo of Patricia Shumay, Licensed Professional Clinical Counselor, LPCC
Hosted by Patricia Shumay
Licensed Professional Clinical Counselor, LPCC
Group meets in Richfield, OH 44286
An on-going group for young adults ages 18 to 29, including college students who are home for summer break. Teaches individuals how to stay calm and mindful in difficult situations; effectively manage out -of-control emotions and eliminate behaviors such as cutting, isolation, suicidal thoughts/ threats; reduce the pain of intense emotions; reduce anxiety levels; and get along with family and friends. It is an opportunity to learn coping skills within a supportive environment.
(216) 455-5292 View (216) 455-5292
Rooted & Rising is a mindfulness-focused group counseling series for women (AFAB, cis, trans, and NB welcome). Our group provides psycho-education on the neurobiology of trauma and promotes holistic wellness, fostering a safe, multicultural, and inclusive group environment. Participants will learn to enhance self-regulation through somatic experiencing, breath work, and mindfulness as well as evidenced-based coping skills for trauma recovery.
Photo of Melissa Johnson - Humanistic Counseling Center, Licensed Professional Clinical Counselor
Hosted by Humanistic Counseling Center
Licensed Professional Clinical Counselor
Group meets in Kent, OH 44240
Rooted & Rising is a mindfulness-focused group counseling series for women (AFAB, cis, trans, and NB welcome). Our group provides psycho-education on the neurobiology of trauma and promotes holistic wellness, fostering a safe, multicultural, and inclusive group environment. Participants will learn to enhance self-regulation through somatic experiencing, breath work, and mindfulness as well as evidenced-based coping skills for trauma recovery.
(216) 238-6425 View (216) 238-6425
Adolescent DBT IOP The Adolescent Dialectical Behavioral Therapy Intensive Outpatient Program is for adolescents between the ages of 13-18 with the following diagnoses: * Anxiety Disorders * Depression * Eating Disorders * Bipolar Disorder * Self-harm behaviors, suicidal thoughts, or attempts * Co-morbid Substance Abuse
Photo of Farshid Afsarifard, Psychologist, PhD
Hosted by Farshid Afsarifard
Psychologist, PhD
Group meets in Mentor, OH 44060
Adolescent DBT IOP The Adolescent Dialectical Behavioral Therapy Intensive Outpatient Program is for adolescents between the ages of 13-18 with the following diagnoses: * Anxiety Disorders * Depression * Eating Disorders * Bipolar Disorder * Self-harm behaviors, suicidal thoughts, or attempts * Co-morbid Substance Abuse
(440) 607-5020 View (440) 607-5020
"The pen is mightier than the sword," and sometimes we do need power tools to help us work through changes, losses, and move forward to activate our potential. This group -- which can be divided into subgroups -- is open to any woman in transition. You may be a new mom; you may be a career changer; you may have a chronic illness you are striving to accept. Come to the group to write, to share your writing, to read inspiring writing, and to enjoy support and compassion. We will strive to recharge for the coming week.
Photo of Maria Shine Stewart, Counselor, MA, LPCC
Hosted by Maria Shine Stewart
Counselor, MA, LPCC
Group meets in Richmond Heights, OH 44143
"The pen is mightier than the sword," and sometimes we do need power tools to help us work through changes, losses, and move forward to activate our potential. This group -- which can be divided into subgroups -- is open to any woman in transition. You may be a new mom; you may be a career changer; you may have a chronic illness you are striving to accept. Come to the group to write, to share your writing, to read inspiring writing, and to enjoy support and compassion. We will strive to recharge for the coming week.
(216) 930-2958 View (216) 930-2958
An educational group that teaches a wide range of coping skills designed to help people with increasing mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness skills.
Photo of Dean Malec, Psychologist, PhD
Hosted by Dean Malec
Psychologist, PhD
Group meets in Shaker Heights, OH 44122
An educational group that teaches a wide range of coping skills designed to help people with increasing mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness skills.
(216) 478-4929 View (216) 478-4929
This Health and Wellness Intensive Outpatient Program (IOP) is meant to help adults 18 and over improve the quality of their lives by focusing on health and wellness. It would be appropriate for those with a significantly altered lifestyle as a result of an acute or chronic medical condition, medical disability or work-related injury as well as those with depression, anxiety or chronic pain. This is an open ended group and can be started at any time. Copays and deductibles are due at each session. If there is no insurance, payment arrangements must be made in advance.
Photo of John A Glovan, Psychologist, PsyD
Hosted by John A Glovan
Psychologist, PsyD
Group meets in Mentor, OH 44060
This Health and Wellness Intensive Outpatient Program (IOP) is meant to help adults 18 and over improve the quality of their lives by focusing on health and wellness. It would be appropriate for those with a significantly altered lifestyle as a result of an acute or chronic medical condition, medical disability or work-related injury as well as those with depression, anxiety or chronic pain. This is an open ended group and can be started at any time. Copays and deductibles are due at each session. If there is no insurance, payment arrangements must be made in advance.
(440) 261-4276 View (440) 261-4276
Michael Pollak, PCC-S, has created and facilitated IOPs since 2003. Behavioral Wellness Group's Dual Diagnosis intensive outpatient program is created specifically for individuals over 18 with both addictive or compulsive issues (substance use, gambling, food, sex, etc.) and a mental health diagnosis (depression, anxiety, bipolar. etc.). Ran by Michael Pollak, PCC-S and co-facilitated by Racheal Wilson, LPC, the goals are to teach clients how to maintain “sobriety”, along with learning and practicing important coping skills to offset strong emotional responses that occur in a setting that is supportive and stable.
Photo of Racheal Wilson, Licensed Professional Clinical Counselor , LPCC, NCC
Hosted by Racheal Wilson
Licensed Professional Clinical Counselor , LPCC, NCC
Group meets in Mentor, OH 44060
Michael Pollak, PCC-S, has created and facilitated IOPs since 2003. Behavioral Wellness Group's Dual Diagnosis intensive outpatient program is created specifically for individuals over 18 with both addictive or compulsive issues (substance use, gambling, food, sex, etc.) and a mental health diagnosis (depression, anxiety, bipolar. etc.). Ran by Michael Pollak, PCC-S and co-facilitated by Racheal Wilson, LPC, the goals are to teach clients how to maintain “sobriety”, along with learning and practicing important coping skills to offset strong emotional responses that occur in a setting that is supportive and stable.
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The Adult Dual Diagnosis Intensive Outpatient Program is designed for the treatment of co-occurring mental health and substance abuse problems. Core skills include: * Relapse Prevention Strategies * Avoiding and eliminating cues ; Adaptive Denial Building a Life Worth Living Observing Urges * Alternate Rebellion * Mindfulness *Attention and Concentration * Distress Tolerance * Emotion Regulation and Crisis Management * Interpersonal Effectiveness *Relationships and Communication * Self-Management Skills
Photo of Farshid Afsarifard - Premier Behavioral Health Services, Treatment Center, PhD
Hosted by Premier Behavioral Health Services
Treatment Center, PhD
Group meets in Mentor, OH 44060
The Adult Dual Diagnosis Intensive Outpatient Program is designed for the treatment of co-occurring mental health and substance abuse problems. Core skills include: * Relapse Prevention Strategies * Avoiding and eliminating cues ; Adaptive Denial Building a Life Worth Living Observing Urges * Alternate Rebellion * Mindfulness *Attention and Concentration * Distress Tolerance * Emotion Regulation and Crisis Management * Interpersonal Effectiveness *Relationships and Communication * Self-Management Skills
(440) 703-6685 View (440) 703-6685
In 9 hours a week, we teach skills to increase your chance of attaining lasting recovery from compulsive use of drugs or alcohol. We help you develop weekly goals and reward you for meeting them. We assist managing internal cravings that are neurobiological in nature. We invite you see yourself honestly and love yourself for who you are, strengths and flaws included. We help you work through traumatic experiences that may block your recovery. Medication-assistance is available. We treat emotional disturbances that often accompany such use. We provide family information groups, and couples and family therapy as needed.
Photo of Nancy J Duff-Boehm - Action Recovery, Treatment Center, PhD
Hosted by Action Recovery
Treatment Center, PhD
Group meets in North Olmsted, OH 44070
In 9 hours a week, we teach skills to increase your chance of attaining lasting recovery from compulsive use of drugs or alcohol. We help you develop weekly goals and reward you for meeting them. We assist managing internal cravings that are neurobiological in nature. We invite you see yourself honestly and love yourself for who you are, strengths and flaws included. We help you work through traumatic experiences that may block your recovery. Medication-assistance is available. We treat emotional disturbances that often accompany such use. We provide family information groups, and couples and family therapy as needed.
(440) 336-8515 View (440) 336-8515

See more therapy options for Brecksville

FAQs - About Group Therapy and Support Groups

How can I find a support group in Brecksville?

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.