Support Groups in Granville, OH
Birch Wellness Group offers a range of services including psychotherapy and medication management. With a serene and peaceful environment, Birch Wellness Group treats a wide variety of conditions including depression, anxiety, ADHD, bipolar disorder, alcohol and drug use disorders, obsessive compulsive disorder, obesity and more. We work with children, adults, couples, and support the LGBTQ+ community. Our team of experienced practitioners and therapists are dedicated to helping clients achieve optimal wellness to live a balanced and fulfilling life. Whether you're seeking stress relief, physical healing, or personal growth, Birch Wellness Group is committed to supporting you on your wellness journey.

Hosted by Jennifer Manazer
Psychiatric Nurse Practitioner, DNP, PMHNP, APRN
Group meets in Granville, OH 43023
Birch Wellness Group offers a range of services including psychotherapy and medication management. With a serene and peaceful environment, Birch Wellness Group treats a wide variety of conditions including depression, anxiety, ADHD, bipolar disorder, alcohol and drug use disorders, obsessive compulsive disorder, obesity and more. We work with children, adults, couples, and support the LGBTQ+ community. Our team of experienced practitioners and therapists are dedicated to helping clients achieve optimal wellness to live a balanced and fulfilling life. Whether you're seeking stress relief, physical healing, or personal growth, Birch Wellness Group is committed to supporting you on your wellness journey.
Birch Wellness Group offers a range of services including psychotherapy and medication management. With a serene and peaceful environment, Birch Wellness Group treats a wide variety of conditions including depression, anxiety, ADHD, bipolar disorder, alcohol and drug use disorders, obsessive compulsive disorder, obesity and more. We work with children, adults, couples, and support the LGBTQ+ community. Our team of experienced practitioners and therapists are dedicated to helping clients achieve optimal wellness to live a balanced and fulfilling life. Whether you're seeking stress relief, physical healing, or personal growth, Birch Wellness Group is committed to supporting you on your wellness journey.

Hosted by Amy Klinger
Psychiatric Nurse Practitioner, MSN, FNP-BC
Group meets in Granville, OH 43023
Birch Wellness Group offers a range of services including psychotherapy and medication management. With a serene and peaceful environment, Birch Wellness Group treats a wide variety of conditions including depression, anxiety, ADHD, bipolar disorder, alcohol and drug use disorders, obsessive compulsive disorder, obesity and more. We work with children, adults, couples, and support the LGBTQ+ community. Our team of experienced practitioners and therapists are dedicated to helping clients achieve optimal wellness to live a balanced and fulfilling life. Whether you're seeking stress relief, physical healing, or personal growth, Birch Wellness Group is committed to supporting you on your wellness journey.
Birch Wellness Group offers a range of services including psychotherapy and medication management. With a serene and peaceful environment, Birch Wellness Group treats a wide variety of conditions including depression, anxiety, ADHD, bipolar disorder, addiction, obsessive compulsive disorder, and weight management. We work with children, adults, couples, and support the LGBTQ+ community. Our team of experienced practitioners and therapists are dedicated to helping clients achieve optimal wellness to live a balanced and fulfilling life. Whether you're seeking stress relief, physical healing, or personal growth, Birch Wellness Group is committed to supporting you on your wellness journey.

Hosted by Beth Salzwedel
Clinical Social Work/Therapist, MSW, LISW-S
Group meets in Granville, OH 43023
Birch Wellness Group offers a range of services including psychotherapy and medication management. With a serene and peaceful environment, Birch Wellness Group treats a wide variety of conditions including depression, anxiety, ADHD, bipolar disorder, addiction, obsessive compulsive disorder, and weight management. We work with children, adults, couples, and support the LGBTQ+ community. Our team of experienced practitioners and therapists are dedicated to helping clients achieve optimal wellness to live a balanced and fulfilling life. Whether you're seeking stress relief, physical healing, or personal growth, Birch Wellness Group is committed to supporting you on your wellness journey.
More Groups Nearby
A CLASS FOCUSING ON THE INVISIBLE LOAD WOMEN CARRY THROUGHOUT THEIR LIVES. STUDENTS WILL ENGAGE IN LIVELY DISCUSSIONS ABOUT THE IMPACT OF CO-DEPENDENCY ON EVERYDAY LIFE AND RELATIONSHIPS.

Hosted by Vibe Women's Health Collective™
Licensed Professional Clinical Counselor, LPCC
Group meets in Columbus, OH 43215
A CLASS FOCUSING ON THE INVISIBLE LOAD WOMEN CARRY THROUGHOUT THEIR LIVES. STUDENTS WILL ENGAGE IN LIVELY DISCUSSIONS ABOUT THE IMPACT OF CO-DEPENDENCY ON EVERYDAY LIFE AND RELATIONSHIPS.
Teaching can be one of the most rewarding and impactful careers anyone could choose. It can also be incredibly overwhelming. Please know understand that you are not alone Many teachers find themselves struggling with mental health challenges, like anxiety and depression, and it’s important to find the support that you need. This support group is designed to provide a safe space to decompress and speak about the unique challenges you are facing as well as to find a healthy path forward. Email redapplecc@outlook.com for questions or information. Cost: $20 per meeting; sliding scale available

Hosted by Lisa M Huelskamp
Licensed Professional Counselor, LPC, CWC, NCC, PhD
Group meets in Columbus, OH 43221
Teaching can be one of the most rewarding and impactful careers anyone could choose. It can also be incredibly overwhelming. Please know understand that you are not alone Many teachers find themselves struggling with mental health challenges, like anxiety and depression, and it’s important to find the support that you need. This support group is designed to provide a safe space to decompress and speak about the unique challenges you are facing as well as to find a healthy path forward. Email redapplecc@outlook.com for questions or information. Cost: $20 per meeting; sliding scale available
Nobody is looking for help because they experience too much support and kindness in life. People - especially abuse survivors - are looking for help because of not enough kindness, and not enough support. This group is in-person and peer led, and the format was developed by survivors needing support, community, and above all, kindness. To ensure everyone has enough time and space, group attendance is capped at 15 people per group, so an RSVP is required. Group is no-cost, and is not professionally facilitated. This is a support group, not a therapy group.

Nobody is looking for help because they experience too much support and kindness in life. People - especially abuse survivors - are looking for help because of not enough kindness, and not enough support. This group is in-person and peer led, and the format was developed by survivors needing support, community, and above all, kindness. To ensure everyone has enough time and space, group attendance is capped at 15 people per group, so an RSVP is required. Group is no-cost, and is not professionally facilitated. This is a support group, not a therapy group.
Enrolling now! This in-person group will look at difficulties identifying body sensations, where emotions arise in the body, and judgements made when our body experiences a sensation or emotion. It will also delve into grounding techniques and gain practice connecting the mind and the body. This group is a perfect companion to treatment for all clients who struggle with their mind-body connection, have difficulty being in their own bodies, and for individuals who have challenges in identifying their feelings, body cues, or those who spend too much time on their thoughts and worries. Beginning April, 23, 2025.

Hosted by Kim Gillie
Clinical Social Work/Therapist, LISW-S, C-IAYT
Group meets in Columbus, OH 43220
Enrolling now! This in-person group will look at difficulties identifying body sensations, where emotions arise in the body, and judgements made when our body experiences a sensation or emotion. It will also delve into grounding techniques and gain practice connecting the mind and the body. This group is a perfect companion to treatment for all clients who struggle with their mind-body connection, have difficulty being in their own bodies, and for individuals who have challenges in identifying their feelings, body cues, or those who spend too much time on their thoughts and worries. Beginning April, 23, 2025.
In-depth growth group for adults working on developing self-awareness and operating on the emotional level. Men and women in all stages of relationship (single, married, divorcing, divorced, widowed).

In-depth growth group for adults working on developing self-awareness and operating on the emotional level. Men and women in all stages of relationship (single, married, divorcing, divorced, widowed).
Struggling to manage emotions or react calmly under stress? The 8-Week DBT 1-on-1 Counseling Series, provides short-term, individualized support to help teens (13–18) and adults build long-term emotional balance. Through weekly sessions, participants learn Dialectical Behavior Therapy (DBT) skills that enhance mindfulness, increase distress tolerance, and strengthen healthy coping strategies. This series focuses on helping you find calm, manage impulsivity, and develop the emotional tools needed for greater stability, confidence, and stronger relationships — Enroll NOW, begins January 2026. Spots will fill up quickly!

Struggling to manage emotions or react calmly under stress? The 8-Week DBT 1-on-1 Counseling Series, provides short-term, individualized support to help teens (13–18) and adults build long-term emotional balance. Through weekly sessions, participants learn Dialectical Behavior Therapy (DBT) skills that enhance mindfulness, increase distress tolerance, and strengthen healthy coping strategies. This series focuses on helping you find calm, manage impulsivity, and develop the emotional tools needed for greater stability, confidence, and stronger relationships — Enroll NOW, begins January 2026. Spots will fill up quickly!
Our Teen Girls Anxiety Group at Cook Counseling is a supportive, therapist-led space designed for adolescent girls navigating anxiety, stress, and social pressures. Participants learn practical coping skills such as emotional regulation, mindfulness, and healthy communication while also building confidence and self-esteem. The group provides a safe, nonjudgmental environment where teens can connect with peers who understand what they’re going through, reducing feelings of isolation. Through guided discussions, interactive activities, and skill-building exercises, teens leave with tools they can use in school, friendships, and daily life—helping them feel more in control and confident.

Our Teen Girls Anxiety Group at Cook Counseling is a supportive, therapist-led space designed for adolescent girls navigating anxiety, stress, and social pressures. Participants learn practical coping skills such as emotional regulation, mindfulness, and healthy communication while also building confidence and self-esteem. The group provides a safe, nonjudgmental environment where teens can connect with peers who understand what they’re going through, reducing feelings of isolation. Through guided discussions, interactive activities, and skill-building exercises, teens leave with tools they can use in school, friendships, and daily life—helping them feel more in control and confident.
Breakup to Breakthrough is an 6 week program designed to support you in moving through the pain of heartbreak and into a place of deeper healing and self-discovery. This program is more than just a space to vent, it is a place to rebuild. Together, we’ll process grief, challenge patterns like emotional self-harm, strengthen your sense of identity, and explore what healthy love looks like including the relationship you have with yourself. Each week, you’ll engage in meaningful conversations, learn coping skills, complete reflective activities, and gain insight into your past relationship dynamics in a supportive and nonjudgmental environment.

Hosted by Francesca Festa
Licensed Professional Clinical Counselor, MA, LPCC-S, CCATP
Group meets in Columbus, OH 43215
Breakup to Breakthrough is an 6 week program designed to support you in moving through the pain of heartbreak and into a place of deeper healing and self-discovery. This program is more than just a space to vent, it is a place to rebuild. Together, we’ll process grief, challenge patterns like emotional self-harm, strengthen your sense of identity, and explore what healthy love looks like including the relationship you have with yourself. Each week, you’ll engage in meaningful conversations, learn coping skills, complete reflective activities, and gain insight into your past relationship dynamics in a supportive and nonjudgmental environment.
Dialectical Behavioral Therapy

Hosted by Lydian Counseling & Consultation, LLC
Treatment Center, LPCC-S
Group meets in Columbus, OH 43215
Dialectical Behavioral Therapy
This Cognitive Behavioral Therapy (CBT) program helps participants understand how thoughts, feelings, and behaviors interact — and how to change unhelpful patterns. You’ll learn practical strategies to manage negative thinking, reduce anxiety, and improve focus. What You’ll Learn: Identify Negative Thought Patterns, Replace Cognitive Distortions with Balanced Thinking, Manage Anxiety with Relaxation and Coping Techniques, Boost Motivation and Mood through Behavioral Activation, and Strengthen Organization & Focus for ADHD. 8 weeks-Weekly Individual 1-on-1 CBT Sessions 45–55 minutes Ages: 14+ Insurance or Self-Pay $30

This Cognitive Behavioral Therapy (CBT) program helps participants understand how thoughts, feelings, and behaviors interact — and how to change unhelpful patterns. You’ll learn practical strategies to manage negative thinking, reduce anxiety, and improve focus. What You’ll Learn: Identify Negative Thought Patterns, Replace Cognitive Distortions with Balanced Thinking, Manage Anxiety with Relaxation and Coping Techniques, Boost Motivation and Mood through Behavioral Activation, and Strengthen Organization & Focus for ADHD. 8 weeks-Weekly Individual 1-on-1 CBT Sessions 45–55 minutes Ages: 14+ Insurance or Self-Pay $30
This group is a good introduction to CBT or a good refresher for anyone who has done CBT in the past - this group will teach participants how to recognize unhelpful thoughts, how to check whether their unhelpful thoughts are valid, and how to start to change their unhelpful thoughts so they are less bothersome. This group is being offered virtually.

This group is a good introduction to CBT or a good refresher for anyone who has done CBT in the past - this group will teach participants how to recognize unhelpful thoughts, how to check whether their unhelpful thoughts are valid, and how to start to change their unhelpful thoughts so they are less bothersome. This group is being offered virtually.
Our Coping Skills Development Group is designed to help individuals build practical tools for managing stress, anxiety, and everyday life challenges. In this therapist-led group, participants learn and practice evidence-based skills such as emotional regulation, mindfulness, distress tolerance, and healthy thinking patterns. Sessions are interactive and supportive, offering a balance of education, discussion, and real-life application. This group provides a safe, nonjudgmental environment where individuals can connect with others, gain new perspectives, and develop strategies to navigate life more effectively—leaving with skills they can use immediately to feel more in control and resilient.

Hosted by Brooklyn Affolter
Clinical Social Work/Therapist, MSW, LSW
Group meets in Gahanna, OH 43230
Our Coping Skills Development Group is designed to help individuals build practical tools for managing stress, anxiety, and everyday life challenges. In this therapist-led group, participants learn and practice evidence-based skills such as emotional regulation, mindfulness, distress tolerance, and healthy thinking patterns. Sessions are interactive and supportive, offering a balance of education, discussion, and real-life application. This group provides a safe, nonjudgmental environment where individuals can connect with others, gain new perspectives, and develop strategies to navigate life more effectively—leaving with skills they can use immediately to feel more in control and resilient.
This adult group focuses on building practical skills for emotional regulation and resilience. Participants will learn evidence-based strategies, including Dialectical Behavior Therapy (DBT) techniques, to manage stress, reduce emotional reactivity, and improve relationships. Through guided practice and peer support, group members will develop tools for mindfulness, distress tolerance, emotion regulation, and effective communication, empowering them to navigate life’s challenges with greater confidence and balance.

Hosted by Cook Counseling and Consulting Inc.
Clinical Social Work/Therapist, MSW, LISW-S, LCSW-QS, CCTP
Group meets in Gahanna, OH 43230
This adult group focuses on building practical skills for emotional regulation and resilience. Participants will learn evidence-based strategies, including Dialectical Behavior Therapy (DBT) techniques, to manage stress, reduce emotional reactivity, and improve relationships. Through guided practice and peer support, group members will develop tools for mindfulness, distress tolerance, emotion regulation, and effective communication, empowering them to navigate life’s challenges with greater confidence and balance.
Join us at The Marriage and Family Institute for an 8-week DBT teen group. This group will meet weekly each Monday evening for 90 minutes to reflect and learn skills to regulate emotions. ? Ages 13-16. All genders are welcome. Please contact Kyla Beecham, LISW-S at Kbeecham@marriageandfamilyinstitute.net for prescreening details.

Join us at The Marriage and Family Institute for an 8-week DBT teen group. This group will meet weekly each Monday evening for 90 minutes to reflect and learn skills to regulate emotions. ? Ages 13-16. All genders are welcome. Please contact Kyla Beecham, LISW-S at Kbeecham@marriageandfamilyinstitute.net for prescreening details.
Having a interactive group where people share what works for them and what doesn't.

Having a interactive group where people share what works for them and what doesn't.
For individuals that recognize that the trauma/overwhelm they have had in their childhood (or adulthood) has manifested in ways which challenge their lives. We ALL have trauma in our background. We cope with that trauma by creating "a false self" to manage the overwhelm. The false self then becomes challenging to maintain and then...we medicate. Food, alcohol, drugs, workaholism, co-dependency, avoidance; there are many ways we each choose our way of silencing the noise. The goal of this group is to allow individuals to come with a willingness to do the real work; processing trauma in a supportive and enriching environment.

For individuals that recognize that the trauma/overwhelm they have had in their childhood (or adulthood) has manifested in ways which challenge their lives. We ALL have trauma in our background. We cope with that trauma by creating "a false self" to manage the overwhelm. The false self then becomes challenging to maintain and then...we medicate. Food, alcohol, drugs, workaholism, co-dependency, avoidance; there are many ways we each choose our way of silencing the noise. The goal of this group is to allow individuals to come with a willingness to do the real work; processing trauma in a supportive and enriching environment.
Pathways Counseling Center is committed to creating the conditions that help bring about change, healing and restoration. While counseling occurs in a safe, confidential environment, we also believe that movement toward wholeness takes place in the larger context of a supportive community. Since an individual's physical, emotional, intellectual, and spiritual lives are intimately connected, we give attention to these areas by assessing health habits, biological factors, medication, spiritual beliefs, social support, and other areas that impact each person's journey toward health and fulfillment.

Pathways Counseling Center is committed to creating the conditions that help bring about change, healing and restoration. While counseling occurs in a safe, confidential environment, we also believe that movement toward wholeness takes place in the larger context of a supportive community. Since an individual's physical, emotional, intellectual, and spiritual lives are intimately connected, we give attention to these areas by assessing health habits, biological factors, medication, spiritual beliefs, social support, and other areas that impact each person's journey toward health and fulfillment.
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See More Support Groups FAQs - About Group Therapy and Support Groups
How can I find a support group in Granville?
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.

