Support Groups in North Olmsted, OH

This is a neurodivergent affirming group for autistic adults, led by Dr Adriana Faur, PhD. This evidence-based group will focus on friendship, support, assertive communication, managing everyday stress, handling conflict and rejection, navigating complex social situations (building relationships with friends, co-workers, romantic relationships etc) coping with discrimination and internalized ableism. This in person group will have 8 participants and will meet weekly in person (also online option) starting Saturday, June 9th-July 15th, skipping July 8th. The cost is $300 for the 6 week cycle. Please email psy@ipsyhealth.com or call 216-801-4656x0 for information.
Photo of Adriana Faur - Integrative Psychological Health, Psychologist, PhD
Hosted by Integrative Psychological Health
Psychologist, PhD
Group meets in North Olmsted, OH 44070
This is a neurodivergent affirming group for autistic adults, led by Dr Adriana Faur, PhD. This evidence-based group will focus on friendship, support, assertive communication, managing everyday stress, handling conflict and rejection, navigating complex social situations (building relationships with friends, co-workers, romantic relationships etc) coping with discrimination and internalized ableism. This in person group will have 8 participants and will meet weekly in person (also online option) starting Saturday, June 9th-July 15th, skipping July 8th. The cost is $300 for the 6 week cycle. Please email psy@ipsyhealth.com or call 216-801-4656x0 for information.
(216) 584-9645 View (216) 584-9645
Intensive Outpatient Treatment exclusively for substance-dependent women who are pregnant.
Photo of Nancy Duff-Boehm - Boehm Psych Services, Treatment Center, PhD
Hosted by Boehm Psych Services
Treatment Center, PhD
Group meets in North Olmsted, OH 44070
Intensive Outpatient Treatment exclusively for substance-dependent women who are pregnant.
(216) 208-6960 View (216) 208-6960
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

More Groups Nearby

This psychodynamically-oriented group encourages members to develop and explore their relationships with others as well as themselves. The group is experiential in nature, with members working to increase awareness of recurring interpersonal patterns that affect their sense of self and relationships. Concerns addressed by the group include deepening relationships, expressing feelings without alienating others, feeling more comfortable "in your own skin", learning to be more spontaneous, worrying less about judgement, increasing awareness of how others see you, and increasing resilience in relationships. Pre-group consultation required.
Photo of Pamela M. Nilsson, Psychologist, PhD
Hosted by Pamela M. Nilsson
Psychologist, PhD
Group meets in Beachwood, OH 44122
This psychodynamically-oriented group encourages members to develop and explore their relationships with others as well as themselves. The group is experiential in nature, with members working to increase awareness of recurring interpersonal patterns that affect their sense of self and relationships. Concerns addressed by the group include deepening relationships, expressing feelings without alienating others, feeling more comfortable "in your own skin", learning to be more spontaneous, worrying less about judgement, increasing awareness of how others see you, and increasing resilience in relationships. Pre-group consultation required.
(216) 303-6526 View (216) 303-6526
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
The possibility of certain lifestyle changes, dietary changes, and other methods of recovery care may be recommended. Our outpatient treatment programs typically involve individual counseling, group therapy, educational services, and recovery support groups. Group therapy involves meeting with other people that are also struggling with similar issues directly or indirectly associated with alcohol addiction, or drug addiction. For our clients that are in an outpatient program, they may meet once or twice a week for group therapy
Photo of Sadigoh Galloway - Your Recovery Counseling, Treatment Center
Hosted by Your Recovery Counseling
Treatment Center
Group meets in Beachwood, OH 44122
The possibility of certain lifestyle changes, dietary changes, and other methods of recovery care may be recommended. Our outpatient treatment programs typically involve individual counseling, group therapy, educational services, and recovery support groups. Group therapy involves meeting with other people that are also struggling with similar issues directly or indirectly associated with alcohol addiction, or drug addiction. For our clients that are in an outpatient program, they may meet once or twice a week for group therapy
(216) 930-1250 View (216) 930-1250
PMA Assessment and Counseling is a premier mental health practice offering holistic care to teens and adults in Cleveland, Ohio. The team is skilled in many therapies, all in support of their mission to provide customized treatments based on each person’s unique life challenges and mental health needs. Clients can easily access mental health care through in-person appointments and convenient telehealth visits. The team welcomes people from the LGBTQ+ and BIPOC communities. They also uniquely offer walk-and-talk therapy, delivering the benefits of being outdoors, getting exercise, and relaxing in nature while receiving therapy.
Photo of Ajalaa Powers, Counselor, LPC
Hosted by Ajalaa Powers
Counselor, LPC
Group meets in Cleveland, OH 44113
PMA Assessment and Counseling is a premier mental health practice offering holistic care to teens and adults in Cleveland, Ohio. The team is skilled in many therapies, all in support of their mission to provide customized treatments based on each person’s unique life challenges and mental health needs. Clients can easily access mental health care through in-person appointments and convenient telehealth visits. The team welcomes people from the LGBTQ+ and BIPOC communities. They also uniquely offer walk-and-talk therapy, delivering the benefits of being outdoors, getting exercise, and relaxing in nature while receiving therapy.
(216) 465-6060 View (216) 465-6060
Through Hope Recovery Community in Medina, Ohio, I facilitate a safe, nonjudgemental support group for those dealing with a full spectrum of disordered eating. The group is also open to family & friends who are a support to those with this challenge. Join us to discuss issues, challenges & concerns regarding eating disorders. This group is FREE. Please check Hope Recovery Community Facebook page if there is a cancelation for the group. Please wear a mask for the group.
Photo of Mary P Williams, Licensed Professional Clinical Counselor, MA, LPCC
Hosted by Mary P Williams
Licensed Professional Clinical Counselor, MA, LPCC
Group meets in Medina, OH 44256
Through Hope Recovery Community in Medina, Ohio, I facilitate a safe, nonjudgemental support group for those dealing with a full spectrum of disordered eating. The group is also open to family & friends who are a support to those with this challenge. Join us to discuss issues, challenges & concerns regarding eating disorders. This group is FREE. Please check Hope Recovery Community Facebook page if there is a cancelation for the group. Please wear a mask for the group.
(330) 222-8773 View (330) 222-8773
Compassion fatigue is the combination of secondary trauma and professional burnout. We have a special desire to support our fellow service providers and offer virtual compassion fatigue and burnout prevention trainings in addition to professional resiliency cohorts. In these cohorts, you will increase your academic understanding and experiential learning related to building up tools and habits of self-regulation to manage secondary trauma and burnout. The group experience is free and supportive in format (not treatment). We meet virtually weekly with a small group over the course of a 7-week period with the opportunity to attend alumni groups after.
Photo of Caleb W Folkerts - Cornerstone Behavioral Health, Licensed Professional Clinical Counselor, LPCC, CCTP, CCFP, CDBT, EMDR-T
Hosted by Cornerstone Behavioral Health
Licensed Professional Clinical Counselor, LPCC, CCTP, CCFP, CDBT, EMDR-T
Group meets in Lakewood, OH 44107
Compassion fatigue is the combination of secondary trauma and professional burnout. We have a special desire to support our fellow service providers and offer virtual compassion fatigue and burnout prevention trainings in addition to professional resiliency cohorts. In these cohorts, you will increase your academic understanding and experiential learning related to building up tools and habits of self-regulation to manage secondary trauma and burnout. The group experience is free and supportive in format (not treatment). We meet virtually weekly with a small group over the course of a 7-week period with the opportunity to attend alumni groups after.
(216) 238-2992 View (216) 238-2992
Join this small group (between 4-8 individuals max), as we explore the impact of trauma on your life and relationships. Let's tap into what's blocking you from moving forward in healthy, meaningful and productive ways. We'll discuss topics like boundary setting, healthy vs. unhealthy relationships, challenges with co-dependency, trust and intimacy issues, managing triggers, self-esteem challenges, coping skills, etc. This group utilizes mindfulness practices, meditation, CBT, creative therapies, and modified DBT.
Photo of Jennifer DiGiandomenico - Stella Luna Counseling and Wellness Center, Licensed Professional Clinical Counselor, LPCC
Hosted by Stella Luna Counseling and Wellness Center
Licensed Professional Clinical Counselor, LPCC
Group meets in Strongsville, OH 44136
Join this small group (between 4-8 individuals max), as we explore the impact of trauma on your life and relationships. Let's tap into what's blocking you from moving forward in healthy, meaningful and productive ways. We'll discuss topics like boundary setting, healthy vs. unhealthy relationships, challenges with co-dependency, trust and intimacy issues, managing triggers, self-esteem challenges, coping skills, etc. This group utilizes mindfulness practices, meditation, CBT, creative therapies, and modified DBT.
(440) 482-8579 View (440) 482-8579
In this monthly virtual class, you will learn evidence-based skills to calm the nervous system; befriend emotions; tame ruminating thoughts; notice, move, and nourish the body; and connect more deeply with the heart, through the use of the breath, mindfulness, guided imagery, tapping, qi qong, drawing, journaling, and other modalities. The program provides a supportive small group environment which meets monthly on Zoom for 90 minutes beginning September 12th until January 9th, as well as 15-20 minute qi qong and mindfulness videos that will be sent out every other week to encourage practice and play.
Photo of Jodie Skillicorn, Psychiatrist, DO
Hosted by Jodie Skillicorn
Psychiatrist, DO
Group meets in Hudson, OH 44236
In this monthly virtual class, you will learn evidence-based skills to calm the nervous system; befriend emotions; tame ruminating thoughts; notice, move, and nourish the body; and connect more deeply with the heart, through the use of the breath, mindfulness, guided imagery, tapping, qi qong, drawing, journaling, and other modalities. The program provides a supportive small group environment which meets monthly on Zoom for 90 minutes beginning September 12th until January 9th, as well as 15-20 minute qi qong and mindfulness videos that will be sent out every other week to encourage practice and play.
(330) 679-8477 View (330) 679-8477
CORE Counseling and Consulting offers a welcoming environment striving to make each client feel comfortable. Knowing the struggle some parents have getting their children to counseling, we offer a family approach for our young clients. Our therapists are licensed in Marriage and Family, Addiction Treatment, Play Therapy, EMDR and various other specialties to meet your mental health needs.
Photo of Barbara A Frye, Counselor, LPCC
Hosted by Barbara A Frye
Counselor, LPCC
Group meets in Wadsworth, OH 44281
CORE Counseling and Consulting offers a welcoming environment striving to make each client feel comfortable. Knowing the struggle some parents have getting their children to counseling, we offer a family approach for our young clients. Our therapists are licensed in Marriage and Family, Addiction Treatment, Play Therapy, EMDR and various other specialties to meet your mental health needs.
(330) 446-3047 View (330) 446-3047
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
We practice fidelity to the Linehan - Miller / Rathus model of DBT, and offer skill group for adolescents and their parents that teach the skills of Mindfulness, Distress Tolerance, Emotion Regulation, Interpersonal Effectiveness, and the Middle Path. There is an IN PERSON option on Monday evenings, as well as an online session on Wednesdays that is open for clients from 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 44120
We practice fidelity to the Linehan - Miller / Rathus model of DBT, and offer skill group for adolescents and their parents that teach the skills of Mindfulness, Distress Tolerance, Emotion Regulation, Interpersonal Effectiveness, and the Middle Path. There is an IN PERSON option on Monday evenings, as well as an online session on Wednesdays that is open for clients from over 40 states.
(216) 208-6075 View (216) 208-6075
An experienced group of holistic professionals provides valuable information and loving support for a more calm peaceful and positive childbirth experience. Learn about the emotion/brain/pain connection; gain confidence and the ability to self-calm; learn how nutrition and toxins affect you and your baby; develop a birth plan and support staff; learn how herbals support you pre and post baby. Learn how to find joy and success with breastfeeding and care for yourself and the new baby.
Photo of Michelle Martin, EdS
Hosted by Michelle Martin
Verified Verified
Group meets in Warrensville Heights, OH 44128
An experienced group of holistic professionals provides valuable information and loving support for a more calm peaceful and positive childbirth experience. Learn about the emotion/brain/pain connection; gain confidence and the ability to self-calm; learn how nutrition and toxins affect you and your baby; develop a birth plan and support staff; learn how herbals support you pre and post baby. Learn how to find joy and success with breastfeeding and care for yourself and the new baby.
(216) 600-1324 View (216) 600-1324
Our group provides individual, couple and family therapy. We provide counseling services for children and adults. Specialities also include anxiety, depression, children and trauma, and grief recovery. Couples seeking pre-marital, and relationship healing. If you are seeking a healthy lifestyle, call us about our TRIM-LIFE weight release program. We also provide Heart Centered Hypnotherapy.
Photo of Dr. Sherdene A Simpson, Marriage & Family Therapist, PhD, MFT, LPCC-S, LMHC, CHT
Hosted by Dr. Sherdene A Simpson
Marriage & Family Therapist, PhD, MFT, LPCC-S, LMHC, CHT
Group meets in Parma, OH 44130
Our group provides individual, couple and family therapy. We provide counseling services for children and adults. Specialities also include anxiety, depression, children and trauma, and grief recovery. Couples seeking pre-marital, and relationship healing. If you are seeking a healthy lifestyle, call us about our TRIM-LIFE weight release program. We also provide Heart Centered Hypnotherapy.
(440) 607-4720 View (440) 607-4720
IOP is a group therapy program that occurs after school or during the day on school breaks. Children and teens who are struggling with their mental health or behavioral issues can benefit from the structured, therapeutic environment of our day treatment program. In this program, children can learn how to interact with others, receive feedback, and find new ways to manage their emotions. This outpatient program offers convenience to parents and structured support to children and teens. At Beyond Healthcare, we support your whole family on the path to wellness.
Photo of Lisa Richardson - Beyond Healthcare- Fairlawn, OH, Licensed Professional Clinical Counselor, LCDCIII
Hosted by Beyond Healthcare- Fairlawn, OH
Licensed Professional Clinical Counselor, LCDCIII
Group meets in Fairlawn, OH 44333
IOP is a group therapy program that occurs after school or during the day on school breaks. Children and teens who are struggling with their mental health or behavioral issues can benefit from the structured, therapeutic environment of our day treatment program. In this program, children can learn how to interact with others, receive feedback, and find new ways to manage their emotions. This outpatient program offers convenience to parents and structured support to children and teens. At Beyond Healthcare, we support your whole family on the path to wellness.
(330) 574-8816 View (330) 574-8816
We’re kicking off a new season of connection, creativity, and growth with NeuroXcel: Powered by Play! Join us at Ethlete Game Academy for an energizing meetup where neurodiversity becomes neurounity. This event brings together adults, young adults, and mature teens to spark innovation through digital art, technology, and community collaboration. Step into a space designed for healing, empowerment, and future-building before our official group launch on November 22, 2025. Reserve your spot today and help shape what’s next for the neurodivergent community.
Photo of Jerome Cash, Licensed Professional Counselor, M Ed, LPC, EMDR
Hosted by Jerome Cash
Licensed Professional Counselor, M Ed, LPC, EMDR
Group meets in Lakewood, OH 44107
We’re kicking off a new season of connection, creativity, and growth with NeuroXcel: Powered by Play! Join us at Ethlete Game Academy for an energizing meetup where neurodiversity becomes neurounity. This event brings together adults, young adults, and mature teens to spark innovation through digital art, technology, and community collaboration. Step into a space designed for healing, empowerment, and future-building before our official group launch on November 22, 2025. Reserve your spot today and help shape what’s next for the neurodivergent community.
(216) 616-1294 View (216) 616-1294
Find a therapist you can vibe with!! Our mission is to compassionately transform the culture of mental health care by providing creative solutions that make wellness accessible in every community. And while we know that caring for your mental health and being vulnerable with someone you just met can seem scary, we do everything that we can to make each Ellie appointment as comfortable and as fun as possible. We aim to walk along this journey with you and provide you with a comfortable place to talk, decompress, do the work, and heal.
Photo of Amy Renee Madan, Licensed Professional Clinical Counselor, LPCC-S
Hosted by Amy Renee Madan
Licensed Professional Clinical Counselor, LPCC-S
Group meets in Beachwood, OH 44122
Find a therapist you can vibe with!! Our mission is to compassionately transform the culture of mental health care by providing creative solutions that make wellness accessible in every community. And while we know that caring for your mental health and being vulnerable with someone you just met can seem scary, we do everything that we can to make each Ellie appointment as comfortable and as fun as possible. We aim to walk along this journey with you and provide you with a comfortable place to talk, decompress, do the work, and heal.
(216) 616-1764 View (216) 616-1764
Join a weekly drum circle to relieve stress, express your creativity, build fellowship and find common ground. Meet Friday afternoons at 3pm. Play drumsticks on Home Depot buckets, and then Djembes. Drum circle lasts for 1 hour. Afterwards, fresh-brewed tea is offered. Cost to participate is $5.
Photo of Jeffrey Michael Turell - Strive Mental Health and Wellness LLC, MD, MPH
Hosted by Strive Mental Health and Wellness LLC
Verified Verified
Group meets in Shaker Heights, OH 44120
Join a weekly drum circle to relieve stress, express your creativity, build fellowship and find common ground. Meet Friday afternoons at 3pm. Play drumsticks on Home Depot buckets, and then Djembes. Drum circle lasts for 1 hour. Afterwards, fresh-brewed tea is offered. Cost to participate is $5.
(216) 208-4536 View (216) 208-4536

See more therapy options for North Olmsted

FAQs - About Group Therapy and Support Groups

How can I find a support group in North Olmsted?

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.