Support Groups in Etters, PA
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This isn’t Sip & Paint! This is a truly creative and therapeutic art experience, led by a licensed therapist! Being overworked keeps us from connecting to peers, and COVID has left us feeling more isolated than ever. Our groups will allow you to feel supported and validated by those who have walked in your shoes. We are providing groups to serve you and our community! Email me today and to let me know what group you are looking for (nurse, first responder, survivor, etc), so I can cater to YOUR needs.

Hosted by Kimberly McGhee EMDR - Trauma - Art Therapist
Licensed Professional Counselor, MA, ATR-BC, LPC
Verified Verified
Group meets in York, PA 17403
Are you feeling trapped or is your past casting a shadow over your present happiness? Does fear, anxiety, or past traumas hinder your ability to embrace joy and achieve the success you crave? As a clinically trained EMDR therapist, board-certified and registered art therapist, and licensed professional counselor in York, PA, I'm dedicated to supporting individuals just like you. Utilizing diverse trauma processing techniques, mindfulness practices, avenues for creative expression, and non-verbal/bottom-up approaches, I empower my clients to recognize their strengths, alleviate PTSD symptoms, gain insight, and improve self-esteem.

Hosted by Graham Cox-Holmes
Licensed Professional Counselor, MA, LPC
Verified Verified
Group meets in York, PA 17403
This is a 12 week confidential group developed for those struggling with explosive and persistent anger, or impulse control issues in intimate relationships. Our anger management groups meet the requirements of any referring court system, or agency. In addition, those who are struggling with marital issues or workplace relationships will find this resource a life saver. CCA is the leader in providing high quality, face to face online group counseling. Difficulty getting your anger under control? Join this group today and get your life back on track!

Hosted by Christian Counseling Associates Of Central Pennsylvania
Licensed Professional Counselor
Verified Verified
Group meets in York, PA 17408
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website for a complete description of our faith based counseling services, locations, and counseling staff.
This is a 12 week confidential group developed for those struggling with explosive and persistent anger, or impulse control issues in intimate relationships. Our anger management groups meet the requirements of any referring court system, or agency. In addition, those who are struggling with marital issues or workplace relationships will find this resource a life saver. CCA is the leader in providing high quality, face to face online group counseling. Difficulty getting your anger under control? Join this group today and get your life back on track!

Hosted by Christian Counseling Associates Of Central Pennsylvania
Licensed Professional Counselor
Verified Verified
Group meets in York, PA 17408
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website for a complete description of our faith based counseling services, locations, and counseling staff.
Laura conducts an array of groups throughout the year. Groups have included: CALM group (emotion regulation/relaxation), social skills group (ADHD/autism), middle grades girls group (self-esteem), and music therapy groups (autism, intellectual developmental disabilities). Groups generally run for 6-8 weeks throughout the year either in the office or off-site at other campuses. Some are offered as camps in the summer, on Saturday mornings, or Thursday evenings.

Hosted by Laura K Tauzin
Licensed Professional Counselor, LPC, MT-BC, NCC, RPT, CAAPT
Verified Verified
Group meets in York, PA 17402
Feeling down, worried, or stressed at school, work, or home? Are you looking for life balance and satisfaction? Are you seeking healthier relationships with others? Do your team members feel connected, valued, and appreciated? Are you looking for creative, strength-based solutions proven to positively influence your life? Anxiety, depression, communication difficulties, work stress, life changes, parenting challenges, loss…you’re not alone. At SHCS we will work together to explore the triggers for your symptoms, and show you simple, creative, and effective ways to manage them, giving you more control over your life.
A 12 week group designed specifically for young adults, aged 18-22, who are seeking effective strategies to manage anxiety. This group will provide a supportive and confidential environment where participants can learn and practice coping skills. The focus will be on education about anxiety, mindfulness activities, and evidence-based cognitive-behavioral strategies for coping.

Hosted by August Cheetham
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Group meets in Hanover, PA 17331
Throughout our lives, we all encounter challenges that may be beyond our ability to manage on our own. My focus is on creating a trusting and supportive relationship that will allow you to feel safe, respected, and hopeful while working toward achieving your personal goals.
In the process of forming targeted art therapy groups now! Scrap the paint and sip! We offer a unique experience! Meet with peers, share your story, and gain insight from other members of our community. Groups are forming now for: Teens, cancer survivors, sexual assault survivors, nurses, first responders, veterans, and educators. Part of a targeted group not listed? Please reach out and let me know what group you are interested in. Want to run a group for your employees? Message me. On-site art therapy groups are a great way addition to team building programs.

Hosted by Kimberly McGhee EMDR - Trauma - Art Therapist
Licensed Professional Counselor, MA, ATR-BC, LPC
Verified Verified
Group meets in York, PA 17403
Are you feeling trapped or is your past casting a shadow over your present happiness? Does fear, anxiety, or past traumas hinder your ability to embrace joy and achieve the success you crave? As a clinically trained EMDR therapist, board-certified and registered art therapist, and licensed professional counselor in York, PA, I'm dedicated to supporting individuals just like you. Utilizing diverse trauma processing techniques, mindfulness practices, avenues for creative expression, and non-verbal/bottom-up approaches, I empower my clients to recognize their strengths, alleviate PTSD symptoms, gain insight, and improve self-esteem.
Our DBT group meets on Tuesday's from 6pm- 7 pm. Join our fun, light-hearted group to learn emotion regulation skills, interpersonal effectiveness techniques, distress tolerance skills, and mindfulness techniques. We engage our teens using a variety of creative activities. We embrace a fun, supportive environment with plenty of laughter, bonding, and team-work as we learn new skills and how to apply these new skills. This group is appropriate for those who are struggling with anxiety, depression, mood dysregulation, anger, PTSD, insecure attachment, poor sense of worth and self-esteem.

Hosted by Healing Hearts Counseling Center, LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Group meets in Hanover, PA 17331
Jennifer licensed clinical social worker with 20+ years of experience in providing individual, family, and group counseling to children/ adolescents and their families. Jennifer is passionate in regards to helping others overcome difficult life situations, traumatic experiences, depresesion, mood disorders, and anxiety, insecure attachment, borderline personality disorder. Jennifer has 17+ years of experience providing therapy to sexual abuse victims. Jennifer is experienced in working with children and adolescents with high risk behaivors such as self-harmful behaviors, aggressive or defiant behaviors, suicidality.
Let's Make Some Art!!! Art therapy groups are designed to facilitate the therapeutic process by using art as a method of exploration and discovery of personal experiences and emotional expression. Combining creative expression with counseling techniques can help participants improve their physical, mental, and emotional well being. If you are interested, IM me or call 717-680-6563. Groups are forming now for the Fall!

Hosted by Kimberly McGhee EMDR - Trauma - Art Therapist
Licensed Professional Counselor, MA, ATR-BC, LPC
Verified Verified
Group meets in York, PA 17403
Are you feeling trapped or is your past casting a shadow over your present happiness? Does fear, anxiety, or past traumas hinder your ability to embrace joy and achieve the success you crave? As a clinically trained EMDR therapist, board-certified and registered art therapist, and licensed professional counselor in York, PA, I'm dedicated to supporting individuals just like you. Utilizing diverse trauma processing techniques, mindfulness practices, avenues for creative expression, and non-verbal/bottom-up approaches, I empower my clients to recognize their strengths, alleviate PTSD symptoms, gain insight, and improve self-esteem.
Build community, get support, and work towards your goals with a group of motivated men. Group membership is limited to 6-8 and members meet weekly. Reach out for more information.

Hosted by Carlisle Men's Work LLC
Licensed Professional Counselor, MS, LPC
Verified Verified
Group meets in Carlisle, PA 17013
We run weekly, in-person, groups in Carlisle where men can get support and accountability in making concrete changes and improving their lives and relationships. If you're struggling with loneliness, marriage or relationship problems, career concerns, retirement adjustments, or parenting issues, group can help you figure out the best way to move forward. Groups are organized and facilitated by Jason Rusman, MS, LPC. Schedule a free 30 minutes consultation by reaching out via phone, email, or by visiting our website!
Join us throughout the summer for a group relationship workshop series. These groups are for couples looking to improve their relationship in several different areas. There will be four, 90-minute workshops held throughout the summer for couples in all stages of relationship. June 29th: Communication; July 13th: Conflict Management; July 27th: Enhancing Physical and Sexual Intimacy; August 17th: Financial Communication. These workshops will be psychoeducational and experiential and each couple will receive individualized feedback from a Licensed Couple and Family Therapist. Couples from all backgrounds are welcome!

Hosted by Emily Short Steiner
Marriage & Family Therapist, LMFT
Verified Verified
Group meets in Camp Hill, PA 17011
I am a licensed marriage and family therapist. I believe that our challenges and strengths emerge from a combination of our personality, biology, family upbringing, environment, stage of life, and current relationships. My goal as a therapist is to help individuals, couples, and families make sense of these influences and understand the context that affects them. My second goal is to support my clients in making the changes they want within this context. I collaborate with my clients to find what works for them in therapy be it validation, challenge, comfort, support, guidance, or a good laugh.
Are you stressed? Overwhelmed? Angry? Sad? Frustrated with life, work, relationships, children? JOIN US for support. Learn skills to find your personal strength and resilience to better manage your family, friends, children, and work.

Hosted by Dr. Nancy Brooks (Accepting New Clients)
PsyD, NCC
Verified Verified
Group meets in Lancaster, PA 17603
Do you want to feel better? I have 20+ years of professional experience with teens, adults, couples, and families. I work with people experiencing relationship issues, depression, anxiety, self-esteem/self-worth issues, family problems, eating disorders, substance abuse/addiction, trauma or fear, parenting issues, a breakup, divorce, drug and alcohol use and interventions, work/job issues, pet bereavement, ...more. Same/next-day appointments are often available. EMAIL DR. NANCY FOR AN APPOINTMENT.
Several times a year, I collaborate with a local potter to offer a bereavement tile workshop. In the workshop, clients receive education about the importance of honoring and commemorating their loved ones. With the guidance of the potter, individuals create a memory tile using items that belonged to their loved ones or through writing/carving meaningful words and images into the clay.

Hosted by Sophia Ellis Kreider
Licensed Professional Counselor, LPC
Verified Verified
Group meets in Lancaster, PA 17603
I am passionate about supporting clients who are coping with a significant loss or life transition, whether through death, divorce, change of profession, infertility, pregnancy, or postpartum. My 14+ years as a bereavement counselor have honed my skills in providing education that will enable clients in discerning how to move through challenges, grow self-awareness, nurture self-compassion, and recognize those parts of themselves that are helpful versus those they'd like to change. My training as an IFS informed therapist is key to how I work with clients and in creating a safe, non-judgmental place in which to heal and evolve.
This seminar pulls together knowledge from science, neurology, history, anthropology and human evolution to provide you with the answers to all your questions about what is optimal for babies, children and families. You will learn how our culture has misconstrued what babies really need and what is biologically and emotionally best for babies and parents. Informed by the most recent scientific studies, you will leave this seminar with the confidence to arrange sleep in your home that meets your individual family's needs.

Is now the time for you? Life is a journey and can be both rewarding and challenging. If you decide to make yourself a priority and come in for therapy, I will provide you with a relaxed, safe environment which nurtures positive growth. I will coach, encourage and support you on your personal process and journey. It is important to focus on your strengths and help empower you with awareness and resources. You matter and there is HOPE for you. Where there is hope, there is healing and new beginnings are ignited.
This group meets online to support any man struggling with addictive or self-medicating behaviors during this isolating time. All forms of self-medicating welcome such as: pornography, sex, drugs/alcohol, food, video games, work, gambling and relationships. This is a group of 8-10 men that learn tools to more effectively maintain healthy long-term sobriety. The group is actively engaged in each other's lives outside of group time throughout the week via text/phone. The opposite of addiction is not sobriety; It's connection! To join, complete this form: https://form.jotform.com/managerchg/men

Hosted by Chris Chandler
Licensed Professional Counselor, LPC, LPCC, CSAT-S
Verified Verified
Group meets in Harrisburg, PA 17112
My passion is to help people rebuild their relationship with God; to thrive in sobriety. I have extensive experience with individuals that struggle with addictive and compulsive behaviors such as: sex, pornography, drugs, alcohol, codependent relationships, etc. Over the past few years, I obtained more specialized education to specifically assist with sex, pornography and lust addiction through the work of Dr. Patrick Carnes Ph.D; a pioneer in the field of sex addiction. His work combined with a method to heal relational/attachment wounds, called "IFS", is the best strategy that I have found for recovery.
THE UNDERGROUND is a 10-week support group for Black Men to discuss the tough issues we face. Issues such as but not limited to shame, abuse, addiction, mental health, sexual struggles, anger, relational conflict, and racism. We will not only talk about the challenges Black Men face, but we will also work toward healing from these challenges.

Hosted by Latinia M. Shell
Licensed Professional Counselor, EdD, LPC, NCC, CCMHC, ACS
Verified Verified
Group meets in Lancaster, PA 17603
I provide individual therapy for adolescents, teens, adults, as well as couples, families, and group counseling. Through a highly personalized approach tailored to each client's individual needs, I assist clients in identifying limiting beliefs and outmoded coping mechanisms that may be standing in the way. I work with a wide range of emotional and behavioral issues. Services provided span from therapy for depression and anxiety to relationship and family counseling, stress management, anger management and beyond. In a comfortable and supportive atmosphere, I hope to help clients attain the personal growth they're striving for.
I am currently taking referrals (incl. self refs) of parents who are struggling with a child, any age who is diagnosed with (or believed to have symptoms of) Borderline Personality Disorder. Children with BPD present unique challenges. You can, and must, both take care of Ian in yourself, and learn how to best support your child. Parents who understand BPD and how to best respond, are able to make a difference in their child's life and also gain their own life back! This group is focused on positive support, education, and solutions! Please call to discuss whether you would be appropriate for the group!

Hosted by Pamela Moran Treatment and Consulting
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Group meets in Lemoyne, PA 17043
My current focus is in working with those diagnosed with Borderline Personality Disorder (BPD - Bravery, Perseverance, Determination) or have the symptoms of BPD (fear of abandonment, fear of being alone, low self esteem, lack of sense of self, mood swings, splitting, anger, emptiness, impulsivity, and lack of organization and structure), parents of those diagnosed with BPD, and all issues of high conflict divorce including Co-parenting, Reunification, and Custody Evaluation. I also enjoy couples work & use a Polarity framework. Treatments are Relationally-Focused, Trauma-Informed, and Evidence-Based.
We all want to be effective parents. In this group, I will help guide you through parenting struggles, challenges, and strategies, and help answer questions you have.

Hosted by Crystal Oakman
Social Worker , MSW, Author
Verified Verified
Group meets in Carlisle, PA 17013
I utilize a whole-person approach to mental wellness. My one-of-a-kind consulting mixes therapeutic techniques with a variety of practices, from the results-oriented work of coaching to the soul-finding guidance of world theologies and beliefs, allowing me to provide a different kind of service from traditional therapy or self-help. This unique fusion allows me to offer a service that goes beyond where others may have been unsuccessful, providing you with support unlike anything else. Our sacred space a collaborative endeavor. Your success is not just a destination; it's a testament to the real work we will do together.
Marriage or relationship trouble? Group therapy for both partners is a beneficial and cost effective way to achieve happiness once and for all. Learn the secrets, tips, and tools to make your marriage work!

Hosted by Dr. Nancy Brooks (Accepting New Clients)
PsyD, NCC
Verified Verified
Group meets in Lancaster, PA 17603
Do you want to feel better? I have 20+ years of professional experience with teens, adults, couples, and families. I work with people experiencing relationship issues, depression, anxiety, self-esteem/self-worth issues, family problems, eating disorders, substance abuse/addiction, trauma or fear, parenting issues, a breakup, divorce, drug and alcohol use and interventions, work/job issues, pet bereavement, ...more. Same/next-day appointments are often available. EMAIL DR. NANCY FOR AN APPOINTMENT.
Healing the wounds that bind us to food as a painful coping mechanism, is a courageous act of Self-love. Freedom from compulsive eating and compulsive dieting is a truly liberating, and life changing experience. Join Deborah Coulston, MA, MATS, LMFT in a nurturing and safe therapeutic environment to explore freedom from food addiction. This is a 12-week Therapy Group. Individual session required before joining the group.

Hosted by The Family Wellness Center
Marriage & Family Therapist, MA, MATS, LMFT
Verified Verified
Group meets in Harrisburg, PA 17109
Deborah Coulston, MA, MATS, CIMHP, LMFT, is an experienced professional psychotherapist, marital and family therapist, expressive arts therapist, and pioneer in the field of nutrition psychology, integrative mental health and alternative health modalities. Ms. Coulston is well known for her work in the treatment field of eating disorders & weight management, and for her expertise in both childhood and adult trauma, as well as the field of behavioral addictions. As the owner of The Family Wellness Center, she brings a diversified background to the practice of expressive arts therapy, clinical counseling, & holistic psychotherapy.
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See More Support GroupsFAQs - About Group Therapy and Support Groups
How can I find a support group in Etters?
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.