Support Groups in McKinney, TX

Caregivers Collective is a therapeutic support group for parents and caregivers of children with special needs. This small, closed group offers a space to process the emotional impact of caregiving—including grief, stress, guilt, and relational strain—while connecting with others who truly understand. Each session blends psychoeducation, guided discussion, and practical tools for nervous system regulation and relational balance. Facilitated by therapist and parent Annie Carmichael, the group focuses on reducing isolation, fostering self-compassion, and rebuilding resilience in the caregiving journey. The group begins in January of 2026 and will be offered both virtually and in person.
Photo of Annie Carmichael, Licensed Professional Counselor Associate, M-CMHC, LPC-A
Hosted by Annie Carmichael
Licensed Professional Counselor Associate, M-CMHC, LPC-A
Group meets in McKinney, TX 75071
Caregivers Collective is a therapeutic support group for parents and caregivers of children with special needs. This small, closed group offers a space to process the emotional impact of caregiving—including grief, stress, guilt, and relational strain—while connecting with others who truly understand. Each session blends psychoeducation, guided discussion, and practical tools for nervous system regulation and relational balance. Facilitated by therapist and parent Annie Carmichael, the group focuses on reducing isolation, fostering self-compassion, and rebuilding resilience in the caregiving journey. The group begins in January of 2026 and will be offered both virtually and in person.
(469) 537-4520 View (469) 537-4520
Transitions Therapeutic Services has proudly served the Mckinney area for over a decade. Our offices are located close to Allen, Fairview, Frisco , and Plano. Our clinicians treat children, teens, adults, couples, and families utilizing a variety of approaches tailored to meet the needs of the client. When you contact our office, we will get some basic information from you regarding your current treatment needs including scheduling availability to match you to the right therapist for you or your family.
Photo of Loren Gibson, Marriage & Family Therapist, MA, LMFTS, LPCS
Hosted by Loren Gibson
Marriage & Family Therapist, MA, LMFTS, LPCS
Group meets in McKinney, TX 75070
Transitions Therapeutic Services has proudly served the Mckinney area for over a decade. Our offices are located close to Allen, Fairview, Frisco , and Plano. Our clinicians treat children, teens, adults, couples, and families utilizing a variety of approaches tailored to meet the needs of the client. When you contact our office, we will get some basic information from you regarding your current treatment needs including scheduling availability to match you to the right therapist for you or your family.
(214) 307-8552 View (214) 307-8552
Mood Disorder IOP is designed for adolescents who are struggling to cope with a mood disorder. Group sessions focus on learning healthy coping skills, family relationships and how relationships impact our mental health. We assist adolescents in identifying how thoughts affect our mood, and ways to reduce symptoms and increase positive mood. Family/parent session is also included in IOP and is held on Saturdays from 10:00am-12:00pm.
Photo of Dr. Deepika Bhargava, Psychiatrist, MD
Hosted by Dr. Deepika Bhargava
Psychiatrist, MD
Group meets in McKinney, TX 75069
Mood Disorder IOP is designed for adolescents who are struggling to cope with a mood disorder. Group sessions focus on learning healthy coping skills, family relationships and how relationships impact our mental health. We assist adolescents in identifying how thoughts affect our mood, and ways to reduce symptoms and increase positive mood. Family/parent session is also included in IOP and is held on Saturdays from 10:00am-12:00pm.
(469) 425-2053 View (469) 425-2053
Accepting registrants for our Saturday Teen DBT group! DBT is an evidence-based cognitive behavioral treatment that is proven effective to alleviate emotional distress and suffering. The group is open to adolescents 13-17 years old interested in developing skills that will increase awareness of thoughts, urges and feelings. (18 year old HS Seniors are also welcome). With active engagement in the group, teens will develop increased ability to cope with intense emotion, decrease impulsive and self-destructive behaviors, and learn how to effectively communicate needs. Weekly fee is $50 per session. Please contact us with questions at info@blankslatetherapy.com.
Photo of Blank Slate Therapy - Blank Slate Therapy, Treatment Center
Hosted by Blank Slate Therapy
Treatment Center
Group meets in McKinney, TX 75070
Accepting registrants for our Saturday Teen DBT group! DBT is an evidence-based cognitive behavioral treatment that is proven effective to alleviate emotional distress and suffering. The group is open to adolescents 13-17 years old interested in developing skills that will increase awareness of thoughts, urges and feelings. (18 year old HS Seniors are also welcome). With active engagement in the group, teens will develop increased ability to cope with intense emotion, decrease impulsive and self-destructive behaviors, and learn how to effectively communicate needs. Weekly fee is $50 per session. Please contact us with questions at info@blankslatetherapy.com.
(469) 336-3259 View (469) 336-3259
I have four groups: (1) a Tuesday night group for general sex addiction, (2) a Saturday morning group for general sex addiction, (3) a Saturday morning group that is for longer term recovery, and (4) a Saturday morning group that is for intimacy issues. Groups meet for 90 minutes to report sobriety, threats to sobriety, tools to deal with those threats, and regular recovery activity to maintain sobriety. Each group concludes with a discussion of a practical tool to increase sobriety and recovery. Groups are also encouraged to support each other outside of the group sessions. Bi-monthly Saturday workshops are also conducted.
Photo of Eric Tooley, Licensed Professional Counselor, LPC, CSAT, CCPS, IAT, CCBRT-C
Hosted by Eric Tooley
Licensed Professional Counselor, LPC, CSAT, CCPS, IAT, CCBRT-C
Group meets in McKinney, TX 75070
I have four groups: (1) a Tuesday night group for general sex addiction, (2) a Saturday morning group for general sex addiction, (3) a Saturday morning group that is for longer term recovery, and (4) a Saturday morning group that is for intimacy issues. Groups meet for 90 minutes to report sobriety, threats to sobriety, tools to deal with those threats, and regular recovery activity to maintain sobriety. Each group concludes with a discussion of a practical tool to increase sobriety and recovery. Groups are also encouraged to support each other outside of the group sessions. Bi-monthly Saturday workshops are also conducted.
(972) 433-5585 View (972) 433-5585
The online Resilient Parenting for Bereaved Families (eRPBF) Program supports caregivers and children following the death of a parent. Surviving parents and caregivers are the most powerful resource for helping bereaved children to cope following the death of their parent. The eRPBF Program is implemented online, in a warm and supportive group environment, supported by Ayla Ruben, Certified eRPBF Coach. Through this program, caregivers learn practical parenting and self-care tools, that have been shown to promote resilience for both children and caregivers. 12-week Coaching Program, Weekly Meetings: Virtually, via Zoom
Photo of Ayla Ruben, MEd
Hosted by Ayla Ruben
Verified Verified
Group meets in McKinney, TX 75069
The online Resilient Parenting for Bereaved Families (eRPBF) Program supports caregivers and children following the death of a parent. Surviving parents and caregivers are the most powerful resource for helping bereaved children to cope following the death of their parent. The eRPBF Program is implemented online, in a warm and supportive group environment, supported by Ayla Ruben, Certified eRPBF Coach. Through this program, caregivers learn practical parenting and self-care tools, that have been shown to promote resilience for both children and caregivers. 12-week Coaching Program, Weekly Meetings: Virtually, via Zoom
(469) 722-1979 View (469) 722-1979
Gathering names to restart post COVID hiatus. This group will allow you to 1) Identify feelings about your self-esteem & body image. 2) Identify dysfunctional family patterns and faulty cognitive beliefs about food in your family of origin 3) Learn to overcome these cognitive beliefs that have kept you stuck in old, negative thinking patterns 4) Learn specific skills (incorporating emotional, psychological, physical and spiritual ways) to heal yourself as well as your personal relationships 5) Find a healthy environment in which you can become a more powerful, more balanced, more integrated YOU! Call or e-mail for more information.
Photo of Jeana C Pullen, Licensed Professional Counselor, MA, NCC, LPC
Hosted by Jeana C Pullen
Licensed Professional Counselor, MA, NCC, LPC
Group meets in McKinney, TX 75071
Gathering names to restart post COVID hiatus. This group will allow you to 1) Identify feelings about your self-esteem & body image. 2) Identify dysfunctional family patterns and faulty cognitive beliefs about food in your family of origin 3) Learn to overcome these cognitive beliefs that have kept you stuck in old, negative thinking patterns 4) Learn specific skills (incorporating emotional, psychological, physical and spiritual ways) to heal yourself as well as your personal relationships 5) Find a healthy environment in which you can become a more powerful, more balanced, more integrated YOU! Call or e-mail for more information.
(972) 316-9603 View (972) 316-9603
CHART will soon be offering a PNES support group. Group members can attend in person or virtually. The focus is to provide support and resources for adults who have been diagnosed with psychogenic non-epileptic seizures. Parents and caregivers are welcome to join. Some topics of discussion with include better understanding triggers, working on and sharing coping skills, talking about stress reduction, understanding seizure patterns and looking at how implementing interventions and techniques creates a reduction in seizure activity, and relapse prevention planning. You can also contact our office for more details.
Photo of Lisa Tibbets - CHART Counseling Services Lisa Tibbets, LPC-A, Licensed Professional Counselor Associate, LPC-A
Hosted by CHART Counseling Services Lisa Tibbets, LPC-A
Licensed Professional Counselor Associate, LPC-A
Group meets in McKinney, TX 75070
CHART will soon be offering a PNES support group. Group members can attend in person or virtually. The focus is to provide support and resources for adults who have been diagnosed with psychogenic non-epileptic seizures. Parents and caregivers are welcome to join. Some topics of discussion with include better understanding triggers, working on and sharing coping skills, talking about stress reduction, understanding seizure patterns and looking at how implementing interventions and techniques creates a reduction in seizure activity, and relapse prevention planning. You can also contact our office for more details.
(469) 715-4688 View (469) 715-4688
Our Grief and Trauma Support Group offers a safe, supportive space for adults who are coping with loss, traumatic experiences, anxiety, depression, and overwhelming life stress. This group is designed for individuals struggling with grief after the loss, relationship loss, childhood trauma, abuse, PTSD, or other painful life events. Through therapist-led support, participants can process emotions, learn healthy coping skills, build resilience, and feel less alone in their healing journey. Topics may include sadness, guilt, anger, emotional triggers, stress management, boundaries, self-care, and rebuilding a sense of hope after loss or trauma.
Photo of Joanie Leach, Licensed Professional Counselor, LPC
Hosted by Joanie Leach
Licensed Professional Counselor, LPC
Group meets in McKinney, TX 75070
Our Grief and Trauma Support Group offers a safe, supportive space for adults who are coping with loss, traumatic experiences, anxiety, depression, and overwhelming life stress. This group is designed for individuals struggling with grief after the loss, relationship loss, childhood trauma, abuse, PTSD, or other painful life events. Through therapist-led support, participants can process emotions, learn healthy coping skills, build resilience, and feel less alone in their healing journey. Topics may include sadness, guilt, anger, emotional triggers, stress management, boundaries, self-care, and rebuilding a sense of hope after loss or trauma.
(972) 855-8183 View (972) 855-8183
Group participants will discuss matters related to anxiety. Throughout the course of this group participants will learn applicable solutions and ways of coping with a variety of life stressors known to reduce anxiety.
Photo of Karina Cole, Licensed Professional Counselor, MSEd, LMHC, LPC
Hosted by Karina Cole
Licensed Professional Counselor, MSEd, LMHC, LPC
Group meets in McKinney, TX 75070
Group participants will discuss matters related to anxiety. Throughout the course of this group participants will learn applicable solutions and ways of coping with a variety of life stressors known to reduce anxiety.
(214) 239-0978 View (214) 239-0978
Facilitated by Minette Hand, LCP-Associate and offered Virtually: Currently 3 groups are being offered- Women's Narcissistic Abuse Recovery, Women's ADHD Support Group, & Women's Open Art Studio. All groups are Art Therapy Based and provide clients a safe space to learn more about specific issues, develop new coping skills, and receive support with a professional as well as with peers.
Photo of Janette Delgado Macias - Counseling Creatively, PLLC, Licensed Professional Counselor, LPC-S, ATR-BC, LMHC, NCC
Hosted by Counseling Creatively, PLLC
Licensed Professional Counselor, LPC-S, ATR-BC, LMHC, NCC
Group meets in McKinney, TX 75070
Facilitated by Minette Hand, LCP-Associate and offered Virtually: Currently 3 groups are being offered- Women's Narcissistic Abuse Recovery, Women's ADHD Support Group, & Women's Open Art Studio. All groups are Art Therapy Based and provide clients a safe space to learn more about specific issues, develop new coping skills, and receive support with a professional as well as with peers.
(954) 738-6019 View (954) 738-6019
This group not currently running; if interested in this type of group, contact me. Many of us are finding that we are feeling stressed, fearful and confused. Studying mindfulness and developing a regular mindfulness practice can greatly enhance our ability to connect with our inner, intuitive guidance system, creating more ease, clarity and confidence. This is an 8 week course based on the course developed by Jon Kabat-Zinn. The group will meet virtually for 8 weeks on Sundays from 10:00-11:30 am. Each 1.5 hour group session followed immediately by a 30 minute group meditation practice.
Photo of Kathryn Oden - Kathryn Oden, PhD, LPC, Licensed Professional Counselor, PhD, LPC
Hosted by Kathryn Oden, PhD, LPC
Licensed Professional Counselor, PhD, LPC
Group meets in McKinney, TX 75069
This group not currently running; if interested in this type of group, contact me. Many of us are finding that we are feeling stressed, fearful and confused. Studying mindfulness and developing a regular mindfulness practice can greatly enhance our ability to connect with our inner, intuitive guidance system, creating more ease, clarity and confidence. This is an 8 week course based on the course developed by Jon Kabat-Zinn. The group will meet virtually for 8 weeks on Sundays from 10:00-11:30 am. Each 1.5 hour group session followed immediately by a 30 minute group meditation practice.
(972) 597-2525 View (972) 597-2525
Freedom in Fellowship is an Intensive Outpatient Group of like-minded people coming together to check-in, process, and validate their feelings in a safe and judgement free environment.
Photo of Sharyn Lynn Campbell, Drug & Alcohol Counselor, LCDC, LPC
Hosted by Sharyn Lynn Campbell
Drug & Alcohol Counselor, LCDC, LPC
Group meets in McKinney, TX 75069
Freedom in Fellowship is an Intensive Outpatient Group of like-minded people coming together to check-in, process, and validate their feelings in a safe and judgement free environment.
(254) 536-3870 View (254) 536-3870
Groups form by age and gender. Summer groups forming now. Call for more information.
Photo of Marcey Mettica - Prosper Counseling - Prosper & McKinney Locations, Licensed Professional Counselor, PhD, LPC-S, RPT-S
Hosted by Prosper Counseling - Prosper & McKinney Locations
Licensed Professional Counselor, PhD, LPC-S, RPT-S
Group meets in McKinney, TX 75071
Groups form by age and gender. Summer groups forming now. Call for more information.
(214) 206-4374 View (214) 206-4374
Our Grief and Trauma Support Group offers a safe, supportive space for adults who are coping with loss, traumatic experiences, anxiety, depression, and overwhelming life stress. This group is designed for individuals struggling with grief after the death of a loved one, relationship loss, childhood trauma, abuse, PTSD, or other painful life events. Through therapist-led support, participants can process emotions, learn healthy coping skills, build resilience, and feel less alone in their healing journey. Group members are encouraged to share at their own pace in a compassionate and respectful environment.
Photo of Ally Wang, Licensed Professional Counselor, MA, LPC
Hosted by Ally Wang
Licensed Professional Counselor, MA, LPC
Group meets in McKinney, TX 75070
Our Grief and Trauma Support Group offers a safe, supportive space for adults who are coping with loss, traumatic experiences, anxiety, depression, and overwhelming life stress. This group is designed for individuals struggling with grief after the death of a loved one, relationship loss, childhood trauma, abuse, PTSD, or other painful life events. Through therapist-led support, participants can process emotions, learn healthy coping skills, build resilience, and feel less alone in their healing journey. Group members are encouraged to share at their own pace in a compassionate and respectful environment.
(972) 855-8183 View (972) 855-8183
Powerful Social Skills groups available for Boys and Girls from ages 5 to 12. Provides for members, in a natural environment, an opportunity to share with others in similar circumstances. Members will learn how to build successful relationships with others and enhance their peer communication skills. Parents typically report improved self-esteem, independence and respect. Please call for more information.
Photo of Brandy Schumann, Licensed Professional Counselor, PhD, LPC-S, RPT-S, NCC, CCPT-S
Hosted by Brandy Schumann
Licensed Professional Counselor, PhD, LPC-S, RPT-S, NCC, CCPT-S
Group meets in McKinney, TX 75069
Powerful Social Skills groups available for Boys and Girls from ages 5 to 12. Provides for members, in a natural environment, an opportunity to share with others in similar circumstances. Members will learn how to build successful relationships with others and enhance their peer communication skills. Parents typically report improved self-esteem, independence and respect. Please call for more information.
(469) 901-7842 View (469) 901-7842
Using the classic Table Top Role-Playing game, Dungeons and Dragons, the group will explore anxiety, depression, identity, problem-solving, and more. There are 4-6 slots available and we will meet on Saturdays. It will be cash pay at $50 a session. (Sliding scale available).
Photo of Jennifer Le, Licensed Professional Counselor, MA, LPC-S
Hosted by Jennifer Le
Licensed Professional Counselor, MA, LPC-S
Group meets in McKinney, TX 75070
Using the classic Table Top Role-Playing game, Dungeons and Dragons, the group will explore anxiety, depression, identity, problem-solving, and more. There are 4-6 slots available and we will meet on Saturdays. It will be cash pay at $50 a session. (Sliding scale available).
(469) 482-3238 View (469) 482-3238
Our Women's Issues IOP provides a safe place for healing for those who suffer from anxiety, depression, PTSD or other mental health conditions that could benefit from IOP, but prefer to be in treatment with women only. This IOP meets three times a week in the evening in our McKinney location.
Photo of Dr. Deepika Bhargava - Exult - IOP/Therapy/Psychiatry/Addiction/TMS, Treatment Center, MD
Hosted by Exult - IOP/Therapy/Psychiatry/Addiction/TMS
Treatment Center, MD
Group meets in McKinney, TX 75069
Our Women's Issues IOP provides a safe place for healing for those who suffer from anxiety, depression, PTSD or other mental health conditions that could benefit from IOP, but prefer to be in treatment with women only. This IOP meets three times a week in the evening in our McKinney location.
(469) 208-4431 View (469) 208-4431
Powerful Social Skills groups available for Boys and Girls from ages 5 to 12. Provides for members, in a natural environment, an opportunity to share with others in similar circumstances. Members will learn how to build successful relationships with others and enhance their peer communication skills. Parents typically report improved self-esteem, independence and respect. Please call for more information.
Photo of Ardis Lo, Licensed Professional Counselor, MS, LPC-S, RPT-S, CTMH
Hosted by Ardis Lo
Licensed Professional Counselor, MS, LPC-S, RPT-S, CTMH
Group meets in McKinney, TX 75069
Powerful Social Skills groups available for Boys and Girls from ages 5 to 12. Provides for members, in a natural environment, an opportunity to share with others in similar circumstances. Members will learn how to build successful relationships with others and enhance their peer communication skills. Parents typically report improved self-esteem, independence and respect. Please call for more information.
(469) 388-0595 View (469) 388-0595
This group uses the analysis, understanding, and group discussion of participants' dreams to provide insight, and personal and spiritual growth.
Photo of Robert W Grant, Psychologist, EdD
Hosted by Robert W Grant
Psychologist, EdD
Group meets in McKinney, TX 75069
This group uses the analysis, understanding, and group discussion of participants' dreams to provide insight, and personal and spiritual growth.
(806) 686-2095 View (806) 686-2095

See more therapy options for McKinney

FAQs - About Group Therapy and Support Groups

How can I find a support group in McKinney?

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.