Support Groups in Pantego, TX

This 10-session summer 2023 group is for current foster children and adopted children or children living with family members/in kinship care due to parental abuse/neglect or DFPS involvement. Drumbeat incorporates the use of hand-drumming to facilitate improved social/coping skills. EMAIL to inquire about participation. Children who are not current clients must complete an assessment prior to participation and have permission from their current therapist if they are in therapy. Materials for this group have been funded through a grant from Superior Health Plan.
Photo of Janelle Alford, Licensed Professional Counselor, MEd, LPC, RPT, CAAPT
Hosted by Janelle Alford
Licensed Professional Counselor, MEd, LPC, RPT, CAAPT
Group meets in Pantego, TX 76013
This 10-session summer 2023 group is for current foster children and adopted children or children living with family members/in kinship care due to parental abuse/neglect or DFPS involvement. Drumbeat incorporates the use of hand-drumming to facilitate improved social/coping skills. EMAIL to inquire about participation. Children who are not current clients must complete an assessment prior to participation and have permission from their current therapist if they are in therapy. Materials for this group have been funded through a grant from Superior Health Plan.
(817) 962-2415 View (817) 962-2415
Transitioning back to work/school from an inpatient program and need to step down to a structured, supportive and intensive program that provides continual care as you address issues, learn and practice practice implementing them through group, one on one and/or family counseling. Intensive Outpatient Program (IOP) meets 3 days a week for 3 hours in the morning and evening. Must be assessed and meet medical necessity to attend IOP
Photo of Vicki Walls - A Better You Counseling Center, PLLC, Licensed Professional Counselor, EdS, LPC-S
Hosted by A Better You Counseling Center, PLLC
Licensed Professional Counselor, EdS, LPC-S
Group meets in Pantego, TX 76013
Transitioning back to work/school from an inpatient program and need to step down to a structured, supportive and intensive program that provides continual care as you address issues, learn and practice practice implementing them through group, one on one and/or family counseling. Intensive Outpatient Program (IOP) meets 3 days a week for 3 hours in the morning and evening. Must be assessed and meet medical necessity to attend IOP
(469) 563-2493 View (469) 563-2493
In today's society it's hard raising kids. This group focus on helping parents learn to communicate with their children, avoid being manipulated by your children, and how to provide positive support for your child. This is a 5 week course that meets weekly Sundays at 12 noon. Cost per session is $30 per meeting. THIS GROUP MEETS ONLINE
Photo of Dr. Valencia Campbell-Chapin, Licensed Professional Counselor, EdD, LPC-S, RPT-S, SAP, ADC
Hosted by Dr. Valencia Campbell-Chapin
Licensed Professional Counselor, EdD, LPC-S, RPT-S, SAP, ADC
Group meets in Pantego, TX 76013
In today's society it's hard raising kids. This group focus on helping parents learn to communicate with their children, avoid being manipulated by your children, and how to provide positive support for your child. This is a 5 week course that meets weekly Sundays at 12 noon. Cost per session is $30 per meeting. THIS GROUP MEETS ONLINE
(503) 446-5450 View (503) 446-5450
This Lego Therapy Group is an evidence based approach that aims to develop social communication skills in children who need help learning how to socially interact with others. Children in this group will learn skins such as sharing, turn-taking, following rules, using names and problem-solving. This group meets every Wednesday at 6 p.m. For ages 6 - 9. THIS GROUP MEETS ONLINE.
Photo of Dr. Valencia Campbell-Chapin, Licensed Professional Counselor, EdD, LPC-S, RPT-S, SAP, ADC
Hosted by Dr. Valencia Campbell-Chapin
Licensed Professional Counselor, EdD, LPC-S, RPT-S, SAP, ADC
Group meets in Pantego, TX 76013
This Lego Therapy Group is an evidence based approach that aims to develop social communication skills in children who need help learning how to socially interact with others. Children in this group will learn skins such as sharing, turn-taking, following rules, using names and problem-solving. This group meets every Wednesday at 6 p.m. For ages 6 - 9. THIS GROUP MEETS ONLINE.
(503) 446-5450 View (503) 446-5450

More Groups Nearby

Depression is more than just feeling sad. Everyone feels upset or unmotivated from time to time, but depression is more serious. It is a mood disorder characterized by prolonged feelings of sadness and loss of interest in daily activities. If these symptoms persist for a period of at least two weeks, it is considered a depressive episode.
Photo of Kurt D. Winn, Licensed Professional Counselor, BS, MEd, MS, MA, LPC
Hosted by Kurt D. Winn
Licensed Professional Counselor, BS, MEd, MS, MA, LPC
Group meets in Lancaster, TX 75146
Depression is more than just feeling sad. Everyone feels upset or unmotivated from time to time, but depression is more serious. It is a mood disorder characterized by prolonged feelings of sadness and loss of interest in daily activities. If these symptoms persist for a period of at least two weeks, it is considered a depressive episode.
(469) 409-6825 View (469) 409-6825
At Andelige Trauma Counseling & Consulting, we specialize in helping adults heal from complex trauma, including family-of-origin issues, spiritual abuse, and childhood emotional neglect. Our focus is on guiding clients through anxiety, depression, and relationship challenges, while supporting them in reclaiming healthy sexuality and recovering from spiritual wounds. We are dedicated to helping clients break the cycles of generational trauma and build healthier, more fulfilling lives.
Photo of Nancy E. Giraldo, Clinical Social Work/Therapist, LCSW-S, CCTP
Hosted by Nancy E. Giraldo
Clinical Social Work/Therapist, LCSW-S, CCTP
Group meets in Cleburne, TX 76033
At Andelige Trauma Counseling & Consulting, we specialize in helping adults heal from complex trauma, including family-of-origin issues, spiritual abuse, and childhood emotional neglect. Our focus is on guiding clients through anxiety, depression, and relationship challenges, while supporting them in reclaiming healthy sexuality and recovering from spiritual wounds. We are dedicated to helping clients break the cycles of generational trauma and build healthier, more fulfilling lives.
(817) 997-4538 View (817) 997-4538
This extremely interactive camp is designed to help boys and girls learn teamwork skills, develop better conversation skills, enhance their self-confidence, and learn to handle conflicts peacefully. The UPC Social Skills Camp brings together small groups of children, based on their age, to work specifically on three core areas: 1. Strengthening and developing new social skills; 2. Increasing self-confidence, self-control, and self-esteem; and 3. Learning to successfully participate in conversations and positive social exchanges needed to effectively build and maintain social relationships. Three groups are available: ages 8-10, ages 11-13, and ages 14-16.
Photo of Twila M. Farrar, Licensed Professional Counselor, MEd, LPC-S, LPC, RPT-S, CAS
Hosted by Twila M. Farrar
Licensed Professional Counselor, MEd, LPC-S, LPC, RPT-S, CAS
Group meets in Dallas, TX 75230
This extremely interactive camp is designed to help boys and girls learn teamwork skills, develop better conversation skills, enhance their self-confidence, and learn to handle conflicts peacefully. The UPC Social Skills Camp brings together small groups of children, based on their age, to work specifically on three core areas: 1. Strengthening and developing new social skills; 2. Increasing self-confidence, self-control, and self-esteem; and 3. Learning to successfully participate in conversations and positive social exchanges needed to effectively build and maintain social relationships. Three groups are available: ages 8-10, ages 11-13, and ages 14-16.
(972) 627-4827 View (972) 627-4827
Dialectical Behavior Therapy is a modality used to teach people how to live in the moment, develop healthy ways to cope with stress, regulate emotions and improve relationships with others. This group virtual
Photo of Aqueelah R Collier - Therapeutic Transitions & Associates LLC, Clinical Social Work/Therapist, MSW, LCSW-S, Veteran
Hosted by Therapeutic Transitions & Associates LLC
Clinical Social Work/Therapist, MSW, LCSW-S, Veteran
Group meets in Mansfield, TX 76063
Dialectical Behavior Therapy is a modality used to teach people how to live in the moment, develop healthy ways to cope with stress, regulate emotions and improve relationships with others. This group virtual
(817) 442-2857 View (817) 442-2857
Dialectical behavioral therapy skills training for parents and families
Photo of Tammy Hyde, Licensed Professional Counselor, MA, LPC
Hosted by Tammy Hyde
Licensed Professional Counselor, MA, LPC
Group meets in Dallas, TX 75231
Dialectical behavioral therapy skills training for parents and families
(972) 544-4478 View (972) 544-4478
LEARNING OBJECTIVES: To understand the impact of growing up with an emotionally unavailable parent. To recognize the differences between healthy and unhealthy parenting. To explore how your family shaped core values and the expectations for your own personal relationships. To recognize the coping mechanisms that kept you safe and how these adaptations impacted you. To learn to communicate more effecti
Photo of Katey Villalon, Marriage & Family Therapist, LMFT, IRT
Hosted by Katey Villalon
Marriage & Family Therapist, LMFT, IRT
Group meets in Plano, TX 75093
LEARNING OBJECTIVES: To understand the impact of growing up with an emotionally unavailable parent. To recognize the differences between healthy and unhealthy parenting. To explore how your family shaped core values and the expectations for your own personal relationships. To recognize the coping mechanisms that kept you safe and how these adaptations impacted you. To learn to communicate more effecti
(737) 204-1265 View (737) 204-1265
We have room in our Saturday Teen DBT group! Ongoing registration, so please contact us at info@blankslatetherapy.com for next module start date. Dialectical Behavior Therapy (DBT) is an evidence-based practice that has been found effective in helping individuals who struggle with managing emotions, stress, relationships and impulsivity. DBT is helpful for anyone looking to create change in their life, and is often used for those struggling with issues such as depression, trauma, substance abuse, suicidal thoughts, anxiety, or self-harm. The group is open to adolescents 13-17 years old. 18 year old HS Seniors are also welcome.
Photo of Rebecca Houser - Blank Slate Therapy, Licensed Professional Counselor
Hosted by Blank Slate Therapy
Licensed Professional Counselor
Group meets in Lewisville, TX 75056
We have room in our Saturday Teen DBT group! Ongoing registration, so please contact us at info@blankslatetherapy.com for next module start date. Dialectical Behavior Therapy (DBT) is an evidence-based practice that has been found effective in helping individuals who struggle with managing emotions, stress, relationships and impulsivity. DBT is helpful for anyone looking to create change in their life, and is often used for those struggling with issues such as depression, trauma, substance abuse, suicidal thoughts, anxiety, or self-harm. The group is open to adolescents 13-17 years old. 18 year old HS Seniors are also welcome.
(469) 771-1639 View (469) 771-1639
Aricka's grief support groups are for those grieving the loss of a loved one, whether that grief began one week ago or many years ago. Aricka has both teen and adult groups. Her next group will start in August. Let's help you move past the initial pain of loss and find a path to healing. Email (Info@MindMovingTherapy.com) or Call (214-430-4476) to set up a free initial group consultation with Aricka.
Photo of Aricka Marshall Emdr-T Autism Cert, Licensed Professional Counselor, LPC, NCC, MS, CSC, ASDCS
Hosted by Aricka Marshall Emdr-T Autism Cert
Licensed Professional Counselor, LPC, NCC, MS, CSC, ASDCS
Group meets in Dallas, TX 75231
Aricka's grief support groups are for those grieving the loss of a loved one, whether that grief began one week ago or many years ago. Aricka has both teen and adult groups. Her next group will start in August. Let's help you move past the initial pain of loss and find a path to healing. Email (Info@MindMovingTherapy.com) or Call (214-430-4476) to set up a free initial group consultation with Aricka.
(903) 354-3753 View (903) 354-3753
This 16-week group is established to foster accountability and support and uncover the initial fear of understanding their sex addiction. The group utilizes the workbook Facing the Shadow: Starting Sexual and Relationship Recovery by Patrick Carnes Ph.D. Our 16-week group will explore the first 7 tasks of recovery and help identify problematic behaviors in a safe environment that offers support, feedback, and accountability. The group process includes a combination of sharing, feedback, and therapeutic processing. This is a great opportunity to stabilize your recovery in a group setting focused on a common goal.
Photo of Jarod Olds, Licensed Professional Counselor Associate, MS, LPC-A, CSAT-C, EMDR
Hosted by Jarod Olds
Licensed Professional Counselor Associate, MS, LPC-A, CSAT-C, EMDR
Group meets in Dallas, TX 75204
This 16-week group is established to foster accountability and support and uncover the initial fear of understanding their sex addiction. The group utilizes the workbook Facing the Shadow: Starting Sexual and Relationship Recovery by Patrick Carnes Ph.D. Our 16-week group will explore the first 7 tasks of recovery and help identify problematic behaviors in a safe environment that offers support, feedback, and accountability. The group process includes a combination of sharing, feedback, and therapeutic processing. This is a great opportunity to stabilize your recovery in a group setting focused on a common goal.
(214) 730-6324 View (214) 730-6324
First of all, you're not crazy. Or weak. You are deserving of love, peace, respect, and companionship, but when this is not found in a relationship, it can be difficult to "just move on." Many people experience adverse mental health symptoms after being in a romantic relationship that included disrespect, dishonesty, gaslighting, narcissistism, emotional abuse, neglect, or physical violence. This interactive, virtual series was designed to provide hope, support, and research/neuroscience-based education to people wishing to better understand and heal areas of self that have been damaged by an unhealthy relationship.
Photo of Natosha K. Monroe, Licensed Professional Counselor, PhD, MA, LPC
Hosted by Natosha K. Monroe
Licensed Professional Counselor, PhD, MA, LPC
Group meets in Fort Worth, TX 76102
First of all, you're not crazy. Or weak. You are deserving of love, peace, respect, and companionship, but when this is not found in a relationship, it can be difficult to "just move on." Many people experience adverse mental health symptoms after being in a romantic relationship that included disrespect, dishonesty, gaslighting, narcissistism, emotional abuse, neglect, or physical violence. This interactive, virtual series was designed to provide hope, support, and research/neuroscience-based education to people wishing to better understand and heal areas of self that have been damaged by an unhealthy relationship.
(817) 678-7585 View (817) 678-7585
Our social skills groups for children ages 3-24 are matched by age, gender and issues. Specific areas addressed are making and keeping friends, picking up on social cues, conversation skills, good sportsmanship, emotion management, anger control, assertive and problem solving skills, personal responsibility taking, bullying, and reputation rebuilding. We develop individualized goals for each child/adolescent and get parent feedback on progress and problems weekly. Children graduate from group when they have accomplished their goals. We offer basic, advanced, and community adventure groups. If behavior problems or school difficulties exist, a positive behavior plan is developed to address these issues.
Photo of Holly Fedro, Clinical Social Work/Therapist, LCSW
Hosted by Holly Fedro
Clinical Social Work/Therapist, LCSW
Group meets in Dallas, TX 75230
Our social skills groups for children ages 3-24 are matched by age, gender and issues. Specific areas addressed are making and keeping friends, picking up on social cues, conversation skills, good sportsmanship, emotion management, anger control, assertive and problem solving skills, personal responsibility taking, bullying, and reputation rebuilding. We develop individualized goals for each child/adolescent and get parent feedback on progress and problems weekly. Children graduate from group when they have accomplished their goals. We offer basic, advanced, and community adventure groups. If behavior problems or school difficulties exist, a positive behavior plan is developed to address these issues.
(972) 528-9164 View (972) 528-9164
A weekly, online support group led by neurodivergent parent/professionals, this group offers a judgement-free space for parents and caregivers to feel a sense of belonging and support. We provide mindfulness and somatic approaches to support regulation and neurodiversity-aligned guidance on child development, navigating school, family issues, and more. Meets every Tuesday 11:30a - 12:50p CST. Private pay cost is $20 per session. We accept Oxford, Oscar Health, United Healthcare, Aetna, and Blue Cross Blue Shield (Texas & California residents only)
Photo of Daniel Meisenheimer, Clinical Social Work/Therapist, LCSW
Hosted by Daniel Meisenheimer
Clinical Social Work/Therapist, LCSW
Group meets in Richardson, TX 75080
A weekly, online support group led by neurodivergent parent/professionals, this group offers a judgement-free space for parents and caregivers to feel a sense of belonging and support. We provide mindfulness and somatic approaches to support regulation and neurodiversity-aligned guidance on child development, navigating school, family issues, and more. Meets every Tuesday 11:30a - 12:50p CST. Private pay cost is $20 per session. We accept Oxford, Oscar Health, United Healthcare, Aetna, and Blue Cross Blue Shield (Texas & California residents only)
(214) 239-9159 View (214) 239-9159
Led by a licensed male therapist, this group provides a safe, confidential space for men to connect, reflect, and grow. Here, participants are encouraged to unpack life’s challenges—from stress, relationships, fatherhood, trauma, and identity—to mental health, masculinity, and emotional expression. Through open dialogue and skill-building this group helps men strengthen emotional resilience, improve communication, and reclaim their personal power without judgment. Whether you're navigating transitions or seeking real connection with other men who understand, you’ll be supported every step of the way by a therapist who leads from both clinical insight and lived experience.
Photo of John C. Scroggins Sr., Marriage & Family Therapist Associate, MMFT, LMFT-A, QMHP
Hosted by John C. Scroggins Sr.
Marriage & Family Therapist Associate, MMFT, LMFT-A, QMHP
Group meets in Mansfield, TX 76063
Led by a licensed male therapist, this group provides a safe, confidential space for men to connect, reflect, and grow. Here, participants are encouraged to unpack life’s challenges—from stress, relationships, fatherhood, trauma, and identity—to mental health, masculinity, and emotional expression. Through open dialogue and skill-building this group helps men strengthen emotional resilience, improve communication, and reclaim their personal power without judgment. Whether you're navigating transitions or seeking real connection with other men who understand, you’ll be supported every step of the way by a therapist who leads from both clinical insight and lived experience.
(682) 686-3873 View (682) 686-3873
This group is designed for individuals who have completed a family of origin trauma intensive or similar, who want to continue working on self-esteem, boundaries, reality, dependency, and moderation/containment issues utilizing Pia Mellody's post-induction therapy model (PIT). Resource used include but are not limited to: No More Mr. Nice Guy by Robert Glover and Language of Letting Go by Mellody Beatty.
Photo of Erin Wysong-Warren, Counselor, LPC-S, SEP, CSAT-S, CPTT-S
Hosted by Erin Wysong-Warren
Counselor, LPC-S, SEP, CSAT-S, CPTT-S
Group meets in Dallas, TX 75204
This group is designed for individuals who have completed a family of origin trauma intensive or similar, who want to continue working on self-esteem, boundaries, reality, dependency, and moderation/containment issues utilizing Pia Mellody's post-induction therapy model (PIT). Resource used include but are not limited to: No More Mr. Nice Guy by Robert Glover and Language of Letting Go by Mellody Beatty.
(469) 518-2342 View (469) 518-2342
California and Texas clients welcome to this online safe space to be neurodivergent af with other neurodivergent humans and talk about neurodivergent s**t. Tuesdays 5:30pm - 6:30pm (central) (April 9 - May 14)
Photo of Cassandra Holt Kimbell, Licensed Professional Counselor, MSEd, LPCC-S, NCC, EMDR, CIT
Hosted by Cassandra Holt Kimbell
Licensed Professional Counselor, MSEd, LPCC-S, NCC, EMDR, CIT
Group meets in Dallas, TX 75206
California and Texas clients welcome to this online safe space to be neurodivergent af with other neurodivergent humans and talk about neurodivergent s**t. Tuesdays 5:30pm - 6:30pm (central) (April 9 - May 14)
(214) 480-4943 View (214) 480-4943
Counseling and Consulting Group Practice
Photo of Michelle Salzman, Licensed Professional Counselor, MA, MEd, LPC-S
Hosted by Michelle Salzman
Licensed Professional Counselor, MA, MEd, LPC-S
Group meets in Irving, TX 75039
Counseling and Consulting Group Practice
(682) 334-8621 View (682) 334-8621

See more therapy options for Pantego

FAQs - About Group Therapy and Support Groups

How can I find a support group in Pantego?

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.