Support Groups in Great Falls, VA

Equibliss is an equine assisted psychotherapy practice offering counseling services, workshops and clinical supervision.
Photo of Ioana Marcus, Licensed Professional Counselor, PhD, LPC, GEP
Hosted by Ioana Marcus
Licensed Professional Counselor, PhD, LPC, GEP
Group meets in Great Falls, VA 22066
Equibliss is an equine assisted psychotherapy practice offering counseling services, workshops and clinical supervision.
(703) 997-6804 View (703) 997-6804
In a world where struggles often go unnoticed and the journey to recovery can feel isolating, you are not alone. Our Sex Addiction Recovery Workgroup is carefully designed to be a supportive environment for healing, growth, and transformation. Led by Duane Osterlind and his compassionate team, we provide a safe space for individuals dealing with sex addiction, including those struggling with pornography. You have the power to heal yourself and improve your relationships. Don't wait—start your journey today! Call us for a free 15-minute consultation.
Photo of Brandon Simpson, Marriage & Family Therapist, LMFT, CSAT
Hosted by Brandon Simpson
Marriage & Family Therapist, LMFT, CSAT
Group meets in Great Falls, VA 22066
In a world where struggles often go unnoticed and the journey to recovery can feel isolating, you are not alone. Our Sex Addiction Recovery Workgroup is carefully designed to be a supportive environment for healing, growth, and transformation. Led by Duane Osterlind and his compassionate team, we provide a safe space for individuals dealing with sex addiction, including those struggling with pornography. You have the power to heal yourself and improve your relationships. Don't wait—start your journey today! Call us for a free 15-minute consultation.
(703) 952-7710 View (703) 952-7710
Manage your anger in don't pop your cork!
Photo of Courtney Parker, Marriage & Family Therapist, L, M, F, T
Hosted by Courtney Parker
Marriage & Family Therapist, L, M, F, T
Group meets in Great Falls, VA 22066
Manage your anger in don't pop your cork!
(310) 706-2722 View (310) 706-2722
In a world where struggle often goes unseen and the fight for recovery feels like a solo battle, you are not alone. Our Sex Addiction Recovery Workgroup is designed from the ground up to provide a haven for healing, growth, and transformation. Led by Duane Osterlind and his compassionate team, we offer a safe space for individuals struggling with sex addiction, porn addicts, and persons on the path to recovery. You can heal yourself and your relationships. Start now! Call for a free 15-minute consultation.
Photo of Duane Philip Osterlind, Marriage & Family Therapist, LMFT, CSAT-S
Hosted by Duane Philip Osterlind
Marriage & Family Therapist, LMFT, CSAT-S
Group meets in Great Falls, VA 22066
In a world where struggle often goes unseen and the fight for recovery feels like a solo battle, you are not alone. Our Sex Addiction Recovery Workgroup is designed from the ground up to provide a haven for healing, growth, and transformation. Led by Duane Osterlind and his compassionate team, we offer a safe space for individuals struggling with sex addiction, porn addicts, and persons on the path to recovery. You can heal yourself and your relationships. Start now! Call for a free 15-minute consultation.
(703) 343-9751 View (703) 343-9751
Manage anxiety and stress in Keeping Cool!
Photo of Courtney Parker, Marriage & Family Therapist, L, M, F, T
Hosted by Courtney Parker
Marriage & Family Therapist, L, M, F, T
Group meets in Great Falls, VA 22066
Manage anxiety and stress in Keeping Cool!
(310) 706-2722 View (310) 706-2722
Separation, divorce, two mothers or two fathers, children raised by grandparents, loss, birth of a new baby...learn to handle the changing face of family life.
Photo of Courtney Parker, Marriage & Family Therapist, L, M, F, T
Hosted by Courtney Parker
Marriage & Family Therapist, L, M, F, T
Group meets in Great Falls, VA 22066
Separation, divorce, two mothers or two fathers, children raised by grandparents, loss, birth of a new baby...learn to handle the changing face of family life.
(310) 706-2722 View (310) 706-2722
Balance is a skills-based support group for young adults (ages 16-22) managing life with a chronic illness (e.g., POTS, migraines, depression, Lyme). Living with a chronic condition brings unique challenges that can upset daily balance; it can be especially overwhelming and lonely as a young adult. This group offers a safe space for young people to connect and share their experiences while developing effective strategies to manage pain and fatigue. These strategies include activity pacing, movement, distress tolerance, scaling, and reframing. Dr. Gray (psychologist and pain management specialist) and Cate work to help participants achieve a more balanced approach to life demands.
Photo of Cate Riihimaki, Licensed Professional Counselor, LPC, MEd, EdS
Hosted by Cate Riihimaki
Licensed Professional Counselor, LPC, MEd, EdS
Group meets in Great Falls, VA 22066
Balance is a skills-based support group for young adults (ages 16-22) managing life with a chronic illness (e.g., POTS, migraines, depression, Lyme). Living with a chronic condition brings unique challenges that can upset daily balance; it can be especially overwhelming and lonely as a young adult. This group offers a safe space for young people to connect and share their experiences while developing effective strategies to manage pain and fatigue. These strategies include activity pacing, movement, distress tolerance, scaling, and reframing. Dr. Gray (psychologist and pain management specialist) and Cate work to help participants achieve a more balanced approach to life demands.
(703) 215-9013 View (703) 215-9013

More Groups Nearby

We welcome all high schoolers who want a place to escape to in order to discuss and receive support from peers who face similar challenges while navigating though their teen years. High school offers it own set of challenges and anxiety, from friendships and relationships to preparing for college and the daily grind of balancing homework and tests. Focus is on the issues members bring to the group, and we often use unique ways to help facilitate growth.
Photo of Judy Valeski deBullet - Judy Valeski, LLC, Licensed Professional Counselor, MEd, LPC
Hosted by Judy Valeski, LLC
Licensed Professional Counselor, MEd, LPC
Group meets in Chantilly, VA 20151
We welcome all high schoolers who want a place to escape to in order to discuss and receive support from peers who face similar challenges while navigating though their teen years. High school offers it own set of challenges and anxiety, from friendships and relationships to preparing for college and the daily grind of balancing homework and tests. Focus is on the issues members bring to the group, and we often use unique ways to help facilitate growth.
(703) 291-0721 View (703) 291-0721
Sarah Pitkin, LPC, is a registered supervisor offering individual and group supervision services that are designed to provide residents in counseling with the pre-requisite skills required to function independently as a Licensed Professional Counselor (LPC) in the state of Virginia. LMFT candidates are also permitted to half of their supervision with an LPC supervisor. In addition, supervision toward credentialing as a Licensed Certified Substance Abuse Professional (LSATP) and Art Therapists pursuing certification (ATR-BC). Group Supervision (Currently via Zoom) Second Saturday of Each Month (9am-1pm) Cost: $125 Individual Supervision (Currently via Zoom) Cost: $110
Photo of Sarah Pitkin, Licensed Professional Counselor, LPC, LSATP, ATR-BC
Hosted by Sarah Pitkin
Licensed Professional Counselor, LPC, LSATP, ATR-BC
Group meets in Alexandria, VA 22301
Sarah Pitkin, LPC, is a registered supervisor offering individual and group supervision services that are designed to provide residents in counseling with the pre-requisite skills required to function independently as a Licensed Professional Counselor (LPC) in the state of Virginia. LMFT candidates are also permitted to half of their supervision with an LPC supervisor. In addition, supervision toward credentialing as a Licensed Certified Substance Abuse Professional (LSATP) and Art Therapists pursuing certification (ATR-BC). Group Supervision (Currently via Zoom) Second Saturday of Each Month (9am-1pm) Cost: $125 Individual Supervision (Currently via Zoom) Cost: $110
(571) 470-5143 x507 View (571) 470-5143 x507
Girls & Pearls is designed to be a fun and interactive group experience for girls age 6-18. Members will learn more about embracing and empowering themselves and others through continued growth: *Enhance their self-esteem *Cope with situations in life that may be difficult to handle *Build strong boundaries *Help communicate their feelings and needs clearly and with ease *Accept and love their bodies *Make healthy choices *Improve problem-solving skills *Navigate their adolescent years with success Please visit www.girlsandpearlsllc.com for more information, available dates, and locations.
Photo of Judy Valeski deBullet - Judy Valeski, LLC, Licensed Professional Counselor, MEd, LPC
Hosted by Judy Valeski, LLC
Licensed Professional Counselor, MEd, LPC
Group meets in Chantilly, VA 20151
Girls & Pearls is designed to be a fun and interactive group experience for girls age 6-18. Members will learn more about embracing and empowering themselves and others through continued growth: *Enhance their self-esteem *Cope with situations in life that may be difficult to handle *Build strong boundaries *Help communicate their feelings and needs clearly and with ease *Accept and love their bodies *Make healthy choices *Improve problem-solving skills *Navigate their adolescent years with success Please visit www.girlsandpearlsllc.com for more information, available dates, and locations.
(703) 291-0721 View (703) 291-0721
In-person support group for pre-teens and teens at our Annandale office. Discussing social skills, anxiety, self-care, depression, resolving conflicts, and more. Insurance accepted! Middle school group 3-4 pm and High school 4-5 pm
Photo of Stephanie Barbour, Licensed Professional Counselor, LPC, CSAC, LSATP
Hosted by Stephanie Barbour
Licensed Professional Counselor, LPC, CSAC, LSATP
Group meets in Annandale, VA 22003
In-person support group for pre-teens and teens at our Annandale office. Discussing social skills, anxiety, self-care, depression, resolving conflicts, and more. Insurance accepted! Middle school group 3-4 pm and High school 4-5 pm
(571) 568-7257 View (571) 568-7257
This group program is based on the highly researched MBCT and MBSR-T (teen) programs, that have been shown to be effective in reducing distress and increasing inner calm. Mindfulness psychology teaches gentle awareness and compassion, helping us to deal more effectively with anxiety, stress, and difficult emotions. Groups run for six weeks, 1.5 hours/session, online; in-person options coming soon. Geared towards teens aged 14-18, especially those feeling overly stressed and anxious. Contact me for details or to join an upcoming group. More information is on my website.
Photo of Patrice A. Alvarado, Psychologist, PhD
Hosted by Patrice A. Alvarado
Psychologist, PhD
Group meets in Manassas, VA 20110
This group program is based on the highly researched MBCT and MBSR-T (teen) programs, that have been shown to be effective in reducing distress and increasing inner calm. Mindfulness psychology teaches gentle awareness and compassion, helping us to deal more effectively with anxiety, stress, and difficult emotions. Groups run for six weeks, 1.5 hours/session, online; in-person options coming soon. Geared towards teens aged 14-18, especially those feeling overly stressed and anxious. Contact me for details or to join an upcoming group. More information is on my website.
(571) 495-3910 View (571) 495-3910
Small intimate group setting (5-8). Parents learn new skills to communicate, connect and create a healthier family relationship. Focus is to help parents teach their children independence, resiliency and self esteem. This group helps families heal and recover from issues such as eating disorders, trauma, and self destructive behaviors.
Photo of Virginia Inglese, Clinical Social Work/Therapist, LCSW, MA, RDN, EMDR, CEDS
Hosted by Virginia Inglese
Clinical Social Work/Therapist, LCSW, MA, RDN, EMDR, CEDS
Group meets in Vienna, VA 22180
Small intimate group setting (5-8). Parents learn new skills to communicate, connect and create a healthier family relationship. Focus is to help parents teach their children independence, resiliency and self esteem. This group helps families heal and recover from issues such as eating disorders, trauma, and self destructive behaviors.
(703) 634-9922 View (703) 634-9922
We are a multi-disciplinary mental health group practice in Old Town, Alexandria, Virginia, helping people in the Washington area for over 40 years. We specialize in treating anxiety, depression, work stress, relationships, life transitions, Adult ADD, OCD, Fear of Public Speaking and more. Our two very experienced psychiatrists, physician assistant, four psychiatric social workers, and other staff members work as a collaborative team to provide you with the right combination of psychological and medical treatments to get you back on track. Call us today at 703-836-7130 and do check out our website: RoundhouseCenter.com.
Photo of David L. Charney, Psychiatrist, MD
Hosted by David L. Charney
Psychiatrist, MD
Group meets in Alexandria, VA 22314
We are a multi-disciplinary mental health group practice in Old Town, Alexandria, Virginia, helping people in the Washington area for over 40 years. We specialize in treating anxiety, depression, work stress, relationships, life transitions, Adult ADD, OCD, Fear of Public Speaking and more. Our two very experienced psychiatrists, physician assistant, four psychiatric social workers, and other staff members work as a collaborative team to provide you with the right combination of psychological and medical treatments to get you back on track. Call us today at 703-836-7130 and do check out our website: RoundhouseCenter.com.
(703) 836-7130 View (703) 836-7130
In addition to our evidence-based substance use and mental health therapy services, We provide robust academic support by certified and credentialed teachers to ensure the client’s schoolwork stays up to date. We help clients catch up on school work and teach individualized learning strategies to build academic confidence.
Photo of Sandstone C - Sandstone Care Alexandria Outpatient Center, Treatment Center, MD, LPC, LAC, CAC-III, CSAC-A
Hosted by Sandstone Care Alexandria Outpatient Center
Treatment Center, MD, LPC, LAC, CAC-III, CSAC-A
Group meets in Alexandria, VA 22312
In addition to our evidence-based substance use and mental health therapy services, We provide robust academic support by certified and credentialed teachers to ensure the client’s schoolwork stays up to date. We help clients catch up on school work and teach individualized learning strategies to build academic confidence.
(703) 991-8529 View (703) 991-8529
Are you experiencing confusion, frustration, sadness, and exhaustion dealing with your young adult child' struggles? Do you alternate between praying with hope and giving up? Do you hope to have a better relationship with your young adult children? Are you and your spouse or X-spouse in conflict over how to best love and help your adult child? Then this 16 weeks counseling group is for you. You will gain a deeper understanding of the underlying issues, receive support, learn what to do with the heavy weight of what your adult child is going through and experience the peace you are looking for.
Photo of Peri Rogers, Licensed Professional Counselor, LPC, LPC-S
Hosted by Peri Rogers
Licensed Professional Counselor, LPC, LPC-S
Group meets in Chantilly, VA 20151
Are you experiencing confusion, frustration, sadness, and exhaustion dealing with your young adult child' struggles? Do you alternate between praying with hope and giving up? Do you hope to have a better relationship with your young adult children? Are you and your spouse or X-spouse in conflict over how to best love and help your adult child? Then this 16 weeks counseling group is for you. You will gain a deeper understanding of the underlying issues, receive support, learn what to do with the heavy weight of what your adult child is going through and experience the peace you are looking for.
(571) 570-3564 View (571) 570-3564
Mindful Sport Performance Enhancement (MSPE)® is a cutting-edge mental training program for athletes, coaches, and other performers. Drawing on research from the sport sciences, psychology, and neuroscience, it provides specific guidance in building mindfulness skills essential to consistent, optimal performance. The group is: 6 sessions rooted in the tradition of Jon Kabat-Zinn's mindfulness-based stress reduction (MBSR), adapted to be unique and specific to athletic performers. Each session emphasizes learning, engaging, and practicing core mindfulness skills in ways that maximize their integration into practice, competition, and daily life.
Photo of Matthew Sims, Clinical Social Work/Therapist, MSW, LCSW, MPM, LCSWC
Hosted by Matthew Sims
Clinical Social Work/Therapist, MSW, LCSW, MPM, LCSWC
Group meets in Leesburg, VA 20176
Mindful Sport Performance Enhancement (MSPE)® is a cutting-edge mental training program for athletes, coaches, and other performers. Drawing on research from the sport sciences, psychology, and neuroscience, it provides specific guidance in building mindfulness skills essential to consistent, optimal performance. The group is: 6 sessions rooted in the tradition of Jon Kabat-Zinn's mindfulness-based stress reduction (MBSR), adapted to be unique and specific to athletic performers. Each session emphasizes learning, engaging, and practicing core mindfulness skills in ways that maximize their integration into practice, competition, and daily life.
(540) 405-6967 View (540) 405-6967
The PASSPORT Program is a multi-day program for young adults who are struggling with life after high school. Through a holistic approach that includes traditional and non-traditional therapies, clients will gain a greater sense of self, improved coping skills, and the confidence and optimism needed to move forward and be successful in their journey. Therapies include CBT, DBT, art, yoga, mindfulness, equine-assisted therapy, out-door recreation, goal-setting and a host of experiential activities designed to facilitate self exploration and personal growth in a small group format. Limited to 6 participants, the group meets three times / week.
Photo of Heather H Kirby, Clinical Social Work/Therapist, LCSW, CSAC, MEd
Hosted by Heather H Kirby
Clinical Social Work/Therapist, LCSW, CSAC, MEd
Group meets in Fairfax, VA 22030
The PASSPORT Program is a multi-day program for young adults who are struggling with life after high school. Through a holistic approach that includes traditional and non-traditional therapies, clients will gain a greater sense of self, improved coping skills, and the confidence and optimism needed to move forward and be successful in their journey. Therapies include CBT, DBT, art, yoga, mindfulness, equine-assisted therapy, out-door recreation, goal-setting and a host of experiential activities designed to facilitate self exploration and personal growth in a small group format. Limited to 6 participants, the group meets three times / week.
(703) 260-7287 View (703) 260-7287
Your child defined who you were as a person for the last 18 plus years of your life. You changed their diapers, calmed their fears and gave them the best of who you were. Your child was your life and now they are gone. They decided to leave and now... Who are you? What are you now without their constant affirmations to your role in their lives? You are not alone. This group will help support you through one of your toughest challenges in parenthood. Find yourself again, find a new purpose. Find peace in this new stage.
Photo of Andranita Dogan - Anew Hope LLC, Licensed Professional Counselor, MS, LPC, NCC, CCMHC, BC-TMH
Hosted by Anew Hope LLC
Licensed Professional Counselor, MS, LPC, NCC, CCMHC, BC-TMH
Group meets in Lake Ridge, VA 22192
Your child defined who you were as a person for the last 18 plus years of your life. You changed their diapers, calmed their fears and gave them the best of who you were. Your child was your life and now they are gone. They decided to leave and now... Who are you? What are you now without their constant affirmations to your role in their lives? You are not alone. This group will help support you through one of your toughest challenges in parenthood. Find yourself again, find a new purpose. Find peace in this new stage.
(703) 972-1641 View (703) 972-1641
6-week virtual group designed to help individuals manage anxiety through movement, breathwork, mindfulness, and practical coping skills. Each 90-minute session will combine gentle yoga, nervous system regulation techniques, psychoeducation, and evidence-based strategies to help participants better understand the mind-body connection and reduce symptoms of stress and anxiety. Participants will learn: Breathing techniques to calm the nervous system; Poses that promote relaxation and grounding; Mindfulness practices to reduce worry and increase present-moment awareness; Coping skills for managing anxious thoughts and emotions; Tools to support long-term emotional wellness. No yoga experience required, all levels welcome.
Photo of Rachel Baylor, Licensed Professional Counselor, LPC
Hosted by Rachel Baylor
Licensed Professional Counselor, LPC
Group meets in Arlington, VA 22202
6-week virtual group designed to help individuals manage anxiety through movement, breathwork, mindfulness, and practical coping skills. Each 90-minute session will combine gentle yoga, nervous system regulation techniques, psychoeducation, and evidence-based strategies to help participants better understand the mind-body connection and reduce symptoms of stress and anxiety. Participants will learn: Breathing techniques to calm the nervous system; Poses that promote relaxation and grounding; Mindfulness practices to reduce worry and increase present-moment awareness; Coping skills for managing anxious thoughts and emotions; Tools to support long-term emotional wellness. No yoga experience required, all levels welcome.
(804) 294-2878 View (804) 294-2878

See more therapy options for Great Falls

FAQs - About Group Therapy and Support Groups

How can I find a support group in Great Falls?

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.