Support Groups in Bothell, WA

The group is facilitated by Steve Dill, LMHC, CSAT and is therapy oriented. It is a serious commitment. It has a curriculum-based trajectory, accountability for members committing to recovery culture and critically, trauma identification and concurrent 1:1 therapy with a counselor. Groups are limited to seven or less. Entry requires significant testing SDI-4, PTSI as well as extensive family history before/during a 1:1 session. New clients interested in joining the group or exploring individual sessions with Steve should contact us at 425.869.2644, ext. 0.
Photo of Richard Wemhoff - Emmaus Counseling Center, Psychologist, PhD, LMFT, LMHC, LICSW, CSAT
Hosted by Emmaus Counseling Center
Psychologist, PhD, LMFT, LMHC, LICSW, CSAT
Group meets in Bothell, WA 98011
The group is facilitated by Steve Dill, LMHC, CSAT and is therapy oriented. It is a serious commitment. It has a curriculum-based trajectory, accountability for members committing to recovery culture and critically, trauma identification and concurrent 1:1 therapy with a counselor. Groups are limited to seven or less. Entry requires significant testing SDI-4, PTSI as well as extensive family history before/during a 1:1 session. New clients interested in joining the group or exploring individual sessions with Steve should contact us at 425.869.2644, ext. 0.
(206) 309-4583 View (206) 309-4583
Envision Counseling is a team of dedicated behavioral health professionals and educators who provide the highest quality of personalized care in a supportive, respectful, and culturally responsive environment. Our highly skilled clinicians include independent licensed mental health counselors, couple/family therapists, and social workers.
Photo of Theresa Winther, Marriage & Family Therapist, LMFT, SUDP, MAC
Hosted by Theresa Winther
Marriage & Family Therapist, LMFT, SUDP, MAC
Group meets in Bothell, WA 98021
Envision Counseling is a team of dedicated behavioral health professionals and educators who provide the highest quality of personalized care in a supportive, respectful, and culturally responsive environment. Our highly skilled clinicians include independent licensed mental health counselors, couple/family therapists, and social workers.
(425) 264-8516 View (425) 264-8516
In this group, we spend our time witnessing 1-2 participants dreams per session. We explore dream content through an expressive arts lens, seeking a deeper understanding of the dream content as dreamer and witness. We work to integrate the dream's messages or meaning in our waking life. Participants often experience connections personally as witness and take away rich insights from their own dream exploration. Examples of expressive exercises include guided meditation, dream re-entry, dream re-enactment as a group, dream content-based poetry or art creation, character or role exploration, and more. Limited to 7 participants.
Photo of Becky Robbins - Inner Phoenix Embodied Arts, PLLC, Counselor, MA, LMHC, ExAT, CYT, CCDW
Hosted by Inner Phoenix Embodied Arts, PLLC
Counselor, MA, LMHC, ExAT, CYT, CCDW
Group meets in Bothell, WA 98011
In this group, we spend our time witnessing 1-2 participants dreams per session. We explore dream content through an expressive arts lens, seeking a deeper understanding of the dream content as dreamer and witness. We work to integrate the dream's messages or meaning in our waking life. Participants often experience connections personally as witness and take away rich insights from their own dream exploration. Examples of expressive exercises include guided meditation, dream re-entry, dream re-enactment as a group, dream content-based poetry or art creation, character or role exploration, and more. Limited to 7 participants.
(425) 786-2726 View (425) 786-2726
The group is facilitated by Steve Dill, LMHC, CSAT and is therapy oriented. It is a serious commitment. It has a curriculum-based trajectory, accountability for members committing to recovery culture and critically, trauma identification and concurrent 1:1 therapy with a counselor. Groups are limited to seven or less. Entry requires significant testing SDI-4, PTSI as well as extensive family history before/during a 1:1 session. New clients interested in joining the group or exploring individual sessions with Steve should contact us at 425.869.2644, ext. 0.
Photo of Richard Wemhoff - Emmaus Counseling Center, Psychologist, PhD, LICSW, LMHC, LMFT, CSAT
Hosted by Emmaus Counseling Center
Psychologist, PhD, LICSW, LMHC, LMFT, CSAT
Group meets in Bothell, WA 98011
The group is facilitated by Steve Dill, LMHC, CSAT and is therapy oriented. It is a serious commitment. It has a curriculum-based trajectory, accountability for members committing to recovery culture and critically, trauma identification and concurrent 1:1 therapy with a counselor. Groups are limited to seven or less. Entry requires significant testing SDI-4, PTSI as well as extensive family history before/during a 1:1 session. New clients interested in joining the group or exploring individual sessions with Steve should contact us at 425.869.2644, ext. 0.
(425) 842-2671 View (425) 842-2671
Supportive group therapy for women. Collecting applications now with intent to begin in Jan. 2016.
Photo of Barbara Ann Barnes, Counselor, MA, RN, LMHC, CHT
Hosted by Barbara Ann Barnes
Counselor, MA, RN, LMHC, CHT
Group meets in Bothell, WA 98011
Supportive group therapy for women. Collecting applications now with intent to begin in Jan. 2016.
(425) 224-6699 View (425) 224-6699
MB-EAT is and evidence based program to treat binge eating and compulsive overeating. This 12 week session will help you re-relate to food and your body in a way that brings the full enjoyment you are looking for, back to the eating experience. As you transform your relationship with food, you will notice all aspects of your life transforming. I hope you will join us. Please visit www.mariarippo.com "programs offered" for more information.
Photo of Maria Rippo, Counselor, MA, LMHC, CPC
Hosted by Maria Rippo
Counselor, MA, LMHC, CPC
Group meets in Bothell, WA 98011
MB-EAT is and evidence based program to treat binge eating and compulsive overeating. This 12 week session will help you re-relate to food and your body in a way that brings the full enjoyment you are looking for, back to the eating experience. As you transform your relationship with food, you will notice all aspects of your life transforming. I hope you will join us. Please visit www.mariarippo.com "programs offered" for more information.
(253) 259-2779 View (253) 259-2779
There are so many excellent reasons people enter into, and thrive as a result of, group therapy. e.g • Dealing with depression, anxiety, trauma, bad habits, stressors. • Wishing to repair distressed or disrupted relationships with friends, partners, and children • Seeking a positive/warm/supportive environment to share your experience confidentially, and learn how to improve your relationships •Curious about developing new insights about interpersonal challenges •Missing a deeply connected group of learned friends to share with, and learn from •Find out how others like you react to psychiatric medications, diagnosis, and labels • Ready to move forward with a new beginning
Photo of Sid Siahpush, Psychiatrist, MD, PhD, MPH, CGP
Hosted by Sid Siahpush
Psychiatrist, MD, PhD, MPH, CGP
Group meets in Bothell, WA 98011
There are so many excellent reasons people enter into, and thrive as a result of, group therapy. e.g • Dealing with depression, anxiety, trauma, bad habits, stressors. • Wishing to repair distressed or disrupted relationships with friends, partners, and children • Seeking a positive/warm/supportive environment to share your experience confidentially, and learn how to improve your relationships •Curious about developing new insights about interpersonal challenges •Missing a deeply connected group of learned friends to share with, and learn from •Find out how others like you react to psychiatric medications, diagnosis, and labels • Ready to move forward with a new beginning
(425) 620-2926 View (425) 620-2926
The skills modules include mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. Mindfulness teaches skills to train your brain to focus on being in the present moment. Distress tolerance is focused on effectively navigating crisis situations without engaging in problematic behavior. Emotion regulation skills include learning to identify and label current emotions, identifying obstacles to changing emotions, reducing emotional reactivity, increasing positive emotions, and changing emotions. Finally, interpersonal effectiveness skills teach effective strategies for asking for what one needs, saying no, and coping with interpersonal conflict. For more information go to www.seattledbtskills.com
Photo of Tracy Kalloway - DBT Skills Classes online for Washington State, Counselor
Hosted by DBT Skills Classes online for Washington State
Counselor
Group meets in Bothell, WA 98021
The skills modules include mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. Mindfulness teaches skills to train your brain to focus on being in the present moment. Distress tolerance is focused on effectively navigating crisis situations without engaging in problematic behavior. Emotion regulation skills include learning to identify and label current emotions, identifying obstacles to changing emotions, reducing emotional reactivity, increasing positive emotions, and changing emotions. Finally, interpersonal effectiveness skills teach effective strategies for asking for what one needs, saying no, and coping with interpersonal conflict. For more information go to www.seattledbtskills.com
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Explore mindful, compassionate, safe, willing, and expressive embodiment. In this workshop, you will learn how to navigate thoughts, beliefs, and emotions through quiet centering and exploring selected tarot cards, and through reflection, sharing, and movement. You’ll be able to explore the unexplored or avoided parts of you and take the time to integrate all of that learning. Join us in this supportive, immersive space on the 1st and 3rd Sundays each month to deepen your self-connection and insight. TO REGISTER: Please visit EventBrite to purchase a ticket: https://bit.ly/4fPiwF5. Standard cost is $50 (sliding scale options).
Photo of Becky Robbins - Inner Phoenix Embodied Arts, PLLC, Counselor, MA, LMHC, ExAT, CYT, CCDW
Hosted by Inner Phoenix Embodied Arts, PLLC
Counselor, MA, LMHC, ExAT, CYT, CCDW
Group meets in Bothell, WA 98011
Explore mindful, compassionate, safe, willing, and expressive embodiment. In this workshop, you will learn how to navigate thoughts, beliefs, and emotions through quiet centering and exploring selected tarot cards, and through reflection, sharing, and movement. You’ll be able to explore the unexplored or avoided parts of you and take the time to integrate all of that learning. Join us in this supportive, immersive space on the 1st and 3rd Sundays each month to deepen your self-connection and insight. TO REGISTER: Please visit EventBrite to purchase a ticket: https://bit.ly/4fPiwF5. Standard cost is $50 (sliding scale options).
(425) 786-2726 View (425) 786-2726
Eight week group (with option to continue based on the group members) to learn and practice mindfulness methods. Accepting applications now with intent to begin in early 2016. Call for information and details.
Photo of Barbara Ann Barnes, Counselor, MA, RN, LMHC, CHT
Hosted by Barbara Ann Barnes
Counselor, MA, RN, LMHC, CHT
Group meets in Bothell, WA 98011
Eight week group (with option to continue based on the group members) to learn and practice mindfulness methods. Accepting applications now with intent to begin in early 2016. Call for information and details.
(425) 224-6699 View (425) 224-6699
In the values exploration group, we explore our own values, discover what drives us, and discuss/process how these show up in and impact our lives internally and externally in relationships. The group is facilitated by an Expressive Arts / Eco Therapist; therefore, multiple modalities may be used in each group session, including pair, group, and individual exercises, and always having in-circle verbal processing time together to open and close each session. Group runs when 4 or more participants commit to the 6-session hybrid series occurring every other week for 12 weeks. Next Series is in February-April 2025
Photo of Becky Robbins - Inner Phoenix Embodied Arts, PLLC, Counselor, MA, LMHC, ExAT, CYT, CCDW
Hosted by Inner Phoenix Embodied Arts, PLLC
Counselor, MA, LMHC, ExAT, CYT, CCDW
Group meets in Bothell, WA 98011
In the values exploration group, we explore our own values, discover what drives us, and discuss/process how these show up in and impact our lives internally and externally in relationships. The group is facilitated by an Expressive Arts / Eco Therapist; therefore, multiple modalities may be used in each group session, including pair, group, and individual exercises, and always having in-circle verbal processing time together to open and close each session. Group runs when 4 or more participants commit to the 6-session hybrid series occurring every other week for 12 weeks. Next Series is in February-April 2025
(425) 786-2726 View (425) 786-2726
Photo of Lonnie G Kaman, Counselor, MA, LMHC
Hosted by Lonnie G Kaman
Counselor, MA, LMHC
Group meets in Bothell, WA 98021
(206) 800-7156 View (206) 800-7156

More Groups Nearby

A 4-week toddler group that fosters social-emotional development through play, therapeutic activities, and parent guidance. •Focus on social skills, emotions, sharing, and self-regulation •Guided activities and playtime for toddlers •Parent discussions with practical tools for reinforcing skills at home •Small group format for personalized attention •Limited space available, so reserve your spot today! www.rewildwellness.com
Photo of Parisa Lee, Marriage & Family Therapist, MA, LMFT
Hosted by Parisa Lee
Marriage & Family Therapist, MA, LMFT
Group meets in Bellevue, WA 98004
A 4-week toddler group that fosters social-emotional development through play, therapeutic activities, and parent guidance. •Focus on social skills, emotions, sharing, and self-regulation •Guided activities and playtime for toddlers •Parent discussions with practical tools for reinforcing skills at home •Small group format for personalized attention •Limited space available, so reserve your spot today! www.rewildwellness.com
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Learn about grief, ambiguous loss, and the human-nature connection; discuss the basics of grief gardening; and explore nature-infused activities intended to ground, nurture, and soothe. Receive an invitation to participate in a free guided garden walk either in the greater Seattle or Portland area. Currently available individually and also seasonally as a month-long psychoeducational group (with a minimum of five registered participants). Next offering: Spring 2026. Email info@drmeiers.com for more information and to secure your place on the waitlist.
Photo of Dawnn Rabinovich Meiers, Psychologist, PsyD
Hosted by Dawnn Rabinovich Meiers
Psychologist, PsyD
Group meets in Seattle, WA 98112
Learn about grief, ambiguous loss, and the human-nature connection; discuss the basics of grief gardening; and explore nature-infused activities intended to ground, nurture, and soothe. Receive an invitation to participate in a free guided garden walk either in the greater Seattle or Portland area. Currently available individually and also seasonally as a month-long psychoeducational group (with a minimum of five registered participants). Next offering: Spring 2026. Email info@drmeiers.com for more information and to secure your place on the waitlist.
(425) 276-1908 View (425) 276-1908
Women's Support Group Is a non-profit organization. One group meets in Bellevue and the other group meets at Swedish Edmonds Hospital. Each group is involved with Persian and English speaking women who need to socialize with others in a relaxing and peaceful setting. Women share their feelings and learn how to deal with trauma, grief, depression and loss. This group learns educational topics related to women's issues. Entertainment and refreshments are provided by the group. A translator is available for the audience. All ages are welcome.
Photo of Sharon Aboosaidi, Counselor, PhD
Hosted by Sharon Aboosaidi
Counselor, PhD
Group meets in Bellevue, WA 98008
Women's Support Group Is a non-profit organization. One group meets in Bellevue and the other group meets at Swedish Edmonds Hospital. Each group is involved with Persian and English speaking women who need to socialize with others in a relaxing and peaceful setting. Women share their feelings and learn how to deal with trauma, grief, depression and loss. This group learns educational topics related to women's issues. Entertainment and refreshments are provided by the group. A translator is available for the audience. All ages are welcome.
(206) 745-3402 View (206) 745-3402
Come join women in WA and ID to explore how money is affecting your life and relationships. Challenge yourself and learn new ways of thinking while building durable coping strategies to improve your finances, relationships, and confidence. Many learn about money through trial and error and by teaching themselves. This can lead to developing bad money hygiene, experiencing trauma, and making mistakes in our finances and lives. Shame can be crippling, influences our thinking, and affect how we feel about ourselves and others. Talking through our lived experience can begin healing and provide a platform to learn and grow.
Photo of Carina Catalano - Carina Catalano, Therapy, Financial, Immigration , Marriage & Family Therapist, MPA, MS, LMFT
Hosted by Carina Catalano, Therapy, Financial, Immigration
Marriage & Family Therapist, MPA, MS, LMFT
Group meets in Seattle, WA 98199
Come join women in WA and ID to explore how money is affecting your life and relationships. Challenge yourself and learn new ways of thinking while building durable coping strategies to improve your finances, relationships, and confidence. Many learn about money through trial and error and by teaching themselves. This can lead to developing bad money hygiene, experiencing trauma, and making mistakes in our finances and lives. Shame can be crippling, influences our thinking, and affect how we feel about ourselves and others. Talking through our lived experience can begin healing and provide a platform to learn and grow.
(206) 801-6994 View (206) 801-6994
Skills Groups are a key component of Dialectical Behavioral Therapy (DBT), aimed at increasing the tools at an individual’s disposal when navigating challenging situations and tolerating difficult emotions. Group is designed to teach each of the skills from the DBT skills modules of Mindfulness, Distress Tolerance, Interpersonal Effectiveness, and Emotion Regulation. Sessions will run for two hours and will be facilitated by Kate Roscher, LSWAIC (she/her). Each group will consist of mindfulness practice, a review of weekly homework, a brief break, learning a new skill from one of the DBT modules, and assigning homework for the next week.
Photo of Kate Roscher, Clinical Social Work/Therapist, MSW, LSWAIC
Hosted by Kate Roscher
Clinical Social Work/Therapist, MSW, LSWAIC
Group meets in Seattle, WA 98119
Skills Groups are a key component of Dialectical Behavioral Therapy (DBT), aimed at increasing the tools at an individual’s disposal when navigating challenging situations and tolerating difficult emotions. Group is designed to teach each of the skills from the DBT skills modules of Mindfulness, Distress Tolerance, Interpersonal Effectiveness, and Emotion Regulation. Sessions will run for two hours and will be facilitated by Kate Roscher, LSWAIC (she/her). Each group will consist of mindfulness practice, a review of weekly homework, a brief break, learning a new skill from one of the DBT modules, and assigning homework for the next week.
(206) 582-6649 View (206) 582-6649
Folktown Counseling is a psychology-based counseling practice in the historic neighborhood of Ballard. We provide psychotherapy for individual adults, adolescents, children and couples. We are all masters level clinicians licensed through the state of Washington. We view counseling as a unique and intentional relationship designed to help a person grow and heal. Sometimes it is sought for personal development and at times to treat specific symptoms (such as depression, anxiety, or mood instability) or a problem in a relationship. But regardless of the concerns that initiated therapy, we aim to address the whole person over any one presenting problem.
Photo of Robert E. Deeble, Counselor, LMHC
Hosted by Robert E. Deeble
Counselor, LMHC
Group meets in Seattle, WA 98107
Folktown Counseling is a psychology-based counseling practice in the historic neighborhood of Ballard. We provide psychotherapy for individual adults, adolescents, children and couples. We are all masters level clinicians licensed through the state of Washington. We view counseling as a unique and intentional relationship designed to help a person grow and heal. Sometimes it is sought for personal development and at times to treat specific symptoms (such as depression, anxiety, or mood instability) or a problem in a relationship. But regardless of the concerns that initiated therapy, we aim to address the whole person over any one presenting problem.
(206) 889-6461 View (206) 889-6461
This group is designed for men working through difficult times in their lives, with a particular focus on grief and loss. Together, we explore issues of grief and loss in the context of masculinity and what it means to be men, including messages received from culture, family, partners and peers. Group also provides many opportunities to help one another heal, connect, and celebrate successes.
Photo of Thomas Farmer - Cascades Wellness Center, Psychologist, PsyD, PhD
Hosted by Cascades Wellness Center
Psychologist, PsyD, PhD
Group meets in Seattle, WA 98103
This group is designed for men working through difficult times in their lives, with a particular focus on grief and loss. Together, we explore issues of grief and loss in the context of masculinity and what it means to be men, including messages received from culture, family, partners and peers. Group also provides many opportunities to help one another heal, connect, and celebrate successes.
(206) 258-7498 View (206) 258-7498
Couples group using the book hold me tight by sue johnson
Photo of Anne Auerbach, Marriage & Family Therapist, PhD, LMFT, LMHC, CST, CMHS
Hosted by Anne Auerbach
Marriage & Family Therapist, PhD, LMFT, LMHC, CST, CMHS
Group meets in Kirkland, WA 98033
Couples group using the book hold me tight by sue johnson
(425) 406-3390 View (425) 406-3390

See more therapy options for Bothell

FAQs - About Group Therapy and Support Groups

How can I find a support group in Bothell?

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.