Support Groups in Bremerton, WA

Story workshops offer an opportunity to explore life themes in a small group setting. It can be healing when one explores life in a supportive environment with a trained facilitator to guide the process. Participants will have the opportunity to learn how styles of relating impact communication with others. Teaching time will explore codependent patterns, shame, boundaries, and deeply engrained beliefs that can lead to relationship stressors. Through teaching and group interactions, participants receive encouragement and support as they come to understand themselves, resulting in more authentic and transformative ways of living. Workshops meet weekly for six weeks and are capped at five participants.
Photo of Rebecca Nystrom, Counselor, LMHC
Hosted by Rebecca Nystrom
Counselor, LMHC
Group meets in Bremerton, WA 98310
I take a relational approach when working with clients. We have all been shaped by both our personal history and intergenerational history. Anyone who would invest considerable time, energy, emotion, and money into therapy desires clarity and awareness. Oftentimes, clients have never been given a safe place to process the underlying reasons for the present-day issues. Nor have they been asked the right questions that would help them reflect on the joy and pain that was and is present. This is needed to develop a sense of self. We were harmed in relationship and we heal in relationship. This is why therapy is so powerful.
(360) 549-9536 View (360) 549-9536
Are you and your partner building the life you love? Join our 8-week program for couples, focused on goal setting, accountability, and fostering deeper connections. Together, we'll explore communication tools to empower your journey—whether you're building a family, business, or community. This Virtual psychoeducational group offers a supportive space for couples committed to growth and fulfillment.
Photo of Jennifer Chapman, Marriage & Family Therapist, MS, LMFT
Hosted by Jennifer Chapman
Marriage & Family Therapist, MS, LMFT
Group meets in Bremerton, WA 98312
Are you feeling the weight of a relationship that is hurting? Possibly unsure of how you and your partner will be able to make it through, maybe you are considering outside support for the first time? Fractured relationships can profoundly impact the direction of your lives. Couples therapy supports you as individuals while honoring your relationship, let me support you in healing the factures that are costing you both the mental, physical, and emotional intimacy you desire. Email me to start as soon as possible.
(360) 583-5026 View (360) 583-5026
Using the book Boundaries, by Henry Cloud and John Townsend, and the parallel workbook, participants explore why boundaries are so hard to implement, why boundaries are so important, and how to begin to set boundaries in their lives. This group is less therapeutic in nature, as it focuses primarily on skill building. The group runs for meets once a week for eighteen weeks and is capped at six participants. Please note that this book was written from a Christian perspective. The group operates from a higher power perspective and respects the individual spirituality of all participants.
Photo of Rebecca Nystrom, Counselor, LMHC
Hosted by Rebecca Nystrom
Counselor, LMHC
Group meets in Bremerton, WA 98310
I take a relational approach when working with clients. We have all been shaped by both our personal history and intergenerational history. Anyone who would invest considerable time, energy, emotion, and money into therapy desires clarity and awareness. Oftentimes, clients have never been given a safe place to process the underlying reasons for the present-day issues. Nor have they been asked the right questions that would help them reflect on the joy and pain that was and is present. This is needed to develop a sense of self. We were harmed in relationship and we heal in relationship. This is why therapy is so powerful.
(360) 549-9536 View (360) 549-9536
This meeting consists of community members coming together to tell their story. Everyone works together to solve problems, provide support, and lead each other to a better life. Examples, socialization with people of the same age that share empowering stories of health and healing. Focuses on aging in place, medication management, various medical diagnosis to ensure the best possible care. If interested, please call me at 360-519-7319
Photo of Erin Daniels - Emerald Behavioral Health, PLLC, Clinical Social Work/Therapist, MSW, MA, LSWAIC
Hosted by Emerald Behavioral Health, PLLC
Clinical Social Work/Therapist, MSW, MA, LSWAIC
Group meets in Bremerton, WA 98312
I have extensive knowledge working with patients with psychosis, substance use, and at high risk of suicide. Focusing on harm reduction, healthy coping skills, and recovery to live the best possible life. With my vast knowledge of the mental health system, I use various modalities toward treatment and don't believe a one size fit all in regard to interventions. I focus on a holistic approach to treatment as you are the expert in your own life. I am here to assist, listen and guide you towards your goals and dreams.
(360) 515-3234 View (360) 515-3234
OVERSTORY Co-Parent Workshop: 4 week skill building class for coparents post separation/divorce to learn strategies for better relating as “business” partners, communication in conflict, resolution skills, supporting a child in two households. 1. a New "dance" , the difference between and ex and a co-parent, thinking about thoughts, communication 2. Relating strategies, conflict cycle, boundaries, business relationship. 3. Supporting children, what affects them, creating a "Bridge" 4.Parallel parenting, irresolvable conflict, personalities. The online workshop will include practice of skills to he
Photo of Kristine Clay, Mental Health Counselor, PsyD, LMHC, CMHS
Hosted by Kristine Clay
Mental Health Counselor, PsyD, LMHC, CMHS
Group meets in Bremerton, WA 98310
Counseling to help navigate life's storms for families, children and adults. I work with clients post divorce both in co-parent counseling and reunification. Parent/co-parent coaching, counseling, and support to parents, children, and teens in family transitions. I enjoy working to restore relationships through Reunification Therapy for parent and child. I also provide Counseling for those with depression, anxiety, trauma, and other life stressors, family conflict, improve self concept and decision-making. We will reduce symptoms and increase joy and peace.
(360) 531-7458 View (360) 531-7458
Are you experiencing pain? does it interfere with your daily life? if so, please attend my Chronic pain meeting that focuses on how to manage pain. How to find new ways to cope with pain and meeting amazing people while having fun. If interested, please email or call me for meeting times. If interested, please call 360-519-7319.
Photo of Erin Daniels - Emerald Behavioral Health, PLLC, Clinical Social Work/Therapist, MSW, MA, LSWAIC
Hosted by Emerald Behavioral Health, PLLC
Clinical Social Work/Therapist, MSW, MA, LSWAIC
Group meets in Bremerton, WA 98312
I have extensive knowledge working with patients with psychosis, substance use, and at high risk of suicide. Focusing on harm reduction, healthy coping skills, and recovery to live the best possible life. With my vast knowledge of the mental health system, I use various modalities toward treatment and don't believe a one size fit all in regard to interventions. I focus on a holistic approach to treatment as you are the expert in your own life. I am here to assist, listen and guide you towards your goals and dreams.
(360) 515-3234 View (360) 515-3234
This group explores how codependent patterns of relating result in problems in our relationships. We explore the ways in which avoidance, denial, control, compliance, and lack of self-esteem lead to patterns of communicating that leave us feeling disconnected from ourselves and those we interact with. Participants will begin to identify their personal patterns of codependence and learn ways to move toward a more authentic way of being. This group will also explore childhood experiences that may have contributed to adult ways of interacting. This group meets for weekly for twelve weeks and is capped at six participants.
Photo of Rebecca Nystrom, Counselor, LMHC
Hosted by Rebecca Nystrom
Counselor, LMHC
Group meets in Bremerton, WA 98310
I take a relational approach when working with clients. We have all been shaped by both our personal history and intergenerational history. Anyone who would invest considerable time, energy, emotion, and money into therapy desires clarity and awareness. Oftentimes, clients have never been given a safe place to process the underlying reasons for the present-day issues. Nor have they been asked the right questions that would help them reflect on the joy and pain that was and is present. This is needed to develop a sense of self. We were harmed in relationship and we heal in relationship. This is why therapy is so powerful.
(360) 549-9536 View (360) 549-9536
Do you struggle with the holidays? Does darkness or the weather get you down? If so, please consider joining my group to focus on destressing, managing depressive symptoms, increasing coping skills while navigating the dreadful holiday/winter season. We will focus on decreasing barriers to Season Affect Disorder (SAD), focus on increasing wellness through CBT and talk therapy. if interested, please contact me 360-519-7319.
Photo of Erin Daniels - Emerald Behavioral Health, PLLC, Clinical Social Work/Therapist, MSW, MA, LSWAIC
Hosted by Emerald Behavioral Health, PLLC
Clinical Social Work/Therapist, MSW, MA, LSWAIC
Group meets in Bremerton, WA 98312
I have extensive knowledge working with patients with psychosis, substance use, and at high risk of suicide. Focusing on harm reduction, healthy coping skills, and recovery to live the best possible life. With my vast knowledge of the mental health system, I use various modalities toward treatment and don't believe a one size fit all in regard to interventions. I focus on a holistic approach to treatment as you are the expert in your own life. I am here to assist, listen and guide you towards your goals and dreams.
(360) 515-3234 View (360) 515-3234

More Groups Nearby

Stress is an inescapable aspect of human life. Mindfulness-Bases Stress Reduction teaches skills that are proven to increase well-being and reduce suffering in the face of life's challenges. This supportive 8 week class consists of guided meditations, gentle yoga and stretching, group discussions and daily home practice. MBSR is ideal for those with no mindfulness meditation as well as meditators who want to support their ongoing practice. A daylong meditation retreat with lunch provided is included along with a Workbook and thumb drive with guided meditations.
Photo of Susan Sweetwater, Clinical Social Work/Therapist, BFA, LICSW
Hosted by Susan Sweetwater
Clinical Social Work/Therapist, BFA, LICSW
Group meets in Bainbridge Island, WA 98110
I offer compassion-based therapy which focuses on what's right and good in you. I team with clients to create a mutual, shared space of compassion, caring and healing. In this space, problems are explored together, losses and hurts are held together. Where there is trauma, it is transformed through body-based somatic therapy and EMDR. I bring a wide array of therapeutic techniques, from ancient wisdom traditions to cutting edge neurobiology, to support your healing and provide practical skills for reaching your goals. Whatever difficulties you face - healing is the rule, not the exception. Private Pay; $160 (some sliding scale)
(360) 529-4842 View (360) 529-4842
Our focus is to help individuals, couples, & families heal, energize, and become aware of their inner strengths. We achieve this by providing a neutral safe space, listening to your concerns, and customizing an individualized treatment plan.
Photo of Dione Laguana - Northwest Therapy Group PLLC, Counselor, LMHC
Hosted by Northwest Therapy Group PLLC
Counselor, LMHC
Group meets in Port Orchard, WA 98366
Our extensive experience in mental health and marriage/family counseling enables us to offer effective outpatient, individualized, and psychological care. Our spectrum of care ranges from casual self exploration to more persistent mental health needs. We provide a neutral ground to individuals, families, and couples to support your treatment goals and healing.
(360) 200-7691 View (360) 200-7691
Join us for an adult art therapy group exploring creative expression to process emotions. Various mediums and techniques will be used while discussing themes of loss, fear, identity, frustration, joy and community. Hosted by Gateway Counseling Interns, Julia Hamon and Joseph Regan. February 20 thru March 20, 2025. Contact 360-394-4158 for more information. PRE REGISTRATION REQUIRED. Cost $15 a session
Photo of Paula M Rovik, Counselor, MA, LMHC, MHP
Hosted by Paula M Rovik
Counselor, MA, LMHC, MHP
Group meets in Poulsbo, WA 98370
Everyone needs a listening ear and/or counsel at various times in our life journey. I enjoy working with people of all ages to become healthier mentally, physically and spiritually in order to help reach their goals in life. This may mean challenging destructive thoughts or behaviors, learning new ways to think about yourself, gaining new boundaries, finding healing from past hurt, walking through present though times together - all so that you can become the thriving person that God intended you to be. I care...You are worth it!
(360) 819-1254 View (360) 819-1254
Enlightened ADHD is an online support space for Washington adults, where members can explore their diagnosis, develop life management tools, and connect with others in a neurodiverse-affirming environment. Led by a trained therapist, this low-cost weekly group provides psychoeducation, strategies, and communal learning to navigate ADHD. Monthly topics include sensory needs, time management, and organization, fostering both growth and practical skills. Sessions are $25, with insurance options available, meeting Mondays from 9–10:30am. Start dates are rolling for November and December 2024, with a full schedule in 2025. Embrace community, skills, and empowerment for lasting satisfaction.
Photo of Laural K Casal - New Perceptions Counseling PLLC, Laural K. Casal, Counselor, MA, LMHCA
Hosted by New Perceptions Counseling PLLC, Laural K. Casal
Counselor, MA, LMHCA
Group meets in Bainbridge Island, WA 98110
In this juncture of your life, you might feel overwhelmed or like life is slipping beyond your grasp or capacities, but I'm here to help and extend my hand. Let me join you on a journey toward discovering what stability feels like in your life. My foremost aim is to assist you in charting a course toward such an equilibrium. I firmly believe that you, and you alone, are the arbiter of what works best for your life. Guided by your lead, our collaborative efforts will be directed by your lead. I hold the conviction that each person possess the potential to create enduring changes that align with your pursuit of health and wellness.
(206) 627-4541 View (206) 627-4541
Mind-body-spirit skills CLASSES elevate your empowerment journey with the Quantum Empowerment Psychology modality! You’ll learn and practice an abundance of skills and processes, with handouts and support to help you personally, and with your work as a professional service provider. Learn to maintain positive thoughts, moods and actions, and see how these elevated habits attract positive resources and experiences. Classes are self-paced videos with weekly video group gatherings. All classes can be applied to a QEP certificate program with ongoing group membership options. SapphireEmpowerment.com provides more detail and discounts on this this innovative, multidimensional approach.
Photo of Justine Joslyn, MA
Hosted by Justine Joslyn
Verified Verified
Group meets in Bainbridge Island, WA 98110
Hello! Since 2006, I have helped couples & families resolve stuck dynamics with communication & connection skills. I also assist individuals recover from depression, anxiety, trauma, addiction & ADHD/ADD, with support through transitions such as divorce, loss, abuse recovery & existential or spiritual awakening. My style is flexible and tailored to your preferences, balancing compassion with real results. You'll also learn how to re-connect to your with your wise inner guidance, and replace negative ego chatter with empowering narratives that inspire smart, bold moves with your career, creativity & relationships.
(360) 946-0941 View (360) 946-0941
Our focus is to help individuals, couples, & families heal, energize, and become aware of their inner strengths. We achieve this by providing a neutral safe space, listening to your concerns, and customizing an individualized treatment plan.
Photo of Tara Celletti - Northwest Therapy Group, PLLC - Tara Celletti, Clinical Social Work/Therapist, LCSWA
Hosted by Northwest Therapy Group, PLLC - Tara Celletti
Clinical Social Work/Therapist, LCSWA
Group meets in Port Orchard, WA 98366
My name is Tara Celletti and I am a licensed independent associate clinical social worker. I grew up in Southern California, where I was exposed to therapy practices at an early age by my grandmother. In 2021, I followed in my grandmother’s footsteps and received a Masters in Social Work from University of Southern California. I moved to Washington in 2014 where I now live with my husband and our three rescue dogs.
(360) 646-2353 View (360) 646-2353
A group to nourish and nurture your Creative Soul. Utilizing the creative and expressive arts participants will work through what is holding them back from the life they want to live, or being their own true selves in community. Please note that this group is on pause and not being held, during the pandemic .
Photo of Marjorie Rubin, Counselor, MA, CMHS, LMHC, RPT
Hosted by Marjorie Rubin
Counselor, MA, CMHS, LMHC, RPT
Group meets in Bainbridge Island, WA 98110
Is your child anxious, exhibiting challenging behaviors, or are you struggling with anxiety, feeling down, depressed, barely able to cope? Maybe you're feeling stuck, overwhelmed by events beyond your control. If you know you need help, but you're uncertain of whom to trust or where to begin, I am here. I offer a safe place along with respect, compassion, and warmth. I listen deeply, providing expert caring help for children and adults. Working with current challenges, past traumas, and future goals, I offer support to help develop inner resources, strengthen your sense of self ,and provide skills to increase resiliency and growth.
(206) 966-6266 View (206) 966-6266
Meet bi-weekly for post-Masters Associate supervision working towards State License. Group supervision cuts supervision costs for clinicians working towards their 3000 hours. Group limited to the first five clinicians selected. Time and day to be determined by a consensus of the group and leader. Cost will be determined by the the number of participants. Contact Gateway Counseling Director at: (360) 394-4158 for more information. New groups start yearly. Poulsbo, Washington 98370
Photo of Paula M Rovik, Counselor, MA, LMHC, MHP
Hosted by Paula M Rovik
Counselor, MA, LMHC, MHP
Group meets in Poulsbo, WA 98370
Everyone needs a listening ear and/or counsel at various times in our life journey. I enjoy working with people of all ages to become healthier mentally, physically and spiritually in order to help reach their goals in life. This may mean challenging destructive thoughts or behaviors, learning new ways to think about yourself, gaining new boundaries, finding healing from past hurt, walking through present though times together - all so that you can become the thriving person that God intended you to be. I care...You are worth it!
(360) 819-1254 View (360) 819-1254
A safe place to process the journey of dealing with cancer. Guided sharing around weekly topics from a Christian perspective. Free of Charge. Facilitated by Keith Orr, Gateway Counseling Intern. Please RSVP 360-394-4158.
Photo of Keith Orr, Pre-Licensed Professional
Hosted by Keith Orr
Pre-Licensed Professional
Group meets in Poulsbo, WA 98370
Are you needing help navigating some storms in your life? Are you struggling inside? I will partner with you through the internal struggles that could be self-doubt, past traumatic events, or present unresolved issues. Do you want to resolve current issues or trauma and be educated on strategies to handle other similar issues in the future? I can help you to build a solid interior foundation as a base for future successes. You need a safe space to address all of the fears swirling around in your head. You and I will come up with a plan to identify and organize your fears in a way that will allow us to address them one at a time.
(360) 302-4822 View (360) 302-4822
Empowerment 3.0 will show you how to get more of what you want with any personal or work goal, using guidance from your emotions and external events. With this online group, learn simple but powerful skills, and how to teach them to others to others. Enjoy a supportive group in weekly video calls. This class starts the week of 1/24/22 and meets for 9 weeks, on a day and time (Pacific Standard time) that works for everyone in the class. Cost is $180 ($20 per class). Register at SapphireEmpowerment.com
Photo of Justine Joslyn, MA
Hosted by Justine Joslyn
Verified Verified
Group meets in Bainbridge Island, WA 98110
Hello! Since 2006, I have helped couples & families resolve stuck dynamics with communication & connection skills. I also assist individuals recover from depression, anxiety, trauma, addiction & ADHD/ADD, with support through transitions such as divorce, loss, abuse recovery & existential or spiritual awakening. My style is flexible and tailored to your preferences, balancing compassion with real results. You'll also learn how to re-connect to your with your wise inner guidance, and replace negative ego chatter with empowering narratives that inspire smart, bold moves with your career, creativity & relationships.
(360) 946-0941 View (360) 946-0941
Comprehensive Psychological and Psychiatric Services including TMS ( Transcranial Magnetic Stimulation ) evaluation and treatment.
Photo of Youngoak Kim Pryor, Psychiatric Nurse Practitioner, MN, ARNP, PMHNP, BC
Hosted by Youngoak Kim Pryor
Psychiatric Nurse Practitioner, MN, ARNP, PMHNP, BC
Group meets in Poulsbo, WA 98370
I specialize in psychopharmacological ( Psychiatric Medication) evaluations and the treatment of Mood and Anxiety Disorders, OCD, and ADHD. I hold two Board Certifications; Child/Adolescent and Adult. I have 27 years of independent practice experience as an Advanced Registered Nurse Practitioner in Kitsap county preceeded by 17 years of experience as an RN in the areas of Nursing Education, Medical, Surgical, Family Practice, and Community Health nursing. My passion is treating those patients considered "treatment resistant" with the most effective methods available.
(360) 464-1917 View (360) 464-1917
Photo of Kathleen Ann Elias - Kathleen Elias, LICSW, Clinical Social Work/Therapist, LICSW
Hosted by Kathleen Elias, LICSW
Clinical Social Work/Therapist, LICSW
Group meets in Bainbridge Island, WA 98110
(206) 502-0920 View (206) 502-0920

See more therapy options for Bremerton

FAQs - About Group Therapy and Support Groups

How can I find a support group in Bremerton?

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.