Support Groups in Carnation, WA

Are you a teen struggling with stress, conflict, depression, self-harm or intense emotions? Dialectical Behavior Therapy (DBT) can help! DBT is a evidence-based therapy covering 4 modules of skills: mindfulness, distress tolerance, emotion regulation, and regulation skills. This group is offered in a peaceful cottage on a horse farm, the perfect setting for learning mindfulness skills, and finding relaxation and calm.. Cost: $70/session, with payment due in full at the start of each 8-week module. It is recommended but not required that members go through each of the modules twice to learn and practice the skills.
Photo of JoAnna Frazier McBride, Marriage & Family Therapist, MS, LMFT
Hosted by JoAnna Frazier McBride
Marriage & Family Therapist, MS, LMFT
Verified Verified
Group meets in Carnation, WA 98014
Now Accepting New Clients and Insurance! Feeling stuck and ready for change? I’m here to help. Using Dialectical Behavior Therapy (DBT), I provide tools to manage emotions, navigate distress, and build resilience—helping you create a life that aligns with your values and goals. For a unique and transformative approach, I also offer therapy in equine and nature-based settings, promoting mindfulness, calm, and personal growth. Together, we’ll explore what’s holding you back and take steps toward a fulfilling, meaningful life. Let’s begin your journey today!
(425) 215-0846 View (425) 215-0846
Dialectical Behavior Therapy is an evidence-based therapy covering skills in the 4 areas of mindfulness, distress tolerance, interpersonal effectiveness and emotion regulation. DBT can help with depression/anxiety, mood swings/anger outbursts, self-harm, and family/peer conflict. Benefits of DBT include strengthening relationships, coping with difficult emotions or situations, working through conflict, soothing oneself, and gaining self-respect. Group therapy can help reduce isolation, learn skills within a supportive community, and provide therapy at an affordable rate. This group is offered in an inviting and warm cottage located on a horse farm, some outdoor sessions as weather allows.
Photo of JoAnna Frazier McBride, Marriage & Family Therapist, MS, LMFT
Hosted by JoAnna Frazier McBride
Marriage & Family Therapist, MS, LMFT
Verified Verified
Group meets in Carnation, WA 98014
Now Accepting New Clients and Insurance! Feeling stuck and ready for change? I’m here to help. Using Dialectical Behavior Therapy (DBT), I provide tools to manage emotions, navigate distress, and build resilience—helping you create a life that aligns with your values and goals. For a unique and transformative approach, I also offer therapy in equine and nature-based settings, promoting mindfulness, calm, and personal growth. Together, we’ll explore what’s holding you back and take steps toward a fulfilling, meaningful life. Let’s begin your journey today!
(425) 215-0846 View (425) 215-0846

More Groups Nearby

A supportive group for those wanting to live mindfully and with self-compassion. Meetings occur the 2nd and 4th Tuesday of each month from 6-7pm PST To sign up.
Photo of B. Bartja Wachtel, Clinical Social Work/Therapist, MSW, LICSW, QCSW, MHP
Hosted by B. Bartja Wachtel
Clinical Social Work/Therapist, MSW, LICSW, QCSW, MHP
Verified Verified
Group meets in Seattle, WA 98103
Therapy works best when you're ready to consensually make therapy the priority. Suffering is a part of life and we work together to cultivate a compassionate relationship with the inevitable suffering that will show up in life between now and the end of our lives. My education and experience is with people living with anxiety, depression who are Gay, Trans, Non-Binary, Cis Women and Men, often at the intersections of childhood trauma, chronic illness/pain (Rare Chronic Illness, ALS, early on-set Dementia, MS, Parkinson's, TBI, Stroke, Cancer), end of life, caregiver burnout, and issues around Consent and Sex-Positivity.
(206) 538-2935 View (206) 538-2935
*Court Ordered and Self-Referred- Meets weekly for 90 minutes and runs approximately 6 months to 12 months depending on client treatment plan and response. The group is designed to be a supportive environment where participants will learn about their own beliefs and behaviors that have contributed to relationship challenges. Accountability occurs when clients understand their behavior, by discovering and internalizing techniques to avoid abuse and by exercising those techniques when it is appropriate. (Assessment: $350/Criminal and $600/Family Court; $50/Weekly Group Sessions)
Photo of Lynn J. Gardner-Roberts, Counselor, LMHCA, SUDPT, DVIT, AAC
Hosted by Lynn J. Gardner-Roberts
Counselor, LMHCA, SUDPT, DVIT, AAC
Verified Verified
Group meets in Renton, WA 98057
Everyone faces challenges in their lives that may cause stress, concerns, or behaviors that lead to a desire for change. In these times of transition it can be helpful to have a guide who is not a family member or friend; someone who can help by offering new ideas & help to create concrete goals to move toward positive change. My intent is to facilitate that process. I believe in addressing the “whole person”: mentally, physically, emotionally & spiritually, in ways that fit you & your needs because it's You, by Us.
(360) 818-4203 View (360) 818-4203
Photo of Manny Kaur, Counselor, LMHC
Hosted by Manny Kaur
Counselor, LMHC
Verified Verified
Group meets in Tukwila, WA 98188
View
A compassionate space for individuals to share their experiences of loss, find comfort, and navigate the journey of healing together.
Photo of Paige Kelso-Znak - Paige Kelso-Znak, LICSW at Dahlia Counseling, Clinical Social Work/Therapist, LICSW
Hosted by Paige Kelso-Znak, LICSW at Dahlia Counseling
Clinical Social Work/Therapist, LICSW
Verified Verified
Group meets in Des Moines, WA 98198
Do you feel stuck, overwhelmed, lonely or not good enough? Whether you are struggling with trauma, anxiety, parenting stress, relationship issues or body image, you can feel better. The more we realize our power and our right to set boundaries, value ourselves and choose the path of our life, the more happiness we cultivate.
(253) 237-4103 View (253) 237-4103
Are you looking for a holistic approach to healing? Do you feel stuck in particular ways of thinking and being? Do you want to learn ways to free yourself from suffering? In this experiential exploration of the 4 pillars of Yoga Therapy you will learn tools you can apply immediately to your life to foster resilience, healing and the ability to meet life with grace, gratitude and ease. Register at www.seedyogatherapy.com
Photo of Laura Humpf - Seed Yoga Therapy, Marriage & Family Therapist, LMFT
Hosted by Seed Yoga Therapy
Marriage & Family Therapist, LMFT
Verified Verified
Group meets in Seattle, WA 98118
Currently accepting new clients. I work with people living with trauma, depression and the struggle to love the body they live in with Yoga Therapy. I am passionate about working with people to embody and hold all the aspects of themselves with loving kindness, compassion and resilience. Many of the people I work with come in with beliefs of "there is something wrong with me," or "I am not good enough." As a dually trained licensed mental health therapist and certified yoga therapist I approach mental health from a holistic and body-centered framework.
(206) 429-4940 View (206) 429-4940
https://www.bu-evolution.com/ Zoom We're delighted to open up weekly men's discussion groups with Dr Wayne Carr. Men, consider these dimensions so that our group can: 1) Truly stay “open” 2) Prevent the dangerous “diseases” of “hardening of the categories”, arrested development, and rigidification. Practicing “Speaking From” one's heart, the gut, the balls, the wisdom of the head, and moreover speaking from the integration of the head, the heart, the gut, the balls etc. Creating a conscious formative, energetic group “field” or autonomous “we-space” To give space for healthy hierarchy, consensus and majority rule when called for.
Photo of Wayne E Carr, Limited Licensed Psychologist, PhD
Hosted by Wayne E Carr
Limited Licensed Psychologist, PhD
Verified Verified
Group meets in Seattle, WA 98109
Dr. Carr's Coaching uses a unique blend of Cognitive-Behavioral, Gestalt, Integral, Primal, Transpersonal, & Family coaching techniques to focus on natural growth & healing, thus expanding the common central emphasis on disorders & symptom reduction. Clients change as they heal their pain, get emotionally nourished, recognize what is toxic, and become authentically themselves. Because I now live in Germany, I have to practice as a Coach and not as a Psychologist.
(425) 414-7997 View (425) 414-7997
Register now! This is a therapeutic process group for men struggling with compulsive sexual behavior. Each session includes topic discussion, peer feedback, and psychoeducation. Topics include the cycle of addiction, early childhood history of abuse/neglect, the dangers of pornography, self-care, shame and guilt reduction, relapse prevention, 12-step recovery, codependency, family of origin, forgiveness, and much more. It’s proven that healing amongst peers promotes long-term sobriety. An intake session is required prior to joining. Space is limited.
Photo of Dj Burr - DJ Burr—Addiction, Codependency, PTSD, Group , Licensed Professional Counselor, MA, LPC
Hosted by DJ Burr—Addiction, Codependency, PTSD, Group
Licensed Professional Counselor, MA, LPC
Verified Verified
Group meets in Seattle, WA 98121
Do you find yourself having intrusive thoughts about sex throughout the day that you can't stop? Are you spending too much time pursuing your sexual desires and fantasies? Are these thoughts starting to impact your relationships with your friends and family? Do you feel responsibility for the happiness of the other people in your life? Are you able to handle the thought of someone not liking you? Have you experienced trauma? Do you struggle with anxiety, depression, insomnia, or other emotions that make life feel unmanageable? With the right tools, you can live a more balanced life. I look forward to supporting you on this journey.
(757) 330-8728 View (757) 330-8728
Monthly Support Group for adults in cognitive-behavioral treatment for Panic Disorder (with or without Agoraphobia). Size: 3-8 members. Where appropriate, members are encouraged to assist one another with exposure practices between sessions. Meeting for approx. 20+ years. Discounts available for attending multiple groups.
Photo of David J Kosins, Psychologist, PhD
Hosted by David J Kosins
Psychologist, PhD
Verified Verified
Group meets in Seattle, WA 98119
I am one of Washington State's most experienced specialists in cognitive-behavioral therapy (CBT). I help people to cope with anxiety, OCD, and related disorders, and to live a healthy, balanced life. Working from a foundation of a caring and empathic therapy relationship, I can teach you scientifically-supported skills to handle your life challanges more effectively. My goal is to help my clients regain their vitality and confidence through learning how to resolve current problems and reduce troubling symptoms. My ideal client is someone struggling with an anxiety or related disorder who seeks concrete results from therapy that is informed by research.
(206) 483-0367 View (206) 483-0367
Exploring and celebrating ourselves as thriving adults....with a little bit of adulthood chaos. From make-ups to break-ups and horrible bosses, to figuring out the whole boundaries situation with family - join us and unpack all that mess.
Photo of Danielle Jenkins Henry, Marriage & Family Therapist, LMFT
Hosted by Danielle Jenkins Henry
Marriage & Family Therapist, LMFT
Verified Verified
Group meets in Renton, WA 98056
Are you feeling the weight of productivity culture, constantly balancing the demands of work, relationships, and self-care? Or perhaps, you and your partner are facing challenges that seem too complex to navigate alone—communication breakdowns, trust issues, or the stress of life transitions. These struggles are real, and they deserve to be met with a thoughtful, high-touch approach that honors your experiences, while fostering healing and connection.
(206) 803-2676 View (206) 803-2676
We are a telehealth therapy and medication management clinic
Photo of Alex Alexander - Pain Alternatives Clinic, ND, LMHC
Hosted by Pain Alternatives Clinic
ND, LMHC
Verified Verified
Group meets in Seattle, WA 98177
My counseling clinic name is Pain Alternatives because my early practice was primarily in structural medicine. I became interested in mental wellness after years of seeing the inextricable connectedness of mental and physical pain. In my current practice, I use a time-limited dynamic psychotherapy model, and medication prescription and management wherever clinically appropriate. You can come for medication management alone, for counseling alone, or for a combination of medication prescription and management with counseling sessions.
(206) 687-4786 View (206) 687-4786
Collective of holistic, mind-body therapies and brain science educated professionals.
Photo of Serena Stark, Clinical Social Work/Therapist, MSW, LSWAIC
Hosted by Serena Stark
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Group meets in Bellevue, WA 98005
Serena’s areas of focus include gender-based violence, eating disorders (including ARFID), LGBTQ+ related struggles, and autism spectrum disorder. Serena also focuses on the commonly co-occurring experiences such as depression and anxiety. They use a trauma-informed and feminist theory based approach in their sessions with clients.
(425) 242-3522 View (425) 242-3522
An important part of healing from problematic or compulsive sexual behavior or porn use is working alongside others with similar struggles. This virtual Men's group provides opportunities for self-growth, learning and connecting with others. Knowing that you are not alone and receiving compassionate support and acceptance from others is a powerful experience. Group offers a safe space to heal, gain hope, learn tools to better control your compulsive behaviors, and provides an opportunity for accountability. Many clients report gaining significant benefits that extend beyond the group environment to their relationships with their spouse, family, and friends. Call today!
Photo of Dr. James Olsen, Mental Health Counselor, JD, PhD, LMHC, CSAT, CST
Hosted by Dr. James Olsen
Mental Health Counselor, JD, PhD, LMHC, CSAT, CST
Verified Verified
Group meets in Bellevue, WA 98005
Dr. Olsen is a national leader in sexual addiction or compulsive sexual behaviors, men's sexual health, and intimacy disorders. His approach goes far beyond a "one size fits all" treatment model. There is no single treatment that works for everybody and no workbook that addresses everyone's needs. It is critical to assess for your unique struggles and to understand the true nature of your problematic sexual behaviors. He can develop a personalized care plan that will be effective at addressing all of the elements that are at play in your life struggles. Dr. Olsen will help you connect, be authentic, and make profound life changes.
(425) 678-3569 View (425) 678-3569
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, CEAT, CYT
Hosted by Inner Phoenix Embodied Arts, PLLC
Counselor, MA, LMHC, CEAT, CYT
Verified Verified
Group meets in Bothell, WA 98011
Do you really want to explore your inner landscape to better understand what makes you tick and to nurture a better environment for growth, healing, and confidence in your life? My practice supports those seeking personal and spiritual development, especially if you’re navigating transitions in career, relationships, health, finances, or identity. Whether you’re processing past trauma, managing stress, anxiety, or depression, or feeling out of sync with your true self, I offer a space to reconnect and thrive. Call or Email for a free 15-minute consult to see if we are a good fit. Learn more here: www.innerphoenix.net
(425) 786-2726 View (425) 786-2726
This group meets once a week at 5pm on Fridays. When you meet with me we'll match you with a group that has openings and that fits best with your schedule. This time of the day gives you a chance to avoid rush-hour and still have time to spend with your family in the evenings. Visit my website and watch the video to see how a Men's Group can help.
Photo of Tom Buffington, Counselor, LMHC
Hosted by Tom Buffington
Counselor, LMHC
Verified Verified
Group meets in Seattle, WA 98121
Stop feeling like you're always in trouble at home. We help you build confidence and get more satisfaction in relationships. We explore what happens at the beginning of an argument so that you can avoid them in the first place. It may seem impossible right now, but after a while you'll be less stressed while you're in conflict. You'll feel better equipped when you’re feeling trapped, outmaneuvered or backed against the wall. Visit my website to see how my men’s group can work for you.
(206) 745-5761 View (206) 745-5761
Codependency is... an attempt to control uncontrollable situations, a pattern of negative behaviors developed because of a relationship, and a lack of trust. Do you sacrifice yourself and then feel resentful? Do you feel like if you do not do it, it will not get done, or done right. You may be experiencing Codependency which includes a lack of healthy boundaries.
Photo of Genise Rachelle Bagby, Counselor, MA, LMHC, SUDP, DVIT
Hosted by Genise Rachelle Bagby
Counselor, MA, LMHC, SUDP, DVIT
Verified Verified
Group meets in Renton, WA 98057
My approach to counseling involves the use of a wide variety of therapeutic techniques. I practice a wellness-oriented systems model (the whole life) of counseling/therapy with emphasis upon effective learning in life experiences and human growth and development.
(206) 679-8291 View (206) 679-8291
A safe, judgment-free space for autistic teens to connect, share experiences, and explore self-advocacy, friendships, and emotional regulation. This hybrid-model group provides structure and predictability while allowing new members to join every 6 weeks. Sessions include low-pressure discussions, creative activities, sensory-friendly coping strategies, and peer support. Teens can engage in their own way—whether through talking, writing, or simply listening. Facilitated by neurodivergent-affirming therapists, the group fosters self-acceptance and belonging in a supportive community. Whether newly diagnosed or self-realized, all are welcome! The group is FREE to attend.
Photo of Ryne Evans, Marriage & Family Therapist, MA, LMFT
Hosted by Ryne Evans
Marriage & Family Therapist, MA, LMFT
Verified Verified
Group meets in Seattle, WA 98105
ONLY seeing new patients for ADHD/Autism EVALS (13+). Do you often feel misunderstood or out of sync with the world around you? Maybe you're exploring what it means to be neurodivergent—living with ADHD or autism—or uncovering your authentic self in a world that doesn’t always embrace difference. Perhaps you're in a non-monogamous relationship and looking for a space where your choices are celebrated and understood. Whether you're a teen, parent looking for support, an adult, or part of a couple, I’m here to support you. Together, we’ll honor your strengths, foster self-compassion, and build deeper, more meaningful connections.
(425) 534-5940 View (425) 534-5940
**Currently on hiatus; restarting in early-mid 2025** Learn how to use expressive writing as a form of therapy, as well as a tool to help you better understand yourself, your experiences, and your relationships. You don't need to have any previous writing experience to benefit from this group—an open mind, a pen, and a piece of paper are all you'll need.
Photo of Chad Perman, Marriage & Family Therapist, MA, LMFT
Hosted by Chad Perman
Marriage & Family Therapist, MA, LMFT
Verified Verified
Group meets in Kirkland, WA 98034
Life can feel overwhelming at times, for any number of reasons. If you're browsing therapist profiles on Psychology Today and found your way here, you might be looking for some support or perspective during a particularly challenging season of life, or hoping to finally address some long-standing issues and heal old wounds. Perhaps you’re trying to navigate life with adult ADHD, wrestling with anxiety, or feeling disconnected from those around you. Or maybe you're simply wanting to grow in some new way(s), to learn and discover more about yourself, to figure out what you'd like to do with "your one wild and precious life."
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Got Insomnia? Cognitive Behavioral Treatment for Insomnia (CBT-i) is a structured treatment focused on effective ways to change your thinking and routines around sleep. You can break the exhausting cycle of sleep deprivation. Mind-Healing-Sleep is a small group approach to CBT-i built on the idea that when you improve your sleep, you improve your life. In 6-10 sessions, you learn to identify barriers to good quality sleep, customize your coping strategies, and maintain your motivation in a supportive environment. Currently accepting inquiries about a possible group starting November 2024.
Photo of Jennifer Watson, Psychologist, PhD
Hosted by Jennifer Watson
Psychologist, PhD
Verified Verified
Group meets in Seattle, WA 98102
Whatever you are going through, you don't have to go through it alone. In therapy, we work together to transform your distress into something meaningful: an opportunity for healing and growth. My non-judgmental guidance is focused on your particular strengths and needs. It is possible to get unstuck from longstanding patterns when you’re ready for change. You might want to better manage emotional stress, improve your mindset, process grief/loss, or nurture healthier relationships. During challenging times, I hope treatment provides my clients with new ways to live with courage, connection, and creativity.
(253) 343-1938 View (253) 343-1938

See more therapy options for Carnation

FAQs - About Group Therapy and Support Groups

How can I find a support group in Carnation?

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.