Support Groups in Port Orchard, WA

Communication and social skills building groups for youth, teens, and adults with neuro-developmental disabilities
Hosted by Alta Vista Integrated Life Services
Clinical Social Work/Therapist, LICSW
Not Verified Not Verified
Group meets in Port Orchard, WA 98366
We provide individual/group therapy and education services to support children, adolescents, adults, couples, and families from all cultures, backgrounds, and abilities.
(855) 201-8141 x1 View (855) 201-8141 x1
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
Verified Verified
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
Perceptions of widows can often be inaccurate. Families, culture, religious communities often fail to understand widows' needs and grief. Widows themselves are surprised by the after affects of their "new normal." They tell me they "feel as if still in a fog." Life changes, financial hardships arise. Change brings its own challenges. In small groups or in individual therapy, widowhood is addressed in practical and thoughtful ways, I provide a space in which widows may feel better understood in their adjustments to life after loss. We talk, write, and create by "cutting and pasting life back together."
Photo of Dr. Victoria Tierney, Counselor, PhD, LMHC
Hosted by Dr. Victoria Tierney
Counselor, PhD, LMHC
Verified Verified
Group meets in Port Orchard, WA 98366
Hello! I am welcoming new patients by phone and via Telemental Health video conferencing. We can explore the challenges affecting your daily life. I honor diversity and support you in determining your personal goals. Your needs are addressed in the safety of personal phone, video, or face-to-face sessions (when we can). We plan your treatment together by addressing your needs: anxiety, depression, trauma, eating disorders, among other mental health challenges- along with family and/or relationship complications. I work with adults, teens, couples, parents, families. I look forward to meeting you.
(360) 523-7363 View (360) 523-7363
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
Verified Verified
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

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
Verified Verified
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
Discover how to manage the many adjustments to the parenting dynamic when your children become adults. Learn how to manage your own expectations, communicate with respect and enjoy the personalities of your children as they develop their careers and become parents themselves. Launching your adult children can be fulfilling and fun!
Photo of Myrna L Hill, Marriage & Family Therapist, MA, LMFT
Hosted by Myrna L Hill
Marriage & Family Therapist, MA, LMFT
Verified Verified
Group meets in Poulsbo, WA 98370
If you are an individual with more stress in your life than you can handle well, I can help you identify the best path forward. Whether your stress is a long-standing issue that needs to be resolved, or a short-term situation that you need support to navigated - getting to competent and confident is possible. When your life is out of balance it affects all aspects - home, work, social life and your future. I can help you move from uncertainty and overwhelm to confident and calm.
(360) 347-2506 View (360) 347-2506
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
Verified Verified
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
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
Verified Verified
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 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
Verified Verified
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
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
Verified Verified
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
We read a book and meet to discuss similar experiences we have in our own life. Books have included Adult Children of Emotionally Immature Parents, Recovering from Emotionally Immature Parents, Complex PTSD: From Surviving to Thriving, and Self-Compassion.
Photo of Kim Pennybrook, Clinical Social Work/Therapist, LICSW
Hosted by Kim Pennybrook
Clinical Social Work/Therapist, LICSW
Verified Verified
Group meets in Poulsbo, WA 98370
If you are struggling with trauma, dysphoria, anxiety, or life in general, I want to help you feel better. I believe you can find the calm, healing, clarity, and joy you seek. I work predominately with adult clients who experience trauma and PTSD (including C-PTSD), gender dysphoria, depression, self-harm, and anxiety and adjustment disorders. I'm particularly passionate about unsticking negative message received in childhood and accompanying folx on their gender journey. I have years of experience supporting folx through gender transition and providing support to their loved ones.
(253) 285-7390 View (253) 285-7390
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
Verified Verified
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
Through discovery of emotions driving your anger, we will work on trigger identification, warning signs and personal awareness, skills development to reduce or prevent explosive anger, develop tools to stop toxic thoughts, enhance communication skills, use simple behavioral techniques and create anger control plans to be successful in managing anger and restoring relationship, adding personal inner strength and resilience to better manage impulsive, angry responses.
Photo of Patrick Graves, Counselor, BS, MA, LMHCA
Hosted by Patrick Graves
Counselor, BS, MA, LMHCA
Verified Verified
Group meets in Poulsbo, WA 98370
Not taking new clients.
(360) 732-8967 View (360) 732-8967
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
Verified Verified
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
To help adults interested in understanding their psychosocial temperament, I use a personality profiler called Enneagram which is a diagnostic tool that enables us to look AT our "lenses" instead of looking THROUGH them. There is a 9-pointed diagram that describes 9 basic personality types based on their unique ways of framing and relating to the world. Uncovering our inner motivations and social drives unique to our personalities can help us find ways to grow and change for the good of all our relationships. Knowing ourselves better–both light and shadow – helps smooth the way for a better life.
Photo of Jennifer L. Manlowe, Marriage & Family Therapist, LMFT, PhD, MDiv
Hosted by Jennifer L. Manlowe
Marriage & Family Therapist, LMFT, PhD, MDiv
Verified Verified
Group meets in Bainbridge Island, WA 98110
If you're feeling in the dark navigating a difficult transition, you're in the right place. You may doubt your power to change life as it is right now. You may have absorbed cultural messages that say, "There's nothing you can do, things will never improve." I disagree. My specialties include using solutions-oriented methods which include: “Compassionate Effectiveness Training,” "Enneagram profiling," and "Acceptance and Commitment Therapy." Together we’ll work with feelings you might have of being different from the norm; of hoping to find ground in an ever-changing world; of wanting to find a sense of home within yourself.
(206) 451-1332 View (206) 451-1332
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
Verified Verified
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
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
MA
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
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
Verified Verified
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
Each Friday evening 6-8pm, using different art mediums, adults will have the opportunity to learn about, creatively express & process emotions related to the evening's topic. Feb 23 - Stress/Anxiety/Fear; Mar 1 - Depression/Grief/Loss; Mar 8 - Self Image/Identity; Mar 15 - Anger/Frustration; Mar 22 - Joy/Peace, $30/per session fee. Poulsbo, WA. Co-lead by Cheri McKern and Ashlynn. To Register or for More Info: ashlynn.mcdonald@gatewaycounseling.co, or 360-200-0726.
Photo of Cheri McKern, Counselor, LMCHA
Hosted by Cheri McKern
Counselor, LMCHA
Verified Verified
Group meets in Poulsbo, WA 98370
My passion is to help all parents create an environment where their kids, whether adopted or biological, with developmental trauma can thrive. I have many years of experience working with traumatized kids and providing support for the parents that love them. I look forward to developing a trusting relationship where we can work together to draw on your own skills, strengths, and abilities to overcome life’s challenges.
(360) 732-8822 View (360) 732-8822
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
Verified Verified
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

See more therapy options for Port Orchard

FAQs - About Group Therapy and Support Groups

How can I find a support group in Port Orchard?

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.