M.A. / This action research study explored the development and workings of a monthly, openended depression and anxiety support group based in Johannesburg, Gauteng. Although the growth of mutual-aid groups has escalated over the past three decades, there is little research on support groups created solely for the purpose of servicing depression and anxiety sufferers. Researchers have indicated that support and information at these meetings may prove to be a valuable and effective intervention which helps sufferers come to terms with their condition (Miller, 1987; Stein, Zungu-Dirwayi, Wessels, Berk & Wilson, 1998). The study at hand aimed to elucidate the ways in which the depression and anxiety support group was experienced as helpful, as well as those areas which could be improved to increase the effectiveness of the group system. The support group was examined over an eleven-month period, November 1999 – October 2000, during which time the progress and experiences of three new group members was specifically observed and chronicled. Seven participants, including three members of a support group catering for black depression and anxiety sufferers, were initially sourced and screened for inclusion in the study. Although not intentional, the three subjects that finally fulfilled the criteria for inclusion in the study were all white females attending the Johannesburg support group. Relevant data on the three participants was collected systematically over this period through a process of triangulation. Methods included structured and semi-structured interviews, written reports, questionnaires and participant observation. The grounded theory approach allowed the researcher to work inductively with the data and to discern and explore the connections between elements and patterns that emerged in the analysis. An integration of the research data revealed that the group was primarily helpful to participants through the factors of universality, cohesion, didactic instruction and downward social comparison. Furthermore, the results indicated that participants presenting with prominent avoidant personality disorder (APD), as measured by the Millon Clinical Multiaxial Inventory-II, are likely to strongly value the relief from social isolation that the support group setting affords them, as well as gaining comfort from belonging to and being accepted by a group and improving their interpersonal skills. On the negative front, the group would or could not move beyond a formative, early stage of group development. As a result, its members were either caught in a repetitive cycle of exploring the same territory or lost interest after a relatively short period of time and terminated membership. Based on the findings of this study, it is suggested that members be afforded the opportunity of attending a more advanced therapy group once they feel they have gained the necessary relief from the primary support group. The support group plays a valuable role of reassuring members that they are not alone in their suffering, offering them the learning experience of being accepted by a group and introducing them to group format and protocol. However, once a foundation has been established, it is likely that members would benefit from joining a more advanced group in which interpersonal learning and role modelling is emphasized. Members need an arena where they can explore their behaviour and feelings in depth, and with other members who are functioning at a similar level. It is hoped that the findings of this study will increase understanding of support group functioning, provide suggestions for future research involving APD clients and depression and/or anxiety sufferers in support gr oup settings and make some contribution towards theory-building in this field.