Online support groups have the potential to improve the access and delivery of services to a wide range of people who reside worldwide. They provide an alternative vehicle of support for people in distress when it may be culturally stigmatizing to seek face-to-face support. They are not appropriate for everyone, nor can everyone worldwide access online support groups. This paper presents a brief history of online support groups and discusses their cultural implications. It discusses issues for the group leaders as well as the benefits and limitations of these groups. (ADT)