After planning for your new illness support group for weeks, or perhaps even months, it's finally time to have your first meeting. You've gone through the steps of preparing a proposal to start up a support group. It's been approved by whoever is in charge, such as an organization or church. And you've put together a welcome folder for all the people who will attend. You have topics to discuss, speakers scheduled, and perhaps even a study planned.

So, you're meeting is sure to run perfectly, Right? Unfortunately, all the plans in the world cannot cancel out a few unforeseen situations. Below are four of the aggravations you may experience during those first few meetings. Knowing what hurdles you may encounter can help you be prepared in advance.

(1) Few people attend.

How it feels: Disappointing. After all the work you put into it, not to mention the passion you feel about doing this, it seems like such a wasted to just have one or two people show up. Understand that this can be typical, especially at first, when everyone feels a bit intimidated. Try not to take it personally. To be honest, you are fighting an uphill battle in getting people to attend a chronic illness support group, because when people feel ill, they usually want to stay home, not go out and socialist. But when they are feeling well, they'd prefer to do something more fun then sit around and talk about their illness.

What to do: Hope for the best and prepare for the few. As a Christian organization, the HopeKeepers small group program founder says, "Although it's disheartening when just a couple of people show up, I know that God created that appointment. When I led a group once, just one person came, but we had the best conversation and she admitted that she was extremely shy and likely would not have even spoken if other people had attended the meeting."

Keep a summary of your lesson plan, even including the topics that were discussed. This way you can easily "replicate" the meeting another time with little preparation. Lastly, consider calling people and, without adding undo pressure, ask them what challenges are preventing them from coming? Is it transportation? Is it the time of day? How could you make it easier for more people to come?

(2) Everyone seems to ignore your lesson plan.

How it feels: You may be quick to assume that your ideas are just not interesting or helpful enough for people's circumstances. You may even feel a touch of anger that people don't appreciate the time you spent preparing.

What to do: Allow some flexibility at first and then add in more structure as the group meets. The truth is that most people are probably excited and even relieved to have other people who understand what they are going through. Simply gathering people together in one room and can open the floodgates of emotions that people have held back for years. It's hard to hold up a book and a lesson plan and force people to remain focused when a member is in tears over the ending of her marriage, for which she blames her illness. This situation can occur at any meeting, but may be more frequent during the first month.

Share with your new friends about your desire for the group to be a safe place where people can share their deepest fears and challenges, but that you also want to make sure everyone leaves feeling more refreshed than when they came. Tell them you respect their time and want to get them out on time (and they can talk afterwards if they wish). Explain that to do so there will be times when you move from a very emotional setting towards closing the meeting with an uplifting article, scripture, poem, prayer, devotional, etc.

(3) Everyone just complains about everything! Their relationships, the medical professionals, their illness-the list is never ending.

How it feels: Like you are expected to manage a small riot. There are many built up emotions where people have experienced deeply wounded feelings, unjust consequences, and even medical errors. It can seem they want you to fix the situation or else they will talk incessantly about it to everyone.

What to do: Set up some basic guidelines before your first meeting if possible, and include the "venting guidelines." Read "10 Ways to Make Your Illness Support Group Uplifting." Set a timer and allow everyone to have 60 seconds to share their most frustrating experience of the week. Start a contest with a prize for who handled their situation the best or most creatively. Or be silly and give an award for someone to take home for the week, like "Aggravated the Alligator Award" (a rubber alligator)

Don't forget to include others in the conversation. For example, say, "Jane, some of us can really relate to what you are feeling. Is there someone here who would like to share how she or he has dealt with these emotions?" If you are doing a lesson plan, say, "Since I want to get you all out of here on time, lets move on to question six, and if someone has some encouragement for Jane, they can share that with her after our meeting." (Make sue that someone is you if no one else steps forward.)

(4) One person continually dominates the conversation; she takes over the meetings and completely disregards your plans or people who are trying to talk.

How it feels: Aggravating! You've spent a lot of time preparing for this special time and to have someone come in and take on an overbearing leadership role can be exasperating. When you can see the person leading your group down a path of negativity, you may also be worried about how many people she is scaring away. Will others think this is what your group is all about?

What to do: Set firm boundaries from the beginning. While it's vital that people are encouraged to communicate their frustrations, they are also responsible for respecting others in the group. They need to watch their language, the quantity of time they dominate a conversation, and how they comment on people's treatments or decisions.

Put together some simple guidelines at the beginning that you hand out to new members in a welcome folder. Then if the person dominating the meetings doesn't get your hints, speak with her privately. You may also want to put her in charge of a certain part of the meeting so she can have a designated time to talk and be in a leadership position. When situations like this occur, people can be gently reminded of the guidelines they received when they first joined the group. It won't feel quite as personal as you correcting their behavior.

In conclusion, understand that leading an illness support group is not the uncomplicated task it is often assumed to be. Sometimes we think of it as simply letting people know when you're getting together to share and support one another, loads of people show up, and everyone's personalities click perfectly. Don't be alarmed if it doesn't work this way.

It takes a special person who can effectively communicate with people to lead a support group. A facilitator must be able to gently guide people in the path you wish them to go, so that the group makes a positive emotional impact, rather than becoming a complaint forum. A leader be compassionate, but also able to set boundaries or diffuse anger. As circumstances arise, ask other leaders for ideas and support. And most of all, remember that no leader ever feels one-hundred percent capable. Having a willingness to learn and listen are some of the top leadership qualities in which to invest.

Do you have a chronic illness? Get the first 40 pages of "Beyond Casseroles: 505 Ways to Encourage a Chronically Ill Friend" when you sign up for our monthly ezine HopeNotes at http://www.restministries.org/res-ezine.htm Plus find other articles all related to chronic illness and information on National Invisible Chronic Illness Awareness Week at http://www.restministries.org Lisa Copen is the founder of Rest Ministries which serves the chronically ill through Christian resources and other programs and support group materials.

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