Couples Counseling

Online Couples Therapy in New Hampshire

Work with an expert therapist to restore connection and strengthen your relationship in New Hampshire. Every relationship requires nurturing. Whether things just got complicated, or it’s been awhile, we can help restore communication & trust. Our couples therapists bring a fresh perspective so you can rediscover the love & commitment needed for a thriving relationship.

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Mental Health & Couples Therapy in New Hampshire

Understanding the landscape of mental health care access and the challenges
couples face across the state.

Mental Illness Prevalance

The mental illness prevalence rate in New Hampshire is 23.1 percent among adults.

Wait Time

The average wait time for therapy in New Hampshire is 8–12 weeks.

Median Houshold Income

The median household income in New Hampshire is $95,628.

Percentage Who Need Therapy

The share of adults in New Hampshire who needed mental health treatment but did not receive it is 18.1 percent.

Provider Shortage

The mental health professional shortage area share in New Hampshire is 51.85 percent.

Mental Illness per 100k Residents

New Hampshire has 393.3 mental health providers per 100,000 residents.

Mental health need and access constraints intersect sharply in New Hampshire from Manchester to the White Mountains. The mental illness prevalence rate in New Hampshire is 23.1 percent among adults, and the share of adults in New Hampshire who needed mental health treatment but did not receive it is 18.1 percent. Those two figures describe a large group of residents in Nashua, Concord, Dover, and the Lakes Region who are living with symptoms while also encountering real friction when trying to start care. Access is further shaped by the average wait time for therapy in New Hampshire, which is 8-12 weeks, and by the mental health professional shortage area share in New Hampshire at 51.85 percent. Even when couples at BAE Systems, Fidelity in Merrimack, or Dartmouth-affiliated households are ready to begin Couples Therapy, the system's capacity limits can narrow options and delay the first appointment. New Hampshire has 393.3 mental health providers per 100,000 residents, yet the statewide distribution of care still leaves many couples competing for limited appointment slots near Manchester and Nashua. For Couples Therapy specifically, these statistics matter because relationship stress rarely stays contained to a calendar. An 8-12 week delay can mean living through 56-84 days of unresolved conflict, repeated miscommunication, or ongoing tension at home in Derry or the Seacoast while trying to secure an opening. When 51.85 percent of areas are designated as shortage areas, the practical experience for many couples becomes a cycle of calling multiple offices, encountering closed panels, or being offered appointment times that do not align with work at BAE Systems and home responsibilities. The 18.1 percent unmet-need figure reflects more than motivation; it reflects system strain that can interrupt continuity, reduce choice, and make it harder to find a clinician with availability for two schedules at once. New Hampshire's median household income of $95,628 also frames the stakes of delayed access: time away from work at Fidelity in Merrimack, repeated intake processes, and the effort required to coordinate care across the Monadnock region or Lakes Region can carry real opportunity costs. With 393.3 providers per 100,000 residents serving a population where 23.1 percent of adults experience mental illness, the gap between need and timely access becomes a day-to-day reality for many couples from Manchester to the White Mountains.

UNDERSTANDING THE CHALLENGE

Couples Therapy challenges in New Hampshire

The Problem

New Hampshire's 1,409,032 residents spread across 9,349 square miles of mountainous terrain face unique barriers to accessing Couples Therapy, from BAE Systems engineers in Nashua to Dartmouth-affiliated households in Hanover. With 150.7 people per square mile across 10 counties of the White Mountains and Lakes Region, couples face significant travel challenges to reach mental health professionals in Manchester or Concord. The 60-mile round trip over mountain roads means what shows as a 30-mile trip on maps can take 2+ hours in reality, costing $5 in fuel per session, which totals $260 annually, for partners driving in from Derry, Dover, or the Monadnock region. New Hampshire's 51.85% provider shortage means just 393.3 therapists per 100,000 residents are concentrated in Manchester, leaving Seacoast and White Mountains couples with limited choice.

The Impact

New Hampshire's 150.7 people per square mile across 10 counties of the White Mountains and Lakes Region means 325,486 residents experiencing mental illness face mountain roads just to reach providers in Manchester or Nashua. Winter storms make access even worse, roads between Concord, Dover, and Derry become impassable, appointments must be cancelled, and couples in the Monadnock region or Seacoast go weeks without care. For New Hampshire's commuter-based workforce where many partners commute into BAE Systems in Nashua, Fidelity offices in Merrimack, and the Boston job market, taking 2+ hours away from work for a $5 round trip means lost income relative to New Hampshire's median household income of $95,628. The 8-12 weeks wait time adds further discouragement, by the time couples in Dover or the Lakes Region overcome geographic barriers, they face months-long delays before Couples Therapy begins.

The Solution

For New Hampshire's 325,486 residents needing care across 9,349 square miles of mountainous terrain from Manchester to the White Mountains, Grouport eliminates the 60-mile round trips over mountain roads, $260 in annual fuel costs, and 8-12 weeks waitlists. New Hampshire couples in Nashua, Concord, Derry, Dover, and the Lakes Region connect with licensed clinicians specializing in Couples Therapy via secure video from home, with no mountain pass travel, no 2-hour drives to Manchester, and no winter storm risks. Clinicians match within 24-48 hours versus New Hampshire's 8-12 weeks average. At $114 per session on average ($492 per month), 50-60% below the national average of $175-$300 per session, New Hampshire couples save $260 annually while accessing care that 393.3 therapists per 100,000 across 10 counties cannot deliver to White Mountains, Seacoast, and Monadnock region communities fast enough, particularly for BAE Systems, Fidelity, and Dartmouth-affiliated households.

The mental health professional shortage area share in New Hampshire is 51.85 percent.

Online Couples Therapy helps New Hampshire couples stay consistent with care by removing the need to travel across White Mountains roads during winter storms and by reducing missed sessions when roads between Manchester, Dover, and the Lakes Region are unsafe. It also makes it easier for BAE Systems engineers in Nashua, Fidelity staff in Merrimack, and Dartmouth-affiliated households in Hanover to attend from home without adding commute time, which matters when wait times are 8-12 weeks and in-person options are concentrated around Manchester.

Getting Couples Therapy in New Hampshire: Wait Times and Barriers

New Hampshire's access constraints are measurable and persistent across Manchester, the White Mountains, and the Seacoast. With 51.85 percent of areas designated as Mental Health Professional Shortage Areas and 393.3 mental health providers per 100,000 residents, availability for couples at BAE Systems, Fidelity, and Dartmouth households is often shaped by capacity rather than preference. For Couples Therapy, that capacity issue is amplified because two partners must align schedules, commit to consistent sessions, and find a clinician who can accommodate both. The result is a system where many couples in Nashua, Concord, and the Lakes Region encounter delays even after deciding to seek help.

Geographic Barriers

New Hampshire's geography adds a practical layer to access from Manchester to the Monadnock region. The state's 1,409,032 residents are spread across 9,349 square miles, with a population density of 150.7 people per square mile across 10 counties. In mountainous terrain near the White Mountains and Lakes Region, a 60-mile round trip over mountain roads can turn what looks like a 30-mile trip on a map into 2+ hours in real travel time. That distance burden is not a one-time inconvenience; it repeats for each appointment, and it can be especially disruptive when Couples Therapy requires consistent weekly attendance for partners commuting to BAE Systems in Nashua, Fidelity in Merrimack, or Boston. Winter storms further complicate travel between Dover, Derry, and Concord, with conditions that can make roads unsafe or impassable and lead to cancellations that interrupt momentum in care.

Extended Wait Times

The average wait time for therapy in New Hampshire is 8-12 weeks, which translates to 56-84 days before a first session for many couples in Manchester, Nashua, or the Seacoast. For couples seeking support, that delay can be difficult to navigate because relationship conflict often affects daily routines, sleep, parenting stress, and the ability to communicate effectively at home, whether partners work at BAE Systems or in Dartmouth-affiliated roles. Waiting also increases the chance that one partner disengages from the process, or that scheduling becomes harder as Fidelity-Merrimack work and family obligations shift. When the first available appointment is weeks away, couples may accept a less suitable time slot or a less preferred provider near Manchester simply to start, which can affect consistency and follow-through.

Systemic Challenges

The combination of provider scarcity and high unmet need in New Hampshire means access barriers are systemic, not incidental, from Manchester to the White Mountains. With 18.1 percent of adults who needed mental health care unable to receive it, the underlying inefficiencies of the current system restrict both choice and continuity for couples at BAE Systems, Fidelity, and Dartmouth households. These barriers extend beyond scheduling: couples often face logistical challenges securing appointments that accommodate two calendars in Nashua, Concord, or Dover, managing absences due to waitlist bottlenecks, and contending with the psychological impact of delayed or fragmented care. While Manchester offers greater provider density, the statewide statistics reflect a persistent difficulty in accessing Couples Therapy regardless of whether partners live in the Lakes Region or the Monadnock region. For couples navigating these challenges, availability is not only about the number of providers, but whether effective, affordable intervention is accessible when it is most needed.

Urban-Rural Divide

Even with 393.3 mental health providers per 100,000 residents, access can feel uneven when providers are concentrated around Manchester and Nashua while couples live across 10 counties and a large geographic footprint from the Seacoast to the White Mountains. In lower-density areas like the Monadnock region and Lakes Region, the 150.7 people per square mile figure often corresponds with fewer nearby options and longer drives, making it harder to attend weekly sessions without disrupting work at BAE Systems or family responsibilities. In more populated Manchester-Nashua areas, the challenge can shift from distance to competition for appointments near Fidelity in Merrimack, where the 8-12 week wait time becomes the dominant barrier. Across both settings, the 51.85 percent shortage-area share signals that limited capacity is a statewide constraint, not a localized issue.

For New Hampshire couples seeking Couples Therapy, the most common obstacles are time to first appointment, limited provider capacity near Manchester and Nashua, and the real logistics of attending consistently across a large, mountainous state from Dover to the White Mountains. Grouport reduces these barriers by offering online care that avoids long drives between the Lakes Region and Concord, supports consistent attendance during White Mountains winter conditions, and provides matching in 24-48 hours rather than an 8-12 week wait for BAE Systems, Fidelity, and Dartmouth-affiliated households.

Affordable Couples Therapy for New Hampshire Residents

Grouport provides New Hampshire couples with Couples Therapy averaging $114 per session ($492 per month), compared with national pricing of $175-$300 per session and $757-$1,299 per month. That difference matters when access is already constrained by New Hampshire's 8-12 week average wait time and 51.85 percent shortage-area share, affecting Manchester, Nashua, and Seacoast couples alike. When BAE Systems, Fidelity, and Dartmouth households are trying to coordinate two schedules and start care without months of delay, predictable pricing and faster matching can reduce the financial and logistical friction that often prevents couples in Concord, Derry, and the Lakes Region from beginning treatment.

Affordability and Income

At $114 per session on average ($492 per month), Grouport's Couples Therapy is priced below the national average of $175-$300 per session. Relative to New Hampshire's median household income of $95,628, Grouport represents 0.12% of annual income per session, compared to traditional therapy at 0.18%-0.31%, a difference that matters for BAE Systems engineers in Nashua, Fidelity staff in Merrimack, and Dartmouth-affiliated couples in Hanover. Those percentages become more meaningful in a system where 18.1 percent of adults who needed mental health treatment did not receive it, and where 51.85 percent of areas are designated as Mental Health Professional Shortage Areas. When availability is limited near Manchester and the average wait time is 8-12 weeks, couples in Dover or the Lakes Region may feel pressure to accept higher-cost options or less convenient appointment times simply to start. A lower, consistent per-session cost can make it easier for partners to commit to the weekly cadence that Couples Therapy typically requires.

Hidden Cost and Barriers

Beyond session fees, New Hampshire's geography creates substantial barriers to in-person care across the White Mountains and Lakes Region. With a 60-mile round trip over mountain roads for appointments near Manchester or Nashua, couples can face 2+ hours of travel time per session from the Monadnock region or Seacoast. Fuel costs add up as well: at $5 in fuel per session, the annual total reaches $260. Those costs are separate from the therapy fee and can be especially burdensome when Couples Therapy requires consistent weekly attendance and both partners must be present. The time cost also matters in a commuter-based workforce at BAE Systems, Fidelity in Merrimack, and Boston-bound roles, where extended travel can mean missed work hours and added scheduling strain. Online sessions remove the recurring travel requirement between Concord, Dover, and Derry and the associated out-of-pocket fuel expense.

Immediate Availability

New Hampshire's 8-12 week average wait time for therapy equals 56-84 days without professional support while relationship stress can continue to build in Manchester, Nashua, or White Mountains households. Delays can also increase the chance of missed momentum, since couples often seek help at a point when communication has already become difficult, especially for partners at BAE Systems, Fidelity, and Dartmouth-affiliated practices. Grouport eliminates the typical wait by matching residents in 24-48 hours, allowing couples in Concord, Dover, Derry, and the Lakes Region to begin structured support sooner and avoid months of uncertainty while searching for an opening.

How it Works

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Choose a Service

Choose the right service you are looking for and then simply sign up for a plan.

Networking

Personalized match

We’ll get in touch with you to get brief context to make sure we match you with the therapist that best fits your needs & schedule. (Typically match in 24 hours - 72 hours)

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Start Therapy

Meet weekly with your therapist for 45-minute video sessions for consistent care with real results.

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What Couples Therapy Can Help with:

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  • Communication and fighting
  • Power dynamics
  • Financial conflict
  • Parenting or caretaker stress
  • Challenges with intimacy
  • Repairing after infidelity
  • Identifying unhealthy patterns
  • Restoring trust
  • Conflict resolution strategies
Hands

Types of Couples Therapy in New Hampshire

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Relationship counseling

Every couple faces challenges that test their relationship. It can happen early on or after years in a relationship. No matter the circumstance, couples counseling offers unbiased support and structure in a comfortable setting. You’ll learn conflict-resolution strategies, identify recurring patterns, while building a healthier, stronger, loving relationship.

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Marriage counseling

Marriage is work, and it’s normal to need outside trusted guidance. Marriage counseling will allow you and your spouse to tackle these issues head on. Sessions will help you identify the root of your problems and come up with effective strategies to address them on a routine basis. Having this open communication and weekly time to just hone in on your marriage, will allow your relationship to thrive.

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Premarital counseling

The days leading up to a wedding can be stressful. Premarital counseling can help you prior to getting married, but also prepare you both for married life. Premarital counseling allows you to start your lives together on a solid footing. Having this dynamic going into a marriage, will allow for the open communication and relevant skills so that you continually invest in a successful marriage.

Mental Health Conditions We Treat in

New Hampshire

Beyond couples therapy, Grouport offers licensed therapists who specialize across the full spectrum of mental health needs and evidence-based approaches. Whatever you're looking for, we have a therapist for your needs.

Meaningful Results

Check out how our services have helped our members see life-changing results

Sarah

"It’s helped our family improve communication, control anger, and it’s helped my husband and I parent better. I’m forever grateful for bringing our family even closer together."

Isabel

"I joined Grouport to work on myself and to heal. I’m learning so much at every session! The change I see not only in myself but in my fellow group members is abundantly encouraging and profoundly fulfilling. Group therapy with Grouport is a powerful healing tool."

Danielle

"Grouport can help you with your issues. Their therapists are well trained to work with you on your issues. I felt my anxiety greatly improve after only a few sessions. I highly recommend it!"

Glenn

"Grouport's approach to DBT is a real strength. This approach provides tools and methods for working with difficult emotions and getting a handle on them. It has given me hope where other approaches have failed."

Benjamin

"Adam is helping me to approach my anxieties from a different perspective. So I’m working on developing this awareness and not be too fearful about it."

Briana

“I learn a lot of skills and hearing other people’s experiences help”

Charlotte

“Group therapy depends on the facilitator and the participants. This particular one is great for both.”

Melanie

“I love getting another perspective on an issue from another participant. It changes my whole thought process and really helps me see things clearly. I like Grouport because there is no pressure to discuss your problems. During my good weeks, I usually have a similar problem to someone else in the group that's in the back of my mind. They bring that problem to life when they talk about their own situations. We always come to a solution for these negative thoughts or emotions.”

Carrie

“It is helping my family.”

Julia

“Ability to discuss my issues openly in front of others and get feedback that I can use in the future” , “Wonderful opportunity and great pricing! Happy to have found Grouport :)”

Martha

“Liked working with Matthew the therapist. His insight and familiarity with the materials was really helpful. He was welcoming and happy to help.”

Megan

“I look forward to seeing the same group of people every week and helping each other out.”

Allison

“I’ve always found group therapy to be helpful. It’s good to hear likeminded people.”

Sheldon

“I was feeling very down at the end of 2020 and I was ready to do something drastic that I know I'd likely regret. The group definitely helped show me that there are people who feel the same way as I do.”

Nancy

“The therapy from Grouport is high quality and convenient. I am becoming much more self aware and am liking myself more. My relationships at work are better and I’m much happier.”

Barbara

“Human interactions. My ability to fit into a social context and be able to observe, function , and respond, to others in a more conscious way. To be aware of my feelings (reactions) to the dynamics in the group and feel comfortable expressing my feelings.”

Lindsey

“Practitioner is wonderful. Learning a lot from others in the group.”

Amanda

“It's a relatively smooth and streamlined way to access care.”

Kelly

“It's difficult for me to stay motivated to practice DBT and this group helps me. It helps me focus and practice DBT skills for an hour. I'm unable to do this on my own. And it's nice to be around a group of people for support.”

Trevor

“The group gives me something to work towards, and provides other outlooks you normally wouldn't consider.”

Patricia

“I really enjoy the group sessions and Debbie singer is an amazing therapist. I would describe it as incredibly helpful and you get a lot out of each session especially if you actively participate.”

Alexandra

“I received a lot of helpful insights from my group therapist.”

Emily

“I like the connection you can make with total strangers and the confidentiality it comes with.”

Daniel

“It works well, it’s pretty effortless. I’m able to express my struggles and concerns to a group, and get practical feedback.”

Stella

“Easy atmosphere to share your feelings and thoughts and obtain feedback.”

Stephanie

“Grouport is time flexible and affordable and if it didn’t exist, I don’t know where I would go. I had looked into other places before Grouport and there really wasn’t any option like it.”

Olivia

“My weekly group helps me get through the week. Best experience ever!”

Judy

“I’m enjoying the group and learning some new things. It’s a relaxed atmosphere and a place to share listen and learn. Group is great as is the therapist! Highly recommend!”

Ross

“It’s been a useful forum for the family to meet and discuss problems with communication. Previously, people in my family were hesitant to really be honest, and this forum allows for that.”

Maxwell

“Grouport has truly shown me that I am not the only one struggling”

Michael

“I highly recommend this to anyone who is struggling with anxiety or depression. The therapists are top notch and have made me feel really comfortable and my anxiety has improved tremendously in only a few sessions!”

Phoebe

“I’ve always found group therapy to be helpful. It’s good to hear likeminded people.”

Drew

“It's a helpful tool for managing anxiety every week.”

Brooke

“I enjoy Grouport.”

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Meet Our Therapists

Grouport therapists are caring, expert mental health professionals with years of experience helping people get the tools they need to see long-lasting change.

FIND YOUR MATCH
Grouport therapists are fully licensed clinical professionals (LCSW, LMFT, PhD, PsyD) with specialized training in evidence-based Couples Therapy in New Hampshire.

Affordable Care, Geared to Your Needs

Online couples therapy icon

Couples Therapy

$123/session
billed at $492/month

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Online individual therapy icon

Individual Therapy

$112/session
billed at $448/month

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Online group therapy icon

Group Therapy

$35/session
billed at $140/month

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Online family therapy icon

Family Therapy

$160/session
billed at $640/month

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Online teen therapy and adolescent counseling icon

Teen Therapy

$112/session
billed at $448/month

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Virtual intensive outpatient program IOP therapy icon

IOP Therapy

$337/week
billed at $1,348/month

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or Learn More

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FAQs for Couples Therapy in New Hampshire

Do states differ on therapy for minors without parental consent in New Hampshire?
Significantly. Some states allow minors to consent to their own mental health treatment above certain ages (often 14-16). Others require parental consent for all minors under 18. Some allow minors to consent for specific issues like substance use and sexual health but not general therapy. If you're a minor seeking therapy, your state's age of consent laws determine whether you need parental permission.
Can student loans be used for therapy in New Hampshire?
Student loans are for educational expenses. Therapy isn't typically covered unless it's required as part of your degree program. Using student loan money for therapy (if not program-required) might violate loan terms.
What if my religious community says therapy conflicts with faith?
Some rural religious communities view therapy skeptically or see it as lacking faith in God. That's a tough position to be in. You have a few options, find a therapist who integrates faith into therapy (many therapists are comfortable with this), frame therapy as using the tools God provides for healing (most religious leaders are fine with that), or just keep therapy private and don't ask permission. Your faith and your mental health aren't actually in conflict, mental health care and spiritual life can coexist. Some of the most devout people also do therapy because they understand God works through many means.
Can therapy help with rural youth who want to leave in New Hampshire?
Young people growing up rural often face pressure to stay (family wants them to take over the farm, small town guilt about leaving) conflicting with desire for opportunities elsewhere. Therapy helps you navigate this without guilt, figure out what you actually want versus what everyone expects, and make peace with your choice. Leaving doesn't make you a traitor, and staying doesn't mean you've given up on your dreams. It's your life.
Will online couples therapy save our relationship?
It depends. Couples therapy can't guarantee saving every relationship as some issues are too challenging to work through or partners aren't willing to change. However, couples therapy significantly improves the chances of relationship health and strengthening your relationship. Some things that can affect success include whether both partners are committed to the relationship, are willing to change parts of themselves rather than just wanting their partner to change, and attending consistently while actually putting in the work to practice skills between sessions. Couples therapy gives your relationship the best possible chance, and the outcome depends on both partners' effort.
What if we have different goals for couples therapy in New Hampshire?
That’s totally fine. You’re allowed to have different goals to address in couples therapy. Partners often enter therapy wanting different outcomes or having different goals in mind. The therapist helps by identifying where goals overlap and ensuring both partners feel their concerns are being addressed. The therapist will help clarify your goals as a couple and align on the most important ones early on. Usually goals can be compromised to work through the main challenges productively.
Can couples therapy address sex and intimacy issues in New Hampshire?
Yes, couples therapists are trained to address sexual and intimacy challenges. Many couples struggle with this so it’s totally normal. The couples therapist will help you work on your intimacy together. If you’re struggling with sex or intimacy issues, definitely don't avoid couples therapy because you're embarrassed as working on it together will help you address the challenges together.
Can therapy help if we have different values?
Whether value differences are workable depends on the specific values. Some differences are manageable while other differences are deal-breakers. Couples Therapy helps you identify true value differences versus surface disagreements, learn to respect differences you don't share, and find common ground where possible. Not all value differences mean incompatibility, and it’s normal to have differences. Couples therapy will help you work through this all with respect and healthy communication.
Is it too late for couples therapy in New Hampshire?
It's rarely too late unless one or both partners have completely given up trying. If you’re open to working on your problems even if that may be difficult to do, as long as there’s some willingness to work on challenges, then that can be a small step in the right direction. No matter how difficult things may be, having an unbiased professional to work with can go a long way even if you’re feeling despair. The key things to take into account are if both partners are willing to attend, at least one partner is still committed to the relationship, and both are willing and open to try changing. Most of the time, even if challenges are so pronounced, you still owe it to your relationship to at least try to see if there's a path to improve things no matter how difficult it may be.
Are there any hidden fees in New Hampshire?
No, Grouport pricing is completely transparent with no hidden or additional fees. Your monthly subscription cost is clearly stated upfront and includes all your scheduled therapy sessions for that month. There are no extra fees, beyond whichever plan you’re on. What you see is what you pay and there are no surprises on your bill.
What if I need more intensive treatment than weekly therapy in New Hampshire?
If you need more support than weekly therapy provides, Grouport provides the flexibility to combine care at any frequency that you’d like on the schedule and duration that works for your needs. So, for example many people combine individual therapy with group therapy at various levels of frequencies, or they combine couples therapy with individual therapy, or family therapy with individual therapy etc… It’s normal to combine therapy options or increase session frequency during difficult periods. For higher levels of support, Grouport also offers a virtual Intensive Outpatient Program (IOP) with 10 sessions per week which consists of nine group therapy sessions plus one-three individual therapy sessions per week depending on which IOP plan you choose. We're committed to matching you with the right level of care that fits your needs.
What payment methods do you accept in New Hampshire?
We accept all major credit cards (Visa, Mastercard, American Express, Discover, etc..) and debit cards for payment. Your card is securely stored and automatically charged on your monthly billing date. We also accept HSA (Health Savings Account) and FSA (Flexible Spending Account) cards, which many clients use to pay for therapy with pre-tax dollars. You can update your payment method at anytime.

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