Get Better, Together

English-Language Group Therapy for Residents of China.

Grouport connects English-speaking residents across China with licensed therapists in small online groups of 6-12. Sessions run at $32 each, matching happens right away, and everything takes place over HIPAA-compliant video, so wherever you live between Shanghai's high-rises and the rural western provinces, you can join without a local referral, a psychiatric intake queue, or a trip into a Tier-1 city hospital.

Dialectical Behavior Therapy

The State of Mental Health in China.

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

Mental Illness Prevalence

13.4% of Chinese adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.

Wait Time

8 weeks the average wait to secure a first mental health appointment in China's public system, an interval during which symptoms often deepen.

Median Household Income

$17,800 median household income in China, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

91.7% of Chinese adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

68% of China's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

39.6 per 100,000 mental health workers in China, a density that shapes availability, wait times, and access across the country.

These numbers come from the WHO Global Health Observatory workforce database, the World Bank's 2024 income indicators, and China's national epidemiological work published through The Lancet Psychiatry. Set against a population of 1.41 billion, even a 16.6% lifetime prevalence translates into hundreds of millions of people who will meet criteria for a mental disorder at some point, and the psychiatric workforce, though it has grown substantially since the 2015-2020 National Mental Health Plan, still concentrates heavily in coastal metropolitan hospitals rather than distributing across the country's 34 provincial-level regions.

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in China.

The Problem

China's mental health system has expanded quickly over the last decade, but the underlying arithmetic remains tight. With 39.63 mental health workers per 100,000 residents, the country trails the OECD median by a wide margin, and the distribution is uneven in ways the national figure hides. Psychiatric beds and licensed psychotherapists cluster around Beijing, Shanghai, Guangzhou, and a handful of provincial capitals; entire prefecture-level cities in Gansu, Guizhou, and the western autonomous regions operate with a fraction of that per-capita ratio. Demand meanwhile keeps rising, particularly among urban knowledge workers and university students.

The Impact

For someone in China deciding whether to seek help, the 8-week wait for a first outpatient psychiatric appointment at a Tier-3 hospital is only the beginning. Many patients report several additional weeks between the initial intake, often a brief 10-15 minute medication-focused consultation, and any structured talk therapy, which is frequently referred out to private clinics charging ¥600-1,500 per session. English-language provision is thinner still: outside a small circle of international clinics in Shanghai, Beijing, and Shenzhen, finding a therapist who can conduct sessions in fluent English usually means either flying to another city or accepting a long queue at one of the expat-focused practices.

The Solution

Online group therapy re-slices the problem. Instead of matching one clinician to one patient in a specific building, a small group of 6-12 people meets weekly over video with a licensed therapist who has trained in evidence-based modalities like CBT, DBT skills, or interpersonal process work. The format costs less per person, scales past geographic bottlenecks, and, for the English-speaking segment of China's population, including expats, returnees, and internationally-educated professionals, bypasses the shortage of English-fluent local clinicians entirely. Grouport structures each group around a specific focus (anxiety, depression, relationships, grief) so members join people working on similar terrain.

68% of China's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Grouport's model is built around the friction points that make Chinese in-person care hard to reach. Matching happens in right away rather than 8 weeks. Sessions are conducted in English, so residents don't need to filter for the narrow subset of local providers who work in the language. There's no travel to a Tier-1 city hospital, no morning queue for a limited-number registration ticket (挂号), and no requirement to be physically present in a particular municipality's catchment area. Pricing is fixed at $32 per session on the $140/month plan, and the video platform is HIPAA-compliant, so the same clinical privacy standards used with US patients apply to members joining from Chengdu, Xiamen, or Ürümqi.

Access and Availability Across China.

Access to mental health care in China varies enormously depending on which of the country's tiers of cities you happen to live in. A resident of central Shanghai has options a resident of a rural county in Yunnan simply does not, and this gap has widened even as national spending on mental health has grown. Grouport was designed for the population caught in that gap, English-speaking residents anywhere in the country's 9.6 million square kilometers who need care they can actually reach.

Geographic Barriers

China is roughly the size of the continental United States, and its mental health infrastructure is not evenly seeded across that landmass. The country's better-resourced psychiatric hospitals, Shanghai Mental Health Center, Peking University Sixth Hospital, the West China Hospital psychiatric department, draw patients from provinces away, sometimes requiring multi-day journeys by high-speed rail. For families in Tibet, Qinghai, or western Inner Mongolia, the nearest tertiary psychiatric facility can sit 500 kilometers or more from home. Online group therapy removes that distance from the equation: the same video link works from a Beijing hutong apartment and a Kunming suburb.

Extended Wait Times

The 8-week wait figure for a first outpatient psychiatric appointment reflects publicly-reported averages at Tier-3 hospitals in major cities; queues at the most sought-after specialists (particularly for anxiety, mood disorders, and pediatric mental health) commonly run longer, and appointment tickets for well-known clinicians can sell out within minutes of release on the WeChat registration systems. For someone whose sleep has been fraying for months or whose panic attacks are becoming weekly events, six weeks of waiting is not an abstract statistic. Grouport's immediate group start window compresses that timeline into something closer to how the difficulty actually feels, urgent.

Systemic Challenges

China's basic medical insurance schemes (Urban Employee Basic Medical Insurance, Urban and Rural Resident Basic Medical Insurance) cover psychiatric hospitalization and some medication costs, but reimbursement for outpatient psychotherapy remains patchy and typically doesn't extend to private clinics or English-language practices. The 2013 Mental Health Law formalized patient rights and expanded community-based services, and the National Mental Health Working Plan continues to build capacity, but structured talk therapy, as opposed to medication management, still often lands in the out-of-pocket private market. Grouport's $140/month flat rate replaces that opaque pricing with a single predictable figure, billed in US dollars.

Urban-Rural Divide

65.9% of China's population now lives in urban areas, per the most recent World Bank data, and the psychiatric workforce clusters even more heavily than that number suggests, roughly toward the eastern seaboard megacities and Tier-1/Tier-2 provincial capitals. The remaining 34% living in rural counties and townships share a thin layer of general-hospital psychiatric services and community health workers, and English-language options in those areas are essentially non-existent. An online group hosted by a licensed therapist doesn't recognize this urban-rural gradient at all; a farmer's spouse in a Sichuan county town and a finance analyst in Lujiazui join the same circle.

Grouport fits China's landscape specifically because it doesn't try to fit into any of the existing pipelines, public hospital queue, private international clinic, workplace EAP. It runs alongside them, in English, at a fixed price, on a schedule that starts within days of signing up. For a country this large and this unevenly served, that combination matters.

Affordable Group Therapy Costs for China Residents.

Affordability and Income

At China's 2024 GNI per capita (PPP) of $17,800, Grouport's $140 monthly cost represents roughly 0.5% of the average annual income, and $32 per session sits well below what a private English-speaking therapist in Shanghai or Beijing typically bills for a single hour. Because groups run weekly, the effective per-person clinician time compounds, four facilitated sessions a month for a total that would cover perhaps half of one individual session at a Puxi expat clinic.

Hidden Cost and Barriers

The sticker price of in-person care in China understates the real cost. Traveling to a Tier-3 hospital in a major city can mean high-speed rail tickets, a day of lost work, and sometimes overnight accommodation for residents from smaller cities or rural counties. Registration ticket scarcity has created a secondary market where scalpers (号贩子) resell appointment slots at multiples of face value. And once inside, patients typically pay separately for consultation, medication, and any auxiliary services. Grouport's flat monthly fee absorbs all of that: no travel, no ticket queue, no add-on billing.

Immediate Availability

Grouport matches members to a group right after signup, a meaningful contrast with the standard 8-week wait for a first outpatient psychiatric appointment at a public tertiary hospital, or the multi-week queue for a slot at a well-known private clinic. For someone in the middle of a difficult stretch, the ability to be in a real clinical session by next week rather than mid-next month is often the deciding factor.

Talk therapy pricing in China stretches across a wide range. Public hospital outpatient consultations are inexpensive on paper, often ¥50-300 for a brief psychiatric appointment, but structured, sustained psychotherapy is rarely delivered in that setting. Private clinics and international practices typically charge ¥600-1,500 per 50-minute individual session, and English-language providers sit toward the top of that band. Against those numbers, Grouport's $32 per session ($140 for a full month of weekly groups) is materially different math.

How it Works

Community

Choose your online therapy group

Choose your desired online therapy group and sign up for our weekly plan. Most of our groups are $35/session, but our skills groups are $25/session.

Networking

Personalized match

We’ll ensure you're matched to an online therapy group that best fits your mental health challenges and schedule. Don’t worry if you’re not entirely sure which group is right for you, as after signing up, a care coordinator can help make sure you get started in the group that’s right for you. We typically match you to a group right away!

Video call

Meet weekly with your group

Join your group over video chat at the same time each week for 60-minute sessions. You’ll meet with the same members & therapist with a group of up to 12 members. Additional membership perks can include weekly handouts, symptom tracking, and one-off workshops.

Find Your Group

Mental Health Conditions We Treat in China.

Grouport runs groups covering the conditions that most commonly bring English-speaking residents of China to seek care: generalized anxiety and social anxiety, depression, grief and loss, relationship and communication difficulties, adult ADHD, trauma responses, and skills-based work drawing on DBT for emotion regulation. The format is small-group process therapy or structured skills training, matched to what each member is working on, including presentations that show up frequently among expats, returnees, and urban professionals navigating high-pressure work cultures far from family support networks.

Find your groupa group of nine people chatting online

Get Help for:

Self harm

Self-Harm, Suicidal Ideation, Self-injury, Suicide Survival

  • OCD
  • Anxiety
  • Depression
  • Trauma & PTSD
  • Borderline Personality Disorder
  • Bipolar Disorder
  • Narcissistic Abuse 
  • Eating Disorders
  • Body Dysmorphia 
  • Agoraphobia 
  • Anger Management
  • ADHD
  • Substance Abuse & Addiction
  • Postpartum depression or anxiety
  • Panic
  • Phobias
  • Grief & Loss
  • Relationship Challenges
  • Couples Issues
  • Parenting
  • Supporting a loved one
  • Work stress & burnout
  • Self-harm, Self-injury, Suicidal ideation
  • Chronic Illness
  • Divorce
  • Teen/Adolescent Groups 
  • Gender identity 
  • LGBTQIA Support

Common Treatments:

  • Dialectical Behavior Therapy (DBT) 
  • Cognitive Behavioral Therapy (CBT)
  • Exposure Response Prevention Therapy (ERP)
  • Acceptance and Commitment Therapy (ACT)
  • Emotion-focused Therapy (EFT)
  • Exposure Therapy
  • Motivational Interviewing 
  • Interpersonal Therapy
Vector Heart
USA

Meet Our Therapists

Our therapists represent a wide range of clinical specialties & diverse backgrounds. They all undergo the most stringent credentialing process. Grouport therapists are caring, expert mental health professionals with years of experience helping people get the tools they need to see long-lasting change.

Grouport's clinicians are licensed therapists, LCSWs, LMFTs, LPCs, and psychologists, trained in group process work and evidence-based modalities. All sessions run in English. Many of our facilitators have direct experience supporting internationally-mobile clients, third-culture adults, and members navigating cultural transitions, which maps closely onto the reality of English-speaking life in China: bicultural families, foreign nationals on long-term assignments, returnees (海归) reintegrating after years abroad, and Chinese professionals working in globally-oriented industries. The therapist you're matched with is licensed, and continues to practices under clinical standards regardless of where their group members log in from.

FIND YOUR MATCH

a healthier future starts right here

Grouport’s Results

80% of our members start with moderate to severe mental health symptoms

70% of our members feel significantly better within just 8 weeks

50% of our members achieve remission levels within just 8 weeks

80%
of our members start with moderate to severe mental health symptoms

70%
of our members feel significantly better within just 8 weeks

50%
of our members achieve remission levels within just 8 weeks

Find your Group

girl with chart on face

Affordable Group Therapy & Care Options in China.

Group, individual, couples, family, IOP, and teen therapy — all online, all therapist-led. Mix and match care options to fit your needs — and get discounted pricing when you bundle.

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Group Therapy

$35/session
billed at $140/month

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Individual Therapy

$112/session
billed at $448/month

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Partnership

Couples Therapy

$123/session
billed at $492/month

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or Learn More

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Family Therapy

$160/session
billed at $640/month

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or Learn More

IOP Therapy

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

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or Learn More

Frame

Teen Therapy

$112/session
billed at $448/month

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or Learn More

Meaningful Results

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

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.”

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!”

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."

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.”

Emily

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

Olivia

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

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."

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Common Questions About Group Therapy in China.

Is Grouport a good fit for English-fluent university students and haigui returnees in Hangzhou or Chengdu?

Yes. English-medium university students, young professionals at multinationals, and haigui returnees across Shanghai, Beijing, Shenzhen, Hangzhou, and Chengdu often prefer therapy in English and value the discretion of an overseas online service given concerns about mianzi and workplace disclosure. Grouport's weekly video groups of 6 to 12 members are led by licensed therapists over HIPAA-secure video for $32 per session. Sessions run on a scheduled cadence that fits China Standard Time, and you can join a group right away.

How does Grouport's $32 per session compare to private therapy prices in Shanghai or Beijing?

Private English-speaking therapy at international clinics and hospital VIP wings in Shanghai, Beijing, Guangzhou, and Shenzhen typically runs ¥800 to ¥2,000 per 50-minute session, and these fees are usually out-of-pocket since Basic Medical Insurance rarely reimburses psychotherapy. Grouport's weekly video groups of 6 to 12 members cost $32 per session, roughly ¥230, and are led by licensed therapists over HIPAA-secure video. You can join right away, without traveling to a Tier 1 city clinic or joining a hospital waitlist.

What if my company offers mental health benefits—how do I use them?
Check with HR about your mental health coverage. You might have EAP (free short-term counseling), insurance that covers therapy (in-network or out-of-network), wellness stipends you can use for therapy etc... Use whatever benefit is most generous. EAP is often easiest to access but limited sessions. With Grouport, we offer affordable therapy options like online group therapy, online individual therapy, couples therapy, family therapy, IOP and more.
Do you offer therapy in languages other than English?
Many of our therapists are bilingual or they speak other languages, so it's just a matter of the therapist. So, we probably do have a therapist who speaks your native language. However, Grouport primarily offers therapy in English, so if you speak english you’ll definitely be good. Our group sessions are also predominantly done in English. If you're comfortable discussing your emotions and experiences in English, therapy can work well even if it's not your first language and you’re not perfect at it. Ultimately, it's more important to work with a quality therapist who specializes in your needs even if there are some gaps in communication due to language barriers. Let us know what language support you need and we’ll discuss the therapist options we have for you.
What if I'm dealing with discrimination or racism where I live?
Experiencing discrimination based on race, ethnicity, religion, nationality, or being a foreigner affects mental health. Whether it's overt hostility or daily microaggressions, it's exhausting and painful. Therapy provides space to process the hurt and anger, develop coping strategies, and figure out how to protect yourself emotionally.
Can I leave a group if it's not working for me?
Yes, but planned endings benefit both you and the group. If the group isn't helping after 6-8 sessions, discuss concerns with the therapist first as well as a care coordinator and sometimes the therapist can ultimately make adjustments that will result in a major difference for you. If you're certain the group isn't the right fit, you can always switch groups as fit is important and dictates the quality of your experience in group. This is why we provide the flexibility to switch groups at any time, and our care coordinators will work with you to make sure you’re satisfied with whichever group fit you’re in.
What if someone in the group triggers me?
Bring it up to your group. The therapist helps manage group dynamics and navigate these kinds of things. Sometimes triggers in group therapy sessions are actually useful material to work with since they're showing you something important. Therapists are trained to handle conflict and difficult emotions arising in group settings. Being uncomfortable isn't the same as being harmed and groups work through that challenge. The therapist ensures safety while allowing growth-promoting discomfort as long as it's in fact therapeutic. If ultimately, it becomes constant and it is no longer helpful for your progress, you can always discuss it with the group therapist or switch to another group that would be a better fit.
Can I be in an online therapy group if I have social anxiety?
Yes, and actually online group therapy is highly effective for social anxiety specifically. Initial anxiety about joining is normal and expected. It's practice in a safe environment and you get to work on the very thing that scares you with support right there. Most people with social anxiety find that the fear of group therapy is way worse than the reality. Social anxiety only improves through experience and not avoidance, so group provides a structured opportunity for this. Many people who have social anxiety find that group therapy is the number one driver of their improvement.
What if I'm the only one with my specific problem?
You don't need identical problems to benefit from online group therapy. So while your exact situation might be unique, you'll be with people who have similar struggles. Even really different problems often share underlying patterns like isolation, fear, shame, difficulty trusting. Those commonalities matter more than identical circumstances. If you have a particular diagnosis then diagnosis-specific groups would be helpful and that’s why groups are typically structured around certain diagnoses like a trauma group, eating disorder group, OCD group, a BPD group, or it can be a group that focuses on a particular type of treatment like DBT, CBT, EMDR that’s helpful for certain things or it might be a general group for folks who have commonalities of some sort.
Is the video platform for online therapy sessions secure and HIPAA-compliant?
Yes, Grouport uses a fully HIPAA-compliant video platform with end-to-end encryption to protect your online therapy sessions. This means your video and audio are encrypted from your device to your therapist's device, preventing anyone from intercepting or viewing your sessions. Our security measures meet or exceed healthcare industry standards and are regularly audited for compliance. Your session data is never recorded or stored unless you specifically request it, and all transmitted information is protected by the same security used by banks and healthcare systems.
Is online therapy confidential?
Yes, online therapy with Grouport is completely confidential and protected by the same privacy laws (HIPAA) as in-person therapy. Everything you discuss with your therapist remains private unless you give permission to share information or there's a legal requirement (such as risk of harm to yourself or others). Our video platform uses bank-level encryption to protect your sessions from unauthorized access. Your therapist maintains the same professional confidentiality standards as traditional in-person therapy, and all our systems are HIPAA-compliant to ensure your information stays secure.
Do you offer sliding scale pricing?
Grouport's online format already provides significant cost savings - 40-70% below traditional therapy rates. While we don't offer individual sliding scale adjustments, our group therapy option provides the most affordable access at just an average of $32 per session ($140/month). We also accept HSA/FSA cards, which reduce costs by 20-30% through tax savings, and can provide receipts for out-of-network insurance reimbursement. You’ll also receive discounts if you pay quarterly or biannually or anytime you do multiple sessions together there are discounts automatically included in those plans.

Group Therapy Available Across China.

Counties

Beijing, Shanghai, Tianjin, Chongqing, Guangdong, Jiangsu, Zhejiang, Shandong, Sichuan, Hubei, Fujian, Hunan, Henan, Hebei, Liaoning, Yunnan, Shaanxi, Guangxi, Anhui, Jiangxi, Heilongjiang, Jilin, Shanxi, Guizhou, Gansu, Hainan, Xinjiang, Inner Mongolia, Ningxia, Qinghai, Tibet, Hong Kong SAR, Macau SAR.

Cities

Shanghai, Beijing, Guangzhou, Shenzhen, Chengdu, Hangzhou, Chongqing, Wuhan, Nanjing, Tianjin, Xi'an, Suzhou, Qingdao, Dalian, Xiamen, Kunming, Changsha, Zhengzhou, Hefei, Fuzhou, Ningbo, Jinan, Harbin, Shenyang.

Zip Codes

100000, 100010, 100022, 100025, 200000, 200003, 200070, 518000, 518028, 510000, 510610, 610000, 610041, 300000, 300201, 110000

If you have an address in China, Grouport can serve you regardless of your zip code.

Online Group Therapy Available Worldwide

Grouport offers online group therapy available globally for people in 200+ countries. Find a group led by a licensed therapist that fits your needs.

Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Colombia Comoros Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Côte d'Ivoire Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of the Congo Reunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
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Let’s find the right therapist match for you, so you can get consistent & effective care.

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