Get Better, Together

Group therapy in Cuba, without the twenty-week wait.

Cuba's public mental health system is admired for its community focus, but demand outpaces the 0.44 mental health workers per 100,000 people that WHO counts on the island. Grouport connects Cubans who have reliable internet to a licensed therapist and a small English-language group of 6 to 12 peers, usually right away of signing up, at $32 a session.

Dialectical Behavior Therapy

The State of Mental Health in Cuba.

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

Mental Illness Prevalence

13% of Cuban adults are estimated to experience a mental health condition each year.

Wait Time

20 weeks typical wait to see a psychologist through the public polyclinic referral chain.

Median Household Income

$24,000 GNI per capita, PPP

Percentage Who Need Therapy

68% of adults in the Americas who need mental health care do not receive it (PAHO/WHO)

Provider Shortage

0.44 per 100k mental health workers on the island.

Mental Health Providers per 100k Residents

~13,000 per 100k adults living with a diagnosable condition at some point in a given year (regional prevalence applied to Cuba's 10.98M population)

These figures come from the WHO Global Health Observatory and PAHO's Americas region tracking. Cuba's workforce number, 0.44 psychiatrists, psychologists, nurses and social workers per 100,000 combined, is one of the lower ratios in the Caribbean despite the country's investment in primary care. With a population of roughly 10.98 million and regional prevalence patterns, the working assumption is that well over a million Cubans could benefit from talk therapy in any given year, while only a fraction reach a specialist.

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in Cuba.

The Problem

Cuba built its mental health model around the family doctor and polyclinic system, which handles first contact well but funnels specialist demand to a very thin bench. WHO records 0.44 mental health workers per 100,000 people, so roughly 48 specialists for the entire 10.98 million. The economic squeeze of the past few years, the 2021 monetary reform and shortages of imported psychotropic medication have added pressure at exactly the moment household stress has risen. Provincial hospitals in Santiago, Camaguey and Pinar del Rio report the longest queues.

The Impact

For a person in Havana or Holguin trying to see a psychologist, the twenty-week wait is not an abstraction. It usually means several polyclinic visits, a referral, a hospital appointment weeks later, and then a first session that may be brief because the clinician is running a full daily list. Rural patients frequently travel to a provincial capital by guagua or shared taxi, adding cost and lost work hours. Many people simply stop pursuing care after the second or third delay and rely on family support instead.

The Solution

Online group therapy sidesteps most of the friction points in the Cuban pathway. There is no polyclinic referral, no provincial hospital visit, no queue behind hundreds of other names. A Grouport member fills out a short intake, is matched with a licensed therapist who runs a specific weekly group (anxiety, depression, relationships, DBT skills, grief and others), and joins from a laptop or phone. Groups run in English, which is workable for the growing share of Cubans, particularly younger urban professionals and returning migrants, comfortable in a second language.

0.44 per 100k mental health workers on the island.

Concretely, Grouport replaces the 140-day public wait with an immediate therapist match, replaces the trip into Havana's Hermanos Ameijeiras or a provincial hospital with a video call, and replaces the specialist shortage with access to the wider licensed workforce. The service is HIPAA-compliant, groups cap at 12 so each voice gets airtime, and sessions are $32 each on a $140 monthly plan. What it needs from the member is a reliable connection, which in Cuba usually means an ETECSA Nauta Hogar line, a mobile 4G plan with enough data, or a stable Wi-Fi zone.

Access and Availability Across Cuba.

Mental health access in Cuba is a story of two systems running in parallel: a public network that is universal on paper but rationed in practice, and, for those who can pay, a very limited private consulta. Grouport fits neither mold. It is a third path, delivered over the internet, priced in US dollars, and available to any Cuban resident who can join a video call at the scheduled time each week.

Geographic Barriers

Although 77.2% of Cubans live in urban areas, the specialist geography is even more concentrated than that number suggests. The bulk of psychologists and psychiatrists sit in Havana, Santiago de Cuba, Santa Clara and Camaguey. Someone in Baracoa in the far east, or in a rural municipality of Pinar del Rio, may be a full day of travel from the nearest specialist appointment. The Isla de la Juventud adds a ferry or short flight to the equation. Online delivery makes geography irrelevant as long as connectivity holds.

Extended Wait Times

Twenty weeks is the typical wait once a family doctor refers a patient to a psychology consulta, and that clock only starts after the referral itself is written. During those five months a person is expected to lean on the family doctor, family, and, in some municipalities, a grupo de ayuda mutua. For someone whose anxiety or depression is actively disrupting work or sleep, that is a long stretch to be functionally unattended. Grouport's immediate match window means a first group session usually happens the same week as intake.

Systemic Challenges

Cuba's health system is public and, in principle, free at the point of use, so private out-of-pocket therapy has historically been rare and informal. What has changed is the economic layer: since the 2021 Tarea Ordenamiento, dollar-denominated services have grown, remittances have become a larger share of household income, and MLC accounts sit alongside the peso. Grouport bills in USD, which fits how many families now handle discretionary spending. There is no local insurance to file against and no reimbursement, but there is also no gatekeeper deciding whether care is warranted.

Urban-Rural Divide

With 77.2% urbanization, roughly 2.5 million Cubans live outside cities and towns of any size. Rural Guantanamo, Granma and the Ciego de Avila countryside are the sharp end of the specialist shortage. For those residents, access has traditionally meant either doing without, or making the trip to a provincial hospital. Online group therapy shifts the question from can I get to a psychologist to do I have a private corner and a working connection for an hour a week, which is a solvable problem for most rural households now that ETECSA has extended 4G coverage widely.

For Cuban adults looking for licensed group therapy with a small cohort of peers at $32 per session, Grouport delivers weekly sessions on video, from anywhere in Cuba with a stable internet connection, without a wait and without traveling to Havana.

Affordable Group Therapy Costs for Cuba Residents.

Affordability and Income

Against WHO's regional GNI per capita PPP figure of roughly $24,000 for the Americas, the $140 monthly cost is about 7% of a monthly share of that income. In Cuba's own peso terms the picture is more nuanced, since state salaries and remittance-fed household budgets sit at very different levels. For families receiving regular remittances from Miami, Madrid or Mexico City, a $140 line item is comparable to a modest data plan. For state-salary-only households it is a larger commitment and the shared group model, rather than one-to-one therapy at multiples of the price, is what makes it feasible.

Hidden Cost and Barriers

Public therapy is nominally free but rarely costless. A rural resident may spend 200 to 500 pesos per round trip on shared transport to a provincial hospital, plus a full day away from work or caregiving. Repeated visits during the assessment and follow-up phase compound quickly. Urban patients avoid the travel bill but often lose half a workday per appointment. Online group therapy removes the travel, the waiting-room hours and the informal cost of getting a cita, and replaces them with a scheduled hour on a device you already own.

Immediate Availability

The financial argument only holds if the service is actually available, and this is where the model diverges most sharply from local pathways. Grouport matches members to a therapist and group right after intake. There is no waitlist, no referral, no medical justification form. The trade-off is the format: group rather than individual, English rather than Spanish, weekly rather than on demand.

Private therapy inside Cuba, when it exists at all, is quietly priced in dollars or MLC and varies widely between provinces. Public therapy is free but slow. Grouport sits between those two realities at $32 per weekly session, billed as a $140 monthly membership that includes weekly group sessions with a licensed therapist.

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 Cuba.

Grouport runs weekly groups across most of what a Cuban member would go to a psychologist for: generalized and social anxiety, depression, grief and bereavement, relationship and family conflict, trauma and PTSD, and DBT skills for emotional regulation. The migration and family-separation stress that shows up in many Cuban households, whether from a partner in Uyuni or a child in Tampa, is a common thread across the anxiety and depression groups. Members choose the group that matches their reason for signing up and can switch as their focus changes.

Find your groupa group of nine people chatting online

Get Help for:

Self harm

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

Common Treatments

Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Exposure Response Prevention (ERP), Exposure Therapy, Internal Family Systems (IFS), Eye Movement Desensitization & Reprocessing (EMDR), Acceptance & Commitment Therapy (ACT), Psychodynamic Therapy, Motivational Interviewing (MI), Emotionally Focused Therapy (EFT), Rational Emotive Behavior Therapy (REBT), Trauma-Focused CBT (TF-CBT), Narrative Therapy, Schema Therapy, Solution-Focused Brief Therapy (SFBT), Somatic Therapy, Mindfulness-Based Cognitive Therapy (MBCT), Cognitive Processing Therapy (CPT), Prolonged Exposure (PE), Interpersonal Therapy (IPT), Behavioral Activation

  • 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.

Every Grouport group is led by a licensed therapist, most commonly holding an LCSW, LMFT, LPC or PsyD credential. They work in English and are experienced with international members, including Cuban members navigating the specific texture of life on the island: dual-currency budgeting, family split across borders, and the daily rhythm of resolviendo. Therapists are not expected to have lived in Cuba, but they are briefed to work with cross-cultural context rather than assume a US framework applies wholesale.

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 Cuba.

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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or Learn More

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 Cuba.

How does Grouport compare to the therapy options currently available inside Cuba?

Cuba has roughly 0.44 psychologists per 100,000 workers and average waits near 20 weeks to begin care through the public system, which handles the majority of mental health services on the island. Private practice exists but is limited, informal, and concentrated in Havana, and most Cubans reach a specialist only after a long referral chain through a polyclinic or family doctor.

Grouport works differently. There is no waitlist for the next open cohort, no referral required, and no travel to a clinic. You are placed into a small ongoing group led by a licensed U.S. clinician within about a week of signing up, and sessions run weekly at a fixed time. Because it is a subscription paid in U.S. dollars, the cost profile is closer to a Western online service than to local Cuban rates, so it tends to fit best for members with remittance support, remote income, or family abroad who value speed of access and English-language group work over local, in-person care.

How does Grouport fit for someone joining from Cuba?

Grouport is designed to work for people connecting from Cuba who want structured, English-language mental health support that isn't tied to the island's public system or scarce private practice. Sessions are held over secure video, so all you need is a reliable internet connection and a private space; there is no in-person requirement and no local licensing barrier since our clinicians serve international members from their U.S. bases.

Our schedule spans multiple U.S. time zones, and Cuba sits in the Eastern time band, which means most evening groups line up naturally with a Cuban workday. Payment is handled in U.S. dollars through international card processors, which is the same route most Cubans already use for other online subscriptions. Groups are conducted in English, so a comfortable working level of the language is important; members outside the U.S. join our worldwide cohorts rather than state-specific ones.

How much does online therapy typically cost?
It varies a lot. Grouport's individual therapy costs less than traditional in-person therapy, which typically runs $150-$300+ per session depending on where you live. For example, Grouport’s individual therapy sessions average $103/session. Online group therapy is more affordable, Grouport's group therapy is $25- $35/session or $140/month total, that’s less than the cost of one in person individual therapy session. What surprises a lot of people is that self-pay rates are usually cheaper than going through insurance after you factor in copays and deductibles. Online platforms often cost less than in-person because there's no office overhead to pay for. Not to mention, Grouport offers discounts when you combine sessions together or are doing more than one session per week.
How much does Grouport cost in my currency?
Pricing is in US dollars. Group therapy sessions range from $25-$35 USD per session, and individual therapy averages $103 USD per session. Your bank will convert the charge to your local currency. Exchange rates affect the final amount you pay, but those are the amounts you can expect to pay for group therapy and individual therapy. The rates for family therapy, couples therapy, virtual IOP, self guided programs, or bundles combining different types of therapy at different levels of intensiveness varies. Whenever you are doing more than one session per week, there are always discounts included.
How do time zones work for international clients?
Our therapists are located all over the world and work various hours to accommodate different time zones. Depending on where you live, sessions might be in your morning, afternoon, evening, or night. We'll work with you to find times that fit your schedule and our therapists' availability.
Can I access Grouport if I don't live in the US?
Yes. Grouport serves clients all over the world. We work with people in the UK, Ireland, Canada, Australia, Europe, Middle East, Asia, and elsewhere. As long as you have internet access and can attend sessions during available times, you can use Grouport. We offer session times at all times of the day for both individual and group therapy, so we can get you set up with sessions at times that are convenient for your schedule.
What size are the online therapy groups?
Grouport’s online therapy groups typically have 6-10 members on average. This size is ideal because it's small enough that everyone can participate in each session and receive individual attention, yet large enough to provide diverse perspectives and peer support. It’ll feel like your group of people that you consistently meet with each week, and this is tremendously helpful as its a reliable space of people you can confide in on a regular basis.
What if I don't want to hear about other people's problems?
This concern is understandable as when you're struggling, it seems counterintuitive that listening to others' problems can help you. However, online group therapy works differently than expected as hearing others describe similar struggles reduces isolation and shame, observing others' progress provides hope and practical strategies that you can implement, giving support to others builds confidence and purpose, and different perspectives help you see your situation more clearly, and witnessing others' challenges often provides needed perspective on your own. Online Group Therapy isn't just venting about problems, but rather it's active problem-solving and skill-building together. If group feels like it's dragging you down rather than helping, perhaps it’s a matter of the group fit and it's worth exploring a different group fit, or individual therapy might be a better fit. But most people find that supporting and learning from others is surprisingly beneficial, and that is why the majority of our members do online group therapy as a primary part of their treatment plan.
How is online group therapy different from online individual therapy?
Online Group therapy differs from individual therapy in several ways in that you share therapist attention with other members versus exclusive focus on you, you receive feedback from multiple perspectives not just the therapist, you learn by observing others' experiences and progress, and you practice interpersonal skills in real-time with peers. Groups create this whole other dimension as you get multiple perspectives and see how others handle similar problems which helps you feel less alone. Cost per session is typically lower than individual therapy, as groups cost about $25 - $35 per group session. Group provides community and reduces isolation in ways individual therapy cannot. However, individual therapy offers personalized attention, and exploration of issues you might not share in groups. Many people benefit from both simultaneously, group for skill-building and support and individual therapy for deeper personal work. Neither is better, they serve different functional needs but have complementary purposes. Many people find group therapy to be more powerful than individual therapy because of the connection factor.
What is online group therapy?
Online Group therapy is mental health treatment where 6-12 people with similar concerns meet regularly with a licensed therapist over video chat. Unlike individual therapy's one-on-one format, online group therapy leverages peer support and shared experiences for healing. Members share challenges, give and receive feedback, practice new skills together, and learn from others' perspectives and progress. Groups may focus on specific issues like anxiety, depression, grief, DBT skills, CBT, OCD, trauma & PTSD, Borderline Personality Disorder, Bipolar, anger management and more. Groups can also be general process groups addressing various concerns. The therapist facilitates group dynamics, teaches skills, and guides productive interactions. Research shows group therapy is as effective as individual therapy for many issues and provides unique benefits individual therapy cannot address. Because of this, Online Group Therapy has complimentary benefits, and is often a major driver of improved therapeutic outcomes for people who feel stuck as learning through others' experiences gives the accountability and adherence needed to stick with treatment and keeps you on track with what successful treatment looks like.
What payment methods do you accept?
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.
How does online therapy work?
Online therapy with Grouport works through video sessions where you meet with a licensed therapist from the comfort of your home. After you sign up, we match you with a therapist within 24-48 hours based on your needs, schedule, and preferences. Sessions are conducted via our HIPAA-compliant video platform - you simply log in at your scheduled time and connect with your therapist. You'll receive the same evidence-based treatment and professional care as in-person therapy, with the added convenience of attending from anywhere.

Group Therapy Available Across Cuba.

Counties

Pinar del Rio, Artemisa, La Habana, Mayabeque, Matanzas, Cienfuegos, Villa Clara, Sancti Spiritus, Ciego de Avila, Camaguey, Las Tunas, Granma, Holguin, Santiago de Cuba, Guantanamo, Isla de la Juventud (special municipality)

Cities

Havana, Santiago de Cuba, Camaguey, Holguin, Santa Clara, Guantanamo, Bayamo, Las Tunas, Cienfuegos, Pinar del Rio, Matanzas, Ciego de Avila, Sancti Spiritus, Manzanillo, Cardenas

Zip Codes

Grouport serves all zip codes across Cuba. If you have an address in Cuba, 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 Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Colombia Comoros Cook Islands Costa Rica Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea 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 Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Samoa San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom 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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