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

17.9% of Cuban adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.

Wait Time

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

Median Household Income

$14,200 median household income in Cuba, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

55.0% of Cuban adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

99% of Cuba's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

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

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.

99% of Cuba's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

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 $14,200 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

  • 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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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.

Will Grouport therapists respect the mix of Catholic, Santeria, and secular beliefs common among Cuban members?

Yes. Grouport's licensed therapists work with Cubans whose spiritual lives range from practicing Catholicism to Santeria and Palo traditions to fully secular worldviews shaped by decades of state atheism. Faith is treated as personal context, never as something to argue with or convert. Weekly video groups of 6-12 members focus on evidence-based skills like CBT and DBT, applied to your own life and language of meaning. Sessions are HIPAA-secure and confidential, so you can speak openly without concern about neighbors, workplaces, or CDR-level community networks in Havana or Holguin.

Can Havana tourism workers and medical professionals fit Grouport sessions around long, unpredictable shifts?

Yes. Cuba Standard Time sits on UTC-5, the same as US Eastern, so Grouport's weekday evening and late-evening groups land in the natural post-shift window for hotel, restaurant, and hospital staff across Havana, Varadero, and Santiago de Cuba. Sessions run once a week for a fixed hour with 6-12 members and a licensed therapist, so you can plan around rotating turnos. At $32 per session you join right away, log in over home ETECSA or mobile data, and keep continuity even when your on-site schedule shifts.

Do I have to commit long-term or can I just try it?
No long-term commitment required. Grouport operates month-to-month. Try it for a month, see if it helps, continue or cancel. Most therapists recommend giving therapy at least 8-12 sessions to really assess whether it's working, but you're not locked into contracts. Month-to-month flexibility makes it lower-risk to try. Additionally you can always switch therapists or groups at any time, so we’ll work with you to make sure you're happy with the fit.
What if I'm dealing with poverty or financial stress?
Financial stress affects mental health everywhere. Therapy helps you cope with the anxiety and depression that come with economic insecurity. If money is tight, group therapy costs less than individual therapy so that might be a great way to affordably access therapy. Through our platform, we want therapy to be accessible.
Can therapy help with work stress in my country?
Work culture varies by country. Some countries have intense work demands, limited worker protections, or expectations that harm mental health. Whether you're dealing with burnout, toxic workplace, career pressure, or unemployment stress, therapy addresses work-related mental health impacts regardless of where you live.
What if I want to work on issues but don't want to share details?
You don't need to share every detail to benefit from group. You can participate meaningfully without sharing every detail of your life. You can keep it high level by talking about patterns, feelings, or what you're struggling with conceptually. Ultimately, you totally control your level of disclosure. Many people surprise themselves by sharing more than expected once trust builds. By recognizing the commonalities people experience in the group, most people ultimately feel comfortable sharing more than what they would have though they’d feel comfortable sharing. It is precisely being vulnerable with others and confiding in others, which serves as a major driver of improved therapeutic outcomes and why online group therapy is so successful.
Can I join a group if I'm already in crisis?
It depends on the crisis type and severity. Severe crises typically require more intensive treatment like IOP, PHP, or hospitalization before group therapy by itself is appropriate as groups can't provide crisis-level support. In a crisis you typically need more intensive care. You can always join a group after crisis stabilization. If you're in crisis during group membership, a care coordinator can help you get additional individual support, more frequent intensive care that combines multiple group sessions with individual therapy, perhaps medication management, or connects you with appropriate crisis resources while maintaining your group participation if safe and appropriate. Often groups help stabilize you through connection and support, but sometimes you need more intensive work first. An assessment conversation with a therapist can help figure out the best treatment plan.
Can groups help with chronic illness or medical challenges?
Living with ongoing chronic health challenges is isolating and many people don't get what it's like. Being in group therapy with others managing chronic conditions reduces that isolation significantly. You’ll also get practical coping strategies from people who actually live the same or similar reality. Groups help members live fully despite limitations their chronic illness may present.
What if group members give conflicting advice?
Multiple perspectives can be actually valuable. You're getting different viewpoints, then deciding what resonates with your situation. First consider what others are saying, and then find what works for you. Like anything in life, take what helps for you, and anything that’s unproductive disregard.
Do I need to download any software?
If your sessions happen through our member portal, then no, Grouport's therapy platform works directly through your web browser, no downloads or installations are required. Simply click the session on your home page within your member portal, and you'll join your session from there. If your sessions happen outside of our member portal, then you should download Zoom on your device which can be downloaded for free. If your sessions happen outside of our member portal, you’ll receive an auto session reminder email 24-hours before each session with a unique HIPAA compliant Zoom link to join that week’s session. Our care coordinators and technical support staff will assist you with anything you need, to ensure you know how to smoothly access your sessions.
Can I use my phone for video sessions?
We recommend joining from a computer, laptop or tablet in a private setting as that typically provides for a better therapeutic experience. If you’d prefer to join from a smartphone, you can absolutely do so as our platform works well on smartphones (both iPhone and Android). Using your phone can be convenient as it allows you to attend therapy from anywhere private. However, we recommend using WiFi rather than cellular data when possible to ensure stable video quality and avoid data charges. Consider using headphones for better audio quality and privacy, and position your phone so your therapist can see your face clearly (many clients use a phone stand). While phones can work well, many clients prefer larger screens like tablets, laptops, or computers for a more immersive experience.
What happens if my internet cuts out mid-session?
If your internet disconnects during a group session, rest assured your therapist will still be there as it's a group session with other group members, so they will be there when you rejoin. For private sessions, like individual therapy, your therapist will wait 20 minutes for you to reconnect. Try refreshing your browser, using a private or different web browser, restarting your device, switching to a different device, or switching to mobile data if wifi isn’t working. If you can’t resolve the issue contact our technical support team at and they will work with you on resolving.

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

10100, 10200, 10300, 10400, 10500, 10600, 10700, 10800, 10900, 11000

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 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
See all areas we serve →

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Let’s find the right therapist match for you, so you can get consistent & effective care.

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