Get Better, Together

Group Therapy in Ecuador, Without the 16-Week Wait.

Grouport connects English-speaking residents across Ecuador to licensed therapists and 6-12 person online groups at $32 per session. Instead of navigating Quito's psychiatric appointment queue or traveling to a private consulta in Guayaquil, members join weekly HIPAA-compliant video sessions from wherever they live in the country.

Dialectical Behavior Therapy

The State of Mental Health in Ecuador.

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

Mental Illness Prevalence

17.8% of Ecuadorian adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.

Wait Time

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

Median Household Income

$11,800 median household income in Ecuador, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

78.0% of Ecuadorian adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

94% of Ecuador's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

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

Ecuador's mental health workforce sits at 3.01 professionals per 100,000 people, well below the Americas regional average. With a population of roughly 18.1 million, that translates to only a few thousand psychiatrists, psychologists, nurses and social workers combined for the entire country. That across Latin America, more than three quarters of people with a treatable mental health condition go without care in a given year.

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in Ecuador.

The Problem

Ecuador's mental health system is thinly stretched. The country reports 3.01 mental health workers per 100,000 residents, and specialty services cluster inside a handful of hospitals: the Hospital Psiquiatrico Julio Endara in Quito, the Instituto de Neurociencias in Guayaquil, and a small number of MSP outpatient units. Outside Pichincha, Guayas and Azuay, publicly funded psychology hours are scarce, and private consultas in Cuenca or Manta routinely quote $40-$80 per session in cash.

The Impact

For a household living on Ecuador's Atlas GNI of $6,400 per capita, a $60 private session is close to a full day's income. In the public IESS and MSP systems, waits of around 9 weeks for a first psychology appointment are common, and rural residents in Esmeraldas, Morona Santiago or the Galapagos may add a domestic flight or an overnight bus to Quito on top of that. Ongoing weekly therapy under those conditions is out of reach for most families.

The Solution

Online group therapy compresses the distance between an Ecuadorian resident and a licensed clinician into a video call. Grouport places members into 6-12 person groups organized around a specific focus, facilitated weekly by a licensed therapist. At $32 per session or $140 per month, the cost sits below most private in-person rates in Quito and Guayaquil, and the schedule does not depend on local specialist availability.

94% of Ecuador's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Because Grouport groups run over HIPAA-compliant video, members in Loja, Ambato or Santo Cristobal join the same session as members in Quito. Therapist matching happens right away instead of the 9 weeks a public referral typically takes. Sessions are conducted in English, which fits professionals, students and expatriate residents who already work or study in English. Payment is in US dollars, Ecuador's official currency, so there is no FX conversion or international-card surcharge.

Access and Availability Across Ecuador.

Access to mental health care in Ecuador depends heavily on where a person lives, what insurance they hold, and which language they can be treated in. With only 3.01 mental health workers per 100,000 residents, even the best-served cities operate with limited specialist capacity, and coastal, Amazonian and highland communities outside the main urban corridor face additional friction on top of the national shortage.

Geographic Barriers

Ecuador's geography stacks the deck against in-person therapy. The Sierra, Costa, Oriente and Galapagos regions are separated by the Andes and by long stretches of two-lane road, and specialist mental health facilities concentrate in the Quito-Guayaquil-Cuenca triangle. A resident in Nueva Loja or Puerto Ayora who wants a psychiatrist appointment typically has to plan a multi-day trip. Online sessions collapse that geography: the same broadband or mobile connection that supports a WhatsApp video call is enough for a Grouport group.

Extended Wait Times

Public-sector waits of roughly 9 weeks (about 112 days) for a first psychology appointment are common in the MSP and IESS networks, and specialty psychiatric care can stretch further. For someone who has just decided to seek help, four months is a long window in which motivation, symptoms and life circumstances all shift. Grouport's immediate therapist matching means an Ecuadorian member can can join a group right away, without the referral chain the public system requires.

Systemic Challenges

Coverage in Ecuador is split between the Ministry of Public Health (MSP), the social security institute IESS, the police and military systems, and private insurers such as Salud SA, BMI and Ecuasanitas. Mental health benefits inside these plans vary widely: MSP covers care at public facilities but only where staff exist, IESS affiliates face internal waitlists, and private plans often cap psychology sessions per year or exclude group formats. Grouport bills members directly in USD and does not depend on any local insurer authorizing the visit.

Urban-Rural Divide

About 63.2% of Ecuador's population lives in urban areas, and mental health providers are far more concentrated than even that figure suggests. Quito's Pichincha province and Guayaquil's Guayas province host the majority of licensed psychologists and psychiatrists, while the Amazonian provinces of Napo, Pastaza and Zamora Chinchipe operate with a handful of specialists each. A rural or peri-urban resident with a reliable internet connection can join a Grouport session on the same footing as someone in the Mariscal district of Quito.

For Ecuadorians who want structured weekly group therapy without a multi-month wait or a trip to the capital, Grouport offers licensed clinicians and small English-language groups on a predictable monthly plan.

Affordable Group Therapy Costs for Ecuador Residents.

Affordability and Income

Measured against Ecuador's World Bank 2024 GNI per capita of $11,800 PPP (or $6,400 Atlas method), a $140 monthly Grouport membership is a defined, budgetable line item rather than a variable clinic bill. For a household comparing the cost of four weekly $60 private sessions in Cuenca or Ambato against a $140 monthly Grouport plan, the online option is typically less than half the price for the same session cadence.

Hidden Cost and Barriers

In-person therapy in Ecuador carries costs that never appear on the invoice. A resident in Ibarra or Portoviejo who sees a specialist in Quito or Guayaquil adds bus fare, sometimes a domestic flight from Coca or San Cristobal, meals on the road and lost work hours. Parking in central Quito and Guayaquil is its own expense. A Grouport session runs from a laptop or phone at home, so the ticket price and the total price are the same number.

Immediate Availability

Because Grouport matches members to a group right away, there is no 9-week gap between signup and first session during which a paid plan sits unused. Members begin using what they pay for almost immediately, which is a meaningful difference from public-system waits where the calendar cost is measured in months.

Private therapy in Ecuador is typically quoted in cash US dollars. In Quito and Guayaquil, individual sessions with a licensed psychologist commonly run $40-$80, and psychiatric consultations $60-$120. Public MSP and IESS appointments are subsidized but gated by waitlists. Grouport's $32-per-session, $140-per-month structure sits below the low end of the private market and removes the up-front unpredictability of paying per visit.

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 Ecuador.

Grouport runs online groups focused on anxiety, depression, obsessive-compulsive patterns, grief and loss, trauma and PTSD, relationship difficulties, dialectical behavior therapy skills, and teen mental health. Ecuadorian members join groups organized around the same clinical focus as members elsewhere in the Americas, and matching considers time zone, focus area and group composition. Sessions run in English and are facilitated by therapists licensed.

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 and hold graduate-level training as LCSWs, LMFTs, LPCs or licensed psychologists. Facilitators regularly work with international clients, including Ecuadorian professionals, students and expatriate residents, and structure sessions around evidence-based modalities such as CBT, DBT skills training and process-oriented group work. All sessions are delivered in English over HIPAA-compliant video.

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 Ecuador.

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 Ecuador.

If I live in the Galapagos or the Amazon region and would otherwise fly to Guayaquil for care, how does Grouport help me skip that trip?

Ecuador's specialists cluster in Quito, Guayaquil, and Cuenca, leaving Galapagos residents and Amazon-province clients facing flights or 16-week public-system waits just to sit with a therapist. Grouport removes that travel entirely: weekly video groups of 6 to 12 members, led by licensed therapists, run over HIPAA-secure video from any connection. Mainland Ecuador's UTC-5 timezone lines up cleanly with US Eastern session slots, pricing is $32 per session in your local USD, and you join right away with immediate group start.

How does Grouport's communication style compare to therapy norms in Quito or Cuenca, where sessions often lean formal and family-mediated?

Grouport groups use a warm, direct facilitation style that invites members to speak in their own words rather than through family intermediaries or clinical formality common in Ecuadorian consultorios. Licensed therapists guide weekly video sessions of 6 to 12 members, modeling active listening and structured turn-taking so quieter voices are heard. English-speaking expats in Cuenca and Salinas, plus urban professionals in Quito and Guayaquil, join right away for $32 per session over HIPAA-secure video, with a conversational tone that feels supportive from the first meeting.

What if I want to do therapy more than once a week—does it cost more?
Yes, more sessions does mean more cost. The good thing though is that whenever you add sessions it is always at a discounted price. So, if you are doing more than one thing per week, naturally in each plan you get discounts for doing more than one session per week. There are also additional discounts if you pay quarterly or biannually.
What if I'm dealing with healthcare access issues where I live?
If you're in a country with limited healthcare, expensive medical care, or healthcare you don't trust, that creates legitimate anxiety. Therapy can't fix healthcare systems but helps you cope with the fear about medical access and make plans for health emergencies. If the access pertains to mental health care access, that’s what we help with directly through all our therapy options.
Can therapy help with immigration stress?
Immigration processes are stressful. Visa applications. Documentation requirements. Uncertainty about legal status. Fear of deportation. Separation from family. Having to prove you deserve to be somewhere. Therapy helps you cope with immigration anxiety. Your therapist maintains confidentiality about your immigration status.
Is group therapy confidential?
Yes. Everyone in the group agrees upfront that what's shared in group stays in group and everyone in the group is there for a similar reason. The therapist maintains professional confidentiality just like in individual therapy. However, all group members must also agree to confidentiality as what's shared in group stays in group. Most group members take confidentiality seriously because they're also sharing vulnerable information and want the same protection. Many people find they're comfortable sharing in online group therapy sessions because others genuinely understand and respect the need for privacy. Keep in mind after all the members are there for the same reason you are.
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.
Will I have to share my story in front of strangers?
You're never forced to share anything in online group therapy. Groups work at your own pace, and many people observe for several sessions before actively participating, and that's completely acceptable. Good group therapists create safety where participation feels natural overtime. You might start by simply introducing yourself, then gradually share more as comfort builds. Many people worry about this initially but find that sharing with others who genuinely understand because they struggle in a similar way is less scary and more relieving than expected and it's precisely this vulnerability that leads to tremendous progress. Group members typically respond with empathy and support and not judgment. The therapeutic power comes partly from being witnessed and accepted by others. Most people find that they are naturally willing to open up over time and share more, as it's precisely this vulnerability and being open with others that leads to the bulk of therapeutic progress.
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.
Can I get reimbursed by my insurance for online therapy?
Many Grouport clients successfully get reimbursed through their out-of-network mental health benefits. Upon request, we can provide a detailed superbill that you can submit to your insurance company for reimbursement. Reimbursement rates typically range from 50-80% depending on your specific plan. To determine your out of network reimbursement coverage, call or email your insurance company and ask: "What are my out-of-network mental health benefits?" and "What percentage do you reimburse for out-of-network therapy (for the specific service you’re interested in)?"
Do you accept insurance?
We don't currently accept insurance directly. Grouport provides affordable care without pre-approvals or referrals. If you have out-of-network benefits, you may be able to submit for reimbursement depending on your plan. We can provide receipts upon request that you can submit for out of network reimbursement.
How long does it take to get matched with a licensed therapist?
For group sessions, most clients select their group directly upon signing up so they are matched right away. For private therapy sessions, like individual therapy or couples therapy etc. most clients are matched with a licensed therapist within 24- 72 hours of signing up. This quick turnaround is one of Grouport's key advantages over traditional in person therapy, where wait times average 8-12 weeks nationally. A dedicated care coordinator will get in touch with you upon signup to get you situated with the care that fits your schedule and goals. Once matched, you'll receive access to your sessions either through our member portal or through weekly session links that are emailed to your inbox 24-hrs before each session. You can typically schedule your first session within the same week upon signing up allowing you to start therapy right away rather than waiting months.

Group Therapy Available Across Ecuador.

Counties

Pichincha, Guayas, Azuay, Manabi, Loja, Tungurahua, El Oro, Los Rios, Imbabura, Chimborazo, Esmeraldas, Santo Domingo de los Tsachilas, Cotopaxi, Cañar, Carchi, Bolivar, Morona Santiago, Napo, Orellana, Pastaza, Sucumbios, Zamora Chinchipe, Santa Elena, and Galapagos.

Cities

Quito, Guayaquil, Cuenca, Santo Domingo, Machala, Manta, Portoviejo, Ambato, Riobamba, Loja, Ibarra, Esmeraldas, Latacunga, Milagro, Quevedo, Duran, and Puerto Ayora.

Zip Codes

170101, 170102, 170103, 170104, 170135, 170150, 170501, 170801, 090313, 090412, 090501, 010101, 010102, 060101, 180101

If you have an address in Ecuador, 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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