Get Better, Together
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.

Understanding the landscape of mental health care access and the challenges
residents face across the state.
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
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.
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 16 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.
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.
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 16 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 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.
Measured against Ecuador's World Bank 2024 GNI per capita of $15,420 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.
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.
Because Grouport matches members to a group right away, there is no 16-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.
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.
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!
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.
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.
Relationship Issues, Codependency, Attachment Issues, Divorce, Loneliness, Anger Management, Self-Esteem, Grief & Loss, Chronic Illness, Gender Dysphoria, Infertility, Fertility Treatment & IVF Support, Pregnancy Loss & Miscarriage, Couples Issues, Parenting, Supporting a loved one, LGBTQIA Support
Self-Harm, Suicidal Ideation, Self-injury, Suicide Survival
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

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.
a healthier future starts right here
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

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.
$35/session
billed at $140/month
Get Started

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.”
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."
Ecuador has roughly 3 mental health workers per 100,000 people, one of the lower ratios in the Americas region, and services are concentrated in Quito, Guayaquil, and Cuenca. If you live in the Sierra, Amazonia, coastal towns, or the Galapagos, in-person specialist care can require hours of travel or simply isn't available in your canton. Public IESS waitlists commonly stretch past 16 weeks for non-urgent mental health referrals.
Grouport works around those geographic and capacity constraints. Sessions run over secure video, so a stable internet connection is all you need. You're matched into a small group within days rather than months, and you get a licensed clinician facilitating structured, evidence-based work each week. For Ecuadorians who feel isolated from specialist care or who want to supplement local support, online group therapy fills a real gap in the country's mental health system.
In Ecuador, private psychology sessions typically run $30-$60 USD per hour in Quito or Guayaquil, with specialists or bilingual therapists charging $70-$100 per session. Public IESS mental health services are subsidized but often carry a 16-week average wait and limited group therapy availability.
Grouport's weekly group sessions come in below most private one-on-one rates in Ecuador while giving you a structured, therapist-led group format that local clinics rarely offer. Because Ecuador already uses the US dollar, there's no currency conversion or exchange-rate uncertainty when you're budgeting monthly. You also avoid transit costs to Quito, Cuenca, or Guayaquil clinics and can attend from Loja, Manta, the Galapagos, or anywhere with a stable connection. For many Ecuadorians, Grouport ends up comparable to a single private session per month while providing four weekly meetings.
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.
Quito, Guayaquil, Cuenca, Santo Domingo, Machala, Manta, Portoviejo, Ambato, Riobamba, Loja, Ibarra, Esmeraldas, Latacunga, Milagro, Quevedo, Duran, and Puerto Ayora.
Grouport serves all zip codes across Ecuador. If you have an address in Ecuador, Grouport can serve you regardless of your zip code.
Let’s find the right therapist match for you, so you can get consistent & effective care.
