Get Better, Together

Online Group Therapy for Gambians, Without the 12-Week Wait.

Gambia has roughly 6.58 mental health workers for every 100,000 residents, and the local wait for a therapy appointment sits near twelve weeks. Grouport connects Gambians with licensed therapists in immediate, running English-language group sessions over HIPAA-compliant video for $32 per session. No taxi to Banjul, no queue at Tanka Tanka.

Dialectical Behavior Therapy

The State of Mental Health in Gambia.

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

Mental Illness Prevalence

13% of Gambian adults are estimated to live with a diagnosable mental health condition each year regional modelling for West Africa.

Wait Time

12 weeks typical wait before a first therapy appointment through the public sector, and often longer for follow-up.

Median Household Income

$3,430 gross national income per capita, PPP-adjusted, one of the lower figures on the African continent.

Percentage Who Need Therapy

~85% of Gambians who could benefit from mental health support never receive formal treatment, in line with for the Sub-Saharan region.

Provider Shortage

6.58 per 100k mental health workers across the country, concentrated almost entirely in the Greater Banjul Area.

Mental Health Providers per 100k Residents

~13,000 per 100k residents are estimated to experience a mental health condition in any given year.

Figures for Gambia rely on WHO Global Health Observatory workforce data and World Bank national accounts (2024). The country has one publicly known psychiatric referral facility, Tanka Tanka Hospital in Kanifing, serving a population of 2.76 million. Community-level mental health data is sparse, and

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in Gambia.

The Problem

The Gambia's mental health system rests on a very narrow base. WHO records about 6.58 mental health workers per 100,000 people, meaning the entire country of 2.76 million shares roughly 180 trained mental health professionals across all cadres, and only a handful of those are psychiatrists. Tanka Tanka Hospital in Kanifing is effectively the national psychiatric referral centre, and general nurses in regional health centres often take on counselling duties they were not specifically trained for. Formal outpatient talk therapy, delivered by a qualified clinician, is not a routine feature of primary care.

The Impact

The knock-on effect for someone in Basse, Farafenni or Brikama is practical: a 12-week wait for an initial appointment is common, and reaching Kanifing may require a full day of travel by gelly-gelly and shared taxi. Time off work in an economy where the average income is $3,430 PPP per year is not a small cost, and neither is the transport fare itself. For many families the calculation ends before an appointment is ever booked, and mild-to-moderate difficulties are absorbed at home or through religious and community channels.

The Solution

Online group therapy re-shapes that calculation. Six to twelve participants share a facilitated hour with a licensed clinician, split the therapist's time, and cover a much lower per-session fee, $32 in Grouport's case, than one-to-one care would require locally or abroad. Because the sessions run in English, which is Gambia's official language of instruction and government, the group format works for professionals, students, and diaspora returnees who are comfortable in English regardless of whether Wolof, Mandinka or Fula is spoken at home.

6.58 per 100k mental health workers across the country, concentrated almost entirely in the Greater Banjul Area.

Grouport removes the geography problem outright. A resident of Janjanbureh joins the same session as someone in Serrekunda, and the therapist is a licensed clinician rather than one of Gambia's ~180 domestic mental health workers. Matching happens right away instead of a three-month queue, and the video platform runs on HIPAA-compliant infrastructure that works over the 4G networks Africell, QCell and Comium operate across most of the country. The only equipment needed is a smartphone or laptop with a stable connection.

Access and Availability Across Gambia.

Mental health services in Gambia are heavily centralised. A single psychiatric hospital in the Kanifing area handles inpatient referrals for the whole country, and community-based mental health workers are unevenly distributed across the eight local government areas. For most Gambians, "access" means either travelling to Greater Banjul or waiting for an occasional outreach visit, neither of which is a reliable way to sustain weekly talk therapy.

Geographic Barriers

Gambia is a narrow country stretching about 480 kilometres inland along the river, and moving from the Upper River Region to the coast can take the better part of a day on public transport. Ferries across the river at Farafenni and Banjul are subject to weather and mechanical delays, and rainy-season road conditions in Central River and Upper River Regions add further friction. For someone trying to keep a weekly therapy appointment, that logistical picture makes in-person care in Kanifing effectively out of reach outside the Greater Banjul Area.

Extended Wait Times

Twelve weeks is the working figure for a first mental health appointment in the public system, and follow-up cadences often stretch further because so few clinicians are absorbing so many referrals. In practice, someone struggling in April may not sit down with a provider until July, and may then see them again only in autumn. That gap is a long time to hold difficult experiences without support, and it is a common reason Gambians turn to family, imams, or traditional healers in the interval, routes that offer real comfort but do not replace structured clinical care.

Systemic Challenges

Gambia does not operate a national health insurance scheme, and mental health services are funded through the Ministry of Health's general budget with support from partners such as WHO and the Global Fund. Out-of-pocket payments cover most private consultations, and there is no widespread reimbursement pathway for psychotherapy in particular. The 2007 Lunatic Detention Act, still on the books at the time of writing, reflects how far the legal framework lags behind current mental health policy, and formal integration of counselling into primary care remains a work in progress under the National Mental Health Strategy.

Urban-Rural Divide

About 64.3% of Gambians live in urban areas, and almost all of those in the Greater Banjul conurbation of Banjul, Kanifing and Brikama. The country's specialist providers are concentrated in that same corridor, which leaves the roughly 984,000 Gambians in the rural regions, West Coast interior, North Bank, Lower River, Central River and Upper River, sharing a handful of community mental health nurses at regional hospitals. The 64/36 urban-rural split understates the imbalance in service access, because the rural share of clinicians is far smaller than 36%.

Against that map, an online service that is available in Basse as readily as in Bakau changes the geography of care.

Affordable Group Therapy Costs for Gambia Residents.

Affordability and Income

Gambia's GNI per capita on a purchasing-power-parity basis is $3,430. A $140 monthly Grouport membership represents roughly 4.1% of that annual figure for an average earner, meaningful, but comparable in scale to what a professional household might already spend on mobile data and transport to the capital combined. For diaspora Gambians in the UK, US or Spain sending remittances home, the same $140 covers a family member's therapy for a full month at a fraction of the equivalent Western private-practice cost.

Hidden Cost and Barriers

The visible fee is only part of the picture with local care. A single in-person appointment at Tanka Tanka from Farafenni can involve a river-ferry crossing, two shared-taxi legs, a full day off work, and a return trip in the evening, costs that recur every week if therapy is to be effective. Group video sessions eliminate the transport, the ferry queue, and the lost workday. The only marginal cost per session is the mobile data used by an hour of video, which on current Africell and QCell tariffs is a fraction of a single gelly-gelly fare.

Immediate Availability

Cost aside, the availability difference is stark. The public wait is around 12 weeks; Grouport typically matches a new member to a group right after intake. For someone weighing whether to start therapy at all, that gap between deciding and beginning matters more than most price comparisons.

Private one-to-one therapy in Gambia, where it exists, tends to be priced for expatriates and NGO staff and is quoted in dalasi at rates well above what most local families can sustain weekly. Public services are subsidised but bottlenecked by the 12-week queue. Grouport's $32-per-session group format sits between those two options in cost and above both in availability, with a flat monthly membership of $140 covering four weekly sessions plus asynchronous group messaging.

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 Gambia.

Grouport runs facilitated groups across the range of concerns Gambians commonly present with in primary care and community settings, anxiety, depression, grief, relationship stress, workplace burnout, trauma responses, and difficulty coping with major life transitions such as migration, return from the diaspora, or bereavement. Groups are organised by theme rather than diagnosis, so members join alongside others working through similar experiences rather than being sorted by clinical label alone.

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 clinician, LCSWs, LMFTs, LPCs and psychologists, with training in evidence-based group approaches including CBT, DBT skills, and process-oriented work. Sessions run in English, which is Gambia's official language and the medium of secondary education, so members typically move between English in the group and Wolof, Mandinka, Fula or Serer at home without difficulty. Therapists are briefed to work respectfully across cultural contexts and are familiar with issues Gambian members raise, including diaspora family dynamics and religious community life.

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 the Gambia.

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 Gambia.

How does Grouport compare to seeking therapy locally in The Gambia?

Local mental health care in The Gambia is delivered mainly through Tanka Tanka Psychiatric Hospital, a small number of NGO-run counselling services, and a handful of private practitioners in Banjul and Serrekunda. Availability of specialised talk therapy, especially group-format CBT or DBT skills, is limited outside the capital region, and private one-to-one sessions can be a stretch on a middle-low income budget. Grouport is a complement rather than a replacement: a weekly 60-minute group with a licensed therapist costs a flat $35/week (billed in USD, chargeable to most Visa or Mastercard debit and credit cards issued in The Gambia), which works out significantly cheaper than most private in-person sessions in Banjul. Conducted entirely in English, our groups suit Gambians already comfortable with English as an official language. For medication, in-person crisis support, or culturally specific care, we recommend continuing to work with a local provider alongside Grouport.

Why is online group therapy a practical option for people in The Gambia?

The Gambia has roughly 6.58 mental health workers per 100,000 people, one of the lower ratios in West Africa, and the World Health Organization has documented average wait times of around 12 weeks to see a specialist through public services concentrated in Greater Banjul. For someone in Basse, Farafenni, or Brikama, in-person specialist care can mean long travel plus a queue. Grouport runs entirely online over secure video, so a stable smartphone or laptop connection is all you need to join a weekly group from home. Sessions are led by licensed clinicians and structured around evidence-based frameworks (CBT, DBT, process work), rather than a specific country's licensing scope. Because our groups run on a global schedule with several time slots per week, Gambians can typically find a session that fits around work, school, or family obligations without waiting months for an opening.

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 Gambia.

Counties

Banjul, Kanifing, Brikama (West Coast Region), Mansa Konko (Lower River Region), Kerewan (North Bank Region), Janjanbureh (Central River Region), Basse Santa Su (Upper River Region), Kuntaur (Central River North).

Cities

Banjul, Serrekunda, Brikama, Bakau, Farafenni, Basse Santa Su, Sukuta, Gunjur, Soma, Janjanbureh, Barra, Lamin, Kerewan, Mansa Konko.

Zip Codes

Grouport serves all zip codes across Gambia. If you have an address in Gambia, 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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