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

15.4% of Gambian adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.

Wait Time

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

Median Household Income

$4,435 median household income in the Gambia, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

85.0% of Gambian adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

87% of the Gambia's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

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

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 $4,435 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.

87% of the Gambia's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

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 $4,435. 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

  • 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.

With Gambia's GNI per capita around USD 880 and no national health insurance scheme, is Grouport's $32 per session realistic value for a Gambian household budget?

At $32 per weekly session, roughly D2,300, Grouport costs a fraction of what a private consultation in Kanifing or the West Coast Region runs, and there are no travel costs to Tanka Tanka or a full-day road trip from Basse or Janjanbureh. You get a licensed therapist, a group of 6 to 12 peers, and weekly continuity, with immediate group start rather than a 12-week wait. For English-fluent Gambians and diaspora households paying entirely out of pocket, that structure stretches a therapy budget meaningfully further.

In a country as small as The Gambia, where the Kombo coastal strip and Greater Banjul are tight-knit communities and stigma around psychiatric care is well documented, how does Grouport protect my privacy?

Grouport groups are drawn from members across the world, so you will not be sharing a session with a neighbor from Serrekunda, a colleague from Kanifing, or someone who worships at the same mosque or church. Your weekly video group of 6 to 12 members is HIPAA-secure, first names only, and led by a licensed therapist. That cross-border cohort model gives Gambian professionals, students, and diaspora returnees an anonymity that a Tanka Tanka referral or a private clinic in Banjul simply cannot offer.

​​Can I upgrade or downgrade my billing at any time?

Yes, you can change your plan anytime, whether that means adding or reducing sessions or switching to a different billing cycle. Changes take effect immediately.

Upgrading your plan:

  • Add more sessions per week (e.g., 1 session/week → 2 sessions/week)
  • Switch to a longer billing cycle (e.g., Monthly → Quarterly)
  • You'll be charged a prorated difference based on the time remaining in your current plan

Downgrading your plan:

  • Reduce the number of sessions per week
  • Switch to a shorter billing cycle
  • Downgrades take effect at the end of your current billing cycle

You can make plan changes at any time by contacting our support team or updating your account settings.

Can therapy help with parenting stress?
Parenting is hard. Cultural expectations about parenting vary, but the stress is universal. Whether you're dealing with difficult child behavior, work-life balance, single parenting, parenting with limited support, or parenting across cultures, therapy addresses parenting stress and helps you cope.
What if I'm experiencing seasonal depression?
Seasonal affective disorder happens in many countries, especially those with long dark winters or extreme seasonal changes. Therapy combined with light therapy, lifestyle changes, and sometimes medication helps you manage seasonal depression. Where you live affects light exposure and seasons differently.
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.
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.
What if I need to contact the therapist between group sessions?
For most things you need in between sessions, contact a care coordinator and they will be able to assist you with most things or point you in the right direction. The therapist of the group isn't intended for individual contact in between sessions for the most part, but if it's an extenuating circumstance of course your care coordinator can help put you in touch with them if it's an extenuating situation. Most questions you need outside of session, should be able to be addressed by a care coordinator and accelerated to the group therapist in an extenuating circumstance. If you need individual support, then a care coordinator can get you set up with individual therapy with either your group therapist or another qualified therapist who is a good fit for you.
How do I get started with Grouport’s online therapy?

Getting started is easy. First, visit grouporttherapy.com and click "Get Started." This takes you to the service selection page, where you choose which type of therapy you are interested in and complete a brief intake form about your goals and preferences. We then match you with a licensed therapist or group based on your needs and any specific requests. After signing up, a care coordinator reaches out by email or phone to walk you through available therapists and scheduling. You make the final choice about your care, including which therapist you meet with and when. Once confirmed, you attend your sessions weekly over video chat.

Can I attend online therapy sessions via phone if needed?
Yes\! You can attend over video chat on any smartphone. While we recommend video on a computer or laptop for the best therapeutic experience, you can attend sessions by any smartphone as well. Additionally, you can also attend sessions by audio only if needed, though we recommend to join by video for the best experience.
What internet speed do I need for online therapy?
A stable internet connection of at least 3 Mbps is recommended for video sessions. If video connection isn't working well for some reason, you can always switch to audio-only during the session.

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 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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