Get Better, Together
Germany's statutory system funds psychotherapy on paper, but the six-week national average masks Kassensitz waits that routinely stretch to three, six, sometimes nine months once a Richtlinienpsychotherapie Antrag joins the queue. Grouport places adults across the Bundesrepublik into a small, English-speaking video group led by a licensed clinician for $32 per session, you can join a group right away, no Konsiliarbericht, no Bewilligungsverfahren, no S-Bahn ride into Prenzlauer Berg.

Understanding the landscape of mental health care access and the challenges
residents face across the state.
Germany's workforce numbers look enviable next to most of Europe: WHO's HWF_0006 dataset records 123.95 mental health workers per 100,000, one of the highest ratios on the continent. Yet the Bundespsychotherapeutenkammer has argued for over a decade that the Bedarfsplanung formula, which sets how many Kassensitze exist in each Planungsbereich, underestimates true need by roughly 40%. The Robert Koch-Institut's DEGS survey puts twelve-month prevalence of any mental disorder at 27.8% of adults, meaning the demand pushing against a rationed supply of statutory slots is structural, not seasonal.
UNDERSTANDING THE CHALLENGE
The Bedarfsplanung that governs Germany's statutory psychotherapy supply was written in 1999 and has been amended in fragments since. The Gemeinsame Bundesausschuss controls how many new Kassensitze open per Planungsbereich, and in most urban Ruhrgebiet and Berlin districts the ratio has been declared 'overserved', meaning no new statutory practices can open even as the DEGS numbers climb. The 123.95 workers per 100,000 in the WHO figure includes psychologists, psychiatrists, and Kinder- und Jugendlichenpsychotherapeuten across all practice modes, but the fraction inside the KV system is far smaller.
Six weeks is the national mean for a first Sprechstunde slot; the wait for a Probatorik and then a full Richtlinienpsychotherapie Platz commonly stretches to five or six months. That timeline is corrosive during a panic disorder episode, a bereavement, a burnout that is already threatening a Kündigung. Households with the means to pay the Selbstzahler rate, typically €90 to €130 per 50-minute session with a Privatpraxis or Heilpraktiker für Psychotherapie, skip the queue. For English-speaking residents in Berlin, Munich, Frankfurt, and Hamburg, the language filter narrows the field so aggressively that even the private route often runs out of matched providers.
Online group therapy moves outside the Kassen calculus. Grouport runs 6-to-12 person video groups facilitated by licensed clinicians in English, meeting weekly at fixed times that line up cleanly with CET evening schedules. Members join from a Kreuzberg Altbau, from a Schwarzwald village, from an Ostfriesland farmhouse, from a Dresden Plattenbau, the delivery mechanism is identical. At $32 per session on a $140 monthly membership, the cost is below most German Privatpraxis rates while adding the peer accountability that individual therapy structurally cannot replicate.
Three specific mechanisms answer the specific German bottleneck. First, you can join a group right away rather than the six-week Sprechstunde-then-Probatorik cascade, no Antrag, no Gutachterverfahren, no Krankenkasse pre-authorization. Second, sessions run in English, which unblocks the roughly 5.7 million residents of Germany who report better fluency in English than in German (Mikrozensus 2022). Third, because groups meet over HIPAA-compliant video, someone in Flensburg or Passau receives identical clinician access to someone in Berlin-Mitte, the KV Planungsbereich distortion stops mattering.
Germany's supply-side map is heavily distorted by federal Bedarfsplanung. Roughly 30,000 psychological psychotherapists hold a Kassenzulassung nationwide, with the highest densities in Berlin, Munich, Hamburg, and Frankfurt am Main. Rural Landkreise in Mecklenburg-Vorpommern, Sachsen-Anhalt, and Brandenburg report densities a fraction of what the urban centers offer, and the Ostbeauftragter has repeatedly flagged the east-west gap in specialist care as a policy failure the Bedarfsplanungs-Reform of 2019 did not resolve.
Against Germany's $76,500 GNI per capita PPP, one of the highest in the World Bank's 2024 dataset, a $140 monthly Grouport membership represents roughly 0.18% of average annual income. That is a meaningfully smaller share of household budget than what German families already spend on a Deutschland-Ticket at €58 monthly plus a Netflix and Spotify pair. Unlike Selbstzahler therapy, the fee is fixed, transparent, and does not require the €90-plus upfront-per-session outlay that Kostenerstattungsverfahren households absorb while waiting for their Krankenkasse's partial refund.
The Selbstzahler rate rarely captures the whole cost of German therapy. A resident of the Prignitz commuting to Berlin for a weekly session absorbs Regionalbahn and BVG fares of €25 to €40 return plus 3 to 4 hours of travel time, effectively a lost half-workday each week. Munich commuters lose an hour to S-Bahn transfers around Sendlinger Tor and Marienplatz practices. Parents arrange Kinderbetreuung. Angestellte burn Urlaubstage. Grouport sessions run over video from a home Küche or Arbeitszimmer, cutting travel to zero and returning the lost time to work, family, or rest.
Instead of booking a Sprechstunde in six weeks, then a Probatorik, then submitting an Antrag and waiting for Gutachter approval before treatment actually starts, a new Grouport member completes intake and joins a matched group right away. For someone in acute distress in July who would otherwise be looking at January before Richtlinienpsychotherapie begins, that gap is the difference between managing a rough stretch and letting it become a full episode.
Selbstzahler rates in a German Privatpraxis typically run €90 to €130 per 50-minute session, with Heilpraktiker für Psychotherapie sometimes charging €70 to €100 and top Berlin or Munich clinicians reaching €180. Weekly private therapy therefore lands at €360 to €520 per month before any Krankenkasse reimbursement. Grouport's $140 monthly membership, roughly €130 at current EUR/USD parity, delivers weekly group sessions at $32 each, undercutting nearly every German private-market rate on a per-session basis and eliminating the Antrag process entirely.
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's Germany-facing groups cover the presentations the Bedarfsplanung system most reliably backlogs: generalized and social anxiety, depression, occupational burnout (Burnout is a Zusatzdiagnose under ICD-10 Z73.0 in German practice), grief and bereavement, complex trauma, adult ADHD, OCD, and relationship or life-transition difficulties. Each group centers on a specific focus, so members are working alongside peers with mirrored experience rather than in a generalist mixed-diagnosis Ambulanz setting.
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.
Every Grouport group is facilitated by a licensed clinician, typically an LCSW, LMFT, LPC, or licensed psychologist, with formal training in group process and in the specific condition each group addresses. Sessions run in English, and clinicians serving Germany-based clients are briefed on the local context (KV waits, Kostenerstattung mechanics, Krankschreibung norms and workplace expectations under German Arbeitsrecht) so referrals into in-country psychiatric or medication management are handled sensibly when they are the right next step.
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."
Germany has a comparatively strong supply of licensed therapists, roughly 124 per 100,000 workers, but access still lags demand. Statutory patients face an average six-week wait for a first Erstgesprach with a Kassensitz-approved Psychotherapeut, and waits of three to six months for an ongoing Richtlinientherapie slot are common, particularly outside major cities. Kostenerstattungsverfahren (out-of-network reimbursement) exists but requires documented proof of failed Kassensitz search and TK/AOK/Barmer approval before treatment. Grouport removes those barriers: you can typically join a group within days rather than months, sessions run in English with a licensed therapist, and the small-group format connects you with peers working through similar challenges. Cost is a flat monthly USD rate that generally comes in below the weekly out-of-pocket equivalent of a private Einzeltherapie session (EUR 100-150 typical). Note that Grouport is private-pay and not reimbursable by German Krankenkassen, so budget it as a wellness expense rather than a claimable medical cost.
Grouport is fully online, so clients across Germany, from Berlin, Munich, and Hamburg to Cologne, Frankfurt, Stuttgart, and smaller towns in Bavaria, NRW, or Saxony, join sessions from home over a secure video link. All groups are conducted in English, which most German professionals speak fluently as a second language, so no German-language clinical vocabulary is required. Session times are set in US time zones, but Germany (CET/CEST) aligns well with late-afternoon and early-evening US Eastern slots, making it straightforward to attend after a Feierabend. Payment is processed in US dollars via international credit or debit card, and standard German Visa, Mastercard, and most Girocard-linked credit products work without issue; your bank converts from EUR at the prevailing rate. No German Personalausweis, gesetzliche Krankenversicherung membership, Versichertennummer, or local Meldeadresse is required to enroll.
Baden-Württemberg, Bavaria, Berlin, Brandenburg, Bremen, Hamburg, Hesse, Lower Saxony, Mecklenburg-Vorpommern, North Rhine-Westphalia, Rhineland-Palatinate, Saarland, Saxony, Saxony-Anhalt, Schleswig-Holstein, Thuringia
Berlin, Hamburg, Munich, Cologne, Frankfurt am Main, Stuttgart, Düsseldorf, Leipzig, Dortmund, Essen, Bremen, Dresden, Hanover, Nuremberg, Duisburg
Grouport serves all zip codes across Germany. If you have an address in Germany, 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.
