Get Better, Together

Group Therapy Across Guam, Delivered Online.

Guam's 168,800 residents share a mental health workforce that sits at roughly 7.8 clinicians per 100,000 people, and a first therapy appointment through the island's outpatient system typically runs about 12 weeks out. Grouport gives Guamanians another route: weekly video groups of 6 to 12 members, led by licensed therapists, for $32 a session, matched right away from a laptop in Dededo, Hagatna, or Yigo.

Dialectical Behavior Therapy

The State of Mental Health in Guam.

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

Mental Illness Prevalence

12.7% of Guamanian 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 Guam's public system, an interval during which symptoms often deepen.

Median Household Income

$58,200 median household income in Guam, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

65.0% of Guamanian adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

84% of Guam's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

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

Guam is a US territory of about 168,800 people concentrated on 210 square miles between Ritidian Point and Cocos Island. Its clinical workforce tracks the WHO Western Pacific benchmark of 7.8 mental health workers per 100,000 rather than the higher mainland-US ratios, and the island's Guam Behavioral Health and Wellness Center carries much of the outpatient load. Prevalence and treatment-gap figures cited here come from WHO Global Health Observatory Western Pacific datasets and World Bank territory profiles.

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in Guam.

The Problem

Guam's outpatient mental health capacity is concentrated in a small number of programs: the Guam Behavioral Health and Wellness Center in Tamuning, the behavioral health services attached to Guam Memorial Hospital, private clinicians in the Tumon-Tamuning corridor, and TRICARE-network providers serving Naval Base Guam and Andersen Air Force Base. At a workforce density near 7.8 per 100,000, the island's full complement of psychiatrists, psychologists, LCSWs, and counselors combined amounts to a small directory. For a family in Yigo, Merizo, or Umatac, that shortage translates into a call to a clinic that isn't accepting new patients until the next quarter.

The Impact

A 12-week wait is what happens when demand from 168,800 residents plus a substantial transient military and tourism population funnels through a handful of clinicians. Off-island referral is a common workaround, usually to Honolulu, 3,800 miles east and a seven-to-eight-hour flight, which adds airfare, lodging, and time off from federal, tourism, or retail work. For households at Guam's median income near $35,600, that indirect cost stack often decides whether someone follows through on a referral or lets it lapse. The 12-week gap is long enough for the situation that prompted the call to shift substantially in either direction.

The Solution

Online group therapy reshapes the throughput problem. Rather than one clinician per patient per hour, a licensed therapist facilitates a group of 6 to 12 members meeting weekly by video. Grouport confirms the therapist match right after intake, so a Guamanian resident starts the same week rather than the next season. Groups run in English, which is one of Guam's two official languages alongside Chamorro, and each session costs a flat $32, with a $140 monthly option for weekly attendance. That predictability sidesteps the coverage-and-copay uncertainty that stalls a lot of first appointments.

84% of Guam's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Guam is a 30-mile-long island where the north-south drive from Yigo to Merizo can take well over an hour in Marine Corps Drive traffic, and where most clinical capacity clusters in Tamuning and Hagatna. Video sessions collapse that geography to a broadband connection. There's no drive from Talofofo to Tamuning, no waiting on a specialist visit routed through Honolulu, no negotiating with base gate access for dependents living off-installation. Grouport's therapists are licensed, sessions are HIPAA-compliant, and scheduling accounts for Chamorro Standard Time (UTC+10) so meeting slots land inside a normal Guam evening rather than the middle of the night.

Access and Availability Across Guam.

Access on Guam is shaped by three specific realities: a resident population of about 168,800, a clinical workforce closer to the WHO Western Pacific benchmark of 7.8 per 100,000 than to any mainland-US state, and an island geography that puts most services in the Tamuning-Hagatna corridor. Those factors combine to explain why even routine outpatient therapy often carries a multi-month lead time, and why an online small-group format meets a real gap here.

Geographic Barriers

Guam runs roughly 30 miles from Ritidian Point in the north to Cocos Island off the southern tip, with 19 villages spread across 210 square miles. Clinical capacity is heavily concentrated in Tamuning (the Guam Memorial Hospital and GBHWC campus) and around Hagatna. A resident in Inarajan or Merizo is looking at an hour-plus drive each way to reach that corridor, and someone in Yigo or on the northern base perimeter isn't much closer. When gas, tolls on time, and Marine Corps Drive congestion enter the picture, a 50-minute appointment turns into a half-day commitment, a barrier a laptop-based group session removes entirely.

Extended Wait Times

A 12-week wait is a full academic quarter, a whole tourist high-season, most of a military PCS onboarding cycle. It is a long time to hold on to the resolve it took to make the first call. Guam's in-person outpatient system absorbs that queue because there simply aren't more clinicians available to shorten it, the workforce is what it is. Grouport's immediate therapist match operates on a different scale: the first group session lands inside the same week rather than the next quarter, which meaningfully changes whether someone stays engaged with care or quietly drifts away from it.

Systemic Challenges

Guam is a US territory, and its health-financing landscape carries specifics that differ from a mainland state. Medicaid operates under a block-grant model with different funding caps, TRICARE serves the substantial active-duty and dependent population attached to Naval Base Guam and Andersen AFB, and private insurance penetration among civilian workers varies widely by industry. Out-of-pocket cost regularly determines whether a specialty behavioral health visit actually happens. Grouport bills a flat $32 per session or $140 per month, a price structure that removes the coverage-eligibility question from the decision to start care.

Urban-Rural Divide

About 94.2% of Guam's residents live in what census-style classifications count as urban settlement, essentially the Dededo-Tamuning-Hagatna belt and the villages ringing Apra Harbor. The remaining 5.8% is spread across southern villages like Inarajan, Merizo, Umatac, and the interior. Clinical capacity tracks the population center, which means the urban north has the specialists and the southern half of the island has almost none. Video-delivered group therapy equalizes that: a family in Malesso joins the same session as one in Dededo, on the same schedule, with the same therapist.

Grouport's model, small English-language groups, licensed therapists, weekly video sessions, immediate group start, flat $32 pricing, maps directly onto the specific gaps in Guam's access picture. It doesn't replace GBHWC or the private clinicians in Tamuning; it adds a route that doesn't require a drive up Marine Corps Drive, a referral to Honolulu, or a 12-week place in line.

Affordable Group Therapy Costs for Guam Residents.

Affordability and Income

At $140 a month, a full year of weekly Grouport sessions costs about $1,680. Set against Guam's median household income of roughly $35,600, that represents around 4.7% of annual household income for the year, meaningful money, but a fraction of what a comparable in-person course of individual therapy would cost, and without any of the indirect travel and time-off expenses that off-island specialty referrals add on top. Group format is what makes the math work: therapist time is shared across 6 to 12 members, which lowers per-person cost without shortening session length or clinician quality.

Hidden Cost and Barriers

Care on Guam carries costs that never appear on the invoice. A drive from Umatac to Tamuning for a 50-minute appointment burns an hour each way in the best case and considerably more in Marine Corps Drive rush. A base-gate visit for a military dependent involves ID checks and parking logistics. A referral to Honolulu multiplies the calculation with a 3,800-mile flight, hotel nights, per diem, and days off from work. Childcare while a parent attends adds another line. A Grouport session from a home laptop erases the transportation column entirely and turns a half-day commitment into an hour at home.

Immediate Availability

The affordability argument only matters if care is actually available. Grouport confirms a therapist match right after intake and sessions start the same week, so a resident isn't paying $32 in principle three months from now, they're in a group within days. That collapses Guam's typical 12-week local wait into a matter of days and turns the flat-rate pricing into something a household can act on immediately.

Private-market individual therapy in the US runs $100 to $250 per session, and Guam's private clinicians sit inside that band once travel and off-island referral costs are factored in. Grouport's $32 per session, or $140 per month for weekly attendance, is priced against those benchmarks and designed to be workable at Guam's median household income of around $35,600.

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 Guam.

Grouport groups for Guam residents cover the range of concerns licensed therapists routinely address in outpatient settings: anxiety, depression, obsessive-compulsive patterns, post-traumatic stress, grief, relationship strain, chronic stress and burnout, and DBT-oriented skills for emotional regulation. Groups are organized by focus area so members are working on similar territory, and intake matches each person to a group that fits their concerns and schedule in Chamorro Standard Time (UTC+10).

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 therapists are licensed clinicians, psychologists, LCSWs, LMFTs, and LPCs, who lead groups by video and are used to working with clients across geographies and cultural contexts. Sessions run in English, which is one of Guam's two official languages alongside Chamorro, and therapists are briefed on the practical realities of a Guam client base: Chamorro Standard Time scheduling, off-island referral pathways to Honolulu, the military-adjacent population served by TRICARE, and the role of extended-family (familia) structures in how people describe what's going on.

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 Guam.

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 Guam.

Are Grouport's sessions run in English, and is that a comfortable fit for people living on Guam?

Yes, every Grouport group is facilitated in English by a licensed therapist, which fits Guam well. English is an official language alongside Chamorro and the everyday medium of government, University of Guam classrooms, GBHWC intake, and business across Hagåtña and Dededo, so working-age Guamanians are typically fluent. You can join a HIPAA-secure weekly video group right away for $32 per session, from anywhere on the island, without waiting on the roughly 12-week queue for a local outpatient slot.

Will a Guamanian in Hagåtña feel out of place in a group with members from the mainland U.S. and beyond?

Guam already sits at a cultural crossroads of Chamorro, Filipino, Micronesian, and mainland U.S. life, and thousands of military dependents and DoD civilians rotate through Tamuning and Andersen every year, so cross-cultural conversation is second nature for most residents. Grouport's weekly video groups of 6-12 members are organized around a shared struggle like anxiety, depression, or relationship stress, and licensed therapists guide the discussion so the focus stays on what you are working through, not where on the map you happen to live.

Can I get therapy without a formal diagnosis?
Yes, if you're paying out-of-pocket. Insurance requires diagnosis codes, but self-pay doesn't. Many people prefer this, since they don't want depression or anxiety disorder in their permanent medical record. You can get help without labeling.
Can therapy help with language barriers affecting my life?
If you're living somewhere and the dominant language isn't your first language, that's mentally exhausting. Constant translation. Missing nuances. Feeling like you can't express yourself fully. This affects mental health. Therapy in a language you're comfortable with provides relief.
What if I'm struggling with my identity across cultures?
If you grew up between cultures, moved countries, or feel caught between cultural identities, therapy helps. You might not fully belong to any one culture. Questions like "where are you from?" feel complicated. Therapy helps you integrate multiple cultural influences into your sense of self rather than feeling torn between them.
Can online group therapy help with anger management?
Yes, anger management groups are highly effective and are a tremendous help in navigating the ins and out of anger challenges. Group is ideal for anger work because you receive honest feedback about how your anger affects others, you practice managing frustration in real situations, and you learn from others' struggles and successes, and are held accountable by your peers. In addition to general anger management groups, we also find that dialectical behavior therapy (DBT) groups are highly effective for anger as they help with emotion regulation, distress tolerance, mindfulness, and interpersonal skills like lashing out in relationships and rage.
What if I want to work on issues but don't want to share details?
You don't need to share every detail to benefit from group. You can participate meaningfully without sharing every detail of your life. You can keep it high level by talking about patterns, feelings, or what you're struggling with conceptually. Ultimately, you totally control your level of disclosure. Many people surprise themselves by sharing more than expected once trust builds. By recognizing the commonalities people experience in the group, most people ultimately feel comfortable sharing more than what they would have though they’d feel comfortable sharing. It is precisely being vulnerable with others and confiding in others, which serves as a major driver of improved therapeutic outcomes and why online group therapy is so successful.
Can I join a group if I'm already in crisis?
It depends on the crisis type and severity. Severe crises typically require more intensive treatment like IOP, PHP, or hospitalization before group therapy by itself is appropriate as groups can't provide crisis-level support. In a crisis you typically need more intensive care. You can always join a group after crisis stabilization. If you're in crisis during group membership, a care coordinator can help you get additional individual support, more frequent intensive care that combines multiple group sessions with individual therapy, perhaps medication management, or connects you with appropriate crisis resources while maintaining your group participation if safe and appropriate. Often groups help stabilize you through connection and support, but sometimes you need more intensive work first. An assessment conversation with a therapist can help figure out the best treatment plan.
Can groups help with chronic illness or medical challenges?
Living with ongoing chronic health challenges is isolating and many people don't get what it's like. Being in group therapy with others managing chronic conditions reduces that isolation significantly. You’ll also get practical coping strategies from people who actually live the same or similar reality. Groups help members live fully despite limitations their chronic illness may present.
How do I prepare for my first session?
To prepare for your first therapy session: (1) Test your technology by logging into the platform before your appointment time if your sessions happen within our member portal. If your sessions don’t happen within our member portal, make sure you see the auto session reminder email with the unique link for that week’s session sent to you 24-hrs before the session and make sure you have zoom downloaded on your device. If you don’t have zoom downloaded, then you can always download it on your device for free. (2) Find a private, quiet space where you won't be interrupted. (3) Have a glass of water nearby and ensure your device is charged. (4) Think about what you'd like to get out of therapy - your goals, main concerns, and what you're hoping will change. (5) Have any relevant information ready (medications you're taking, previous therapy experience, etc.). Remember that first sessions are often just getting to know each other, there's no pressure to share everything immediately.
What if I need to contact my therapist between sessions?

You can message our administrative staff by emailing support@grouporttherapy.com. If it pertains to administrative matters, our support team can handle it directly. If the message is for your therapist, let us know what you would like to relay and we will pass it along, then follow up with the response or the therapist may contact you directly if relevant. Therapists typically respond within 24 hours to non-urgent messages. Note that messaging is not a substitute for therapy sessions, for detailed or in-depth concerns your therapist will ask you to bring them up in your next session. In crisis situations requiring immediate help (thoughts of self-harm, severe anxiety, etc.), contact your local crisis hotline or go to your nearest emergency room rather than waiting for a message response. If you are in a life-threatening situation, these emergency resources can help.

Can I use my phone for video sessions?
We recommend joining from a computer, laptop or tablet in a private setting as that typically provides for a better therapeutic experience. If you’d prefer to join from a smartphone, you can absolutely do so as our platform works well on smartphones (both iPhone and Android). Using your phone can be convenient as it allows you to attend therapy from anywhere private. However, we recommend using WiFi rather than cellular data when possible to ensure stable video quality and avoid data charges. Consider using headphones for better audio quality and privacy, and position your phone so your therapist can see your face clearly (many clients use a phone stand). While phones can work well, many clients prefer larger screens like tablets, laptops, or computers for a more immersive experience.

Group Therapy Available Across Guam.

Counties

Northern Guam, Central Guam, Southern Guam, Naval Base Guam, Andersen Air Force Base perimeter communities

Cities

Dededo, Yigo, Tamuning, Mangilao, Hagatna, Barrigada, Sinajana, Chalan Pago-Ordot, Mongmong-Toto-Maite, Agana Heights, Piti, Asan-Maina, Santa Rita, Agat, Talofofo, Yona, Inarajan, Merizo, Umatac

Zip Codes

96910, 96911, 96912, 96913, 96915, 96916

If you have an address in Guam, 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
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Let’s find the right therapist match for you, so you can get consistent & effective care.

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