Get Better, Together
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.

Understanding the landscape of mental health care access and the challenges
residents face across the state.
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
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.
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.
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.
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 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.
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.
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.
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.
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 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).
Relationship Issues, Codependency, Attachment Issues, Divorce, Loneliness, Anger Management, Self-Esteem, Grief & Loss, Chronic Illness, Gender Dysphoria, Infertility, Fertility Treatment & IVF Support, Pregnancy Loss & Miscarriage, Couples Issues, Parenting, Supporting a loved one, LGBTQIA Support
Self-Harm, Suicidal Ideation, Self-injury, Suicide Survival
Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Exposure Response Prevention (ERP), Exposure Therapy, Internal Family Systems (IFS), Eye Movement Desensitization & Reprocessing (EMDR), Acceptance & Commitment Therapy (ACT), Psychodynamic Therapy, Motivational Interviewing (MI), Emotionally Focused Therapy (EFT), Rational Emotive Behavior Therapy (REBT), Trauma-Focused CBT (TF-CBT), Narrative Therapy, Schema Therapy, Solution-Focused Brief Therapy (SFBT), Somatic Therapy, Mindfulness-Based Cognitive Therapy (MBCT), Cognitive Processing Therapy (CPT), Prolonged Exposure (PE), Interpersonal Therapy (IPT), Behavioral Activation

Our therapists represent a wide range of clinical specialties & diverse backgrounds. They all undergo the most stringent credentialing process. Grouport therapists are caring, expert mental health professionals with years of experience helping people get the tools they need to see long-lasting change.
Grouport's 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.
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
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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."
Private outpatient therapy in Guam typically runs USD 120-200 per 50-minute individual session when paid out of pocket, and specialty group programs are largely unavailable outside of the hospital system or a handful of private practices in Tamuning and Hagatna. Even one weekly individual session therefore costs roughly USD 480-800 per month before factoring in fuel, parking, and time off work, and structured group therapy at that price point is essentially not on the market locally.
Grouport's group membership is a flat USD 140 per month for weekly 60-minute sessions with a licensed U.S. clinician, billed in U.S. dollars, which is the official currency in Guam, so there is no FX conversion, no international card surcharge, and standard U.S.-issued debit and credit cards work normally. That works out to roughly USD 35 per session and is generally a fraction of what a single private tele-therapy hour would cost, making a structured, clinician-led group realistically affordable rather than a luxury.
Guam's mental-health workforce is thin relative to demand, with roughly 7.8 licensed clinicians per 100,000 residents and reported waits averaging around 12 weeks for a first outpatient appointment. Driving from Yigo, Dededo, or Merizo to a provider in Hagatna or Tamuning often means fighting Marine Corps Drive traffic on top of a limited slate of therapists, and structured modalities like CBT skills groups or DBT-informed groups are rarely offered on-island.
Grouport addresses those gaps by running weekly, licensed-clinician-led video groups you join from home anywhere on Guam. Intake typically matches you into a group within a week rather than a business quarter. Because sessions are delivered over secure video in English, you skip the island traffic, the very small local peer pool where anonymity is hard to preserve, and the risk of running into your therapist at Micronesia Mall, while still getting a consistent clinician and a stable set of groupmates each week.
Northern Guam, Central Guam, Southern Guam, Naval Base Guam, Andersen Air Force Base perimeter communities
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
Grouport serves all zip codes across Guam. If you have an address in Guam, 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.
