Get Better, Together

English Group Therapy for Latvia, Delivered by Video.

Grouport connects adults from Riga to Daugavpils with licensed therapists leading small English-speaking video groups of 6 to 12 members. At $32 per session and an immediate group start window, it opens a lane between Latvia's six-week public-clinic queue and the €60 to €90 private hourly rates common at Elizabetes iela and Brivibas iela practices in the capital.

Dialectical Behavior Therapy

The State of Mental Health in Latvia.

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

Mental Illness Prevalence

13.5% of Latvian adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.

Wait Time

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

Median Household Income

$19,908 median household income in Latvia, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

70.0% of Latvian adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

50% of Latvia's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

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

Latvia's 1.87 million residents are served by roughly 56.76 mental health workers per 100,000 people, a figure that sits below the WHO European Region average and well behind Nordic neighbors. National Health Service (NVD) reporting and the SPKC consistently flag depression, alcohol-use disorder, and suicide as the country's most costly mental health burdens; the suicide rate remains one of the highest inside the EU-27, though it has fallen sharply from the 1990s peak. Recognized need continues to outpace delivered care by a wide margin.

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in Latvia.

The Problem

Latvia's mental health system is anchored by the Nacionālais veselības dienests (NVD), which funds a fixed quota of psychiatric visits per resident each year. Psychologists sit almost entirely outside the reimbursed catalogue, and the entire specialist pipeline runs through a small number of training programs at Rīgas Stradiņa universitāte and Latvijas Universitāte. With 56.76 mental health workers per 100,000 residents, Latvia's density lags Estonia and trails the OECD median of roughly 45 psychiatrists-plus-psychologists per 100,000 by a notable margin once psychologists are counted separately.

The Impact

A Latvian adult who calls a state-contracted clinic in early October for panic symptoms typically receives a first appointment in mid-November, six weeks into the darkest stretch of the calendar, when Riga sees fewer than seven hours of daylight. Those who cannot wait pay privately: hourly rates of €60 to €90 in central Riga consume a serious portion of an average net monthly wage that hovers around €1,150 according to Latvijas Statistika. Residents of Latgale, the country's poorest region, with per-capita income roughly 40% below Riga's, face the sharpest trade-off between cost and continuity.

The Solution

Online group therapy skips most of these bottlenecks at once. A licensed clinician meets a small cohort weekly by video, so someone in Rēzekne connects on the same terms as someone in Āgenskalns. The cost is fixed at $140 per month regardless of postal code, no NVD referral is required, and sessions run in English, a language used at a working level by roughly half of Latvia's 20 to 49 age band, according to Eurobarometer 540. The group format also delivers the peer feedback that one-on-one care structurally cannot.

50% of Latvia's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Grouport pairs new members with a group inside immediate, versus the 42-day median for an NVD-funded psychiatric referral. There is no drive to Riga Psychiatry and Narcology Centre on Tvaika iela, no waiting list at Strenči hospital, no ģimenes ārsts referral to secure before booking. Sessions are led in English by licensed therapists, HIPAA-grade video keeps records inside a regulated framework, and members can join from a Vecrīga flat, a Jūrmala summerhouse, or a farmhouse outside Krāslava with the same continuity of care.

Access and Availability Across Latvia.

Mental health specialists in Latvia cluster heavily around Riga, which alone holds roughly a third of the national population and a much larger share of licensed psychiatrists and psychologists. Move beyond the capital and Jūrmala and provider density falls off a cliff, especially east of the Daugava.

Geographic Barriers

Latvia's 64,589 square kilometers hold just under 1.87 million people, thinning dramatically outside the Riga metropolitan region. A resident of Ludza in the far east faces a 270 km drive plus a Rail Baltica connection to reach a specialist in Riga; someone on the Kurzeme coast in Ventspils sits 190 km from the nearest major psychiatric outpatient service. Latgale, Kurzeme, and Vidzeme consistently report the lowest specialist-to-population ratios in national health workforce statistics. Winter road conditions between November and March compound the travel burden considerably.

Extended Wait Times

A six-week wait for a state-funded first consultation is the median, not the ceiling. NVD reporting and independent audits have documented three-month waits at certain regional outpatient departments and materially longer queues for pediatric psychiatry. For someone facing a bereavement, redundancy, or an acute anxiety episode, a 42-day gap between reaching out and being seen is often the point where formal help is abandoned in favor of self-management or alcohol, a pattern SPKC and WHO country reports have documented as central to Latvia's persistently high suicide and alcohol-related mortality figures.

Systemic Challenges

Latvia's NVD scheme reimburses a capped number of psychiatric visits per year but treats psychology sessions as a largely private-pay service outside a narrow set of state programs and municipal projects. Private health insurance remains uncommon compared with Western Europe, so the practical binary for most Latvians is a public queue or the full private tariff. The 2024 mental health strategy signaled stronger funding for community services, but the specialist pipeline, constrained by the annual output of Rīgas Stradiņa universitāte and Latvijas Universitāte, cannot close a 56.76 per 100,000 workforce gap in the short term.

Urban-Rural Divide

With 68.5% of Latvians living in urban areas, almost every specialist is concentrated in Riga, Daugavpils, and Liepāja. The remaining 31.5%, roughly 588,000 people spread across Latgale villages, Vidzeme farming districts, and the Kurzeme coast, share a small fraction of the country's clinicians. Municipalities such as Alsunga, Rucava, and Cesvaine effectively have no resident psychiatric workforce. Grouport removes distance from the equation: a session runs the same way from a Purvciems apartment as from a farm outside Balvi.

Grouport reaches anywhere a stable broadband link exists, and with Latvia consistently ranking in the top ten globally on median fixed-line speeds, that covers effectively the entire mainland and inhabited coast.

Affordable Group Therapy Pricing for Latvia Residents.

Affordability and Income

Latvia's GNI per capita in purchasing-power terms is $19,908, placing it in the high-income bracket but at the bottom of the Baltic three, behind both Estonia and Lithuania. A $140 monthly Grouport subscription equals about 3.9% of that annualized purchasing power. Set against a Riga clinic quoting €75 per session, four Grouport sessions cost roughly what two private ones do. For a working professional earning near the Latvian average net wage of €1,150 per month, that difference is what separates routine weekly therapy from a single monthly visit.

Hidden Cost and Barriers

The advertised price of a Riga session obscures costs Latvians know from experience. A resident of Rēzekne driving to a Riga specialist burns €35 to €45 in fuel plus six to seven hours round trip; someone traveling from Ventspils faces a similar time commitment on the A10. Time off work is rarely reimbursed by Latvian employers for mental health appointments unless a sick-leave certificate is issued, adding an opportunity cost of a half day's wages. Paid parking near central Riga clinics adds €4 to €8 per visit. Video delivery removes each of these line items.

Immediate Availability

Grouport matches new members to a group right after intake, a sharp contrast with the 42-day median wait inside the NVD system. For a Latvian resident who decides on a Monday that they need structured support, the first session lands the same week rather than in early September.

Private therapy in Latvia typically runs €60 to €90 per 50-minute session in central Riga, with English-speaking clinicians usually quoting toward the top of that band. Weekly attendance therefore lands at €240 to €360 per month before any travel. Grouport's flat $140 monthly rate, roughly €130 at current exchange rates, undercuts even the lowest-priced private option in the capital.

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 Latvia.

Grouport runs groups for the conditions most commonly reported to Latvian family doctors: depression, generalized anxiety, social anxiety, panic disorder, PTSD and complex trauma, OCD, ADHD-related emotion regulation, grief, relationship strain, and workplace burnout. DBT skills groups address emotion regulation for members with borderline traits or intense mood swings. Members experiencing acute suicidality or active psychosis are directed to Latvia's 113 emergency number or a hospital psychiatric ward, since online group care is not designed for crisis stabilization.

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 clinician holds an active clinical license (LCSW, LMFT, LPC, or PhD/PsyD) and has been vetted specifically for group facilitation. Groups serving Latvian clients are led in English by therapists comfortable with cross-cultural work, many have prior experience with Baltic clients, expat cohorts, or the pressures common in the IT and shared-services sector concentrated around Riga's Skanste district. Sessions follow structured, evidence-based protocols (CBT, DBT, ACT, IPT) rather than unstructured discussion.

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

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Affordable Group Therapy & Care Options in Latvia.

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 Latvia.

Does Grouport help Latvians who are hesitant to visit a psychiatric clinic in person?

Yes. Mental health stigma remains strong across Latvia, especially outside Riga, and Soviet-era associations with punitive psychiatry still shape how many older adults view places like the Riga Centre of Psychiatry and Addiction Disorders. Grouport sessions run over HIPAA-secure video from your home in Jelgava, Ventspils, or a quiet Latgale municipality, with no clinic visit and no local waiting room. You join a weekly group of 6 to 12 members led by a licensed therapist, and immediate group start means you can begin the same week you sign up.

How much is $32 per session in euro for clients in Riga or Daugavpils?

At current exchange rates, Grouport's flat $32 USD per session works out to roughly 30 EUR, billed weekly. That is a predictable, private-pay rate for clients in Riga, Daugavpils, Liepaja, or rural Latgale, with no psychiatrist referral required and no annual session cap. Each weekly video group runs 60 minutes with a licensed therapist and 6 to 12 members, and new members can join right away rather than waiting six weeks for a state-reimbursed slot through the Nacionalais veselibas dienests.

Do therapy costs vary by therapist credentials?
Sometimes. Psychiatrists (MDs) often charge more than licensed therapists. Among therapists, rates vary more by experience, location, and specialization than by credential type (LCSW vs. LPC vs. LMFT). There's no universal pricing based on credential letters.
Can therapy help with religious or spiritual struggles?
Religious doubt, faith crises, conflicts between your identity and religious teachings, or pressure from religious community all create distress. Therapy provides space to explore these questions without judgment. Your therapist respects your religious background while supporting your wellbeing.
What if I'm dealing with family expectations and pressure?
Family pressure about career, marriage, children, or life choices exists across cultures. Some cultures have particularly intense family expectations. Therapy helps you navigate family pressure, set boundaries, and make choices that are right for you even when family disagrees.
Can online group therapy replace individual therapy?
For some people, yes. For others, online group therapy and individual therapy work best together. Depends totally based on what you need. Group gives you connection and perspective while individual gives you focused personal attention. Neither is inherently better, they just serve different purposes. Many people start with online individual therapy at first and add group therapy later on, or attend group and add individual therapy when specific issues arise. A care coordinator or your therapist can help you determine whether group alone, individual alone, or both best serves your needs and ultimately you can decide that and your needs may adjust over time.
What if one person dominates the group?
Good group therapists know how to manage this actively and effectively. This can happen in a group dynamic and it’s part of what therapists are trained to handle by making sure everyone gets time to share, redirecting when someone's monopolizing, and addressing the underlying needs driving someone to dominate. However, occasional longer sharing when someone's in crisis is appropriate and expected and groups flex to meet these kinds of urgent needs. The therapist's job is to balance everyone's needs and ensure equitable participation over time so everyone is benefiting.
Can group therapy help with grief and loss?
Grief groups are incredibly powerful. Shared loss creates deep connection—being around people who actually get it instead of well-meaning friends who don't know what to say. You don't have to explain yourself or feel like you're bringing everyone down. Grief groups are incredibly powerful because loss is often isolating and people dealing with grief often feel like nobody understands. Shared loss creates deep connection since being around people who actually get it is tremendously helpful instead of well intentioned friends who don't know what to say. The therapeutic power comes from being with others who understand grief's reality and not needing to explain or justify your pain. Grief groups don't fix grief but make it more bearable and help you cope better while integrating loss into your life.
Can I be in an online therapy group if I have social anxiety?
Yes, and actually online group therapy is highly effective for social anxiety specifically. Initial anxiety about joining is normal and expected. It's practice in a safe environment and you get to work on the very thing that scares you with support right there. Most people with social anxiety find that the fear of group therapy is way worse than the reality. Social anxiety only improves through experience and not avoidance, so group provides a structured opportunity for this. Many people who have social anxiety find that group therapy is the number one driver of their improvement.
Do you offer financial assistance or scholarships?
While we don't currently offer financial assistance, we're committed to making therapy accessible. Group therapy at $32/session is our most affordable option and provides the same evidence-based treatment. We also provide superbills for insurance reimbursement upon request, accept HSA/FSA cards for tax savings, and offer flexible month-to-month billing with no long-term contracts. If cost is a significant barrier, contact our support team - we can discuss options that might work best for your situation.
Can I pause my subscription and come back later?
Yes\! You can cancel your subscription at any time and restart when you're ready to return. There's no penalty for pausing, and you can reactivate your account at anytime. When you return, we'll work to match you with your previous therapist if they're available, or find you a new therapist if needed. Many clients take breaks between therapy periods as they practice new skills or experience life changes, then return when they need additional support. Your account remains in our system, making it easy to resume services whenever it's right for you.
What if I can't afford therapy right now?
We understand cost is a barrier for many people seeking mental health care. Here are options to make Grouport’s online therapy more affordable: (1) Start with online group therapy at an average of $32/session - it provides evidence-based treatment at the lowest cost. (2) Use HSA/FSA funds if available - this reduces costs by 20-30% through tax savings. (3) Check your out-of-network insurance benefits - many plans reimburse 50-80% of costs. (4) Consider our DBT self-guided program at a one-time cost for structured mental health support. We're committed to making quality care accessible and happy to discuss payment options that fit your budget.

Group Therapy Available Across Latvia.

Counties

Riga, Pierīga, Vidzeme, Kurzeme, Zemgale, and Latgale statistical regions, plus all 43 municipalities and the nine state cities established under the 2021 administrative reform.

Cities

Riga, Daugavpils, Liepāja, Jelgava, Jūrmala, Ventspils, Rēzekne, Valmiera, Jēkabpils, Ogre, Tukums, Cēsis, Salaspils, Kuldīga, Sigulda, Bauska, Saldus, Talsi, Dobele, and Aizkraukle.

Zip Codes

LV-1010, LV-1013, LV-1050, LV-1063, LV-3001, LV-3401, LV-3601, LV-4001, LV-5401

If you have an address in Latvia, 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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