Get Better, Together

Online Group Therapy for Adults Across Lesotho.

From Maseru's lowlands to the highland villages of Thaba-Tseka and Mokhotlong, Grouport pairs Basotho adults with a licensed therapist and a small English-speaking group in immediate. Sessions run $32 each over HIPAA-compliant video, meaning a nurse in Leribe, a teacher in Mafeteng, or a migrant worker abroad can join the same weekly circle without leaving home.

Dialectical Behavior Therapy

The State of Mental Health Care in Lesotho.

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

Mental Illness Prevalence

~15% of Basotho adults are estimated to live with a common mental disorder.

Wait Time

6 weeks typical wait for a specialist appointment through the public referral system.

Median Household Income

$3,180 GNI per capita, PPP-equivalent lower-middle-income band.

Percentage Who Need Therapy

~85% treatment gap for common mental disorders across the WHO Africa region.

Provider Shortage

33.99 per 100k mental health workers nationwide.

Mental Health Providers per 100k Residents

~15,000 per 100k adults estimated to experience a mental health condition each year.

Lesotho's roughly 2.3 million people are served by about 33.99 mental health workers per 100,000. That workforce is heavily anchored around Maseru and the western lowlands, while over half the population lives in the foothills and highlands. World Bank income data places Lesotho in the lower-middle-income bracket, which shapes how much households can realistically spend out-of-pocket on private care in any given month.

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in Lesotho.

The Problem

Lesotho's specialist mental health capacity is centred on Mohlomi Mental Health Hospital in Maseru and a small network of district-level clinics, meaning that for the majority of the kingdom's 2.3 million residents, a psychologist or psychiatrist has never lived within an hour's travel. District hospitals in Thaba-Tseka, Qacha's Nek, and Mokhotlong rely on nurses and visiting clinicians to cover psychiatric needs, and structured talk therapy, particularly group therapy, remains uncommon outside a handful of NGO-run programs. Layered on top of the workforce shortage is enduring stigma around emotional distress within extended-family and church-community structures, which keeps many Basotho from ever presenting at a clinic in the first place.

The Impact

The impact is measured in weeks and mountain kilometres. A public-sector referral in Lesotho commonly takes about six weeks from first contact to a specialist appointment, and that clock assumes the person can arrange transport from a highland village down to Maseru or a district hub. For a farmer in Semonkong or a factory worker in Ha Thetsane, that can mean multiple days of lost wages plus taxi fares over difficult terrain each visit. Private psychology in the capital exists but is priced against Maseru's professional class, quickly outstripping what a household earning near the country's $3,180 PPP GNI per capita can absorb across a course of weekly appointments.

The Solution

Online group therapy reshapes that math. Rather than routing every conversation through Mohlomi Hospital or a private Maseru practice, six to twelve Basotho adults meet weekly by video with a licensed therapist, working through a shared theme like anxiety, grief, or relationship strain. The group format spreads clinical time across many more people than a one-to-one slot, keeping the per-person price low while still delivering therapist-led care. For Lesotho specifically, that means the 33.99-per-100k workforce ratio stops functioning as a hard cap on how many adults can be in structured therapy this month.

33.99 per 100k mental health workers nationwide.

Grouport is designed exactly for this constraint. A brief intake places each new member into a running group right away, replacing the roughly six-week wait that a public referral in Lesotho typically involves. Sessions run in English, which lines up with Lesotho's official-language secondary schooling and business environment, so most working-age adults can participate without a translation layer. Because everything happens over HIPAA-compliant video, no member has to descend from Butha-Buthe or Quthing to a Maseru clinic, they log in from the same phone or laptop they already use for WhatsApp, email, or M-Pesa.

Access and Availability Across Lesotho.

Mental health access in Lesotho is shaped by two hard realities: a mountainous geography that makes physical travel slow, and a specialist workforce concentrated in a single western corridor. Grouport works with that landscape rather than against it, offering any adult with a data connection a route into structured group therapy that does not depend on being near Maseru or a district hospital.

Geographic Barriers

Only about 43.7% of the Basotho population lives in urban areas, meaning more than 1.3 million people live in villages and small trading centres spread across the Maluti Mountains, the Senqu River Valley, and the foothills. The specialist mental health workforce, by contrast, is clustered in Maseru with thin coverage in Leribe, Mafeteng, and Berea. For a household in Qacha's Nek or Mokhotlong, that geographic mismatch turns one therapy appointment into an overnight expedition down winding mountain roads. Online group therapy takes the road out of the equation entirely, the session moves over cellular data rather than tarmac, reaching highland villages that are half a day from the nearest referral facility.

Extended Wait Times

A six-week wait is more than an inconvenience, for someone in acute distress it is a season. A university student in Roma facing exam-period panic, or a garment worker in Maputsoe whose sleep has been unravelling for months, cannot easily absorb another 42 days of worsening symptoms before treatment starts. Grouport's immediate group start window is a direct response to that specific gap. Once a clinical fit is confirmed at intake, members are placed into an existing group and their first therapeutic conversation happens within the same week, not at the end of a queue running six weeks deep.

Systemic Challenges

Lesotho's health system combines Ministry of Health facilities, the Christian Health Association of Lesotho (CHAL) mission network, and a small private sector, with mental health financed largely through the national health budget and donor programs. Insurance coverage for psychological services is limited, most Basotho workers do not carry medical schemes with meaningful outpatient mental health benefits, and out-of-pocket private-practice fees in Maseru can consume a substantial share of a lower-middle-income household's monthly cash flow. Grouport sits outside that system as a flat subscription: $140 per month covers weekly group sessions with no per-visit copay, no referral letter, and no gatekeeping between the member and their group.

Urban-Rural Divide

The urban-rural split defines almost every service question in Lesotho. With 43.7% of the population urban, the remaining roughly 1.3 million Basotho live in settings where the closest psychologist may be a multi-hour minibus ride down mountain passes. Historically that has left rural households with three choices: travel repeatedly at real cost, wait for infrequent outreach visits, or forgo care altogether. A video-based group inverts that constraint, a herder in Thaba-Tseka and a civil servant in Maseru can share the same weekly circle, led by the same licensed clinician, without either one leaving their village or suburb.

For Basotho adults who want to begin talk therapy this week rather than in six weeks, at a predictable monthly cost, the online group model is a practical fit for the country's geography and workforce reality.

Affordable Group Therapy Costs for Basotho Residents.

Affordability and Income

Against Lesotho's GNI per capita of roughly $3,180 PPP, $140 per month is a real commitment, but it is a predictable, subscription-based commitment rather than a series of unpredictable per-visit fees at a Maseru practice. There are no hidden add-ons: the flat rate covers weekly group sessions, therapist matching, and access to the secure video platform. Members can pause or cancel from the account dashboard at any time, which matters in a household economy where cash flow tightens around school-fee terms, agricultural seasons, and remittance cycles from family working in South African mines and cities.

Hidden Cost and Barriers

The published fee for in-person therapy in Lesotho only tells part of the cost story. A resident of Mafeteng seeing a Maseru-based psychologist absorbs minibus fares up the M1, a day of lost income or leave, meals on the road, and sometimes overnight lodging when appointments run into the evening. For someone travelling from Mokhotlong or Qacha's Nek, an in-person appointment easily becomes a two-day trip. Multiplied across a course of weekly sessions, those incidental costs can rival the therapy fee itself. Online group therapy erases that stack, the only marginal cost per session is the data or Wi-Fi already being paid for at home.

Immediate Availability

Affordability matters little if the service is not actually reachable when someone needs it. Grouport's immediate group start means the subscription starts delivering value the same week a Basotho member signs up, not six weeks later when a public referral finally comes through. That turns group therapy from a distant, hard-to-schedule appointment into a running weekly commitment that fits around work, family, and the rhythm of life in Lesotho.

Private therapy in Lesotho is generally billed per hour by Maseru-based clinical psychologists, and rates there track closely to South African private-practice norms across the border. Grouport's flat $32 per session, billed as $140 per month for weekly groups, is set well below that private-practice ceiling while still delivering care led by a licensed therapist rather than a peer facilitator or self-help program.

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 Lesotho.

Grouport runs therapist-led groups for the concerns Basotho adults most often name at intake: anxiety and chronic stress, depression, grief and bereavement, relationship and family conflict, trauma-related symptoms, obsessive-compulsive patterns, and interpersonal difficulties rooted in work, study, or migration separation. Each group is themed and time-limited, so members join a cohort focused on the specific issue they came in with rather than a mixed drop-in circle. Every session is led by a licensed therapist trained in evidence-based modalities such as CBT, DBT, and process-oriented group work.

Find your groupa group of nine people chatting online

Get Help for:

Self harm

Self-Harm, Suicidal Ideation, Self-injury, Suicide Survival

Common Treatments

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

  • 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 clinicians are licensed therapists and social workers who routinely hold groups with members outside the United States, including Basotho participants and others from the Southern African region. All sessions run in English, which aligns with Lesotho's official-language schooling and workplace norms. Therapists are trained to work respectfully across cultural context, the role of extended family, church community, migrant labour separation, and the ways Basotho members often describe emotional distress through indirect or somatic language.

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 Lesotho.

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 Lesotho.

How does Grouport work practically for someone living in Lesotho, timezone, language, and payment?

Grouport works well from Lesotho on all three fronts. On timezone, Lesotho (SAST, UTC+2) overlaps comfortably with our US-therapist schedule: evening groups in the US-Eastern time zone land in the early-to-mid morning in Maseru, and late-morning US groups land in the late afternoon or early evening for you, so you can usually find a slot that fits around work or school. On language, all sessions run in English, which is one of Lesotho's two official languages and the medium of instruction in most secondary schools, so most members join without any language barrier. On payment, Grouport bills in US dollars ($140/month for unlimited weekly group sessions) and accepts international Visa and Mastercard credit and debit cards, which are widely issued by Standard Lesotho Bank, Nedbank Lesotho, and FNB Lesotho. No US bank account or address is required to sign up.

Why is online group therapy a good fit for Lesotho's mental health access landscape?

Lesotho has approximately 33.99 mental health workers per 100,000 people, and access to specialized therapy outside Maseru is limited. Public clinics and the small handful of private practitioners in the country are typically booked out roughly six weeks in advance, which is a long time to wait when you are struggling. Online group therapy through Grouport removes the geographic bottleneck entirely: whether you are in Maseru, Leribe, Mafeteng, Mohale's Hoek, or a village in the highlands, all you need is a stable internet connection and a private space. You join a small, therapist-led group from home, avoiding travel across mountainous terrain and reducing the stigma some Basotho feel about being seen entering a mental health facility. Sessions run weekly, so you get consistent support rather than one-off appointments spaced months apart, which is often the practical reality of in-country care.

How much does online therapy typically cost?
It varies a lot. Grouport's individual therapy costs less than traditional in-person therapy, which typically runs $150-$300+ per session depending on where you live. For example, Grouport’s individual therapy sessions average $103/session. Online group therapy is more affordable, Grouport's group therapy is $25- $35/session or $140/month total, that’s less than the cost of one in person individual therapy session. What surprises a lot of people is that self-pay rates are usually cheaper than going through insurance after you factor in copays and deductibles. Online platforms often cost less than in-person because there's no office overhead to pay for. Not to mention, Grouport offers discounts when you combine sessions together or are doing more than one session per week.
How much does Grouport cost in my currency?
Pricing is in US dollars. Group therapy sessions range from $25-$35 USD per session, and individual therapy averages $103 USD per session. Your bank will convert the charge to your local currency. Exchange rates affect the final amount you pay, but those are the amounts you can expect to pay for group therapy and individual therapy. The rates for family therapy, couples therapy, virtual IOP, self guided programs, or bundles combining different types of therapy at different levels of intensiveness varies. Whenever you are doing more than one session per week, there are always discounts included.
How do time zones work for international clients?
Our therapists are located all over the world and work various hours to accommodate different time zones. Depending on where you live, sessions might be in your morning, afternoon, evening, or night. We'll work with you to find times that fit your schedule and our therapists' availability.
Can I access Grouport if I don't live in the US?
Yes. Grouport serves clients all over the world. We work with people in the UK, Ireland, Canada, Australia, Europe, Middle East, Asia, and elsewhere. As long as you have internet access and can attend sessions during available times, you can use Grouport. We offer session times at all times of the day for both individual and group therapy, so we can get you set up with sessions at times that are convenient for your schedule.
What size are the online therapy groups?
Grouport’s online therapy groups typically have 6-10 members on average. This size is ideal because it's small enough that everyone can participate in each session and receive individual attention, yet large enough to provide diverse perspectives and peer support. It’ll feel like your group of people that you consistently meet with each week, and this is tremendously helpful as its a reliable space of people you can confide in on a regular basis.
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.
How is online group therapy different from online individual therapy?
Online Group therapy differs from individual therapy in several ways in that you share therapist attention with other members versus exclusive focus on you, you receive feedback from multiple perspectives not just the therapist, you learn by observing others' experiences and progress, and you practice interpersonal skills in real-time with peers. Groups create this whole other dimension as you get multiple perspectives and see how others handle similar problems which helps you feel less alone. Cost per session is typically lower than individual therapy, as groups cost about $25 - $35 per group session. Group provides community and reduces isolation in ways individual therapy cannot. However, individual therapy offers personalized attention, and exploration of issues you might not share in groups. Many people benefit from both simultaneously, group for skill-building and support and individual therapy for deeper personal work. Neither is better, they serve different functional needs but have complementary purposes. Many people find group therapy to be more powerful than individual therapy because of the connection factor.
What is online group therapy?
Online Group therapy is mental health treatment where 6-12 people with similar concerns meet regularly with a licensed therapist over video chat. Unlike individual therapy's one-on-one format, online group therapy leverages peer support and shared experiences for healing. Members share challenges, give and receive feedback, practice new skills together, and learn from others' perspectives and progress. Groups may focus on specific issues like anxiety, depression, grief, DBT skills, CBT, OCD, trauma & PTSD, Borderline Personality Disorder, Bipolar, anger management and more. Groups can also be general process groups addressing various concerns. The therapist facilitates group dynamics, teaches skills, and guides productive interactions. Research shows group therapy is as effective as individual therapy for many issues and provides unique benefits individual therapy cannot address. Because of this, Online Group Therapy has complimentary benefits, and is often a major driver of improved therapeutic outcomes for people who feel stuck as learning through others' experiences gives the accountability and adherence needed to stick with treatment and keeps you on track with what successful treatment looks like.
What payment methods do you accept?
We accept all major credit cards (Visa, Mastercard, American Express, Discover, etc..) and debit cards for payment. Your card is securely stored and automatically charged on your monthly billing date. We also accept HSA (Health Savings Account) and FSA (Flexible Spending Account) cards, which many clients use to pay for therapy with pre-tax dollars. You can update your payment method at anytime.
How does online therapy work?
Online therapy with Grouport works through video sessions where you meet with a licensed therapist from the comfort of your home. After you sign up, we match you with a therapist within 24-48 hours based on your needs, schedule, and preferences. Sessions are conducted via our HIPAA-compliant video platform - you simply log in at your scheduled time and connect with your therapist. You'll receive the same evidence-based treatment and professional care as in-person therapy, with the added convenience of attending from anywhere.

Group Therapy Available Across Lesotho.

Counties

Maseru, Leribe, Berea, Mafeteng, Mohale's Hoek, Quthing, Qacha's Nek, Mokhotlong, Thaba-Tseka, Butha-Buthe

Cities

Maseru, Teyateyaneng, Mafeteng, Hlotse, Mohale's Hoek, Maputsoe, Qacha's Nek, Quthing, Butha-Buthe, Mokhotlong, Thaba-Tseka, Roma, Semonkong, Ha Thetsane

Zip Codes

Grouport serves all zip codes across Lesotho. If you have an address in Lesotho, 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 Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Colombia Comoros Cook Islands Costa Rica Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea 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 Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Samoa San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom 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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