Get Better, Together

English-Language Group Therapy for Macau Residents.

Grouport connects English-speaking residents across all seven parishes of the Macau SAR to small online groups of 6-12 people, led by licensed therapists over HIPAA-compliant video. Sessions cost $32 each on a $140 monthly plan, matching happens right away, and there is no referral to Conde S. Januario Hospital to arrange, no 8-week wait at the Services of Health Bureau's psychiatric outpatient clinic, and no need to leave your apartment in Taipa, Coloane, or the peninsula to sit with a clinician.

Dialectical Behavior Therapy

The State of Mental Health in Macau.

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

Mental Illness Prevalence

13.4% of Macanese adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.

Wait Time

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

Median Household Income

$48,200 median household income in Macau, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

91.7% of Macanese adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

84% of Macau'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 Macau, a density that shapes availability, wait times, and access across the country.

The workforce density of 7.8 mental health workers per 100,000 residents is drawn from the WHO Global Health Observatory for the Western Pacific Region, and the prevalence and treatment-gap estimates align with University of Macau community studies and regional WPR benchmarks. Applied to the Statistics and Census Service (DSEC) population of roughly 687,000 people packed into just 32.9 square kilometres, the highest population density of any territory on earth, those ratios produce enormous per-square-kilometre pressure on a small handful of public and private clinicians.

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in Macau.

The Problem

Macau's economic figures suggest a territory that should have abundant mental health capacity, a $98,157 GNI per capita PPP puts the SAR among the wealthiest jurisdictions in Asia, and gaming revenue funds one of the world's most generous social services budgets. Yet the clinical workforce is small in absolute terms: at 7.8 mental health workers per 100,000 residents applied to a population of 687,000, the entire SAR is served by roughly fifty psychiatrists, psychologists, and psychiatric nurses combined. Public psychiatric provision runs through the Services of Health Bureau (SSM), anchored by Conde S. Januario Hospital's psychiatric department on the peninsula, and demand consistently outstrips that narrow supply.

The Impact

For a Macau resident weighing whether to seek help, the 8-week wait for a first non-urgent appointment at an SSM psychiatric outpatient clinic is the most visible barrier, but it is often only the entry point. Public sessions typically emphasise medication management rather than sustained talk therapy, and structured psychotherapy in Cantonese, Portuguese, or English is largely referred out to NGO providers like Caritas Macau or to a thin private market. Private psychiatrists in NAPE and the Zape district commonly charge MOP 1,500-3,000 per consultation, and the small pool of English-speaking clinical psychologists often bills MOP 1,200-2,200 per 50-minute session, putting sustained weekly work out of reach for many residents despite the SAR's high aggregate income.

The Solution

Online group therapy changes that arithmetic. A group of 6-12 people meets weekly by secure video with a single licensed therapist trained in evidence-based approaches, CBT for anxiety and depression, DBT skills for emotion regulation, interpersonal process work for relationship patterns, or grief-focused work. Because the same clinician's hour is shared across a small group, the per-person price drops to $32 without cutting the session short. For the English-speaking segment of Macau, bilingual local professionals, Portuguese-speaking Macanese families whose younger generations often work in English, gaming and hospitality expatriates from the Philippines, Nepal, the US, and Australia, and returnees from study abroad, the format also removes the search for an English-fluent private clinician entirely.

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

Grouport is built for the specific friction of Macau care. You can join a group right away rather than 8 weeks. Sessions run in English, so members are not restricted to the small subset of local clinicians who work outside Cantonese and Portuguese. There is no bus ride across the Sai Van, Governador Nobre de Carvalho, or Friendship bridges to reach Conde S. Januario, no queue at an SSM registration counter at 7am, and no requirement to fit within a particular clinic's catchment. The $32-per-session price on the $140 monthly plan is flat and billed in US dollars, and the video platform is HIPAA-compliant, the same clinical privacy standard applied to US patients extends to members joining from an apartment in Taipa or a townhouse in Coloane Village.

Access and Availability Across Macau.

Macau is 100% urban by World Bank classification, which reshapes the access problem rather than eliminating it. There is no rural-remote frontier here; the SAR spans 32.9 square kilometres split across the peninsula, Taipa, Coloane, and the reclaimed Cotai strip. The constraint is workforce depth against a dense, high-stress population, and the pinch points show up as queues rather than distances. Grouport was built for English-speaking residents caught inside those queues.

Geographic Barriers

Distance in Macau is small on the map but often heavy in practice. A resident of Coloane's Hac Sa or Ka Ho, of a high-rise on the Cotai reclaimed zone, or of the northern peninsula districts like Iao Hon can face a 40-to-70-minute bus journey to reach the SSM psychiatric outpatient clinic on the peninsula, and evening appointment slots for shift-working gaming staff are especially scarce. Across the seven civil parishes, Nossa Senhora de Fatima, Santo Antonio, Sao Lazaro, Se, Sao Lourenco on the peninsula, plus Nossa Senhora do Carmo in Taipa and Sao Francisco Xavier in Coloane, service intensity is uneven, with almost all private English-speaking practices clustered on the peninsula. Video sessions collapse that geography: the same link opens from a NAPE tower and a Coloane village lane.

Extended Wait Times

The 8-week wait for a first non-urgent psychiatric outpatient appointment through SSM is a benchmark figure; queues for sought-after subspecialties (mood disorders, adult ADHD, perinatal mental health, adolescent care) commonly run considerably longer, and community-facing counselling from providers like Caritas Macau's Life Hope Hotline and Life Hope Home carries its own waitlists on top. Urgent triage exists, but the standard-track experience for a Macau resident whose sleep has been unravelling since the last gaming-industry restructuring is three months in a holding pattern. Grouport compresses that into a matter of days, with the first group session typically starting the same week as signup.

Systemic Challenges

Public healthcare in Macau is heavily subsidised, SSM consultations are free for residents in eligible categories including children, students, the elderly, and pregnant women, and low-cost otherwise, but sustained talk therapy is not primarily delivered inside those clinics. NGO-provided counselling depends on Social Welfare Bureau (IAS) and philanthropic funding streams that fluctuate year to year, and private insurance through the SAR's small commercial market often caps psychiatric benefits well below what a weekly year-long course costs at a NAPE clinic. Grouport's flat $140 monthly rate replaces that patchwork with a single predictable figure and does not require any insurance coordination or SSM referral chain.

Urban-Rural Divide

Because Macau is 100% urban, the classic urban-rural divide does not apply, but a functional equivalent shows up along parish lines and along language. The peninsula's five parishes hold nearly all private clinicians, while Taipa and Coloane residents face longer effective journeys to reach any structured psychotherapy in English. Cross-border commuters from Zhuhai working in Macau's gaming and hospitality sectors face an additional layer, SSM services generally require Macau residency documentation, leaving those workers dependent on the private market or on care back across the Gongbei checkpoint. An online group hosted by a licensed therapist is neutral to all of that: a dealer finishing a graveyard shift in Cotai and a teacher in Sao Lourenco join the same 6-to-12-person circle.

Grouport fits Macau's landscape not by replicating the SSM pathway or the NAPE private-clinic model but by running alongside them, in English, at a fixed US-dollar price, on a schedule that starts within days of signup. In a territory this dense and this thinly served for English-language talk therapy specifically, that combination matters far more than the raw workforce figure suggests.

Affordable Group Therapy Costs for Macau Residents.

Affordability and Income

Against Macau's $98,157 GNI per capita PPP, the highest per-capita income in Asia after Singapore, a $140 monthly commitment represents less than 0.2% of average annual income, well below the 3-6% share that sustained private English-language therapy in NAPE can consume for the same four weekly sessions. Because Grouport bills monthly with no long contract, members can pause between courses of group work when the gaming-industry pay cycle tightens or a family visit to the mainland disrupts scheduling, then re-enter when a new focus arises.

Hidden Cost and Barriers

Even the free SSM consultation understates the real cost of in-person care in Macau. A public appointment on the peninsula from Coloane or the Cotai strip typically costs a working resident half a day of leave, bus fare or ride-hail costs, and often a multi-week gap before the next slot; private appointments in NAPE add parking or taxi costs that can outrun the consultation fee itself for shift-based gaming staff who finish work at unpredictable hours. Grouport's flat monthly fee absorbs all of it, no travel, no leave request, no supplementary billing for follow-up sessions, no cross-bridge commute.

Immediate Availability

Grouport matches members to a group right after signup. Set against the 8-week wait for a first non-urgent SSM psychiatric outpatient appointment, or the multi-week queues typical at Caritas Macau and popular private practices in NAPE, that difference is measured in months rather than days, often the deciding factor for a Macau resident reaching out during a stressful stretch who wants to be in an actual session by the following week.

Talk therapy pricing in Macau sits at two extremes. SSM psychiatric outpatient consultations are free or heavily subsidised for eligible residents, but structured weekly psychotherapy is rarely delivered in that setting; the real work is typically referred out. In the private market, English-speaking clinical psychologists in NAPE, Zape, and Taipa commonly charge MOP 1,200-2,200 per 50-minute session, and private psychiatrists sit higher still. Grouport's $32 per session (roughly MOP 260) on a $140 monthly plan produces a materially different equation.

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 Macau.

Grouport runs groups covering the conditions that most frequently bring English-speaking Macau residents to seek care: generalised and social anxiety, depression, grief and loss, relationship and communication difficulties, adult ADHD, trauma processing, and skills-based work drawing on DBT for emotion regulation. The format is small-group process therapy or structured skills training tuned to what each member is working on, including presentations common in the SAR's gaming and hospitality workforce such as shift-work burnout, high-stakes customer-facing stress, expatriate and returnee adjustment, and the intergenerational and cross-cultural family dynamics common in Macanese, mainland-Chinese, and international households.

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 clinicians are licensed therapists, LCSWs, LMFTs, LPCs, and psychologists, trained in group process work and evidence-based modalities. Sessions run in English, a working language of Macau's tourism, gaming, higher-education, and international-business sectors. Many facilitators have direct experience supporting internationally-mobile clients, third-culture adults, and members navigating cultural transitions, a profile that maps closely onto English-speaking life in Macau: gaming-sector expatriates from across the Asia-Pacific, Portuguese-descended Macanese families, mainland Chinese professionals on SAR assignments, and locally-raised bilingual residents working in globally-oriented industries. Every therapist is licensed, and practices under clinical standards regardless of where their group members log in from.

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 Macau.

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 Macau.

How does Grouport compare to seeing a private psychiatrist in Macau at Kiang Wu or on the Peninsula, where sessions can run over MOP$1,000 and public waits stretch 12 weeks?

Private English-speaking sessions in Macau typically cost several hundred to over MOP$1,000 out of pocket, and subsidized appointments at Conde S. Januario Hospital often carry a 12-week wait. Grouport runs about MOP$256 per weekly session at $32, with licensed therapists leading groups of six to twelve members over HIPAA-secure video. You can join right away rather than waiting three months, and sessions fit around casino, hospitality, or university schedules on China Standard Time without a commute across the Peninsula or Cotai.

With 687,000 residents packed into 33 square kilometers, how does Grouport protect my privacy in such a small, socially connected community?

Grouport groups pull members from across regions, so the six to twelve people in your weekly video session are almost never your Macau Peninsula or Taipa neighbors, casino coworkers, or family friends. Sessions run over a HIPAA-secure video platform from wherever feels private to you, no clinic entrance to be seen at. Groups are led by licensed therapists and focus on shared themes like anxiety or depression, at $32 per session, so you get consistent support without navigating stigma inside Macau's tightly knit social circles.

​​Can I upgrade or downgrade my billing at any time?

Yes, you can change your plan anytime, whether that means adding or reducing sessions or switching to a different billing cycle. Changes take effect immediately.

Upgrading your plan:

  • Add more sessions per week (e.g., 1 session/week → 2 sessions/week)
  • Switch to a longer billing cycle (e.g., Monthly → Quarterly)
  • You'll be charged a prorated difference based on the time remaining in your current plan

Downgrading your plan:

  • Reduce the number of sessions per week
  • Switch to a shorter billing cycle
  • Downgrades take effect at the end of your current billing cycle

You can make plan changes at any time by contacting our support team or updating your account settings.

What if I'm dealing with poverty or financial stress?
Financial stress affects mental health everywhere. Therapy helps you cope with the anxiety and depression that come with economic insecurity. If money is tight, group therapy costs less than individual therapy so that might be a great way to affordably access therapy. Through our platform, we want therapy to be accessible.
Can therapy help with work stress in my country?
Work culture varies by country. Some countries have intense work demands, limited worker protections, or expectations that harm mental health. Whether you're dealing with burnout, toxic workplace, career pressure, or unemployment stress, therapy addresses work-related mental health impacts regardless of where you live.
What if I'm worried about crying in front of others?
Crying in group happens a lot and is accepted and you won't be the first or only person to cry. The therapist ensures you're not pressured to share what evokes tears before you're ready and the experience is processed therapeutically. Nobody's going to judge you for having emotions and that's why you're all there. What feels exposing initially often becomes a source of connection and vulnerability is important for healing to take place. You're among people who understand pain and tears don't make anyone look down on you. Most people find it's actually a major relief to be somewhere emotions are okay to share freely and openly.
What if I'm the only one with my specific problem?
You don't need identical problems to benefit from online group therapy. So while your exact situation might be unique, you'll be with people who have similar struggles. Even really different problems often share underlying patterns like isolation, fear, shame, difficulty trusting. Those commonalities matter more than identical circumstances. If you have a particular diagnosis then diagnosis-specific groups would be helpful and that’s why groups are typically structured around certain diagnoses like a trauma group, eating disorder group, OCD group, a BPD group, or it can be a group that focuses on a particular type of treatment like DBT, CBT, EMDR that’s helpful for certain things or it might be a general group for folks who have commonalities of some sort.
What happens in an online group therapy session?
Sessions usually start with a brief check-in where each member shares how it's going and what came up since last week. Then discussion can shift to a skill-building exercise, a support oriented framework, or processing. The therapist facilitates but group members drive a lot of the conversation and the therapist ties things back to what the appropriate evidence-based treatment in the situations expressed would be so that they reinforce and drive accountability to adherence to treatment. Every group has its own structure so it can really be based on the type of group, therapist style, and member needs. Format of course can vary by group type and for example skills groups are more structured with teaching components whereas process groups are more free-flowing based on member needs.
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 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.
Can I get reimbursed by my insurance for online therapy?
Many Grouport clients successfully get reimbursed through their out-of-network mental health benefits. Upon request, we can provide a detailed superbill that you can submit to your insurance company for reimbursement. Reimbursement rates typically range from 50-80% depending on your specific plan. To determine your out of network reimbursement coverage, call or email your insurance company and ask: "What are my out-of-network mental health benefits?" and "What percentage do you reimburse for out-of-network therapy (for the specific service you’re interested in)?"
Do you accept insurance?
We don't currently accept insurance directly. Grouport provides affordable care without pre-approvals or referrals. If you have out-of-network benefits, you may be able to submit for reimbursement depending on your plan. We can provide receipts upon request that you can submit for out of network reimbursement.

Group Therapy Available Across Macau.

Counties

Macau Peninsula, Taipa, Cotai, and Coloane, spanning all seven civil parishes: Nossa Senhora de Fatima, Santo Antonio, Sao Lazaro, Se, Sao Lourenco on the peninsula, Nossa Senhora do Carmo in Taipa, and Sao Francisco Xavier in Coloane.

Cities

Areia Preta, Iao Hon, Fai Chi Kei, Barra, NAPE, Zape, Sao Lourenco, Sao Lazaro, Santo Antonio, Se, Inner Harbour, Outer Harbour, Taipa Village, Taipa Grande, Ocean Gardens, Cotai, Hac Sa, Ka Ho, and Coloane Village.

Zip Codes

999078

If you have an address in Macau, 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
See all areas we serve →

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Let’s find the right therapist match for you, so you can get consistent & effective care.

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