Get Better, Together
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 12-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.

Understanding the landscape of mental health care access and the challenges
residents face across the state.
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
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.
For a Macau resident weighing whether to seek help, the 12-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.
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.
Grouport is built for the specific friction of Macau care. you can join a group right away rather than 12 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.
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.
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.
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.
Grouport matches members to a group right after signup. Set against the 12-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.
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 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.
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 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.
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."
Macau's in-person options are concentrated in a handful of public SSM clinics and a small private sector on the Peninsula and in Taipa, with most services delivered in Cantonese or Mandarin. English-speaking, culturally-neutral therapists exist but are limited, and private individual sessions typically run MOP 800 to 1,500 (roughly USD 100 to 190) per hour, with 12-week-plus waits common on the public side. Grouport is different in three ways: it's a weekly group format rather than 1:1, so you get consistent peer connection alongside a licensed clinician; there's no referral, insurance pre-authorization, or session cap; and matching-to-first-session usually happens within a week. The trade-offs are real, we don't issue receipts recognized by Macau health insurers, we can't prescribe, and we won't replace a local psychiatrist for medication management. Many Macau members use Grouport as their steady weekly anchor while keeping a local doctor for anything clinical that requires an in-person visit.
Yes. Grouport works well for Macau residents who want structured, English-language group therapy without navigating a local mental health system that has just 7.8 psychiatrists per 100,000 workers and typical wait times of around 12 weeks for a first specialist appointment through the public track. All sessions run in English with licensed clinicians, and our New York evening slots translate to comfortable morning and lunchtime blocks in Macau Standard Time (GMT+8), most local members join before their workday or during a midday break. Payment is handled in USD through standard international cards issued in Macau or Hong Kong, so there's no need for a U.S. bank account or MOP-denominated billing. Because Grouport sits outside Macau's SSM public health network and the private clinics on the Peninsula, it can complement whatever local prescriber or GP relationship you already have rather than replacing it.
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.
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.
Grouport serves all zip codes across Macau. If you have an address in Macau, 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.
