Get Better, Together

Group therapy that reaches every atoll with a signal.

Grouport connects Marshallese adults with licensed-therapist-led group sessions over secure video for $32 a session, or $140 a month. No inter-island flight to Majuro, no long referral chain through the Ministry of Health and Human Services, no waiting until a visiting specialist rotates through the outer atolls. You are matched with a group of six to twelve peers in immediate and meet weekly, in English, from wherever you have connectivity.

Dialectical Behavior Therapy

The State of Mental Health in the Marshall Islands.

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

Mental Illness Prevalence

~13% of Marshallese adults are estimated to live with a diagnosable mental health condition in any twelve-month period, in line with WHO Western Pacific regional averages.

Wait Time

20 weeks typical wait for a first specialist appointment when the referral has to route through Majuro or off-island under the Compact of Free Association.

Median Household Income

$140/mo Grouport pricing sits within reach of many households in an economy classified by the World Bank as lower-middle-income for the Republic of the Marshall Islands.

Percentage Who Need Therapy

>75% treatment gap is typical for lower-middle-income WHO Western Pacific states, meaning three of every four Marshallese who need care do not receive it.

Provider Shortage

1.89 per 100k total mental health workers, one of the thinnest workforce ratios anywhere in the Pacific.

Mental Health Providers per 100k Residents

~13,000 per 100k Marshallese affected by a mental health condition each year.

These figures draw on WHO Global Health Observatory workforce data for the Marshall Islands, World Bank population and income classifications for the RMI, and WHO Western Pacific regional prevalence and treatment-gap reporting. They describe one of the smallest and most geographically dispersed populations on earth being served by a workforce that, at 1.89 mental health workers per 100,000 residents, is measured in single digits of clinicians for the entire nation. The scarcity is structural.

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in the Marshall Islands.

The Problem

The Republic of the Marshall Islands spreads roughly 42,000 people across 29 atolls and five isolated islands scanning a swath of the Central Pacific larger than the continental United States. Public mental health capacity is concentrated at Majuro Hospital and to a lesser extent at the Leroj Kitlang Memorial Health Center on Ebeye, with outer-atoll coverage handled by periodic visiting-clinician rotations and by health assistants without specialist training. The WHO-reported ratio of 1.89 mental health workers per 100,000 residents translates in practice to a headcount most Marshallese can name.

The Impact

What that scarcity produces is not a queue in the North American sense but an absence. A resident of Jaluit or Wotje who develops persistent depression after a bereavement, an Ebeye teenager processing family separation because a parent left for Springdale or Enid under the Compact migration route, or a Majuro adult managing anxiety alongside diabetes, cannot simply be added to a waitlist. They wait for the next specialist visit, they travel to Majuro at their own expense, or in the more consequential cases they are medically referred to Honolulu or the Philippines under the Compact of Free Association health provisions, which itself takes weeks to arrange.

The Solution

Online group therapy is a specific answer to a specific gap. It fills the middle band, the Marshallese adult with a moderate-severity condition who does not need hospitalisation, cannot practicably fly to Majuro every week, and would otherwise wait for the arc of the illness to worsen before the system engages. A group of six to twelve peers meeting weekly over video with a licensed clinician is a service model that ignores atoll geography entirely.

1.89 per 100k total mental health workers, one of the thinnest workforce ratios anywhere in the Pacific.

Grouport matches clients in immediate because there is no in-country licensing bottleneck to route around, no ministry referral to secure, and no need for a clinician to be physically present in the RMI. Sessions run in English, which the RMI Ministry of Education uses as a co-official language of instruction alongside Marshallese from the upper primary grades onward, so working-age adults across the country generally have functional fluency. HIPAA-compliant video is delivered by licensed therapists, which aligns with the health-services relationship the RMI already maintains with the United States under the Compact.

Access and Availability Across the Marshall Islands.

Access in the Marshall Islands is shaped less by cost or waitlist administration than by physical distance and workforce depth. When there are effectively a handful of trained mental health workers for the entire republic, the question is not how long you wait for an appointment, it is whether an appointment with a suitably trained clinician exists at all in the atoll you live on. Every access barrier discussed below descends from that single structural fact.

Geographic Barriers

The RMI is spread across 750,000 square miles of ocean with a total land area of about 70 square miles. Inter-atoll travel depends on Air Marshall Islands flights that can be weekly at best to smaller atolls, on the Ministry of Transportation field-trip ship rotations that run on multi-week cycles, and on private boats where sea state allows. A resident of Mili or Namdrik seeking specialist mental health care in Majuro is looking at a journey measured in days and airfares that, even when subsidised, cross a meaningful share of monthly household income. Online delivery reduces that entire geography to a Wi-Fi signal.

Extended Wait Times

The 20-week benchmark cited on this page describes the practical wait for a first appointment with a specialist mental health clinician when the case has to be routed through the small Majuro-based workforce or, for more complex presentations, referred off-island to Honolulu under the Compact medical referral pathway. That figure is a median, not a ceiling. Cases requiring a specific subspecialty, such as child and adolescent psychiatry, can wait considerably longer because the sending clinician is waiting for a visiting rotation or an available slot at a partner facility abroad. The waiting itself compounds the initial condition.

Systemic Challenges

The RMI health system is funded through a combination of Ministry of Health and Human Services appropriations, US federal grants tied to the Compact of Free Association, and payer-of-last-resort arrangements for off-island referrals. Mental health has historically received a smaller share of that envelope than communicable disease, non-communicable disease, and maternal-child health, all of which face their own acute pressures including the country's diabetes burden. There is no domestic private psychiatry sector of any scale to fall back on. The person with moderate anxiety or depression falls outside the acute-services triage and outside a private market that essentially does not exist in-country.

Urban-Rural Divide

World Bank data classifies 78.7 percent of the Marshallese population as urban, which for the RMI means concentrated on Majuro Atoll, particularly the Delap-Uliga-Djarrit corridor, and on Ebeye in Kwajalein Atoll. The remaining roughly 21 percent live across the outer atolls. What this hides is that even the urban 78.7 percent lives in settlements whose combined mental health workforce sits in the single digits. Urbanisation in the RMI is not a proxy for access the way it is in a larger country. Online group therapy flattens the urban and outer-atoll experience because both begin from the same starting point of local scarcity.

For Marshallese adults looking for licensed group therapy with a small cohort of peers at $32 per session, Grouport delivers weekly sessions on video, from anywhere in the Marshall Islands with a stable internet connection, without a wait and without traveling to Majuro.

Affordable Group Therapy Costs for Marshallese Residents.

Affordability and Income

Because there is no meaningful private psychiatry market in the RMI, the practical comparator for weekly therapy is either free public care that is often not available for moderate presentations, or fee-for-service care abroad in Honolulu, Manila, or Suva where a single session frequently exceeds the full monthly Grouport cost before flights are considered. Priced against that alternative rather than against a US or Australian retail rate, $32 per session and $140 per month sits well inside what an employed Marshallese adult, a public-sector worker in Majuro, or a household with US-based family support can sustain over time.

Hidden Cost and Barriers

The visible fee for any in-person mental health care in the RMI is only part of the picture. For an outer-atoll resident, real cost includes Air Marshall Islands airfare or field-trip ship passage to Majuro, lodging for the days around the appointment, lost wages or lost subsistence-fishing time, and childcare while away. For a Majuro or Ebeye resident, the hidden cost is often the sessions that do not happen at all because the local workforce cannot accommodate them. A weekly video group removes the travel line items entirely and eliminates the not-available-locally line item, which for most Marshallese is the binding constraint.

Immediate Availability

The immediate group start window matters more in the RMI than in most countries Grouport serves. Where the local alternative is a 20-week wait or the arrival of the next visiting specialist rotation, being in a group by the end of the following week is a categorical change in what care looks like, not an incremental improvement. Continuity is the other half of that story, because a weekly group does not depend on whether the next Air Marshall Islands flight or ship rotation runs on schedule.

The World Bank classifies the Republic of the Marshall Islands as a lower-middle-income economy, with gross national income per capita well below the regional averages for high-income Pacific neighbours like Guam or the CNMI. Within that context, discretionary spending on health services outside the public system is limited for most households. Grouport at $140 per month is priced to be a realistic monthly line rather than an aspirational one, and it covers weekly sessions rather than being metered per visit.

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 Support in the Marshall Islands.

Grouport runs weekly groups for anxiety, depression, DBT skills, grief and loss, relationship issues, OCD, PTSD and trauma, ADHD, chronic pain and illness, LGBTQIA+ experience, and parenting. These map onto presentations that are well documented across the WHO Western Pacific region and that Marshallese clinicians and community health workers regularly describe, including grief processing around family migration to Springdale, Enid, and other US Compact-migration hubs, and the psychological load that accompanies the country's high non-communicable disease burden.

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 therapists are licensed clinicians facilitating in English, with experience running virtual groups for internationally distributed cohorts. For Marshallese clients this pairs with the country's existing English-language health and education infrastructure and with the substantial diaspora relationship that already exists between the RMI and the United States under the Compact of Free Association. Group members contribute their own cultural context alongside the facilitator, which suits a country where community and family framing is central to how mental health is usually discussed.

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 the Marshall Islands.

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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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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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 the Marshall Islands.

Why choose online group therapy over local options in the Marshall Islands?

Local mental health resources in the Marshall Islands are concentrated in a small number of clinics tied to the national hospital system and visiting-provider programs, and specialty options for issues like anxiety, depression, grief, or trauma are scarce. Many residents historically had to travel off-island for consistent psychotherapy, which is expensive and disruptive. Grouport removes that barrier by delivering weekly, licensed-clinician-led group sessions directly to your device at a flat monthly rate that is typically a fraction of the cost of off-island private therapy or repeat medical travel. Group therapy also offers something local services often cannot at this scale: an ongoing peer community of people working on the same issues, which reduces isolation, a common concern in small island populations. You keep continuity of care even if you relocate between atolls, travel for work, or move abroad, since the sessions travel with you.

How does Grouport work for people living in the Marshall Islands?

Grouport is a strong fit for residents of the Marshall Islands, where mental health infrastructure is extremely limited (roughly 1.89 providers per 100,000 people) and in-person wait times can stretch to 20 weeks or more. All sessions run in English over a standard web browser, so as long as you have a reliable internet connection on Majuro, Ebeye, or an outer atoll, you can join from home without traveling to Guam, Hawaii, or Honolulu for care. Payment is processed in U.S. dollars, which aligns with the currency already used across the RMI, so there are no foreign-exchange fees or conversion surprises. Groups are scheduled across a wide span of U.S. and international time slots, and because the Marshall Islands sits at UTC+12, you can typically find an evening or morning session that maps to a normal weekday hour locally.

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 the Marshall Islands.

Counties

Ratak Chain (sunrise atolls), Ralik Chain (sunset atolls), Majuro Atoll, Kwajalein Atoll, Arno, Jaluit, Ailinglaplap, Mili, Wotje, Maloelap, Namdrik, Ebon, Likiep, Ujae, Lae, Namu

Cities

Majuro (Delap-Uliga-Djarrit), Ebeye, Rita, Laura, Jabor, Wotje town, Rongrong, Ajeltake, Kili, Enewetak town, Jabat

Zip Codes

Grouport serves all zip codes across Marshall Islands. If you have an address in Marshall Islands, 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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