Get Better, Together
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.

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

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."
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.
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.
Ratak Chain (sunrise atolls), Ralik Chain (sunset atolls), Majuro Atoll, Kwajalein Atoll, Arno, Jaluit, Ailinglaplap, Mili, Wotje, Maloelap, Namdrik, Ebon, Likiep, Ujae, Lae, Namu
Majuro (Delap-Uliga-Djarrit), Ebeye, Rita, Laura, Jabor, Wotje town, Rongrong, Ajeltake, Kili, Enewetak town, Jabat
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.
Let’s find the right therapist match for you, so you can get consistent & effective care.
