Get Better, Together
Monaco packs roughly 39,000 residents into 2.02 square kilometers, and its mental health workforce stands at just 5.22 professionals per 100,000 data, a ratio that translates, at the Principality's scale, to a headcount well under a dozen clinicians for the entire country. Grouport connects Monegasque adults to small, licensed group sessions over secure video for $32 per session, matched right away. No CCSS pre-authorization, no twelve-week wait at the Centre Hospitalier Princesse Grace, no drive across the French border to Nice or Menton.

Understanding the landscape of mental health care access and the challenges
residents face across the state.
These figures draw on the WHO Global Health Observatory workforce dataset and World Bank income indicators rather than a Monaco-specific mental health census, the Principality's population of roughly 39,000 sits below the reporting threshold for many international surveys. What the numbers make plain is that a 5.22-per-100,000 ratio, at Monegasque scale, translates to a single-digit clinician count for a nation whose daytime population swells past 100,000 with cross-border workers arriving from Beausoleil, Cap-d'Ail, and Roquebrune-Cap-Martin.
UNDERSTANDING THE CHALLENGE
Monaco is the second-smallest sovereign state on Earth and the most densely populated country in the world, with more than 19,000 residents per square kilometer packed into nine quartiers stacked between the Mediterranean and the Tete de Chien cliffs. The entire specialist mental health system runs primarily through one institution: the Centre Hospitalier Princesse Grace (CHPG) in the Fontvieille quartier, whose psychiatry service covers inpatient, outpatient, and emergency care for the whole Principality. With a workforce ratio of just 5.22 per 100,000, the in-country pool of psychiatrists, clinical psychologists, and licensed therapists is measured in units rather than dozens.
For a resident of Monte-Carlo, La Condamine, or Larvotto seeking specialist care outside the CHPG channel, options narrow quickly. Private practices concentrate in Monte-Carlo and La Condamine and charge Cote-d'Azur private rates; the alternative is a cross-border appointment in Nice (approximately 20 kilometers along the A8 or the coastal Basse Corniche), Menton (about 10 kilometers east), or Cannes further west. A twelve-week wait for a first specialist opening through the CCSS-covered CHPG route is routine, and specialized services, trauma-focused therapy, structured DBT, English-language groups, frequently route across the French border under bilateral agreements with regional hospitals like CHU de Nice.
Online group therapy resolves the arithmetic directly. When a nation has fewer than a dozen in-country mental health specialists serving a resident population of 39,000 plus a working-hours population well above 100,000, an hour of clinician time serving six to twelve people rather than one shifts the availability equation entirely. Grouport runs cohorts of six to twelve adults meeting weekly by secure video with a licensed therapist. A Fontvieille executive, a Monte-Carlo retiree, and a La Condamine parent can join the same session at the same time without any of them consuming one of the CHPG's limited psychiatry slots.
Grouport matches Monaco residents into an appropriate group right away, versus the roughly twelve-week wait typical of CHPG specialist referrals. Sessions run in English, which is spoken alongside French, Italian, and Monegasque by a large share of the Principality's international community, Monaco's resident population is roughly 75% foreign nationals, with British, American, Italian, and Northern European citizens well represented. There is no CCSS pre-authorization to file, no cross-border reimbursement paperwork with French CPAM or Italian ASL carriers, no drive down the Moyenne Corniche to Nice. Sessions happen over HIPAA-compliant video from an apartment in La Rousse or an office in Fontvieille.
Mental health access in Monaco is shaped less by affordability, most residents can absorb private-practice rates that would be prohibitive elsewhere, and more by two structural realities: a workforce measured in single digits 5.22-per-100,000 indicator, and specialist capacity that concentrates almost entirely at one institution, the Centre Hospitalier Princesse Grace. Grouport works around both.
Monaco posts one of the highest per-capita income figures on Earth, with GNI per capita consistently ranked at or near the global top. In headline terms, a $140 monthly Grouport subscription is a rounding error against Monegasque incomes. That said, the Principality's aggregate wealth figures mask a resident base that includes retirees on fixed pensions, service-sector workers commuting in from Beausoleil and Roquebrune-Cap-Martin who face French cost bases on Monegasque salaries, and long-time Monegasque families whose income does not track the ultra-high-net-worth headline. For all of them, a fixed $32 per session removes the euro-denominated variability of private Cote-d'Azur practice rates.
Session-price comparisons in Monaco understate the real cost of in-person care. A resident of Larvotto driving to a specialist in Nice loses 40 minutes to an hour each way on the A8 or the Moyenne Corniche depending on time of day and season, plus parking near the Promenade des Anglais or the Vieux-Nice medical district, plus fuel at Cote-d'Azur pump prices. Someone routed to a specialized clinic in Cannes or Antibes for cross-border care can lose an entire working day. Summer months compress that further: Grand Prix week in May and the peak tourism season in July and August turn a routine commute into an unpredictable one. Video-based group therapy erases those secondary costs, the only infrastructure needed is broadband, which Monaco Telecom delivers near-universally through fiber.
The most consequential difference is speed. A typical CHPG-routed appointment involves a general practitioner referral, a wait for a specialist opening in the CCSS-covered psychiatry service, and scheduling around the hospital's outpatient hours. Grouport members are matched into an active group right after intake, with the first session usually the following week. For anyone whose situation does not accommodate a twelve-week runway, that gap is the entire point.
Private psychology practices in Monte-Carlo and La Condamine typically charge 100 to 180 euros per session, and specialized private consultations in Nice or Cannes can reach 200 euros or more once travel down the A8 and parking near the Promenade des Anglais are factored in. CCSS reimburses a share of in-network CHPG care, but out-of-pocket exposure for private and cross-border services remains substantial. Grouport sessions are $32 each, or $140 monthly, with no cross-border reimbursement paperwork on either side.
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 for anxiety, depression, obsessive-compulsive disorder, post-traumatic stress, grief and loss, relationship difficulties, and DBT skills work. For Monegasque adults, the most frequently joined groups tend to mirror what the local system struggles to deliver at scale: English-language trauma-focused therapy, structured DBT skills groups, and specialized anxiety support beyond the CHPG psychiatry rotation. All groups are conducted in English with licensed clinicians, and members join from wherever they are, Monte-Carlo, La Condamine, Fontvieille, or the terraced quartiers above the harbor.
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 therapists are licensed and hold the master's or doctoral-level credentials required for independent clinical practice, LCSW, LMFT, LPC, PsyD, or PhD. Sessions with Monaco members run in English, which most of the Principality's roughly 75% foreign-national population uses fluently alongside French, Italian, or Monegasque. Therapists build weekly cohorts that meet at consistent times, and Monaco members are placed into groups whose meeting slot works for Central European Time, typically late afternoon or evening local time to align with US business hours.
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."
Monaco has roughly 5.22 mental-health workers per 100,000 residents, and waits for a first appointment commonly stretch to about 12 weeks. Much of that capacity is concentrated in general practice or hospital-linked psychiatry at Centre Hospitalier Princesse Grace, with private practitioners in the principality (and just across the border in Nice or Beausoleil) often booked out and priced at premium expat rates.
Online group therapy fills a different gap. Rather than waiting a quarter of a year for one 45-minute solo session, you join a small, consistent group that meets weekly with the same licensed therapist and the same peers. That structure gives you regular therapeutic contact, plus the specific benefit of hearing how other high-functioning adults navigate similar patterns around anxiety, relationships, or burnout. For many Monaco residents it works alongside, not instead of, a local psychiatrist for medication, and can start within days rather than months.
Grouport is built for exactly the situation many Monaco residents face: an international, English-speaking population living in a small principality where mental-health capacity is thin and often French-language by default. All of our groups are conducted in English by licensed clinicians, so you do not have to translate emotional experiences into a second language or wait months for one of Monaco's limited specialist practitioners.
Because sessions run over secure video, your location inside Monaco is irrelevant, whether you are in Monte-Carlo, La Condamine, or Fontvieille. Central European Time sits well within our evening schedule blocks, so you can join a weekly group after work without traveling to Nice or Menton for care. Payment is straightforward: we bill in US dollars to any international card, and your bank handles the EUR conversion automatically, avoiding the complexity of cross-border invoicing many Monaco expats already navigate.
All nine traditional quartiers and wards: Monaco-Ville (Le Rocher), Monte-Carlo, La Condamine, Fontvieille, Moneghetti, Saint-Michel, La Rousse / Saint-Roman, Larvotto, and Jardin Exotique
Monte-Carlo, La Condamine, Fontvieille, Monaco-Ville, Larvotto, Saint-Roman, La Rousse, Moneghetti, Saint-Michel, Jardin Exotique, Les Moulins, Le Portier, La Colle, Les Revoires, Sainte-Devote
Grouport serves all zip codes across Monaco. If you have an address in Monaco, 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.
