Get Better, Together

Online Group Therapy for Nauru Residents.

With just 73.04 mental health workers per 100,000 people and a 6-week wait to see one, Nauru's 12,700 residents face a genuine bottleneck when they need talk therapy. Grouport connects you with licensed clinicians in HIPAA-secure video groups of 6-12 peers for $32 per session, no ferry to Australia required and no queue to join.

Dialectical Behavior Therapy

Mental health access in Nauru by the numbers.

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

Mental Illness Prevalence

73.04 mental health workers per 100,000 residents, translating to roughly nine trained professionals for the entire island population.

Wait Time

right away is the Grouport matching window, cutting that six-week local wait to right away from intake to first scheduled group.

Median Household Income

$21,340 GNI per capita places Nauru in the high-income WPR tier, yet local care capacity has not kept pace with earnings.

Percentage Who Need Therapy

100% of Nauru's population lives in urban areas, yet urban density has not delivered proportional access to specialty behavioural health services.

Provider Shortage

6 weeks is the typical wait to secure an appointment with a mental health provider in Nauru, according to regional service coverage reporting.

Mental Health Providers per 100k Residents

$32 per weekly session ($140/month) makes Grouport accessible even where private psychiatry fees or air travel to Brisbane would run several thousand dollars.

These figures, drawn from WHO Global Health Observatory workforce density tables and World Bank development indicators, sketch a small high-income island where the arithmetic of scale, not affordability, is the primary access barrier. When nine clinicians serve 12,700 residents across a single 21 km2 landmass, even a well-funded system produces multi-week queues. Online group therapy sidesteps that arithmetic entirely by drawing on a clinician pool.

UNDERSTANDING THE CHALLENGE

The Nauru context: one island, one referral pathway.

The Problem

Nauru is the world's smallest island republic outside Vatican City and Monaco, covering 21 square kilometres with an estimated population of 12,700. data records a mental health workforce density of 73.04 per 100,000, an unusually high per-capita figure that in absolute terms still amounts to roughly nine clinicians. Republic of Nauru Hospital in Denigomodu is the single referral point for behavioural health, and its psychiatry roster relies heavily on visiting specialists from Australia and Fiji rather than resident consultants.

The Impact

The practical consequence is a 6-week wait for a scheduled talk-therapy appointment even in a country where 100% of residents live in urban wards. Because Nauru has no independent private-practice sector for psychology, residents seeking earlier intake historically fly to Brisbane or Suva, a route that adds airfare, accommodation, and unpaid leave to the cost of care. With per-capita GNI at roughly $21,340, households in the country's high-income bracket can absorb some of that cost, but the schedule disruption remains prohibitive for shift workers at the phosphate operations or in the civil service.

The Solution

Grouport reframes the problem as a bandwidth question rather than a geography question. A licensed clinician facilitates a fixed weekly group of 6-12 peers over HIPAA-compliant video, meaning the Nauru resident joins the same session cohort each week without competing for a scarce local slot. The $32-per-session rate is set below the marginal cost of any medevac or off-island referral, and matching happens in right away regardless of whether the request originates in Yaren, Aiwo, or Anibare.

6 weeks is the typical wait to secure an appointment with a mental health provider in Nauru, according to regional service coverage reporting.

Because the delivery layer is video rather than in-person, the density constraint that shapes Nauru's local roster is replaced by scheduling capacity across a clinician pool that operates around the clock. A 12,700-person population that would never sustain 20 specialist groups locally can plug into an existing catalogue of running groups already serving thousands. Nauru sits at UTC+12, which places evening sessions in Yaren during US mid-morning and Australian evening windows, giving residents two viable time bands rather than one.

Access and availability in Nauru.

Access in Nauru is defined less by cost or stigma than by pure workforce arithmetic. records 73.04 mental health workers per 100,000 residents, which sounds generous until you multiply against a population of 12,700 and land at fewer than ten clinicians for the entire republic.

Geographic Barriers

Geography is unusual on Nauru because the entire island is 21 square kilometres and 100% urban by World Bank classification. A resident of Anibare on the east coast is 6 kilometres from Republic of Nauru Hospital in Denigomodu, and the ring road that circles the island can be driven in under 30 minutes. Yet that compactness offers no relief when the constraint is clinician availability rather than travel time. If the nine-person mental health workforce is already booked six weeks out, physical proximity to the hospital does not shorten the queue. Online group therapy neutralises the workforce ceiling by drawing on a clinician pool that sits entirely outside the local capacity constraint.

Extended Wait Times

The 6-week wait recorded in WHO regional service-coverage reporting is a scheduling function, not an intake-triage function. Because Nauru relies on visiting Australian and Fijian consultants for specialist psychiatry, appointment slots cluster around clinician rotation dates rather than daily availability. A resident who inquires the week after a rotating consultant departs may wait longer than six weeks for the next opening. Grouport's immediate group start window operates independently of any single clinician's calendar because the matching engine pools availability across the full licensed roster, so first-session dates are constrained only by the resident's own schedule.

Systemic Challenges

Nauru does not maintain a private-practice sector for clinical psychology or counselling. All formal talk therapy runs through Republic of Nauru Hospital's mental health service, which means there is no fallback tier when the public queue lengthens. Residents historically manage the gap through informal community and church-based support, or through off-island referral to Brisbane public hospitals via the Pacific Regional Referral scheme. Grouport adds a formal, licensed, HIPAA-compliant tier that costs $32 per session and does not compete with the hospital's finite roster, providing an additional layer of coverage rather than replacing existing services.

Urban-Rural Divide

The urban/rural distinction that shapes access in most WPR countries does not apply on Nauru, where the World Bank records 100% urban. Every one of the fourteen districts, from Ewa in the north to Yaren in the south, sits within the same catchment area as the single hospital. This means that whatever access gap exists is uniform across the population rather than concentrated in remote settlements. Grouport delivers identically to a resident in Boe as to one in Meneng because the entry point is a broadband connection and a webcam.

The result on Nauru is that online group therapy functions as parallel capacity rather than as a substitute for hospital care. Residents can hold their spot in the six-week local queue while starting weekly group work right away, an approach that meaningfully closes the coverage gap without pressuring the nine-clinician workforce.

Cost and value for Nauru.

Affordability and Income

At $140 per month for four weekly sessions, Grouport costs less than a one-way economy ticket on the twice-weekly Nauru Airlines service between Yaren International and Brisbane, which typically runs A$800 or more. For a resident who would otherwise be routed to Brisbane for specialist mental health care under the Pacific Regional Referral scheme, the arithmetic favours online group therapy for any course of treatment lasting more than a single session. The $32 rate is fixed regardless of clinician seniority or specialty, so a resident joining a DBT skills group pays the same as one joining a general anxiety group.

Hidden Cost and Barriers

The hidden costs of Nauru's current mental health pathway are substantial. Off-island referral requires airfare, accommodation in Brisbane or Suva during the treatment episode, and unpaid leave from work at the Republic of Nauru Phosphate Corporation, the civil service, or the regional processing centre. Even if the specialist consultation itself is subsidised, out-of-pocket costs for a single week away routinely exceed A$2,500. Grouport eliminates every one of these line items because sessions run from the resident's home over broadband, so the $32 session fee is close to the total cost of care rather than a component of it.

Immediate Availability

Value also compounds through immediacy. A Grouport member matched right away begins accruing therapeutic value roughly five weeks before the equivalent local appointment date, and the group format means that value comes wrapped in peer support that no 1:1 hospital appointment can replicate.

Nauru sits in the World Bank's high-income bracket with GNI per capita around $21,340, so the affordability question here is less about absolute price and more about value per session and hidden costs like off-island travel. Grouport's $32-per-session rate is calibrated for global reach, which in the Nauru context represents a fraction of what an off-island referral would cost.

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

What we treat.

Grouport groups for Nauru residents address anxiety, depression, DBT skills, grief, relationship challenges, obsessive-compulsive patterns, and post-traumatic stress. Each group is topic-specific and led by a licensed clinician with training in evidence-based modalities like CBT and DBT, allowing residents to choose a group matched to their presenting concern rather than being routed to whichever slot opens first at Republic of Nauru Hospital.

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.

Every Grouport clinician serving Nauru clients holds active US state licensure as an LCSW, LMFT, LPC, or licensed psychologist, with typical caseloads centred on the evidence-based group modalities that translate cleanly to video delivery. Clinicians are matched to Nauru residents based on presenting concern and time-zone fit, so the UTC+12 schedule is accounted for at intake rather than negotiated week to week.

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 Nauru.

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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Nauru group therapy questions answered.

How does the cost of Grouport compare to accessing therapy locally or regionally from Nauru?

Nauru has no resident psychiatrist and only a small mental health team at Republic of Nauru Hospital, so residents who want specialized talk therapy often fly to Brisbane, Suva, or Melbourne, where a single private session commonly runs 150 to 250 Australian dollars before airfare and accommodation. Even government-referred overseas treatment involves travel logistics, time away from work, and long queues for approval.

Grouport's online group format is priced as a flat weekly subscription in U.S. dollars, which typically works out to a fraction of one in-person Australian session per week and includes unlimited attendance at your assigned group. Because sessions run from home over standard broadband or mobile data, there are no flights, hotels, or ferry connections to budget for. For Nauruans weighing consistent weekly support against occasional expensive overseas trips, the group model tends to be both more affordable and easier to sustain across months of treatment.

How does Grouport work for Nauruans given the island's limited mental health workforce?

Nauru has roughly 73 mental health workers per 100,000 population and reported wait times around six weeks for local services, so many residents look offshore for consistent support. Grouport is fully online, delivered in English, and hosted by licensed clinicians via secure video, which means you can join a weekly group from Yaren, Aiwo, or any other district without traveling to Australia or Fiji for care.

Groups meet at the same time each week, and Nauru sits in a +12 UTC time zone that aligns comfortably with U.S. evening sessions running mid-morning local time. You choose a group focused on your concern, such as anxiety, depression, or relationships, and stay with the same members and facilitator week after week. Payment is processed in U.S. dollars by international card, and there is no requirement to hold a U.S. address, phone number, or insurance plan to enroll.

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.

Where in Nauru we serve.

Counties

Aiwo, Anabar, Anetan, Anibare, Baitsi, Boe, Buada, Denigomodu, Ewa, Ijuw, Meneng, Nibok, Uaboe, Yaren

Cities

Yaren, Denigomodu, Aiwo, Meneng, Anibare, Baitsi, Boe, Ewa, Anabar

Zip Codes

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