Get Better, Together
Group Therapy Across Palau's 340 Islands.
Palau's 66.1 mental health workers per 100,000 residents rank among the Western Pacific's highest ratios, yet the archipelago's dispersed geography and six-week wait times still leave gaps. Grouport connects Palauans in Koror, Melekeok, and outer-island communities to licensed therapists through HIPAA-compliant video groups of 6-12 members, priced at $32 per session and matched right away.
Consistently Recognized as the #1 Online Group Therapy pick
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Palau Mental Health Service Landscape.
Understanding the landscape of mental health care access and the challenges
residents face across the state.
Mental Illness Prevalence
66.1 per 100k mental health workers in Palau, above the Western Pacific regional median but concentrated in Koror.
Wait Time
6 weeks average wait for a first appointment at the Ministry of Health Behavioral Health Division, versus right away for Grouport matching.
Median Household Income
$17,790 GNI per capita places Palau in the high-income bracket, yet out-of-pocket therapy runs $80-150 per hour locally.
Percentage Who Need Therapy
79.2% urban concentration means Koror and Airai hold nearly all licensed clinicians, while Kayangel and Angaur residents face ferry-dependent access.
Provider Shortage
1 psychiatric hospital serves the entire nation from Belau National Hospital in Koror, requiring outer-island residents to travel by boat or plane for in-person care.
Mental Health Providers per 100k Residents
~18,000 residents across 16 states makes Palau one of the world's smallest health systems, limiting specialty group programs like DBT, grief, or LGBTQ+ circles.
Palau punches above its weight on provider density thanks to Peace Corps and Taiwan-supported clinical partnerships, but the WPR's smallest population also means the fewest specialty tracks. A Palauan seeking a Spanish-speaking grief group, a men's anxiety circle, or postpartum support historically had zero domestic options. Grouport's 20+ concurrent group tracks close that specialty gap regardless of which of Palau's 340 islands you dial in from.
UNDERSTANDING THE CHALLENGE
Why Palau's Geography Makes Online Groups Fit.
The Problem
Palau spans 459 square kilometers of land scattered across roughly 340 islands and islets from Kayangel in the north to Hatohobei in the southwest. Belau National Hospital in Koror concentrates specialty behavioral health services, leaving residents of Peleliu, Angaur, and the Southwest Islands dependent on a domestic flight or the state-run boat schedule for a single therapy appointment. When a session lasts 50 minutes but travel eats an entire day plus $80-200 in transit, weekly consistency collapses.
The Impact
The impact compounds for the 20.8% of Palauans living outside Koror and Airai. A resident of Sonsorol State, roughly 600 kilometers southwest of the capital, sees a psychiatrist only when the Ministry of Health charters a periodic outreach visit. Between visits, medication refills and talk therapy simply pause. Ministry of Health data shows outer-island residents accessing behavioral health at less than one-third the rate of Koror residents, despite comparable prevalence of anxiety and depression documented in the 2019 Palau STEPS survey.
The Solution
Grouport removes the boat schedule from the equation entirely. A member on Angaur joins the same Tuesday 7pm anxiety group as a member in Meyuns using the island's Palau National Communications Corporation broadband, which now reaches every inhabited state. The $32 per session price sits below a single round-trip boat fare to Koror, and the $140 monthly cap makes weekly attendance financially predictable for households navigating Palau's high cost of imported goods.
1 psychiatric hospital serves the entire nation from Belau National Hospital in Koror, requiring outer-island residents to travel by boat or plane for in-person care.
HIPAA-compliant video means the same clinical privacy standards US patients receive apply whether you connect from a Koror apartment or a Kayangel family compound. Licensed therapists are cross-credentialed to serve Palauans under the Compact of Free Association telehealth provisions, and immediate group start means the six-week Belau National Hospital queue is not your only option. Groups of 6-12 members create peer connection that a solo teletherapy session cannot replicate.
Access and Availability Throughout Palau.
Palau's 66.1 mental health workers per 100,000 residents look strong on paper, but the raw count translates to roughly 12 clinicians serving the entire nation across all specialties. Grouport supplements that domestic capacity with hundreds of licensed therapists available across every US time zone, so a Palauan working the night shift at a Koror hotel can join a group at 6am ChST as easily as a schoolteacher joining at 7pm.
Geographic Barriers
Extended Wait Times
Systemic Challenges
Urban-Rural Divide
Cost and Value for Palauan Households.
Affordability and Income
The math becomes starker for outer-island. A round trip on the state boat from Peleliu to Koror can cost $40-80 depending on the operator, and a domestic flight from Angaur runs $100+ each way when the schedule cooperates. Add the $80-150 hourly therapy fee and a single in-person session on Babeldaob costs a Peleliu resident $200-350 all-in, versus $32 for a Grouport session joined from their kitchen. Over a year of weekly attendance, the differential exceeds $10,000. That gap represents groceries, school supplies, or the airfare for a family visit to Manila or Guam.
Hidden Cost and Barriers
Hidden costs in Palau's in-person system extend beyond the appointment fee. Missed work at the Palau Visitors Authority, a Koror dive shop, or a Ngiwal taro farm compounds quickly when transit swallows a full day. Childcare arrangements for the trip to Koror add $20-40 per session in a small economy where informal family networks handle most childcare. Grouport sessions run 50 minutes from a home laptop, so a parent joins during a child's nap and returns to work without a full-day gap in their paycheck.
Immediate Availability
The Ministry of Health Behavioral Health Division and Belau National Hospital do not charge Palauan citizens for public mental health services, but availability is capped by the roughly 12 clinicians nationally. A patient willing to pay $32 for immediate access rather than wait six weeks for free care faces a real choice about time versus money, and Grouport's price point sits low enough that the trade tilts toward immediate care for most working households.
Palau's $17,790 GNI per capita puts it in the World Bank high-income bracket, but the cost structure inside the country reflects imported everything. Private therapy in Koror ranges $80-150 per hour when a slot exists. Grouport's $32 per session with a $140 monthly cap works out to weekly attendance for less than a single hour with a private Koror psychologist.
How it Works
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.
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!
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.
Group Tracks Available to Palauan Members.
Grouport runs concurrent groups for anxiety, depression, DBT skills, grief, LGBTQ+ support, teen circles, couples processing, and trauma recovery. Belau National Hospital does not operate dedicated specialty tracks for most of these categories given the roughly 18,000-person national population, so a Palauan seeking a men's grief group or an LGBTQ+ processing circle historically had no domestic option. Grouport's cross-border member pool makes these specialty groups viable at Palau scale.
Get Help for:
Anxiety Disorders
Mood Disorders
Trauma & Stress Related Disorders
Obsessive-Compulsive & Related Disorders
Personality Disorders
Eating & Body Disorders
Neurodevelopmental Disorders
Life Challenges
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
Other Disorders
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
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 is licensed at the master's or doctoral level and credentialed to serve Palauan residents under the Compact of Free Association telehealth provisions. Therapists are matched to members right away based on presenting concern, preferred group type, and schedule availability across ChST and US time zones. No rotating six-month Peace Corps or Taiwan Medical Mission postings, no continuity gaps when a visiting clinician's contract ends.
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
Affordable Group Therapy & Care Options in Palau.
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.
Group Therapy
$35/session
billed at $140/month
Get Started
Individual Therapy
Couples Therapy
Family Therapy
IOP Therapy
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Teen Therapy
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.”
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."
Frequently Asked Questions from Palauan Members.
Palau has roughly 66 mental health workers per 100,000 people and reported wait times around six weeks for specialty care, which means even motivated residents often sit in a queue before they can start any structured treatment. Online group therapy compresses that timeline dramatically: after a short matching intake, most Grouport members are placed into an active group within about a week, with no ferry ride to Koror and no need to take time off work for travel. The group format also stretches limited clinician capacity in a way that suits small-population settings like Palau, because one licensed therapist can support six to eight members at once while still providing individualized feedback. For people in the outer states or on islands with no resident mental health provider at all, a weekly video group can be the difference between waiting months for care and starting this week from your own living room.
Grouport is a strong fit for Palau because sessions run entirely online in English over a stable video platform, so you can join from Koror, Airai, or any of the outer states without traveling for care. Palau's timezone (UTC+9) overlaps well with our evening North American groups and our Asia-Pacific-friendly slots, giving you multiple weekly options that land at reasonable local hours rather than the middle of the night. Payment is handled in US dollars via major credit and debit cards, which lines up naturally with Palau's USD-based economy, so there's no currency conversion friction and no need for an international wire. All you need is a private space and a reliable connection; most members join from a laptop or phone at home. This matters in a country where in-person specialty mental health options are limited and where a single ferry or flight can otherwise turn a therapy appointment into a full-day commitment.
Coverage Across Palau's 16 States.
Counties
Aimeliik, Airai, Angaur, Hatohobei, Kayangel, Koror, Melekeok, Ngaraard, Ngarchelong, Ngardmau, Ngatpang, Ngchesar, Ngeremlengui, Ngiwal, Peleliu, Sonsorol.
Cities
Koror, Airai, Meyuns, Melekeok, Ngerulmud, Kloulklubed, Ngetkib, Ngermechau, Ollei, Imeong, Ngaramasch, Echang, Ngchemiangel, Ngerkeai.
Zip Codes
Grouport serves all zip codes across Palau. If you have an address in Palau, Grouport can serve you regardless of your zip code.
Ready To Get Started?
Let’s find the right therapist match for you, so you can get consistent & effective care.
