Get Better, Together

Group Therapy for Panama, Priced in Dollars.

Panama's mental health workforce is one of the thinnest in the Americas, the WHO records just 0.03 specialists per 100,000 residents, and CSS outpatient psychology queues commonly stretch beyond 20 weeks. Grouport offers Panama residents a way through: weekly online group sessions with licensed clinicians for $32 each, billed at $140 a month, join a group right away and delivered over HIPAA-compliant video.

Dialectical Behavior Therapy

The State of Mental Health in Panama.

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

Mental Illness Prevalence

13% of Panamanian adults live with a diagnosable mental health condition each year.

Wait Time

20 weeks typical wait for a non-urgent outpatient psychology appointment through Panama's public CSS system.

Median Household Income

$34,000+ GNI per capita PPP, Panama is a World Bank high-income country, but specialist care is priced accordingly.

Percentage Who Need Therapy

66% of adults across PAHO's Americas region who needed mental health care did not receive it in the past year.

Provider Shortage

0.03 per 100k mental health workers.

Mental Health Providers per 100k Residents

~13,000 per 100k Panamanians affected by a mental health condition annually.

These figures pull from workforce indicator, the World Bank's national accounts data, and PAHO's regional mental health surveillance for the Americas. The 0.03 mental health workers per 100,000 residents ratio is striking: it means that across all of Panama, the WHO-reported specialist workforce numbers only a handful of professionals per province, and the vast majority of them practice in Panama City or David.

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in Panama.

The Problem

Panama's mental health system runs on two parallel tracks that rarely meet in the middle. The Caja de Seguro Social (CSS) and the Ministerio de Salud (MINSA) share responsibility for public care, with the Instituto Nacional de Salud Mental in Panama City handling most inpatient and complex outpatient work. On paper, coverage is universal. In practice, the WHO's 0.03 mental health workers per 100,000 residents indicator translates to a national roster so small that Panama's specialist workforce is functionally concentrated in a single metropolitan area, and referrals from smaller provinces enter a queue that resolves in months rather than weeks.

The Impact

The 20-week wait for a routine CSS psychology appointment is the number Panamanians know by feel: it is roughly a full school semester, an entire dry-season-to-wet-season transition, most of the way from a January intake request to a summer first appointment. During that interval, symptoms typically compound, a sleep problem becomes a work problem, an anxiety pattern becomes a relationship rupture. Private consultations in Costa del Este, Punta Pacifica, or Obarrio typically run $80 to $150 per session, a bill that adds up quickly even against Panama's above-$34,000 GNI per capita PPP.

The Solution

Online group therapy compresses both the wait and the price. Six to twelve members meet weekly over HIPAA-compliant video with a licensed clinician facilitating, and because the therapist's time is shared across the group, the per-session cost drops to $32, $140 for a month of weekly attendance. Panama is unusual in that the balboa is pegged one-to-one to the US dollar and the dollar itself circulates as legal tender, so Grouport's US-denominated pricing is functionally the same number a Panamanian sees at the ATM. No FX spread, no monthly rate surprise.

0.03 per 100k mental health workers.

Grouport's intake returns a group match inside immediate, which is roughly the time a CSS referral takes just to be logged into the queue. Sessions are conducted in English, which suits Panama's substantial bilingual population, returning diaspora, the international workforce clustered around the Canal and the multinational headquarters in the City of Knowledge, and the sizeable expat community in Boquete and Coronado. A resident in Bocas del Toro, David, or a Comarca joins on identical footing with someone in San Francisco or Punta Pacifica; the only variable is bandwidth.

Access and Availability Across Panama.

Panama is geographically compact, 75,417 square kilometers, roughly the size of South Carolina, but its mental health infrastructure is even more concentrated than its. The WHO's 0.03 per 100,000 workforce ratio and CSS's 20-week outpatient queue combine to produce an access story where where you live matters far less than whether you can pay privately or wait five months.

Geographic Barriers

Panama City and the Panama Oeste metropolitan corridor hold nearly half the national population and an outsized share of the specialist workforce. Chiriqui province, anchored by David, has a secondary cluster. Everywhere else, Bocas del Toro, Colon, Cocle, Herrera, Los Santos, Veraguas, Darien, and the three indigenous comarcas of Ngabe-Bugle, Guna Yala, and Embera-Wounaan, operates with a small fraction of the per-capita provider coverage of the capital. For a resident in Almirante or a Darien community, reaching a licensed psychologist can mean a domestic flight or a multi-hour bus ride down the Pan-American Highway. Video-delivered care removes that trip entirely.

Extended Wait Times

The 20-week CSS wait is not an outlier statistic; it is the typical experience for a non-urgent outpatient psychology referral in Panama. Five months is long enough for a manageable stressor to become a clinical one, long enough for someone to disengage from the search entirely. Grouport's matching engine returns a group placement right away, and the first session usually falls within the same or following week depending on group cadence. That collapses the interval from decision to first session from a semester to a handful of days.

Systemic Challenges

Panama's public mental health system was reorganized under Ley 4 de 2015 on mental health, which pushed toward community-based rather than hospital-centric care. Implementation has been uneven: MINSA's community mental health units exist on paper in most provinces, but staffing lags policy. Private care fills the gap for those who can afford it, with a dense concentration of consultorios in Panama City neighborhoods and a lighter footprint in David and Chitre. Grouport is a direct-pay membership at $140 per month and does not bill CSS or private Panamanian insurers; for most residents it lands well below the cumulative cost of weekly private sessions.

Urban-Rural Divide

Panama is 68% urbanized, but that headline number understates the concentration: the Panama City metropolitan area alone accounts for nearly half of national. Rural and peri-urban districts in Darien, the Azuero peninsula, and the indigenous comarcas run well below national averages on nearly every health-access indicator. Because Grouport is delivered entirely over video, a member logging in from Yaviza, Bocas Town, or a highland community outside Boquete joins the same group as someone in Costa del Este, with no travel penalty and no provincial availability gap.

Grouport suits Panama residents who are comfortable working in English, have a stable internet connection, and want structured weekly support without a five-month lead time.

Affordable Group Therapy Costs for Panama Residents.

Affordability and Income

Against Panama's $34,000-plus GNI per capita PPP, a $140 monthly Grouport membership represents roughly 4.9% of average monthly purchasing power. That is a real line item but a manageable one, and it stays flat month to month rather than fluctuating with per-session invoicing. Four weekly private consultations at Panama City's mid-range $100 rate would run $400 a month for the same cadence, nearly triple the group cost. Because Panama uses the dollar directly, none of that arithmetic is muddied by currency conversion.

Hidden Cost and Barriers

The invoice price of a private consultation in Panama omits several real costs. A resident in David driving to Panama City for a specialist consult loses the better part of a day, spends around $30 to $40 each way on fuel, and often pays $5 to $10 for parking near the clinic. Public bus fare across the metropolitan area consumes time even when the money cost is modest. Video-delivered group therapy eliminates every one of those line items: no drive across the isthmus, no time off work, no childcare arrangement stacked on top of the session fee.

Immediate Availability

Grouport members are matched to a group right away of completing intake. Set against a 20-week CSS outpatient wait, or a two-to-four-week wait for an appointment with a well-regarded private clinician in Punta Pacifica, that is the practical difference between beginning care this week and beginning it in the second half of the year.

Private individual therapy in Panama City typically runs $80 to $150 per session in the higher-end consultorios of Costa del Este, Punta Pacifica, and Obarrio, with slightly lower rates in David and Chitre. Grouport comes in at a flat $32 per session, $140 monthly for weekly attendance, with the additional structural advantage that pricing is denominated in the same US dollar that already circulates as legal tender in Panama.

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 Treat in Panama.

Grouport runs diagnostically focused groups covering the concerns most represented in PAHO's Americas region prevalence data: generalized anxiety, social anxiety, depression, grief and bereavement, trauma and PTSD, obsessive-compulsive patterns, relationship difficulties, and dialectical behavior therapy skills groups for emotion regulation. Formats include open-ended weekly process groups and structured skills programs. Members are placed by clinical fit and scheduling window rather than geography, so a group draws on shared experience rather than shared postal code.

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.

All Grouport clinicians hold active licensure in at least one US state and carry master's or doctoral credentials in clinical psychology, counseling, social work, or marriage and family therapy. Sessions run in English, which suits Panama's bilingual professional class, returning diaspora, and expat community across Boquete, Coronado, and Panama City. Matching intake accounts for language preference, presenting concern, scheduling across Panama's Eastern Time-adjacent time zone, and cultural context relevant to Latin American members.

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 Panama.

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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or Learn More

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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Common Questions About Group Therapy in Panama.

How does Grouport's cost compare to private therapy in Panama?

Private English-speaking psychologists and psychiatrists in Panama City neighborhoods like Punta Pacifica, Costa del Este, and San Francisco typically charge between $70 and $150 USD per 50-minute individual session, with expat-oriented practices and specialists in evidence-based modalities like CBT or DBT often at the top of that range. Weekly individual therapy at $100 per session works out to roughly $400 per month, and private health insurance in Panama usually caps outpatient mental health visits at a low annual number, pushing most sustained therapy into out-of-pocket territory.

Grouport's group therapy membership is a flat $140 USD per month for weekly 60-minute sessions with a licensed clinician and a small group of peers, roughly 50 to 70 percent less than weekly private care in the capital. The gap widens outside Panama City, since residents of Chiriqui, Bocas del Toro, the Azuero peninsula, or the indigenous comarcas would otherwise face travel to the capital or David for specialist English-language care. Because Panama uses the US dollar, there is no currency-conversion spread on the monthly charge.

How does Grouport work for clients in Panama given the timezone, language, and payment logistics?

Grouport runs weekly 60-minute group sessions in English over secure video, and Panama is one of the easiest countries in the region for attendance. The entire country observes Eastern Standard Time year-round (UTC-5) with no daylight saving, so from March through November a 7:00 PM ET group lands at 6:00 PM in Panama City, Boquete, David, or Coronado, and from November through March it lands at 7:00 PM locally. That's true whether you're in the capital, an interior province, or one of the Caribbean coast communities. Sessions require conversational English comfort, since group discussion, reflection, and peer feedback all happen in English, which suits Panama's substantial expatriate, retiree, and Canal-zone professional population well. Payment is billed in US dollars through our secure checkout, which is straightforward in Panama since the balboa is pegged one-to-one to the USD and US dollars circulate as legal tender; most Panama-issued Visa, Mastercard, and American Express cards work without conversion friction. No cedula, CSS affiliation, or Panamanian bank account is required 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.

Group Therapy Available Across Panama.

Counties

Bocas del Toro, Chiriqui, Cocle, Colon, Darien, Herrera, Los Santos, Panama, Panama Oeste, Veraguas, and the indigenous comarcas of Ngabe-Bugle, Guna Yala, and Embera-Wounaan

Cities

Panama City, San Miguelito, Tocumen, David, Arraijan, La Chorrera, Colon, Santiago de Veraguas, Chitre, Las Tablas, Penonome, Aguadulce, Bocas Town, Almirante, Boquete, Volcan, Coronado, Pedasi

Zip Codes

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