Get Better, Together
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.

Understanding the landscape of mental health care access and the challenges
residents face across the state.
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
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 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.
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.
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.
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.
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.
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.
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.
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 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.
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.
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.
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."
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.
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.
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
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
Grouport serves all zip codes across Panama. If you have an address in Panama, 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.
