Get Better, Together
With only 7.8 mental health workers per 100,000 people across the WPR region and a 12-week wait for any specialist appointment, Pitcairn residents face one of the world's steepest access gaps. Grouport connects you to a licensed therapist and a 6-12 person group over HIPAA-secure video for $32 per session, with matching completed in right away.

Understanding the landscape of mental health care access and the challenges
residents face across the state.
7.8 per 100,000 mental health workers across the Western Pacific region serving Pitcairn, one of the thinnest workforce ratios documented by.
right away from Grouport intake to matched group placement, compared with the 12-week regional queue for a first specialist consultation.
Middle-low income classification for the Pitcairn economy, making a $32 per session or $140 monthly commitment materially easier than private local care.
55% urban concentration on Pitcairn still leaves nearly half the population in remote settlement pockets where in-person clinical support is functionally unavailable.
12-week wait is the typical delay Pitcairn residents face before securing a first specialist mental health appointment through referred off-island channels.
6-12 person groups led by licensed clinicians give Pitcairn residents peer support at a scale local services cannot reproduce within the archipelago.
These figures reflect a structural reality: the WPR ratio of 7.8 workers per 100,000 people combined with Pitcairn's remote South Pacific position means the referral pipeline runs through Auckland or Tahiti, not through local clinics. A middle-low income economy cannot absorb the private fees those referrals command, so the 12-week wait is often the only realistic path. Online group therapy sidesteps both bottlenecks.
UNDERSTANDING THE CHALLENGE
Pitcairn sits roughly 3,300 miles from the nearest continental landmass, with the quarterly supply ship from Mangareva serving as the primary transport link. The WHO Global Health Observatory places the entire Western Pacific region at 7.8 mental health workers per 100,000 people, but that regional average masks the reality on smaller island territories where the local ratio is effectively zero. Any specialist consultation requires either a satellite call scheduled around narrow bandwidth windows or a multi-week journey off-island, and neither option scales to weekly therapy.
The 12-week wait time reported for specialist appointments understates what Pitcairn residents actually experience, because that queue assumes a referral pathway that begins in Adamstown and terminates in a New Zealand or French Polynesian clinic. Travel costs, accommodation while off-island, and lost time from fishing or garden work compound the direct fee. World Bank places the territory in the middle-low income band, meaning a single specialist trip can consume a meaningful share of household annual liquidity, so most residents defer care until symptoms are unignorable.
Grouport removes the ship, the queue, and the referral chain from the equation. A licensed therapist convenes a 6-12 person group over HIPAA-compliant video at $32 per session, billed as $140 monthly. Pitcairn residents join from Adamstown or any settled pocket with a workable internet link, and the matching process places you into a compatible group right after intake rather than the 12-week regional norm.
12-week wait is the typical delay Pitcairn residents face before securing a first specialist mental health appointment through referred off-island channels.
Group video therapy is uniquely suited to Pitcairn's constraints because it consolidates what would otherwise be dozens of one-to-one clinician hours into a shared 60-minute session, letting a single licensed therapist reach the entire island community if needed. The 55% urban concentration in Adamstown means bandwidth infrastructure is centralised, and the remaining 45% living in outer settlement clusters can dial in from the same SES satellite backbone without needing to travel to the town centre.
Access on Pitcairn is defined less by cost than by geography and workforce absence. With 7.8 mental health workers per 100,000 people across the WPR region and no resident specialist on the island itself, every therapy pathway historically ran through an off-island referral. Grouport replaces that pathway with a video link and a licensed clinician available on Pitcairn's own schedule.
At $140 per month for weekly group sessions, Grouport lands well below the effective per-session cost of any off-island private consultation available to Pitcairn residents, once travel and accommodation are folded in. The middle-low income band identified by World Bank means a $32 unit price is a manageable line item rather than a household event, and the monthly billing structure allows residents to plan around the quarterly ship calendar and the seasonal fishing and garden cycles that shape local cash flow. There is no hidden surcharge for the island's remoteness because the delivery mechanism is bandwidth, not logistics.
An off-island specialist trip carries costs that never appear on the invoice: the MV Silver Supporter passage from Mangareva, an onward flight to Papeete or Auckland, a hotel stay of at least several days while the appointment window opens, and weeks of missed work on the island. Grouport eliminates every one of these line items. The only marginal cost above the $140 monthly fee is the electricity to run a laptop and the existing internet subscription, both of which are already sunk costs for most households on Pitcairn.
Matching happens right after intake, so the interval between deciding to seek help and joining a real therapist-led group is measured in days rather than the 12-week regional norm. For a resident on Pitcairn, that difference translates into starting weekly sessions in the current month rather than the current quarter.
World Bank classifies Pitcairn's economy in the middle-low income band, meaning household budgets have real elasticity but not unlimited elasticity. Grouport's $32 per session or $140 monthly price is set to sit inside that reality, and to compare favourably against the compound cost of an off-island specialist visit that would otherwise absorb ship passage, accommodation and lost work time.
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, grief, relationship strain, trauma processing and life transitions, all of which surface in isolated small-community settings like Pitcairn with particular intensity. A 6-12 person group offers a peer dimension that one-to-one consultation cannot, and the video format means the peers are outside your daily 50-person social sphere, which many islanders find essential for candid disclosure.
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.
Every Grouport clinician is licensed and vetted through a credentialing process that includes malpractice coverage, graduate clinical training, and specific group facilitation experience. Pitcairn residents work with the same therapist tier Grouport delivers globally, over the same HIPAA-secure video platform, at the same $32 per session price point.
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."
Pitcairn's on-island health service is a single medical station staffed to handle primary care and emergencies, not ongoing psychotherapy. Anything more specialised historically means telehealth referrals through New Zealand or Auckland-based services, waits that can stretch past twelve weeks, and appointments priced in NZD against a limited local workforce of roughly 7.8 mental health workers per 100,000 — a figure that reflects the wider Pacific access gap.
Grouport sits alongside that system rather than replacing it. You keep your medical station for physical health and any acute needs, and use our weekly group for the sustained talk-therapy piece: a licensed therapist, six to eight peers working on the same theme, and a fixed weekly time you can plan the rest of your week around. There's no referral, no waitlist, and no travel — you join from home the week you sign up.
Grouport is designed for people in exactly Pitcairn's situation: fully English-speaking sessions, no clinic visits, and payment by international card or PayPal in USD. Pitcairn sits in UTC-08:00, the same offset as U.S. Pacific Time, so our evening U.S. groups land in your early afternoon and morning U.S. groups arrive in your late evening — you can pick a slot that fits your rhythm rather than one that forces a middle-of-the-night login.
The only real requirement is a stable internet connection strong enough to hold video and audio for 60 minutes. If your household connection is patchy, an audio-only join is fine and used regularly by group members in other remote regions. Because groups are small and the same faces return each week, you build continuity even without any local mental health infrastructure on-island.
Pitcairn Islands group: Pitcairn Island, Henderson Island, Ducie Atoll, Oeno Atoll. Only Pitcairn Island itself is permanently inhabited, and Grouport serves all resident households from that primary settlement.
Adamstown is the sole permanent settlement, home to the roughly 50 residents who make up the entire Pitcairn. Outlying garden plots and coastal points along the island are all within the same bandwidth footprint served by the central satellite link.
Grouport serves all zip codes across Pitcairn. If you have an address in Pitcairn, 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.
