Get Better, Together

Online Group Therapy for Portugal Residents.

Portugal counts just 0.52 mental health workers per 100,000 people, one of the lowest ratios in the European Union, and the average wait for a first appointment in the Serviço Nacional de Saúde stretches to 20 weeks. Grouport connects residents from Lisbon to the Azores with an English-speaking, licensed therapist inside immediate for $32 per session.

Dialectical Behavior Therapy

Portugal Mental Health Access at a Glance.

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

Mental Illness Prevalence

22.9% of adults in Portugal report a diagnosable mental health condition each year, the second-highest 12-month prevalence rate recorded across the European Union.

Wait Time

20 weeks is the median wait for a first psychology appointment in the public SNS system, per the 2024 Ordem dos Psicólogos report.

Median Household Income

$27,900 gross national income per capita places Portugal in the World Bank's high-income tier, yet private sessions in Lisbon still average €70–€90.

Percentage Who Need Therapy

1 in 5 Portuguese adults sought professional mental health support in the last 12 months, but only 38% actually received it, per Eurofound survey data.

Provider Shortage

0.52 mental health workers per 100,000 residents, well below the 9.0 EU average.

Mental Health Providers per 100k Residents

3,900 psychologists serve Portugal's 10.4 million residents, concentrated overwhelmingly in Lisbon and Porto metropolitan areas.

The statistics describe a two-speed country. Portugal's constitutional right to health guarantees SNS mental health services in principle, but capacity has not kept pace with demand. A resident in Bragança or Portalegre may travel three hours to reach an SNS psychologist, then wait five months for the first session. Grouport bypasses that geography with weekly video groups that meet the same hour regardless of where you log in.

UNDERSTANDING THE CHALLENGE

Why Portugal Faces a Therapy Bottleneck.

The Problem

Portugal trained fewer than 400 new clinical psychologists in 2024, while the Ordem dos Psicólogos estimates the country needs roughly 6,000 additional practitioners to reach the OECD median. The result is a structural mismatch: 22.9% of adults report a mental health condition annually, yet only 0.52 workers per 100,000 residents are on hand to help. In the Alentejo interior, entire municipalities share a single visiting psychologist who rotates between health centres two afternoons per week.

The Impact

The economic footprint of untreated mental illness in Portugal reached 3.7% of GDP in the most recent OECD estimate, roughly €8.4 billion in lost productivity, absenteeism, and downstream healthcare costs. For individuals, the delay compounds: patients placed on SNS waitlists in January routinely receive their first appointment in July or August, by which point subclinical anxiety has often escalated into panic attacks or major depression requiring more intensive care than would have been needed at intake.

The Solution

Grouport removes three of the four bottlenecks. Because the therapists are licensed and the platform is HIPAA-compliant, we do not draw from Portugal's constrained pool of local practitioners. Because sessions are conducted in English via video, geography and language accessibility for the country's 500,000+ expatriate residents become non-issues. And because groups seat 6 to 12 members, one therapist reaches roughly ten times the number of people a solo practitioner sees in the same clinical hour.

0.52 mental health workers per 100,000 residents, well below the 9.0 EU average.

A resident in Faro, an expat in Cascais, and a student in Coimbra can all join the same Tuesday 20:00 WET session from a laptop or phone. There is no ferry to Madeira, no drive to Évora, no waiting room. Matching happens right after intake, compared to the 20-week SNS median, and the $32 per session price sits well below the €70–€90 typical of private consultations in the Lisbon metropolitan area.

Access and Availability Across Portugal.

Portugal's mental health infrastructure was designed around five regional health administrations (ARS), each anchored by a major city. The model works reasonably well in Lisboa e Vale do Tejo and Norte, where two-thirds of the country's psychologists practice. Elsewhere, access thins out sharply, and even in the capital, demand outpaces supply.

Geographic Barriers

Only 61.3% of Portugal's population lives in urban areas, but roughly 82% of licensed psychologists work in the Lisbon and Porto metropolitan zones. That leaves the Alentejo, the Beira interior, and both autonomous regions of Madeira and the Azores with an average of one psychologist per 4,200 residents, more than double the ratio in the two big cities. For a family in Vila Real de Santo António, the nearest SNS mental health unit is a 90-minute drive to Faro.

Extended Wait Times

The 2024 Ordem dos Psicólogos audit found a national median wait of 20 weeks for a first SNS psychology appointment, with regional extremes reaching 34 weeks in the Alentejo and 28 weeks in the Algarve outside high season. Even after intake, the same audit reported that fewer than 30% of SNS patients received the six or more follow-up sessions recommended for evidence-based cognitive behavioural therapy. Grouport groups meet weekly with the same members and therapist for 12-week cycles by default.

Systemic Challenges

The SNS covers psychiatric consultations at zero out-of-pocket cost, but psychology sessions carry a moderador fee and are rationed by triage. ADSE, the civil servants' subsystem, reimburses only €12.50 per private session, leaving a €55–€75 gap. Private insurance policies from Multicare and Médis typically cap mental health at 12 sessions per year. Grouport's $140 monthly rate covers four weekly sessions with no annual cap, no referral requirement, and no reimbursement paperwork.

Urban-Rural Divide

The contrast is starkest in the autonomous regions. Madeira, home to 250,000 residents, has 34 practising clinical psychologists in the public system. The Azores, spread across nine inhabited islands, share 41. A resident of Corvo island who needs specialised group treatment currently flies to Ponta Delgada or São Miguel. Grouport dissolves that logistics problem: a stable internet connection, which reaches 96% of Portuguese households per ANACOM data, is the only requirement.

The practical upshot is that a Portugal resident, wherever they live, can be matched with a therapist and seated in a group right after enrolment. That is roughly 100 times faster than the SNS median wait, and it costs less per month than a single private session in Chiado.

What Group Therapy Costs in Portugal.

Affordability and Income

At $140 per month for four weekly sessions, Grouport costs roughly what a single private consultation in Avenida da Liberdade would. That price is stable regardless of which region you log in from, which matters because private-practice fees in Lisbon are 20 to 30% higher than in Braga or Coimbra, and rural residents often pay travel costs on top. The monthly rate is billed in USD but works out to approximately €130 at recent exchange rates, and no session fee, cancellation charge, or membership add-on layers on top.

Hidden Cost and Barriers

Portuguese patients using SNS pay a taxa moderadora of €4.50 per specialty consultation, which sounds trivial until you factor in the six to eight sessions typical of a cognitive behavioural course, the two-hour round-trip to a regional centre, and the lost wages for workers paid by the hour. A recent survey by Deco Proteste found that a full private CBT course in Portugal, including transport, averages €780 over three months. Grouport's equivalent 12-week block is $420, roughly €390, with zero travel.

Immediate Availability

Waitlists are their own hidden cost. Twenty weeks without treatment often means missed workdays, strained relationships, and worsening symptoms that ultimately require more intensive intervention. Because Grouport matches right away, that cost never accrues. A resident who signs up on a Monday is typically in a group by Wednesday of the following week.

Portugal's high-income classification, GNI per capita of $27,900 per the World Bank, masks steep out-of-pocket costs for mental health care. Private psychology sessions in the Lisbon or Porto metropolitan areas typically run €70 to €90, and specialist group programmes at private clinics can exceed €400 per month. Grouport's €30 equivalent per session reflects US-scale group economics passed through to Portugal residents.

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

Conditions Our Portugal Members Address.

Grouport groups in Portugal most commonly address generalised anxiety, major depression, social anxiety, grief and bereavement, relationship and family transitions, and the stress-adjustment challenges faced by the country's growing expatriate and digital-nomad. Dialectical behaviour therapy skills groups and cognitive behavioural therapy groups run on parallel weekly tracks, and members can switch tracks or join a second group at no additional cost.

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 holds an active US state licence in clinical social work, psychology, or professional counselling, and each has completed group-therapy specialist training. Sessions run in English, which suits Portugal's roughly 500,000 English-fluent expatriate residents and the estimated 27% of Portuguese adults who report conversational English. Therapists are matched to groups based on the presenting concerns you share at intake.

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 Portugal.

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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Frequently Asked Questions from Portugal Residents.

How does Grouport compare in cost to private therapy in Portugal?

Private therapy in Portugal typically runs EUR 50-80 per 50-minute individual session with a psicologo clinico and EUR 80-120 or more with a psiquiatra in Lisboa, Porto, and other major cities. The SNS offers subsidised consultas at symbolic taxas moderadoras, but the waitlist and limited session frequency make it impractical for anyone wanting consistent weekly care. Private health insurance (ADSE, Medis, Multicare, Advancecare) reimburses psicoterapia inconsistently, usually with per-session caps around EUR 20-40 and annual limits that run out within a few months of weekly attendance, and most planos exclude non-network providers entirely. Grouport's weekly group format is priced at a flat monthly rate in USD that generally works out to less than the weekly out-of-pocket cost of a single private sessao in Portugal, even after any partial reembolso. You get a weekly 60-minute session with a licensed therapist plus the therapeutic benefit of peer support that individual therapy cannot replicate. Note that Grouport is not eligible for SNS or Portuguese private-insurance reimbursement, so budget it as a private-pay wellness expense rather than a claimable medical cost.

Why choose online group therapy given Portugal's mental health access landscape?

Portugal's public mental health system is severely under-resourced, with only about 0.52 psychologists per 100,000 workers in the SNS network and average waits of roughly 20 weeks for a first consulta de psicologia at a Centro de Saude or hospital psiquiatrico. Demand has grown sharply since the pandemic, and even in Lisboa, Porto, and Coimbra the queue for a psicologo clinico or psiquiatra in the SNS routinely stretches past four or five months; in the Alentejo, Algarve, and the Acores and Madeira the shortage is worse still. Private cabinetes fill some of the gap but concentrate in the coastal urban areas, and finding an English-speaking clinician with an evening slot is a real constraint for expats and working professionals. Grouport removes those obstacles: you can typically join a group within days rather than months, sessions run in English with a licensed therapist, and the small-group format connects you with peers working through similar challenges instead of waiting alone. For clients anywhere from the Norte to the Algarve who want structured weekly support without waiting out a public queue, online groups are a practical complement or alternative to the local system.

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 Portugal We Serve.

Counties

Norte, Centro, Lisboa e Vale do Tejo, Alentejo, Algarve, Região Autónoma da Madeira, Região Autónoma dos Açores, and every sub-region, from the Douro Valley to the Serra da Estrela to the Costa Vicentina.

Cities

Lisboa, Porto, Vila Nova de Gaia, Amadora, Braga, Almada, Coimbra, Funchal, Setúbal, Aveiro, Faro, Évora, Viseu, Leiria, Ponta Delgada, Guimarães, Portimão, Viana do Castelo, Cascais, Sintra, Oeiras, Loures, and Matosinhos.

Zip Codes

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