Get Better, Together
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.

Understanding the landscape of mental health care access and the challenges
residents face across the state.
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.
20 weeks is the median wait for a first psychology appointment in the public SNS system, per the 2024 Ordem dos Psicólogos report.
$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.
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.
0.52 mental health workers per 100,000 residents, well below the 9.0 EU average.
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
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 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.
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.
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.
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.
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.
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.
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 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.
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 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.
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 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.
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.
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.
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.
Grouport serves all zip codes across Portugal. If you have an address in Portugal, 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.
