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 12 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

22.3% of Portuguese adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.

Wait Time

12 weeks the average wait to secure a first mental health appointment in Portugal's public system, an interval during which symptoms often deepen.

Median Household Income

$19,147 median household income in Portugal, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

68.0% of Portuguese adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

99% of Portugal's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

0.52 per 100,000 mental health workers in Portugal, a density that shapes availability, wait times, and access across the country.

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.

99% of Portugal's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

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 12-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 12 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

  • 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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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 to the short EAP counselling my employer or ADSE plan offers in Portugal?

Portuguese EAPs and ADSE-linked benefits typically cover a handful of short individual sessions with a rotating counsellor, then end. Grouport works differently: you join an ongoing weekly video group of 6 to 12 members led by the same licensed therapist week after week, so relationships and skills compound over time. Sessions run on Western European Time from your home in Lisbon, Cascais, the Algarve, or the islands, cost $32 each on a HIPAA-secure platform, and you can join right away without a referral or renewal cycle.

Is a video group the right fit if I have been on an SNS waitlist in Lisbon or Porto for individual psychology?

For many Portuguese clients stuck in 20-plus-week SNS queues, a weekly Grouport video group is a strong fit. You sit with 6 to 12 peers working through the same theme, guided by a licensed therapist who models tools you practice between sessions. That structured peer feedback often moves faster than waiting months for solo appointments in Lisbon or Porto. At $32 per session with immediate group start, you can begin this week from anywhere in Portugal, including the Azores and Madeira, without commuting.

Do therapy costs vary by therapist credentials?
Sometimes. Psychiatrists (MDs) often charge more than licensed therapists. Among therapists, rates vary more by experience, location, and specialization than by credential type (LCSW vs. LPC vs. LMFT). There's no universal pricing based on credential letters.
What if I'm struggling with loneliness where I live?
Loneliness happens anywhere. Maybe you're new somewhere and don't have community yet. Maybe cultural differences make friendships hard. Maybe you're isolated for other reasons. Online therapy provides consistent human connection and helps you work on building community where you are.
Can therapy help if I'm experiencing political instability or conflict?
Living through political instability, protests, violence, or conflict is traumatic. Therapy provides support during crises, helps you process ongoing stress and fear, and addresses trauma. If you're in danger, therapy also helps with safety planning and deciding whether to leave.
What if I'm struggling financially and can't afford online group therapy anymore?
Grouport's online group therapy is already one of the most affordable therapy options out there at $25 - $35 per session ($140/month), depending on the group you’re in. That's significantly cheaper than almost any other type of therapy out there. Maybe you can use receipts to get out of network insurance reimbursement, or use HSA/FSA funds. When paying quarterly or biannually, you also do receive discounts. While we try to make our services as affordable as possible, we understand that cost is a reality that people face and everyone's financial situation is different. Sometimes taking a planned break with the intention to return when finances improve helps. The goal is supporting your treatment access with what is financially viable for you.
Can I be in multiple therapy groups simultaneously?
Absolutely, it’s common that people are partaking in multiple therapy groups at once. This can be if they want to work on different things as different groups can focus on different areas, or they want to have extra focus on important relevant skills, or they want to benefit from different therapist approaches, or they need more intensive care. It’s common that people are doing 2-4 groups per week and if they need something more intensive, our IOP can be helpful since it includes 9 groups per week. It’s totally based on what feels right for you, so trust your gut. You can always increase the amount of groups you’re doing or decrease at any time.
What if I feel worse after group sessions?
Temporary discomfort after group can happen, especially initially or after intense sessions. Sometimes processing difficult stuff is uncomfortable initially. Emotions can get elevated. If you consistently feel worse, discuss with the group therapist, perhaps they can adjust the approach, or you may need additional individual support which we can help you with, or assess whether this group is the right fit. Most people find initial discomfort decreases as groups become familiar. The goal is growth through challenge and the therapist monitors carefully to ensure group is therapeutic and not harmful. Therapy shouldn't leave you consistently feeling worse, but sometimes hard work is in fact a sign of healing and it can come before you feel better.
Can children or teens participate in group therapy?
Grouport offers teen specific groups for teens ages 13-19. Teen groups work similarly to adult groups but are adapted developmentally for adolescence. Children's groups for children under 13 years old are usually designed very differently since they are more activity based,which is more age appropriate. Grouport only focuses on teens and adults for group therapy.
What if I can't afford therapy right now?
We understand cost is a barrier for many people seeking mental health care. Here are options to make Grouport’s online therapy more affordable: (1) Start with online group therapy at an average of $32/session - it provides evidence-based treatment at the lowest cost. (2) Use HSA/FSA funds if available - this reduces costs by 20-30% through tax savings. (3) Check your out-of-network insurance benefits - many plans reimburse 50-80% of costs. (4) Consider our DBT self-guided program at a one-time cost for structured mental health support. We're committed to making quality care accessible and happy to discuss payment options that fit your budget.
Do you accept insurance?
We don't currently accept insurance directly. Grouport provides affordable care without pre-approvals or referrals. If you have out-of-network benefits, you may be able to submit for reimbursement depending on your plan. We can provide receipts upon request that you can submit for out of network reimbursement.
Can I attend online therapy sessions from anywhere?
You can attend your online therapy sessions from anywhere. The key requirements are any private location with internet access

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

1000-001, 1000-108, 1050-001, 1100-129, 1150-158, 1200-109, 1250-096, 1300-004, 1400-038, 1500-124, 1700-018, 1900-070, 2400-201, 3000-001, 3800-001, 4000-001, 4050-001, 4100-001, 4400-001, 4700-001, 5000-001, 6000-001, 7000-001, 8000-001, 9000-001

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 British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Colombia Comoros Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Côte d'Ivoire Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau 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 Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States 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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