Get Better, Together
From Old San Juan's blue cobblestones to a hillside home outside Utuado, the hardest part of starting therapy on the island is finding a licensed clinician who takes new clients this month. Grouport runs English-language online groups of 6 to 12 people, led by licensed therapists, for $32 a session. You are matched to a group right away, whether you sign on from Condado, Ponce, or a mountain barrio in Jayuya.

Understanding the landscape of mental health care access and the challenges
residents face across the state.
Puerto Rico's mental health picture is defined less by absolute scarcity than by geographic and access lopsidedness. lists 16.7 mental health workers per 100,000 people, a workforce density that clears most of Latin America but sits well below the US mainland average. World Bank classifies the territory in the high-income tier, yet that aggregate hides an out-migration of psychologists to the mainland since Maria and a private-pay market in Condado and Guaynabo priced against San Juan's professional class rather than the island median.
UNDERSTANDING THE CHALLENGE
Puerto Rico's mental health system rests on the ASSMCA network (Administracion de Servicios de Salud Mental y Contra la Adiccion) and a private-practice bench concentrated in San Juan, Bayamon, Guaynabo, and Caguas. WHO's workforce report shows 16.7 mental health workers per 100,000 people, a number that on paper puts the island ahead of most of the Caribbean but in practice reflects a psychologist bench that has been thinning through post-Maria and post-pandemic mainland migration. Structured curriculum-driven group therapy in English is offered by only a small circle of private practices, most of them in the metro.
A nine-week wait to begin regular sessions is short by regional standards and still long enough to matter. Two months is enough time for a Mayaguez teacher processing pandemic-era burnout to move into a new school year without a first session, for a San Juan bartender in the tourism sector to work six 55-hour weeks between reaching out and being seen, for an English-speaking retiree in Rincon to give up and settle for a telepsychiatry medication refill. On an island with 94.3% urban population but real distances between the metro and the west and south coasts, waiting compounds every other friction.
Online group therapy sidesteps the specialist bottleneck rather than trying to expand it. Grouport matches you to a group of 6 to 12 people led by a licensed therapist, based on what you are working through, not on which Hato Rey practice has a September opening. Sessions run over HIPAA-compliant video, so a hotel manager in Isla Verde and a small business owner in Aguadilla can attend the same Tuesday cohort without either of them clearing a Condado appointment out of a workday.
Three Puerto Rico-specific frictions dissolve online. First, the immediate match window compresses a nine-week intake ladder into a same-week arrangement, which matters most for the acute presentations that ASSMCA triage is not built to catch. Second, sessions are conducted in English, which serves the substantial bilingual professional class, the mainland-transplant retiree corridors on the west coast, and Act 60 relocatees in Dorado and Palmas del Mar who otherwise run a parallel search for a therapist fluent enough for nuanced clinical work. Third, the trip disappears: no drive from Ponce up Autopista Luis A. Ferre into San Juan traffic, no half-day off from a Fajardo resort shift to reach a Guaynabo psychologist.
Care in Puerto Rico follows the familiar metro-versus-island pattern: a dense concentration of psychologists and psychiatrists in the San Juan-Bayamon-Guaynabo-Caguas corridor, a secondary cluster in Ponce and Mayaguez, and thin coverage across the mountainous interior and the smaller coastal municipalities. Public services run through ASSMCA and Medicaid via the Plan Vital network, while private practices absorb the demand from those with commercial coverage or private-pay capacity. For structured group work in English, options in the metro are limited and outside it, largely absent.
As a high-income US territory, Puerto Rico's median household income sits well below the US mainland average of roughly $75,000, which means a Grouport monthly membership of $140 represents a materially smaller share of a household budget than the four private-pay sessions at $110 average that would otherwise fill the same month. Sustained weekly care is the piece that in-person private practice on the island tends to price out of reach for anyone outside the executive and Act 60 tiers. Grouport makes weekly, rather than as-budget-permits, the default cadence.
The sticker rate on a Puerto Rican in-person session leaves out the traffic, the fuel, and the workday. If you live in Bayamon and your psychologist is in Hato Rey, a 5 p.m. session realistically costs you two hours door-to-door on Expreso Las Americas, plus parking near a professional building, plus the fuel or Uber fare. If you live in Ponce or Mayaguez and want to work with a specific specialist in the metro, an in-person model becomes a full-day logistics project. Grouport removes all of it: no commute, no parking, no shift trade, just the session on your calendar.
The immediate group start window is not a marketing gesture, it is the actual gap between signing up and joining a group. Set against the 9-week wait most Puerto Rican residents face for a first appointment with a psychologist, it converts more than two months of waiting immediately.
Private psychology on the island is priced along a wide arc. A single 50-minute session with a licensed Puerto Rican psychologist typically runs $80 to $150, and in the concierge tier of Condado, Guaynabo, and Dorado, sessions with English-fluent psychiatrists can climb well past $200. Grouport's $32 per session ($140 per month) undercuts even the lower end of the local private-pay range, and delivers weekly cadence rather than a bi-monthly check-in rationed to fit the budget.
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's cohorts cover what shows up most consistently in Puerto Rican consultas and primary-care referrals: anxiety and panic, depression, grief, relationship strain, hurricane and post-Maria trauma processing, adult ADHD adjustment, OCD, and dialectical behavior therapy skills groups. Themed groups put you in a room, virtually, with people working through something similar, a piece the local in-person system rarely offers in English and rarely offers on a consistent weekly cadence.
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 group is facilitated by a licensed therapist trained in group modalities, with sessions run in English. For Puerto Rico's substantial English-speaking population, bilingual professionals across San Juan and Ponce, mainland transplants in Rincon, Aguadilla, and Palmas del Mar, and Act 60 relocatees in Dorado and Guaynabo, that removes the language-fit search that otherwise stretches a local referral into a months-long process. Therapists are matched to your intake responses, not to whichever practice returned your first call.
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."
Puerto Rico has roughly 16.7 psychiatric workers per 100,000 people, and the median wait for a new mental health appointment on the island stretches to about nine weeks, longer in municipalities outside the San Juan metro. That gap has widened in the years following Hurricane Maria and the pandemic, with demand consistently outpacing the available specialist workforce. Online group therapy sidesteps those bottlenecks: you're matched into an existing weekly group typically within days, not months, and you're not limited to whoever happens to be practicing in your municipio. Groups also give you sustained peer support between sessions, which is particularly valuable in a context where local psychiatric follow-up appointments may be spaced far apart. For many residents, joining a Grouport group means beginning structured, weekly care while a long-term local referral is still pending, rather than waiting in queue untreated.
Grouport works smoothly for Puerto Rico residents because the practical friction of accessing mainland care simply isn't there. Puerto Rico observes Atlantic Standard Time year-round (UTC-4), which aligns with U.S. Eastern time in summer and sits just one hour ahead in winter, so our full weekday and evening group schedule is convenient without odd-hour sessions. Because Puerto Rico is a U.S. territory, billing runs in U.S. dollars on any standard debit or credit card, no currency conversion or international transfer fees. Sessions are conducted in English by licensed clinicians, which suits the many bilingual residents comfortable receiving care in English. All you need is a private space, a stable internet connection, and a device with a camera; there are no shipping delays, customs steps, or platform restrictions to navigate from the island.
San Juan, Bayamon, Guaynabo, Carolina, Caguas, Ponce, Mayaguez, Arecibo, Aguadilla, Humacao, Fajardo, Manati, Cayey, Utuado, Yauco
San Juan, Bayamon, Carolina, Ponce, Caguas, Guaynabo, Mayaguez, Trujillo Alto, Arecibo, Toa Baja, Vega Baja, Aguadilla, Fajardo, Humacao, Dorado
Grouport serves all zip codes across Puerto Rico. If you have an address in Puerto Rico, 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.
