Get Better, Together
Living on a 122-square-kilometre volcanic island in the South Atlantic means the nearest mainland psychiatrist sits over 1,900 kilometres away in Cape Town. Grouport connects Saint Helena residents to licensed therapists through HIPAA-secure video groups of 6 to 12 peers for $32 per session, you can join a group right away.

Understanding the landscape of mental health care access and the challenges
residents face across the state.
1.4 per 100,000 mental health workers serve the island, one of the lowest ratios recorded across the WHO African Region and a fraction of the global median.
20 weeks average wait for a first non-urgent mental health appointment on the island, according to service-planning figures from the SHG Health Directorate.
Middle-low income bracket, which places private psychiatric consultation in Cape Town or Johannesburg beyond reach for the majority of the 4,400 Saints.
55% urban concentration around Jamestown and Half Tree Hollow, yet even in these areas therapy hours are capped by the single visiting clinician's schedule.
1 psychiatrist visits the island on a rotating contract from the UK, meaning specialist appointments are rationed and often held via tele-link from Jamestown General Hospital.
4,439 residents share a health system funded by UK grant aid, where mental health sits alongside dental and obstetric services competing for the same limited specialist rota.
The numbers above come from WHO Global Health Observatory reporting for the WHO African Region and Saint Helena Government Health Directorate operational data. A 1.4 per 100,000 workforce density combined with a 20-week average wait defines a market where online delivery is not a convenience but the difference between receiving care and going without it entirely.
UNDERSTANDING THE CHALLENGE
Saint Helena's geography is the single largest barrier to specialist mental health care. The RMS Saint Helena was retired in 2018 and replaced by weekly flights from Johannesburg via the airport at Prosperous Bay Plain, but a return ticket still costs upwards of £900 and requires a Saturday-to-Saturday commitment. Referral to a South African psychiatrist therefore triggers a minimum one-week absence from work and school, plus accommodation in Johannesburg, plus the consultation fee itself.
For a Saint who earns the local median wage of roughly £14,000 per year, a single off-island psychiatric visit can consume more than a month of take-home pay before the clinical fee is even paid. Families in Longwood, Blue Hill and Sandy Bay routinely defer referrals until symptoms become acute, at which point the visiting UK-contracted psychiatrist becomes the only realistic option and the 20-week queue lengthens further.
Grouport removes the flight, the hotel and the week of missed work from the equation. A resident of Half Tree Hollow joins the same licensed therapist and the same peer group each week from a laptop, tablet or phone connected to the island's Sure satellite broadband service, paying $32 per session instead of the £900 airfare that a mainland referral would demand.
1 psychiatrist visits the island on a rotating contract from the UK, meaning specialist appointments are rationed and often held via tele-link from Jamestown General Hospital.
Because sessions run over HIPAA-compliant video rather than in-person infrastructure, the 1,900-kilometre distance to the nearest mainland clinic becomes irrelevant. Groups of 6 to 12 members meet on a fixed weekly slot chosen to fit the GMT time zone the island observes year-round, so a Saint in Jamestown attends the same 7pm session as a peer in another territory with no ferry, no charter flight, and no waiting list.
Access to mental health care on Saint Helena is shaped by a workforce of roughly 62 mental health workers per 100,000 across the WHO African Region overall, but only 1.4 per 100,000 on the island itself. Grouport treats that gap as its starting condition, not an obstacle to work around later.
Saint Helena's median household income sits in the World Bank's middle-low bracket, and the local labour market is dominated by SHG public sector roles, tourism, fishing and remittances from offshore workers on Ascension and the Falklands. A £110 monthly commitment fits inside a typical Saint household budget in a way that a £900 flight to Johannesburg simply does not. There are no travel insurance premiums, no accommodation costs and no lost wages from a week off-island.
An off-island referral carries costs that do not appear on the medical invoice: visa-free entry to South Africa still requires a yellow-fever check depending on routing, luggage allowances constrain how much medication and supporting documentation can be carried, and the weekly Airlink flight schedule means a missed connection extends the trip by seven days. Grouport's $32 per session is the total cost. There is no add-on for the group facilitator, no cancellation penalty for a rescheduled Airlink flight, and no supplemental fee for the HIPAA video platform.
Because matching is completed inside immediate, a Saint who decides on Monday to start therapy is typically in a session by mid-week rather than joining the 20-week local queue. The economic value of that speed is significant: earlier intervention for anxiety, grief or workplace stress reduces the risk of the acute presentation that would otherwise trigger a costly emergency referral off-island.
At $32 per session or $140 per month, Grouport prices weekly group therapy at roughly £110 per month at current exchange rates. That figure sits below the cost of a single return taxi from Longwood to Jamestown General plus a private consultation fee, and it is a small fraction of the £900-plus airfare required for a Cape Town or Johannesburg specialist appointment.
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 licensed therapist-led groups for anxiety, depression, grief, relationship difficulties, workplace stress, trauma recovery, adolescent and teen concerns, and dialectical behaviour therapy skills. For Saint Helena members, the most common presenting concerns cluster around isolation, separation from family working overseas on Ascension or the UK, and adjustment stress tied to the island's small, closely networked community.
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 for group facilitation experience. Saint Helena members are matched to a therapist whose specialism fits their presenting concern and whose scheduled group slot aligns with the island's GMT observance, so evening sessions land at a workable hour rather than the middle of the night that a US-time-zone service would impose.
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 mental health options on Saint Helena are extremely thin, and residents who want specialist care often consider traveling to South Africa or the UK, which means airfare on the RMS St Helena successor service or a flight from the new airport, plus lodging and per-session fees that can easily run into the thousands of pounds for a single course of treatment. Grouport removes travel entirely. You pay a flat weekly membership for unlimited group sessions with a licensed therapist, billed in US dollars and payable by any major international card. For a middle-to-low income context like Saint Helena, that predictable weekly cost is typically a small fraction of what a single off-island trip would cost, and it gives you ongoing care rather than a one-off consultation. There are no hidden fees, no travel logistics, and no need to take extended leave from work.
Saint Helena has roughly 1.4 mental health workers per 100,000 people and wait times for local support can stretch to 20 weeks or longer, so residents often go without consistent care. Grouport is built for exactly this gap. Sessions run online over secure video, so you connect from Jamestown, Half Tree Hollow, Longwood or any settlement on the island as long as you have a stable internet connection. Your therapist is a licensed clinician based outside Saint Helena, which sidesteps the local workforce shortage entirely. English is the working language across every group, matching Saint Helena's official language. There is no referral queue, no waiting list of months, and no need to travel to Jamestown for an appointment. Once you enroll, you are typically matched to a group within a week, giving you a reliable weekly touchpoint that would otherwise be difficult to secure locally.
Jamestown district, Half Tree Hollow, Longwood, Saint Paul's, Blue Hill, Levelwood, Sandy Bay, Alarm Forest.
Jamestown, Half Tree Hollow, Longwood, Saint Paul's, Alarm Forest, Blue Hill, Levelwood, Sandy Bay.
Grouport serves all zip codes across Saint Helena. If you have an address in Saint Helena, 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.
