Get Better, Together

Group Therapy for Saint Helena, Delivered Online.

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.

Dialectical Behavior Therapy

Mental Health Access Data for Saint Helena.

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

Mental Illness Prevalence

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.

Wait Time

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.

Median Household Income

Middle-low income bracket, which places private psychiatric consultation in Cape Town or Johannesburg beyond reach for the majority of the 4,400 Saints.

Percentage Who Need Therapy

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.

Provider Shortage

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.

Mental Health Providers per 100k Residents

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

Why the South Atlantic Location Blocks In-Person Care.

The Problem

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.

The Impact

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.

The Solution

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 and Availability for Saint Helena Residents.

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.

Geographic Barriers

The island's 122 square kilometres are served by one hospital in Jamestown and a handful of district clinics reached by roads that wind through St Paul's, Levelwood and Blue Hill. Even for residents inside the 55% urban catchment, a psychology appointment can mean a 40-minute drive from Sandy Bay to Jamestown along the Briars Ridge road. Grouport removes that internal transit entirely: the same weekly group is joined from a kitchen table in Half Tree Hollow or a farmhouse in Longwood, provided a broadband or 4G connection is available.

Extended Wait Times

The 20-week wait for a routine first appointment reflects a system in which one visiting UK-contracted psychiatrist rotates through the island alongside a small locally recruited nursing team. When that clinician is off-island, urgent cases are triaged by tele-psychiatry from South Africa and the routine queue effectively pauses. Grouport's immediate group start window means a Saint who enrols on a Monday is typically in a group by Wednesday of the same week, means you can join right away.

Systemic Challenges

Saint Helena's health service is funded through UK grant-in-aid and prioritises acute physical care, obstetrics and the island's ageing population's chronic disease burden. Talking therapies for anxiety, low mood, grief and relationship strain are recognised needs, but the SHG Health Directorate has publicly acknowledged that community-based counselling capacity is limited. This leaves working-age Saints, particularly returners from the UK offshore workforce, without a structured route into non-crisis care.

Urban-Rural Divide

The 55% urban / 45% rural split matters less than usual because Grouport delivers the same session quality to every postcode. A resident of Sandy Bay on the windward side, a farmer in Longwood near the Napoleonic residences, and a shop worker in central Jamestown all connect to the identical licensed clinician and the identical peer cohort. The historical disadvantage of living outside the Jamestown-Half Tree Hollow corridor disappears at the point of joining a video group.

The combined effect is a service designed for a jurisdiction where 4,439 people share a single visiting psychiatrist. By moving matching, scheduling and delivery entirely online, Grouport turns Saint Helena's isolation into a neutral factor rather than a rationing mechanism, and puts a weekly therapist-led group within the same 48-hour reach a Londoner would expect.

Cost and Value Compared to Off-Island Care.

Affordability and Income

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.

Hidden Cost and Barriers

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.

Immediate Availability

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.

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

What Grouport Groups Address for Saint Helena Members.

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.

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 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.

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

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Affordable Group Therapy & Care Options in Saint Helena.

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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Saint Helena Group Therapy Questions Answered.

How does Grouport compare in cost to arranging private therapy on Saint Helena or flying off-island for care?

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.

How does Grouport work for residents of Saint Helena given the island's limited mental health workforce?

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.

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 on Saint Helena Grouport Serves.

Counties

Jamestown district, Half Tree Hollow, Longwood, Saint Paul's, Blue Hill, Levelwood, Sandy Bay, Alarm Forest.

Cities

Jamestown, Half Tree Hollow, Longwood, Saint Paul's, Alarm Forest, Blue Hill, Levelwood, Sandy Bay.

Zip Codes

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.

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
See all areas we serve →

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Let’s find the right therapist match for you, so you can get consistent & effective care.

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