Get Better, Together
Saint Martin's roughly 32,000 residents share a 33 square kilometer island with a single hospital on the French side, the Centre Hospitalier Louis-Constant Fleming in Concordia. When the local psychiatric consultation calendar is full or your 12 Mon Soutien Psy sessions are exhausted, the standard next step is a referral to Guadeloupe or metropolitan France. Grouport offers a different route. Our English-language online groups connect Marigot, Grand-Case, Quartier d'Orleans, and Concordia residents with licensed therapists over HIPAA-compliant video for $32 per session, or $140 per month. Cohorts of 6 to 12 peers meet on set weekly schedules, and after a brief intake you join a group right away.

Understanding the landscape of mental health care access and the challenges
residents face across the state.
The picture these figures paint is a small, fully urbanized French collectivity where public psychiatric capacity has to stretch across every resident from Marigot to Quartier d'Orleans through a single hospital. Twenty-five mental health workers per hundred thousand residents is a fraction of what Paris or Fort-de-France offers, and the 12-session Assurance Maladie reimbursement cap under Mon Soutien Psy runs out quickly for anyone in active care. When it does, the practical options narrow to paying private psychology rates in the French Antilles or booking a referral off-island.
UNDERSTANDING THE CHALLENGE
Saint Martin sits at an unusual intersection of geographies. It is a French overseas collectivity administered under Assurance Maladie, but it shares a 33 square kilometer island with Dutch Sint Maarten under an open border, with two separate health systems and two currencies operating side by side. That means a resident in Concordia cannot simply walk across to a Dutch clinic and expect coverage, and a resident in Grand-Case who needs specialized psychiatric care usually faces a flight to Guadeloupe or Paris. Layer in the long-term mental health consequences of Hurricane Irma, which devastated the island in 2017 and left documented PTSD and anxiety patterns still present in the population, and demand consistently outpaces the 25 workers per 100,000 the WHO records here.
The result is a seven-week average wait for a specialist consultation on the French side, and a hard cap of 12 psychologist visits per year through Mon Soutien Psy before out-of-pocket costs kick in. On an island of 32,000 people, anonymity is scarce; the local therapist you can get an appointment with may also be a neighbor, a parent from your child's school, or a familiar face from Marigot's market. That social density discourages people from seeking care for stigmatized conditions like substance use, trauma, or relational conflict, and it means the true unmet need is higher than clinic waitlists suggest.
Grouport addresses this by putting Saint Martin residents into English-language peer cohorts led by licensed therapists holding LCSW, LMFT, LPC, PsyD, or PhD credentials. Sessions run over HIPAA-compliant video at $32 per session or $140 per month, well under the French Antilles private psychology rate. Because the platform operates entirely online and groups draw members from across time zones, no one you meet in a Grouport cohort will be someone you run into at Le Grand Marche the following morning.
Two structural features of Saint Martin make online delivery a particularly good fit. English is spoken widely across both sides of the island, a function of the shared border with Anglophone Sint Maarten, extensive Caribbean migration, and a US-oriented tourism economy, so language is rarely a barrier to joining a group. And the Atlantic time zone aligns cleanly with US evening schedules, so a working parent in Marigot can join a 7 pm cohort after dinner without staying up past midnight. Groups run on set schedules and members join right away after intake, so there is no seven-week queue to endure before the first session.
Access to mental health care in Saint Martin is shaped by the collectivity's small size, its dependence on a single French-side hospital, and its position within the French Assurance Maladie system. Residents hold French and EU citizenship, which entitles them to Mon Soutien Psy reimbursement for up to 12 psychologist sessions per year, but the practical availability of appointments does not always match the paperwork entitlement.
Grouport is priced at $32 per session or $140 per month for unlimited weekly attendance. Converted at recent exchange rates that lands well below the standard French Antilles private psychology rate, and it stays flat regardless of how many sessions a member attends in a given month. For a Saint Martin resident who has already used their 12 Mon Soutien Psy sessions for the year, the cost difference between a private local psychologist and a Grouport group over a six-month course of care is substantial.
The visible price is only part of the calculation. A referral to Guadeloupe for specialist care carries flight costs, potential lodging if the appointment spans more than a day, and lost work time for the resident and often a family member accompanying them. Local private appointments in Marigot can require driving across the island in high season traffic, and the small pool of practitioners means scheduling flexibility is limited. Grouport groups run over video from any device with a camera and internet connection, so a member in Grand-Case or Sandy Ground incurs no travel cost and no time off work beyond the session itself.
The other value dimension is time. Waiting seven weeks for a first appointment, then working within the 12-session annual reimbursement window, imposes a rhythm that does not match how depression, anxiety, or grief actually move. Grouport members join a running cohort right away after intake and attend weekly on a fixed schedule, so the therapeutic arc is continuous rather than rationed.
Costs for mental health care in Saint Martin operate on a two-track model. Public consultations at the Centre Hospitalier Louis-Constant Fleming and reimbursed sessions under Mon Soutien Psy are largely covered by Assurance Maladie, but access is gated by wait time and by the 12-session annual cap. Private psychology sessions in the French Antilles, whether on-island or via referral to Guadeloupe, typically run 60 to 80 euros per visit out of pocket once the reimbursement allotment is exhausted.
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 offers specialized online groups for the concerns Saint Martin residents most often bring to care, including anxiety, depression, grief and loss, relationship difficulties, adult ADHD, obsessive-compulsive patterns, trauma including the long tail of Hurricane Irma exposure, and dialectical behavior therapy skills for emotion regulation. Each group is led by a licensed therapist and holds 6 to 12 members who commit to a consistent weekly meeting time, which is what makes the peer feedback and accountability work over the course of treatment.
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 clinician credentialed as an LCSW, LMFT, LPC, PsyD, or PhD. Facilitators are matched to groups based on their clinical training and the focus area of the cohort, so a Marigot resident joining a trauma group works with a therapist trained in evidence-based trauma modalities, and a Concordia resident in a DBT skills group works with a facilitator whose practice centers on dialectical behavior therapy. All sessions take place over HIPAA-compliant video.
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
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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."
Grouport sessions are conducted in English, which is widely spoken across Saint Martin alongside French and Saint Martin Creole, especially given the shared island with Sint Maarten and the large Anglophone Caribbean community. If you are comfortable following English conversation, you will do fine. Sessions run on Atlantic Standard Time, matching US Eastern evening slots, so weekday options after work are easy to find. You log in from home on any device over a secure link and join right away.
Private psychologues on Saint Martin typically charge between EUR 60 and EUR 90 per session, and because Assurance Maladie only reimburses talk therapy under the narrow Mon Soutien Psy pathway with a medical referral, most residents pay out of pocket. Grouport runs about EUR 30 per session (US$32) for a weekly 60-minute video group of 6 to 12 members led by a licensed therapist. That is roughly half the local private rate, billed in dollars, with consistent weekly support instead of spaced-out one-off visits.
Our mission is to make quality therapy affordable and accessible. Grouport's rates are significantly lower than the U.S. average, and costs average out over time because some months have 4 sessions and others 5 at no extra cost (months average 4.33 weeks).
Even more savings: extra discounts when adding more sessions per week, or pay quarterly (save 10%) or biannually (save 15%).
Getting started is easy. First, visit grouporttherapy.com and click "Get Started." This takes you to the service selection page, where you choose which type of therapy you are interested in and complete a brief intake form about your goals and preferences. We then match you with a licensed therapist or group based on your needs and any specific requests. After signing up, a care coordinator reaches out by email or phone to walk you through available therapists and scheduling. You make the final choice about your care, including which therapist you meet with and when. Once confirmed, you attend your sessions weekly over video chat.
Grouport serves residents across every quartier of the French collectivity, from the northern communities of Grand-Case and Anse Marcel down through Marigot, Concordia, Sandy Ground, and Cole Bay on the western side, and across to Orient Bay, Cul-de-Sac, and Quartier d'Orleans on the eastern side. The collectivity's compact 33 square kilometer footprint means every neighborhood has equivalent access to online groups, whether a member logs in from the hills above Colombier or from a rental near the Marigot waterfront.
The main population centers we serve include Marigot as the administrative capital, Grand-Case known for its beachfront and airport, Concordia at the heart of the island's health infrastructure, Sandy Ground along the lagoon, Quartier d'Orleans as the largest residential district, and the smaller settlements of Cul-de-Sac, Orleans, and Colombier. Members from any of these communities join the same English-language cohorts and connect over HIPAA-compliant video.
Grouport serves all zip codes across Saint Martin. If you have an address in Saint Martin, 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.
