Get Better, Together

Online Group Therapy for Saint Martin Residents

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.

Dialectical Behavior Therapy

Mental Health in Saint Martin by the Numbers

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

Mental Illness Prevalence

7 week average wait for a specialist consultation on the French side of the island

Wait Time

12 sessions psychologist visits reimbursed per year through the Mon Soutien Psy program

Median Household Income

32,000 residents living across a fully urbanized 33 sq km coastal footprint

Percentage Who Need Therapy

100% urban population centered on Marigot with no rural interior to buffer demand

Provider Shortage

25 per 100k mental health workers, roughly a quarter of the French national average of 100

Mental Health Providers per 100k Residents

1 hospital the Centre Hospitalier Louis-Constant Fleming serves the entire French side

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

Why Saint Martin's Mental Health Landscape Is Distinct

The Problem

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 Impact

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.

The Solution

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.

25 per 100k mental health workers, roughly a quarter of the French national average of 100

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 and Availability of Mental Health Care in Saint Martin

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.

Geographic Barriers

Although the island is fully urbanized and no resident lives more than a short drive from Marigot or Concordia, geographic barriers still shape access. The Centre Hospitalier Louis-Constant Fleming is the only hospital on the French side and it handles emergency, medical, and psychiatric needs for all 32,000 residents. Anything beyond routine consultation typically requires a flight to Guadeloupe, roughly 250 kilometers south, or onward to metropolitan France. For a resident in Quartier d'Orleans managing anxiety, depression, or grief, that referral pathway can add weeks and travel expenses to what should be a straightforward course of care.

Extended Wait Times

The seven-week average wait for a specialist consultation on the French side is the direct consequence of 25 mental health workers per 100,000 residents trying to cover a population that includes both permanent inhabitants and a steady flow of workers, retirees, and long-stay visitors drawn by the tax status and climate. Public clinicians book out fast, and the private sector in the French Antilles carries out-of-pocket rates that put sustained care beyond many household budgets once the 12-session Mon Soutien Psy allotment is used.

Systemic Challenges

Structural challenges compound the numbers. Health records, prescriptions, and administrative paperwork are handled in French, which is the sole official language of schooling and government, while a significant share of the population conducts daily life primarily in English or a French-based Creole. That mismatch can slow intake and follow-up, particularly for residents who moved from Anglophone Caribbean nations. The 2017 Hurricane Irma disaster also stripped capacity from the island's health infrastructure in ways that are still being rebuilt, and the long tail of storm-related PTSD keeps demand elevated years later.

Urban-Rural Divide

With 100% of the population classified as urban and no rural interior, Saint Martin does not have the urban-rural access gap seen in larger French territories like Guadeloupe or Martinique. Instead, the gap here is between the resources available within the collectivity itself and the deeper specialist bench that exists off-island. Every neighborhood on the French side, from Sandy Ground to Cul-de-Sac, is roughly equidistant from the same limited pool of local clinicians.

Grouport removes the referral queue entirely. A resident of Marigot who signs up today completes intake and joins a running English-language group without waiting for a Guadeloupe airlift or a metropolitan France video appointment. Because the platform is virtual and cohorts draw members from across many locations, capacity is not gated by the 25-per-100,000 local workforce.

Cost and Value of Group Therapy in Saint Martin

Affordability and Income

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.

Hidden Cost and Barriers

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.

Immediate Availability

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.

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 We Treat with Online Group Therapy in Saint Martin

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.

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 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.

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 Saint Martin

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

User Profile

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 Martin Online Group Therapy FAQs

Groups run in English, but most of Saint Martin speaks French. Will that work for me?

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.

How does Grouport compare in cost to seeing a psychologue privately in Marigot?

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.

How does the cost of Grouport’s therapy compare to elsewhere?

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).

  • Group Therapy: $23–$32 per session ($100–$140/month) vs. $50–$150 per session elsewhere
  • Individual Therapy: $103 per session ($448/month) vs. $150–$200 per session elsewhere
  • Couples Therapy: $114 per session ($492/month) vs. $150–$200 per session elsewhere
  • Family Therapy: $148 per session ($640/month) vs. $175–$300 per session elsewhere
  • IOP (Intensive Outpatient Program): 44 sessions/month for $1,348 (9 group + 1 individual per week; group sessions average under $25 each) vs. $3,000–$5,000/month for traditional IOP programs

Even more savings: extra discounts when adding more sessions per week, or pay quarterly (save 10%) or biannually (save 15%).

Can therapy help with language barriers affecting my life?
If you're living somewhere and the dominant language isn't your first language, that's mentally exhausting. Constant translation. Missing nuances. Feeling like you can't express yourself fully. This affects mental health. Therapy in a language you're comfortable with provides relief.
What if I'm struggling with my identity across cultures?
If you grew up between cultures, moved countries, or feel caught between cultural identities, therapy helps. You might not fully belong to any one culture. Questions like "where are you from?" feel complicated. Therapy helps you integrate multiple cultural influences into your sense of self rather than feeling torn between them.
What if group members give conflicting advice?
Multiple perspectives can be actually valuable. You're getting different viewpoints, then deciding what resonates with your situation. First consider what others are saying, and then find what works for you. Like anything in life, take what helps for you, and anything that’s unproductive disregard.
Is group therapy confidential?
Yes. Everyone in the group agrees upfront that what's shared in group stays in group and everyone in the group is there for a similar reason. The therapist maintains professional confidentiality just like in individual therapy. However, all group members must also agree to confidentiality as what's shared in group stays in group. Most group members take confidentiality seriously because they're also sharing vulnerable information and want the same protection. Many people find they're comfortable sharing in online group therapy sessions because others genuinely understand and respect the need for privacy. Keep in mind after all the members are there for the same reason you are.
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.
What if I need to contact the therapist between group sessions?
For most things you need in between sessions, contact a care coordinator and they will be able to assist you with most things or point you in the right direction. The therapist of the group isn't intended for individual contact in between sessions for the most part, but if it's an extenuating circumstance of course your care coordinator can help put you in touch with them if it's an extenuating situation. Most questions you need outside of session, should be able to be addressed by a care coordinator and accelerated to the group therapist in an extenuating circumstance. If you need individual support, then a care coordinator can get you set up with individual therapy with either your group therapist or another qualified therapist who is a good fit for you.
How do I get started with Grouport’s online therapy?

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.

Can I attend online therapy sessions via phone if needed?
Yes\! You can attend over video chat on any smartphone. While we recommend video on a computer or laptop for the best therapeutic experience, you can attend sessions by any smartphone as well. Additionally, you can also attend sessions by audio only if needed, though we recommend to join by video for the best experience.
What internet speed do I need for online therapy?
A stable internet connection of at least 3 Mbps is recommended for video sessions. If video connection isn't working well for some reason, you can always switch to audio-only during the session.

Geographic Coverage Across Saint Martin

Counties

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.

Cities

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.

Zip Codes

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.

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
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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