Get Better, Together
Grouport connects residents of Saint-Pierre, Miquelon-Langlade, and the outer settlements with licensed English-language group therapy delivered over HIPAA-compliant video. Sessions run $32 each, or $140 monthly, in groups of six to twelve peers led by a licensed clinician. Matching completes in right away, a sharp contrast to the roughly nine-week wait residents typically face for a first psychology appointment through the archipelago's small public health service based at the Centre Hospitalier Francois Dunan.

Understanding the landscape of mental health care access and the challenges
residents face across the state.
Saint Pierre and Miquelon sits legally inside the French health system, but its access profile is defined by a population of roughly 6,000 people spread across two main islands off the south coast of Newfoundland. WHO Global Health Observatory pegs the AMR-region mental health workforce at 16.7 per 100,000, and World Bank income benchmarks place the collectivity in the middle-low band for the Americas. On a population this small, the density figure collapses into a literal handful of clinicians, and any absence, rotation, or medevac to metropolitan France immediately reshapes the local waitlist.
UNDERSTANDING THE CHALLENGE
The archipelago is small in area and even smaller in specialist headcount. Roughly 90% of the population lives on Saint-Pierre island, where the Centre Hospitalier Francois Dunan concentrates most of the clinical workforce. Miquelon-Langlade, joined by the narrow Dune de Langlade isthmus, holds most of the remaining residents and depends on visiting practitioners, a ferry crossing of about an hour, or a short flight from Saint-Pierre. When one of the archipelago's psychologues is on leave, in training in metropolitan France, or between contracts, the effective specialist count on any given week can drop to zero, and there is no neighbouring town to drive to.
A nine-week wait for a first non-urgent appointment is not an abstraction on an archipelago of 6,000. It means everyone knows who is on the list, which limits how openly people talk about seeking care, and it means a resident of Miquelon must plan the ferry or the 15-minute ATR flight, weather permitting, around every visit. North Atlantic weather routinely cancels crossings in winter, so a nine-week appointment can become an eleven-week one after a single storm cycle. For the working population in the fishing, port, and public-sector economy, that compression of time and privacy pushes many people to wait until symptoms escalate.
An online group format removes both the geography and the fishbowl. Grouport's weekly video groups meet with six to twelve peers from outside the archipelago, so a member from Saint-Pierre or Miquelon is not sitting in a room with a neighbour, a colleague, or a family friend. There is no ferry to book, no ATR flight to catch, no waiting on a storm to pass. Groups run in English over HIPAA-compliant video, which fits bilingual residents, English-first residents with links to nearby Newfoundland and the wider Anglo-Atlantic, and francophone residents who want a specialist track outside the archipelago's small clinician pool.
Grouport is priced and paced against the exact bottlenecks the archipelago produces. Matching in right away turns a nine-week wait into a working week. A flat $32 per session removes the private-consultation math that becomes acute when only one or two private psychologues practice locally. Billing is direct in US dollars, so there is no CPAM feuille de soins or mutuelle reimbursement cycle to chase. Because Saint Pierre and Miquelon runs UTC-3 in winter and UTC-2 in summer, only one to two hours ahead of US Eastern, evening group slots after work align cleanly on both sides.
Mental health access here is shaped by three compounding realities: an AMR-average workforce density of 16.7 per 100,000 that shrinks to a literal handful on a population of 6,000, a North Atlantic geography that isolates Miquelon-Langlade from Saint-Pierre by weather-dependent ferry and flight, and a community small enough that privacy shapes whether people seek care at all. Grouport is built to work with each of the three.
At $140 per month, Grouport comes out to roughly 0.5% of the ~$26,000 GNI-per-capita PPP figure the World Bank uses to benchmark middle-low-income AMR territories that Saint Pierre and Miquelon tracks. That share stays workable across the archipelago's fishing, public-sector, port-services, and tourism households, and does not depend on any mutuelle top-up or CPS reimbursement calendar. Payment runs in US dollars via international card, so there is no advance-then-claim cycle. A resident knows the monthly total the day they enroll, and the number does not change based on clinician assignment or clinical focus.
The published rate for an in-person session in Saint-Pierre understates the real cost for anyone off the bourg. A resident of Miquelon-Langlade budgets ferry fare, an ATR-42 seat if weather is uncertain, and often an overnight stay when winter weather makes same-day return risky. Even inside Saint-Pierre island, taxi and rue Marechal-Foch congestion at the working end of the day add friction, and the small size of the community means visits themselves are visible. A Grouport session runs from a laptop or phone at home for the hour it takes place, with no observable arrival at a clinic door.
Where the archipelago's public system asks a resident to hold a nine-week window open through a North Atlantic winter, Grouport lets you join right away. That compression is particularly useful for bilingual English speakers, residents with cross-border ties to Newfoundland, seasonal fishing and tourism workers whose schedules move week to week, and anyone already sitting on a CPS waitlist who wants a parallel track to start now.
Cost on the archipelago is layered in the French way. The Caisse de Prevoyance Sociale covers most of a public consultation, but private psychologue availability is limited and rates track the metropolitan range of EUR60-EUR90 per session, with reimbursements running on the CPAM-equivalent feuille de soins cycle. Residents typically front the payment and wait for reimbursement, and the small clinician pool means private slots often go to whoever books first when a rotation opens. Grouport's flat $32 per session, billed monthly at $140 for four weekly meetings, is a decisive simplification against that backdrop.
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 groups for the concerns most commonly presenting on the archipelago and across comparable small North Atlantic communities: anxiety disorders, depression, seasonal affective patterns tied to short winter daylight, chronic and work-related stress, grief, relationship and family strain in a community where social circles are tight, trauma-related concerns including fishing-industry loss, obsessive-compulsive patterns, and social anxiety. Groups use evidence-based structures, cognitive behavioral, dialectical behavior, interpersonal, matched during intake. All sessions run in English, and members using French-language public services can run Grouport in parallel.
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 holds an active clinical license and has experience working across time zones and small-community dynamics that overlap with life on the archipelago. Sessions are conducted in English. Saint Pierre and Miquelon runs UTC-3 in winter and UTC-2 in summer, only one to two hours ahead of US Eastern, so US evening slots align neatly with an evening group here. During matching, members share time zone, clinical history, and preferred group focus so a therapist can place them into a group where the fit is right, a process that typically completes right away.
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."
Local private therapy on the archipelago typically requires either paying out of pocket at French metropolitan rates or traveling to Newfoundland or mainland France for specialist care, which adds airfare, lodging, and time off work to the underlying session fee. Even a single trip to Saint John's or Paris can exceed several months of consistent therapy costs once travel is included.
Grouport's weekly group membership is a flat recurring fee billed in US dollars, with no per-session surcharge, no travel component, and no separate intake charge. For a middle-to-lower income context like Saint Pierre and Miquelon, that predictability matters: you know the monthly outlay in advance and can budget around it. Group format also means you are sharing a licensed clinician's time with a small cohort, which is why the weekly rate is meaningfully lower than one-to-one private therapy sessions at comparable clinical quality.
Saint Pierre and Miquelon has roughly 16.7 mental health workers per 100,000 residents, and the nearest specialist appointments through the local health system often carry a nine-week wait. Grouport addresses this by running English-language group sessions entirely online, so you can join from Saint-Pierre, Miquelon-Langlade, or Isle-aux-Marins with only a stable internet connection and a private space.
Because our clinicians are licensed and delivering care via video, you are not competing for the archipelago's small pool of in-person providers. Sessions run on fixed weekly schedules, and the France Saint-Pierre time zone (UTC-3, or UTC-2 during summer) sits within the late-afternoon and evening blocks most of our groups occupy. Payment is processed in US dollars by international card, so no separate wire or French bank arrangement is required to get started.
Saint-Pierre bourg, Ile-aux-Marins, Anse-a-Ravenel, Savoyard, Pointe-Blanche, Cap-aux-Basques, Miquelon village, Langlade, Grand-Barachois, Dune de Langlade, Anse-du-Gouvernement
Saint-Pierre, Miquelon, Langlade
Grouport serves all zip codes across Saint Pierre and Miquelon. If you have an address in Saint Pierre and Miquelon, 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.
