Get Better, Together

Online Group Therapy for U.S. Virgin Islands Residents

Grouport delivers licensed online group therapy across St. Thomas, St. Croix, and St. John for $32 per session. With only 35.2 mental health workers per 100,000 residents and a 7-week average wait for local in-person appointments, the territory's outpatient system leaves many Virgin Islanders searching for consistent, affordable care. Our English-language cohorts of 6 to 12 peers meet over HIPAA-compliant video on set weekly schedules, and members join right away after a brief intake. Because Atlantic Standard Time overlaps closely with U.S. Eastern evening slots, residents in Charlotte Amalie, Christiansted, Frederiksted, and Cruz Bay can attend after-work sessions without rearranging their day or booking inter-island travel.

Dialectical Behavior Therapy

Mental Health in U.S. Virgin Islands by the Numbers

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

Mental Illness Prevalence

35.2 per 100k mental health workers serving the U.S. Virgin Islands, well below stateside U.S. benchmarks

Wait Time

7 weeks average wait for a local in-person mental health appointment in the territory

Median Household Income

$32 per session Grouport rate, undercutting typical private-pay U.S. therapy costs residents face for off-island specialty care

Percentage Who Need Therapy

~17% Spanish speakers largely with Puerto Rican or Dominican heritage, though English remains the sole official language

Provider Shortage

96% urban of the territory's 87,000 residents live in coastal areas across St. Thomas, St. Croix, and St. John

Mental Health Providers per 100k Residents

3 outpatient clinics anchor the Division of Mental Health, Alcoholism and Drug Dependency Services across the three main islands

These figures reflect a small territorial system stretched thin by geography and post-hurricane recovery. When Hurricanes Irma and Maria damaged Roy Lester Schneider Hospital on St. Thomas and Juan F. Luis Hospital on St. Croix in 2017, behavioral health services were displaced for months, and FEMA-funded rebuilds are still closing capacity gaps nearly a decade later. Roughly three-quarters of Virgin Islanders identify as Black or Afro-Caribbean, and care-seeking patterns are shaped by strong Puerto Rican, Dominican, and continental U.S. diaspora ties. Grouport's evening cohorts give residents an entry point that does not depend on the availability of the three outpatient clinics or the two territorial hospitals.

UNDERSTANDING THE CHALLENGE

Mental Health Care in the Caribbean AMR Region

The Problem

Across the AMR region, small island systems like the U.S. Virgin Islands face acute workforce shortages, and the territory's 35.2 mental health workers per 100,000 residents fall far below the national U.S. figure. The Division of Mental Health, Alcoholism and Drug Dependency Services operates outpatient clinics on all three main islands, but inpatient beds are concentrated at Roy Lester Schneider Hospital on St. Thomas and Juan F. Luis Hospital on St. Croix, and specialty care often requires off-island referral to Puerto Rico or the mainland.

The Impact

The 7-week wait for a local appointment leaves Virgin Islanders managing anxiety, depression, grief, and post-hurricane stress without professional support during the most acute phase. Residents on St. John, where no hospital exists, face additional inter-island travel by ferry to reach in-person providers, and the cost and time of that trip can turn a scheduled session into a full-day commitment.

The Solution

Grouport addresses these constraints with licensed clinicians holding LCSW, LMFT, LPC, PsyD, or PhD credentials leading cohorts of 6 to 12 members. Groups meet weekly over HIPAA-compliant video, and because English is the sole official language of the territory, Virgin Islanders slot into existing cohorts without any language or content adaptation.

96% urban of the territory's 87,000 residents live in coastal areas across St. Thomas, St. Croix, and St. John

Reliable telehealth eliminates the ferry commute between St. Thomas, St. Croix, and St. John and removes the 7-week queue that gates local in-person appointments. Atlantic Standard Time runs one hour ahead of U.S. Eastern year-round, so a 7:00 PM AST group aligns with 6:00 PM ET, giving after-work access to residents in Charlotte Amalie, Christiansted, and Cruz Bay alike.

Access & Availability of Mental Health Care in U.S. Virgin Islands

Access to mental health care in the U.S. Virgin Islands is shaped by the territory's small population of roughly 87,000 residents, the three-island geography, and a workforce density of 35.2 clinicians per 100,000 people. The Department of Health's Division of Mental Health, Alcoholism and Drug Dependency Services runs the public outpatient network, and Medicare, Medicaid, and private carriers such as United Healthcare and Cigna operate in the territory. Still, the practical experience of finding, scheduling, and reaching a provider often reveals gaps that population and coverage figures alone do not capture.

Geographic Barriers

The territory spans three main islands separated by open water, and no bridges connect them. St. John, home to Cruz Bay and Coral Bay, has no hospital, so residents needing acute behavioral health services board a ferry to St. Thomas. Between St. Thomas and St. Croix, the only connection is a short flight or a longer sea trip, which turns a routine appointment on the sister island into an all-day undertaking. Even within an island, mountainous terrain and single-lane roads between Charlotte Amalie, Red Hook, Frederiksted, and Christiansted stretch drive times well beyond what the mileage suggests. Online groups sidestep every one of these transit constraints.

Extended Wait Times

The 7-week average wait for a local in-person appointment is a direct consequence of the 35.2-per-100,000 workforce density. In a system of that size, a single therapist retiring or relocating produces measurable queue growth, and specialty care such as trauma-focused or eating-disorder treatment frequently requires off-island referral. Grouport members bypass this queue: after a brief intake, they join a running cohort at the next scheduled meeting, whether that falls on a Tuesday, Wednesday, or Thursday evening.

Systemic Challenges

Congressionally capped Medicaid funding has historically constrained the territory's ability to expand behavioral health capacity, and the 2017 hurricane damage to both territorial hospitals compounded the shortage. FEMA-funded rebuilds continue at Roy Lester Schneider Hospital and Juan F. Luis Hospital, but service disruptions during construction and staff turnover have left waiting lists longer than pre-storm baselines. Grouport's $32-per-session rate is designed for direct pay and does not depend on the territory's Medicaid allocation cycle.

Urban-Rural Divide

Roughly 96 percent of Virgin Islanders live in urban coastal areas, but urban in the territorial context still means small settlements linked by two-lane roads. Charlotte Amalie on St. Thomas is the largest population center, followed by Christiansted and Frederiksted on St. Croix and Cruz Bay on St. John. Residents in the rural interior of St. Croix, in East End on St. Thomas, or in Coral Bay on St. John face the same clinic-density challenges as anyone in a small U.S. town, without the option of driving to a neighboring metro. A stable internet connection replaces the drive.

Grouport gives Virgin Islanders a way to start care this week rather than in seven, from home in Estate Thomas or from an office in Sunny Isle, without waiting for a slot to open at one of the three territorial outpatient clinics.

Cost & Value of Group Therapy in U.S. Virgin Islands

Affordability and Income

At $32 per session or $140 per month, Grouport costs less than a single tank of gas at St. Thomas or St. Croix pump prices and less than a round-trip ferry ticket to St. John. For a member attending four sessions a month, the total sits well under one hour of typical private-pay mainland telehealth billing. Sessions are led by licensed clinicians holding LCSW, LMFT, LPC, PsyD, or PhD credentials, so the low price does not come from clinical corner-cutting.

Hidden Cost and Barriers

The visible session fee is only part of what in-person care costs a Virgin Islander. Missed work time for a ferry to St. Thomas from St. John, fuel between Frederiksted and Christiansted, childcare during a clinic visit, and airfare to San Juan for specialty referral all compound the sticker price. Grouport removes every one of these line items: sessions run over video from wherever the member has a screen and headphones.

Immediate Availability

Local outpatient clinics carry the 7-week average wait, and off-island referrals can extend that further once travel is arranged. Grouport groups run on a fixed weekly cadence, so a Virgin Islander who completes intake on Monday can join a group meeting on Wednesday. That immediacy matters when the reason for seeking help, hurricane anniversary distress, grief, workplace anxiety, or a relationship strain, is happening now, not seven weeks from now.

Household income in the U.S. Virgin Islands is high relative to many Caribbean neighbors, but the cost of living, particularly for imported goods, medical services, and off-island specialty care, is also elevated. Private-pay therapy in the territory or through mainland telehealth platforms typically runs $100 to $200 per session, and residents referred off-island for specialty care shoulder airfare and lodging on top of the clinical fee. Grouport's $32-per-session rate reframes what consistent weekly care can cost.

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 We Treat

Grouport's cohorts cover the concerns Virgin Islanders most often raise: generalized and social anxiety, depression, grief and bereavement, trauma including post-hurricane stress from Irma and Maria, relationship and family conflict, and the stress-management concerns that come with island living, tourism-economy workloads, and shift-based hospitality or health-care jobs common across St. Thomas and St. Croix. Groups follow evidence-based frameworks including cognitive behavioral therapy and dialectical behavior therapy skills, adapted for the peer-cohort format.

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 led by a licensed clinician credentialed as an LCSW, LMFT, LPC, PsyD, or PhD, with experience facilitating small-group work over secure video. Because English is the sole official language of the U.S. Virgin Islands and the primary language of government, education, and health care, therapists lead sessions in English and Virgin Islanders slot into existing cohorts alongside members from across the United States without any adaptation. Facilitators keep group size at 6 to 12 members so every participant has room to speak each week.

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 U.S. Virgin Islands

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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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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U.S. Virgin Islands Group Therapy FAQs

Are the therapists licensed to work with clients in the U.S. Virgin Islands?

Our therapists are licensed clinicians who facilitate groups for members across the territory. Because Grouport is a peer-support group format rather than individual therapy or psychiatric care, the licensing rules that govern one-on-one treatment in the USVI do not apply the same way. If you need medication management, court-ordered evaluation, or crisis care, contact the Division of Mental Health, Alcoholism and Drug Dependency Services or Roy Lester Schneider Hospital directly. Grouport works alongside, not in place of, those services.

Can I use Grouport if I live on St. John where there's no local outpatient clinic?

Yes. Grouport runs entirely over secure video, so your location within the territory does not affect access. St. John residents who would otherwise need to ferry to St. Thomas for the Division of Mental Health outpatient clinic can join a group from home. You need a private space and a stable internet connection. Sessions are billed in USD, so there is no currency conversion, and Atlantic Standard Time keeps most U.S. Eastern group schedules workable year-round.

Can I get therapy without a formal diagnosis?
Yes, if you're paying out-of-pocket. Insurance requires diagnosis codes, but self-pay doesn't. Many people prefer this, since they don't want depression or anxiety disorder in their permanent medical record. You can get help without labeling.
What if I'm dealing with family expectations and pressure?
Family pressure about career, marriage, children, or life choices exists across cultures. Some cultures have particularly intense family expectations. Therapy helps you navigate family pressure, set boundaries, and make choices that are right for you even when family disagrees.
Can therapy help if I'm a student dealing with academic pressure?
Academic pressure affects students everywhere, though it varies by culture and education system. Whether you're dealing with exam stress, family pressure about grades, competitive academic environments, or fear of failure, therapy helps with the anxiety and perfectionism that academic pressure creates.
Can I leave a group if it's not working for me?
Yes, but planned endings benefit both you and the group. If the group isn't helping after 6-8 sessions, discuss concerns with the therapist first as well as a care coordinator and sometimes the therapist can ultimately make adjustments that will result in a major difference for you. If you're certain the group isn't the right fit, you can always switch groups as fit is important and dictates the quality of your experience in group. This is why we provide the flexibility to switch groups at any time, and our care coordinators will work with you to make sure you’re satisfied with whichever group fit you’re in.
What if someone in the group triggers me?
Bring it up to your group. The therapist helps manage group dynamics and navigate these kinds of things. Sometimes triggers in group therapy sessions are actually useful material to work with since they're showing you something important. Therapists are trained to handle conflict and difficult emotions arising in group settings. Being uncomfortable isn't the same as being harmed and groups work through that challenge. The therapist ensures safety while allowing growth-promoting discomfort as long as it's in fact therapeutic. If ultimately, it becomes constant and it is no longer helpful for your progress, you can always discuss it with the group therapist or switch to another group that would be a better fit.
Can I be in an online therapy group if I have social anxiety?
Yes, and actually online group therapy is highly effective for social anxiety specifically. Initial anxiety about joining is normal and expected. It's practice in a safe environment and you get to work on the very thing that scares you with support right there. Most people with social anxiety find that the fear of group therapy is way worse than the reality. Social anxiety only improves through experience and not avoidance, so group provides a structured opportunity for this. Many people who have social anxiety find that group therapy is the number one driver of their improvement.
What if I'm the only one with my specific problem?
You don't need identical problems to benefit from online group therapy. So while your exact situation might be unique, you'll be with people who have similar struggles. Even really different problems often share underlying patterns like isolation, fear, shame, difficulty trusting. Those commonalities matter more than identical circumstances. If you have a particular diagnosis then diagnosis-specific groups would be helpful and that’s why groups are typically structured around certain diagnoses like a trauma group, eating disorder group, OCD group, a BPD group, or it can be a group that focuses on a particular type of treatment like DBT, CBT, EMDR that’s helpful for certain things or it might be a general group for folks who have commonalities of some sort.
Is the video platform for online therapy sessions secure and HIPAA-compliant?
Yes, Grouport uses a fully HIPAA-compliant video platform with end-to-end encryption to protect your online therapy sessions. This means your video and audio are encrypted from your device to your therapist's device, preventing anyone from intercepting or viewing your sessions. Our security measures meet or exceed healthcare industry standards and are regularly audited for compliance. Your session data is never recorded or stored unless you specifically request it, and all transmitted information is protected by the same security used by banks and healthcare systems.
Is online therapy confidential?
Yes, online therapy with Grouport is completely confidential and protected by the same privacy laws (HIPAA) as in-person therapy. Everything you discuss with your therapist remains private unless you give permission to share information or there's a legal requirement (such as risk of harm to yourself or others). Our video platform uses bank-level encryption to protect your sessions from unauthorized access. Your therapist maintains the same professional confidentiality standards as traditional in-person therapy, and all our systems are HIPAA-compliant to ensure your information stays secure.
Do you offer sliding scale pricing?
Grouport's online format already provides significant cost savings - 40-70% below traditional therapy rates. While we don't offer individual sliding scale adjustments, our group therapy option provides the most affordable access at just an average of $32 per session ($140/month). We also accept HSA/FSA cards, which reduce costs by 20-30% through tax savings, and can provide receipts for out-of-network insurance reimbursement. You’ll also receive discounts if you pay quarterly or biannually or anytime you do multiple sessions together there are discounts automatically included in those plans.

Group Therapy Coverage Across U.S. Virgin Islands

Counties

Grouport serves every district of the U.S. Virgin Islands: St. Thomas including Charlotte Amalie, Red Hook, and Estate Thomas; St. Croix including Christiansted, Frederiksted, Sunny Isle, and Kingshill; St. John including Cruz Bay and Coral Bay; and the surrounding cays. Because sessions run over HIPAA-compliant video, a member's district determines nothing about their access to a group, only their local time zone, which is Atlantic Standard Time across the entire territory.

Cities

Members join from Charlotte Amalie, Christiansted, Frederiksted, Cruz Bay, Coral Bay, Red Hook, Kingshill, Sunny Isle, Estate Tutu, and every settlement in between. The 96-percent urban footprint of the territory means most Virgin Islanders live within a few miles of a town center with reliable internet, and group members from smaller settlements like East End on St. Thomas or the interior of St. Croix connect on the same schedule and terms as those in the largest population centers.

Zip Codes

Grouport serves all zip codes across U.S. Virgin Islands. If you have an address in U.S. Virgin Islands, 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
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Let’s find the right therapist match for you, so you can get consistent & effective care.

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