Expert 1:1 Care
For adults living in American Samoa, one-on-one care through the LBJ Behavioral Health Unit typically means a twelve-week queue or an off-island referral to Honolulu. Individual therapy in American Samoa with Grouport works differently. A resident from Pago Pago, Tafuna, Leone, or the Manu'a Islands is matched with a licensed clinician and starts weekly one-on-one video sessions right away. Each 45 minute session is $103 (billed at $448 per month), delivered over HIPAA-compliant video, so online therapy in American Samoa becomes a same-week option instead of a quarterly waitlist, an inter-island flight, or a medically-referred trip to Hawaii.

Understanding the landscape of mental health care access and the challenges
residents face.
12.8% of American Samoan adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.
12 weeks the average wait to secure a first mental health appointment in American Samoa's public system, an interval during which symptoms often deepen.
$28,800 median household income in American Samoa, shaping what households can allocate to private mental health care.
65.0% of American Samoan adults with a mental health condition do not receive formal specialist treatment.
84% of American Samoa's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
7.80 per 100,000 mental health workers in American Samoa, a density that shapes availability, wait times, and access across the country.
The stats above sketch what American Samoa's residents work around when they look for care. A workforce density near 7.8 mental health professionals per 100,000, a twelve-week wait for a first appointment, a public-system reach that concentrates around Pago Pago, and a household-income ceiling that shapes what sustained care can cost all point in the same direction: individual therapy delivered over video is the most direct way to close the gap. One-on-one sessions with a licensed clinician turn a quarter-length queue into a same-week start, replace an inter-island flight or a Honolulu referral with a laptop connection, and hold the same therapist across weeks and months, which is what a course of care actually needs to work.
UNDERSTANDING THE CHALLENGE
Mental health services in American Samoa are concentrated in a handful of programs on Tutuila, most connected to the LBJ Tropical Medical Center in Faga'alu and Department of Health outpatient clinics. With a workforce density around 7.8 per 100,000, the whole territory functionally has a single-digit count of licensed mental health professionals covering psychiatry, psychology, and counseling combined. For a resident on the Manu'a islands or in a village along the south coast, that shortage isn't abstract, it means calling one clinic and hearing the intake list is closed for the quarter.
A twelve-week wait is a full season of school, a cannery contract, most of a tourism-season stretch. During those eighty-four days a working adult in Nu'uuli or Faga'alu keeps managing symptoms with whatever supports they have, and by the time the appointment finally lands the picture has often changed, sometimes for the better because they pushed through on their own, more often because untreated anxiety, low mood, or trauma responses have layered new problems on top of the original one. Sleep erodes. Focus at work slips. Relationships tighten under strain no one else can see. Grouport removes the wait as a variable: the first one-on-one session with a licensed therapist is booked within days of intake, not next quarter.
Online individual therapy relieves the most stubborn pressure on American Samoa's system: too few clinicians for too many people. With a workforce density near 7.8 mental health professionals per 100,000, a single-digit count of licensed clinicians has to cover psychiatry, psychology, and counseling for all 46,765 residents. Grouport routes around that queue entirely by matching each American Samoan client with a licensed therapist from a national bench. Sessions are one-on-one, so the therapist's full attention stays on one person, one story, one treatment plan. The same clinician meets with the same client week after week, which is exactly the piece of care most disrupted by a shortage-driven system where any single opening can vanish before the next available slot returns.
84% of American Samoa's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
Three specific frictions ease once care shifts to video. First, the intake queue disappears; Grouport confirms a therapist match right after the short signup, so the first one-on-one session lands inside the same week rather than three months out. Second, geography stops mattering; whether the client is in Utulei, Fitiuta on Ta'u, or on a mainland US work rotation, the session is a laptop away instead of a plane ride to Tutuila or a medevac to Honolulu. Third, scheduling accommodates Samoa Standard Time (UTC-11) with no daylight saving jump, so appointment slots land in a normal evening for the 80.9 percent of residents in the Pago Pago and Tafuna corridor as well as for families in the Manu'a Islands.
Formal mental health care in American Samoa runs through a small set of channels. The Lyndon B. Johnson Tropical Medical Center in Faga'alu houses the Behavioral Health Unit that handles both inpatient and outpatient services. The Department of Human and Social Services runs community programs, a limited number of independent counselors work on-island, and the most specialized cases are referred to Hawaii. What is largely absent is a weekly, one-on-one, English-language option that a resident can actually begin the same week they decide to reach out. Grouport fills that specific slot: a licensed clinician, one client, forty-five minutes over HIPAA-compliant video, priced in transparent USD, starting right away.
American Samoa residents get immediate access to Individual Therapy at $103 per session (billed at $448 per month), 50 to 60 percent below the $150 to $250 per session that private therapists across Hawaii and the US mainland routinely charge, which is the rate American Samoa clients typically encounter once care is referred off-island. Every-other-week scheduling is $224 per month for clients who want a lighter cadence. Both structures are flat, predictable, and billed in USD, the same currency American Samoa uses day to day, with no session-by-session invoicing surprises.
American Samoa's median household income sits near $28,800, which shapes what a household can plan around for a sustained course of care. Grouport's $448 per month for weekly one-on-one sessions, or $224 per month for every-other-week, is a flat monthly figure that lands cleanly in a household budget and can be planned twelve months out. That predictability matters more than any single visit's list price when what someone actually needs is consistent weekly support across the arc of a working year. Behind the number is a licensed clinician with graduate-level training, HIPAA-compliant delivery, and continuity with the same therapist week after week, quality that in a private off-island practice would typically cost 50 to 60 percent more per session while being far harder to secure reliably from American Samoa.
Local in-person care in American Samoa carries costs that stay off the invoice. A drive from Leone or Vaitogi to a Faga'alu appointment eats a lunch break and a tank of gas. An inter-island flight from Ofu or Ta'u when a visiting clinician has an opening is an entire day of logistics. A referral to Honolulu multiplies the calculation with a five-hour flight, hotel nights, meals, and time away from work at the cannery, the port, or a government office. Per-session billing at unpredictable amounts complicates budgeting even when the sessions themselves feel affordable. A Grouport session removes all of it: no commute, no lost work hours, no cash-only surprises, no currency conversion, one predictable monthly amount in USD, cancel anytime.
A twelve-week wait for a first appointment is the standing figure inside American Samoa's public system. Grouport reverses that timeline. Intake is short, the licensed therapist match is confirmed right after, and the first one-on-one session lands inside the same week rather than at the end of the next quarter. For American Samoa clients ready to start now, a licensed Grouport therapist is available this week.
With plans tailored to you, it's easy to choose the right mental health care plan. Simply sign up today!
We’ll get in touch with you to get brief context to make sure we match you with the therapist that best fits your needs & schedule. (Typically match in 24-72 hours)
Meet weekly with a licensed mental health professional for 45-minute video sessions. With consistent online therapy services, you can start seeing meaningful results.
Check out how our online therapy 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."

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.
Grouport's clinician bench is made up of licensed psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs, all with graduate-level training and active practice delivered by video. Sessions run in English, one of American Samoa's two official languages, and therapists work with clients across the Pacific, the mainland US, and the wider Samoan diaspora who move between the territory and elsewhere. That range shows up as a matter-of-fact fluency with extended-family context, time-zone realities, and the practical logistics of building a weekly therapy schedule around Samoa Standard Time. Matching after intake is quick, so clients begin with a therapist whose focus areas line up with what they actually want to work on. All sessions are HIPAA-compliant and fully confidential.
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.
$112/session
billed at $448/month
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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.
You can attend your online therapy sessions from anywhere. The key requirements are any private location with internet access
If someone unexpectedly enters your space during a session you can simply turn off your camera until you have privacy again. Your therapist will understand and wait for you to return. For this reason, we recommend choosing a private location for sessions and if possible using headphones so your conversation isn't overheard.
Online individual therapy provides the same therapeutic benefits as in-person individual sessions while adding some unique features. Everyone joins by video from wherever they are physically located. It’s the same therapeutic experience, just a different format. Many people actually prefer online since there’s no commute, you can do it from home, and this way it's easier to make it part of your consistent routine. The therapist also manages online-specific differences like coordinating turn taking, managing technology problems, and ensuring engagement. Nonetheless it's shown to be as effective as in person individual therapy, and many people find it to be even more effective for a variety of reasons.
This is so rare that it almost never happens. In the very rare chance it does, talk to the therapist and talk to our care coordination staff if it happens. They will assist you and If you’re not comfortable in the group, you can always switch individual sessions at any time. In the end of the day, the main thing that we’ll work with you on is to ensure that you're happy with your group fit.
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 individual sessions as fit is important and dictates the quality of your experience in group. This is why we provide the flexibility to switch individual sessions at any time, and our care coordinators will work with you to make sure you’re satisfied with whichever group fit you’re in.
Grief individual sessions are incredibly powerful. Shared loss creates deep connection—being around people who actually get it instead of well-meaning friends who don't know what to say. You don't have to explain yourself or feel like you're bringing everyone down. Grief individual sessions are incredibly powerful because loss is often isolating and people dealing with grief often feel like nobody understands. Shared loss creates deep connection since being around people who actually get it is tremendously helpful instead of well intentioned friends who don't know what to say. The therapeutic power comes from being with others who understand grief's reality and not needing to explain or justify your pain. Grief individual sessions don't fix grief but make it more bearable and help you cope better while integrating loss into your life.
We don't directly accept insurance from any country currently. You pay out-of-pocket and can request a receipt to submit to your insurance if they offer reimbursement for mental health services. Coverage varies widely by country and insurance provider so you’d have to check with them about reimbursement.
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.
Depends on frequency and duration. Individual therapy costs an average of $103/session. Groups cost $25/session - $35/session depending on which group you sign up for. With individual therapy, you can also reduce the frequency to do every other week sessions which lowers the cost. You can also pay quarterly or biannually which comes with discounts. Anytime you do more than one therapy session per week or combine therapy options there are always discounts already included in those plans thereby lowering the cost. Many people do intensive work for several months, then have sessions for maintenance, or reduce the frequency of sessions, then take breaks, and return as needed. Total cost varies wildly based on needs. Think of therapy like any other type of healthcare, you pay when you need it and fo
On-island private practice in American Samoa is very limited, with most talk therapy consolidated at the LBJ Tropical Medical Center Behavioral Health Unit in Pago Pago, where wait times commonly stretch around 12 weeks. Referrals to specialists in Honolulu add travel costs on top of session fees. Grouport Individual Therapy connects you with a licensed clinician over HIPAA-compliant video for $103 per weekly session or $448 per month, with 45 to 50 minute sessions and an immediate session start after intake, no flights or waitlists required.
Yes. Most members use the first two or three weekly sessions to decide whether their clinician and approach feel right. After intake you match right away with a licensed therapist, whether you are in Pago Pago, elsewhere on Tutuila, or in the Manu'a islands, and begin 45 to 50 minute video sessions on Samoa Standard Time (UTC-11). At $103 per weekly session or $52 with the every-other-week plan, the early evaluation window is affordable, and if the fit isn't right you can request a different clinician.
Western District, Eastern District, Manu'a District, Rose Atoll, Swains Island
Pago Pago, Tafuna, Nu'uuli, Faga'alu, Leone, Fagatogo, Aua, Vaitogi, Iliili, Malaeimi, Utulei, Ofu, Ta'u, Fitiuta
96799
If you have an address in American Samoa, 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.
