Expert 1:1 Care

Individual Therapy from Pago Pago to Manu'a, All Online.

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.

Greeting

The State of Mental Health in American Samoa.

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

Mental Illness Prevalence

12.8% of American Samoan adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.

Wait Time

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.

Median Household Income

$28,800 median household income in American Samoa, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

65.0% of American Samoan adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

84% of American Samoa's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

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

Understanding Mental Health Access in American Samoa.

The Problem

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.

The Impact

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.

The Solution

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.

Access and Availability Across American Samoa.

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.

Geographic Barriers

American Samoa is a five-island archipelago spread over hundreds of miles of ocean. Roughly 95 percent of the population lives on Tutuila, close to the Pago Pago corridor where LBJ and the government clinics sit. The Manu'a Islands (Ta'u, Ofu, and Olosega) are served by intermittent visiting clinicians and by a small-plane hop or ferry to Tutuila. Aunu'u sits off Tutuila's east end, and Swains Island is more than two hundred miles north. For a resident outside the harbor corridor, a routine follow-up can absorb an entire day of travel. Online one-on-one therapy replaces that day with a video window; a client in Fitiuta and a client in Utulei see their therapist on the same weekly schedule, at the same clinical depth, at the same price.

Extended Wait Times

The typical wait for an initial mental health appointment in American Samoa runs about twelve weeks. That number is the arithmetic of a workforce density near 7.8 per 100,000 meeting demand from roughly 46,765 residents; the queue is what a system with a single-digit licensed-clinician count looks like from the intake side. Grouport is deliberately built to sidestep that number. Instead of waiting three months for a first appointment, an American Samoa client completes a short intake, gets matched with a licensed therapist, and is in their first one-on-one session within days. The clinician is booked before the week ends, not before the next quarter opens.

Systemic Challenges

American Samoa is a US territory, but its access picture is not a copy of a mainland state's. The federal programs that fund care operate under different caps and rules than in most states, and residents needing subspecialty psychiatric care are frequently referred off-island to Honolulu for services that cannot be delivered locally. Private clinician supply on-island is thin, so the LBJ Behavioral Health Unit carries the majority of demand from a resident base of roughly 46,765. Layer on top of that the natural discretion of a small community where a client and a local clinician often share extended-family or village ties, and reaching out for a first appointment gets quietly harder. Grouport is a workaround built for exactly these constraints: a licensed clinician working from outside the local network, sessions from a private room at home, transparent USD pricing, and no dependency on the LBJ intake list or an off-island referral.

Urban-Rural Divide

About 80.9 percent of American Samoans live in what census-style classifications count as urban settlement, largely the Tafuna plain and the villages ringing Pago Pago Harbor. The remaining 19.1 percent are spread across Tutuila's north shore villages and the outer islands. Clinical capacity tracks the population center: whatever specialists exist sit near the harbor corridor, and the rest of the territory works with whatever visiting or referral capacity happens to be available in any given month. A video-delivered one-on-one session flattens that gap. A client in Fitiuta on Ta'u sees the same licensed therapist, at the same weekly time, for the same $103, as a client in Utulei on Tutuila or a client on a work rotation in Honolulu.

Grouport was built for the situation American Samoa clients face routinely: a shortage-driven wait, geographic distance from the harbor corridor, and the pull of off-island referrals for anything beyond a general appointment. The service pairs each client with a licensed therapist, holds weekly one-on-one sessions over HIPAA-compliant video, prices care in transparent USD at $103 per session or $448 per month, and starts the first session inside the same week. That combination is sustainable across a full arc of care, not just a first appointment; it lets an American Samoa resident stay with the same clinician week after week, whichever island they are on and whatever their schedule looks like in Samoa Standard Time.

Affordable Individual Therapy Costs for American Samoa Residents.

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.

Affordability and Income

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.

Hidden Cost and Barriers

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.

Immediate Availability

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.

How it Works

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With plans tailored to you, it's easy to choose the right mental health care plan. Simply sign up today!

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Personalized match

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)

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Start Online Therapy

Meet weekly with a licensed mental health professional for 45-minute video sessions. With consistent online therapy services, you can start seeing meaningful results.

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Mental Health Conditions We Treat in

American Samoa

Beyond individual therapy, Grouport offers licensed therapists who specialize across the full spectrum of mental health needs and evidence-based approaches. Whatever you're looking for, we have a therapist for your needs.

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.”

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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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.

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.

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Affordable Individual Therapy & Care Options in American Samoa.

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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Individual Therapy

$112/session
billed at $448/month

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Group Therapy

$35/session
billed at $140/month

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Partnership

Couples Therapy

$123/session
billed at $492/month

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Family Therapy

$160/session
billed at $640/month

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IOP Therapy

$337/week
billed at $1,348/month

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Teen Therapy

$112/session
billed at $448/month

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Common Questions About Individual Therapy in American Samoa.

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.

Can I attend online therapy sessions from anywhere?

You can attend your online therapy sessions from anywhere. The key requirements are any private location with internet access

What if someone walks in during my session?

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.

How is online individual therapy different from in-person?

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.

What if I know someone in my group?

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.

Can I leave a therapy 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 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.

Can individual therapy help with grief and loss?

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.

Does Grouport accept international insurance?

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.

How much does Grouport cost in my currency?

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.

What's the total cost of therapy long-term?

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

How does Grouport compare to seeing a private therapist in Pago Pago?

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.

Can I try Grouport for a few sessions before deciding if it's the right fit for me in American Samoa?

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.

Individual Therapy Available Across American Samoa.

Regions

Western District, Eastern District, Manu'a District, Rose Atoll, Swains Island

Cities

Pago Pago, Tafuna, Nu'uuli, Faga'alu, Leone, Fagatogo, Aua, Vaitogi, Iliili, Malaeimi, Utulei, Ofu, Ta'u, Fitiuta

Zip Codes

96799

If you have an address in American Samoa, Grouport can serve you regardless of your zip code.

Online Individual Therapy Available Worldwide

Grouport offers online individual therapy available globally for people in 200+ countries. Find a licensed therapist that fits your needs for weekly one-on-one sessions.

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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