Expert 1:1 Care
Getting a therapist in American Samoa often means a twelve-week queue at the LBJ Behavioral Health Unit in Faga'alu, an unreliable rotation of visiting clinicians for the outer villages, or an off-island referral to Honolulu for anything beyond a general appointment. Finding a good therapist in that thin market is harder still, and finding one actually trained in the specific approach your situation calls for, whether that is CBT for anxiety and depression, ERP for OCD, EMDR or trauma-focused work for PTSD, DBT for emotional regulation, or steady work on grief, bipolar, ADHD, panic, anger, or a relationship strain that has run out of runway, is another problem entirely. Grouport's online individual therapy is built for that. After a short signup you are presented with clinician options fitted to your situation, you pick the therapist you would like to work with, and typically start within 24 to 72 hours. Weekly 45-minute one-on-one video sessions run with the same clinician over secure HIPAA-compliant video at $103 per session on average ($448 per month), with automatic discounts included for every additional weekly session, and the flexibility to adjust cadence as things change.

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, and specialization in the specific evidence-based approach a given condition actually calls for is scarcer still. Grouport routes around that queue entirely by drawing from a national bench of licensed clinicians, so an American Samoa client is not competing for one of a handful of local openings. After a short signup you are presented with therapist options fitted to your situation, and you pick the one you would like to work with rather than accept whichever local slot happens to appear. Sessions are one-on-one, 45 minutes over secure HIPAA-compliant video, priced in USD at $103 per session on average ($448 per month). The same therapist meets with you 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, 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 $103 per session on average, billed at $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, trained in the evidence-based approaches that actually move the needle on specific conditions: CBT for anxious and depressive patterns, DBT for emotional regulation and interpersonal work, EMDR and trauma-focused therapy for PTSD, ERP for OCD, IFS and ACT for the range in between. Sessions run in English, one of American Samoa's two official languages, and clinicians work with clients across the Pacific, the mainland US, and the wider Samoan diaspora who move between the territory and elsewhere. After the short signup you are presented with clinician options fitted to your situation and you pick the therapist you would like to work with, rather than being assigned. Time-zone realities on Samoa Standard Time and the practical logistics of building a weekly schedule around a working week in Pago Pago, Tafuna, or the Manu'a Islands are handled as a matter of course. All sessions run over secure HIPAA-compliant video and are 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.
Therapy homework translates session insights into daily life. Common assignments include practicing coping skills (breathing exercises, mindfulness, grounding techniques), tracking thoughts or mood, journaling about specific topics, behavioral experiments (trying new behaviors in real situations), communication exercises, reading relevant materials, self-monitoring of symptoms or patterns, and trying new approaches to old problems. Homework isn't busywork, it's essential for progress. What you do between sessions often matters more than the session itself. Most assignments can take 10-20 minutes each and be done several times weekly. Your therapist tailors homework to your goals and reviews completion each session. If homework feels overwhelming, discuss this and your therapist can adjust expectations.
Yes, therapy helps with major decisions like career changes, relationship choices, relocation, parenthood, ending relationships, or other life crossroads. Rather than telling you what to do, your therapist helps you clarify your values and priorities, explore pros and cons thoroughly, identify fears or patterns influencing the decision, understand underlying emotions, recognize any cognitive distortions affecting thinking, consider consequences realistically, access your own wisdom, and develop confidence in your choice. The decision remains yours, as therapy provides structure and support for the decision-making process. Many people find clarity within 8-12 sessions focused on a specific decision, though complex choices can take longer.
Grouport's individual therapy at an average of $103/session ($448/month) is already 50-60% below typical individual therapy costs of $150-250/session. Additional affordability options include using HSA/FSA funds for 20-30% tax savings, submitting superbills to insurance for 50-80% reimbursement if you have out-of-network benefits, month-to-month billing with no long-term contracts allows you to attend when finances permit and pause when needed. If you pay quarterly or biannually, that comes with additional savings of 10% or 15% off respectively. Additionally, you can also do bi-weekly sessions for half the cost at $224/month. We also offer online group therapy at an average of $32/session which provides evidence-based treatment at the lowest cost, and our DBT self-guided program offers a one-time payment for lifetime access. We're committed to making quality care accessible. Contact us to discuss options that fit your budget.
Yes, individual therapy significantly improves relationships even when your partner doesn't attend. You work on understanding your relationship patterns and why they occur, identifying your contribution to conflicts, developing communication skills, setting healthy boundaries, addressing personal issues affecting the relationship (anxiety, past trauma, attachment issues), gaining insight into your partner's perspective, and determining what changes you want to make. Often when one person changes their patterns, the relationship dynamic shifts. Your therapist might eventually recommend couples therapy for issues requiring both partners' participation, but individual therapy creates substantial relationship improvement through your own personal growth.
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 session on average, billed at $448 per month, with 45-minute sessions and an immediate 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-minute video sessions on Samoa Standard Time (UTC-11). At $103 per session on average billed at $448 per month, or $224 per month for every-other-week, 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.
