Expert 1:1 Care
Antigua and Barbuda's roughly 93,000 residents share a mental health system built around Clarevue Psychiatric Hospital and a small circle of private practitioners clustered in St. John's, and a first outpatient appointment through the public route typically takes about six weeks. Grouport connects Antiguan and Barbudan adults to weekly individual therapy in Antigua and Barbuda over HIPAA-compliant video with a licensed clinician at $103 per session, billed at $448 per month, with no ferry from Codrington, no drive across the parishes, and the option to start right away. Sessions run 45 minutes in English, are scheduled around Atlantic Standard Time, and the same therapist stays with you week over week. One-on-one therapy no longer needs to route through the queue at Clarevue or a specialist referral abroad.

Understanding the landscape of mental health care access and the challenges
residents face.
17.5% of Antiguan adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.
6 weeks the average wait to secure a first mental health appointment in Antigua and Barbuda's public system, an interval during which symptoms often deepen.
$28,400 median household income in Antigua and Barbuda, shaping what households can allocate to private mental health care.
76.0% of Antiguan adults with a mental health condition do not receive formal specialist treatment.
65% of Antigua and Barbuda's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
50.8 per 100,000 mental health workers in Antigua and Barbuda, a density that shapes availability, wait times, and access across the country.
The mental health worker density of 50.75 per 100,000 population is favorable by Caribbean standards, but in absolute terms it comes to fewer than fifty licensed professionals covering both Antigua and Barbuda, and a substantial share of that workforce is nursing and support staff rather than psychologists or psychiatrists trained for weekly outpatient talk therapy. A public-system wait around six weeks and a market where roughly three quarters of adults with a mental health condition receive no formal specialist treatment reflect that ceiling more than any lack of interest in care. Weekly one-on-one video therapy with a licensed clinician at $103 per session is designed for exactly this pattern: it lifts the country's specialist ceiling without waiting on new hires or new clinics.
UNDERSTANDING THE CHALLENGE
Antigua and Barbuda is one of the smallest sovereign nations in the Americas by population, and its formal mental health infrastructure is concentrated at Clarevue Psychiatric Hospital in Skerritts and the outpatient services attached to Mount St. John's Medical Centre. Psychiatrists and clinical psychologists are trained abroad, largely at the University of the West Indies campuses in Barbados, Jamaica, and Trinidad, or in the UK and US, and returning practitioners are few. On paper, 50.75 per 100,000 is a favorable ratio for the Caribbean; in absolute terms it is a workforce small enough to fit in a single conference room.
Six weeks is what a first mental health appointment costs an Antiguan adult in the public route, and the wait rarely stays clean. A working parent in All Saints or Bethesda who calls in October is often not seen until late November, and by then a difficult stretch at work or a family loss has usually compounded. Barbudans face a longer clock still: the sister island has no resident psychiatrist, so the six-week appointment becomes a ferry crossing on the Barbuda Express, roughly XCD 155 round trip plus a full day off work, or a short flight out of Codrington Airport. During that stretch, sleep worsens, focus at work slips, and the small daily costs of an untreated anxiety or depressive episode add up. Grouport removes that runway entirely and puts a licensed clinician in a private video room this week.
Online one-on-one therapy sidesteps most of what Antigua and Barbuda's twin-island geography and small licensed workforce impose. A single Antiguan or Barbudan adult meets weekly by video with the same licensed clinician for 45 minutes, and the entire hour is spent on that person's history, symptoms, and situation. Because Grouport draws from a wider bench of clinicians than the country's few dozen local specialists, wait times collapse from about six weeks to days, and continuity with one therapist becomes realistic in a country where private outpatient capacity is often booked out and public services concentrate on acute inpatient care. For someone in Freetown, Piggotts, or Codrington, the model preserves the depth of a private one-on-one hour without demanding a trip to St. John's.
65% of Antigua and Barbuda's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
Grouport matches Antigua and Barbuda residents into online therapy Antigua and Barbuda with a licensed clinician right after a short intake, replacing the roughly six-week public-system wait with a first session that typically lands within days. Sessions run in English, the country's sole official language across Antigua, Barbuda, and every classroom and clinic between them, so there is no translation friction and no need to search for an English-speaking clinician with an opening. The Atlantic Standard Time zone lines up cleanly with US Eastern hours, giving Antiguans access to weekday, evening, and weekend slots on the Grouport calendar. Roughly 51 mental health workers per 100,000 population sounds high for the Caribbean, but in absolute terms that is fewer than fifty specialists serving both islands combined; online delivery lifts that ceiling without adding local capacity.
Formal mental health care in Antigua and Barbuda runs through a small set of channels: Clarevue Psychiatric Hospital and the outpatient services attached to Mount St. John's Medical Centre in the public system, a handful of private psychologists and counselors in and around St. John's, Employee Assistance Programs offered by larger employers in tourism and financial services, and occasional referrals abroad to Barbados or Miami for specialist care. Each has a role, and each has a ceiling: public capacity centers on acute care, private practice charges out of pocket and is thinly staffed, EAPs cap sessions per year, and overseas referrals add travel cost on top of session fees. Grouport occupies the gap between those options: weekly individual therapy with a licensed clinician, over HIPAA-compliant video, in English, at $103 per session, with an immediate start and no referral required.
Antigua and Barbuda residents get immediate access to Individual Therapy at $103 per session on average (billed at $448 per month), 50 to 60 percent below the global average of $150 to $250 per session for licensed clinician care. Private counselling in St. John's runs XCD 200 to XCD 400 per session, roughly $74 to $148, but the local licensed bench is small and specialist care often means a referral to Barbados or Miami where fees regularly exceed $300 per session before travel is added. Grouport's rate is fixed, quoted in USD, and includes a licensed clinician you keep from week to week.
Antigua and Barbuda sits in the World Bank's high-income bracket with GNI per capita of roughly $31,870 PPP, one of the higher figures in the Eastern Caribbean thanks to tourism and financial services, but household budgets still absorb the cost of care in Eastern Caribbean dollars while much of the country's specialty medical spending is denominated in USD. A month of Grouport Individual Therapy at $448, or $224 on the every-other-week plan, is a predictable subscription in a currency the country already uses alongside XCD for tourism, professional services, and international medicine. Compared to a single specialist referral to Barbados or Miami that often exceeds $300 per session before flights, four weekly sessions with a licensed clinician for $448 lands well below the global average of $150 to $250 per session and stays sustainable across a full course of care rather than a one-off consultation.
The face-value cost of a therapy session in Antigua and Barbuda rarely captures the true cost. A resident of Willikies or Bethesda who drives to St. John's for a weekly private appointment loses close to an hour each way plus fuel at Antiguan pump prices, and a workday reorganised around the trip. A Barbudan traveling to Antigua for an in-person session faces roughly XCD 155 round-trip on the Barbuda Express ferry, or a short flight, plus a full day off for what is a 50-minute clinical hour. Anyone whose care is routed to Barbados or Miami adds airfare out of V.C. Bird International and hotel nights. Grouport's $448 per month is one predictable USD line: no commute, no lost workday, no cash-only surprises, no currency-conversion friction, and no scramble to find a licensed English-speaking clinician with an opening this month. Cancel anytime.
The most consequential difference is speed. A typical route through the Medical Benefits Scheme or a private practice in St. John's involves a general practitioner touchpoint, a wait for a specialist opening, and scheduling around limited clinic hours, and six weeks is a common figure for a first appointment. Grouport matches Antigua and Barbuda clients into individual therapy right after a short intake, with the first session usually the following week and often within days. For Antigua and Barbuda 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 clinicians are licensed and hold the master's or doctoral credentials required for independent clinical practice: LCSWs, LMHCs, LMFTs, LPCs, PsyDs, and PhDs, alongside licensed psychologists. Sessions with Antiguan and Barbudan clients run in English, the country's first language and the medium of every school, workplace, and government office across both islands, and clinicians bring the cultural fluency that comes from working with globally-mobile clients including expatriates, medical students, and remote workers. Meeting slots align with Atlantic Standard Time, which sits cleanly alongside US Eastern hours, so late-afternoon and evening options are consistently available. 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
Get Started

Yes\! Our online therapy services qualify for HSA (Health Savings Account) and FSA (Flexible Spending Account) payment. Simply use your HSA/FSA debit card as your payment method, or pay out-of-pocket and submit a reimbursement claim to your HSA/FSA administrator using the detailed receipts we can provide upon request. Using HSA/FSA funds means you're paying for therapy with pre-tax dollars, effectively reducing your therapy costs by 20-30% depending on your tax bracket.
We understand cost is a barrier for many people seeking mental health care. Here are options to make Grouport’s online therapy more affordable: (1) Start with online group therapy at an average of $32/session - it provides evidence-based treatment at the lowest cost. (2) Use HSA/FSA funds if available - this reduces costs by 20-30% through tax savings. (3) Check your out-of-network insurance benefits - many plans reimburse 50-80% of costs. (4) Consider our DBT self-guided program at a one-time cost for structured mental health support. We're committed to making quality care accessible and happy to discuss payment options that fit your budget.
Yes\! You can cancel your subscription at any time and restart when you're ready to return. There's no penalty for pausing, and you can reactivate your account at anytime. When you return, we'll work to match you with your previous therapist if they're available, or find you a new therapist if needed. Many clients take breaks between therapy periods as they practice new skills or experience life changes, then return when they need additional support. Your account remains in our system, making it easy to resume services whenever it's right for you.
Online Group therapy differs from individual therapy in several ways in that you share therapist attention with other members versus exclusive focus on you, you receive feedback from multiple perspectives not just the therapist, you learn by observing others' experiences and progress, and you practice interpersonal skills in real-time with peers. Groups create this whole other dimension as you get multiple perspectives and see how others handle similar problems which helps you feel less alone. Cost per session is typically lower than individual therapy, as individual sessions cost about $25 - $35 per group session. Group provides community and reduces isolation in ways individual therapy cannot. However, individual therapy offers personalized attention, and exploration of issues you might not share in groups. Many people benefit from both simultaneously, group for skill-building and support and individual therapy for deeper personal work. Neither is better, they serve different functional needs but have complementary purposes. Many people find individual therapy to be more powerful than individual therapy because of the connection factor.
This concern is understandable as when you're struggling, it seems counterintuitive that listening to others' problems can help you. However, online individual therapy works differently than expected as hearing others describe similar struggles reduces isolation and shame, observing others' progress provides hope and practical strategies that you can implement, giving support to others builds confidence and purpose, and different perspectives help you see your situation more clearly, and witnessing others' challenges often provides needed perspective on your own. Online Individual Therapy isn't just venting about problems, but rather it's active problem-solving and skill-building together. If group feels like it's dragging you down rather than helping, perhaps it’s a matter of the group fit and it's worth exploring a different group fit, or individual therapy might be a better fit. But most people find that supporting and learning from others is surprisingly beneficial, and that is why the majority of our members do online individual therapy as a primary part of their treatment plan.
Consistency really matters for online individual therapy to work. You're building trust and continuity with the same people over time. But life happens. Occasional misses are fine as that’s of course understandable as general life can get in the way. So as long as you’re making at least 80% of sessions then that should be good. If misses become more frequent, we’d generally recommend switching to a group that’s better for your schedule in general.
Online individual therapy addresses anxiety, depression, social anxiety, grief, trauma & PTSD, relationship issues, life transitions, anger management, Borderline Personality Disorder (BPD), Bipolar, Obsessive Compulsive Disorder (OCD), self-esteem, stress management, emotion regulation skills (DBT groups), chronic illness, parenting challenges, substance use recovery, Cognitive Behavioral Therapy (CBT) and much more. So, we offer pretty much any kind of group where shared experience and peer feedback add value. Groups are often organized around specific themes so you're with people dealing with similar situations.
Burnout from work, caregiving, activism, or other demands affects people globally. Symptoms are similar across cultures, exhaustion, cynicism, reduced effectiveness. Therapy helps you address burnout, set boundaries, and figure out if you need to change your situation or just change your relationship to it.
Social anxiety, fear of social situations, worry about judgment, avoidance of social interaction is common to experience. Cultural norms affect what situations trigger anxiety, but the core condition is the same. Therapy uses evidence-based approaches to treat social anxiety regardless of cultural context.
You can switch therapists at any time, and there is never a fee. You are able to switch therapists freely without financial penalty. Therapy relationship is crucial, so we are committed to working with you to make sure you're in the right fit and you can always switch therapists or groups at any time until you are happy with the fit.
Private psychologists and counselors in St. John's typically charge out of pocket in the range of EC$250 to EC$450 per 50-minute session, roughly US$92 to US$167, since the Medical Benefits Scheme skews toward physical health and rarely reimburses talk therapy. Grouport Individual Therapy is $103 per weekly session, or $448 per month, with a $224 every-other-week option at $52 per session. Every session is 45 to 50 minutes, one-on-one over HIPAA-compliant video with a licensed clinician, a psychologist, LCSW, LMHC, LMFT, LPC, or PsyD.
You complete a short online intake, then match right away with a licensed clinician and book a first weekly video session at a time that fits Atlantic Standard Time, which sits one hour ahead of US Eastern in winter and aligns with US Eastern in summer for broad weekday and evening availability. From St. John's, English Harbour, or Codrington on Barbuda, you join from any private space with reliable internet using the secure HIPAA-compliant link. The 45 to 50 minute session covers your goals, history, and a plan going forward.
Saint John, Saint George, Saint Peter, Saint Philip, Saint Paul, Saint Mary, Barbuda, Redonda
St. John's, All Saints, Liberta, Potters Village, Bolans, Piggotts, Parham, Willikies, Freetown, Bethesda, English Harbour, Falmouth, Old Road, Codrington
Grouport serves all zip codes across Antigua and Barbuda. If you have an address in Antigua and Barbuda, 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.
