Expert 1:1 Care

Online individual therapy for Brazilians, join right away.

Grouport delivers online individual therapy in Brazil for $103 per session ($448 per month), or $224 per month on an every-other-week schedule, pairing adults across the country with a licensed clinician for weekly 45 minute one-on-one sessions over HIPAA-compliant video. Matching moves right after a short intake rather than stretching across the roughly 14-week wait that shapes public and private referrals in Brazil today. For a professional in São Paulo whose calendar cannot absorb a three-hour round trip to a Jardins consultório, or a client in Manaus who lives hundreds of kilometers from the nearest specialist psychologist, online therapy in Brazil now happens on a laptop, in English, with a licensed therapist available this week.

Greeting

The State of Mental Health in Brazil.

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

Mental Illness Prevalence

21.3% of Brazilian adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.

Wait Time

14 weeks the average wait to secure a first mental health appointment in Brazil's public system, an interval during which symptoms often deepen.

Median Household Income

$15,430 median household income in Brazil, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

73.0% of Brazilian adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

65% of Brazil's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

58.3 per 100,000 mental health workers in Brazil, a density that shapes availability, wait times, and access across the country.

Read together, Brazil's mental health indicators point to a country with real depth of need and a structural gap between where clinicians live and where clients live. Roughly one in five Brazilian adults reports a mental health condition each year, the workforce sits at 58 per 100,000 nationally, and the average wait to be seen through the public or private system runs about 14 weeks. Household income at $15,430 GNI per capita PPP puts sustained private-pay therapy out of reach for many families in local-currency terms. A one-on-one video therapy model priced in a predictable monthly USD subscription and delivered by a licensed clinician from anywhere with a connection is not a luxury layer for Brazilian clients, it is often the shortest path to weekly care with someone qualified to provide it.

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in Brazil.

The Problem

Brazil runs one of the world's largest public health systems, and SUS does include mental health services through the CAPS network established after the 2001 Psychiatric Reform Law. In practice, however, demand vastly outstrips capacity. A person in Salvador or Manaus who calls their local CAPS is often told the next intake slot is 4 to 8 weeks out, and even then, ongoing individual therapy is rarely on offer, CAPS was designed primarily for severe mental illness, not the anxiety and depression that account for most help-seeking today.

The Impact

Fourteen weeks is enough time for a promotion opportunity to pass, a difficult marriage to lose more ground, or a teenager's school performance to slide from concerning to serious. The Brazilian professional who first calls a CAPS clinic in Salvador or a private psychologist in São Paulo's Jardins in early April is often told they can be seen in mid-July, and by then the anxiety, low mood, or burnout that prompted the call has been shaping decisions for months. Private one-on-one consultations in the country's major metros run R$200 to R$400 per 50-minute session, and while any single session is manageable, sustaining weekly care over six or nine months requires finding a clinician who both has room on the calendar and stays available. Grouport removes that entire opening chapter: a short intake, a matched licensed therapist, and a first 45 minute video session within days, at $103 per session billed as a $448 monthly USD subscription.

The Solution

One-on-one online therapy loosens the constraints that shape mental health access in Brazil at each of the three main entry points. The public system, built around CAPS units after the 2001 Psychiatric Reform Law, was designed for severe presentations and has limited bandwidth for weekly one-on-one work on anxiety, depression, or burnout. Planos de saúde like Amil, Bradesco Saúde, and SulAmérica cover psychotherapy under ANS rules but cap sessions per year and are often refused by the most sought-after clinicians. Full private therapy in the major metros requires finding a licensed psychologist with real availability, which can take weeks of outreach. Grouport replaces that search with a matched licensed therapist, weekly 45 minute video sessions that stay with the same clinician week over week, and a treatment plan built for one person rather than fitted around a rotating slate of concerns.

65% of Brazil's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Three frictions loosen the moment a Brazilian client works with Grouport instead of a local pathway. First, the 14-week average intake wait for a specialist appointment collapses; matching happens right after a short intake and a first weekly one-on-one session is scheduled within days. Second, Brazil's provider bottleneck in the Southeast becomes irrelevant, a resident of Belém, Rio Branco, or São Luís joins the same session as a professional in São Paulo or Brasília, no trip to a state capital or CAPS unit required. Third, the country's dominant Brasília Time zone (UTC-3) aligns cleanly with US Eastern working hours, so weekly sessions land at practical local times for professionals, parents, and English-fluent Brazilians who make up the bulk of the country's private-pay therapy demand.

Access and Availability Across Brazil.

Brazil's formal mental health landscape has three main lanes and a handful of secondary ones. The SUS public system delivers most population-level care through the CAPS network created by Lei 10.216 in 2001, oriented largely toward severe mental illness rather than routine weekly one-on-one work on anxiety and mood. Roughly a quarter of Brazilians hold a plano de saúde, Amil, Bradesco Saúde, SulAmérica, and similar, which under ANS rules must cover psychotherapy but typically cap the number of sessions and pay clinicians at rates the most sought-after psychologists decline. Full private practice in São Paulo, Rio, and Belo Horizonte fills the top of the market at R$200 to R$400 per session. Employer EAPs, university clinics, and religious counseling round out the picture. Grouport slots into the missing category: weekly one-on-one video therapy with a licensed English-speaking clinician, priced as a predictable monthly USD subscription, available this week rather than after a queue.

Geographic Barriers

Brazil covers 8.5 million square kilometers, and its mental health workforce sits mostly along a diagonal band that runs from Porto Alegre through São Paulo, Rio de Janeiro, Belo Horizonte, and up toward Brasília. Step outside that band and the ratios thin out fast. A resident of Manaus reaches the nearest board-certified specialist psychologist across an urban sprawl where traffic can stretch a taxi ride to ninety minutes each way; someone in a smaller Amazonas municipality may need a boat or a domestic flight. Interior residents of São Paulo state, in places like Presidente Prudente or Ribeirão Preto, routinely drive two hours to the capital for anything beyond primary-level mental health support. Even inside the country's biggest cities, the concentration of experienced clinicians in a handful of neighborhoods, Jardins in São Paulo, Ipanema and Leblon in Rio, Savassi in Belo Horizonte, prices out or geographically excludes most residents. Grouport erases that map: a licensed therapist available to anyone in Brazil with a stable internet connection, from any of the country's 27 federative units.

Extended Wait Times

The 14-week national average conceals the sharper reality most Brazilian clients actually run into. CAPS intakes in high-demand cities, Recife, Fortaleza, parts of Grande São Paulo, regularly stretch to 8 to 12 weeks for non-crisis referrals, and even after intake, weekly one-on-one therapy is often unavailable because CAPS teams prioritize acute presentations. Private psychologists at the recognized clinics in São Paulo's Jardins or Rio's Zona Sul frequently quote four to fourteen weeks to a first consultation, and the slots on offer are typically weekday business hours that professional-class clients cannot easily use. Instead of waiting three months or more, a Brazilian client working with Grouport completes intake in about fifteen minutes, is matched with a licensed therapist right after, and holds the first 45 minute one-on-one video session within days.

Systemic Challenges

Three structural issues shape what Brazilian clients experience when they try to start therapy. The public system, though genuinely universal in reach, was reoriented by Lei 10.216 toward community-based care for severe mental illness and lacks the bandwidth to deliver weekly one-on-one sessions for the anxiety and mood presentations that make up the bulk of help-seeking. Private plano de saúde coverage under ANS rules includes psychotherapy in principle, but session caps of 12 to 40 per year and low reimbursement rates mean the clinicians most in demand often refuse to bill through the plans. And the mental health workforce, at roughly 58 per 100,000 people nationally, remains far more concentrated in the wealthier South and Southeast than in the North and Northeast where population growth has been fastest. Grouport operates entirely outside these three lanes as direct-pay in USD, so a Brazilian client's access to a licensed therapist does not depend on which plan they carry, which municipality they live in, or which CAPS unit their address is assigned to.

Urban-Rural Divide

Brazil is 87.9 percent urban, and it is tempting to read that ratio as a sign that in-person therapy is broadly reachable, but the arithmetic hides real gaps. The remaining 12.1 percent still means roughly 25 million Brazilians live outside cities, disproportionately in the North, Northeast, and rural Center-West, where mental health workforce density falls well below the national 58 per 100,000. Inside cities the picture is not uniform either: a resident of a peripheral neighborhood in Grande São Paulo or Baixada Fluminense in Rio may live under an hour from a Jardins or Ipanema clinician by map, and three hours by actual commute in weekday rush. Grouport is agnostic to which Brazilian municipality a client logs in from, an adult in Roraima or Amapá joins the same one-on-one session on the same platform as a professional in Curitiba or Florianópolis, with the same licensed therapist week over week.

For Brazilian adults ready to work with a licensed therapist one-on-one, Grouport delivers weekly 45 minute video sessions at $103 per session, billed as a predictable $448 monthly USD subscription, or on an every-other-week schedule at $224 per month. Matching happens right after a short intake, the first session is available within days, and the therapist stays consistent week over week across a full arc of care rather than shifting with a rotating clinic roster. From São Paulo to Salvador to Belém, from a downtown apartment to a rural municipality reached by a single road, the arrangement is the same: HIPAA-compliant video, a licensed English-speaking clinician, and no queue.

Affordable Individual Therapy Costs for Brazil Residents.

Brazilian residents get immediate access to Individual Therapy at $103 per session (billed at $448 per month), 50 to 60 percent below the global average of $150 to $250 per session that private one-on-one therapy typically commands in developed markets. Private psychologist rates in São Paulo, Rio de Janeiro, and Belo Horizonte sit lower in local currency at R$200 to R$400 per session, but sustaining weekly care with a sought-after licensed clinician there still requires finding a practitioner with actual availability, either in-person or through a plano de saúde that caps sessions per year. Grouport's flat USD subscription is priced predictably and includes matching, weekly one-on-one video sessions with a licensed clinician, and consistency with the same therapist across a full arc of care, rather than a per-session, cash-only arrangement that depends on whether a specific consultório has room this month.

Affordability and Income

Brazil's GNI per capita in PPP terms is $15,430, and household budgets vary widely between a São Paulo or Brasília professional household and a Northeast family working in the informal sector. Grouport's $448 monthly subscription for weekly one-on-one care, or $224 per month at an every-other-week cadence, is a fixed line item, denominated in USD, that a client can plan against for the length of a treatment course rather than a variable cash-out for each session. The bill does not fluctuate with clinician demand, does not carry a per-booking fee, and does not draw down any annual plano de saúde session cap. Compared with the global average of $150 to $250 per session for licensed private one-on-one therapy, Grouport's rate sits well below the middle of that range and sustains for as many months as the client's goals require.

Hidden Cost and Barriers

In-person therapy in Brazil comes with costs that never appear on the receipt. A round-trip Uber or taxi across São Paulo or Rio traffic to reach a Jardins or Ipanema consultório easily adds R$40 to R$100 per session, and paid parking near clinics in those neighborhoods is its own weekly line item. A client commuting from a peripheral bairro can burn three hours of the day around a fifty-minute appointment, which for a working professional or a parent often means either a leave day used or an evening lost. Cash-only invoicing at private practices adds friction for anyone whose income arrives via CLT payroll and PIX transfers rather than a weekly cash flow, and Brazilian residents paying international clinicians face currency-conversion spreads on top of the session fee. Grouport removes each of those costs: no commute, no lost work, no per-session invoicing surprises, and one predictable monthly subscription in USD that can be cancelled at any time.

Immediate Availability

The immediate-start advantage lands hardest when it sits next to Brazil's typical wait. A resident of Recife, Curitiba, or Belo Horizonte who decides on a Tuesday evening to start therapy can complete Grouport intake Wednesday morning, be matched with a licensed clinician the same day, and hold their first 45 minute one-on-one video session by the end of the week. The parallel domestic pathway, whether a SUS referral through a CAPS unit or a private psychologist in a major metro, typically runs to the 14-week national average, and often longer in the highest-demand markets. For Brazil clients ready to start now, a licensed Grouport therapist is available this week.

How it Works

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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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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

Brazil

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 clinical bench is made up of licensed psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs, each holding graduate-level training in evidence-based one-on-one therapy. Sessions are conducted in English, which is the primary practical filter for Brazilian clients; the country's expat community, international-school families, university-educated professionals, and digital-nomad population routinely use English for professional and academic work and find the therapy relationship translates well. Cultural competence with globally-mobile clients is built into how these therapists practice, so a São Paulo executive, a Florianópolis remote worker, or a Rio parent finds a clinician who listens without imposing a US-only frame. All sessions are HIPAA-compliant and fully confidential.

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Affordable Individual Therapy & Care Options in Brazil.

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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Frame

Teen Therapy

$112/session
billed at $448/month

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Common Questions About Individual Therapy in Brazil.

Are your therapists licensed and qualified?

Yes, all Grouport therapists are fully licensed mental health professionals (LCSW, LMFT, PhD, PsyD, LMHC, LMFT, or LPC) with master's or doctoral degrees in their field. Every therapist has completed thousands of clinical hours and passed state licensing exams. They maintain active licenses in the states where they practice, complete ongoing continuing education requirements, and carry professional liability insurance. Many specialize in specific treatment approaches like CBT, DBT, ERP, or trauma-focused therapy. You can view your matched therapist's credentials, specialties, and experience before your first session.

Do I need to download any software?

If your sessions happen through our member portal, then no, Grouport's therapy platform works directly through your web browser, no downloads or installations are required. Simply click the session on your home page within your member portal, and you'll join your session from there. If your sessions happen outside of our member portal, then you should download Zoom on your device which can be downloaded for free. If your sessions happen outside of our member portal, you’ll receive an auto session reminder email 24-hours before each session with a unique HIPAA compliant Zoom link to join that week’s session. Our care coordinators and technical support staff will assist you with anything you need, to ensure you know how to smoothly access your sessions.

What internet speed do I need for online therapy?

A stable internet connection of at least 3 Mbps is recommended for video sessions. If video connection isn't working well for some reason, you can always switch to audio-only during the session.

Can I do online individual therapy if I'm very introverted?

Yes, introverts often do really well in individual therapy once they get past initial discomfort. You don't have to be the loudest person to benefit and what often happens is that introverts open up overtime. Quiet observation is totally valid and a skilled group therapist makes space for different communication styles. The therapist works with your natural communication style while encouraging growth promoting challenges. Groups benefit from diverse personalities such as introverts who provide balance and thoughtfulness to session.

What if my schedule changes and I can't attend anymore?

If your schedule changes temporarily, that’s totally normal and missing a couple of sessions here and there like 2-3 sessions is acceptable as long as there's commitment to return. If missing session is happening a lot due to your scheduling changes, talk to a care coordinator about switching to a different group time that works better for your schedule and they’ll be sure to assist. This is precisely why we allow to switch individual sessions at any time as we know scheduling changes do happen. Or pause and return later when it's convenient for you. Life changes and schedules shift, so it's important that you find a group that works for you and your schedule.

Can individual therapy address trauma?

Absolutely, we have specific individual sessions geared to Trauma & PTSD. So for trauma we would recommend a trauma group. We also find that Dialectical Behavior Therapy “DBT” individual sessions are often also helpful for trauma & PTSD. The shared experience among trauma survivors is healing and realizing you're not alone in what happened or how it affected you is essential for progress. Trauma individual sessions are usually structured carefully so that you can process trauma effectively, and they can include specific trauma techniques like EMDR or rooted in Cognitive Behavioral Therapy (CBT).

Can I participate if I don't have consistent internet for online groups?

Reliable internet is essential for online individual therapy since technical difficulties disrupt the group and limit your participation. So, you definitely need reliable internet for video sessions to work. If your internet is spotty, either find a more reliable location, use a different device or get your wifi fixed, or you can use cellular data. If connection issues are persistent, online therapy may not be viable currently. Discuss with a care coordinator about your internet situation so they can help you gauge what might be the best option for you.

What if I'm struggling with substance use?

Substance use problems are common everywhere. Different substances are more common in different places, but addiction follows similar patterns. Therapy addresses underlying reasons for substance use, helps develop coping skills, and supports recovery. Some countries have more treatment resources than others, but therapy is helpful regardless.

Can therapy help with anxiety or depression?

Anxiety and depression are global mental health conditions. They might manifest differently across cultures, but the core experiences are similar. Therapy provides evidence-based treatment for anxiety and depression that works regardless of where you live. Mental illness is real everywhere.

What's the difference between in-network and out-of-network coverage?

In-network means your therapist has a contract with your insurance company—they accept negotiated rates and bill insurance directly. Out-of-network means no contract, you pay upfront and may get reimbursed a portion. Out-of-network typically has higher deductibles and you're reimbursed percentage (often 50-80% depending on your plan) rather than paying a flat copay. Grouport is out-of-network, so you'd submit receipts for potential reimbursement.

How does Grouport compare to private psicoterapia through a plano de saude like SulAmerica or Bradesco Saude in Sao Paulo?

Private psychotherapy in Sao Paulo through plans like SulAmerica, Bradesco Saude, or Amil often runs R$250 to R$450 per session out of pocket, with ANS-mandated coverage capped at a limited number of sessions and queues that can stretch 14 weeks or longer. Grouport Individual Therapy is $103 per weekly 45 to 50 minute video session, or $448 monthly, delivered by a licensed clinician over HIPAA-compliant video in English. After a brief intake, you match with a therapist and start right away, no plano waitlist required.

Can I keep my Grouport sessions private from family members in my household in Brazil?

Yes. Grouport Individual Therapy is one-on-one video with a licensed clinician (psychologist, LCSW, LMHC, LMFT, LPC, PsyD, or PhD), and sessions run on HIPAA-compliant video, so records stay between you and your therapist. Many clients in Sao Paulo, Rio, Florianopolis, or smaller interior towns join from a bedroom or home office with headphones. Weekly 45 to 50 minute sessions are $103 each, or $448 monthly, and BRT (UTC-3) aligns with US Eastern evenings, so you can schedule times that fit your household routine.

Individual Therapy Available Across Brazil.

Regions

São Paulo, Rio de Janeiro, Minas Gerais, Bahia, Rio Grande do Sul, Paraná, Pernambuco, Ceará, Pará, Santa Catarina, Maranhão, Goiás, Amazonas, Espírito Santo, Paraíba, Mato Grosso, Rio Grande do Norte, Alagoas, Piauí, Distrito Federal, Mato Grosso do Sul, Sergipe, Rondônia, Tocantins, Acre, Amapá, Roraima.

Cities

São Paulo, Rio de Janeiro, Brasília, Salvador, Fortaleza, Belo Horizonte, Manaus, Curitiba, Recife, Porto Alegre, Belém, Goiânia, Guarulhos, Campinas, São Luís, São Gonçalo, Maceió, Duque de Caxias, Natal.

Zip Codes

01310-100, 01411-000, 04538-133, 20090-001, 22071-100, 22410-002, 30112-000, 40170-110, 50030-230, 60175-047, 70040-010, 80010-010, 88010-500, 90010-350

If you have an address in Brazil, 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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