Individual Therapy for Costa Rica, Without the 20-Week Caja Wait.

Online therapy with Grouport works through video sessions where you meet with a licensed therapist from the comfort of your home. After you sign up, we match you with a therapist within 24-48 hours based on your needs, schedule, and preferences. Sessions are conducted via our HIPAA-compliant video platform - you simply log in at your scheduled time and connect with your therapist. You'll receive the same evidence-based treatment and professional care as in-person therapy, with the added convenience of attending from anywhere.

You’ll need a device with a camera and microphone such as a smartphone, tablet, laptop, or desktop computer along with a stable internet connection. Grouport's platform works on most modern devices and browsers. If you can video call with friends or family, you can attend Grouport therapy sessions. Many of our sessions happen within our member portal, in which case it uses our proprietary video chat technology. If the session doesn’t happen within our member portal, many of our sessions also happen over Zoom’s HIPAA compliant platform, so in that case you would have to download zoom which you can do for free.

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.

Yes, therapy is confidential with specific limited legal exceptions your therapist explains in the first session. Exceptions include you report intent to harm yourself or others, you disclose child or elder abuse, a court orders release of records (rare), or you provide written consent to share information. Outside of these rare situations, your therapist cannot share anything without your permission, not with family, employers, or anyone else. This confidentiality creates safety for you to explore difficult topics honestly. Your therapist takes confidentiality seriously and explains exactly what's protected and what isn't.

Yes, many people combine online therapy and medication and research shows this combination is often most effective for conditions like depression, anxiety, bipolar disorder, and ADHD. Medication addresses neurochemical imbalances while therapy teaches coping skills, addresses thought patterns, and helps you understand and manage your condition. Your therapist can coordinate with your prescriber (e.g. Psychiatrist, psychiatric nurse practitioner, or primary care doctor) if you'd like, though they cannot prescribe medication themselves. Some people start with therapy and add medication later if needed, while others taper off medication as therapy provides alternative coping tools. Therapy supports medication treatment regardless of your approach.

Previous unsuccessful therapy can happen and doesn't mean therapy can't help. Take into account, was the therapist a good fit? Did you attend long enough (change often takes 8+ sessions)? Was the timing right? Did the approach match your needs? Sometimes people need a different therapeutic modality and if talk therapy didn't work, maybe DBT skills, CBT, or EMDR would. Therapy also works better when you're ready for change versus feeling pressured. Discuss your previous experience with your new therapist and this helps them adapt treatment to what didn't work before. Many people succeed with therapy after finding the right fit or approach.

Individual therapy effectively treats anxiety disorders, OCD, depression, trauma and PTSD, Borderline Personality Disorder (BPD), Bipolar Disorder, grief and loss, relationship problems, self-esteem and identity issues, life transitions (career changes, divorce, moving, becoming a parent etc.), stress management, anger issues, eating and body image concerns, substance use, chronic illness, and general personal growth. Even if you don't have a diagnosis, therapy helps with life challenges and improving mental wellbeing. If unsure whether therapy can help your specific concern, schedule a free call with a care coordinator and they can discuss what would be relevant for your needs.

Family pressure about career, marriage, children, or life choices exists across cultures. Some cultures have particularly intense family expectations. Therapy helps you navigate family pressure, set boundaries, and make choices that are right for you even when family disagrees.

Religious doubt, faith crises, conflicts between your identity and religious teachings, or pressure from religious community all create distress. Therapy provides space to explore these questions without judgment. Your therapist respects your religious background while supporting your wellbeing.

For private sessions, we require 48-72 hours notice to cancel/reschedule without charge. If you no-show or cancel last-minute, you would be charged. For groups we can add in session credits within reason if you miss a session here and there, but the premise is that you're paying monthly regardless of whether you use all your sessions. If you miss group sessions on occasion, we understand and that’s normal, so we can provide session credits as long as it's within reason.

Yes. Grouport Individual Therapy is well suited to the large expat and digital-nomad communities in the Central Valley (Escazu, Atenas, Grecia), Guanacaste (Tamarindo, Nosara), and the Southern Zone (Ojochal, Uvita). You get weekly 45 minute one-on-one video sessions with a licensed clinician (psychologist, LCSW, LMHC, LMFT, LPC, PsyD, or PhD) over HIPAA-compliant video in English, at $103 per session on average or $448 per month. After a short intake you match with a therapist and start right away, no relocation to San Jose required.

Mental health specialists in Costa Rica are heavily concentrated in the GAM around San Jose and Cartago, leaving Guanacaste, Limon, and the Southern Zone underserved, and Caja waits for non-urgent outpatient referrals can stretch several weeks. Grouport removes the drive into San Jose or Escazu entirely. You meet a licensed clinician weekly over HIPAA-compliant video for 45 minute one-on-one sessions in English, at $103 per week or $448 per month, and can start right away after intake from anywhere with reliable internet.