Expert 1:1 Care
On an island of roughly 66,000 people where the specialist bench sits almost entirely inside the Acute Psychiatric Unit at the Dominica-China Friendship Hospital in Roseau, getting weekly time with a therapist is difficult on its own. Finding one whose caseload has room, and whose training actually fits what you're dealing with, whether that's OCD, complex trauma, panic disorder, major depression, an eating disorder, ADHD, bipolar work, grief, a relationship crisis, or the many other things people navigate, is a taller order again. Grouport's online individual therapy is built for exactly that. After a short signup we present you with therapist options fitted to your specific situation, you choose the clinician you'd like to work with, and typically get started within 24 to 72 hours. Weekly 45-minute one-on-one sessions with the same licensed therapist 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 care as your situation evolves.

Understanding the landscape of mental health care access and the challenges
residents face.
17.3% of Dominican 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 Dominica's public system, an interval during which symptoms often deepen.
$14,135 median household income in Dominica, shaping what households can allocate to private mental health care.
76.0% of Dominican adults with a mental health condition do not receive formal specialist treatment.
65% of Dominica's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
67.6 per 100,000 mental health workers in Dominica, a density that shapes availability, wait times, and access across the country.
Read together, Dominica's stat cards describe a country where the demand exists, the workforce is thin in absolute terms, and per-session private rates strain most household budgets. About 17.3 percent of Dominican adults live with a mental health condition each year, yet three quarters of that group do not receive formal specialist care, and the six-week wait for a first appointment quietly filters out anyone whose symptoms cannot hold that long. A one-on-one video model like Grouport's, at $103 per session on a flat monthly plan, matches the shape of the gap precisely: continuous weekly access to a single licensed clinician, without the geography and queue constraints built into the in-country system.
UNDERSTANDING THE CHALLENGE
Dominica's mental health infrastructure is anchored by a single psychiatric ward at Princess Margaret Hospital in Roseau and a handful of community mental health officers spread across the seven parishes. There is no dedicated psychological hospital, no in-country psychiatry residency, and the Ministry of Health has publicly acknowledged shortages in psychology, counseling, and psychiatric nursing. For a population of 66,205 spread across 750 square kilometers of steep, mountainous terrain, that thin roster gets stretched fast, especially outside the capital.
Consider what six weeks of waiting looks like for a working parent in Portsmouth or a teacher in Marigot. Symptoms that started as manageable, poor sleep, growing anxiety at work, low mood after a loss, tend to consolidate during that window rather than fade. Add a two-hour minibus ride each way to Roseau for a single 45 minute appointment, plus the visibility risks of being seen at a public clinic in a small-island community where anonymity is difficult, and formal care starts to feel more costly than the condition itself. Grouport removes both frictions at once: private one-on-one sessions from home, a first session within days of intake, and the same licensed clinician every week thereafter.
Weekly one-on-one video work sidesteps the two constraints that shape Dominican access most tightly at once: a thin specialist bench concentrated in a single Roseau ward, and the terrain and travel that stand between it and everyone else. With Grouport, the country's workforce ratio inside the seven parishes stops setting the ceiling on who a client can actually work with. After a short signup you're presented with therapist options fitted to your situation, you choose the clinician you'd like to work with, and typically begin within 24 to 72 hours, whether you're logging in from Portsmouth, La Plaine, Wesley, or a home in the mountainous interior. Sessions are the full 45 minutes with the same licensed therapist week after week, so continuity of care starts on day one instead of after a six-week public wait. That structure sustains a real arc of treatment, from stabilising a first anxiety, depressive, or trauma-related episode through to longer skills-based work, rather than the scattered handful of appointments Dominica's in-country system tends to allow.
65% of Dominica's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
Three specific frictions loosen when a Dominican adult switches to Grouport. The public queue for a first therapy appointment averages six weeks, while Grouport intake leads to a matched clinician right away and a first session within days. Geography stops mattering: the drive from Delices, Wesley, or Castle Bruce to Roseau over Dominica's switchback mountain roads becomes a laptop login, and Atlantic Standard Time aligns cleanly with US Eastern therapist availability. And the workforce ratio of 67.6 mental health workers per 100,000 people, which in absolute terms is a very thin bench across the seven parishes and the Kalinago Territory, no longer limits who a client in Dominica can actually work with.
Formal mental health care in Dominica flows through a small number of channels: the Acute Psychiatric Unit at the Dominica-China Friendship Hospital, community mental health officers assigned across the seven parishes, and a modest private counseling roster in Roseau. Employer support and NGO or church-based counseling exist in pockets but are not widespread. What is largely missing on the island is a weekly, licensed one-on-one option available immediately from home. That is the slot Grouport fills, at $103 per session on a predictable monthly plan, with a first session usually available within days of intake.
Dominica 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 one-on-one work with a licensed clinician. Every-other-week scheduling brings the cost further down to $224 per month for clients who prefer a slower cadence. The rate is fixed in USD as a monthly subscription rather than being invoiced session-by-session, so a working adult in Roseau or Portsmouth can plan the cost across a full quarter or year of therapy rather than budgeting one appointment at a time.
Held against Dominica's GNI per capita of roughly USD $9,930 by the Atlas measure and $20,810 on a purchasing-power basis, Grouport's $103 per session on average, billed at $448 per month weekly plan is designed to sit within a realistic personal budget for a professional or dual-income household. Because pricing is a flat USD subscription rather than a fluctuating per-appointment invoice, clients can spread mental health spending across the year without waiting for a slower month or a windfall. That predictability matters when weekly therapy is the point. The model is built to support a full arc of care with the same licensed clinician throughout, at a rate well below the global average of $150 to $250 per one-on-one session.
In-person therapy in Dominica carries costs that never show up on the invoice. A minibus round-trip from Portsmouth to Roseau runs additional fare on top of the session fee, and a cancelled minibus during rainy season can turn a 45 minute appointment into a half-day commitment. Time off work, common for anyone in tourism, agriculture, or the Roseau port economy, tends to mean lost daily earnings. Cash-only or unpredictable per-session billing at private practices adds one more piece of household admin, and finding a licensed clinician with reliable availability takes real effort. Grouport removes all of it: no commute, no lost work hours, one predictable USD monthly rate, cancel anytime.
Against Dominica's six-week average wait for a first mental health appointment, Grouport's timeline changes what one-on-one therapy actually is: an option a client can act on this week, not a plan for late next month. A short intake, a licensed therapist matched right away, and a first session over HIPAA-compliant video within days is the standard experience, from anywhere on the island with a stable connection. For Dominica 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.
The Grouport clinician bench spans licensed psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs, each trained to graduate level, licensed in their home jurisdiction, and specialising in specific evidence-based approaches so the therapy that reaches you actually fits the condition in front of it. That means CBT for anxiety and depression, DBT for emotion regulation and BPD work, EMDR and trauma-focused CBT for PTSD, ERP for OCD, exposure work for panic, IFS and ACT for deeper values-based work, and other modalities matched to what your situation calls for. When you sign up we surface the therapists whose training and specialties line up with your specific needs, and you choose who you'd like to work with rather than being assigned. Clinicians hold sessions in English on schedules that fit Atlantic Standard Time, understand the privacy realities that come with life in a small-island community where anonymity is genuinely hard to hold, and stay with you across the full arc of care, week after week, on secure HIPAA-compliant video.
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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Grouport licensed therapists treat a wide range of mental health conditions and life challenges, including: anxiety disorders, OCD, depression and mood disorders, relationship and family conflicts, grief and loss, trauma and PTSD, anger management, borderline personality disorder (BPD), bipolar disorder, stress management, life transitions, parenting challenges, communication issues, self-esteem concerns, chronic illness, DBT skills for emotion regulation and more. Whatever you’re dealing with, we’ll have a therapist fit who specializes in your needs and would be the right fit for you. We have plenty of therapist and online group therapy options to choose from. Our licensed therapists utilized evidence based techniques where appropriate like Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Exposure Response Prevention Therapy (ERP), Acceptance and Commitment Therapy (ACT), Exposure Therapy, Motivational Interviewing, Interpersonal Therapy, and Eye Movement Desensitization and Reprocessing (EMDR). If you need help finding care for your specific challenges, contact us, and we’ll be sure to assist you and relay the relevant therapy options.
If you need more support than weekly therapy provides, Grouport provides the flexibility to combine care at any frequency that you’d like on the schedule and duration that works for your needs. So, for example many people combine individual therapy with group therapy at various levels of frequencies, or they combine couples therapy with individual therapy, or family therapy with individual therapy etc… It’s normal to combine therapy options or increase session frequency during difficult periods. For higher levels of support, Grouport also offers a virtual Intensive Outpatient Program (IOP) with 10 sessions per week which consists of nine group therapy sessions plus one-three individual therapy sessions per week depending on which IOP plan you choose. We're committed to matching you with the right level of care that fits your needs.
Absolutely, many people see multiple therapists at the same time to work on different challenges, or they combine group therapy with individual therapy due to its complimentary benefits, or if they need more intensive and a higher frequency of care. So, it's totally up to you and it's common to see multiple therapists or do multiple therapy sessions at once. We're happy to discuss your specific situation to determine what makes sense for your care.
Yes, therapy can definitely help you address self-esteem challenges. Your therapist will help you identify where the low self esteem is coming from and what are the right approaches whether cognitive, behavioral or psychodynamic in nature to address these recurring feelings that keep on holding you back. Online therapy will help you build genuine confidence over time. It will likely require deep work on your beliefs about yourself and isn’t a simple quick fix. You’ll learn how to identify these unhealthy thought patterns and challenge negative self-talk, so that you can have a healthier perspective on things. Most people notice improvement in their self-esteem within 3-6 months of consistent therapy.
This is normal, and many people worry about being judged at first. This fear is likely holding you back and may be even a barrier for you seeking therapy in the first place. Therapists are specifically trained to be non-judgemental and they hear about all kinds of challenges all day long. So rest assured that any adept therapist will meet you with compassion and empathy. You don’t have to open up about everything right away, but you will go at your own pace and build trust over time. Being vulnerable in therapy is one of the many benefits that leads to sustained progress over time rather than keeping everything bottled up, so it's important to have someone you can trust to speak with and that they can provide professional guidance to you to help navigate all kinds of challenging situations.
Yes, many people continue therapy as part of their wellness routine. You don’t just stop going to the gym after you see results, but it's typically about how can you maintain the consistency to see sustained results over time. Many people continue with ongoing support to prevent relapse and work on personal growth, or to manage chronic conditions. So you can continue therapy for as long as you're benefiting and the duration at which you partake in therapy is totally a personal decision. Your therapy or treatment plan can likely change over time, and the topics that you're focusing on can certainly be different at different junctures. So trust what’s best for you, and if you want your therapist to weigh in on whether you should continue, stop, or do something different they can absolutely be a sounding board to discuss that through with you and help you make an informed decision.
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.
Our therapists are located all over the world and work various hours to accommodate different time zones. Depending on where you live, sessions might be in your morning, afternoon, evening, or night. We'll work with you to find times that fit your schedule and our therapists' availability.
Yes. Moving to a new country creates adjustment stress, loneliness, identity shifts, and practical challenges. Therapy helps you navigate the transition, process what you've left behind, and build life where you are now. Moving countries is genuinely difficult even when you chose it.
Insurance has downsides. You need a formal diagnosis which goes in your medical record. It limits session frequency and duration. Involves tons of paperwork. Requires therapists to get approval for treatment. And it reimburses providers poorly, which is why many good therapists don't take insurance. Not accepting insurance keeps costs lower and gives you more control over your care. Many people find self-pay with potential reimbursement is better than dealing with insurance restrictions directly.
Grouport is built for discretion. You meet one-on-one with your licensed clinician (a psychologist, LCSW, LMHC, LMFT, LPC, PsyD, or PhD) over HIPAA-compliant video from wherever you feel most private, whether that is a bedroom in Roseau or a quiet corner elsewhere on the island. There is no waiting room, no local clinic sign-in, and no chance of running into someone you know. Everything shared with your therapist is confidential, so you can address personal concerns without worrying about who might notice.
Each weekly session runs 45 minutes over HIPAA-compliant video in English, one-on-one with your licensed clinician. Because Dominica sits on Atlantic Standard Time (UTC-4), scheduling with US-based therapists is straightforward. Early sessions focus on understanding your goals and history, then move into practical work such as processing recent events, learning coping tools, and tracking progress week to week. At $103 per weekly session ($448/month), you get consistent, structured care without the roughly six-week wait typical for scheduled therapy locally.
Saint Andrew, Saint David, Saint George, Saint John, Saint Joseph, Saint Luke, Saint Mark, Saint Patrick, Saint Paul, Saint Peter, and the Kalinago Territory
Roseau, Portsmouth, Marigot, Berekua (Grand Bay), Mahaut, Salisbury, Wesley, Castle Bruce, La Plaine, Soufriere, and Calibishie
Grouport serves all zip codes across Dominica. If you have an address in Dominica, 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.
