Expert 1:1 Care
Grouport delivers weekly one-on-one video therapy to English-speaking residents across Ecuador at $103 per session, matched with a licensed clinician who can meet from this week onward. Instead of navigating a nine-week wait for a first appointment through the Ministry of Public Health or driving into Quito or Guayaquil to find a private consulta with English-language availability, individual therapy in Ecuador with Grouport opens on a HIPAA-compliant video call from home. Every session is the same therapist, forty-five minutes of focused attention, and a predictable monthly rate billed in the country's own currency. Whether the client is a professional in Cuenca, a retiree on the coast, or a Puerto Ayora resident on Galapagos, the session starts on a laptop rather than a bus timetable.

Understanding the landscape of mental health care access and the challenges
residents face.
17.8% of Ecuadorian adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.
9 weeks the average wait to secure a first mental health appointment in Ecuador's public system, an interval during which symptoms often deepen.
$11,800 median household income in Ecuador, shaping what households can allocate to private mental health care.
78.0% of Ecuadorian adults with a mental health condition do not receive formal specialist treatment.
94% of Ecuador's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
3.01 per 100,000 mental health workers in Ecuador, a density that shapes availability, wait times, and access across the country.
Ecuador's headline mental health numbers tell a coherent story about individual-format online therapy. A workforce density of 3.01 professionals per 100,000 residents, concentrated in Pichincha, Guayas, and Azuay, means the specialist a client actually needs is almost certainly somewhere else geographically. A nine-week average wait for a first public-sector appointment turns the decision to seek help into a two-month calendar problem. A national income base that plans household spending around a $448 monthly rate rather than a $60 cash rate at unpredictable cadence favors a subscription structure. Individual therapy over HIPAA-compliant video with a licensed clinician sidesteps each of those constraints in one delivery model: no travel, no queue, no per-visit invoice math, and one therapist week after week.
UNDERSTANDING THE CHALLENGE
Ecuador's mental health system is thinly stretched. The country reports 3.01 mental health workers per 100,000 residents, and specialty services cluster inside a handful of hospitals: the Hospital Psiquiatrico Julio Endara in Quito, the Instituto de Neurociencias in Guayaquil, and a small number of MSP outpatient units. Outside Pichincha, Guayas and Azuay, publicly funded psychology hours are scarce, and private consultas in Cuenca or Manta routinely quote $40-$80 per session in cash.
For a working adult in Ambato or Portoviejo who has finally decided to ask for help, the standard nine-week (roughly sixty-three-day) wait through MSP or IESS is not a data point; it is a full quarter of the year. During that stretch, insomnia compounds, work performance slides, relationships thin, and the original motivation to reach out often fades. Add the practical cost of taking a half-day off to travel from Ibarra or Riobamba to a specialist in Quito, and even a booked appointment becomes a project. Grouport removes that friction directly: intake takes minutes, matching lands the same day, and the first fifty-minute session with a licensed therapist can be on the calendar for this week. The person who logs on does not have to plan a trip or rebuild their reason for asking.
Online individual therapy through Grouport puts a licensed clinician on a private one-to-one video call with an Ecuador client, week after week, without waiting for a public referral to reach the top of a queue. Every session is built around the individual's history, goals, and pace, with no dividing of the hour and no coordinating around a shared schedule. Because the same therapist stays with the client from intake forward, the treatment plan progresses across sessions rather than restarting each visit. The format also lets the clinician move faster on evidence-based modalities like CBT, DBT skills, and trauma-focused work because attention is not fragmented. For someone in Ecuador who has waited months for a first psychology appointment, the difference is a treatment relationship that begins immediately and continues consistently.
94% of Ecuador's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
Three practical frictions loosen when Ecuador clients move to Grouport. The first is the queue: instead of the roughly nine-week gap common in MSP and IESS intake, matching runs within a business day and the first session typically lands inside the same week. The second is geography: with only 3.01 mental health workers per 100,000 residents and specialists concentrated inside the Quito-Guayaquil-Cuenca triangle, a resident in Manta, Loja, Puyo, or Puerto Ayora otherwise faces long domestic travel, while a Grouport session runs on the same broadband a WhatsApp video call already uses. The third is currency and time: Ecuador's official currency is the US dollar and mainland Ecuador sits in UTC-5, aligned with US Eastern Standard Time, so subscription billing, therapist scheduling, and appointment slots line up with the wallet and the calendar already in use.
Ecuador's formal care landscape has four main lanes. The Ministry of Public Health (MSP) runs outpatient psychology at public hospitals and health centers; the Ecuadorian Institute of Social Security (IESS) covers formally employed workers and their families; private consultas in Quito, Guayaquil, and Cuenca quote in cash US dollars; and private insurers such as Salud S.A., BMI, and Ecuasanitas add limited mental health benefits on top. Each lane exists, and each has its own constraint: MSP by capacity, IESS by internal queue, private clinics by geography and English-language availability, insurers by annual session caps. Grouport sits deliberately outside all four, a licensed clinician on weekly video, English-language sessions, transparent USD subscription, and a first appointment inside the same week. It is the option Ecuador's existing system does not offer at scale.
Ecuador residents get immediate access to individual therapy at $103 per session (billed at $448 per month), roughly 50 to 60 percent below typical global one-on-one therapy rates of $150 to $250 per session, with a licensed clinician, HIPAA-compliant video, and no wait for the first appointment. The every-other-week plan drops to $224 per month for clients who prefer a lighter cadence. Both options are quoted in US dollars, which happens to be Ecuador's official currency, so there is no exchange conversion and no international card surcharge sitting on top of the session price.
Set against Ecuador's World Bank 2024 GNI per capita of $15,420 PPP (or $6,400 by the Atlas method), a $448 monthly Grouport subscription is a defined, budgetable expense rather than a variable clinic bill that changes with cadence or add-on fees. Cash-only private consultas in Quito, Guayaquil, and Cuenca do exist and often quote in the $40 to $80 range per hour, but those prices rarely come with credential-verified licensure, HIPAA-compliant delivery, immediate scheduling, or consistent English-language availability with the same therapist every week. Grouport's $103 per session is well below the global average and includes all of those items by default. For a household planning a full course of care rather than a one-off consultation, the monthly structure removes the guesswork of how much therapy will cost by month six and keeps care sustainable instead of transactional.
In-person therapy in Ecuador carries costs the invoice never lists. Traffic in Quito and Guayaquil regularly turns a five-kilometer trip into a forty-five-minute crawl, and parking in central La Mariscal or the Guayaquil Malecon area is its own line item. Add taxi or rideshare fare in each direction and a half-day of leave taken off work, and a $60 session becomes a $90 outing. Cash-only invoicing also puts the burden of tracking spend on the client. With Grouport, the session runs from a laptop or phone at home or at the office, the monthly rate is one predictable amount in USD (Ecuador's own currency, so no FX friction), and cancellation is at will. The price on the card is the total price.
Public-sector intake in Ecuador commonly runs about nine weeks, or roughly sixty-three days, from first request to first appointment through MSP or IESS. Grouport treats that gap as the problem to solve, not a feature to work around. Sign-up takes about ten minutes; matching to a licensed clinician usually completes within a business day; and the first fifty-minute video session typically lands within a few days of that. There is no referral chain, no insurer authorization step, and no waiting-room visit sitting between the client and their first hour with a therapist. For Ecuador 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 includes licensed psychologists (PhD and PsyD), licensed clinical social workers (LCSWs), licensed marriage and family therapists (LMFTs), licensed mental health counselors (LMHCs), and licensed professional counselors (LPCs), each holding graduate-level training and jurisdictional licensure. Sessions are conducted in English, which fits Ecuador's professional class, university students, and the sizable expat and retiree communities in Cuenca, Vilcabamba, Salinas, and Manta who often struggle to find culturally-familiar English-language therapists locally. Therapists regularly work with globally-mobile clients and adapt evidence-based modalities like CBT, DBT skills, and trauma-focused approaches to the individual's context rather than local convention. 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

For group sessions, most clients select their group directly upon signing up so they are matched right away. For private therapy sessions, like individual therapy or couples therapy etc. most clients are matched with a licensed therapist within 24- 72 hours of signing up. This quick turnaround is one of Grouport's key advantages over traditional in person therapy, where wait times average 8-12 weeks nationally. A dedicated care coordinator will get in touch with you upon signup to get you situated with the care that fits your schedule and goals. Once matched, you'll receive access to your sessions either through our member portal or through weekly session links that are emailed to your inbox 24-hrs before each session. You can typically schedule your first session within the same week upon signing up allowing you to start therapy right away rather than waiting months.
We don't currently accept insurance directly. Grouport provides affordable care without pre-approvals or referrals. If you have out-of-network benefits, you may be able to submit for reimbursement depending on your plan. We can provide receipts upon request that you can submit for out of network reimbursement.
Many Grouport clients successfully get reimbursed through their out-of-network mental health benefits. Upon request, we can provide a detailed superbill that you can submit to your insurance company for reimbursement. Reimbursement rates typically range from 50-80% depending on your specific plan. To determine your out of network reimbursement coverage, call or email your insurance company and ask: "What are my out-of-network mental health benefits?" and "What percentage do you reimburse for out-of-network therapy (for the specific service you’re interested in)?"
You don't need to share every detail to benefit from group. You can participate meaningfully without sharing every detail of your life. You can keep it high level by talking about patterns, feelings, or what you're struggling with conceptually. Ultimately, you totally control your level of disclosure. Many people surprise themselves by sharing more than expected once trust builds. By recognizing the commonalities people experience in the group, most people ultimately feel comfortable sharing more than what they would have though they’d feel comfortable sharing. It is precisely being vulnerable with others and confiding in others, which serves as a major driver of improved therapeutic outcomes and why online individual therapy is so successful.
Yes, anger management individual sessions are highly effective and are a tremendous help in navigating the ins and out of anger challenges. Group is ideal for anger work because you receive honest feedback about how your anger affects others, you practice managing frustration in real situations, and you learn from others' struggles and successes, and are held accountable by your peers. In addition to general anger management groups, we also find that dialectical behavior therapy (DBT) individual sessions are highly effective for anger as they help with emotion regulation, distress tolerance, mindfulness, and interpersonal skills like lashing out in relationships and rage.
Give it some time. Feeling Initial discomfort is normal. If after a couple of sessions you still feel like you’re questioning whether the group is the right fit or not, talk to a care coordinator and they can help you explore what might be best for you. Maybe a different group would be a better fit, or perhaps it's worth sticking with the group to see if it's just taking some time to ease into it, which can happen before you find your rhythm with the group. You can always switch individual sessions at any time in the event you wish to switch to another group, and a care coordinator will work with you to make sure you’re happy with your group fit.
Yes, individual sessions are driven by member experiences. So definitely bring what’s going on in your life as that can impact the topic of discussion. The therapist facilitates the flow of conversation and what time of group focuses on what, but you and other members bring in what matters to work on and that certainly gets paid attention to and becomes a focus in conversation. By bringing in your own experiences, this makes the group more relevant and enables others to chime in and present skills that could be relevant to that specific situation.
Immigration processes are stressful. Visa applications. Documentation requirements. Uncertainty about legal status. Fear of deportation. Separation from family. Having to prove you deserve to be somewhere. Therapy helps you cope with immigration anxiety. Your therapist maintains confidentiality about your immigration status.
If you're in a country with limited healthcare, expensive medical care, or healthcare you don't trust, that creates legitimate anxiety. Therapy can't fix healthcare systems but helps you cope with the fear about medical access and make plans for health emergencies. If the access pertains to mental health care access, that’s what we help with directly through all our therapy options.
Yes, more sessions does mean more cost. The good thing though is that whenever you add sessions it is always at a discounted price. So, if you are doing more than one thing per week, naturally in each plan you get discounts for doing more than one session per week. There are also additional discounts if you pay quarterly or biannually.
Grouport delivers one-on-one individual therapy in English over HIPAA-compliant video, which suits Ecuador clients who prefer working through emotions in English, including bilingual professionals in Quito and expats settled in Cuenca or coastal towns. Sessions run 45 to 50 minutes weekly with a licensed clinician (psychologist, LCSW, LMHC, LMFT, LPC, PsyD, or PhD) trained in structured, goal-oriented modalities. After intake you match with a therapist and start right away, at $103 per weekly session or $448 per month.
Yes. With roughly 3.01 mental health workers per 100,000 people concentrated in Quito, Guayaquil, and Cuenca, clients in the Amazon region, Sierra towns, or the Galapagos Islands often face long domestic trips for specialist care. Grouport removes that entirely: weekly 45 to 50 minute one-on-one video sessions with a licensed clinician, from any private space with internet. Ecuador Time aligns with US Eastern, easing scheduling. Pricing is $103 per weekly session, $448 monthly, or $224 monthly every other week in Ecuador's own US dollar currency.
Pichincha, Guayas, Azuay, Manabi, Loja, Tungurahua, El Oro, Los Rios, Imbabura, Chimborazo, Esmeraldas, Santo Domingo de los Tsachilas, Cotopaxi, Cañar, Carchi, Bolivar, Morona Santiago, Napo, Orellana, Pastaza, Sucumbios, Zamora Chinchipe, Santa Elena, and Galapagos.
Quito, Guayaquil, Cuenca, Santo Domingo, Machala, Manta, Portoviejo, Ambato, Riobamba, Loja, Ibarra, Esmeraldas, Latacunga, Milagro, Quevedo, Duran, and Puerto Ayora.
170101, 170102, 170103, 170104, 170135, 170150, 170501, 170801, 090313, 090412, 090501, 010101, 010102, 060101, 180101
If you have an address in Ecuador, 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.
