Expert 1:1 Care
Only a handful of qualified mental health professionals serve The Gambia's 2.76 million residents, and the wait for a first appointment in the public system stretches close to twelve weeks. Grouport offers weekly one-on-one individual therapy in Gambia with a licensed clinician for $103 per session ($448 monthly), delivered over HIPAA-compliant video in English. There is no queue at Tanka Tanka to sit in, no shared-taxi trip to Kanifing, and no need to piece together English-speaking private care that barely exists outside the Greater Banjul strip. Intake is short, matching happens right away, and a Gambia client can begin online therapy Gambia clinicians simply cannot deliver at scale, with the same licensed therapist, this week.

Understanding the landscape of mental health care access and the challenges
residents face.
15.4% of Gambian adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.
12 weeks the average wait to secure a first mental health appointment in the Gambia's public system, an interval during which symptoms often deepen.
$4,435 median household income in the Gambia, shaping what households can allocate to private mental health care.
85.0% of Gambian adults with a mental health condition do not receive formal specialist treatment.
87% of the Gambia's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
6.58 per 100,000 mental health workers in the Gambia, a density that shapes availability, wait times, and access across the country.
Read together, The Gambia's numbers tell a specific story about what individual therapy needs to look like here. A workforce density of 6.58 mental health workers per 100,000 residents, a 12-week wait for a first appointment, and roughly 85 percent of adults with a mental health condition receiving no formal specialist treatment describe a system that cannot realistically deliver weekly one-on-one care at scale from within the country. A GNI of around $3,430 PPP means that when private options do exist, they tend to be priced for expatriates rather than local households. An online, one-to-one model with a licensed clinician, a transparent monthly USD subscription, and an immediate start is not a substitute for domestic capacity, but it is a direct fit for what individual Gambia clients actually need this week.
UNDERSTANDING THE CHALLENGE
The Gambia's mental health system rests on a very narrow base. WHO records about 6.58 mental health workers per 100,000 people, meaning the entire country of 2.76 million shares roughly 180 trained mental health professionals across all cadres, and only a handful of those are psychiatrists. Tanka Tanka Hospital in Kanifing is effectively the national psychiatric referral centre, and general nurses in regional health centres often take on counselling duties they were not specifically trained for. Formal outpatient talk therapy, delivered by a qualified clinician, is not a routine feature of primary care.
Consider a schoolteacher in Basse or a small-business owner in Farafenni who begins struggling with persistent anxiety in April. Under the public system, the earliest realistic appointment falls in July, and reaching it means a full day on shared taxis and river ferries to Kanifing, an overnight stay if the return trip runs late, and a second day off work for the follow-up two months later. The mental math for most working Gambian adults ends before an appointment is ever booked, and symptoms deepen quietly in the interval. Grouport removes every piece of that friction. No travel, no three-month waiting list, no rearranging a week around one hour of care. A licensed therapist appears on screen at the scheduled time and the work begins.
What Gambia's mental health system cannot deliver at scale is exactly what online one-on-one therapy is built for: private, sustained, weekly time with a licensed clinician focused on one person for a full 45 minutes. Rather than compressing the country's roughly 180 domestic mental health workers across a caseload of millions, Grouport places every Gambia client with their own licensed therapist and keeps them with that clinician week after week. Sessions are tailored to the individual's history and goals, held privately over HIPAA-compliant video, and paced to the arc of an actual course of care. That continuity of a single therapeutic relationship, delivered in English at a scheduled hour that fits around work, is what lets meaningful individual therapy in Gambia take root.
87% of the Gambia's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
Three specific frictions loosen the moment a Gambia client opens Grouport. The queue disappears: instead of waiting nearly a full quarter of the year for a first appointment, intake takes minutes and the first one-on-one session lands within days. Geography stops mattering: someone in Basse Santa Su, Janjanbureh, or Farafenni sits with the same licensed therapist as someone in Serrekunda or Bakau, with no full-day journey to Kanifing required. And the language question resolves cleanly, since sessions run in English, The Gambia's official language and medium of secondary education, while the country's GMT time zone aligns naturally with a licensed clinician's Western-hours availability across a 64.3 percent urbanised population that is well-connected on Africell and QCell 4G.
Formal mental health care in The Gambia rests on a small foundation. Tanka Tanka Psychiatric Hospital in Kanifing anchors the public system as the country's only dedicated inpatient facility, supplemented by a psychiatric unit at Edward Francis Small Teaching Hospital in Banjul and a scatter of community mental health nurses in regional health centres. A small private sector exists along the Kombo coast, largely oriented to expatriates and NGO staff, and traditional or faith-based counsel remains a common first step. What is missing across all of it is a routine, weekly, English-language one-on-one therapy option a working Gambian can actually keep on the calendar. That gap is where Grouport fits: licensed clinician, HIPAA-compliant video, $103 per session, immediate start.
Gambia 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 care with a licensed clinician. Every Grouport session is one-to-one, 45 minutes with the same licensed therapist week after week, delivered over HIPAA-compliant video. Every Gambia client pays the same transparent USD rate regardless of whether they log in from Banjul, Basse Santa Su, or the Kombo coast.
The Gambia's GNI per capita on a purchasing-power-parity basis sits at roughly $3,430, and there is no national health insurance to soften the cost of private care, so mental health spending lands almost entirely on households. Grouport's monthly subscription, $448 for weekly one-on-one sessions or $224 for every-other-week sessions, is a fixed USD figure that a working professional, a returning diaspora Gambian, or a family pooling resources can plan around across a full course of care. That is a fundamentally different exercise than piecing together per-session invoices from an in-country private clinician priced for expatriates, and it delivers licensed clinician quality at a rate well below what the global market typically charges for equivalent one-on-one care.
The visible fee is only part of what in-person care actually costs a Gambian household. A single appointment at Tanka Tanka from Farafenni can involve a river-ferry crossing, two shared-taxi legs, a full day off work, and a return trip in the evening, all of which recur every week if therapy is to hold together. Add to that the unpredictability of per-session invoicing at private clinics along the Kombo coast, the friction of paying in dalasi against USD-quoted expatriate rates, and the time cost of finding a licensed English-speaking clinician with an open slot at all. Grouport dissolves the entire list. No commute, no lost work hours, no cash-only surprises, and one predictable monthly rate in USD.
The wait speaks for itself. Around twelve weeks for a first mental health appointment in the public system, and often longer for follow-up, is the standing figure across The Gambia. In practice, that means someone deciding to seek help in April may not sit with a clinician until July. Grouport operates on a different clock. Intake is short, a licensed therapist is matched right away, and a first one-on-one session lands within days rather than months, whether the client is logging in from Banjul, Farafenni, or Basse Santa Su. For Gambia 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 bench is made up of licensed clinicians, including psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs, with training in evidence-based individual work such as cognitive behavioral therapy, DBT skills, trauma-informed approaches, and process-oriented one-on-one care. Every session runs in English, which aligns cleanly with The Gambia's official language of instruction and government. Therapists are experienced working across cultural contexts and with globally mobile clients, and they treat cultural, religious, and family context as part of the picture rather than something to talk around. 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

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\! You can attend over video chat on any smartphone. While we recommend video on a computer or laptop for the best therapeutic experience, you can attend sessions by any smartphone as well. Additionally, you can also attend sessions by audio only if needed, though we recommend to join by video for the best experience.
Getting started is easy. First, visit grouporttherapy.com and click "Get Started". This will take you to https://www.grouporttherapy.com/service-types, to first select which type of therapy you’re interested in and to complete a brief intake form about your therapy goals and preferences. Then, we'll match you with a licensed therapist/your group based on your needs and any specific requests you may have. After signing up, a care coordinator will get in touch with you via email &/or phone to walk you through available therapists and scheduling. You’ll make the final choice about your care, including which therapists you’ll meet with and when based on your preferences and schedule. You'll then be confirmed for your sessions, and be able to attend your sessions weekly over video chat.
Absolutely, it’s common that people are partaking in multiple therapy individual sessions at once. This can be if they want to work on different things as different individual sessions can focus on different areas, or they want to have extra focus on important relevant skills, or they want to benefit from different therapist approaches, or they need more intensive care. It’s common that people are doing 2-4 individual sessions per week and if they need something more intensive, our IOP can be helpful since it includes 9 individual sessions per week. It’s totally based on what feels right for you, so trust your gut. You can always increase the amount of individual sessions you’re doing or decrease at any time.
The group itself becomes practice for connection, communication, conflict resolution, boundaries, and vulnerability. Some people join individual therapy specifically for the social skills component. You're learning through doing and practicing in real time. The skills learned in group transfer to outside relationships and help you form healthier friendships beyond therapy. Many people think of group sessions as a practice for relationship skills they can apply elsewhere.
Bringing outside experiences into individual therapy is central to therapy. Whatever's happening in your life is material for group. However, dominating every session with outside content without engaging within the confines of group process limits benefits so it’s important to balance between bringing outside issues, listening to others in the group, and participating in group's here and now interactions. The therapist facilitates using outside examples productively, focusing on relevant skills that require time to go over, while maintaining group cohesion. Your life outside group is always relevant material and you should certainly incorporate things that happen in your life into group as that is why you are there.
Grouport's online individual therapy is already one of the most affordable therapy options out there at $25 - $35 per session ($448/month), depending on the group you’re in. That's significantly cheaper than almost any other type of therapy out there. Maybe you can use receipts to get out of network insurance reimbursement, or use HSA/FSA funds. When paying quarterly or biannually, you also do receive discounts. While we try to make our services as affordable as possible, we understand that cost is a reality that people face and everyone's financial situation is different. Sometimes taking a planned break with the intention to return when finances improve helps. The goal is supporting your treatment access with what is financially viable for you.
Seasonal affective disorder happens in many countries, especially those with long dark winters or extreme seasonal changes. Therapy combined with light therapy, lifestyle changes, and sometimes medication helps you manage seasonal depression. Where you live affects light exposure and seasons differently.
Parenting is hard. Cultural expectations about parenting vary, but the stress is universal. Whether you're dealing with difficult child behavior, work-life balance, single parenting, parenting with limited support, or parenting across cultures, therapy addresses parenting stress and helps you cope.
Yes\! You can change your plan anytime, whether that means adding or reducing sessions or switching to a different billing cycle. Changes take effect immediately.
✅ Upgrading your plan - ## Adding more sessions per week (e.g., 1 session/week → 2 sessions/week). - ## Switching to a longer billing cycle (e.g., Monthly → Quarterly). - ## You’ll be charged a prorated difference based on the time remaining in your current plan.✅ Downgrading your plan
- ## Reducing the number of sessions per week (e.g., 3 sessions/week → 1 session/week). - ## Switching to a shorter billing cycle (e.g., Quarterly → Monthly). - ## This will result in a credit applied to your next renewal.Grouport Individual Therapy is delivered entirely over HIPAA-compliant video, so you never sit in a Kanifing or Banjul waiting room where you might be recognized. You are matched with a licensed clinician (a psychologist, LCSW, LMHC, LMFT, LPC, PsyD, or PhD) working from outside The Gambia, which keeps your care fully separate from local professional and community networks. Sessions run 45 to 50 minutes once a week from your own home, in English, and you can start right away after intake.
Grouport Individual Therapy is priced at USD 103 per weekly session, or USD 448 per month, with a lighter every-other-week plan at USD 224 per month (USD 52 per session). For that flat fee you get a 45 to 50 minute video session with a licensed clinician, delivered in English on GMT-friendly hours, with no travel from provincial regions like Basse or Janjanbureh to Kanifing. Given the near absence of office-based talk therapy in-country, the alternative is often no consistent care at all.
Banjul, Kanifing, Brikama (West Coast Region), Mansa Konko (Lower River Region), Kerewan (North Bank Region), Janjanbureh (Central River Region), Basse Santa Su (Upper River Region), Kuntaur (Central River North).
Banjul, Serrekunda, Brikama, Bakau, Farafenni, Basse Santa Su, Sukuta, Gunjur, Soma, Janjanbureh, Barra, Lamin, Kerewan, Mansa Konko.
Grouport serves all zip codes across Gambia. If you have an address in Gambia, 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.
