Expert 1:1 Care

Online Individual Therapy for Germany, No Kassensitz Wait.

Individual therapy in Germany usually means one of two things: joining a Kassensitz queue that runs five or six months, or paying €90 to €150 per session out of pocket in a Privatpraxis. Grouport delivers online individual therapy across Germany at $103 per session ($448 per month), one-on-one with a licensed clinician for 45 minutes each week, in English, over HIPAA-compliant video. Intake takes a few minutes, matching happens right away, and a first session with the same therapist can start this week, without a Konsiliarbericht, without a Gutachterverfahren, and without a Regionalbahn ride into central Berlin, Munich, or Frankfurt.

Greeting

The State of Mental Health in Germany.

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

Mental Illness Prevalence

15.0% of German adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.

Wait Time

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

Median Household Income

$35,537 median household income in Germany, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

76.0% of German adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

50% of Germany's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

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

Germany's mental health workforce density, roughly 124 workers per 100,000 population in the WHO 2023 data, is one of the highest in Europe on paper, yet the Bundespsychotherapeutenkammer has flagged for more than a decade that Kassensitz supply meets only a fraction of real demand. Twelve-month prevalence of any mental disorder sits near 27.8 percent of adults in the Robert Koch-Institut's DEGS survey, and the average wait for a Richtlinienpsychotherapie start runs about 20 weeks. Household income is high by global standards, but Selbstzahler rates of €90 to €150 per session still pull most people back toward the queue. One-on-one care at $103 per session with a licensed clinician, delivered in English on a weekly cadence, addresses each of those pressures at once.

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in Germany.

The Problem

The Bedarfsplanung that governs Germany's statutory psychotherapy supply was written in 1999 and has been amended in fragments since. The Gemeinsame Bundesausschuss controls how many new Kassensitze open per Planungsbereich, and in most urban Ruhrgebiet and Berlin districts the ratio has been declared 'overserved', meaning no new statutory practices can open even as the DEGS numbers climb. The 123.95 workers per 100,000 in the WHO figure includes psychologists, psychiatrists, and Kinder- und Jugendlichenpsychotherapeuten across all practice modes, but the fraction inside the KV system is far smaller.

The Impact

Five or six months between first contact and the start of Richtlinienpsychotherapie is a long stretch to hold together a panic disorder that surfaces on the commute into work, a bereavement that will not lift, or a burnout already threatening a Krankschreibung and, further out, a Kündigung. During that wait, symptoms tend to settle and deepen rather than resolve on their own. The Bundespsychotherapeutenkammer's 2022 patient survey put the average interval between first contact and treatment start at roughly 22 weeks, and specialty matches for trauma or complex anxiety can push past nine months. Grouport removes that runway entirely. A Germany-based client can complete intake in the morning and be in a first one-on-one session with a licensed therapist within days, with a fixed weekly time that holds from there.

The Solution

Online individual therapy sits outside the KV apparatus that rations Germany's statutory supply. A Grouport client works with a single licensed clinician for 45 minutes each week, on a schedule that stays the same from month to month, in a private hour built entirely around the client's own history and goals. That format matters in Germany because the alternative, waiting five or six months for a Richtlinienpsychotherapie slot or paying €90 to €150 per session in a Privatpraxis, forces most people to choose between time and money. Grouport removes both trade-offs at once: immediate access, licensed clinician credentials, transparent USD pricing, and continuity with the same therapist across a full course of care rather than a series of scattered appointments.

50% of Germany's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Three specific German bottlenecks loosen at once with Grouport. First, the queue disappears. Instead of a Sprechstunde six weeks out followed by Probatorik and an Antrag on the Kurzzeit or Langzeit form, a new client completes a short intake and starts one-on-one sessions the same week. Second, geography stops mattering. A licensed clinician meets a client in Berlin-Mitte and a client in the Uckermark on identical terms, because the delivery is HIPAA-compliant video rather than a 90-minute door-to-door ride to the nearest Kassenpraxis. Third, sessions run in English by default, which opens the door for the large expatriate, international-student, and multinational-professional communities in Berlin, Munich, Frankfurt, and Hamburg who otherwise face a narrow pool of English-speaking German therapists.

Access and Availability Across Germany.

Germany's formal mental health care landscape is one of the largest in Europe. Roughly 30,000 Kassenpsychotherapeuten hold a statutory license, Privatpraxen serve Selbstzahler and Private Krankenversicherung members, and university Ambulanzen, EAPs, and NGO clinics cover parts of the remainder. The gap Grouport fills is specific: immediate access, one-on-one, in English, on a fixed weekly cadence with a licensed clinician, at a transparent USD subscription price, and without a Konsiliarbericht or a Kassenantrag. That combination is difficult to assemble inside the German system, particularly for the millions of residents who talk more comfortably about anxiety, depression, or family stress in English than in German.

Geographic Barriers

The ICE and Regionalbahn network is one of Europe's most complete, but the last mile to a licensed psychotherapist remains a real drag on care. A resident of the Uckermark or the Bayerischer Wald can face a 90-minute door-to-door trip in each direction to reach an approved practice, and the return leg often lands after 20:00 in winter. Coastal Nordfriesland and the East Frisian Islands add ferry timings to the calculation. Even inside the Rhein-Main region, patients frequently commute from Frankfurt out to Offenbach or Aschaffenburg to find an open slot. Grouport removes that travel entirely. A client in Flensburg, Rostock, Passau, or a Berlin Altbau connects to the same licensed clinician from wherever they already are.

Extended Wait Times

Public reporting in Germany puts the wait for a first Sprechstunde at around six weeks, but that figure captures only the very first appointment. The Bundespsychotherapeutenkammer's 2022 patient survey found an average of 22 weeks between first contact and the actual start of Richtlinienpsychotherapie, and specialty matches for trauma, eating disorders, or complex anxiety commonly stretch past nine months. Each stage of the standard procedure, Sprechstunde, Probatorik, Antrag, Gutachter approval, treatment start, adds calendar weeks that a client in acute distress does not have. Grouport collapses that entire runway. Instead of waiting twenty weeks or more, a Germany client can be in their first one-on-one session with a licensed clinician within days of completing intake.

Systemic Challenges

Germany's statutory system caps the number of psychotherapy licenses per Planungsbereich under the Bedarfsplanungs-Richtlinie, a formula the Bundespsychotherapeutenkammer has argued for more than a decade underestimates real need by roughly 40 percent. Kostenerstattungsverfahren, the mechanism that lets a GKV member see a private-practice therapist and claim reimbursement, exists on paper but typically requires three documented rejections from Kassen practices and a case-by-case Krankenkasse approval that many funds resist. Even with high overall workforce density, the licenses that actually reach the public are rationed. Grouport operates entirely outside that structure: no Antrag, no Bewilligungsverfahren, no Selbstbeteiligung, just a monthly USD subscription and a licensed clinician meeting the client each week.

Urban-Rural Divide

With roughly 82 percent of Germany's 83.5 million residents living in urban areas, the country sits among the most urbanized in Europe. The internal distribution, though, is uneven. Kassensitze concentrate in Berlin, Hamburg, Munich, Cologne, Frankfurt, Stuttgart, and Düsseldorf, while Landkreise in Mecklenburg-Vorpommern, Sachsen-Anhalt, and Brandenburg carry provider densities a fraction of the western urban centers. Specialist practitioners cluster even tighter, largely inside a handful of inner-city districts. Grouport levels that gradient. A client in Regensburg, a client in Rostock, and a client in a Kreuzberg Altbau meet with a licensed clinician on identical terms and in the same weekly time slot, because the access channel is HIPAA-compliant video rather than a KV catchment map.

Grouport gives Germany-based adults a practical way into one-on-one care without waiting out the statutory queue. A licensed clinician meets each client for 45 minutes every week, sessions run in English over HIPAA-compliant video, and the price stays fixed in USD at $103 per session ($448 per month) or on an every-other-week cadence ($224 per month). Intake takes a few minutes, matching happens right away, and the same therapist stays with the client from the first session onward, across a full course of care. For English-speaking residents anywhere in Germany, from long-term expats in Berlin and Munich to international professionals in Frankfurt and Hamburg to residents in smaller cities and rural Landkreise, that combination of speed, credentials, and predictable pricing is difficult to assemble in-country.

Affordable Individual Therapy Costs for Germany Residents.

Germany residents get immediate access to Individual Therapy at $103 per session (billed at $448 per month), roughly 20 to 35 percent below the typical Selbstzahler range of €90 to €150 (about $95 to $160) per session that Privatpraxen in Berlin, Munich, Frankfurt, and Hamburg charge licensed private-pay clients. On an every-other-week cadence, sessions run ($224 per month). Clinicians are licensed, English-speaking, and available this week rather than after a five- or six-month statutory wait.

Affordability and Income

Germany's GNI per capita PPP sits around $76,500 in the World Bank's 2024 dataset, one of the highest in Europe, but household budgets still weigh mental health spending carefully because the statutory system covers therapy in principle while pushing most people either into a five-month queue or into paying €90 to €150 per session out of pocket. Grouport's monthly subscription, $448 for weekly sessions or $224 for every-other-week, is a fixed number in USD that a household can plan around across a full course of care. There is no session-by-session invoice, no upfront Selbstzahler payment while waiting for a partial Krankenkasse refund, and no cash-only reception desk. What clients get in return is a licensed clinician on a weekly cadence, which is exactly what the German private market typically prices higher and rations tighter.

Hidden Cost and Barriers

The per-session number rarely captures the whole cost of in-person therapy in Germany. A weekly trip from the Prignitz into central Berlin runs €25 to €40 return on the Regionalbahn plus three or four hours of travel. Munich commuters lose an hour on S-Bahn transfers around Sendlinger Tor and Marienplatz. Parents arrange Kinderbetreuung. Angestellte burn Urlaubstage they would rather save for the summer. Selbstzahler households absorb €90 or more per session upfront while their Krankenkasse decides on Kostenerstattung. Currency-conversion friction, cash-only front desks, and the search for an English-speaking licensed clinician add hours before the first appointment even happens. Grouport takes all of that off the table: no commute, no lost work hours, one predictable monthly rate in USD, cancel anytime.

Immediate Availability

The typical timeline inside Germany's statutory system runs six weeks to a first Sprechstunde, then a Probatorik, then an Antrag on the Kurzzeit or Langzeit form, then Gutachter approval, then treatment start, adding up to 20 weeks or more before Richtlinienpsychotherapie actually begins. Grouport moves at a completely different tempo. A Germany-based client completes a short intake, is matched to a licensed clinician, and starts one-on-one sessions inside the same week. For Germany clients ready to start now, a licensed Grouport therapist is available this week.

How it Works

Community

Explore Virtual Mental Health Services

With plans tailored to you, it's easy to choose the right mental health care plan. Simply sign up today!

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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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Start Online Therapy

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

Germany

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.

Every Grouport session is led by a licensed clinician. The bench includes licensed psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs, each with graduate-level training and formal licensure. Sessions run in English, and the clinicians serving Germany-based clients bring cultural competence to work with a globally mobile clientele: long-term expatriates, dual-national families, international students in the university cities, and multinational professionals moving in and out of Berlin, Munich, Frankfurt, and Hamburg. All sessions are HIPAA-compliant and fully confidential.

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Affordable Individual Therapy & Care Options in Germany.

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 Germany.

How do I prepare for my first session?

To prepare for your first therapy session: (1) Test your technology by logging into the platform before your appointment time if your sessions happen within our member portal. If your sessions don’t happen within our member portal, make sure you see the auto session reminder email with the unique link for that week’s session sent to you 24-hrs before the session and make sure you have zoom downloaded on your device. If you don’t have zoom downloaded, then you can always download it on your device for free. (2) Find a private, quiet space where you won't be interrupted. (3) Have a glass of water nearby and ensure your device is charged. (4) Think about what you'd like to get out of therapy - your goals, main concerns, and what you're hoping will change. (5) Have any relevant information ready (medications you're taking, previous therapy experience, etc.). Remember that first sessions are often just getting to know each other, there's no pressure to share everything immediately.

Can I attend online therapy sessions via phone if needed?

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.

How do I get started with Grouport’s online therapy?

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.

Can individual therapy help me become more assertive?

Group therapy is particularly effective for assertiveness building because you practice in real-time. In group sessions you can practice speaking up, saying what you need, setting boundaries, and disagreeing respectfully. You get immediate feedback and can try again the following session for consistent practice. Real-time practice beats talking about assertiveness in theory. Assertiveness is learned through doing, not just discussing and individual sessions offer a perfect practice environment to build these skills. Skills learned in group transfer to outside relationships and work situations and people often notice how it impacts that rather quickly for the better.

What if my insurance covers individual therapy but not individual therapy?

Group therapy at $25/session - $35/session is likely cheaper than your insurance copay for individual therapy would be anyways. You can submit receipts for out-of-network reimbursement if your plan offers it. The value and cost-effectiveness of individual therapy often exceeds insured individual therapy with copays.

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.

Do I need to attend every session?

Consistency really matters for online individual therapy to work. You're building trust and continuity with the same people over time. But life happens. Occasional misses are fine as that’s of course understandable as general life can get in the way. So as long as you’re making at least 80% of sessions then that should be good. If misses become more frequent, we’d generally recommend switching to a group that’s better for your schedule in general.

Can therapy help if I'm experiencing political instability or conflict?

Living through political instability, protests, violence, or conflict is traumatic. Therapy provides support during crises, helps you process ongoing stress and fear, and addresses trauma. If you're in danger, therapy also helps with safety planning and deciding whether to leave.

What if I'm struggling with loneliness where I live?

Loneliness happens anywhere. Maybe you're new somewhere and don't have community yet. Maybe cultural differences make friendships hard. Maybe you're isolated for other reasons. Online therapy provides consistent human connection and helps you work on building community where you are.

What if I need therapy but I'm unemployed?

Check if you qualify for Medicaid, which varies by state. Some therapists offer sliding scale for unemployed clients. Group therapy costs less than individual. Since our sessions are all online, Grouport tends to be more affordable for all therapy options we offer.

Can I pay for Grouport Individual Therapy from Germany using a EUR-issued card or digital wallet?

Yes. Grouport Individual Therapy bills in US dollars at $103 per weekly session or $448 per month, and the checkout accepts most EUR-denominated Visa, Mastercard, and American Express cards issued by German banks, along with Apple Pay and Google Pay linked to those cards. Your bank handles the EUR to USD conversion at its posted rate, so the euro amount on your statement reflects that day's exchange. Selbstzahler receipts are issued in USD, which is useful if you later submit for private reimbursement.

How does Grouport's start time compare with the roughly 5 to 6 month statutory-insurance therapy wait in Germany?

The Federal Chamber of Psychotherapists reports average waits of around 20 weeks for a statutory-insurance therapy slot, and the KV quota system keeps supply tight even in Berlin, Munich, and Hamburg. Grouport Individual Therapy skips that queue entirely. After a short intake you match with a licensed clinician, a psychologist, LCSW, LMHC, LMFT, LPC, PsyD, or PhD, and start right away with a 45 to 50 minute weekly video session in English, scheduled around Central European Time.

Individual Therapy Available Across Germany.

Regions

Baden-Württemberg, Bavaria, Berlin, Brandenburg, Bremen, Hamburg, Hesse, Lower Saxony, Mecklenburg-Vorpommern, North Rhine-Westphalia, Rhineland-Palatinate, Saarland, Saxony, Saxony-Anhalt, Schleswig-Holstein, Thuringia

Cities

Berlin, Hamburg, Munich, Cologne, Frankfurt am Main, Stuttgart, Düsseldorf, Leipzig, Dortmund, Essen, Bremen, Dresden, Hanover, Nuremberg, Duisburg

Zip Codes

10115, 10178, 10555, 10707, 20095, 20144, 20359, 40213, 50667, 50937, 60311, 60594, 70173, 70567, 80331, 80539, 81667, 22767, 28195, 30159, 44135, 45127, 48143, 55116, 63739

If you have an address in Germany, 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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