Expert 1:1 Care
Getting real mental health care on Guam runs into a stacked problem. The public system at GBHWC carries a wait of roughly 12 weeks for a first outpatient appointment, the island's clinical workforce sits at about 7.8 practitioners per 100,000 residents, and the few private panels concentrated in the Tamuning-Hagåtña corridor are often closed to new clients. Even when a slot opens, finding a clinician actually trained in the specific approach a situation calls for, whether that is OCD, complex trauma, panic, major depression, BPD, bipolar work, grief, anger, relationship strain, or the many other things people navigate, is a further layer of difficulty. Grouport's online individual therapy is built for exactly that. After a short signup, you are shown clinician options fitted to your situation, you choose the therapist you want to work with, and sessions typically start within 24 to 72 hours. Weekly 45-minute one-on-one video sessions with the same licensed therapist on a secure HIPAA-compliant platform, at $103 per session on average ($448 per month), with automatic discounts included for every additional weekly session.

Understanding the landscape of mental health care access and the challenges
residents face.
12.7% of Guamanian 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 Guam's public system, an interval during which symptoms often deepen.
$58,200 median household income in Guam, shaping what households can allocate to private mental health care.
65.0% of Guamanian adults with a mental health condition do not receive formal specialist treatment.
84% of Guam's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
7.80 per 100,000 mental health workers in Guam, a density that shapes availability, wait times, and access across the country.
The numbers on Guam's mental health picture, roughly 168,000 residents, a workforce closer to 7.8 clinicians per 100,000 than to any mainland state ratio, a 12-week typical wait for a first outpatient appointment, and a median household income near $58,200, describe an access gap that one-on-one video therapy is well-shaped to fill. A single licensed clinician working weekly with the same client, in Chamorro Standard Time, at a flat $103 in USD per session, fits Guam's workforce and geographic realities better than most alternatives available on the island. The stats make the case for Grouport's model as the right shape of care here, not just any care.
UNDERSTANDING THE CHALLENGE
Guam's outpatient mental health capacity is concentrated in a small number of programs: the Guam Behavioral Health and Wellness Center in Tamuning, the behavioral health services attached to Guam Memorial Hospital, private clinicians in the Tumon-Tamuning corridor, and TRICARE-network providers serving Naval Base Guam and Andersen Air Force Base. At a workforce density near 7.8 per 100,000, the island's full complement of psychiatrists, psychologists, LCSWs, and counselors combined amounts to a small directory. For a family in Yigo, Merizo, or Umatac, that shortage translates into a call to a clinic that isn't accepting new patients until the next quarter.
Twelve weeks is a full academic quarter at the University of Guam, most of a military PCS onboarding cycle, or an entire tourist high season for someone working in Tumon hospitality. It is a long stretch to hold onto the resolve it took to make that first call. During those three months, a working parent in Yigo may weigh an off-island referral to Honolulu, a 3,800-mile flight that adds airfare, hotel nights, and days of unpaid leave, and often just let the referral lapse. Grouport removes that entire calculation by putting a licensed therapist in front of a Guam client this week, at a flat $103 per session ($448/month), from wherever they can open a laptop.
One-on-one weekly therapy has a shape that fits Guam's realities well. A single licensed clinician spends the full 45 minutes on one client's history, patterns, and goals, and the following week picks up exactly where the last session left off. That continuity is what makes a genuine arc of care possible on an island where the licensed pool is thin and specialist referrals often route off to Honolulu. With Grouport, a resident in Yigo, Barrigada, or a southern village like Merizo or Inarajan is shown clinician options fitted to their situation right after intake, chooses the therapist they want to work with, and typically starts within 24 to 72 hours rather than waiting on a closed private panel or the queue at GBHWC. The same therapist stays with them week over week, on a schedule that respects Chamorro Standard Time, and the bench includes clinicians trained in the specific approaches a situation may call for, whether that is CBT, DBT, EMDR, ERP, IFS, or ACT, at $103 per session on average ($448 per month).
84% of Guam's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
Three specific frictions loosen once one-on-one therapy runs by video. First, the queue collapses: instead of a 12-week wait through the island's outpatient system, a Grouport client is matched right after intake and in a first session within days. Second, the geography of Guam stops mattering. The drive from Umatac or Talofofo up to Tamuning that eats an hour each way disappears, and a client on the northern base perimeter joins the same session from home. Third, session scheduling respects Chamorro Standard Time (UTC+10), so appointments land in a normal Guam evening rather than pre-dawn hours, and the clinician on the other end is a licensed therapist rather than a directory of names that is not taking new patients.
Formal mental health care on Guam runs through a compact set of providers: the Guam Behavioral Health and Wellness Center in Tamuning, behavioral health services attached to Guam Memorial Hospital and Guam Regional Medical City, a small directory of private clinicians in the Tumon-Tamuning corridor, and TRICARE-network providers serving Naval Base Guam and Andersen AFB. Each channel does critical work, and each carries constraints, whether closed panels, multi-month waits, or eligibility criteria that leave many residents in a gap. Grouport slots into that gap as an immediate-start, one-on-one option that runs on a predictable USD subscription rather than a per-visit invoice.
Guam residents get immediate access to Individual Therapy at $103 per session (billed at $448/month), 50 to 60 percent below the $150 to $250 per session that private-practice one-on-one therapy typically runs at prevailing US private-market rates. Grouport prices in USD on a predictable monthly subscription rather than the session-by-session billing that shapes most in-person specialty care, so a Guamanian household can plan a full course of care without wondering what the next invoice will read.
Grouport's weekly plan works out to about $103 per session on average, billed at $448 per month, or roughly $5,376 for a full year of weekly one-on-one care. Set against Guam's median household income near $58,200, that is a real line item but one that lands well below what a comparable in-person course of individual therapy would cost across the same span at the $150 to $250 per session rates common to US private practice. The every-other-week option ($224/month) stretches an arc of care even further at half the monthly cost, without giving up the licensed clinician quality that in-country private practice tends to charge a premium for and cannot reliably deliver on an immediate-start basis.
The costs that never appear on a Guam clinic invoice are the ones that quietly decide whether care actually happens. A drive from Umatac up Marine Corps Drive to Tamuning for a 50-minute appointment burns an hour each way in the best case and considerably more in rush. A base-gate visit for a military dependent adds ID checks and parking logistics. An off-island referral to Honolulu multiplies the arithmetic with a 3,800-mile flight, hotel nights, per diem, and unpaid leave. Childcare during a parent's appointment stacks on top. A Grouport session from a home laptop erases the transportation column, avoids per-session billing surprises, and turns a half-day commitment into one predictable hour at home, at one predictable USD subscription rate that can be cancelled anytime.
Pricing only matters if a session actually happens. The typical Guam wait for a first outpatient mental health appointment runs about 12 weeks, and that queue does not shorten by pushing on it. Grouport confirms a therapist match right after intake and the first session lands within days, which compresses an 84-day local wait into a matter of days without changing the licensed-clinician standard of care. For Guam 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 bench is made up of licensed psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs, each trained in specific evidence-based approaches so a Guam client is not just paired with the first available name but with a clinician who actually works with what they are bringing in. That includes CBT for anxiety and depression, DBT for emotion regulation and BPD, EMDR and trauma-focused therapy for PTSD, ERP for OCD, IFS for complex trauma, and ACT for chronic stress and life-transition work, among others. After a short signup you are shown clinician options fitted to your situation and you choose the therapist you want to work with, rather than being assigned one. Sessions run in English on secure HIPAA-compliant video, in weekly 45-minute one-on-one blocks scheduled around Chamorro Standard Time. Therapists are used to Guam's practical realities, from the military-adjacent population attached to Naval Base Guam and Andersen AFB to the role of familia and extended-family structures in how clients frame what is going on at home.
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

We recommend joining from a computer, laptop or tablet in a private setting as that typically provides for a better therapeutic experience. If you’d prefer to join from a smartphone, you can absolutely do so as our platform works well on smartphones (both iPhone and Android). Using your phone can be convenient as it allows you to attend therapy from anywhere private. However, we recommend using WiFi rather than cellular data when possible to ensure stable video quality and avoid data charges. Consider using headphones for better audio quality and privacy, and position your phone so your therapist can see your face clearly (many clients use a phone stand). While phones can work well, many clients prefer larger screens like tablets, laptops, or computers for a more immersive experience.
You can message your therapist between sessions through the Grouport app. Response time is typically 24-48 hours during standard business days. This channel is good for scheduling questions, small check-ins, or sharing something that came up before your next session. It's not designed for immediate crises — if you're in crisis, use your country's local emergency services or crisis line, which is staffed 24/7. Your therapist will discuss the between-session communication norms in your first meeting so you know what to expect between weekly meetings.
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.
Online individual therapy provides the same evidence-based treatment and therapeutic relationship as in-person therapy does. The only difference is the location of whether you meet with your therapist via secure video chat rather than in an office. Research consistently shows online therapy is equally effective for most conditions. Benefits of online therapy include no commute time, attending from home comfort, easier scheduling, access to specialists regardless of location, and maintained consistency when traveling. Some people find online sessions more comfortable as they're in a familiar environment. The therapeutic relationship, treatment approaches, and outcomes are equivalent between online and in-person formats.
Grouport presents you therapist options based on your needs and you ultimately choose the therapist and schedule that works for you to meet. What makes a good fit is specialization in your concerns (trauma, anxiety, relationships, etc.), therapeutic approach that resonates with you (structured CBT, exploratory psychodynamic, skills-based DBT), communication style you're comfortable with, and personal factors like age, gender, or cultural background if preferences exist. When presenting you with therapist options, we take this all into account. Most importantly, you should feel heard, understood, and safe to be vulnerable. Therapeutic fit develops over 2-3 sessions so give it some time before deciding. If after several sessions you don't feel connected, switching therapists is always an option. The relationship is the foundation of effective therapy.
Not knowing what to discuss is common, especially early in therapy. Your therapist guides conversation through questions and observations, so you're never responsible for just filling the time. Start with what's on your mind that day, even if it seems small. Many breakthrough moments come from exploring seemingly minor concerns. Between sessions, some people journal or note what they want to discuss. If you're truly blank, your therapist might review homework from last session, check in on previous topics, introduce a relevant exercise or assessment, explore patterns they've noticed, or discuss your goals. Silence is okay too and sometimes quiet moments lead to insights. Trust the process and don’t put too much pressure on yourself.
Most people attend weekly initially, especially when addressing active symptoms or crises. Weekly sessions build momentum, maintain continuity, and allow consistent progress. After significant improvement (typically seen in a minimum of 8-16 weeks), many reduce to bi-weekly sessions for maintenance and ongoing support. Some people attend multiple times per week like twice or three times weekly for intensive work on severe symptoms. Frequency depends on symptom severity, goals, progress, and practical factors like schedule and cost. Consistency matters more than frequency as sporadic sessions are less effective than regular attendance even if less frequent. Your therapist can weigh in and recommend optimal frequency for your situation and help you adjust as your needs change.
If you grew up between cultures, moved countries, or feel caught between cultural identities, therapy helps. You might not fully belong to any one culture. Questions like "where are you from?" feel complicated. Therapy helps you integrate multiple cultural influences into your sense of self rather than feeling torn between them.
If you're living somewhere and the dominant language isn't your first language, that's mentally exhausting. Constant translation. Missing nuances. Feeling like you can't express yourself fully. This affects mental health. Therapy in a language you're comfortable with provides relief.
Yes, if you're paying out-of-pocket. Insurance requires diagnosis codes, but self-pay doesn't. Many people prefer this, since they don't want depression or anxiety disorder in their permanent medical record. You can get help without labeling.
Yes. Grouport Individual Therapy pairs you with one licensed clinician, a psychologist, LCSW, LMHC, LMFT, LPC, or PsyD, for a private 45-minute weekly video session. Because it is one-on-one, your therapist tailors every session to your life on Guam, whether you are commuting into the Hagatna-Tamuning corridor, stationed on-island, studying at the University of Guam, or living in a southern village. Pricing is $103 per session on average, billed at $448 per month, with a $224 per month every-other-week option. After intake you match with a therapist and start right away.
It is a natural fit for most Guamanians. English is the everyday language of government, schools, healthcare, and business on Guam, so working-age residents are typically comfortable in an clinical setting. Grouport Individual Therapy delivers private 45-minute weekly sessions over HIPAA-compliant video with a licensed clinician (psychologist, LCSW, LMHC, LMFT, LPC, PsyD, or PhD). Pricing is $103 per session on average, billed at $448 per month, with a $224 per month every-other-week option. After intake you match with a therapist and start right away.
Northern Guam, Central Guam, Southern Guam, Naval Base Guam, Andersen Air Force Base perimeter communities
Dededo, Yigo, Tamuning, Mangilao, Hagatna, Barrigada, Sinajana, Chalan Pago-Ordot, Mongmong-Toto-Maite, Agana Heights, Piti, Asan-Maina, Santa Rita, Agat, Talofofo, Yona, Inarajan, Merizo, Umatac
96910, 96911, 96912, 96913, 96915, 96916
If you have an address in Guam, 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.
