Expert 1:1 Care

Individual Therapy Across Guam, Delivered Online.

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.

Greeting

The State of Mental Health in Guam.

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

Mental Illness Prevalence

12.7% of Guamanian adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.

Wait Time

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

Median Household Income

$58,200 median household income in Guam, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

65.0% of Guamanian adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

84% of Guam's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

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

Understanding Mental Health Access in Guam.

The Problem

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.

The Impact

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.

The Solution

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.

Access and Availability Across Guam.

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.

Geographic Barriers

Guam runs about 30 miles from Ritidian Point in the north down to Cocos Island off the southern tip, with 19 villages spread across 210 square miles and clinical capacity concentrated in the Tamuning-Hagåtña corridor. A resident in Inarajan, Merizo, or Umatac is looking at an hour or more each way on Marine Corps Drive to reach a therapist, and someone in Yigo or Dededo is not much closer during rush. A 50-minute appointment turns into a half-day commitment once traffic and parking are folded in. Video reach across the whole island removes that entirely, so the same licensed Grouport therapist is available to a client in Malesso as to one in central Hagåtña, on the same schedule.

Extended Wait Times

The typical wait for a first outpatient mental health appointment through Guam's public system runs about 12 weeks, roughly 84 days. That queue reflects the workforce ceiling, not a scheduling quirk that can be optimized away, since the number of licensed clinicians on the island is what it is. Instead of waiting three months for a first appointment, Guam clients can be in their first Grouport session within days. That is the difference between staying engaged with care while momentum is fresh and quietly stepping away from the idea over the course of a season.

Systemic Challenges

A handful of systemic realities shape care access on Guam. The island runs on a Guam Board of Allied Health Examiners credentialing system that keeps the licensed pool to a few dozen practicing psychologists and social workers, and the territory has repeatedly declared behavioral health workforce shortages. Public funding for GBHWC is finite, private-practice panels are often closed, and specialty referrals frequently route to Honolulu, 3,800 miles east. Grouport sidesteps that entire structure by putting a licensed clinician on a video call for $103 per session ($448/month), with no local queue and no off-island travel required.

Urban-Rural Divide

About 94.2% of Guamanians live in what would count as urban settlement, essentially the Dededo-Tamuning-Hagåtña belt and the villages ringing Apra Harbor, while the remaining share is spread across southern villages like Inarajan, Merizo, Umatac, and the interior. Clinical capacity tracks the population center, which means the central corridor has almost every specialist on the island and the southern half has almost none. Video-delivered individual therapy equalizes that picture, so a resident in Malesso works with the same licensed Grouport therapist as one in central Hagåtña, on the same weekly cadence.

For Guam residents ready to start real weekly work with a therapist trained for what they are actually dealing with, Grouport offers a direct path in. After a short intake you are presented with clinician options fitted to your specific situation, you pick the therapist you want to work with, and sessions typically begin within 24 to 72 hours, with the first 45-minute one-on-one session typically landing the same week. Pricing runs $103 per session on average ($448 per month), or $224 per month on the every-other-week plan, with automatic discounts included for every additional weekly session when a heavier stretch calls for more frequency. The same licensed clinician stays with you across the arc of care, with room to step up cadence during harder periods, ease back when things settle, or layer in other Grouport services, group, couples, family, or an intensive outpatient program, if that turns out to fit. A dedicated care coordinator is available throughout to help with anything that comes up along the way, whether that is choosing a therapist, adjusting care, adding another service, or navigating a new question a few months into the work.

Affordable Individual Therapy Costs for Guam Residents.

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.

Affordability and Income

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.

Hidden Cost and Barriers

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.

Immediate Availability

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.

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

Guam

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.

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.

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Affordable Individual Therapy & Care Options in Guam.

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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Teen Therapy

$112/session
billed at $448/month

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Common Questions About Individual Therapy in Guam.

Can I use my phone for video sessions?

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.

What if I need to contact my therapist between sessions?

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.

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.

How is online individual therapy different from in-person?

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.

How do I choose the right therapist?

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.

What if I don't know what to talk about in 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.

How often should I attend online individual therapy?

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.

What if I'm struggling with my identity across cultures?

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.

Can therapy help with language barriers affecting my life in Guam?

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.

Can I get therapy without a formal diagnosis?

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.

I live on Guam. Will one-on-one therapy with a mainland-based clinician actually feel like a good fit?

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.

sessions are via HIPAA-secure video. Given that English is Guam's dominant working language, is that a good fit?

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.

Individual Therapy Available Across Guam.

Regions

Northern Guam, Central Guam, Southern Guam, Naval Base Guam, Andersen Air Force Base perimeter communities

Cities

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

Zip Codes

96910, 96911, 96912, 96913, 96915, 96916

If you have an address in Guam, 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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