Expert 1:1 Care

Individual Therapy for Guatemala, Delivered Online in Days.

Reaching a therapist in Guatemala is genuinely difficult. A first MSPAS or IGSS appointment routinely opens twelve weeks out, the country runs on roughly 22.73 mental health workers per 100,000 people, and most of the private clinician pool sits in Zona 10, Zona 14, and Zona 15 of Guatemala City, with a smaller bench in Antigua and Xela. Finding a quality clinician is harder still, and finding one actually trained in the specific approach your situation calls for, whether that is CBT for anxiety, ERP for OCD, EMDR for trauma, DBT for emotion regulation, structured work for depression, bipolar, ADHD, grief, panic, anger, relationship difficulty, or the many other things people navigate, is another matter entirely. Grouport's online individual therapy is built for exactly that gap. You complete a short signup, we present licensed clinician options fitted to your situation, you pick the therapist you want to work with, and you typically get started within 24 to 72 hours. Weekly 45 minute one-on-one sessions with the same therapist over HIPAA-compliant video, 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 Guatemala.

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

Mental Illness Prevalence

15.2% of Guatemalan 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 Guatemala's public system, an interval during which symptoms often deepen.

Median Household Income

$7,800 median household income in Guatemala, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

85.0% of Guatemalan adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

55% of Guatemala's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

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

Read together, the numbers point in one direction. A workforce density of 22.73 clinicians per 100,000 people places Guatemala below regional averages for the Americas, a twelve-week wait for a first public appointment reflects that gap in practice, and a GNI per capita PPP of $14,190 constrains what most households can absorb in per-session private fees. Individual online therapy is a direct answer to that combination. Grouport adds licensed one-on-one capacity that operates outside the local queue, matches Guatemala clients to a therapist right away rather than months later, and holds the rate at $103 per session on a predictable monthly subscription in USD. For a country where quality one-on-one care is scarce, geographically clustered, and priced inconsistently, that structure meaningfully expands what individual therapy in Guatemala can look like.

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in Guatemala.

The Problem

Guatemala's mental health system operates against a demanding backdrop. The Federico Mora National Mental Health Hospital in Guatemala City absorbs most inpatient psychiatric casework for the entire country, and outpatient services through the Ministerio de Salud Pública y Asistencia Social (MSPAS) and the Instituto Guatemalteco de Seguridad Social (IGSS) are concentrated in departmental capitals. Rural municipios in Alta Verapaz, Huehuetenango, El Quiché, and San Marcos, many with majority K'iche', Q'eqchi', Mam, or Kaqchikel-speaking populations, often have no resident psychologist at all, with the nearest specialist a multi-hour bus ride away over highland roads.

The Impact

For a working adult in Guatemala who decides to pursue therapy, the twelve-week wait through public channels is rarely twelve calm weeks. Anxiety after a security incident, low mood after a family separation, sleep loss during a maquila production cycle, or unresolved stress carrying over from years of caregiving all tend to deepen inside that window, not hold steady. And even when the appointment finally arrives, sustaining weekly care can require a Q40 to Q100 round trip from Escuintla, Sololá, or Alta Verapaz to a specialist in Guatemala City, three to four hours of travel, and a half day of lost income. Grouport removes both parts of that friction at the same time. Intake takes minutes, a licensed clinician is available this week, and the entire 45 minute session happens over HIPAA-compliant video from wherever the client already lives or works.

The Solution

Online individual therapy addresses Guatemala's core access problems at the same time. Rather than compete for scarce slots at MSPAS or IGSS outpatient clinics concentrated in departmental capitals, a Grouport client works privately with a licensed clinician they chose themselves, on a full 45 minute weekly session focused on their own history, goals, and treatment plan. After signup you review clinician options fitted to your situation, whether the presenting concern is OCD, complex trauma, major depression, panic, BPD, bipolar, ADHD, grief, an eating disorder, a relationship crisis, or something else you are working through, and you pick the therapist trained in the approach your case actually needs. That same therapist stays with you week over week, which is what allows CBT protocols, ERP for OCD, EMDR for trauma, DBT skills work, or steady depression care to build across sessions rather than restart with each visit. For a country of 22.73 clinicians per 100,000 people, adding a specialized clinician bench that operates outside the local queue meaningfully changes what individual care can look like in Guatemala.

55% of Guatemala's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Three frictions ease immediately for Guatemalans who move online. First, the twelve-week entry line into MSPAS or IGSS outpatient therapy collapses into a short intake questionnaire that returns a licensed therapist match right away, with a first video session typically within days. Second, geography stops mattering: a client in Cobán, San Marcos, or Puerto Barrios accesses the same clinician bench as someone in Zona 10 of the capital, without the highland bus ride or the round-trip to Guatemala City. Third, Guatemala sits on Central Standard Time year-round, which aligns cleanly with US Central Time and gives residents across the country, from Guatemalan professionals in the capital to returning diaspora members and communities around Antigua and Lake Atitlan, a straightforward path to a licensed therapist without hunting the local market for one.

Access and Availability Across Guatemala.

Guatemala's formal care landscape is layered but uneven. The Ministerio de Salud Pública y Asistencia Social (MSPAS) runs public outpatient services concentrated in departmental capitals, IGSS covers formally employed workers with a limited slate of psychiatric services, and the Federico Mora National Hospital anchors specialist inpatient care in Guatemala City. A small private sector of psychologists operates out of Zona 10, Zona 14, and Zona 15 in the capital along with a handful of practices in Antigua and Quetzaltenango. What has been largely missing is an accessible, weekly, one-on-one option that a client can start this week without traveling to the capital. That is the gap Grouport fills for Guatemala residents at $103 per session with a licensed clinician on HIPAA-compliant video, matched right away and delivered privately from home.

Geographic Barriers

Terrain is one of Guatemala's defining access constraints. The western highlands rise past 3,000 meters, and a family in Huehuetenango, El Quiché, or the Ixil area may spend four to six hours reaching a licensed psychologist in Xela or Guatemala City when the roads cooperate. The Petén lowlands cover roughly a third of the country's landmass with only a small pool of specialists in and around Flores. Along the Pacific coast, patients in Retalhuleu, Suchitepéquez, and Escuintla routinely travel two to three hours to reach anything beyond primary care. Grouport's video model treats those distances as irrelevant. A resident of Nebaj, Panajachel, or Puerto Barrios sees the same licensed clinician on the same schedule and at the same $103 rate as a client sitting in Zona 10, with no bus fare, no highland driving, and no lost work day.

Extended Wait Times

Twelve weeks is the working baseline for a first mental health appointment through Guatemala's public system, and psychiatric consultations often stretch further. Eighty-four days is a long time to sit with a panic response after a robbery, a depressive slide after the loss of a parent, escalating relationship strain, or postpartum anxiety, and it is often the interval during which the case gets harder rather than easier. Private clinics in Zona 10 can move sooner but push weekly costs beyond what most Guatemalan households can sustain across a full course of care. Grouport eliminates the wait entirely. Instead of queuing for three months, a Guatemala client typically completes the intake questionnaire, receives a licensed therapist match, and begins their first 45 minute session on HIPAA-compliant video within a matter of days.

Systemic Challenges

Three overlapping structural issues shape mental health delivery in Guatemala. Mental health receives roughly one percent of the national health budget, most of which supports the Federico Mora hospital rather than distributed outpatient services. The nationwide workforce sits at about 22.73 clinicians per 100,000 people, well below regional averages for the Americas, and a substantial share of the population is served primarily in indigenous languages such as K'iche', Kaqchikel, Mam, or Q'eqchi', for which specialist mental health capacity is limited. Stigma around seeking mental health support also remains meaningful, particularly in smaller communities. Because Grouport operates as a direct-pay international service delivered privately over video, it sidesteps public capacity limits, small-town visibility concerns, and the delays baked into referral chains, giving Guatemalans a confidential one-on-one option that does not depend on the local system's spare capacity.

Urban-Rural Divide

Guatemala is about 56 percent urbanized, which means roughly 44 percent of the population, one of the higher rural shares in Latin America, lives in municipios and aldeas where a resident psychologist is uncommon. The metropolitan zone of Guatemala City together with Mixco, Villa Nueva, and Villa Canales holds the majority of licensed specialists. Quetzaltenango is a distant second, and departments such as Alta Verapaz, Baja Verapaz, and El Quiché operate with a small fraction of the per-capita coverage available in the capital. Online delivery flattens that gap. Grouport treats an intake from Chichicastenango, Cobán, or a village outside San Marcos exactly the same as one from Zona 15: the same licensed clinician bench, the same $103 session rate, the same match window, and the same weekly rhythm with the same therapist across every session.

For anyone in Guatemala ready to start real weekly work with a therapist actually trained for what they are dealing with, Grouport is a direct path. After a short signup you are presented with licensed clinician options fitted to your specific situation, you choose the therapist you want to work with, and you typically get started within 24 to 72 hours instead of joining the twelve-week MSPAS or IGSS queue. The first 45 minute one-on-one session typically lands the same week, on secure HIPAA-compliant video from Cobán, Xela, Antigua, Puerto Barrios, Nebaj, or Zona 10 alike, with no highland drive and no round-trip to the capital. Pricing is $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. The same therapist stays with you across the arc of your work, and you can step up frequency during heavier stretches, drop back when things stabilize, or layer in other Grouport care, group, couples, family, or an intensive outpatient program, if that turns out to be useful. A care coordinator is available throughout to help you with anything you need, from adjusting your schedule to changing therapists to adding services.

Affordable Individual Therapy Costs for Guatemala Residents.

Guatemala 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 therapist. Every-other-week clients pay $224 per month. Local private psychology in Zona 10 and Zona 14 of Guatemala City can quote lower per-session numbers, but those rates typically buy limited availability, no guarantee of an English-speaking licensed clinician, and cash-only per-session billing rather than the predictable USD subscription and consistent weekly clinician relationship Grouport provides.

Affordability and Income

Guatemala's GNI per capita PPP sits at roughly $14,190, and household discretionary spending on private care is meaningful even when in-country counselors quote lower per-session rates. Grouport's structure is what makes weekly care actually sustainable across a full arc of treatment. At $103 per session on average, billed at $448 per month for weekly sessions or $224 per month for every-other-week attendance, the cost is fixed, priced in USD, and easy to plan around a monthly budget rather than absorbed as an unpredictable per-visit bill. That still sits well below the global average of $150 to $250 per session for one-on-one therapy with a licensed therapist, and it buys Guatemala clients consistent access to a graduate-trained licensed clinician who stays with them from the first session through the last, delivered privately over HIPAA-compliant video from home.

Hidden Cost and Barriers

The sticker price of local therapy in Guatemala understates the actual weekly cost. A client commuting from Sacatepéquez, Chimaltenango, or Escuintla to a private practice in Zona 10 typically absorbs Q40 to Q100 in round-trip bus or shuttle fare, two to four hours of travel, and often a lost half day of income. Parking near capital-zone clinics adds another Q30 to Q60. Cash-only billing means the price can shift each visit and with each currency swing. Grouport removes all of it. Sessions happen over video from home, work, or anywhere with reliable internet, there is no commute, no lost work hour, and no per-session invoice. The rate is fixed in USD at $103 per session, the monthly bill is predictable, and clients can cancel anytime without penalty.

Immediate Availability

Timing shapes outcomes as much as price. Set against Guatemala's twelve-week baseline entry point into public outpatient therapy, Grouport's immediate-start model is a different category of access. A Guatemalan filling out the intake questionnaire on a Monday is typically matched to a licensed clinician within days and starting their first 45 minute video session that same week or the next. That gap frequently determines whether someone actually begins care rather than deferring indefinitely while symptoms compound. For Guatemala clients ready to start now, a licensed Grouport therapist is available this week.

How it Works

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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

Guatemala

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 clinician is a licensed mental health professional holding graduate-level credentials as a psychologist (PsyD or PhD), licensed clinical social worker (LCSW), licensed marriage and family therapist (LMFT), licensed mental health counselor (LMHC), or licensed professional counselor (LPC), and each one has trained in specific evidence-based approaches, CBT, DBT, EMDR, ERP, exposure therapy, IFS, and ACT among them, so a client dealing with OCD is working with someone who actually treats OCD, and a client processing trauma is working with someone trained in trauma. After a short signup, you review clinician options fitted to your situation and pick the therapist you want to work with, rather than being assigned whoever is next available. Sessions run 45 minutes on secure HIPAA-compliant video, weekly with the same therapist across the arc of care, and matching is based on presenting concerns, therapeutic approach, and scheduling rather than location. Guatemala residents access the same clinician bench from Zona 10, Antigua, Panajachel, Cobán, or a village outside San Marcos.

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Affordable Individual Therapy & Care Options in Guatemala.

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 Guatemala.

Is there a long-term commitment required for therapy?

No, Grouport operates on a month-to-month basis with no long-term commitments required for our therapy plans. You can cancel at anytime and you’d just finish out whichever month you’re on. This flexibility allows you to attend therapy for as long as it's helpful. Many clients continue for several months or years as they work through their goals, while others use Grouport for shorter-term support. The choice is entirely yours, and you're never obligated to continue beyond your current billing period.

Can I use my HSA or FSA for Grouport’s online therapy?

Yes\! Our online therapy services qualify for HSA (Health Savings Account) and FSA (Flexible Spending Account) payment. Simply use your HSA/FSA debit card as your payment method, or pay out-of-pocket and submit a reimbursement claim to your HSA/FSA administrator using the detailed receipts we can provide upon request. Using HSA/FSA funds means you're paying for therapy with pre-tax dollars, effectively reducing your therapy costs by 20-30% depending on your tax bracket.

Where are sessions held?

All therapy sessions are 100% virtual and take place via secure video chat. Whether you're in group, individual, couples, family, IOP, or teen therapy, sessions are held at a recurring time that fits your schedule.

What if I'm too emotional during sessions?

Emotional expression is not only acceptable in therapy, it's often where healing happens. Therapists expect and welcome emotions. You won't make your therapist uncomfortable with crying, anger, or any other feeling. They're trained to handle intense emotions and create safe space for expression. Many people worry about "wasting" session time crying, but processing emotions is therapeutic work. If you tend to shut down emotionally and want to access feelings more, your therapist helps with that too. There's no right emotional level, and therapy adapts to your natural expression style.

Can therapy help with physical symptoms like headaches or stomach issues?

Yes, therapy can help when physical symptoms have psychological components. Mind-body connections are powerful, and chronic stress, anxiety, and unresolved emotions often manifest physically as headaches, digestive issues, muscle tension, fatigue, and pain. Therapy addresses stress management to reduce physical symptoms, trauma that's stored somatically in the body, health anxiety making symptoms worse, chronic illness adjustment and coping, and developing relaxation techniques. While you should always rule out medical causes with your doctor first, therapy is valuable for medically-unexplained symptoms, chronic pain, psychosomatic concerns, and managing physical conditions worsened by stress. Mind-body interventions are evidence-based treatments.

What if I don't believe therapy can help?

Skepticism about therapy is common, especially if you haven't experienced it or had negative past experiences. Consider attending 8-12 sessions before fully judging, as therapeutic relationships take time to develop, and benefits aren't always immediate. Research consistently shows therapy is effective for most mental health conditions, and it's evidence-based, not just "talking." Many skeptics change their minds after experiencing a good therapeutic fit and seeing actual changes. Share your skepticism with your therapist and they can explain how therapy works, discuss the evidence based treatment relevant to your needs, and address specific concerns. You don't have to believe for therapy to work, but openness to the process helps. Therapy effectiveness doesn't require faith, but it does requires participation.

Can I do therapy if I don't have much time?

Weekly 45-minute sessions fit into most schedules, and online therapy eliminates commute time. Many people attend during lunch breaks, early morning, or evening from home. If even 45 minutes weekly feels difficult, consider that therapy is an investment in yourself like exercise or medical appointments, many issues worsen without addressing them, and preventing problems is more time-efficient than dealing with crises later on. Some people start with bi-weekly sessions if weekly feels too frequent. Therapy also makes you more efficient in life with better coping skills, less time ruminating, improved relationships, and clearer thinking which actually save time. The time commitment can also be temporary as many issues resolve in 3-6 months.

What if I'm dealing with family expectations and pressure in Guatemala?

Family pressure about career, marriage, children, or life choices exists across cultures. Some cultures have particularly intense family expectations. Therapy helps you navigate family pressure, set boundaries, and make choices that are right for you even when family disagrees.

Can therapy help with religious or spiritual struggles in Guatemala?

Religious doubt, faith crises, conflicts between your identity and religious teachings, or pressure from religious community all create distress. Therapy provides space to explore these questions without judgment. Your therapist respects your religious background while supporting your wellbeing.

Is online therapy cheaper than in-person therapy in Guatemala?

Generally yes. In-person private practice therapy in cities often costs $200-400+ per session. Grouport costs less because there's no office rent, smaller geographic markets to draw from, and efficiency of scale. You also save on transportation costs and time. Online therapy has made affordable therapy accessible to people who couldn't afford traditional in-person rates.

Can Grouport Individual Therapy help me work through anxiety, depression, grief, or trauma while I'm living in Guatemala?

Yes. Grouport pairs you with a licensed clinician (psychologist, LCSW, LMHC, LMFT, LPC, PsyD, or PhD) trained in evidence-based approaches for anxiety, depression, grief, and trauma. Sessions run 45 minutes weekly by HIPAA-compliant video in English, at $103 per session on average, billed at $448 per month, with an every-other-week option at $224 per month. After intake you can start right away, without traveling to Guatemala City or waiting the roughly 12 weeks typical of local specialist access.

What kind of internet connection do I need for Grouport sessions from Antigua, Quetzaltenango, or Lake Atitlan?

A standard home fiber or cable connection in Guatemala City, Antigua, Quetzaltenango, or Zona 10 comfortably supports HIPAA-compliant video for a 45-minute session with your licensed clinician. In areas around Lake Atitlan or rural departments where broadband can vary, a stable 4G or LTE hotspot works well. Guatemala runs on UTC-6 year-round, aligning cleanly with US Central Time, so weekly $103 sessions can be booked at practical hours after intake, with an immediate session start.

Individual Therapy Available Across Guatemala.

Regions

Guatemala, Sacatepéquez, Chimaltenango, Escuintla, Santa Rosa, Sololá, Totonicapán, Quetzaltenango, Suchitepéquez, Retalhuleu, San Marcos, Huehuetenango, Quiché, Baja Verapaz, Alta Verapaz, Petén, Izabal, Zacapa, Chiquimula, Jalapa, Jutiapa, El Progreso

Cities

Guatemala City, Mixco, Villa Nueva, Petapa, San Juan Sacatequéquez, Quetzaltenango (Xela), Villa Canales, Escuintla, Chinautla, Chimaltenango, Amatitlán, Cobán, Huehuetenango, Antigua Guatemala, Puerto Barrios, Retalhuleu, Mazatenango, Flores, Chiquimula, Jalapa

Zip Codes

01001, 01003, 01007, 01008, 01010, 01011, 01015, 02001, 03001, 07001

If you have an address in Guatemala, 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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