Expert 1:1 Care
Getting into weekly mental health care in Macau runs into a stack of frictions the SAR knows well. Non-urgent SSM appointments at Conde S. Januario's psychiatry department sit behind an 8-week queue, and the private psychologists concentrated across NAPE, Zape, and Taipa carry their own waitlists at MOP 1,200 to MOP 2,200 per session. Finding a therapist with an open slot is one problem; finding one actually trained for what you are working through, whether that is OCD, complex trauma, panic, depression, BPD, an eating disorder, grief, ADHD, relationship strain, or the many other things people carry, is a different problem entirely. Grouport's online individual therapy sits inside that gap. After a short signup you are presented with clinician options fitted to your situation, you choose the therapist you want to work with, and you typically get started within 24 to 72 hours. Weekly 45-minute one-on-one video sessions with the same licensed therapist over secure HIPAA-compliant video, 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.
13.4% of Macanese adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.
8 weeks the average wait to secure a first mental health appointment in Macau's public system, an interval during which symptoms often deepen.
$48,200 median household income in Macau, shaping what households can allocate to private mental health care.
91.7% of Macanese adults with a mental health condition do not receive formal specialist treatment.
84% of Macau'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 Macau, a density that shapes availability, wait times, and access across the country.
The workforce density of 7.8 mental health workers per 100,000 residents, applied to Macau's 687,000-person population packed into just 32.9 square kilometres, leaves the SAR served by roughly fifty psychiatrists, psychologists, and psychiatric nurses combined, most of them concentrated on the peninsula and most delivering care in Cantonese or Portuguese rather than English. Wait times of around 8 weeks for a first non-urgent SSM appointment, layered on top of local private rates commonly running MOP 1,200 to MOP 2,200 per session, make sustained weekly one-on-one care hard to hold together in-country. Grouport's model, a licensed clinician available this week, $103 per session in USD, HIPAA-compliant video, is built exactly for the gap those numbers describe.
UNDERSTANDING THE CHALLENGE
Macau's economic figures suggest a territory that should have abundant mental health capacity, a $98,157 GNI per capita PPP puts the SAR among the wealthiest jurisdictions in Asia, and gaming revenue funds one of the world's most generous social services budgets. Yet the clinical workforce is small in absolute terms: at 7.8 mental health workers per 100,000 residents applied to a population of 687,000, the entire SAR is served by roughly fifty psychiatrists, psychologists, and psychiatric nurses combined. Public psychiatric provision runs through the Services of Health Bureau (SSM), anchored by Conde S. Januario Hospital's psychiatric department on the peninsula, and demand consistently outstrips that narrow supply.
Picture a casino dealer finishing a graveyard shift in Cotai whose sleep has been unravelling since the last property restructuring, or a hospitality supervisor in NAPE juggling elder-care obligations back on the mainland while trying to hold her team together through a peak season. The standard route, an SSM referral through a Health Bureau clinic, an 8-week wait for a first non-urgent psychiatric outpatient slot at Conde S. Januario, and a follow-up cadence often anchored to medication review rather than sustained talk therapy, leaves two months of poor sleep, irritability at work, and small avoidances that harden into big ones. A one-on-one Grouport therapist removes that gap in a single step. A licensed clinician is on the schedule within days of signup, and the sessions that follow are yours alone, private, weekly, and built around your actual life in Macau rather than a queue position.
The route Macau residents can actually walk today looks different from the SSM referral chain and the small handful of private practices scattered across NAPE, Zape, and Taipa. Grouport puts a licensed clinician in front of you for a private 45-minute session each week over secure HIPAA-compliant video, and the hour belongs entirely to your situation. In a Special Administrative Region served by roughly 7.8 mental health workers per 100,000 residents, most of them delivering care in Cantonese or Portuguese from peninsula clinics, that kind of private continuity is difficult to piece together in-country, particularly if what you are working on calls for a specific evidence-based approach. Grouport's bench is trained across CBT, DBT, EMDR, ERP, exposure therapy, IFS, and ACT, so you can be paired with someone whose training actually fits the work rather than the first name with an open calendar. The same therapist stays with you across the arc of care, tracks your history week over week, and adjusts the plan as your situation shifts instead of handing you back to a queue after a fixed intake block.
84% of Macau's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
Three frictions ease in Macau the moment Grouport becomes the delivery mechanism. The 8-week non-urgent wait at Conde S. Januario collapses to a match this week, so you can begin one-on-one therapy while the reasons for reaching out are still fresh. The 40-to-70 minute cross-district journeys between Coloane, Cotai, Taipa, and the peninsula stop mattering, since your session opens on the same link from Hac Sa, Areia Preta, or an Outer Harbour high-rise. And scheduling is straightforward: Grouport's bench holds sessions on China Standard Time evenings and weekends, aligned to Macau's UTC+8 calendar without any time-zone gymnastics.
Formal mental health care in Macau splits across a small number of channels. The Health Bureau (SSM) runs subsidised psychiatric services out of Conde S. Januario Hospital's psychiatry department, with a 24-hour hotline and community mental health centres. Non-profit providers such as Caritas Macau's Life Hope services offer counselling on separate waitlists. Kiang Wu Hospital, University Hospital, and a scattering of small clinics in NAPE, Zape, and Taipa host the private market, where psychologists are concentrated in a handful of practices. What is genuinely missing in that landscape is an weekly one-on-one option that starts within days and holds a transparent monthly price. Grouport is built to occupy exactly that opening.
Macau residents get immediate access to Individual Therapy at $103 per session (billed at $448 per month), well below the local range of MOP 1,200 to MOP 2,200 (roughly $150 to $275) that private psychologists in NAPE, Zape, and Taipa typically charge for a session. Private psychiatrists in the same NAPE and Zape clusters commonly sit higher still at MOP 1,500 to MOP 3,000 per consultation. Grouport's one-on-one weekly rate produces a materially different arithmetic for anyone weighing a full course of care rather than a one-off visit.
Even in a Special Administrative Region with a $125,630 GNI per capita PPP, weekly private therapy at MOP 1,200 to MOP 2,200 per session compounds fast. Four sessions a month at the local floor already runs MOP 4,800 (roughly $600), and at the upper end it climbs to MOP 8,800 (about $1,100). Grouport's $103 per session on average, billed at $448 per month rate for weekly Individual Therapy, or $224 per month for every-other-week sessions at apiece, replaces that with a single predictable figure in USD. That predictability is what makes a sustained course of care actually achievable for a Macau household budget, not just the first month but the sixth and the twelfth, without any insurance coordination, an SSM referral chain, or a currency-conversion surprise at the end of each visit.
The visible per-session fee is only part of what in-person care costs a Macau resident. A private appointment in NAPE or Zape typically adds ride-hail or taxi costs on top of the consultation, particularly for gaming staff finishing shifts at unpredictable hours in Cotai or Coloane. A daytime SSM slot at Conde S. Januario commonly costs a working resident half a day of leave and a 40-to-70 minute cross-bridge commute each way. Per-session invoicing in MOP means every visit shows up as a separate line, and any care sought through a foreign clinic layers a currency-conversion spread on top. And the hunt itself for a licensed clinician with an open slot in Macau's small private market eats hours before therapy even begins. Grouport removes each of those: no commute, no leave request, no session-by-session billing, no currency friction, one predictable monthly rate in USD, cancel anytime.
Grouport matches Macau clients to a licensed one-on-one therapist right after signup, with the first session typically landing the same week. Set against the 8-week non-urgent wait at SSM's psychiatric outpatient clinic and the multi-week queues typical at Caritas Macau and the small pool of private practices in NAPE and Zape, that gap is measured in months rather than days. For Macau 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 clinical bench is made up of licensed psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs, trained across the evidence-based modalities most Macau clients actually need: CBT and ACT for anxiety and low mood, DBT for emotion regulation and relational strain, EMDR and other trauma-focused approaches for PTSD and complex trauma histories, ERP for OCD, IFS for identity and inner-parts work, and exposure work for panic and phobias. After signup you review therapist options fitted to what you are working on and choose the clinician you want to move forward with, rather than being handed the first name with an open slot. Sessions are delivered in English on secure HIPAA-compliant video, and many clinicians have direct experience with internationally-mobile clients, cross-cultural family and workplace dynamics, and the shift-work rhythms common in hospitality and gaming, a profile that lines up closely with life in the SAR. Every session is fully confidential, and a care coordinator is available throughout to help with anything that comes up along the way.
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 don't currently accept insurance directly. Grouport provides affordable care without pre-approvals or referrals. If you have out-of-network benefits, you may be able to submit for reimbursement depending on your plan. We can provide receipts upon request that you can submit for out of network reimbursement.
Many Grouport clients successfully get reimbursed through their out-of-network mental health benefits. Upon request, we can provide a detailed superbill that you can submit to your insurance company for reimbursement. Reimbursement rates typically range from 50-80% depending on your specific plan. To determine your out of network reimbursement coverage, call or email your insurance company and ask: "What are my out-of-network mental health benefits?" and "What percentage do you reimburse for out-of-network therapy (for the specific service you’re interested in)?"
We accept all major credit cards (Visa, Mastercard, American Express, Discover, etc.) and debit cards for payment. Your card is securely stored and automatically charged on your monthly billing date. We also accept HSA (Health Savings Account) and FSA (Flexible Spending Account) cards, which many clients use to pay for therapy with pre-tax dollars. You can update your payment method at anytime.
Yes, therapy effectively addresses motivation and procrastination by exploring underlying causes such as perfectionism making starting to feel overwhelming, fear of failure or success, ADHD affecting executive function, depression depleting energy and interest, anxiety causing avoidance, unclear values and goals, learned helplessness, or simple lack of skills in planning and time management. Your therapist helps you understand your specific barriers to motivation, develop realistic goals and break them into manageable steps, address thinking patterns that maintain procrastination, build accountability, create structures supporting follow-through, and develop self-compassion (harsh self-criticism worsens motivation). CBT and behavioral activation are evidence-based approaches for motivation concerns.
Different therapy approaches suit different needs: CBT (Cognitive Behavioral Therapy) focuses on changing unhelpful thought patterns and behaviors, effective for anxiety, depression, OCD. DBT (Dialectical Behavior Therapy) teaches specific skills for emotion regulation, distress tolerance, mindfulness, and interpersonal effectiveness, developed initially for BPD but useful for anyone with intense emotions. Psychodynamic therapy explores how past experiences and unconscious patterns affect current life. EMDR specifically treats trauma through bilateral stimulation. ACT (Acceptance and Commitment Therapy) focuses on accepting difficult thoughts rather than changing them and aligning actions with values. Your therapist explains their approach and why it fits your needs. Many therapists integrate multiple approaches where relevant.
Yes, individual therapy is valuable during divorce for processing grief and loss, managing anxiety and overwhelming emotions, making important decisions (custody, finances, living arrangements), coping with change and uncertainty, addressing anger or resentment productively, supporting children through the transition, establishing your identity outside the marriage, managing conflict with your ex, and planning for your post-divorce life. Divorce is one of life's most stressful experiences, and therapy provides essential support during this transition. Your therapist maintains neutrality about divorce decisions but supports you through whatever you choose. Many people attend therapy intensively during divorce then reduce frequency after things stabilize.
Difficulty opening up is common, especially early in therapy. Good therapists understand this and create safety gradually. Strategies that help include starting with less vulnerable topics and working up to harder issues, remembering therapy is confidential and judgment-free, understanding your therapist has heard everything before, recognizing that opening up gets easier with practice, telling your therapist directly "I have trouble opening up" (this itself is opening up), writing thoughts if speaking feels hard, and remembering therapy moves at your own pace. Many people who initially feel like they can't open up eventually do. Trust develops over time. Your therapist watches for signs you're holding back and gently encourages exploration without forcing disclosure.
Work culture varies by country. Some countries have intense work demands, limited worker protections, or expectations that harm mental health. Whether you're dealing with burnout, toxic workplace, career pressure, or unemployment stress, therapy addresses work-related mental health impacts regardless of where you live.
Financial stress affects mental health everywhere. Therapy helps you cope with the anxiety and depression that come with economic insecurity. If money is tight, group therapy costs less than individual therapy so that might be a great way to affordably access therapy. Through our platform, we want therapy to be accessible.
Yes\! You can change your plan anytime, whether that means adding or reducing sessions or switching to a different billing cycle. Changes take effect immediately.
✅ Upgrading your plan - ## Adding more sessions per week (e.g., 1 session/week → 2 sessions/week). - ## Switching to a longer billing cycle (e.g., Monthly → Quarterly). - ## You’ll be charged a prorated difference based on the time remaining in your current plan.✅ Downgrading your plan
- ## Reducing the number of sessions per week (e.g., 3 sessions/week → 1 session/week). - ## Switching to a shorter billing cycle (e.g., Quarterly → Monthly). - ## This will result in a credit applied to your next renewal.With roughly 687,000 residents packed into about 33 square kilometers, being seen entering a psychiatric clinic on the Macau Peninsula or in Taipa can feel exposing. Grouport Individual Therapy is delivered entirely through HIPAA-compliant video, so your 45-minute weekly session with a licensed clinician (psychologist, LCSW, LMHC, LMFT, LPC, PsyD, or PhD) happens from wherever you have privacy. Your therapist is based outside Macau and unconnected to local clinics, casino employers, or social circles, so there are no waiting rooms and no local records.
Private psychiatric and psychology consultations in Macau typically run several hundred to over a thousand patacas per session, and the small number of licensed clinicians on the Macau Peninsula and Cotai often have limited openings. Grouport Individual Therapy is $103 per weekly 45-minute session (about MOP$825), or $448 per month, with an every-other-week option at $224 per month. Sessions are one-on-one video with a licensed clinician, and after intake you can match with a therapist and start right away.
Macau Peninsula, Taipa, Cotai, and Coloane, spanning all seven civil parishes: Nossa Senhora de Fatima, Santo Antonio, Sao Lazaro, Se, Sao Lourenco on the peninsula, Nossa Senhora do Carmo in Taipa, and Sao Francisco Xavier in Coloane.
Areia Preta, Iao Hon, Fai Chi Kei, Barra, NAPE, Zape, Sao Lourenco, Sao Lazaro, Santo Antonio, Se, Inner Harbour, Outer Harbour, Taipa Village, Taipa Grande, Ocean Gardens, Cotai, Hac Sa, Ka Ho, and Coloane Village.
999078
If you have an address in Macau, 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.
