Expert 1:1 Care

Online Individual Therapy for Malta Residents.

Getting to a therapist in Malta is hard before you even factor in what kind of therapist you actually need. The public Mental Health Services queue for a first non-urgent psychology appointment typically runs around six weeks, private clinicians cluster tightly in Sliema, St. Julian's, and the Valletta harbour area at 100 to 140 EUR per session out of pocket, and once you filter for someone genuinely trained in the approach your situation calls for, whether that's ERP for OCD, EMDR for trauma, DBT for emotion regulation, or focused work on panic, depression, bipolar, ADHD, grief, addiction recovery, or a relationship in crisis, the pool narrows sharply. Grouport's online individual therapy is built for exactly this. After a short signup you're presented with clinician options fitted to your situation, you choose the therapist you want to work with, and typically get started within 24 to 72 hours. Weekly 45-minute one-on-one sessions over secure HIPAA-compliant video with the same licensed therapist across the arc of your care, at $103 per session on average ($448 per month).

Greeting

Mental Health Service Access in Malta.

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

Mental Illness Prevalence

20.3% of Maltese adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.

Wait Time

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

Median Household Income

$51,127 median household income in Malta, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

84.0% of Maltese adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

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

Mental Health Providers per 100k Residents

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

Malta's stat cards tell a coherent story for one-on-one care. A 20.3% annual prevalence of mental health conditions in a population of 568,000 means roughly one in five Maltese adults will need support in any given year. A workforce of 82.57 per 100,000 is strong for the region on paper but translates to a finite pool that already runs at the six-week non-urgent wait. Household incomes leave room for weekly care only when the pricing is predictable and the format is efficient. Grouport's $103 per session ($448 per month) weekly individual therapy, with a licensed clinician, HIPAA-compliant video, and immediate start, is built for exactly those constraints.

UNDERSTANDING THE CHALLENGE

Malta's Mental Health Landscape.

The Problem

Malta's mental health system rests heavily on Mount Carmel Hospital in H'Attard and a small network of community clinics under the Mental Health Services directorate. With only 520,000 residents concentrated in 95.7% urban settlements, the country doesn't have a geographic access problem, it has a throughput problem. WHO's 82.57 mental health workers per 100,000 sounds robust for the Mediterranean, but it translates to roughly 430 total professionals covering the entire population, including psychiatric nurses and social workers. Demand routinely exceeds capacity, producing the six-week wait that families quietly discuss.

The Impact

A six-week gap between reaching out for help and a first appointment is a long time when insomnia, panic, or depressive symptoms are already interfering with work. Malta's Mental Health Strategy 2020-2030 acknowledges the community-clinic bottleneck directly, but implementation has been steady rather than fast. In the meantime, a Birkirkara parent, a Mosta shift worker, or a Sliema account manager waits through team deadlines, family responsibilities, and sleep loss for a first session that is still weeks out. Grouport removes that gap. A licensed clinician is available this week, and the same clinician stays with the client through the full course of care instead of the intake-plus-referral cycle that many Maltese adults describe.

The Solution

Individual video therapy answers Malta's throughput problem without adding to the six-week public queue or stretching an already thin private bench. Rather than waiting on the Mount Carmel and community-clinic pipeline or hoping the exact clinician your situation calls for happens to have an opening in the Sliema harbour cluster, you sign up in a few minutes, review therapist options fitted to what you're actually navigating, and choose the one you want to work with. Sessions typically start within 24 to 72 hours, the first 45-minute session typically lands the same week, and the same licensed therapist stays with you week over week rather than being reassigned each time a public slot opens. Whether the work is on OCD, complex trauma, panic, major depression, an eating disorder, grief, addiction recovery, or a life transition that has knocked things sideways, care is delivered by a clinician trained in the specific evidence-based approach that fits, not just whoever was first available on a public roster.

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

Three frictions loosen at once. The six-week public wait collapses to a start-this-week booking with a licensed Grouport therapist. The clustering of private psychologists around Sliema, St. Julian's, and the Valletta harbour area becomes irrelevant: a Marsaskala resident or a Victoria (Gozo) accountant joins the same video session from home, no Gozo Channel timetable and no southbound coast-road commute required. And because English is co-official and near-universal in Malta, sessions run without translation from day one. Grouport's Central European time-zone alignment (evening slots on the same clock) means a full-time worker in the finance or iGaming sectors can hold a 7 pm session without rearranging the workday.

Getting Help in Malta Without the Wait.

Malta's formal mental health care runs on three main tracks. The public Mental Health Services directorate, anchored by Mount Carmel Hospital in Attard and community clinics under the Ministry for Health, is free at the point of use but constrained by capacity. Private psychologists and psychiatrists cluster in the Sliema, St. Julian's, and Valletta harbour area and are usually paid out of pocket or through employer plans with Mapfre MSV, Laferla, or Atlas. NGOs such as the Richmond Foundation provide targeted support programs. What none of these consistently offers is weekly one-on-one therapy with the same licensed clinician, bookable this week, at a predictable monthly USD rate. That is the gap Grouport fills for Malta.

Geographic Barriers

Malta is only 27 km end to end, and 95.7% of residents live in urban settlements, so distance to any given clinic is rarely more than a 30-minute drive. The real geographic wrinkle is the sister island: Gozo's roughly 33,000 residents rely on the Gozo General Hospital psychiatric outpatient service or a ferry crossing to reach specialists on the main island, turning an weekly appointment into a half-day project. Southern Harbour villages like Żabbar, Marsaskala, and Żejtun sit further from the Sliema and St. Julian's private-practice cluster than the map suggests once traffic on the coast road is factored in. Grouport removes the trip entirely. A Xagħra resident and a Valletta resident open the same video link at the same time.

Extended Wait Times

Six weeks is the commonly cited wait for a first non-urgent psychology appointment through Malta's public Mental Health Services, and specific tracks such as trauma-informed therapy or eating-disorder care can run longer. Private psychologists in the Sliema harbour area often have shorter openings, but at 100 to 140 EUR per session paid out of pocket, weekly attendance quickly builds to 400 to 560 EUR a month with no guarantee that the exact clinical fit you want has a slot. Instead of waiting six weeks for a first public appointment or navigating patchy private availability, Malta clients can be in their first Grouport session within days. A licensed clinician holds a 45 minute weekly slot at $103 per session, and the intake itself is short.

Systemic Challenges

Malta's Mental Health Act 2012 and the 2020 Mental Health Strategy for Malta 2020-2030 set a clear direction toward community-based care, but the transition from a Mount-Carmel-centered model to a distributed clinic network is still underway. Employer insurance plans through providers like Mapfre MSV, Laferla, and Atlas cover some private psychology sessions, but coverage caps and reimbursement rules vary widely from plan to plan. And in a country of 568,000 where anonymity is difficult and Catholic cultural norms still shape help-seeking, many Maltese adults simply prefer a provider who is not socially known to them. Grouport sidesteps all three constraints. Booking does not require a public-service referral, pricing is a flat USD subscription, and the clinician on the other end of the video call has no overlap with anyone's Sliema neighbourhood or Valletta workplace.

Urban-Rural Divide

The traditional rural-underserved framing does not fit Malta, but a within-island divide clearly does. Private practitioners are heavily concentrated in Sliema, St. Julian's, and the Valletta harbour area, while Southern Harbour towns and Gozo lean more on the public system and the Gozo General Hospital outpatient service. That is a functional access gap even when the physical distance is short. Grouport erases it. A Marsaskala teacher, a Victoria (Gozo) accountant, and an Msida student book the same $103 per session, work with a licensed clinician from home, and never lose an hour to a Gozo Channel ferry or a rush-hour drive along the coast road.

For anyone in Malta ready to start real weekly work with a therapist actually trained for what they're dealing with, Grouport is a direct path in. After a short signup you're presented with clinician options fitted to your specific situation, you pick the therapist you want to work with, and typically get started within 24 to 72 hours. The first 45-minute one-on-one session typically lands the same week, over secure HIPAA-compliant video, with the same licensed clinician staying with you across the arc of care. 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 you add. 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 with anything you need, from choosing a therapist to adjusting your cadence or adding services as your situation evolves.

What Individual Therapy Costs in Malta.

Malta residents get immediate access to individual therapy at $103 per session (billed at $448 per month), 50 to 60 percent below the typical global one-on-one therapy range of $150 to $250 per session. Every-other-week clients pay $224 per month for the same licensed clinician quality. Sessions run 45 minutes over HIPAA-compliant video and start right away after a short intake, rather than after Malta's six-week public queue.

Affordability and Income

Malta's high-income economy, with GNI PPP around $61,000 per capita, does not automatically translate into affordable and reliably available private care. Private psychology sessions in the Sliema and St. Julian's harbour area typically run 100 to 140 EUR out of pocket, and while that per-session number can look manageable, weekly attendance builds to 400 to 560 EUR a month with no guarantee that a licensed clinician of the exact fit you want has a slot open when you need one. Grouport's transparent USD subscription, $103 per session on average, billed at $448 per month weekly or $224 every other week, is easier to plan around, well below the typical global $150 to $250 per-session benchmark, and gives Malta clients a licensed clinician with graduate training and consistent weekly availability from day one. That predictability is what makes sustained care realistic across a full course rather than a few sessions.

Hidden Cost and Barriers

In-person therapy in Malta carries costs that do not show on the invoice. Parking around the Sliema and St. Julian's clinics regularly runs several euros a session, Gozo residents pay Gozo Channel ferry fares plus fuel on either side, and anyone driving from a Southern Harbour village to Attard or the Valletta harbour area budgets 45 to 60 minutes each way, on top of a Tallinja bus fare of €2 in summer or €1.50 in winter. Weekly, that adds up to hours away from work or family. Private billing is also usually per session, with reimbursement rules through Mapfre MSV, Laferla, or Atlas that vary by plan and often cap the number of sessions covered. Grouport removes every one of those frictions: no commute, no parking, no ferry, no per-session invoice surprise, and one predictable monthly USD rate that stays the same whether the therapist is in a busy or a quiet week.

Immediate Availability

The six-week wait for a first non-urgent psychology appointment through Malta's public Mental Health Services is well documented, and it holds even when symptoms are already affecting work, sleep, or relationships. Grouport starts within days. A short intake, a match to a licensed clinician, and the first 45 minute weekly session is on the calendar for the same week. For Malta 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

Malta

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 clinician bench is deep and specialized: licensed psychologists, LCSWs, LMHCs, LMFTs, LPCs, PsyDs, and PhDs, each with graduate-level training and years of experience delivering individual therapy over video. Rather than a rotating pool of whoever has an opening, you're presented with clinician options fitted to your specific situation and you choose the therapist you want to work with. That means someone with actual training in ERP if you're working through OCD, in EMDR or somatic approaches for trauma, in DBT for emotion regulation, in CBT for anxiety and depression, in IFS for complex parts work, in ACT for values-based change, in exposure therapy for panic, or in the specific frame your situation calls for. Sessions are 45 minutes, weekly, over secure HIPAA-compliant video, with the same clinician staying with you across the arc of care. Every clinician is warm, non-prescriptive, and practiced at holding space for the specifics of your life, and all sessions are fully confidential.

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Affordable Individual Therapy & Care Options in Malta.

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 from Malta.

How do you protect my information from data breaches?

We use multiple layers of security to protect your information: (1) All data is encrypted both when stored and during transmission. (2) Our systems are HIPAA-compliant and regularly audited by third-party security experts. (3) Access to client data is strictly limited to essential staff with multi-factor authentication required. (4) We use intrusion detection systems to monitor for unauthorized access attempts. (5) Regular security training for all staff members. (6) Secure backup systems to prevent data loss. In the unlikely event of a breach, we're legally required to notify affected clients immediately and take corrective action.

How long does therapy take to work?

Most clients begin noticing improvements within 8-12 sessions, though this varies based on your goals and situation. Grouport research shows that 70% of clients improve significantly within 8 sessions. Some issues (like learning specific coping skills for anxiety) may show progress quickly, while others (like healing from trauma or changing long-standing relationship patterns) take longer. Your therapist will discuss realistic timelines and measurable goals during your first few sessions, and you'll regularly review progress together to ensure therapy remains effective and on track with your goals.

What conditions do your licensed therapists treat?

Grouport licensed therapists treat a wide range of mental health conditions and life challenges, including: anxiety disorders, OCD, depression and mood disorders, relationship and family conflicts, grief and loss, trauma and PTSD, anger management, borderline personality disorder (BPD), bipolar disorder, stress management, life transitions, parenting challenges, communication issues, self-esteem concerns, chronic illness, DBT skills for emotion regulation and more. Whatever you’re dealing with, we’ll have a therapist fit who specializes in your needs and would be the right fit for you. We have plenty of therapist and online group therapy options to choose from. Our licensed therapists utilized evidence based techniques where appropriate like Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Exposure Response Prevention Therapy (ERP), Acceptance and Commitment Therapy (ACT), Exposure Therapy, Motivational Interviewing, Interpersonal Therapy, and Eye Movement Desensitization and Reprocessing (EMDR). If you need help finding care for your specific challenges, contact us, and we’ll be sure to assist you and relay the relevant therapy options.

What if my partner thinks I don't need therapy?

Your decision to attend therapy is yours alone. No one else knows your mental health or the challenges you experience, except for yourself. If you’re struggling and you need help, you will know that best. What goes on in your mind is not visible to others and you shouldn’t have to face internal challenges alone. You don’t need anyone else’s permission to take care of yourself. You should set a boundary that this is your decision and therapy helps you be your best self. If still needed, your therapist can certainly discuss strategies on how to address these challenges with your partner.

How do I know when I'm ready to end therapy?

Many people continue therapy on an ongoing basis beyond needing it because they value ongoing support and maintenance. There's no pressure to end when symptoms improve. You can also discuss your thoughts about ending with your therapist, and they'll be able to help you evaluate what the best course of action is and create an ending plan if relevant. If you have achieved your goals and feel like you have the tools to handle future challenges on your own, and you know which skills to draw on by yourself, then it's a matter of evaluating if you feel like you need additional maintenance even if less frequent or if you feel ready to address your challenges on your own. Whichever way you decide, you can always come back at any time and it’s totally up to what you think is best for your needs.

What is individual therapy?

Individual therapy is one-on-one mental health treatment between you and a licensed therapist. Unlike group or family therapy where multiple people participate, individual therapy focuses entirely on your personal goals, challenges, and growth. Sessions provide a confidential space to explore thoughts and feelings, develop coping strategies, address mental health conditions like anxiety or depression, work through past experiences, improve relationships, and make desired life changes. Your therapist tailors treatment to your specific needs using evidence-based approaches like CBT, DBT, ERP, EMDR, or trauma-focused therapy. Individual therapy is collaborative and you and your therapist work together toward goals you define.

How do I know if I need online individual therapy?

You should consider individual therapy if you're experiencing persistent sadness, worry, or mood changes; difficulty coping with stress or life changes; relationship patterns you want to change; trauma or past experiences affecting current life; decreased interest in activities you once enjoyed; sleep or appetite changes; substance use concerns; difficulty managing emotions; feeling stuck or unfulfilled; grief that feels overwhelming; or simply wanting personal growth and self-understanding. You don't need a crisis or diagnosis to benefit from therapy. If something in your life causes distress or you want to improve your mental health, online therapy can help. Many people attend therapy proactively to maintain wellbeing.

What if I'm LGBTQ+ in a country where that's not accepted?

Being LGBTQ+ in countries with hostility toward LGBTQ+ people is isolating and dangerous. Therapy provides affirming support you might not be able to access locally. Your therapist won't judge you and understands the unique stresses of being LGBTQ+ in unsupportive environments. Your identity is valid even if your country doesn't recognize it.

Can therapy help with climate-related stress where I live?

Climate change creates different impacts depending on where you live. Extreme heat. Drought. Flooding. Fires. Sea level rise. Resource scarcity. Climate anxiety is rational. Therapy validates the fear, helps you take action where you can, and cope with environmental realities you can't personally fix.

Can I write off therapy as childcare expense?

No, therapy isn't childcare even if your kids are in therapy. Childcare expenses for tax purposes mean care while you work, not medical/therapeutic services. Child therapy might qualify as medical expense if you meet the threshold, but not as childcare expense.

I'm an international student near the University of Malta in Msida and money is tight. Can Grouport work for me?

Yes. Grouport suits students living around Msida, Gzira, and Sliema who need affordable support without navigating private-practice fees in the harbour area. Weekly individual sessions run at $103 per session on average, billed at $448 per month, with licensed therapists over HIPAA-secure video, delivered in English. You can join from a shared flat without traveling to a clinic. You start right away rather than waiting weeks in the public system, and you continue with the same therapist even if you head home for summer break.

I live in Gozo and the ferry to Malta for a therapy appointment eats half my day. How does Grouport handle this?

Grouport removes the crossing entirely. Instead of catching the Mgarr ferry and connecting buses to reach clinicians clustered around Sliema and Valletta, you join weekly one-on-one video sessions from your home in Victoria, Xaghra, or anywhere on Gozo. Licensed therapists lead each HIPAA-secure session on Central European Time, so scheduling fits the Maltese workday. At $103 per session on average, billed at $448 per month, you can start right away, skipping both the ferry commute and the Mount Carmel referral queue.

Where in Malta Grouport Serves.

Regions

Grouport serves all six of Malta's statistical regions: Southern Harbour, Northern Harbour, South Eastern, Western, and Northern regions on the main island, plus Gozo and Comino. The same video session is accessible whether you're in Cottonera, Mellieħa, or Victoria.

Cities

Members join from across Malta's population centers: Birkirkara, Qormi, Mosta, Żabbar, San Pawl il-Baħar, Sliema, Naxxar, San Ġwann, Fgura, Żejtun, Attard, Marsaskala, Rabat, Paola, Msida, Valletta, Victoria (Rabat, Gozo), Xagħra, and every other town on both islands.

Zip Codes

VLT 1110, VLT 1234, SLM 1000, SLM 2020, GZR 1054, MRS 1500, PTA 9014, MSD 1350, BKR 3010, STJ 2000, SGN 1400, FGR 1440

If you have an address in Malta, 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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