Expert 1:1 Care
Individual therapy in Marshall Islands has always been shaped by two hard limits: a national mental health workforce that can be counted on one hand, and a geography that spreads roughly 37,000 people across 29 atolls and hundreds of miles of open ocean. Grouport rewrites both. For $103 per session, billed as a $448 monthly subscription, or on an every-other-week rhythm at $224 a month, Marshallese adults are matched with a licensed clinician and meet weekly over HIPAA-compliant video, in English, from Majuro, Ebeye, or any outer atoll with a stable signal. There is no ministry referral to secure, no flight into Majuro to book, no 20-week queue to survive. If you are ready to start one-on-one therapy this week, a therapist is available.

Understanding the landscape of mental health care access and the challenges
residents face.
12.2% of Marshallese adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.
20 weeks the average wait to secure a first mental health appointment in the Marshall Islands' public system, an interval during which symptoms often deepen.
$9,271 median household income in the Marshall Islands, shaping what households can allocate to private mental health care.
85.0% of Marshallese adults with a mental health condition do not receive formal specialist treatment.
96% of the Marshall Islands' mental health workforce falls short of what is needed to fully meet population demand for specialist care.
1.89 per 100,000 mental health workers in the Marshall Islands, a density that shapes availability, wait times, and access across the country.
Read together, the stat cards on this page describe a country where individual mental health care is functionally scarce rather than just delayed. A workforce density of 1.89 mental health workers per 100,000 residents means the entire specialist bench for the Republic of the Marshall Islands is measured in single digits of clinicians. A 20-week wait for a first appointment sits inside that reality. A household income figure well under the levels of higher-income Pacific neighbours means fee-for-service off-island care in Honolulu is rarely a sustainable option either. That combination is exactly what a HIPAA-compliant online one-on-one model is built to answer: a licensed therapist, weekly, in English, from anywhere in the country with a signal, at a monthly rate a Marshallese household can plan for.
UNDERSTANDING THE CHALLENGE
The Republic of the Marshall Islands spreads roughly 42,000 people across 29 atolls and five isolated islands scanning a swath of the Central Pacific larger than the continental United States. Public mental health capacity is concentrated at Majuro Hospital and to a lesser extent at the Leroj Kitlang Memorial Health Center on Ebeye, with outer-atoll coverage handled by periodic visiting-clinician rotations and by health assistants without specialist training. The WHO-reported ratio of 1.89 mental health workers per 100,000 residents translates in practice to a headcount most Marshallese can name.
Consider what a 20-week wait means for a public-sector worker in Majuro whose anxiety has started interfering with sleep, or for a teacher on Ebeye processing the departure of an adult child to Arkansas under the Compact of Free Association. Five months is long enough for a treatable moderate condition to deepen into something that eventually requires an off-island referral to Honolulu, which itself takes weeks to arrange and pulls the person away from work and family. In a country where the entire mental health workforce is under two clinicians per 100,000 residents, the wait is not administrative. It reflects that the professionals simply are not there. Grouport removes that gap by making a licensed therapist available this week over video, at a fixed monthly rate the household can plan around.
Online one-on-one therapy is a direct answer to what the Marshall Islands' system cannot supply at scale, which is a private weekly appointment with a licensed clinician who knows your history. Grouport pairs each client with a single therapist and holds that pairing week over week, so the work compounds rather than restarting each time a visiting rotation arrives. The 45 minute session is yours alone, tailored to what you are actually working on, whether that is anxiety alongside a diabetes diagnosis common on Majuro, grief around a family member who left for Springdale under the Compact migration route, or the low-grade stress that builds when the nearest specialist is a flight away. Confidentiality holds inside the video room and outside a small-community context where anonymity matters.
96% of the Marshall Islands' mental health workforce falls short of what is needed to fully meet population demand for specialist care.
Three specific frictions loosen the moment a Marshallese client moves to online individual therapy. First, the ministry referral chain and the visiting-specialist rotation are replaced by direct matching, so a resident of Delap-Uliga-Djarrit or Wotje can start with a licensed therapist within days rather than waiting a fifth of a year for a first appointment. Second, geography collapses to bandwidth: the same weekly session runs from Majuro, from Ebeye across Kwajalein lagoon, or from Jaluit or Ailinglaplap, without an Air Marshall Islands flight or a field-trip ship rotation attached to it. Third, sessions are held in English, one of the country's two co-official languages and the medium of instruction in secondary schools, and Grouport routinely schedules across international time zones including UTC+12 so the appointment lands in a working-adult evening rather than the middle of a workday.
Formal mental health care in the Marshall Islands runs through a small set of channels. The Ministry of Health and Human Services operates a hospital-based psychiatric unit at Majuro Hospital and a smaller service at the Leroj Kitlang Memorial Health Center on Ebeye, both funded through government appropriations, US Compact grants, and the RMI Basic Health Plan. Complex or subspecialty cases are referred off-island to Honolulu or Manila under Compact medical arrangements. There is no domestic private psychiatry sector of any real scale, and no private insurance market to underwrite one. What is missing from that map is a weekly one-on-one appointment with a licensed clinician, delivered in English, available now, that a working Marshallese adult can build around. Grouport is exactly that missing option.
Marshall Islands residents get immediate access to online therapy in Marshall Islands at $103 per session on average, billed as $448 per month, which sits 50 to 60 percent below the global average of $150 to $250 per session that private one-on-one therapy typically commands, including the Honolulu rates that off-island Compact referrals from the RMI generally run into. For clients who prefer a lighter cadence, every-other-week sessions are billed at $224 per month. Both options are fixed monthly subscriptions in USD, so there is no per-visit invoicing to reconcile and no currency-conversion exposure, since the RMI already uses the US dollar.
The World Bank classifies the Republic of the Marshall Islands as an upper-middle-income economy with GNI per capita around $9,760 in PPP terms, well under the levels seen in high-income Pacific neighbours. In that context, a fixed monthly rate matters more than an occasional low headline price, because a household can build $448 for weekly therapy or $224 for an every-other-week rhythm into a real budget and hold it across the months it takes for the work to add up. Because the RMI has no meaningful private psychiatry sector of its own, the alternative for Marshallese adults seeking licensed clinician quality has historically been off-island fee-for-service care in Honolulu or Manila, where a single session frequently costs more than a full month of Grouport. Anchored against that comparison, weekly individual therapy at $103 per session, well below the global average of $150 to $250, is the option built to be sustained.
The visible fee on an in-person mental health appointment in the Marshall Islands is only part of what it actually costs. For an outer-atoll resident, real cost includes Air Marshall Islands airfare or field-trip ship passage into Majuro, lodging around the appointment, lost wages or lost subsistence-fishing time, and childcare in the days away. For a Majuro or Ebeye resident, the hidden cost is usually the sessions that never happen, because the local workforce cannot accommodate them. A Grouport subscription removes all of those line items at once. There is no commute, no leave day, no cash-only surprise, no currency-conversion friction since the RMI already runs on the US dollar, and no session-by-session billing to reconcile. One predictable monthly rate covers everything, and it can be cancelled at any time.
Where the local alternative is a 20-week wait or the arrival of the next visiting specialist rotation, being in a first individual therapy session within days is a categorical change in what care looks like, not an incremental improvement. Intake is short: a brief matching step pairs the client with a licensed therapist, and the first session is scheduled from there. Continuity is the other half of the story, because a weekly video appointment with the same clinician does not depend on whether an Air Marshall Islands flight or a Ministry of Transportation ship rotation runs on schedule. For Marshall Islands clients ready to start now, a licensed Grouport therapist is available this week.
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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 clinician bench includes licensed psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs, each with graduate-level clinical training and independent state licensure. Sessions are delivered in English, one of the Marshall Islands' two co-official languages and the working language of the country's public sector, healthcare system, and Compact-linked economy. Therapists routinely work with globally distributed clients and are practiced at holding a session where the person on the other side may be balancing island context, ties to a US-based diaspora, and their own working life. All sessions are HIPAA-compliant and fully confidential.
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
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You’ll need a device with a camera and microphone such as a smartphone, tablet, laptop, or desktop computer along with a stable internet connection. Grouport's platform works on most modern devices and browsers. If you can video call with friends or family, you can attend Grouport therapy sessions. Many of our sessions happen within our member portal, in which case it uses our proprietary video chat technology. If the session doesn’t happen within our member portal, many of our sessions also happen over Zoom’s HIPAA compliant platform, so in that case you would have to download zoom which you can do for free.
For group sessions, most clients select their group directly upon signing up so they are matched right away. For private therapy sessions, like individual therapy or couples therapy etc. most clients are matched with a licensed therapist within 24- 72 hours of signing up. This quick turnaround is one of Grouport's key advantages over traditional in person therapy, where wait times average 8-12 weeks nationally. A dedicated care coordinator will get in touch with you upon signup to get you situated with the care that fits your schedule and goals. Once matched, you'll receive access to your sessions either through our member portal or through weekly session links that are emailed to your inbox 24-hrs before each session. You can typically schedule your first session within the same week upon signing up allowing you to start therapy right away rather than waiting months.
We want you to feel comfortable with your therapist, so switching therapists is always an option at any time. Simply contact our support team at support@grouporttherapy.com, and we'll match you with a different therapist from there. We’ll present you alternative therapist options and time slots that fit your preferences, and you’ll ultimately select which therapist you’d like to switch to. So the choice is always yours in terms of who you are meeting with and when. We understand that therapeutic fit is personal and that finding the right fit is essential, so we’ll be happy to work with you to ensure you’re in the optimal fit and are satisfied with your care. This type of flexibility that we provide in switching therapists or groups easily is one of the many benefits of Grouport. You can switch as many times as needed to find the right match.
Generally no. Working with two therapists at the same time (one online, one in-person) can create conflicting therapeutic direction and dilute the effectiveness of both. If you're transitioning from an in-person therapist and want to try online with Grouport, or vice versa, that's fine — many clients do. But sustained parallel therapy with two therapists is not recommended. If you need specialty care that your primary therapist doesn't offer (e.g., a psychiatrist for medication), that's a different situation, and coordinated care is welcomed.
Online Group therapy differs from individual therapy in several ways in that you share therapist attention with other members versus exclusive focus on you, you receive feedback from multiple perspectives not just the therapist, you learn by observing others' experiences and progress, and you practice interpersonal skills in real-time with peers. Groups create this whole other dimension as you get multiple perspectives and see how others handle similar problems which helps you feel less alone. Cost per session is typically lower than individual therapy, as individual sessions cost about $25 - $35 per group session. Group provides community and reduces isolation in ways individual therapy cannot. However, individual therapy offers personalized attention, and exploration of issues you might not share in groups. Many people benefit from both simultaneously, group for skill-building and support and individual therapy for deeper personal work. Neither is better, they serve different functional needs but have complementary purposes. Many people find individual therapy to be more powerful than individual therapy because of the connection factor.
This concern is understandable as when you're struggling, it seems counterintuitive that listening to others' problems can help you. However, online individual therapy works differently than expected as hearing others describe similar struggles reduces isolation and shame, observing others' progress provides hope and practical strategies that you can implement, giving support to others builds confidence and purpose, and different perspectives help you see your situation more clearly, and witnessing others' challenges often provides needed perspective on your own. Online Individual Therapy isn't just venting about problems, but rather it's active problem-solving and skill-building together. If group feels like it's dragging you down rather than helping, perhaps it’s a matter of the group fit and it's worth exploring a different group fit, or individual therapy might be a better fit. But most people find that supporting and learning from others is surprisingly beneficial, and that is why the majority of our members do online individual therapy as a primary part of their treatment plan.
Yes. All Grouport individual therapy sessions are fully HIPAA-compliant and confidential. The video platform is encrypted, session notes are stored securely, and your therapist follows the confidentiality standards required by their state licensing board. The only exceptions are legally-required duty-to-warn situations (imminent danger to self or others, suspected abuse of a child or vulnerable adult), which apply to any licensed therapist regardless of setting.
Our therapists are located all over the world and work various hours to accommodate different time zones. Depending on where you live, sessions might be in your morning, afternoon, evening, or night. We'll work with you to find times that fit your schedule and our therapists' availability.
Yes. Moving to a new country creates adjustment stress, loneliness, identity shifts, and practical challenges. Therapy helps you navigate the transition, process what you've left behind, and build life where you are now. Moving countries is genuinely difficult even when you chose it.
Yes, if you're paying out-of-pocket. Insurance requires diagnosis codes, but self-pay doesn't. Many people prefer this, since they don't want depression or anxiety disorder in their permanent medical record. You can get help without labeling.
Yes. With roughly 1.89 mental health workers per 100,000 people concentrated at the Majuro hospital-based unit, getting to a weekly appointment from an outer atoll usually means a boat trip or an infrequent Air Marshall Islands flight. Grouport runs entirely over a standard internet connection, so you can join a weekly video sessions of one-on-one members from Ebeye, Jaluit, or any island with connectivity. Sessions are led by a licensed therapist, cost $103 per session, are HIPAA-secure, and you can join right away.
Marshall Islands Time (UTC+12) is one of the earliest zones in the world, so mid-morning in Majuro maps cleanly to late-afternoon slots the prior day in the US. Multiple weekly one-on-one times are available, and you can pick one that avoids Constitution Day, Nuclear Victims Remembrance Day, Gospel Day, and the family or church gatherings that anchor the Marshallese calendar. Groups run every week with licensed therapists at $103 per session, are HIPAA-secure, and you can join right away and settle into a consistent weekly rhythm.
Ratak Chain (sunrise atolls), Ralik Chain (sunset atolls), Majuro Atoll, Kwajalein Atoll, Arno, Jaluit, Ailinglaplap, Mili, Wotje, Maloelap, Namdrik, Ebon, Likiep, Ujae, Lae, Namu
Majuro (Delap-Uliga-Djarrit), Ebeye, Rita, Laura, Jabor, Wotje town, Rongrong, Ajeltake, Kili, Enewetak town, Jabat
Grouport serves all zip codes across Marshall Islands. If you have an address in Marshall Islands, 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.
