Expert 1:1 Care

Individual Therapy for Mayotte, Delivered by Video.

Grouport provides individual therapy in Mayotte through weekly one-on-one video sessions with a licensed clinician, priced at $103 per session or $448 a month. Sessions run 45 minutes over HIPAA-compliant video, from wherever a resident of Mamoudzou, Koungou, or the Petite-Terre communes has a stable connection. With the island's only psychiatric ward at Centre Hospitalier de Mayotte and a workforce of roughly 1.4 clinicians per 100,000 residents, a first CMP consultation typically takes about twelve weeks to secure. Grouport skips that queue entirely, matching new clients to a licensed therapist and starting the first session within days rather than months.

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Mental Health Access in Mayotte by the Numbers.

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

Mental Illness Prevalence

18.7% of Mahoran 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 Mayotte's public system, an interval during which symptoms often deepen.

Median Household Income

$30,622 median household income in Mayotte, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

70.6% of Mahoran adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

97% of Mayotte's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

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

Read together, these figures make the case for the one-on-one video model. A workforce density of 1.4 clinicians per 100,000 residents means roughly one specialist for every 71,000 people, which no in-person schedule can absorb inside a twelve-week window. Household incomes at the middle-low end of the World Bank scale rule out weekly private French-tier psychiatric fees for most Mahoran families. And a wait of about twelve weeks for a first CMP appointment stretches past the point at which many working adults would still act on their initial decision to seek care. Grouport routes around all three constraints by delivering licensed one-on-one therapy at $103 per session, in English, over HIPAA-compliant video, with the first session inside days of intake.

UNDERSTANDING THE CHALLENGE

Why Mayotte Faces a Mental Health Access Gap.

The Problem

Mayotte's public mental health system leans almost entirely on the Centre Hospitalier de Mayotte (CHM) in Mamoudzou and a small network of CMP outpatient units. With fewer than 30 mental health professionals for 320,000 residents and only a handful of psychiatrists, referrals stack up. A 12-week wait for a first CMP consultation is standard, and the private sector barely exists outside the capital. For someone in Bandraboua, Chirongui, or the M'tsamboro islets, even reaching that overloaded queue means a long taxi-brousse ride to Mamoudzou.

The Impact

Twelve weeks of unaddressed anxiety, depression, or grief is not a neutral interval. For a schoolteacher in Dembeni or a hospital nurse working shifts at CHM, three months of untreated symptoms means missed workdays, strained family relationships, and habits like disrupted sleep or avoidance that harden into pattern. Household budgets in Mayotte sit well below the French national median, so private psychiatric appointments at 60 to 90 euros in Mamoudzou, when a slot exists, are rationed severely. Many working adults cycle between the overloaded public queue and no care at all. Grouport removes that gap by matching a client to a licensed therapist immediately and holding the same weekly slot going forward, so the first session lands inside days of reaching out rather than a full academic quarter later.

The Solution

One-on-one online therapy sidesteps the two structural constraints that box Mahoran residents out of specialist care: the near-total concentration of clinicians at CHM in Mamoudzou and the twelve-week average wait for a first CMP consultation. Grouport draws on a national bench of licensed psychologists, LCSWs, LMHCs, and LPCs, so a resident in Bandraboua or Kani-Keli is matched to a therapist within days rather than joining a queue built around fewer than 30 island-based professionals. Because the format is one-on-one, the entire session is shaped around a single person's history, goals, and pace, with the same clinician week after week. That continuity is difficult to hold inside a CMP schedule where follow-ups often stretch two or three months apart.

97% of Mayotte's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Three specific frictions loosen the moment a Mahoran client opens a Grouport intake. The first is the queue at CHM, which typically holds a new referral for about twelve weeks; Grouport confirms a licensed therapist and starts sessions inside a few days. The second is geography. An archipelago of only 374 square kilometers still requires a barge crossing from Petite-Terre and long taxi-brousse rides from the outer communes for a specialist visit in Mamoudzou. Video sessions remove that trip entirely and reach any commune, from Acoua in the north to Kani-Keli in the south, with a phone signal. The third is language. English-speaking one-on-one therapy is nearly impossible to source through the local system, but Grouport's clinicians run every session in English, which fits expatriate teachers, civil servants, NGO staff, and university-educated Mahoran professionals already operating across French and English contexts. Sessions align cleanly with Mayotte's EAT time zone, with evening slots widely available.

Access and Availability of Care in Mayotte.

Formal mental health care in Mayotte is essentially the Centre Hospitalier de Mayotte and its CMP outpatient network, supplemented by a small handful of private psychiatrists and clinical psychologists concentrated in Mamoudzou and neighbouring communes. The Caisse de Sécurité Sociale de Mayotte reimburses less broadly than mainland Assurance Maladie, employer-sponsored EAP arrangements are uncommon on the island, and NGO or university-clinic capacity is minimal. What is almost entirely absent from that map is weekly one-on-one English-language talk therapy that a resident can begin the same week they decide they need it. Grouport fills exactly that slot: a licensed clinician, a fixed weekly session over HIPAA-compliant video, transparent monthly pricing in USD, and an intake process that puts the first session inside days rather than months.

Geographic Barriers

Mayotte is compact on a map yet fragmented in practice. Grande-Terre and Petite-Terre are separated by a barge crossing that runs on fixed schedules, and inland roads around Mamoudzou clog reliably at peak hours, so a fifteen-kilometer trip from Koungou can eat an hour each way. Residents of Acoua and M'tsamboro in the north, or Chirongui and Kani-Keli in the south, effectively lose a working day whenever they travel to CHM or to a private cabinet in the capital. Grouport's video-first model erases the trip. A session from Dzaoudzi on Petite-Terre or from a village above Bandrele runs the same as one from central Mamoudzou, as long as the client has a stable mobile or wifi connection. That national reach turns a specialist bench which used to require geographic proximity into something the whole archipelago can tap.

Extended Wait Times

The typical wait to secure a first CMP consultation in Mayotte runs about twelve weeks, and the queue does not distribute evenly. Adolescent and pediatric slots move fastest in a territory whose median age sits under twenty-three, so working-age adults sometimes wait longer than the headline number suggests. Once a first appointment does land, follow-up cadence is set by clinician availability rather than clinical need, and many Mahorans see a specialist only every two or three months. Grouport reverses both problems. Instead of waiting twelve weeks for a first slot, a Mahoran client can be in a first Grouport session within days of intake, with weekly follow-ups locked in on the same day and time going forward.

Systemic Challenges

Mayotte became France's 101st département in 2011, and national health coverage extended on paper, yet specialist mental health infrastructure trails metropolitan France by decades. The Caisse de Sécurité Sociale de Mayotte reimburses on a narrower schedule than mainland Assurance Maladie, private practice barely exists outside Mamoudzou, and recruiting metropolitan clinicians to a département where housing is scarce and remote is chronically difficult. Layered on top, mental health carries real local stigma; distress is often addressed first through religious guidance or traditional healers rather than through the CMP, especially in tightly connected villages where being seen entering a psychiatric clinic can invite comment. Grouport sidesteps every one of those constraints. Sessions run in the client's own space, over HIPAA-compliant video, with a licensed clinician whose availability is not gated by island staffing rosters and pricing set in USD rather than by local reimbursement schedules.

Urban-Rural Divide

Roughly 55 percent of Mahorans live inside the urban core around Mamoudzou and Koungou, which means the remaining 45 percent depend on communes where a single GP often functions as the entire mental health first line. Dembeni, Sada, and Ouangani residents have no walk-in specialist option, and the outer islets around M'tsamboro sit even further from CHM. On Petite-Terre, Dzaoudzi and Pamandzi residents contend with the barge schedule any time they need face-to-face care in the capital. Video-delivered one-on-one therapy neutralizes that divide. A Grouport client in Kani-Keli receives the same session, from the same licensed clinician, on the same weekly cadence as a client three streets from CHM.

Grouport's proposition for Mahoran clients is deliberately simple. A licensed therapist runs a private, forty-five minute session with one client at a time, over HIPAA-compliant video, on a fixed weekly slot the client controls. Pricing is transparent at $103 per session or $448 a month, with a $224 monthly option for every-other-week cadence, in USD and cancellable at any point. The first session lands within days of intake rather than after a twelve-week CMP wait, and the same therapist stays with the client across a full arc of care rather than rotating with the island's short staffing rosters. For a working adult in Mamoudzou, an expatriate teacher on Petite-Terre, or a resident of the outer communes, that combination is what makes sustained one-on-one therapy realistically possible in Mayotte.

What Individual Therapy Costs in Mayotte.

Mahoran residents get immediate access to Individual Therapy at $103 per session on average (billed at $448/month), 50 to 60 percent below the global average of $150 to $250 per session for licensed one-on-one video care. Private psychiatric consultations in Mamoudzou, when a slot exists, run in the 60 to 90 euro range, but availability is severely constrained by the island's small clinician bench and the near-total concentration of specialists around CHM. Grouport delivers licensed clinician quality on a national bench, in English, over HIPAA-compliant video, with the first session landing inside days rather than after a twelve-week CMP wait, all on a predictable USD subscription rather than session-by-session billing tied to local schedules.

Affordability and Income

Household incomes in Mayotte sit well below the French national median, which forces a real trade-off on any weekly private psychiatric plan at 60 to 90 euros a session. Grouport's monthly USD subscription changes the math. $448 a month covers four weekly sessions with a licensed clinician, and $224 a month covers an every-other-week cadence, both billed on the same predictable schedule rather than session-by-session. That predictability is what makes a full course of care, twelve or twenty-four weeks rather than a few one-off appointments, actually plannable inside a household budget. It also delivers licensed clinician quality that Mahoran clients cannot reliably source in-country, at pricing that remains well below typical global one-on-one therapy rates of $150 to $250 per session.

Hidden Cost and Barriers

In-person specialist visits in Mayotte carry costs that never appear on the clinician's invoice. A CMP appointment from Kani-Keli or Chirongui can mean two taxi-brousse fares, half a working day off the schedule, and childcare arrangements at home. A CHM visit from Petite-Terre adds a barge crossing on a fixed timetable, and private cabinet appointments layer a full French-tier fee on top of everything else. Currency conversion, cash-only clinics, and the search for a licensed English-speaking clinician with actual availability add friction that most working adults simply absorb, because the alternative is no care at all. Grouport removes every one of those line items. The session runs from the client's own home, on a mobile network the client already pays for, at one predictable USD subscription rate that can be cancelled at any point.

Immediate Availability

Grouport's start timeline is not a marketing figure. It is the practical difference between beginning weekly one-on-one support this week and waiting the roughly twelve weeks the CMP queue currently absorbs on a first referral. For a Mahoran resident navigating anxiety, depression, grief, or work-related stress, three months of untreated symptoms rarely stays static; sleep, focus, and relationships tend to deteriorate in the interval. A first Grouport session lands inside days of intake, with the same weekly slot then held on a fixed schedule going forward. For Mayotte clients ready to start now, a licensed Grouport therapist is available this week.

How it Works

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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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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

Mayotte

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 holds an active license as a psychologist, LCSW, LMFT, LMHC, LPC, PsyD, or PhD, with graduate-level training in evidence-based individual therapy. That bench is dramatically larger than the fewer than 30 mental health professionals working across Mayotte itself, so matching is not constrained by island staffing. Sessions run in English and are led by clinicians experienced with globally mobile clients, expatriate professionals, and adults operating across multiple languages and cultural contexts, which fits the reality of teachers, civil servants, NGO staff, and university-educated Mahoran professionals in Mamoudzou and beyond. All sessions are HIPAA-compliant and fully confidential.

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Affordable Individual Therapy & Care Options in Mayotte.

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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Frame

Teen Therapy

$112/session
billed at $448/month

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Common Questions from Mayotte Members.

Can I record my therapy sessions?

No, therapy sessions are not allowed to be recorded for confidentiality reasons. However, if you want to remember specific exercises or coping skills from your session from material that is being referenced during the session, you can ask your therapist to have our administrative staff email you the resources after your appointment if the therapist is willing to provide such materials to email to you. Certain types of sessions, like our DBT groups, come with reading manuals that we universally provide and you can review on your own time at your own pace outside of sessions. You can also take notes during sessions.

What if I'm not comfortable on camera?

While video is recommended for the best therapeutic experience, you have options if you're uncomfortable on camera. For private sessions, like individual therapy, couples therapy, or family therapy that would just be private with you and the therapist, so for that video should be on. For group sessions, which include other members that you do not know personally, you can turn off your camera and use audio only, though your therapist may occasionally ask you to turn it on briefly for check-ins. Some clients start with audio only and become more comfortable with video over time, though we do recommend keeping video on as that provides for the most therapeutic benefit. You can also adjust the video settings so you don't see yourself if that helps with camera anxiety. For group sessions specifically, most members are surprised by how quickly they feel comfortable in the group setting, and report that sharing and being vulnerable with others is precisely the leading element to their recovery process. Talk with your therapist about your concerns, they can help you find a format that feels comfortable while still providing effective treatment.

Can I switch between devices during my subscription?

Yes, you can attend sessions from any device with a camera and microphone as long as you have stable internet and privacy.

What happens in a typical Grouport individual therapy session?

A typical Grouport individual therapy session is 45 to 50 minutes over HIPAA-compliant video with your matched licensed therapist. Sessions run weekly at a consistent time you and your therapist agree on. In the first session, your therapist gets a full picture of what you're working on, your history, and what you want out of therapy. In ongoing sessions, you and your therapist work through what came up during the week, practice skills, process specific concerns, and set direction for the next week. There is no group format, no other clients, no waiting your turn.

How quickly can I start individual therapy with Grouport?

Most Grouport clients complete a brief intake form and are matched to a licensed therapist within a day. Your first individual therapy session can typically happen within the same week or the following week, depending on your therapist's availability and your schedule preferences. This is significantly faster than the typical wait for in-network therapy through commercial insurance, which averages 3 to 6 weeks in most US metros and even longer internationally. There is no waitlist to join.

Can I switch therapists if my Grouport therapist isn't the right fit?

Yes, and we make it easy. Fit between client and therapist matters a lot for therapy outcomes, so if the first therapist you're matched with doesn't feel like a good fit after a session or two, you can request a new match at no additional cost. We have licensed clinicians across specialties, styles, and demographics, so there's usually a stronger match available. Just let our care coordinators know and we'll re-match you.

Is Grouport individual therapy covered by insurance?

Grouport is a self-pay service and does not currently bill insurance directly. However, many clients receive partial reimbursement through their insurance's out-of-network mental health benefits or through HSA/FSA accounts. We can provide a superbill (an itemized receipt with diagnosis codes) that you submit to your insurance for out-of-network reimbursement. The pricing ($103 per weekly session, $448/month) is often below what a single self-pay in-network session costs after deductibles, so the direct cost is competitive even before any reimbursement.

What if I'm struggling with loneliness where I live?

Loneliness happens anywhere. Maybe you're new somewhere and don't have community yet. Maybe cultural differences make friendships hard. Maybe you're isolated for other reasons. Online therapy provides consistent human connection and helps you work on building community where you are.

Can therapy help with work stress in my country?

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.

What's the total cost of therapy long-term?

Depends on frequency and duration. Individual therapy costs an average of $103/session. Groups cost $25/session - $35/session depending on which group you sign up for. With individual therapy, you can also reduce the frequency to do every other week sessions which lowers the cost. You can also pay quarterly or biannually which comes with discounts. Anytime you do more than one therapy session per week or combine therapy options there are always discounts already included in those plans thereby lowering the cost. Many people do intensive work for several months, then have sessions for maintenance, or reduce the frequency of sessions, then take breaks, and return as needed. Total cost varies wildly based on needs. Think of therapy like any other type of healthcare, you pay when you need it and fo

I've been struggling with trauma and anxiety since Cyclone Chido, and the CHM in Mamoudzou has a 20-week wait. Can Grouport actually help with these specific conditions?

Yes. Grouport runs weekly video sessions of one-on-one members focused on anxiety, depression, trauma, and grief, all led by licensed therapists trained in evidence-based approaches like CBT and DBT. Instead of waiting roughly 20 weeks for a CMP appointment at Centre Hospitalier de Mayotte, you can join a group right away from anywhere on Grande-Terre or Petite-Terre. Sessions are HIPAA-secure and cost $32, giving you consistent, condition-specific support while the island's psychiatric capacity remains stretched.

I'm a metropolitan French teacher posted to Mamoudzou and my English is stronger than my clinical French vocabulary. Are Grouport groups conducted entirely in English?

Yes, all Grouport groups are conducted in English by licensed therapists. This works well for English-comfortable Mahoran residents, including younger urban professionals in Mamoudzou, lycee and university students, NGO and humanitarian staff, and dive-tourism workers who often find English easier for emotional topics than clinical French. Groups of one-on-one members meet weekly by secure video for $103 per session, and you can join right away from anywhere on the island, EAT (UTC+3) permitting.

Where in Mayotte Grouport Serves.

Regions

Grouport serves all 17 communes of Mayotte, including Mamoudzou, Koungou, Dembeni, Bandraboua, Tsingoni, Chiconi, Sada, Ouangani, Chirongui, Bouéni, Kani-Keli, Bandrele, Dzaoudzi, Pamandzi, M'tsangamouji, Acoua, and M'tsamboro.

Cities

Members join from the urban Mamoudzou-Koungou corridor, the Petite-Terre communes of Dzaoudzi and Pamandzi, the western coast around Tsingoni and Chiconi, the southern communes of Chirongui and Kani-Keli, and the northern villages of Acoua and M'tsamboro.

Zip Codes

97600

If you have an address in Mayotte, 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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