Expert 1:1 Care
Individual therapy in Palau has historically meant reserving one of the few counseling slots at Belau National Hospital's Behavioral Health Division in Koror and waiting roughly six weeks for a first intake. Grouport places a licensed clinician directly on your screen instead: 45 minute one-on-one sessions delivered over HIPAA-compliant video at $103 per session ($448 per month), with matching that lets Palauan clients start with a licensed therapist this week rather than next quarter. Whether you are connecting from Koror, Airai, Melekeok, or a family compound in Peleliu or Kayangel, online therapy Palau residents can actually schedule around work, tides, and inter-island transport removes the two biggest frictions in a small archipelago: the concentration of all specialists in one hospital, and the long queue behind them.

Understanding the landscape of mental health care access and the challenges
residents face.
12.9% of Palauan adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.
6 weeks the average wait to secure a first mental health appointment in Palau's public system, an interval during which symptoms often deepen.
$4,252 median household income in Palau, shaping what households can allocate to private mental health care.
65.0% of Palauan adults with a mental health condition do not receive formal specialist treatment.
68% of Palau's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
66.1 per 100,000 mental health workers in Palau, a density that shapes availability, wait times, and access across the country.
Palau's headline numbers tell a coherent story. A workforce density of 66.1 mental health specialists per 100,000 residents looks strong on a per-capita chart, but that ratio works out to only a handful of clinicians across all specialties in a nation of roughly 17,700 people. Add a six-week average wait for a first appointment, a household budget shaped by heavy import costs, and a small-island privacy dynamic where clinical staff are often personally known to patients, and the case for a private online option becomes obvious. Individual therapy over HIPAA-compliant video with a licensed clinician, priced at $103 per session and available this week, is precisely the shape of care Palau's existing system has the hardest time delivering on its own.
UNDERSTANDING THE CHALLENGE
Palau spans 459 square kilometers of land scattered across roughly 340 islands and islets from Kayangel in the north to Hatohobei in the southwest. Belau National Hospital in Koror concentrates specialty behavioral health services, leaving residents of Peleliu, Angaur, and the Southwest Islands dependent on a domestic flight or the state-run boat schedule for a single therapy appointment. When a session lasts 50 minutes but travel eats an entire day plus $80-200 in transit, weekly consistency collapses.
Six weeks of waiting is not neutral time. A nurse at Belau National Hospital, a dive-shop guide in Malakal, or a Palau Visitors Authority staffer typically spends those weeks managing sleep loss, rumination, or a strained relationship without any professional support, then has to organize the appointment itself around a full workday. Outer-island residents face worse odds: a first counseling visit in Koror can absorb a full day of transit and $80 to $200 in travel, so weekly consistency almost never forms. Grouport removes both problems at once. A licensed clinician on video means the therapy relationship starts within days of reaching out, and the 45 minute session fits into a lunch break or after-work window on any inhabited island with a connection.
One-on-one video sessions with a licensed clinician sidestep almost every structural pressure on Palau's public system. Because Belau National Hospital's counseling capacity is measured in single-digit specialists across the whole nation, appointments there are triaged toward the most acute cases and specialty tracks are essentially unavailable. A Grouport client works privately with their own therapist, week after week, on their own concerns, with no rotating clinical staff and no referral abroad required for the kind of talk therapy that fits over video. The individual format also protects privacy in a country of about 17,700 residents where clinical staff at the national hospital are often personally known to the people they treat: your Grouport therapist has no overlap with the community you live in, and the entire relationship stays inside a HIPAA-compliant video room.
68% of Palau's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
Three specific frictions loosen the moment individual therapy moves online. First, the six-week Belau National Hospital queue disappears; a Palauan client who completes the Grouport intake on Monday can be in a first session by later that week. Second, geography stops mattering. A resident of Angaur, Hatohobei, or Sonsorol joins the same 50-minute one-on-one session as a schoolteacher in Ngerulmud, with no state-run boat, small domestic flight, or Compact Road drive in between. Third, the Palau Time offset (UTC+9) aligns cleanly with therapist availability across Asia-Pacific hours and evening US shifts, so weekly online therapy Palau clients book does not require holding a slot at an inconvenient hour.
Palau's formal mental health care runs through a small handful of channels. Belau National Hospital's Behavioral Health Division in Koror handles psychiatric evaluation, medication management, and counseling for the entire country; a limited private counseling market operates in Koror at $80 to $150 per hour when a clinician has an opening; and complex cases are referred abroad under the Medical Referral Program to Manila, Taipei, or Guam. What is missing is a reliable weekly one-on-one option for adults who want ongoing English-language talk therapy without a hospital chart, an off-island trip, or a long queue. Grouport fills exactly that gap: a licensed therapist you meet with each week over HIPAA-compliant video, at $103 per session, matched to you right away.
Palau residents get immediate access to Individual Therapy at $103 per session on average (billed at $448 per month), 50 to 60 percent below the global average of $150 to $250 per session that private one-on-one therapy typically commands. Weekly sessions run 45 minutes with the same licensed therapist, and every-other-week clients pay $224 per month. Nothing is billed session-by-session, and nothing arrives in a local currency invoice that has to be reconciled against the US dollar.
Palau sits in the World Bank's high-income bracket, with a GNI per capita around $20,810 (PPP), but the country's imported-everything cost structure, where a jar of peanut butter, a bag of rice, or a car battery all reflect shipping distance from Manila or Long Beach, means recurring household line items get scrutinized carefully. Grouport's subscription pricing is designed to be planned: $448 per month for weekly individual therapy, or $224 per month for every-other-week, is a fixed USD number that does not fluctuate with how many sessions land in a given month or where in the Pacific banking day a payment clears. Compared to the $80 to $150 per hour that Koror's limited private counseling market charges when a slot exists, and to the far higher rates residents encounter when referred abroad under the Medical Referral Program, weekly one-on-one care through Grouport sits well below the global average and stays there across a full arc of treatment.
In-person care in Palau attaches a long list of costs to the visible session fee. A Peleliu resident booking a Koror appointment can pay $40 to $80 each way on the state-run boat, plus a full day of lost work in a country where informal family networks fill most childcare. A domestic flight from Angaur runs upward of $100 one way when the schedule cooperates. Private clinicians in Koror bill session-by-session with limited slots, so budgeting a full course of care means guessing at availability. Grouport removes all of it: no commute to Koror, no ferry or flight, no lost workday, no cash-only surprise or currency-conversion friction, and no per-session invoicing. One predictable monthly rate in USD, cancel anytime, with the same licensed therapist every week.
The Ministry of Health's Behavioral Health Division reports a six-week wait for a new-patient intake, and specialty tracks can extend longer when a single visiting clinician holds the caseload. Grouport's model reverses that: complete a short intake, get matched to a licensed clinician, and start weekly one-on-one therapy within days rather than months. For Palau 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 clinician bench is made up of licensed psychologists, LCSWs, LMHCs, LMFTs, LPCs, PsyDs, and PhDs, all credentialed at the master's or doctoral level with graduate-level clinical training. Every therapist works with clients across time zones and cultures, which matters in a country where the same session might follow a Palauan citizen, a Filipino contractor, a Bangladeshi hospitality worker, or a Compact-affiliated US resident. Sessions are delivered in English, which is Palau's language of government, education, and business, and matching pairs each client to a therapist who fits their concern, schedule, and preferences. 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
Get Started

Yes\! You can attend over video chat on any smartphone. While we recommend video on a computer or laptop for the best therapeutic experience, you can attend sessions by any smartphone as well. Additionally, you can also attend sessions by audio only if needed, though we recommend to join by video for the best experience.
Yes, if you need to change your recurring group therapy session time you can absolutely switch groups to one that works better for your schedule. Groups work on a set schedule so we don’t reschedule group sessions but if you can’t make a particular group session we can always add in a credit as long as it's within reason. If you need to reschedule an individual, couples, or a family therapy session, you can coordinate with your therapist and our care team to find a new time for that week - just provide advance notice. ✅ Occasional reschedules are fine, but we recommend keeping changes to a minimum for consistency. ✅ Need to change your recurring weekly time? Our team will help you adjust to a new time that fits your schedule.
No, Grouport operates on a month-to-month basis with no long-term commitments required for our therapy plans. You can cancel at anytime and you’d just finish out whichever month you’re on. This flexibility allows you to attend therapy for as long as it's helpful. Many clients continue for several months or years as they work through their goals, while others use Grouport for shorter-term support. The choice is entirely yours, and you're never obligated to continue beyond your current billing period.
Grouport therapists cannot prescribe medication since they are licensed therapists (LCSW, LMFT, LMHC, PhD, PsyD, LPC), not psychiatrists or medical doctors. However, many clients see both a Grouport therapist and a prescriber for combined treatment, and research shows therapy plus medication is often more effective than either alone for conditions like depression, anxiety, and bipolar disorder. Your therapist can coordinate care with your prescriber if you're already taking medication, and can help you find a prescriber if you need one.
Yes. Grouport delivers individual therapy in English over HIPAA-compliant video to clients in over 200 countries worldwide. There is no residency requirement. Sessions run on rolling schedules across US time zones, which lines up naturally with most international time zones for morning or evening sessions. Payment is in USD, which is easier to plan around than local-currency clinical rates that fluctuate with exchange rates. Your therapist is a licensed clinician who is used to working with international clients.
Yes. Grouport therapists are trained across the full spectrum of mental health concerns including anxiety disorders, depression, trauma and PTSD, OCD symptoms, grief and loss, chronic stress and burnout, relationship and family dynamics, and general life transitions. At intake, you share what you're working on, and we match you with a therapist whose training and clinical style fits your needs. Modalities include CBT, DBT skills, ACT, psychodynamic, and integrative approaches.
For most things you need in between sessions, contact a care coordinator and they will be able to assist you with most things or point you in the right direction. The therapist of the group isn't intended for individual contact in between sessions for the most part, but if it's an extenuating circumstance of course your care coordinator can help put you in touch with them if it's an extenuating situation. Most questions you need outside of session, should be able to be addressed by a care coordinator and accelerated to the group therapist in an extenuating circumstance. If you need individual support, then a care coordinator can get you set up with individual therapy with either your group therapist or another qualified therapist who is a good fit for you.
We don't directly accept insurance from any country currently. You pay out-of-pocket and can request a receipt to submit to your insurance if they offer reimbursement for mental health services. Coverage varies widely by country and insurance provider so you’d have to check with them about reimbursement.
Pricing is in US dollars. Group therapy sessions range from $25-$35 USD per session, and individual therapy averages $103 USD per session. Your bank will convert the charge to your local currency. Exchange rates affect the final amount you pay, but those are the amounts you can expect to pay for group therapy and individual therapy. The rates for family therapy, couples therapy, virtual IOP, self guided programs, or bundles combining different types of therapy at different levels of intensiveness varies. Whenever you are doing more than one session per week, there are always discounts included.
In-network means your therapist has a contract with your insurance company—they accept negotiated rates and bill insurance directly. Out-of-network means no contract, you pay upfront and may get reimbursed a portion. Out-of-network typically has higher deductibles and you're reimbursed percentage (often 50-80% depending on your plan) rather than paying a flat copay. Grouport is out-of-network, so you'd submit receipts for potential reimbursement.
Yes. Grouport runs weekly video sessions across multiple time slots on Palau Time (UTC+9), so members in Koror, Airai, and the outer states can pick a recurring hour that avoids Independence Day (October 1), Constitution Day (July 9), and Youth Day observances. If a session lands on a holiday or a family gathering, you can switch groups without losing your seat. Groups of one-on-one members meet with a licensed therapist for $32 a session, and you can join right away without waiting for the next quarterly intake.
For talk-therapy support that does not require inpatient psychiatric admission, Grouport removes the need to board a flight to Manila, Taipei, or Guam. Instead of a 6-week wait for a specialist slot and international travel from Koror, you join a HIPAA-secure weekly video sessions of one-on-one members led by a licensed therapist for $32 a session. Residents of Peleliu, Angaur, Kayangel, and the Southwest Islands get the same access as those near Belau National Hospital, with an immediate group start.
Aimeliik, Airai, Angaur, Hatohobei, Kayangel, Koror, Melekeok, Ngaraard, Ngarchelong, Ngardmau, Ngatpang, Ngchesar, Ngeremlengui, Ngiwal, Peleliu, Sonsorol.
Koror, Airai, Meyuns, Melekeok, Ngerulmud, Kloulklubed, Ngetkib, Ngermechau, Ollei, Imeong, Ngaramasch, Echang, Ngchemiangel, Ngerkeai.
Grouport serves all zip codes across Palau. If you have an address in Palau, 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.
