Expert 1:1 Care
Grouport connects adults across Paraguay with a licensed therapist for private one-on-one video sessions from $103 per session, or on an every-other-week plan. Individual therapy in Paraguay often means a long wait for a specialist in Asunción or Ciudad del Este, and English-language options are especially thin outside expatriate networks. Online therapy Paraguay clients can begin this week, on a HIPAA-compliant secure video platform, matched right away after intake to a clinician who fits their concerns and schedule. Sessions run 45 minutes on a steady weekly cadence, so progress builds with the same therapist rather than resetting each visit. Whether you live in Asunción, Encarnación, Filadelfia, or a rural department, one-on-one therapy is available wherever you have a stable internet connection.

Understanding the landscape of mental health care access and the challenges
residents face.
17.9% of Paraguayan adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.
10 weeks the average wait to secure a first mental health appointment in Paraguay's public system, an interval during which symptoms often deepen.
$13,614 median household income in Paraguay, shaping what households can allocate to private mental health care.
83.0% of Paraguayan adults with a mental health condition do not receive formal specialist treatment.
100% of Paraguay's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
0.02 per 100,000 mental health workers in Paraguay, a density that shapes availability, wait times, and access across the country.
Paraguay's numbers tell a consistent story for one-on-one therapy: about 0.02 mental health workers per 100,000 people, a roughly 10-week wait for structured care, and a specialist workforce concentrated in the Asunción metropolitan area for a population of 6.9 million that is 69.9 percent urban but heavily dispersed across the Chaco and rural Oriental departments. In that context, a private online model with a licensed clinician, immediate matching, weekly continuity, and English delivery on a HIPAA-compliant platform is not a workaround, it is a structural fit. Grouport gives Paraguayans and expatriates in Paraguay a way to start real one-on-one therapy this week, at $103 per session, with the same therapist through a full course of care.
UNDERSTANDING THE CHALLENGE
The core problem is arithmetic. With 0.02 mental health workers per 100,000 residents, Paraguay has one of the thinnest clinician-to-population ratios in the Pan American Health Organization region. Neighboring Argentina reports over 200 psychologists per 100,000; Brazil hovers around 20. Paraguayans seeking group or individual therapy face a supply pool measured in dozens of specialists, most concentrated in Asuncion's Hospital Psiquiatrico and a handful of private clinics in Encarnacion and Ciudad del Este.
For a working adult in Asunción or Ciudad del Este, a 10-week wait for structured therapy usually means 10 weeks of the exact symptoms that pushed them to seek help, unmanaged. Sleep worsens, focus at work drifts, small conflicts at home compound, and the private-sector alternative often means paying out of pocket in guaraníes for a specialist whose next opening is still weeks out. For residents of rural departments such as Boquerón or Alto Paraguay, the wait extends further because there is often no resident psychiatrist or psychologist within reachable distance at all. Grouport removes that friction by matching a client with a licensed therapist right away, so care starts while the problem is still solvable rather than after it has widened its footprint on daily life.
Paraguay's specialist density sits near 0.02 mental health workers per 100,000 people, which is among the lowest in South America and creates real pressure on anyone trying to find consistent one-on-one care. Grouport eases that pressure by pairing each client with a licensed clinician for private weekly sessions delivered over HIPAA-compliant video, so the search for a specialist ends at intake. Individual therapy through Grouport is fully tailored: the same therapist sees you week after week, holds context on your history, adjusts the plan as your goals shift, and works with you on evidence-based tools drawn from CBT, DBT, and related modalities. Continuity is built into the structure, which is what turns a first appointment into meaningful progress across a full course of care.
100% of Paraguay's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
Three frictions loosen once care moves online. First, the queue collapses: instead of the roughly 10-week wait many Paraguayans face for a structured therapy slot, a Grouport client is typically matched with a licensed therapist right away after intake and can book a first session within days. Second, geography stops mattering: with only 0.02 mental health workers per 100,000 population and specialists concentrated in the Asunción metropolitan area, residents of Ciudad del Este, Encarnación, or the Chaco no longer need to travel or relocate to see a qualified clinician. Third, the English-language gap closes for the country's Mennonite, Brazilian, Korean, Taiwanese, expatriate, and international-school communities, who can work with a licensed English-speaking therapist from anywhere in Paraguay on a schedule that fits their week.
Paraguay's formal mental health care is coordinated by the Ministry of Public Health and Social Welfare through its National Mental Health Directorate, with the Hospital Psiquiátrico in Asunción historically dominating inpatient capacity and a handful of regional hospitals absorbing the rest. The Instituto de Previsión Social covers formal-sector workers, while private practitioners serve higher-income urban residents on a fee-for-service basis in guaraníes. Community-based outpatient care and employer-sponsored counseling programs remain thin, and university clinics fill only a narrow slice of demand. Grouport sits in the gap this leaves behind by offering scheduled one-on-one video therapy with a licensed English-speaking clinician, available across the country, matched right away after intake, and priced as a predictable monthly USD subscription that a client can plan around.
Grouport gives Paraguay residents immediate access to individual therapy at $103 per session on average, billed at $448 per month on the weekly plan, which is 50 to 60 percent below the global average of $150 to $250 per session for licensed one-on-one care. An every-other-week option runs billed at $224 per month, for clients who want a lower monthly cost without giving up regular contact with the same therapist. Pricing is a flat USD subscription, so there is no per-session invoicing, no surprise line items, and no need to reconcile fluctuating guaraní quotes across a course of care that may run several months.
Paraguay is classified as an upper-middle-income country with GNI per capita of roughly $17,900 PPP, and household budgets in Asunción, Ciudad del Este, and Encarnación are typically built around predictable monthly outlays for services rather than large one-off bills. Grouport fits that pattern. At $448 per month for weekly sessions, or $224 per month for every-other-week sessions, therapy becomes a single planned line item alongside rent, utilities, and school fees rather than an unpredictable expense that varies with each visit. Because the subscription is USD-denominated, clients also avoid the friction of quotes moving with the guaraní, which makes budgeting a full course of care much more straightforward.
In-person therapy in Paraguay carries costs that rarely appear on the invoice. In Asunción, a round trip to a specialist can take 30 to 90 minutes each way depending on traffic on Mariscal López or España, plus taxi or ride-share fees in guaraníes and time out of a workday. For clients traveling in from the Chaco or from the Oriental region, add long-distance bus fares, a night in the capital, and a full day away from work or family. Per-session billing in guaraníes can also move as the local currency shifts, and finding a licensed English-speaking clinician is its own multi-week search. Grouport replaces all of that with one predictable USD subscription, a video session from home or office, and the freedom to cancel or change plans at any time.
The typical wait for structured therapy in Paraguay is around 10 weeks, which is roughly 70 days of unmanaged symptoms while the queue moves. Grouport works on a different timeline. After a short intake, a client is matched right away with a licensed therapist, and the first 45 minute session is usually available within the same week. For Paraguay clients ready to start now, a licensed Grouport therapist is available this week, and the first session slots into the same weekly cadence that carries the rest of the course of care.
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.
Every clinician on Grouport is an independently licensed mental health professional and holds credentials such as licensed psychologist, LCSW, LMFT, LMHC, LPC, or PsyD, with many holding a PhD or PsyD in clinical or counseling psychology. Sessions are delivered in English, and matching accounts for the concerns a client brings, their preferred approach, and practical constraints such as time zone and schedule. Grouport therapists work with a broad international caseload, so they are experienced supporting clients who navigate more than one language, more than one country, and cross-cultural family and workplace dynamics without projecting assumptions onto any particular background. Clients in Paraguay meet the same therapist each week, which is what allows the work to compound rather than restart. 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

We understand cost is a barrier for many people seeking mental health care. Here are options to make Grouport’s online therapy more affordable: (1) Start with online group therapy at an average of $32/session - it provides evidence-based treatment at the lowest cost. (2) Use HSA/FSA funds if available - this reduces costs by 20-30% through tax savings. (3) Check your out-of-network insurance benefits - many plans reimburse 50-80% of costs. (4) Consider our DBT self-guided program at a one-time cost for structured mental health support. We're committed to making quality care accessible and happy to discuss payment options that fit your budget.
Yes\! You can cancel your subscription at any time and restart when you're ready to return. There's no penalty for pausing, and you can reactivate your account at anytime. When you return, we'll work to match you with your previous therapist if they're available, or find you a new therapist if needed. Many clients take breaks between therapy periods as they practice new skills or experience life changes, then return when they need additional support. Your account remains in our system, making it easy to resume services whenever it's right for you.
While we don't currently offer financial assistance, we're committed to making therapy accessible. Group therapy at $32/session is our most affordable option and provides the same evidence-based treatment. We also provide superbills for insurance reimbursement upon request, accept HSA/FSA cards for tax savings, and offer flexible month-to-month billing with no long-term contracts. If cost is a significant barrier, contact our support team - we can discuss options that might work best for your situation.
Consistency really matters for online individual therapy to work. You're building trust and continuity with the same people over time. But life happens. Occasional misses are fine as that’s of course understandable as general life can get in the way. So as long as you’re making at least 80% of sessions then that should be good. If misses become more frequent, we’d generally recommend switching to a group that’s better for your schedule in general.
Online individual therapy addresses anxiety, depression, social anxiety, grief, trauma & PTSD, relationship issues, life transitions, anger management, Borderline Personality Disorder (BPD), Bipolar, Obsessive Compulsive Disorder (OCD), self-esteem, stress management, emotion regulation skills (DBT groups), chronic illness, parenting challenges, substance use recovery, Cognitive Behavioral Therapy (CBT) and much more. So, we offer pretty much any kind of group where shared experience and peer feedback add value. Groups are often organized around specific themes so you're with people dealing with similar situations.
Online individual therapy duration varies by person. Some people attend for months and others attend for years. It’s totally based on what’s helpful for you and there’s no standard timeline. Minimum commitment to see clinically significant results is typically 8-12 sessions since individual sessions need time to build cohesion and trust. So you can go for as long as it’s helpful for you and there’s no set duration. You can leave when your goals are met or continue ongoing support for maintenance, whichever works best for you. This is why we also provide the flexibility to cancel at any time.
You don't need identical problems to benefit from online individual therapy. So while your exact situation might be unique, you'll be with people who have similar struggles. Even really different problems often share underlying patterns like isolation, fear, shame, difficulty trusting. Those commonalities matter more than identical circumstances. If you have a particular diagnosis then diagnosis-specific individual sessions would be helpful and that’s why individual sessions are typically structured around certain diagnoses like a trauma group, eating disorder group, OCD group, a BPD group, or it can be a group that focuses on a particular type of treatment like DBT, CBT, EMDR that’s helpful for certain things or it might be a general group for folks who have commonalities of some sort.
Experiencing discrimination based on race, ethnicity, religion, nationality, or being a foreigner affects mental health. Whether it's overt hostility or daily microaggressions, it's exhausting and painful. Therapy provides space to process the hurt and anger, develop coping strategies, and figure out how to protect yourself emotionally.
Living far from family creates loneliness and grief. You miss important events. You can't be there when family needs you. You worry about aging parents. The distance is painful even when you chose to live where you are. Therapy validates this grief and helps you navigate relationships across distance.
Yes\! You can change your plan anytime, whether that means adding or reducing sessions or switching to a different billing cycle. Changes take effect immediately.
✅ Upgrading your plan - ## Adding more sessions per week (e.g., 1 session/week → 2 sessions/week). - ## Switching to a longer billing cycle (e.g., Monthly → Quarterly). - ## You’ll be charged a prorated difference based on the time remaining in your current plan.✅ Downgrading your plan
- ## Reducing the number of sessions per week (e.g., 3 sessions/week → 1 session/week). - ## Switching to a shorter billing cycle (e.g., Quarterly → Monthly). - ## This will result in a credit applied to your next renewal.Yes. Grouport runs weekly video sessions of one-on-one members on a fixed weekly cadence in Paraguay Time (UTC-4, UTC-3 during DST), with evening and weekend slots that work around a typical Asuncion office day or a trip out to Ciudad del Este. Sessions are 60 minutes, led by a licensed therapist, and you join from a laptop or phone at the guarani equivalent of about $103 per session. Pick a group and start right away, no waitlist and no cross-town commute to a specialist.
A standard home fiber, cable, or 4G/5G mobile connection with roughly 3 Mbps up and down is enough to run a stable Grouport video sessions, which most Paraguayan carriers deliver in Asuncion, Ciudad del Este, Encarnacion, and larger Chaco towns like Filadelfia. Sessions run inside a HIPAA-secure video room in your browser, so there is nothing to install. Audio-only fallback keeps you in the room if bandwidth dips, and your licensed therapist and one-on-one groupmates stay on screen at $103 per session.
Central, Alto Parana, Itapua, Caaguazu, San Pedro, Cordillera, Paraguari, Guaira, Concepcion, Canindeyu, Amambay, Misiones, Neembucu, Caazapa, Presidente Hayes, Boqueron, Alto Paraguay, and Asuncion Capital District.
Asuncion, Ciudad del Este, San Lorenzo, Luque, Capiata, Lambare, Fernando de la Mora, Nemby, Encarnacion, Pedro Juan Caballero, Mariano Roque Alonso, Villa Elisa, Limpio, Nemby, Villarrica, Coronel Oviedo, Concepcion, Caaguazu, Presidente Franco, and Hernandarias.
1001, 1101, 1301, 1400, 1740, 2001, 3001, 5001, 7001, 8001
If you have an address in Paraguay, 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.
