Expert 1:1 Care
Getting to a therapist in Puerto Rico is hard enough on its own. ASSMCA and Plan Vital slots come with waits averaging nine weeks, private practices concentrate in San Juan, Condado, and Guaynabo, and the sustained emigration of psychologists and psychiatrists to the mainland has left the mountain municipios and outer islands with thin coverage or none at all. Finding a quality clinician is harder still, and finding one trained in the specific approach your situation calls for, whether that's OCD, PTSD, panic disorder, bipolar, complex trauma, grief, ADHD, or relationship strain, is another step beyond that. Grouport's online individual therapy is built for that gap. You sign up, get presented with therapist options fitted to your situation, choose the clinician you'd like to work with, and typically get started within 24 to 72 hours. Weekly 45-minute one-on-one video sessions with the same licensed therapist over secure HIPAA-compliant video, at $103 per session on average ($448 per month), with automatic discounts included for every additional weekly session.

Understanding the landscape of mental health care access and the challenges
residents face.
19.1% of Puerto Rican adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.
9 weeks the average wait to secure a first mental health appointment in Puerto Rico's public system, an interval during which symptoms often deepen.
$24,800 median household income in Puerto Rico, shaping what households can allocate to private mental health care.
65.0% of Puerto Rican adults with a mental health condition do not receive formal specialist treatment.
67% of Puerto Rico's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
16.7 per 100,000 mental health workers in Puerto Rico, a density that shapes availability, wait times, and access across the country.
The numbers behind Puerto Rico's mental health picture point in one direction: demand is high, local supply is thin, and the geography and economics of care push many residents to delay or forgo treatment. With roughly 16.7 mental health workers per 100,000 residents and an average nine-week wait for a first appointment, the local pipeline cannot absorb everyone who needs weekly one-on-one care. Even on a highly urbanized island where 94.3 percent of residents live in urban areas, concentration in San Juan leaves large regions underserved. Grouport's model, one licensed therapist, weekly HIPAA-compliant video sessions, and transparent USD pricing, is built for exactly this shape of gap: it moves clients past the queue and delivers sustained one-on-one care wherever they live in Puerto Rico.
UNDERSTANDING THE CHALLENGE
Puerto Rico's mental health system rests on the ASSMCA network (Administracion de Servicios de Salud Mental y Contra la Adiccion) and a private-practice bench concentrated in San Juan, Bayamon, Guaynabo, and Caguas. WHO's workforce report shows 16.7 mental health workers per 100,000 people, a number that on paper puts the island ahead of most of the Caribbean but in practice reflects a psychologist bench that has been thinning through post-Maria and post-pandemic mainland migration. Structured curriculum-driven individual therapy is offered by only a small circle of private practices, most of them in the metro.
A nine-week wait for a first therapy appointment is not just an inconvenience in Puerto Rico. For a working adult in San Juan juggling a full-time job, a long commute from Caguas, and eldercare for a parent in Aguadilla, those sixty-three days often mean sliding deeper into burnout, sleep loss, or a depressive episode before any care begins. Add the real possibility that the nearest licensed clinician has left for Florida or Texas, and even the wait doesn't guarantee a match. Grouport removes that gap. A licensed therapist is available this week, sessions happen from home before or after work, and the same clinician stays with the client week over week instead of starting over with someone new every few months.
Grouport eases the pressure on Puerto Rico's mental health system by delivering one-on-one care that lives entirely outside the local queue. After a short signup, clients are presented with clinician options fitted to their specific situation and pick the therapist they'd like to work with, typically getting started within 24 to 72 hours instead of the nine-week average wait for a first ASSMCA or private-practice appointment. That same licensed clinician stays with the client across the full course of care, so a resident in Utuado, Ponce, Mayaguez, or Vieques builds the same continuity and clinical depth that has traditionally required a two-hour mountain drive into San Juan or a flight to the mainland. Sessions are 45 minutes, weekly, private, and delivered over HIPAA-compliant video, with the flexibility to adjust cadence as the client's situation evolves. Because the therapist bench includes clinicians trained in specific evidence-based approaches, from CBT and DBT skills to EMDR, ERP, and ACT, clients get someone who actually works with what they're dealing with, not just whoever is next available.
67% of Puerto Rico's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
Grouport loosens three specific frictions Puerto Rico clients face. First, the nine-week average wait for a first appointment collapses to a same-week start once intake is complete, because matching draws from a national panel of licensed clinicians rather than the island's shrinking local workforce. Second, geography stops mattering: residents of Vieques, Culebra, and the central mountain municipios no longer need a ferry, a small-plane fare, or a two-hour mountain drive into Fajardo or San Juan to see a therapist. Third, the sustained post-Maria emigration of psychologists and psychiatrists to the mainland is bypassed entirely, because Grouport connects Puerto Rico residents directly to US-licensed clinicians without leaving home.
Puerto Rico's formal mental health system runs across several channels. ASSMCA and the Medicaid-funded Plan Vital anchor the public safety net, covering roughly 1.5 million residents. Private care flows through commercial insurers, employer benefit programs, and out-of-pocket payment to psychologists, psychiatrists, LCSWs, and community-based counselors. University clinics in Rio Piedras and Ponce, along with NGO and faith-based programs, round out the picture. What has been missing is a straightforward, immediate-start, weekly one-on-one option that doesn't require enrolling in a specific plan, waiting for a public-clinic slot, or traveling to San Juan. Grouport fills that gap with licensed clinicians available right away over HIPAA-compliant video, billed as a predictable USD subscription.
Grouport gives Puerto Rico residents 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 for private one-on-one care. For clients who prefer a lighter cadence, the every-other-week plan is $224 per month. Both are billed as a straightforward USD subscription, with no per-visit surprise charges and the option to pause or cancel anytime if the fit isn't right.
Affordability matters especially in Puerto Rico, where roughly 40 percent of residents live below the US federal poverty line and household budgets absorb every fluctuation in electric bills, groceries, and transportation. A single out-of-pocket visit at a private local psychology practice can run $130 to $200 per session, and repeating that weekly is a real strain for households already stretched by high living costs. Grouport's flat USD subscription, $103 per session on average, billed at $448 per month for weekly sessions or $224 per month for every-other-week, is a single predictable line item that families can budget across the pay cycle. Because pricing is in USD, there is no currency conversion friction, no month-to-month rate change, and the same subscription supports a full course of care rather than a handful of one-off visits.
In-person therapy in Puerto Rico carries costs that never appear on the invoice. A round-trip drive from Caguas or Bayamon into a San Juan office can consume ninety minutes and a tank of gas each week. For residents of Vieques or Culebra, a specialist visit means a ferry ticket, an overnight in San Juan, or a small-plane fare. Per-session billing at a private practice often varies month to month, and finding a licensed clinician with open slots can take weeks of calls. Grouport folds all of that into one predictable USD subscription. There is no commute, no travel outlay, no per-visit surprise, and clients can pause or cancel anytime without penalty.
Puerto Rico residents typically wait around nine weeks for a first appointment with a licensed clinician, and longer in the mountain municipios and outer islands. Grouport compresses that timeline. Intake is quick, matching to a licensed therapist happens right away, and most clients begin their first weekly session within a few days. For Puerto Rico clients ready to start now, a licensed Grouport therapist is available this week, over HIPAA-compliant video, at $103 per session on the weekly plan or on every-other-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 clinicians are licensed psychologists, LCSWs, LMFTs, LMHCs, LPCs, and PsyDs, many with doctoral training and years of one-on-one practice. What matters most is depth of training in specific evidence-based approaches: CBT for anxiety and depression, DBT skills for emotion regulation and BPD, EMDR and prolonged exposure for trauma and PTSD, ERP for OCD, IFS for parts work, ACT for values-driven change, and integrative frameworks for the many situations that don't fit a single protocol. That range is what makes it possible to present Puerto Rico clients with therapist options fitted to what they're actually working through, rather than defaulting to whoever happens to be available. Clinicians bring experience with clients from a wide range of cultural, geographic, and family contexts, and each intake starts with real curiosity about the specific pressures the client brings into the room. All sessions are 45 minutes, one-on-one, over secure HIPAA-compliant video, 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, all Grouport therapists are fully licensed mental health professionals (LCSW, LMFT, PhD, PsyD, LMHC, LMFT, or LPC) with master's or doctoral degrees in their field. Every therapist has completed thousands of clinical hours and passed state licensing exams. They maintain active licenses in the states where they practice, complete ongoing continuing education requirements, and carry professional liability insurance. Many specialize in specific treatment approaches like CBT, DBT, ERP, or trauma-focused therapy. You can view your matched therapist's credentials, specialties, and experience before your first session.
If your sessions happen through our member portal, then no, Grouport's therapy platform works directly through your web browser, no downloads or installations are required. Simply click the session on your home page within your member portal, and you'll join your session from there. If your sessions happen outside of our member portal, then you should download Zoom on your device which can be downloaded for free. If your sessions happen outside of our member portal, you’ll receive an auto session reminder email 24-hours before each session with a unique HIPAA compliant Zoom link to join that week’s session. Our care coordinators and technical support staff will assist you with anything you need, to ensure you know how to smoothly access your sessions.
A stable internet connection of at least 3 Mbps is recommended for video sessions. If video connection isn't working well for some reason, you can always switch to audio-only during the session.
Online individual therapy provides the same evidence-based treatment and therapeutic relationship as in-person therapy does. The only difference is the location of whether you meet with your therapist via secure video chat rather than in an office. Research consistently shows online therapy is equally effective for most conditions. Benefits of online therapy include no commute time, attending from home comfort, easier scheduling, access to specialists regardless of location, and maintained consistency when traveling. Some people find online sessions more comfortable as they're in a familiar environment. The therapeutic relationship, treatment approaches, and outcomes are equivalent between online and in-person formats.
Grouport presents you therapist options based on your needs and you ultimately choose the therapist and schedule that works for you to meet. What makes a good fit is specialization in your concerns (trauma, anxiety, relationships, etc.), therapeutic approach that resonates with you (structured CBT, exploratory psychodynamic, skills-based DBT), communication style you're comfortable with, and personal factors like age, gender, or cultural background if preferences exist. When presenting you with therapist options, we take this all into account. Most importantly, you should feel heard, understood, and safe to be vulnerable. Therapeutic fit develops over 2-3 sessions so give it some time before deciding. If after several sessions you don't feel connected, switching therapists is always an option. The relationship is the foundation of effective therapy.
Not knowing what to discuss is common, especially early in therapy. Your therapist guides conversation through questions and observations, so you're never responsible for just filling the time. Start with what's on your mind that day, even if it seems small. Many breakthrough moments come from exploring seemingly minor concerns. Between sessions, some people journal or note what they want to discuss. If you're truly blank, your therapist might review homework from last session, check in on previous topics, introduce a relevant exercise or assessment, explore patterns they've noticed, or discuss your goals. Silence is okay too and sometimes quiet moments lead to insights. Trust the process and don’t put too much pressure on yourself.
Most people attend weekly initially, especially when addressing active symptoms or crises. Weekly sessions build momentum, maintain continuity, and allow consistent progress. After significant improvement (typically seen in a minimum of 8-16 weeks), many reduce to bi-weekly sessions for maintenance and ongoing support. Some people attend multiple times per week like twice or three times weekly for intensive work on severe symptoms. Frequency depends on symptom severity, goals, progress, and practical factors like schedule and cost. Consistency matters more than frequency as sporadic sessions are less effective than regular attendance even if less frequent. Your therapist can weigh in and recommend optimal frequency for your situation and help you adjust as your needs change.
Gender-based violence and harassment happen globally. If you're experiencing domestic violence, sexual assault, harassment, or other gender-based violence, therapy provides trauma support. However, you also need safety resources. Research domestic violence services in your location. Some countries have hotlines and shelters, others have limited resources. Therapy can definitely help you navigate the situation.
Academic pressure affects students everywhere, though it varies by culture and education system. Whether you're dealing with exam stress, family pressure about grades, competitive academic environments, or fear of failure, therapy helps with the anxiety and perfectionism that academic pressure creates.
Usually. Standard individual therapy is 45 minutes. Group therapy is 60 minutes a session, but the cost is shared among group members, so it's typically less per each person. Couples therapy is 45-minutes per session. Family therapy is 60 minutes per session. Typically, when someone wants more time, they would just do multiple sessions per week, and the good news is that any additional session you add is always discounted with Grouport. We can offer extended sessions at a higher cost if that is preferred upon request.
After you enroll, you join right away from anywhere on the archipelago, whether you are in Condado, a central mountain municipio, or Vieques. Sessions run on the Atlantic Standard Time schedule you select, so there is no time zone math against the mainland. You open a HIPAA-secure video link, meet your licensed therapist for a 45-minute one-on-one session, and spend the first meeting sharing goals and background in a structured format. No ferry to Fajardo, no drive into San Juan, no waiting rooms.
Private out-of-pocket therapy in the San Juan metro typically runs $80 to $150 per session, with bilingual specialists and psychiatrists often charging $175 or more, well out of reach when roughly 40 percent of residents live below the federal poverty line. Grouport individual therapy is $103 per session on average, billed at $448 per month, with plans starting from $32 per session across the wider Grouport lineup. Rates are billed in USD with no insurance paperwork or Plan Vital referral required, and you meet your licensed therapist weekly from anywhere on the island.
San Juan, Bayamon, Guaynabo, Carolina, Caguas, Ponce, Mayaguez, Arecibo, Aguadilla, Humacao, Fajardo, Manati, Cayey, Utuado, Yauco
San Juan, Bayamon, Carolina, Ponce, Caguas, Guaynabo, Mayaguez, Trujillo Alto, Arecibo, Toa Baja, Vega Baja, Aguadilla, Fajardo, Humacao, Dorado
00901, 00907, 00909, 00911, 00915, 00917, 00918, 00920, 00921, 00923, 00924, 00925, 00926, 00927, 00949, 00969, 00979
If you have an address in Puerto Rico, 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.
