Expert 1:1 Care
Getting in front of a therapist in Saint Kitts and Nevis is hard on its own. A two-island federation of roughly 47,000 residents leans on about one full-time-equivalent mental health professional, wait times for a specialist appointment can stretch close to 20 weeks, and complex cases are still routinely referred off-island to Trinidad, Barbados, or Miami. Finding a quality clinician inside that thin roster is harder. Finding one actually trained in the specific approach your situation calls for, whether that is OCD, trauma, panic, depression, BPD, grief, anger work, ADHD, or the many other things people navigate, is harder still. Grouport's online individual therapy is built for exactly that. After a short signup you are presented with clinician options fitted to your situation, you choose the therapist you would like to work with, and typically get started within 24 to 72 hours. Weekly 45-minute one-on-one video sessions with the same therapist over secure HIPAA-compliant video, at $103 per session on average ($448 per month).

Understanding the landscape of mental health care access and the challenges
residents face.
17.3% of Kittitian 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 Saint Kitts and Nevis's public system, an interval during which symptoms often deepen.
$14,135 median household income in Saint Kitts and Nevis, shaping what households can allocate to private mental health care.
76.0% of Kittitian adults with a mental health condition do not receive formal specialist treatment.
96% of Saint Kitts and Nevis's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
1.84 per 100,000 mental health workers in Saint Kitts and Nevis, a density that shapes availability, wait times, and access across the country.
The numbers around mental health care in Saint Kitts and Nevis point directly to a one-on-one video model. A workforce ratio of 1.84 mental health professionals per 100,000 residents translates to roughly one full-time-equivalent clinician for the entire 47,000-person federation, national wait times for a specialist appointment can approach 20 weeks, only 31.8% of residents live in urban areas near where specialists are concentrated, and complex cases are routinely referred to Trinidad, Barbados, or Miami. Grouport's format bypasses each of those bottlenecks: a licensed clinician matched right away, weekly 45 minute sessions from home, HIPAA-compliant video, and transparent USD subscription pricing at $103 per session or $448 per month that lets a Kittitian client sustain a full course of care.
UNDERSTANDING THE CHALLENGE
Saint Kitts and Nevis is the smallest sovereign state in the Western Hemisphere by both land area and population, and its formal mental health infrastructure reflects that scale. Community Mental Health Services operate out of Joseph N. France General Hospital in Basseterre, with Cardin Home providing residential psychiatric care and Alexandra Hospital in Charlestown handling the Nevis side. Psychiatrists and clinical psychologists are almost entirely trained abroad, typically at the University of the West Indies campuses or in the UK, Cuba, or North America, and returning practitioners are few enough to name individually. A workforce ratio of 1.84 per 100,000 is among the lowest in the Americas region.
For a working adult in Basseterre or Charlestown, the access gap in Saint Kitts and Nevis translates into weeks or months lost to a rotating specialist schedule, a ferry ride to the other island, or a costly referral flight to Trinidad, Barbados, or Miami. A roughly five-month wait for a first appointment, layered on top of an already thin roster of about one full-time-equivalent mental health worker for the entire federation, often means untreated anxiety, insomnia, or grief compounds through a full work quarter. Grouport removes that friction by matching a licensed clinician within days of intake and holding a standing weekly slot the client can keep from home or office.
Online individual therapy with Grouport eases the pressure a Kittitian client feels navigating a system where local psychology and psychiatry slots at Joseph N. France General Hospital in Basseterre or Alexandra Hospital in Charlestown are scarce and visiting-specialist schedules rarely allow continuity. Instead of competing for one of those openings or booking a flight to Trinidad or Barbados for specialist input, a resident completes a short signup, is presented with clinician options fitted to their situation, chooses the therapist they would like to work with, and typically starts within 24 to 72 hours. Sessions run weekly, 45 minutes over HIPAA-compliant video, with the same clinician held across the arc of care. That continuity, rarely possible under a rotating visiting-specialist model, is what makes real progress on OCD, trauma, depression, anxiety, bipolar work, or whatever the client is bringing into the room realistic rather than aspirational. Pricing is $103 per session on average ($448 per month), with automatic discounts included for every additional weekly session and a $224 per month every-other-week option for a lighter cadence.
96% of Saint Kitts and Nevis's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
Three specific frictions ease when Kittitian clients use Grouport. First, the queue: national wait times for a specialist appointment can run around 20 weeks, and Grouport matches a client with a licensed therapist right away so sessions can start this week rather than next quarter. Second, geography: a two-island federation with a 2-mile channel between St. Kitts and Nevis means Nevisians often ferry across for specialist care, but a secure video session removes the crossing entirely. Third, discretion: in a tightly connected society of roughly 47,000 residents where being recognized at a local clinic is a real barrier, meeting a therapist by video from home keeps care fully private.
Formal mental health care in Saint Kitts and Nevis is anchored by a small public system with Joseph N. France General Hospital in Basseterre, Alexandra Hospital in Charlestown, and the Cardin Home psychiatric unit, supported by community mental health nursing outreach. Private psychology is limited and concentrated in the capital, employer-based coverage reaches a portion of workers, and complex cases are commonly referred to Trinidad, Barbados, or the United States. What that landscape lacks is a steady, weekly, one-on-one option a resident can start right away without a ferry, a referral, or a wait list. Grouport fills that gap with a licensed clinician over HIPAA-compliant video at transparent USD subscription pricing.
Grouport offers Saint Kitts and Nevis 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 one-on-one private therapy. Alternatively, an every-other-week cadence runs billed $224 per month. Pricing is set in US dollars as a flat monthly subscription, so a Kittitian household knows the exact number that hits the card each month without per-session invoicing or specialist-referral travel costs on top.
Saint Kitts and Nevis is a high-income economy with GNI per capita around $33,730 PPP, but private specialist rates and off-island referrals to Trinidad, Barbados, or Miami add up quickly once travel, accommodation, and lost work days are included. A $103 per session on average, billed at $448 per month Grouport subscription puts weekly one-on-one therapy on a predictable line item for a household budget, in USD, without per-session surprise billing. Over a full course of care of six to nine months, that predictability is the difference between finishing a treatment plan and stopping midway when unexpected costs pile up. The every-other-week option at $224 per month keeps a steady cadence at a lower monthly outlay for households that need a lighter commitment.
Local in-person therapy in Saint Kitts and Nevis carries hidden costs beyond the session fee. A Nevisian ferrying across to Basseterre loses several hours each visit and pays for the crossing on top of the appointment. A resident of rural St. Kitts driving into the capital during peak hours faces similar time loss, taxi or fuel costs, and often unpredictable per-session billing. Referrals abroad add flights, lodging, and time off work, and payments in mixed currencies create additional conversion friction. There is also the practical difficulty of finding a licensed clinician with immediate openings in such a small system. Grouport collapses all of that into one predictable USD subscription with sessions from home or office, cancel anytime.
Where a specialist appointment through the local system can take around 20 weeks, Grouport matches a client with a licensed clinician within days of intake, and the first 45 minute video session is typically held the same week. For Saint Kitts and Nevis clients ready to start now, a licensed Grouport therapist is available this week over HIPAA-compliant video, on a standing weekly slot the client keeps for as long as care is useful. Sessions run at $103 each, billed as a $448 monthly subscription, so weekly continuity is set from day one.
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 bench is made up of licensed psychologists, LCSWs, LMHCs, LMFTs, LPCs, PsyDs, and PhDs, each credentialed and vetted through Grouport's clinical intake. Clinicians are trained in specific evidence-based approaches, including CBT, DBT, EMDR, ERP, exposure therapy, IFS, and ACT, so a Kittitian client is presented with therapist options whose training actually fits what they are navigating rather than whoever happens to be free that week. After a short signup you review those options, pick the clinician you would like to work with, and keep that same therapist week after week for continuity across the arc of care. Sessions run 45 minutes over secure HIPAA-compliant video and are fully confidential, which matters in a tightly connected federation of roughly 47,000 residents. A care coordinator is available throughout to help you adjust cadence, add services, or work through anything else that comes up as your situation evolves.
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 accept all major credit cards (Visa, Mastercard, American Express, Discover, etc.) and debit cards for payment. Your card is securely stored and automatically charged on your monthly billing date. We also accept HSA (Health Savings Account) and FSA (Flexible Spending Account) cards, which many clients use to pay for therapy with pre-tax dollars. You can update your payment method at anytime.
Yes\! Our online therapy services qualify for HSA (Health Savings Account) and FSA (Flexible Spending Account) payment. Simply use your HSA/FSA debit card as your payment method, or pay out-of-pocket and submit a reimbursement claim to your HSA/FSA administrator using the detailed receipts we can provide upon request. Using HSA/FSA funds means you're paying for therapy with pre-tax dollars, effectively reducing your therapy costs by 20-30% depending on your tax bracket.
All therapy sessions are 100% virtual and take place via secure video chat. Whether you're in group, individual, couples, family, IOP, or teen therapy, sessions are held at a recurring time that fits your schedule.
That would be scheduled as a one off couples or family therapy session that would be billed for separately. Occasional couples or family therapy sessions can be valuable to support your individual work. Common reasons include, helping your partner understand your mental health condition, practicing communication skills with therapist support, addressing a specific relationship or family issue, your partner asking questions about how to support you, or transitioning to or adding couples or family therapy.
Trust is essential for effective therapy. If you don't trust your therapist, first ask yourself, Is this general difficulty trusting (a pattern in many relationships)? Or specific concerns about this person? Have you discussed your mistrust with them? Sometimes exploring trust issues with your therapist is therapeutic work, and many people have trust difficulties, and therapy is a safe place to address this. However, if specific behaviors make you uncomfortable (boundary violations, judgmental attitudes, broken confidentiality), trust your instincts and switch therapists immediately. Some trust builds gradually over several sessions; if you feel like trust is lacking or uncomfortable after 4-5 sessions, finding a better fit is appropriate and we can help you switch therapists.
Yes, therapy effectively addresses motivation and procrastination by exploring underlying causes such as perfectionism making starting to feel overwhelming, fear of failure or success, ADHD affecting executive function, depression depleting energy and interest, anxiety causing avoidance, unclear values and goals, learned helplessness, or simple lack of skills in planning and time management. Your therapist helps you understand your specific barriers to motivation, develop realistic goals and break them into manageable steps, address thinking patterns that maintain procrastination, build accountability, create structures supporting follow-through, and develop self-compassion (harsh self-criticism worsens motivation). CBT and behavioral activation are evidence-based approaches for motivation concerns.
Different therapy approaches suit different needs: CBT (Cognitive Behavioral Therapy) focuses on changing unhelpful thought patterns and behaviors, effective for anxiety, depression, OCD. DBT (Dialectical Behavior Therapy) teaches specific skills for emotion regulation, distress tolerance, mindfulness, and interpersonal effectiveness, developed initially for BPD but useful for anyone with intense emotions. Psychodynamic therapy explores how past experiences and unconscious patterns affect current life. EMDR specifically treats trauma through bilateral stimulation. ACT (Acceptance and Commitment Therapy) focuses on accepting difficult thoughts rather than changing them and aligning actions with values. Your therapist explains their approach and why it fits your needs. Many therapists integrate multiple approaches where relevant.
Big life changes, moving, career shifts, relationship changes, becoming a parent, dealing with empty nest, retirement, create stress anywhere. Therapy supports you through transitions, helps you adapt to change, and processes grief about what you're leaving behind.
Burnout from work, caregiving, activism, or other demands affects people globally. Symptoms are similar across cultures, exhaustion, cynicism, reduced effectiveness. Therapy helps you address burnout, set boundaries, and figure out if you need to change your situation or just change your relationship to it.
Some employers offer EAP, which is Employee Assistance Programs. They provide free short-term counseling, usually 3-8 sessions. After that? You'd pay out-of-pocket or use insurance. Some employers subsidize mental health care or offer robust mental health benefits. Check your HR benefits. EAP sessions are confidential, your employer knows someone used EAP but not who or why.
Discretion is one reason clients across the federation choose Grouport. In a community of roughly 47,000 residents where you may recognize staff at a local clinic, weekly one-on-one video sessions with a licensed clinician take place from your home on a HIPAA-compliant platform, with no waiting room and no shared space. Sessions run 45 minutes with the same therapist each week at $103 per session on average, billed at $448 per month, and you can match with a therapist and start right away after intake.
Yes. With mental health specialists concentrated in Basseterre and only about 31.8% of the federation living in urban areas, Nevis residents and those in rural St. Kitts often face ferry trips across The Narrows or off-island referrals to Trinidad or Barbados just to see a clinician. Grouport removes that travel entirely. You meet with a licensed psychologist, LCSW, LMHC, LMFT, LPC, PsyD, or PhD by video for 45 minutes weekly at $103 per session on average, billed at $448 per month, or $224 per month for every-other-week, from anywhere with internet.
Saint George Basseterre, Saint Peter Basseterre, Saint Mary Cayon, Saint John Capisterre, Saint Anne Sandy Point, Saint Thomas Middle Island, Saint Paul Capisterre, Christ Church Nichola Town, Trinity Palmetto Point, Saint Paul Charlestown, Saint John Figtree, Saint George Gingerland, Saint James Windward, Saint Thomas Lowland
Basseterre, Cayon, Sandy Point Town, Old Road Town, Sadlers, Dieppe Bay Town, Saint Paul's, Middle Island, Half Way Tree, Nichola Town, Tabernacle, Molineux, Charlestown, Newcastle, Gingerland, Cotton Ground, Fig Tree, Butlers
Grouport serves all zip codes across Saint Kitts and Nevis. If you have an address in Saint Kitts and Nevis, 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.
