Expert 1:1 Care
Mental health care in Saint Pierre and Miquelon runs through a single institution. Centre Hospitalier Francois Dunan holds nearly all clinical capacity, the resident workforce is small, and rotating practitioners cycle in from metropolitan France, so a specialist consultation typically means waiting close to twelve weeks. Even reaching the appointment can involve a weather-dependent ferry or short flight from Miquelon-Langlade to Saint-Pierre. And finding a clinician actually trained in the specific approach your situation calls for, whether that is OCD, complex trauma, panic, depression, grief, BPD, ADHD, relationship work, or the many other things people navigate, is another layer of difficulty entirely. Grouport's online individual therapy is built for that gap. You complete a short signup, are presented with therapist options fitted to your specific situation, choose the clinician you would like to work with, and typically start 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.
18.7% of Saint-Pierrais adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.
12 weeks the average wait to secure a first mental health appointment in Saint Pierre and Miquelon's public system, an interval during which symptoms often deepen.
$30,622 median household income in Saint Pierre and Miquelon, shaping what households can allocate to private mental health care.
70.6% of Saint-Pierrais adults with a mental health condition do not receive formal specialist treatment.
67% of Saint Pierre and Miquelon'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 Saint Pierre and Miquelon, a density that shapes availability, wait times, and access across the country.
The archipelago's numbers tell a consistent story: roughly 16.7 mental health workers per 100,000 residents, a population of about 6,000 spread across two islands, one hospital handling almost all mental health capacity, and a typical wait of around twelve weeks for a specialist consultation. Complex cases are medevaced to metropolitan France or, under bilateral agreement, to Canada. Those figures describe a system doing its best with a very small clinical base, not one built to sustain weekly, one-on-one talking therapy at scale. Grouport's model addresses exactly that gap: a licensed clinician, matched right away, meeting the same client every week over secure HIPAA-compliant video, priced as a predictable USD subscription across a full course of care.
UNDERSTANDING THE CHALLENGE
The archipelago is small in area and even smaller in specialist headcount. Roughly 90% of the population lives on Saint-Pierre island, where the Centre Hospitalier Francois Dunan concentrates most of the clinical workforce. Miquelon-Langlade, joined by the narrow Dune de Langlade isthmus, holds most of the remaining residents and depends on visiting practitioners, a ferry crossing of about an hour, or a short flight from Saint-Pierre. When one of the archipelago's psychologues is on leave, in training in metropolitan France, or between contracts, the effective specialist count on any given week can drop to zero, and there is no neighbouring town to drive to.
Waiting roughly twelve weeks for a specialist consultation reshapes an ordinary work year in Saint Pierre and Miquelon. During that stretch, a working adult often absorbs three months of untreated anxiety, low mood, or insomnia while continuing to run shifts at the port, the school, the hospital, or a small family business, settings where absences are visible in a community of 6,000 residents. Sleep erodes, focus slips, and short tempers wear on partners and colleagues who all live within a few blocks of each other. Grouport removes that runway. A licensed therapist is available within days, sessions happen from home over secure video, and clients begin working on the actual problem in week one rather than week twelve.
Grouport addresses the structural gap that shapes mental health access across the archipelago. Rather than routing through the single-hospital appointment queue at Centre Hospitalier Francois Dunan or waiting for a rotating practitioner to cycle in from metropolitan France, residents complete a short signup, are presented with licensed clinician options fitted to their specific situation, and choose the therapist they would like to work with. First sessions typically land within 24 to 72 hours over secure HIPAA-compliant video, held from anywhere on Saint-Pierre or Miquelon-Langlade with no ferry, no weather-disrupted travel day, and no lost work time around a hospital appointment. Because the therapist stays the same across the full arc of care, the work builds week over week instead of resetting every time a locum leaves the island. For residents who have hesitated to book locally in a community of roughly 6,000 where a clinician can also be a neighbor or a school parent, keeping the therapeutic relationship outside the archipelago restores the privacy that a small population makes hard to protect. Frequency is flexible, and $103 per session on average makes weekly work sustainable across the North Atlantic winter and beyond.
67% of Saint Pierre and Miquelon's mental health workforce falls short of what is needed to fully meet population demand for specialist care.
Grouport loosens three specific frictions that shape mental health access in the archipelago. First, it removes the roughly twelve-week wait for a specialist consultation at Centre Hospitalier Francois Dunan by matching clients right away and letting them book their first session this week. Second, it eliminates the geographic constraint of a hospital-based model concentrated in Saint-Pierre, so sessions happen wherever the client has an internet connection, whether that is Saint-Pierre, Miquelon-Langlade, or a work rotation on the mainland. Third, it gives expatriates, Canadian cross-border workers, and bilingual professionals a licensed therapist who works, an option that is scarce inside a French-language health system reliant on rotating clinicians from metropolitan France.
Formal mental health care in Saint Pierre and Miquelon flows almost entirely through the Centre Hospitalier Francois Dunan in Saint-Pierre, the archipelago's only hospital, backed by the Caisse de Prevoyance Sociale and by medical evacuation agreements with metropolitan France and Canada for complex psychiatric cases. Private practice is minimal, employer assistance programs are rare given the small workforce, and there is no local university mental health service. Grouport fills the missing layer: weekly, one-on-one video therapy with a licensed clinician, available across both inhabited islands and priced in USD as a predictable monthly subscription rather than through the French social insurance schedule.
Grouport gives Saint Pierre and Miquelon 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 care with a licensed therapist. The every-other-week option is $224 per month for clients who want a lighter cadence. Both plans include the same 45-minute video session with a licensed clinician, the same matching process, and the same continuity of working with one therapist across the full course of care, all priced predictably in USD.
With gross national income per capita around $24,000, discretionary spending in Saint Pierre and Miquelon has to be planned carefully, and a therapy relationship that stretches across months needs to be affordable in ongoing terms, not just per appointment. Grouport's monthly subscription framing, which is $103 per session on average, billed at $448 per month for weekly sessions or $224 per month for every-other-week sessions, gives clients a fixed USD line item they can budget alongside groceries, utilities, and transport. There are no per-session surprise charges, no separate intake fees, and no annual commitments, so a client can sustain a full course of care through the winter months when isolation and low mood tend to intensify in the North Atlantic climate.
In-person mental health care in the archipelago carries costs that never appear on a bill. A Miquelon-Langlade resident may spend a weather-dependent ferry or short flight to Saint-Pierre just for one appointment, plus the lost work hours around the trip. Residents within Saint-Pierre still lose part of a workday around a hospital appointment. Finding a licensed clinician who works adds another search entirely. Session-by-session pricing in a French social insurance context creates unpredictability, and any private supplemental spending sits on top of that. Grouport folds all of it into one predictable USD subscription that clients can cancel at any time, delivered from home over secure video with no travel, no scheduling around ferry timetables, and no separate English-clinician search.
The typical route to a specialist appointment in Saint Pierre and Miquelon runs about twelve weeks because the resident workforce is small and appointment slots at Centre Hospitalier Francois Dunan are limited. Grouport does not use that queue. Clients complete a short intake, are matched to a licensed therapist within days, and hold their first 45-minute video session inside a week. For Saint Pierre and Miquelon clients ready to start now, a licensed Grouport therapist is available this week, at the same $103 per session weekly rate or $224 per month for every-other-week rate, with the same clinician staying with them across the full 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.
Grouport's clinician bench is made up of licensed mental health professionals, including psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs, most of them trained in specific evidence-based modalities such as CBT, DBT, EMDR, ERP, exposure therapy, IFS, and ACT. That range matters, because what actually moves the needle on OCD is different from what helps someone through complex trauma, panic, a depressive episode, BPD, or a hard grief. Rather than being assigned whoever happens to be free, Grouport clients see therapist options fitted to their specific situation and pick the clinician they would like to work with. The same therapist stays across the full arc of care, in weekly 45-minute one-on-one video sessions over secure HIPAA-compliant video, with the option to shift to an every-other-week cadence if that suits the moment better. Therapists are used to working with clients across many countries, contexts, and time zones, so a Saint Pierre and Miquelon reader lands with someone comfortable meeting them where they actually are.
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
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When you submit for insurance reimbursement, we provide a superbill that includes: your name, therapist's name and credentials, dates of services rendered, cost paid per session, and any other relevant information needed for reimbursement.
We use multiple layers of security to protect your information: (1) All data is encrypted both when stored and during transmission. (2) Our systems are HIPAA-compliant and regularly audited by third-party security experts. (3) Access to client data is strictly limited to essential staff with multi-factor authentication required. (4) We use intrusion detection systems to monitor for unauthorized access attempts. (5) Regular security training for all staff members. (6) Secure backup systems to prevent data loss. In the unlikely event of a breach, we're legally required to notify affected clients immediately and take corrective action.
Yes, extensive research shows that online therapy is equally effective as in-person therapy for most mental health conditions. Multiple studies published in peer-reviewed journals have found no significant difference in treatment outcomes between online and in-person formats for anxiety, depression, relationship issues, and most other mental health diagnoses or concerns. In some cases, online therapy is even more effective because it eliminates barriers like travel time, scheduling difficulties, and access to specialists that wouldn’t otherwise be easily available. The key factors in therapy effectiveness are the therapeutic relationship, evidence-based techniques, and consistent attendance, which are all present in our online therapy sessions.
Yes, therapy is confidential with specific limited legal exceptions your therapist explains in the first session. Exceptions include you report intent to harm yourself or others, you disclose child or elder abuse, a court orders release of records (rare), or you provide written consent to share information. Outside of these rare situations, your therapist cannot share anything without your permission, not with family, employers, or anyone else. This confidentiality creates safety for you to explore difficult topics honestly. Your therapist takes confidentiality seriously and explains exactly what's protected and what isn't.
Yes, many people combine online therapy and medication and research shows this combination is often most effective for conditions like depression, anxiety, bipolar disorder, and ADHD. Medication addresses neurochemical imbalances while therapy teaches coping skills, addresses thought patterns, and helps you understand and manage your condition. Your therapist can coordinate with your prescriber (e.g. Psychiatrist, psychiatric nurse practitioner, or primary care doctor) if you'd like, though they cannot prescribe medication themselves. Some people start with therapy and add medication later if needed, while others taper off medication as therapy provides alternative coping tools. Therapy supports medication treatment regardless of your approach.
Previous unsuccessful therapy can happen and doesn't mean therapy can't help. Take into account, was the therapist a good fit? Did you attend long enough (change often takes 8+ sessions)? Was the timing right? Did the approach match your needs? Sometimes people need a different therapeutic modality and if talk therapy didn't work, maybe DBT skills, CBT, or EMDR would. Therapy also works better when you're ready for change versus feeling pressured. Discuss your previous experience with your new therapist and this helps them adapt treatment to what didn't work before. Many people succeed with therapy after finding the right fit or approach.
Individual therapy effectively treats anxiety disorders, OCD, depression, trauma and PTSD, Borderline Personality Disorder (BPD), Bipolar Disorder, grief and loss, relationship problems, self-esteem and identity issues, life transitions (career changes, divorce, moving, becoming a parent etc.), stress management, anger issues, eating and body image concerns, substance use, chronic illness, and general personal growth. Even if you don't have a diagnosis, therapy helps with life challenges and improving mental wellbeing. If unsure whether therapy can help your specific concern, schedule a free call with a care coordinator and they can discuss what would be relevant for your needs.
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.
If you're on their insurance plan as a dependent, yes. Spouses and children under 26 can usually use the policyholder's insurance. You'd still need to check out-of-network mental health benefits and submit claims. The policyholder will get an Explanation of Benefits showing you're getting mental health care (though not session details). Privacy can be an issue if you don't want your parent/spouse knowing you're in therapy.
In an archipelago of roughly 6,000 residents, small-community dynamics can make walking into the island's only hospital feel exposing. Grouport connects you with a licensed therapist based entirely outside Saint Pierre and Miquelon for weekly 45-minute one-on-one video sessions, so there's no chance of running into a neighbor, classmate, or colleague in a waiting room. Sessions run over a HIPAA-secure video link on your own schedule in the UTC-3 time zone, and you can start right away rather than waiting for a local slot.
With a GNI per capita near $24,000 and typical private psychology consultations on the islands running well above 50 euros before Caisse de Prevoyance Sociale reimbursement, therapy costs add up quickly, especially if you're traveling from Miquelon-Langlade for each visit. Grouport is $103 per session on average, billed at $448 per month, for weekly 45-minute one-on-one video sessions with a licensed therapist over a HIPAA-secure link. You skip the ferry, the 9-week local wait, and the reimbursement paperwork, and you can start right away.
Saint-Pierre bourg, Ile-aux-Marins, Anse-a-Ravenel, Savoyard, Pointe-Blanche, Cap-aux-Basques, Miquelon village, Langlade, Grand-Barachois, Dune de Langlade, Anse-du-Gouvernement
Saint-Pierre, Miquelon, Langlade
97500
If you have an address in Saint Pierre and Miquelon, 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.
