Expert 1:1 Care
Grouport offers individual therapy in Saint Pierre and Miquelon delivered through secure, HIPAA-compliant video sessions with a licensed therapist. For $103 per session ($448 per month) or $224 per month for every-other-week, residents across the archipelago can start one-on-one therapy right away, without waiting for an appointment slot at Centre Hospitalier Francois Dunan or arranging weather-dependent travel between Saint-Pierre and Miquelon-Langlade. Sessions run 45 minutes in English with a therapist matched to each client's goals, and clients meet with the same clinician week after week. Online therapy Saint Pierre and Miquelon residents can book this week makes weekly one-on-one care realistic for the archipelago's small, tight-knit communities.

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 eases pressure on Saint Pierre and Miquelon's single-hospital mental health footprint by giving residents a private, one-on-one alternative to the appointment queue at Centre Hospitalier Francois Dunan. Sessions happen over secure video with a licensed therapist matched to each client's specific goals, so the work is personal rather than generalized. Because clients stay paired with the same clinician week after week, treatment builds real continuity across a full course of care instead of restarting every time a rotating practitioner cycles back to metropolitan France. For residents who have hesitated to seek local support because of confidentiality concerns in a community of roughly 6,000 people, Grouport keeps the entire therapeutic relationship outside the islands.
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 English-fluent expatriates, Canadian cross-border workers, and bilingual professionals a licensed therapist who works in English, 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 in English 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 licensed one-on-one care. 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 $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 in English 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 clinicians are licensed mental health professionals, including psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs, who deliver individual therapy through secure video in English. The network works with clients across many countries and time zones, so therapists are comfortable adapting their communication style, checking in about what matters most to the person in front of them, and building trust with clients whose day-to-day context differs from that of a typical mainland client. Sessions run 45 minutes, once a week or every other week depending on the plan the client chooses, with the same therapist across the full course of care. 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
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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.
Online individual therapy provides the same therapeutic benefits as in-person individual sessions while adding some unique features. Everyone joins by video from wherever they are physically located. It’s the same therapeutic experience, just a different format. Many people actually prefer online since there’s no commute, you can do it from home, and this way it's easier to make it part of your consistent routine. The therapist also manages online-specific differences like coordinating turn taking, managing technology problems, and ensuring engagement. Nonetheless it's shown to be as effective as in person individual therapy, and many people find it to be even more effective for a variety of reasons.
This is so rare that it almost never happens. In the very rare chance it does, talk to the therapist and talk to our care coordination staff if it happens. They will assist you and If you’re not comfortable in the group, you can always switch individual sessions at any time. In the end of the day, the main thing that we’ll work with you on is to ensure that you're happy with your group fit.
Yes, but planned endings benefit both you and the group. If the group isn't helping after 6-8 sessions, discuss concerns with the therapist first as well as a care coordinator and sometimes the therapist can ultimately make adjustments that will result in a major difference for you. If you're certain the group isn't the right fit, you can always switch individual sessions as fit is important and dictates the quality of your experience in group. This is why we provide the flexibility to switch individual sessions at any time, and our care coordinators will work with you to make sure you’re satisfied with whichever group fit you’re in.
Grief individual sessions are incredibly powerful. Shared loss creates deep connection—being around people who actually get it instead of well-meaning friends who don't know what to say. You don't have to explain yourself or feel like you're bringing everyone down. Grief individual sessions are incredibly powerful because loss is often isolating and people dealing with grief often feel like nobody understands. Shared loss creates deep connection since being around people who actually get it is tremendously helpful instead of well intentioned friends who don't know what to say. The therapeutic power comes from being with others who understand grief's reality and not needing to explain or justify your pain. Grief individual sessions don't fix grief but make it more bearable and help you cope better while integrating loss into your life.
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 weekly video sessions of one-on-one members and a licensed therapist based entirely outside Saint Pierre and Miquelon, so there's no chance of running into a neighbor, classmate, or colleague in the waiting room. Sessions run over a HIPAA-secure video link on your own schedule in the UTC-3 time zone, and you can join 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 before Caisse de Prevoyance Sociale reimbursement, therapy costs add up quickly, especially if you're traveling from Miquelon-Langlade for each visit. Grouport is a flat $32 per weekly session with a licensed therapist and a group of one-on-one clients, delivered over HIPAA-secure video. You skip the ferry, the 9-week local wait, and the reimbursement paperwork, and you can join a group 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.
