Individual Therapy for San Marino, Without the ISS Waitlist.

If your internet disconnects during a group session, rest assured your therapist will still be there as it's a group session with other group members, so they will be there when you rejoin. For private sessions, like individual therapy, your therapist will wait 20 minutes for you to reconnect. Try refreshing your browser, using a private or different web browser, restarting your device, switching to a different device, or switching to mobile data if wifi isn't working. If you can't resolve the issue contact our technical support team at and they will work with you

We recommend joining from a computer, laptop or tablet in a private setting as that typically provides for a better therapeutic experience. If you’d prefer to join from a smartphone, you can absolutely do so as our platform works well on smartphones (both iPhone and Android). Using your phone can be convenient as it allows you to attend therapy from anywhere private. However, we recommend using WiFi rather than cellular data when possible to ensure stable video quality and avoid data charges. Consider using headphones for better audio quality and privacy, and position your phone so your therapist can see your face clearly (many clients use a phone stand). While phones can work well, many clients prefer larger screens like tablets, laptops, or computers for a more immersive experience.

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.

Therapy homework translates session insights into daily life. Common assignments include practicing coping skills (breathing exercises, mindfulness, grounding techniques), tracking thoughts or mood, journaling about specific topics, behavioral experiments (trying new behaviors in real situations), communication exercises, reading relevant materials, self-monitoring of symptoms or patterns, and trying new approaches to old problems. Homework isn't busywork, it's essential for progress. What you do between sessions often matters more than the session itself. Most assignments can take 10-20 minutes each and be done several times weekly. Your therapist tailors homework to your goals and reviews completion each session. If homework feels overwhelming, discuss this and your therapist can adjust expectations.

Yes, therapy helps with major decisions like career changes, relationship choices, relocation, parenthood, ending relationships, or other life crossroads. Rather than telling you what to do, your therapist helps you clarify your values and priorities, explore pros and cons thoroughly, identify fears or patterns influencing the decision, understand underlying emotions, recognize any cognitive distortions affecting thinking, consider consequences realistically, access your own wisdom, and develop confidence in your choice. The decision remains yours, as therapy provides structure and support for the decision-making process. Many people find clarity within 8-12 sessions focused on a specific decision, though complex choices can take longer.

Grouport's individual therapy at an average of $103/session ($448/month) is already 50-60% below typical individual therapy costs of $150-250/session. Additional affordability options include using HSA/FSA funds for 20-30% tax savings, submitting superbills to insurance for 50-80% reimbursement if you have out-of-network benefits, month-to-month billing with no long-term contracts allows you to attend when finances permit and pause when needed. If you pay quarterly or biannually, that comes with additional savings of 10% or 15% off respectively. Additionally, you can also do bi-weekly sessions for half the cost at $224/month. We also offer online group therapy at an average of $32/session which provides evidence-based treatment at the lowest cost, and our DBT self-guided program offers a one-time payment for lifetime access. We're committed to making quality care accessible. Contact us to discuss options that fit your budget.

Your first session focuses on understanding you and establishing a treatment plan. The therapist will ask about what brought you to therapy, current challenges, relevant history (relationships, work, family background, past therapy, medical issues), your strengths and coping strategies, and what you hope to achieve. They'll explain their therapeutic approach and how sessions work. You'll discuss confidentiality, logistics, and any questions you have. The first few sessions are also an opportunity to assess fit, do you feel comfortable with this therapist? Many people feel relief just from being heard and having a plan. You're not expected to share everything immediately as therapy unfolds at your pace.

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.

If you grew up between cultures, moved countries, or feel caught between cultural identities, therapy helps. You might not fully belong to any one culture. Questions like "where are you from?" feel complicated. Therapy helps you integrate multiple cultural influences into your sense of self rather than feeling torn between them.

Insurance claim filing deadlines vary—often 90 days to a year from the service date. Check your plan's timely filing limit. If you're within that window, you can submit superbills for past sessions. Beyond the deadline, you may be out of luck for reimbursement. Don't sit on receipts thinking you'll submit them eventually, there are deadlines.

Yes. Grouport runs weekly video sessions year-round on Central European Time, so scheduling holds through Sammarinese holidays like the Feast of Saint Agatha in February, the Investiture Ceremony on April 1st and October 1st, and the September 3rd founding celebrations. You meet one-on-one with a licensed therapist at a consistent weekly 45-minute slot for $103 per session on average, billed at $448 per month, and you can start right away from home in Citta di San Marino or anywhere across the 61 square kilometer republic on HIPAA-secure video.

Yes. Sessions run via HIPAA-secure video with licensed therapists, which suits Sammarinese living in Rimini, Bologna, or further afield, and international professionals working in San Marino's banking, tourism, and diplomatic sectors who don't have an track through the ISS. Weekly one-on-one 45-minute sessions cost $103 each, billed at $448 per month on HIPAA-secure video, and you can start right away without waiting the typical six weeks for public psychotherapy or crossing into Italy for a specialist.