Expert 1:1 Care
Getting into individual therapy in Sint Maarten runs into three walls at once. First, capacity is genuinely thin: the Mental Health Foundation anchors most of the island's outpatient care, non-urgent referrals typically sit for about six weeks, and roughly 28.5 clinicians per 100,000 residents leaves very little slack. Second, finding a quality clinician among that small pool is its own search. Third, finding one actually trained in the specific approach your situation calls for, whether that is OCD, trauma, panic, depression, BPD, bipolar, anger work, grief, relationship difficulty, or any of the other things people navigate, is harder still. Grouport's online individual therapy is built for exactly that gap. After a short signup you're presented with therapist options fitted to your situation, you pick 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.
Sint Maarten's mental health workforce, roughly 28.5 clinicians per 100,000 people, sits well below other high-income Caribbean territories, and non-urgent therapy referrals commonly involve six-week waits at the Mental Health Foundation and the island's small pool of private practices. In a 42,000-person community where confidentiality at a single dominant outpatient provider can feel narrow, weekly one-on-one video sessions with a licensed clinician who works outside the local network are a natural fit. Grouport's model matches this profile directly: immediate matching, HIPAA-compliant private video, the same therapist throughout, and transparent USD pricing at $103 per session or $448 per month, so Sint Maarteners can pursue a sustained course of individual therapy without competing for scarce local capacity.
UNDERSTANDING THE CHALLENGE
The core constraint on Sint Maarten is workforce depth, not distance. With 28.5 mental health workers per 100,000 residents concentrated at the Mental Health Foundation and a small private tier in Philipsburg and Cole Bay, the island's roughly 42,000 residents share a provider pool that would strain even a much smaller demand base. Six-week waits at MHF are the practical result, and private psychologists charging NAf 150-250 per hour price themselves out of reach for many working households. Add the confidentiality question that comes with any tiny population served by a single dominant provider, and the barriers stack: cost, calendar, and privacy all pointing the same direction.
A six-week wait for non-urgent therapy is more than a scheduling inconvenience for a working Sint Maartener. It is six weeks of missed sleep, strained relationships, reduced focus at work, and coping strategies that quietly erode. On an island where private psychologists cluster in a few neighborhoods and capacity across roughly 28.5 mental health workers per 100,000 people is genuinely thin, that gap between deciding to get help and actually starting therapy is often when people give up. Grouport removes that friction entirely: a licensed clinician is available this week, and weekly sessions begin immediately at $103 per session, so the decision to seek help translates into real progress within days.
Grouport gives Sint Maarten residents a real alternative to a small local system running at roughly 28.5 mental health workers per 100,000 people, where the Mental Health Foundation carries most of the load and the handful of private psychologists cluster in Philipsburg and Cole Bay. Rather than joining a six-week queue or hoping the one clinician nearby happens to be trained in the approach your situation actually needs, you sign up, see therapist options fitted to your specific concerns, pick the licensed clinician you'd like to work with, and typically get started within 24 to 72 hours. Sessions are weekly 45 minute one-on-one video with the same therapist across the arc of care, so the work builds rather than restarts, delivered over secure HIPAA-compliant video that also removes the confidentiality strain of a 42,000-person island where providers are widely recognized. Frequency can step up during harder stretches or drop back when things stabilize, with automatic discounts included for every additional weekly session, and a care coordinator is available throughout to help with anything that comes up.
Grouport loosens three specific frictions Sint Maarteners face when seeking one-on-one care. First, the six-week wait for non-urgent therapy through local providers collapses to same-week intake and matching, so someone struggling now can book a session this week. Second, capacity concentrated in Philipsburg and Cole Bay stops mattering when sessions happen over HIPAA-compliant video from any home on the island. Third, in a 42,000-person community where privacy at a single dominant outpatient provider can feel thin, meeting a licensed therapist over encrypted video with no waiting room and no local footprint gives Sint Maarteners a level of confidentiality that in-person care on the island cannot easily match.
Sint Maarten's formal mental health care landscape is anchored by the Mental Health Foundation, the island's dominant outpatient provider, with a small number of private psychologists and psychiatrists in Philipsburg and Cole Bay, employer wellness support at larger hospitality and financial firms, and NGO-run community programs that fill gaps around trauma and family services. SZV provides mandatory health insurance covering a limited number of psychological visits per year for residents. What is missing from that landscape is what Grouport supplies: weekly one-on-one video therapy with a licensed clinician, starting right away rather than after a six-week wait, priced in transparent USD as $103 per session or $448 per month.
Grouport gives Sint Maarten residents immediate access to individual therapy at $103 per session on average, billed at $448 per month on the weekly plan, 50 to 60 percent below the global average of $150 to $250 per session for private one-on-one care. On the every-other-week plan, sessions are at $224 per month. Pricing is transparent, billed in USD, and includes 45 minute weekly video sessions with the same licensed therapist, so Sint Maarteners can plan a full course of care against a predictable monthly number rather than a shifting per-visit bill.
With Sint Maarten's GNI per capita around $23,904 in Atlas terms and roughly $33,200 on a PPP basis, household budgets vary widely across the island's hospitality, financial, and public-sector workforces. Grouport's $103 per session on average, billed at $448 per month weekly plan, or $224 per month on the every-other-week plan, converts one of the least predictable costs in the local private-therapy market into a fixed monthly line item. Local private psychologists typically bill in Netherlands Antillean guilders per hour, which introduces currency and per-visit variability. A flat USD subscription lets Sint Maarteners commit to a full course of care, often three to twelve months of weekly work, without the cost climbing session by session.
In-person therapy on the island carries costs that do not appear on the invoice. A weekly trip across the island to Philipsburg or Cole Bay can consume an hour or more of round-trip time with traffic near the causeway or through Simpson Bay, plus taxi or fuel expense. Sessions during working hours mean lost billable time for professionals in tourism and finance. Per-hour billing in NAf introduces month-to-month cost variability and currency conversion friction on foreign cards. Finding an available licensed clinician in a workforce of roughly 28.5 per 100,000 people is itself a search cost. Grouport replaces all of that with one predictable USD subscription, delivered from home, cancellable anytime.
Where local referrals through the Mental Health Foundation and private practices typically take about six weeks before a first non-urgent therapy appointment, Grouport matches clients to a licensed clinician immediately after a short intake and begins weekly sessions the same week. For Sint Maarten clients ready to start now, a licensed Grouport therapist is available this week, at $103 per session on the weekly plan or every other week, with the same clinician holding the same 45 minute slot going forward so the work builds momentum from session 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 clinicians are licensed mental health professionals, including licensed psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs, each credentialed under the standards of their licensing jurisdictions and trained in specific evidence-based approaches, whether that's CBT, DBT, EMDR, ERP, exposure therapy, IFS, or ACT, so Sint Maarten residents get a therapist who actually works with what they're bringing in rather than the first available name on a shortlist. After a short signup you're presented with clinician options fitted to your specific situation, whether that's OCD, complex trauma, panic, severe depression, BPD, bipolar, an eating disorder, anger work, addiction recovery, relationship crisis, a hard life transition, or any of the other things people work through, and you pick the therapist you'd like. Sessions typically begin within 24 to 72 hours, held weekly for 45 minutes over secure HIPAA-compliant video, with the same clinician across the arc of care so momentum builds week over week.
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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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.
We understand cost is a barrier for many people seeking mental health care. Here are options to make Grouport’s online therapy more affordable: (1) Start with online group therapy at an average of $32/session - it provides evidence-based treatment at the lowest cost. (2) Use HSA/FSA funds if available - this reduces costs by 20-30% through tax savings. (3) Check your out-of-network insurance benefits - many plans reimburse 50-80% of costs. (4) Consider our DBT self-guided program at a one-time cost for structured mental health support. We're committed to making quality care accessible and happy to discuss payment options that fit your budget.
Yes\! You can cancel your subscription at any time and restart when you're ready to return. There's no penalty for pausing, and you can reactivate your account at anytime. When you return, we'll work to match you with your previous therapist if they're available, or find you a new therapist if needed. Many clients take breaks between therapy periods as they practice new skills or experience life changes, then return when they need additional support. Your account remains in our system, making it easy to resume services whenever it's right for you.
Yes, therapy can definitely help you address self-esteem challenges. Your therapist will help you identify where the low self esteem is coming from and what are the right approaches whether cognitive, behavioral or psychodynamic in nature to address these recurring feelings that keep on holding you back. Online therapy will help you build genuine confidence over time. It will likely require deep work on your beliefs about yourself and isn’t a simple quick fix. You’ll learn how to identify these unhealthy thought patterns and challenge negative self-talk, so that you can have a healthier perspective on things. Most people notice improvement in their self-esteem within 3-6 months of consistent therapy.
This is normal, and many people worry about being judged at first. This fear is likely holding you back and may be even a barrier for you seeking therapy in the first place. Therapists are specifically trained to be non-judgemental and they hear about all kinds of challenges all day long. So rest assured that any adept therapist will meet you with compassion and empathy. You don’t have to open up about everything right away, but you will go at your own pace and build trust over time. Being vulnerable in therapy is one of the many benefits that leads to sustained progress over time rather than keeping everything bottled up, so it's important to have someone you can trust to speak with and that they can provide professional guidance to you to help navigate all kinds of challenging situations.
Yes, many people continue therapy as part of their wellness routine. You don’t just stop going to the gym after you see results, but it's typically about how can you maintain the consistency to see sustained results over time. Many people continue with ongoing support to prevent relapse and work on personal growth, or to manage chronic conditions. So you can continue therapy for as long as you're benefiting and the duration at which you partake in therapy is totally a personal decision. Your therapy or treatment plan can likely change over time, and the topics that you're focusing on can certainly be different at different junctures. So trust what’s best for you, and if you want your therapist to weigh in on whether you should continue, stop, or do something different they can absolutely be a sounding board to discuss that through with you and help you make an informed decision.
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.
Some cultures don't have a concept of therapy or view it very differently than Western psychology does. If you're from a culture where you wouldn't normally do therapy, it can feel strange or uncomfortable initially. Your therapist can explain how it works and adapt their approach to fit your cultural background.
Immigration processes are stressful. Visa applications. Documentation requirements. Uncertainty about legal status. Fear of deportation. Separation from family. Having to prove you deserve to be somewhere. Therapy helps you cope with immigration anxiety. Your therapist maintains confidentiality about your immigration status.
If you cancel mid-month, your access continues through the end of your billing period (you've already paid for that month). You're not typically refunded for unused portions of the current month. Monthly subscriptions mean you're paying month-to-month, so cancellation stops future billing but doesn't refund the current month.
Grouport is a direct-pay service and does not bill SZV or any Dutch Caribbean insurer, so you would pay out of pocket the same way you do for most private psychologists in and around Philipsburg. Individual therapy is $103 per session on average, billed at $448 per month, roughly 802 ANG at typical guilder rates, which sits at or below common private therapy fees on the island. Sessions are 45-minute one-on-one video meetings with a licensed therapist over HIPAA-secure video, and you can start right away rather than waiting on an MHF intake.
Grouport is designed to sit alongside local care, not replace it. If you already have an active case with the Mental Health Foundation in Cay Hill for medication management or individual outpatient work, you can continue that treatment and add weekly Grouport video sessions for ongoing one-on-one support between MHF appointments. Individual sessions are 45 minutes with a licensed therapist over HIPAA-secure video, delivered in English at $103 per session on average, billed at $448 per month, and you can start right away without pulling a slot from MHF's limited outpatient capacity.
Grouport serves members across all of Sint Maarten's districts, from the Dutch-side capital of Philipsburg through the hospitality corridors of Simpson Bay, Maho, and Cupecoy on the western coast, up through Cole Bay and Cay Bay, and into the residential clusters of Cul de Sac, Dutch Quarter, Middle Region, and Belvedere. The Lower Prince's Quarter, Upper Prince's Quarter, and Sucker Garden neighborhoods are equally covered, as are members living near the French border in Oyster Pond and along the Great Bay waterfront. Because sessions run over video, a member in Point Blanche joins the same group as one in Mullet Bay without either leaving home.
Philipsburg, the capital and administrative center, is where most on-island private practices concentrate and where MHF's primary campus sits. Simpson Bay hosts the international airport and much of the hospitality workforce, Cole Bay is the retail and light-commercial spine of the western half, and Cul de Sac is the largest residential district by population. Smaller localities including Maho, Cupecoy, Dawn Beach, Guana Bay, and Oyster Pond round out the settled areas of the Dutch side. All are within Grouport's coverage, and the online format means residents of every neighborhood have equivalent access to the same clinician bench and session library.
Grouport serves all zip codes across Sint Maarten. If you have an address in Sint Maarten, 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.
