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Online Individual Therapy for U.S. Virgin Islands Residents

Starting individual therapy in U.S. Virgin Islands means running into a familiar territorial reality: outpatient intake averages around seven weeks, most licensed clinicians cluster in a few offices near Charlotte Amalie or Christiansted, and behavioral health services are still rebuilding capacity years after Hurricanes Irma and Maria. Even when a slot opens, finding a therapist actually trained for the specific work your situation calls for, whether that is OCD, complex trauma, PTSD, panic disorder, major depression, BPD, bipolar, ADHD, grief, relationship strain, or the many other things people carry, often ends in an off-island referral to Puerto Rico or the mainland. Grouport is built for exactly that gap. After a short signup you are presented with licensed clinician options fitted to your situation, you choose the therapist you want to work with, and you typically get started within 24 to 72 hours. Weekly 45-minute one-on-one video sessions on secure HIPAA-compliant video, with the same therapist across the arc of your work, at $103 per session on average ($448 per month), with automatic discounts included for every additional weekly session.

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Mental Health in U.S. Virgin Islands by the Numbers

Understanding the landscape of mental health care access and the challenges
residents face.

Mental Illness Prevalence

35.2 per 100k mental health workers serving the U.S. Virgin Islands, well below stateside U.S. benchmarks

Wait Time

7 weeks average wait for a local in-person mental health appointment in the territory

Median Household Income

$103 per session Grouport rate, undercutting typical private-pay U.S. therapy costs residents face for off-island specialty care

Percentage Who Need Therapy

~17% Spanish speakers largely with Puerto Rican or Dominican heritage, though English remains the sole official language

Provider Shortage

96% urban of the territory's 87,000 residents live in coastal areas across St. Thomas, St. Croix, and St. John

Mental Health Providers per 100k Residents

3 outpatient clinics anchor the Division of Mental Health, Alcoholism and Drug Dependency Services across the three main islands

With roughly 35.2 mental health workers per 100,000 residents, a seven-week average outpatient wait, and specialty needs that still route off-island to Puerto Rico or the U.S. mainland, the numbers describing individual therapy access in U.S. Virgin Islands point to the same underlying constraint: not enough licensed clinicians available soon enough within the territory. Grouport's model is shaped for exactly that gap. One-on-one weekly video sessions with a licensed therapist, matched right away and held over HIPAA-compliant video, mean a Virgin Islander does not have to compete for a local slot to begin care. Priced at $103 per session ($448 per month) in USD, Grouport turns a scarce, waitlisted resource into a predictable weekly appointment that starts this week.

UNDERSTANDING THE CHALLENGE

Mental Health Care in the Caribbean AMR Region

The Problem

Across the AMR region, small island systems like the U.S. Virgin Islands face acute workforce shortages, and the territory's 35.2 mental health workers per 100,000 residents fall far below the national U.S. figure. The Division of Mental Health, Alcoholism and Drug Dependency Services operates outpatient clinics on all three main islands, but inpatient beds are concentrated at Roy Lester Schneider Hospital on St. Thomas and Juan F. Luis Hospital on St. Croix, and specialty care often requires off-island referral to Puerto Rico or the mainland.

The Impact

For a working Virgin Islander, the seven-week gap between deciding to get help and sitting in a first session is rarely just a scheduling detail. It is nearly two months of sleep loss, missed workdays, strained conversations at home, and quiet coping strategies that harden into habits. With roughly 35.2 mental health workers per 100,000 residents and specialty care often routed off-island to Puerto Rico or the U.S. mainland, that gap widens for anyone who needs more than a general outpatient visit. Grouport removes that gap. A licensed therapist is matched right away, the first session lands this week, and the weekly rhythm starts before the initial reason for calling has time to compound.

The Solution

Grouport gives Virgin Islanders something the territorial system rarely delivers on demand: a private weekly session with the same licensed clinician, trained in the specific evidence-based approach your situation calls for, whether that is CBT for anxiety and depression, ERP for OCD, EMDR for trauma, DBT skills for emotion regulation, or IFS and ACT for longer-standing patterns. After a short signup you are presented with clinician options fitted to your situation, you pick the therapist you would like to work with, and you typically get started within 24 to 72 hours, with the first 45-minute session usually landing the same week. Sessions run over HIPAA-compliant video, so someone in Cruz Bay can hold a Tuesday evening slot without a ferry to Charlotte Amalie, and someone on the East End of St. Croix does not lose half a day to a drive across island. The same therapist stays across the arc of care at $103 per session on average ($448 per month), billed in USD, with automatic discounts included for every additional weekly session and the option to layer in group, couples, family, or an intensive outpatient program later if it fits.

96% urban of the territory's 87,000 residents live in coastal areas across St. Thomas, St. Croix, and St. John

Grouport loosens three specific frictions Virgin Islanders describe when they try to start individual therapy. First, the seven-week average wait for an outpatient appointment disappears; intake at Grouport routes directly to a licensed clinician who can meet this week. Second, geography stops mattering: ferry trips between St. Thomas, St. Croix, and St. John and drives across Charlotte Amalie or Christiansted are replaced by a video session held at home. Third, the capacity gaps that FEMA-funded rebuilds are still working through after Hurricanes Irma and Maria no longer determine whether someone gets seen. A stable weekly session with the same therapist becomes an option regardless of what the territorial system can absorb this quarter.

Access & Availability of Mental Health Care in U.S. Virgin Islands

Formal mental health care in U.S. Virgin Islands is anchored by the Department of Health's Division of Mental Health, Alcoholism and Drug Dependency Services, with outpatient clinics on St. Thomas, St. Croix, and St. John and inpatient beds at Roy Lester Schneider Hospital and Juan F. Luis Hospital. Private practices, employee assistance programs from larger territorial employers, and school-based counseling fill in around that public backbone, while specialty needs often route to Puerto Rico or the U.S. mainland. What is missing from that map is a straightforward weekly one-on-one option that starts immediately, at a predictable monthly price. Grouport fills that specific slot: 45 minute video sessions with a licensed clinician, matched right away, at $103 per session weekly or every other week.

Geographic Barriers

U.S. Virgin Islands geography is three main islands separated by open water. Most licensed clinicians and specialty services cluster on St. Thomas near Charlotte Amalie and on St. Croix near Christiansted, which means residents of St. John or the East End of St. Croix often add ferry rides, taxi rides, or an early morning drive to what is already an hour-long appointment. When a preferred therapist practices on the other island, an in-person weekly session can consume half a day. Grouport erases that geography. A licensed therapist meets Virgin Islanders over secure video from wherever the internet works, so the same clinician can serve someone in Cruz Bay one week and Frederiksted the next without either side moving.

Extended Wait Times

Local outpatient intake in U.S. Virgin Islands averages roughly seven weeks from first call to first session, longer for specialty needs that require an off-island referral. Post-hurricane rebuilds, a small clinician workforce, and steady demand keep that queue full year-round. Instead of waiting almost two months to begin, a Virgin Islander can complete a Grouport intake in a single sitting and hold a first 45 minute session with a licensed therapist within days. From there the schedule holds weekly at the same time slot, with the same therapist, so the work compounds rather than restarts. Weekly plans are $103 per session ($448 per month), billed in USD.

Systemic Challenges

Several structural realities shape access to individual therapy in U.S. Virgin Islands. The territorial workforce sits at roughly 35.2 mental health workers per 100,000 residents, well below stateside U.S. staffing levels, and clinicians remain concentrated in a handful of urban clinics. Hurricanes Irma and Maria damaged both territorial hospitals in 2017 and behavioral health services are still rebuilding capacity with federal support. Specialty and higher-acuity care frequently requires off-island referral to Puerto Rico or the U.S. mainland, which adds weeks and cost. Grouport works around those constraints. A licensed clinician is available online this week, sessions are HIPAA-compliant, and pricing is a flat USD subscription that does not shift with local supply.

Urban-Rural Divide

Roughly 96 percent of Virgin Islanders live in urbanized coastal settlements, but that headline hides real intra-territorial gaps. Charlotte Amalie and Christiansted concentrate most of the licensed clinicians, while the East End of St. Croix, the North Shore, and St. John rely on a thinner network of clinics and traveling providers. During peak tourism seasons and after major weather events, in-person appointment slots contract further across every district. Grouport equalizes that map. A licensed therapist meets clients over HIPAA-compliant video regardless of which island, which neighborhood, or which side of a storm someone is on, so a resident of Coral Bay has the same weekly access as one downtown in Charlotte Amalie.

For Virgin Islanders ready to begin real weekly work with a therapist actually trained for what they are dealing with, Grouport is a direct path. After a short signup you are presented with licensed clinician options fitted to your specific situation, you pick the therapist you would like to work with, and you typically get started within 24 to 72 hours. The first 45-minute one-on-one session typically lands the same week, held over HIPAA-compliant video from St. Thomas, St. Croix, St. John, or anywhere with a stable connection. Pricing is $103 per session on average ($448 per month), or $224 per month on the every-other-week plan, billed in USD, with automatic discounts included for every additional weekly session. The same therapist stays with you across the arc of your work, and you can step up frequency during heavier stretches, drop back when things stabilize, or layer in other Grouport care, whether that is group, couples, family, or an intensive outpatient program, if it turns out to be useful. A care coordinator is available throughout to help you navigate anything you need along the way.

Cost & Value of Individual Therapy in U.S. Virgin Islands

U.S. Virgin Islands residents get immediate access to Individual Therapy at $103 per session on average (billed at $448 per month), 50 to 60 percent below the stateside U.S. range of $150 to $250 per session that most private practices charge and that off-island referrals typically match. Every-other-week plans run $224 per month for clients who prefer a lighter cadence. Pricing is a flat USD subscription with no per-visit adjustments, no session-by-session invoicing, and no surprise add-ons for specialty conditions.

Affordability and Income

Median household income across U.S. Virgin Islands sits meaningfully below stateside U.S. levels while the cost of goods, shipped in through Charlotte Amalie and Frederiksted ports, runs meaningfully above them. That combination compresses what most territorial households can commit to weekly private-pay therapy. Grouport's structure is built for that math. A weekly plan is $103 per session on average, billed at $448 per month, and an every-other-week plan is $224 per month, in USD, on a predictable subscription that lets a Virgin Islander plan a full six or twelve month course of individual therapy without wondering what the next invoice will look like. Sessions can be paused or ended at any time, so ongoing care flexes with a household's actual budget rather than locking in for a fixed contract.

Hidden Cost and Barriers

In-person therapy in U.S. Virgin Islands often carries costs that never appear on a therapist's invoice. A weekly appointment in Charlotte Amalie or Christiansted can mean 30 to 90 minutes each way in traffic, taxi and ferry fares when a clinician practices on another island, and lost work hours for anyone paid hourly or on tips. Off-island specialty referrals to Puerto Rico or the U.S. mainland add flight cost, hotel nights, and multiple days away from work and family. Per-session invoicing at private clinics makes monthly spending hard to predict. Grouport removes all of that. One flat USD subscription covers the weekly session, sessions happen at home, and clients can cancel at any time.

Immediate Availability

Local outpatient wait times in U.S. Virgin Islands average roughly seven weeks, and specialty or off-island referrals stretch longer. Grouport does not run on that clock. For U.S. Virgin Islands clients ready to start now, a licensed Grouport therapist is available this week, with intake completed online in a single sitting and a first 45 minute video session scheduled within days. The same therapist holds the weekly slot going forward, so the work builds from the first session instead of restarting after each new referral.

How it Works

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Personalized match

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)

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Meet weekly with a licensed mental health professional for 45-minute video sessions. With consistent online therapy services, you can start seeing meaningful results.

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Mental Health Conditions We Treat in

U.S. Virgin Islands

Beyond individual therapy, Grouport offers licensed therapists who specialize across the full spectrum of mental health needs and evidence-based approaches. Whatever you're looking for, we have a therapist for your needs.

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.”

Olivia

“My weekly group helps me get through the week. Best experience ever!”

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."

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Meet Our Therapists

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 therapists are licensed clinicians: psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs, credentialed to practice individual psychotherapy and trained in the specific evidence-based approaches different situations call for, including CBT, DBT, EMDR, ERP, exposure therapy, ACT, and IFS. That range matters, because a Virgin Islander bringing storm-related anxiety, complex trauma, OCD, long-standing depression, panic attacks, workplace burnout, grief, or relationship strain gets a clinician actually equipped for that specific work rather than the first name on a general list. After a short signup you are presented with therapist options fitted to your situation, you choose the one you want to work with, and that same clinician stays with you across the arc of care. Sessions are held in English, the working language of education, government, and health care across U.S. Virgin Islands, delivered over HIPAA-compliant video, and fully confidential.

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Affordable Individual Therapy & Care Options in U.S. Virgin Islands

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.

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Individual Therapy

$112/session
billed at $448/month

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Group Therapy

$35/session
billed at $140/month

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Partnership

Couples Therapy

$123/session
billed at $492/month

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Family Therapy

$160/session
billed at $640/month

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IOP Therapy

$337/week
billed at $1,348/month

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Frame

Teen Therapy

$112/session
billed at $448/month

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U.S. Virgin Islands Individual Therapy FAQs

Do you offer sliding scale pricing?

Grouport's online format already provides significant cost savings - 40-70% below traditional therapy rates. While we don't offer individual sliding scale adjustments, our group therapy option provides the most affordable access at just an average of $32 per session ($140/month). We also accept HSA/FSA cards, which reduce costs by 20-30% through tax savings, and can provide receipts for out-of-network insurance reimbursement. You’ll also receive discounts if you pay quarterly or biannually or anytime you do multiple sessions together there are discounts automatically included in those plans.

Is online therapy confidential?

Yes, online therapy with Grouport is completely confidential and protected by the same privacy laws (HIPAA) as in-person therapy. Everything you discuss with your therapist remains private unless you give permission to share information or there's a legal requirement (such as risk of harm to yourself or others). Our video platform uses bank-level encryption to protect your sessions from unauthorized access. Your therapist maintains the same professional confidentiality standards as traditional in-person therapy, and all our systems are HIPAA-compliant to ensure your information stays secure.

Is the video platform for online therapy sessions secure and HIPAA-compliant?

Yes, Grouport uses a fully HIPAA-compliant video platform with end-to-end encryption to protect your online therapy sessions. This means your video and audio are encrypted from your device to your therapist's device, preventing anyone from intercepting or viewing your sessions. Our security measures meet or exceed healthcare industry standards and are regularly audited for compliance. Your session data is never recorded or stored unless you specifically request it, and all transmitted information is protected by the same security used by banks and healthcare systems.

What happens in the first online individual therapy session?

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.

How long does individual therapy take?

Therapy duration varies widely based on your goals and situation. Some people address specific issues in 8-12 sessions (short-term therapy for focused concerns like adjustment to life changes or learning coping skills). Others attend for 6-12 months working on deeper patterns, trauma, BPD, Bipolar, OCD, anger management or chronic conditions. Many people attend long-term (1-2+ years) for ongoing support with complex issues or personal growth. Your therapist will discuss realistic timelines for your specific goals. Research shows most people notice improvement within 8-16 sessions, though deeper work takes longer. There's no required duration and you can continue therapy as long as it's helpful.

What issues does individual therapy help with?

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.

What if I feel like I'm not making progress?

Feeling stuck can be common and worth discussing directly with your therapist. Your therapist will take this into account and unpack why progress may be stalling. Perhaps they need to adjust their approach, or maybe progress is happening faster than you think. Your therapist will help you assess if you’re putting in the relevant work outside of sessions to adhere to treatment. Sometimes being stuck comes right before breakthroughs take effect. Your therapist will help you reassess your goals and try different approaches where relevant. Progress isn't always sequential and sometimes it requires additional patience and consistent adherence to treatment before results are realized.

Can therapy help if I'm a student dealing with academic pressure in U.S. Virgin Islands?

Academic pressure affects students everywhere, though it varies by culture and education system. Whether you're dealing with exam stress, family pressure about grades, competitive academic environments, or fear of failure, therapy helps with the anxiety and perfectionism that academic pressure creates.

What if I'm dealing with family expectations and pressure in U.S. Virgin Islands?

Family pressure about career, marriage, children, or life choices exists across cultures. Some cultures have particularly intense family expectations. Therapy helps you navigate family pressure, set boundaries, and make choices that are right for you even when family disagrees.

Can I get therapy without a formal diagnosis?

Yes, if you're paying out-of-pocket. Insurance requires diagnosis codes, but self-pay doesn't. Many people prefer this, since they don't want depression or anxiety disorder in their permanent medical record. You can get help without labeling.

Can I use Grouport if I live on St. John where there's no local outpatient clinic?

Yes. Grouport runs entirely over secure video, so your location within the territory does not affect access. St. John residents who would otherwise ferry to St. Thomas for the Division of Mental Health outpatient clinic can meet with a licensed therapist from home. You need a private space and a stable internet connection. Individual sessions are 45 minutes, one-on-one, and billed in USD at $103 per session on average, $448 per month, so there is no currency conversion. Atlantic Standard Time keeps most U.S.-based scheduling workable year-round.

Are the therapists licensed to work with clients in the U.S. Virgin Islands?

Yes. Grouport's therapists are licensed clinicians who provide one-on-one video sessions to members across the territory. Individual therapy runs 45 minutes per session at $103 per session on average, $448 per month, and matching lets you start right away rather than sitting on a waitlist. If you need medication management, court-ordered evaluation, or crisis care, contact the Division of Mental Health, Alcoholism and Drug Dependency Services or Roy Lester Schneider Hospital directly. Grouport works alongside, not in place of, those services.

Individual Therapy Coverage Across U.S. Virgin Islands

Regions

Grouport serves every district of the U.S. Virgin Islands: St. Thomas including Charlotte Amalie, Red Hook, and Estate Thomas; St. Croix including Christiansted, Frederiksted, Sunny Isle, and Kingshill; St. John including Cruz Bay and Coral Bay; and the surrounding cays. Because sessions run over HIPAA-compliant video, a member's district determines nothing about their access to a group, only their local time zone, which is Atlantic Standard Time across the entire territory.

Cities

Members join from Charlotte Amalie, Christiansted, Frederiksted, Cruz Bay, Coral Bay, Red Hook, Kingshill, Sunny Isle, Estate Tutu, and every settlement in between. The 96-percent urban footprint of the territory means most Virgin Islanders live within a few miles of a town center with reliable internet, and your therapist from smaller settlements like East End on St. Thomas or the interior of St. Croix connect on the same schedule and terms as those in the largest population centers.

Zip Codes

Grouport serves all zip codes across U.S. Virgin Islands. If you have an address in U.S. Virgin Islands, Grouport can serve you regardless of your zip code.

Online Individual Therapy Available Worldwide

Grouport offers online individual therapy available globally for people in 200+ countries. Find a licensed therapist that fits your needs for weekly one-on-one sessions.

Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Colombia Comoros Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Côte d'Ivoire Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of the Congo Reunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
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