Online Intensive Outpatient Program in New Hampshire

We provide a personalized & comprehensive treatment plan for New Hampshire residents that fits seamlessly into your everyday life. Through a tailor-made, intensive, & evidence-based approach, we’ll ensure you have the quality care needed to make material progress.

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Intensive outpatient program (IOP)

Mental Health & Intensive Outpatient Program in New Hampshire

Understanding the landscape of mental health care access and the challenges
families face across the state.

Mental Illness Prevalence

The mental illness prevalence rate in New Hampshire is 23.1 percent among adults.

Wait Time

The average wait time for therapy in New Hampshire is 10 weeks.

Median Household Income

The median household income in New Hampshire is $95,628.

Percentage Who Need Therapy

18.1 percent of adults in New Hampshire who needed mental health care did not receive it.

Provider Shortage

In New Hampshire, 51.85 percent of counties are designated as Mental Health Professional Shortage Areas.

Mental Health Providers per 100k Residents

New Hampshire has 393.3 mental health providers per 100,000 residents.

New Hampshire’s mental health needs are substantial, and access constraints shape how residents experience care. The mental illness prevalence rate in New Hampshire is 23.1 percent among adults. The share of adults in New Hampshire who needed mental health care but did not receive it is 18.1 percent. The average wait time for therapy in New Hampshire is 10 weeks. New Hampshire has 393.3 mental health providers per 100,000 residents. 51.85 percent of counties are designated as Mental Health Professional Shortage Areas. The median household income in New Hampshire is $95,628.


Those figures describe a statewide environment where demand, timing, and capacity collide. A 10-week wait can be long enough for symptoms to intensify, routines to destabilize, and motivation to drop, especially for residents seeking a structured level of care such as an Intensive Outpatient Program. When 18.1 percent of adults report needing care but not receiving it, the gap is not limited to a single town or clinic; it reflects a system where appointment availability, program openings, and continuity are difficult to secure. Even with 393.3 mental health providers per 100,000 residents, a 51.85 percent shortage designation signals that large portions of the state still lack sufficient coverage, and that available clinicians are often stretched across multiple roles and settings.


Geography adds another layer to the numbers. New Hampshire spans 9,349 square miles across 10 counties, with 1,409,032 residents and a density of 150.7 people per square mile. In the White Mountains and North Country, reaching care can involve a 60-mile round trip over winter mountain roads, where a 30-mile drive on a map can take 2+ hours in reality. That travel pattern carries direct costs of $10 in fuel per session, or $520 annually, and it also increases missed appointments when winter storms make roads impassable. For residents balancing work and caregiving, the time burden of a 2+ hour trip to Manchester-area providers can be as limiting as the 10-week wait itself. With a median household income of $95,628, the financial impact of repeated travel and delayed care becomes a practical constraint, not an abstract one, particularly when residents need consistent attendance to benefit from higher-cadence treatment.


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UNDERSTANDING THE CHALLENGE

Intensive Outpatient Program challenges in New Hampshire

The Problem

New Hampshire's 1,409,032 residents spread across 9,349 square miles of mountainous terrain face unique barriers to accessing group therapy. With 150.7 people per square mile across 10 counties of the White Mountains and North Country, residents face significant travel challenges to reach mental health professionals. The 60-mile round trip over winter mountain roads means what shows as a 30-mile trip on maps can take 2+ hours in reality, costing $10 in fuel per session, or $520 annually. New Hampshire's 51.85% provider shortage means just 393.3 therapists per 100,000 residents are concentrated in Manchester.

The Impact

New Hampshire's 150.7 people per square mile across 10 counties of the White Mountains and North Country means 326,486 residents experiencing mental illness face winter mountain roads just to reach providers in Manchester. Winter storms make access even worse during winter, roads become impassable, appointments must be cancelled, and residents go weeks without care. For New Hampshire's rural communities where tourism work is seasonal, taking 2+ hours away from work for a $10 round trip means lost income from New Hampshire's median household income of $95,628. The 10-week wait time adds further discouragement, by the time residents overcome geographic barriers, they face months long delays before group therapy begins.

The Solution

For New Hampshire's 326,486 residents needing care across 9,349 square miles of mountainous terrain, Grouport eliminates the 60-mile round trips over winter mountain roads, $520 in annual fuel costs, and 10-week waitlists. New Hampshire residents connect with licensed professionals specializing in group therapy via secure video from home, no icy driving risks, no 2-hour drives to Manchester, no winter storms risks. Support matches within 24 to 48 hours versus New Hampshire's 10-week average. At $32 per session on average ($140 per month), which is 70 to 80% below the national average of $50 to $150 per session, New Hampshire residents save $520 annually in eliminated fuel costs alone while accessing care that 393.3 therapists per 100,000 across 10 counties cannot deliver to the White Mountains and North Country communities.
In New Hampshire, 51.85 percent of counties are designated as Mental Health Professional Shortage Areas.
Online group therapy removes the need for in person travel during winter storms and eliminates long drives from rural towns to Manchester area providers. It also reduces missed sessions caused by poor road conditions and makes it easier for residents to attend consistently from home, which matters in group therapy where regular weekly participation supports progress and accountability.
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Getting Intensive Outpatient Program in New Hampshire: Wait Times and Barriers

New Hampshire residents seeking an Intensive Outpatient Program often run into capacity limits before they ever begin care. 51.85 percent of counties are designated as Mental Health Professional Shortage Areas, and New Hampshire has 393.3 mental health providers per 100,000 residents, a combination that can concentrate openings in a small number of hubs. When demand rises, intake slots fill quickly, and residents may have to accept limited scheduling options or delay starting altogether. The average wait time for therapy in New Hampshire is 10 weeks, which can be especially difficult when symptoms are disruptive and a higher cadence of support is needed.

Geographic Barriers

New Hampshire’s geography makes availability feel different depending on where someone lives, even when statewide numbers are the same. The state’s 1,409,032 residents are spread across 9,349 square miles, with 150.7 people per square mile across 10 counties that include the White Mountains and North Country. For many residents, reaching care involves a 60-mile round trip over winter mountain roads, and what looks like a 30-mile trip on a map can take 2+ hours in reality. Winter storms can make roads impassable, forcing cancellations and creating gaps that are hard to recover from in structured care. These travel realities also shape which programs feel “available” in practice, since a long drive can turn a multi-day-per-week schedule into an unrealistic commitment.

Extended Wait Times

A 10-week average wait time for therapy in New Hampshire affects more than the calendar. Residents who are already struggling often need a predictable start date, clear next steps, and consistent sessions to stabilize symptoms and rebuild routines. When openings are delayed, people may cycle through short-term coping strategies without the structure they were seeking, or they may stop pursuing care after repeated rescheduling. The share of adults in New Hampshire who needed mental health care but did not receive it is 18.1 percent, and long waits are one of the practical ways unmet need becomes real. For residents considering an Intensive Outpatient Program, delays can also complicate coordination with work schedules, transportation, and other responsibilities that must be arranged in advance.

Systemic Challenges

The combination of provider scarcity and high unmet need in New Hampshire means access barriers are systemic, not incidental. With 18.1 percent of adults who needed mental health care unable to receive it, the underlying inefficiencies of the current system restrict both choice and continuity for residents. These barriers extend beyond scheduling: residents often face logistical challenges securing appointments that accommodate multiple weekly sessions, managing absences due to waitlist bottlenecks, and contending with the psychological impact of delayed or fragmented care. While some urban centers offer greater provider density, the statewide statistics reflect a persistent difficulty in accessing structured services regardless of location. For residents navigating these challenges, availability is not only about the number of providers, but whether effective, affordable intervention is accessible when it is most needed.

Urban-Rural Divide

In practice, the statewide shortage interacts with where providers are concentrated. New Hampshire’s 51.85 percent shortage designation helps explain why residents outside major population centers can feel locked out of timely options, even when they are ready to start. The travel burden is not minor: a 60-mile round trip and 2+ hours on winter mountain roads can turn each appointment into a half-day commitment. When that reality is paired with a 10-week wait, residents may end up choosing between delaying care or taking on a schedule that is difficult to sustain. Consistency matters in higher-cadence treatment, and inconsistent attendance due to distance, weather, or limited appointment times can reduce the practical usefulness of the care that is available.
For New Hampshire residents, access to an Intensive Outpatient Program is shaped by a 10-week average wait, a 51.85 percent provider shortage, and the day-to-day realities of travel across 9,349 square miles. Grouport reduces these barriers by offering a virtual format that removes the need for winter driving and long round trips, while supporting faster entry into care through matching in 24 to 48 hours.
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Affordable Intensive Outpatient Program for New Hampshire Residents

Grouport provides New Hampshire residents with immediate access to Intensive Outpatient Program at $311 per week (billed at $1,348/month), compared with national pricing of $693–$1,154 per week and $3,000–$5,000 per month. That difference matters when residents are trying to start structured care without waiting through New Hampshire’s 10-week average wait time for therapy. With a 51.85 percent provider shortage, cost and timing often intersect, since limited openings can push residents toward higher-priced options or longer delays. Grouport’s model is designed to reduce both the financial burden and the time-to-start barrier.

Affordability and Income

At $311 per week on average ($1,348/month), Grouport’s Intensive Outpatient Program is positioned against national weekly pricing of $693–$1,154 and monthly pricing of $3,000–$5,000. For New Hampshire’s median household income of $95,628, $311 represents 0.33% of annual income per week, compared with 0.72%–1.21% at national weekly pricing. In a state where the average wait time for therapy is 10 weeks and 51.85 percent of counties are designated as Mental Health Professional Shortage Areas, affordability is not only about the sticker price; it also affects whether residents can begin care promptly rather than postponing treatment while searching for an opening that fits both budget and schedule. When 18.1 percent of adults report needing mental health care but not receiving it, predictable pricing can be one of the practical factors that keeps residents engaged in the process of starting care.

Hidden Cost and Barriers

Beyond program fees, New Hampshire’s travel demands can add recurring costs that are easy to overlook when comparing options. A common in-person pattern described across the state is a 60-mile round trip over winter mountain roads to reach care concentrated in the Manchester area, and what appears as a 30-mile trip on a map can take 2+ hours in reality. With fuel costs of $10 per session, residents can spend $520 annually on fuel alone, separate from any program costs. That time burden also carries opportunity costs, since repeated 2+ hour trips can interfere with work and responsibilities, particularly in rural areas across the White Mountains and North Country. A virtual Intensive Outpatient Program removes the need for that 60-mile round trip and reduces cancellations tied to winter storms and impassable roads.

Immediate Availability

New Hampshire’s 10-week average wait time for therapy equals 70 days without professional support while symptoms and daily functioning can deteriorate. For residents who are already seeking a higher cadence of care, 70 days can also mean more time spent trying to manage disruptions at home and work without structured clinical contact. Grouport eliminates this wait with matching in 24 to 48 hours, giving New Hampshire residents a faster path into an Intensive Outpatient Program when timing is a central part of the decision.
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What is Virtual IOP?

Virtual intensive outpatient program (IOP) is a level of mental healthcare that is more intensive than traditional weekly therapy. When symptoms are pronounced, recurring, & disruptive to everyday life, a higher cadence of treatment is often needed to improve quality of life. Treatment is delivered to clients directly in the comfort of their own home, with highly specialized care that’s specifically geared to each client’s needs, that provides the proper skills, support, accountability, and motivation needed to see clinically significant results. By receiving the right care at a higher cadence, clients gain greater adherence to treatment.

The goal of IOP is to help people manage their mental health and achieve lasting recovery while still allowing them to maintain their daily routines and responsibilities.

Specialized groups

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When people are surrounded by others who share a similar situation – results never thought possible start to happen. Our groups are highly structured, and focus on a particular diagnosis or life challenge, with only evidence-based methods, led by an expert therapist. Groups become a place to look forward to seeing the same faces each week, and an outlet to build trust and vulnerability with the people who get it.

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Individual therapy

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Individual connections play a vital role in the IOP model, which is why each person’s customized treatment plan includes a primary therapist for weekly one-on-one sessions. Individual sessions complement the group work to ensure a full support system.

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How is our approach different?

Evidence-Based Care

Expert Therapists

Curated Communities

Personalized Treatment

Immediate Availability

Flexible Scheduling

Virtual Access

Ongoing Support

We specialize in treating high acuity, high severity, mental health conditions with highly-personalized, comprehensive care that yields meaningful results

How it Works

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Schedule a call with a care coordinator to learn more about our program or signup directly

Networking

Get Matched

We’ll conduct a thorough intake to create your personalized virtual treatment plan

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Start healing

Meet your group and your individual therapist in as little as 24 hours

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Proven Outcomes & Member Satisfaction

80%
of members start with moderate to severe mental health symptoms at baseline.

70%
Of members see clinically significant reduction in anxiety and depression symptoms within 8 weeks

50%
Achieve Remission Levels Within 8-weeks

90%
of our members would be disappointed if they could no longer access care through Grouport

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Therapist Network

Our team of licensed mental health providers uses a diverse set of therapeutic modalities to create a holistic, personalized treatment program with your background, mental health needs, and recovery goals in mind. No matter the level of your symptoms, or what you’re dealing with, we have a treatment plan for you & can provide the care needed to get better.

Grouport therapists are fully licensed clinical professionals (LCSW, LMFT, PhD, PsyD) with specialized training in evidence-based Intensive Outpatient Program in New Hampshire.
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We treat the full spectrum of mental health needs, and life challenges in New Hampshire

Our team of providers uses a diverse set of therapeutic modalities to create a holistic, personalized treatment program for New Hampshire residents with your background, mental health needs, and recovery goals in mind. No matter the level of your symptoms, or what you’re dealing with, we have a group for you & can provide the care needed to get better.

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Get Help for:

Anxiety Disorders

Anxiety, OCD, Agoraphobia, Panic, Phobias

Mood Disorders

Depression, Bipolar Disorder, Postpartum depression

Trauma & Stress Related Disorders

Trauma & PTSD

Personality Disorders

Borderline Personality Disorder, Narcissistic Personality Disorder

Life Challenges

Grief & Loss, Relationship Challenges, Couples Issues, Parenting, Supporting a loved one, Chronic Illness, Work stress & burnout, Divorce, Narcissistic Abuse, Gender identity, LGBTQIA Support

Other Disorders

Eating Disorders, Body Dysmorphia, Anger Management, ADHD, Substance Abuse & Addiction

Self harm

Self-harm, Self-injury, Suicidal ideation, Suicide Survival

Common Treatments

Dialectical Behavior Therapy (DBT) , Cognitive Behavioral Therapy (CBT), Exposure Response Prevention Therapy (ERP), Acceptance and Commitment Therapy (ACT), Emotion-focused Therapy (EFT), Exposure Therapy, Motivational Interviewing, Interpersonal Therapy

  • OCD
  • Anxiety
  • Depression
  • Trauma & PTSD
  • Borderline Personality Disorder
  • Bipolar Disorder
  • Narcissistic Abuse 
  • Eating Disorders
  • Body Dysmorphia 
  • Agoraphobia 
  • Anger Management
  • ADHD
  • Substance Abuse & Addiction
  • Postpartum depression or anxiety
  • Panic
  • Phobias
  • Grief & Loss
  • Relationship Challenges
  • Couples Issues
  • Parenting
  • Supporting a loved one
  • Work stress & burnout
  • Self-harm, Self-injury, Suicidal ideation
  • Chronic Illness
  • Divorce
  • Teen/Adolescent Groups 
  • Gender identity 
  • LGBTQIA Support

Common Treatments:

  • Dialectical Behavior Therapy (DBT) 
  • Cognitive Behavioral Therapy (CBT)
  • Exposure Response Prevention Therapy (ERP)
  • Acceptance and Commitment Therapy (ACT)
  • Emotion-focused Therapy (EFT)
  • Exposure Therapy
  • Motivational Interviewing 
  • Interpersonal Therapy
Vector Heart

Trusted by thousands of patients

Check out how our services have helped our members see life-changing results

Sarah

Relationship Issues

"It’s helped our family improve communication, control anger, and it’s helped my husband and I parent better. I’m forever grateful for bringing our family even closer together."

Isabel

Trauma & PTSD

"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."

Danielle

Anxiety

"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

DBT

"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."

Benjamin

Anxiety
Depression

"Adam is helping me to approach my anxieties from a different perspective. So I’m working on developing this awareness and not be too fearful about it."

Briana

Anxiety
Depression

“I learn a lot of skills and hearing other people’s experiences help”

Charlotte

Anxiety
Depression

“Group therapy depends on the facilitator and the participants. This particular one is great for both.”

Melanie

Anxiety

“I love getting another perspective on an issue from another participant. It changes my whole thought process and really helps me see things clearly. I like Grouport because there is no pressure to discuss your problems. During my good weeks, I usually have a similar problem to someone else in the group that's in the back of my mind. They bring that problem to life when they talk about their own situations. We always come to a solution for these negative thoughts or emotions.”

Carrie

Relationship Issues

“It is helping my family.”

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Affordable Care, Geared to Your Needs

Partnership

IOP Therapy

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

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Individual Therapy

$112/session
billed at $448/mo

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Partnership

Couples Therapy

$123/session
billed at $492/month

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or Learn More

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Teen Therapy

$112/session
billed at $448/month

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or Learn More

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Family Therapy

$160/session
billed at $640/mo

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or Learn More

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Group Therapy

$35/session
billed at $140/mo

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or Learn More

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FAQs for Intensive Outpatient Program in New Hampshire.

What about conversion therapy—is it banned in my state in New Hampshire?
Some states ban conversion therapy for minors, recognizing it as harmful. Other states don't. Bans vary in scope, some prohibit licensed therapists from providing it, others include broader prohibitions. If you or your child is being pressured into conversion therapy, know your state's laws and your rights to refuse. No reputable mental health organization endorses conversion therapy.
Why doesn't Grouport take insurance in New Hampshire?
Insurance has downsides. You need a formal diagnosis which goes in your medical record. It limits session frequency and duration. Involves tons of paperwork. Requires therapists to get approval for treatment. And it reimburses providers poorly, which is why many good therapists don't take insurance. Not accepting insurance keeps costs lower and gives you more control over your care. Many people find self-pay with potential reimbursement is better than dealing with insurance restrictions directly.
Can therapy help with rural veteran issues in New Hampshire?
Rural veterans often have less access to VA services, mental health care, and veteran communities. Online therapy addresses PTSD, depression, adjustment issues, chronic pain, and the difficulty of transitioning from military to rural civilian life. Some therapists specialize in veteran issues and understand military culture. The VA also offers telehealth for mental health, so that's worth checking out alongside or instead of private therapy. At Grouport, we work with many veterans in all kinds of our therapy options.
Can therapy help with rural youth who want to leave in New Hampshire?
Young people growing up rural often face pressure to stay (family wants them to take over the farm, small town guilt about leaving) conflicting with desire for opportunities elsewhere. Therapy helps you navigate this without guilt, figure out what you actually want versus what everyone expects, and make peace with your choice. Leaving doesn't make you a traitor, and staying doesn't mean you've given up on your dreams. It's your life.
Will IOP interfere with my job in New Hampshire?
It’s designed not to interfere with your job. Morning, evening, lunchtime, or weekend time sessions are available, so you can build a schedule that works around typical work hours and is flexible for you. You'll need to block out time for sessions but it's doable alongside full-time work. Lots of people manage both together. The whole point of IOP is to do it with your regular daily routine, so you’ll just choose a schedule that meets the intensity of IOP but combines it in such a way that you’re able to continue to do work over that time period. Other ways of going about IOP, is perhaps part of the program you do while you're on vacation, or you reduce your hours temporarily to accommodate care, or you take a short term medical leave, or HR may be able to make you an accommodation. No matter what schedule you choose, IOP should be able to be done with your day to day responsibilities.
Will IOP cure me or is this just temporary help in New Hampshire?
IOP won't cure mental health conditions but provides tools, support, and stabilization for managing them long-term. Mental health conditions are typically chronic and they require ongoing management. IOP’s intensive treatment is meant to stabilize you and get you functioning better. Mental health is about management and recovery, not cure. IOP gives you tools and stability so that you’re in a much better spot. Sustaining improvement requires continued effort after graduation and people often do that through some kind of ongoing therapy that combines individual therapy and group therapy together to meet their maintenance needs.
What if I'm struggling with suicidal thoughts during IOP?
Suicidal thoughts are common among IOP participants and that's often why people need intensive treatment. Tell your individual and group therapists about these thoughts. They'll assess your safety, create a safety plan, and possibly suggest adjusting your level of care. However, if you're imminently suicidal (active plan, intent, means), you need emergency services immediately and IOP isn't sufficient for acute suicide risk. There is a difference between ideation and intent of any kind, and if there is any kind of intent a PHP or immediate hospitalization and crisis care would be more appropriate until you stabilize.
What if I'm dealing with multiple diagnoses?
IOP handles complexity. Most people in IOP have comorbidities and co-occurring conditions. Treatment addresses whatever's present and your treatment plan will be tailored based on what you’re experiencing so that you can get the proper treatments to address different aspects of your symptoms.
Can I work or go to school while in IOP?
Yes, that's the whole point and advantage of outpatient care in that you maintain your life while getting intensive treatment. Sessions are scheduled at various times to accommodate work or school schedules. Most people do IOP while working full-time or attending school. We have session times at all times of day including mornings, afternoon, evening & weekends, so it’s best to choose a combination that works best for your schedule and needs but enables you to get through 10-12 hours of weekly therapy.
Are there any hidden fees in New Hampshire?
No, Grouport pricing is completely transparent with no hidden or additional fees. Your monthly subscription cost is clearly stated upfront and includes all your scheduled therapy sessions for that month. There are no extra fees, beyond whichever plan you’re on. What you see is what you pay and there are no surprises on your bill.
Can I pause my subscription and come back later in New Hampshire?
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.
What internet speed do I need for online therapy in New Hampshire?
A stable internet connection of at least 3 Mbps is recommended for video sessions. If video connection isn't working well for some reason, you can always switch to audio-only during the session.

Intensive Outpatient Program Across All of New Hampshire

Heading

Belknap County
Carroll County
Cheshire County
Coos County
Grafton County
Hillsborough County
Merrimack County
Rockingham County
Strafford County
Sullivan County

Cities

Manchester
Nashua
Concord
Derry
Dover
Rochester
Salem
Merrimack
Hudson
Londonderry
Portsmouth
Keene
Laconia
Lebanon
Claremont
Bedford
Somersworth
Hanover
Exeter
Hampton
Milford
Hooksett
Durham
Windham
Goffstown
Peterborough
Littleton
Plymouth
Berlin
Newmarket

Zip Codes

03101, 03102, 03103, 03104, 03105, 03106, 03107, 03108, 03109, 03110, 03060, 03061, 03062, 03301, 03302, 03303, 03304, 03038, 03820, 03821, 03055, 03054, 03053, 03052, 03824, 03063, 03064, 03045, 03044, 03801, 03802, 03803, 03079, 03878, 03879, 03431, 03435, 03246, 03247, 03755, 03756, 03766, 03784, 03785, 03751, 03753, 03071, 03842, 03843, 03844, 03049, 03057, 03051, 03856, 03857, 03111, 03112, 03833, 03834, 03835, 03048, 03082, 03087, 03077, 03070, 03031, 03033, 03458, 03561, 03562, 03264, 03265, 03570, 03015, 03016, 03862, 03863

If you have an address in New Hampshire, Grouport can serve you regardless of your ZIP code.

Online Intensive Outpatient Program in All 50 States

Grouport offers a virtual intensive outpatient program across the United States. Connect with licensed therapists who specialize in your needs.

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Source Citation

Becker's Hospital Review
Common Wealth Fund
HRSA HPSA
US CENSUS