Clinically Effective Online Therapy for Somatic Symptom Disorder

At Grouport, we offer a range of online therapy options to help individuals with somatic symptom disorder understand how psychological distress manifests as physical symptoms, develop a healthier relationship with bodily sensations, and break the cycle of symptom monitoring, medical seeking, and functional impairment that the disorder creates. Many members choose to mix and match therapy formats.

Online Group Therapy

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Online Group Therapy for Somatic Symptom Disorder

Join a close-knit group of typically 6-8 members and a licensed therapist. Group therapy is especially valuable for somatic symptom disorder because the experience of not being believed, of being told "it is all in your head," creates profound isolation. Being in a room with others who understand what it is like to have real physical suffering that the medical system cannot fully explain is validating in a way that no individual intervention can replicate.

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Online Individual Therapy

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Online Individual Therapy for Somatic Symptom Disorder

Get personalized one-on-one treatment. Our individual therapy provides dedicated care to map the specific connection between your psychological state and your physical symptoms: which emotions trigger or intensify symptoms, what thought patterns amplify pain and fatigue, and how the cycle of symptom monitoring and medical reassurance-seeking maintains the disorder. Your therapist builds a targeted plan to change your relationship with your body.

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Virtual Intensive Outpatient Program (IOP)

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Virtual IOP for Somatic Symptom Disorder

For those whose somatic symptoms have become severely disabling, preventing you from working, maintaining relationships, or engaging in daily activities, our virtual IOP offers multiple therapy sessions each week, combining individual and group care for intensive, structured treatment to break the cycle of symptom focus and functional decline.

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Online Family Therapy

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Online Family Therapy for Somatic Symptom Disorder

Our online family therapy helps families understand somatic symptom disorder and navigate the complex dynamics it creates. Family members may oscillate between excessive caretaking (which can reinforce symptom focus) and frustration or disbelief (which creates hurt and isolation). Family therapy finds the balance between validating suffering and encouraging functional engagement.

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Online Teen Therapy

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Online Teen Therapy for Somatic Symptom Disorder

If your teen is experiencing persistent physical symptoms that medical evaluation has not fully explained, such as chronic headaches, stomach pain, fatigue, or dizziness, our teen therapy programs provide developmentally appropriate treatment. Somatic symptoms are common in adolescents experiencing stress, anxiety, or emotional difficulties, and early intervention prevents the symptoms from becoming entrenched.

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Online Couples Therapy

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Online Couples Therapy for Somatic Symptom Disorder

If somatic symptom disorder is affecting your relationship, whether through your partner feeling helpless about your pain, frustration about cancelled plans, disagreement about whether symptoms are "real," or the emotional distance that chronic illness creates, couples therapy can help your partner understand the disorder and learn how to be supportive without reinforcing the symptom cycle.

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Looking for a Self-Paced DBT Option?

Build DBT skills at your own pace with our therapist-developed program — featuring video lessons, worksheets, and tools you can access anytime.

Start Treating Somatic Symptom Disorder in 3 Simple Steps

Online therapy for somatic symptom disorder: personalized, flexible, and therapist-led. Understand the brain-body connection driving your symptoms, develop a healthier relationship with physical sensations, and reclaim the functioning that chronic symptoms have been stealing.

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01   Choose the Right Therapy Format & Plan

Whether you're interested in online group therapy for somatic symptom disorder, individual therapy sessions, a combination of both, or our virtual IOP for more intensive care, you'll start by selecting the format that fits your needs and schedule. You can customize the frequency of sessions and even pair live therapy with our DBT self-guided program for added support between sessions. Just complete our onboarding form and sign up directly for the plan that suits you best.

02   Have a 1:1 Consultation with a Care Coordinator

After signing up, you'll connect with a dedicated care coordinator who will discuss your mental health challenges, goals, and preferences. They'll walk you through the range of therapy options best suited to your needs for managing somatic symptom disorder. You'll make the final choice about your care, including which therapists you'll meet with and select session times that are most convenient for you.

03   Begin Treatment

Attend your weekly online therapy sessions to build coping skills, mood regulation strategies, and stability tools tailored to somatic symptom disorder. Our team will be here to support you at every step of the way, ensuring you're happy with your care plan and helping you make changes whenever needed.

Recognizing Symptoms of Somatic Symptom Disorder: Signs You Shouldn't Ignore

Your symptoms are real and treatable. It is a clinically characterized by intense fear and avoidance of situations where escape might feel difficult or help unavailable. If these patterns year, therapy can help you break the cycle.

Common signs to watch for include:

  • Persistent physical symptoms without adequate medical explanation You experience chronic pain, fatigue, dizziness, gastrointestinal problems, headaches, numbness, or other physical symptoms that medical testing has not fully explained, or that seem disproportionate to any identified medical condition.
  • Excessive worry about your symptoms or health You spend a significant amount of time thinking about your symptoms, researching them, monitoring your body for changes, or worrying that something serious is being missed. The worry itself becomes consuming and distressing.
  • Frequent medical visits and reassurance-seeking You have seen multiple doctors, undergone repeated testing, or sought second and third opinions, and while normal results provide temporary relief, the worry returns quickly. Medical reassurance does not stick.
  • Symptoms that intensify with stress or emotional distress You may have noticed that your physical symptoms worsen during periods of stress, conflict, anxiety, or emotional upheaval, and improve during calm or distracted periods. This pattern does not mean the symptoms are imaginary; it reflects the brain-body connection.
  • Disproportionate time and energy devoted to symptoms The symptoms and your response to them consume a disproportionate amount of your daily life: researching, monitoring, attending appointments, avoiding activities that might trigger symptoms, or talking about your health concerns.
  • Functional impairment The symptoms and your response to them have caused you to reduce activities, miss work, withdraw from social life, give up hobbies, or limit your daily functioning in significant ways.
  • Frustration with the medical system You feel dismissed, disbelieved, or abandoned by doctors who tell you nothing is wrong when you are clearly suffering. You may feel angry at the suggestion that your symptoms have a psychological component because that feels like being told your pain is not real.
  • Body scanning and hypervigilance You frequently check your body for symptoms: monitoring your heart rate, noticing every twinge or sensation, touching areas of concern, or performing self-examinations. This hypervigilance amplifies normal bodily sensations into alarming symptoms.

If you recognize these patterns in yourself or a loved one, working with a licensed therapist can help.

Recognizing symptoms of somatic symptom disorder

How Somatic Symptom Disorder Affects Daily Life

Somatic symptom disorder creates a self-reinforcing cycle that progressively narrows your life. The symptoms cause distress, the distress amplifies the symptoms, the amplified symptoms increase monitoring and avoidance, and the avoidance reduces functioning, which creates more distress. Without intervention, this cycle accelerates.

The Symptom Amplification Cycle

The brain and body are not separate systems. Anxiety increases muscle tension, which increases pain. Focusing attention on a body part amplifies the sensations from that area. Catastrophic interpretation of normal sensations (interpreting a headache as a brain tumor) triggers the stress response, which produces more physical symptoms. This is not imaginary; it is neuroscience. The brain's threat detection system is treating your body's normal signals as danger, and the resulting physiological stress response creates real, measurable physical effects.

Medical Frustration & the "It's All in Your Head" Problem

One of the most damaging experiences for people with somatic symptom disorder is being dismissed by the medical system. Being told that tests are normal when you are clearly suffering feels invalidating. The critical thing to understand: therapy for somatic symptom disorder does not mean your symptoms are imaginary. It means your brain's processing of physical sensations has become dysregulated, and that dysregulation is treatable.

Functional Decline

As symptoms persist, your world shrinks. You stop exercising because it might trigger symptoms. You reduce work hours because fatigue makes full days impossible. You cancel social plans because you never know how you will feel. You avoid travel because you need to be near your doctors. Each reduction in activity feels necessary, but the cumulative effect is a life organized entirely around managing symptoms.

Mental Health

Somatic symptom disorder frequently co-occurs with anxiety and depression. The chronic physical suffering, the frustration of not being believed, and the progressive loss of functioning create a breeding ground for depression. Health anxiety amplifies both the somatic symptoms and the distress about them. Many people develop secondary depression as a direct result of living with chronic unexplained symptoms.

Relationships & Social Life

Somatic symptom disorder strains relationships. Partners may feel helpless, frustrated, or skeptical. Friends may stop inviting you to things you always decline. Family members may not know whether to encourage you to push through or validate your limitations. The invisible nature of many somatic symptoms (you look fine from the outside) creates an additional layer of misunderstanding and isolation.

Financial Impact

The medical costs of somatic symptom disorder are significant: repeated doctor visits, specialist referrals, diagnostic testing, emergency room visits, medications, and alternative treatments. Research shows that people with somatic symptom disorder use healthcare resources at significantly higher rates than the general population. Effective therapy reduces both symptom severity and healthcare utilization.

What to Expect in Your First Somatic Symptom Disorder Therapy Session

Starting therapy when you are already exhausted and unmotivated can feel like a big ask. Here is what your first few sessions typically look like.

1

Share Your Experience

Your therapist will ask about your symptoms, your medical history, and how the symptoms are affecting your life. Critically, your therapist will not question whether your symptoms are real. The starting point is always: your suffering is genuine, and we are here to help you reduce it. You will also discuss the emotional and psychological context: what was happening in your life when symptoms began, what makes them better or worse, and how you feel about the medical journey you have been on.

2

Understand the Brain-Body Connection

Together, you will explore how psychological distress manifests physically in your specific case. Your therapist will explain the neuroscience: how the nervous system amplifies pain signals under stress, how attention to a body part increases sensation from that area, how anxiety triggers real physiological changes (muscle tension, GI disruption, cardiovascular shifts), and how the threat detection system can become miscalibrated. Understanding this mechanism is not about dismissing your symptoms; it is about giving you a path to reducing them.

3

Set Collaborative Goals

You and your therapist will define what progress looks like for you. This might include reducing the time spent monitoring symptoms, tolerating a physical sensation without catastrophizing, returning to an activity you have been avoiding, reducing doctor visits from weekly to monthly, or experiencing a day where symptoms are present but do not dominate your attention. Goals are concrete and meaningful to you.

4

Build Your Treatment Plan

Your therapist will introduce evidence-based techniques tailored to your situation: CBT to challenge the catastrophic health thoughts that amplify symptoms, interoceptive exposure to build tolerance for physical sensations, behavioral activation to reverse the functional decline, and mindfulness to change your relationship with bodily sensations from adversarial to observational. You will leave with a clear plan and a sense that there is a way forward that does not involve more tests.

Trusted by Thousands of Patients

See how our therapy options have helped our members experience 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."

Your Somatic Symptom Disorder Treatment Starts Here

At Grouport, our virtual somatic symptom disorder therapy integrates several evidence-based techniques designed to help you understand the brain-body connection driving your symptoms, develop a healthier relationship with physical sensations, and reclaim the functioning that the disorder has been eroding:

CBT for Somatic Symptoms & Health Anxiety

CBT for somatic symptom disorder targets the specific cognitive patterns that amplify physical symptoms and maintain the disorder. These include catastrophic misinterpretation of bodily sensations ("This headache must be a brain tumor"), selective attention to threatening health information while ignoring reassuring information, intolerance of uncertainty ("I need to be 100% sure nothing is wrong"), and safety behaviors like body scanning and reassurance-seeking that temporarily reduce anxiety but reinforce the cycle long-term. Your therapist will help you identify your specific thought patterns, test them against evidence, and develop more balanced responses to physical sensations that reduce rather than amplify distress.

Interoceptive Exposure

Interoceptive exposure is one of the most powerful techniques for somatic symptom disorder. It involves deliberately inducing mild versions of the physical sensations you fear (elevated heart rate through exercise, dizziness through spinning, muscle tension through sustained contraction) in a controlled therapeutic context. By experiencing these sensations repeatedly without the catastrophic outcome you fear, your nervous system learns that the sensations are not dangerous. Over time, your brain recalibrates its threat response, and normal bodily sensations stop triggering the alarm system. This directly addresses the hypervigilance that keeps the symptom cycle going.

Behavioral Activation & Graded Activity

Somatic symptom disorder typically leads to progressive withdrawal from activities, exercise, work, and social life. Each withdrawal feels necessary ("I cannot do that because of my symptoms"), but the inactivity itself worsens both physical and psychological health: deconditioning increases fatigue and pain, isolation worsens depression, and loss of meaningful roles erodes self-worth. Behavioral activation reverses this cycle by gradually reintroducing activities using a paced, graded approach. You start with manageable levels and build incrementally, learning that activity does not cause the harm you fear and that functioning improves with engagement, not avoidance.

Mindfulness-Based Stress Reduction (MBSR)

MBSR changes your relationship with physical sensations from adversarial ("This pain is ruining my life, I need it to stop") to observational ("I notice a sensation of tightness in my stomach. It is uncomfortable. I am going to observe it without trying to change it"). This shift is transformative because the fight against symptoms is itself a major amplifier: the more you resist and fear a sensation, the more your nervous system treats it as a threat and the more intense it becomes. Mindfulness teaches you to observe bodily sensations with curiosity rather than fear, breaking the amplification cycle. Regular mindfulness practice has been shown to reduce both perceived symptom severity and functional impairment.

Acceptance and Commitment Therapy (ACT)

ACT is especially well-suited for somatic symptom disorder because it directly addresses the trap most people are stuck in: waiting for symptoms to resolve before living their life. ACT teaches you to pursue your values (work, relationships, creativity, engagement) even while symptoms are present, rather than organizing your entire life around symptom management. It helps you defuse from catastrophic health thoughts (recognizing "I might have something seriously wrong" as a thought, not a fact), accept that some degree of physical discomfort is part of being human, and choose action based on what matters to you rather than what your health anxiety dictates.

DBT Skills

DBT skills provide practical tools for managing the distress that somatic symptoms create. Distress tolerance skills help you endure periods of symptom flare without catastrophizing or rushing to the emergency room. The TIPP technique can reduce the physiological arousal that amplifies symptoms. Emotion regulation skills help you identify and process the emotions (fear, frustration, grief over lost functioning) that are intertwined with your physical experience. Interpersonal effectiveness skills help you communicate about your symptoms with doctors, family, and partners in ways that get your needs met without reinforcing the symptom cycle.

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Meet Our Licensed Somatic Symptom Disorder Therapists

Every Grouport therapist is a licensed, accredited mental health professional with specialized training in somatic symptoms, health anxiety, and mind-body approaches.

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Our therapists typically have over a decade of clinical experience across diverse settings, with specialized expertise in somatic symptom disorder, health anxiety, chronic pain, and mind-body approaches, and evidence-based interventions like CBT, interpersonal therapy, behavioral activation, and social skills training.

We continually evaluate outcomes through internal studies and outcomes studies with researchers from leading universities such as Carnegie Mellon, University of Essex, and University of Cologne.

MEET OUR THERAPISTS
Grouport network of licensed somatic symptom disorder therapists including LCSW, PhD, PsyD, LMHC, and LMFT professionals

a healthier future starts right here

Grouport’s Results

80%of our members start with moderate to severe mental health symptoms

70% of our members feel significantly better within just 8 weeks

50% of our members achieve remission levels within just 8 weeks

80%
of our members start with moderate to severe mental health symptoms

70%
of our members feel significantly better within just 8 weeks

50%
of our members achieve remission levels within just 8 weeks

girl with chart on face

All Your Therapy Needs, All in One Place

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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Group Therapy

$35/session
billed at $140/month

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Individual Therapy

$112/session
billed at $448/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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Teen Therapy

$112/session
billed at $448/month

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We Also Treat These Conditions

Somatic Symptom Disorder often co-occurs with other mental health conditions. Our licensed therapists are experienced in treating a wide range of challenges, and many members address multiple concerns simultaneously through our flexible therapy options.

Frequently Asked Questions

What Services Does Grouport Offer?

Grouport provides online group therapy, individual therapy, couples therapy, family therapy, teen therapy, intensive outpatient program (IOP), all held virtually over video chat. We also offer a DBT self-guided program. Many members combine multiple therapy types to best fit their needs.

What Is Somatic Symptom Disorder?

Somatic symptom disorder is a DSM-5 diagnosis characterized by one or more physical symptoms (such as pain, fatigue, dizziness, or gastrointestinal issues) that are distressing or significantly disrupt daily life, accompanied by excessive and disproportionate thoughts, feelings, or behaviors related to those symptoms. The physical symptoms are real, not imagined or faked. The diagnosis reflects the degree to which your psychological response to the symptoms has become impairing, not whether a medical cause has been identified.

Does Having Somatic Symptom Disorder Mean My Symptoms Are Not Real?

No. This is the most important misconception to correct. Your symptoms are absolutely real. You are experiencing genuine physical pain, fatigue, or other sensations. Somatic symptom disorder means that your brain's processing of those sensations has become dysregulated: the nervous system is amplifying signals, the threat detection system is overactivated, and the cycle of worry and monitoring is intensifying the experience. Therapy does not dismiss your symptoms; it gives you tools to reduce them by addressing the brain-body connection that is maintaining them.

Are Grouport's Licensed Therapists Qualified to Treat Somatic Symptom Disorder?

Yes, every Grouport therapist is accredited and licensed. Our network includes Licensed Psychologists (PhD, PsyD), Licensed Social Workers (LCSW), Licensed Mental Health Counselors (LMHC), and Licensed Marriage and Family Therapists (LMFT). Our therapists specialize in evidence-based approaches including CBT for somatic symptoms, interoceptive exposure, behavioral activation, and mindfulness-based approaches.

How Is Somatic Symptom Disorder Different from Health Anxiety?

There is significant overlap. Health anxiety (formerly called hypochondriasis, now called illness anxiety disorder in the DSM-5) is primarily about the fear of having or developing a serious illness, sometimes even without prominent physical symptoms. Somatic symptom disorder involves actual distressing physical symptoms along with the excessive psychological response to them. Many people have features of both. The treatment approaches are similar, and your therapist will address whichever pattern is most prominent in your experience.

Should I Stop Seeing My Doctor If I Start Therapy?

No. Therapy for somatic symptom disorder works alongside medical care, not instead of it. Your therapist will never tell you to ignore physical symptoms or stop seeing your doctor. What therapy does is help you develop a more balanced relationship with medical care: appropriate use of healthcare rather than excessive reassurance-seeking, the ability to tolerate uncertainty about your health, and a reduction in the anxiety that drives repeated testing and specialist visits. Many people find that therapy actually improves their medical care because they can communicate more effectively with their doctors.

Can Stress Really Cause Physical Symptoms?

Yes, and the science behind this is well established. Psychological stress activates the sympathetic nervous system, which produces measurable physical changes: increased muscle tension (causing pain and headaches), altered gut motility (causing nausea, cramping, IBS symptoms), elevated heart rate and blood pressure, immune system changes, and heightened pain sensitivity. Chronic stress keeps these systems activated long-term, producing persistent physical symptoms. This is not "making it up"; it is how the brain and body are wired to interact.

How Long Does Somatic Symptom Disorder Therapy Take?

Many people notice reduction in health anxiety and symptom monitoring within 6-8 weeks. Meaningful improvement in physical symptom severity typically occurs over 3-6 months as the nervous system recalibrates. Longer-term therapy may be beneficial if symptoms are deeply entrenched, connected to trauma, or have been present for many years. The goal is not necessarily the complete elimination of all physical sensations but a fundamental change in how you relate to them so they no longer dominate your life.

How Can I Find the Right Somatic Symptom Disorder Therapy for My Needs?

Finding the right therapy starts with understanding your needs. If you need focused work on your specific symptom patterns and health anxiety, individual therapy is ideal. If you benefit from connecting with others who understand what it is like to suffer from symptoms that the medical system cannot fully explain, group therapy provides powerful validation. For severe functional impairment, our virtual IOP offers intensive support. Schedule a free call with a care coordinator for a personalized plan.

How Much Does Somatic Symptom Disorder Therapy Cost?

We offer flexible therapy options with straightforward pricing:

Online Group Therapy: Averages $32/session ($140/month).
Online Individual Therapy: Averages $103/session ($448/month).
Online Couples Therapy: Averages $114/session ($492/month).
Online Family Therapy: Averages $148/session ($640/month).
Virtual IOP: Averages $311/week ($1,348/month).
Online Teen Therapy: Averages $103/session ($448/month).
DBT Self-Guided Program: One-time fee of $500.

Payment Options: Monthly, Quarterly (Save 10%), Biannually (Save 15%). No long-term commitment. Switch therapists anytime. Cancel anytime!

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Does Grouport Offer Therapy for Teens with Somatic Symptom Disorder?

Yes. We offer separate therapy groups for Adults (18+) and Teens and Adolescents (under 18). Our teen therapy programs are tailored for adolescents. Somatic symptoms are common in teens experiencing stress, anxiety, or emotional difficulties, often presenting as chronic headaches, stomachaches, or fatigue that lead to school avoidance. Early intervention prevents these patterns from becoming entrenched and helps teens re-engage with their lives.

What Causes Somatic Symptom Disorder?

Somatic symptom disorder develops through a combination of biological, psychological, and social factors. Biological factors include a sensitized nervous system and genetic predisposition to amplified pain processing. Psychological factors include health anxiety, difficulty identifying and expressing emotions (alexithymia), trauma history, and learned illness behavior from childhood. Social factors include early experiences of illness being the primary way to receive care and attention, stressful life circumstances, and the reinforcement that comes from the sick role. It is not caused by weakness, attention-seeking, or faking.

What Outcomes Has Grouport Seen with Therapy?

Our therapy outcomes are backed by outcomes studies with researchers from leading universities such as Carnegie Mellon, University of Essex, and University of Cologne. 80% of our members start therapy with moderate to severe symptoms. Within just 8 weeks, 70% of members see clinically significant reduction in anxiety and depression, and 50% achieve remission levels.

How Do I Cancel My Somatic Symptom Disorder Therapy Subscription?

You can cancel your subscription at any time. No long-term commitment is required. Simply email us at support@grouporttherapy.com and we will send you a quick cancellation form to fill out. If your sessions occur within the member portal, you can also cancel under the manage subscription tab.

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Ready to Reclaim Your Freedom?

Whether chronic physical symptoms and health anxiety have been consuming your time, limiting your life, and leaving you feeling dismissed and alone-related anxiety, or looking to prevent another year of lost months, therapy can help you take back control. Start building a life where the seasons don't dictate how you feel.

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