Sanarai

What Sanarai is

Sanarai is an online therapy platform offering Spanish-language and bilingual psychotherapy via video. It employs 60+ certified psychologists (psychologists, not psychiatrists; they do not prescribe medication) based in Latin America, with availability 24/7. Individuals and couples can book sessions at any time without minimum contracts or waiting lists, paying per session or discounted packages. Sanarai is designed for Spanish speakers and for Spanish-speaking communities in the US who want therapy in their native language.

The company is private and for-profit, not a nonprofit. All psychologists on the platform hold a cédula profesional (professional license) from either Mexico or Argentina and have at least five years of clinical experience, amounting to at least 1,000 hours of practice. The platform uses Zoom for video therapy and does not require downloading a separate app. Therapy is not clinical diagnosis or psychiatric treatment; the platform does not provide medication management, psychiatric evaluation, or formal diagnosis. The company is transparent about this: the service available in our platform can have benefits similar to those of traditional therapy, but it is not a service of psychiatry, psychology, or therapy with professionals licenced in Estados Unidos.

How it works

Finding a therapist on Sanarai starts with filtering by specialty, language, psychologist gender and experience level. The site offers a matching quiz asking about therapy style preference, gender preference, experience level, and English-language capability. Once you select a psychologist, you book your first consulta inicial (initial consultation), 30 minutes long, costing 25 USD.

Sessions are 50 minutes long. Individual sessions cost 59 USD; couples sessions cost 69 USD. A 4-session individual package costs 212.40 USD (10 percent off), and a 4-session couples package costs 248.40 USD. Pay at booking with international credit or debit cards. Sessions use Zoom, with a link sent via email. No minimum-contract requirement; switch psychologists without penalty (Cambia de Psicólogo sin costo).

Cancellations and rescheduling are free if made at least 16 hours in advance. If you miss a session, the psychologist waits up to 25 minutes from the start time before leaving; contact the support team immediately if you will be late. The platform covers a broad range of problems: anxiety, stress, burnout, mindfulness, self-esteem, codependency, LGBTQ+ issues, sexuality, couples problems, depression, grief, personal development, vocational guidance, motherhood, migration, trauma, and specific crises. These conditions are listed in categories on the site including Ansiedad y Estrés, Relaciones y Pareja, Depresión y Duelo, Crecimiento Personal, and Situaciones Específicas.

The company claims in its marketing that there is no waiting list and you can start from tomorrow. The site also states you can choose your first appointment without traslados (transportation) and without waiting rooms, from anywhere.

What the pages prove about outcomes and reach

Sanarai published the results of a four-year study co-authored with researchers from UC Berkeley and UCSF, published in JMIR Formative Research, diciembre 2025 (December 2025). The study measured outcomes for thousands of users. The site reports: Net Promoter Score +85, average satisfaction 4.9 out of 5, first appointment typically scheduled within one week (94 percent of cases), and 6,163 people served. The platform does not state what clinical outcomes were measured (symptom reduction, diagnostic change, etc.), only satisfaction and access speed. The study details are not available on the captured pages; only summary statistics are published.

Regarding psychologist credentials, the site states: Los psicólogos en la plataforma están certificados y tienen matrícula en México o Argentina (Psychologists on the platform are certified and registered in Mexico or Argentina). All have por lo menos cinco años y 1,000 horas de experiencia práctica (at least five years and 1,000 hours of practical experience). However, the platform does not provide a credential for practicing in the United States; therapists are based in Latin America and operate remotely. The platform explicitly states: Dado que los profesionales en la plataforma no tienen licencia en Estados Unidos, nuestro servicio se limita a dar apoyo emocional y coaching de vida (Because professionals on the platform do not have a US license, our service is limited to emotional support and life coaching). This means no diagnosis, no prescription, and no insurance billing.

The site does not disclose the breakdown of problems treated, the breakdown of psychologist experience, or which specific conditions have the best outcomes. The platform serves anyone with an internet connection and a credit or debit card in the target language, so geographic reach is essentially global. Testimonials on the site are from clients in the US and Latin America.

What the site does not say

The site does not state which countries are served or whether there are geographic restrictions. It says therapy is available 24/7 but does not specify time zones or how psychologist availability is distributed across time zones. The platform does not clarify whether one psychologist is available round-the-clock or whether the 24/7 claim means that some psychologist is available at any time. The site does not explain how psychologists are selected, trained, or removed from the platform. It does not disclose how many psychologists completed the four-year research study versus the total number on the platform, or whether study participants were randomly selected or self-selected.

The platform does not accept insurance, cannot file insurance claims, and does not disclose what happens if insurance is attempted. It does not offer sliding scale or income-based pricing; the published prices are the only option. The site does not state whether the service can address specific diagnoses (borderline personality disorder, bipolar disorder, severe depression) or whether some problems are outside scope. It does not name the research institutions involved beyond UC Berkeley and UCSF, nor does it provide a link to the published paper. It does not clarify whether the 60+ psicólogos figure includes inactive, newly hired, or departing psychologists, or whether the count changes frequently. It does not state a typical client retention rate or how many clients stop after the first session.

The site does not offer compatibility guarantees if the first psychologist is not a good fit (the Cambia de Psicólogo sin costo policy is free, but does not subsidize another session or provide structured matching retry). It does not list a crisis line or explain what happens in a mental-health emergency.

Who it fits

Sanarai fits Spanish-speaking individuals or couples in the US or Latin America who can afford 25 to 69 USD per session and want therapy in their native language, without waiting weeks for an appointment. It fits people who prefer the flexibility of 24/7 availability and no contracts. It fits people navigating migration, cultural identity, and acculturation challenges, which the platform explicitly serves. It fits those seeking emotional support and life coaching rather than psychiatric care, medication, or formal diagnosis. It fits those without US health insurance or those unwilling to navigate the US mental-health system due to cost, complexity, or distrust.

It does not fit anyone who needs psychiatric care, medication management, or formal diagnosis. It does not fit anyone without Spanish-language fluency (bilingual psychologists are available but English-only speakers may have limited options). It does not fit people in countries without internet access or credit-card infrastructure. It does not fit anyone without the upfront 25 to 69 USD to pay at time of booking; there is no free trial, sliding scale, or insurance fallback. It does not fit anyone in a crisis requiring immediate intervention by a licensed US provider; while the site lists crisis as a specific situation, there is no crisis-line number and the platform is not equipped for emergencies.