SELECT extract(MONTH from created_at) AS month, extract(YEAR from created_at) AS year FROM users GROUP BY extract(MONTH from created_at), extract(YEAR from created_at) ORDER BY extract(MONTH from created_at), extract(YEAR from created_at)
Ecco il manuale aggiornato
http://www.postgresql.org/docs/current/static/functions-datetime.html#FUNCTIONS-DATETIME-EXTRACT
A proposito:questo è un SQL standard (ANSI) che funziona anche su MySQL.