Clinical Psychology and the COVID-19 Pandemic: A Mixed Methods Survey Among Members of the European Association of Clinical Psychology and Psychological Treatment (EACLIPT).

Background The COVID-19 pandemic has affected people globally both physically and psychologically. The increased demands for mental health interventions provided by clinical psychologists, psychotherapists and mental health care professionals, as well as the rapid change in work setting (e.g., from face-to-face to video therapy) has proven challenging. The current study investigates European clinical psychologists and psychotherapists’ views on the changes and impact on mental health care that occurred due to the COVID-19 pandemic. It further aims to explore individual and organizational processes that assist clinical psychologists’ and psychotherapists’ in their new working conditions, and understand their needs and priorities. Method Members of the European Association of Clinical Psychology and Psychological Treatment (EACLIPT) were invited (N = 698) to participate in a survey with closed and open questions covering their experiences during the first wave of the pandemic from June to September 2020. Participants (n = 92) from 19 European countries, mostly employed in universities or hospitals, completed the online survey. Results Results of qualitative and quantitative analyses showed that clinical psychologists and psychotherapists throughout the first wave of the COVID-19 pandemic managed to continue to provide treatments for patients who were experiencing emotional distress. The challenges (e.g., maintaining a working relationship through video treatment) and opportunities (e.g., more flexible working hours) of working through this time were identified. Conclusions Recommendations for mental health policies and professional organizations are identified, such as clear guidelines regarding data security and workshops on conducting video therapy.

[1]  A. Heinz,et al.  Increased Psychological Distress, Loneliness, and Unemployment in the Spread of COVID-19 over 6 Months in Germany , 2021, Medicina.

[2]  Diana I. Tamir,et al.  Mask exposure during COVID-19 changes emotional face processing , 2020, PloS one.

[3]  Ícaro Raony,et al.  COVID-19 pandemic impact on children and adolescents' mental health: Biological, environmental, and social factors , 2020, Progress in Neuro-Psychopharmacology and Biological Psychiatry.

[4]  K. Epstude,et al.  Face masks reduce emotion-recognition accuracy and perceived closeness , 2020, PloS one.

[5]  S. Pollak,et al.  Children’s emotion inferences from masked faces: Implications for social interactions during COVID-19 , 2020, PloS one.

[6]  S. Salcuni,et al.  Psychotherapy During COVID-19: How the Clinical Practice of Italian Psychotherapists Changed During the Pandemic , 2020, Frontiers in Psychology.

[7]  G. Castelnuovo,et al.  Videotherapy and therapeutic alliance in the age of COVID‐19 , 2020, Clinical psychology & psychotherapy.

[8]  C. Pieh,et al.  Psychodynamic, humanistic, systemic, and behavioral psychotherapists' experiences with remote psychotherapy during COVID-19 in Austria: A cross-sectional online survey. , 2020, Journal of medical Internet research.

[9]  C. Pieh,et al.  Being a Psychotherapist in Times of the Novel Coronavirus Disease: Stress-Level, Job Anxiety, and Fear of Coronavirus Disease Infection in More Than 1,500 Psychotherapists in Austria , 2020, Frontiers in Psychology.

[10]  N. Kathirvel Post COVID-19 pandemic mental health challenges , 2020, Asian Journal of Psychiatry.

[11]  P. Fonagy,et al.  Clinical management of common presentations of patients diagnosed with BPD during the COVID-19 pandemic: the contribution of the MBT framework , 2020, Counselling Psychology Quarterly.

[12]  A. Hofer,et al.  On the difficulties of building therapeutic relationships when wearing face masks , 2020, Journal of Psychosomatic Research.

[13]  R. McIntyre,et al.  Impact of COVID-19 pandemic on mental health in the general population: A systematic review , 2020, Journal of Affective Disorders.

[14]  N. Salari,et al.  Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis , 2020, Globalization and Health.

[15]  Thomas Probst,et al.  Provision of Psychotherapy during the COVID-19 Pandemic among Czech, German and Slovak Psychotherapists , 2020, International journal of environmental research and public health.

[16]  S. Bager‐Charleson,et al.  The challenges and experiences of psychotherapists working remotely during the coronavirus pandemic , 2020, Counselling and psychotherapy research.

[17]  V. Békés,et al.  Psychotherapists’ attitudes toward online therapy during the COVID-19 pandemic. , 2020 .

[18]  Tracy A. Prout,et al.  Psychotherapists' vicarious traumatization during the COVID-19 pandemic. , 2020, Psychological trauma : theory, research, practice and policy.

[19]  M. Benros,et al.  COVID-19 pandemic and mental health consequences: Systematic review of the current evidence , 2020, Brain, Behavior, and Immunity.

[20]  C. Pieh,et al.  Changes in Provision of Psychotherapy in the Early Weeks of the COVID-19 Lockdown in Austria , 2020, International journal of environmental research and public health.

[21]  S. Riedel-Heller,et al.  [COVID-19 Pandemic: Stress Experience of Healthcare Workers - A Short Current Review]. , 2020, Psychiatrische Praxis.

[22]  R. Rajkumar COVID-19 and mental health: A review of the existing literature , 2020, Asian Journal of Psychiatry.

[23]  Gerhard Andersson,et al.  The COVID-19 pandemic: The ‘black swan’ for mental health care and a turning point for e-health , 2020, Internet Interventions.

[24]  Christopher J. Miller,et al.  A systematic review of providers’ attitudes toward telemental health via videoconferencing , 2020, Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association.

[25]  Heleen Riper,et al.  A Solution-Focused Research Approach to Achieve an Implementable Revolution in Digital Mental Health , 2017, JAMA psychiatry.

[26]  Deborah E. White,et al.  Thematic Analysis , 2017 .

[27]  Kapil Chalil Madathil,et al.  A Systematic Review of the Implementation Challenges of Telemedicine Systems in Ambulances. , 2017, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[28]  S. Simpson,et al.  Telepsychology in a University Psychology Clinic Setting: A Pilot Project , 2015 .

[29]  S. Simpson Psychotherapy via videoconferencing: a review , 2009 .

[30]  V. Braun,et al.  Using thematic analysis in psychology , 2006 .