Research in counselling and psychotherapy Post‐COVID‐19

Bell, Chance A.; Crabtree, Sarah A.; Hall, Eugene L.; Sandage, Steven J.

doi:10.1002/capr.12334

Cited by 22 publications

(18 citation statements)

References 22 publications

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“…Others tried to develop continuous trauma-focused interventions (e.g., Kira et al, 2015;Murray et al, 2013). A multisystemic perspective may be appropriate to deal with such complex traumas that affect multiple systems (e.g., Bell et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

The effects of COVID-19 continuous traumatic stressors on mental health and cognitive functioning: A case example from Turkey

et al. 2021

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There is a need to accurately assess the specific impacts of the various traumatic stressors caused by COVID-19 on mental health. The goal was to evaluate the impact of different types of COVID-19 stressors (infection fears, lockdown, and economic stressors) on mental health and cognitive functioning. We used a sample of 262 Turkish adults. We administered an online questionnaire that included measures of COVID-19 traumatic stressors, PTSD, depression, anxiety, executive function deficits, and cumulative stressors and traumas (CST). The analyses included correlations, hierarchical regression, path analysis, and PROCESS mediation analysis. All COVID-19 traumatic stressors types and their cumulative load predicted PTSD, depression, anxiety, and executive function deficits after controlling for previous cumulative stressors and traumas and COVID-19 infection. COVID-19 lockdown’s stressors were the strongest predictors, compared to COVID-19 fears and economic stressors. Path analysis and PROCESS mediation results indicated that COVID-19 traumatic stressors had direct effects on working memory deficits, direct and indirect effects on PTSD, depression, and anxiety, and indirect effects on inhibition deficits. Anxiety, depression, and inhibition deficits mediated its indirect effects on PTSD. The results have conceptual and clinical implications. COVID-19 continuous posttraumatic stress syndrome that includes comorbid PTSD, depression, anxiety, and executive function deficits is different and does not fit within the current trauma frameworks. There is a need for a paradigm shift in current stress and trauma frameworks to account for the COVID-19 continuous global stressors and for clinical innovations in intervention to help its victims. Supplementary Information The online version contains supplementary material available at 10.1007/s12144-021-01743-2.

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Section: Discussionmentioning

confidence: 99%

The effects of COVID-19 continuous traumatic stressors on mental health and cognitive functioning: A case example from Turkey

et al. 2021

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“…The growth of online therapy is well researched (Backhaus et al, 2012 ; Poletti et al, 2020 ; Roesler, 2017 ; Shigekawa et al, 2018 ), and in light of the COVID-19 pandemic, we anticipate that many will come to realize the importance and the scope of teletherapy (Bell et al, 2020 ; Chherawala & Gill, 2020 ; Vostanis & Bell, 2020 ; Wind et al, 2020 ; Wright & Caudill, 2020 ). We designed a mixed-method study examining the factors that influence psychotherapists’ decisions to return to the office to conduct in-person sessions during the COVID-19 pandemic as opposed to continuing to use telehealth methods to deliver psychotherapy.…”

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confidence: 99%

Will We Ever Again Conduct in-Person Psychotherapy Sessions? Factors Associated with the Decision to Provide in-Person Therapy in the Age of COVID-19

Shklarski

Abrams

Bakst

2021

J Contemp Psychother

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The COVID-19 pandemic has forced a new reality on the delivery of psychotherapeutic services. Therapists have had to rapidly adapt to telehealth therapy using various video conferencing technologies while working from spaces that were not necessarily designed for delivering therapy sessions. While COVID-19 continues to be present in therapists’ lives and shapes how they provide services, answering the question of whether to meet with clients in person again is a decision laden with complexity and ambivalence. In this mixed-method study, surveys with 169 therapists and interviews with 17 therapists were used to determine the factors that currently influence their attitudes toward resuming traditional in-person psychotherapy in light of COVID-19. We focused on the therapists’ personal and professional characteristics to assess their plans to continue with telepsychotherapy or return to a traditional psychotherapy setting. Our findings suggest that positive attitudes toward telepsychotherapy, the lack of an effective vaccine, clients’ satisfaction with telepsychotherapy, insurance reimbursement for telepsychotherapy, and negative attitudes toward wearing masks during sessions influenced therapists’ decisions on whether or not to return to traditional in-person psychotherapy in the age of COVID-19.

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“…Their response to crisis could be improved if the pre-service training for students in relevant fields included a stronger emphasis on crisis intervention and preparedness. Counsellors, and helping professionals broadly speaking, should have access to support with their own mental health to avoid burnout during crisis (49). Regular supervision could help them maintain their own mental health as well as reflect on how best the clients can be supported.…”

Section: Discussionmentioning

confidence: 99%

Mental Health Support in the Time of Crisis: Are We Prepared? Experiences With the COVID-19 Counselling Programme in Hungary

et al. 2021

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The Coronavirus disease 2019 (COVID-19) posed unexpected global economic and societal challenges. These include a heavy impact on mental health due to fast changing lockdown and quarantine measures, uncertainty about health and safety and the prospect of new waves of infections. To provide crisis mental health support during the pandemic, Eötvös Loránd University in Hungary launched a specialist online counselling programme, consisting of one to three sessions. The programme was available to all university members between 4th March and 25th May 2020. Overall, 47 clients received support. In this paper we discuss challenges reported by clients, key features of providing a brief mental health intervention online, reflect on counsellor experiences and give recommendations on how mental health services could be developed in the time of crisis. Most clients had challenges with developing a daily routine under quarantine; and many had hardship related to finances, housing, and distance learning. Common mental health consequences included fear from the virus and stress, anxiety, and fatigue due to the interruption to everyday life. In some cases, more complex conditions were triggered by the pandemic. Examples include addictive behaviours and symptoms of depression or psychosis. However, referring cases beyond the competency of counselling proved to be a challenge due to the closure of specialist services. Counsellors observed three key features to the online delivery of a brief crisis mental health intervention: [1] an explicit problem-oriented approach to counselling; [2] challenges of building rapport online; and [3] frames of online counselling. Counsellor experiences often overlapped with those of clients and included challenges of working from home and adjusting to online counselling methods. The possibility of online counselling allowed that mental health care could take place at all during the pandemic. Client experiences reflect findings from previous literature. Like other mental health initiatives launched to tackle COVID-19, the intervention's effectiveness was not measured given the unexpected context and short time frame for programme development. We recommend the use of impact measurement tools to develop mental health services in crises. Meanwhile, the pandemic brought to attention the need to better understand online delivery models. Counsellors should have access to training opportunities on online counselling and managing work-life balance in a remote setting. The COVID-19 counselling programme in Eötvös Loránd University, Hungary is an example of providing online mental health counselling in the time of crisis. Clearly, more studies are needed discussing delivery models and effectiveness of mental health interventions during the pandemic. Experience and knowledge sharing across practitioners should be encouraged to improve how the field reacts to unexpected, high risk events and crises.

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Research in counselling and psychotherapy Post‐COVID‐19

Cited by 22 publications

References 22 publications

The effects of COVID-19 continuous traumatic stressors on mental health and cognitive functioning: A case example from Turkey

The effects of COVID-19 continuous traumatic stressors on mental health and cognitive functioning: A case example from Turkey

Will We Ever Again Conduct in-Person Psychotherapy Sessions? Factors Associated with the Decision to Provide in-Person Therapy in the Age of COVID-19

Mental Health Support in the Time of Crisis: Are We Prepared? Experiences With the COVID-19 Counselling Programme in Hungary

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