Provision of Psychotherapy during the COVID-19 Pandemic among Czech, German and Slovak Psychotherapists

Psychotherapists around the world are facing an unprecedented situation with the outbreak of the novel coronavirus disease (COVID-19). To combat the rapid spread of the virus, direct contact with others has to be avoided when possible. Therefore, remote psychotherapy provides a valuable option to continue mental health care during the COVID-19 pandemic. The present study investigated the fear of psychotherapists to become infected with COVID-19 during psychotherapy in personal contact and assessed how the provision of psychotherapy changed due to the COVID-19 situation and whether there were differences with regard to country and gender. Psychotherapists from three European countries: Czech Republic (CZ,n= 112), Germany (DE,n= 130) and Slovakia (SK,n= 96), with on average 77.8% female participants, completed an online survey. Participants rated the fear of COVID-19 infection during face-to-face psychotherapy and reported the number of patients treated on average per week (in personal contact, via telephone, via internet) during the COVID-19 situation as well as (retrospectively) in the months before. Fear of COVID-19 infection was highest in SK and lowest in DE (p< 0.001) and was higher in female compared to male psychotherapists (p= 0.021). In all countries, the number of patients treated on average per week in personal contact decreased (p< 0.001) and remote psychotherapies increased (p< 0.001), with more patients being treated via internet than via telephone during the COVID-19 situation (p< 0.001). Furthermore, female psychotherapists treated less patients in personal contact (p= 0.036), while they treated more patients via telephone than their male colleagues (p= 0.015). Overall, the total number of patients treated did not differ during COVID-19 from the months before (p= 0.133) and psychotherapy in personal contact remained the most common treatment modality. Results imply that the supply of mental health care could be maintained during COVID-19 and that changes in the provision of psychotherapy vary among countries and gender.