Pete and Ellyn

Since the inception of The Couples Institute in 1984, we have been dedicated to supporting therapists and improving their expertise, no matter where they are in the world, or what’s going on in the world. So when the “shelter in place” order first hit us in March, we were anxious to find out how the news was affecting therapists and what we could do to help.

We conducted a survey asking therapists about their biggest challenges and concerns, and we shared the results with those who answered. 

And today we’re writing to report not only those initial survey results but also main points from a follow up survey we conducted more recently. We’ll also summarize differences we’ve found that are evolving over time.

We hope this information is helpful to you. At the very least you will know that you are not alone in how you feel or the challenges you face. If you participated in one of the surveys, thank you for your time and feedback. 

We are taking everything we’ve learned from these surveys to bring you added support, connection, and community during these unsettling times.

When COVID-19 first struck, our survey showed: 

  • A majority of responding therapists declared themselves 7 out of 10 on stress level. 
  • When we asked how worried therapists felt about the future of their practice, most answered either 5/10 or 8/10, with a fairly even distribution among other answers.
  • The highest ranking unexpected challenges were 1) Working remotely (i.e. telehealth) – therapists and clients not wanting to do it and/or thinking it’s not effective; 2) Decreased income and cancellations; 3) a tie between Fear of being infected, and Balancing family obligations. 

When we conducted our second round of surveys in May, the rankings changed and we discovered: 

  • Challenges from being in close quarters with partners and kids (including homeschooling kids) jumped to the top of the list.
  • Therapists are still worried about many of the same things: finances, health, and general uncertainty about how long this will last. 
  • Depression, boredom, and loneliness are all higher up now that time has passed.
  • Concerns over being in abusive homes increased.
  • Worry about supplies and shortages decreased. 


Survey results inspired us to create the Therapist Support Group. This is a private, therapists-only support group on Facebook where my husband Dr. Peter Pearson and I do live streams, host virtual meet-ups, offer techniques that are working for online therapy, and give you a way to connect with other therapists around the world 24 hours a day.

If you’d like to join, click here. It’s free, private, and for therapists only.  

The COVID-19 Pandemic has spread turmoil, pain, fear and anxiety around the world in addition to the physical illness. Everyone in the mental health field expects to see more repercussions in the coming months. 

Thank you for being a healer. We trust you are finding ways to care for yourself as well as for others.



As couples are sheltering in place together and more therapy sessions happen online, we’ve developed a few ways to support you. Whenever you’re ready, here are two other resources for you.

Cabin Fever Couples: The Answers to Their Biggest Problems

How to Work More Effectively with Couples Online 


Peter Pearson, PhD, and his wife Dr. Ellyn Bader, PhD, founded The Couples Institute in 1984. Dr. Ellyn Bader is psychologists and director of the couples institute of the Institute and continually receive industry and media attention for their innovations in couples therapy.

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A Glossary of Terms that are sometimes Confusing

Couples Therapy is a counseling procedure that seeks to improve the adjustment of two people who have created an interdependent relationship. There are no standard procedures to help two people improve their adjustments to each other. Generally, a more experienced therapist will offer more perspectives and tools to a couple. Length of treatment will depend on severity of problems, motivation and skills of the therapist. A couple can be dating, living together, married or separating and may be gay, lesbian or heterosexual.

Marriage Therapy is a term often used interchangeably with marriage counseling. The term marriage implies two people have created a union sanctioned by a government or religious institution. The methods used in marriage counseling, marriage therapy and couples therapy are interchangeable and depend more on the specific challenges of each unique couple.

Psychotherapy is one or more processes to help improve psychological and emotional functioning. Examples are psychoanalysis, cognitive therapy, behavior therapy, Gestalt therapy, Transactional Analysis, Rational-Emotive therapy, or group therapy. Many forms of psychotherapy are blends of different approaches. For example, newer forms of psychotherapy called energy psychology draw upon recent advances in brain and neuroscience. These approaches often build on cognitive behavioral methods.

Clinical Psychologist. After graduating from college, it usually takes about five years of graduate school to get a Ph.D. in Psycholgy. It then requires an additional two years of supervision and passing a written (and often) an oral exam. There are a few states that allow psychologists to prescribe medications (with additional training) but that is uncommon.

Psychiatrist. After graduation from medical school, there is a generally a 4-year psychiatric residency. After the completion of this training, psychiatrists must pass an exam issued by the American Board of Psychiatry and Neurology to obtain certification and legally practice in the field. Psychiatrists can prescribe medications.

Clinical Social Worker. This profession usually requires two years of study after obtaining an undergraduate degree. While specific licensure requirements vary by state, most require clinical social workers to obtain 3,000 hours or 2 years of supervised clinical experience, after obtaining a Masters degree. Social workers can also specialize in diverse fields such as human services management, social welfare analysis, community organizing, social and community development, and social and political research.

Marriage and Family Therapist. Obtaining this license requires a Masters degree which takes approximately two years of post graduate study. The license also requires 3000 hours of supervised work and passing written exams.

The Couples Institute. We have assembled a group of top notch therapists at The Couples Institute. Whatever marriage help or marriage advice you are looking for, we are here to serve you. While most other therapists see only a few couples a week, we specialize in marriage and couples relationships, working to develop and bring you the most current and effective approaches to couples therapy. For more information about couples therapy or marriage counseling, see our couples therapy section.