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Table 2 Adaptation: themes and sample quotes

From: Pivoting in the pandemic: a qualitative study of child and adolescent psychiatrists in the times of COVID-19

Theme

Sample quote

Operational adjustments

If I'm ever having a session and I have to do it from the car, well, there's a boundary around it. It's a confidential space, no one can see or hear you, you can see I'm in my car. So the patient feels comfortable that no one can hear you, but you've had to set up your office there while waiting to pick up your son and his two friends from a carpool after baseball practice. That's a real-life example of how you have to integrate your professional and personal responsibilities

Affordances and limitations of virtual work

I was having an intake with a patient…and then the mother and then the father came…Then the grandparents sat here like this, as if they're watching a movie. This is not a movie…The grandparents were mostly there and saying, “Yes, that's true. That's true. She does that a lot,” but it was like they were watching a movie

Evolution of personal and professional identity

I've had communication with people that I work with that I've never had before. Learned things about them, they've learned things about me that have been completely eye-opening, and I think have brought us closer together in a lot of ways. I don't think it would have been possible if COVID never existed

Certainly, I have been doing more connecting with people who I hadn't been connecting with on a regular basis. Some of those are people who have nothing to do with child psychiatry, but who are incredibly central to my wellbeing and humanness