COVID-19 has forced millions to stay at home for months. Isolation can feed anxiety and depression and now tens of millions of Americans say that potent combination threatens their mental health. Calls to help centers and suicide hotlines are up in what some call a shadow pandemic. Nearly a quarter of Americans have applied for unemployment insurance since March, when the pandemic forced businesses to shut down and people to stay home. Studies show a correlation between unemployment and suicide. In the past few months, counselors and therapists have shifted to tele-health, using phone and video chats to connect with patients and clients. Some say the changes offer a new set of clinical options that could change the way we define therapy in the future.