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Art therapy in the Arabian Gulf is still nascent. This article discusses the impact of COVID-19 and the development of art therapy in the region and identifies both the challenges and advantages that this global pandemic brought to a small group of art therapists practicing in the United Arab Emirates (UAE) and Qatar. Our approach is rooted in relational cultural theory (RCT). For art therapists in a private practice in Dubai, the pandemic provided an opportunity to widen services and accessibility. In a hospital setting in Qatar, new regulations during the pandemic required adaptations that possibly contributed to stress and anxiety for the art therapist, patients, and health workers. Unexpected perceived changes included: highlighted stigma, increased openness, increased engagement, and change in perception of the art therapy service. For these art therapists, practicing in the Arabian Gulf, the global pandemic increased awareness of cultural competence and led to the development of online art therapy services. There is a dearth of art therapy research in the region. Future research on cultural competence and the efficacy of telehealth are recommended to develop a robust evidence base for the practice of art therapy in the Arabian Gulf. Art therapy is relatively new in the Arabian Gulf, with most art therapists completing their training in the West. During the global pandemic and the changes caused by COVID-19, art therapists had the opportunity to address critical issues in their practice. This article presents two different views from two culturally similar Middle Eastern countries into what happened during the global pandemic of 2020. The first view describes how the pandemic brought about the development of online art therapy within a private practice in Dubai, UAE. The second view describes multiple adaptations to the delivery of art therapy within a hospital setting in Qatar. In the private practice, developing online art therapy became an opportunity to increase access for people residing outside of Dubai, in other emirates, and beyond. Art therapists also noticed how online art therapy may impact privacy, as clients could complete their sessions from their own homes, and stigma concerning mental health. At the hospital setting in Qatar, COVID-19 brought a new way of working focused on safety. The art therapist in Qatar discusses how these changes impacted her work and some of the perceived unexpected gains that resulted, such as more collaboration with other professionals, more engagement from the patients, and a new openness around mental health as the families could communicate about a shared concern: COVID-19. In both cases, the pandemic brought development and opportunities for growth. The article's focus is to highlight the cultural differences of working in this region and to acknowledge the need for future research. Because the field is relatively new in the region, there is limited research; the art therapists have to rely on increased cultural awareness to adapt their practice to be helpful to service users. [ABSTRACT FROM AUTHOR]

Due to COVID-19 safety protocols, the vulnerable within our community had limited access to resources. Children of determination have encountered disruption to therapeutic services especially from March 2020 to November 2020. The pilot attempted to address question(s) of feasibility in maintaining services, preventing mental health and deterioration of symptoms and behaviour, and in increasing access to resources for children with Autism Spectrum Disorder (ASD). The research looked to question, if online services could substitute in-person services with this population, and to determine plausibility of online group art therapy services for children and their caregivers. The impact of COVID-19 on mental health is still unclear; early published reports indicate the onset of moderate to severe depressive symptoms, anxiety, and stress, potentially having a prolonged psychological impact on some individuals (Qiu et al., 2020). Overall, there is a lack of literature on art therapy in the region, and more so for online intervention, specifically in support of ASD during the pandemic. ASD is a neurodevelopmental disorder that impairs a person's ability to communicate, socialize, and respond to certain stimuli within environments. Parents, pediatricians, and nurseries typically identify concerns that prompt diagnosis, ideally by age 3; prevalence is higher in males than females (Elsabbagh et al., 2012). ASD is recognized by delayed language development, repetitive and stereotyped patterns of behavior, impacting imagination, and difficulty with social interaction (Rapin & Dunn, 1997). Overall, the Middle East has had relatively little published research on ASD etiology, although statistics indicate that ASD affects 1 in 146 births in the United Arab Emirates (UAE) (Virolainen, 2020). Genetic linkage such as kinship and multiparity is culturally and regionally common. Epidemiological research into autism in the UAE is relatively new. The prevalence of autism likely remains underdetermined as many cases of autism potentially go undiagnosed within the community due to stigma and lack of awareness; mild cases can be unnoticed, and delayed diagnoses might result from a lack of focus or training in the area of early intervention (Salhia et al., 2014). It is, therefore, crucial that there is a continuation of support without disruption. Art Therapy is an integrative mental health profession that engages participants with the creative process, active art-making, and integrated psychological theory within the context of a therapeutic relationship (American Art Therapy Association, 2020). Art psychotherapists have a minimum of a master's degree in art psychotherapy with clinical practice and supervised experience before gaining professional registration, a rigorous process. Children with autism are generally referred to art therapy specifically in the West (Martin, 2009; Teeuw, 2011) to support coping with communication challenges, behaviour, and low self-esteem (Schweizer et al., 2014; Schweizer et al., 2017). Research demonstrates that children with autism are expected to benefit from a non-verbal treatment such as art therapy, through sensory exploration, looking at, and shaping art materials to facilitate expression (Malchiodi, 2003; Rubin, 2001; Schweizer et al., 2009). This pilot study explores if conducting art therapy online would be beneficial and fill the gap when in-person services are not possible. [ABSTRACT FROM AUTHOR]