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This study presents an updated trend analysis of psychotherapy randomized controlled trials (RCTs) from 2019 to 2023. Systematic searches in PubMed, Web of Science and PsycINFO identified RCTs across predefined psychotherapeutic intervention categories. Trials were categorized by treatment approach, region and age group. A total of 1223 psychotherapy RCTs were identified. Despite a temporary decline in 2022 (\u221213%), the overall number of trials increased by 26.3% across the study period. eHealth interventions constituted the largest psychotherapeutic intervention category (43%), surpassing cognitive behavioural therapy (CBT; 37%). Among eHealth trials, 71% evaluated internet\u2010delivered CBT. Only eHealth and telehealth showed statistically significant increases in proportional representation over time. Other therapeutic approaches each represented &lt;\u20097% of treatment arms and showed no significant proportional change. Trial activity remained concentrated in high\u2010income countries (73.4%) and predominantly targeted adult populations, with children and adolescents comprising 17.3% of trials. The findings illustrate a dynamic field that remained active during the COVID\u201019 crisis, with eHealth emerging as the most frequently investigated therapeutic approach accompanied by substantial growth in telehealth interventions. Despite the overall growth in trial activity, research efforts remained heavily concentrated around CBT\u2010derived interventions, adult populations and high\u2010income country settings.<\/jats:p>","DOI":"10.1002\/cpp.70311","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T16:43:00Z","timestamp":1785256980000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychotherapy Research During the COVID\u201019 Pandemic: Trends in Treatment Modalities and Digital Therapy Uptake (2019\u20132023)"],"prefix":"10.1002","volume":"33","author":[{"given":"Ian","family":"Sivel","sequence":"first","affiliation":[{"name":"Division of Clinical Psychology and Psychotherapy, Department of Psychology Philipps\u2010University of Marburg  Marburg 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