The coronavirus pandemic has upended nearly every aspect of life as we know it. These sudden and dramatic shifts have, understandably, taken a toll on peoples mental health .

Many are turning to teletherapy (online, rather than in-person, sessions to comply with social distancing guidelines) to vent about their fears and frustrations and to find healthy ways to manage increased levels of stress and anxiety .

We asked mental health professionals about which concerns their clients are bringing up most at this stage of the pandemic. Heres what they said.

1. I feel burned out.

Those on the front lines health care professionals , delivery drivers , postal workers , garbage collectors, grocery store employees and law enforcement officials, just to name a few are facing physical, mental and emotional exhaustion.

But even those who are able to do their jobs at home, as well as people who are out of work, are experiencing a degree of burnout, said Ryan Howes , a psychologist in Pasadena, California.

Their physical output and workload may have declined, but the massive changes that have taken place, the waiting for this to be over, and some new responsibilities like homeschooling or trying to communicate electronically take their toll as well, he said.

Plus, many of the activities and interactions that replenish us when we feel depleted are off the table right now.

Whatever used to get them excited for the day or the weekend like social events, travel or trying a new restaurant all of those assets are on hold, Howes said. So every effort feels like theyre giving from a deficit.

2. Im really worried about my family.

Stress about relatives health and safety is a theme that keeps popping up in sessions, according to Chicago therapist Anna Poss.

This includes worry about family members who are in high-risk groups, are essential workers on the front lines or are not taking guidance about social distancing and safety precautions seriously, she said.

Poss works with her patients to develop tools to help manage this anxiety, such as journaling, meditation and other relaxation practices.

3. I feel guilty about finding pockets of joy in all of this.

Some of Howes clients are enjoying certain aspects of life in quarantine. Then they beat themselves up for feeling that way, knowing that others are having a much harder time.

They enjoy not going to work, or they like spending more time with family, or they like taking a break from social events, he said. And when some joy creeps in, they feel like a monster for feeling good when so many are struggling and suffering.

Howes advice? Rather than criticizing yourself, embrace those sunny spots when they appear. That might help ourselves and others get through this, he said.

4. Im grieving the loss of my old life.