This will be an activity of EPA Council of National Psychiatric Associations (NPAs). Speakers from four different European countries will cover four different areas to evaluate the influence and consequences of COVID-19 pandemic in different European countries: patients and mental health services; organizational issues and associations' role under extraordinary conditions; ethical issues in different aspects; and impact on research, training and other academic activities. All four speakers will use data and experiences from their countries and their Associations, and try to elaborate issues with local, European and global perspectives. This symposium will target to delineate experiences and make projections for the future about psychiatry, national institutions including National Psychiatric Associations and European Psychiatric Association.