The early psychological impact of COVID-19 in Australia includes increased demand for services provided by the MindSpot Clinic. A small, but significant increase in severity of symptoms of anxiety was identified, but no changes in severity of psychological distress or symptoms of depression. This examination of the early effects of the COVID19 pandemic in Australia indicates that particular attention should be paid to specific groups, including older adults and frontline workers. In addition, the long-term psychological effects of COVID-19 and the economic consequences shutdown should be carefully monitored to support service planning.