Author: Maria Temming / Source: Science News

Future therapy patients may spend a lot more time exploring virtual environments than sitting on sofas.
In a clinical trial of a new virtual reality treatment for fear of heights, participants reported being much less afraid after using the program for just two weeks. Unlike other VR therapies, which required that a real-life therapist guide patients through treatment, the new system uses an animated avatar to coach patients through ascending a virtual high-rise. This kind of fully automated counseling system, described online July 11 in the Lancet Psychiatry, may make psychological treatments for phobias and other disorders far more accessible.
This is “a huge step forward” for therapeutic VR, says Jennifer Hames, a clinical psychologist at the University of Notre Dame in Indiana, who wasn’t involved in the work. By bringing expert therapy out of the counselor’s office and into primary care clinics — or even people’s homes — the new system could help those who aren’t comfortable or don’t have the means to speak with a therapist face-to-face, she says.
Study participants completed what the researchers called the Heights Interpretation Questionnaire, which rates fear of heights from 16 to 80 (where 80 is most severe), before treatment, immediately afterward, and two weeks later. People who completed the VR program were much less afraid of heights than they were initially, whereas people who got no treatment were about as afraid as before.

Users immerse themselves in this virtual reality program using a VR headset, handheld controllers and headphones. An animated counselor guides the user through a virtual 10-story office complex, where upper floors overlook a ground-level atrium. On every floor, the user performs tasks designed to test their fear responses and help them learn that they’re safer than they might think. The tasks start out relatively easy — like standing close to a drop-off where a safety barrier gradually lowers —…
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