Using Virtual Reality Exposure Therapy to Enhance Treatment of Anxiety Disorders: Identifying Areas of Clinical Adoption and Potential Obstacles

Despite strong evidence of effectiveness, exposure therapy is an underutilized treatment for anxiety disorders at a time when effective treatment for anxiety is greatly needed. The significant worldwide prevalence and negative impact of anxiety are documented and highlight the importance of increasi...

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Main Authors: Debra Boeldt, Elizabeth McMahon, Mimi McFaul, Walter Greenleaf
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-10-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyt.2019.00773/full
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author Debra Boeldt
Elizabeth McMahon
Mimi McFaul
Walter Greenleaf
author_facet Debra Boeldt
Elizabeth McMahon
Mimi McFaul
Walter Greenleaf
author_sort Debra Boeldt
collection DOAJ
description Despite strong evidence of effectiveness, exposure therapy is an underutilized treatment for anxiety disorders at a time when effective treatment for anxiety is greatly needed. The significant worldwide prevalence and negative impact of anxiety are documented and highlight the importance of increasing therapist and patient use of effective treatment. Obstacles to the use of exposure therapy are explored and steps to lessen these obstacles are proposed. In particular, virtual reality (VR) technology is discussed as a way to increase the availability of exposure therapy. Incorporating VR in therapy can increase the ease, acceptability, and effectiveness of treatment for anxiety. VR exposure therapy (VRET) permits individualized, gradual, controlled, immersive exposure that is easy for therapists to implement and often more acceptable to patients than in vivo or imaginal exposure. VR is presented as a scalable tool that can augment access to and effectiveness of exposure therapy thus improving treatment of anxiety disorders. VR also has the potential to help with assessment and with therapist training standardization. The authors advocate for providing continuing education in VRET to practicing clinicians and including training in exposure therapy and VRET in training programs. Ongoing development of VR applications for clinical use is encouraged, especially when developed in collaboration with software developers, clinical users, therapists who are experienced in VRET, and researchers.
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spelling doaj.art-d7f59ac1356d48c9aa1a5bfd352b35442022-12-22T03:08:37ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402019-10-011010.3389/fpsyt.2019.00773476694Using Virtual Reality Exposure Therapy to Enhance Treatment of Anxiety Disorders: Identifying Areas of Clinical Adoption and Potential ObstaclesDebra Boeldt0Elizabeth McMahon1Mimi McFaul2Walter Greenleaf3National Mental Health Innovation Center, University of Colorado Anschutz Medical Campus, Aurora, CO, United StatesIndependent Researcher, San Francisco, CA, United StatesNational Mental Health Innovation Center, University of Colorado Anschutz Medical Campus, Aurora, CO, United StatesDepartment of Communication, Stanford University, Stanford, CA, United StatesDespite strong evidence of effectiveness, exposure therapy is an underutilized treatment for anxiety disorders at a time when effective treatment for anxiety is greatly needed. The significant worldwide prevalence and negative impact of anxiety are documented and highlight the importance of increasing therapist and patient use of effective treatment. Obstacles to the use of exposure therapy are explored and steps to lessen these obstacles are proposed. In particular, virtual reality (VR) technology is discussed as a way to increase the availability of exposure therapy. Incorporating VR in therapy can increase the ease, acceptability, and effectiveness of treatment for anxiety. VR exposure therapy (VRET) permits individualized, gradual, controlled, immersive exposure that is easy for therapists to implement and often more acceptable to patients than in vivo or imaginal exposure. VR is presented as a scalable tool that can augment access to and effectiveness of exposure therapy thus improving treatment of anxiety disorders. VR also has the potential to help with assessment and with therapist training standardization. The authors advocate for providing continuing education in VRET to practicing clinicians and including training in exposure therapy and VRET in training programs. Ongoing development of VR applications for clinical use is encouraged, especially when developed in collaboration with software developers, clinical users, therapists who are experienced in VRET, and researchers.https://www.frontiersin.org/article/10.3389/fpsyt.2019.00773/fullvirtual realityanxietyexposure therapyvirtual reality exposure therapytechnologymental health
spellingShingle Debra Boeldt
Elizabeth McMahon
Mimi McFaul
Walter Greenleaf
Using Virtual Reality Exposure Therapy to Enhance Treatment of Anxiety Disorders: Identifying Areas of Clinical Adoption and Potential Obstacles
Frontiers in Psychiatry
virtual reality
anxiety
exposure therapy
virtual reality exposure therapy
technology
mental health
title Using Virtual Reality Exposure Therapy to Enhance Treatment of Anxiety Disorders: Identifying Areas of Clinical Adoption and Potential Obstacles
title_full Using Virtual Reality Exposure Therapy to Enhance Treatment of Anxiety Disorders: Identifying Areas of Clinical Adoption and Potential Obstacles
title_fullStr Using Virtual Reality Exposure Therapy to Enhance Treatment of Anxiety Disorders: Identifying Areas of Clinical Adoption and Potential Obstacles
title_full_unstemmed Using Virtual Reality Exposure Therapy to Enhance Treatment of Anxiety Disorders: Identifying Areas of Clinical Adoption and Potential Obstacles
title_short Using Virtual Reality Exposure Therapy to Enhance Treatment of Anxiety Disorders: Identifying Areas of Clinical Adoption and Potential Obstacles
title_sort using virtual reality exposure therapy to enhance treatment of anxiety disorders identifying areas of clinical adoption and potential obstacles
topic virtual reality
anxiety
exposure therapy
virtual reality exposure therapy
technology
mental health
url https://www.frontiersin.org/article/10.3389/fpsyt.2019.00773/full
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