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The Use of Virtual Reality Technology in the Treatment of Anxiety and Other Psychiatric Disorders
Open accessAbstract
LEARNING OBJECTIVES: After participating in this activity, learners should be better able to:• Evaluate the literature regarding the effectiveness of incorporating virtual reality (VR) in the treatment of psychiatric disorders• Assess the use of exposure-based intervention for anxiety disorders ABSTRACT: Virtual reality (VR) allows users to experience a sense of presence in a computer-generated, three-dimensional environment. Sensory information is delivered through a head-mounted display and specialized interface devices. These devices track head movements so that the movements and images change in a natural way with head motion, allowing for a sense of immersion. VR, which allows for controlled delivery of sensory stimulation via the therapist, is a convenient and cost-effective treatment. This review focuses on the available literature regarding the effectiveness of incorporating VR within the treatment of various psychiatric disorders, with particular attention to exposure-based intervention for anxiety disorders. A systematic literature search was conducted in order to identify studies implementing VR-based treatment for anxiety or other psychiatric disorders. This article reviews the history of the development of VR-based technology and its use within psychiatric treatment, the empirical evidence for VR-based treatment, and the benefits for using VR for psychiatric research and treatment. It also presents recommendations for how to incorporate VR into psychiatric care and discusses future directions for VR-based treatment and clinical research.
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“Experiencing presence when immersed in VR has been reported to be an important factor for the implementation of effective interventions in VR (Maples-Keller et al., 2017).”
From iSenseVR: bringing VR exposure therapy outside the laboratory (2019) · cites this paper as Maples-Keller et al., 2017
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“VR exposure therapy allows the controlled delivery of sensory stimulation (Maples-Keller et al., 2017).”
From iSenseVR: bringing VR exposure therapy outside the laboratory (2019) · cites this paper as Maples-Keller et al., 2017
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“For instance, virtual reality (VR) technology, accessed through head-mounted displays, provides an immersive experience similar to real-life situations and has been used in controlled environments [7].”
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“However, when traditional graded exposure becomes complex to set up due to difficulties to control specific environment cues, VR offers opportunities for highly controllable settings empowering sensory exposure with the presence of the therapist, which would not be possible otherwise (Maples-Keller et al., 2017).”
From iSenseVR: bringing VR exposure therapy outside the laboratory (2019) · cites this paper as Maples-Keller et al., 2017
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“…treatment research has been conducted for anxiety disorders, and broadly, results suggest the VRE is related to large declines in anxiety symptoms, 12 demonstrates similar efficacy compared to traditional exposure interventions, has a powerful real-life impact, and demonstrates good stability of…”
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“While prior research has primarily framed VR as an exposure-oriented intervention [8, 15], our findings suggest the need to move beyond scene replication toward adaptive performance contexts.”
When Threats Go Unnoticed: The Design Pitfalls of Subtle Stressors in VR Exposure Therapy
Švadlenková, K., Chmelík, J., Echeverri, D., Juřík, V., Bílý, V., & Rusňák, V. (2026) · CHI Conference Extended Abstracts on Human Factors in Computing Systems (CHI EA) · doi:10.1145/3772363.3799348
“Virtual Reality Exposure Therapy (VRET) relies on the principle of graded exposure – the systematic variation of stimulus intensity to match a patient’s progress [18].”
You, C.-W., Chen, Y.-M., Lin, Y.-C., Yuan, C. W., Bi, N., Lin, H.-W., Wu, H., Peng, S.-H., & Huang, M.-C. (2026) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3772318.3790665
“VRET has proven effective in treating a variety of mental health conditions, including posttraumatic stress disorder (PTSD) [43, 95], anxiety disorders [8, 72], phobias [38, 39], and substance use disorders [52].”
mansor, K., Abdellatif, S. A., & Mohamed, N. A. (2025) · Palestinian medical and pharmaceutical journal/Palestinian medical & pharmaceutical journal · doi:10.59049/2790-0231.12.1.2633
Hofbauer, K., & Juvrud, J. (2026) · Frontiers in Virtual Reality · doi:10.3389/frvir.2026.1785069
Hoff, B., Palmer, B., & Daşdöğen, Ü. (2026) · Journal of Voice · doi:10.1016/j.jvoice.2026.03.033
The use of avatars to improve empathy and emotional intelligence: A scoping review
Ciarmoli, D., Scuotto, C., Vinci, L. A., & Triberti, S. (2026) · Acta Psychologica · doi:10.1016/j.actpsy.2026.106823
Huang, L., Wang, G., & Sabran, K. (2026) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2026.2654078
Zhao, H., Ying, X., Du, X., Ren, G., Deng, H., Li, W., Wang, J., Chen, M., Shao, Z., Zhang, J., et al. (2026) · Addiction Biology · doi:10.1111/adb.70166
“When users perceive that the environment accurately simulates the real-world experience they aim to replicate, they can fully immerse themselves in VR [18].”
Uses of Technology in Psychological Assessment Practices
Lieberman, E., & Chahin, S. S. (2026) · Springer eBooks · doi:10.1007/978-3-032-19116-8_20
Prescribed Interventions to Reduce Depression
Sunzeri, F. (2026) · Springer eBooks · doi:10.1007/978-3-032-14465-2_22
敖, 春. (2026) · Advances in Psychology · doi:10.12677/ap.2026.165264
Hoffman, L. J., Garcia, A., Bond, A. E., & Albano, A. M. (2026) · Elsevier eBooks · doi:10.1016/b978-0-443-29009-1.00019-6
Cinar, O. E. (2026) · Frontiers in Virtual Reality · doi:10.3389/frvir.2026.1826777
Metadata
- Authors
- Maples-Keller, J. L., Bunnell, B. E., Kim, S.-J., & Rothbaum, B. O.
- Affiliations
- Emory University (US)
- Venue
- Harvard Review of Psychiatry
- Published
- 2017-05
- Volume
- 25
- Issue
- 3
- Pages
- 103-113
- ISSN
- 1067-3229 (ISSN-L)
- 1465-7309
- PMC
- PMC5421394
- OpenAlex
- W2611287876
- Cited by
- 862
- References
- 108
- Citations by year
- 2026: 111 · 2025: 147 · 2024: 115 · 2023: 93 · 2022: 113 · 2021: 117 · 2020: 85 · 2019: 51 · 2018: 24 · 2017: 5
- FWCI
- 4.40
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Harvard Review of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Genentech
- National Institute of Mental Health (R01MH094757, R01MH070880)
- Topics
- Physical Sciences › Computer Science › Human-Computer Interaction › Virtual Reality Applications and Impacts
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- virtual reality, anxiety disorders, mental illness, exposure therapy, virtual reality exposure therapy, immersive virtual reality, head-mounted displays, treatment effectiveness, psychiatric treatment
- MeSH terms
- Anxiety Disorders, Humans, Randomized Controlled Trials as Topic, Treatment Outcome, Virtual Reality Exposure Therapy
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