Sep 21 2021
Virtual Phobia Treatment
Are you afraid of spiders? I mean, really afraid, to the point that you will alter your plans and your behavior in order to specifically reduce the chance of encountering one of these multi-legged creatures? Intense fears, or phobias, are fairly common, affecting from 3-15% of the population. The technical definition (from the DSM-V) of phobia contains a number of criteria, but basically it is a persistent fear or anxiety provoked by a specific object or situation that is persistent, unreasonable and debilitating. In order to be considered a disorder:
“The fear, anxiety, or avoidance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.”
The most effective treatment for phobias is exposure therapy, which gradually exposes the person suffering from a phobia to the thing or situation which provokes fear and anxiety. This allows them to slowly build up a tolerance to the exposure (desensitization), to learn that their fears are unwarranted and to reduce their anxiety. Exposure therapy works, and reviews of the research show that it is effective and superior to other treatments, such as cognitive therapy alone.
But there can be practical limitations to exposure therapy. One of which is the inability to find an initial exposure scenario that the person suffering from a phobia will accept. For example, you may be so phobic of spiders that any exposure is unacceptable, and so there is no way to begin the process of exposure therapy. For these reasons there has been a great deal of interest in using virtual/augment reality for exposure therapy for phobia. A 2019 systematic review including nine studies found that VR exposure therapy was as effective as “in vivo” exposure therapy for agoraphobia (fearing situations like crowds that trigger panic) and specific phobias, but not quite as effective for social phobia.