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Innovations in Practice: Avatar-based virtual reality in CAMHS talking therapy: two exploratory case studies
Caroline J Falconer1,2, E Bethan Davies1, Rebecca Grist3,4
1NIHR MindTech MedTech Co-operative, Institute of Mental Health, The University of Nottingham, Nottingham, UK.
Child and Adolescent Mental Health
|July 18, 2020
Summary
Avatar-based virtual reality therapy, like ProReal, helps young people engage in therapy by externalizing their experiences. This digital tool facilitates communication and reappraisal, showing promise for mental health treatment.
Area of Science:
- Digital mental health
- Virtual reality applications in psychology
- Child and adolescent mental health services
Background:
- Avatar-based virtual reality therapy is an emerging digital technology for mental health treatment.
- This technology may appeal to young people familiar with digital platforms.
- It can serve as a medium to enhance communication in face-to-face therapy.
Purpose of the Study:
- To present case summaries of young people using ProReal, an avatar-based virtual reality therapy software.
- To assess the utility of ProReal for individuals experiencing difficulties engaging in traditional talking therapies.
- To evaluate ProReal's impact within a Child and Adolescent Mental Health Services (CAMHS) outpatient setting.
Main Methods:
- Two case summaries of young people utilizing ProReal software were analyzed.
- Pre- and post-use routine outcome measures were collected.
- Qualitative interviews were conducted to assess user experiences with ProReal.
Main Results:
- Outcome measures indicated a reduction in difficulties over time.
- Participants found ProReal highly accessible and effective for externalizing internal experiences.
- ProReal facilitated the reappraisal of thoughts, feelings, and experiences.
- The software aided in improving communication between young people and clinicians.
Conclusions:
- ProReal can be readily integrated into clinical practice for mental health treatment.
- The use of ProReal facilitates communication and therapy engagement for young people.
- It is particularly beneficial for individuals who struggle with self-expression in traditional therapy settings.

