Simulations in virtual and augmented reality can help patients build confidence and self-esteem, supported by a real-life or virtual therapist.
A young man walks toward the entrance to an underground subway. As he starts down the escalator, his heart rate increases, but he continues. He purchases a ticket and enters the train, where he sees other people chatting in small groups or sitting alone. If his anxiety rises when the doors close, the voice of a therapist can help him relax. In this scenario, the therapist is real, but the train and the people are not — they are part of a simulation programmed as virtual reality .
Virtual reality helps the therapist to see which experiences disturb the patient, while the patient can gain confidence.Good! What can I get for you today? You want to have a look at our menu? It's on the right.I got you your hot chocolate on the left. You can grab it if you like...
In assessment or treatment, “virtual reality is a really good enhancement tool, but it’s not a replacement,” for the therapist, says Kim Bullock, founder and director of Stanford’s Neurobehavioral Clinic and Virtual Reality & Immersive Technology Clinic and laboratory. VR “is used interactively with a therapist as a patient’s guide and coach.” However, VR therapists are being rolled out in some situations.
Uptake of VR has been low, with few psychologists trying the technology. For example, in Bullock’s department of approximately 500 clinicians, only about 5 of them use VR to treat patients. Lack of training in VR hinders wider adoption by psychologists, she says. At first, Liran held little hope that XAIA would work, but as the AI-based software trained for months on transcripts from patient–therapist sessions, he says, “it went from terrible to really suddenly getting better.” Patients, Liran says, “loved interacting with XAIA, and many told us that they sometimes prefer it to their own psychologists.” Soon, Liran and his colleagues plan to start an effectiveness trial of XAIA.
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