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Vrt vs cbt presentation

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CBT class with Dr. Patricia Zurita-Ona. Summer 2010
Argosy University San Francisco
By Lucia Merino, PsyD Candidate.

Published in: Education
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Vrt vs cbt presentation

  1. 1. VIRTUAL REALITY EXPOSURE THERAPY Lucia Merino & Pat Torres
  2. 2. Virtual Reality Therapy Photo Sample 1
  3. 3. Virtual Reality Therapy Photo Sample 2 Fear of Flying
  4. 4. Virtual Reality Therapy Photo Sample 3 Public Speaking
  5. 5. Virtual Reality Therapy Photo Sample 4 Virtual Cart
  6. 6. Virtual Reality Therapy Sample 5 Acrophobia –in a room by a window
  7. 7. Virtual Reality Therapy Photo Sample 6 Arachnophobia
  8. 8. Two studies using Exposure to Virtual Environments as Tx <ul><li>Social Phobia </li></ul><ul><li>VRT compared to CBT </li></ul><ul><li>36 adult subjects </li></ul><ul><li>12 weeks </li></ul><ul><li>45 minutes per session </li></ul><ul><li>With therapist </li></ul><ul><li>20 minutes exposure p/s </li></ul><ul><li>4 virtual environments </li></ul><ul><li>Agoraphobia </li></ul><ul><li>VRET compared to CBT </li></ul><ul><li>37 adult subjects </li></ul><ul><li>11 weeks </li></ul><ul><li>45 minutes per session </li></ul><ul><li>With therapist + grad studts </li></ul><ul><li>20 minutes exposure p/s </li></ul><ul><li>7 virtual environments </li></ul>
  9. 9. Social Phobia Study VRT vs. CBT <ul><li>V R T </li></ul><ul><li>18 adult subjects </li></ul><ul><li>12 weeks </li></ul><ul><li>12 weekly 45” sessions </li></ul><ul><li>One-on-one with therapist </li></ul><ul><li>20 “ of exposure per session </li></ul><ul><li>4 virtual storyboards: Assertiveness Anxiety </li></ul><ul><li>Performance Anxiety </li></ul><ul><li>Intimacy Anxiety </li></ul><ul><li>Observation Anxiety </li></ul><ul><li>C B T </li></ul><ul><li>2 groups of 9 adults </li></ul><ul><li>12 weeks </li></ul><ul><li>12 weekly 2-hrs sessions </li></ul><ul><li>9 adults/1 therapist </li></ul><ul><li>Exposure thru role play & public speaking in group </li></ul><ul><li>Tasks between sessions </li></ul><ul><li>Learn how to counter </li></ul><ul><li>“ micro-avoidances” </li></ul><ul><li>Identification of cognitions </li></ul><ul><li>Cognitive restructuring </li></ul>
  10. 10. ASSERTIVENESS ANXIETY (Protecting one’s interests, viewpoints, being respected)
  11. 11. PERFORMANCE ANXIETY (Speaking in Public)
  12. 12. INTIMACY ANXIETY (establishing contacts, next-door neighbor, friends, small talk)
  13. 13. OBSERVATION ANXIETY (acting while being observed, being under scrutiny)
  14. 14. RESULTS <ul><li>Both treatments are highly effective to reduce symptoms of Social Phobia. Difference is trivial. </li></ul>Outcome Means and Standard Deviations VRT n=18 CBT n=18 LSAS VRT Pre VRT Post CBT Pre CBT Post Anxiety 48.9 (8.3) 27.9 (9.7) 43.7 (13) 26.5 (13.1) Avoidance 40.7 (12.9) 19.9 (11.2) 34.3 (13) 17.1 (12.5) TOTAL 89.7 (20.6) 47.6 (20.4) 78 (25.2) 43.4 (24.6)
  15. 15. Agoraphobia Study VRET vs CBT <ul><li>VRET </li></ul><ul><li>15 subjects </li></ul><ul><li>11 weekly sessions </li></ul><ul><li>one-on-one with therapist </li></ul><ul><li>45 minutes sessions </li></ul><ul><li>20 minutes exposure </li></ul><ul><li>7 VE + IV exposures </li></ul><ul><li>Between session exercises </li></ul><ul><li>CBT </li></ul><ul><li>13 subjects </li></ul><ul><li>11 weekly sessions </li></ul><ul><li>one-on-one with therapist </li></ul><ul><li>45 minutes sessions </li></ul><ul><li>20 minutes exposure </li></ul><ul><li>PE, AMT, IVE </li></ul><ul><li>Between sessions exercises </li></ul>
  16. 16. DESCRIPTION OF TREATMENT FOR BOTH GROUPS: VRET & CBT
  17. 17. AGORAPHOBIA VIRTUAL REALITY EXPOSURE 1
  18. 18. AGORAPHOBIA VIRTUAL REALITY EXPOSURE 2
  19. 19. OUTCOME MEASURES OF TX OF AGORAPHOBIA SYMPTOMS CBT GROUP
  20. 20. OUTCOME MEASURES TX OF AGORAPHOBIA SYMPTOMS VIRTUAL REALITY TREATMENT GROUP
  21. 21. RESULTS AGORAPHOBIA STUDY <ul><li>Both treatment interventions significantly improved agoraphobia symptoms in subjects. </li></ul><ul><li>VRET slightly better. </li></ul><ul><li>As in the VRT Vs CBT study of Social Phobia, </li></ul><ul><li>the different results are trivial. </li></ul><ul><li>The authors of both studies recommend further investigation of Virtual Exposure Tx. </li></ul>

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