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And I never rely on it alone, having worked for many years without it. I personally don’t like the term Virtual Reality Exposure Therapy, since it places VR at the centre of the therapy, when it’s not. It’s a tool to be used, not a therapy in itself.
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The negative feedback loop ( the more I fly the worse I get) becomes a positive one ( the more I fly the more I learn how to get better at it).Īs much as Virtual Reality is getting a lot of coverage lately (remember, I’ve been doing this since 2001), it was military and later airline flight simulators which have been the most prominent developments of VR! If you fly, or go on a cruise, you’ve been exposed to Virtual Reality Training second hand, because pilots and ship captains have been trained with it. It is kind of a stepping stone to the real thing, and my belief is that if you can board your flight knowing what you’re likely to encounter, and know what to do – with the knowledge and experience that it effectively works for you – then you are more likely to become a better and wiser flyer each time you fly. The VR setup allows us both (patient and clinical psychologist) to check out the effectiveness of the techniques the’ve learnt, rather than wait until an actual flight. This feedback loop is sometimes called self-efficacy, and clients report after flying how good it was for them to know how to take care of themselves, having practised and refined the techniques in the virtual setup. They experience how to effectively perform so as to change how they feel as well as how they think. By having them practise their arousal modulation techniques during exposure to turbulence-like triggers, patients get to see that they can change their unhelpful yet spontaneous and reflexive responses. One of the skills I’ll guide patients to learn is emotional regulation, a part of which is arousal modulation. heard ? The importance of emotional regulation What’s the virtue of exposing clients to triggers of their turbulence-based anxieties? Or of asking them to recall a turbulent flight and what they: did.
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Simulating turbulence without the use of a multi-million dollar airline simulator is hard to do in an office or over the phone!
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I have yet to see the same spontaneous reaction when I ask people to imagine turbulence just sitting in a comfy chair, technically referred to as imaginal exposure. Watching many people suddenly grip the airline seats and hold their breath in the VR setup suggests the triggering works well. Sooner or later when a patient consults me, we will end up discussing turbulence, and indeed, the virtual reality setups (VR) I use all include components which attempt to simulate or trigger reactions to perceived turbulence.
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