Application of Virtual Reality Technology to Treatment of Social Anxiety in Adults with Autism Spectrum Disorder

What this Trial Is About

Researchers are investigating treatments for adults with autism and social anxiety disorder to compare two types of cognitive behavioral therapy (CBT). One approach combines CBT with virtual reality (VR) exposure and VR social skills training, while the other uses CBT with imaginal exposure and mindfulness. The study aims to determine which approach better reduces social anxiety severity, identify who benefits most from VR-based therapy, and assess how acceptable and feasible the VR treatment is for patients. This research is sponsored by The University of Texas Health Science Center, Houston. Participants will receive 12 weeks of weekly CBT sessions. One group will use VR software called the Virtual Communicator, featuring realistic avatars controlled by a therapist for interactive social practice over the internet without needing a headset. The other group will receive traditional CBT involving imaginal exposure and mindfulness techniques. Both treatments focus on reducing social anxiety and improving conversational skills. The VR sessions can be conducted in English or Spanish, increasing accessibility. During the study, participants’ anxiety levels will be measured at multiple points: baseline, 3, 6, 9, and 12 weeks, and about 4 weeks after treatment ends. Researchers will assess anxiety using several scales specific to social anxiety disorder. Participants must be verbal and literate in English or Spanish and able to operate a computer. The study carefully monitors outcomes and treatment acceptability over the 12-week intervention and follow-up period, with no masking or randomization involved.

Application of Virtual Reality Technology to Treatment of Social Anxiety