Categories
Environment

Public bathroom

Public bathroom

This scene can be very useful for interventions for Obsessive-Compulsive Disorders, more specifically contamination-hygiene type in public toilets. This virtual environment wants the subject to confront his/her appellant thoughts and at the same time be capable of accustoming the anxiety that they produce in him/her and of extinguishing the ritualized neutralizing behaviors and thoughts.

The scene begins at the door of a public toilet. The patient will enter the toilet, and he/she will be able to confront anxiogenic situations inside the toilet cubicle. Finally the avatar will be placed opposite the sink, where he/she will be able to confront obsessions and prevent the use of compulsions and/or neutralizing thoughts. 

SETTINGS VARIABLES
  • Gender
    Choose between a male or female body. A neutral body is selected by default.
  • Skin tone
    Choose the skin tone that best represents your patient to enhance the feeling of immersion.
  • Difficulty
    Easy / Difficult
    Control if the avatar touches certain elements like the faucet, the soap or the hand dryer, or they’re just simply next to him/her. 
  • Dirty
    Clean / Dirty
  • Toilet type
    Female / Male
    Choose the gender of the people in the environment.
  • Sanitary mask
    You can choose whether or not the people around you will have a mask.
ACTION EVENTS
  • Open entrance door
    The door opens and the avatar is situated in the toilet.
  • Open WC cubicle door
    The door opens and the avatar enters in the toilet cubicle.
  • Touch the wall (standing inside the cubicle)
    The avatar touches the wall with his/her left hand.
  • Lower the toilet lid
    The avatar lowers the lid to sit on the toilet.
  • Flush the toilet
    The avatar touches the button to flush the toilet. 
  • Touch the wall (sitting on the toilet)
    The avatar touches the wall while sitting on the toilet.  
  • Grab paper
    Grabs paper and throws it in the trash.
  • Touch the toilet brush
    The avatar touches the brush on his/her left.
  • Wash hands
    Depending on the difficulty settings that you’ve chosen, the avatar will wash its hands touching (difficult) or not (easy) the elements (soap, faucet, etc.).
POSITION EVENTS
  • From the outside until sitting on the toilet
    The avatar stands outside the toilet, opens the door, appears in front of the toilet cubicle, opens the door, enters the toilet cubicle, lowers the toilet lid to sit on it and finally sits on the toilet.
  • From sitting until washing hands
    The avatar appears sitting on the toilet, grabs paper, stands in front of the toilet, flushes the toilet and washes his/ her hands.
  • Complete sequence
    The avatar is placed outside the toilet, opens the door, appears in front of the toilet cubicle, lowers the toilet lid to sit on it, sits on it, grabs paper, stands in front of the toilet, flushes the toilet, stands in front of the sink and washes his/her hands.
POSITION OF THE AVATAR
  • Outside bathroom
  • Inside bathroom
  • Standing inside the toilet cubicle
  • Sitting on the toilet
  • In front of the sink

Categories
Environment

University

University

In this case, when the scene begins the patient appears in the hallway of a university. The students that appear speaking will be between 18 and 30 years. This will allow you to intervene with exam anxiety with young people and adults who present this same problem. When entering the classroom the patient will be able to see a projector in the background and the organization of the desks will be the one that you can see in universities.

Since this environment is intended for adults, it can also be used to work in other, non-strictly university situations, such as, for example, entrance and public exams.

SCENES
University Hallway (Difficulty: medium-low) 
University Classroom (Difficulty: medium-high)
University Test (Difficulty: High)

SETTINGS VARIABLES

AVATAR

Gender
Choose between a male or female body. A neutral body is selected by default.

Skin tone
Choose the skin tone that best represents your patient to enhance the feeling of immersion.

ATTENDANCE

Alone / A few students / A lot of students
Depending on the option we select, the type and the amount of ambient sound will change. 

With this configuration variable, you can regulate the levels of anxiety and distractors. In general, more people and more noise, lead to more difficulty.

Difficulty

Easy 

  • Easier questions
  • Relaxed students
  • Calm and friendly teacher

Hard

  • Difficult questions
  • Anxious students
  • Serious and controlling teacher

The easy configuration can be used in the early stages of the intervention, where you are seeking anxiety reduction in an environment that does not generate excessively high levels of anxiety.

Exam subject

Psychology
“Psychoeducation about test anxiety and social anxiety”

Natural Sciences and Biology
“Autoimmunity and Immunopathology”

History and Law
“The Spanish Constitution”

Each one of these exams will consist of 10 questions, most of them true / false type.

Duration

Short / Long
This last variable is related to the duration of the test. If we choose “short” the test will last only five minutes, while if we choose “long”, the test will be about twenty minutes.

EVENTS

  • Teacher appears
    At the beginning of the session, the environment is the hallway of the high school/university, and an intelligible murmur is heard among the students who are waiting. When the event is activated, the teacher appears at one end of the hallway. As he approaches, he greets the patient with a gesture and invites the students to come into the classroom. Right after that, he proceeds to enter into the classroom and at the same time the murmur decreases until it reaches a normal level.  
  • Enter classroom
    Once this event is triggered, a fade to black will occur and the patient will appear seated at the classroom table, ready to perform the exam.

Once in the classroom, the teacher will be waiting for the test to begin. The students will be reviewing or waiting for the test to begin, so the general murmur will be low and unintelligible. 

  • Start exam
    When this event is activated, the test will be performed. The general murmur that could be heard is almost completely eliminated, and in the tablet placed on the desk in front of the patient will appear the first question of the test. This question will have two possible interactive answers, so to answer the question the patient should use visual control in the same way that he/she used it when entering the test classroom.

After the patient has selected one of the two available answers, the next question will appear, and the patient should follow the same interactive procedure to answer. When choosing one of the options, the third question will appear, and so on up to completing the ten questions.

In addition to the questions of the test and the corresponding answers, on the tablet will appear, at all times, the remaining time to finish the test. The time in question will depend on the configuration of the difficulty variable.

Throughout the development of the test, in case of having selected that there are people present, some students will finish their test announcing it aloud to the teacher (they will not move from their place). Depending on the difficulty level selected, there will be more or fewer students completing the test.

Once the test time expires, it will automatically be passed to the test completion event, described below. 

  • Finish exam
    By activating this event, the teacher will finish the test with a fade to black. The teacher will reappear in the hallway with the tablet visible, being able to see the test result on the screen. At this point, the general murmur among the students in the hallway will again be intelligible.
Categories
Environment

School

School

At the beginning of this scene, the patient is in the hall of a high school, so the people that appear are teenagers (between 14 and 17 years). Therefore, this environment will be suitable for adolescents of this age who are anxious about performing a test. When entering the classroom, the patient will sit at one of the multiple tables and will be ready to begin the test.

SCENES
Hallway (Difficulty: medium-low)
Classroom (Difficulty: medium-high)
Test (Difficulty: high)

SETTINGS VARIABLES

AVATAR

Gender
Choose between a male or female body. A neutral body is selected by default.

Skin tone
Choose the skin tone that best represents your patient to enhance the feeling of immersion.

Attendance

Alone / A few students / A lot of students
Depending on the option we select, the type and the amount of ambient sound will change. 

With this configuration variable, you can regulate the levels of anxiety and distractors. In general, more people and more noise, lead to more difficulty.

Difficulty

Easy 

  • Easier questions
  • Relaxed students
  • Calm and friendly teacher

Hard

  • Difficult questions
  • Anxious students
  • Serious and controlling teacher

The easy configuration can be used in the early stages of the intervention, where you are seeking anxiety reduction in an environment that does not generate excessively high levels of anxiety.

Exam subject

Psychology
“Psychoeducation about test anxiety and social anxiety”

Natural Sciences and Biology
“The cell”

History and Law
“The recent Spain”

Each one of these exams will consist of 10 questions, most of them true / false type.

Duration

Short / Long
This last variable is related to the duration of the test. If we choose “short” the test will last only five minutes, while if we choose “long”, the test will be about twenty minutes.

EVENTS

  • Teacher appears
    At the beginning of the session, the environment is the hallway of the high school/university, and an intelligible murmur is heard among the students who are waiting. When the event is activated, the teacher appears at one end of the hallway. As he approaches, he greets the patient with a gesture and invites the students to come into the classroom. Right after that, he proceeds to enter into the classroom and at the same time the murmur decreases until it reaches a normal level.  
  • Enter classroom
    Once this event is triggered, a fade to black will occur and the patient will appear seated at the classroom table, ready to perform the exam.

Once in the classroom, the teacher will be waiting for the test to begin. The students will be reviewing or waiting for the test to begin, so the general murmur will be low and unintelligible. 

  • Start exam
    When this event is activated, the test will be performed. The general murmur that could be heard is almost completely eliminated, and in the tablet placed on the desk in front of the patient will appear the first question of the test. This question will have two possible interactive answers, so to answer the question the patient should use visual control in the same way that he/she used it when entering the test classroom.

After the patient has selected one of the two available answers, the next question will appear, and the patient should follow the same interactive procedure to answer. When choosing one of the options, the third question will appear, and so on up to completing the ten questions.

In addition to the questions of the test and the corresponding answers, on the tablet will appear, at all times, the remaining time to finish the test. The time in question will depend on the configuration of the difficulty variable.

Throughout the development of the test, in case of having selected that there are people present, some students will finish their test announcing it aloud to the teacher (they will not move from their place). Depending on the difficulty level selected, there will be more or fewer students completing the test.

Once the test time expires, it will automatically be passed to the test completion event, described below. 

  • Finish exam
    By activating this event, the teacher will finish the test with a fade to black. The teacher will reappear in the hallway with the tablet visible, being able to see the test result on the screen. At this point, the general murmur among the students in the hallway will again be intelligible.

Categories
Uncategorized

Chatting at the bar

Chatting at the bar

The patient is with his/her friends in a pub, having a casual conversation.
Throughout the conversation they will be talking about different topics: cinema, travel, having children, sports and schedules. The avatars talk about one of these topics for a while, and if no event is activated at the end it changes the subject.

On the other hand, if the healthcare professional activates one of the events, then at the end of that event, the topic of conversation is changed even if it has not ended.

SETTINGS VARIABLES

  • Type response
    • Happy: the friends and waitress will be nice and attentive.
    • Angry: the friends and waitress will be distant and will answer negatively to the patient’s interventions.

EVENTS

  • Make an order (Call waitress)
    The mates request the patient to make the order (“can you order? you can see the waitress better than us, etc”). The patient should call the waitress to make the order.
  • Ask for the bathroom (Call waitress)
    The waitress will approach the table and the patient can then ask where the toilet is. The waitress will answer and leave.
  • Regulate the temperature (Call waitress)
    The mates complain about the cold and tell the patient to ask the waitress to adjust the temperature.
  • Change drink (Call waitress)
    The mates request the patient to call the waitress to ask for a change of drink.
  • Goodbye (Call waitress)
    All the friends except two who will stay with the patient, will say goodbye and leave. Note: this event is not interactive.

Keep in mind that the purpose of this environment is to work on the exposure to social skills. Therefore, the healthcare professional can modulate the behaviors before the exposure to the VR environment. Once the exposure has finished, the healthcare professional can give feedback of the session and repeat the exposure if necessary.

ATTENTION!  

Before starting the exposure, inform the patient what kind of questions he/she should ask and give an insight on how the session is going to develop. Specifically, the order of events must be emphasized in order for the patient to differ between the events. 

Categories
Environment

Underwater in the ocean

Underwater in the ocean

This virtual environment will take the patient under the sea , where he will be surrounded by fishes that swim around him. You will hear the pleasant sound of flowing water and dolphins and whales in the background.

SETTINGS VARIABLES

  • Animal acount
    None / Maximum

EVENT

  • Music
    To help the patient achieve a total concentration state.

  • Bubbles
    Stimulus that can be used for the practice of Mindfulness.
    (For more information please refer to the Mindfulness Manual)

Categories
Uncategorized

Progressive muscle relaxation

Progressive muscle relaxation

This environment will help patients practice Jacobson’s muscular relaxation technique. It is recommended to previously teach the patient of the difference between tension and relaxation by simply tensing an arm and afterwards proceeding to perform this relaxation exercise. 

When launching this environment, the patient will find himself sitting in an empty room and this is when the therapist must put him in context before starting the relaxation exercise.

SETTINGS VARIABLES

  • Show Teacher
    The relaxation exercise can be performed with the presence of a virtual trainer that serves as a visual guide for the patient, as it is in accordance with the audio (if activated).

EVENTS

  • Introduction
    A brief explanation is played in the audio (previously activated) to remind the patient what the exercise is about. 
  • Arms
    The exercise regarding the tension/ relaxation of the hand and arm muscles starts. 
  • Neck
    The tension/relaxation intervals involving the neck and shoulders area take place.
  • Face
    Tension and relaxation of the face muscles begins.
  • Torso
    Allows for the start of the tension/ relaxation exercise regarding the trunk area. It includes the abdomen and back muscles.
  • Legs
    The relaxation exercise part involving the legs takes place. Including knee joint, legs, toes and gluteus movements.
  • Final
    The audio indicates the patient to start a mental journey through each of their body parts, while slowly breathing and feeling how relaxed they feel by the end of the exercise. The complete relaxation exercise is considered done. 
  • Ambient Music
    Allows the exercises to be performed with background music. keep in mind that in the default option this option is disabled, so if you want to use it you must press on before the exercise.
Categories
Environment

Imagery for relaxation

Imagery for relaxation

The tropical island is a pleasant environment to carry out relaxation exercises. The patient will be able to walk around the island and select his/her favorite place to carry out the exercises.

This environment includes four different areas:

  • Beach
  • Field
  • Waterfall
  • Platform

Each zone reproduces an ideal tropical island with elements that typically promote a well-being sensation such as vegetation, clear skies, crystalline water, breeze, bird sounds, water flowing, etc.

We can choose two different ways to go to one of the four zones of the island: 

  • Pressing the event that takes us to a specific environment.
  • Let the environment automatically take us for a walk around the island visiting the four locations.

In the Beach, the patient will be able to hear the sound of the waves.

We can also start walking around the island and go into a Field. This walk will bring the patient to a cozy esplanade full of grass, vegetation and butterflies, with clear skies and huts. This place is ideal to make a relaxation exercise.

When continuing walking and crossing the shore, the patient will see a Waterfall, an ideal place to perform the Breathing Exercises. 

The patient will then continue walking around the island and will get to a Platform, where we recommend performing the Progressive muscle relaxation exercise. If the patient continues walking, he will arrive at the starting point. Here, the patient will be able to lay down on the sand before ending the session.

Categories
Uncategorized

Diaphragmatic breathing underwater in the ocean

Diaphragmatic breathing underwater in the ocean

In this environment, the patient will be at the under the sea, surrounded by a water area, which will help induce the desired state of relaxation.

SETTINGS VARIABLES

  • Introduction
    This will be reproduced when the exercise starts. It is recommended that in the first session the optional introduction is activated so that the patient understands the importance of correct breathing and the methodology of the exercise.
  • Visual reference
    The patient can also select his favorite 3D object in order to carry out the breathing exercises:
    • Seahorse
    • Jellyfish
    • Pufferfish
  • Music
    Allows you to perform the exercises with background music. Note that in the default option this option is activated.
  • Inhale/exhale duration
    Adjust the duration of the exercise by clicking on Exhalation or Inhalation from 3 to 12 seconds.
  • Audio guide
    Allows you to choose whether the audio guide is a female or male voice.
EVENTS
  • Inhale/exhale duration
    Adjust the duration of the exercise by clicking on Exhalation or Inhalation from 3 to 12 seconds.
Categories
Uncategorized

Diaphragmatic breathing in a meadow

Diaphragmatic breathing in a meadow

In this environment, the patient will be in the middle of a meadow, surrounded by a natural setting, which will help induce the desired state of relaxation.

SETTINGS VARIABLES

  • Visual reference
    The patient can also select his favorite 3D object in order to carry out the breathing exercises:
    • Ball
    • Lotus flower
    • Owl
  • Music
    Allows you to perform the exercises with background music. Note that in the default option this option is activated.
  • Inhale/exhale duration
    Adjust the duration of the exercise by clicking on Exhalation or Inhalation from 3 to 12 seconds.
  • Audio guide
    Allows to select if the voice in the audio guide is from a male or a female.
  • Introduction
    Plays an introduction at the beginning of the scene.
EVENTS
  • Inhale/exhale duration
    Adjust the duration of the exercise by clicking on Exhalation or Inhalation from 3 to 12 seconds.
Categories
Uncategorized

Emotional regulation

Emotional regulation

This environment is formed by two different scenarios, connected to each other through a virtual tour accompanied by a series of meditation exercises. It comes to two environments that correspond to a different season of the year: spring and summer; each one with representative elements that are used to work the patient’s full and conscious attention and the sensations induced by the environment. 

It will begin with an aerial view of spring, where the patient will hear through audio the principles of Mindfulness that will be worked on later through the practice of mindfulness. When the patient is already walking on the path of the meadow, he will be asked to focus only on the natural landscape and the elements that comprise it, without falling into value judgments and simply observing them, in addition to concentrating on their breathing and in the here and now.

When arriving in front of a fire, the following exercise will take place: The Cascade of Thoughts. It will consist in becoming aware of the thought flow, focusing attention on the movement of fire, which this torrent symbolizes. At the end of this exercise, the camera will move away from the ground again, to ask the patient to observe the landscape from the new perspective and focus on the sensations experienced.

At this time there will be a change of environment: the patient will be in summer. This landscape will correspond to a desert, in which the patient will have to observe each of the new elements and focus on the sensations that the new environment produces at each moment while carrying out an exercise of conscious observation.

Next, the patient will begin a journey through the desert and will be instructed to let himself be carried by it, attending to the sensations and breathing. Finally, the avatar will stop and three 3D elements will appear that will help the patient to perform the final gratitude exercise.

SETTINGS VARIABLES

  • Audio guide
    Allows you to choose whether the audio guide is a female, male or none voice.