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Can you use virtual reality (VR) to treat insomnia? 

Can you use virtual reality (VR) to treat insomnia? 

  • Rita Hitching’s VR Research for PTSD and Insomnia: Rita Hitching, a Psychiatry PhD candidate at the University of Newcastle, has significant experience using virtual reality (VR) to treat veterans with PTSD, facilitating exposure therapy for stressful combat scenarios. She is now leading a global clinical trial to investigate using VR to treat chronic insomnia.
  • VR Devices as Therapeutic Tools: VR headsets, commonly associated with gaming, are now being prescribed as digital therapeutic devices for various conditions. In the US, they are FDA-approved for treating substance abuse, paediatrics, and dementia, while in Australia, they are prescribed for autism and funded by the NDIS.
  • VR for Mindfulness and Insomnia: The trial aims to use VR to help participants adopt mindfulness practices, with the goal of improving sleep. Chronic insomnia can lead to severe health issues like Type 2 diabetes and dementia. If successful, the VR therapy could be easily accessible with affordable devices and downloadable apps.

This is what University of Newcastle and HMRI Psychiatry PhD candidate, Rita Hitching, is hoping to find out.  

Rita, who is a Stanford University alumnus, has extensive experience using virtual reality (VR) to help US veterans with post-traumatic stress disorder (PTSD). She says she is hoping that VR will help participants in her study access the calming benefits of mindfulness. 

“VR is not just for gaming. It’s also a prescription digital therapeutic (PDT) device, funded under NDIS.” she says.  

In America and Australia, PDT devices are approved by the FDA and TGA for the treatment of chronic pain and substance abuse.  

Companies like XR Health are using it to help Australian children with autism and EngageVR. SilverVR has partnered with Dementia Australia to help us understand what it’s like to be living with dementia. 

Rita was part of a team in California at the National Center for PTSD using VR to veterans with traumatic brain injuries and PTSD rebuild their lives.  

“Prolonged exposure (PE) therapy is the most effective treatment for PTSD, but it requires the ability to be able to remember and visualize where the trauma happened.  One of the many consequences of PTSD is impaired cognitive ability. Not just memory and attention, but also imagination.  VR enabled us to simulate the environment where the traumatic experience happened, whether it was in Afghanistan or Iraq while driving a tank or during hand-to-hand combat, making treatment faster and more effective. This work is urgently needed. In the States, 22 combat personnel take their life every day because of PTSD.” 

Rita is now investigating the potential of VR to treat insomnia. Rita says “VR is a powerful tool. It’s been shown to facilitate the delivery of evidence-based treatments including mindfulness for people of all ages with chronic pain, cancer, depression, anxiety, and of course PTSD who often have difficulty sleeping.” 

Her world-first clinical trial of at-home VR mindfulness runs over four weeks and participants are asked to do two 15-minute VR sessions per week. Participants are surveyed before and after, and then followed up 4 weeks later to check in on the longevity of the effects. Rita says, “My hope is that VR will facilitate the adoption and adherence of mindfulness.” 

Associate Professor Lisa Lampe is supervising Rita’s research and says, “Mindfulness is suitable for everyone and especially helpful for those who struggle to silence the mental chatter preventing them from falling asleep or getting back to sleep.“ 

The consequences of prolonged insomnia are severe and include an increased risk of depression, and anxiety as well as Type 2 diabetes, Parkinson’s Disease, and dementia. 

“Many people don’t have access to or benefit from the currently available treatments.  If this works, it is easily clinically transferrable. VR headsets are about $300, and you can download the app,” says A/Professor Lisa Lampe.   

The trial is open to Hunter and New England residents aged 18 – 80 who have had difficulty falling or staying asleep or who have been dissatisfied with the quality of their sleep for more than 3 months and are interested in trying VR-delivered mindfulness.

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