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Future therapy patients may spend a lot more time exploring virtual environments than sitting on sofas. In a clinical trial of a new virtual reality treatment for fear of heights, participants reported being much less afraid after using the program for just two weeks. Unlike other VR therapies, which required that a real-life therapist guide patients through treatment, the new system uses an animated avatar to coach patients through ascending a virtual high-rise. This kind of fully automated counseling system, described online July 11 in the Lancet Psychiatry, may make psychological treatments for phobias and other disorders far more accessible. (1)

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