Overview

The purpose of this study is to assess the feasibility of conducting a randomized controlled efficacy trial comparing the delivery of exposure therapy via a telemedicine-based virtual reality clinic (Doxy.me VR) vs. standard telemental health (TMH) to adults with intense fear of dogs, snakes, and/or spiders. The secondary purpose is to preliminarily examine the efficacy of using Doxy.me VR vs. TMH in reducing phobia severity.

Eligibility

Inclusion Criteria:

        In order to be eligible to participate in this study, an individual must meet all of the
        following criteria:
          1. Is an adult ≥ 18 years old
          2. Has a self-reported fear of dogs, snakes, and/or spiders
          3. Indicates Subthreshold or Present Specific Phobia symptoms as determined by the study
             therapist via administration of the Diagnostic Assessment Research Tool (DART)
             Specific Phobia Module
          4. Has access to the internet AND a computer OR smartphone with video conferencing
             capabilities
          5. Will reside in the state of Florida for the duration of the study
        Exclusion Criteria:
        An individual who meets any of the following criteria will be excluded from participation
        in this study:
          1. Is participating in ongoing mental health therapy from a non-study therapist
          2. Has had changes to psychotropic medication use within six weeks preceding enrollment
             in the trial
          3. Reports active suicidal and/or homicidal intent or plan as determined by the study
             therapist via administration of the Diagnostic Assessment Research Tool (DART) Risk
             Assessment Module
          4. Reports active auditory, visual, and/or tactile hallucinations via the Diagnostic
             Assessment Research Tool (DART) Psychosis Module screening question
          5. Reports a history of epilepsy or seizures