Quick Reference
Scenarios by caseload - where to start
A pragmatic map from who you work with to which Therapy withVR environments tend to fit, and how to set up a first session. This is a starting point, not a prescription - every individual is different, and clinician judgment comes first.
| Caseload | Environments that tend to fit | Typical starting setup |
|---|---|---|
| Stuttering (adults & adolescents) | Café · Bakery · Reception · Meeting Room · Classroom · Auditorium | Single avatar, Neutral emotion, low ambient sound. Build up to busier scenes and mixed emotions. |
| Stuttering (children) | Classroom · Animal · Café · Supermarket | Child-friendly scenes, one avatar, simple prompts. Let the child choose avatars they relate to. |
| Selective mutism | Animal · Customizable Room · Café | Animal scene with no avatars as first-contact. Move to single-avatar scenes only when consistent verbal output has emerged. |
| Voice (gender-affirming, transgender) | Café · Reception · Meeting Room · Speaking Circle · Supermarket | One avatar with Neutral emotion. Graduate to multiple listeners, then introduce surprise or confused reactions. |
| Voice (general / professional voice) | Auditorium · Meeting Room · Classroom · Reception | Auditorium with empty chairs first, then populate gradually. Use ambient sounds to shift projection demand. |
| Aphasia (post-stroke) | Café · Bakery · Reception · Customizable Room · Supermarket | Single avatar, slow speech rate, quiet ambience, script cards prepared. Scripted scenarios before spontaneous. |
| TBI cognitive-communication | Meeting Room · Reception · Café · Classroom · Customizable Room | Short sessions. Start with structured exchange, pause frequently, build complexity across sessions not within one. |
| Dysarthria / apraxia | Café · Supermarket · Customizable Room | High-frequency functional requests. Multiple attempts per target. Use Sentences tab to prepare exact phrases. |
| Social / presentation anxiety (psychology) | Auditorium · Meeting Room · Classroom · Speaking Circle · Reception | Graded exposure ladder - start empty and solo, add avatars one at a time, then introduce emotions, then sounds. |
| Developmental language disorder (children) | Classroom · Bakery · Café · Animal | Short, playful scenes with single avatars. Use Formality > Informal for natural language input. |
| Hearing difference / hyperacusis | Café · Bakery · Supermarket · Customizable Room | Quiet ambience at start; use Sound System to layer specific listening challenges gradually. |
| Student training & clinical education | Any - for familiarisation · Meeting Room · Classroom | Role-reversal exercises, supervised observation, debriefs using participation-focused frames. |
Before the first session
- Run the VR Suitability Screening Checklist.
- Take consent using the Informed Consent Template.
- Share the plain-language VR handout with the individual and their family.
- Walk through the Session Preparation Checklist the day before.