Exposure Hierarchy: What It Is and How to Build One
What an exposure hierarchy is and how to build one step by step: item selection, anticipated ratings, number of levels, and the design errors to avoid.

Long-form articles on therapeutic virtual reality, written for clinicians. Applicable in your practice tomorrow. No marketing speak.
What an exposure hierarchy is and how to build one step by step: item selection, anticipated ratings, number of levels, and the design errors to avoid.

What interoceptive exposure is: how the feared body sensations of panic disorder are induced, which exercises the repertoire holds and what precautions apply.
What imaginal exposure is and what prolonged exposure is: how the two differ, when each is indicated, and what training the PTSD protocol demands.
How an exposure therapy session is prepared: functional assessment, the prediction under test, materials, the therapist's script and the errors that cost most.
What happens in an exposure therapy session, phase by phase: framing, approach, within-session recording and closure, and when an exposure is stopped.
A cardiac coherence breathing protocol before VR exposure sessions: resonance breathing, the HRV evidence and the 4-6, 5-5 and 4-7-8 techniques.
A practical VR headset hygiene protocol for clinical practices: disinfection, hygienic covers, hair and glasses management, and airing times between patients.
Prolonged exposure protocols for PTSD using virtual reality: Bravemind, civilian trauma survivors, biofeedback, and exclusion criteria for clinicians.
How to use virtual reality in EMDR's phase 2 (preparation) to install a safe place, container, and stabilization skills before trauma processing begins.
A structured protocol for the first VRET session: pre-session assessment, headset acclimatization, low-intensity exposure, SUDS and session closure.
A step-by-step VR exposure protocol for acrophobia: 6 height levels, SUDS criteria to progress, vestibular contraindications, and in-vivo transition guidance.
How to calibrate VR exposure and response prevention for OCD across contamination, symmetry and checking, with the emerging evidence and cautions.