Scenario catalog
Available in VRET todayDSM-5-TR · F40.228

Fear of flying · VR in clinical practice

Specific phobia · situational subtype (flying)

Intense fear of flying. Often a mix of claustrophobia, height, and loss of control. High demand in private practice from work and family travel.

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Prevalence
10–25% of adults to some degree · 2–5% clinically impairing
Typical course
8–12 VR sessions + one guided short real flight
Fear of flying · VRET
VRET scenario image. Review its controls and availability during your demo.

Why VR for this phobia?

In-vivo exposure is prohibitively expensive (a practice flight). VR lets you repeat the critical sequences — takeoff, turbulence — as many times as needed with full control of the stimulus.

VR hierarchy · 5 graded levels

Each level should be completed with SUDS in the target range across at least two consecutive sessions before advancing. The most common mistake is moving up levels too fast because the scenario is so easy to change.

  1. 1

    Airport terminal: check-in and boarding gate, no aircraft in sight

    SUDS target: ≤4

  2. 2

    Boarding and settling into the cabin, door still open

    SUDS target: ≤5

  3. 3

    Takeoff with simulated mild turbulence

    SUDS target: ≤5

  4. 4

    Cruise with moderate turbulence and cabin announcements

    SUDS target: ≤4

  5. 5

    Landing in variable weather conditions

    SUDS target: ≤3

Clinical notes

Fear of flying is highly comorbid with claustrophobia (the cabin) and agoraphobia (the public airport spaces). Treat the components in sequence. The airport scenario is on the roadmap and is validated with our clinical advisor before release.

Specific contraindications

  • Active peripheral vertigo
  • Severe baseline cybersickness (run an SSQ before treatment)

The cockpit

23 clinician controls

Published controls for Fear of flying. Review options and requirements when preparing the session; some settings depend on scenario state.

Settings

  • Flight phase — 8 levels
  • Sharp jolt — one-off action
  • Random jolts — on or off
  • Window shade up — on or off
  • Seatbelt sign — on or off
  • Weather — Clear · Clouds · Rain · Storm
  • Cabin lighting — Boarding · Dimmed · Night

Settings

  • Motion intensity — None · Gentle · Normal

Settings

  • Cabin event — 5 levels
  • Fire event — one-off action
  • Crew announcement — 17 levels
  • Play announcement — one-off action

Settings

  • Grounding audio — 5 levels
  • Announcement subtitles — on or off

Settings

  • Exposure preset — Gentle · Standard · Intense · Manual (clinical)
  • Seat position — Window · Aisle
  • Cabin occupancy — 5 levels
  • Time of day — Day · Dusk · Night
  • Crew voice — 5 levels
  • Automatic announcements — on or off

Settings

  • Calm the flight — one-off action
  • Pause — on or off
  • Emergency exit — one-off action

These controls describe software features. The professional determines indication, pace and when to stop.

Is Fear of flying VR a fit for your patients?

Explore the catalogue with a free account. Review the controls, equipment and session activation in a 30-minute demo, with no headset needed.

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No card required. Explore the catalogue and information screens. Clinical sessions require activation.

VRET is professional clinical-support software, not a certified medical device. Supervision, indication, and application remain the responsibility of the licensed clinician in charge.

Fear of flying: VR exposure protocol · VRET