Using Virtual Reality to Help Prevent Substance Use Relapse

Research shows that personalized virtual reality scenarios featuring recovery cues can help individuals manage cravings and prevent substance use relapse by promoting emotional regulation and decision-making during high-risk moments.
Substance use recovery is an ongoing journey, with environmental triggers like social events involving alcohol or advertisements for pain medications posing significant risks for relapse. Recent research conducted by Professor Holly Matto and colleagues from George Mason University highlights innovative strategies employing virtual reality (VR) technology to strengthen recovery efforts. The study explores how positive stimuli, known as recovery cues, can counteract drug cravings and reduce the likelihood of relapse.
The research, titled "Examining the Power of Recovery Cues to Enhance Real-Time Regulation and Manage Substance Craving," was published in Families in Society: The Journal of Contemporary Social Services. Participants in the study were provided with personalized VR scenarios designed to promote relaxation and emotional regulation when faced with triggers. These scenarios incorporated recovery cues such as visualizations of loved ones or inspirational affirmations, which served to redirect individuals’ focus and bolster their resolve.
A particularly impactful recovery cue involved the presentation of the "12-step chip and pamphlet," which is recognized within addiction recovery communities. This cue elicited strong recognition and emotional response, making it highly effective for participants.
The key insight from the study is that identifying and personalizing recovery cues—such as visual or auditory stimuli linked to meaningful aspects of an individual's recovery journey—can serve as an effective tool in real-time intervention. By presenting these cues during moments of heightened craving, individuals can regain emotional stability and make healthier decisions.
Building upon these findings, Professor Matto and her team are developing simulation-based training programs to help individuals strengthen their use of recovery cues. The aim is to cultivate a "digital best self," encouraging proactive engagement with recovery strategies in challenging environments. VR’s immersive capabilities provide a controlled setting for this learning process, enabling users to practice implementing their recovery tools.
The multidisciplinary team, including Professor Padmanabhan Seshaiyer, Associate Professor Nathalia Peixoto, and Bioengineering Ph.D. candidate Bryce Dunn, believes that this approach offers a promising avenue for enhancing substance use disorder treatments. By focusing on personalized, real-time interventions, VR could significantly improve the long-term success of recovery efforts.
Source: https://medicalxpress.com/news/2025-08-harnessing-vr-substance-relapse.html
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