Integrating cognitive-behavioral training with immersive virtual reality intervention in ADHD: a case report - Report - MDSpire

Combining Cognitive-Behavioral Therapy with Immersive Virtual Reality for ADHD Treatment: A Case Study

  • By

  • Carmela Settimo

  • Doriana Cantale Aeo

  • Antonino Lombardo Facciale

  • Laura Turriziani

  • Emanuela Tripodi

  • Caterina Impallomeni

  • Angelo Quartarone

  • Rocco Salvatore Calabrò

  • Francesca Cucinotta

  • July 20, 2026

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Clinical Report: Combining Cognitive-Behavioral Therapy with Immersive Virtual Reality for ADHD Treatment

Overview

This case study explores the integration of Immersive Virtual Reality (IVR) with cognitive-behavioral therapy (CBT) for treating an 8-year-old child with ADHD. The combined intervention demonstrated improvements in attention, executive functioning, and motor regulation over a 12-week period.

Background

ADHD is a prevalent neurodevelopmental disorder affecting 5% to 7% of children and adolescents, characterized by inattention and hyperactivity-impulsivity. It significantly impacts daily functioning and quality of life, often co-occurring with other disorders. Traditional interventions like CBT have limitations, prompting exploration of innovative approaches such as IVR to enhance treatment efficacy.

Data Highlights

AssessmentPre-InterventionPost-Intervention
Sustained AttentionDeficitsImproved
Selective AttentionDeficitsImproved
PlanningImpairedImproved
Working MemoryImpairedImproved
BalanceImpairedImproved
ImpulsivityHighReduced

Key Findings

  • The patient was diagnosed with combined-type ADHD and exhibited deficits in attention and executive functioning.
  • A 12-week CBT intervention was followed by an integrated IVR-CBT intervention.
  • Post-intervention assessments indicated improvements in sustained and selective attention, planning, working memory, and balance.
  • There was a noted increase in involvement and a reduction in impulsivity following the intervention.

Clinical Implications

The integration of IVR with CBT may offer a novel approach to address the multifaceted challenges of ADHD in children. Clinicians should consider the potential benefits of immersive technologies in enhancing treatment engagement and efficacy.

Conclusion

This case study presents findings on the integration of IVR with CBT for children with ADHD.

Related Resources & Content

  1. American Academy of Pediatrics, Pediatrics, 2019 -- Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents
  2. Capobianco et al., Frontiers in Digital Health, 2026 -- A Systematic Review of Virtual Reality Applications in the Management of Psychological Disorders
  3. Videoconference-Based Cognitive Behavioral Therapy in Medication-Treated Adults with Attention-Deficit/Hyperactivity Disorder: A Randomized, Assessor-Blinded, Controlled Trial - PubMed
  4. Frontiers in Psychiatry — Virtual reality based attentional bias modification training for patients with obsessive-compulsive disorder: a feasibility study
  5. Journal of Medical Internet Research (JMIR) — Cognitive Behavioral Immersion for Depression: Randomized Controlled Trial Comparing Virtual Reality and Flat-Screen Delivery
  6. Frontiers in Psychiatry — Combined intervention program of serious virtual reality games focused on controllability and Stress Inoculation Training in patients with major depression
  7. Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents | Pediatrics | American Academy of Pediatrics
  8. Videoconference-Based Cognitive Behavioral Therapy in Medication-Treated Adults with Attention-Deficit/Hyperactivity Disorder: A Randomized, Assessor-Blinded, Controlled Trial - PubMed
  9. Effects of virtual reality technology on attention deficit in children with ADHD: A systematic review and Meta-analysis - ScienceDirect

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