Integrating cognitive-behavioral training with immersive virtual reality intervention in ADHD: a case report - Scorecard - 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 Scorecard: Combining Cognitive-Behavioral Therapy with Immersive Virtual Reality for ADHD Treatment: A Case Study

At a Glance

CategoryDetail
ConditionAttention-Deficit/Hyperactivity Disorder (ADHD)
Key MechanismsIntegration of Immersive Virtual Reality (IVR) with cognitive-behavioral therapy (CBT) targeting executive functions and self-control.
Target PopulationChildren diagnosed with ADHD, specifically combined-type.
Care SettingRehabilitation program utilizing immersive virtual reality technology.

Key Highlights

  • Case study of an 8-year-old child with ADHD showing improvements in attention and executive functioning.
  • 12-week intervention combining CBT and IVR using the CAREN platform.
  • Post-intervention assessments indicated reduced impulsivity and enhanced motor regulation.
  • Emerging evidence supports the efficacy of IVR in enhancing traditional therapeutic approaches.

Guideline-Based Recommendations

Diagnosis

  • ADHD is characterized by persistent patterns of inattention and/or hyperactivity-impulsivity.

Management

  • Cognitive-behavioral therapy (CBT) is an evidence-based intervention for ADHD.

Monitoring & Follow-up

  • Assessments should focus on sustained and selective attention, executive functioning, and impulsivity.

Risks

  • Further studies are needed to evaluate the efficacy and safety of IVR interventions in children.

Patient & Prescribing Data

Children diagnosed with combined-type ADHD.

The integration of IVR with CBT may enhance treatment engagement and efficacy.

Clinical Best Practices

  • Utilize immersive technologies to create ecologically valid therapeutic environments.
  • Monitor cognitive and behavioral changes through structured assessments.

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