Currently accepted at: JMIR XR and Spatial Computing (JMXR)
Date Submitted: Sep 7, 2025
Open Peer Review Period: Sep 12, 2025 - Nov 7, 2025
Date Accepted: Mar 9, 2026
(closed for review but you can still tweet)
This paper has been accepted and is currently in production.
It will appear shortly on 10.2196/83688
The final accepted version (not copyedited yet) is in this tab.
Metaverse-based Psychiatric Consultation for Youths with Mental Health Conditions: Qualitative Descriptive Feasibility Study
ABSTRACT
Background:
The unmet needs of young people for mental health services (MHSs) remain a significant issue. Despite the high demand, many young people are unable to access timely and high-quality MHS. The Metaverse, a virtual space where people interact and communicate through avatars, is expected to introduce new possibilities for MHS.
Objective:
This study aims to investigate the feasibility of using the Metaverse for mental health consultations with young people experiencing mental health conditions.
Methods:
This qualitative observational study was conducted at a single institution via semistructured interviews. Participants aged 16–24 years who were aware of mental health conditions were assigned to experience a metaverse consultation with a psychiatrist through avatars. Afterward, participants were interviewed to assess the feasibility, usability, and influencing factors of metaverse-based consultation.
Results:
Twenty-six participants were assigned, and all completed the study without any adverse psychological events. Some reported minor physical effects, such as headaches and VR-related sickness. The findings from the postinterview suggest that metaverse consultations may be particularly beneficial for individuals experiencing interpersonal anxiety, those with high sensory sensitivity due to autism spectrum disorder, those who struggle outside due to psychiatric conditions such as depression or agoraphobia, those with strong psychological resistance to receiving psychiatric care, and those who feel uncomfortable disclosing their own physical appearance in real-life settings (e.g., gender incongruence).
Conclusions:
Metaverse psychiatric consultation is feasible for young people with mental health conditions, particularly for individuals with specific needs. Technical and accessibility issues must be addressed to enhance its effectiveness. Clinical Trial: Not applicable; observational study.
Citation
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.