Tag: Depression

Help Club: Peer-Based Mental Health Intervention Using Social VR

What if a virtual reality headset isn’t just for gaming, but instead it can deliver an intervention that’s appealing to a younger generation and allows them to anonymously explore problems with a virtual coach as much as they want, whenever they want, all for the cost of two therapy sessions?

—Noah Robinson

I have been meaning to write about Help Club and Very Real Help for quite some time now! I’m glad that today I have finally had the opportunity to talk about a program that is very special to me.

Help Club is the brainchild of Noah Robinson, the founder and CEO of Very Real Help, the company that is building this social VR platform, and a doctoral candidate in clinical psychology at Vanderbilt University. (Many of you will no doubt remember Noah as PsychNoah, one of the three convivial hosts of the former popular VRChat talk show called Endgame, which I have previously written about on my blog here, here, here, here, and here).

In the following TEDx Nashville talk (which I highly recommend you watch in full), Noah explains how he turned his early experiences with virtual worlds and virtual reality into an idea for a portable, accessible, anonymous, and more affordable solution for those battling mental health and addiction issues:

The purpose of Help Club is to provide a safe social space for peer-based mental health and addictions support, combining cognitive-behavioural therapy (CBT) tools with social virtual reality in a process called Cognitive Behavioral Immersion (a term which Very Real Help has trademarked). According to their website:

Help Club utilizes the immersive nature of the VR ecosystem to help users defy distance and the physical constraints of the real world, transporting them to their own happier place. Once transported to our built-for-wellness worlds, users will be immediately provided with resources, calming games, and guided exercises to help them recenter, recharge, and reenergize their mental wellbeing.

After passing a short screening, most users will also have access to a groundbreaking form of group intervention called Cognitive Behavioral Immersion™. This proprietary, peer-led group approach gives users unlimited access to potentially life-changing mental health help. These event-based group sessions focus on issues that are important to users. These aren’t led by therapists or doctors—anyone can train to become a helper and begin to make an impact in the lives of others.

We will also have staff in Help Club 24/7 to ensure a positive, curated experience for all.

Noah describes his model for Help Club in a quote from the above TEDx talk:

In cognitive behavioral therapy, we have three ways to address negative mood: examine thoughts, change behaviors or adjust physiology. What we’re seeing with VR is that there may be a 4th way to change mood—by immersing the person in a virtual environment…

We’re building an intervention that’s more portable, accessible, anonymous and affordable than therapy. Instead of using a therapist, we’re teaching peers how to help each other—an immersive, therapeutic social world filled with people, represented as anonymous avatars, who can teach each other the key skills in therapy…

We can provide a change in environment—the thing that’s being sought through drug use—to give immediate relief to people. Yes, it’s an escape into a virtual world, but when they escape—when people escape to get very real help, we can help them confront the situations that lead them to want to escape, in the first place. And our research suggests that we can train peers on how to help each other to make it much more affordable and accessible, and just as effective as therapy.

Help Club is available for in a VR version for users of both tethered and standalone headsets, including the Oculus Quest via the App Lab, and in a flat-screen version for Windows and MacOS users (there’s also a beta iOS mobile client). You can download client software here.

Specially-trained volunteers take turns as moderators, guiding small groups of users in hour-long virtual meetups scheduled throughout the week, in which they discuss issues in their daily lives, troubleshoot solutions, and provide positive affirmation for each other. I can tell you that during the pandemic, it was wonderful to be able to slip on my Oculus Rift or Valve Index VR headset and attend a meeting, rather than having to put on my parka, get into my car, and drive somewhere across town! I always came away feeling that I had been listened to, heard, affirmed, and empowered.

After a closed beta-text period (full disclosure: I was one of the people who participated in group sessions and helped test and debug the platform late last year and earlier this year), Help Club is now available to everyone who is interested. Please note that there is a short screening process which takes place, to explain how Help Club works, what your responsibilities are, and to give you fuller access to their Discord community, which is a key part of the program. Everyone assumes an anonymous avatar identity for privacy purposes, both in-world and on Discord. So I am not “Ryan Schultz” on Help Club…but if you do decide to join based on this blogpost, tell’em Ryan sent you! 😉

For further information about Help Club, you can visit their website (there’s a contact form at the bottom of the home page), join their Discord server, or you can follow them on social media: LinkedIn, Facebook, or Instagram. (You can also follow Noah Robinson himself on Twitter or LinkedIn, where he shares some of the interesting work he is doing in the area of mental health and addictions using virtual reality.)

UPDATED! Pandemic Diary, May 22nd, 2021: Cruel Summer

Photo by Martin Sanchez on Unsplash

Today is officially Day 433 since I began working in self-isolation from home for my university library system. The Victoria Day long weekend marks the beginning of summer up here in Winnipeg, but I am not in a summery mood at all.

Both Winnipeg’s mayor, Brian Bowman, and Manitoba’s premier, Brian Pallister, have called upon the Canadian federal government to send healthcare workers and contact tracers to cope with the worst situation we have been in since the pandemic started (even worse, they are squabbling with each other). This past week, Manitoba has broken records for both the number of those infected with COVID-19 and for those who are in intensive care in hospital. In fact, the circumstances are now so bad that we have begun to ship patients next door to cities in northwestern Ontario and even as far afield as Ottawa (and they are still having troubles of their own in Ontario). Things are pretty fucked up here right now.

The entire province is essentially on lockdown, and I am in a black, despairing mood, stuck in my apartment. The province even sent out an emergency warning to everybody’s cellphones last night (usually only used for child abductions), to sternly warn people to stay home and only go out for essentials. (I would have normally saved it and pasted it into this blogpost for posterity, but why bother?)

I have gone 15 months without a hug, or being in close proximity to anybody but a doctor. I cannot get a straight answer from anyone as to when I can get my second shot of COVID-19 vaccine, or even what brand I will get (my first shot was Oxford/AstraZeneca, but I could receive Moderna or Pfizer for my second shot, or maybe not?). I am losing my psychiatrist, and it is unlikely that I will be able to find a new one who can take me on as a patient. I am angry and tired and just plain FED. UP.

So forgive me if I use this blog, normally about social VR, to vent. This is turning into a cruel summer. I leave you with the following tweet, with which I agree wholeheartedly:

I only want to see one more [Brian] Pallister press conference. At it he will:

1. Ask for forgiveness from Manitobans for the incompetent performance of his government, resulting in far too many avoidable COVID-19 deaths;

2. resign;

3. instruct his successor not to repeat his mistakes.

UPDATE May 23rd, 2021: Today CBC News reported:

When Premier Brian Pallister says Manitobans are living through the darkest days of the pandemic, there are plenty of measures to back that up.

For starters, there are more COVID-19 infections in this province than ever before. On Saturday, the seven-day average daily case count rose to 482, a new pandemic record.

That works out to a daily infection rate of 34.3 new COVID cases each day for every 100,000 people, the highest infection rate among Canadian provinces and U.S. states. Alberta is a distant second, with 20.6.

New infections today lead to more hospitalizations down the road. During this third wave of the pandemic, a greater proportion of COVID hospital patients require intensive care.

The number of COVID-19 patients in Manitoba ICUs hit a record 80 earlier this week and is technically higher now. There were 74 COVID-19 patients in Manitoba ICUs on Saturday and seven more Manitoba patients in Ontario hospitals, some now located as far away as Ottawa.

In living memory, Manitoba has never had to ship ICU patients out of province simply to relieve the pressure on hospitals that are now struggling to deliver basic care. Hence Pallister’s request on Friday for Prime Minister Justin Trudeau to send Manitoba nurses and respiratory therapists.

As well, Winnipeg’s five-day test positivity rate reached a new pandemic record of 16.8 per cent Saturday.

In its analysis, the CBC lays the blame for this situation firmly at Brian Pallister’s feet:

Sadly, Manitoba can not vaccinate its way out of an immediate hospital crisis. The time for long-term solutions ended in early April, when COVID-19 cases in this province began an exponential rise.

When the top priority in this province would appear to be staunching the spread of COVID-19 in Winnipeg, the epicentre of the pandemic, non-essential businesses remain open, office workplaces are not compelled to allow their employees to work from home and manufacturers are not taking a break to give the alleged circuit breaker more teeth.

Only the province could order such measures, which were implemented in part during an April 2020 first wave that turned to be a ripple in Manitoba.

Instead, the province has opted against the most effective measures at its disposal during its greatest time of need.

…Manitoba’s premier is throwing shade at a U.S. president — and asking the Canadian prime minister for help — while this province declines to do everything it could to combat a third wave that’s been gaining momentum for eight weeks.

There were many voices calling for a short, sharp lockdown weeks ago, calls which Brian Pallister and his ministers ignored. And yet he has the gall to suggest that it is Manitobans themselves who are to blame. Countless Manitobans have become sick, and some have died, due to Brian Pallister’s ineptitude.

I am absolutely incandescent with anger this weekend, walled within my apartment to protect my health and safety as one in six Manitobans tests positive for COVID-19. The next few weeks are going to be ugly, and much of it could have been avoided if we had had a truly effective, proactive, competent provincial government.

And I vow that, if I should survive this pandemic unscathed, I will do everything in my power to ensure that the opposition wins the next Manitoba election. Enough is enough.

Please Read: The RyanSchultz.com Blog Is on Indefinite Hiatus

Next week, I will reach the one-year mark of working from home in self-isolation for my university library system (my full-time paying job). As the pandemic drags on, my chronic clinical depression has become worse and worse. I regret that I am now at the point where I have to put this blog on hold. For how long, I don’t know. At least until I can get my worsening depression under some sort of control.

I am really struggling with my mental state, and I need to do this to focus my limited energies on my paying job. I WANT TO MAKE THIS VERY CLEAR: I AM NOT SUICIDAL!!! I just need to take a break from the blog.

I need to take some time to heal

I will still be active on the RyanSchultz.com Discord server, Twitter, and Clubhouse (where all I have to do is listen), and I will still be showing up at Bray’s Place in Second Life, and perhaps a few other social VR platforms and virtual worlds (I feel very guilty for neglecting Sinespace these past six months). But that’s the extent of what I can do right now.

So this will be my last blogpost for a while. I’m so sorry, you guys. I tried to keep going, but I have to rest and heal for a bit. I hope you understand, but even if you don’t, I am still stepping away from the blog.

Clip ‘n’ Save: Mental Health Resources During the Coronavirus Pandemic

Image source: Kids Help Phone (Canada)

UPDATED! Pandemic Diary: March 8th, 2021: “Are You Out of Your Godforsaken Mind?!??”

Today is Day 358 since I began working in self-isolation from my apartment for my university library system. Next week, on March 16th, 2021, it will be an entire year that I have been operating this way.

I slept so poorly last night that I took another yet sick day from my paying job, and so far, the only things that I have been able to accomplish by 1:00 p.m. today have been:

  • having a shower and making a pot of coffee;
  • going for a brief walk outside in the sunshine; and
  • creating a pile of 14 months’ worth of pharmacy receipts that I need to submit electronically to my insurance company.

Yes, fourteen months of pharmacy receipts (and please do NOT feel sorry for me; I have a 16-month window to submit pharmacy claims to my insurance company, and I have a well-paying, unionized job with excellent benefits, including pharmacy coverage, up to a certain point when the Manitoba PharmaCare program kicks in).

Yes, as a depressive, I have been avoiding this task for a long, long time, which of course, only makes it worse when I finally do attempt to tackle it (I am the same way about doing the dishes and cleaning my apartment). But I find it truly ironic that the most depressing part of being depressed, is going through the procedures that force you to face your depression, head on, such as submitting pharmacy receipts. I’d rather have a root canal than do this. But I have to face it.

As the coronavirus pandemic has dragged on, my chronic clinical depression has slowly and steadily gotten worse and worse. And, at the one-year mark, I now have to put all options on the table, including taking an extended sick leave from my paying job, something I would not have countenanced even a month ago.

I want to clearly repeat something that I have said before:

IMPORTANT NOTE: Although I suffer from a chronic form of clinical depression, I am not suicidal. I have every intention of living that extra quarter-century to age 80, and beyond! I have to live to witness and document what happens next in the ever-evolving metaverse! But I do need to get some practical matters settled. I hope you understand. 

Please don’t worry about me. I am taking good care of myself and coping with the current situation as best I can.

I am doing literally everything I can to take good care of myself (antidepressant and anti-anxiety medication, talk therapy, and leaning on my real-life and virtual world social networks). For example, on Sunday I held a one-hour Zoom call with the friends in my (currently suspended) Arts and Entertainment group, just to vent about the truly epic, roller-coaster twists and turns of the past couple of weeks, which was wonderfully therapeutic. I talk to many people, including professionals, about my problems. I take long naps. I listen to music. I go for walks. Every so often, I have had a good cry, and a good rage at the universe. Everything helps.

In the past, I have landed up in a hospital psychiatric ward for treatment of severe clinical depression twice (once after my marriage fell apart, and a second time after a textbook-classic case of hit-the-wall job burnout). So I need to pay attention to what is happening to me, rather than continue to put on a brave face and say that I am fine.

Today, I have been following the news media as they report breathlessly on every single possible aspect of Prince Harry and Duchess Meghan’s bombshell interview with Oprah Winfrey. And I am absolutely incandescent with rage at how people like Piers Morgan have the audacity to say that Meghan is lying when she says she was pushed to the brink of suicide because of her situation. One person tweeted:

WHEN SOMEONE TELLS YOU THAT THEY ARE STRUGGLING, BELIEVE THEM. I AM DONE WITH SUFFERING IN SILENCE. You will hear about it!

By the way, the only Piers Morgan footage that you need to watch is this clip featuring the magnificent Dr. Shola Mos-Shogbamimu, a Black woman who quite rightly took Piers to task for his response: “Are you out of your Godforsaken mind?!??”

God bless you, Dr. Mos-Shogbamimu, for daring to speak truth to power.

Anyway, I’ll keep you posted, one way or another, as to what happens over the next few months as I wait to get a vaccine in my arm, somehow, somewhere, somewhen, God knows when.

Please continue to keep me in your thoughts and prayers, and please stay in touch.

Thank you, and God bless.

UPDATE 5:23 p.m.: Well, I finally had a nap this afternoon to catch up on some badly-needed sleep, and I also had a good cry. And I’ve been listening to a great song by Amy Grant and James Taylor called Don’t Try So Hard on an endless loop:

Today has been a pretty horrible day for me, but I believe it will get better.

UPDATE 8:28 p.m.: Finally, some good news today! My mother called, and she and my stepfather (who are both in their eighties) have been able to make appointments to get their COVID-19 vaccines on March 21st. I am so relieved.

UPDATE March 9th, 2021: Today ITV announced that Piers Morgan is quitting his job at Good Morning Britain. Translation: he was fired, but Piers was given the option to say he was leaving rather than he was fired. Good riddance to bad rubbish!