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 hereherehere, 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.)

VRChat’s Popular Endgame Talk Show Will Focus on Mental Health During the Coronavirus Pandemic

On this blog, I have often written about Endgame, the popular, long-running talk show based in VRChat (here, here, here, and here).

Well. this coming Saturday, March 21st, 2020, at 11:00 a.m. Pacific Time, Endgame is hosting a special episode, titled Coping with COVID-19: Dealing with the Stress of a Pandemic:

In a tweet sent out yesterday to promote the event, the organizers said:

Join us for a special Endgame episode in VRChat on Saturday: we’ll facilitate a support group to discuss how we can cope with COVID-19. It’s stressful to be isolated, but we can come together in social VR to navigate this pandemic. Saturday 3/21 at 11:00 a.m. PST @PsychNoah

PsychNoah is, of course, Noah Robinson (a.k.a. Psych; TwitterLinkedIn), a clinical psychology doctoral student at Vanderbilt University and the founder and CEO of Very Real Help, and one of the three regular hosts of the Endgame talk show in VRChat, along with Nomono and Poplopo.

Given how I have been struggling with both anxiety and depression during the coronavirus pandemic, I do intend to be in the studio audience for what promises to be a fascinating, wide-ranging, and educational discussion. Although users are urged to ask questions, you can also just sit back, watch, and listen, and enjoy something that is becoming ever rarer in the real world—being part of a crowd!

Endgame now has its own website, with and you are welcome to join their “Deep Thoughts” Discord server. You can also find all their previous weekly episodes on YouTube. See you on Saturday!

A Wider Screen: A Mini-Documentary About VRChat

I was looking for something to watch this evening, so I did a search for “social VR” in YouTube and stumbled across A Wider Screen, a charming, quirky mini-documentary (just 13 minutes long) by Joe Hunting (a.k.a. Little Poe in VRChat). Joe describes his documentary as follows:

A Wider Screen is a short documentary film (approx. 15 minutes) about how virtual reality (VR) is affecting people’s social lives for the better. 70% of the film is shot within VRChat, a VR social platform that allows users to create their own worlds and avatars.

Among the people we meet in Joe’s documentary is Noah Robinson, whom I have profiled on this blog before.

Here is A Wider Screen on YouTube (or, if you prefer, you can watch it on Vimeo here):

The two Shiba Inu dog avatars on the video thumbnail are Floppy and Pluto, two men who are exploring what it means to have a relationship in VRChat.

Little Poe was also a guest on the long-running talk VRChat talk show Endgame (which I have also written about before):

Taking a Look at Current Academic Research on Social Virtual Reality (Part II): Treating Substance Abuse Disorders with VR

ENDGAME is a long-running talkshow set on the social VR platform of VRChat:

Don’t panic! The end is always nigh for the old world. Endgame is a talk show / group discussion that takes place in the Metaverse (the social layer of virtual reality). Its focus is on technology and the future. Change is inevitable for all species; will we eventually destroy ourselves, or are we destined to transcend what we currently are? Get involved in the conversation by joining us every other Wednesday at 7pm PST / 10pm EST in VRChat. Or you can watch our livestream and previous recordings here at our Youtube channel. Come share your thoughts about the future of the world we share together.

One of the three regular hosts of ENDGAME is Noah Robinson (a.k.a. Psych; Twitter; LinkedIn), a clinical psychology doctoral student at Vanderbilt University and the founder and CEO of Very Real Help, a compnay devoted to building a new Internet-based clinical research platform “that can both treat and inform our understanding of psychopathology”.

In a recent episode of ENDGAME, Noah gave an hour-long presentation of his academic research on how social VR could be used in the treatment of people with substance abuse disorders. Here’s a two-minute YouTube video overview of his research:

Noah’s research interest focuses on exploring how VR social networks can be used as telehealth interventions to treat mental health disorders. He stresses that VR will not replace, but rather supplement, in-person therapy, and that there are still not nearly enough counselors to provide services to the millions of people suffering from addictions in the United States and around the world. Especially after getting out of rehab, patients experience a lot of distress and anhedonia, which tends to lead to relapse. Noah suggests that VR may be particularly effective to prevent relapse in patients with substance abuse disorders.

Here is Noah Robinson’s presentation in full:

Although there is already plenty of anecdotal evidence that virtual reality has a positive impact on mental health disorders (including my own personal experience), there is still a strong need to collect and analyze data in well-designed academic research projects. Noah’s research is fascinating and exciting to me, and I look forward to any papers that are published as a result of his pioneering work.