Gamified VR Environment with Second-Screen Web Interface for Therapist-Guided Exposure Therapy

This paper presents a gamified Virtual Reality (VR) application integrated with a second-screen Web interface to support exposure therapy for children with sensory food aversion. The system allows therapists to configure therapeutic sessions, monitor user actions in real time, and adapt the virtual environment according to the patient's responses. The Web interface records session data, including behavioral performance and, when available, biosignals such as EEG and ECG, building a historical profile for each patient. The solution was developed through a co-design process with therapists to ensure usability and alignment with therapeutic practice. Preliminary results show the system's potential to improve engagement, support therapist intervention, and enable future developments, such as the integration of real-time neurofeedback to adapt the experience based on physiological data.