Virtual Reality Exposure for Public Speaking Anxiety

This trial is testing whether virtual reality (VR) exposure therapy can help university students overcome significant fear of public speaking. Participants will practice giving speeches in a realistic virtual environment, gradually building confidence in a safe, controlled setting. The study will compare different numbers of in-person VR sessions combined with an online program. **You may be eligible if...** - You are 18 to 30 years old and currently enrolled in higher education - You experience significant anxiety about public speaking (score of 60 or above on the PSAS scale) - You can use a computer and have internet access for 4 weeks - You speak, read, and write Lithuanian - You can attend one to three in-person sessions and complete a 4-week online program **You may NOT be eligible if...** - You have a history of seizures or epilepsy - You have severe depression or thoughts of suicide - You experience extreme motion sickness or adverse reactions to virtual reality - You have vision problems that prevent you from using VR headsets - You are currently in other psychological therapy or counseling - You are currently taking psychoactive medications (unless your dose has been stable for 3 months) - You are already in a program specifically for public speaking anxiety Talk to your doctor to see if this trial is right for you.