Enhancing therapeutic engagement in Mental Health through Virtual Reality and Generative AI: a co-creation approach to trust building

Trust is a fundamental component of effective therapeutic relationships, significantly influencing patient engagement and treatment outcomes in mental health care. This paper presents a preliminary study aimed at enhancing trust through the co-creation of virtual therapeutic environments using generative artificial intelligence (AI). We propose a multimodal AI model, integrated into a virtual reality (VR) platform developed in Unity, which generates three-dimensional (3D) objects from textual descriptions. This approach allows patients to actively participate in shaping their therapeutic environment, fostering a collaborative atmosphere that enhances trust between patients and therapists. The methodology is structured into four phases, combining non-immersive and immersive experiences to co-create personalized therapeutic spaces and 3D objects symbolizing emotional or psychological states. Preliminary results demonstrate the system’s potential in improving the therapeutic process through the real-time creation of virtual objects that reflect patient needs, with high-quality mesh generation and semantic coherence. This work offers new possibilities for patient-centered care in mental health services, suggesting that virtual co-creation can improve therapeutic efficacy by promoting trust and emotional engagement.