Virtual reality headset for relaxation: criteria for choosing well
On paper, virtual reality headsets for relaxation look alike. Types of solutions, studies, content, session control, equipment and budget: criteria for choosing well.
Key facts
- Across 39 trials and 4,024 participants, virtual reality reduces perceived stress with a medium effect and anxiety with a large effect, according to the meta-analysis by Strauch et al. (2026)[1].
- Three categories of solutions coexist, and they do not serve the same purpose.
- Natural landscapes are both the most studied and the best tolerated content.
- A session controlled by a practitioner adapts to the patient's reactions: this is the principle behind the C2Care platform.
- Multiple sessions work better than a single session, and the budget depends more on content and session control than on the headset.
What types of relaxation headsets are available?
The same term covers three different realities.
The consumer headset is the simplest starting point. You buy it, download a meditation or landscape app, and the session begins. No one adjusts the intensity for you: the experience is suitable for occasional relaxation, not for supporting a patient with anxiety.
Next comes the turnkey relaxation solution. The headset comes with its own library of settings, often designed for businesses, spas or waiting rooms. Ready to use, it remains a closed experience: the content is the same for everyone and the session follows its own sequence.
The third category is the platform controlled by a healthcare professional. The headset becomes your tool as a healthcare professional: you choose the environment and adjust the scene during immersion. This is the C2Care model, which offers immersive, realistic and controlled environments for relaxation, hypnosis, phobias, addictions and cognitive stimulation in a single application. Its immersive environments for relaxation and hypnosis are controlled by the practitioner during the session, as are the exposure situations.
The right choice therefore depends less on the headset than on the person conducting the session.
What do studies show about relaxation in virtual reality?
The effect exists, and it has been measured. The meta-analysis by Strauch et al. (2026) brings together 39 randomised controlled trials and 4,024 participants from the general population[1]. The result: virtual reality reduces perceived stress with a medium effect and anxiety with a large effect. 35 out of 39 studies report a reduction in stress, and systolic blood pressure also decreases.
Two qualifications deserve your attention. The first concerns the strength of the evidence: the certainty of the evidence remains very low for perceived stress (GRADE assessment), because effects vary considerably from one study to another. The second is more unexpected. Compared with an active alternative, such as spending time in nature or a conventional stress management technique, virtual reality performs neither better nor worse.
Is this a cause for concern? Not really. The authors see it as a valuable alternative where nature and conventional relaxation methods are difficult to access. This is precisely the situation in a practice or an EHPAD.
One question you are probably still asking is: how long does the effect last? The data remain limited. Most trials measure stress immediately after the session, and long programmes remain rare[1]. However, two findings point in a positive direction. Interventions involving multiple sessions reduce stress more than a single session[1]. And in a trial involving 41 students, the reduction in stress achieved with virtual reality was maintained at follow-up; progressive muscle relaxation, tested alongside it, produced a greater improvement in measured sleep efficiency[2].
| Study | What was studied | Main finding | Limitation |
|---|---|---|---|
| Strauch et al., 2026[1] | 39 trials, 4,024 participants from the general population | Perceived stress: medium effect. Anxiety: large effect. Reduced systolic blood pressure | Very low certainty of evidence for perceived stress, variable results |
| Riches et al., 2021[3] | 19 studies, 1,278 participants from the general population | Increased relaxation and reduced stress in the short term | Few randomised trials, limited follow-up |
| Riches et al., 2023[4] | 18 studies, 848 people with a mental disorder, mainly anxiety disorders | A feasible, low-intensity option that is effective in the short term | Variable methodological quality |
| Li et al., 2025[5] | Anxiety before scheduled surgery | Benefit observed, more pronounced in children with distraction | More rigorous research needed |
| Randomised controlled trial, 2025[2] | 41 students, nature-based relaxation in virtual reality | Reduced perceived stress, effect maintained at follow-up | Small sample |
Good to know: in the 7 studies comparing virtual reality with an active alternative, no significant difference was found[1]. The headset does not outperform a walk in the forest. It makes it possible in a treatment room.
How will you use your relaxation headset?
The intended use determines everything else: content, supervision, number of headsets and budget. Three contexts call for three different responses.
In private practice, relaxation supports the session
Your practice cannot recreate a forest or a seashore on demand. The headset can. You remain in control of the pace: relaxation can open the session, help the patient settle, then prepare them for exposure work when they are ready. Psychologist Sabrina Gineau describes this progression in brief therapies lasting two to four months, with one session per week: “I start with relaxation techniques and, when the patients are ready, we go ahead.”
In healthcare facilities and EHPAD, reproducible sessions
Multiple patients, multiple care providers, multiple departments. In your facility, the need changes in scale: you need a reproducible framework that is easy to manage. In EHPAD, the clinical context is complex. According to DREES, residents have an average of 7.9 conditions, and nine out of ten have neuropsychiatric conditions[6]. Relaxation meets a need for non-drug calming without replacing care. Virtual reality programmes in EHPAD combine relaxation with cognitive stimulation for residents.
At home, what independent use can and cannot offer
Occasional relaxation can easily be practised at home. Persistent anxiety, however, requires a healthcare professional. If you direct a patient towards home use, favour a system whose use you can monitor over a standalone application.
| Use | Main need | Point to watch |
|---|---|---|
| Private practice | Open the session, prepare for exposure | Adapt the session to the patient's reactions |
| Facility and EHPAD | Reproducible sessions for multiple care providers | Management and hygiene of multiple headsets |
| Home | Occasional relaxation | Consult a professional if anxiety persists |
Which content should you prioritise for a relaxation session?
Content matters more than technical specifications. Three findings from the studies point in the same direction.
Natural environments are the most widely studied: forests, beaches or parks feature in 31 of the 55 trials reviewed by Strauch et al.[1]. They are also the best tolerated. According to the meta-analysis by Saredakis et al., covering 55 articles and 3,016 participants, landscape content causes approximately half as much cybersickness as video games (scores of 17.3 versus 34.3)[7].
The third finding concerns the nature of the images. Videos filmed in real-world settings are associated with a stronger stress-reducing effect than computer-generated images[1]. This is a statistical association, not an absolute rule, but it deserves consideration when making your choice.
For your practice, look for a varied library of landscapes, with sound that matches the images. The more believable the scene, the more easily the patient can become immersed.
C2Care, a leader in immersive technologies for mental health
Create your free account to explore more than 250 virtual reality exposure scenarios and subscribe directly online.
Who controls the relaxation session?
Two approaches coexist: an experience that the person starts independently, and a session that a practitioner leads and adjusts. The choice depends on the people you support.
An independently started experience
Easy to set up, this is suitable for occasional relaxation. Its limitation can be summed up in one sentence: no one adjusts the intensity, and no one detects discomfort. For an anxious or vulnerable patient, this absence matters.
A session controlled and adjusted in real time
You remain in control. You choose the environment, monitor the session on a visual feed and adjust the scene during immersion, to adapt exposure to each patient's needs and retain control over the session's progression. The evidence supports this monitoring: according to Strauch et al., multisession programmes reduce stress more than a single session[1]. Progression from one session to the next requires someone to plan it.
With C2Care, a session follows three steps:
- Equip the patient: seated on a swivel chair, they put on the headset.
- Choose the environment: from your interface, you select the scene suited to the objective.
- Adjust during immersion: you monitor your patient and modify the scene in real time.
How a practitioner-controlled session unfolds
In a clinical practice, guided relaxation relies on the patient's ability to picture a calming place. This visualisation depends on their imagination, and sounds in the practice can quickly disrupt it. The headset removes this obstacle.
The patient sits down and gets comfortable, then you adjust the headset with them. You then choose the scene: a descent towards a lake, an underwater dive, a forest walk or a hot-air balloon ride, from among the C2Care environments. Each scene includes matching sounds, such as birdsong or waves, and you can add a hypnosis voice track or classical music. In the trials, most sessions last less than 30 minutes[1]. After the headset is removed, a period of settling and a discussion of the patient's experience prepare for the next steps.
These next steps often form part of a broader care pathway. For insect phobia, for example, the C2Care protocol comprises approximately eight sessions, from psychoeducation to relapse prevention: relaxation precedes exposure and prepares the patient to face what they fear.
Which headset and technical constraints should you plan for?
In both clinical practices and institutions, the standalone headset is the natural choice: no cable, no dedicated computer, and quick start-up. The specifications below, taken from Meta and PICO technical specifications, are examples, not a ranking.
| Criterion | Why it matters | Manufacturer examples |
|---|---|---|
| Image smoothness | A higher refresh rate is associated with a stronger stress-reducing effect, across 17 studies[1] | Meta Quest 3S and Quest 3: 72, 90 or 120 Hz[8][9]; PICO 4 Ultra Enterprise: 90 Hz[10] |
| Battery life | Run several sessions consecutively without recharging | Quest 3S: 2.5 hours on average[8]; Quest 3: 2.2 hours[9] |
| Wearing glasses | Accommodate patients who wear glasses | Glasses spacer supplied with the Quest 3S and PICO 4 Ultra Enterprise |
| Hygiene | Move from one patient to the next under appropriate conditions | Removable, cleanable facial cushion on the PICO 4 Ultra Enterprise |
| Fleet management | Manage several headsets within a department | PICO Business device management tools |
Before buying, check that the platform you use supports the chosen model and what arrangements are in place in the event of a breakdown.
Good to know: among the technical criteria tested by Strauch et al., only image smoothness is linked to effectiveness[1]. Field of view, interactivity and movement within the scene are not, and resolution was not studied. The most powerful headset is no guarantee of effectiveness for relaxation.
What precautions should be taken before a virtual reality relaxation session?
Cybersickness is the main adverse effect. According to C2Care, it affects approximately 10% of people, in the form of temporary nausea or disorientation. The meta-analysis by Saredakis et al. reports an average dropout rate of 15.6% across 46 experiments, which should be read as a probable upper limit: 22 studies did not report it[7].
You have several ways to reduce this risk. Landscape content is the best tolerated. Sitting on a swivel chair avoids moving around. And your presence allows the session to be stopped at the first sign of discomfort. Duration plays less of a role than is often assumed: symptoms do not worsen beyond 20 minutes of exposure[7]. Participants aged 35 and over even have approximately half as many symptoms (14.3 versus 28.4), although this finding is based on only 4 studies.
In the presence of a neurological, vestibular or psychiatric disorder, use is decided on medical advice.
Good to know: the difference between 10% and 15.6% is not a contradiction. The first figure measures people experiencing discomfort, while the second measures dropouts in research protocols using varied content, often games.
What budget should you plan for a relaxation headset?
The value of a relaxation headset lies first and foremost in its content. Hardware price matters, but its value in practice depends on content, control and monitoring. These are the three points on which to compare offers.
At C2Care, the subscription costs €99 per month with no commitment or €799 per year, with unlimited access to all environments. The platform works with Meta Quest 2, 3, 3S and Pro and Pico Neo 3 Pro, 4 and Ultra; the headset may be included depending on the commitment period, and faulty hardware is replaced within 48 hours. The virtual reality headset pricing page details the plans. A free account lets you explore the environments before integrating virtual reality into your practice.
C2Care, a leader in immersive technologies for mental health
Create your free account to explore more than 250 virtual reality exposure scenarios and subscribe directly online.
Key points about virtual reality headsets for relaxation
The effect of virtual reality on stress has been measured, and it compares well with conventional methods. What will make the difference in your practice is how you use it: the content chosen, monitoring from one session to the next, and supervision. When well integrated, relaxation becomes a gateway to broader support, from calming through to exposure.
FAQ about virtual reality headsets for relaxation
Does a virtual reality headset replace a sophrology or hypnosis session?
No. The headset is an immersive tool that enhances the practitioner-led session; it does not replace it. Studies do not show superiority over conventional relaxation methods[1]. Above all, they show that it makes them accessible where they are difficult to implement.
How long does a virtual reality relaxation session last?
In the trials, most sessions last less than 30 minutes, and often less than 10[1]. Session duration does not predict the effect. Repetition does: multisession programmes reduce stress more. You then adjust the duration to each patient.
Can a relaxation headset be used with older people?
Yes, with appropriate supervision. Age does not alter the effect on stress[1], and tolerability appears to be better after age 35, according to an analysis based on a small number of studies[7]. In care facilities, dedicated programmes combine relaxation, cognitive stimulation and behavioural activation.
Can a virtual reality headset cause nausea?
It is possible. Around 10% of people experience temporary cybersickness, with nausea or disorientation. Landscape content, a seated position and the presence of a professional reduce this risk, and the practitioner can stop the session at any time if the patient feels unwell.
Is any special equipment needed to control the session?
No. A web browser and an internet connection are all that is needed to control the session on a PC, Mac or tablet. For headsets, C2Care is compatible with Meta Quest 2, 3, 3S and Pro, and with Pico Neo 3 Pro, 4 and Ultra.
References
- article
Virtual Reality Interventions for Stress Reduction in the General Population: Systematic Review and Meta-Analysis of Randomized Controlled Trials
Journal of Medical Internet Research
2026View - article
Nature-based virtual reality relaxation to improve mental health and sleep in undergraduate students: A randomized controlled trial
Digital Health
2025View - article
Virtual reality relaxation for the general population: a systematic review
Social Psychiatry and Psychiatric Epidemiology
2021View - article
Virtual reality relaxation for people with mental health conditions: a systematic review
Social Psychiatry and Psychiatric Epidemiology
2023View - article
Effects of Virtual Reality-Based Interventions on Preoperative Anxiety in Patients Undergoing Elective Surgery With Anesthesia: Systematic Review and Meta-Analysis
Journal of Medical Internet Research
2025View - Report
In EHPAD facilities, the most dependent residents experience more acute illnesses
DREES, Études et Résultats n° 989
2016View - article
Factors Associated With Virtual Reality Sickness in Head-Mounted Displays: A Systematic Review and Meta-Analysis
Frontiers in Human Neuroscience
2020View - website
Meta Quest 3S: technical specifications
Meta
2026View - website
Meta Quest 3: technical specifications
Meta
2026View - website
PICO 4 Ultra Enterprise: technical specifications
PICO
2026View
Author
C2Care