Yale University’s new study highlights how Foretell Reality’s VR platform supports trans and gender expansive youth. Published in the Journal of Medical Extended Reality, the study was led by Dr. Nicolas Meade, Dr. Allura Ralston, and XR Pediatrics. Guided by a clinical psychology postdoctoral fellow, youth aged 13 to 18 joined support groups held entirely in Foretell. The platform’s gender-inclusive design with customizable avatars and voice modulation helped participants express themselves in alignment with their true identities. As a result, these features made the virtual setting feel safe, authentic, and welcoming.
Mental Health Challenges and the Limits of Traditional Platforms
Today, Trans and gender expansive youth face serious mental health challenges, often stemming from isolation, discrimination, and threats of violence. On top of that, many experience gender dysphoria—a deep distress when identity doesn’t match how others perceive or refer to them. In some cases, video therapy platforms can inadvertently worsen this issue, especially when participants are misgendered or unable to present authentically. Given these concerns, the study explored whether immersive VR could offer a more affirming alternative, utilizing Foretell’s tools for expression and safety.
Creating Safety, Joy, and Connection in Virtual Spaces
In Foretell’s platform, participants used voice filters and avatar customization to support their gender identity and feel gender joy. Gender joy comes from expressing identity authentically and feeling seen and respected. The calming VR setting included interactive activities like 3D drawing and playing ball games to foster bonding and engagement. Sessions followed a strict safety protocol. Participants stayed anonymous, but their emergency contacts were shared with facilitators. As a result, most participants found the platform easy to use, and all reported the experience as effective. One participant shared, “I talked more than I do in person,” while another noted their favorite part was “not being misgendered… not even once.”
Measurable Impact and Lasting Community
The study concluded that the platform was highly usable and supportive, with 9 out of 10 youth completing the program successfully. Nearly all participants said they would use the platform again, and the groups eventually transitioned into peer-led spaces upon popular request from participants. Overall, the ability to connect with other trans and gender expansive youth in an affirming, moderated setting was named as a key benefit.
Foretell Reality: A Platform for Expression and Healing
Foretell Reality’s platform blends immersive experiences with moderation tools and accessibility features.
With the platform’s face and body tracking, both youth and facilitators feel more present and empowered in their avatars. Together, these features create a supportive, connected virtual environment that affirms identity and encourages healing.
