Each participant will attend a single primary care clinic visit during which they will undergo the VR intervention. Before the VR session is conducted, participants will be screened using the Generalized Anxiety Disorder 7-item scale (GAD-7). If the GAD-7 score is more than 5, a 20-minute VR session will be administered before the consultation. Anxiety levels will be measured using State Trait Anxiety Inventory for Adolescents (STAI-A) [24] and the Visual Analog Scale (VAS) both before the initial VR session and after the consultation. This pre-post assessment will allow for the evaluation of immediate changes in social anxiety resulting from the VR experience within a real-world clinical setting

Patients receiving standard of care. In the current clinical setting, adolescent patients attending primary care visits do not receive any structured mental health support or targeted anxiety-reduction strategies as part of routine care. Patients typically wait in the general clinic waiting area prior to their consultation, accompanied by their legal guardian.

Participants will be instructed to engage in a virtual reality relaxation session lasting 20 minutes as part of their primary care visit. The intervention will use the Healthy Mind® virtual reality platform (developed in Paris, France) delivered through virtual reality headsets. Participants will be able to choose from a variety of immersive environments (e.g., beach, lake, mountain), each incorporating animated visuals, soothing audio, and guided breathing exercises. These VR scenarios are grounded in psychological relaxation principles such as cardiac coherence, hypnotic verbal accompaniment, and mindfulness-based stress reduction.

Minimum score: 20 (Least anxiety). Maximum score: 80 (Highest anxiety)

Minimum score: 0 (No anxiety), Maximum score: 10 (Highest anxiety)

Minimum score: 0 (Minimal Anxiety), Maximum score: 21 (Severe anxiety)