Virtual reality is now considered the gold standard for exposure training in the treatment of phobic anxiety. Success rates climbed from 60% to over 90% when biofeedback training was added to the virtual reality protocol. Mean lengths of treatment for the two most common requests from our patients (fear of flying and public speaking phobia) is 12 to 16 sessions. Back in the 90’s many healthcare professionals shied away from purchasing early virtual reality hardware and software systems because of the expense, which was over $15,000. We have figured out strategies to easily build “exposure” systems that now cost less than $1,000.