My Cosmos: development, clinical protocol, and preliminary usability of a gamified transdiagnostic digital CBT platform
Marco Recchioni
BackgroundDigital cognitive–behavioural therapy (dCBT) has been shown to be effective for anxiety and depression, yet sustaining engagement remains a key challenge that limits real-world impact. Gamification and extended reality (XR) elements may support motivation and skill transfer, but few interventions integrate these features within a clinician-compatible, clinically grounded framework. My Cosmos is an internet-delivered, mobile-first transdiagnostic dCBT programme that embeds first-wave CB