We are currently developing a curriculum for people struggling with how they perceive reality and the challenges that this can bring in day to day life.  There is evidence to show that utilizing TTRPGs with people with these challenges is helpful for people to learn to distinguish between different "realities".  Within the TTRPG there are different "realities" at play and teaching people and practicing distinguish between these realities can be very helpful for people with these challenges. Groups will be limited to 4-6 individuals, this group will likely take place in a fantasy setting (Dungeons & Dragons).   Group members will participate in the game while the therapist (DM) draws particular attention to the different "realities" at play in the game; the real world externally (therapist and group members), the real internal world (what the group members are feeling and thinking, the game world (what is going on in the game), and the group member's characters internal world (what the character is thinking and feeling). The group will be put in various situations and practice and process tracking between these "realities" in real time.