Virtual reality has been widely applied in the field of counseling and psychotherapy in recent years, yet empirical research is still in infancy. Thus, a bibliometric review of 713 studies retrieved from the Scopus database are examined to see the changing trends and important issues of virtual reality in the field of psychotherapy and counseling. Results show publications have increased rapidly in the past five years, with prolific publications and pioneering authors showing major research contributions and their broad and cross-disciplinary impact, particularly with research centers in the United States. Next, highly cited literature analysis indicates that through contextual immersion, virtual reality may trigger client emotions, improve cognitive function, skill training, and enhance therapeutic effect with exposure and drug therapy. In addition, network structure analysis shows research hotspots concentrated on psychiatric-related disorders such as anxiety and depression, as well as potential future topics such as telemedicine. Finally, practical implications and prospects of military psychological counseling are discussed.