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Autori principali: Liu, Chang, Ma, Changsheng, Tao, Yongfeng, Hu, Bin, Yang, Minqiang
Natura: Preprint
Pubblicazione: 2026
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Accesso online:https://arxiv.org/abs/2604.06551
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author Liu, Chang
Ma, Changsheng
Tao, Yongfeng
Hu, Bin
Yang, Minqiang
author_facet Liu, Chang
Ma, Changsheng
Tao, Yongfeng
Hu, Bin
Yang, Minqiang
contents Large language models show potential for scalable mental-health support by simulating Cognitive Behavioral Therapy (CBT) counselors. However, existing methods often rely on static cognitive profiles and omniscient single-agent simulation, failing to capture the dynamic, information-asymmetric nature of real therapy. We introduce CCD-CBT, a multi-agent framework that shifts CBT simulation along two axes: 1) from a static to a dynamically reconstructed Cognitive Conceptualization Diagram (CCD), updated by a dedicated Control Agent, and 2) from omniscient to information-asymmetric interaction, where the Therapist Agent must reason from inferred client states. We release CCDCHAT, a synthetic multi-turn CBT dataset generated under this framework. Evaluations with clinical scales and expert therapists show that models fine-tuned on CCDCHAT outperform strong baselines in both counseling fidelity and positive-affect enhancement, with ablations confirming the necessity of dynamic CCD guidance and asymmetric agent design. Our work offers a new paradigm for building theory-grounded, clinically-plausible conversational agents.
format Preprint
id arxiv_https___arxiv_org_abs_2604_06551
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle CCD-CBT: Multi-Agent Therapeutic Interaction for CBT Guided by Cognitive Conceptualization Diagram
Liu, Chang
Ma, Changsheng
Tao, Yongfeng
Hu, Bin
Yang, Minqiang
Computation and Language
Large language models show potential for scalable mental-health support by simulating Cognitive Behavioral Therapy (CBT) counselors. However, existing methods often rely on static cognitive profiles and omniscient single-agent simulation, failing to capture the dynamic, information-asymmetric nature of real therapy. We introduce CCD-CBT, a multi-agent framework that shifts CBT simulation along two axes: 1) from a static to a dynamically reconstructed Cognitive Conceptualization Diagram (CCD), updated by a dedicated Control Agent, and 2) from omniscient to information-asymmetric interaction, where the Therapist Agent must reason from inferred client states. We release CCDCHAT, a synthetic multi-turn CBT dataset generated under this framework. Evaluations with clinical scales and expert therapists show that models fine-tuned on CCDCHAT outperform strong baselines in both counseling fidelity and positive-affect enhancement, with ablations confirming the necessity of dynamic CCD guidance and asymmetric agent design. Our work offers a new paradigm for building theory-grounded, clinically-plausible conversational agents.
title CCD-CBT: Multi-Agent Therapeutic Interaction for CBT Guided by Cognitive Conceptualization Diagram
topic Computation and Language
url https://arxiv.org/abs/2604.06551