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CCD-CBT: Multi-Agent Therapeutic Interaction for CBT Guided by Cognitive Conceptualization Diagram

Chang Liu, Changsheng Ma, Yongfeng Tao, Bin Hu, Minqiang Yang · Apr 8, 2026 · Citations: 0

Medicine Multi Agent Simulation Env
Open arXiv Find Implementation RSS feed Shortlist (0)

How to use this page

Low trust

Use this as background context only. Do not make protocol decisions from this page alone.

Best use

Background context only

What to verify

Read the full paper before copying any benchmark, metric, or protocol choices.

Evidence quality

Low

Derived from extracted protocol signals and abstract evidence.

Abstract

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.

Low-signal caution for protocol decisions

Use this page for context, then validate protocol choices against stronger HFEPX references before implementation decisions.

  • The available metadata is too thin to trust this as a primary source.
  • The abstract does not clearly name benchmarks or metrics.
Human Eval Hub LLM-as-Judge Hub Pairwise Preference Hub

Should You Rely On This Paper?

This paper is adjacent to HFEPX scope and is best used for background context, not as a primary protocol reference.

Best use

Background context only

Use if you need

A secondary eval reference to pair with stronger protocol papers.

Main weakness

The available metadata is too thin to trust this as a primary source.

Trust level

Low

Usefulness score

12/100 • Low

Treat as adjacent context, not a core eval-method reference.

Human Feedback Signal

Not explicit in abstract metadata

Evaluation Signal

Detected

Usefulness for eval research

Adjacent candidate

Extraction confidence 40%

If you are doing eval pipeline work, start here:

Human Eval Hub LLM-as-Judge Hub Pairwise Preference Hub Tool-Use Eval Hub

What We Could Verify

These are the protocol signals we could actually recover from the available paper metadata. Use them to decide whether this paper is worth deeper reading.

Human Feedback Types

missing

None explicit

No explicit feedback protocol extracted.

"Large language models show potential for scalable mental-health support by simulating Cognitive Behavioral Therapy (CBT) counselors."

Evaluation Modes

partial

Simulation Env

Includes extracted eval setup.

"Large language models show potential for scalable mental-health support by simulating Cognitive Behavioral Therapy (CBT) counselors."

Quality Controls

missing

Not reported

No explicit QC controls found.

"Large language models show potential for scalable mental-health support by simulating Cognitive Behavioral Therapy (CBT) counselors."

Benchmarks / Datasets

missing

Not extracted

No benchmark anchors detected.

"Large language models show potential for scalable mental-health support by simulating Cognitive Behavioral Therapy (CBT) counselors."

Reported Metrics

missing

Not extracted

No metric anchors detected.

"Large language models show potential for scalable mental-health support by simulating Cognitive Behavioral Therapy (CBT) counselors."

Rater Population

partial

Domain Experts

Helpful for staffing comparability.

"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."

Human Feedback Details

  • Uses human feedback: No
  • Feedback types: None
  • Rater population: Domain Experts
  • Expertise required: Medicine

Evaluation Details

  • Evaluation modes: Simulation Env
  • Agentic eval: Multi Agent
  • Quality controls: Not reported
  • Evidence quality: Low
  • Use this page as: Background context only

Protocol And Measurement Signals

Benchmarks / Datasets

No benchmark or dataset names were extracted from the available abstract.

Reported Metrics

No metric terms were extracted from the available abstract.

Research Brief

Metadata summary

Large language models show potential for scalable mental-health support by simulating Cognitive Behavioral Therapy (CBT) counselors.

Based on abstract + metadata only. Check the source paper before making high-confidence protocol decisions.

Key Takeaways

  • 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.

Researcher Actions

  • Compare this paper against nearby papers in the same arXiv category before using it for protocol decisions.
  • Validate inferred eval signals (Simulation environment) against the full paper.
  • Use related-paper links to find stronger protocol-specific references.

Caveats

  • Generated from abstract + metadata only; no PDF parsing.
  • Signals below are heuristic and may miss details reported outside the abstract.

Research Summary

Contribution Summary

  • 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…
  • 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…

Why It Matters For Eval

  • 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…

Researcher Checklist

  • Gap: Human feedback protocol is explicit

    No explicit human feedback protocol detected.

  • Pass: Evaluation mode is explicit

    Detected: Simulation Env

  • Gap: Quality control reporting appears

    No calibration/adjudication/IAA control explicitly detected.

  • Gap: Benchmark or dataset anchors are present

    No benchmark/dataset anchor extracted from abstract.

  • Gap: Metric reporting is present

    No metric terms extracted.

Related Papers

Papers are ranked by protocol overlap, extraction signal alignment, and semantic proximity.

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