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An LLM-based Simulation Framework for Embodied Conversational Agents in Psychological Counseling
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Proposes ECAs, an LLM-based framework that expands real counseling case data (D4) into an embodied cognitive memory space grounded in CBT and other psychological theories, and uses it to generate client-agent dialogues released as a public dataset.
Problem
Synthetic mental-health dialogue data generated by humans or LLMs often lacks authenticity and diversity because client psychological processes are implicit and hard to simulate.
Approach
Builds client agents with a structured memory space (life-stage factual memories, CBT core/intermediate beliefs and automatic thoughts, perceptual memories, social networks) generated in a 4-phase LLM pipeline and retrieved context-dependently during dialogue, rather than prompting an LLM with a bare persona.
Key results
- Expert ratings from five licensed counselors: ECAs significantly outperformed human D4 dialogues on necessity, sufficiency, fidelity and consistency (e.g., sufficiency mean difference 1.50 vs human, p<0.001).
- Depression risk macro F1 rose to 0.42 for ECAs vs 0.40 for D4 and 0.35 for GPT-4o; suicide risk macro F1 0.67 vs 0.59.
- LLM-judged quality total score 17.90/20 for ECAs vs 9.28/20 for D4 dialogues.
Limitations
- Evaluation relies on five experts on six client agents and GPT-4o as automated judge, with some comparisons only marginally significant.
- Dataset is built from Chinese D4 data and relies on synthetic client memories generated by an LLM.
- Automated judge (GPT-4o) and the generator (GPT-4o) are the same model family, which may bias results.
Experimental setup
Datasets: D4
Benchmarks: D4
Metrics: necessity sufficiency fidelity consistency macro precision macro recall macro F1 weighted quality score
Baselines: GPT-4o D4
Builds on: D4 Cognitive Behavioral Therapy Generative Agents
Closest papers by meaning
- TherapyGym: Evaluating and Aligning Clinical Fidelity and Safety in Therapy Chatbots (NeurIPS 2026 · similarity 0.87)
- Thousand Voices of Trauma: A Large-Scale Synthetic Dataset for Modeling Prolonged Exposure Therapy Conversations (NeurIPS 2025 · similarity 0.85)
- OdysSim: Building Foundation Models for Human Behavior Simulation (NeurIPS 2026 · similarity 0.85)
- Position: LLM Social Simulations Are a Promising Research Method (ICML 2025 · similarity 0.85)
- AgentMental: An Interactive Multi-Agent Framework for Explainable and Adaptive Mental Health Assessment (AAAI 2026 · similarity 0.85)
- SocialSim: Towards Socialized Simulation of Emotional Support Conversation (AAAI 2025 · similarity 0.85)
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