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As a predictive measure of the treatment outcome in psychotherapy, the working alliance measures the agreement of the patient and the therapist in terms of their bond, task and goal. Long been a clinical quantity estimated by the patients'…

Computation and Language · Computer Science 2022-10-28 Baihan Lin , Guillermo Cecchi , Djallel Bouneffouf

The therapeutic working alliance is a critical predictor of psychotherapy success. Traditionally, working alliance assessment relies on questionnaires completed by both therapists and patients. In this paper, we present COMPASS, a novel…

Computation and Language · Computer Science 2025-08-12 Baihan Lin , Djallel Bouneffouf , Yulia Landa , Rachel Jespersen , Cheryl Corcoran , Guillermo Cecchi

We are interested in the problem of conversational analysis and its application to the health domain. Cognitive Behavioral Therapy is a structured approach in psychotherapy, allowing the therapist to help the patient to identify and modify…

We propose a recommendation system that suggests treatment strategies to a therapist during the psychotherapy session in real-time. Our system uses a turn-level rating mechanism that predicts the therapeutic outcome by computing a…

Computation and Language · Computer Science 2022-11-01 Baihan Lin , Guillermo Cecchi , Djallel Bouneffouf

Psychotherapy or counseling is typically conducted through spoken conversation between a therapist and a client. Analyzing the speech characteristics of psychotherapeutic interactions can help understand the factors associated with…

Audio and Speech Processing · Electrical Eng. & Systems 2024-09-05 Dehua Tao , Harold Chui , Sarah Luk , Tan Lee

With the growing prevalence of psychological interventions, it is vital to have measures which rate the effectiveness of psychological care to assist in training, supervision, and quality assurance of services. Traditionally, quality…

Text-based computational approaches for assessing the quality of psychotherapy are being developed to support quality assurance and clinical training. However, due to the long durations of typical conversation based therapy sessions, and…

Computation and Language · Computer Science 2022-03-22 Zhuohao Chen , Nikolaos Flemotomos , Karan Singla , Torrey A. Creed , David C. Atkins , Shrikanth Narayanan

Embodied agents need to be able to interact in natural language understanding task descriptions and asking appropriate follow up questions to obtain necessary information to be effective at successfully accomplishing tasks for a wide range…

Computation and Language · Computer Science 2022-09-28 Spandana Gella , Aishwarya Padmakumar , Patrick Lange , Dilek Hakkani-Tur

Engagement between client and therapist is a critical determinant of therapeutic success. We propose a multi-dimensional natural language processing (NLP) framework that objectively classifies engagement quality in counseling sessions based…

In conversation-based psychotherapy, therapists use verbal techniques to help clients express thoughts and feelings, and change behavior. In particular, how well therapists convey empathy is an essential quality index of psychotherapy…

Audio and Speech Processing · Electrical Eng. & Systems 2023-05-29 Dehua Tao , Tan Lee , Harold Chui , Sarah Luk

We discuss MET, a learning-based algorithm proposed for perceiving a patient's level of engagement during telehealth sessions. We leverage latent vectors corresponding to Affective and Cognitive features frequently used in psychology…

Computer Vision and Pattern Recognition · Computer Science 2023-02-14 Pooja Guhan , Naman Awasthi , and Kathryn McDonald , Kristin Bussell , Dinesh Manocha , Gloria Reeves , Aniket Bera

We introduce a Reinforcement Learning Psychotherapy AI Companion that generates topic recommendations for therapists based on patient responses. The system uses Deep Reinforcement Learning (DRL) to generate multi-objective policies for four…

Machine Learning · Computer Science 2023-03-20 Baihan Lin , Guillermo Cecchi , Djallel Bouneffouf

Background: Conversational AI chatbots are emerging as scalable mental health tools, but little is known about real world engagement or its relationship to clinical outcomes. Objective: To characterize engagement phenotypes among users of…

Human-Computer Interaction · Computer Science 2026-05-04 Emma C. Wolfe , Ting Su , Olivier Tieleman , Thomas D. Hull , Matteo Malgaroli , Caitlin A. Stamatis

Robust therapeutic relationships between counselors and clients are fundamental to counseling effectiveness. The assessment of therapeutic alliance is well-established in traditional face-to-face therapy but may not directly translate to…

Computation and Language · Computer Science 2024-10-10 Anqi Li , Yu Lu , Nirui Song , Shuai Zhang , Lizhi Ma , Zhenzhong Lan

Large language models (LLMs) are increasingly used for emotional support and mental health-related interactions outside clinical settings, yet little is known about how people evaluate and relate to these systems in everyday use. We analyze…

Computation and Language · Computer Science 2026-01-29 Elham Aghakhani , Rezvaneh Rezapour

Recently, advancements in AI counseling based on large language models have shown significant progress. However, existing studies employ a one-time generation approach to synthesize multi-turn dialogue samples, resulting in low therapy…

Computation and Language · Computer Science 2025-10-01 Mingyu Chen , Jingkai Lin , Zhaojie Chu , Xiaofen Xing , Yirong Chen , Xiangmin Xu

Evidence-based medicine, the practice in which healthcare professionals refer to the best available evidence when making decisions, forms the foundation of modern healthcare. However, it relies on labour-intensive systematic reviews, where…

Computation and Language · Computer Science 2021-12-13 Jetsun Whitton , Anthony Hunter

Post-Traumatic Stress Disorder (PTSD) remains underdiagnosed in clinical settings, presenting opportunities for automated detection to identify patients. This study evaluates natural language processing approaches for detecting PTSD from…

Computation and Language · Computer Science 2026-01-08 Feng Chen , Dror Ben-Zeev , Gillian Sparks , Arya Kadakia , Trevor Cohen

Counseling is usually conducted through spoken conversation between a therapist and a client. The empathy level of therapist is a key indicator of outcomes. Presuming that therapist's empathy expression is shaped by their past behavior and…

Audio and Speech Processing · Electrical Eng. & Systems 2024-09-05 Dehua Tao , Tan Lee , Harold Chui , Sarah Luk

Therapeutic homework (i.e., tasks assigned by therapists for clients to complete between sessions) is essential for effective psychotherapy, yet therapists often interpret fragmented client logs, assessments, and reflections within limited…

Human-Computer Interaction · Computer Science 2026-01-27 Yimeng Wang , Liabette Escamilla , Yinzhou Wang , Bianca R. Augustine , Yixuan Zhang
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