# MADP: Multi-Agent Deductive Planning for Enhanced Cognitive-Behavioral Mental Health Question Answer

arXiv: https://arxiv.org/abs/2501.15826 · HTML: https://mlsanity.com/paper/2501.15826/

## Key facts

- Cited by 3 papers in the map (data through 14 Oct 2026).
- Placed in Medical and scientific domain agents, one of 16 directions in LLM agents and tool use.
- Builds on 23 of its 27 references that are in the map.
- First posted on arXiv 27 Jan 2025.

## Placed in

- LLM agents and tool use / [Medical and scientific domain agents](https://mlsanity.com/agents/medical-and-scientific-domain-agents/)

## Builds on (most cited first, 23 of 23)

- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [Self-Instruct: Aligning Language Models with Self-Generated Instructions](https://mlsanity.com/paper/2212.10560/) (2022)
- [Improving Factuality and Reasoning in Language Models through Multiagent Debate](https://mlsanity.com/paper/2305.14325/) (2023)
- [Large Language Models are not Fair Evaluators](https://mlsanity.com/paper/2305.17926/) (2023)
- [Towards Emotional Support Dialog Systems](https://mlsanity.com/paper/2106.01144/) (2021)
- [A Computational Approach to Understanding Empathy Expressed in Text-Based Mental Health Support](https://mlsanity.com/paper/2009.08441/) (2020)
- [Theory of Mind for Multi-Agent Collaboration via Large Language Models](https://mlsanity.com/paper/2310.10701/) (2023)
- [Prompting and Evaluating Large Language Models for Proactive Dialogues: Clarification, Target-guided, and Non-collaboration](https://mlsanity.com/paper/2305.13626/) (2023)
- [SoulChat: Improving LLMs' Empathy, Listening, and Comfort Abilities through Fine-tuning with Multi-turn Empathy Conversations](https://mlsanity.com/paper/2311.00273/) (2023)
- [AgentSims: An Open-Source Sandbox for Large Language Model Evaluation](https://mlsanity.com/paper/2308.04026/) (2023)
- [MISC: A MIxed Strategy-Aware Model Integrating COMET for Emotional Support Conversation](https://mlsanity.com/paper/2203.13560/) (2022)
- [Exploring the Use of Large Language Models for Reference-Free Text Quality Evaluation: An Empirical Study](https://mlsanity.com/paper/2304.00723/) (2023)
- [AugESC: Dialogue Augmentation with Large Language Models for Emotional Support Conversation](https://mlsanity.com/paper/2202.13047/) (2022)
- [Humanoid Agents: Platform for Simulating Human-like Generative Agents](https://mlsanity.com/paper/2310.05418/) (2023)
- [Cue-CoT: Chain-of-thought Prompting for Responding to In-depth Dialogue Questions with LLMs](https://mlsanity.com/paper/2305.11792/) (2023)
- [Control Globally, Understand Locally: A Global-to-Local Hierarchical Graph Network for Emotional Support Conversation](https://mlsanity.com/paper/2204.12749/) (2022)
- [Is ChatGPT Equipped with Emotional Dialogue Capabilities?](https://mlsanity.com/paper/2304.09582/) (2023)
- [DERA: Enhancing Large Language Model Completions with Dialog-Enabled Resolving Agents](https://mlsanity.com/paper/2303.17071/) (2023)
- [HealMe: Harnessing Cognitive Reframing in Large Language Models for Psychotherapy](https://mlsanity.com/paper/2403.05574/) (2024)
- [SMILE: Single-turn to Multi-turn Inclusive Language Expansion via ChatGPT for Mental Health Support](https://mlsanity.com/paper/2305.00450/) (2023)
- [ESCoT: Towards Interpretable Emotional Support Dialogue Systems](https://mlsanity.com/paper/2406.10960/) (2024)
- [CBT-LLM: A Chinese Large Language Model for Cognitive Behavioral Therapy-based Mental Health Question Answering](https://mlsanity.com/paper/2403.16008/) (2024)
- [LLM-empowered Chatbots for Psychiatrist and Patient Simulation: Application and Evaluation](https://mlsanity.com/paper/2305.13614/) (2023)

## Built on by (most cited first, 3 of 3)

- [EFT-CoT: A Multi-Agent Chain-of-Thought Framework for Emotion-Focused Therapy](https://mlsanity.com/paper/2601.17842/) (2026)
- [Role-Playing LLM-Based Multi-Agent Support Framework for Detecting and Addressing Family Communication Bias](https://mlsanity.com/paper/2507.11210/) (2025)
- [From Pattern Recognizers to Personalized Companions: A Survey of Large Language Models in Mental Health](https://mlsanity.com/paper/2609.25186/) (2026)

## Abstract (arXiv)

The Mental Health Question Answer (MHQA) task requires the seeker and supporter to complete the support process in one-turn dialogue. Given the richness of help-seeker posts, supporters must thoroughly understand the content and provide logical, comprehensive, and well-structured responses. Previous works in MHQA mostly focus on single-agent approaches based on the cognitive element of Cognitive Behavioral Therapy (CBT), but they overlook the interactions among various CBT elements, such as emotion and cognition. This limitation hinders the models' ability to thoroughly understand the distress of help-seekers. To address this, we propose a framework named Multi-Agent Deductive Planning (MADP), which is based on the interactions between the various psychological elements of CBT. This method guides Large Language Models (LLMs) to achieve a deeper understanding of the seeker's context and provide more personalized assistance based on individual circumstances. Furthermore, we construct a new dataset based on the MADP framework and use it to fine-tune LLMs, resulting in a specialized model named MADP-LLM. We conduct extensive experiments, including comparisons with multiple LLMs, human evaluations, and automatic evaluations, to validate the effectiveness of the MADP framework and MADP-LLM.