# CA+: Cognition Augmented Counselor Agent Framework for Long-term Dynamic Client Engagement

arXiv: https://arxiv.org/abs/2503.21365 · HTML: https://mlsanity.com/paper/2503.21365/

## Key facts

- Cited by 1 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 0 of its 92 references that are in the map.
- First posted on arXiv 27 Mar 2025.

## Placed in

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

## Built on by (most cited first, 1 of 1)

- [From Pattern Recognizers to Personalized Companions: A Survey of Large Language Models in Mental Health](https://mlsanity.com/paper/2609.25186/) (2026)

## Abstract (arXiv)

Current AI counseling systems struggle with maintaining effective long-term client engagement. Through formative research with counselors and a systematic literature review, we identified five key design considerations for AI counseling interactions. Based on these insights, we propose CA+, a Cognition Augmented counselor framework enhancing contextual understanding through three components: (1) Therapy Strategies Module: Implements hierarchical Goals-Session-Action planning with bidirectional adaptation based on client feedback; (2) Communication Form Module: Orchestrates parallel guidance and empathy pathways for balanced therapeutic progress and emotional resonance; (3) Information Management: Utilizes client profile and therapeutic knowledge databases for dynamic, context-aware interventions. A three-day longitudinal study with 24 clients demonstrates CA+'s significant improvements in client engagement, perceived empathy, and overall satisfaction compared to a baseline system. Besides, two licensed counselors confirm its high professionalism. Our research demonstrates the potential for enhancing LLM engagement in psychological counseling dialogues through cognitive theory, which may inspire further innovations in computational interaction in the future.