TheraMind: A Strategic and Adaptive Agent for Longitudinal Psychological Counseling
On the map: LLM agents and tool use → Medical and scientific domain agents
Abstract (arXiv)
The shortage of mental health professionals has driven the web to become a primary avenue for accessible psychological support. While Large Language Models (LLMs) offer promise for scalable web-based counseling, existing approaches often lack emotional understanding, adaptive strategies, and long-term memory. These limitations pose risks to digital well-being, as disjointed interactions can fail to support vulnerable users effectively. To address these gaps, we introduce TheraMind, a strategic and adaptive agent designed for trustworthy online longitudinal counseling. The cornerstone of TheraMind is a novel dual-loop architecture that decouples the complex counseling process into an Intra-Session Loop for tactical dialogue management and a Cross-Session Loop for strategic therapeutic planning. The Intra-Session Loop perceives the patient's emotional state to dynamically select response strategies while leveraging cross-session memory to ensure continuity. Crucially, the Cross-Session Loop empowers the agent with long-term adaptability by evaluating the efficacy of the applied therapy after each session and adjusting the method for subsequent interactions. We validate our approach in a high-fidelity simulation environment grounded in real clinical cases. Extensive evaluations show that TheraMind outperforms other methods, especially on multi-session metrics like Coherence, Flexibility, and Therapeutic Attunement, validating the effectiveness of its dual-loop design in emulating strategic, adaptive, and longitudinal therapeutic behavior. The code is publicly available at https://github.com/Emo-gml/TheraMind.
Key facts. Cited by 7 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 109 references that are in the map. First posted on arXiv 29 Oct 2025.
Builds on
23 of 109 references.
Closest ancestors · 6
Same direction, newest first
- 2025MAM: Modular Multi-Agent Framework for Multi-Modal Medical Diagnosis via Role-Specialized Collaboration24 Jun
- 2025AnnaAgent: Dynamic Evolution Agent System with Multi-Session Memory for Realistic Seeker Simulation31 May
- 2025MAGI: Multi-Agent Guided Interview for Psychiatric Assessment25 Apr
- 2025MIND: Towards Immersive Psychological Healing with Multi-agent Inner Dialogue27 Feb
- 2025AutoCBT: An Autonomous Multi-agent Framework for Cognitive Behavioral Therapy in Psychological Counseling16 Jan
- 2024Interactive Agents: Simulating Counselor-Client Psychological Counseling via Role-Playing LLM-to-LLM Interactions28 Aug
Other references · 17
- 2024ChatGLM: A Family of Large Language Models from GLM-130B to GLM-4 All Toolscited by 1,121
- 2018MELD: A Multimodal Multi-Party Dataset for Emotion Recognition in Conversationscited by 643
- 2025Multi-Agent Collaboration Mechanisms: A Survey of LLMscited by 431
- 2024CPsyCoun: A Report-based Multi-turn Dialogue Reconstruction and Evaluation Framework for Chinese Psychological Counselingcited by 89
- 2024A Closer Look at the Limitations of Instruction Tuningcited by 77
- 2023Thread of Thought Unraveling Chaotic Contextscited by 72
- 2024Cactus: Towards Psychological Counseling Conversations using Cognitive Behavioral Theorycited by 60
- 2024ESCoT: Towards Interpretable Emotional Support Dialogue Systemscited by 46
- 2024PsyDT: Using LLMs to Construct the Digital Twin of Psychological Counselor with Personalized Counseling Style for Psychological Counselingcited by 38
- 2024MemoryMamba: Memory-Augmented State Space Model for Defect Recognitioncited by 24
- 2024SweetieChat: A Strategy-Enhanced Role-playing Framework for Diverse Scenarios Handling Emotional Support Agentcited by 24
- 2021Speaker Turn Modeling for Dialogue Act Classificationcited by 18
5 more
- 2025Beyond Empathy: Integrating Diagnostic and Therapeutic Reasoning with Large Language Models for Mental Health Counselingcited by 18
- 2025KokoroChat: A Japanese Psychological Counseling Dialogue Dataset Collected via Role-Playing by Trained Counselorscited by 13
- 2025Preference Learning Unlocks LLMs' Psycho-Counseling Skillscited by 10
- 2025Psi-Arena: Interactive Assessment and Optimization of LLM-based Psychological Counselors with Tripartite Feedbackcited by 10
- 2025PEER: Unified Process-Outcome Reinforcement Learning for Structured Empathetic Reasoningcited by 2
Built on by
Citing papers per year: 2026: 7.
7 papers.
- 2026A Survey of Agent Memory in the Second Half: Towards Self-Evolving and Long-Horizon Agentscited by 44
- 2026Demystifying Low-Rank Knowledge Distillation in Large Language Models: Convergence, Generalization, and Information-Theoretic Guaranteescited by 3
- 2026DMT-CBT: Longitudinal Therapeutic State Modeling for CBT Counselingcited by 1
- 2026AE-LLM: Adaptive Efficiency Optimization for Large Language Modelscited by 0
- 2026EmoTrace: An Emotion Trajectory-Centered Framework for Psychological Support Dialogue Generationcited by 0
- 2026FTA-Mem: Fact-Time-Affect Anchored Memory for Low-Density Long-Term Dialoguecited by 0
- 2026From Pattern Recognizers to Personalized Companions: A Survey of Large Language Models in Mental Healthcited by 0
- 2026From Pattern Recognizers to Personalized Companions: A Survey of Large Language Models in Mental Health21 Sep 2026
- 2026FTA-Mem: Fact-Time-Affect Anchored Memory for Low-Density Long-Term Dialogue17 Aug 2026
- 2026EmoTrace: An Emotion Trajectory-Centered Framework for Psychological Support Dialogue Generation26 Jul 2026
- 2026DMT-CBT: Longitudinal Therapeutic State Modeling for CBT Counseling2 Jun 2026
- 2026Demystifying Low-Rank Knowledge Distillation in Large Language Models: Convergence, Generalization, and Information-Theoretic Guarantees22 Mar 2026
- 2026AE-LLM: Adaptive Efficiency Optimization for Large Language Models20 Mar 2026
- 2026A Survey of Agent Memory in the Second Half: Towards Self-Evolving and Long-Horizon Agents14 Jan 2026
Similar, not cited
Close in wording, no citation either way
- 2026XInsight: Integrative Stage-Consistent Psychological Counseling Support Agents for Digital Well-Being
- 2026PsyEvo: A Personalized Counseling Agent That Self-Evolves at Test Time
- 2025MAGneT: Coordinated Multi-Agent Generation of Synthetic Multi-Turn Mental Health Counseling Sessions
- 2025CA+: Cognition Augmented Counselor Agent Framework for Long-term Dynamic Client Engagement
- 2026PsychAgent: An Experience-Driven Lifelong Learning Agent for Self-Evolving Psychological Counselor
- 2026Steering the Compass: Aligning Dynamic Psychological Counseling Conversations with Cognitive Behavioral Therapy Strategies
- 2024MentalAgora: A Gateway to Advanced Personalized Care in Mental Health through Multi-Agent Debating and Attribute Control
- 2026Mind Companion: An Embodied Conversational Agent for Process-Based Psychotherapy