# DELTA: Deliberative Multi-Agent Reasoning with Reinforcement Learning for Multimodal Psychological Counseling

arXiv: https://arxiv.org/abs/2602.04112 · HTML: https://mlsanity.com/paper/2602.04112/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 19 of its 32 references that are in the map.
- First posted on arXiv 4 Feb 2026.

## Builds on (most cited first, 19 of 19)

- [DeepSeekMath: Pushing the Limits of Mathematical Reasoning in Open Language Models](https://mlsanity.com/paper/2402.03300/) (2024)
- [SoulChat: Improving LLMs' Empathy, Listening, and Comfort Abilities through Fine-tuning with Multi-turn Empathy Conversations](https://mlsanity.com/paper/2311.00273/) (2023)
- [PsyQA: A Chinese Dataset for Generating Long Counseling Text for Mental Health Support](https://mlsanity.com/paper/2106.01702/) (2021)
- [CPsyCoun: A Report-based Multi-turn Dialogue Reconstruction and Evaluation Framework for Chinese Psychological Counseling](https://mlsanity.com/paper/2405.16433/) (2024)
- [Cactus: Towards Psychological Counseling Conversations using Cognitive Behavioral Theory](https://mlsanity.com/paper/2407.03103/) (2024)
- [SMILE: Single-turn to Multi-turn Inclusive Language Expansion via ChatGPT for Mental Health Support](https://mlsanity.com/paper/2305.00450/) (2023)
- [CBT-LLM: A Chinese Large Language Model for Cognitive Behavioral Therapy-based Mental Health Question Answering](https://mlsanity.com/paper/2403.16008/) (2024)
- [PsycoLLM: Enhancing LLM for Psychological Understanding and Evaluation](https://mlsanity.com/paper/2407.05721/) (2024)
- [Towards Multimodal Emotional Support Conversation Systems](https://mlsanity.com/paper/2408.03650/) (2024)
- [Psyche-R1: Towards Reliable Psychological LLMs through Unified Empathy, Expertise, and Reasoning](https://mlsanity.com/paper/2508.10848/) (2025)
- [Beyond Empathy: Integrating Diagnostic and Therapeutic Reasoning with Large Language Models for Mental Health Counseling](https://mlsanity.com/paper/2505.15715/) (2025)
- [MAGI: Multi-Agent Guided Interview for Psychiatric Assessment](https://mlsanity.com/paper/2504.18260/) (2025)
- [A Survey of Large Language Models in Psychotherapy: Current Landscape and Future Directions](https://mlsanity.com/paper/2502.11095/) (2025)
- [AutoCBT: An Autonomous Multi-agent Framework for Cognitive Behavioral Therapy in Psychological Counseling](https://mlsanity.com/paper/2501.09426/) (2025)
- [Psi-Arena: Interactive Assessment and Optimization of LLM-based Psychological Counselors with Tripartite Feedback](https://mlsanity.com/paper/2505.03293/) (2025)
- [Trustworthy AI Psychotherapy: Multi-Agent LLM Workflow for Counseling and Explainable Mental Disorder Diagnosis](https://mlsanity.com/paper/2508.11398/) (2025)
- [MIND: Towards Immersive Psychological Healing with Multi-agent Inner Dialogue](https://mlsanity.com/paper/2502.19860/) (2025)
- [Cognition Chain for Explainable Psychological Stress Detection on Social Media](https://mlsanity.com/paper/2412.14009/) (2024)
- [VS-LLM: Visual-Semantic Depression Assessment based on LLM for Drawing Projection Test](https://mlsanity.com/paper/2508.05299/) (2025)

## Abstract (arXiv)

Psychological counseling is a fundamentally multimodal cognitive process in which clinicians integrate verbal content with visual and vocal cues to infer clients' mental states and respond empathically. However, most existing language-model-based counseling systems operate on text alone and rely on implicit mental state inference. We introduce DELTA, a deliberative multi-agent framework that models counseling as a structured reasoning process over multimodal signals, separating evidence grounding, mental state abstraction, and response generation. DELTA further incorporates reinforcement learning guided by a distribution-level Emotion Attunement Score to encourage emotionally attuned responses. Experiments on a multimodal counseling benchmark show that DELTA improves both counseling quality and emotion attunement across models. Ablation and qualitative analyses suggest that explicit multimodal reasoning and structured mental state representations play complementary roles in supporting empathic human-AI interaction.
