Shayan Salehi

Sina Elahimanesh, Mohammadali Mohammadkhani, Sara Zahedi Movahed et al.

While large language models (LLMs) excel at open-ended dialogue, effective psychotherapy requires structured progression and adherence to clinical protocols, making the design of psychotherapist chatbots challenging. We investigate how different LLM-based designs shape perceived therapeutic dialogue in a chatbot grounded in the Self-Attachment Technique (SAT), a novel self-administered psychotherapy rooted in attachment theory. We compare three architectural variants: (1) a multi-agent system utilizing finite state machine aligned with therapeutic stages and a shared long-term memory, (2) a single-agent using identical knowledge-base and the same prompts, and (3) an unguided LLM. In an eight-day randomized controlled trial (RCT) with N=66 Farsi-speaking participants, balanced across the three chatbots, the multi-agent system is perceived as significantly more natural and human-like than the other variants and achieves higher ratings across most other metrics. These findings demonstrate that for therapeutic AI, architectural orchestration is as critical as prompt engineering in fostering natural, engaging dialogue.

Sina Elahimanesh, Shayan Salehi, Sara Zahedi Movahed et al.

In the wake of the post-pandemic era, marked by social isolation and surging rates of depression and anxiety, conversational agents based on digital psychotherapy can play an influential role compared to traditional therapy sessions. In this work, we develop a voice-capable chatbot in Farsi to guide users through Self-Attachment (SAT), a novel, self-administered, holistic psychological technique based on attachment theory. Our chatbot uses a dynamic array of rule-based and classification-based modules to comprehend user input throughout the conversation and navigates a dialogue flowchart accordingly, recommending appropriate SAT exercises that depend on the user's emotional and mental state. In particular, we collect a dataset of over 6,000 utterances and develop a novel sentiment-analysis module that classifies user sentiment into 12 classes, with accuracy above 92%. To keep the conversation novel and engaging, the chatbot's responses are retrieved from a large dataset of utterances created with the aid of Farsi GPT-2 and a reinforcement learning approach, thus requiring minimal human annotation. Our chatbot also offers a question-answering module, called SAT Teacher, to answer users' questions about the principles of Self-Attachment. Finally, we design a cross-platform application as the bot's user interface. We evaluate our platform in a ten-day human study with N=52 volunteers from the non-clinical population, who have had over 2,000 dialogues in total with the chatbot. The results indicate that the platform was engaging to most users (75%), 72% felt better after the interactions, and 74% were satisfied with the SAT Teacher's performance.