ODRA: Synthesizing Cognitive Behavioral Therapy Sessions with Structured Chain-Of-Thought and Dynamic Patient Resistance
Synthetic generation of Cognitive Behavioral Therapy (CBT) sessions is challenged by two competing demands: adhering to strict therapeutic structure while modeling the resistant, unpredictable behavior of real patients. Existing script-based methods fail to capture dynamic therapeutic interactions, while multi-agent approaches struggle to adhere to CBT's sequential structure; both suffer from sycophancy, producing overly compliant patients that misrepresent real clinical settings. In this work w
Record details
Published: 5 August 2026
Source: arXiv cs.LG
Category: Research
Topics: Healthcare · Agents & autonomy
Retrieved: 6 August 2026
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ethics.ai (5 August 2026), “ODRA: Synthesizing Cognitive Behavioral Therapy Sessions with Structured Chain-Of-Thought and Dynamic Patient Resistance,” evidence record 16972, https://ethics.ai/record/16972 (originally published by arXiv cs.LG).
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