CAMI: A Counselor Agent Supporting Motivational Interviewing through State Inference and Topic Exploration

Yizhe Yang, Palakorn Achananuparp, Heyan Huang, Jing Jiang, Phey Ling Kit, Nicholas Gabriel Lim, Cameron Tan Shi Ern, Ee-Peng Lim


Abstract
Conversational counselor agents have become essential tools for addressing the rising demand for scalable and accessible mental health support. This paper introduces CAMI, a novel automated counselor agent grounded in Motivational Interviewing (MI) – a client-centered counseling approach designed to address ambivalence and facilitate behavior change. CAMI employs a novel STAR framework, consisting of client’s state inference, motivation topic exploration, and response generation modules, leveraging large language models (LLMs). These components work together to evoke change talk, aligning with MI principles and improving counseling outcomes for diverse clients. We evaluate CAMI’s performance through both automated and expert evaluations, utilizing simulated clients to assess MI skill competency, client’s state inference accuracy, topic exploration proficiency, and overall counseling success. Results show that CAMI not only outperforms several state-of-the-art methods but also shows more realistic counselor-like behavior. Additionally, our ablation study underscores the critical roles of state inference and topic exploration in achieving this performance.
Anthology ID:
2025.acl-long.1024
Volume:
Proceedings of the 63rd Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers)
Month:
July
Year:
2025
Address:
Vienna, Austria
Editors:
Wanxiang Che, Joyce Nabende, Ekaterina Shutova, Mohammad Taher Pilehvar
Venue:
ACL
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
21037–21081
Language:
URL:
https://preview.aclanthology.org/ingestion-acl-25/2025.acl-long.1024/
DOI:
Bibkey:
Cite (ACL):
Yizhe Yang, Palakorn Achananuparp, Heyan Huang, Jing Jiang, Phey Ling Kit, Nicholas Gabriel Lim, Cameron Tan Shi Ern, and Ee-Peng Lim. 2025. CAMI: A Counselor Agent Supporting Motivational Interviewing through State Inference and Topic Exploration. In Proceedings of the 63rd Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers), pages 21037–21081, Vienna, Austria. Association for Computational Linguistics.
Cite (Informal):
CAMI: A Counselor Agent Supporting Motivational Interviewing through State Inference and Topic Exploration (Yang et al., ACL 2025)
Copy Citation:
PDF:
https://preview.aclanthology.org/ingestion-acl-25/2025.acl-long.1024.pdf