Toward Accessible Psychotherapy Training Using AI-Driven Interactive Patient Avatars

Training psychotherapists in evidence-based interventions such as Acceptance and Commitment Therapy (ACT) requires repeated practice with meaningful feedback, yet opportunities for safe, standardized training are limited by ethical, logistical, and resource constraints. We introduce a system designed to support ACT-oriented psychotherapy training through spoken dialogue with an embodied virtual patient. The system uses large language models to simulate patient behavior conditioned on profiles derived from real therapy sessions and configurable clinical scenarios, while a separate automated evaluator provides turn-by-turn feedback on therapist responses based on established ACT fidelity criteria. Rather than aiming to replace supervision, the system is intended to support deliberate practice by enabling experimentation, reflection, and immediate feedback in low-risk settings. Expert evaluation with practicing psychologists confirmed high realism in patient behavior and demonstrated that immediate turn-by-turn ACT feedback increased therapists' awareness of intervention choices and enabled effective experimentation with alternative responses. Quantitative evaluation across 49 therapy transcripts identified GPT-4o-mini as the optimal feedback model, achieving the lowest mean absolute error (MAE = 6.12) in replicating human supervisor ACT fidelity ratings with statistically significant agreement. This work demonstrates the potential of fidelity-aware simulated patients as a scalable complement to psychotherapy training.

Talking to Your Data: Exploring Embodied Conversation as an Interface for Personal Health Reflection

Personal health data from wearables are typically presented through dashboards of charts and summary statistics, requiring users to actively interpret patterns and implications. We explore an alternative interaction paradigm: engaging with personal health data through an embodied conversational agent that facilitates objective data reflection in dialogue with the user. We present a system that combines lightweight preprocessing of wearable data with a Unity-based embodied character. Internally, the system follows a dual-agent design in which an Observer agent extracts descriptive statistics and temporal trends, and a Presenter agent communicates these findings through "spoken statistics," intentionally refraining from clinical advice to isolate the impact of the interaction modality. We evaluate this approach through a simulated-self user study (N=5) using a within-subject design. Participants adopted health personas and goals derived from the LifeSnaps dataset to compare traditional dashboard exploration with embodied conversational reflection. Our evaluation focuses on perceived understanding, the specificity of generated actions, and the cognitive shift from passive viewing to active sensemaking. The paper contributes a functional prototype, a design pattern for objective health data narrative generation, and early empirical insights into how embodiment affects the interpretation of personal health metrics.

A Platform for Interactive AI Character Experiences

From movie characters to modern science fiction - bringing characters into interactive, story-driven conversations has captured imaginations across generations. Achieving this vision is highly challenging and requires much more than just language modeling. It involves numerous complex AI challenges, such as conversational AI, maintaining character integrity, managing personality and emotions, handling knowledge and memory, synthesizing voice, generating animations, enabling real-world interactions, and integration with physical environments. Recent advancements in the development of foundation models, prompt engineering, and fine-tuning for downstream tasks have enabled researchers to address these individual challenges. However, combining these technologies for interactive characters remains an open problem. We present a system and platform for conveniently designing believable digital characters, enabling a conversational and story-driven experience while providing solutions to all of the technical challenges. As a proof-of-concept, we introduce Digital Einstein, which allows users to engage in conversations with a digital representation of Albert Einstein about his life, research, and persona. While Digital Einstein exemplifies our methods for a specific character, our system is flexible and generalizes to any story-driven or conversational character. By unifying these diverse AI components into a single, easy-to-adapt platform, our work paves the way for immersive character experiences, turning the dream of lifelike, story-based interactions into a reality.