Facilitating Early Maladaptive Schema–Guided Polite and Empathetic Psychotherapeutic Support: An LLM-Driven MoE-RL-Based Dialogue System

Abstract In Psychotherapy, Early Maladaptive Schemas (EMS) are entrenched negative perceptions of self or others that perpetuate mental health challenges, contribute to treatment resistance and relapse, and obstruct therapeutic progress. Addressing EMS using appropriate psychotherapeutic support (PS) strategies helps resolve core emotional deficits, mitigate resistance, and improve client engagement. Moreover, adapting polite and empathetic communication based on clients’ emotional states fosters trust, emotional safety, and a conducive therapeutic environment, which is critical for addressing EMS and achieving positive outcomes. Motivated by these insights, we introduce MATE - a novel EMS-guided polite and empAthetic dialogue sysTem for psychothErapeutic support. MATE integrates a Large Language Model (LLM) with a Mixture of Experts-based Reinforcement Learning (MoE-RL) approach to overcome the limitations of traditional RL methods, such as large action spaces and generic responses. The LLM captures diverse semantic patterns from dialogue context. MoE-RL leverages dedicated psychotherapeutic, politeness, and empathy experts, along with a new reward function, comprising PS, politeness, empathy, contextual consistency, and diversity rewards to guide policy learning for effective response generation. Evaluations on the HOPE and PSYCON datasets demonstrate MATE’s efficacy in generating polite and empathetic psychotherapeutic responses based on clients’ EMS and emotional cues while ensuring contextual consistency and diversity.