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Virtual Agent for Real-Time Motivational Interviewing by Integrating Adaptive Nonverbal Behavior and Language Models
Published on: December 23, 2025
Integrating Motivational Interviewing and Self Determination Theory with Cognitive Behavioral Therapy to Prevent
Peter C Britton1, Heather Patrick2, Amy Wenzel3
1Center of Excellence, Department of Veteran Affairs Medical Center, Canandaigua, NY; Center for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester Medical Center.
Abstract:
Cognitive Behavioral Therapy (CBT) has been found to be effective in preventing suicide-related behavior. However, it is often difficult to engage patients who are at-risk in treatment. Motivational Interviewing (MI) has been shown to increase treatment engagement and improve treatment outcomes when it is used to complement other treatments. As a general theory of human motivation that is consistent with MI, Self-Determination Theory (SDT) provides a framework for understanding how MI may be added to CBT to increase treatment engagement and effectiveness. In this paper, we use SDT to explain how MI may complement CBT to reduce suicide-related behavior, provide a case example of using MI with a suicidal patient before CBT-based treatment, and explore future directions for research.
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