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    <title>psychotherapy training on Anne-Kathrin Kleine</title>
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      <title>Training future psychotherapists with AI-enabled virtual patients: A randomized study</title>
      <link>https://annekathrinkleine.netlify.app/blog/2026-07-ai-virtual-patients-psychotherapy-training/</link>
      <pubDate>Wed, 15 Jul 2026 00:00:00 +0000</pubDate>
      
      <guid>https://annekathrinkleine.netlify.app/blog/2026-07-ai-virtual-patients-psychotherapy-training/</guid>
      <description>&lt;p&gt;Preparing psychotherapy trainees for the complexity of real clinical encounters is a persistent challenge. &lt;strong&gt;AI-enabled virtual patients&lt;/strong&gt; – simulated patients with whom trainees can conduct conversations and receive automated feedback – promise hands-on practice without risks for real patients. In this preregistered study led by Julia Cecil, we tested whether such simulations improve training outcomes.&lt;/p&gt;




&lt;h4 id=&#34;what-we-did&#34;&gt;What we did
  &lt;a href=&#34;#what-we-did&#34;&gt;&lt;/a&gt;
&lt;/h4&gt;
&lt;p&gt;&lt;strong&gt;87 psychology students and psychotherapy trainees&lt;/strong&gt; from Germany and the UK were randomly assigned to either four online sessions with virtual patients (with automated feedback) or four sessions with pre-recorded role-play videos. Each session focused on one disorder – depression, panic disorder, generalized anxiety disorder, or adjustment disorder. Before and after the training, we measured perceived psychotherapeutic competence, clinical self-efficacy, knowledge, and insecurity.&lt;/p&gt;




&lt;h4 id=&#34;what-we-found&#34;&gt;What we found
  &lt;a href=&#34;#what-we-found&#34;&gt;&lt;/a&gt;
&lt;/h4&gt;
&lt;ul&gt;
&lt;li&gt;Virtual patient training &lt;strong&gt;improved perceived competence and self-efficacy&lt;/strong&gt; and &lt;strong&gt;reduced insecurity&lt;/strong&gt; – but these effects &lt;strong&gt;did not exceed&lt;/strong&gt; those of the video training.&lt;/li&gt;
&lt;li&gt;Neither training increased knowledge about mental disorders.&lt;/li&gt;
&lt;li&gt;More clinical experience was associated with higher competence and lower insecurity, but did not change how much participants gained from the training.&lt;/li&gt;
&lt;li&gt;Insecurity decreased earlier with the video training than with the virtual patients.&lt;/li&gt;
&lt;/ul&gt;
&lt;figure class=&#34;ak-figure&#34;&gt;
&lt;img src=&#34;fig3_outcomes.png&#34; alt=&#34;Line charts of competence, self-efficacy, knowledge, and insecurity before and after virtual patient and video training&#34;&gt;
&lt;figcaption&gt;Mean (a) competence, (b) self-efficacy, (c) knowledge, and (d) insecurity before and after the training. Figure 3 from Cecil et al. (2026), &lt;em&gt;BMC Medical Education&lt;/em&gt;, licensed under &lt;a href=&#34;https://creativecommons.org/licenses/by/4.0/&#34;&gt;CC BY 4.0&lt;/a&gt;.&lt;/figcaption&gt;
&lt;/figure&gt;




&lt;h4 id=&#34;what-this-means&#34;&gt;What this means
  &lt;a href=&#34;#what-this-means&#34;&gt;&lt;/a&gt;
&lt;/h4&gt;
&lt;p&gt;AI-enabled virtual patients are a scalable and engaging &lt;strong&gt;complement&lt;/strong&gt; to psychotherapy training, not (yet) a superior alternative. Good pre-briefings and more authentic virtual patients could increase their benefits.&lt;/p&gt;




&lt;h4 id=&#34;read-the-paper&#34;&gt;Read the paper
  &lt;a href=&#34;#read-the-paper&#34;&gt;&lt;/a&gt;
&lt;/h4&gt;
&lt;p&gt;Cecil, J., Kokje, E., &lt;strong&gt;Kleine, A.-K.&lt;/strong&gt;, Schaffernak, I., Vogel, L., Angerer, S., Lermer, E., &amp;amp; Gaube, S. (2026). The effect of AI-enabled virtual patient simulation on training outcomes and insecurities in psychotherapy education. &lt;em&gt;BMC Medical Education, 26&lt;/em&gt;, 1156. 
&lt;a href=&#34;https://doi.org/10.1186/s12909-026-09917-x&#34; target=&#34;_blank&#34; rel=&#34;noopener&#34;&gt;https://doi.org/10.1186/s12909-026-09917-x&lt;/a&gt;&lt;/p&gt;
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