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American Scientific Publishing Group

verified Journal

Fusion: Practice and Applications

ISSN
Online: 2692-4048 Print: 2770-0070
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Continuous publication

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Open access · Articles freely available online · APC applies after acceptance

Fusion: Practice and Applications
Full Length Article

Volume 20Issue 2PP: 53-64 • 2025

Personalized Cognitive Behavioral Therapy for Adults Using Machine Learning: A Multi-Factor, Reinforcement-Based Approach

Mohammed Awad Alasmrai 1* ,
Ramadan Mohamed Ismail 2 ,
Mohammed Hasan Ali Al-Abyadh 3
1Associate Professor in Adult and Continuing Education, University of Tabuk, Saudi Arabia
2Department of Psychology - Faculty of Social Sciences – Imam Mohammad Ibn Saud Islamic University (IMSIU), Saudi Arabia
3College of Education, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia; College of Education, Thamar University, Thamar, Yemen; Al-Mutaqadima Schools Company, Saudi Arabia
* Corresponding Author.
Received: January 26, 2025 Revised: March 27, 2025 Accepted: June 02, 2025

Abstract

This paper presents a novel machine-learning framework designed to personalize Cognitive Behavioral Therapy (CBT) for adult patients by leveraging a multi-dimensional, adaptive approach. The proposed system integrates historical clinical data, real-time behavioral indicators, and contextual factors to generate a comprehensive psychological profile for each adult patient. A reinforcement learning mechanism underpins therapy selection, allowing the model to iteratively refine treatment strategies based on individual responses and therapeutic outcomes. An embedded optimization process enables dynamic adaptation of interventions, improving predictive accuracy and fostering patient-centered care. The framework incorporates a multi-factor assessment model that synthesizes psychological, behavioral, and physiological variables to enhance therapeutic effectiveness, sustainability, and responsiveness to change. Comparative evaluations demonstrate that this approach outperforms traditional CBT planning methods, as well as existing deep learning, hybrid, and reinforcement-based models, in terms of accuracy, interpretability, computational efficiency, and patient outcome optimization for adults. Furthermore, the system emphasizes fairness and equity in treatment personalization, supporting real-time clinical decision-making while minimizing ineffective therapeutic pathways. This research underscores the transformative potential of machine learning in mental health care by enabling scalable, data-driven, and continuously improving interventions tailored to the nuanced needs of adult patients undergoing CBT.

Keywords

Adaptive learning Adult Cognitive behavioral therapy Data-driven therapy Iterative optimization Machine learning Mental healthcare Patient-centered outcomes Personalization Reinforcement learning Therapy recommendation

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Alasmrai, Mohammed Awad, Ismail, Ramadan Mohamed, Al-Abyadh, Mohammed Hasan Ali. "Personalized Cognitive Behavioral Therapy for Adults Using Machine Learning: A Multi-Factor, Reinforcement-Based Approach." Fusion: Practice and Applications, vol. Volume 20, no. Issue 2, 2025, pp. 53-64. DOI: https://doi.org/10.54216/FPA.200205
Alasmrai, M., Ismail, R., Al-Abyadh, M. (2025). Personalized Cognitive Behavioral Therapy for Adults Using Machine Learning: A Multi-Factor, Reinforcement-Based Approach. Fusion: Practice and Applications, Volume 20(Issue 2), 53-64. DOI: https://doi.org/10.54216/FPA.200205
Alasmrai, Mohammed Awad, Ismail, Ramadan Mohamed, Al-Abyadh, Mohammed Hasan Ali. "Personalized Cognitive Behavioral Therapy for Adults Using Machine Learning: A Multi-Factor, Reinforcement-Based Approach." Fusion: Practice and Applications Volume 20, no. Issue 2 (2025): 53-64. DOI: https://doi.org/10.54216/FPA.200205
Alasmrai, M., Ismail, R., Al-Abyadh, M. (2025) 'Personalized Cognitive Behavioral Therapy for Adults Using Machine Learning: A Multi-Factor, Reinforcement-Based Approach', Fusion: Practice and Applications, Volume 20(Issue 2), pp. 53-64. DOI: https://doi.org/10.54216/FPA.200205
Alasmrai M, Ismail R, Al-Abyadh M. Personalized Cognitive Behavioral Therapy for Adults Using Machine Learning: A Multi-Factor, Reinforcement-Based Approach. Fusion: Practice and Applications. 2025;Volume 20(Issue 2):53-64. DOI: https://doi.org/10.54216/FPA.200205
M. Alasmrai, R. Ismail, M. Al-Abyadh, "Personalized Cognitive Behavioral Therapy for Adults Using Machine Learning: A Multi-Factor, Reinforcement-Based Approach," Fusion: Practice and Applications, vol. Volume 20, no. Issue 2, pp. 53-64, 2025. DOI: https://doi.org/10.54216/FPA.200205
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