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Virtual Speech Therapist: A Clinician-in-the-Loop AI Speech Therapy Agent for Personalized and Supervised Therapy

Summary

Virtual Speech Therapist (VST) is an intelligent agent-based platform that streamlines stuttering assessment and delivers customized therapy planning through automated and adaptive AI-driven workflows. It integrates state-of-the-art deep learning-based stuttering classification and multi-agent large language model (LLM) reasoning to support evidence-based clinical decision-making. The system acquires patient speech samples, classifies stuttering types, then initiates an agentic reasoning process where specialized LLM agents autonomously generate, critique, and iteratively refine individualized therapy plans. A dedicated critic agent evaluates all plans for clinical safety, methodological soundness, and alignment with professional guidelines. The output is a comprehensive therapy draft for…

SourcearXiv AIAuthor: Shakeel Sheikh, Patrick Marmaroli, MD Sahidullah, Slim Ouni, Fabrice Hirsch, Goncalo Leal, Bjorn W Schuller
Virtual Speech Therapist: A Clinician-in-the-Loop AI Speech Therapy Agent for Personalized and Supervised Therapy
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[2605.01101] Virtual Speech Therapist: A Clinician-in-the-Loop AI Speech Therapy Agent for Personalized and Supervised Therapy

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arXiv:2605.01101 (cs)

[Submitted on 1 May 2026]

Title:Virtual Speech Therapist: A Clinician-in-the-Loop AI Speech Therapy Agent for Personalized and Supervised Therapy

Authors:Shakeel Sheikh, Patrick Marmaroli, MD Sahidullah, Slim Ouni, Fabrice Hirsch, Goncalo Leal, Bjorn W Schuller

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Abstract:This paper develops Virtual Speech Therapist (VST), an intelligent agent-based platform that streamlines stuttering assessment and delivers customized therapy planning through automated and adaptive AI-driven workflows. VST integrates state-of-the-art deep learning-based stuttering classification, and multi-agent large language model (LLM) reasoning to support evidence-based clinical decision-making. The VST begins with the acquisition and feature extraction of patient speech samples, followed by robust classification of stuttering types. Building on these outputs, VST initiates an agentic reasoning process in which specialized LLM agents autonomously generate, critique, and iteratively refine individualized therapy plans. A dedicated critic agent evaluates all generated therapy plans to ensure clinical safety, methodological soundness, and alignment with peer-reviewed evidence and established professional guidelines. The resulting output is a comprehensive, patient-specific therapy draft intended for clinician review. Incorporating clinician feedback, the system then produces a finalized therapy plan suitable for patient delivery, thereby maintaining a clinician-in-the-loop paradigm. Experimental evaluation by expert speech therapists confirms that VST consistently generates high-quality, evidence-based therapy recommendations. These findings demonstrate the system's potential to augment clinical workflows, reduce clinician burden, and improve therapeutic outcomes for individuals with speech impairments. An interactive user interface for the proposed system is available online at: this https URL , facilitating real-time stuttering assessment and personalized therapy planning.

Comments: Under Review

Subjects:

Artificial Intelligence (cs.AI); Computation and Language (cs.CL); Sound (cs.SD); Audio and Speech Processing (eess.AS)

Cite as: arXiv:2605.01101 [cs.AI]

(or arXiv:2605.01101v1 [cs.AI] for this version)

https://doi.org/10.48550/arXiv.2605.01101

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arXiv-issued DOI via DataCite (pending registration)

Submission history

From: Shakeel Ahmad Sheikh Dr [view email] [v1] Fri, 1 May 2026 21:14:45 UTC (120 KB)

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Key points

  • VST integrates deep learning stuttering classification with multi-agent LLM reasoning for automated assessment and personalized therapy planning.
  • The system maintains a clinician-in-the-loop paradigm, with a critic agent ensuring safety and evidence-based adherence.
  • Expert speech therapists validated that VST produces high-quality, evidence-based therapy recommendations.
  • An online interface is available for real-time stuttering assessment and personalized therapy planning.

Highlights and analysis are generated automatically and may contain errors. Check the original source.