The paper introduces CounselReflect, a tool that converts counseling quality metrics into a framework for users to reflect on their mental‑health AI conversations. Through interviews with 21 users, the study finds that while most participants rarely reflect on their interactions, they identify specific questions they would like such a tool to address. The findings also reveal that users tend to confirm existing beliefs and focus on familiar dimensions, highlighting the need for reflection tools to expose blind spots and encourage a more comprehensive examination of AI interactions, especially when revisiting emotionally charged exchanges.
By Yahan Li, Chaohao Du, Christopher Chun Kuizon, Zeyang Li, Nimra Ishfaq, Shupeng Cheng, Angelica Yinling Sun, Adam C. Frank, Angel Hsing-Chi Hwang, Ruishan Liu
arXiv:2509.04183v3 Announce Type: replace-cross
Abstract: The growing demand for scalable psychological counseling highlights the need for high-quality, privacy-compliant data, yet such data remains...
By Aishik Mandal, Tanmoy Chakraborty, Iryna Gurevych
arXiv:2602. 18443v2 Announce Type: replace-cross Abstract: Psychosocial online counselling frequently encounters generic subject lines that impede efficient case prioritisation.
By Philipp Steigerwald, Jens Albrecht
While AI-assisted text-based counseling is gaining attention, it remains empirically unclear which counselor behaviors are associated with higher dialogue quality. Existing research often focuses heav...
arXiv:2511.11689v4 Announce Type: replace-cross
Abstract: Generative AI chatbots built for mental health could extend access to care, but evidence from real-world use is limited. We report a single-a...
By Thomas D. Hull, Lizhe Zhang, Caitlin A. Stamatis, Patricia A. Arean, Matteo Malgaroli
The paper investigates which counselor behaviors correlate with higher dialogue quality in AI-assisted text-based counseling. Using the KokoroChat dataset, the authors find that the strategy of affirmation consistently associates with better session quality, more so than reflection. Cross-dataset experiments suggest this signal also appears, to some extent, in an English dataset of non-expert supporters.
By Michimasa Inaba
The paper introduces StratCBT, a new dataset of 9,688 psychological counseling sessions with 256K utterances, each counselor response aligned to one of eight Cognitive Behavioral Therapy (CBT) strategies. It was created by modeling clients’ negative thoughts and generating high‑quality conversations through self‑chat, using realistic sessions for guidance. Experiments show that strategy‑aligned generation improves professional and effective counseling when evaluated with large language model‑simulated clients.
By Zimu Wang, Yiwen Jiang, Xiangyu Zhao, Yaling Shen, Jiahe Liu, Stephanie Fong, Maxmartwell H Cheng, Guilherme C Oliveira, Anh Nguyen, Robert Desimone, Barnaby Nelson, Dominic Dwyer, Zongyuan Ge
arXiv:2610.08250v1 Announce Type: new
Abstract: Large language models are increasingly used to simulate clients for counselor training and psychological counseling research, but reliable simulation r...
By Shixin Peng, Kun Jiang, Jiaxing Zheng, Qihao Yang, Jingying Chen
Graph2Counsel is a framework that generates synthetic counseling dialogues by leveraging Client Psychological Graphs (CPGs) to encode the relationships among a client’s thoughts, emotions, and behaviors. The system uses a structured prompting pipeline guided by counselor strategies and explores techniques such as Chain‑of‑Thought and Multi‑Agent Feedback to produce 760 realistic sessions from 76 CPGs. Expert evaluation shows the dataset surpasses previous ones in specificity, counselor competence, authenticity, conversational flow, and safety, and fine‑tuning an open‑source model on it improves performance on several counseling benchmarks.
By Aishik Mandal, Hiba Arnaout, Clarissa W. Ong, Juliet Bockhorst, Kate Sheehan, Rachael Moldow, Tanmoy Chakraborty, Iryna Gurevych
arXiv:2608.22615v1 Announce Type: new
Abstract: Large Language Model (LLM)-based counseling agents can generate fluent and supportive responses, but they often lack the structured, goal-directed prog...
By Qi Zhang, Heajun An, Prakriti Dumaru, Sang Won Lee, Lifu Huang, Pamela J. Wisniewski, Jin-Hee Cho
This scoping review examined 48 studies on generative AI chatbots designed to deliver motivational interviewing (MI). It found that most systems were text‑based and disembodied, with about half incorporating dynamic adaptation, and that safety reporting was inconsistent. While user perceptions were generally positive and many studies reported MI‑consistent interactions, evidence for sustained behavioral or functional change remains limited.
By Runze Hu, Jingqi Kong, Yang Yang, Yihang Yang, Jingyao Liu, Haizhou Tang, Shanghang Zhang, Zheng Liu
Researching the path to AI-augmented care and development of an AI co-clinician.