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
arXiv:2507. 02950v3 Announce Type: replace-cross Abstract: Large language models (LLMs) may support counseling training, yet evidence from Japanese-language interactions and automated quality ratings remains limited.
By Keita Kiuchi, Yoshikazu Fujimoto, Hideyuki Goto, Tomonori Hosokawa, Makoto Nishimura, Yosuke Sato, Izumi Sezai, Tomohiro Inoue
The paper investigates the role of minimal responses—short, empathic utterances—in psychological counseling, noting that such brief replies are common in human dialogues but underrepresented in large language model (LLM) outputs. Using a two‑stage filtering approach and contextual verification with an LLM, the authors systematically analyze minimal responses across multiple counseling datasets. They find that while strong commercial LLMs can produce minimal replies when prompted, they often fail to judge when these replies are appropriate, and counseling‑specific models trained on synthetic data tend to generate longer, content‑rich responses instead.
By Zhiyang Qi
arXiv:2608.22251v1 Announce Type: cross
Abstract: Rising global demand for mental health support creates significant service delivery challenges, with asynchronous email counselling serving as a cruc...
By Philipp Steigerwald, Nico Bienlein, Jennifer Burghardt, Mara Stieler, Robert Lehmann, Jens Albrecht
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
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
The study examined how four large language models (GPT‑5.5, Gemini 3.5 Flash, Claude Opus 4.8, and Fable 5) scored 18 simulated Japanese‑language AI‑to‑AI counseling sessions compared to ratings from 15 human counseling experts. Each model evaluated every transcript three times on four motivational‑interviewing‑informed dimensions and overall quality, consistently giving higher scores for softening sustain talk and overall quality than the expert panel, though the magnitude varied by model. Run‑to‑run reliability (intraclass correlation coefficients ranging from .33 to .96) did not predict closer alignment with expert judgments, and the models’ ability to discriminate counselor conditions was distinct from both reliability and alignment.
By Keita Kiuchi, Yoshikazu Fujimoto, Hideyuki Got\=o, Tomonori Hosokawa, Makoto Nishimura, Y\=osuke Sat\=o, Izumi Sezai, Tomohiro Inoue
arXiv:2601.10085v3 Announce Type: replace
Abstract: Conversational dynamics describe how rapport, emotion, and goals change over a dialogue. These changes are important in therapeutic conversations,...
By Viet Cuong Nguyen, Nhi Yen Nguyen, Kristin A. Candan, Mary Conlon, Vanessa Rumie, Kristen Risola, Michael L. Birnbaum, Munmun De Choudhury
arXiv:2607.23648v2 Announce Type: replace
Abstract: Using large language models (LLMs) to assist psychological counseling is an important task in the field of natural language processing. The constru...
By Kaitong Weng, Lixin Liu, Zihao Liu, Bo Wang, Shiguang Ni
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:2409.02244v3 Announce Type: replace-cross
Abstract: Large language models (LLMs) are increasingly being used as ad hoc therapists. While prior research has found that LLMs outperform human coun...
By Zainab Iftikhar, Sean Ransom, Amy Xiao, Nicole Nugent, Jeff Huang
arXiv:2608.31007v1 Announce Type: cross
Abstract: Understanding how psychiatric patients subjectively experienced a clinical conversation is important for feedback and alliance-related process monito...
By Aowen Shi, Michal Balazia, Danilo Postin, Ren\'e Hurlemann, Jan Alexandersson, Fran\c{c}ois Br\'emond, Philipp M\"uller