arXiv Computation and Language

Steering the Compass: Aligning Dynamic Psychological Counseling Conversations with Cognitive Behavioral Therapy Strategies

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.

arXiv Computation and Language
Sep 1

Graph2Counsel: Clinically Grounded Synthetic Counseling Dialogue Generation from Client Psychological Graphs

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 Machine Learning
Aug 6

ODRA: Synthesizing Cognitive Behavioral Therapy Sessions with Structured Chain-Of-Thought and Dynamic Patient Resistance

arXiv:2608. 04524v1 Announce Type: cross Abstract: Synthetic generation of Cognitive Behavioral Therapy (CBT) sessions is challenged by two competing demands: adhering to strict therapeutic structure while modeling the resistant, unpredictable behavior of real patients.

By Javier Rodriguez-Juan, Hiba Arnaout, Jose Garcia-Rodriguez, David Tom\'as, Iryna Gurevych
Hugging Face Trending Papers
Jun 3

When Clients Stop Following: A Cognitive Conceptualization Diagram-driven Framework for Strategic Counseling

Large Language Models (LLMs) show promise in psychological counseling, yet existing benchmarks rely heavily on highly cooperative simulated clients. We observe a critical counselor-following phenomenon: these clients often rapidly shift from resistance to compliance after only a few turns, creating an illusion of therapeutic progress and inflating scores under current evaluation protocols through superficial empathy.

arXiv AI
Jul 7

Where do LLMs Fall Short in CBT-Guided Affective Reasoning?

arXiv:2607. 02885v1 Announce Type: cross Abstract: Cognitive Behavioral Therapy (CBT) provides a structured framework for understanding a user's mental state by examining the interaction between cognitive and behavioral factors.

By Vaishnavi Sinha, Pooja Guttal, Pranay Deep Reddy Katike, Vishal Sinha, Gerald Ndawula, Lira Yoon, Andrea Kleinsmith, Manas Gaur
arXiv AI
Sep 7

Adapting from Downturns: Prediction of Long-Term Conversational-Skill Development in Mental-Health Crisis Counselors

The paper introduces a method to predict whether volunteer mental‑health crisis counselors will improve their conversational skills early in their careers. It focuses on identifying moments counselors initially struggle with, tracking how they adapt to similar moments in later conversations, and using these early adaptations to forecast long‑term improvement. The approach outperforms baseline models that rely solely on conversation transcripts.

By Vivian Nguyen, Lillian Lee, Elizabeth A. Olson, Cristian Danescu-Niculescu-Mizil
arXiv Computation and Language
Aug 31

Roleplaying with Structure: Synthetic Therapist-Client Conversation Generation from Questionnaires

arXiv:2510.25384v2 Announce Type: replace Abstract: Large Language Models (LLMs) are promising tools for synthetic data generation in mental health. However, privacy policies and restrictions forced...

By Doan Nam Long Vu, Rui Tan, Lena Moench, Svenja Jule Francke, Daniel Woiwod, Florian Thomas-Odenthal, Sanna Stroth, Tilo Kircher, Christiane Hermann, Udo Dannlowski, Hamidreza Jamalabadi, Simone Balloccu, Shaoxiong Ji
arXiv AI
Aug 26

When Less Is More: An Empirical Study of Minimal Responses in Counseling Dialogues and the Behavior of LLMs

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