arXiv AI

DeepSAGE: Stage-Aware Reinforcement Learning for Structured CBT Counseling Dialogue

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 Computation and Language
Sep 18

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.

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 Computation and Language
4d ago

CALM-IT: Enhancing Synthetic Motivational Interviewing Dialogue Quality with Conversational Dynamics

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 AI
Sep 28

MACBT: A Multi-Agent Cognitive Behavioral Therapy Decision Support System with Longitudinal Memory

MACBT is a clinician‑facing AI decision‑support system that models the five‑stage CBT workflow with five collaborative agents and incorporates a CBT‑specific longitudinal memory module (CD Memory) to track cognitive distortions across sessions. The system generates pre‑session pathology reports and prioritises interventions, and was trained on a Chinese CBT dialogue corpus using a Qwen3‑14B backbone with supervised fine‑tuning and preference optimisation. Evaluation by GPT‑4 judges shows MACBT outperforms several existing chatbots in professionalism and clinical authenticity, and the memory‑augmented version improves session quality by 12.6% and achieves a longitudinal mean of 2.29 on continuity, progression, and personalization.

By De Jiang, Shuo Zhang, Weiwei Liao, Jianying Zhang, Chuanhui Yu, Hongen Liao, Kehong Yuan
arXiv Computation and Language
3d ago

MindEval2: Clinically Grounded Patients and Rubrics for Evaluating Language Models in Mental Health Support

MindEval2 is a new evaluation framework for AI chatbots in mental health support, comprising Mental Health Quality Rubrics (MHQR) and the MindSim patient simulation harness. MHQR, developed with PhD-level psychologists, provides explicit, actionable criteria for assessing response quality, while MindSim offers realistic, longitudinal patient interactions with a memory component. The study evaluated 18 models, finding that although surface-level quality has improved, guidance calibration remains the main failure across all models.

By John Mendon\c{c}a, Daniel Tschernutter, Jos\'e Pombal, Areti Vassilopoulos, Catarina Botelho, Ignacio Sarasua, Maya D'Eon, Nuno Guerreiro, Ricardo Rei
arXiv AI
Aug 10

ResidencyRL: Reinforcement Learning in Simulated Clinical Environments

arXiv:2608. 07418v1 Announce Type: new Abstract: In medical education, physicians convert academic knowledge into clinical expertise through residency: years of training across thousands of encounters, with diverse sources of feedback and progressively greater autonomy.

By Valentin Li\'{e}vin, Samuel Schmidgall, Tim Strother, Alex Bijamov, Akshay Goel, Anil Palepu, Chunjong Park, Vahid Balazadeh, Min Woo Sun, Marius Guerard, Justin Chen, Dave Steiner, Vikram Dhillon, Ibrahim Azar, Akhil Mehta, Nicholas Spetsieris, Shilpan Shah, Maen Abdelrahim, Amit Dahiya, Yun Liu, Katherine Chou, Yossi Matias, Avinatan Hassidim, Dale R. Webster, Quoc V. Le, Raia Hadsell, Joelle Barral, Carey Radebaugh, Aleksandra Faust, Shekoofeh Azizi, Mike Schaekermann, Po-Hsuan Cameron Chen, Tao Tu, David Racz, Lin Yang
arXiv Computation and Language
Sep 1

SIC-Agents: Benchmarking and Building an Adaptive Simulator for Pediatric Serious Illness Communication Training

The paper introduces SIC-Agents, a self‑improving framework designed to enhance simulation for pediatric serious illness communication (SIC) training. It presents two new benchmark suites—PitfallBench and DialogueBench—that assess simulators at both turn‑level and full‑dialogue levels, specifically addressing the unique challenges of multi‑party interactions and parental distress. Experiments demonstrate that SIC‑Agents surpasses static expert prompting, and the authors release the benchmarks for broader research use.

By Zihan Wang, Anita Marie Slominska, Rennie Bimman, Elizabeth Di Flumeri, Amanda Mayappo-Neeposh, Conall Francoeur, Tamara Ellen Carver, Xiao-Wen Chang, Doina Precup, Esin Darici Haritaoglu, Ismail Haritaoglu, Akshatha Arodi, Naomi Goloff