Expert-Level Crisis Detection in Mental Health Conversations
arXiv:2606. 10380v1 Announce Type: cross Abstract: Real-world crisis intervention is inherently conversational, yet existing research largely focuses on static texts.
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.
arXiv:2606. 10380v1 Announce Type: cross Abstract: Real-world crisis intervention is inherently conversational, yet existing research largely focuses on static texts.
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:2609.17180v1 Announce Type: new Abstract: Multimodal counselor response generation (MCRG) aims to generate an appropriate counselor response from multimodal dialogue histories. Progress is limi...
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.
arXiv:2608.21925v1 Announce Type: new Abstract: Emotional Support Conversation (ESC) systems aim to provide holistic support by balancing professional therapeutic competence with natural empathy. How...
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...
The paper introduces the COmmunity-centered Peer Engaged Support (COPES) dataset and a three‑axis evaluation framework to gauge how well Large Language Models (LLMs) align with community perspectives on mental‑health support queries. Experiments show that fine‑tuning LLMs on COPES improves strategy alignment and emotion‑tone alignment by over 50% for general‑purpose models, yet these gains are uneven across subreddits and coping strategies. The study also finds that post‑training shifts the model’s recommendations toward problem‑focused advice while reducing emotion‑focused responses, indicating persistent disparities in performance across different communities and needs.
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...
LongCounsel-8 is a benchmark suite comprising three independently generated datasets with 7,749 five‑session counseling trajectories, designed to evaluate longitudinal depression tracking. The datasets are grounded in real‑world client profiles, depression trajectories, symptom compositions, and counseling patterns, and they address challenges of longitudinal consistency, empirical grounding, and natural expression of controlled depression states. Experiments show that lower single‑session error does not guarantee accurate trend identification, that methods perform worse on worsening trajectories, and that adding more session history can reduce trend prediction accuracy.
LongCounsel-8 is a new benchmark suite comprising three datasets with 7,749 five‑session counseling dialogues, each grounded in real client profiles, depression trajectories, symptom compositions, and counseling patterns. The benchmark addresses challenges of longitudinal consistency, empirical grounding of symptom progression, and natural expression of controlled depression states without exposing labels. Experiments show that lower single‑session error does not ensure accurate trend detection, methods perform worse on worsening trajectories, and adding more session history can reduce trend prediction accuracy.
arXiv:2609.29056v1 Announce Type: cross Abstract: Emotion dynamics are critical for understanding crisis-support conversations, yet most computational work treats emotion as static utterance-level la...
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.