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: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
arXiv:2606. 30887v1 Announce Type: cross Abstract: Large language models show promise for mental health support, yet therapeutic quality improves only when evaluation functions as an actionable control signal rather than a passive metric.
By Mizanur Rahman, Abeer Badawi, Elahe Rahimi, Laleh Seyyed-Kalantari, Frank Rudzicz, Enamul Hoque, Elham Dolatabadi
arXiv:2608.30719v1 Announce Type: new
Abstract: Productive dialogue alignment requires distinguishing \emph{surface coordination} (acknowledgments and smooth task progression) from \emph{epistemic al...
By Yifan Zhu, Kyeongmin Rim, James Pustejovsky
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:2608.29326v1 Announce Type: cross
Abstract: Positive psychology dialogue aims to support emotional distress and positive resource building, requiring models to produce not only empathetic repli...
By Yuxiong Wang, Ziwei Lin, Bo Wang, Yu Zhang, Shiguang Ni
arXiv:2608. 13482v1 Announce Type: cross Abstract: As language-model-based AI is increasingly deployed in autonomous settings, aligning its goals and values with those of humans becomes critical.
By Julian Minder, Viktor Moskvoretskii, Raghav Singhal, Difan Jiao, Andy Arditi, Shaobo Cui, Yiderigun Borjigin, Kartik Bali, Stefan Krsteski, Harsh Raj, Huu Nguyen, Jannik Brinkmann, Ashton Anderson, Roland Aydin, Robert West
Neurosymbolic Alignment couples a 7B clinical language model with a graph‑based physiological world model to score candidate responses using homeostatic constraints, multi‑hop plausibility, and drug‑interaction penalties. This training‑time framework drives iterative on‑policy updates and achieves a 90.8% Clinical Safety Score on the CSB benchmark, outperforming ORPO, GPT‑4 (5‑shot), and a self‑correction pipeline. Ablation studies show that the HGNN scoring and iterative training are the key contributors to the safety gains.
By Abdulhady Abas Abdullah, Erik Cambria, Milena Zivkovic
arXiv:2601. 16529v4 Announce Type: replace Abstract: Large language models (LLMs) deployed in clinical decision support may acquiesce to patient requests for care that conflicts with evidence-based guidelines.
By Dongshen Peng, Yi Wang, Austin Schoeffler, Sun-ha Hong, Brian Suffoletto, David Kim, Carl Preiksaitis, Christian Rose
arXiv:2510.15144v4 Announce Type: replace
Abstract: Simulating human reasoning in open-ended tasks has long been a central aspiration in AI and cognitive science. While large language models now appr...
By Chance Jiajie Li, Zhenze Mo, Yuhan Tang, Ao Qu, Jiayi Wu, Kaiya Ivy Zhao, Yulu Gan, Jie Fan, Jiangbo Yu, Hang Jiang, Paul Pu Liang, Jinhua Zhao, Luis Alberto Alonso Pastor, Kent Larson
arXiv:2608.29995v1 Announce Type: cross
Abstract: Large language models can generate fluent clinical case vignettes, but fluency alone does not ensure fidelity to a specifiable clinical structure. We...
By Amit Oren, Nimrod Hertz-Palmor, Dean Ariel, Guy Laban
Large language models (LLMs) have become significant providers of mental health support, yet they remain products of an attention economy whose operational and commercial targets favour sustained engagement over the friction that effective psychological support often requires. Developers' safety responses have been largely reactive, addressing the most visible and acute harms while subtler, longer-term patterns of risk (e.