The paper introduces a system that uses large language models to automate the assessment of psychotherapy fidelity, generating actionable supervisory feedback from long‑form clinical transcripts. It evaluates three open‑weight models, showing that evidence‑first reasoning improves fidelity estimation, and validates the framework on an independent RCT by distinguishing CBT from non‑CBT sessions. A user study with mental health experts confirms that the generated feedback is actionable, positioning the approach as a scalable solution to address gaps in community mental health supervision.
arXiv:2603.18008v2 Announce Type: replace-cross Abstract: Large language models (LLMs) are increasingly used for mental-health support; yet prevailing evaluation methods--fluency metrics, preference...
The study presents a pipeline that uses large language models to automatically generate personalized client networks from therapy session transcripts, aiming to aid case conceptualization and treatment planning. Researchers annotated 8,028 utterances from 77 transcripts, then used binary and multi-label classification to identify clinically relevant processes and dimensions, clustered these processes, and generated connections between clusters. Evaluation showed general support for the model’s utility, though interrater agreement varied, and qualitative analysis indicated the networks were coherent and interpretable, suggesting feasibility while highlighting the need for further research on outcome improvement.
arXiv:2509.04183v3 Announce Type: replace-cross Abstract: The growing demand for scalable psychological counseling highlights the need for high-quality, privacy-compliant data, yet such data remains...
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:2611.05383v1 Announce Type: new Abstract: Cognitive Behavioral Therapy (CBT) demands more than empathic validation, requiring instead a structured formulation of the interplay among situations,...
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.
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.
arXiv:2607. 25667v1 Announce Type: cross Abstract: Psychotherapists need repeated training and supervision by experts; however, scalability is problematic.
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...
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...
arXiv:2607. 08257v1 Announce Type: new Abstract: Large language models (LLMs) have shown strong performance on isolated psychiatric tasks, including dialogue, diagnosis, and treatment planning, yet existing benchmarks rarely simulate complete psychiatric clinical encounters.
arXiv:2608.21325v1 Announce Type: new Abstract: Users increasingly turn to large language models for emotional support, yet little is known about how these models actually conduct a psychotherapy int...