arXiv Computation and Language

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.

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 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
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 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 25

BiGraph-Diffuse: A Bidirectional Diffusion Language Model with Graph-Structured Retrieval For Mental Health Counseling

BiGraph-Diffuse is a large‑scale diffusion language model designed for mental health counseling, addressing two key limitations of existing AI dialogue systems: the lack of bidirectional understanding for progressive disclosure and the inadequate use of relational clinical knowledge. It pairs this diffusion model with BiGraph‑RAG, a graph‑structured retrieval approach that uses lightweight entity extraction and semantic linking to preserve inferential pathways from symptoms to underlying causes without incurring LLM token costs during indexing. Experiments and theoretical analysis demonstrate the effectiveness of this mutually reinforcing architecture.

By Yuxiang Cheng, Quanwei Tang, Lvhui Lu, Dong Zhang, Shoushan Li, Erik Cambria
arXiv AI
Sep 28

Testing the Utility of Using Large Language Models to Create Personalized Networks From Therapy Session Transcripts: A Proof of Concept Study

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.

By Clarissa W. Ong, Hiba Arnaout, Kate Sheehan, Estella Fox, Eugen Owtscharow, Iryna Gurevych
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