arXiv Computation and Language

Therapy as an NLP Task: Comparing LLMs and Human Peers Behaviors in CBT Sessions

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
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 AI
Jul 7

Where do LLMs Fall Short in CBT-Guided Affective Reasoning?

arXiv:2607. 02885v1 Announce Type: cross Abstract: Cognitive Behavioral Therapy (CBT) provides a structured framework for understanding a user's mental state by examining the interaction between cognitive and behavioral factors.

By Vaishnavi Sinha, Pooja Guttal, Pranay Deep Reddy Katike, Vishal Sinha, Gerald Ndawula, Lira Yoon, Andrea Kleinsmith, Manas Gaur
arXiv AI
6d ago

Aligning with Lived Experience: Heterogeneous Benefits of Fine Tuning in Mental Health Support Generation

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.

By Mohit Chandra, Nabin Kim, Eli Min, Aamogh Sawant, Tanmay Sutar, Munmun De Choudhury
arXiv Machine Learning
Aug 6

ODRA: Synthesizing Cognitive Behavioral Therapy Sessions with Structured Chain-Of-Thought and Dynamic Patient Resistance

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 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