arXiv Computation and Language

PsyCLIENT: Client Simulation via Conversational Trajectory Modeling for Trainee Practice and Model Evaluation in Mental Health Counseling

PsyCLIENT is a framework that uses large language models to simulate counseling clients by conditioning responses on client profiles, dialogue histories, and conversational trajectories that specify target behaviors and content constraints. The authors created PsyCLIENT-CP, a dataset of 120 Chinese client profiles covering 60 counseling topics, and evaluated the system with 24 professional counselors, finding higher authenticity and training utility ratings compared to baseline methods. In a source-identification study, PsyCLIENT-generated dialogues were more often mistaken for real human-client interactions than those from other models, indicating the effectiveness of conversational trajectory modeling in producing realistic counseling conversations.

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 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 AI
Oct 31

Comparing Human Role-Players and LLM-Simulated Clients in Online Counselling Training: An Analysis of Counselling Patterns

The paper examines how Large Language Models (LLMs) can act as simulated clients in online counselling training, comparing their performance to human role-players. Researchers recorded sessions where novice counsellors interacted with both human peers and LLM-generated clients (using Mistral’s Mixtral 8x7b with 4‑bit quantization), then analyzed the interactions at the sentence level using a counselling communication pattern system. Results show both similarities and differences in counselling patterns between the two scenarios, suggesting that LLM-based role‑plays can support competency development while also highlighting areas needing improvement in virtual client simulations.

By Eric Rudolph, Philipp Steigerwald, Jens Albrecht
arXiv Computation and Language
1d ago

Beyond Empathy: Integrating Diagnostic and Therapeutic Reasoning with Large Language Models for Mental Health Counseling

The paper introduces PsyLLM, a large language model specifically designed for mental health counseling that integrates diagnostic reasoning and multiple therapeutic frameworks. It employs an automated data synthesis pipeline that transforms Reddit mental‑health posts into multi‑turn counseling dialogues, guided by DSM/ICD standards and therapies such as CBT, ACT, and psychodynamic approaches. A new benchmark and evaluation protocol show that PsyLLM outperforms baseline models, with results validated by professional counseling experts.

By He Hu, Juzheng Si, Qianning Wang, Fei Ma, Fuji Ren, Sicheng Zhao, Yucheng Zhou, Laizhong Cui
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
Hugging Face Trending Papers
Oct 29

Comparing Human Role-Players and LLM-Simulated Clients in Online Counselling Training: An Analysis of Counselling Patterns

The study compares counselling sessions where novice counsellors interact with human role-players versus sessions where the clients are simulated by the Mistral Mixtral 8x7b large language model. Using a sentence‑level counselling communication pattern system, the researchers examined whether LLM‑generated responses replicate authentic conversational dynamics and how counsellors’ communication behaviour changes between the two settings. Results show both similarities and differences in counselling pattern usage, suggesting that LLM‑based role‑plays can enhance counselling training while also highlighting areas needing improvement in virtual client simulations.

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