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:2608.15382v2 Announce Type: replace
Abstract: Large language models (LLMs) are increasingly proposed for healthcare decision support, but their evaluations still reward single-answer accuracy r...
By Ummara Mumtaz, Aimen Noor, Awais Ahmed
arXiv:2608. 12750v1 Announce Type: cross Abstract: LLM-based simulated clients are increasingly used to train novice counselors, evaluate LLM therapists, and generate synthetic data.
By Sahand Sabour, TszYam NG, Yaqian Chen, Guanqun Bi, Jialu Zhao, Minlie Huang
arXiv:2608. 15382v1 Announce Type: new Abstract: Large language models (LLMs) are increasingly proposed for healthcare decision support, but their evaluations still reward single-answer accuracy rather than reasoning about interventions, mechanisms, harms, evidence, and uncertainty.
By Ummara Mumtaz, Aimen Noor, Awais Ahmed
arXiv:2607. 25681v1 Announce Type: new Abstract: Cognitive distortion amplifies negative emotions and contributes to mental health disorders.
By Qi Chen, Siria Xiyueyao Luo, Jian Wang, Yuan Shi, Haocong Rao, Xuejiao Zhao
arXiv:2604. 17359v2 Announce Type: replace-cross Abstract: Language models asked to simulate psychiatric patients produce cases that survive inspection one at a time and populations that match no real one.
By Patrick Keough
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:2607. 02175v1 Announce Type: new Abstract: Multiple-choice medical benchmarks are increasingly saturated, and recent rubric-based evaluations such as HealthBench have shown that open-ended clinical performance is far from solved - its "Hard" subset top score remains 32%.
By Samiha A. Ismail, Fan X. Chen, Ali Merali
arXiv:2606. 18129v1 Announce Type: cross Abstract: Recent incidents involving LLMs used for mental-health support reveal a critical evaluation gap: surface-level safety scores do not capture how models behave across realistic, emotionally sensitive interactions over time.
By Abeer Badawi, Moyosoreoluwa Olatosi, Negin Baghbanzadeh, Laleh Seyyed-Kalantari, Frank Rudzicz, R. Shayna Rosenbaum, Sara Pishdadian, Elham Dolatabadi
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.
By Yuming Yang, Xiao Sun, Yuanwei Zou, Zhengxiao Wu, Yun Chen, Jiang Zhong, Haoyang Zeng, Jingwang Huang, Kaiwen Wei
arXiv:2503. 10647v2 Announce Type: replace-cross Abstract: This study evaluated the diagnostic reliability of two Large Language Models (LLMs), Google Gemini 2.
By Krishna Subedi
arXiv:2604. 06684v2 Announce Type: replace Abstract: Clinical reasoning over electronic health records (EHRs) is a fundamental yet challenging task in modern healthcare.
By Yue Fang, Weibin Liao, Yuxin Guo, Jiaran Gao, Hongxin Ding, Jinyang Zhang, Xinke Jiang, Zhibang Yang, Junfeng Zhao, Yasha Wang, Liantao Ma