arXiv:2409.02244v3 Announce Type: replace-cross
Abstract: Large language models (LLMs) are increasingly being used as ad hoc therapists. While prior research has found that LLMs outperform human coun...
By Zainab Iftikhar, Sean Ransom, Amy Xiao, Nicole Nugent, Jeff Huang
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: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: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: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
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: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.
By Mizanur Rahman, Abeer Badawi, Elahe Rahimi, Laleh Seyyed-Kalantari, Frank Rudzicz, Enamul Hoque, Elham Dolatabadi
HealthBench-Psych is a mental‑health subset of the OpenAI HealthBench benchmark, created by filtering 5,000 physician‑rubric conversations for mental‑health relevance using an LLM‑applied rubric and validating the selection through two rounds of blinded clinician review. The resulting 610 conversations (12.2 % of the corpus) are released along with a pipeline, model responses, grades, and analysis code. Evaluation of 20 frontier and open models by a cross‑vendor panel of three LLM judges shows a statistically tied frontier cluster, measurable refusal behavior in two models, and near‑identical rankings across judges (τ ≥ 0.92).
By Matthew Flathers, Phuong Anh Nguyen, Jill Noorily, Julian Herpertz, Meiting Chen, Jasreen Multani, Samuel Powell, Mason Granof, Mark Kalinch, John Torous
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...
By Aishik Mandal, Tanmoy Chakraborty, Iryna Gurevych
arXiv:2607. 25667v1 Announce Type: cross Abstract: Psychotherapists need repeated training and supervision by experts; however, scalability is problematic.
By Rodolfo Rizzi, Alessandro Grecucci, Massimo Stella
arXiv:2607. 13036v1 Announce Type: cross Abstract: Large language models (LLMs) are increasingly used for decision support in healthcare, but clinical evidence is often incomplete or evolving.
By Oriana Presacan, Andreea Grama, Larisa Irimin\u{a}, Alireza Nik, Jaya Ojha, Vajira Thambawita, Ciprian I. B\u{a}cil\u{a}, Bogdan Ionescu, Michael A. Riegler
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