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:2606. 17441v1 Announce Type: cross Abstract: Simulating realistic patient interactions is a key requirement to testing clinical applications of LLMs at scale without time-consuming and expensive user studies.
By Moritz Schlager, Friederike Jungmann, Samuel Schmidgall, Philipp Raffler, Franziska Hartl, Eva Wende, Paula Ro{\ss}m\"uller, Conrad Ketzer, Avinatan Hassidim, Dale R. Webster, Yossi Matias, Yun Liu, Daniel Rueckert, Mike Schaekermann, Paul Hager
arXiv:2608. 07499v1 Announce Type: cross Abstract: The development and benchmarking of Large Language Model (LLM)-based Motivational Interviewing (MI) counsellors now often rely on LLM-based simulated clients.
By Jiading Zhu, Xinyu Cindy Wang, Thomas Nguyen, Yan Qing Lee, Osnat C. Melamed, Peter Selby, Jonathan Rose
Large Language Models (LLMs) show promise in psychological counseling, yet existing benchmarks rely heavily on highly cooperative simulated clients. We observe a critical counselor-following phenomenon: these clients often rapidly shift from resistance to compliance after only a few turns, creating an illusion of therapeutic progress and inflating scores under current evaluation protocols through superficial empathy.
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
arXiv:2606. 14199v1 Announce Type: cross Abstract: Large language models are increasingly deployed as human simulators for interactive evaluation and social simulation.
By Xuhui Zhou, Weiwei Sun, Weihua Du, Jiarui Liu, Haojia Sun, Qianou Ma, Tongshuang Wu, Yiming Yang, Maarten Sap
arXiv:2608. 13712v1 Announce Type: cross Abstract: Deposition training requires attorneys to manage dynamic witness behavior, yet legal-AI evaluations largely focus on factual accuracy, reasoning, or response-level plausibility.
By Divya Vetticaden, Arya Gupta, Julian Nyarko, Megan Ma
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: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
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:2606. 30491v1 Announce Type: cross Abstract: Background.
By Zhuhan Bao, Rui Yang, Bohao Yang, Zhiyi Liu, Sicheng Shu, Ruio Heerschap, Le Li, Doris Yang, Elisabeth Bond, Haoyuan Wang, Nicoleta Economou-Zavlanos, Joshua M. Biro, Matthew McDermott, Nan Liu, Anand Chowdhury, Kai Sun, Kathryn Pollak, Ed Hammond, Chuan Hong
arXiv:2606. 16014v1 Announce Type: cross Abstract: Many games rely on storytelling combined with systems that track levelling, NPC behaviour, and consequence simulation; bridging tightly-authored narrative with deeply-simulated worlds -- most acute in sandbox and open-world settings -- has been prohibitively expensive.
By Yuhang Huang, Chenmiao Li, Chaowei Fang