arXiv AI By Sahand Sabour, TszYam NG, Yaqian Chen, Guanqun Bi, Jialu Zhao, Minlie Huang

PatientAct: Theory-Grounded Mental Health Client Simulation

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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.

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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.

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