arXiv Computation and Language
Oct 23

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.

By Huachuan Qiu, Zhaoming Chen, Yuqian Chen, Yuan Xie, Yu Lu, Zhenzhong Lan
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 AI
Sep 18

CliniCIRCA: A Modular LLM Framework for Constructing Longitudinal Mental Health Patient Journeys from Raw EHR Narratives

CliniCIRCA is a modular large‑language‑model framework that reconstructs longitudinal mental‑health patient journeys from raw electronic health record narratives. It temporally classifies clinical events in unstructured discharge summaries without explicit timestamps, producing 15,891 tagged events from 52 summaries and correcting 629 errors to create verified gold‑standard timelines. The framework then generates temporally grounded summaries, compressing each source by 1.52×, and scales to produce 1,000 silver‑standard timelines for training, showing that instruction tuning improves event extraction, temporal tagging, and summarization across models.

By Aiwei Ivy Zhang, Nimra Ishfaq, Mohit Chandra, Santiago Alvarez Lesmes, Adam Coscia, Khatiya Chelidze Moon, Xiaohan Ding, Munmun De Choudhury
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 AI
Sep 28

MACBT: A Multi-Agent Cognitive Behavioral Therapy Decision Support System with Longitudinal Memory

MACBT is a clinician‑facing AI decision‑support system that models the five‑stage CBT workflow with five collaborative agents and incorporates a CBT‑specific longitudinal memory module (CD Memory) to track cognitive distortions across sessions. The system generates pre‑session pathology reports and prioritises interventions, and was trained on a Chinese CBT dialogue corpus using a Qwen3‑14B backbone with supervised fine‑tuning and preference optimisation. Evaluation by GPT‑4 judges shows MACBT outperforms several existing chatbots in professionalism and clinical authenticity, and the memory‑augmented version improves session quality by 12.6% and achieves a longitudinal mean of 2.29 on continuity, progression, and personalization.

By De Jiang, Shuo Zhang, Weiwei Liao, Jianying Zhang, Chuanhui Yu, Hongen Liao, Kehong Yuan