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In mental health counseling, a variety of earlier studies have focused on dialogue modeling. However, most of these studies give limited to no emphasis on the quality of interaction between a patient and a therapist. The therapeutic bond…

Computation and Language · Computer Science 2025-01-07 Aseem Srivastava , Zuhair Hasan Shaik , Tanmoy Chakraborty , Md Shad Akhtar

Mental health counseling is an enterprise with profound societal importance where conversations play a primary role. In order to acquire the conversational skills needed to face a challenging range of situations, mental health counselors…

Computation and Language · Computer Science 2019-06-19 Justine Zhang , Robert Filbin , Christine Morrison , Jaclyn Weiser , Cristian Danescu-Niculescu-Mizil

AI based mental health diagnosis is often judged by benchmark accuracy, yet in practice its value depends on how psychologists respond whether they accept, adjust, or reject AI suggestions. Mental health makes this especially challenging:…

Human-Computer Interaction · Computer Science 2025-12-11 Filippo Cenacchi , Longbing Cao , Deborah Richards

The increasing demand for mental health services has outpaced the availability of real training data to develop clinical professionals, leading to limited support for the diagnosis of depression. This shortage has motivated the development…

Computation and Language · Computer Science 2025-08-07 Xi Wang , Anxo Perez , Javier Parapar , Fabio Crestani

Testing conversational AI systems at scale across diverse domains necessitates realistic and diverse user interactions capturing a wide array of behavioral patterns. We present a novel multi-agent framework for realistic, explainable human…

Human-Computer Interaction · Computer Science 2026-01-23 Hareeshwar Karthikeyan

Research and development on conversational recommender systems (CRSs) critically depends on sound and reliable evaluation methodologies. However, the interactive nature of these systems poses significant challenges for automatic evaluation.…

Information Retrieval · Computer Science 2025-10-08 Nolwenn Bernard , Krisztian Balog

Large language models (LLMs) offer emerging opportunities for psychological and behavioral research, but methodological guidance is lacking. This article provides a framework for using LLMs as psychological simulators across two primary…

Computers and Society · Computer Science 2026-04-07 Zhicheng Lin

Systems that collect data on sleep, mood, and activities can provide valuable lifestyle counselling to populations affected by chronic disease and its consequences. Such systems are, however, challenging to develop; besides reliably…

Computation and Language · Computer Science 2026-03-10 Yee Man Ng , Bram van Dijk , Pieter Beynen , Otto Boekesteijn , Joris Jansen , Gerard van Oortmerssen , Max van Duijn , Marco Spruit

Rising demand for mental health support has increased interest in using Large Language Models (LLMs) for counseling. However, adapting LLMs to this high-risk safety-critical domain is hindered by the scarcity of real-world counseling data…

Computation and Language · Computer Science 2026-04-23 Aishik Mandal , Hiba Arnaout , Clarissa W. Ong , Juliet Bockhorst , Kate Sheehan , Rachael Moldow , Tanmoy Chakraborty , Iryna Gurevych

Current AI counseling systems struggle with maintaining effective long-term client engagement. Through formative research with counselors and a systematic literature review, we identified five key design considerations for AI counseling…

Human-Computer Interaction · Computer Science 2025-03-28 Yuanrong Tang , Yu Kang , Yifan Wang , Tianhong Wang , Chen Zhong , Jiangtao Gong

The development of AI for mental health is hindered by a lack of authentic therapy dialogues, due to strict privacy regulations and the fact that clinical sessions were historically rarely recorded. We present an LLM-driven pipeline that…

Traditional in-person psychological counseling remains primarily niche, often chosen by individuals with psychological issues, while online automated counseling offers a potential solution for those hesitant to seek help due to feelings of…

Couples therapy requires managing complex, evolving emotional dynamics between partners, but traditional training methods for therapists, like role-play, lack realism, consistency, and control. We present a multi-modal simulation that…

Computers and Society · Computer Science 2026-04-06 Canwen Wang , Angela Chen , Catherine Bao , Siwei Jin , Holly Swartz , Tongshuang Wu , Robert E Kraut , Haiyi Zhu

Large language models (LLMs) have demonstrated notable advancements in psychological counseling. However, existing models generally do not explicitly model seekers' emotion shifts across counseling sessions, a core focus in classical…

Artificial Intelligence · Computer Science 2026-01-21 Zhentao Xia , Yongqi Fan , Yuxiang Chu , Yichao Yin , Liangliang Chen , Tong Ruan , Weiyan Zhang

Mental illness is one of the most pressing public health issues of our time. While counseling and psychotherapy can be effective treatments, our knowledge about how to conduct successful counseling conversations has been limited due to lack…

Computation and Language · Computer Science 2016-08-16 Tim Althoff , Kevin Clark , Jure Leskovec

This study explores ChatGPT's capabilities, stability, and risks in simulating psychological counseling sessions in a school counseling context. Using scripted role-plays between a human counselor and an AI client, we examine how a large…

Human-Computer Interaction · Computer Science 2025-12-08 Yang Ni , Yanzhuo Cao

Psychotherapy or counseling is typically conducted through spoken conversation between a therapist and a client. Analyzing the speech characteristics of psychotherapeutic interactions can help understand the factors associated with…

Audio and Speech Processing · Electrical Eng. & Systems 2024-09-05 Dehua Tao , Harold Chui , Sarah Luk , Tan Lee

The advent of large language models (LLMs) has significantly advanced various fields, including natural language processing and automated dialogue systems. This paper explores the application of LLMs in psychological counseling, addressing…

Computation and Language · Computer Science 2024-06-21 Wenjie Li , Tianyu Sun , Kun Qian , Wenhong Wang

The primary goal of Motivational Interviewing (MI) is to help clients build their own motivation for behavioral change. To support this in dialogue systems, it is essential to guide large language models (LLMs) to generate counselor…

Human-Computer Interaction · Computer Science 2025-08-29 Jie Zeng , Yukiko I. Nakano

The increasing use of large language models (LLMs) in mental healthcare raises safety concerns in high-stakes therapeutic interactions. A key challenge is distinguishing therapeutic empathy from maladaptive validation, where supportive…

Computation and Language · Computer Science 2026-04-07 Qingyang Xu , Yaling Shen , Stephanie Fong , Zimu Wang , Yiwen Jiang , Xiangyu Zhao , Jiahe Liu , Zhongxing Xu , Vincent Lee , Zongyuan Ge