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Mental-health support is increasingly mediated by conversational systems (e.g., LLM-based tools), but users often lack structured ways to audit the quality and potential risks of the support they receive. We introduce CounselReflect, an…

Computation and Language · Computer Science 2026-04-01 Yahan Li , Chaohao Du , Zeyang Li , Christopher Chun Kuizon , Shupeng Cheng , Angel Hsing-Chi Hwang , Adam C. Frank , Ruishan Liu

Mental health conversational agents have the potential to deliver valuable therapeutic impact, but low user engagement remains a critical barrier hindering their efficacy. Existing therapeutic approaches have leveraged clients' internal…

Human-Computer Interaction · Computer Science 2025-09-09 Mehrnoosh Sadat Shirvani , Jackie Liu , Thomas Chao , Suky Martinez , Laura Brandt , Ig-Jae Kim , Dongwook Yoon

Despite the growing use of large language models (LLMs) in clinical dialogue systems, existing evaluations focus on task completion or fluency, offering little insight into the behavioral and risk management requirements essential for…

Artificial Intelligence (AI) has revolutionized various fields, including medicine and mental health support. One promising application is ChatGPT, an advanced conversational AI model that uses deep learning techniques to provide human-like…

Neurons and Cognition · Quantitative Biology 2023-11-16 Farzan Vahedifard , Atieh Sadeghniiat Haghighi , Tirth Dave , Mohammad Tolouei , Fateme Hoshyar Zare

Current medical AI systems often fail to replicate real-world clinical reasoning, as they are predominantly trained and evaluated on static text and question-answer tasks. These tuning methods and benchmarks overlook critical aspects like…

Computation and Language · Computer Science 2026-02-24 Zijie Liu , Xinyu Zhao , Jie Peng , Zhuangdi Zhu , Qingyu Chen , Kaidi Xu , Xia Hu , Tianlong Chen

We introduce a novel application of large language models (LLMs) in developing a virtual counselor capable of conducting motivational interviewing (MI) for alcohol use counseling. Access to effective counseling remains limited, particularly…

Human-Computer Interaction · Computer Science 2024-07-12 Ian Steenstra , Farnaz Nouraei , Mehdi Arjmand , Timothy W. Bickmore

As large language models (LLMs) develop anthropomorphic abilities, they are increasingly being deployed as autonomous agents to interact with humans. However, evaluating their performance in realistic and complex social interactions remains…

Computation and Language · Computer Science 2025-10-28 Shuai Huang , Wenxuan Zhao , Jun Gao

Static tools like the Patient Health Questionnaire-9 (PHQ-9) effectively screen depression but lack interactivity and adaptability. We developed HopeBot, a chatbot powered by a large language model (LLM) that administers the PHQ-9 using…

Artificial Intelligence · Computer Science 2026-01-15 Zhijun Guo , Alvina Lai , Julia Ive , Alexandru Petcu , Yutong Wang , Luyuan Qi , Johan H Thygesen , Kezhi Li

Large Language Models (LLMs) are emerging as powerful tools in healthcare, particularly for complex, domain-specific tasks. This study describes the development and evaluation of the PErioperative AI CHatbot (PEACH), a secure LLM-based…

Substance use disorders (SUDs) affect millions of people, and relapses are common, requiring multi-session treatments. Access to care is limited, which contributes to the challenge of recovery support. We present \textbf{ChatThero}, an…

Artificial Intelligence · Computer Science 2025-10-15 Junda Wang , Zonghai Yao , Lingxi Li , Junhui Qian , Zhichao Yang , Hong Yu

As a key form in online social platforms, group chat is a popular space for interest exchange or problem-solving, but its effectiveness is often hindered by inactivity and management challenges. While recent large language models (LLMs)…

Artificial Intelligence · Computer Science 2026-03-06 Zijie Meng , Zheyong Xie , Zheyu Ye , Chonggang Lu , Zuozhu Liu , Zihan Niu , Yao Hu , Shaosheng Cao

With a major focus on its history, difficulties, and promise, this research paper provides a thorough analysis of the chatbot technology environment as it exists today. It provides a very flexible chatbot system that makes use of…

Artificial Intelligence · Computer Science 2023-10-16 Shivom Aggarwal , Shourya Mehra , Pritha Mitra

Large language models (LLMs) have been widely applied in various fields due to their excellent capability for memorizing knowledge and chain of thought (CoT). When these language models are applied in the field of psychological counseling,…

Computation and Language · Computer Science 2023-11-02 Yirong Chen , Xiaofen Xing , Jingkai Lin , Huimin Zheng , Zhenyu Wang , Qi Liu , Xiangmin Xu

AI companions powered by large language models (LLMs) are increasingly integrated into users' daily lives, offering emotional support and companionship. While existing safety systems focus on overt harms, they rarely address early-stage…

Human-Computer Interaction · Computer Science 2025-10-21 Ziv Ben-Zion , Paul Raffelhüschen , Max Zettl , Antonia Lüönd , Achim Burrer , Philipp Homan , Tobias R Spiller

This paper presents Project Riley, a novel multimodal and multi-model conversational AI architecture oriented towards the simulation of reasoning influenced by emotional states. Drawing inspiration from Pixar's Inside Out, the system…

Artificial Intelligence · Computer Science 2025-09-09 Ana Rita Ortigoso , Gabriel Vieira , Daniel Fuentes , Luis Frazão , Nuno Costa , António Pereira

We introduce MentalChat16K, an English benchmark dataset combining a synthetic mental health counseling dataset and a dataset of anonymized transcripts from interventions between Behavioral Health Coaches and Caregivers of patients in…

Machine Learning · Computer Science 2025-06-03 Jia Xu , Tianyi Wei , Bojian Hou , Patryk Orzechowski , Shu Yang , Ruochen Jin , Rachael Paulbeck , Joost Wagenaar , George Demiris , Li Shen

Given the increasing demand for mental health assistance, artificial intelligence (AI), particularly large language models (LLMs), may be valuable for integration into automated clinical support systems. In this work, we leverage a decision…

Computation and Language · Computer Science 2024-05-09 Aylin Gunal , Baihan Lin , Djallel Bouneffouf

Recent research in dialogue systems and corpora has focused on two main categories: task-oriented (TOD) and open-domain (chit-chat) dialogues. TOD systems help users accomplish specific tasks, while open-domain systems aim to create…

Computation and Language · Computer Science 2024-04-30 Wen-Yu Chang , Yun-Nung Chen

Automating structured clinical interviews could revolutionize mental healthcare accessibility, yet existing large language models (LLMs) approaches fail to align with psychiatric diagnostic protocols. We present MAGI, the first framework…

Computation and Language · Computer Science 2025-04-28 Guanqun Bi , Zhuang Chen , Zhoufu Liu , Hongkai Wang , Xiyao Xiao , Yuqiang Xie , Wen Zhang , Yongkang Huang , Yuxuan Chen , Libiao Peng , Yi Feng , Minlie Huang

Large language models (LLMs) are increasingly used for mental health support, yet existing safety evaluations rely primarily on small, simulation-based test sets that have an unknown relationship to the linguistic distribution of real…

Computers and Society · Computer Science 2026-01-27 Caitlin A. Stamatis , Jonah Meyerhoff , Richard Zhang , Olivier Tieleman , Matteo Malgaroli , Thomas D. Hull
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