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Large language models (LLMs) like GPT-4 show potential for scaling motivational interviewing (MI) in addiction care, but require systematic evaluation of therapeutic capabilities. We present a computational framework assessing…

Computation and Language · Computer Science 2025-05-26 Yinghui Huang , Yuxuan Jiang , Hui Liu , Yixin Cai , Weiqing Li , Xiangen Hu

Motivational interviewing (MI) promotes behavioural change in substance use disorders. Its fidelity is measured using the Motivational Interviewing Treatment Integrity (MITI) framework. While large language models (LLMs) can potentially…

Computation and Language · Computer Science 2026-03-05 Aishwariya Jha , Prakrithi Shivaprakash , Lekhansh Shukla , Animesh Mukherjee , Prabhat Chand , Pratima Murthy

The conversational capabilities of Large Language Models (LLMs) suggest that they may be able to perform as automated talk therapists. It is crucial to know if these systems would be effective and adhere to known standards. We present a…

Millions of people participate in online peer-to-peer support sessions, yet there has been little prior research on systematic psychology-based evaluations of fine-grained peer-counselor behavior in relation to client satisfaction. This…

Human-Computer Interaction · Computer Science 2022-11-11 Raj Sanjay Shah , Faye Holt , Shirley Anugrah Hayati , Aastha Agarwal , Yi-Chia Wang , Robert E. Kraut , Diyi Yang

Recent advancements in large language models (LLMs) have shown promise in generating psychotherapeutic dialogues, particularly in the context of motivational interviewing (MI). However, the inherent lack of transparency in LLM outputs…

Computation and Language · Computer Science 2024-12-18 Xin Sun , Xiao Tang , Abdallah El Ali , Zhuying Li , Pengjie Ren , Jan de Wit , Jiahuan Pei , Jos A. Bosch

Psychological consultation is essential for improving mental health and well-being, yet challenges such as the shortage of qualified professionals and scalability issues limit its accessibility. To address these challenges, we explore the…

Computation and Language · Computer Science 2024-08-30 Rafael Souza , Jia-Hao Lim , Alexander Davis

BACKGROUND: Coding Motivational Interviewing (MI) sessions is essential for understanding client behaviors and predicting outcomes, but it requires substantial time and labor from trained MI professionals. Recent advances in audio-language…

Computation and Language · Computer Science 2026-05-19 Guangzeng Han , James G. Murphy , Benjamin O. Ladd , Xiaolei Huang , Brian Borsari

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

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

The increasing demand for mental health services has led to the rise of AI-driven mental health chatbots, though challenges related to privacy, data collection, and expertise persist. Motivational Interviewing (MI) is gaining attention as a…

Computation and Language · Computer Science 2025-07-01 Hyunjong Kim , Suyeon Lee , Yeongjae Cho , Eunseo Ryu , Yohan Jo , Suran Seong , Sungzoon Cho

Traditional methods for eliciting people's opinions face a trade-off between depth and scale: structured surveys enable large-scale data collection but limit respondents' ability to voice their opinions in their own words, while…

Human-Computer Interaction · Computer Science 2025-03-13 Alexander Wuttke , Matthias Aßenmacher , Christopher Klamm , Max M. Lang , Quirin Würschinger , Frauke Kreuter

Large language models (LLMs) have shown promising capabilities in healthcare analysis but face several challenges like hallucinations, parroting, and bias manifestation. These challenges are exacerbated in complex, sensitive, and…

Computation and Language · Computer Science 2024-12-18 Vivek Kumar , Eirini Ntoutsi , Pushpraj Singh Rajawat , Giacomo Medda , Diego Reforgiato Recupero

The demand for psychological counselling has grown significantly in recent years, particularly with the global outbreak of COVID-19, which has heightened the need for timely and professional mental health support. Online psychological…

Computation and Language · Computer Science 2023-09-04 Tin Lai , Yukun Shi , Zicong Du , Jiajie Wu , Ken Fu , Yichao Dou , Ziqi Wang

Recent advancements in large language models (LLMs) promise to expand mental health interventions by emulating therapeutic techniques, potentially easing barriers to care. Yet there is a lack of real-world empirical evidence evaluating the…

Human-Computer Interaction · Computer Science 2025-01-28 Yinzhou Wang , Yimeng Wang , Ye Xiao , Liabette Escamilla , Bianca Augustine , Kelly Crace , Gang Zhou , Yixuan Zhang

Mental health has attracted substantial attention in recent years and LLM can be an effective technology for alleviating this problem owing to its capability in text understanding and dialogue. However, existing research in this domain…

Computation and Language · Computer Science 2024-12-09 Jinpeng Hu , Tengteng Dong , Luo Gang , Hui Ma , Peng Zou , Xiao Sun , Dan Guo , Xun Yang , Meng Wang

The latest large language models (LLMs) such as ChatGPT, exhibit strong capabilities in automated mental health analysis. However, existing relevant studies bear several limitations, including inadequate evaluations, lack of prompting…

Computation and Language · Computer Science 2024-10-03 Kailai Yang , Shaoxiong Ji , Tianlin Zhang , Qianqian Xie , Ziyan Kuang , Sophia Ananiadou

The recent advancements in artificial intelligence highlight the potential of language models in psychological health support. While models trained on data from mental health service platform have achieved preliminary success, challenges…

Computation and Language · Computer Science 2024-03-26 Hongbin Na

Recent advancements in large language models (LLMs) have shown their potential across both general and domain-specific tasks. However, there is a growing concern regarding their lack of sensitivity, factual incorrectness in responses,…

Computation and Language · Computer Science 2025-12-01 Vivek Kumar , Pushpraj Singh Rajawat , Eirini Ntoutsi

The escalating global mental health crisis, marked by persistent treatment gaps, availability, and a shortage of qualified therapists, positions Large Language Models (LLMs) as a promising avenue for scalable support. While LLMs offer…

The success of ChatGPT validates the potential of large language models (LLMs) in artificial general intelligence (AGI). Subsequently, the release of LLMs has sparked the open-source community's interest in instruction-tuning, which is…

Computation and Language · Computer Science 2023-10-23 Qingyi Si , Tong Wang , Zheng Lin , Xu Zhang , Yanan Cao , Weiping Wang
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