The mismatch between the growing demand for psychological counseling and the limited availability of services has motivated research into the application of Large Language Models (LLMs) in this domain. Consequently, there is a need for a robust and unified benchmark to assess the counseling competence of various LLMs. Existing works, however, are limited by unprofessional client simulation, static question-and-answer evaluation formats, and unidimensional metrics. These limitations hinder their effectiveness in assessing a model's comprehensive ability to handle diverse and complex clients. To address this gap, we introduce \textbf{CARE-Bench}, a dynamic and interactive automated benchmark. It is built upon diverse client profiles derived from real-world counseling cases and simulated according to expert guidelines. CARE-Bench provides a multidimensional performance evaluation grounded in established psychological scales. Using CARE-Bench, we evaluate several general-purpose LLMs and specialized counseling models, revealing their current limitations. In collaboration with psychologists, we conduct a detailed analysis of the reasons for LLMs' failures when interacting with clients of different types, which provides directions for developing more comprehensive, universal, and effective counseling models.

In recent years, Large Language Models (LLMs) have made significant progress in automated psychological counseling. However, current research focuses on single-session counseling, which doesn't represent real-world scenarios. In practice, psychological counseling is a process, not a one-time event, requiring sustained, multi-session engagement to progressively address clients' issues. To overcome this limitation, we introduce a dataset for Multi-Session Psychological Counseling Conversation Dataset (MusPsy-Dataset). Our MusPsy-Dataset is constructed using real client profiles from publicly available psychological case reports. It captures the dynamic arc of counseling, encompassing multiple progressive counseling conversations from the same client across different sessions. Leveraging our dataset, we also developed our MusPsy-Model, which aims to track client progress and adapt its counseling direction over time. Experiments show that our model performs better than baseline models across multiple sessions.

Large language models (LLMs) have shown promise in providing scalable mental health support, while evaluating their counseling capability remains crucial to ensure both efficacy and safety. Existing evaluations are limited by the static assessment that focuses on knowledge tests, the single perspective that centers on user experience, and the open-loop framework that lacks actionable feedback. To address these issues, we propose Ψ-Arena, an interactive framework for comprehensive assessment and optimization of LLM-based counselors, featuring three key characteristics: (1) Realistic arena interactions that simulate real-world counseling through multi-stage dialogues with psychologically profiled NPC clients, (2) Tripartite evaluation that integrates assessments from the client, counselor, and supervisor perspectives, and (3) Closed-loop optimization that iteratively improves LLM counselors using diagnostic feedback. Experiments across eight state-of-the-art LLMs show significant performance variations in different real-world scenarios and evaluation perspectives. Moreover, reflection-based optimization results in up to a 141% improvement in counseling performance. We hope PsychoArena provides a foundational resource for advancing reliable and human-aligned LLM applications in mental healthcare.

Simulating human clients in mental health counseling is crucial for training and evaluating counselors (both human or simulated) in a scalable manner. Nevertheless, past research on client simulation did not focus on complex conversation tasks such as mental health counseling. In these tasks, the challenge is to ensure that the client's actions (i.e., interactions with the counselor) are consistent with with its stipulated profiles and negative behavior settings. In this paper, we propose a novel framework that supports consistent client simulation for mental health counseling. Our framework tracks the mental state of a simulated client, controls its state transitions, and generates for each state behaviors consistent with the client's motivation, beliefs, preferred plan to change, and receptivity. By varying the client profile and receptivity, we demonstrate that consistent simulated clients for different counseling scenarios can be effectively created. Both our automatic and expert evaluations on the generated counseling sessions also show that our client simulation method achieves higher consistency than previous methods.

We consider competitive facility location as a two-stage multi-agent system with two types of clients. For a given host graph with weighted clients on the vertices, first facility agents strategically select vertices for opening their facilities. Then, the clients strategically select which of the opened facilities in their neighborhood to patronize. Facilities want to attract as much client weight as possible, clients want to minimize congestion on the chosen facility. All recently studied versions of this model assume that clients can split their weight strategically. We consider clients with unsplittable weights but allow mixed strategies. So clients may randomize over which facility to patronize. Besides modeling a natural client behavior, this subtle change yields drastic changes, e.g., for a given facility placement, qualitatively different client equilibria are possible. As our main result, we show that pure subgame perfect equilibria always exist if all client weights are identical. For this, we use a novel potential function argument, employing a hierarchical classification of the clients and sophisticated rounding in each step. In contrast, for non-identical clients, we show that deciding the existence of even approximately stable states is computationally intractable. On the positive side, we give a tight bound of $2$ on the price of anarchy which implies high social welfare of equilibria, if they exist.