This paper presents OnCoCo 1.0, a new public dataset for fine-grained message classification in online counseling. It is based on a new, integrative system of categories, designed to improve the automated analysis of psychosocial online counseling conversations. Existing category systems, predominantly based on Motivational Interviewing (MI), are limited by their narrow focus and dependence on datasets derived mainly from face-to-face counseling. This limits the detailed examination of textual counseling conversations. In response, we developed a comprehensive new coding scheme that differentiates between 38 types of counselor and 28 types of client utterances, and created a labeled dataset consisting of about 2.800 messages from counseling conversations. We fine-tuned several models on our dataset to demonstrate its applicability. The data and models are publicly available to researchers and practitioners. Thus, our work contributes a new type of fine-grained conversational resource to the language resources community, extending existing datasets for social and mental-health dialogue analysis.

Abstract--Prevalent empathy prediction techniques primarily concentrate on a singular modality, typically textual, thus neglecting multi-modal processing capabilities. They also overlook the utilization of certain privileged information, which may encompass additional empathetic content. In response, we introduce an advanced multi-modal empathy prediction method integrating video, audio, and text information. The method comprises the Multi-Modal Empathy Prediction and Supervisory Documentation Assisted Training. We use pre-trained networks in the empathy prediction network to extract features from various modalities, followed by a cross-modal fusion. This process yields a multi-modal feature representation, which is employed to predict empathy labels. T o enhance the extraction of text features, we incorporate supervisory documents as privileged information during the assisted training phase. Specifically, we apply the Latent Dirichlet Allocation model to identify potential topic distributions to constrain text features. These supervisory documents, created by supervisors, focus on the counseling topics and the counselor's display of empathy. Notably, this privileged information is only available during training and is not accessible during the prediction phase. Experimental results on the multi-modal and dialogue empathy datasets demonstrate that our approach is superior to the existing methods. MP A THY is characterized by an emotional response that arises from the interplay between inherent traits and situational factors. This empathetic response is spontaneously triggered, yet it is also sculpted by deliberate cognitive control.

Large Language Models (LLMs) have demonstrated remarkable success across a wide range of industries, primarily due to their impressive generative abilities. Yet, their potential in applications requiring cognitive abilities, such as psychological counseling, remains largely untapped. This paper investigates the key question: \textit{Can LLMs be effectively applied to psychological counseling?} To determine whether an LLM can effectively take on the role of a psychological counselor, the first step is to assess whether it meets the qualifications required for such a role, namely the ability to pass the U.S. National Counselor Certification Exam (NCE). This is because, just as a human counselor must pass a certification exam to practice, an LLM must demonstrate sufficient psychological knowledge to meet the standards required for such a role. To address this, we introduce PsychCounsel-Bench, a benchmark grounded in U.S.national counselor examinations, a licensure test for professional counselors that requires about 70\% accuracy to pass. PsychCounsel-Bench comprises approximately 2,252 carefully curated single-choice questions, crafted to require deep understanding and broad enough to cover various sub-disciplines of psychology. This benchmark provides a comprehensive assessment of an LLM's ability to function as a counselor. Our evaluation shows that advanced models such as GPT-4o, Llama3.3-70B, and Gemma3-27B achieve well above the passing threshold, while smaller open-source models (e.g., Qwen2.5-7B, Mistral-7B) remain far below it. These results suggest that only frontier LLMs are currently capable of meeting counseling exam standards, highlighting both the promise and the challenges of developing psychology-oriented LLMs. We release the proposed dataset for public use: https://github.com/cloversjtu/PsychCounsel-Bench

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.

Large language models (LLMs) hold significant potential for mental health support, capable of generating empathetic responses and simulating therapeutic conversations. However, existing LLM-based approaches often lack the clinical grounding necessary for real-world psychological counseling, particularly in explicit diagnostic reasoning aligned with standards like the DSM/ICD and incorporating diverse therapeutic modalities beyond basic empathy or single strategies. To address these critical limitations, we propose PsyLLM, the first large language model designed to systematically integrate both diagnostic and therapeutic reasoning for mental health counseling. To develop PsyLLM, we design a novel automated data synthesis pipeline that processes real-world mental health posts collected from Reddit, where users frequently share psychological distress and seek community support. This pipeline processes real-world mental health posts, generates multi-turn dialogue structures, and leverages LLMs guided by international diagnostic standards (e.g., DSM/ICD) and multiple therapeutic frameworks (e.g., CBT, ACT, psychodynamic) to simulate detailed clinical reasoning processes. Rigorous multi-dimensional filtering ensures the generation of high-quality, clinically aligned dialogue data. In addition, we introduce a new benchmark and evaluation protocol, assessing counseling quality across four key dimensions. Our experiments demonstrate that PsyLLM significantly outperforms state-of-the-art baseline models on this benchmark. The model weights and dataset have been publicly released at https://github.com/Emo-gml/PsyLLM.

Large language models (LLMs) in psychological counseling have attracted increasing attention. However, existing approaches often lack emotional understanding, adaptive strategies, and the use of therapeutic methods across multiple sessions with long-term memory, leaving them far from real clinical practice. To address these critical gaps, we introduce TheraMind, a strategic and adaptive agent for longitudinal psychological counseling. The cornerstone of TheraMind is a novel dual-loop architecture that decouples the complex counseling process into an Intra-Session Loop for tactical dialogue management and a Cross-Session Loop for strategic therapeutic planning. The Intra-Session Loop perceives the patient's emotional state to dynamically select response strategies while leveraging cross-session memory to ensure continuity. Crucially, the Cross-Session Loop empowers the agent with long-term adaptability by evaluating the efficacy of the applied therapy after each session and adjusting the method for subsequent interactions. We validate our approach in a high-fidelity simulation environment grounded in real clinical cases. Extensive evaluations show that TheraMind outperforms other methods, especially on multi-session metrics like Coherence, Flexibility, and Therapeutic Attunement, validating the effectiveness of its dual-loop design in emulating strategic, adaptive, and longitudinal therapeutic behavior. The code is publicly available at https://0mwwm0.github.io/TheraMind/.

Panic attacks are acute episodes of fear and distress, in which timely, appropriate intervention can significantly help individuals regain stability. However, suitable datasets for training such models remain scarce due to ethical and logistical issues. To address this, we introduce PACE, which is a dataset that includes high-distress episodes constructed from first-person narratives, and structured around the principles of Psychological First Aid (PFA). Using this data, we train PACER, a counseling model designed to provide both empathetic and directive support, which is optimized through supervised learning and simulated preference alignment. To assess its effectiveness, we propose PanicEval, a multi-dimensional framework covering general counseling quality and crisis-specific strategies. Experimental results show that PACER outperforms strong baselines in both counselor-side metrics and client affect improvement. Human evaluations further confirm its practical value, with PACER consistently preferred over general, CBT-based, and GPT-4-powered models in panic scenarios (Code is available at https://github.com/JihyunLee1/PanicToCalm ).

Recently, advancements in AI counseling based on large language models have shown significant progress. However, existing studies employ a one-time generation approach to synthesize multi-turn dialogue samples, resulting in low therapy fidelity and failing to capture the decision-making rationale behind each response. In this work, we propose CATCH, a novel data synthesis framework designed to address these challenges. Specifically, to improve therapy fidelity, we introduce the Progressive Dialogue Synthesis strategy, which extracts goals, resources, and solutions from a client's self-report, organizes them into structured outlines, and then incrementally generates stage-aligned counseling dialogues. To capture decision-making rationale behind each response, we propose the Memory-Driven Dynamic Planning thinking pattern that integrates memory enhancement, global planning, and strategy reasoning; a collaborative multi-agent optimizer then leverages MDP to attach explicit chain-of-thought to each dialogue turn. Extensive experiments and human evaluations demonstrate that CATCH significantly enhances fidelity and logical coherence in AI counseling.

This study provides the first comprehensive evaluation of large language model (LLM) performance across three counseling roles in Japanese-language therapeutic contexts. We simultaneously assessed counselor artificial intelligence (AI) systems (GPT-4-turbo with zeroshot prompting or Structured Multi-step Dialogue Prompts (SMDP), Claude-3-Opus-SMDP), client AI simulations, and evaluation AI systems (o3, Claude-3.7-Sonnet, Gemini-2.5-pro). Human experts (n = 15) with extensive counseling experience evaluated AI-generated dialogues using the Motivational Interviewing Treatment Integrity (MITI) Coding Manual 4.2.1. Notably, SMDP implementation significantly enhanced counselor AI performance across all MITI global ratings compared with zeroshot prompting, with no significant differences between GPT-SMDP and Opus-SMDP. Evaluation AIs showed comparable performance to human raters for Cultivating Change Talk but systematically overestimated Softening Sustain Talk and the overall quality metrics. Model-specific biases emerged: Gemini emphasized power-sharing, o3 focused on technical proficiency, and Sonnet prioritized emotional expression. Client AI simulations exhibited a limited emotional range and unnaturally high compliance, indicating the need for enhanced realism. These findings establish benchmarks for AI-assisted counseling in non-English contexts and identify critical areas for improvement through advanced prompt engineering, retrieval-augmented generation, and targeted fine-tuning, with important implications for developing culturally sensitive AI mental health tools.

The rising demand for mental health care has fueled interest in AI-driven counseling systems. While large language models (LLMs) offer significant potential, current approaches face challenges, including limited understanding of clients' psychological states and counseling stages, reliance on high-quality training data, and privacy concerns associated with commercial deployment. To address these issues, we propose EmoStage, a framework that enhances empathetic response generation by leveraging the inference capabilities of open-source LLMs without additional training data. Our framework introduces perspective-taking to infer clients' psychological states and support needs, enabling the generation of emotionally resonant responses. In addition, phase recognition is incorporated to ensure alignment with the counseling process and to prevent contextually inappropriate or inopportune responses. Experiments conducted in both Japanese and Chinese counseling settings demonstrate that EmoStage improves the quality of responses generated by base models and performs competitively with data-driven methods.