Graph2Counsel is introduced, a framework for generating synthetic counseling sessions grounded in Client Psychological Graphs that encode relationships among clients'thoughts, emotions, and behaviors, and Therapy-Eval is introduced, a multi-turn evaluation framework, and the effectiveness of the fine-tuned model in realistic therapeutic conversations is demonstrated.
Abstract
Rising demand for mental health support has increased interest in using Large Language Models (LLMs) for counseling, but adapting them to this safety-critical domain is hindered by limited real-world data due to privacy constraints. Synthetic datasets provide a promising alternative, but existing approaches often rely on unstructured or semi-structured text inputs and overlook structural dependencies between a client's cognitive, emotional, and behavioral states, leading to psychologically inconsistent and less realistic interactions. We introduce Graph2Counsel, a framework for generating synthetic counseling sessions grounded in Client Psychological Graphs (CPGs) that encode relationships among clients'thoughts, emotions, and behaviors. Graph2Counsel uses a structured prompting pipeline guided by counselor strategies and CPG, and explores prompting strategies including CoT and Multi-Agent Feedback. It produces 760 sessions from 76 CPGs across diverse client profiles. In expert evaluation, our dataset outperforms prior datasets on specificity, counselor competence, authenticity, conversational flow, and safety (Krippendorff's $\alpha$ = 0.70). Fine-tuning an open-source model on this dataset improves performance on several metrics on CounselingBench and CounselBench, while matching baselines on others. We further introduce Therapy-Eval, a multi-turn evaluation framework, and demonstrate the effectiveness of our fine-tuned model in realistic therapeutic conversations. We make our code, data and fine-tuned model public.
The diffusion model provides a holistic bidirectional context, enabling the system to defer premature judgments during progressive disclosure and graph-based retrieval captures the structured interconnections of clinical knowledge.
Yu-Xiang Cheng, Quan-Wei Tang, Lvhui Lu et al.· 0 citations
Psychotherapy summarisation poses unique challenges due to the emotional nuance, relational complexity, and non-linear discourse of therapeutic dialogues. Existing large language models (LLMs), even when fine-tuned, often fail to capture these structures, leading to clinically incomplete or incoherent summaries. In thi...
P. K. Adhikary, Ankita Mukherjee, Koushik Sinha Deb et al.· IEEE journal of biomedical a...· 0 citations
RelationalDialogues is introduced, a novel, fully synthetic dataset of 12,849 multi-turn dialogues designed to explicitly train perspective-taking, demonstrating that training on highly contextualized, metadata-driven synthetic data is an effective method for advancing LLMs from displaying superficial sympathy to engag...
Neema Owji, Cameron Buckner· UF Journal of Undergraduate...· 0 citations
Abstract Background Large language models (LLMs) are increasingly demonstrating the potential to reach human-level performance in generating clinical summaries from patient-clinician conversations. LLMs are usually evaluated against clinical summaries that focus mainly on patients’ biology and not on their biography (e...
Maria Lizarazo Jimenez, A. Claros, Kieran Green et al.· Journal of Medical Internet...· 0 citations
This work introduces MOCC, a multimodal counseling conversation corpus containing over 200 hours of interactions involving 154 credential-verified counselors and proposes MOCC-R1, a two-stage framework for optimizing reasoning-response consistency.
Wen-Jie Zheng, Qiming Xie, Jian-Fei Yu et al.· 0 citations
DeepSAGE (Strategic AI Guidance Engine), a hybrid LLM--Deep Reinforcement Learning (DRL) framework for stage-aware counseling dialogue grounded in the first session of Cognitive Behavioral Therapy (CBT), suggests that combining stage-structured dialogue with learned strategy selection is a promising approach for AI cou...
Qi Zhang, Heajun An, P. Dumaru et al.· 0 citations
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