Ningning Zhou

Yougen Zhou, Qin Chen, Ningning Zhou et al.

Large language models (LLMs) hold potential for mental healthcare applications, particularly in cognitive behavioral therapy (CBT)-based counseling, where reward models play a critical role in aligning LLMs with preferred therapeutic behaviors. However, existing reward model evaluations often fail to capture alignment effectiveness in long-horizon interventions due to limited coverage of process-oriented datasets and misalignment between evaluation targets and psychological alignment objectives. To address these limitations, we present PRMB, a comprehensive benchmark tailored for evaluating reward models in multi-session CBT counseling. PRMB spans 6 sessions and 21 diverse negative scenarios, incorporating both pairwise and Best-of-N preference evaluations. We demonstrate a positive correlation between our benchmark and downstream counseling dialogue performance. Based on our benchmark, we conduct extensive analysis on the state-of-the-art reward models, revealing their generalization defects that were not discovered by previous benchmarks and highlighting the potential of generative reward models. Furthermore, we delve into examining the effectiveness of inference-time strategy for the evaluation of reward models and analyzing the impact factors of generative reward models. This work advances intelligent informatics for personalized healthcare by establishing a framework for reward model assessment in mental health dialogues. Evaluation code and datasets are publicly available at https://github.com/YouKenChaw/PRMB

Qianjun Pan, Junyi Wang, Jie Zhou et al.

To develop a reliable AI for psychological assessment, we introduce \texttt{PsychEval}, a multi-session, multi-therapy, and highly realistic benchmark designed to address three key challenges: \textbf{1) Can we train a highly realistic AI counselor?} Realistic counseling is a longitudinal task requiring sustained memory and dynamic goal tracking. We propose a multi-session benchmark (spanning 6-10 sessions across three distinct stages) that demands critical capabilities such as memory continuity, adaptive reasoning, and longitudinal planning. The dataset is annotated with extensive professional skills, comprising over 677 meta-skills and 4577 atomic skills. \textbf{2) How to train a multi-therapy AI counselor?} While existing models often focus on a single therapy, complex cases frequently require flexible strategies among various therapies. We construct a diverse dataset covering five therapeutic modalities (Psychodynamic, Behaviorism, CBT, Humanistic Existentialist, and Postmodernist) alongside an integrative therapy with a unified three-stage clinical framework across six core psychological topics. \textbf{3) How to systematically evaluate an AI counselor?} We establish a holistic evaluation framework with 18 therapy-specific and therapy-shared metrics across Client-Level and Counselor-Level dimensions. To support this, we also construct over 2,000 diverse client profiles. Extensive experimental analysis fully validates the superior quality and clinical fidelity of our dataset. Crucially, \texttt{PsychEval} transcends static benchmarking to serve as a high-fidelity reinforcement learning environment that enables the self-evolutionary training of clinically responsible and adaptive AI counselors.

Yiyang Gu, Yougen Zhou, Qin Chen et al.

Depression-diagnosis-oriented chat aims to guide patients in self-expression to collect key symptoms for depression detection. Recent work focuses on combining task-oriented dialogue and chitchat to simulate the interview-based depression diagnosis. Whereas, these methods can not well capture the changing information, feelings, or symptoms of the patient during dialogues. Moreover, no explicit framework has been explored to guide the dialogue, which results in some useless communications that affect the experience. In this paper, we propose to integrate Psychological State Tracking (POST) within the large language model (LLM) to explicitly guide depression-diagnosis-oriented chat. Specifically, the state is adapted from a psychological theoretical model, which consists of four components, namely Stage, Information, Summary and Next. We fine-tune an LLM model to generate the dynamic psychological state, which is further used to assist response generation at each turn to simulate the psychiatrist. Experimental results on the existing benchmark show that our proposed method boosts the performance of all subtasks in depression-diagnosis-oriented chat.

Yutao Yang, Junsong Li, Qianjun Pan et al.

Existing methods for AI psychological counselors predominantly rely on supervised fine-tuning using static dialogue datasets. However, this contrasts with human experts, who continuously refine their proficiency through clinical practice and accumulated experience. To bridge this gap, we propose an Experience-Driven Lifelong Learning Agent (\texttt{PsychAgent}) for psychological counseling. First, we establish a Memory-Augmented Planning Engine tailored for longitudinal multi-session interactions, which ensures therapeutic continuity through persistent memory and strategic planning. Second, to support self-evolution, we design a Skill Evolution Engine that extracts new practice-grounded skills from historical counseling trajectories. Finally, we introduce a Reinforced Internalization Engine that integrates the evolved skills into the model via rejection fine-tuning, aiming to improve performance across diverse scenarios. Comparative analysis shows that our approach achieves higher scores than strong general LLMs (e.g., GPT-5.4, Gemini-3) and domain-specific baselines across all reported evaluation dimensions. These results suggest that lifelong learning can improve the consistency and overall quality of multi-session counseling responses.

Yougen Zhou, Qin Chen, Ningning Zhou et al.

Emotional support conversation (ESC) aims to alleviate distress through empathetic dialogue, yet large language models (LLMs) face persistent challenges in delivering effective ESC due to low accuracy in strategy planning. Moreover, there is a considerable preference bias towards specific strategies. Prior methods using fine-tuned strategy planners have shown potential in reducing such bias, while the underlying causes of the preference bias in LLMs have not well been studied. To address these issues, we first reveal the fundamental causes of the bias by identifying the knowledge boundaries of LLMs in strategy planning. Then, we propose an approach to mitigate the bias by reinforcement learning with a dual reward function, which optimizes strategy planning via both accuracy and entropy-based confidence for each region according to the knowledge boundaries. Experiments on the ESCov and ExTES datasets with multiple LLM backbones show that our approach outperforms the baselines, confirming the effectiveness of our approach.

Yougen Zhou, Ningning Zhou, Qin Chen et al.

Psychotherapy reaches only a small fraction of individuals suffering from mental disorders due to social stigma and the limited availability of therapists. Large language models (LLMs), when equipped with professional psychotherapeutic skills, offer a promising solution to expand access to mental health services. However, the lack of psychological conversation datasets presents significant challenges in developing effective psychotherapy-guided conversational agents. In this paper, we construct a long-periodic dialogue corpus for counseling based on cognitive behavioral therapy (CBT). Our curated dataset includes multiple sessions for each counseling and incorporates cognitive conceptualization diagrams (CCDs) to guide client simulation across diverse scenarios. To evaluate the utility of our dataset, we train an in-depth counseling model and present a comprehensive evaluation framework to benchmark it against established psychological criteria for CBT-based counseling. Results demonstrate that DiaCBT effectively enhances LLMs' ability to emulate psychologists with CBT expertise, underscoring its potential for training more professional counseling agents.