CLJul 3, 2024Code
Cactus: Towards Psychological Counseling Conversations using Cognitive Behavioral TheorySuyeon Lee, Sunghwan Kim, Minju Kim et al.
Recently, the demand for psychological counseling has significantly increased as more individuals express concerns about their mental health. This surge has accelerated efforts to improve the accessibility of counseling by using large language models (LLMs) as counselors. To ensure client privacy, training open-source LLMs faces a key challenge: the absence of realistic counseling datasets. To address this, we introduce Cactus, a multi-turn dialogue dataset that emulates real-life interactions using the goal-oriented and structured approach of Cognitive Behavioral Therapy (CBT). We create a diverse and realistic dataset by designing clients with varied, specific personas, and having counselors systematically apply CBT techniques in their interactions. To assess the quality of our data, we benchmark against established psychological criteria used to evaluate real counseling sessions, ensuring alignment with expert evaluations. Experimental results demonstrate that Camel, a model trained with Cactus, outperforms other models in counseling skills, highlighting its effectiveness and potential as a counseling agent. We make our data, model, and code publicly available.
CVMay 22, 2025Code
Harnessing EHRs for Diffusion-based Anomaly Detection on Chest X-raysHarim Kim, Yuhan Wang, Minkyu Ahn et al.
Unsupervised anomaly detection (UAD) in medical imaging is crucial for identifying pathological abnormalities without requiring extensive labeled data. However, existing diffusion-based UAD models rely solely on imaging features, limiting their ability to distinguish between normal anatomical variations and pathological anomalies. To address this, we propose Diff3M, a multi-modal diffusion-based framework that integrates chest X-rays and structured Electronic Health Records (EHRs) for enhanced anomaly detection. Specifically, we introduce a novel image-EHR cross-attention module to incorporate structured clinical context into the image generation process, improving the model's ability to differentiate normal from abnormal features. Additionally, we develop a static masking strategy to enhance the reconstruction of normal-like images from anomalies. Extensive evaluations on CheXpert and MIMIC-CXR/IV demonstrate that Diff3M achieves state-of-the-art performance, outperforming existing UAD methods in medical imaging. Our code is available at this http URL https://github.com/nth221/Diff3M
CVFeb 10
Equilibrium contrastive learning for imbalanced image classificationSumin Roh, Harim Kim, Ho Yun Lee et al.
Contrastive learning (CL) is a predominant technique in image classification, but they showed limited performance with an imbalanced dataset. Recently, several supervised CL methods have been proposed to promote an ideal regular simplex geometric configuration in the representation space-characterized by intra-class feature collapse and uniform inter-class mean spacing, especially for imbalanced datasets. In particular, existing prototype-based methods include class prototypes, as additional samples to consider all classes. However, the existing CL methods suffer from two limitations. First, they do not consider the alignment between the class means/prototypes and classifiers, which could lead to poor generalization. Second, existing prototype-based methods treat prototypes as only one additional sample per class, making their influence depend on the number of class instances in a batch and causing unbalanced contributions across classes. To address these limitations, we propose Equilibrium Contrastive Learning (ECL), a supervised CL framework designed to promote geometric equilibrium, where class features, means, and classifiers are harmoniously balanced under data imbalance. The proposed ECL framework uses two main components. First, ECL promotes the representation geometric equilibrium (i.e., a regular simplex geometry characterized by collapsed class samples and uniformly distributed class means), while balancing the contributions of class-average features and class prototypes. Second, ECL establishes a classifier-class center geometric equilibrium by aligning classifier weights and class prototypes. We ran experiments with three long-tailed datasets, the CIFAR-10(0)-LT, ImageNet-LT, and the two imbalanced medical datasets, the ISIC 2019 and our constructed LCCT dataset. Results show that ECL outperforms existing SOTA supervised CL methods designed for imbalanced classification.
AIFeb 27, 2024
COCOA: CBT-based Conversational Counseling Agent using Memory Specialized in Cognitive Distortions and Dynamic PromptSuyeon Lee, Jieun Kang, Harim Kim et al.
The demand for conversational agents that provide mental health care is consistently increasing. In this work, we develop a psychological counseling agent, referred to as CoCoA, that applies Cognitive Behavioral Therapy (CBT) techniques to identify and address cognitive distortions inherent in the client's statements. Specifically, we construct a memory system to efficiently manage information necessary for counseling while extracting high-level insights about the client from their utterances. Additionally, to ensure that the counseling agent generates appropriate responses, we introduce dynamic prompting to flexibly apply CBT techniques and facilitate the appropriate retrieval of information. We conducted dialogues between CoCoA and characters from Character.ai, creating a dataset for evaluation. Then, we asked GPT to evaluate the constructed counseling dataset, and our model demonstrated a statistically significant difference from other models.
CYJul 25, 2025
Can You Share Your Story? Modeling Clients' Metacognition and Openness for LLM Therapist EvaluationMinju Kim, Dongje Yoo, Yeonjun Hwang et al. · gatech
Understanding clients' thoughts and beliefs is fundamental in counseling, yet current evaluations of LLM therapists often fail to assess this ability. Existing evaluation methods rely on client simulators that clearly disclose internal states to the therapist, making it difficult to determine whether an LLM therapist can uncover unexpressed perspectives. To address this limitation, we introduce MindVoyager, a novel evaluation framework featuring a controllable and realistic client simulator which dynamically adapts itself based on the ongoing counseling session, offering a more realistic and challenging evaluation environment. We further introduce evaluation metrics that assess the exploration ability of LLM therapists by measuring their thorough understanding of client's beliefs and thoughts.