Beyond Empathy: Integrating Diagnostic and Therapeutic Reasoning with Large Language Models for Mental Health CounselingHe Hu, Yucheng Zhou, Juzheng Si et al.
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.
10.2CVNov 25, 2025
HiCoGen: Hierarchical Compositional Text-to-Image Generation in Diffusion Models via Reinforcement LearningHongji Yang, Yucheng Zhou, Wencheng Han et al.
Recent advances in diffusion models have demonstrated impressive capability in generating high-quality images for simple prompts. However, when confronted with complex prompts involving multiple objects and hierarchical structures, existing models struggle to accurately follow instructions, leading to issues such as concept omission, confusion, and poor compositionality. To address these limitations, we propose a Hierarchical Compositional Generative framework (HiCoGen) built upon a novel Chain of Synthesis (CoS) paradigm. Instead of monolithic generation, HiCoGen first leverages a Large Language Model (LLM) to decompose complex prompts into minimal semantic units. It then synthesizes these units iteratively, where the image generated in each step provides crucial visual context for the next, ensuring all textual concepts are faithfully constructed into the final scene. To further optimize this process, we introduce a reinforcement learning (RL) framework. Crucially, we identify that the limited exploration of standard diffusion samplers hinders effective RL. We theoretically prove that sample diversity is maximized by concentrating stochasticity in the early generation stages and, based on this insight, propose a novel Decaying Stochasticity Schedule to enhance exploration. Our RL algorithm is then guided by a hierarchical reward mechanism that jointly evaluates the image at the global, subject, and relationship levels. We also construct HiCoPrompt, a new text-to-image benchmark with hierarchical prompts for rigorous evaluation. Experiments show our approach significantly outperforms existing methods in both concept coverage and compositional accuracy.