Automatic Evaluation for Mental Health Counseling using LLMs

High-quality psychological counseling is crucial for mental health worldwide, and timely evaluation is vital for ensuring its effectiveness. However, obtaining professional evaluation for each counseling session is expensive and challenging. Existing methods that rely on self or third-party manual reports to assess the quality of counseling suffer from subjective biases and limitations of time-consuming. To address above challenges, this paper proposes an innovative and efficient automatic approach using large language models (LLMs) to evaluate the working alliance in counseling conversations. We collected a comprehensive counseling dataset and conducted multiple third-party evaluations based on therapeutic relationship theory. Our LLM-based evaluation, combined with our guidelines, shows high agreement with human evaluations and provides valuable insights into counseling scripts. This highlights the potential of LLMs as supervisory tools for psychotherapists. By integrating LLMs into the evaluation process, our approach offers a cost-effective and dependable means of assessing counseling quality, enhancing overall effectiveness.

PsyChat: A Client-Centric Dialogue System for Mental Health Support

Dialogue systems are increasingly integrated into mental health support to help clients facilitate exploration, gain insight, take action, and ultimately heal themselves. For a dialogue system to be practical and user-friendly, it should be client-centric, focusing on the client's behaviors. However, existing dialogue systems publicly available for mental health support often concentrate solely on the counselor's strategies rather than the behaviors expressed by clients. This can lead to the implementation of unreasonable or inappropriate counseling strategies and corresponding responses from the dialogue system. To address this issue, we propose PsyChat, a client-centric dialogue system that provides psychological support through online chat. The client-centric dialogue system comprises five modules: client behavior recognition, counselor strategy selection, input packer, response generator intentionally fine-tuned to produce responses, and response selection. Both automatic and human evaluations demonstrate the effectiveness and practicality of our proposed dialogue system for real-life mental health support. Furthermore, we employ our proposed dialogue system to simulate a real-world client-virtual-counselor interaction scenario. The system is capable of predicting the client's behaviors, selecting appropriate counselor strategies, and generating accurate and suitable responses, as demonstrated in the scenario.

PsyBench: a balanced and in-depth Psychological Chinese Evaluation Benchmark for Foundation Models

As Large Language Models (LLMs) are becoming prevalent in various fields, there is an urgent need for improved NLP benchmarks that encompass all the necessary knowledge of individual discipline. Many contemporary benchmarks for foundational models emphasize a broad range of subjects but often fall short in presenting all the critical subjects and encompassing necessary professional knowledge of them. This shortfall has led to skewed results, given that LLMs exhibit varying performance across different subjects and knowledge areas. To address this issue, we present psybench, the first comprehensive Chinese evaluation suite that covers all the necessary knowledge required for graduate entrance exams. psybench offers a deep evaluation of a model's strengths and weaknesses in psychology through multiple-choice questions. Our findings show significant differences in performance across different sections of a subject, highlighting the risk of skewed results when the knowledge in test sets is not balanced. Notably, only the ChatGPT model reaches an average accuracy above $70\%$, indicating that there is still plenty of room for improvement. We expect that psybench will help to conduct thorough evaluations of base models' strengths and weaknesses and assist in practical application in the field of psychology.

Understanding Client Reactions in Online Mental Health Counseling

Communication success relies heavily on reading participants' reactions. Such feedback is especially important for mental health counselors, who must carefully consider the client's progress and adjust their approach accordingly. However, previous NLP research on counseling has mainly focused on studying counselors' intervention strategies rather than their clients' reactions to the intervention. This work aims to fill this gap by developing a theoretically grounded annotation framework that encompasses counselors' strategies and client reaction behaviors. The framework has been tested against a large-scale, high-quality text-based counseling dataset we collected over the past two years from an online welfare counseling platform. Our study shows how clients react to counselors' strategies, how such reactions affect the final counseling outcomes, and how counselors can adjust their strategies in response to these reactions. We also demonstrate that this study can help counselors automatically predict their clients' states.

Towards Automated Real-time Evaluation in Text-based Counseling

Automated real-time evaluation of counselor-client interaction is important for ensuring quality counseling but the rules are difficult to articulate. Recent advancements in machine learning methods show the possibility of learning such rules automatically. However, these methods often demand large scale and high quality counseling data, which are difficult to collect. To address this issue, we build an online counseling platform, which allows professional psychotherapists to provide free counseling services to those are in need. In exchange, we collect the counseling transcripts. Within a year of its operation, we manage to get one of the largest set of (675) transcripts of counseling sessions. To further leverage the valuable data we have, we label our dataset using both coarse- and fine-grained labels and use a set of pretraining techniques. In the end, we are able to achieve practically useful accuracy in both labeling system.