Harnessing Large Language Models' Empathetic Response Generation Capabilities for Online Mental Health Counselling Support
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Abstract (arXiv)
Large Language Models (LLMs) have demonstrated remarkable performance across various information-seeking and reasoning tasks. These computational systems drive state-of-the-art dialogue systems, such as ChatGPT and Bard. They also carry substantial promise in meeting the growing demands of mental health care, albeit relatively unexplored. As such, this study sought to examine LLMs' capability to generate empathetic responses in conversations that emulate those in a mental health counselling setting. We selected five LLMs: version 3.5 and version 4 of the Generative Pre-training (GPT), Vicuna FastChat-T5, Pathways Language Model (PaLM) version 2, and Falcon-7B-Instruct. Based on a simple instructional prompt, these models responded to utterances derived from the EmpatheticDialogues (ED) dataset. Using three empathy-related metrics, we compared their responses to those from traditional response generation dialogue systems, which were fine-tuned on the ED dataset, along with human-generated responses. Notably, we discovered that responses from the LLMs were remarkably more empathetic in most scenarios. We position our findings in light of catapulting advancements in creating empathetic conversational systems.
Key facts. Cited by 17 papers in the map (data through 7 Oct 2026). Builds on 12 of its 26 references that are in the map. First posted on arXiv 12 Oct 2023.
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12 of 26 references.
References · 12
- 2017Attention Is All You Needcited by 59,932
- 2020Language Models are Few-Shot Learnerscited by 32,199
- 2020Retrieval-Augmented Generation for Knowledge-Intensive NLP Taskscited by 9,160
- 2023Judging LLM-as-a-Judge with MT-Bench and Chatbot Arenacited by 8,393
- 2022Large Language Models are Zero-Shot Reasonerscited by 4,323
- 2023LIMA: Less Is More for Alignmentcited by 1,080
- 2020A Computational Approach to Understanding Empathy Expressed in Text-Based Mental Health Supportcited by 182
- 2020Knowledge Bridging for Empathetic Dialogue Generationcited by 50
- 2021Perspective-taking and Pragmatics for Generating Empathetic Responses Focused on Emotion Causescited by 43
- 2023Helping the Helper: Supporting Peer Counselors via AI-Empowered Practice and Feedbackcited by 23
- 2022Empathetic Conversational Systems: A Review of Current Advances, Gaps, and Opportunitiescited by 14
- 2023CAB: Empathetic Dialogue Generation with Cognition, Affection and Behaviorcited by 6
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Citing papers per year: 2024: 9; 2025: 7; 2026: 1.
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- 2025MentalChat16K: A Benchmark Dataset for Conversational Mental Health Assistancecited by 38
- 2024Large Language Models in Mental Health Care: a Scoping Reviewcited by 34
- 2024Are Large Language Models More Empathetic than Humans?cited by 18
- 2024PersoBench: Benchmarking Personalized Response Generation in Large Language Modelscited by 12
- 2025Exploring User Security and Privacy Attitudes and Concerns Toward the Use of General-Purpose LLM Chatbots for Mental Healthcited by 12
- 2024MentalAgora: A Gateway to Advanced Personalized Care in Mental Health through Multi-Agent Debating and Attribute Controlcited by 8
- 2024Empathy Level Alignment via Reinforcement Learning for Empathetic Response Generationcited by 8
- 2025The Pursuit of Empathy: Evaluating Small Language Models for PTSD Dialogue Supportcited by 6
- 2024"I Like Sunnie More Than I Expected!": Exploring User Expectation and Perception of an Anthropomorphic LLM-based Conversational Agent for Well-Being Supportcited by 5
- 2024Automating PTSD Diagnostics in Clinical Interviews: Leveraging Large Language Models for Trauma Assessmentscited by 4
- 2025RedditESS: A Mental Health Social Support Interaction Dataset -- Understanding Effective Social Support to Refine AI-Driven Support Toolscited by 3
- 2024GIEBench: Towards Holistic Evaluation of Group Identity-based Empathy for Large Language Modelscited by 2
5 more
- 2024Mixed Chain-of-Psychotherapies for Emotional Support Chatbotcited by 2
- 2025Exploring the Effect of Robotic Embodiment and Empathetic Tone of LLMs on Empathy Elicitationcited by 0
- 2025An Offline Mobile Conversational Agent for Mental Health Support: Learning from Emotional Dialogues and Psychological Texts with Student-Centered Evaluationcited by 0
- 2025Mentalic Net: Development of RAG-based Conversational AI and Evaluation Framework for Mental Health Supportcited by 0
- 2026CARE: Counselor-Aligned Response Engine for Online Mental-Health Supportcited by 0
- 2026CARE: Counselor-Aligned Response Engine for Online Mental-Health Support23 Apr 2026
- 2025Mentalic Net: Development of RAG-based Conversational AI and Evaluation Framework for Mental Health Support27 Aug 2025
- 2025Exploring User Security and Privacy Attitudes and Concerns Toward the Use of General-Purpose LLM Chatbots for Mental Health14 Jul 2025
- 2025An Offline Mobile Conversational Agent for Mental Health Support: Learning from Emotional Dialogues and Psychological Texts with Student-Centered Evaluation11 Jul 2025
- 2025The Pursuit of Empathy: Evaluating Small Language Models for PTSD Dialogue Support21 May 2025
- 2025RedditESS: A Mental Health Social Support Interaction Dataset -- Understanding Effective Social Support to Refine AI-Driven Support Tools27 Mar 2025
- 2025Exploring the Effect of Robotic Embodiment and Empathetic Tone of LLMs on Empathy Elicitation26 Mar 2025
- 2025MentalChat16K: A Benchmark Dataset for Conversational Mental Health Assistance13 Mar 2025
- 2024PersoBench: Benchmarking Personalized Response Generation in Large Language Models4 Oct 2024
- 2024Mixed Chain-of-Psychotherapies for Emotional Support Chatbot29 Sep 2024
- 2024Empathy Level Alignment via Reinforcement Learning for Empathetic Response Generation6 Aug 2024
- 2024MentalAgora: A Gateway to Advanced Personalized Care in Mental Health through Multi-Agent Debating and Attribute Control3 Jul 2024
5 more
- 2024GIEBench: Towards Holistic Evaluation of Group Identity-based Empathy for Large Language Models21 Jun 2024
- 2024Are Large Language Models More Empathetic than Humans?7 Jun 2024
- 2024"I Like Sunnie More Than I Expected!": Exploring User Expectation and Perception of an Anthropomorphic LLM-based Conversational Agent for Well-Being Support22 May 2024
- 2024Automating PTSD Diagnostics in Clinical Interviews: Leveraging Large Language Models for Trauma Assessments18 May 2024
- 2024Large Language Models in Mental Health Care: a Scoping Review1 Jan 2024
- 2025MentalChat16K: A Benchmark Dataset for Conversational Mental Health Assistancecited by 38
- 2024Large Language Models in Mental Health Care: a Scoping Reviewcited by 34
- 2024Are Large Language Models More Empathetic than Humans?cited by 18
- 2024PersoBench: Benchmarking Personalized Response Generation in Large Language Modelscited by 12
- 2025Exploring User Security and Privacy Attitudes and Concerns Toward the Use of General-Purpose LLM Chatbots for Mental Healthcited by 12
- 2024Empathy Level Alignment via Reinforcement Learning for Empathetic Response Generationcited by 8
- 2025The Pursuit of Empathy: Evaluating Small Language Models for PTSD Dialogue Supportcited by 6
- 2024"I Like Sunnie More Than I Expected!": Exploring User Expectation and Perception of an Anthropomorphic LLM-based Conversational Agent for Well-Being Supportcited by 5
- 2024Automating PTSD Diagnostics in Clinical Interviews: Leveraging Large Language Models for Trauma Assessmentscited by 4
- 2025RedditESS: A Mental Health Social Support Interaction Dataset -- Understanding Effective Social Support to Refine AI-Driven Support Toolscited by 3
- 2024GIEBench: Towards Holistic Evaluation of Group Identity-based Empathy for Large Language Modelscited by 2
- 2024Mixed Chain-of-Psychotherapies for Emotional Support Chatbotcited by 2
12 most cited of 16 All 16 (JSON)
- 2026CARE: Counselor-Aligned Response Engine for Online Mental-Health Support23 Apr 2026
- 2025Mentalic Net: Development of RAG-based Conversational AI and Evaluation Framework for Mental Health Support27 Aug 2025
- 2025Exploring User Security and Privacy Attitudes and Concerns Toward the Use of General-Purpose LLM Chatbots for Mental Health14 Jul 2025
- 2025An Offline Mobile Conversational Agent for Mental Health Support: Learning from Emotional Dialogues and Psychological Texts with Student-Centered Evaluation11 Jul 2025
- 2025The Pursuit of Empathy: Evaluating Small Language Models for PTSD Dialogue Support21 May 2025
- 2025RedditESS: A Mental Health Social Support Interaction Dataset -- Understanding Effective Social Support to Refine AI-Driven Support Tools27 Mar 2025
- 2025Exploring the Effect of Robotic Embodiment and Empathetic Tone of LLMs on Empathy Elicitation26 Mar 2025
- 2025MentalChat16K: A Benchmark Dataset for Conversational Mental Health Assistance13 Mar 2025
- 2024PersoBench: Benchmarking Personalized Response Generation in Large Language Models4 Oct 2024
- 2024Mixed Chain-of-Psychotherapies for Emotional Support Chatbot29 Sep 2024
- 2024Empathy Level Alignment via Reinforcement Learning for Empathetic Response Generation6 Aug 2024
- 2024GIEBench: Towards Holistic Evaluation of Group Identity-based Empathy for Large Language Models21 Jun 2024
12 newest of 16 All 16 (JSON)