mlsanityData to 14 Oct 2026

CBT-LLM: A Chinese Large Language Model for Cognitive Behavioral Therapy-based Mental Health Question Answering

arXiv 2403.16008 ↗First posted 24 Mar 2024cs.CLcited by 45

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Abstract (arXiv)

The recent advancements in artificial intelligence highlight the potential of language models in psychological health support. While models trained on data from mental health service platform have achieved preliminary success, challenges persist in areas such as data scarcity, quality, and ensuring a solid foundation in psychological techniques. To address these challenges, this study introduces a novel approach to enhance the precision and efficacy of psychological support through large language models. Specifically, we design a specific prompt derived from principles of Cognitive Behavioral Therapy (CBT) and have generated the CBT QA dataset, specifically for Chinese psychological health Q&A based on CBT structured intervention strategies. Unlike previous methods, our dataset emphasizes professional and structured response. Utilizing this dataset, we fine-tuned the large language model, giving birth to CBT-LLM, the large-scale language model specifically designed for Cognitive Behavioral Therapy techniques. Empirical evaluations demonstrate that CBT-LLM excels in generating structured, professional, and highly relevant responses in psychological health support tasks, showcasing its practicality and quality. The model is available on Hugging Face: https://huggingface.co/Hongbin37/CBT-LLM.

Key facts. Cited by 45 papers in the map (data through 14 Oct 2026). Builds on 17 of its 45 references that are in the map. First posted on arXiv 24 Mar 2024.

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17 of 45 references.

References · 17

  1. 2018BERT: Pre-training of Deep Bidirectional Transformers for Language Understandingcited by 40,399
  2. 2021LoRA: Low-Rank Adaptation of Large Language Modelscited by 14,380
  3. 2023LLaMA: Open and Efficient Foundation Language Modelscited by 14,132
  4. 2019BERTScore: Evaluating Text Generation with BERTcited by 5,512
  5. 2022Self-Instruct: Aligning Language Models with Self-Generated Instructionscited by 2,724
  6. 2020BLEURT: Learning Robust Metrics for Text Generationcited by 1,203
  7. 2023BloombergGPT: A Large Language Model for Financecited by 939
  8. 2023C-Eval: A Multi-Level Multi-Discipline Chinese Evaluation Suite for Foundation Modelscited by 708
  9. 2021Towards Emotional Support Dialog Systemscited by 299
  10. 2022WHEN FLUE MEETS FLANG: Benchmarks and Large Pre-trained Language Model for Financial Domaincited by 117
  11. 2021PsyQA: A Chinese Dataset for Generating Long Counseling Text for Mental Health Supportcited by 92
  12. 2023EduChat: A Large-Scale Language Model-based Chatbot System for Intelligent Educationcited by 80
5 more
  1. 2023Cognitive Reframing of Negative Thoughts through Human-Language Model Interactioncited by 77
  2. 2022PAL: Persona-Augmented Emotional Support Conversation Generationcited by 39
  3. 2023Mind meets machine: Unravelling GPT-4's cognitive psychologycited by 31
  4. 2023Training Models to Generate, Recognize, and Reframe Unhelpful Thoughtscited by 31
  5. 2023Boosting Distress Support Dialogue Responses with Motivational Interviewing Strategycited by 15

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Cited by year (2026 to 14 Oct)

Citing papers per year: 2024: 5; 2025: 19; 2026: 21.

45 papers.

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  1. 2024Cactus: Towards Psychological Counseling Conversations using Cognitive Behavioral Theorycited by 60
  2. 2025MentalChat16K: A Benchmark Dataset for Conversational Mental Health Assistancecited by 39
  3. 2025CounselBench: A Large-Scale Expert Evaluation and Adversarial Benchmarking of Large Language Models in Mental Health Question Answeringcited by 21
  4. 2024Detecting Conversational Mental Manipulation with Intent-Aware Promptingcited by 16
  5. 2025MIRROR: Multimodal Cognitive Reframing Therapy for Rolling with Resistancecited by 13
  6. 2025A Survey of Large Language Models in Psychotherapy: Current Landscape and Future Directionscited by 12
  7. 2025Psychological Counseling Cannot Be Achieved Overnight: Automated Psychological Counseling Through Multi-Session Conversationscited by 12
  8. 2025Crisp: Cognitive Restructuring of Negative Thoughts through Multi-turn Supportive Dialoguescited by 11
  9. 2025MindEval: Benchmarking Language Models on Multi-turn Mental Health Supportcited by 10
  10. 2026XInsight: Integrative Stage-Consistent Psychological Counseling Support Agents for Digital Well-Beingcited by 9
  11. 2025Can You Share Your Story? Modeling Clients' Metacognition and Openness for LLM Therapist Evaluationcited by 7
  12. 2025HamRaz: A Culture-Based Persian Conversation Dataset for Person-Centered Therapy Using LLM Agentscited by 6
33 more
  1. 2025MAGneT: Coordinated Multi-Agent Generation of Synthetic Multi-Turn Mental Health Counseling Sessionscited by 6
  2. 2025ChatThero: An LLM-Supported Chatbot for Behavior Change and Therapeutic Support in Addiction Recoverycited by 4
  3. 2025DiaCBT: A Long-Periodic Dialogue Corpus Guided by Cognitive Conceptualization Diagram for CBT-based Psychological Counselingcited by 4
  4. 2025MADP: Multi-Agent Deductive Planning for Enhanced Cognitive-Behavioral Mental Health Question Answercited by 3
  5. 2025A Comprehensive Review of Datasets for Clinical Mental Health AI Systemscited by 3
  6. 2026PsychAgent: An Experience-Driven Lifelong Learning Agent for Self-Evolving Psychological Counselorcited by 3
  7. 2024A Generic Review of Integrating Artificial Intelligence in Cognitive Behavioral Therapycited by 2
  8. 2025The Thinking Therapist: Training Large Language Models to Deliver Acceptance and Commitment Therapy using Supervised Fine-Tuning and Odds Ratio Policy Optimizationcited by 2
  9. 2025Empathy-R1: A Chain-of-Empathy and Reinforcement Learning Framework for Long-Form Mental Health Supportcited by 2
  10. 2026Graph2Counsel: Clinically Grounded Synthetic Counseling Dialogue Generation from Client Psychological Graphscited by 2
  11. 2024Therapy as an NLP Task: Comparing LLMs and Human Peers Behaviors in CBT Sessionscited by 1
  12. 2024Fine-Tuning Open-Weight Language Models to Deliver Cognitive Behavioral Therapy for Depression: A Feasibility Studycited by 1
  13. 2025SpineBench: A Clinically Salient, Level-Aware Benchmark Powered by the SpineMed-450k Corpuscited by 1
  14. 2025PanicToCalm: A Proactive Counseling Agent for Panic Attackscited by 1
  15. 2026EFT-CoT: A Multi-Agent Chain-of-Thought Framework for Emotion-Focused Therapycited by 1
  16. 2026CCD-CBT: Multi-Agent Therapeutic Interaction for CBT Guided by Cognitive Conceptualization Diagramcited by 1
  17. 2026Modeling Multi-Dimensional Cognitive States in Large Language Models under Cognitive Crowdingcited by 1
  18. 2026DMT-CBT: Longitudinal Therapeutic State Modeling for CBT Counselingcited by 1
  19. 2025First, Do No Harm: AI Supervisor Scaffolds Novice Growth in Counselor Educationcited by 0
  20. 2026The Art of Socratic Inquiry: A Framework for Proactive Template-Guided Therapeutic Conversation Generationcited by 0
  21. 2026DELTA: Deliberative Multi-Agent Reasoning with Reinforcement Learning for Multimodal Psychological Counselingcited by 0
  22. 2026Assessing the Effectiveness of LLMs in Delivering Cognitive Behavioral Therapycited by 0
  23. 2026PSY-STEP: Structuring Therapeutic Targets and Action Sequences for Proactive Counseling Dialogue Systemscited by 0
  24. 2026Psy-Chronicle:A Structured Pipeline for Synthesizing Long-Horizon Campus Psychological Counseling Dialoguescited by 0
  25. 2026Expert-Level Crisis Detection in Mental Health Conversationscited by 0
  26. 2026Creating Multilingual Mental Health Dialogue Datasets: Limits of Persona-Based Localization via Nationality and Languagecited by 0
  27. 2026TD-DPO: Difference-Aware Preference Optimization for Mitigating Sycophancy in Clinical Autism Intervention Dialoguecited by 0
  28. 2026Guiding Language Models to Be More Empathetic: Culturally Sensitive Mental Health Advice Generation Through Human-LLM Collaborationcited by 0
  29. 2026Cognivia: A Cognitive Behavioral Therapy Copilot for Evidence-Based Mental Healthcarecited by 0
  30. 2026FTA-Mem: Fact-Time-Affect Anchored Memory for Low-Density Long-Term Dialoguecited by 0
  31. 2026DeepSAGE: Stage-Aware Reinforcement Learning for Structured CBT Counseling Dialoguecited by 0
  32. 2026Steering the Compass: Aligning Dynamic Psychological Counseling Conversations with Cognitive Behavioral Therapy Strategiescited by 0
  33. 2026From Pattern Recognizers to Personalized Companions: A Survey of Large Language Models in Mental Healthcited by 0