CBT-LLM: A Chinese Large Language Model for Cognitive Behavioral Therapy-based Mental Health Question Answering
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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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References · 17
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Citing papers per year: 2024: 5; 2025: 19; 2026: 21.
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- 2024Cactus: Towards Psychological Counseling Conversations using Cognitive Behavioral Theorycited by 60
- 2025MentalChat16K: A Benchmark Dataset for Conversational Mental Health Assistancecited by 39
- 2025CounselBench: A Large-Scale Expert Evaluation and Adversarial Benchmarking of Large Language Models in Mental Health Question Answeringcited by 21
- 2024Detecting Conversational Mental Manipulation with Intent-Aware Promptingcited by 16
- 2025MIRROR: Multimodal Cognitive Reframing Therapy for Rolling with Resistancecited by 13
- 2025A Survey of Large Language Models in Psychotherapy: Current Landscape and Future Directionscited by 12
- 2025Psychological Counseling Cannot Be Achieved Overnight: Automated Psychological Counseling Through Multi-Session Conversationscited by 12
- 2025Crisp: Cognitive Restructuring of Negative Thoughts through Multi-turn Supportive Dialoguescited by 11
- 2025MindEval: Benchmarking Language Models on Multi-turn Mental Health Supportcited by 10
- 2026XInsight: Integrative Stage-Consistent Psychological Counseling Support Agents for Digital Well-Beingcited by 9
- 2025Can You Share Your Story? Modeling Clients' Metacognition and Openness for LLM Therapist Evaluationcited by 7
- 2025HamRaz: A Culture-Based Persian Conversation Dataset for Person-Centered Therapy Using LLM Agentscited by 6
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- 2025ChatThero: An LLM-Supported Chatbot for Behavior Change and Therapeutic Support in Addiction Recoverycited by 4
- 2025DiaCBT: A Long-Periodic Dialogue Corpus Guided by Cognitive Conceptualization Diagram for CBT-based Psychological Counselingcited by 4
- 2025MADP: Multi-Agent Deductive Planning for Enhanced Cognitive-Behavioral Mental Health Question Answercited by 3
- 2025A Comprehensive Review of Datasets for Clinical Mental Health AI Systemscited by 3
- 2026PsychAgent: An Experience-Driven Lifelong Learning Agent for Self-Evolving Psychological Counselorcited by 3
- 2024A Generic Review of Integrating Artificial Intelligence in Cognitive Behavioral Therapycited by 2
- 2025The Thinking Therapist: Training Large Language Models to Deliver Acceptance and Commitment Therapy using Supervised Fine-Tuning and Odds Ratio Policy Optimizationcited by 2
- 2025Empathy-R1: A Chain-of-Empathy and Reinforcement Learning Framework for Long-Form Mental Health Supportcited by 2
- 2026Graph2Counsel: Clinically Grounded Synthetic Counseling Dialogue Generation from Client Psychological Graphscited by 2
- 2024Therapy as an NLP Task: Comparing LLMs and Human Peers Behaviors in CBT Sessionscited by 1
- 2024Fine-Tuning Open-Weight Language Models to Deliver Cognitive Behavioral Therapy for Depression: A Feasibility Studycited by 1
- 2025SpineBench: A Clinically Salient, Level-Aware Benchmark Powered by the SpineMed-450k Corpuscited by 1
- 2025PanicToCalm: A Proactive Counseling Agent for Panic Attackscited by 1
- 2026EFT-CoT: A Multi-Agent Chain-of-Thought Framework for Emotion-Focused Therapycited by 1
- 2026CCD-CBT: Multi-Agent Therapeutic Interaction for CBT Guided by Cognitive Conceptualization Diagramcited by 1
- 2026Modeling Multi-Dimensional Cognitive States in Large Language Models under Cognitive Crowdingcited by 1
- 2026DMT-CBT: Longitudinal Therapeutic State Modeling for CBT Counselingcited by 1
- 2025First, Do No Harm: AI Supervisor Scaffolds Novice Growth in Counselor Educationcited by 0
- 2026The Art of Socratic Inquiry: A Framework for Proactive Template-Guided Therapeutic Conversation Generationcited by 0
- 2026DELTA: Deliberative Multi-Agent Reasoning with Reinforcement Learning for Multimodal Psychological Counselingcited by 0
- 2026Assessing the Effectiveness of LLMs in Delivering Cognitive Behavioral Therapycited by 0
- 2026PSY-STEP: Structuring Therapeutic Targets and Action Sequences for Proactive Counseling Dialogue Systemscited by 0
- 2026Psy-Chronicle:A Structured Pipeline for Synthesizing Long-Horizon Campus Psychological Counseling Dialoguescited by 0
- 2026Expert-Level Crisis Detection in Mental Health Conversationscited by 0
- 2026Creating Multilingual Mental Health Dialogue Datasets: Limits of Persona-Based Localization via Nationality and Languagecited by 0
- 2026TD-DPO: Difference-Aware Preference Optimization for Mitigating Sycophancy in Clinical Autism Intervention Dialoguecited by 0
- 2026Guiding Language Models to Be More Empathetic: Culturally Sensitive Mental Health Advice Generation Through Human-LLM Collaborationcited by 0
- 2026Cognivia: A Cognitive Behavioral Therapy Copilot for Evidence-Based Mental Healthcarecited by 0
- 2026FTA-Mem: Fact-Time-Affect Anchored Memory for Low-Density Long-Term Dialoguecited by 0
- 2026DeepSAGE: Stage-Aware Reinforcement Learning for Structured CBT Counseling Dialoguecited by 0
- 2026Steering the Compass: Aligning Dynamic Psychological Counseling Conversations with Cognitive Behavioral Therapy Strategiescited by 0
- 2026From Pattern Recognizers to Personalized Companions: A Survey of Large Language Models in Mental Healthcited by 0
- 2026From Pattern Recognizers to Personalized Companions: A Survey of Large Language Models in Mental Health21 Sep 2026
- 2026Steering the Compass: Aligning Dynamic Psychological Counseling Conversations with Cognitive Behavioral Therapy Strategies17 Sep 2026
- 2026DeepSAGE: Stage-Aware Reinforcement Learning for Structured CBT Counseling Dialogue23 Aug 2026
- 2026FTA-Mem: Fact-Time-Affect Anchored Memory for Low-Density Long-Term Dialogue17 Aug 2026
- 2026Cognivia: A Cognitive Behavioral Therapy Copilot for Evidence-Based Mental Healthcare28 Jul 2026
- 2026Guiding Language Models to Be More Empathetic: Culturally Sensitive Mental Health Advice Generation Through Human-LLM Collaboration26 Jul 2026
- 2026TD-DPO: Difference-Aware Preference Optimization for Mitigating Sycophancy in Clinical Autism Intervention Dialogue17 Jul 2026
- 2026Creating Multilingual Mental Health Dialogue Datasets: Limits of Persona-Based Localization via Nationality and Language17 Jun 2026
- 2026Expert-Level Crisis Detection in Mental Health Conversations9 Jun 2026
- 2026DMT-CBT: Longitudinal Therapeutic State Modeling for CBT Counseling2 Jun 2026
- 2026Psy-Chronicle:A Structured Pipeline for Synthesizing Long-Horizon Campus Psychological Counseling Dialogues21 May 2026
- 2026Graph2Counsel: Clinically Grounded Synthetic Counseling Dialogue Generation from Client Psychological Graphs22 Apr 2026
33 more
- 2026Modeling Multi-Dimensional Cognitive States in Large Language Models under Cognitive Crowding19 Apr 2026
- 2026CCD-CBT: Multi-Agent Therapeutic Interaction for CBT Guided by Cognitive Conceptualization Diagram8 Apr 2026
- 2026PSY-STEP: Structuring Therapeutic Targets and Action Sequences for Proactive Counseling Dialogue Systems6 Apr 2026
- 2026PsychAgent: An Experience-Driven Lifelong Learning Agent for Self-Evolving Psychological Counselor1 Apr 2026
- 2026Assessing the Effectiveness of LLMs in Delivering Cognitive Behavioral Therapy4 Mar 2026
- 2026DELTA: Deliberative Multi-Agent Reasoning with Reinforcement Learning for Multimodal Psychological Counseling4 Feb 2026
- 2026The Art of Socratic Inquiry: A Framework for Proactive Template-Guided Therapeutic Conversation Generation2 Feb 2026
- 2026EFT-CoT: A Multi-Agent Chain-of-Thought Framework for Emotion-Focused Therapy25 Jan 2026
- 2026XInsight: Integrative Stage-Consistent Psychological Counseling Support Agents for Digital Well-Being21 Jan 2026
- 2025MindEval: Benchmarking Language Models on Multi-turn Mental Health Support23 Nov 2025
- 2025PanicToCalm: A Proactive Counseling Agent for Panic Attacks24 Oct 2025
- 2025SpineBench: A Clinically Salient, Level-Aware Benchmark Powered by the SpineMed-450k Corpus3 Oct 2025
- 2025Empathy-R1: A Chain-of-Empathy and Reinforcement Learning Framework for Long-Form Mental Health Support18 Sep 2025
- 2025The Thinking Therapist: Training Large Language Models to Deliver Acceptance and Commitment Therapy using Supervised Fine-Tuning and Odds Ratio Policy Optimization8 Sep 2025
- 2025MAGneT: Coordinated Multi-Agent Generation of Synthetic Multi-Turn Mental Health Counseling Sessions4 Sep 2025
- 2025DiaCBT: A Long-Periodic Dialogue Corpus Guided by Cognitive Conceptualization Diagram for CBT-based Psychological Counseling3 Sep 2025
- 2025ChatThero: An LLM-Supported Chatbot for Behavior Change and Therapeutic Support in Addiction Recovery28 Aug 2025
- 2025A Comprehensive Review of Datasets for Clinical Mental Health AI Systems13 Aug 2025
- 2025First, Do No Harm: AI Supervisor Scaffolds Novice Growth in Counselor Education12 Aug 2025
- 2025Can You Share Your Story? Modeling Clients' Metacognition and Openness for LLM Therapist Evaluation25 Jul 2025
- 2025CounselBench: A Large-Scale Expert Evaluation and Adversarial Benchmarking of Large Language Models in Mental Health Question Answering10 Jun 2025
- 2025Psychological Counseling Cannot Be Achieved Overnight: Automated Psychological Counseling Through Multi-Session Conversations7 Jun 2025
- 2025Crisp: Cognitive Restructuring of Negative Thoughts through Multi-turn Supportive Dialogues24 Apr 2025
- 2025MIRROR: Multimodal Cognitive Reframing Therapy for Rolling with Resistance16 Apr 2025
- 2025MentalChat16K: A Benchmark Dataset for Conversational Mental Health Assistance13 Mar 2025
- 2025A Survey of Large Language Models in Psychotherapy: Current Landscape and Future Directions16 Feb 2025
- 2025HamRaz: A Culture-Based Persian Conversation Dataset for Person-Centered Therapy Using LLM Agents9 Feb 2025
- 2025MADP: Multi-Agent Deductive Planning for Enhanced Cognitive-Behavioral Mental Health Question Answer27 Jan 2025
- 2024Detecting Conversational Mental Manipulation with Intent-Aware Prompting11 Dec 2024
- 2024Fine-Tuning Open-Weight Language Models to Deliver Cognitive Behavioral Therapy for Depression: A Feasibility Study29 Nov 2024
- 2024Therapy as an NLP Task: Comparing LLMs and Human Peers Behaviors in CBT Sessions3 Sep 2024
- 2024A Generic Review of Integrating Artificial Intelligence in Cognitive Behavioral Therapy28 Jul 2024
- 2024Cactus: Towards Psychological Counseling Conversations using Cognitive Behavioral Theory3 Jul 2024
- 2026XInsight: Integrative Stage-Consistent Psychological Counseling Support Agents for Digital Well-Beingcited by 9
- 2025HamRaz: A Culture-Based Persian Conversation Dataset for Person-Centered Therapy Using LLM Agentscited by 6
- 2025MAGneT: Coordinated Multi-Agent Generation of Synthetic Multi-Turn Mental Health Counseling Sessionscited by 6
- 2025MADP: Multi-Agent Deductive Planning for Enhanced Cognitive-Behavioral Mental Health Question Answercited by 3
- 2026PsychAgent: An Experience-Driven Lifelong Learning Agent for Self-Evolving Psychological Counselorcited by 3
- 2026CCD-CBT: Multi-Agent Therapeutic Interaction for CBT Guided by Cognitive Conceptualization Diagramcited by 1
- 2026CCD-CBT: Multi-Agent Therapeutic Interaction for CBT Guided by Cognitive Conceptualization Diagram8 Apr 2026
- 2026PsychAgent: An Experience-Driven Lifelong Learning Agent for Self-Evolving Psychological Counselor1 Apr 2026
- 2026XInsight: Integrative Stage-Consistent Psychological Counseling Support Agents for Digital Well-Being21 Jan 2026
- 2025MAGneT: Coordinated Multi-Agent Generation of Synthetic Multi-Turn Mental Health Counseling Sessions4 Sep 2025
- 2025HamRaz: A Culture-Based Persian Conversation Dataset for Person-Centered Therapy Using LLM Agents9 Feb 2025
- 2025MADP: Multi-Agent Deductive Planning for Enhanced Cognitive-Behavioral Mental Health Question Answer27 Jan 2025
- 2025Crisp: Cognitive Restructuring of Negative Thoughts through Multi-turn Supportive Dialoguescited by 11
- 2025The Thinking Therapist: Training Large Language Models to Deliver Acceptance and Commitment Therapy using Supervised Fine-Tuning and Odds Ratio Policy Optimizationcited by 2
- 2026EFT-CoT: A Multi-Agent Chain-of-Thought Framework for Emotion-Focused Therapycited by 1
- 2026EFT-CoT: A Multi-Agent Chain-of-Thought Framework for Emotion-Focused Therapy25 Jan 2026
- 2025The Thinking Therapist: Training Large Language Models to Deliver Acceptance and Commitment Therapy using Supervised Fine-Tuning and Odds Ratio Policy Optimization8 Sep 2025
- 2025Crisp: Cognitive Restructuring of Negative Thoughts through Multi-turn Supportive Dialogues24 Apr 2025
- 2024Cactus: Towards Psychological Counseling Conversations using Cognitive Behavioral Theorycited by 60
- 2025MentalChat16K: A Benchmark Dataset for Conversational Mental Health Assistancecited by 39
- 2025CounselBench: A Large-Scale Expert Evaluation and Adversarial Benchmarking of Large Language Models in Mental Health Question Answeringcited by 21
- 2024Detecting Conversational Mental Manipulation with Intent-Aware Promptingcited by 16
- 2025MIRROR: Multimodal Cognitive Reframing Therapy for Rolling with Resistancecited by 13
- 2025A Survey of Large Language Models in Psychotherapy: Current Landscape and Future Directionscited by 12
- 2025Psychological Counseling Cannot Be Achieved Overnight: Automated Psychological Counseling Through Multi-Session Conversationscited by 12
- 2025MindEval: Benchmarking Language Models on Multi-turn Mental Health Supportcited by 10
- 2025Can You Share Your Story? Modeling Clients' Metacognition and Openness for LLM Therapist Evaluationcited by 7
- 2025ChatThero: An LLM-Supported Chatbot for Behavior Change and Therapeutic Support in Addiction Recoverycited by 4
- 2025DiaCBT: A Long-Periodic Dialogue Corpus Guided by Cognitive Conceptualization Diagram for CBT-based Psychological Counselingcited by 4
- 2025A Comprehensive Review of Datasets for Clinical Mental Health AI Systemscited by 3
12 most cited of 34 All 34 (JSON)
- 2026From Pattern Recognizers to Personalized Companions: A Survey of Large Language Models in Mental Health21 Sep 2026
- 2026Steering the Compass: Aligning Dynamic Psychological Counseling Conversations with Cognitive Behavioral Therapy Strategies17 Sep 2026
- 2026FTA-Mem: Fact-Time-Affect Anchored Memory for Low-Density Long-Term Dialogue17 Aug 2026
- 2026Cognivia: A Cognitive Behavioral Therapy Copilot for Evidence-Based Mental Healthcare28 Jul 2026
- 2026Guiding Language Models to Be More Empathetic: Culturally Sensitive Mental Health Advice Generation Through Human-LLM Collaboration26 Jul 2026
- 2026Creating Multilingual Mental Health Dialogue Datasets: Limits of Persona-Based Localization via Nationality and Language17 Jun 2026
- 2026Expert-Level Crisis Detection in Mental Health Conversations9 Jun 2026
- 2026DMT-CBT: Longitudinal Therapeutic State Modeling for CBT Counseling2 Jun 2026
- 2026Psy-Chronicle:A Structured Pipeline for Synthesizing Long-Horizon Campus Psychological Counseling Dialogues21 May 2026
- 2026Graph2Counsel: Clinically Grounded Synthetic Counseling Dialogue Generation from Client Psychological Graphs22 Apr 2026
- 2026Modeling Multi-Dimensional Cognitive States in Large Language Models under Cognitive Crowding19 Apr 2026
- 2026PSY-STEP: Structuring Therapeutic Targets and Action Sequences for Proactive Counseling Dialogue Systems6 Apr 2026
12 newest of 34 All 34 (JSON)