Cactus: Towards Psychological Counseling Conversations using Cognitive Behavioral Theory
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Abstract (arXiv)
Recently, the demand for psychological counseling has significantly increased as more individuals express concerns about their mental health. This surge has accelerated efforts to improve the accessibility of counseling by using large language models (LLMs) as counselors. To ensure client privacy, training open-source LLMs faces a key challenge: the absence of realistic counseling datasets. To address this, we introduce Cactus, a multi-turn dialogue dataset that emulates real-life interactions using the goal-oriented and structured approach of Cognitive Behavioral Therapy (CBT). We create a diverse and realistic dataset by designing clients with varied, specific personas, and having counselors systematically apply CBT techniques in their interactions. To assess the quality of our data, we benchmark against established psychological criteria used to evaluate real counseling sessions, ensuring alignment with expert evaluations. Experimental results demonstrate that Camel, a model trained with Cactus, outperforms other models in counseling skills, highlighting its effectiveness and potential as a counseling agent. We make our data, model, and code publicly available.
Key facts. Cited by 60 papers in the map (data through 7 Oct 2026). Builds on 14 of its 39 references that are in the map. First posted on arXiv 3 Jul 2024.
Builds on
14 of 39 references.
References · 14
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- 2022SODA: Million-scale Dialogue Distillation with Social Commonsense Contextualizationcited by 166
- 2021PsyQA: A Chinese Dataset for Generating Long Counseling Text for Mental Health Supportcited by 92
- 2023Cognitive Reframing of Negative Thoughts through Human-Language Model Interactioncited by 77
- 2022Human Evaluation of Conversations is an Open Problem: comparing the sensitivity of various methods for evaluating dialogue agentscited by 62
- 2024Is this the real life? Is this just fantasy? The Misleading Success of Simulating Social Interactions With LLMscited by 59
- 2024Can Large Language Models be Good Emotional Supporter? Mitigating Preference Bias on Emotional Support Conversationcited by 55
- 2024HealMe: Harnessing Cognitive Reframing in Large Language Models for Psychotherapycited by 47
- 2024CBT-LLM: A Chinese Large Language Model for Cognitive Behavioral Therapy-based Mental Health Question Answeringcited by 45
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Citing papers per year: 2024: 3; 2025: 22; 2026: 35.
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- 2024Detecting Conversational Mental Manipulation with Intent-Aware Promptingcited by 16
- 2025MIRROR: Multimodal Cognitive Reframing Therapy for Rolling with Resistancecited by 13
- 2025KokoroChat: A Japanese Psychological Counseling Dialogue Dataset Collected via Role-Playing by Trained Counselorscited by 13
- 2025A Survey of Large Language Models in Psychotherapy: Current Landscape and Future Directionscited by 12
- 2025Crisp: Cognitive Restructuring of Negative Thoughts through Multi-turn Supportive Dialoguescited by 11
- 2025Psychological Counseling Cannot Be Achieved Overnight: Automated Psychological Counseling Through Multi-Session Conversationscited by 11
- 2025Feel the Difference? A Comparative Analysis of Emotional Arcs in Real and LLM-Generated CBT Sessionscited by 11
- 2025MindEval: Benchmarking Language Models on Multi-turn Mental Health Supportcited by 9
- 2026XInsight: Integrative Stage-Consistent Psychological Counseling Support Agents for Digital Well-Beingcited by 9
- 2025Dialogue Systems for Emotional Support via Value Reinforcementcited by 8
- 2025How Real Are Synthetic Therapy Conversations? Evaluating Fidelity in Prolonged Exposure Dialoguescited by 8
- 2025Can You Share Your Story? Modeling Clients' Metacognition and Openness for LLM Therapist Evaluationcited by 7
38 more
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- 2025MAGneT: Coordinated Multi-Agent Generation of Synthetic Multi-Turn Mental Health Counseling Sessionscited by 6
- 2024Multi-Session Client-Centered Treatment Outcome Evaluation in Psychotherapycited by 5
- 2025DiaCBT: A Long-Periodic Dialogue Corpus Guided by Cognitive Conceptualization Diagram for CBT-based Psychological Counselingcited by 4
- 2025Roleplaying with Structure: Synthetic Therapist-Client Conversation Generation from Questionnairescited by 4
- 2026PatientHub: A Unified Framework for Patient Simulationcited by 4
- 2026Do No Harm: Exposing Hidden Vulnerabilities of LLMs via Persona-based Client Simulation Attack in Psychological Counselingcited by 4
- 2025A Comprehensive Review of Datasets for Clinical Mental Health AI Systemscited by 3
- 2025ChatThero: An LLM-Supported Chatbot for Behavior Change and Therapeutic Support in Addiction Recoverycited by 3
- 2026PsychEval: A Multi-Session and Multi-Therapy Benchmark for High-Realism AI Psychological Counselorcited by 3
- 2026PsychEthicsBench: Evaluating Large Language Models Against Australian Mental Health Ethicscited by 3
- 2026CALM-IT: Generating Realistic Long-Form Motivational Interviewing Dialogues with Dual-Actor Conversational Dynamics Trackingcited by 3
- 2024Thanos: Enhancing Conversational Agents with Skill-of-Mind-Infused Large Language Modelcited by 2
- 2025Towards Privacy-aware Mental Health AI Models: Advances, Challenges, and Opportunitiescited by 2
- 2026Responsible Evaluation of AI for Mental Healthcited by 2
- 2026PsychAgent: An Experience-Driven Lifelong Learning Agent for Self-Evolving Psychological Counselorcited by 2
- 2026Graph2Counsel: Clinically Grounded Synthetic Counseling Dialogue Generation from Client Psychological Graphscited by 2
- 2026PSI-Bench: Interpretable and Clinically Meaningful Evaluation of Depression Patient Simulatorscited by 2
- 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
- 2026DMT-CBT: Longitudinal Therapeutic State Modeling for CBT Counselingcited by 1
- 2025EmoStage: A Framework for Accurate Empathetic Response Generation via Perspective-Taking and Phase Recognitioncited by 0
- 2025First, Do No Harm: AI Supervisor Scaffolds Novice Growth in Counselor Educationcited by 0
- 2026Towards Privacy-Preserving Mental Health Support with Large Language Modelscited by 0
- 2026Psych=eChat: An Empathic Framework Focused on Emotion Shift Tracking and Safety Risk Analysis in Psychological Counselingcited 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
- 2026Multilingual KokoroChat: A Multi-LLM Ensemble Translation Method for Creating a Multilingual Counseling Dialogue Datasetcited by 0
- 2026PSY-STEP: Structuring Therapeutic Targets and Action Sequences for Proactive Counseling Dialogue Systemscited by 0
- 2026Beyond Prompt: Fine-grained Simulation of Cognitively Impaired Standardized Patients via Stochastic Steeringcited by 0
- 2026CBT-Audio: Evaluating Audio Language Models for Patient-Side Distress Intensity Estimation in CBT Session Recordingscited by 0
- 2026Psy-Chronicle:A Structured Pipeline for Synthesizing Long-Horizon Campus Psychological Counseling Dialoguescited by 0
- 2026EmoTrack: Clinical-Semantic Modeling for Text-Based Depression Severity Estimationcited by 0
- 2026When Clients Stop Following: A Cognitive Conceptualization Diagram-driven Framework for Strategic Counselingcited by 0
50 most cited of 60 All 60 (JSON)
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- 2026MACBT: A Multi-Agent Cognitive Behavioral Therapy Decision Support System with Longitudinal Memory25 Sep 2026
- 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
- 2026MOCC-R1: Reinforcing Reasoning-Response Consistency for Multimodal Counselor Response Generation15 Sep 2026
- 2026LongCounsel-8: A Benchmark Suite for Longitudinal Depression Tracking from Multi-Session Counseling Dialogues3 Sep 2026
- 2026Benevolent Bias in Multi-Turn Human-Agent Dialogue29 Aug 2026
- 2026EmoTrace: An Emotion Trajectory-Centered Framework for Psychological Support Dialogue Generation26 Jul 2026
- 2026Expert-Level Crisis Detection in Mental Health Conversations9 Jun 2026
- 2026When Clients Stop Following: A Cognitive Conceptualization Diagram-driven Framework for Strategic Counseling3 Jun 2026
- 2026DMT-CBT: Longitudinal Therapeutic State Modeling for CBT Counseling2 Jun 2026
- 2026AnchorSIPS: A Synthetic Dataset and Evaluation Resource for Evidence-Supported Psychosis-Risk Symptom Measurement1 Jun 2026
38 more
- 2026EmoTrack: Clinical-Semantic Modeling for Text-Based Depression Severity Estimation21 May 2026
- 2026Psy-Chronicle:A Structured Pipeline for Synthesizing Long-Horizon Campus Psychological Counseling Dialogues21 May 2026
- 2026CBT-Audio: Evaluating Audio Language Models for Patient-Side Distress Intensity Estimation in CBT Session Recordings17 May 2026
- 2026PSI-Bench: Interpretable and Clinically Meaningful Evaluation of Depression Patient Simulators28 Apr 2026
- 2026Graph2Counsel: Clinically Grounded Synthetic Counseling Dialogue Generation from Client Psychological Graphs22 Apr 2026
- 2026Beyond Prompt: Fine-grained Simulation of Cognitively Impaired Standardized Patients via Stochastic Steering14 Apr 2026
- 2026CCD-CBT: Multi-Agent Therapeutic Interaction for CBT Guided by Cognitive Conceptualization Diagram8 Apr 2026
- 2026Do No Harm: Exposing Hidden Vulnerabilities of LLMs via Persona-based Client Simulation Attack in Psychological Counseling6 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
- 2026Multilingual KokoroChat: A Multi-LLM Ensemble Translation Method for Creating a Multilingual Counseling Dialogue Dataset24 Mar 2026
- 2026Assessing the Effectiveness of LLMs in Delivering Cognitive Behavioral Therapy4 Mar 2026
- 2026PatientHub: A Unified Framework for Patient Simulation12 Feb 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
- 2026Responsible Evaluation of AI for Mental Health20 Jan 2026
- 2026Psych=eChat: An Empathic Framework Focused on Emotion Shift Tracking and Safety Risk Analysis in Psychological Counseling18 Jan 2026
- 2026CALM-IT: Generating Realistic Long-Form Motivational Interviewing Dialogues with Dual-Actor Conversational Dynamics Tracking15 Jan 2026
- 2026PsychEthicsBench: Evaluating Large Language Models Against Australian Mental Health Ethics7 Jan 2026
- 2026Towards Privacy-Preserving Mental Health Support with Large Language Models5 Jan 2026
- 2026PsychEval: A Multi-Session and Multi-Therapy Benchmark for High-Realism AI Psychological Counselor5 Jan 2026
- 2025MindEval: Benchmarking Language Models on Multi-turn Mental Health Support23 Nov 2025
- 2025TheraMind: A Strategic and Adaptive Agent for Longitudinal Psychological Counseling29 Oct 2025
- 2025Roleplaying with Structure: Synthetic Therapist-Client Conversation Generation from Questionnaires29 Oct 2025
- 2025PanicToCalm: A Proactive Counseling Agent for Panic Attacks24 Oct 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
- 2025Feel the Difference? A Comparative Analysis of Emotional Arcs in Real and LLM-Generated CBT Sessions28 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
- 2025EmoStage: A Framework for Accurate Empathetic Response Generation via Perspective-Taking and Phase Recognition24 Jun 2025
- 2025Psychological Counseling Cannot Be Achieved Overnight: Automated Psychological Counseling Through Multi-Session Conversations7 Jun 2025
- 2025KokoroChat: A Japanese Psychological Counseling Dialogue Dataset Collected via Role-Playing by Trained Counselors2 Jun 2025
- 2025How Real Are Synthetic Therapy Conversations? Evaluating Fidelity in Prolonged Exposure Dialogues30 Apr 2025
50 newest of 60 All 60 (JSON)
- 2026XInsight: Integrative Stage-Consistent Psychological Counseling Support Agents for Digital Well-Beingcited by 9
- 2025TheraMind: A Strategic and Adaptive Agent for Longitudinal Psychological Counselingcited by 7
- 2025HamRaz: A Culture-Based Persian Conversation Dataset for Person-Centered Therapy Using LLM Agentscited by 6
- 2025MIND: Towards Immersive Psychological Healing with Multi-agent Inner Dialoguecited by 6
- 2025MAGneT: Coordinated Multi-Agent Generation of Synthetic Multi-Turn Mental Health Counseling Sessionscited by 6
- 2024Thanos: Enhancing Conversational Agents with Skill-of-Mind-Infused Large Language Modelcited by 2
- 2026PsychAgent: An Experience-Driven Lifelong Learning Agent for Self-Evolving Psychological Counselorcited by 2
- 2026CCD-CBT: Multi-Agent Therapeutic Interaction for CBT Guided by Cognitive Conceptualization Diagramcited by 1
- 2026Benevolent Bias in Multi-Turn Human-Agent Dialoguecited by 0
- 2026MACBT: A Multi-Agent Cognitive Behavioral Therapy Decision Support System with Longitudinal Memorycited by 0
- 2026MACBT: A Multi-Agent Cognitive Behavioral Therapy Decision Support System with Longitudinal Memory25 Sep 2026
- 2026Benevolent Bias in Multi-Turn Human-Agent Dialogue29 Aug 2026
- 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
- 2025TheraMind: A Strategic and Adaptive Agent for Longitudinal Psychological Counseling29 Oct 2025
- 2025MAGneT: Coordinated Multi-Agent Generation of Synthetic Multi-Turn Mental Health Counseling Sessions4 Sep 2025
- 2025MIND: Towards Immersive Psychological Healing with Multi-agent Inner Dialogue27 Feb 2025
- 2025HamRaz: A Culture-Based Persian Conversation Dataset for Person-Centered Therapy Using LLM Agents9 Feb 2025
- 2024Thanos: Enhancing Conversational Agents with Skill-of-Mind-Infused Large Language Model7 Nov 2024
- 2024Detecting Conversational Mental Manipulation with Intent-Aware Promptingcited by 16
- 2025MIRROR: Multimodal Cognitive Reframing Therapy for Rolling with Resistancecited by 13
- 2025KokoroChat: A Japanese Psychological Counseling Dialogue Dataset Collected via Role-Playing by Trained Counselorscited 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 11
- 2025Feel the Difference? A Comparative Analysis of Emotional Arcs in Real and LLM-Generated CBT Sessionscited by 11
- 2025MindEval: Benchmarking Language Models on Multi-turn Mental Health Supportcited by 9
- 2025Dialogue Systems for Emotional Support via Value Reinforcementcited by 8
- 2025How Real Are Synthetic Therapy Conversations? Evaluating Fidelity in Prolonged Exposure Dialoguescited by 8
- 2025Can You Share Your Story? Modeling Clients' Metacognition and Openness for LLM Therapist Evaluationcited by 7
- 2024Multi-Session Client-Centered Treatment Outcome Evaluation in Psychotherapycited by 5
- 2025DiaCBT: A Long-Periodic Dialogue Corpus Guided by Cognitive Conceptualization Diagram for CBT-based Psychological Counselingcited by 4
12 most cited of 45 All 45 (JSON)
- 2026Measuring Cultural Alignment Beyond the Average: A Framework for Evaluating Maternal-Health LLM Interactions in Indian Contexts8 Oct 2026
- 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
- 2026MOCC-R1: Reinforcing Reasoning-Response Consistency for Multimodal Counselor Response Generation15 Sep 2026
- 2026LongCounsel-8: A Benchmark Suite for Longitudinal Depression Tracking from Multi-Session Counseling Dialogues3 Sep 2026
- 2026EmoTrace: An Emotion Trajectory-Centered Framework for Psychological Support Dialogue Generation26 Jul 2026
- 2026Expert-Level Crisis Detection in Mental Health Conversations9 Jun 2026
- 2026When Clients Stop Following: A Cognitive Conceptualization Diagram-driven Framework for Strategic Counseling3 Jun 2026
- 2026DMT-CBT: Longitudinal Therapeutic State Modeling for CBT Counseling2 Jun 2026
- 2026EmoTrack: Clinical-Semantic Modeling for Text-Based Depression Severity Estimation21 May 2026
- 2026Psy-Chronicle:A Structured Pipeline for Synthesizing Long-Horizon Campus Psychological Counseling Dialogues21 May 2026
- 2026CBT-Audio: Evaluating Audio Language Models for Patient-Side Distress Intensity Estimation in CBT Session Recordings17 May 2026
12 newest of 45 All 45 (JSON)