mlsanityData to 7 Oct 2026

Interactive Agents: Simulating Counselor-Client Psychological Counseling via Role-Playing LLM-to-LLM Interactions

arXiv 2408.15787 ↗First posted 28 Aug 2024cs.CL cs.IRcited by 43

On the map: LLM agents and tool use → Medical and scientific domain agents

Abstract (arXiv)

Creating effective dialogue systems for mental health support requires high-quality multi-turn counseling dialogue data, yet collecting real counselor-client conversations presents significant challenges, including privacy concerns, high costs, and limited scalability. We present Interactive Agents, a novel framework that simulates naturalistic counseling dialogues through controlled LLM-to-LLM interactions. The framework introduces two key innovations: (1) a personalized client agent that maintains consistent psychological characteristics throughout a session, and (2) a counselor agent that implements a theoretically grounded three-stage therapeutic model comprising the exploration, insight, and action phases. Through rigorous evaluation using both automatic metrics and professional-counselor assessments based on the Working Alliance Inventory, we demonstrate that our framework generates therapeutically valid dialogues that are comparable in quality to human-generated sessions. Models fine-tuned on our proposed synthetic dataset (SimPsyDial) achieve state-of-the-art performance in a standard pairwise chatbot-arena evaluation of LLM-based counselors. Our framework provides a scalable, privacy-preserving method for generating high-quality counseling dialogue data while maintaining professional therapeutic standards.

Key facts. Cited by 43 papers in the map (data through 7 Oct 2026). Placed in Medical and scientific domain agents, one of 16 directions in LLM agents and tool use. Builds on 28 of its 64 references that are in the map. First posted on arXiv 28 Aug 2024.

Builds on

28 of 64 references.

Closest ancestors · 2

Same direction, newest first

  1. 2024AgentClinic: a multimodal agent benchmark to evaluate AI in simulated clinical environments13 May
  2. 2024Agent Hospital: A Simulacrum of Hospital with Evolvable Medical Agents5 May

Other references · 26

  1. 2020Language Models are Few-Shot Learnerscited by 32,199
  2. 2023Judging LLM-as-a-Judge with MT-Bench and Chatbot Arenacited by 8,393
  3. 2023Generative Agents: Interactive Simulacra of Human Behaviorcited by 3,500
  4. 2023Qwen Technical Reportcited by 3,273
  5. 2024LlamaFactory: Unified Efficient Fine-Tuning of 100+ Language Modelscited by 1,442
  6. 2024ChatGLM: A Family of Large Language Models from GLM-130B to GLM-4 All Toolscited by 1,096
  7. 2024DeepSeek-V2: A Strong, Economical, and Efficient Mixture-of-Experts Language Modelcited by 1,093
  8. 2024The AI Scientist: Towards Fully Automated Open-Ended Scientific Discoverycited by 1,002
  9. 2022Social Simulacra: Creating Populated Prototypes for Social Computing Systemscited by 300
  10. 2024Simulating Classroom Education with LLM-Empowered Agentscited by 125
  11. 2023SoulChat: Improving LLMs' Empathy, Listening, and Comfort Abilities through Fine-tuning with Multi-turn Empathy Conversationscited by 109
  12. 2021PsyQA: A Chinese Dataset for Generating Long Counseling Text for Mental Health Supportcited by 92
14 more
  1. 2024CPsyCoun: A Report-based Multi-turn Dialogue Reconstruction and Evaluation Framework for Chinese Psychological Counselingcited by 88
  2. 2023Let the LLMs Talk: Simulating Human-to-Human Conversational QA via Zero-Shot LLM-to-LLM Interactionscited by 70
  3. 2024Can Large Language Model Agents Simulate Human Trust Behavior?cited by 62
  4. 2023CLASS: A Design Framework for building Intelligent Tutoring Systems based on Learning Science principlescited by 46
  5. 2024ClinicalLab: Aligning Agents for Multi-Departmental Clinical Diagnostics in the Real Worldcited by 28
  6. 2023Exploiting Simulated User Feedback for Conversational Search: Ranking, Rewriting, and Beyondcited by 23
  7. 2024Towards a Client-Centered Assessment of LLM Therapists by Client Simulationcited by 23
  8. 2024Language Model Can Do Knowledge Tracing: Simple but Effective Method to Integrate Language Model and Knowledge Tracing Taskcited by 20
  9. 2023UserSimCRS: A User Simulation Toolkit for Evaluating Conversational Recommender Systemscited by 11
  10. 2023PsyChat: A Client-Centric Dialogue System for Mental Health Supportcited by 11
  11. 2023GLM-Dialog: Noise-tolerant Pre-training for Knowledge-grounded Dialogue Generationcited by 9
  12. 2023LittleMu: Deploying an Online Virtual Teaching Assistant via Heterogeneous Sources Integration and Chain of Teach Promptscited by 9
  13. 2024Identifying Breakdowns in Conversational Recommender Systems using User Simulationcited by 4
  14. 2024Towards a Formal Characterization of User Simulation Objectives in Conversational Information Accesscited by 3

Built on by

Cited by year (2026 to 7 Oct)

Citing papers per year: 2024: 1; 2025: 27; 2026: 15.

43 papers.

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  1. 2024From Individual to Society: A Survey on Social Simulation Driven by Large Language Model-based Agentscited by 76
  2. 2025Expressing stigma and inappropriate responses prevents LLMs from safely replacing mental health providerscited by 67
  3. 2025From Personas to Talks: Revisiting the Impact of Personas on LLM-Synthesized Emotional Support Conversationscited by 23
  4. 2025Towards a Design Guideline for RPA Evaluation: A Survey of Large Language Model-Based Role-Playing Agentscited by 22
  5. 2025AnnaAgent: Dynamic Evolution Agent System with Multi-Session Memory for Realistic Seeker Simulationcited by 21
  6. 2025DeepPersona: A Generative Engine for Scaling Deep Synthetic Personascited by 14
  7. 2026A Survey on LLM-based Conversational User Simulationcited by 14
  8. 2025Crisp: Cognitive Restructuring of Negative Thoughts through Multi-turn Supportive Dialoguescited by 11
  9. 2025Psychological Counseling Cannot Be Achieved Overnight: Automated Psychological Counseling Through Multi-Session Conversationscited by 11
  10. 2026XInsight: Integrative Stage-Consistent Psychological Counseling Support Agents for Digital Well-Beingcited by 9
  11. 2025Exploring the Inquiry-Diagnosis Relationship with Advanced Patient Simulatorscited by 8
  12. 2025How Real Are Synthetic Therapy Conversations? Evaluating Fidelity in Prolonged Exposure Dialoguescited by 8
31 more
  1. 2025Can Agents Fix Agent Issues?cited by 8
  2. 2025Modeling Challenging Patient Interactions: LLMs for Medical Communication Trainingcited by 7
  3. 2025Can You Share Your Story? Modeling Clients' Metacognition and Openness for LLM Therapist Evaluationcited by 7
  4. 2025TheraMind: A Strategic and Adaptive Agent for Longitudinal Psychological Counselingcited by 7
  5. 2025HamRaz: A Culture-Based Persian Conversation Dataset for Person-Centered Therapy Using LLM Agentscited by 6
  6. 2025MAGneT: Coordinated Multi-Agent Generation of Synthetic Multi-Turn Mental Health Counseling Sessionscited by 6
  7. 2025Examining Spanish Counseling with MIDAS: a Motivational Interviewing Dataset in Spanishcited by 4
  8. 2025MCTSr-Zero: Self-Reflective Psychological Counseling Dialogues Generation via Principles and Adaptive Explorationcited by 4
  9. 2025MiraMind: Benchmarking Reliable Mental Health Reasoning beyond Answer Accuracycited by 4
  10. 2025Eeyore: Realistic Depression Simulation via Supervised and Preference Optimizationcited by 3
  11. 2025Pet-Bench: Benchmarking the Abilities of Large Language Models as E-Pets in Social Network Servicescited by 3
  12. 2025H2HTalk: Evaluating Large Language Models as Emotional Companioncited by 3
  13. 2025Reframe Your Life Story: Interactive Narrative Therapist and Innovative Moment Assessment with Large Language Modelscited by 3
  14. 2025Towards Privacy-aware Mental Health AI Models: Advances, Challenges, and Opportunitiescited by 2
  15. 2026Graph2Counsel: Clinically Grounded Synthetic Counseling Dialogue Generation from Client Psychological Graphscited by 2
  16. 2025Mitigating Social Desirability Bias in Random Silicon Samplingcited by 1
  17. 2026PsyCLIENT: Client Simulation via Conversational Trajectory Modeling for Trainee Practice and Model Evaluation in Mental Health Counselingcited by 1
  18. 2026Stress-Testing Emotional Support Models: Moving from Homogeneous to Diverse Help Seekerscited by 1
  19. 2026When Seekers Are Hard to Help: Evaluating Emotional Support Dialogue Systems in Worst-Case Interactionscited by 1
  20. 2026ProEvent: An Event-centric Benchmark for Proactive Agentscited by 1
  21. 2025First, Do No Harm: AI Supervisor Scaffolds Novice Growth in Counselor Educationcited by 0
  22. 2025LLM4Sweat: A Trustworthy Large Language Model for Hyperhidrosis Supportcited by 0
  23. 2025EduDial: Constructing a Large-scale Multi-turn Teacher-Student Dialogue Corpuscited by 0
  24. 2026Beyond Prompt: Fine-grained Simulation of Cognitively Impaired Standardized Patients via Stochastic Steeringcited by 0
  25. 2026StoryMI: Steerable Multi-Agent Therapeutic Dialogue Generationcited by 0
  26. 2026When Clients Stop Following: A Cognitive Conceptualization Diagram-driven Framework for Strategic Counselingcited by 0
  27. 2026Resonant Minds: Closed-Loop Social Avatars with Theory of Mindcited by 0
  28. 2026A Comprehensive Study of Implementation Bugs in Multi-modal Agentscited by 0
  29. 2026Move by Move: Measuring and Steering How LLMs Conduct Psychotherapycited by 0
  30. 2026From Pattern Recognizers to Personalized Companions: A Survey of Large Language Models in Mental Healthcited by 0
  31. 2026TRACER: Trajectory-Aligned Learning for Multi-Turn User Simulationcited by 0

Similar, not cited

Close in wording, no citation either way

  1. 2024An LLM-based Simulation Framework for Embodied Conversational Agents in Psychological Counseling
  2. 2026MASC: A Multi-Agent Self-Calibration Framework with Latent Construct Alignment for Consistent Client Role-Playing in Psychological Counseling
  3. 2025Trustworthy AI Psychotherapy: Multi-Agent LLM Workflow for Counseling and Explainable Mental Disorder Diagnosis
  4. 2026PsyEvo: A Personalized Counseling Agent That Self-Evolves at Test Time
  5. 2025Psi-Arena: Interactive Assessment and Optimization of LLM-based Psychological Counselors with Tripartite Feedback
  6. 2024Script-Based Dialog Policy Planning for LLM-Powered Conversational Agents: A Basic Architecture for an "AI Therapist"
  7. 2024Virtual Agents for Alcohol Use Counseling: Exploring LLM-Powered Motivational Interviewing
  8. 2025Controlled Yet Natural: A Hybrid BDI-LLM Conversational Agent for Child Helpline Training