# Knowledge Planning in Large Language Models for Domain-Aligned Counseling Summarization

arXiv: https://arxiv.org/abs/2409.14907 · HTML: https://mlsanity.com/paper/2409.14907/

## Key facts

- Cited by 11 papers in the map (data through 14 Oct 2026).
- Builds on 26 of its 52 references that are in the map.
- First posted on arXiv 23 Sep 2024.

## Builds on (most cited first, 26 of 26)

- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [Exploring the Limits of Transfer Learning with a Unified Text-to-Text Transformer](https://mlsanity.com/paper/1910.10683/) (2019)
- [BART: Denoising Sequence-to-Sequence Pre-training for Natural Language Generation, Translation, and Comprehension](https://mlsanity.com/paper/1910.13461/) (2019)
- [Large Language Models Encode Clinical Knowledge](https://mlsanity.com/paper/2212.13138/) (2022)
- [PEGASUS: Pre-training with Extracted Gap-sentences for Abstractive Summarization](https://mlsanity.com/paper/1912.08777/) (2019)
- [How Can We Know What Language Models Know?](https://mlsanity.com/paper/1911.12543/) (2019)
- [Zephyr: Direct Distillation of LM Alignment](https://mlsanity.com/paper/2310.16944/) (2023)
- [How Can We Know When Language Models Know? On the Calibration of Language Models for Question Answering](https://mlsanity.com/paper/2012.00955/) (2020)
- [On the Planning Abilities of Large Language Models : A Critical Investigation](https://mlsanity.com/paper/2305.15771/) (2023)
- [Neural Sheaf Diffusion: A Topological Perspective on Heterophily and Oversmoothing in GNNs](https://mlsanity.com/paper/2202.04579/) (2022)
- [Planning with Large Language Models for Code Generation](https://mlsanity.com/paper/2303.05510/) (2023)
- [Structural Scaffolds for Citation Intent Classification in Scientific Publications](https://mlsanity.com/paper/1904.01608/) (2019)
- [A Survey of Knowledge-Enhanced Text Generation](https://mlsanity.com/paper/2010.04389/) (2020)
- [ACI-BENCH: a Novel Ambient Clinical Intelligence Dataset for Benchmarking Automatic Visit Note Generation](https://mlsanity.com/paper/2306.02022/) (2023)
- [Towards Facilitating Empathic Conversations in Online Mental Health Support: A Reinforcement Learning Approach](https://mlsanity.com/paper/2101.07714/) (2021)
- [DialogLM: Pre-trained Model for Long Dialogue Understanding and Summarization](https://mlsanity.com/paper/2109.02492/) (2021)
- [Summ^N: A Multi-Stage Summarization Framework for Long Input Dialogues and Documents](https://mlsanity.com/paper/2110.10150/) (2021)
- [Do LLMs Understand Social Knowledge? Evaluating the Sociability of Large Language Models with SocKET Benchmark](https://mlsanity.com/paper/2305.14938/) (2023)
- [Language Model as an Annotator: Exploring DialoGPT for Dialogue Summarization](https://mlsanity.com/paper/2105.12544/) (2021)
- [Abstractive Dialogue Summarization with Sentence-Gated Modeling Optimized by Dialogue Acts](https://mlsanity.com/paper/1809.05715/) (2018)
- [Task-Adaptive Tokenization: Enhancing Long-Form Text Generation Efficacy in Mental Health and Beyond](https://mlsanity.com/paper/2310.05317/) (2023)
- [Counseling Summarization using Mental Health Knowledge Guided Utterance Filtering](https://mlsanity.com/paper/2206.03886/) (2022)
- [Unsupervised Summarization for Chat Logs with Topic-Oriented Ranking and Context-Aware Auto-Encoders](https://mlsanity.com/paper/2012.07300/) (2020)
- [Generative Planning for Temporally Coordinated Exploration in Reinforcement Learning](https://mlsanity.com/paper/2201.09765/) (2022)
- [Experience and Evidence are the eyes of an excellent summarizer! Towards Knowledge Infused Multi-modal Clinical Conversation Summarization](https://mlsanity.com/paper/2309.15739/) (2023)
- [Fusing Multimodal Signals on Hyper-complex Space for Extreme Abstractive Text Summarization (TL;DR) of Scientific Contents](https://mlsanity.com/paper/2306.13968/) (2023)

## Built on by (most cited first, 11 of 11)

- [A Survey of Large Language Models in Psychotherapy: Current Landscape and Future Directions](https://mlsanity.com/paper/2502.11095/) (2025)
- [What Is That Talk About? A Video-to-Text Summarization Dataset for Scientific Presentations](https://mlsanity.com/paper/2502.08279/) (2025)
- [Figurative-cum-Commonsense Knowledge Infusion for Multimodal Mental Health Meme Classification](https://mlsanity.com/paper/2501.15321/) (2025)
- [Trust Modeling in Counseling Conversations: A Benchmark Study](https://mlsanity.com/paper/2501.03064/) (2025)
- [M-HELP: Using Social Media Data to Detect Mental Health Help-Seeking Signals](https://mlsanity.com/paper/2508.15440/) (2025)
- [Redefining Experts: Interpretable Decomposition of Language Models for Toxicity Mitigation](https://mlsanity.com/paper/2509.16660/) (2025)
- [Responsible Evaluation of AI for Mental Health](https://mlsanity.com/paper/2602.00065/) (2026)
- [Measuring What Matters!! Assessing Therapeutic Principles in Mental-Health Conversation](https://mlsanity.com/paper/2604.05795/) (2026)
- [How to inject knowledge efficiently? Knowledge Infusion Scaling Law for Pre-training Large Language Models](https://mlsanity.com/paper/2509.19371/) (2025)
- [Trust Stack for Mental Health AI: A Survey of Calibration across Human, Interaction, and AI Layers](https://mlsanity.com/paper/2604.20166/) (2026)
- [From Pattern Recognizers to Personalized Companions: A Survey of Large Language Models in Mental Health](https://mlsanity.com/paper/2609.25186/) (2026)

## Abstract (arXiv)

In mental health counseling, condensing dialogues into concise and relevant summaries (aka counseling notes) holds pivotal significance. Large Language Models (LLMs) exhibit remarkable capabilities in various generative tasks; however, their adaptation to domain-specific intricacies remains challenging, especially within mental health contexts. Unlike standard LLMs, mental health experts first plan to apply domain knowledge in writing summaries. Our work enhances LLMs' ability by introducing a novel planning engine to orchestrate structuring knowledge alignment. To achieve high-order planning, we divide knowledge encapsulation into two major phases: (i) holding dialogue structure and (ii) incorporating domain-specific knowledge. We employ a planning engine on Llama-2, resulting in a novel framework, PIECE. Our proposed system employs knowledge filtering-cum-scaffolding to encapsulate domain knowledge. Additionally, PIECE leverages sheaf convolution learning to enhance its understanding of the dialogue's structural nuances. We compare PIECE with 14 baseline methods and observe a significant improvement across ROUGE and Bleurt scores. Further, expert evaluation and analyses validate the generation quality to be effective, sometimes even surpassing the gold standard. We further benchmark PIECE with other LLMs and report improvement, including Llama-2 (+2.72%), Mistral (+2.04%), and Zephyr (+1.59%), to justify the generalizability of the planning engine.
