Consistent Client Simulation for Motivational Interviewing-based Counseling
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Abstract (arXiv)
Simulating human clients in mental health counseling is crucial for training and evaluating counselors (both human or simulated) in a scalable manner. Nevertheless, past research on client simulation did not focus on complex conversation tasks such as mental health counseling. In these tasks, the challenge is to ensure that the client's actions (i.e., interactions with the counselor) are consistent with with its stipulated profiles and negative behavior settings. In this paper, we propose a novel framework that supports consistent client simulation for mental health counseling. Our framework tracks the mental state of a simulated client, controls its state transitions, and generates for each state behaviors consistent with the client's motivation, beliefs, preferred plan to change, and receptivity. By varying the client profile and receptivity, we demonstrate that consistent simulated clients for different counseling scenarios can be effectively created. Both our automatic and expert evaluations on the generated counseling sessions also show that our client simulation method achieves higher consistency than previous methods.
Key facts. Cited by 14 papers in the map (data through 7 Oct 2026). Builds on 12 of its 26 references that are in the map. First posted on arXiv 5 Feb 2025.
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12 of 26 references.
References · 12
- 2023Efficient Memory Management for Large Language Model Serving with PagedAttentioncited by 5,767
- 2023OpenAssistant Conversations -- Democratizing Large Language Model Alignmentcited by 712
- 2023Large Language Model Alignment: A Surveycited by 241
- 2023Prompting and Evaluating Large Language Models for Proactive Dialogues: Clarification, Target-guided, and Non-collaborationcited by 115
- 2023Plug-and-Play Policy Planner for Large Language Model Powered Dialogue Agentscited by 76
- 2024A Computational Framework for Behavioral Assessment of LLM Therapistscited by 61
- 2023CharacterChat: Learning towards Conversational AI with Personalized Social Supportcited by 58
- 2024Can Large Language Models be Good Emotional Supporter? Mitigating Preference Bias on Emotional Support Conversationcited by 55
- 2024Automatic Interactive Evaluation for Large Language Models with State Aware Patient Simulatorcited by 36
- 2024Towards a Client-Centered Assessment of LLM Therapists by Client Simulationcited by 23
- 2021RESPER: Computationally Modelling Resisting Strategies in Persuasive Conversationscited by 18
- 2024Speaker Verification in Agent-Generated Conversationscited by 4
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Citing papers per year: 2025: 2; 2026: 12.
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- 2026PatientHub: A Unified Framework for Patient Simulationcited by 4
- 2026CALM-IT: Generating Realistic Long-Form Motivational Interviewing Dialogues with Dual-Actor Conversational Dynamics Trackingcited by 3
- 2026MHSafeEval: Role-Aware Interaction-Level Evaluation of Mental Health Safety in Large Language Modelscited by 3
- 2026Know You Before You Speak: User-State Modeling for LLM Personalization in Multi-Turn Conversationcited by 3
- 2026Responsible Evaluation of AI for Mental Healthcited by 2
- 2026PsyCLIENT: Client Simulation via Conversational Trajectory Modeling for Trainee Practice and Model Evaluation in Mental Health Counselingcited by 1
- 2026Stress-Testing Emotional Support Models: Moving from Homogeneous to Diverse Help Seekerscited by 1
- 2026PatientAct: Theory-Grounded Mental Health Client Simulationcited by 1
- 2025"Is This Really a Human Peer Supporter?": Misalignments Between Peer Supporters and Experts in LLM-Supported Interactionscited by 0
- 2025"I Said Things I Needed to Hear Myself": Peer Support as an Emotional, Organisational, and Sociotechnical Practice in Singaporecited by 0
- 2026GenAI for Social Work Field Education: Client Simulation with Real-Time Feedbackcited by 0
- 2026"Act Like a 5th Grader" is Not Enough: Bounding Knowledge in LLM-Based User Simulatorscited by 0
- 2026Adapting from Downturns: Prediction of Long-Term Conversational-Skill Development in Mental-Health Crisis Counselors3 Sep 2026
- 2026Disclosure-Gated User Simulation for Companion-Agent Evaluation1 Sep 2026
- 2026"Act Like a 5th Grader" is Not Enough: Bounding Knowledge in LLM-Based User Simulators30 Aug 2026
- 2026PatientAct: Theory-Grounded Mental Health Client Simulation13 Aug 2026
- 2026Know You Before You Speak: User-State Modeling for LLM Personalization in Multi-Turn Conversation23 May 2026
- 2026MHSafeEval: Role-Aware Interaction-Level Evaluation of Mental Health Safety in Large Language Models20 Apr 2026
- 2026PatientHub: A Unified Framework for Patient Simulation12 Feb 2026
- 2026GenAI for Social Work Field Education: Client Simulation with Real-Time Feedback26 Jan 2026
- 2026Responsible Evaluation of AI for Mental Health20 Jan 2026
- 2026CALM-IT: Generating Realistic Long-Form Motivational Interviewing Dialogues with Dual-Actor Conversational Dynamics Tracking15 Jan 2026
- 2026Stress-Testing Emotional Support Models: Moving from Homogeneous to Diverse Help Seekers12 Jan 2026
- 2026PsyCLIENT: Client Simulation via Conversational Trajectory Modeling for Trainee Practice and Model Evaluation in Mental Health Counseling12 Jan 2026
- 2026PatientHub: A Unified Framework for Patient Simulationcited by 4
- 2026CALM-IT: Generating Realistic Long-Form Motivational Interviewing Dialogues with Dual-Actor Conversational Dynamics Trackingcited by 3
- 2026MHSafeEval: Role-Aware Interaction-Level Evaluation of Mental Health Safety in Large Language Modelscited by 3
- 2026Know You Before You Speak: User-State Modeling for LLM Personalization in Multi-Turn Conversationcited by 3
- 2026Responsible Evaluation of AI for Mental Healthcited by 2
- 2026PsyCLIENT: Client Simulation via Conversational Trajectory Modeling for Trainee Practice and Model Evaluation in Mental Health Counselingcited by 1
- 2026Stress-Testing Emotional Support Models: Moving from Homogeneous to Diverse Help Seekerscited by 1
- 2026PatientAct: Theory-Grounded Mental Health Client Simulationcited by 1
- 2025"Is This Really a Human Peer Supporter?": Misalignments Between Peer Supporters and Experts in LLM-Supported Interactionscited by 0
- 2025"I Said Things I Needed to Hear Myself": Peer Support as an Emotional, Organisational, and Sociotechnical Practice in Singaporecited by 0
- 2026GenAI for Social Work Field Education: Client Simulation with Real-Time Feedbackcited by 0
- 2026"Act Like a 5th Grader" is Not Enough: Bounding Knowledge in LLM-Based User Simulatorscited by 0
12 most cited of 13 All 13 (JSON)
- 2026Adapting from Downturns: Prediction of Long-Term Conversational-Skill Development in Mental-Health Crisis Counselors3 Sep 2026
- 2026"Act Like a 5th Grader" is Not Enough: Bounding Knowledge in LLM-Based User Simulators30 Aug 2026
- 2026PatientAct: Theory-Grounded Mental Health Client Simulation13 Aug 2026
- 2026Know You Before You Speak: User-State Modeling for LLM Personalization in Multi-Turn Conversation23 May 2026
- 2026MHSafeEval: Role-Aware Interaction-Level Evaluation of Mental Health Safety in Large Language Models20 Apr 2026
- 2026PatientHub: A Unified Framework for Patient Simulation12 Feb 2026
- 2026GenAI for Social Work Field Education: Client Simulation with Real-Time Feedback26 Jan 2026
- 2026Responsible Evaluation of AI for Mental Health20 Jan 2026
- 2026CALM-IT: Generating Realistic Long-Form Motivational Interviewing Dialogues with Dual-Actor Conversational Dynamics Tracking15 Jan 2026
- 2026Stress-Testing Emotional Support Models: Moving from Homogeneous to Diverse Help Seekers12 Jan 2026
- 2026PsyCLIENT: Client Simulation via Conversational Trajectory Modeling for Trainee Practice and Model Evaluation in Mental Health Counseling12 Jan 2026
- 2025"I Said Things I Needed to Hear Myself": Peer Support as an Emotional, Organisational, and Sociotechnical Practice in Singapore11 Jun 2025
12 newest of 13 All 13 (JSON)