mlsanityData to 14 Oct 2026

Preference Learning Unlocks LLMs' Psycho-Counseling Skills

arXiv 2502.19731 ↗First posted 27 Feb 2025cs.CLcited by 10

On the map: LLM alignment / RLHF / preference optimisation → Medical LLM alignment

Abstract (arXiv)

Applying large language models (LLMs) to assist in psycho-counseling is an emerging and meaningful approach, driven by the significant gap between patient needs and the availability of mental health support. However, current LLMs struggle to consistently provide effective responses to client speeches, largely due to the lack of supervision from high-quality real psycho-counseling data, whose content is typically inaccessible due to client privacy concerns. Furthermore, the quality of therapists' responses in available sessions can vary significantly based on their professional training and experience. Assessing the quality of therapists' responses remains an open challenge. In this work, we address these challenges by first proposing a set of professional and comprehensive principles to evaluate therapists' responses to client speeches. Using these principles, we create a preference dataset, PsychoCounsel-Preference, which contains 36k high-quality preference comparison pairs. This dataset aligns with the preferences of professional psychotherapists, providing a robust foundation for evaluating and improving LLMs in psycho-counseling. Experiments on reward modeling and preference learning demonstrate that PsychoCounsel-Preference is an excellent resource for LLMs to acquire essential skills for responding to clients in a counseling session. Our best-aligned model, PsychoCounsel-Llama3-8B, achieves an impressive win rate of 87% against GPT-4o. We release PsychoCounsel-Preference, PsychoCounsel-Llama3-8B and the reward model PsychoCounsel Llama3-8B-Reward to facilitate the research of psycho-counseling with LLMs at: https://hf.co/Psychotherapy-LLM.

Key facts. Cited by 10 papers in the map (data through 14 Oct 2026). Placed in Medical LLM alignment, one of 10 directions in LLM alignment / RLHF / preference optimisation. Builds on 29 of its 45 references that are in the map. First posted on arXiv 27 Feb 2025.

Builds on

29 of 45 references.

References · 29

  1. 2022Training language models to follow instructions with human feedbackcited by 15,971
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  4. 2023Direct Preference Optimization: Your Language Model is Secretly a Reward Modelcited by 8,065
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17 more
  1. 2024Skywork-Reward: Bag of Tricks for Reward Modeling in LLMscited by 327
  2. 2024OLMoE: Open Mixture-of-Experts Language Modelscited by 301
  3. 2024Is DPO Superior to PPO for LLM Alignment? A Comprehensive Studycited by 262
  4. 2024Iterative Reasoning Preference Optimizationcited by 246
  5. 2024Scaling Laws for Reward Model Overoptimization in Direct Alignment Algorithmscited by 143
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  9. 2023ChatCounselor: A Large Language Models for Mental Health Supportcited by 44
  10. 2023LLM-empowered Chatbots for Psychiatrist and Patient Simulation: Application and Evaluationcited by 34
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  13. 2023Challenges of Large Language Models for Mental Health Counselingcited by 17
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  17. 2024Orion-14B: Open-source Multilingual Large Language Modelscited by 5

Built on by

Cited by year (2026 to 14 Oct)

Citing papers per year: 2025: 4; 2026: 6.

10 papers.

Similar, not cited

Close in wording, no citation either way

  1. 2025Psi-Arena: Interactive Assessment and Optimization of LLM-based Psychological Counselors with Tripartite Feedback
  2. 2026Assessing the Effectiveness of LLMs in Delivering Cognitive Behavioral Therapy
  3. 2024Domain-Specific Improvement on Psychotherapy Chatbot Using Assistant
  4. 2024Advancing Conversational Psychotherapy: Integrating Privacy, Dual-Memory, and Domain Expertise with Large Language Models
  5. 2024Do Large Language Models Align with Core Mental Health Counseling Competencies?
  6. 2025AI-Augmented LLMs Achieve Therapist-Level Responses in Motivational Interviewing
  7. 2026Multi-Objective Alignment of Language Models for Personalized Psychotherapy
  8. 2025PsychBench: A comprehensive and professional benchmark for evaluating the performance of LLM-assisted psychiatric clinical practice