# Psy-Copilot: Visual Chain of Thought for Counseling

arXiv: https://arxiv.org/abs/2503.03645 · HTML: https://mlsanity.com/paper/2503.03645/

## Key facts

- Cited by 3 papers in the map (data through 14 Oct 2026).
- Placed in Clinical and biomedical applications, one of 17 directions in LLM reasoning.
- Builds on 5 of its 11 references that are in the map.
- First posted on arXiv 5 Mar 2025.

## Placed in

- LLM reasoning / [Clinical and biomedical applications](https://mlsanity.com/lr/clinical-and-biomedical-applications/)

## Builds on (most cited first, 5 of 5)

- [Qwen Technical Report](https://mlsanity.com/paper/2309.16609/) (2023)
- [From Local to Global: A Graph RAG Approach to Query-Focused Summarization](https://mlsanity.com/paper/2404.16130/) (2024)
- [DeepSeek-V2: A Strong, Economical, and Efficient Mixture-of-Experts Language Model](https://mlsanity.com/paper/2405.04434/) (2024)
- [CPsyCoun: A Report-based Multi-turn Dialogue Reconstruction and Evaluation Framework for Chinese Psychological Counseling](https://mlsanity.com/paper/2405.16433/) (2024)
- [Chatbots for Mental Health Support: Exploring the Impact of Emohaa on Reducing Mental Distress in China](https://mlsanity.com/paper/2209.10183/) (2022)

## Built on by (most cited first, 3 of 3)

- [Beyond Empathy: Integrating Diagnostic and Therapeutic Reasoning with Large Language Models for Mental Health Counseling](https://mlsanity.com/paper/2505.15715/) (2025)
- [MIThinker: A Plug-and-Play Policy-Optimized Thinker For Motivational Interviewing Counseling](https://mlsanity.com/paper/2606.29265/) (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)

Large language models (LLMs) are becoming increasingly popular in the field of psychological counseling. However, when human therapists work with LLMs in therapy sessions, it is hard to understand how the model gives the answers. To address this, we have constructed Psy-COT, a graph designed to visualize the thought processes of LLMs during therapy sessions. The Psy-COT graph presents semi-structured counseling conversations alongside step-by-step annotations that capture the reasoning and insights of therapists. Moreover, we have developed Psy-Copilot, which is a conversational AI assistant designed to assist human psychological therapists in their consultations. It can offer traceable psycho-information based on retrieval, including response candidates, similar dialogue sessions, related strategies, and visual traces of results. We have also built an interactive platform for AI-assisted counseling. It has an interface that displays the relevant parts of the retrieval sub-graph. The Psy-Copilot is designed not to replace psychotherapists but to foster collaboration between AI and human therapists, thereby promoting mental health development. Our code and demo are both open-sourced and available for use.