Psi-Arena: Interactive Assessment and Optimization of LLM-based Psychological Counselors with Tripartite Feedback
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Abstract (arXiv)
Large language models (LLMs) have shown promise in providing scalable mental health support, while evaluating their counseling capability remains crucial to ensure both efficacy and safety. Existing evaluations are limited by the static assessment that focuses on knowledge tests, the single perspective that centers on user experience, and the open-loop framework that lacks actionable feedback. To address these issues, we propose Psi-Arena, an interactive framework for comprehensive assessment and optimization of LLM-based counselors, featuring three key characteristics: (1) Realistic arena interactions that simulate real-world counseling through multi-stage dialogues with psychologically profiled NPC clients, (2) Tripartite evaluation that integrates assessments from the client, counselor, and supervisor perspectives, and (3) Closed-loop optimization that iteratively improves LLM counselors using diagnostic feedback. Experiments across eight state-of-the-art LLMs show significant performance variations in different real-world scenarios and evaluation perspectives. Moreover, reflection-based optimization results in up to a 141% improvement in counseling performance. We hope PsychoArena provides a foundational resource for advancing reliable and human-aligned LLM applications in mental healthcare.
Key facts. Cited by 10 papers in the map (data through 7 Oct 2026). First posted on arXiv 6 May 2025.
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Citing papers per year: 2025: 2; 2026: 8.
10 papers.
- 2026XInsight: Integrative Stage-Consistent Psychological Counseling Support Agents for Digital Well-Beingcited by 9
- 2025TheraMind: A Strategic and Adaptive Agent for Longitudinal Psychological Counselingcited by 7
- 2025A Risk Ontology for Evaluating AI-Powered Psychotherapy Virtual Agentscited by 5
- 2026PatientHub: A Unified Framework for Patient Simulationcited by 4
- 2026Assessing Risks of Large Language Models in Mental Health Support: A Framework for Automated Clinical AI Red Teamingcited by 3
- 2026PsychePass: Calibrating LLM Therapeutic Competence via Trajectory-Anchored Tournamentscited by 2
- 2026TherapyGym: Evaluating and Aligning Clinical Fidelity and Safety in Therapy Chatbotscited by 1
- 2026DELTA: Deliberative Multi-Agent Reasoning with Reinforcement Learning for Multimodal Psychological Counselingcited by 0
- 2026From Pattern Recognizers to Personalized Companions: A Survey of Large Language Models in Mental Healthcited by 0
- 2026BiGraph-Diffuse: A Bidirectional Diffusion Language Model with Graph-Structured Retrieval For Mental Health Counselingcited by 0
- 2026From Pattern Recognizers to Personalized Companions: A Survey of Large Language Models in Mental Health21 Sep 2026
- 2026BiGraph-Diffuse: A Bidirectional Diffusion Language Model with Graph-Structured Retrieval For Mental Health Counseling25 Aug 2026
- 2026TherapyGym: Evaluating and Aligning Clinical Fidelity and Safety in Therapy Chatbots23 Feb 2026
- 2026Assessing Risks of Large Language Models in Mental Health Support: A Framework for Automated Clinical AI Red Teaming23 Feb 2026
- 2026PatientHub: A Unified Framework for Patient Simulation12 Feb 2026
- 2026DELTA: Deliberative Multi-Agent Reasoning with Reinforcement Learning for Multimodal Psychological Counseling4 Feb 2026
- 2026PsychePass: Calibrating LLM Therapeutic Competence via Trajectory-Anchored Tournaments28 Jan 2026
- 2026XInsight: Integrative Stage-Consistent Psychological Counseling Support Agents for Digital Well-Being21 Jan 2026
- 2025TheraMind: A Strategic and Adaptive Agent for Longitudinal Psychological Counseling29 Oct 2025
- 2025A Risk Ontology for Evaluating AI-Powered Psychotherapy Virtual Agents21 May 2025
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- 2026PsyEvo: A Personalized Counseling Agent That Self-Evolves at Test Time
- 2024Do Large Language Models Align with Core Mental Health Counseling Competencies?
- 2024Interactive Agents: Simulating Counselor-Client Psychological Counseling via Role-Playing LLM-to-LLM Interactions
- 2025Preference Learning Unlocks LLMs' Psycho-Counseling Skills
- 2025PsychBench: A comprehensive and professional benchmark for evaluating the performance of LLM-assisted psychiatric clinical practice
- 2025MAGneT: Coordinated Multi-Agent Generation of Synthetic Multi-Turn Mental Health Counseling Sessions
- 2026CARE: Counselor-Aligned Response Engine for Online Mental-Health Support
- 2023Rethinking Large Language Models in Mental Health Applications