ESC-Judge: A Framework for Comparing Emotional Support Conversational Agents
On the map: LLM agents and tool use → Medical and scientific domain agents
Abstract (arXiv)
Large language models (LLMs) increasingly power mental-health chatbots, yet the field still lacks a scalable, theory-grounded way to decide which model is most effective to deploy. We present ESC-Judge, the first end-to-end evaluation framework that (i) grounds head-to-head comparisons of emotional-support LLMs in Clara Hill's established Exploration-Insight-Action counseling model, providing a structured and interpretable view of performance, and (ii) fully automates the evaluation pipeline at scale. ESC-Judge operates in three stages: first, it synthesizes realistic help-seeker roles by sampling empirically salient attributes such as stressors, personality, and life history; second, it has two candidate support agents conduct separate sessions with the same role, isolating model-specific strategies; and third, it asks a specialized judge LLM to express pairwise preferences across rubric-anchored skills that span the Exploration, Insight, and Action spectrum. In our study, ESC-Judge matched PhD-level annotators on 85 percent of Exploration, 83 percent of Insight, and 86 percent of Action decisions, demonstrating human-level reliability at a fraction of the cost. All code, prompts, synthetic roles, transcripts, and judgment scripts are released to promote transparent progress in emotionally supportive AI.
Key facts. Cited by 8 papers in the map (data through 14 Oct 2026). Placed in Medical and scientific domain agents, one of 16 directions in LLM agents and tool use. Builds on 7 of its 21 references that are in the map. First posted on arXiv 18 May 2025.
Builds on
7 of 21 references.
References · 7
- 2023Judging LLM-as-a-Judge with MT-Bench and Chatbot Arenacited by 8,626
- 2024Length-Controlled AlpacaEval: A Simple Way to Debias Automatic Evaluatorscited by 897
- 2021Towards Emotional Support Dialog Systemscited by 299
- 2022AugESC: Dialogue Augmentation with Large Language Models for Emotional Support Conversationcited by 79
- 2024GenQA: Generating Millions of Instructions from a Handful of Promptscited by 35
- 2023TransESC: Smoothing Emotional Support Conversation via Turn-Level State Transitioncited by 30
- 2024Steering Conversational Large Language Models for Long Emotional Support Conversationscited by 8
Built on by
Citing papers per year: 2025: 1; 2026: 7.
8 papers.
- 2026Agent-as-a-Judgecited by 17
- 2025From Moderation to Mediation: Can LLMs Serve as Mediators in Online Flame Wars?cited by 3
- 2026EmoHarbor: Evaluating Personalized Emotional Support by Simulating the User's Internal Worldcited by 3
- 2026Stress-Testing Emotional Support Models: Moving from Homogeneous to Diverse Help Seekerscited by 1
- 2026TherapyGym: Evaluating and Aligning Clinical Fidelity and Safety in Therapy Chatbotscited by 1
- 2026Breakdowns in Conversational AI: Interactional Failures in Emotionally and Ethically Sensitive Contextscited by 0
- 2026A Responsive Present, a Shared Past, a Social Other: Teens' Overreliance on Companion AI Chatbotscited by 0
- 2026From Pattern Recognizers to Personalized Companions: A Survey of Large Language Models in Mental Healthcited by 0
- 2026From Pattern Recognizers to Personalized Companions: A Survey of Large Language Models in Mental Health21 Sep 2026
- 2026A Responsive Present, a Shared Past, a Social Other: Teens' Overreliance on Companion AI Chatbots13 Sep 2026
- 2026Breakdowns in Conversational AI: Interactional Failures in Emotionally and Ethically Sensitive Contexts3 Apr 2026
- 2026TherapyGym: Evaluating and Aligning Clinical Fidelity and Safety in Therapy Chatbots23 Feb 2026
- 2026Stress-Testing Emotional Support Models: Moving from Homogeneous to Diverse Help Seekers12 Jan 2026
- 2026Agent-as-a-Judge8 Jan 2026
- 2026EmoHarbor: Evaluating Personalized Emotional Support by Simulating the User's Internal World4 Jan 2026
- 2025From Moderation to Mediation: Can LLMs Serve as Mediators in Online Flame Wars?2 Dec 2025
Similar, not cited
Close in wording, no citation either way
- 2026TEA-Bench: A Systematic Benchmarking of Tool-enhanced Emotional Support Dialogue Agent
- 2025MindEval: Benchmarking Language Models on Multi-turn Mental Health Support
- 2025Towards Open-Ended Emotional Support Conversations in LLMs via Reinforcement Learning with Future-Oriented Rewards
- 2025Sentient Agent as a Judge: Evaluating Higher-Order Social Cognition in Large Language Models
- 2026ESCRAG-R1: Retrieval-Augmented Reinforcement Learning for Emotional Support Conversation
- 2026From Stateless to Situated: Building a Psychological World for LLM-Based Agents
- 2025Convert Language Model into a Value-based Strategic Planner
- 2025EmoFSM: A Finite State Machine for Emotional Support Conversation