Can You Share Your Story? Modeling Clients' Metacognition and Openness for LLM Therapist Evaluation
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Abstract (arXiv)
Understanding clients' thoughts and beliefs is fundamental in counseling, yet current evaluations of LLM therapists often fail to assess this ability. Existing evaluation methods rely on client simulators that clearly disclose internal states to the therapist, making it difficult to determine whether an LLM therapist can uncover unexpressed perspectives. To address this limitation, we introduce MindVoyager, a novel evaluation framework featuring a controllable and realistic client simulator which dynamically adapts itself based on the ongoing counseling session, offering a more realistic and challenging evaluation environment. We further introduce evaluation metrics that assess the exploration ability of LLM therapists by measuring their thorough understanding of client's beliefs and thoughts.
Key facts. Cited by 7 papers in the map (data through 7 Oct 2026). Builds on 10 of its 22 references that are in the map. First posted on arXiv 25 Jul 2025.
Builds on
10 of 22 references.
References · 10
- 2024The Llama 3 Herd of Modelscited by 14,192
- 2024A Computational Framework for Behavioral Assessment of LLM Therapistscited by 61
- 2024Cactus: Towards Psychological Counseling Conversations using Cognitive Behavioral Theorycited by 60
- 2024HealMe: Harnessing Cognitive Reframing in Large Language Models for Psychotherapycited by 47
- 2024CBT-LLM: A Chinese Large Language Model for Cognitive Behavioral Therapy-based Mental Health Question Answeringcited by 45
- 2024Interactive Agents: Simulating Counselor-Client Psychological Counseling via Role-Playing LLM-to-LLM Interactionscited by 43
- 2024Towards a Client-Centered Assessment of LLM Therapists by Client Simulationcited by 23
- 2024Understanding the Therapeutic Relationship between Counselors and Clients in Online Text-based Counseling using LLMscited by 19
- 2023Rethinking Large Language Models in Mental Health Applicationscited by 16
- 2024Multi-Session Client-Centered Treatment Outcome Evaluation in Psychotherapycited by 5
Built on by
Citing papers per year: 2026: 7.
7 papers.
- 2026PatientHub: A Unified Framework for Patient Simulationcited by 4
- 2026Narrative Theory-Driven LLM Methods for Automatic Story Generation and Understanding: A Surveycited by 3
- 2026CCD-CBT: Multi-Agent Therapeutic Interaction for CBT Guided by Cognitive Conceptualization Diagramcited by 1
- 2026Metacognition in LLMs: Foundations, Progress, and Opportunitiescited by 1
- 2026PatientAct: Theory-Grounded Mental Health Client Simulationcited by 1
- 2026Ask or Answer: A Decision Framework for Multi-Turn Health Misinformation Interventioncited 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
- 2026Ask or Answer: A Decision Framework for Multi-Turn Health Misinformation Intervention22 Aug 2026
- 2026PatientAct: Theory-Grounded Mental Health Client Simulation13 Aug 2026
- 2026Metacognition in LLMs: Foundations, Progress, and Opportunities13 Jul 2026
- 2026CCD-CBT: Multi-Agent Therapeutic Interaction for CBT Guided by Cognitive Conceptualization Diagram8 Apr 2026
- 2026PatientHub: A Unified Framework for Patient Simulation12 Feb 2026
- 2026Narrative Theory-Driven LLM Methods for Automatic Story Generation and Understanding: A Survey23 Jan 2026