mlsanityData to 7 Oct 2026

PsycholexTherapy: Simulating Reasoning in Psychotherapy with Small Language Models in Persian

arXiv 2510.03913 ↗First posted 4 Oct 2025cs.CLcited by 0

On the map: LLM reasoning → Clinical and biomedical applications

Abstract (arXiv)

This study presents PsychoLexTherapy, a framework for simulating psychotherapeutic reasoning in Persian using small language models (SLMs). The framework tackles the challenge of developing culturally grounded, therapeutically coherent dialogue systems with structured memory for multi-turn interactions in underrepresented languages. To ensure privacy and feasibility, PsychoLexTherapy is optimized for on-device deployment, enabling use without external servers. Development followed a three-stage process: (i) assessing SLMs psychological knowledge with PsychoLexEval; (ii) designing and implementing the reasoning-oriented PsychoLexTherapy framework; and (iii) constructing two evaluation datasets-PsychoLexQuery (real Persian user questions) and PsychoLexDialogue (hybrid simulated sessions)-to benchmark against multiple baselines. Experiments compared simple prompting, multi-agent debate, and structured therapeutic reasoning paths. Results showed that deliberate model selection balanced accuracy, efficiency, and privacy. On PsychoLexQuery, PsychoLexTherapy outperformed all baselines in automatic LLM-as-a-judge evaluation and was ranked highest by human evaluators in a single-turn preference study. In multi-turn tests with PsychoLexDialogue, the long-term memory module proved essential: while naive history concatenation caused incoherence and information loss, the full framework achieved the highest ratings in empathy, coherence, cultural fit, and personalization. Overall, PsychoLexTherapy establishes a practical, privacy-preserving, and culturally aligned foundation for Persian psychotherapy simulation, contributing novel datasets, a reproducible evaluation pipeline, and empirical insights into structured memory for therapeutic reasoning.

Key facts. No citing papers in the map yet (data through 7 Oct 2026). Placed in Clinical and biomedical applications, one of 17 directions in LLM reasoning. Builds on 10 of its 17 references that are in the map. First posted on arXiv 4 Oct 2025.

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10 of 17 references.

References · 10

  1. 2025Qwen3 Technical Reportcited by 8,195
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  1. 2025MindEval: Benchmarking Language Models on Multi-turn Mental Health Support
  2. 2024Advancing Conversational Psychotherapy: Integrating Privacy, Dual-Memory, and Domain Expertise with Large Language Models
  3. 2024Domain-Specific Improvement on Psychotherapy Chatbot Using Assistant
  4. 2025HamRaz: A Culture-Based Persian Conversation Dataset for Person-Centered Therapy Using LLM Agents
  5. 2025PSYCHE: A Multi-faceted Patient Simulation Framework for Evaluation of Psychiatric Assessment Conversational Agents
  6. 2025Psyche-R1: Towards Reliable Psychological LLMs through Unified Empathy, Expertise, and Reasoning
  7. 2026Structure Matters: Evaluating Multi-Agents Orchestration in Generative Therapeutic Chatbots
  8. 2025Beyond Empathy: Integrating Diagnostic and Therapeutic Reasoning with Large Language Models for Mental Health Counseling