mlsanityData to 14 Oct 2026

MIThinker: A Plug-and-Play Policy-Optimized Thinker For Motivational Interviewing Counseling

arXiv 2606.29265 ↗First posted 28 Jun 2026cs.CLcited by 0

On the map: LLM reasoning → Clinical and biomedical applications

Abstract (arXiv)

Reasoning large language models (LLMs) have recently made much progress in complex problem-solving, leveraging internal reasoning (or thought) to guide their solution generation. However, existing LLM-based counseling agents, including those using Motivational Interviewing (MI), generate responses without explicitly aligning thoughts with counseling techniques, limiting their effectiveness. We propose MIThinker, a lightweight thinking model that generates therapeutic thoughts to guide MI counseling agents in strategy selection and response generation. To overcome the lack of annotated thought data, we introduce AugR1-MI, an automated pipeline that reverse-engineers counselor's thoughts from observed responses. Through two-stage training combining supervised fine-tuning and reinforcement learning, MIThinker demonstrates improved theory-of-mind assessment and strategy alignment. Comprehensive evaluations show that MindfulMI, our agent leveraging MIThinker, achieves MI competency comparable to state-of-the-art systems with an order of magnitude less computation.

Key facts. No citing papers in the map yet (data through 14 Oct 2026). Placed in Clinical and biomedical applications, one of 17 directions in LLM reasoning. Builds on 19 of its 48 references that are in the map. First posted on arXiv 28 Jun 2026.

Builds on

19 of 48 references.

Closest ancestors · 4

Same direction, newest first

  1. 2025Beyond Empathy: Integrating Diagnostic and Therapeutic Reasoning with Large Language Models for Mental Health Counseling21 May
  2. 2025Psy-Copilot: Visual Chain of Thought for Counseling5 Mar
  3. 2024Rethinking the Alignment of Psychotherapy Dialogue Generation with Motivational Interviewing Strategies12 Aug
  4. 2024Few-shot Dialogue Strategy Learning for Motivational Interviewing via Inductive Reasoning23 Mar

Other references · 15

  1. 2023GPT-4 Technical Reportcited by 18,396
  2. 2024The Llama 3 Herd of Modelscited by 14,715
  3. 2024DeepSeekMath: Pushing the Limits of Mathematical Reasoning in Open Language Modelscited by 9,379
  4. 2025DeepSeek-R1: Incentivizing Reasoning Capability in LLMs via Reinforcement Learningcited by 6,330
  5. 2017Decoupled Weight Decay Regularizationcited by 1,831
  6. 2025Skywork-Reward-V2: Scaling Preference Data Curation via Human-AI Synergycited by 214
  7. 2024Visual In-Context Learning for Large Vision-Language Modelscited by 128
  8. 2024A Computational Framework for Behavioral Assessment of LLM Therapistscited by 62
  9. 2024Can Large Language Models be Good Emotional Supporter? Mitigating Preference Bias on Emotional Support Conversationcited by 55
  10. 2025Improving Medical Large Vision-Language Models with Abnormal-Aware Feedbackcited by 42
  11. 2025EmoBench-M: Benchmarking Emotional Intelligence for Multimodal Large Language Modelscited by 32
  12. 2023Helping the Helper: Supporting Peer Counselors via AI-Empowered Practice and Feedbackcited by 23
3 more
  1. 2023PsyCoT: Psychological Questionnaire as Powerful Chain-of-Thought for Personality Detectioncited by 21
  2. 2024Virtual Agents for Alcohol Use Counseling: Exploring LLM-Powered Motivational Interviewingcited by 17
  3. 2025CAMI: A Counselor Agent Supporting Motivational Interviewing through State Inference and Topic Explorationcited by 11

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Close in wording, no citation either way

  1. 2025CATCH: A Novel Data Synthesis Framework for High Therapy Fidelity and Memory-Driven Planning Chain of Thought in AI Counseling
  2. 2026PsyEvo: A Personalized Counseling Agent That Self-Evolves at Test Time
  3. 2026MOCC-R1: Reinforcing Reasoning-Response Consistency for Multimodal Counselor Response Generation
  4. 2026DELTA: Deliberative Multi-Agent Reasoning with Reinforcement Learning for Multimodal Psychological Counseling
  5. 2026Beyond Compliance: A Resistance-Informed Motivation Reasoning Framework for Challenging Psychological Client Simulation
  6. 2026Rolling With Resistance: Preference-Optimized LLM Counselors Can Trade Goal Persistence for Relational Attunement in Motivational Interviewing
  7. 2026Steering the Compass: Aligning Dynamic Psychological Counseling Conversations with Cognitive Behavioral Therapy Strategies
  8. 2026StoryMI: Steerable Multi-Agent Therapeutic Dialogue Generation