# Steering the Compass: Aligning Dynamic Psychological Counseling Conversations with Cognitive Behavioral Therapy Strategies

arXiv: https://arxiv.org/abs/2609.20565 · HTML: https://mlsanity.com/paper/2609.20565/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 23 of its 55 references that are in the map.
- First posted on arXiv 17 Sep 2026.

## Builds on (most cited first, 23 of 23)

- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [BERTScore: Evaluating Text Generation with BERT](https://mlsanity.com/paper/1904.09675/) (2019)
- [Self-Refine: Iterative Refinement with Self-Feedback](https://mlsanity.com/paper/2303.17651/) (2023)
- [Towards Emotional Support Dialog Systems](https://mlsanity.com/paper/2106.01144/) (2021)
- [SoulChat: Improving LLMs' Empathy, Listening, and Comfort Abilities through Fine-tuning with Multi-turn Empathy Conversations](https://mlsanity.com/paper/2311.00273/) (2023)
- [CPsyCoun: A Report-based Multi-turn Dialogue Reconstruction and Evaluation Framework for Chinese Psychological Counseling](https://mlsanity.com/paper/2405.16433/) (2024)
- [Cognitive Reframing of Negative Thoughts through Human-Language Model Interaction](https://mlsanity.com/paper/2305.02466/) (2023)
- [Cactus: Towards Psychological Counseling Conversations using Cognitive Behavioral Theory](https://mlsanity.com/paper/2407.03103/) (2024)
- [Can Large Language Models be Good Emotional Supporter? Mitigating Preference Bias on Emotional Support Conversation](https://mlsanity.com/paper/2402.13211/) (2024)
- [HealMe: Harnessing Cognitive Reframing in Large Language Models for Psychotherapy](https://mlsanity.com/paper/2403.05574/) (2024)
- [CBT-LLM: A Chinese Large Language Model for Cognitive Behavioral Therapy-based Mental Health Question Answering](https://mlsanity.com/paper/2403.16008/) (2024)
- [D4: a Chinese Dialogue Dataset for Depression-Diagnosis-Oriented Chat](https://mlsanity.com/paper/2205.11764/) (2022)
- [When does In-context Learning Fall Short and Why? A Study on Specification-Heavy Tasks](https://mlsanity.com/paper/2311.08993/) (2023)
- [Efficient computation of rankings from pairwise comparisons](https://mlsanity.com/paper/2207.00076/) (2022)
- [Training Models to Generate, Recognize, and Reframe Unhelpful Thoughts](https://mlsanity.com/paper/2307.02768/) (2023)
- [Enhancing Psychological Counseling with Large Language Model: A Multifaceted Decision-Support System for Non-Professionals](https://mlsanity.com/paper/2308.15192/) (2023)
- [Understanding the Therapeutic Relationship between Counselors and Clients in Online Text-based Counseling using LLMs](https://mlsanity.com/paper/2402.11958/) (2024)
- [Detecting Conversational Mental Manipulation with Intent-Aware Prompting](https://mlsanity.com/paper/2412.08414/) (2024)
- [Multiview Contextual Commonsense Inference: A New Dataset and Task](https://mlsanity.com/paper/2210.02890/) (2022)
- [You Never Know a Person, You Only Know Their Defenses: Detecting Levels of Psychological Defense Mechanisms in Supportive Conversations](https://mlsanity.com/paper/2512.15601/) (2025)
- [Detection and Positive Reconstruction of Cognitive Distortion sentences: Mandarin Dataset and Evaluation](https://mlsanity.com/paper/2405.15334/) (2024)
- [Do No Harm: Exposing Hidden Vulnerabilities of LLMs via Persona-based Client Simulation Attack in Psychological Counseling](https://mlsanity.com/paper/2604.04842/) (2026)
- [Overview of the PsyDefDetect Shared Task at BioNLP 2026: Detecting Levels of Psychological Defense Mechanisms in Supportive Conversations](https://mlsanity.com/paper/2605.24907/) (2026)

## Abstract (arXiv)

Recent advancements in large language models have revolutionized the field of psychological counseling, especially in the context of Cognitive Behavioral Therapy (CBT). While the success of CBT relies heavily on dynamic decision-making informed by the client's real-time mental state, this aspect has often been overlooked in current research, limiting both flexibility and therapeutic outcomes. In this paper, we introduce StratCBT, a dataset specifically designed for psychological counseling conversations with CBT Strategies, consisting of 9,688 sessions and around 256K utterances, with each counselor's response aligned with one of eight distinct strategies. The creation of StratCBT involves modeling clients based on their negative thoughts and generating high-quality counseling conversations through self-chat, incorporating realistic sessions as guidance, thereby significantly surpassing existing datasets in both general counseling and CBT-specific skills. We conduct extensive experiments to demonstrate the effectiveness of strategy-aligned generation and evaluate its efficacy in delivering professional and effective counseling with LLM-simulated clients to reflect real-world scenarios. The dataset can be obtained from https://github.com/zimuwangnlp/StratCBT.