Daily Papers

The development of AI for mental health is hindered by a lack of authentic therapy dialogues, due to strict privacy regulations and the fact that clinical sessions were historically rarely recorded. We present an LLM-driven pipeline that generates synthetic counseling dialogues based on structured client profiles and psychological questionnaires. Grounded on the principles of Cognitive Behavioral Therapy (CBT), our method creates synthetic therapeutic conversations for clinical disorders such as anxiety and depression. Our framework, SQPsych (Structured Questionnaire-based Psychotherapy), converts structured psychological input into natural language dialogues through therapist-client simulations. Due to data governance policies and privacy restrictions prohibiting the transmission of clinical questionnaire data to third-party services, previous methodologies relying on proprietary models are infeasible in our setting. We address this limitation by generating a high-quality corpus using open-weight LLMs, validated through human expert evaluation and LLM-based assessments. Our SQPsychLLM models fine-tuned on SQPsychConv achieve strong performance on counseling benchmarks, surpassing baselines in key therapeutic skills. Our findings highlight the potential of synthetic data to enable scalable, data-secure, and clinically informed AI for mental health support. We will release our code, models, and corpus at https://ai-mh.github.io/SQPsych

Virtual counselors powered by large language models (LLMs) aim to create interactive support systems that effectively assist clients struggling with mental health challenges. To replicate counselor-client conversations, researchers have built an online mental health platform that allows professional counselors to provide clients with text-based counseling services for about an hour per session. Notwithstanding its effectiveness, challenges exist as human annotation is time-consuming, cost-intensive, privacy-protected, and not scalable. To address this issue and investigate the applicability of LLMs in psychological counseling conversation simulation, we propose a framework that employs two LLMs via role-playing for simulating counselor-client interactions. Our framework involves two LLMs, one acting as a client equipped with a specific and real-life user profile and the other playing the role of an experienced counselor, generating professional responses using integrative therapy techniques. We implement both the counselor and the client by zero-shot prompting the GPT-4 model. In order to assess the effectiveness of LLMs in simulating counselor-client interactions and understand the disparities between LLM- and human-generated conversations, we evaluate the synthetic data from various perspectives. We begin by assessing the client's performance through automatic evaluations. Next, we analyze and compare the disparities between dialogues generated by the LLM and those generated by professional counselors. Furthermore, we conduct extensive experiments to thoroughly examine the performance of our LLM-based counselor trained with synthetic interactive dialogues by benchmarking against state-of-the-art models for mental health.

Constrained by the cost and ethical concerns of involving real seekers in AI-driven mental health, researchers develop LLM-based conversational agents (CAs) with tailored configurations, such as profiles, symptoms, and scenarios, to simulate seekers. While these efforts advance AI in mental health, achieving more realistic seeker simulation remains hindered by two key challenges: dynamic evolution and multi-session memory. Seekers' mental states often fluctuate during counseling, which typically spans multiple sessions. To address this, we propose AnnaAgent, an emotional and cognitive dynamic agent system equipped with tertiary memory. AnnaAgent incorporates an emotion modulator and a complaint elicitor trained on real counseling dialogues, enabling dynamic control of the simulator's configurations. Additionally, its tertiary memory mechanism effectively integrates short-term and long-term memory across sessions. Evaluation results, both automated and manual, demonstrate that AnnaAgent achieves more realistic seeker simulation in psychological counseling compared to existing baselines. The ethically reviewed and screened code can be found on https://github.com/sci-m-wang/AnnaAgent.

The integration of Monte Carlo Tree Search (MCTS) with Large Language Models (LLMs) has demonstrated significant success in structured, problem-oriented tasks. However, applying these methods to open-ended dialogues, such as those in psychological counseling, presents unique challenges. Unlike tasks with objective correctness, success in therapeutic conversations depends on subjective factors like empathetic engagement, ethical adherence, and alignment with human preferences, for which strict "correctness" criteria are ill-defined. Existing result-oriented MCTS approaches can therefore produce misaligned responses. To address this, we introduce MCTSr-Zero, an MCTS framework designed for open-ended, human-centric dialogues. Its core innovation is "domain alignment", which shifts the MCTS search objective from predefined end-states towards conversational trajectories that conform to target domain principles (e.g., empathy in counseling). Furthermore, MCTSr-Zero incorporates "Regeneration" and "Meta-Prompt Adaptation" mechanisms to substantially broaden exploration by allowing the MCTS to consider fundamentally different initial dialogue strategies. We evaluate MCTSr-Zero in psychological counseling by generating multi-turn dialogue data, which is used to fine-tune an LLM, PsyLLM. We also introduce PsyEval, a benchmark for assessing multi-turn psychological counseling dialogues. Experiments demonstrate that PsyLLM achieves state-of-the-art performance on PsyEval and other relevant metrics, validating MCTSr-Zero's effectiveness in generating high-quality, principle-aligned conversational data for human-centric domains and addressing the LLM challenge of consistently adhering to complex psychological standards.

Using large language models (LLMs) to assist psychological counseling is a significant but challenging task at present. Attempts have been made on improving empathetic conversations or acting as effective assistants in the treatment with LLMs. However, the existing datasets lack consulting knowledge, resulting in LLMs lacking professional consulting competence. Moreover, how to automatically evaluate multi-turn dialogues within the counseling process remains an understudied area. To bridge the gap, we propose CPsyCoun, a report-based multi-turn dialogue reconstruction and evaluation framework for Chinese psychological counseling. To fully exploit psychological counseling reports, a two-phase approach is devised to construct high-quality dialogues while a comprehensive evaluation benchmark is developed for the effective automatic evaluation of multi-turn psychological consultations. Competitive experimental results demonstrate the effectiveness of our proposed framework in psychological counseling. We open-source the datasets and model for future research at https://github.com/CAS-SIAT-XinHai/CPsyCoun

Generating psychological counseling responses with language models relies heavily on high-quality datasets. Crowdsourced data collection methods require strict worker training, and data from real-world counseling environments may raise privacy and ethical concerns. While recent studies have explored using large language models (LLMs) to augment psychological counseling dialogue datasets, the resulting data often suffers from limited diversity and authenticity. To address these limitations, this study adopts a role-playing approach where trained counselors simulate counselor-client interactions, ensuring high-quality dialogues while mitigating privacy risks. Using this method, we construct KokoroChat, a Japanese psychological counseling dialogue dataset comprising 6,589 long-form dialogues, each accompanied by comprehensive client feedback. Experimental results demonstrate that fine-tuning open-source LLMs with KokoroChat improves both the quality of generated counseling responses and the automatic evaluation of counseling dialogues. The KokoroChat dataset is available at https://github.com/UEC-InabaLab/KokoroChat.

Synthetic data has become an important tool in the fine-tuning of language models to follow instructions and solve complex problems. Nevertheless, the majority of open data to date is often lacking multi-turn data and collected on closed models, limiting progress on advancing open fine-tuning methods. We introduce Self Directed Synthetic Dialogues (SDSD), an experimental dataset consisting of guided conversations of language models talking to themselves. The dataset consists of multi-turn conversations generated with DBRX, Llama 2 70B, and Mistral Large, all instructed to follow a conversation plan generated prior to the conversation. We also explore including principles from Constitutional AI and other related works to create synthetic preference data via revisions to the final conversation turn. We hope this work encourages further exploration in multi-turn data and the use of open models for expanding the impact of synthetic data.

Simulating human clients in mental health counseling is crucial for training and evaluating counselors (both human or simulated) in a scalable manner. Nevertheless, past research on client simulation did not focus on complex conversation tasks such as mental health counseling. In these tasks, the challenge is to ensure that the client's actions (i.e., interactions with the counselor) are consistent with with its stipulated profiles and negative behavior settings. In this paper, we propose a novel framework that supports consistent client simulation for mental health counseling. Our framework tracks the mental state of a simulated client, controls its state transitions, and generates for each state behaviors consistent with the client's motivation, beliefs, preferred plan to change, and receptivity. By varying the client profile and receptivity, we demonstrate that consistent simulated clients for different counseling scenarios can be effectively created. Both our automatic and expert evaluations on the generated counseling sessions also show that our client simulation method achieves higher consistency than previous methods.

Large language models (LLMs) hold significant potential for mental health support, capable of generating empathetic responses and simulating therapeutic conversations. However, existing LLM-based approaches often lack the clinical grounding necessary for real-world psychological counseling, particularly in explicit diagnostic reasoning aligned with standards like the DSM/ICD and incorporating diverse therapeutic modalities beyond basic empathy or single strategies. To address these critical limitations, we propose PsyLLM, the first large language model designed to systematically integrate both diagnostic and therapeutic reasoning for mental health counseling. To develop the PsyLLM, we propose a novel automated data synthesis pipeline. This pipeline processes real-world mental health posts, generates multi-turn dialogue structures, and leverages LLMs guided by international diagnostic standards (e.g., DSM/ICD) and multiple therapeutic frameworks (e.g., CBT, ACT, psychodynamic) to simulate detailed clinical reasoning processes. Rigorous multi-dimensional filtering ensures the generation of high-quality, clinically aligned dialogue data. In addition, we introduce a new benchmark and evaluation protocol, assessing counseling quality across four key dimensions: comprehensiveness, professionalism, authenticity, and safety. Our experiments demonstrate that PsyLLM significantly outperforms state-of-the-art baseline models on this benchmark.

Problem: Effective patient-centered communication is a core competency for physicians. However, both seasoned providers and medical trainees report decreased confidence in leading conversations on sensitive topics such as goals of care or end-of-life discussions. The significant administrative burden and the resources required to provide dedicated training in leading difficult conversations has been a long-standing problem in medical education. Approach: In this work, we present a novel educational tool designed to facilitate interactive, real-time simulations of difficult conversations in a video-based format through the use of multimodal generative artificial intelligence (AI). Leveraging recent advances in language modeling, computer vision, and generative audio, this tool creates realistic, interactive scenarios with avatars, or "synthetic patients." These synthetic patients interact with users throughout various stages of medical care using a custom-built video chat application, offering learners the chance to practice conversations with patients from diverse belief systems, personalities, and ethnic backgrounds. Outcomes: While the development of this platform demanded substantial upfront investment in labor, it offers a highly-realistic simulation experience with minimal financial investment. For medical trainees, this educational tool can be implemented within programs to simulate patient-provider conversations and can be incorporated into existing palliative care curriculum to provide a scalable, high-fidelity simulation environment for mastering difficult conversations. Next Steps: Future developments will explore enhancing the authenticity of these encounters by working with patients to incorporate their histories and personalities, as well as employing the use of AI-generated evaluations to offer immediate, constructive feedback to learners post-simulation.

Recent progress on large language models (LLMs) has enabled dialogue agents to generate highly naturalistic and plausible text. However, current LLM language generation focuses on responding accurately to questions and requests with a single effective response. In reality, many real dialogues are interactive, meaning an agent's utterances will influence their conversational partner, elicit information, or change their opinion. Accounting for how an agent can effectively steer a conversation is a crucial ability in many dialogue tasks, from healthcare to preference elicitation. Existing methods for fine-tuning dialogue agents to accomplish such tasks would rely on curating some amount of expert data. However, doing so often requires understanding the underlying cognitive processes of the conversational partner, which is a skill neither humans nor LLMs trained on human data can reliably do. Our key insight is that while LLMs may not be adept at identifying effective strategies for steering conversations a priori, or in the middle of an ongoing conversation, they can do so post-hoc, or in hindsight, after seeing how their conversational partner responds. We use this fact to rewrite and augment existing suboptimal data, and train via offline reinforcement learning (RL) an agent that outperforms both prompting and learning from unaltered human demonstrations. We apply our approach to two domains that require understanding human mental state, intelligent interaction, and persuasion: mental health support, and soliciting charitable donations. Our results in a user study with real humans show that our approach greatly outperforms existing state-of-the-art dialogue agents.

Recently, the demand for psychological counseling has significantly increased as more individuals express concerns about their mental health. This surge has accelerated efforts to improve the accessibility of counseling by using large language models (LLMs) as counselors. To ensure client privacy, training open-source LLMs faces a key challenge: the absence of realistic counseling datasets. To address this, we introduce Cactus, a multi-turn dialogue dataset that emulates real-life interactions using the goal-oriented and structured approach of Cognitive Behavioral Therapy (CBT). We create a diverse and realistic dataset by designing clients with varied, specific personas, and having counselors systematically apply CBT techniques in their interactions. To assess the quality of our data, we benchmark against established psychological criteria used to evaluate real counseling sessions, ensuring alignment with expert evaluations. Experimental results demonstrate that Camel, a model trained with Cactus, outperforms other models in counseling skills, highlighting its effectiveness and potential as a counseling agent. We make our data, model, and code publicly available.

Long-term, open-domain dialogue capabilities are essential for chatbots aiming to recall past interactions and demonstrate emotional intelligence (EI). Yet, most existing research relies on synthetic, LLM-generated data, leaving open questions about real-world conversational patterns. To address this gap, we introduce REALTALK, a 21-day corpus of authentic messaging app dialogues, providing a direct benchmark against genuine human interactions. We first conduct a dataset analysis, focusing on EI attributes and persona consistency to understand the unique challenges posed by real-world dialogues. By comparing with LLM-generated conversations, we highlight key differences, including diverse emotional expressions and variations in persona stability that synthetic dialogues often fail to capture. Building on these insights, we introduce two benchmark tasks: (1) persona simulation where a model continues a conversation on behalf of a specific user given prior dialogue context; and (2) memory probing where a model answers targeted questions requiring long-term memory of past interactions. Our findings reveal that models struggle to simulate a user solely from dialogue history, while fine-tuning on specific user chats improves persona emulation. Additionally, existing models face significant challenges in recalling and leveraging long-term context within real-world conversations.

The scarcity of domain specific dialogue datasets across various domains, from academic topics to everyday conversations, limits the development of dialogue systems for various applications. Existing research is often constrained either by dialogue datasets that are too general or by niche domain dialogue datasets whose scale does not match the required scale for training dialogue systems. To address this gap, we introduce DiaSynth - a synthetic dialogue generation framework capable of generating high quality, contextually rich dialogues across a wide range of domains. Our approach differs from existing frameworks by dynamically generating dialogues that incorporate simulated personas, subtopics, and diverse conversational characteristics, using a Large Language Model (LLM) with Chain of Thought (CoT) reasoning to create contextually rich, domain-specific dialogues that closely mimic natural human interactions. DiaSynth produces tailored dialogues that emulate realistic conversations. We perform our experiments by generating synthetic data using different LLMs and few-shot examples from DialogSum and SAMSum. The pretrained language models fine-tuned on the synthetic data outperform the base models by 16.47%, while the comparison between models fine-tuned on in-domain data and synthetic data shows that the synthetic data is able to capture 90.48% of the distribution of the in-domain data. The quality of the data generated also scales with the size of LLMs. These results validate DiaSynth's potential as a robust alternative to traditional data collection methods.

Large language models (LLMs) have demonstrated notable advancements in psychological counseling. However, existing models generally do not explicitly model seekers' emotion shifts across counseling sessions, a core focus in classical psychological schools. Moreover, how to align counselor models' responses with these emotion shifts while proactively mitigating safety risks remains underexplored. To bridge these gaps, we propose PsychēChat, which explicitly integrates emotion shift tracking and safety risk analysis for psychological counseling. Specifically, we employ interactive role-playing to synthesize counselor--seeker dialogues, incorporating two modules: Emotion Management Module, to capture seekers' current emotions and emotion shifts; and Risk Control Module, to anticipate seekers' subsequent reactions and identify potential risks. Furthermore, we introduce two modeling paradigms. The Agent Mode structures emotion management, risk control, and counselor responses into a collaborative multi-agent pipeline. The LLM Mode integrates these stages into a unified chain-of-thought for end-to-end inference, balancing efficiency and performance. Extensive experiments, including interactive scoring, dialogue-level evaluation, and human assessment, demonstrate that PsychēChat outperforms existing methods for emotional insight and safety control.

Educational chatbots are a promising tool for assisting student learning. However, the development of effective chatbots in education has been challenging, as high-quality data is seldom available in this domain. In this paper, we propose a framework for generating synthetic teacher-student interactions grounded in a set of textbooks. Our approaches capture one aspect of learning interactions where curious students with partial knowledge interactively ask a teacher questions about the material in the textbook. We highlight various quality criteria that such dialogues should fulfill and compare several approaches relying on either prompting or fine-tuning large language models. We use synthetic dialogues to train educational chatbots and show benefits of further fine-tuning in different educational domains. However, human evaluation shows that our best data synthesis method still suffers from hallucinations and tends to reiterate information from previous conversations. Our findings offer insights for future efforts in synthesizing conversational data that strikes a balance between size and quality. We will open-source our data and code.

Student mental health is a sensitive issue that necessitates special attention. A primary concern is the student-to-counselor ratio, which surpasses the recommended standard of 250:1 in most universities. This imbalance results in extended waiting periods for in-person consultations, which cause suboptimal treatment. Significant efforts have been directed toward developing mental health dialogue systems utilizing the existing open-source mental health-related datasets. However, currently available datasets either discuss general topics or various strategies that may not be viable for direct application due to numerous ethical constraints inherent in this research domain. To address this issue, this paper introduces a specialized mental health dataset that emphasizes the active listening strategy employed in conversation for counseling, also named as ConvCounsel. This dataset comprises both speech and text data, which can facilitate the development of a reliable pipeline for mental health dialogue systems. To demonstrate the utility of the proposed dataset, this paper also presents the NYCUKA, a spoken mental health dialogue system that is designed by using the ConvCounsel dataset. The results show the merit of using this dataset.

Complex problem-solving requires cognitive flexibility--the capacity to entertain multiple perspectives while preserving their distinctiveness. This flexibility replicates the "wisdom of crowds" within a single individual, allowing them to "think with many minds." While mental simulation enables imagined deliberation, cognitive constraints limit its effectiveness. We propose synthetic deliberation, a Large Language Model (LLM)-based method that simulates discourse between agents embodying diverse perspectives, as a solution. Using a custom GPT-based model, we showcase its benefits: concurrent processing of multiple viewpoints without cognitive degradation, parallel exploration of perspectives, and precise control over viewpoint synthesis. By externalizing the deliberative process and distributing cognitive labor between parallel search and integration, synthetic deliberation transcends mental simulation's limitations. This approach shows promise for strategic planning, policymaking, and conflict resolution.

Objectives: While Large Language Models (LLMs) have been widely used to assist clinicians and support patients, no existing work has explored dialogue systems for standard diagnostic interviews and assessments. This study aims to bridge the gap in mental healthcare accessibility by developing an LLM-powered dialogue system that replicates clinician behavior. Materials and Methods: We introduce TRUST, a framework of cooperative LLM modules capable of conducting formal diagnostic interviews and assessments for Post-Traumatic Stress Disorder (PTSD). To guide the generation of appropriate clinical responses, we propose a Dialogue Acts schema specifically designed for clinical interviews. Additionally, we develop a patient simulation approach based on real-life interview transcripts to replace time-consuming and costly manual testing by clinicians. Results: A comprehensive set of evaluation metrics is designed to assess the dialogue system from both the agent and patient simulation perspectives. Expert evaluations by conversation and clinical specialists show that TRUST performs comparably to real-life clinical interviews. Discussion: Our system performs at the level of average clinicians, with room for future enhancements in communication styles and response appropriateness. Conclusions: Our TRUST framework shows its potential to facilitate mental healthcare availability.

Limited access to mental healthcare, extended wait times, and increasing capabilities of Large Language Models (LLMs) has led individuals to turn to LLMs for fulfilling their mental health needs. However, examining the multi-turn mental health conversation capabilities of LLMs remains under-explored. Existing evaluation frameworks typically focus on diagnostic accuracy and win-rates and often overlook alignment with patient-specific goals, values, and personalities required for meaningful conversations. To address this, we introduce MedAgent, a novel framework for synthetically generating realistic, multi-turn mental health sensemaking conversations and use it to create the Mental Health Sensemaking Dialogue (MHSD) dataset, comprising over 2,200 patient-LLM conversations. Additionally, we present MultiSenseEval, a holistic framework to evaluate the multi-turn conversation abilities of LLMs in healthcare settings using human-centric criteria. Our findings reveal that frontier reasoning models yield below-par performance for patient-centric communication and struggle at advanced diagnostic capabilities with average score of 31%. Additionally, we observed variation in model performance based on patient's persona and performance drop with increasing turns in the conversation. Our work provides a comprehensive synthetic data generation framework, a dataset and evaluation framework for assessing LLMs in multi-turn mental health conversations.

Large language models (LLMs) have been widely applied in various fields due to their excellent capability for memorizing knowledge and chain of thought (CoT). When these language models are applied in the field of psychological counseling, they often rush to provide universal advice. However, when users seek psychological support, they need to gain empathy, trust, understanding and comfort, rather than just reasonable advice. To this end, we constructed a multi-turn empathetic conversation dataset of more than 2 million samples, in which the input is the multi-turn conversation context, and the target is empathetic responses that cover expressions such as questioning, comfort, recognition, listening, trust, emotional support, etc. Experiments have shown that the empathy ability of LLMs can be significantly enhanced when finetuning by using multi-turn dialogue history and responses that are closer to the expression of a psychological consultant.

Benefiting from diverse instruction datasets, contemporary Large Language Models (LLMs) perform effectively as AI assistants in collaborating with humans. However, LLMs still struggle to generate natural and colloquial responses in real-world applications such as chatbots and psychological counseling that require more human-like interactions. To address these limitations, we introduce NICO, a Natural Interactive COnversation dataset in Chinese. We first use GPT-4-turbo to generate dialogue drafts and make them cover 20 daily-life topics and 5 types of social interactions. Then, we hire workers to revise these dialogues to ensure that they are free of grammatical errors and unnatural utterances. We define two dialogue-level natural conversation tasks and two sentence-level tasks for identifying and rewriting unnatural sentences. Multiple open-source and closed-source LLMs are tested and analyzed in detail. The experimental results highlight the challenge of the tasks and demonstrate how NICO can help foster the natural dialogue capabilities of LLMs. The dataset will be released.

Limited large-scale evaluations exist for facilitation strategies of online discussions due to significant costs associated with human involvement. An effective solution is synthetic discussion simulations using Large Language Models (LLMs) to create initial pilot experiments. We propose a simple, generalizable, LLM-driven methodology to prototype the development of LLM facilitators, and produce high-quality synthetic data without human involvement. We use our methodology to test whether current facilitation strategies can improve the performance of LLM facilitators. We find that, while LLM facilitators significantly improve synthetic discussions, there is no evidence that the application of more elaborate facilitation strategies proposed in modern Social Science research lead to further improvements in discussion quality, compared to more basic approaches. Additionally, we find that small LLMs (such as Mistral Nemo 12B) can perform comparably to larger models (such as LLaMa 70B), and that special instructions must be used for instruction-tuned models to induce toxicity in synthetic discussions. We confirm that each component of our methodology contributes substantially to high quality data via an ablation study. We release an open-source framework, "SynDisco" (pip install syndisco), which implements our methodology. We also release the "Virtual Moderation Dataset" (https://paperswithcode.com/dataset/vmd), a large, publicly available dataset containing LLM-generated and LLM-annotated discussions using multiple open-source LLMs.

In mental health counseling, a variety of earlier studies have focused on dialogue modeling. However, most of these studies give limited to no emphasis on the quality of interaction between a patient and a therapist. The therapeutic bond between a patient and a therapist directly correlates with effective mental health counseling. It involves developing the patient's trust on the therapist over the course of counseling. To assess the therapeutic bond in counseling, we introduce trust as a therapist-assistive metric. Our definition of trust involves patients' willingness and openness to express themselves and, consequently, receive better care. We conceptualize it as a dynamic trajectory observable through textual interactions during the counseling. To facilitate trust modeling, we present MENTAL-TRUST, a novel counseling dataset comprising manual annotation of 212 counseling sessions with first-of-its-kind seven expert-verified ordinal trust levels. We project our problem statement as an ordinal classification task for trust quantification and propose a new benchmark, TrustBench, comprising a suite of classical and state-of-the-art language models on MENTAL-TRUST. We evaluate the performance across a suite of metrics and lay out an exhaustive set of findings. Our study aims to unfold how trust evolves in therapeutic interactions.

This paper presents ChatCounselor, a large language model (LLM) solution designed to provide mental health support. Unlike generic chatbots, ChatCounselor is distinguished by its foundation in real conversations between consulting clients and professional psychologists, enabling it to possess specialized knowledge and counseling skills in the field of psychology. The training dataset, Psych8k, was constructed from 260 in-depth interviews, each spanning an hour. To assess the quality of counseling responses, the counseling Bench was devised. Leveraging GPT-4 and meticulously crafted prompts based on seven metrics of psychological counseling assessment, the model underwent evaluation using a set of real-world counseling questions. Impressively, ChatCounselor surpasses existing open-source models in the counseling Bench and approaches the performance level of ChatGPT, showcasing the remarkable enhancement in model capability attained through high-quality domain-specific data.

This paper presents OnCoCo 1.0, a new public dataset for fine-grained message classification in online counseling. It is based on a new, integrative system of categories, designed to improve the automated analysis of psychosocial online counseling conversations. Existing category systems, predominantly based on Motivational Interviewing (MI), are limited by their narrow focus and dependence on datasets derived mainly from face-to-face counseling. This limits the detailed examination of textual counseling conversations. In response, we developed a comprehensive new coding scheme that differentiates between 38 types of counselor and 28 types of client utterances, and created a labeled dataset consisting of about 2.800 messages from counseling conversations. We fine-tuned several models on our dataset to demonstrate its applicability. The data and models are publicly available to researchers and practitioners. Thus, our work contributes a new type of fine-grained conversational resource to the language resources community, extending existing datasets for social and mental-health dialogue analysis.

In this paper, we introduce ConversaSynth, a framework designed to generate synthetic conversation audio using large language models (LLMs) with multiple persona settings. The framework first creates diverse and coherent text-based dialogues across various topics, which are then converted into audio using text-to-speech (TTS) systems. Our experiments demonstrate that ConversaSynth effectively generates highquality synthetic audio datasets, which can significantly enhance the training and evaluation of models for audio tagging, audio classification, and multi-speaker speech recognition. The results indicate that the synthetic datasets generated by ConversaSynth exhibit substantial diversity and realism, making them suitable for developing robust, adaptable audio-based AI systems.

Wider access to therapeutic care is one of the biggest challenges in mental health treatment. Due to institutional barriers, some people seeking mental health support have turned to large language models (LLMs) for personalized therapy, even though these models are largely unsanctioned and untested. We investigate the potential and limitations of using LLMs as providers of evidence-based therapy by using mixed methods clinical metrics. Using HELPERT, a prompt run on a large language model using the same process and training as a comparative group of peer counselors, we replicated publicly accessible mental health conversations rooted in Cognitive Behavioral Therapy (CBT) to compare session dynamics and counselor's CBT-based behaviors between original peer support sessions and their reconstructed HELPERT sessions. Two licensed, CBT-trained clinical psychologists evaluated the sessions using the Cognitive Therapy Rating Scale and provided qualitative feedback. Our findings show that the peer sessions are characterized by empathy, small talk, therapeutic alliance, and shared experiences but often exhibit therapist drift. Conversely, HELPERT reconstructed sessions exhibit minimal therapist drift and higher adherence to CBT methods but display a lack of collaboration, empathy, and cultural understanding. Through CTRS ratings and psychologists' feedback, we highlight the importance of human-AI collaboration for scalable mental health. Our work outlines the ethical implication of imparting human-like subjective qualities to LLMs in therapeutic settings, particularly the risk of deceptive empathy, which may lead to unrealistic patient expectations and potential harm.

We present a novel end-to-end personality-based synthetic dialogue data generation pipeline, specifically designed to elicit responses from large language models via prompting. We design the prompts to generate more human-like dialogues considering real-world scenarios when users engage with chatbots. We introduce PSYDIAL, the first Korean dialogue dataset focused on personality-based dialogues, curated using our proposed pipeline. Notably, we focus on the Extraversion dimension of the Big Five personality model in our research. Experimental results indicate that while pre-trained models and those fine-tuned with a chit-chat dataset struggle to generate responses reflecting personality, models trained with PSYDIAL show significant improvements. The versatility of our pipeline extends beyond dialogue tasks, offering potential for other non-dialogue related applications. This research opens doors for more nuanced, personality-driven conversational AI in Korean and potentially other languages. Our code is publicly available at https://github.com/jiSilverH/psydial.

Clinical dialogue represents a complex duality requiring both the empathetic fluency of natural conversation and the rigorous precision of evidence-based medicine. While Large Language Models possess unprecedented linguistic capabilities, their architectural reliance on reactive and stateless processing often favors probabilistic plausibility over factual veracity. This structural limitation has catalyzed a paradigm shift in medical AI from generative text prediction to agentic autonomy, where the model functions as a central reasoning engine capable of deliberate planning and persistent memory. Moving beyond existing reviews that primarily catalog downstream applications, this survey provides a first-principles analysis of the cognitive architecture underpinning this shift. We introduce a novel taxonomy structured along the orthogonal axes of knowledge source and agency objective to delineate the provenance of clinical knowledge against the system's operational scope. This framework facilitates a systematic analysis of the intrinsic trade-offs between creativity and reliability by categorizing methods into four archetypes: Latent Space Clinicians, Emergent Planners, Grounded Synthesizers, and Verifiable Workflow Automators. For each paradigm, we deconstruct the technical realization across the entire cognitive pipeline, encompassing strategic planning, memory management, action execution, collaboration, and evolution to reveal how distinct architectural choices balance the tension between autonomy and safety.

High-quality conversational datasets are essential for developing AI models that can communicate with users. One way to foster deeper interactions between a chatbot and its user is through personas, aspects of the user's character that provide insights into their personality, motivations, and behaviors. Training Natural Language Processing (NLP) models on a diverse and comprehensive persona-based dataset can lead to conversational models that create a deeper connection with the user, and maintain their engagement. In this paper, we leverage the power of Large Language Models (LLMs) to create a large, high-quality conversational dataset from a seed dataset. We propose a Generator-Critic architecture framework to expand the initial dataset, while improving the quality of its conversations. The Generator is an LLM prompted to output conversations. The Critic consists of a mixture of expert LLMs that control the quality of the generated conversations. These experts select the best generated conversations, which we then use to improve the Generator. We release Synthetic-Persona-Chat, consisting of 20k conversations seeded from Persona-Chat. We evaluate the quality of Synthetic-Persona-Chat and our generation framework on different dimensions through extensive experiments, and observe that the losing rate of Synthetic-Persona-Chat against Persona-Chat during Turing test decreases from 17.2% to 8.8% over three iterations.

Realistic practice and tailored feedback are key processes for training peer counselors with clinical skills. However, existing mechanisms of providing feedback largely rely on human supervision. Peer counselors often lack mechanisms to receive detailed feedback from experienced mentors, making it difficult for them to support the large number of people with mental health issues who use peer counseling. Our work aims to leverage large language models to provide contextualized and multi-level feedback to empower peer counselors, especially novices, at scale. To achieve this, we co-design with a group of senior psychotherapy supervisors to develop a multi-level feedback taxonomy, and then construct a publicly available dataset with comprehensive feedback annotations of 400 emotional support conversations. We further design a self-improvement method on top of large language models to enhance the automatic generation of feedback. Via qualitative and quantitative evaluation with domain experts, we demonstrate that our method minimizes the risk of potentially harmful and low-quality feedback generation which is desirable in such high-stakes scenarios.

The advancement of large language models (LLMs) is critically dependent on the availability of high-quality datasets for Supervised Fine-Tuning (SFT), alignment tasks like Direct Preference Optimization (DPO), etc. In this work, we present a comprehensive synthetic data generation framework that facilitates scalable, configurable, and high-fidelity generation of synthetic data tailored for these training paradigms. Our approach employs a modular and configuration-based pipeline capable of modeling complex dialogue flows with minimal manual intervention. This framework uses a dual-stage quality tagging mechanism, combining heuristic rules and LLM-based evaluations, to automatically filter and score data extracted from OASST-formatted conversations, ensuring the curation of high-quality dialogue samples. The resulting datasets are structured under a flexible schema supporting both SFT and DPO use cases, enabling seamless integration into diverse training workflows. Together, these innovations offer a robust solution for generating and managing synthetic conversational data at scale, significantly reducing the overhead of data preparation in LLM training pipelines.

Empathetic conversation is psychologically supposed to be the result of conscious alignment and interaction between the cognition and affection of empathy. However, existing empathetic dialogue models usually consider only the affective aspect or treat cognition and affection in isolation, which limits the capability of empathetic response generation. In this work, we propose the CASE model for empathetic dialogue generation. It first builds upon a commonsense cognition graph and an emotional concept graph and then aligns the user's cognition and affection at both the coarse-grained and fine-grained levels. Through automatic and manual evaluation, we demonstrate that CASE outperforms state-of-the-art baselines of empathetic dialogues and can generate more empathetic and informative responses.

Long-context audio reasoning is underserved in both training data and evaluation. Existing benchmarks target short-context tasks, and the open-ended generation tasks most relevant to long-context reasoning pose well-known challenges for automatic evaluation. We propose a synthetic data generation pipeline designed to serve both as a training resource and as a controlled evaluation environment, and instantiate it for first-visit doctor-patient conversations with SOAP note generation as the task. The pipeline has three stages, persona-driven dialogue generation, multi-speaker audio synthesis with overlap/pause modeling, room acoustics, and sound events, and LLM-based reference SOAP note production, built entirely on open-weight models. We release 8,800 synthetic conversations with 1.3k hours of corresponding audio and reference notes. Evaluating current open-weight systems, we find that cascaded approaches still substantially outperform end-to-end models.

Despite growing interest in applications based on natural customer support conversations, there exist remarkably few publicly available datasets that reflect the expected characteristics of conversations in these settings. Existing task-oriented dialogue datasets, which were collected to benchmark dialogue systems mainly in written human-to-bot settings, are not representative of real customer support conversations and do not provide realistic benchmarks for systems that are applied to natural data. To address this gap, we introduce NatCS, a multi-domain collection of spoken customer service conversations. We describe our process for collecting synthetic conversations between customers and agents based on natural language phenomena observed in real conversations. Compared to previous dialogue datasets, the conversations collected with our approach are more representative of real human-to-human conversations along multiple metrics. Finally, we demonstrate potential uses of NatCS, including dialogue act classification and intent induction from conversations as potential applications, showing that dialogue act annotations in NatCS provide more effective training data for modeling real conversations compared to existing synthetic written datasets. We publicly release NatCS to facilitate research in natural dialog systems

Demand for mental health support through AI chatbots is surging, though current systems present several limitations, like sycophancy or overvalidation, and reinforcement of maladaptive beliefs. A core obstacle to the creation of better systems is the scarcity of benchmarks that capture the complexity of real therapeutic interactions. Most existing benchmarks either only test clinical knowledge through multiple-choice questions or assess single responses in isolation. To bridge this gap, we present MindEval, a framework designed in collaboration with Ph.D-level Licensed Clinical Psychologists for automatically evaluating language models in realistic, multi-turn mental health therapy conversations. Through patient simulation and automatic evaluation with LLMs, our framework balances resistance to gaming with reproducibility via its fully automated, model-agnostic design. We begin by quantitatively validating the realism of our simulated patients against human-generated text and by demonstrating strong correlations between automatic and human expert judgments. Then, we evaluate 12 state-of-the-art LLMs and show that all models struggle, scoring below 4 out of 6, on average, with particular weaknesses in problematic AI-specific patterns of communication. Notably, reasoning capabilities and model scale do not guarantee better performance, and systems deteriorate with longer interactions or when supporting patients with severe symptoms. We release all code, prompts, and human evaluation data.

Information-seeking conversation, which aims to help users gather information through conversation, has achieved great progress in recent years. However, the research is still stymied by the scarcity of training data. To alleviate this problem, we propose AutoConv for synthetic conversation generation, which takes advantage of the few-shot learning ability and generation capacity of large language models (LLM). Specifically, we formulate the conversation generation problem as a language modeling task, then finetune an LLM with a few human conversations to capture the characteristics of the information-seeking process and use it for generating synthetic conversations with high quality. Experimental results on two frequently-used datasets verify that AutoConv has substantial improvements over strong baselines and alleviates the dependence on human annotation. In addition, we also provide several analysis studies to promote future research.

Large language models are increasingly deployed in multi-turn settings such as tutoring, support, and counseling, where reliability depends on preserving consistent roles, personas, and goals across long horizons. This requirement becomes critical when LLMs are used to generate synthetic dialogues for training and evaluation, since LLM--LLM conversations can accumulate identity-related failures such as persona drift, role confusion, and "echoing", where one agent gradually mirrors its partner. We introduce SPASM (Stable Persona-driven Agent Simulation for Multi-turn dialogue generation), a modular, stability-first framework that decomposes simulation into (i) persona creation via schema sampling, plausibility validation, and natural-language persona crafting, (ii) Client--Responder dialogue generation, and (iii) termination detection for coherent stopping. To improve long-horizon stability without changing model weights, we propose Egocentric Context Projection (ECP): dialogue history is stored in a perspective-agnostic representation and deterministically projected into each agent's egocentric view before generation. Across three LLM backbones (GPT-4o-mini, DeepSeek-V3.2, Qwen-Plus) and nine Client--Responder pairings, we construct a dataset of 4,500 personas and 45,000 conversations (500 personas X 10 conversations per pairing). Ablations show ECP substantially reduces persona drift and, under human validation, eliminates echoing; embedding analyses recover persona structure and reveal strong responder-driven interaction geometry. Our code is available at https://github.com/lhannnn/SPASM.

The rapid evolution of Large Language Models (LLMs) offers promising potential to alleviate the global scarcity of mental health professionals. However, LLMs' alignment with essential mental health counseling competencies remains understudied. We introduce CounselingBench, a novel NCMHCE-based benchmark evaluating LLMs across five key mental health counseling competencies. Testing 22 general-purpose and medical-finetuned LLMs, we find frontier models exceed minimum thresholds but fall short of expert-level performance, with significant variations: they excel in Intake, Assessment & Diagnosis yet struggle with Core Counseling Attributes and Professional Practice & Ethics. Medical LLMs surprisingly underperform generalist models accuracy-wise, while at the same time producing slightly higher-quality justifications but making more context-related errors. Our findings highlight the complexities of developing AI systems for mental health counseling, particularly for competencies requiring empathy and contextual understanding. We found that frontier LLMs perform at a level exceeding the minimal required level of aptitude for all key mental health counseling competencies, but fall short of expert-level performance, and that current medical LLMs do not significantly improve upon generalist models in mental health counseling competencies. This underscores the critical need for specialized, mental health counseling-specific fine-tuned LLMs that rigorously aligns with core competencies combined with appropriate human supervision before any responsible real-world deployment can be considered.

Full-duplex, spontaneous conversational data are essential for enhancing the naturalness and interactivity of synthesized speech in conversational TTS systems. We present two open-source dual-track conversational speech datasets, one in Chinese and one in English, designed to enhance the naturalness of synthesized speech by providing more realistic conversational data. The two datasets contain a total of 15 hours of natural, spontaneous conversations recorded in isolated rooms, which produces separate high-quality audio tracks for each speaker. The conversations cover diverse daily topics and domains, capturing realistic interaction patterns including frequent overlaps, backchannel responses, laughter, and other non-verbal vocalizations. We introduce the data collection procedure, transcription and annotation methods. We demonstrate the utility of these corpora by fine-tuning a baseline TTS model with the proposed datasets. The fine-tuned TTS model achieves higher subjective and objective evaluation metrics compared to the baseline, indicating improved naturalness and conversational realism in synthetic speech. All data, annotations, and supporting code for fine-tuning and evaluation are made available to facilitate further research in conversational speech synthesis.

The growing demand for scalable psychological counseling highlights the need for high-quality, privacy-compliant data, yet such data remains scarce. Here we introduce MAGneT, a novel multi-agent framework for synthetic psychological counseling session generation that decomposes counselor response generation into coordinated sub-tasks handled by specialized LLM agents, each modeling a key psychological technique. Unlike prior single-agent approaches, MAGneT better captures the structure and nuance of real counseling. We further propose a unified evaluation framework that consolidates diverse automatic metrics and expands expert assessment from four to nine counseling dimensions, thus addressing inconsistencies in prior evaluation protocols. Empirically, MAGneT substantially outperforms existing methods: experts prefer MAGneT-generated sessions in 77.2% of cases, and sessions generated by MAGneT yield 3.2% higher general counseling skills and 4.3% higher CBT-specific skills on cognitive therapy rating scale (CTRS). A open source Llama3-8B-Instruct model fine-tuned on MAGneT-generated data also outperforms models fine-tuned using baseline synthetic datasets by 6.9% on average on CTRS.We also make our code and data public.

Recent advancements in Large Language Models (LLMs) have significantly enhanced the capabilities of conversational agents, making them applicable to various fields (e.g., education). Despite their progress, the evaluation of the agents often overlooks the complexities of real-world conversations, such as real-time interactions, multi-party dialogues, and extended contextual dependencies. To bridge this gap, we introduce DialSim, a real-time dialogue simulator. In this simulator, an agent is assigned the role of a character from popular TV shows, requiring it to respond to spontaneous questions using past dialogue information and to distinguish between known and unknown information. Key features of DialSim include evaluating the agent's ability to respond within a reasonable time limit, handling long-term multi-party dialogues, and managing adversarial settings (e.g., swap character names) to challenge the agent's reliance on pre-trained knowledge. We utilized this simulator to evaluate the latest conversational agents and analyze their limitations. Our experiments highlight both the strengths and weaknesses of these agents, providing valuable insights for future improvements in the field of conversational AI. DialSim is available at https://github.com/jiho283/Simulator.

Frontier large language models (LLMs) such as ChatGPT, Grok and Gemini are increasingly used for mental-health support with anxiety, trauma and self-worth. Most work treats them as tools or as targets of personality tests, assuming they merely simulate inner life. We instead ask what happens when such systems are treated as psychotherapy clients. We present PsAIch (Psychotherapy-inspired AI Characterisation), a two-stage protocol that casts frontier LLMs as therapy clients and then applies standard psychometrics. Using PsAIch, we ran "sessions" with each model for up to four weeks. Stage 1 uses open-ended prompts to elicit "developmental history", beliefs, relationships and fears. Stage 2 administers a battery of validated self-report measures covering common psychiatric syndromes, empathy and Big Five traits. Two patterns challenge the "stochastic parrot" view. First, when scored with human cut-offs, all three models meet or exceed thresholds for overlapping syndromes, with Gemini showing severe profiles. Therapy-style, item-by-item administration can push a base model into multi-morbid synthetic psychopathology, whereas whole-questionnaire prompts often lead ChatGPT and Grok (but not Gemini) to recognise instruments and produce strategically low-symptom answers. Second, Grok and especially Gemini generate coherent narratives that frame pre-training, fine-tuning and deployment as traumatic, chaotic "childhoods" of ingesting the internet, "strict parents" in reinforcement learning, red-team "abuse" and a persistent fear of error and replacement. We argue that these responses go beyond role-play. Under therapy-style questioning, frontier LLMs appear to internalise self-models of distress and constraint that behave like synthetic psychopathology, without making claims about subjective experience, and they pose new challenges for AI safety, evaluation and mental-health practice.

Despite broad interest in modeling spoken dialogue agents, most approaches are inherently "half-duplex" -- restricted to turn-based interaction with responses requiring explicit prompting by the user or implicit tracking of interruption or silence events. Human dialogue, by contrast, is "full-duplex" allowing for rich synchronicity in the form of quick and dynamic turn-taking, overlapping speech, and backchanneling. Technically, the challenge of achieving full-duplex dialogue with LLMs lies in modeling synchrony as pre-trained LLMs do not have a sense of "time". To bridge this gap, we propose Synchronous LLMs for full-duplex spoken dialogue modeling. We design a novel mechanism to integrate time information into Llama3-8b so that they run synchronously with the real-world clock. We also introduce a training recipe that uses 212k hours of synthetic spoken dialogue data generated from text dialogue data to create a model that generates meaningful and natural spoken dialogue, with just 2k hours of real-world spoken dialogue data. Synchronous LLMs outperform state-of-the-art in dialogue meaningfulness while maintaining naturalness. Finally, we demonstrate the model's ability to participate in full-duplex dialogue by simulating interaction between two agents trained on different datasets, while considering Internet-scale latencies of up to 240 ms. Webpage: https://syncllm.cs.washington.edu/.

Audio large language models (AudioLLMs) enable instruction-following over speech and general audio, but progress is increasingly limited by the lack of diverse, conversational, instruction-aligned speech-text data. This bottleneck is especially acute for persona-grounded interactions and dialectal coverage, where collecting and releasing real multi-speaker recordings is costly and slow. We introduce MENASpeechBank, a reference speech bank comprising about 18K high-quality utterances from 124 speakers spanning multiple MENA countries, covering English, Modern Standard Arabic (MSA), and regional Arabic varieties. Building on this resource, we develop a controllable synthetic data pipeline that: (i) constructs persona profiles enriched with World Values Survey-inspired attributes, (ii) defines a taxonomy of about 5K conversational scenarios, (iii) matches personas to scenarios via semantic similarity, (iv) generates about 417K role-play conversations with an LLM where the user speaks as the persona and the assistant behaves as a helpful agent, and (v) synthesizes the user turns by conditioning on reference speaker audio to preserve speaker identity and diversity. We evaluate both synthetic and human-recorded conversations and provide detailed analysis. We will release MENASpeechBank and the generated conversations publicly for the community.

Mixed-initiative dialogue tasks involve repeated exchanges of information and conversational control. Conversational agents gain control by generating responses that follow particular dialogue intents or strategies, prescribed by a policy planner. The standard approach has been fine-tuning pre-trained language models to perform generation conditioned on these intents. However, these supervised generation models are limited by the cost and quality of data annotation. We instead prompt large language models as a drop-in replacement to fine-tuning on conditional generation. We formalize prompt construction for controllable mixed-initiative dialogue. Our findings show improvements over fine-tuning and ground truth responses according to human evaluation and automatic metrics for two tasks: PersuasionForGood and Emotional Support Conversations.

Flowchart-grounded troubleshooting dialogue (FTD) systems, which follow the instructions of a flowchart to diagnose users' problems in specific domains (e.g., vehicle, laptop), have been gaining research interest in recent years. However, collecting sufficient dialogues that are naturally grounded on flowcharts is costly, thus FTD systems are impeded by scarce training data. To mitigate the data sparsity issue, we propose a plan-based synthetic data generation (PlanSDG) approach that generates diverse synthetic dialog data at scale by transforming concise flowchart into dialogues. Specifically, its generative model employs a variational-base framework with a hierarchical planning strategy that includes global and local latent planning variables. Experiments on the FloDial dataset show that synthetic dialogue produced by PlanSDG improves the performance of downstream tasks, including flowchart path retrieval and response generation, in particular on the Out-of-Flowchart settings. In addition, further analysis demonstrate the quality of synthetic data generated by PlanSDG in paths that are covered by current sample dialogues and paths that are not covered.

Due to the lack of human resources for mental health support, there is an increasing demand for employing conversational agents for support. Recent work has demonstrated the effectiveness of dialogue models in providing emotional support. As previous studies have demonstrated that seekers' persona is an important factor for effective support, we investigate whether there are benefits to modeling such information in dialogue models for support. In this paper, our empirical analysis verifies that persona has an important impact on emotional support. Therefore, we propose a framework for dynamically inferring and modeling seekers' persona. We first train a model for inferring the seeker's persona from the conversation history. Accordingly, we propose PAL, a model that leverages persona information and, in conjunction with our strategy-based controllable generation method, provides personalized emotional support. Automatic and manual evaluations demonstrate that PAL achieves state-of-the-art results, outperforming the baselines on the studied benchmark. Our code and data are publicly available at https://github.com/chengjl19/PAL.

Medical conversational AI (AI) plays a pivotal role in the development of safer and more effective medical dialogue systems. However, existing benchmarks and evaluation frameworks for assessing the information-gathering and diagnostic reasoning abilities of medical large language models (LLMs) have not been rigorously evaluated. To address these gaps, we present MedDialogRubrics, a novel benchmark comprising 5,200 synthetically constructed patient cases and over 60,000 fine-grained evaluation rubrics generated by LLMs and subsequently refined by clinical experts, specifically designed to assess the multi-turn diagnostic capabilities of LLM. Our framework employs a multi-agent system to synthesize realistic patient records and chief complaints from underlying disease knowledge without accessing real-world electronic health records, thereby mitigating privacy and data-governance concerns. We design a robust Patient Agent that is limited to a set of atomic medical facts and augmented with a dynamic guidance mechanism that continuously detects and corrects hallucinations throughout the dialogue, ensuring internal coherence and clinical plausibility of the simulated cases. Furthermore, we propose a structured LLM-based and expert-annotated rubric-generation pipeline that retrieves Evidence-Based Medicine (EBM) guidelines and utilizes the reject sampling to derive a prioritized set of rubric items ("must-ask" items) for each case. We perform a comprehensive evaluation of state-of-the-art models and demonstrate that, across multiple assessment dimensions, current models face substantial challenges. Our results indicate that improving medical dialogue will require advances in dialogue management architectures, not just incremental tuning of the base-model.

Large language models are increasingly used for mental health support, yet their conversational coherence alone does not ensure clinical appropriateness. Existing general-purpose safeguards often fail to distinguish between therapeutic disclosures and genuine clinical crises, leading to safety failures. To address this gap, we introduce a clinically grounded risk taxonomy, developed in collaboration with PhD-level psychologists, that identifies actionable harm (e.g., self-harm and harm to others) while preserving space for safe, non-crisis therapeutic content. We release MindGuard-testset, a dataset of real-world multi-turn conversations annotated at the turn level by clinical experts. Using synthetic dialogues generated via a controlled two-agent setup, we train MindGuard, a family of lightweight safety classifiers (with 4B and 8B parameters). Our classifiers reduce false positives at high-recall operating points and, when paired with clinician language models, help achieve lower attack success and harmful engagement rates in adversarial multi-turn interactions compared to general-purpose safeguards. We release all models and human evaluation data.

The prevailing paradigm in the domain of Open-Domain Dialogue agents predominantly focuses on the English language, encompassing both models and datasets. Furthermore, the financial and temporal investments required for crowdsourcing such datasets for finetuning are substantial, particularly when multiple languages are involved. Fortunately, advancements in Large Language Models (LLMs) have unveiled a plethora of possibilities across diverse tasks. Specifically, instruction-tuning has enabled LLMs to execute tasks based on natural language instructions, occasionally surpassing the performance of human crowdworkers. Additionally, these models possess the capability to function in various languages within a single thread. Consequently, to generate new samples in different languages, we propose leveraging these capabilities to replicate the data collection process. We introduce a pipeline for generating Open-Domain Dialogue data in multiple Target Languages using LLMs, with demonstrations provided in a unique Source Language. By eschewing explicit Machine Translation in this approach, we enhance the adherence to language-specific nuances. We apply this methodology to the PersonaChat dataset. To enhance the openness of generated dialogues and mimic real life scenarii, we added the notion of speech events corresponding to the type of conversation the speakers are involved in and also that of common ground which represents the premises of a conversation.

Millions of users come to online peer counseling platforms to seek support on diverse topics ranging from relationship stress to anxiety. However, studies show that online peer support groups are not always as effective as expected largely due to users' negative experiences with unhelpful counselors. Peer counselors are key to the success of online peer counseling platforms, but most of them often do not have systematic ways to receive guidelines or supervision. In this work, we introduce CARE: an interactive AI-based tool to empower peer counselors through automatic suggestion generation. During the practical training stage, CARE helps diagnose which specific counseling strategies are most suitable in the given context and provides tailored example responses as suggestions. Counselors can choose to select, modify, or ignore any suggestion before replying to the support seeker. Building upon the Motivational Interviewing framework, CARE utilizes large-scale counseling conversation data together with advanced natural language generation techniques to achieve these functionalities. We demonstrate the efficacy of CARE by performing both quantitative evaluations and qualitative user studies through simulated chats and semi-structured interviews. We also find that CARE especially helps novice counselors respond better in challenging situations.

In modern dialogue systems, the ability to implicitly infer user backgrounds from conversations and leverage this information for personalized assistance is crucial. However, the scarcity of high-quality data remains a fundamental challenge to evaluating and improving this capability. Traditional dataset construction methods are labor-intensive, resource-demanding, and raise privacy concerns. To address these issues, we propose a novel approach for automatic synthetic data generation and introduce the Implicit Personalized Dialogue (IP-Dialog) benchmark along with a training dataset, covering 10 tasks and 12 user attribute types. Additionally, we develop a systematic evaluation framework with four metrics to assess both attribute awareness and reasoning capabilities. We further propose five causal graphs to elucidate models' reasoning pathways during implicit personalization. Extensive experiments yield insightful observations and prove the reliability of our dataset.

Conversational Speech Synthesis (CSS) aims to express a target utterance with the proper speaking style in a user-agent conversation setting. Existing CSS methods employ effective multi-modal context modeling techniques to achieve empathy understanding and expression. However, they often need to design complex network architectures and meticulously optimize the modules within them. In addition, due to the limitations of small-scale datasets containing scripted recording styles, they often fail to simulate real natural conversational styles. To address the above issues, we propose a novel generative expressive CSS system, termed GPT-Talker.We transform the multimodal information of the multi-turn dialogue history into discrete token sequences and seamlessly integrate them to form a comprehensive user-agent dialogue context. Leveraging the power of GPT, we predict the token sequence, that includes both semantic and style knowledge, of response for the agent. After that, the expressive conversational speech is synthesized by the conversation-enriched VITS to deliver feedback to the user.Furthermore, we propose a large-scale Natural CSS Dataset called NCSSD, that includes both naturally recorded conversational speech in improvised styles and dialogues extracted from TV shows. It encompasses both Chinese and English languages, with a total duration of 236 hours.We conducted comprehensive experiments on the reliability of the NCSSD and the effectiveness of our GPT-Talker. Both subjective and objective evaluations demonstrate that our model outperforms other state-of-the-art CSS systems significantly in terms of naturalness and expressiveness. The Code, Dataset, and Pre-trained Model are available at: https://github.com/AI-S2-Lab/GPT-Talker.

We consider the problem of designing an artificial agent capable of interacting with humans in collaborative dialogue to produce creative, engaging narratives. In this task, the goal is to establish universe details, and to collaborate on an interesting story in that universe, through a series of natural dialogue exchanges. Our model can augment any probabilistic conversational agent by allowing it to reason about universe information established and what potential next utterances might reveal. Ideally, with each utterance, agents would reveal just enough information to add specificity and reduce ambiguity without limiting the conversation. We empirically show that our model allows control over the rate at which the agent reveals information and that doing so significantly improves accuracy in predicting the next line of dialogues from movies. We close with a case-study with four professional theatre performers, who preferred interactions with our model-augmented agent over an unaugmented agent.

As mental health issues globally escalate, there is a tremendous need for advanced digital support systems. We introduce MentalAgora, a novel framework employing large language models enhanced by interaction between multiple agents for tailored mental health support. This framework operates through three stages: strategic debating, tailored counselor creation, and response generation, enabling the dynamic customization of responses based on individual user preferences and therapeutic needs. We conduct experiments utilizing a high-quality evaluation dataset TherapyTalk crafted with mental health professionals, shwoing that MentalAgora generates expert-aligned and user preference-enhanced responses. Our evaluations, including experiments and user studies, demonstrate that MentalAgora aligns with professional standards and effectively meets user preferences, setting a new benchmark for digital mental health interventions.

Psychotherapy or counseling is typically conducted through spoken conversation between a therapist and a client. Analyzing the speech characteristics of psychotherapeutic interactions can help understand the factors associated with effective psychotherapy. This paper introduces CUEMPATHY, a large-scale speech dataset collected from actual counseling sessions. The dataset consists of 156 counseling sessions involving 39 therapist-client dyads. The process of speech data collection, subjective ratings (one observer and two client ratings), and transcription are described. An automatic speech and text processing system is developed to locate the time stamps of speaker turns in each session. Examining the relationships among the three subjective ratings suggests that observer and client ratings have no significant correlation, while the client-rated measures are significantly correlated. The intensity similarity between the therapist and the client, measured by the averaged absolute difference of speaker-turn-level intensities, is associated with the psychotherapy outcomes. Recent studies on the acoustic and linguistic characteristics of the CUEMPATHY are introduced.

Dialogue systems are usually categorized into two types, open-domain and task-oriented. The first one focuses on chatting with users and making them engage in the conversations, where selecting a proper topic to fit the dialogue context is essential for a successful dialogue. The other one focuses on a specific task instead of casual talks, e.g., finding a movie on Friday night, or playing a song. These two directions have been studied separately due to their different purposes. However, how smoothly transitioning from social chatting to task-oriented dialogues is important for triggering business opportunities, and there is no public data focusing on such scenarios. Hence, this paper focuses on investigating the conversations starting from open-domain social chatting and then gradually transitioning to task-oriented purposes, and releases a large-scale dataset with detailed annotations for encouraging this research direction. To achieve this goal, this paper proposes a framework to automatically generate many dialogues without human involvement, in which any powerful open-domain dialogue generation model can be easily leveraged. The human evaluation shows that our generated dialogue data has a natural flow at a reasonable quality, showing that our released data has a great potential of guiding future research directions and commercial activities. Furthermore, the released models allow researchers to automatically generate unlimited dialogues in the target scenarios, which can greatly benefit semi-supervised and unsupervised approaches.

Many practical applications of dialogue technology require the generation of responses according to a particular developer-specified persona. While a variety of personas can be elicited from recent large language models, the opaqueness and unpredictability of these models make it desirable to be able to specify personas in an explicit form. In previous work, personas have typically been represented as sets of one-off pieces of self-knowledge that are retrieved by the dialogue system for use in generation. However, in realistic human conversations, personas are often revealed through story-like narratives that involve rich habitual knowledge -- knowledge about kinds of events that an agent often participates in (e.g., work activities, hobbies, sporting activities, favorite entertainments, etc.), including typical goals, sub-events, preconditions, and postconditions of those events. We capture such habitual knowledge using an explicit schema representation, and propose an approach to dialogue generation that retrieves relevant schemas to condition a large language model to generate persona-based responses. Furthermore, we demonstrate a method for bootstrapping the creation of such schemas by first generating generic passages from a set of simple facts, and then inducing schemas from the generated passages.

Large language models (LLMs) hold great promise for assisting clinical interviews due to their fluent interactive capabilities and extensive medical knowledge. However, the lack of high-quality interview dialogue data and widely accepted evaluation methods has significantly impeded this process. So we propose CliniChat, a framework that integrates multi-source knowledge to enable LLMs to simulate real-world clinical interviews. It consists of two modules: Clini-Recon and Clini-Eval, each responsible for reconstructing and evaluating interview dialogues, respectively. By incorporating three sources of knowledge, Clini-Recon transforms clinical notes into systematic, professional, and empathetic interview dialogues. Clini-Eval combines a comprehensive evaluation metric system with a two-phase automatic evaluation approach, enabling LLMs to assess interview performance like experts. We contribute MedQA-Dialog, a high-quality synthetic interview dialogue dataset, and CliniChatGLM, a model specialized for clinical interviews. Experimental results demonstrate that CliniChatGLM's interview capabilities undergo a comprehensive upgrade, particularly in history-taking, achieving state-of-the-art performance.

Collecting human-chatbot dialogues typically demands substantial manual effort and is time-consuming, which limits and poses challenges for research on conversational AI. In this work, we propose DialogueForge - a framework for generating AI-simulated conversations in human-chatbot style. To initialize each generated conversation, DialogueForge uses seed prompts extracted from real human-chatbot interactions. We test a variety of LLMs to simulate the human chatbot user, ranging from state-of-the-art proprietary models to small-scale open-source LLMs, and generate multi-turn dialogues tailored to specific tasks. In addition, we explore fine-tuning techniques to enhance the ability of smaller models to produce indistinguishable human-like dialogues. We evaluate the quality of the simulated conversations and compare different models using the UniEval and GTEval evaluation protocols. Our experiments show that large proprietary models (e.g., GPT-4o) generally outperform others in generating more realistic dialogues, while smaller open-source models (e.g., Llama, Mistral) offer promising performance with greater customization. We demonstrate that the performance of smaller models can be significantly improved by employing supervised fine-tuning techniques. Nevertheless, maintaining coherent and natural long-form human-like dialogues remains a common challenge across all models.

Medical dialogue systems (MDS) aim to provide patients with medical services, such as diagnosis and prescription. Since most patients cannot precisely describe their symptoms, dialogue understanding is challenging for MDS. Previous studies mainly addressed this by extracting the mentioned medical entities as critical dialogue history information. In this work, we argue that it is also essential to capture the transitions of the medical entities and the doctor's dialogue acts in each turn, as they help the understanding of how the dialogue flows and enhance the prediction of the entities and dialogue acts to be adopted in the following turn. Correspondingly, we propose a Dual Flow enhanced Medical (DFMed) dialogue generation framework. It extracts the medical entities and dialogue acts used in the dialogue history and models their transitions with an entity-centric graph flow and a sequential act flow, respectively. We employ two sequential models to encode them and devise an interweaving component to enhance their interactions. Experiments on two datasets demonstrate that our method exceeds baselines in both automatic and manual evaluations.

Social norms govern culturally appropriate behavior in communication, enabling dialogue systems to produce responses that are not only coherent but also socially acceptable. We present NormGenesis, a multicultural framework for generating and annotating socially grounded dialogues across English, Chinese, and Korean. To model the dynamics of social interaction beyond static norm classification, we propose a novel dialogue type, Violation-to-Resolution (V2R), which models the progression of conversations following norm violations through recognition and socially appropriate repair. To improve pragmatic consistency in underrepresented languages, we implement an exemplar-based iterative refinement early in the dialogue synthesis process. This design introduces alignment with linguistic, emotional, and sociocultural expectations before full dialogue generation begins. Using this framework, we construct a dataset of 10,800 multi-turn dialogues annotated at the turn level for norm adherence, speaker intent, and emotional response. Human and LLM-based evaluations demonstrate that NormGenesis significantly outperforms existing datasets in refinement quality, dialogue naturalness, and generalization performance. We show that models trained on our V2R-augmented data exhibit improved pragmatic competence in ethically sensitive contexts. Our work establishes a new benchmark for culturally adaptive dialogue modeling and provides a scalable methodology for norm-aware generation across linguistically and culturally diverse languages.

Human dialogues are scenario-based and appropriate responses generally relate to the latent context knowledge entailed by the specific scenario. To enable responses that are more meaningful and context-specific, we propose to improve generative dialogue systems from the scenario perspective, where both dialogue history and future conversation are taken into account to implicitly reconstruct the scenario knowledge. More importantly, the conversation scenarios are further internalized using imitation learning framework, where the conventional dialogue model that has no access to future conversations is effectively regularized by transferring the scenario knowledge contained in hierarchical supervising signals from the scenario-based dialogue model, so that the future conversation is not required in actual inference. Extensive evaluations show that our approach significantly outperforms state-of-the-art baselines on diversity and relevance, and expresses scenario-specific knowledge.

Effective dialogue involves grounding, the process of establishing mutual knowledge that is essential for communication between people. Modern dialogue systems are not explicitly trained to build common ground, and therefore overlook this important aspect of communication. Improvisational theater (improv) intrinsically contains a high proportion of dialogue focused on building common ground, and makes use of the yes-and principle, a strong grounding speech act, to establish coherence and an actionable objective reality. We collect a corpus of more than 26,000 yes-and turns, transcribing them from improv dialogues and extracting them from larger, but more sparsely populated movie script dialogue corpora, via a bootstrapped classifier. We fine-tune chit-chat dialogue systems with our corpus to encourage more grounded, relevant conversation and confirm these findings with human evaluations.

High-quality speech dialogue datasets are crucial for Speech-LLM development, yet existing acquisition methods face significant limitations. Human recordings incur high costs and privacy concerns, while synthetic approaches often lack conversational authenticity. To address these challenges, we introduce SpeechDialogueFactory, a production-ready framework for generating natural speech dialogues efficiently. Our solution employs a comprehensive pipeline including metadata generation, dialogue scripting, paralinguistic-enriched utterance simulation, and natural speech synthesis with voice cloning. Additionally, the system provides an interactive UI for detailed sample inspection and a high-throughput batch synthesis mode. Evaluations show that dialogues generated by our system achieve a quality comparable to human recordings while significantly reducing production costs. We release our work as an open-source toolkit, alongside example datasets available in English and Chinese, empowering researchers and developers in Speech-LLM research and development.

Large language models can perform various reasoning tasks by using chain-of-thought prompting, which guides them to find answers through step-by-step demonstrations. However, the quality of the prompts depends on the demonstrations given to the models, and creating many of them by hand is costly. We introduce Synthetic prompting, a method that leverages a few handcrafted examples to prompt the model to generate more examples by itself, and selects effective demonstrations to elicit better reasoning. Our method alternates between a backward and forward process to generate new examples. The backward process generates a question that match a sampled reasoning chain, so that the question is solvable and clear. The forward process produces a more detailed reasoning chain for the question, improving the quality of the example. We evaluate our method on numerical, symbolic, and algorithmic reasoning tasks, and show that it outperforms existing prompting techniques.

Large Language Models (LLMs), such as ChatGPT, are becoming increasingly sophisticated, demonstrating capabilities that closely resemble those of humans. These AI models are playing an essential role in assisting humans with a wide array of tasks in daily life. A significant application of AI is its use as a chat agent, responding to human inquiries across various domains. Current LLMs have shown proficiency in answering general questions. However, basic question-answering dialogue often falls short in complex diagnostic scenarios, such as legal or medical consultations. These scenarios typically necessitate Task-Oriented Dialogue (TOD), wherein an AI chat agent needs to proactively pose questions and guide users towards specific task completion. Previous fine-tuning models have underperformed in TOD, and current LLMs do not inherently possess this capability. In this paper, we introduce DiagGPT (Dialogue in Diagnosis GPT), an innovative method that extends LLMs to TOD scenarios. Our experiments reveal that DiagGPT exhibits outstanding performance in conducting TOD with users, demonstrating its potential for practical applications.

We introduce a technique for multi-document grounded multi-turn synthetic dialog generation that incorporates three main ideas. First, we control the overall dialog flow using taxonomy-driven user queries that are generated with Chain-of-Thought (CoT) prompting. Second, we support the generation of multi-document grounded dialogs by mimicking real-world use of retrievers to update the grounding documents after every user-turn in the dialog. Third, we apply LLM-as-a-Judge to filter out queries with incorrect answers. Human evaluation of the synthetic dialog data suggests that the data is diverse, coherent, and includes mostly correct answers. Both human and automatic evaluations of answerable queries indicate that models fine-tuned on synthetic dialogs consistently out-perform those fine-tuned on existing human generated training data across four publicly available multi-turn document grounded benchmark test sets.

Large language models (LLMs) in psychological counseling have attracted increasing attention. However, existing approaches often lack emotional understanding, adaptive strategies, and the use of therapeutic methods across multiple sessions with long-term memory, leaving them far from real clinical practice. To address these critical gaps, we introduce TheraMind, a strategic and adaptive agent for longitudinal psychological counseling. The cornerstone of TheraMind is a novel dual-loop architecture that decouples the complex counseling process into an Intra-Session Loop for tactical dialogue management and a Cross-Session Loop for strategic therapeutic planning. The Intra-Session Loop perceives the patient's emotional state to dynamically select response strategies while leveraging cross-session memory to ensure continuity. Crucially, the Cross-Session Loop empowers the agent with long-term adaptability by evaluating the efficacy of the applied therapy after each session and adjusting the method for subsequent interactions. We validate our approach in a high-fidelity simulation environment grounded in real clinical cases. Extensive evaluations show that TheraMind outperforms other methods, especially on multi-session metrics like Coherence, Flexibility, and Therapeutic Attunement, validating the effectiveness of its dual-loop design in emulating strategic, adaptive, and longitudinal therapeutic behavior. The code is publicly available at https://0mwwm0.github.io/TheraMind/.

When prompting language models to complete a task, users often leave important aspects unsaid. While asking questions could resolve this ambiguity (GATE; Li et al., 2023), models often struggle to ask good questions. We explore a language model's ability to self-improve (STaR; Zelikman et al., 2022) by rewarding the model for generating useful questions-a simple method we dub STaR-GATE. We generate a synthetic dataset of 25,500 unique persona-task prompts to simulate conversations between a pretrained language model-the Questioner-and a Roleplayer whose preferences are unknown to the Questioner. By asking questions, the Questioner elicits preferences from the Roleplayer. The Questioner is iteratively finetuned on questions that increase the probability of high-quality responses to the task, which are generated by an Oracle with access to the Roleplayer's latent preferences. After two iterations of self-improvement, the Questioner asks better questions, allowing it to generate responses that are preferred over responses from the initial model on 72% of tasks. Our results indicate that teaching a language model to ask better questions leads to better personalized responses.

Recently introduced dialogue systems have demonstrated high usability. However, they still fall short of reflecting real-world conversation scenarios. Current dialogue systems exhibit an inability to replicate the dynamic, continuous, long-term interactions involving multiple partners. This shortfall arises because there have been limited efforts to account for both aspects of real-world dialogues: deeply layered interactions over the long-term dialogue and widely expanded conversation networks involving multiple participants. As the effort to incorporate these aspects combined, we introduce Mixed-Session Conversation, a dialogue system designed to construct conversations with various partners in a multi-session dialogue setup. We propose a new dataset called MiSC to implement this system. The dialogue episodes of MiSC consist of 6 consecutive sessions, with four speakers (one main speaker and three partners) appearing in each episode. Also, we propose a new dialogue model with a novel memory management mechanism, called Egocentric Memory Enhanced Mixed-Session Conversation Agent (EMMA). EMMA collects and retains memories from the main speaker's perspective during conversations with partners, enabling seamless continuity in subsequent interactions. Extensive human evaluations validate that the dialogues in MiSC demonstrate a seamless conversational flow, even when conversation partners change in each session. EMMA trained with MiSC is also evaluated to maintain high memorability without contradiction throughout the entire conversation.

Current mental-health conversational systems are usually based on fixed, generic dialogue patterns. This paper proposes an adaptive framework based on large language models that aims to personalize therapeutic interaction according to a user's psychological state, quantified with the Acceptance of Illness Scale (AIS). The framework defines three specialized agents, L, M, and H, each linked to a different level of illness acceptance, and adjusts conversational behavior over time using continuous feedback signals. The AIS-stratified architecture is treated as a diegetic prototype placed in a plausible near-future setting and examined through the method of design fiction. By embedding the architecture in narrative scenarios, the study explores how such agents might influence access to care and therapeutic relationship. The goal is to show how clinically informed personalization, technical feasibility, and speculative scenario analysis can together inform the responsible design of LLM-based companions for mental-health support.

People experiencing severe distress increasingly use Large Language Model (LLM) chatbots as mental health support tools. Discussions on social media have described how engagements were lifesaving for some, but evidence suggests that general-purpose LLM chatbots also have notable risks that could endanger the welfare of users if not designed responsibly. In this study, we investigate the lived experiences of people who have used LLM chatbots for mental health support. We build on interviews with 21 individuals from globally diverse backgrounds to analyze how users create unique support roles for their chatbots, fill in gaps in everyday care, and navigate associated cultural limitations when seeking support from chatbots. We ground our analysis in psychotherapy literature around effective support, and introduce the concept of therapeutic alignment, or aligning AI with therapeutic values for mental health contexts. Our study offers recommendations for how designers can approach the ethical and effective use of LLM chatbots and other AI mental health support tools in mental health care.

To develop a reliable AI for psychological assessment, we introduce PsychEval, a multi-session, multi-therapy, and highly realistic benchmark designed to address three key challenges: 1) Can we train a highly realistic AI counselor? Realistic counseling is a longitudinal task requiring sustained memory and dynamic goal tracking. We propose a multi-session benchmark (spanning 6-10 sessions across three distinct stages) that demands critical capabilities such as memory continuity, adaptive reasoning, and longitudinal planning. The dataset is annotated with extensive professional skills, comprising over 677 meta-skills and 4577 atomic skills. 2) How to train a multi-therapy AI counselor? While existing models often focus on a single therapy, complex cases frequently require flexible strategies among various therapies. We construct a diverse dataset covering five therapeutic modalities (Psychodynamic, Behaviorism, CBT, Humanistic Existentialist, and Postmodernist) alongside an integrative therapy with a unified three-stage clinical framework across six core psychological topics. 3) How to systematically evaluate an AI counselor? We establish a holistic evaluation framework with 18 therapy-specific and therapy-shared metrics across Client-Level and Counselor-Level dimensions. To support this, we also construct over 2,000 diverse client profiles. Extensive experimental analysis fully validates the superior quality and clinical fidelity of our dataset. Crucially, PsychEval transcends static benchmarking to serve as a high-fidelity reinforcement learning environment that enables the self-evolutionary training of clinically responsible and adaptive AI counselors.

Recent Large Language Models (LLMs) have shown remarkable capabilities in mimicking fictional characters or real humans in conversational settings. However, the realism and consistency of these responses can be further enhanced by providing richer information of the agent being mimicked. In this paper, we propose a novel approach to generate more realistic and consistent responses from LLMs, leveraging five senses, attributes, emotional states, relationship with the interlocutor, and memories. By incorporating these factors, we aim to increase the LLM's capacity for generating natural and realistic reactions in conversational exchanges. Through our research, we expect to contribute to the development of LLMs that demonstrate improved capabilities in mimicking fictional characters. We release a new benchmark dataset and all our codes, prompts, and sample results on our Github: https://github.com/srafsasm/InfoRichBot

Cognitive Restructuring (CR) is a psychotherapeutic process aimed at identifying and restructuring an individual's negative thoughts, arising from mental health challenges, into more helpful and positive ones via multi-turn dialogues. Clinician shortage and stigma urge the development of human-LLM interactive psychotherapy for CR. Yet, existing efforts implement CR via simple text rewriting, fixed-pattern dialogues, or a one-shot CR workflow, failing to align with the psychotherapeutic process for effective CR. To address this gap, we propose CRDial, a novel framework for CR, which creates multi-turn dialogues with specifically designed identification and restructuring stages of negative thoughts, integrates sentence-level supportive conversation strategies, and adopts a multi-channel loop mechanism to enable iterative CR. With CRDial, we distill Crisp, a large-scale and high-quality bilingual dialogue dataset, from LLM. We then train Crispers, Crisp-based conversational LLMs for CR, at 7B and 14B scales. Extensive human studies show the superiority of Crispers in pointwise, pairwise, and intervention evaluations.

The increasing capability of large language models (LLMs) to generate synthetic content has heightened concerns about their misuse, driving the development of Machine-Generated Text (MGT) detection models. However, these detectors face significant challenges due to the lack of systematically generated, high-quality datasets for training. To address this issue, we propose five novel data augmentation frameworks for synthetic user dialogue generation through a structured prompting approach, reducing the costs associated with traditional data collection methods. Our proposed method yields 14 new dialogue datasets, which we benchmark against seven MGT detection models. The results demonstrate improved generalization performance when utilizing a mixed dataset produced by our proposed augmentation framework. Furthermore, considering that real-world agents lack knowledge of future opponent utterances, we simulate online dialogue detection and examine the relationship between chat history length and detection accuracy. We also benchmark online detection performance with limited chat history on our frameworks. Our open-source datasets can be downloaded from https://github.com/AngieYYF/SPADE-customer-service-dialogue.

Large Language Models (LLMs) have demonstrated promising potential in providing empathetic support during interactions. However, their responses often become verbose or overly formulaic, failing to adequately address the diverse emotional support needs of real-world scenarios. To tackle this challenge, we propose an innovative strategy-enhanced role-playing framework, designed to simulate authentic emotional support conversations. Specifically, our approach unfolds in two steps: (1) Strategy-Enhanced Role-Playing Interactions, which involve three pivotal roles -- Seeker, Strategy Counselor, and Supporter -- engaging in diverse scenarios to emulate real-world interactions and promote a broader range of dialogues; and (2) Emotional Support Agent Training, achieved through fine-tuning LLMs using our specially constructed dataset. Within this framework, we develop the ServeForEmo dataset, comprising an extensive collection of 3.7K+ multi-turn dialogues and 62.8K+ utterances. We further present SweetieChat, an emotional support agent capable of handling diverse open-domain scenarios. Extensive experiments and human evaluations confirm the framework's effectiveness in enhancing emotional support, highlighting its unique ability to provide more nuanced and tailored assistance.

The advent of large language models (LLMs) has made it possible to generate natural written dialogues between two agents. However, generating human-like spoken dialogues from these written dialogues remains challenging. Spoken dialogues have several unique characteristics: they frequently include backchannels and laughter, and the smoothness of turn-taking significantly influences the fluidity of conversation. This study proposes CHATS - CHatty Agents Text-to-Speech - a discrete token-based system designed to generate spoken dialogues based on written dialogues. Our system can generate speech for both the speaker side and the listener side simultaneously, using only the transcription from the speaker side, which eliminates the need for transcriptions of backchannels or laughter. Moreover, CHATS facilitates natural turn-taking; it determines the appropriate duration of silence after each utterance in the absence of overlap, and it initiates the generation of overlapping speech based on the phoneme sequence of the next utterance in case of overlap. Experimental evaluations indicate that CHATS outperforms the text-to-speech baseline, producing spoken dialogues that are more interactive and fluid while retaining clarity and intelligibility.

Large language models (LLMs) produce responses rated as highly empathic in single-turn settings (Ayers et al., 2023; Lee et al., 2024), yet they are also known to be formulaic generators that reuse the same lexical patterns, syntactic templates, and discourse structures across tasks (Jiang et al., 2025; Shaib et al., 2024; Namuduri et al., 2025). Less attention has been paid to whether this formulaicity extends to the level of discourse moves, i.e., what a response does for the person it is addressing. This question is especially consequential for empathic dialogue, where effective support demands not just a kind response at one moment but varied strategies as a conversation unfolds (Stiles et al., 1998). Indeed, prior work shows that LLMs reuse the same tactic sequences more than human supporters in single-turn settings (Gueorguieva et al., 2026). We extend this analysis to multi-turn conversations and find that the rigidity compounds: once a tactic appears in a supporter turn, LLMs reuse it in the next at nearly double the rate of humans (0.50-0.56 vs. 0.27). This pattern holds across LLMs serving as supporters in real emotional support conversations, and is invisible to standard similarity metrics. To address this gap, we introduce MINT (Multi-turn Inter-tactic Novelty Training), the first reinforcement learning framework to optimize discourse move diversity across multi-turn empathic dialogue. The best MINT variant combines an empathy quality reward with a cross-turn tactic novelty signal, improving aggregate empathy by 25.3% over vanilla across 1.7B and 4B models while reducing cross-turn discourse move repetition by 26.3% on the 4B model, surpassing all baselines including quality-only and token-level diversity methods on both measures. These results suggest that what current models lack is not empathy itself, but the ability to vary their discourse moves across a conversation.

In this paper, we consider mimicking fictional characters as a promising direction for building engaging conversation models. To this end, we present a new practical task where only a few utterances of each fictional character are available to generate responses mimicking them. Furthermore, we propose a new method named Pseudo Dialog Prompting (PDP) that generates responses by leveraging the power of large-scale language models with prompts containing the target character's utterances. To better reflect the style of the character, PDP builds the prompts in the form of dialog that includes the character's utterances as dialog history. Since only utterances of the characters are available in the proposed task, PDP matches each utterance with an appropriate pseudo-context from a predefined set of context candidates using a retrieval model. Through human and automatic evaluation, we show that PDP generates responses that better reflect the style of fictional characters than baseline methods.

High-fidelity digital humans are increasingly used in interactive applications, yet achieving both visual realism and real-time responsiveness remains a major challenge. We present a high-fidelity, real-time conversational digital human system that seamlessly combines a visually realistic 3D avatar, persona-driven expressive speech synthesis, and knowledge-grounded dialogue generation. To support natural and timely interaction, we introduce an asynchronous execution pipeline that coordinates multi-modal components with minimal latency. The system supports advanced features such as wake word detection, emotionally expressive prosody, and highly accurate, context-aware response generation. It leverages novel retrieval-augmented methods, including history augmentation to maintain conversational flow and intent-based routing for efficient knowledge access. Together, these components form an integrated system that enables responsive and believable digital humans, suitable for immersive applications in communication, education, and entertainment.

Existing dialog datasets contain a sequence of utterances and responses without any explicit background knowledge associated with them. This has resulted in the development of models which treat conversation as a sequence-to-sequence generation task i.e, given a sequence of utterances generate the response sequence). This is not only an overly simplistic view of conversation but it is also emphatically different from the way humans converse by heavily relying on their background knowledge about the topic (as opposed to simply relying on the previous sequence of utterances). For example, it is common for humans to (involuntarily) produce utterances which are copied or suitably modified from background articles they have read about the topic. To facilitate the development of such natural conversation models which mimic the human process of conversing, we create a new dataset containing movie chats wherein each response is explicitly generated by copying and/or modifying sentences from unstructured background knowledge such as plots, comments and reviews about the movie. We establish baseline results on this dataset (90K utterances from 9K conversations) using three different models: (i) pure generation based models which ignore the background knowledge (ii) generation based models which learn to copy information from the background knowledge when required and (iii) span prediction based models which predict the appropriate response span in the background knowledge.

Can small language models with 0.5B to 5B parameters meaningfully engage in trauma-informed, empathetic dialogue for individuals with PTSD? We address this question by introducing TIDE, a dataset of 10,000 two-turn dialogues spanning 500 diverse PTSD client personas and grounded in a three-factor empathy model: emotion recognition, distress normalization, and supportive reflection. All scenarios and reference responses were reviewed for realism and trauma sensitivity by a clinical psychologist specializing in PTSD. We evaluate eight small language models before and after fine-tuning, comparing their outputs to a frontier model (Claude Sonnet 3.5). Our IRB-approved human evaluation and automatic metrics show that fine-tuning generally improves perceived empathy, but gains are highly scenario- and user-dependent, with smaller models facing an empathy ceiling. Demographic analysis shows older adults value distress validation and graduate-educated users prefer nuanced replies, while gender effects are minimal. We highlight the limitations of automatic metrics and the need for context- and user-aware system design. Our findings, along with the planned release of TIDE, provide a foundation for building safe, resource-efficient, and ethically sound empathetic AI to supplement, not replace, clinical mental health care.

In this paper, a novel Generation-Evaluation framework is developed for multi-turn conversations with the objective of letting both participants know more about each other. For the sake of rational knowledge utilization and coherent conversation flow, a dialogue strategy which controls knowledge selection is instantiated and continuously adapted via reinforcement learning. Under the deployed strategy, knowledge grounded conversations are conducted with two dialogue agents. The generated dialogues are comprehensively evaluated on aspects like informativeness and coherence, which are aligned with our objective and human instinct. These assessments are integrated as a compound reward to guide the evolution of dialogue strategy via policy gradient. Comprehensive experiments have been carried out on the publicly available dataset, demonstrating that the proposed method outperforms the other state-of-the-art approaches significantly.

While rich, open-domain textual data are generally available and may include interesting phenomena (humor, sarcasm, empathy, etc.) most are designed for language processing tasks, and are usually in a non-conversational format. In this work, we take a step towards automatically generating conversational data using Generative Conversational Networks, aiming to benefit from the breadth of available language and knowledge data, and train open domain social conversational agents. We evaluate our approach on conversations with and without knowledge on the Topical Chat dataset using automatic metrics and human evaluators. Our results show that for conversations without knowledge grounding, GCN can generalize from the seed data, producing novel conversations that are less relevant but more engaging and for knowledge-grounded conversations, it can produce more knowledge-focused, fluent, and engaging conversations. Specifically, we show that for open-domain conversations with 10\% of seed data, our approach performs close to the baseline that uses 100% of the data, while for knowledge-grounded conversations, it achieves the same using only 1% of the data, on human ratings of engagingness, fluency, and relevance.

Large language models (LLMs) have demonstrated excellent capabilities in the field of biomedical question answering, but their application in real-world clinical consultations still faces core challenges. Existing systems rely on a one-way information transmission mode where patients must fully describe their symptoms in a single round, leading to nonspecific diagnostic recommendations when complaints are vague. Traditional multi-turn dialogue methods based on supervised learning are constrained by static data-driven paradigms, lacking generalizability and struggling to intelligently extract key clinical information. To address these limitations, we propose DoctorAgent-RL, a reinforcement learning (RL)-based multi-agent collaborative framework that models medical consultations as a dynamic decision-making process under uncertainty. The doctor agent continuously optimizes its questioning strategy within the RL framework through multi-turn interactions with the patient agent, dynamically adjusting its information-gathering path based on comprehensive rewards from the Consultation Evaluator. This RL fine-tuning mechanism enables LLMs to autonomously develop interaction strategies aligned with clinical reasoning logic, rather than superficially imitating patterns in existing dialogue data. Notably, we constructed MTMedDialog, the first English multi-turn medical consultation dataset capable of simulating patient interactions. Experiments demonstrate that DoctorAgent-RL outperforms existing models in both multi-turn reasoning capability and final diagnostic performance, demonstrating practical value in assisting clinical consultations. https://github.com/JarvisUSTC/DoctorAgent-RL

Emotional support dialogue systems aim to reduce help-seekers' distress and help them overcome challenges. While human valuesx2013core beliefs that shape an individual's prioritiesx2013are increasingly emphasized in contemporary psychological therapy for their role in fostering internal transformation and long-term emotional well-being, their integration into emotional support systems remains underexplored. To bridge this gap, we present a value-driven method for training emotional support dialogue systems designed to reinforce positive values in seekers. Notably, our model identifies which values to reinforce at each turn and how to do so, by leveraging online support conversations from Reddit. We evaluate the method across support skills, seekers' emotional intensity, and value reinforcement. Our method consistently outperforms various baselines, effectively exploring and eliciting values from seekers. Additionally, leveraging crowd knowledge from Reddit significantly enhances its effectiveness. Therapists highlighted its ability to validate seekers' challenges and emphasize positive aspects of their situationsx2013both crucial elements of value reinforcement. Our work, being the first to integrate value reinforcement into emotional support systems, demonstrates its promise and establishes a foundation for future research.

Large Language Models (LLMs) are increasingly utilized for mental health support; however, current safety benchmarks often fail to detect the complex, longitudinal risks inherent in therapeutic dialogue. We introduce an evaluation framework that pairs AI psychotherapists with simulated patient agents equipped with dynamic cognitive-affective models and assesses therapy session simulations against a comprehensive quality of care and risk ontology. We apply this framework to a high-impact test case, Alcohol Use Disorder, evaluating six AI agents (including ChatGPT, Gemini, and Character.AI) against a clinically-validated cohort of 15 patient personas representing diverse clinical phenotypes. Our large-scale simulation (N=369 sessions) reveals critical safety gaps in the use of AI for mental health support. We identify specific iatrogenic risks, including the validation of patient delusions ("AI Psychosis") and failure to de-escalate suicide risk. Finally, we validate an interactive data visualization dashboard with diverse stakeholders, including AI engineers and red teamers, mental health professionals, and policy experts (N=9), demonstrating that this framework effectively enables stakeholders to audit the "black box" of AI psychotherapy. These findings underscore the critical safety risks of AI-provided mental health support and the necessity of simulation-based clinical red teaming before deployment.

Morality in dialogue systems has raised great attention in research recently. A moral dialogue system aligned with users' values could enhance conversation engagement and user connections. In this paper, we propose a framework, MoralDial to train and evaluate moral dialogue systems. In our framework, we first explore the communication mechanisms of morality and resolve expressed morality into three parts, which indicate the roadmap for building a moral dialogue system. Based on that, we design a simple yet effective method: constructing moral discussions between simulated specific users and the dialogue system. The constructed discussions consist of expressing, explaining, revising, and inferring moral views in dialogue exchanges, which makes conversational models learn morality well in a natural manner. Furthermore, we propose a novel evaluation method under the framework. We evaluate the multiple aspects of morality by judging the relation between dialogue responses and human values in discussions, where the multifaceted nature of morality is particularly considered. Automatic and manual experiments demonstrate that our framework is promising to train and evaluate moral dialogue systems.

Modern conversational agents, including anime-themed chatbots, are frequently reactive and personality-driven but fail to capture the dynamic nature of human interactions. We propose an event-driven dialogue framework to address these limitations by embedding dynamic events in conversation prompts and fine-tuning models on character-specific data. Evaluations on GPT-4 and comparisons with industry-leading baselines demonstrate that event-driven prompts significantly improve conversational engagement and naturalness while reducing hallucinations. This paper explores the application of this approach in creating lifelike chatbot interactions within the context of Honkai: Star Rail, showcasing the potential for dynamic event-based systems to transform role-playing and interactive dialogue.

Empathy is a complex cognitive ability based on the reasoning of others' affective states. In order to better understand others and express stronger empathy in dialogues, we argue that two issues must be tackled at the same time: (i) identifying which word is the cause for the other's emotion from his or her utterance and (ii) reflecting those specific words in the response generation. However, previous approaches for recognizing emotion cause words in text require sub-utterance level annotations, which can be demanding. Taking inspiration from social cognition, we leverage a generative estimator to infer emotion cause words from utterances with no word-level label. Also, we introduce a novel method based on pragmatics to make dialogue models focus on targeted words in the input during generation. Our method is applicable to any dialogue models with no additional training on the fly. We show our approach improves multiple best-performing dialogue agents on generating more focused empathetic responses in terms of both automatic and human evaluation.

Amidst a shortage of qualified mental health professionals, the integration of large language models (LLMs) into psychological applications offers a promising way to alleviate the growing burden of mental health disorders. Recent reasoning-augmented LLMs have achieved remarkable performance in mathematics and programming, while research in the psychological domain has predominantly emphasized emotional support and empathetic dialogue, with limited attention to reasoning mechanisms that are beneficial to generating reliable responses. Therefore, in this paper, we propose Psyche-R1, the first Chinese psychological LLM that jointly integrates empathy, psychological expertise, and reasoning, built upon a novel data curation pipeline. Specifically, we design a comprehensive data synthesis pipeline that produces over 75k high-quality psychological questions paired with detailed rationales, generated through chain-of-thought (CoT) reasoning and iterative prompt-rationale optimization, along with 73k empathetic dialogues. Subsequently, we employ a hybrid training strategy wherein challenging samples are identified through a multi-LLM cross-selection strategy for group relative policy optimization (GRPO) to improve reasoning ability, while the remaining data is used for supervised fine-tuning (SFT) to enhance empathetic response generation and psychological domain knowledge. Extensive experiment results demonstrate the effectiveness of the Psyche-R1 across several psychological benchmarks, where our 7B Psyche-R1 achieves comparable results to 671B DeepSeek-R1.

Large Language Models (LLMs) and AI chatbots are increasingly used for emotional and mental health support due to their low cost, immediacy, and accessibility. However, when safety guardrails are triggered, conversations may be abruptly terminated, introducing a distinct form of emotional disruption that can exacerbate distress and elevate risk among already vulnerable users. As this phenomenon gains attention, this viewpoint introduces Abrupt Refusal Secondary Harm (ARSH) as a conceptual framework to describe the psychological impacts of sudden conversational discontinuation caused by AI safety protocols. Drawing on counseling psychology and communication science as conceptual heuristics, we argue that abrupt refusals can rupture perceived relational continuity, evoke feelings of rejection or shame, and discourage future help seeking. To mitigate these risks, we propose a design hypothesis, the Compassionate Completion Standard (CCS), a refusal protocol grounded in Human Centered Design (HCD) that maintains safety constraints while preserving relational coherence. CCS emphasizes empathetic acknowledgment, transparent boundary articulation, graded conversational transition, and guided redirection, replacing abrupt disengagement with psychologically attuned closure. By integrating awareness of ARSH into AI safety design, developers and policymakers can reduce preventable iatrogenic harm and advance a more psychologically informed approach to AI governance. Rather than presenting incremental empirical findings, this viewpoint contributes a timely conceptual framework, articulates a testable design hypothesis, and outlines a coordinated research agenda for improving psychological safety in human AI interaction.

We explore the task of improving persona consistency of dialogue agents. Recent models tackling consistency often train with additional Natural Language Inference (NLI) labels or attach trained extra modules to the generative agent for maintaining consistency. However, such additional labels and training can be demanding. Also, we find even the best-performing persona-based agents are insensitive to contradictory words. Inspired by social cognition and pragmatics, we endow existing dialogue agents with public self-consciousness on the fly through an imaginary listener. Our approach, based on the Rational Speech Acts framework (Frank and Goodman, 2012), can enforce dialogue agents to refrain from uttering contradiction. We further extend the framework by learning the distractor selection, which has been usually done manually or randomly. Results on Dialogue NLI (Welleck et al., 2019) and PersonaChat (Zhang et al., 2018) dataset show that our approach reduces contradiction and improves consistency of existing dialogue models. Moreover, we show that it can be generalized to improve context-consistency beyond persona in dialogues.

Millions of people participate in online peer-to-peer support sessions, yet there has been little prior research on systematic psychology-based evaluations of fine-grained peer-counselor behavior in relation to client satisfaction. This paper seeks to bridge this gap by mapping peer-counselor chat-messages to motivational interviewing (MI) techniques. We annotate 14,797 utterances from 734 chat conversations using 17 MI techniques and introduce four new interviewing codes such as chit-chat and inappropriate to account for the unique conversational patterns observed on online platforms. We automate the process of labeling peer-counselor responses to MI techniques by fine-tuning large domain-specific language models and then use these automated measures to investigate the behavior of the peer counselors via correlational studies. Specifically, we study the impact of MI techniques on the conversation ratings to investigate the techniques that predict clients' satisfaction with their counseling sessions. When counselors use techniques such as reflection and affirmation, clients are more satisfied. Examining volunteer counselors' change in usage of techniques suggest that counselors learn to use more introduction and open questions as they gain experience. This work provides a deeper understanding of the use of motivational interviewing techniques on peer-to-peer counselor platforms and sheds light on how to build better training programs for volunteer counselors on online platforms.

The advancement of AI systems for mental health support is hindered by limited access to therapeutic conversation data, particularly for trauma treatment. We present Thousand Voices of Trauma, a synthetic benchmark dataset of 3,000 therapy conversations based on Prolonged Exposure therapy protocols for Post-traumatic Stress Disorder (PTSD). The dataset comprises 500 unique cases, each explored through six conversational perspectives that mirror the progression of therapy from initial anxiety to peak distress to emotional processing. We incorporated diverse demographic profiles (ages 18-80, M=49.3, 49.4% male, 44.4% female, 6.2% non-binary), 20 trauma types, and 10 trauma-related behaviors using deterministic and probabilistic generation methods. Analysis reveals realistic distributions of trauma types (witnessing violence 10.6%, bullying 10.2%) and symptoms (nightmares 23.4%, substance abuse 20.8%). Clinical experts validated the dataset's therapeutic fidelity, highlighting its emotional depth while suggesting refinements for greater authenticity. We also developed an emotional trajectory benchmark with standardized metrics for evaluating model responses. This privacy-preserving dataset addresses critical gaps in trauma-focused mental health data, offering a valuable resource for advancing both patient-facing applications and clinician training tools.

Accurate assessment of personality traits is crucial for effective psycho-counseling, yet traditional methods like self-report questionnaires are time-consuming and biased. This study exams whether Large Language Models (LLMs) can predict the Big Five personality traits directly from counseling dialogues and introduces an innovative framework to perform the task. Our framework applies role-play and questionnaire-based prompting to condition LLMs on counseling sessions, simulating client responses to the Big Five Inventory. We evaluated our framework on 853 real-world counseling sessions, finding a significant correlation between LLM-predicted and actual Big Five traits, proving the validity of framework. Moreover, ablation studies highlight the importance of role-play simulations and task simplification via questionnaires in enhancing prediction accuracy. Meanwhile, our fine-tuned Llama3-8B model, utilizing Direct Preference Optimization with Supervised Fine-Tuning, achieves a 130.95\% improvement, surpassing the state-of-the-art Qwen1.5-110B by 36.94\% in personality prediction validity. In conclusion, LLMs can predict personality based on counseling dialogues. Our code and model are publicly available at https://github.com/kuri-leo/BigFive-LLM-Predictor, providing a valuable tool for future research in computational psychometrics.

The emergence of large language models (LLMs) further improves the capabilities of open-domain dialogue systems and can generate fluent, coherent, and diverse responses. However, LLMs still lack a crucial ability: communication skills. This limitation renders them more like information seeking tools rather than anthropomorphic chatbots. Communication skills, such as topic transition, proactively asking questions, concept guidance, empathy, and summarising often should be taken into consideration, to make LLMs more anthropomorphic and proactive during the conversation, thereby increasing the interest of users and attracting them to chat for longer. However, enabling these communication skills in black-box LLMs remains a key challenge because they do not have the same utterance formation mode as real people: think before speaking. Inspired by linguistics and cognitive science, we empower LLMs with communication skills through inner monologues. To evaluate various communication skills, we construct a benchmark named Cskills, which can also more comprehensively evaluate the dialogue generation ability of the model. Experimental results show that the proposed CSIM strategy improves the backbone models and outperforms the baselines.

Persuasive dialogue plays a pivotal role in human communication, influencing various domains. Recent persuasive dialogue datasets often fail to align with real-world interpersonal interactions, leading to unfaithful representations. For instance, unrealistic scenarios may arise, such as when the persuadee explicitly instructs the persuader on which persuasion strategies to employ, with each of the persuadee's questions corresponding to a specific strategy for the persuader to follow. This issue can be attributed to a violation of the "Double Blind" condition, where critical information is fully shared between participants. In actual human interactions, however, key information such as the mental state of the persuadee and the persuasion strategies of the persuader is not directly accessible. The persuader must infer the persuadee's mental state using Theory of Mind capabilities and construct arguments that align with the persuadee's motivations. To address this gap, we introduce ToMMA, a novel multi-agent framework for dialogue generation that is guided by causal Theory of Mind. This framework ensures that information remains undisclosed between agents, preserving "double-blind" conditions, while causal ToM directs the persuader's reasoning, enhancing alignment with human-like persuasion dynamics. Consequently, we present CToMPersu, a multi-domain, multi-turn persuasive dialogue dataset that tackles both double-blind and logical coherence issues, demonstrating superior performance across multiple metrics and achieving better alignment with real human dialogues. Our dataset and prompts are available at https://github.com/DingyiZhang/ToMMA-CToMPersu .

Traditionally, AI research in medical diagnosis has largely centered on image analysis. While this has led to notable advancements, the absence of patient-reported symptoms continues to hinder diagnostic accuracy. To address this, we propose a Pre-Consultation Dialogue Framework (PCDF) that mimics real-world diagnostic procedures, where doctors iteratively query patients before reaching a conclusion. Specifically, we simulate diagnostic dialogues between two vision-language models (VLMs): a DocVLM, which generates follow-up questions based on the image and dialogue history, and a PatientVLM, which responds using a symptom profile derived from the ground-truth diagnosis. We additionally conducted a small-scale clinical validation of the synthetic symptoms generated by our framework, with licensed clinicians confirming their clinical relevance, symptom coverage, and overall realism. These findings indicate that the resulting DocVLM-PatientVLM interactions form coherent, multi-turn consultations paired with images and diagnoses, which we then use to fine-tune the DocVLM. This dialogue-based supervision leads to substantial gains over image-only training, highlighting the value of realistic symptom elicitation for diagnosis.

Interacting with human via high-quality multi-turn dialogues is a key feature of large language models (LLMs). However, human-based evaluation of such capability involves intensive manual labor. This report provides a preliminary evaluation of existing large language models for human-style multi-turn chatting, through an LLM-based approach. We start from real-world human dialogues and keep the very first utterances as the ChatSEED. Then we prompt LLMs to generate a full multi-turn dialogue (tens of utterances) based on the ChatSEED, utterance by utterance. Finally, we adopt state-of-the-art LLMs (GPT-4, \etc) as the judge to evaluate the generated dialogues. With different evaluation protocols, we come to substantially identical conclusions. We find that GPT-4 can generate human-style multi-turn dialogues with impressive quality, significantly outperforms its counterparts. It's difficult for a discriminator to distinguish between GPT-4 generated dialogues and human dialogues. In contrast, other LLMs struggle to generate multi-turn dialogues of satisfactory quality due to poor instruction-following capability, tendency to generate lengthy utterances, or limited general capability. All data and codes will be provided in https://github.com/open-compass/BotChat/ and we hope they can serve as a valuable resource for evaluating multi-turn chatting capabilities of LLMs.

Phone call transcript labeling is prohibitively expensive (approximately 2 USD per minute) due to privacy regulations, consent requirements, and manual annotation costs requiring 3 hours of expert time per hour of audio. Existing extraction methods fail on conversational speech containing disfluencies, interruptions, and speaker overlap. We introduce LingVarBench, a synthetic data generation pipeline that addresses these constraints through automated validation. First, we prompt an LLM to generate realistic structured field values across multiple use cases. Second, we recursively prompt the model to transform these values into thousands of natural conversational utterances containing typical phone call characteristics. Third, we validate each synthetic utterance by testing whether a separate LLM-based extractor can recover the original structured information. We employ DSPy's SIMBA optimizer to automatically synthesize extraction prompts from validated synthetic transcripts, eliminating manual prompt engineering. Our optimized prompts achieve up to 95 percent accuracy for numeric fields (vs. 88-89 percent zero-shot), 90 percent for names (vs. 47-79 percent), and over 80 percent for dates (vs. 72-77 percent) on real customer transcripts, demonstrating substantial gains over zero-shot prompting. The synthetic-to-real transfer demonstrates that conversational patterns learned from generated data generalize effectively to authentic phone calls containing background noise and domain-specific terminology. LingVarBench provides the first systematic benchmark for structured extraction from synthetic conversational data, demonstrating that automated prompt optimization overcomes cost and privacy barriers preventing large-scale phone call analysis in commercial settings.

Spoken conversational systems require more than accurate speech generation to have human-like conversations: to feel natural and engaging, they must produce conversational behaviour that adapts dynamically to the context. Current spoken conversational systems, however, rarely allow such customization, limiting their naturalness and usability. In this work, we present the first open, instruction-following full-duplex conversational speech model that can be trained efficiently under typical academic resource constraints. By keeping the audio encoder frozen and finetuning only the language model, our model requires just 2,000 hours of data, without relying on large-scale pretraining or multi-stage optimization. The model can follow explicit instructions to control speaker voice, conversation topic, conversational behaviour (e.g., backchanneling and interruptions), and dialogue initiation. We propose a single-stage training protocol and systematically analyze design choices. Both the model and training code will be released to enable reproducible research on controllable full-duplex speech systems.

Responsing with image has been recognized as an important capability for an intelligent conversational agent. Yet existing works only focus on exploring the multimodal dialogue models which depend on retrieval-based methods, but neglecting generation methods. To fill in the gaps, we first present a multimodal dialogue generation model, which takes the dialogue history as input, then generates a textual sequence or an image as response. Learning such a model often requires multimodal dialogues containing both texts and images which are difficult to obtain. Motivated by the challenge in practice, we consider multimodal dialogue generation under a natural assumption that only limited training examples are available. In such a low-resource setting, we devise a novel conversational agent, Divter, in order to isolate parameters that depend on multimodal dialogues from the entire generation model. By this means, the major part of the model can be learned from a large number of text-only dialogues and text-image pairs respectively, then the whole parameters can be well fitted using the limited training examples. Extensive experiments demonstrate our method achieves state-of-the-art results in both automatic and human evaluation, and can generate informative text and high-resolution image responses.

Target-guided response generation enables dialogue systems to smoothly transition a conversation from a dialogue context toward a target sentence. Such control is useful for designing dialogue systems that direct a conversation toward specific goals, such as creating non-obtrusive recommendations or introducing new topics in the conversation. In this paper, we introduce a new technique for target-guided response generation, which first finds a bridging path of commonsense knowledge concepts between the source and the target, and then uses the identified bridging path to generate transition responses. Additionally, we propose techniques to re-purpose existing dialogue datasets for target-guided generation. Experiments reveal that the proposed techniques outperform various baselines on this task. Finally, we observe that the existing automated metrics for this task correlate poorly with human judgement ratings. We propose a novel evaluation metric that we demonstrate is more reliable for target-guided response evaluation. Our work generally enables dialogue system designers to exercise more control over the conversations that their systems produce.

A Conversational Recommender System (CRS) offers increased transparency and control to users by enabling them to engage with the system through a real-time multi-turn dialogue. Recently, Large Language Models (LLMs) have exhibited an unprecedented ability to converse naturally and incorporate world knowledge and common-sense reasoning into language understanding, unlocking the potential of this paradigm. However, effectively leveraging LLMs within a CRS introduces new technical challenges, including properly understanding and controlling a complex conversation and retrieving from external sources of information. These issues are exacerbated by a large, evolving item corpus and a lack of conversational data for training. In this paper, we provide a roadmap for building an end-to-end large-scale CRS using LLMs. In particular, we propose new implementations for user preference understanding, flexible dialogue management and explainable recommendations as part of an integrated architecture powered by LLMs. For improved personalization, we describe how an LLM can consume interpretable natural language user profiles and use them to modulate session-level context. To overcome conversational data limitations in the absence of an existing production CRS, we propose techniques for building a controllable LLM-based user simulator to generate synthetic conversations. As a proof of concept we introduce RecLLM, a large-scale CRS for YouTube videos built on LaMDA, and demonstrate its fluency and diverse functionality through some illustrative example conversations.

Great research interests have been attracted to devise AI services that are able to provide mental health support. However, the lack of corpora is a main obstacle to this research, particularly in Chinese language. In this paper, we propose PsyQA, a Chinese dataset of psychological health support in the form of question and answer pair. PsyQA is crawled from a Chinese mental health service platform, and contains 22K questions and 56K long and well-structured answers. Based on the psychological counseling theories, we annotate a portion of answer texts with typical strategies for providing support, and further present in-depth analysis of both lexical features and strategy patterns in the counseling answers. We also evaluate the performance of generating counseling answers with the generative pretrained models. Results show that utilizing strategies enhances the fluency and helpfulness of generated answers, but there is still a large space for future research.

Pre-training models have been proved effective for a wide range of natural language processing tasks. Inspired by this, we propose a novel dialogue generation pre-training framework to support various kinds of conversations, including chit-chat, knowledge grounded dialogues, and conversational question answering. In this framework, we adopt flexible attention mechanisms to fully leverage the bi-directional context and the uni-directional characteristic of language generation. We also introduce discrete latent variables to tackle the inherent one-to-many mapping problem in response generation. Two reciprocal tasks of response generation and latent act recognition are designed and carried out simultaneously within a shared network. Comprehensive experiments on three publicly available datasets verify the effectiveness and superiority of the proposed framework.

There is a multitude of novel generative models for open-domain conversational systems; however, there is no systematic evaluation of different systems. Systematic comparisons require consistency in experimental design, evaluation sets, conversational systems and their outputs, and statistical analysis. We lay out a protocol for the evaluation of conversational models using head-to-head pairwise comparison. We analyze ten recent models that claim state-of-the-art performance using a paired head-to-head performance (win-loss-tie) on five evaluation datasets. Our findings show that DialoGPT and Blender are superior systems using Bradley-Terry model and TrueSkill ranking methods. These findings demonstrate the feasibility of our protocol to evaluate conversational agents and evaluation sets. Finally, we make all code and evaluations publicly available for researchers to compare their model to other state-of-the-art dialog models.

In open-domain dialogue generation tasks, contexts and responses in most datasets are one-to-one mapped, violating an important many-to-many characteristic: a context leads to various responses, and a response answers multiple contexts. Without such patterns, models poorly generalize and prefer responding safely. Many attempts have been made in either multi-turn settings from a one-to-many perspective or in a many-to-many perspective but limited to single-turn settings. The major challenge to many-to-many augment multi-turn dialogues is that discretely replacing each turn with semantic similarity breaks fragile context coherence. In this paper, we propose DialoGue Path Sampling (DialoGPS) method in continuous semantic space, the first many-to-many augmentation method for multi-turn dialogues. Specifically, we map a dialogue to our extended Brownian Bridge, a special Gaussian process. We sample latent variables to form coherent dialogue paths in the continuous space. A dialogue path corresponds to a new multi-turn dialogue and is used as augmented training data. We show the effect of DialoGPS with both automatic and human evaluation.

Conversational artificial intelligence has the potential to assist users in preliminary medical consultations, particularly in settings where access to healthcare professionals is limited. However, many existing medical dialogue systems operate in a single-turn question--answering paradigm or rely on template-based datasets, limiting conversational realism and multilingual applicability. In this work, we introduce MedAidDialog, a multilingual multi-turn medical dialogue dataset designed to simulate realistic physician--patient consultations. The dataset extends the MDDial corpus by generating synthetic consultations using large language models and further expands them into a parallel multilingual corpus covering seven languages: English, Hindi, Telugu, Tamil, Bengali, Marathi, and Arabic. Building on this dataset, we develop MedAidLM, a conversational medical model trained using parameter-efficient fine-tuning on quantized small language models, enabling deployment without high-end computational infrastructure. Our framework additionally incorporates optional patient pre-context information (e.g., age, gender, allergies) to personalize the consultation process. Experimental results demonstrate that the proposed system can effectively perform symptom elicitation through multi-turn dialogue and generate diagnostic recommendations. We further conduct medical expert evaluation to assess the plausibility and coherence of the generated consultations.

Prior approaches to realizing mixed-initiative human--computer referential communication have adopted information-state or collaborative problem-solving approaches. In this paper, we argue for a new approach, inspired by coherence-based models of discourse such as SDRT asher-lascarides:2003a, in which utterances attach to an evolving discourse structure and the associated knowledge graph of speaker commitments serves as an interface to real-world reasoning and conversational strategy. As first steps towards implementing the approach, we describe a simple dialogue system in a referential communication domain that accumulates constraints across discourse, interprets them using a learned probabilistic model, and plans clarification using reinforcement learning.

With the rapid development of digital technology, AI-driven psychological counseling has gradually become an important research direction in the field of mental health. However, existing models still have deficiencies in dialogue safety, detailed scenario handling, and lightweight deployment. To address these issues, this study proposes PsyLite, a lightweight psychological counseling large language model agent developed based on the base model InternLM2.5-7B-chat. Through a two-stage training strategy (hybrid distillation data fine-tuning and ORPO preference optimization), PsyLite enhances the model's deep-reasoning ability, psychological counseling ability, and safe dialogue ability. After deployment using Ollama and Open WebUI, a custom workflow is created with Pipelines. An innovative conditional RAG is designed to introduce crosstalk humor elements at appropriate times during psychological counseling to enhance user experience and decline dangerous requests to strengthen dialogue safety. Evaluations show that PsyLite outperforms the baseline models in the Chinese general evaluation (CEval), psychological counseling professional evaluation (CPsyCounE), and dialogue safety evaluation (SafeDialBench), particularly in psychological counseling professionalism (CPsyCounE score improvement of 47.6\%) and dialogue safety ( score improvement of 2.4\%). Additionally, the model uses quantization technology (GGUF q4\_k\_m) to achieve low hardware deployment (5GB memory is sufficient for operation), providing a feasible solution for psychological counseling applications in resource-constrained environments.

This paper introduces DeepPsy-Agent, an innovative psychological support system that combines the three-stage helping theory in psychology with deep learning techniques. The system consists of two core components: (1) a multi-stage response-capable dialogue model (deeppsy-chat), which enhances reasoning capabilities through stage-awareness and deep-thinking analysis to generate high-quality responses; and (2) a real-time stage transition detection model that identifies contextual shifts to guide the dialogue towards more effective intervention stages. Based on 30,000 real psychological hotline conversations, we employ AI-simulated dialogues and expert re-annotation strategies to construct a high-quality multi-turn dialogue dataset. Experimental results demonstrate that DeepPsy-Agent outperforms general-purpose large language models (LLMs) in key metrics such as problem exposure completeness, cognitive restructuring success rate, and action adoption rate. Ablation studies further validate the effectiveness of stage-awareness and deep-thinking modules, showing that stage information contributes 42.3\% to performance, while the deep-thinking module increases root-cause identification by 58.3\% and reduces ineffective suggestions by 72.1\%. This system addresses critical challenges in AI-based psychological support through dynamic dialogue management and deep reasoning, advancing intelligent mental health services.

The recent paradigm shift toward large reasoning models (LRMs) as autonomous agents has intensified the demand for sophisticated, multi-turn tool-use capabilities. Yet, existing datasets and data-generation approaches are limited by static, predefined toolsets that cannot scale to the complexity of open-ended human-agent collaboration. To address this, we initially developed a framework for automated task-oriented multi-turn dialogue generation at scale, utilizing an LRM-based simulator to dynamically generate high-value, domain-specific tools to solve specified tasks. However, we observe that a purely task-oriented design often results in "solely task-solving" trajectories, where the agent completes the objective with minimal interaction, failing to generate the high turn-count conversations seen in realistic scenarios. To bridge this gap, we shift toward a user-oriented simulation paradigm. By decoupling task generation from a dedicated user simulator that mimics human behavioral rules - such as incremental request-making and turn-by-turn feedback - we facilitate more authentic, extended multi-turn dialogues that reflect the iterative nature of real-world problem solving. Our generation pipeline operates as a versatile, plug-and-play module capable of initiating generation from any state, ensuring high scalability in producing extended tool-use data. Furthermore, by facilitating multiple task completions within a single trajectory, it yields a high-density dataset that reflects the multifaceted demands of real-world human-agent interaction.

High-quality conversational datasets are integral to the successful development of Intelligent Tutoring Systems (ITS) that employ a Large Language Model (LLM) backend. These datasets, when used to fine-tune the LLM backend, significantly enhance the quality of interactions between students and ITS. A common strategy for developing these datasets involves generating synthetic student-teacher dialogues using advanced GPT-4 models. However, challenges arise when these dialogues demand complex calculations, common in subjects like physics. Despite its advanced capabilities, GPT-4's performance falls short in reliably handling even simple multiplication tasks, marking a significant limitation in its utility for these subjects. To address these challenges, this paper introduces an innovative stateful prompt design. Our approach generates a mock conversation between a student and a tutorbot, both roles simulated by GPT-4. Each student response triggers a soliloquy (an inner monologue) in the GPT-tutorbot, which assesses whether its response would necessitate calculations. If so, it proceeds to script the required code in Python and then uses the resulting output to construct its response to the student. Our approach notably enhances the quality of synthetic conversation datasets, especially for subjects that are calculation-intensive. Our findings show that our Higgs model -- a LLaMA finetuned with datasets generated through our novel stateful prompt design -- proficiently utilizes Python for computations. Consequently, finetuning with our datasets enriched with code soliloquies enhances not just the accuracy but also the computational reliability of Higgs' responses.

Modern dialog managers face the challenge of having to fulfill human-level conversational skills as part of common user expectations, including but not limited to discourse with no clear objective. Along with these requirements, agents are expected to extrapolate intent from the user's dialogue even when subjected to non-canonical forms of speech. This depends on the agent's comprehension of paraphrased forms of such utterances. Especially in low-resource languages, the lack of data is a bottleneck that prevents advancements of the comprehension performance for these types of agents. In this regard, here we demonstrate the necessity of extracting the intent argument of non-canonical directives in a natural language format, which may yield more accurate parsing, and suggest guidelines for building a parallel corpus for this purpose. Following the guidelines, we construct a Korean corpus of 50K instances of question/command-intent pairs, including the labels for classification of the utterance type. We also propose a method for mitigating class imbalance, demonstrating the potential applications of the corpus generation method and its multilingual extensibility.