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EMNLP Findings2024

Cactus: Towards Psychological Counseling Conversations using Cognitive Behavioral Theory

Suyeon Lee, Sunghwan Kim, Minju Kim, Dongjin Kang, Dongil Yang, Harim Kim, Minseok Kang, Dayi Jung, Min Hee Kim, Seungbeen Lee, Kyoung-Mee Chung, Youngjae Yu

Abstract

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 is necessary, but this approach faces a key challenge: the absence of realistic counseling datasets. To address the issue of dataset scarcity, 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 (1) designing clients with varied, specific personas, and (2) 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 human 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 dataset, model, and code publicly available. 1 * Equal contribution 1 https://github.com/coding-groot/cactus

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Cited by top-tier papers7

  1. Psyche-R1: Towards Reliable Psychological LLMs through Unified Empathy, Expertise, and ReasoningChongyuan Dai, Jinpeng Hu, Hongchang Shi, Zhuo Li et al.ACL 2026 · 18 citations
  2. KokoroChat: A Japanese Psychological Counseling Dialogue Dataset Collected via Role-Playing by Trained CounselorsZhiyang Qi, Takumasa Kaneko, Keiko Takamizo, Mariko Ukiyo et al.ACL 2025 · 7 citations
  3. MIRROR: Multimodal Cognitive Reframing Therapy for Rolling with ResistanceSubin Kim, Hoonrae Kim, Jihyun Lee, Yejin Jeon et al.EMNLP 2025 · 6 citations
  4. Crisp: Cognitive Restructuring of Negative Thoughts through Multi-turn Supportive DialoguesJinfeng Zhou, Yuxuan Chen, Jianing Yin, Yongkang Huang et al.EMNLP 2025 · 1 citation
  5. Emotion-Coherent Reasoning for Multimodal LLMs via Emotional Rationale VerifierHyeongseop Rha, Jeong Hun Yeo, Yeonju Kim, Yong Man RoAAAI 2026 · 1 citation

Builds on7

  1. QLoRA: Efficient Finetuning of Quantized LLMsTim Dettmers, Artidoro Pagnoni, Ari Holtzman, Luke ZettlemoyerNeurIPS 2023 · 5,863 citations
  2. SODA: Million-scale Dialogue Distillation with Social Commonsense ContextualizationHyunwoo Kim, Jack Hessel, Liwei Jiang, Peter West et al.EMNLP 2023 · 60 citations
  3. SMILE: Single-turn to Multi-turn Inclusive Language Expansion via ChatGPT for Mental Health SupportHuachuan Qiu, Hongliang He, Shuai Zhang, Anqi Li et al.EMNLP Findings 2024 · 51 citations
  4. Cognitive Reframing of Negative Thoughts through Human-Language Model InteractionAshish Sharma, Kevin Rushton, Inna E. Lin, David Wadden et al.ACL 2023 · 32 citations
  5. Can Large Language Models be Good Emotional Supporter? Mitigating Preference Bias on Emotional Support ConversationDongjin Kang, Sunghwan Kim, Taeyoon Kwon, Seungjun Moon et al.ACL 2024 · 14 citations

Related papers

  1. CFlowPsyD: An Analysis-Enhanced Dataset for Asynchronous Psychological Counseling through Self-Optimizing Multi-Agent FrameworkDonghao Li, Yifan Deng, Jinta Weng, Xingsheng Zhang et al.ACL Findings 2026
  2. An LLM-based Simulation Framework for Embodied Conversational Agents in Psychological CounselingLixiu Wu, Yuanrong Tang, Qisen Pan, Xianyang Zhan et al.AAAI 2026 · 1 citation
  3. Feel the Difference? A Comparative Analysis of Emotional Arcs in Real and LLM-Generated CBT SessionsXiaoyi Wang, Jiwei Zhang, Guangtao Zhang, Honglei GuoEMNLP Findings 2025 · 2 citations
  4. Psychological Counseling Cannot Be Achieved Overnight: Automated Psychological Counseling Through Multi-Session ConversationsBichen Wang, Junzhe Wang, Yixin Sun, Xing Fu et al.ACL Findings 2026
  5. Preference Learning Unlocks LLMs' Psycho-Counseling SkillsMian Zhang, Shaun M. Eack, Zhiyu ChenACL Findings 2026
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