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ACL Findings2026

Preference Learning Unlocks LLMs' Psycho-Counseling Skills

Mian Zhang, Shaun M. Eack, Zhiyu Chen

Abstract

Applying large language models (LLMs) to assist in psycho-counseling is an emerging and meaningful approach, driven by the significant gap between patient needs and the availability of mental health support. However, current LLMs struggle to consistently provide effective responses to client speeches, largely due to the lack of supervision from highquality real psycho-counseling data, whose content is typically inaccessible due to client privacy concerns. Furthermore, the quality of therapists' responses in available sessions can vary significantly based on their professional training and experience. Assessing the quality of therapists' responses remains an open challenge. We address these challenges by first proposing a set of professional and comprehensive principles to evaluate therapists' responses to client speeches. Using these principles, we create a Psycho-Counseling Preference dataset, PsyCoPref, which contains 36k high-quality preference comparison pairs. This dataset aligns with the preferences of professional psychotherapists, providing a robust foundation for evaluating and improving LLMs in psycho-counseling. Experiments on reward modeling and preference learning demonstrate that PsyCoPref is an excellent resource for LLMs to acquire essential skills for responding to clients in a counseling session. Our best-aligned model achieves an impressive win rate of 87% against GPT-4o. We release the data and models to facilitate the research of psycho-counseling with LLMs at https://huggingface.co/Psychotherapy-LLM.

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Cited by top-tier papers1

  1. SoSBench: Benchmarking Safety Alignment on Six Scientific DomainsFengqing Jiang, Fengbo Ma, Zhangchen Xu, Yuetai Li et al.ICLR 2026 · 14 citations

Builds on11

  1. Training language models to follow instructions with human feedbackLong Ouyang, Jeffrey Wu, Xu Jiang, Diogo Almeida et al.NeurIPS 2022 · 24,707 citations
  2. Direct Preference Optimization: Your Language Model is Secretly a Reward ModelRafael Rafailov, Archit Sharma, Eric Mitchell, Christopher D. Manning et al.NeurIPS 2023 · 10,924 citations
  3. Iterative Reasoning Preference OptimizationRichard Yuanzhe Pang, Weizhe Yuan, He He, Kyunghyun Cho et al.NeurIPS 2024 · 287 citations
  4. Is DPO Superior to PPO for LLM Alignment? A Comprehensive StudyShusheng Xu, Wei Fu, Jiaxuan Gao, Wenjie Ye et al.ICML 2024 · 274 citations
  5. Scaling Laws for Reward Model Overoptimization in Direct Alignment AlgorithmsRafael Rafailov, Yaswanth Chittepu, Ryan Park, Harshit Sikchi et al.NeurIPS 2024 · 169 citations

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