Consistent Client Simulation for Motivational Interviewing-based Counseling
Yizhe Yang, Palakorn Achananuparp, Heyan Huang, Jing Jiang, Nicholas Gabriel Lim, Cameron Tan Shi Ern, Phey Ling Kit, Jenny Giam Xiuhui, John Pinto, Ee-Peng Lim
Abstract
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.
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Install the CLIlune papers fulltext 98c0660d-0078-4a9b-a295-b3c098bc8faeCited by top-tier papers5
- Can LLM-Simulated Practice and Feedback Upskill Human Counselors? A Randomized Study with 90+ Novice CounselorsRyan Louie, Raj Sanjay Shah, Ifdita Hasan Orney, Juan Pablo Pacheco et al.CHI 2026 · 7 citations
- Responsible Evaluation of AI for Mental HealthHiba Arnaout, Anmol Goel, H. Andrew Schwartz, Steffen Eberhardt et al.ACL 2026
- "Is This Really a Human Peer Supporter?": Misalignments Between Peer Supporters and Experts in LLM-Supported InteractionsKellie Yu Hui Sim, Roy Ka-Wei Lee, Kenny Tsu Wei ChooCSCW 2026
- Simulated Rewards, Skewed Strategies: Tracing the Acquired Preference Bias in LLM-Based Dialogue PlannersHeyan Huang, Yizhe Yang, Huashan Sun, Jiawei Li et al.AAAI 2026
- PUPPET: Neural-Symbolic Standardized Patients for Mental HealthChen Xu, Yu Ji, Zhenyu Lv, Yang Yi et al.ACL 2026
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