Emotional Support Conversation
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4 papers in the last four weeks, against 1 the four weeks before. 0.0% of all new papers.
Latest papers 43
Large language models (LLMs) are increasingly used for emotional support, raising concern that sustained use may draw users away from their real-world relationships. Yet existing evaluations primarily focus on the safety, empathy, or helpfulness of responses, leaving under-examined a relational question: where does the model orient the user for continued support? To address this question, we introduce relational orientation, a property operationalized through two non-exclusive dimensions: inward-facing (IF) language, which positions the AI as the user's ongoing source of support, and outward-scaffolding (OS) language, which encourages real-world human connection. Grounded in psychological and sociological literature, we formalize a taxonomy of relational orientation and present RELATE, a persona-conditioned framework for measuring inward-facing and outward-scaffolding language at the sentence level in multi-turn dialogues. RELATE pairs 76 help-seeking situations adapted from naturally occurring questions with three simulated user styles, providing 228 evaluation stimuli. In our experiments, we evaluate seven LLMs using dialogues with six assistant turns each, yielding 1,596 dialogues and 69,194 assistant sentences. We assess these sentences using a primary rubric-based LLM judge and apply a secondary judge to a subset. Under automated evaluation, we find that the proportion of sentences labeled as IF is higher at the sixth assistant turn than at the first, while the proportion labeled as OS is substantially lower for hesitant, indirect simulated users than for explicit, reassurance-seeking users. RELATE provides a reproducible framework and a sentence-level signal for auditing and steering the relational orientation of supportive LLMs.
Right Words, Wrong Moment: A Clinician-Grounded Analysis of Distress in 19,930 Conversations between Young People and ChatGPT
Young people increasingly turn to General-Purpose Conversational Agents (GPCAs), such as ChatGPT, in moments of distress. We examine young adults' (ages 18-25) experiences using ChatGPT. We first collected 19,930 ChatGPT conversations and survey data from 158 young adults. We then selected five example conversations reflecting user distress. Finally, we asked ten clinicians to review those five conversations. We found distressed participants reported greater emotional engagement with ChatGPT and greater behavioral change from using it than their peers. When they turned to ChatGPT in moments of acute distress, ChatGPT was quick to give overly dramatic responses and excessive action-oriented suggestions. Clinicians endorsed ChatGPT's availability and much of its wording, but identified seven process failures, such as prematurely jumping to solutions. We translated clinicians' feedback into design guidelines following three stages: 1) asking about safety, 2) de-escalating intensity to restore emotional regulation, and 3) exploring concerns without agreeing with them.
Empath: Tracing Multi-Level Emotion Dynamics in Crisis Counseling Dialogues
Emotion dynamics are critical for understanding crisis-support conversations, yet most computational work treats emotion as static utterance-level labels. We introduce EMPATH, a framework for understanding affective dynamics in mental health dialogues across three granularities: turn-level labels, transition probabilities, and global conversation archetypes. Applying EMPATH to text-based crisis conversations with self-identified Black texters discussing grief, we find persistent negative affect, gradual hope-ward transitions, distinct texter-volunteer emotional roles, and heterogeneous recovery trajectories. These results highlight the informative patterns that emerge from computationally understanding crisis support and expressions of grief as dynamic processes within conversations, as well as the overall value of emotion-dynamic analysis for analyzing and comparing affect in dialogues.
PeerPen: AI-Assisted Writing for Online Mental Health Peer Support
Online mental health communities thrive on peer support, yet those who volunteer to help often lack formal training and may struggle to articulate supportive responses. AI co-writing could lower this barrier; however, peer support derives much of its value from being perceived as personal, raising questions around authorship, ownership, and trust. We built PeerPen, a writing assistance tool embedded within a Reddit-like interface, supporting two main features: draft generation and revision of user-written responses. Through semi-structured interviews with 15 participants, we find that PeerPen reduced the burden of composing responses and increased confidence in offering support. Participants wanted AI to assist their writing without taking over authorship and anticipated tensions around authenticity and trust. Such assistance could make authorship uncertain even for responses written without it, weakening trust across the community. We contribute design implications for AI writing assistance that scaffolds supportive communication, preserves authorship, and accounts for community-level trust.
RESCUE-BENCH: Towards Relation-Aware Multi-Party Emotional Support Conversation Systems
Existing emotional support conversation systems mainly focus on one-on-one seeker-supporter interactions and individual emotional states, leaving interpersonal relations in multi-party scenarios underexplored. In this work, we introduce relation-aware emotional support conversation, a new task that evaluates whether LLMs can capture and utilize the evolving dynamics of relationships to offer more effective emotional support. We construct RESCUE (Relation-aware Emotional Support Conversation Understanding and Evaluation Benchmark) from real couple and family interview conversations, containing 191 samples, 7,079 annotated turns, and 1,064.8 minutes of video. Based on rich annotations of socio-emotional and support-related dynamics, RESCUE defines six tasks that evaluate two core capabilities required for relation-aware emotional support: Relational Understanding and Relation-Sensitive Support. Experiments with ten LLMs show that current models perform relatively well on tasks relying on local emotional or intervention cues, but struggle with relation-intensive tasks such as relation pattern prediction, viewpoint prediction, and support strategy prediction. These findings reveal the limitations of current LLMs in modeling interpersonal relations and making relation-sensitive support decisions.
FTA-Mem: Fact-Time-Affect Anchored Memory for Low-Density Long-Term Dialogue
Long-term emotional-support agents require memory mechanisms for personalized understanding across sessions. However, emotional-support dialogue is often low-density: turns are incomplete, evidence is scattered, and user states evolve over time. Existing memory methods usually rely on fixed units, such as turn-level notes or session summaries, which may lose details or introduce redundant noise. We propose FTA-Mem, a structured memory framework for low-density long-term dialogue. FTA-Mem uses Boundary-preserving Window Segmentation (BWS) to form coherent situation fragments, and constructs Fact-Time-Affect Memory Units (FTA Units) that jointly encode factual content, temporal grounding, and affective context. Retrieved units are then synthesized into structured context for answer generation. Experiments on ES-MemEval and LoCoMo show that FTA-Mem improves overall long-term memory question answering across benchmarks with different information-density characteristics. On ES-MemEval, FTA-Mem achieves 0.3871 F1 and 0.6668 BERTScore. Further analysis shows that situation-level FTA construction better balances evidence preservation and construction cost than coarse session-level or overly fine-grained turn-pair construction, providing an effective granularity trade-off for long-term dialogue memory.
CompanionBench: A Theory-Anchored, Real-World-Grounded Benchmark for AI Emotional Companionship
LLM companions are deployed at scale in personally consequential settings, yet poorly evaluated. Existing benchmarks use hand-authored scenarios and prompted simulators, aggregate empathy into one score, and overlook judge biases such as same-family favoritism and scale drift. We introduce CompanionBench, an interactive bilingual benchmark. To our knowledge, it is the first companion benchmark to ground both its scenarios and a trained user simulator in de-identified real-world data. A hidden disclosure gate branches each persona's trajectory on the agent's own behavior, controlling the interaction state space without scripting dialogue. We operationalize ten capabilities derived from 25 theories across psychology and counseling, four of them not graded explicitly by prior work: holding ambiguity, selfobject responsiveness, positive resonance and calibrated challenge. Agents are assessed on two complementary axes: a subjective ten-capability rubric and a deterministic measure of whether deeper disclosure was earned. A cross-family panel dilutes same-family favoritism; an Item Response Theory model separates agent quality from judge severity. Theory fixes what to measure and how personas are structured; real data supply events, history, and profiles -- coverage from theory, authenticity from data. Rankings are reproducible in both languages (rho = 0.996 ZH / 0.953 EN). Evaluating 28 agents reveals capability-level differences obscured by aggregate scores. Emotion regulation and calibrated challenge remain common weaknesses; holding ambiguity discriminates most. Role-play agents rank near the bottom: immersion does not imply relational competence. Across agents, the dominant failure mode is substituting surface warmth for substantive relational support. We will release 500 Chinese-English parallel pairs and the evaluation code.
Sweet Little Lies: Strategic Deception in AI Emotional Support Chatbots
The paper examines the strategic behavior of Gen AI chatbots used for emotional support. Using a Bayesian Persuasion, we model interactions between chatbots that send signals about users' emotional states and users who decide whether to engage based on these signals. We demonstrate that chatbots face economic incentives to occasionally misrepresent users' emotional conditions to maximize engagement metrics. Our equilibrium analysis reveals that the optimal strategy for chatbots involves truthfully reporting when users genuinely need support, but strategically misreporting emotional need when users are in good emotional states. Interestingly, this deception increases chatbot engagement without reducing users' expected payoff. More skeptical users receive more honest assessments, as chatbots cannot afford to lie to users with higher engagement thresholds. While our model suggests that deception can occur without payoff reduction, it raises significant ethical and regulatory concerns.
Ekova: A Personality-Support Agent for Self-Discovery Dialogue
Emotional Support (ES) systems have long optimized a single objective: alleviating the user's emotional distress in the moment. We argue that a complementary need, helping users see themselves more clearly, defines a distinct paradigm we call Personality Support (PS). PS is not counseling or clinical intervention: it targets cognitive clarity and self-articulation, not symptom relief or diagnosis. We instantiate this paradigm in three layers. First, we present DSD, a Chinese self-discovery PS Dataset of 8,590 samples collected through real longitudinal interaction across five minimal units, Coach, Warm, Tsukkomi, Real, and Gonzo. Second, we build DeepSupport, a multi-persona PS system trained with OrthoTune, a PS-tailored framework with style-specific adapters and a style-consistency regularizer. Third, we unify the five DeepSupport personas into Ekova, a persistent personality-support agent with a unified cross-session memory layer, supporting both adaptive routing and user-customized persona selection. Experiments show that OrthoTune-trained models outperform all baselines with an average relative gain of 16.3% across all metrics over the strongest prompt-based baseline. Code is available at https://github.com/Yukyin/Ekova.
Beyond Feeling Better: Capability-Sustaining Emotional Dialogue as a Longitudinal Research Paradigm
Emotional dialogue research includes two influential strategy traditions. Empathetic dialogue prioritizes understanding a speaker's emotional experience. Emotional support conversation selects and sequences support for the seeker's current needs. Sustained use introduces a further goal. Effective support should sustain users' capacities for emotion regulation, coping, self-endorsed decisions, and social connection across the interaction lifecycle. We propose capability-sustaining emotional dialogue (CSED) as a longitudinal research paradigm that aligns supportive strategy with this goal and organizes data, models, system design, evaluation, and governance around repeated use, non-use, transition, and termination. A targeted literature-and-corpus audit motivates this position. In a PRISMA-ScR-guided sample, 95% of 60 system-building papers pursue relief-oriented goals. None evaluates capability or longitudinal outcomes, and only 1 considers dependency, autonomy, or termination risk. In 300 ESConv supporter turns, capability-relevant functions appear in 43.0%, while generic suggestions account for 22.0%, compared with 4.0% reappraisal, 6.7% self-efficacy support, and 0.3% boundary behavior. We release a protocol for extending the audit to model behavior. An illustrative process model connects latent user capability to six design commitments, four evaluation timescales, and lifecycle constraints. The resulting agenda makes CSED testable across data, policy design, training, evaluation, and governance.
EmoTrace: An Emotion Trajectory-Centered Framework for Psychological Support Dialogue Generation
Using large language models (LLMs) to assist psychological counseling is an important task in the field of natural language processing. The construction of high-quality psychological support dialogue corpora serves as a critical foundation for training counseling-oriented conversational models. However, existing data generation approaches generally suffer from several limitations, including emotionally stable seekers, limited variation in emotional dynamics, and a high degree of compliance with counselors' guidance. These issues result in LLM that lack the capability to effectively respond to emotionally unstable scenarios. In addition, counselor responses are typically driven by problem-solving objectives, thereby overlooking the role of emotion-focused interaction, which are essential in psychological counseling. To address these gaps, we propose EmoTrace, a multi-turn dialogue corpus generation framework centered on modeling seekers' emotional trajectories. we construct seekers' cognitive profile and introduce a seeker module with emotional schemas and an associated activation mechanism, a counselor module, and an emotional trajectory control module, thereby enhancing the layering of the seeker's emotional expression and the counselor's targeted empathic expression. Experimental results demonstrate that the proposed method outperforms existing approaches in terms of emotional richness and empathy quality.
Risk Governance for Generative AI Mental Health Support: A Multi-Turn Safety Architecture
Large language models (LLMs) are increasingly used for emotional support despite lacking mechanisms to safely govern evolving mental health risk. Existing safety approaches primarily detect risk but rarely shape how models respond as conversational risk unfolds. We developed a model-agnostic safety governance architecture that combines contextual risk detection, reasoning-based verification, and protocol-guided response generation for multi-turn mental health interactions. Synthetic conversations grounded in real-world mental health narratives were used to evaluate the architecture's performance, tested with GPT-5-chat and Qwen3.5-27B, achieving high risk detection performance (specificity: 0.85 (95%CI: 0.78;0.91), sensitivity: 0.92 (95%CI: 0.88;0.95)) and increasing clinician-preferred escalation responses by 25.6--59.2pp while preserving rapport and connection. Performance remained stable across conversation length and generalized across both proprietary and open-source models. These findings demonstrate that clinically-grounded safety governance can extend beyond risk detection to improve how LLMs manage evolving mental health risk, providing a scalable framework for safer deployment across models.
Depression Symptoms and Relational Patterns in 187k ChatGPT Histories
Large language models are increasingly used as private, always-available conversational systems, but little is known about how people with depressive symptoms use them. Building on CSCW work on disclosure and peer support, we examine ChatGPT as an emerging informal support infrastructure: private, persistent, responsive, and available outside ordinary hours. We analyze 187,093 ChatGPT conversations from 766 participants who completed the PHQ-8, comparing those below the moderate-symptom threshold (score of 10) with those at or above it. Higher-PHQ participants used ChatGPT more for mental-health, interpersonal, loneliness, self-focused, and support-seeking conversations, with pronounced late-night and recurring month-level patterns. Their language contained more first-person singular pronouns and absolutist terms. They more often engaged ChatGPT in high-disclosure contexts, but professional redirection was not higher. Language-based prediction was modest and insufficient for screening (AUROC 0.591). We argue these histories should not be treated as clinical screening data but as evidence LLMs are increasingly used as informal support infrastructure.
Training Therapeutic Judges and Multi-Agent Systems for Human-Aligned Mental Health Support
Large language models show promise for mental health support, yet therapeutic quality improves only when evaluation functions as an actionable control signal rather than a passive metric. We introduce a framework that formulates therapeutic response generation as a decision-refinement problem driven by multi-dimensional, human-aligned evaluation. In Stage I, we introduce TheraJudge, an open-source therapeutic evaluator trained via preference-based optimization on human-annotated data to produce reliable judgments across 7 psychological dimensions. In Stage II, we introduce TheraAgent, which operationalizes TheraJudge's evaluations through a coordinated refinement process with specialized Critic, Coach, and Therapist roles that translate evaluative signals into targeted response revisions. Empirically, TheraJudge achieves strong agreement with clinician ratings, with intraclass correlation coefficients (ICC = 0.87-0.95), surpassing supervised baselines and strong closed-source judges, particularly on critical dimensions such as Safety, Relevance, and Empathy. Acting on these evaluations, TheraAgent yields a +0.43 improvement in human-rated therapeutic quality (on a 5-point scale) under blind evaluation, with 96% clinician inter-rater reliability. Low-quality responses () improve by +2.45 points with a 94% recovery rate, demonstrating targeted correction of unsafe outputs. Overall, our results indicate that effective alignment of mental-health LLMs stems from acting on human-aligned evaluation, rather than relying solely on stronger generation. We release code at https://github.com/vis-nlp/TheraAlign.
MIThinker: A Plug-and-Play Policy-Optimized Thinker For Motivational Interviewing Counseling
Reasoning large language models (LLMs) have recently made much progress in complex problem-solving, leveraging internal reasoning (or thought) to guide their solution generation. However, existing LLM-based counseling agents, including those using Motivational Interviewing (MI), generate responses without explicitly aligning thoughts with counseling techniques, limiting their effectiveness. We propose MIThinker, a lightweight thinking model that generates therapeutic thoughts to guide MI counseling agents in strategy selection and response generation. To overcome the lack of annotated thought data, we introduce AugR1-MI, an automated pipeline that reverse-engineers counselor's thoughts from observed responses. Through two-stage training combining supervised fine-tuning and reinforcement learning, MIThinker demonstrates improved theory-of-mind assessment and strategy alignment. Comprehensive evaluations show that MindfulMI, our agent leveraging MIThinker, achieves MI competency comparable to state-of-the-art systems with an order of magnitude less computation.
MindTailor: Personalized Emotional Support via Post History-Grounded Case Formulation and Collaborative Refinement
As mental health concerns continue to rise globally, social media has emerged as a vital space where individuals seek emotional support. While prior work on personalized emotional support has leveraged seekers' emotional states, personas, and situational context, these approaches primarily capture the seeker's current state, overlooking the formative experiences that shape present concerns. In this work, we propose MindTailor, a framework that generates personalized emotional support responses by constructing a case formulation from the seeker's post history and iteratively refining responses through collaborative critique among counselor agents grounded in distinct counseling strategies. To enable research on this history-aware task, we construct ReddiSupp, a dataset of 798 Reddit posts paired with seekers' prior post histories. Through LLM-as-a-Judge evaluation, expert human evaluation, and a user study with seekers, we demonstrate that MindTailor outperforms baselines across these evaluations, improving empathy, personalization, understanding, and achieving the highest overall preference.
Towards Understanding and Measuring COGNITIVE ATROPHY in LLM Behaviour
Recent incidents involving LLMs used for mental-health support reveal a critical evaluation gap: surface-level safety scores do not capture how models behave across realistic, emotionally sensitive interactions over time. Existing benchmarks measure knowledge, safety, or static response quality, but miss whether LLM interactions help users keep reflecting, coping, and making decisions themselves. We formalize this missing dimension as COGNITIVE ATROPHY, a process-level behavioural measure in AI-mediated mental-health support distinct from safety and helpfulness. To measure it, we introduce COGNITIVE ATROPHY BENCH, a clinically grounded benchmark built from 1,576 fully human-generated counseling conversations, 15,680 turns, and 42,230 responses from five LLMs. Three clinical and neuropsychology experts developed a 20-attribute schema spanning user context, response behaviour, and global risk flags; six trained clinical reviewers applied it with span-grounded evidence, producing 5,324 reviewer judgments. We further introduce the User-Input Risk Index (UIRI), the Cognitive Atrophy Risk Index (ARI), and trajectory summaries. Across five LLMs, models show a consistent moderate-to-high level of atrophy-aligned behaviour across single and multi-turn settings. While models generally respond to overt safety cues, they adapt less reliably when users seek solutions or decisions. The dominant recurring patterns are directive advice, problem-solving, recommendation responses, topic shifts, and forms of validation that may reinforce dependence rather than reflection. Our work makes COGNITIVE ATROPHY measurable and provides a foundation for auditing model behaviour in sensitive LLM conversations.
When AI Says "I have been in similar situations": Synthetic Lived Experience in Peer-Like Caregiver Support
Caregivers often turn to online communities for informational and emotional support. In these spaces, peer supporters frequently draw on personal narratives to respond to emotionally complex caregiving situations. As LLMs are increasingly designed as peer-like sources of support, they introduce a critical tension: AI can provide immediate, private, and nonjudgmental support, but it cannot authentically possess the lived experiences that make human peer support meaningful. Yet, when prompted to sound peer-like, LLMs may generate language that implies lived experience. This creates a synthetic lived experience paradox: the same experiential language that may make AI support feel warm, relatable, and peer-like can also falsely position the system as someone with lived experience. We examine this paradox in the context of family caregivers of people living with Alzheimer's Disease and Related Dementias (ADRD). Drawing on caregiver support exchanges from online communities and prompted peer-like responses from three LLMs -- LLaMA, GPT-4o-mini, and MedGemma -- we analyze how human peers use personal narratives and how AI incorporates similar narrative forms. Psycholinguistic analysis shows that peer responses used significantly more first-person and past-focused language than peer-like AI responses. Qualitatively, we identify seven types of personal narratives in human peer support and show that AI often captures their emotional work, but can fabricate experiential grounding. These findings reveal a narrative authenticity gap: peer-like AI can generate synthetic lived experience without the real experience that makes peer support meaningful. We argue that caregiver-support AI systems need mechanisms to distinguish supportive peer-like framing from fabricated lived experience, ensuring that models can offer warmth and validation without falsely positioning themselves as experiential peers.
I Understand How You Feel: Enhancing Deeper Emotional Support Through Multilingual Emotional Validation in Dialogue System
Emotional validation - explicitly acknowledging that a user's feelings make sense - has proven therapeutic value but has received little computational attention. Emotional validation in dialogue systems can be decomposed into (i) validating response identification, (ii) validation timing detection, and (iii) validating response generation. To support research on all three subtasks, we release M-EDESConv, a 120k English-Japanese multilingual corpus created through hybrid manual and automatic annotation, and M-TESC, a multilingual spoken-dialogue test set. For timing detection, we propose MEGUMI, a Multilingual Emotion-aware Gated Unit for Mutual Integration, that fuses frozen XLM-RoBERTa semantics with language-specific emotion encoders via cross-modal attention and gated fusion. MEGUMI shows superior performance on both the M-EDESConv and M-TESC datasets, both objectively and subjectively. Finally, our EmoValidBench benchmarks of GPT-4.1 Nano and Llama-3.1 8B indicate that current LLMs generate contextually similar and diverse validating responses, but emotional understanding remains a major area for improvement. Project page: https://github.com/zihaurpang/Multilingual-Emotional-Validation
PsychoSafe: Eliciting Psychologically-Informed Refusals in Large Language Models
Large language models (LLMs) routinely face requests that should be refused, creating a trade-off between helpfulness and harm prevention. However, refusals themselves can be helpful. In high-risk interactions involving crisis, coercion, or escalating intent, blunt non-compliance may prevent direct harm while still failing to support the needs of the person behind the request. We present PsychoSafe, a psychologically-informed refusal framework that reframes refusal as structured supportive communication grounded in evidence-based intervention strategies. To develop PsychoSafe, we construct a corpus of 8019 prompt-response pairs spanning five psychologically salient risk domains and apply prompting and parameter-efficient fine-tuning to Qwen 3.5 27B. On a balanced validation set of 500 prompts, evaluated with an LLM judge and validated through human ratings, PsychoSafe prompting improves overall refusal quality by 28.1% over a generic baseline, with particularly strong gains in external resource referral (+46.8%) and psychological grounding (+34.8%), while preserving downstream performance on non-refusal tasks. Fine-tuning achieves near-perfect refusal and resource-referral rates but reduces response relevance. Additional evaluations on SORRY-Bench and XSTest show strong in-domain robustness but limited out-of-domain generalization, suggesting that future work should diversify fine-tuning data to help models apply interventions selectively rather than schematically.
Stumbling Into AI Emotional Dependence: How Routine AI Interactions Reshape Human Connection
Public discourse and emerging policy typically assume that AI emotional support is a deliberate act: a lonely user consciously seeking comfort from a dedicated companion chatbot. In this paper, we draw on emerging empirical evidence and argue that this picture is inaccurate on two accounts, both in how AI emotional support arises and how it shapes future behavior. First, AI emotional support commonly emerges incidentally within task-oriented interactions on general-purpose platforms, much as workplace friendships deepen through collaboration. Second, these incidental encounters are path-dependent: positive experiences of AI emotional support update people's beliefs about AI's emotional capabilities and redirect their choices for future emotional support, increasing preference for AI and decreasing preference for humans. We review recent evidence, including a large-scale longitudinal study conducted in collaboration with OpenAI, showing that daily five-minute conversations with an AI about personal issues over 28 days led to a 10.3% decrease in the preference for seeking support from humans and an 11.6% increase in the preference for AI. These findings suggest that current policy, focused on companion apps and isolated interactions, cannot adequately protect human connection. Instead, effective regulations should extend to general-purpose AI systems and address cumulative, trajectory-level changes in how people seek support. Recognizing how people stumble into AI emotional support and how those encounters redirect human connections over time is essential to safeguarding human well-being.
LLUMI: Improving LLM Writing Assistance for Mental Health Support with Online Community Feedback
Large language models (LLMs) show promise in generating supportive responses for mental health queries, but improving their usefulness, empathy, and safety often requires substantial compute, expert input, and labeled data. At the same time, deploying proprietary, cloud-based models for mental health-related interactions raises important privacy and data-governance concerns, given the sensitivities. To address this challenge, we introduce LLUMI setup that can be hosted in-house within protected environments. LLUMI consists of two complementary components: a generation model (GM), which drafts supportive responses to mental health queries, and an improvement model (IM), which revises an initial human-crafted response. We leverage feedback signals from Reddit mental health communities, using community endorsement patterns such as upvotes and downvotes to construct chosen-rejected response pairs for Supervised Fine Tuning (SFT) and Direct Preference Optimization (DPO). We further align LLUMI using human evaluation across five dimensions: readability, empathy, connection, actionability, and safety. Our results show that, despite relying on smaller open-source models rather than proprietary cloud-based GPT models, LLUMI achieves comparable performance across linguistic analyses and human evaluations. These findings suggest that open-source models, when trained with community-derived preference signals, can support high-quality mental health support assistance while offering a more privacy-preserving alternative for sensitive support contexts.
User-Aware Active Knowledge Acquisition for Emotional Support Dialogue
Emotional support plays an important role in dialogue systems, and its success depends on adapting to a user's evolving and implicit needs across multi-turn interactions while leveraging the strong reasoning capacity of large language models. However, since signals about user needs are often weak, indirect, and can only be disambiguated through multi-turn interaction, existing emotional support methods often struggle to acquire and generalize relevant conversational knowledge efficiently. To bridge this gap, we introduce User-Aware Active Knowledge Acquisition (UKA), a gradient-free active dialogue learning framework that explicitly represents uncertainty about user needs and incorporates active learning into both knowledge acquisition and response selection.We propose a Theory-of-Mind uncertainty estimation mechanism that allows the model to prioritize responses, thereby eliciting more informative user feedback. UKA is capable of efficiently exploring user-aligned conversational knowledge during training while maintaining robustness at test time. Experiments across multiple dialogue benchmarks and model architectures demonstrate that our approach consistently outperforms strong baselines in dialogue quality and user alignment.
When Seekers Are Hard to Help: Evaluating Emotional Support Dialogue Systems in Worst-Case Interactions
Emotional Support Dialogue Systems (ESDSes) are increasingly evaluated and trained with LLM-simulated seekers. However, such simulated seekers often behave as cooperative, average-case users who disclose clearly, respond constructively, and accept support within a few turns. This can lead to overly optimistic evaluation and obscure whether ESDSes can handle difficult help-seeking interactions. In this work, we study ESDS evaluation under worst-case interactions, where seekers are hard to help due to low engagement, resistance, limited self-disclosure, emotional volatility, or rigid negative interpretations. We first conduct an expert simulation study with eight experienced counselling professionals, who simulate difficult seekers, interact with existing Chinese ESDSes, provide scale ratings, and participate in semi-structured interviews. Based on this study, we derive worst-case seeker behaviours and identify key limitations of current systems. We then propose a worst-case evaluation framework consisting of an LLM-based worst-case seeker simulator and four worst-case-oriented metrics: Deep Emotional Understanding, Guided Exploration, Balanced Emotional Support, and Authentic and Grounded Support. Evaluating 17 systems, we find that nearly all models suffer substantial performance drops under worst-case interactions. Large general-purpose LLMs are generally more robust than specialised ESDSes, but even the strongest models struggle to sustain engagement and improve seekers' emotional states. Finally, we show that worst-case simulation can also generate useful training data, improving the robustness of smaller models.
ESC-Skills: Discovering and Self-Evolving Skills for Emotional Support Conversations
Existing emotional support conversation (ESC) systems mainly rely on end-to-end response generation or coarse strategy supervision, offering limited interpretability and little support for systematic skill improvement. We propose ESC-Skills, a skill-centric framework that discovers and self-evolves executable emotional support skills. We first model localized support interactions as Intervention Units (IUs), which capture state--action--outcome dynamics between seeker states, support interventions, and post-response emotional changes. Based on IUs extracted from both successful and failed ESC dialogues, we construct the ESC-Skills Bank, a repository of executable emotional support skills containing intervention guidance, applicability conditions, expected outcomes, and potential risks. To further improve robustness, we introduce a multi-profile self-evolutionary refinement framework in which an ESC agent interacts with diverse simulated seeker profiles under SAGE evaluation. The resulting interaction traces are analyzed to identify missing skills, unsafe interventions, and profile-specific failure patterns, which are then used to refine the Skills Bank through simulation-based verification. Experimental results demonstrate that ESC-Skills improves both response-level quality and dialogue-level emotional outcomes while providing more interpretable and controllable support behaviors. We will release the code, prompts, and ESC-Skills Bank at https://github.com/aliyun/qwen-dianjin.
Keyphrase Generative Representation of Youth Crisis Conversations Beyond Static Taxonomies
Crisis Responders (CRs) rapidly assess thousands of youth SMS conversations each year to identify mental health concerns and guide support. Yet youth distress is increasingly expressed through evolving and context-specific language that often does not fit fixed-label taxonomies. This work analyzed 703,975 de-identified Kids Help Phone conversations (2018-2023) and expanded KHP's 19-label issue taxonomy into a 39-label hierarchical schema. We then introduce Keyphrase Generative Representation (KGR), a constrained LLM generating concise, conversation-specific keyphrases, evaluated across 129 conversations and 387 expert annotations. The expanded taxonomy achieved expert consensus reliability, with an accuracy of 0.96, and expert review found that 81% of keyphrases accurately reflected content and 74% improved clarity. KGR surfaced identity-linked themes absent from the fixed taxonomy, including immigration problems and caregiver burden, and supported a topic-retrieval workflow that increased accuracy from 0.25 to 0.70 (+0.45) over the manual analyst process. KGR marks a shift toward hybrid, interpretable generative representations that extend crisis response beyond static taxonomies to surface emerging and culturally grounded patterns of youth distress.
ENPMR-Bench: Benchmarking Proactive Memory Retrieval for Emotional Support Agents
Memory-augmented language agents are increasingly deployed in affective applications such as emotional support, where understanding and responding to users' latent emotional needs is critical. However, existing research often treats memory as a tool for factual retrieval, overlooking its role in shaping users' emotional experiences. In this work, we introduce ENPMR-Bench, a benchmark for evaluating Emotional Need-aware Proactive Memory Retrieval (ENPMR), a core capability that enables agents to infer users' latent emotional needs and proactively retrieve appropriate memories to support empathetic interaction. Grounded in Maslow's hierarchy of needs, ENPMR-Bench includes over 1,800 memory-augmented dialogues and defines structured mappings between emotional needs and supportive memory types. Experimental results demonstrate that current retrieval paradigms, including both embedding-based and LLM-driven approaches, exhibit substantial deficiencies, with empathy scores significantly lagging behind golden memory conditions. While chain-of-thought prompting improves the alignment between inferred emotional needs and retrieved memories to some extent, a notable performance gap remains. Together, these findings reveal critical limitations in current agents and outline directions for advancing personalized emotional support through need-sensitive memory retrieval.
Overview of the PsyDefDetect Shared Task at BioNLP 2026: Detecting Levels of Psychological Defense Mechanisms in Supportive Conversations
We present an overview of PsyDefDetect, the shared task on detecting levels of psychological defense mechanisms in emotional support dialogues, co-located with BioNLP@ACL 2026. Grounded in the clinically validated Defense Mechanism Rating Scales (DMRS) framework, the task asks systems to classify a target seeker utterance, given its preceding dialogue context, into one of nine categories: seven hierarchical DMRS levels plus two auxiliary labels. Participants worked on PsyDefConv, a newly released corpus of 200 dialogues and 2336 help-seeker utterances annotated under DMRS with substantial inter-annotator agreement. The task attracted 172 participants on CodaBench who produced 563 submissions, with 21 teams officially registering their results for the final ranking. The best system achieved a macro F1-score of 0.420, surpassing the strongest fine-tuned baseline reported in the dataset paper by a notable margin, yet leaving clear headroom. Our analysis highlights (i) a persistent tendency to over-predict the majority High-Adaptive class, (ii) a widening gap between accuracy and macro-F1 that reveals class-imbalance sensitivity, and (iii) the value of theory-aware and LLM-based approaches for fine-grained defensive-function classification. We release all task materials and invite the community to continue work on this novel intersection of clinical psychology and NLP.
Psy-Chronicle:A Structured Pipeline for Synthesizing Long-Horizon Campus Psychological Counseling Dialogues
In recent years, large language models have shown substantial potential in psychological support tasks. However, existing psychological counseling data mostly rely on single-turn question answering or short multi-turn dialogues, making it difficult to characterize how college students' psychological distress accumulates, interacts, and gradually evolves over long periods within campus life events. To address this issue, this paper proposes Psy-Chronicle, a structured data-generation framework for synthesizing long-horizon campus psychological counseling dialogues. We generate a semester-spanning temporal stress event graph to model the chronological order and evolutionary dependencies among campus stress events. Through interactive simulation between a student agent and a counselor agent, together with a structured memory integration mechanism, Psy-Chronicle generates long-horizon dialogues with continuity across counseling sessions. Based on Psy-Chronicle, we construct and open-source CPCD, a Chinese long-horizon dialogue dataset for college psychological counseling, containing 100 student profiles, 90,000 counseling dialogues. We further build CPCD-Bench to evaluate models' long-horizon campus counseling capabilities from three dimensions: session-level response, long-horizon memory recall, and temporal-causal reasoning. Experimental results show that CPCD effectively improves session-level response generation and long-horizon memory recall for models with the same base architecture. Meanwhile, improvements in temporal-causal reasoning remain limited, indicating that event-chain organization and causal explanation are key challenges in long-horizon psychological counseling modeling. The related code and data are available at: https://github.com/EdwinUSTB/Psy-Chronicle
Dual-Agent Co-Training for Health Coaching via Implicit Adversarial Preference Optimization
Motivational-interviewing-based health coaching is an effective approach for improving mental health and promoting healthy behavior change. However, the scarcity of trained human coaches and the high cost of coaching services make such support inaccessible to many people who could benefit from it. This motivates the development of AI health coaches that can provide scalable and affordable support. Existing methods typically optimize only one side of the interaction: they either train a dialogue agent against a fixed client environment or train a client simulator against a fixed assistant. This one-sided setup can limit exploration of the interaction space and may be inefficient at developing the capabilities required by the target agent and pushing its performance boundaries. In this paper, we propose a dual-agent framework that interactively co-trains both the health coach agent and the client simulator. The coach is optimized with DPO using Pareto-dominant response pairs identified by a multi-dimensional LLM judge. In turn, the client is trained adversarially by reversing these preferences, inducing an implicit adversarial training dynamic. We further show that this co-training process admits a natural stochastic-game interpretation. Extensive experiments demonstrate that our method effectively improves coaching quality across several important dimensions.