Enhancing Mental Health Counseling Support in Bangladesh using Culturally-grounded Knowledge
Md Arid Hasan, Azhagu Meena Sp, Aditya Khan, Abu Bhuiyan, Helal Ahmed, Joysree Debi, Farig Sadeque, Annie Lee, Syed Ishtiaque Ahmed
Abstract
Large language models (LLMs) show promise in generating supportive responses for mental health and counseling applications. However, their responses often lack cultural sensitivity, contextual grounding, and clinically appropriate guidance. This work addresses the gap of how to systematically incorporate domain-specific, clinically validated knowledge into LLMs to improve counseling quality. We utilize and compare two approaches, retrieval-augmented generation (RAG) and a knowledge graph (KG)–based method, designed to support para-counselors. Our KG is constructed manually and clinically validated, capturing causal relationships between stressors, interventions, and outcomes, with contributions from multidisciplinary people. We evaluated multiple LLMs in both settings using BERTScore F1 and SBERT cosine similarity, as well as human evaluation across five metrics, which is designed to directly measure the effectiveness of counseling beyond similarity at the surface level. The results show that KG-based approaches consistently improve contextual relevance, clinical appropriateness, and practical usability compared to RAG alone, demonstrating that structured, expert-validated knowledge plays a critical role in addressing LLMs limitations in counseling tasks.- Anthology ID:
- 2026.clpsych-1.13
- Volume:
- Proceedings of the 10th Workshop on Computational Linguistics and Clinical Psychology (CLPsych 2026)
- Month:
- July
- Year:
- 2026
- Address:
- San Diego, California, USA
- Editors:
- Aya Zirikly, Kfir Bar, Sean MacAvaney, Molly Ireland, Yaakov Ophir, Dana Atzil-Slonim, Vasudha Varadarajan, Steven Bedrick, Bart Desmet
- Venues:
- CLPsych | WS
- SIG:
- Publisher:
- Association for Computational Linguistics
- Note:
- Pages:
- 164–177
- Language:
- URL:
- https://preview.aclanthology.org/ingest-acl-workshops/2026.clpsych-1.13/
- DOI:
- Cite (ACL):
- Md Arid Hasan, Azhagu Meena Sp, Aditya Khan, Abu Bhuiyan, Helal Ahmed, Joysree Debi, Farig Sadeque, Annie Lee, and Syed Ishtiaque Ahmed. 2026. Enhancing Mental Health Counseling Support in Bangladesh using Culturally-grounded Knowledge. In Proceedings of the 10th Workshop on Computational Linguistics and Clinical Psychology (CLPsych 2026), pages 164–177, San Diego, California, USA. Association for Computational Linguistics.
- Cite (Informal):
- Enhancing Mental Health Counseling Support in Bangladesh using Culturally-grounded Knowledge (Hasan et al., CLPsych 2026)
- PDF:
- https://preview.aclanthology.org/ingest-acl-workshops/2026.clpsych-1.13.pdf