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.

Conversational counselor agents have become essential tools for addressing the rising demand for scalable and accessible mental health support. This paper introduces CAMI, a novel automated counselor agent grounded in Motivational Interviewing (MI) – a client-centered counseling approach designed to address ambivalence and facilitate behavior change. CAMI employs a novel STAR framework, consisting of client’s state inference, motivation topic exploration, and response generation modules, leveraging large language models (LLMs). These components work together to evoke change talk, aligning with MI principles and improving counseling outcomes for diverse clients. We evaluate CAMI’s performance through both automated and expert evaluations, utilizing simulated clients to assess MI skill competency, client’s state inference accuracy, topic exploration proficiency, and overall counseling success. Results show that CAMI not only outperforms several state-of-the-art methods but also shows more realistic counselor-like behavior. Additionally, our ablation study underscores the critical roles of state inference and topic exploration in achieving this performance.

The recent success of large language models (LLMs) has attracted widespread interest to develop role-playing conversational agents personalized to the characteristics and styles of different speakers to enhance their abilities to perform both general and special purpose dialogue tasks. However, the ability to personalize the generated utterances to speakers, whether conducted by human or LLM, has not been well studied. To bridge this gap, our study introduces a novel evaluation challenge: speaker verification in agent-generated conversations, which aimed to verify whether two sets of utterances originate from the same speaker. To this end, we assemble a large dataset collection encompassing thousands of speakers and their utterances. We also develop and evaluate speaker verification models under experiment setups. We further utilize the speaker verification models to evaluate the personalization abilities of LLM-based role-playing models. Comprehensive experiments suggest that the current role-playing models fail in accurately mimicking speakers, primarily due to their inherent linguistic characteristics.