Assessing the Effectiveness of LLMs in Delivering Cognitive Behavioral Therapy
As mental health issues continue to rise globally, there is an increasing demand for accessible and scalable therapeutic solutions. Many individuals currently seek support from Large Language Models (LLMs), even though these models have not been validated for use in counseling services. In this paper, we evaluate LLMs' ability to emulate professional therapists practicing Cognitive Behavioral Therapy (CBT). Using anonymized, transcribed role-play sessions between licensed therapists and clients, we compare two approaches: (1) a generation-only method and (2) a Retrieval-Augmented Generation (RAG) approach using CBT guidelines. We evaluate both proprietary and open-source models for lingui...
| Authors | Navdeep Singh Bedi, Ana-Maria Bucur, Noriko Kando et al. |
|---|---|
| Primary category | cs.CL |
| Published | 4 March 2026 |
| Last updated at source | 4 March 2026 |
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