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CBT-Bench: Evaluating Large Language Models on Assisting Cognitive Behavior Therapy

2024/10/17 by Mian Zhang, Xianjun Yang, Zhang, Mian +14 · 1 citation
Psychology · #Artificial Intelligence (cs.AI) #Computation and Language (cs.CL) #Computers and Society (cs.CY) #Digital Mental Health Interventions #FOS: Computer and information sciences #Mental Health Research Topics #Personality Disorders and Psychopathology

paper · pdf · doi:10.48550/arxiv.2410.13218

openalex publication_date 2024/10/17 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/28

Abstract

There is a significant gap between patient needs and available mental health support today. In this paper, we aim to thoroughly examine the potential of using Large Language Models (LLMs) to assist professional psychotherapy. To this end, we propose a new benchmark, CBT-BENCH, for the systematic evaluation of cognitive behavioral therapy (CBT) assistance. We include three levels of tasks in CBT-BENCH: I: Basic CBT knowledge acquisition, with the task of multiple-choice questions; II: Cognitive model understanding, with the tasks of cognitive distortion classification, primary core belief classification, and fine-grained core belief classification; III: Therapeutic response generation, with the task of generating responses to patient speech in CBT therapy sessions. These tasks encompass key aspects of CBT that could potentially be enhanced through AI assistance, while also outlining a hierarchy of capability requirements, ranging from basic knowledge recitation to engaging in real therapeutic conversations. We evaluated representative LLMs on our benchmark. Experimental results indicate that while LLMs perform well in reciting CBT knowledge, they fall short in complex real-world scenarios requiring deep analysis of patients' cognitive structures and generating effective responses, suggesting potential future work.

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