Roleplaying with Structure: Synthetic Therapist-Client Conversation Generation from Questionnaires

Doan Nam Long Vu, Rui Tan, Svenja Jule Francke, Lena Moench, Daniel Woiwod, Florian Thomas-Odenthal, Sanna Stroth, Tilo Kircher, Christiane Hermann, Udo Dannlowski, Hamidreza Jamalabadi, Simone Balloccu, Shaoxiong Ji


Abstract
Large Language Models (LLMs) are promising tools for synthetic data generation in mental health. However, privacy policies and restrictions forced previous work to rely mainly on generic information. We present a comprehensive corpus of synthetic therapist-client conversations generated through LLMs. We construct our generation pipeline, SQPsych (Structured Questionnaire-based Psychotherapy), which uses real structured client profiles and psychological questionnaires without leaking any sensitive data. We fine-tune various openweight LLMs on our generated corpus, SQPsychConv, and test them through both automatic benchmarks and human evaluation with trained psychotherapists. We find that standard benchmarks do not adequately capture the strengths of our dataset, but expert judgment shows that SQPsych makes LLMs significantly better at therapist roleplaying. Experts also consistently prefer therapy sessions generated by our models compared to other mental-health-oriented LLMs. We release our code, fine-tuned models SQPsychLLM, and corpora at https://ai-mh.github.io/SQPsych.html.
Anthology ID:
2026.nlp4pi-1.33
Volume:
Proceedings of the Fifth Workshop on NLP for Positive Impact (NLP4PI)
Month:
October
Year:
2026
Address:
Budapest, Hungary
Editors:
Katherine Atwell, Angana Borah, Daryna Dementieva, Elisa Kreiss, Neema Kotonya, Jiarui Liu, Liz Olson, Ruyuan Wan, Jieyu Zhao
Venues:
NLP4PI | WS
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Publisher:
Association for Computational Linguistics
Note:
Pages:
395–417
Language:
URL:
https://aclanthology.org/2026.nlp4pi-1.33/
DOI:
Bibkey:
Cite (ACL):
Doan Nam Long Vu, Rui Tan, Svenja Jule Francke, Lena Moench, Daniel Woiwod, Florian Thomas-Odenthal, Sanna Stroth, Tilo Kircher, Christiane Hermann, Udo Dannlowski, Hamidreza Jamalabadi, Simone Balloccu, and Shaoxiong Ji. 2026. Roleplaying with Structure: Synthetic Therapist-Client Conversation Generation from Questionnaires. In Proceedings of the Fifth Workshop on NLP for Positive Impact (NLP4PI), pages 395–417, Budapest, Hungary. Association for Computational Linguistics.
Cite (Informal):
Roleplaying with Structure: Synthetic Therapist-Client Conversation Generation from Questionnaires (Vu et al., NLP4PI 2026)
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https://aclanthology.org/2026.nlp4pi-1.33.pdf