As a predictive measure of the treatment outcome in psychotherapy, the working alliance measures the agreement of the patient and the therapist in terms of their bond, task and goal. Long been a clinical quantity estimated by the patients’ and therapists’ self-evaluative reports, we believe that the working alliance can be better characterized using natural language processing technique directly in the dialogue transcribed in each therapy session. In this work, we propose the Working Alliance Transformer (WAT), a Transformer-based classification model that has a psychological state encoder which infers the working alliance scores by projecting the embedding of the dialogues turns onto the embedding space of the clinical inventory for working alliance. We evaluate our method in a real-world dataset with over 950 therapy sessions with anxiety, depression, schizophrenia and suicidal patients and demonstrate an empirical advantage of using information about therapeutic states in the sequence classification task of psychotherapy dialogues.

Given the increasing demand for mental health assistance, artificial intelligence (AI), particularly large language models (LLMs), may be valuable for integration into automated clinical support systems. In this work, we leverage a decision transformer architecture for topic recommendation in counseling conversations between patients and mental health professionals. The architecture is utilized for offline reinforcement learning, and we extract states (dialogue turn embeddings), actions (conversation topics), and rewards (scores measuring the alignment between patient and therapist) from previous turns within a conversation to train a decision transformer model. We demonstrate an improvement over baseline reinforcement learning methods, and propose a novel system of utilizing our model’s output as synthetic labels for fine-tuning a large language model for the same task. Although our implementation based on LLaMA-2 7B has mixed results, future work can undoubtedly build on the design.

Recent advances in large language models (LLMs) have led to the development of powerful chatbots capable of engaging in fluent human-like conversations. However, these chatbots may be harmful, exhibiting manipulation, gaslighting, narcissism, and other toxicity. To work toward safer and more well-adjusted models, we propose a framework that uses psychotherapy to identify and mitigate harmful chatbot behaviors. The framework involves four different artificial intelligence (AI) agents: the Chatbot whose behavior is to be adjusted, a User, a Therapist, and a Critic that can be paired with reinforcement learning-based LLM tuning. We illustrate the framework with a working example of a social conversation involving four instances of ChatGPT, showing that the framework may mitigate the toxicity in conversations between LLM-driven chatbots and people. Although there are still several challenges and directions to be addressed in the future, the proposed framework is a promising approach to improving the alignment between LLMs and human values.

In response to the global challenge of mental health problems, we proposes a Logical Neural Network (LNN) based Neuro-Symbolic AI method for the diagnosis of mental disorders. Due to the lack of effective therapy coverage for mental disorders, there is a need for an AI solution that can assist therapists with the diagnosis. However, current Neural Network models lack explainability and may not be trusted by therapists. The LNN is a Recurrent Neural Network architecture that combines the learning capabilities of neural networks with the reasoning capabilities of classical logic-based AI. The proposed system uses input predicates from clinical interviews to output a mental disorder class, and different predicate pruning techniques are used to achieve scalability and higher scores. In addition, we provide an insight extraction method to aid therapists with their diagnosis. The proposed system addresses the lack of explainability of current Neural Network models and provides a more trustworthy solution for mental disorder diagnosis.