Understanding clients’ thoughts and beliefs is fundamental in counseling, yet current evaluations of LLM therapists often fail to assess this ability. Existing evaluation methods rely on client simulators that clearly disclose internal states to the therapist, making it difficult to determine whether an LLM therapist can uncover unexpressed perspectives. To address this limitation, we introduce MindVoyager, a novel evaluation framework featuring a controllable and realistic client simulator which dynamically adapts itself based on the ongoing counseling session, offering a more realistic and challenging evaluation environment. We further introduce evaluation metrics that assess the exploration ability of LLM therapists by measuring their thorough understanding of client’s beliefs and thoughts.

Despite the increasing demand for AI-based mental health monitoring tools, their practical utility for clinicians is limited by the lack of interpretability. The CLPsych 2024 Shared Task (Chim et al., 2024) aims to enhance the interpretability of Large Language Models (LLMs), particularly in mental health analysis, by providing evidence of suicidality through linguistic content. We propose a dual-prompting approach: (i) Knowledge-aware evidence extraction by leveraging the expert identity and a suicide dictionary with a mental health-specific LLM; and (ii) Evidence summarization by employing an LLM-based consistency evaluator. Comprehensive experiments demonstrate the effectiveness of combining domain-specific information, revealing performance improvements and the approach’s potential to aid clinicians in assessing mental state progression.