Conversational Recommender Systems (CRS) have improved personalized recommendation through dialogue, but most studies and datasets remain limited to single-session settings. Such single-session settings make it difficult to capture long-term preference evolution and the interplay between latent behavioral patterns and explicit conversational styles, partly because real-world conversations aligned with users’ long-term behavioral histories are scarce. To address this gap, we introduce TRACE, a long-term CRS dataset built from behavioral histories that reflect persistent user preferences. Our analysis shows that TRACE provides reliable and diverse behavioral personas, as well as higher-quality CRS interactions than existing CRS datasets. Building on TRACE, we introduce EvoCRS, a persona-based CRS framework that models accumulated and evolving preferences through updated behavioral and dialogue personas. Experiments show that both persona types improve recommendation performance, and that persona updates are important for capturing long-term preference evolution. Our code and datasets are available online.

Previous research has revealed the potential of large language models (LLMs) to support cognitive reframing therapy; however, their focus was primarily on text-based methods, often overlooking the importance of non-verbal evidence crucial in real-life therapy. To alleviate this gap, we extend the textual cognitive reframing to multimodality, incorporating visual clues. Specifically, we present a new dataset called Multi Modal-Cognitive Support Conversation (M2CoSC), which pairs each GPT-4-generated dialogue with an image that reflects the virtual client’s facial expressions.To better mirror real psychotherapy, where facial expressions lead to interpreting implicit emotional evidence, we propose a multi-hop psychotherapeutic reasoning approach that explicitly identifies and incorporates subtle evidence. Our comprehensive experiments with both LLMs and vision-language models (VLMs) demonstrate that the VLMs’ performance as psychotherapists is significantly improved with the M2CoSC dataset. Furthermore, the multi-hop psychotherapeutic reasoning method enables VLMs to provide more thoughtful and empathetic suggestions, outperforming standard prompting methods.

Recent studies have explored the use of large language models (LLMs) in psychotherapy; however, text-based cognitive behavioral therapy (CBT) models often struggle with client resistance, which can weaken therapeutic alliance. To address this, we propose a multimodal approach that incorporates nonverbal cues, which allows the AI therapist to better align its responses with the client’s negative emotional state.Specifically, we introduce a new synthetic dataset, Mirror (Multimodal Interactive Rolling with Resistance), which is a novel synthetic dataset that pairs each client’s statements with corresponding facial images. Using this dataset, we train baseline vision language models (VLMs) so that they can analyze facial cues, infer emotions, and generate empathetic responses to effectively manage client resistance.These models are then evaluated in terms of both their counseling skills as a therapist, and the strength of therapeutic alliance in the presence of client resistance. Our results demonstrate that Mirror significantly enhances the AI therapist’s ability to handle resistance, which outperforms existing text-based CBT approaches.Human expert evaluations further confirm the effectiveness of our approach in managing client resistance and fostering therapeutic alliance.