PATIENT-πœ“: Using Large Language Models to Simulate Patients for Training Mental Health Professionals

Ruiyi Wang, Stephanie Milani, Jamie C. Chiu, Jiayin Zhi, Shaun M. Eack, Travis Labrum, Samuel M Murphy, Nev Jones, Kate V Hardy, Hong Shen, Fei Fang, Zhiyu Chen


Abstract
Mental illness remains one of the most critical public health issues. Despite its importance, many mental health professionals highlight a disconnect between their training and actual real-world patient practice. To help bridge this gap, we propose PATIENT-πœ“, a novel patient simulation framework for cognitive behavior therapy (CBT) training. To build PATIENT-πœ“, we construct diverse patient cognitive models based on CBT principles and use large language models (LLMs) programmed with these cognitive models to act as a simulated therapy patient. We propose an interactive training scheme, PATIENT-πœ“-TRAINER, for mental health trainees to practice a key skill in CBT – formulating the cognitive model of the patient – through role-playing a therapy session with PATIENT-πœ“. To evaluate PATIENT-πœ“, we conducted a comprehensive user study of 13 mental health trainees and 20 experts. The results demonstrate that practice using PATIENT-πœ“-TRAINER enhances the perceived skill acquisition and confidence of the trainees beyond existing forms of training such as textbooks, videos, and role-play with non-patients. Based on the experts’ perceptions, PATIENT-πœ“ is perceived to be closer to real patient interactions than GPT-4, and PATIENT-πœ“-TRAINER holds strong promise to improve trainee competencies. Our code and data are released at https://github.com/ruiyiw/patient-psi.
Anthology ID:
2024.emnlp-main.711
Volume:
Proceedings of the 2024 Conference on Empirical Methods in Natural Language Processing
Month:
November
Year:
2024
Address:
Miami, Florida, USA
Editors:
Yaser Al-Onaizan, Mohit Bansal, Yun-Nung Chen
Venue:
EMNLP
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
12772–12797
Language:
URL:
https://aclanthology.org/2024.emnlp-main.711
DOI:
10.18653/v1/2024.emnlp-main.711
Bibkey:
Cite (ACL):
Ruiyi Wang, Stephanie Milani, Jamie C. Chiu, Jiayin Zhi, Shaun M. Eack, Travis Labrum, Samuel M Murphy, Nev Jones, Kate V Hardy, Hong Shen, Fei Fang, and Zhiyu Chen. 2024. PATIENT-πœ“: Using Large Language Models to Simulate Patients for Training Mental Health Professionals. In Proceedings of the 2024 Conference on Empirical Methods in Natural Language Processing, pages 12772–12797, Miami, Florida, USA. Association for Computational Linguistics.
Cite (Informal):
PATIENT-πœ“: Using Large Language Models to Simulate Patients for Training Mental Health Professionals (Wang et al., EMNLP 2024)
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PDF:
https://aclanthology.org/2024.emnlp-main.711.pdf