arXiv subjects

Liabette Escamilla

Publications and source records attributed to Liabette Escamilla.

2 recordsLinked to original sources

arXiv2026

Exploring Customizable Interactive Tools for Therapeutic Homework Support in Mental Health Counseling

Therapeutic homework (i.e., tasks assigned by therapists for clients to complete between sessions) is essential for effective psychotherapy, yet therapists often interpret fragmented client logs, assessments, and reflections within limited preparation time. Our formative study with licensed therapists revealed three critical design requirements: support for interpreting unstructured client self-reports, customization aligned with clinical objectives, and seamless integration across multiple data sources. We then designed and developed TheraTrack, a customizable, therapist-facing tool that integrates multi-dimensional data and leverages large language models to generate traceable summaries and support natural-language queries, to streamline between-session homework tracking. Our pilot study with 14 therapists showed that TheraTrack reduced their cognitive load, enabled verification through direct navigation from AI summaries to original data entries, and was adapted differently for private analysis compared to in-session use, with dependence varying based on therapist experience and usage duration. We also discuss design implications for clinician-centered AI for mental health.

cs.HC↗

arXiv2025

Evaluating an LLM-Powered Chatbot for Cognitive Restructuring: Insights from Mental Health Professionals

Recent advancements in large language models (LLMs) promise to expand mental health interventions by emulating therapeutic techniques, potentially easing barriers to care. Yet there is a lack of real-world empirical evidence evaluating the strengths and limitations of LLM-enabled psychotherapy interventions. In this work, we evaluate an LLM-powered chatbot, designed via prompt engineering to deliver cognitive restructuring (CR), with 19 users. Mental health professionals then examined the resulting conversation logs to uncover potential benefits and pitfalls. Our findings indicate that an LLM-based CR approach has the capability to adhere to core CR protocols, prompt Socratic questioning, and provide empathetic validation. However, issues of power imbalances, advice-giving, misunderstood cues, and excessive positivity reveal deeper challenges, including the potential to erode therapeutic rapport and ethical concerns. We also discuss design implications for leveraging LLMs in psychotherapy and underscore the importance of expert oversight to mitigate these concerns, which are critical steps toward safer, more effective AI-assisted interventions.

cs.HC↗