CARE-Bench: A Benchmark of Diverse Client Simulations Guided by Expert Principles for Evaluating LLMs in Psychological Counseling

Abstract: The mismatch between the growing demand for psychological counseling and the limited availability of services has motivated research into the application of LLMs in this domain. Consequently, there is a need for a robust and unified benchmark to assess the counseling competence of various LLMs. Existing works, however, are limited by unprofessional client simulation, static question-and-answer evaluation formats, and unidimensional metrics. These limitations hinder their effectiveness in assessing a model's comprehensive ability to handle diverse and complex clients. To address this gap, we introduce \textbf{CARE-Bench}, a dynamic and interactive automated benchmark. It is built upon diverse client profiles derived from real-world counseling cases and simulated according to expert guidelines. CARE-Bench provides a multidimensional performance evaluation grounded in established psychological scales. Using CARE-Bench, we evaluate several general-purpose LLMs and specialized counseling models, revealing their current limitations. In collaboration with psychologists, we conduct a detailed analysis of the reasons for LLMs' failures when interacting with clients of different types, which provides directions for developing more comprehensive, universal, and effective counseling models.