Hiba Arnaout
Publications
ODRA: Synthesizing Cognitive Behavioral Therapy Sessions with Structured Chain-Of-Thought and Dynamic Patient Resistance
Synthetic generation of Cognitive Behavioral Therapy (CBT) sessions is challenged by two competing demands: adhering to strict therapeutic structure while modeling the resistant, unpredictable behavior of real patients. Existing script-based methods fail to capture dynamic therapeutic interactions, while multi-agent approaches struggle to adhere to CBT's sequential structure; both suffer from sycophancy, producing overly compliant patients that misrepresent real clinical settings. In this work we introduce ODRA, a novel framework for synthesizing therapy dialogues through a Chain-of-Thought (CoT) strategy grounded in foundational CBT guidelines (Beck, 2020). ODRA further incorporates a resistance orchestrator to solve patient sycophancy, which employs steering techniques to elicit behaviors aligned with their resistance level. Automated and expert evaluations show that ODRA significantly outperforms existing methods across therapeutic skills, CBT alignment, and patient behavioral fidelity, with licensed psychologists preferring ODRA sessions across 12 of 13 clinical metrics. Furthermore, models fine-tuned on our dataset demonstrate superior therapeutic performance against both cooperative and resistant patients, validating that explicit resistance modeling in synthetic training data directly translates to downstream clinical robustness.
MMCOMET: A Large-Scale Multimodal Commonsense Knowledge Graph for Contextual Reasoning
We present MMCOMET, the first multimodal commonsense knowledge graph (MMKG) that integrates physical, social, and eventive knowledge. MMCOMET extends the ATOMIC2020 knowledge graph to include a visual dimension, through an efficient image retrieval process, resulting in over 900K multimodal triples. This new resource addresses a major limitation of existing MMKGs in supporting complex reasoning tasks like image captioning and storytelling. Through a standard visual storytelling experiment, we show that our holistic approach enables the generation of richer, coherent, and contextually grounded stories than those produced using text-only knowledge. This resource establishes a new foundation for multimodal commonsense reasoning and narrative generation.
Responsible Evaluation of AI for Mental Health
Although artificial intelligence (AI) shows growing promise for mental health care, current approaches to evaluating AI tools in this domain remain fragmented and poorly aligned with clinical practice, social context, and first-hand user experience. This paper argues for a rethinking of responsible evaluation -- what is measured, by whom, and for what purpose -- by introducing an interdisciplinary framework that integrates clinical soundness, social context, and equity, providing a structured basis for evaluation. Through an analysis of 135 recent *CL publications, we identify recurring limitations, including over-reliance on generic metrics that do not capture clinical validity, therapeutic appropriateness, or user experience, limited participation from mental health professionals, and insufficient attention to safety and equity. To address these gaps, we propose a taxonomy of AI mental health support types -- assessment-, intervention-, and information synthesis-oriented -- each with distinct risks and evaluative requirements, and illustrate its use through case studies.