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Published on in Vol 13 (2026)

Preprints (earlier versions) of this paper are available at https://preprints.jmir.org/preprint/95389, first published .
Therapist taking notes while a patient discusses concerns in a counseling session.

Modeling of Therapist-Client Dynamics in Psychotherapy Using Large Language Model–Based Assessments: Retrospective Observational Study of 1573 Psychotherapy Sessions

Modeling of Therapist-Client Dynamics in Psychotherapy Using Large Language Model–Based Assessments: Retrospective Observational Study of 1573 Psychotherapy Sessions

Angela H Chen   1 , PhD ;   Siwei Jin   1 * , MSc ;   Canwen Wang   1 * , MSc ;   Holly A Swartz   1 , MD ;   Tongshuang Wu   1 , PhD ;   Robert E Kraut   1 , PhD ;   Haiyi Zhu   1 , PhD

1 Carnegie Mellon University, Pittsburgh, PA, United States

*these authors contributed equally

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