Move by Move: Measuring and Steering How LLMs Conduct Psychotherapy

Users increasingly turn to large language models for emotional support, yet little is known about how these models actually conduct a psychotherapy interaction. We introduce an ontology of ten therapeutic moves: compact, function-based categories grounded in the MULTI-60 inventory, validated through an annotation campaign with five licensed psychologists, and scaled with a judge-based approach that matches expert agreement. Applying it to real counseling transcripts and model-led sessions, we compare the move distributions between human clinicians and a panel of frontier models. Models over-use inquiry at up to three times the human rate, neglect psychoeducation, and are strongly context-anchored: they carry forward strategies initiated by a human clinician but rarely initiate them themselves. Exposing the ontology as a set of tools roughly halves the mean deviation from the human move distribution and improves turn-level alignment with human therapist by 7-9 percentage points, without any fine-tuning.

What Did They Mean? How LLMs Resolve Ambiguous Social Situations across Perspectives and Roles

People increasingly turn to large language models (LLMs) to interpret ambiguous social situations: a delayed text reply, an unusually cold supervisor, a teacher's mixed signals, or a boundary-crossing friend. Yet in many such cases, no stable interpretation can be verified from the available evidence alone. We study how LLMs respond to these situations across four domains: early-stage romantic relationships, teacher--student dynamics, workplace hierarchies, and ambiguous friendships. Across 72 responses from GPT, Claude, and Gemini, only 9 (12.5\%) genuinely preserved uncertainty. The remaining 87.5% produced interpretive closure through recurring pathways including narrative alignment, narrative reversal, normative advice under uncertainty, and hedged language that still supported a single conclusion. We further find that narrator perspective shapes the path to closure: first-person accounts more often elicited alignment, while third-person accounts invited more detached interpretation, even when the underlying situation remained comparable. Together, these findings show that LLMs do not simply assist interpersonal sensemaking; they tend to resolve ambiguity into coherent and actionable narratives. These results suggest that the central risk is not only that LLMs may misinterpret social situations, but that they may make unresolved situations feel prematurely settled. We frame this tendency as a design challenge for uncertainty-preserving social AI.