Kailai Yang

Large Language Models (LLMs) have become valuable assets in mental health, showing promise in both classification tasks and counseling applications. This paper offers a perspective on using LLMs in mental health applications. It discusses the instability of generative models for prediction and the potential for generating hallucinatory outputs, underscoring the need for ongoing audits and evaluations to maintain their reliability and dependability. The paper also distinguishes between the often interchangeable terms ``explainability'' and ``interpretability'', advocating for developing inherently interpretable methods instead of relying on potentially hallucinated self-explanations generated by LLMs. Despite the advancements in LLMs, human counselors' empathetic understanding, nuanced interpretation, and contextual awareness remain irreplaceable in the sensitive and complex realm of mental health counseling. The use of LLMs should be approached with a judicious and considerate mindset, viewing them as tools that complement human expertise rather than seeking to replace it.

The latest large language models (LLMs) such as ChatGPT, exhibit strong capabilities in automated mental health analysis. However, existing relevant studies bear several limitations, including inadequate evaluations, lack of prompting strategies, and ignorance of exploring LLMs for explainability. To bridge these gaps, we comprehensively evaluate the mental health analysis and emotional reasoning ability of LLMs on 11 datasets across 5 tasks. We explore the effects of different prompting strategies with unsupervised and distantly supervised emotional information. Based on these prompts, we explore LLMs for interpretable mental health analysis by instructing them to generate explanations for each of their decisions. We convey strict human evaluations to assess the quality of the generated explanations, leading to a novel dataset with 163 human-assessed explanations. We benchmark existing automatic evaluation metrics on this dataset to guide future related works. According to the results, ChatGPT shows strong in-context learning ability but still has a significant gap with advanced task-specific methods. Careful prompt engineering with emotional cues and expert-written few-shot examples can also effectively improve performance on mental health analysis. In addition, ChatGPT generates explanations that approach human performance, showing its great potential in explainable mental health analysis.

In Emotion Recognition in Conversations (ERC), the emotions of target utterances are closely dependent on their context. Therefore, existing works train the model to generate the response of the target utterance, which aims to recognise emotions leveraging contextual information. However, adjacent response generation ignores long-range dependencies and provides limited affective information in many cases. In addition, most ERC models learn a unified distributed representation for each utterance, which lacks interpretability and robustness. To address these issues, we propose a VAD-disentangled Variational AutoEncoder (VAD-VAE), which first introduces a target utterance reconstruction task based on Variational Autoencoder, then disentangles three affect representations Valence-Arousal-Dominance (VAD) from the latent space. We also enhance the disentangled representations by introducing VAD supervision signals from a sentiment lexicon and minimising the mutual information between VAD distributions. Experiments show that VAD-VAE outperforms the state-of-the-art model on two datasets. Further analysis proves the effectiveness of each proposed module and the quality of disentangled VAD representations. The code is available at https://github.com/SteveKGYang/VAD-VAE.

Pretrained language models have been used in various natural language processing applications. In the mental health domain, domain-specific language models are pretrained and released, which facilitates the early detection of mental health conditions. Social posts, e.g., on Reddit, are usually long documents. However, there are no domain-specific pretrained models for long-sequence modeling in the mental health domain. This paper conducts domain-specific continued pretraining to capture the long context for mental health. Specifically, we train and release MentalXLNet and MentalLongformer based on XLNet and Longformer. We evaluate the mental health classification performance and the long-range ability of these two domain-specific pretrained models. Our models are released in HuggingFace.

A key challenge for Emotion Recognition in Conversations (ERC) is to distinguish semantically similar emotions. Some works utilise Supervised Contrastive Learning (SCL) which uses categorical emotion labels as supervision signals and contrasts in high-dimensional semantic space. However, categorical labels fail to provide quantitative information between emotions. ERC is also not equally dependent on all embedded features in the semantic space, which makes the high-dimensional SCL inefficient. To address these issues, we propose a novel low-dimensional Supervised Cluster-level Contrastive Learning (SCCL) method, which first reduces the high-dimensional SCL space to a three-dimensional affect representation space Valence-Arousal-Dominance (VAD), then performs cluster-level contrastive learning to incorporate measurable emotion prototypes. To help modelling the dialogue and enriching the context, we leverage the pre-trained knowledge adapters to infuse linguistic and factual knowledge. Experiments show that our method achieves new state-of-the-art results with 69.81% on IEMOCAP, 65.7% on MELD, and 62.51% on DailyDialog datasets. The analysis also proves that the VAD space is not only suitable for ERC but also interpretable, with VAD prototypes enhancing its performance and stabilising the training of SCCL. In addition, the pre-trained knowledge adapters benefit the performance of the utterance encoder and SCCL. Our code is available at: https://github.com/SteveKGYang/SCCL

Kailai Yang, Shaoxiong Ji, Tianlin Zhang, Qianqian Xie, Ziyan Kuang, Sophia Ananiadou. Proceedings of the 2023 Conference on Empirical Methods in Natural Language Processing. 2023.

Tianlin Zhang, Kailai Yang, Sophia Ananiadou. The 22nd Workshop on Biomedical Natural Language Processing and BioNLP Shared Tasks. 2023.