It Hears, It Sees too: Multi-Modal LLM for Depression Detection By Integrating Visual Understanding into Audio Language Models

Fuente: arXiv
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Autori principali: Zhao, Xiangyu, Shen, Yaling, Jiang, Yiwen, Wang, Zimu, Liu, Jiahe, Cheng, Maxmartwell H, Oliveira, Guilherme C, Desimone, Robert, Dwyer, Dominic, Ge, Zongyuan
Natura: Preprint
Pubblicazione: 2025
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author Zhao, Xiangyu
Shen, Yaling
Jiang, Yiwen
Wang, Zimu
Liu, Jiahe
Cheng, Maxmartwell H
Oliveira, Guilherme C
Desimone, Robert
Dwyer, Dominic
Ge, Zongyuan
author_facet Zhao, Xiangyu
Shen, Yaling
Jiang, Yiwen
Wang, Zimu
Liu, Jiahe
Cheng, Maxmartwell H
Oliveira, Guilherme C
Desimone, Robert
Dwyer, Dominic
Ge, Zongyuan
contents Depression is one of the most prevalent mental health disorders globally. In recent years, multi-modal data, such as speech, video, and transcripts, has been increasingly used to develop AI-assisted depression assessment systems. Large language models have further advanced this field due to their strong language understanding and generalization capabilities. However, conventional LLMs remain text-centric and cannot process the rich non-verbal cues found in audio and visual modalities, which are critical components in mental health evaluation. While multi-modal LLMs offer a promising direction, few are tailored for psychological applications. In this study, we propose a novel multi-modal LLM framework for depression detection. Our approach augments an audio language model with visual understanding and aligns audio-visual features at the timestamp level. This fine-grained alignment improves modeling of temporal dynamics across modalities while reducing the need for extensive training data and computational resources. Experiments on the DAIC-WoZ dataset demonstrate that our model outperforms both single-modality approaches and previous multi-modal methods. Moreover, the proposed framework can be extended to incorporate additional physiological signals, paving the way for broader clinical applications beyond mental health.
format Preprint
id arxiv_https___arxiv_org_abs_2511_19877
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle It Hears, It Sees too: Multi-Modal LLM for Depression Detection By Integrating Visual Understanding into Audio Language Models
Zhao, Xiangyu
Shen, Yaling
Jiang, Yiwen
Wang, Zimu
Liu, Jiahe
Cheng, Maxmartwell H
Oliveira, Guilherme C
Desimone, Robert
Dwyer, Dominic
Ge, Zongyuan
Multimedia
Computer Vision and Pattern Recognition
Machine Learning
Audio and Speech Processing
Depression is one of the most prevalent mental health disorders globally. In recent years, multi-modal data, such as speech, video, and transcripts, has been increasingly used to develop AI-assisted depression assessment systems. Large language models have further advanced this field due to their strong language understanding and generalization capabilities. However, conventional LLMs remain text-centric and cannot process the rich non-verbal cues found in audio and visual modalities, which are critical components in mental health evaluation. While multi-modal LLMs offer a promising direction, few are tailored for psychological applications. In this study, we propose a novel multi-modal LLM framework for depression detection. Our approach augments an audio language model with visual understanding and aligns audio-visual features at the timestamp level. This fine-grained alignment improves modeling of temporal dynamics across modalities while reducing the need for extensive training data and computational resources. Experiments on the DAIC-WoZ dataset demonstrate that our model outperforms both single-modality approaches and previous multi-modal methods. Moreover, the proposed framework can be extended to incorporate additional physiological signals, paving the way for broader clinical applications beyond mental health.
title It Hears, It Sees too: Multi-Modal LLM for Depression Detection By Integrating Visual Understanding into Audio Language Models
topic Multimedia
Computer Vision and Pattern Recognition
Machine Learning
Audio and Speech Processing
url https://arxiv.org/abs/2511.19877