EmoTrack: Robust Depression Tracking from Counseling Transcripts across Session Regimes

Fuente: arXiv
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Autores principales: Wu, Zhaomin, Li, Jiayi, He, Bingsheng
Formato: Preprint
Publicado: 2026
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author Wu, Zhaomin
Li, Jiayi
He, Bingsheng
author_facet Wu, Zhaomin
Li, Jiayi
He, Bingsheng
contents Text-based counseling is an important interface for AI mental-health support, where transcripts may be used to monitor depression severity and flag sessions requiring timely human review. However, robust PHQ-8 prediction across session regimes remains challenging: fine-tuning-based methods can exploit richer supervision but may generalize poorly under data scarcity, while prompt-based LLM methods are data-efficient but usually treat each transcript holistically and provide limited support for longitudinal context. We study robust depression tracking from counseling transcripts across single-session and multi-session regimes. We introduce LongCounsel, a multi-session counseling dataset with session-level PHQ-8 supervision for evaluating repeated-session tracking under partial symptom disclosure and cross-session continuity. We further propose EmoTrack, a PHQ-8 prediction framework that combines LLM-extracted clinical signals with frozen turn-level semantic embeddings and trains symptom-specific predictors over the resulting transcript representation. When prior sessions are available, EmoTrack can further incorporate them through compact cross-session memory. Experiments on LongCounsel and DAIC-WOZ show that EmoTrack achieves a clear gain on the real single-session benchmark, including a 13.5% relative MAE reduction over the strongest DAIC-WOZ baseline, and remains competitive with the strongest longitudinal baseline on LongCounsel.
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id arxiv_https___arxiv_org_abs_2605_22286
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle EmoTrack: Robust Depression Tracking from Counseling Transcripts across Session Regimes
Wu, Zhaomin
Li, Jiayi
He, Bingsheng
Machine Learning
Artificial Intelligence
Text-based counseling is an important interface for AI mental-health support, where transcripts may be used to monitor depression severity and flag sessions requiring timely human review. However, robust PHQ-8 prediction across session regimes remains challenging: fine-tuning-based methods can exploit richer supervision but may generalize poorly under data scarcity, while prompt-based LLM methods are data-efficient but usually treat each transcript holistically and provide limited support for longitudinal context. We study robust depression tracking from counseling transcripts across single-session and multi-session regimes. We introduce LongCounsel, a multi-session counseling dataset with session-level PHQ-8 supervision for evaluating repeated-session tracking under partial symptom disclosure and cross-session continuity. We further propose EmoTrack, a PHQ-8 prediction framework that combines LLM-extracted clinical signals with frozen turn-level semantic embeddings and trains symptom-specific predictors over the resulting transcript representation. When prior sessions are available, EmoTrack can further incorporate them through compact cross-session memory. Experiments on LongCounsel and DAIC-WOZ show that EmoTrack achieves a clear gain on the real single-session benchmark, including a 13.5% relative MAE reduction over the strongest DAIC-WOZ baseline, and remains competitive with the strongest longitudinal baseline on LongCounsel.
title EmoTrack: Robust Depression Tracking from Counseling Transcripts across Session Regimes
topic Machine Learning
Artificial Intelligence
url https://arxiv.org/abs/2605.22286