# Automating PTSD Diagnostics in Clinical Interviews: Leveraging Large Language Models for Trauma Assessments

arXiv: https://arxiv.org/abs/2405.11178 · HTML: https://mlsanity.com/paper/2405.11178/

## Key facts

- Cited by 4 papers in the map (data through 14 Oct 2026).
- Builds on 14 of its 42 references that are in the map.
- First posted on arXiv 18 May 2024.

## Builds on (most cited first, 14 of 14)

- [Llama 2: Open Foundation and Fine-Tuned Chat Models](https://mlsanity.com/paper/2307.09288/) (2023)
- [Sentence-BERT: Sentence Embeddings using Siamese BERT-Networks](https://mlsanity.com/paper/1908.10084/) (2019)
- [PaLM: Scaling Language Modeling with Pathways](https://mlsanity.com/paper/2204.02311/) (2022)
- [Capabilities of GPT-4 on Medical Challenge Problems](https://mlsanity.com/paper/2303.13375/) (2023)
- [Understanding the Benefits and Challenges of Using Large Language Model-based Conversational Agents for Mental Well-being Support](https://mlsanity.com/paper/2307.15810/) (2023)
- [An Iterative Optimizing Framework for Radiology Report Summarization with ChatGPT](https://mlsanity.com/paper/2304.08448/) (2023)
- [Evaluation of ChatGPT for NLP-based Mental Health Applications](https://mlsanity.com/paper/2303.15727/) (2023)
- [Automatic Depression Detection: An Emotional Audio-Textual Corpus and a GRU/BiLSTM-based Model](https://mlsanity.com/paper/2202.08210/) (2022)
- [D4: a Chinese Dialogue Dataset for Depression-Diagnosis-Oriented Chat](https://mlsanity.com/paper/2205.11764/) (2022)
- [Model Tuning or Prompt Tuning? A Study of Large Language Models for Clinical Concept and Relation Extraction](https://mlsanity.com/paper/2310.06239/) (2023)
- [The Capability of Large Language Models to Measure Psychiatric Functioning](https://mlsanity.com/paper/2308.01834/) (2023)
- [Enhancing Psychological Counseling with Large Language Model: A Multifaceted Decision-Support System for Non-Professionals](https://mlsanity.com/paper/2308.15192/) (2023)
- [Harnessing Large Language Models' Empathetic Response Generation Capabilities for Online Mental Health Counselling Support](https://mlsanity.com/paper/2310.08017/) (2023)
- [Rethinking Large Language Models in Mental Health Applications](https://mlsanity.com/paper/2311.11267/) (2023)

## Built on by (most cited first, 4 of 4)

- [A Survey of Large Language Models in Psychotherapy: Current Landscape and Future Directions](https://mlsanity.com/paper/2502.11095/) (2025)
- [LLAMADRS: Evaluating Open-Source LLMs on Real Clinical Interviews--To Reason or Not to Reason?](https://mlsanity.com/paper/2501.03624/) (2025)
- [A Systematic Evaluation of Large Language Models for PTSD Severity Estimation: The Role of Contextual Knowledge and Modeling Strategies](https://mlsanity.com/paper/2602.06015/) (2026)
- [From Pattern Recognizers to Personalized Companions: A Survey of Large Language Models in Mental Health](https://mlsanity.com/paper/2609.25186/) (2026)

## Abstract (arXiv)

The shortage of clinical workforce presents significant challenges in mental healthcare, limiting access to formal diagnostics and services. We aim to tackle this shortage by integrating a customized large language model (LLM) into the workflow, thus promoting equity in mental healthcare for the general population. Although LLMs have showcased their capability in clinical decision-making, their adaptation to severe conditions like Post-traumatic Stress Disorder (PTSD) remains largely unexplored. Therefore, we collect 411 clinician-administered diagnostic interviews and devise a novel approach to obtain high-quality data. Moreover, we build a comprehensive framework to automate PTSD diagnostic assessments based on interview contents by leveraging two state-of-the-art LLMs, GPT-4 and Llama-2, with potential for broader clinical diagnoses. Our results illustrate strong promise for LLMs, tested on our dataset, to aid clinicians in diagnostic validation. To the best of our knowledge, this is the first AI system that fully automates assessments for mental illness based on clinician-administered interviews.