# LLM Use for Mental Health: Crowdsourcing Users' Sentiment-based Perspectives and Values from Social Discussions

arXiv: https://arxiv.org/abs/2512.07797 · HTML: https://mlsanity.com/paper/2512.07797/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- First posted on arXiv 8 Dec 2025.

## Built on by (most cited first, 1 of 1)

- [Assessing Risks of Large Language Models in Mental Health Support: A Framework for Automated Clinical AI Red Teaming](https://mlsanity.com/paper/2602.19948/) (2026)

## Abstract (arXiv)

Large language models (LLMs) chatbots like ChatGPT are increasingly used for mental health support. They offer accessible, therapeutic support but also raise concerns about misinformation, over-reliance, and risks in high-stakes contexts of mental health. We crowdsource large-scale users' posts from six major social media platforms to examine how people discuss their interactions with LLM chatbots across different mental health conditions. Through an LLM-assisted pipeline grounded in Value-Sensitive Design (VSD), we mapped the relationships across user-reported sentiments, mental health conditions, perspectives, and values. Our results reveal that the use of LLM chatbots is condition-specific. Users with neurodivergent conditions (e.g., ADHD, ASD) report strong positive sentiments and instrumental or appraisal support, whereas higher-risk disorders (e.g., schizophrenia, bipolar disorder) show more negative sentiments. We further uncover how user perspectives co-occur with underlying values, such as identity, autonomy, and privacy. Finally, we discuss shifting from "one-size-fits-all" chatbot design toward condition-specific, value-sensitive LLM design.
