mlsanityData to 7 Oct 2026

From Baselines to Preferences: A Comparative Study of LoRA/QLoRA and Preference Optimization for Mental Health Text Classification

arXiv 2604.00773 ↗First posted 1 Apr 2026cs.CLcited by 0

On the map: LLM alignment / RLHF / preference optimisation → Medical LLM alignment

Abstract (arXiv)

Mental health text classification has rapidly adopted modern adaptation methods, yet practical guidance on which optimization strategy to use, when, and why remains limited. This paper presents a systematic comparative study of optimization pathways for a joint mental-health classification task, moving from strong vanilla baselines to progressively more specialized techniques. We first establish classical and encoder references, then examine parameter-efficient supervised fine-tuning with LoRA/QLoRA under multiple objective and optimization settings, and finally evaluate preference-based optimization with DPO, ORPO, and KTO, including class-rebalanced training. Rather than emphasizing a single headline score, we focus on methodological insight: how performance changes with objective formulation, adapter choice, optimizer behavior, context windowing, and class-balance intervention. The results show that optimization effects are highly method-dependent: some approaches deliver stable, transferable gains, while others are sensitive to configuration and data balance. Preference optimization, in particular, exhibits large variation across objectives, indicating that method selection is more consequential than simply adding a preference-training stage. The central contribution is a clear optimization narrative for mental health NLP: start from transparent baselines, apply controlled tuning, and use preference optimization selectively where its gains are demonstrable. This provides a reproducible and practically grounded framework for choosing effective training strategies beyond architecture choice alone.

Key facts. No citing papers in the map yet (data through 7 Oct 2026). Placed in Medical LLM alignment, one of 10 directions in LLM alignment / RLHF / preference optimisation. Builds on 13 of its 25 references that are in the map. First posted on arXiv 1 Apr 2026.

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13 of 25 references.

References · 13

  1. 2018BERT: Pre-training of Deep Bidirectional Transformers for Language Understandingcited by 40,204
  2. 2021LoRA: Low-Rank Adaptation of Large Language Modelscited by 14,084
  3. 2023Direct Preference Optimization: Your Language Model is Secretly a Reward Modelcited by 7,916
  4. 2016XGBoost: A Scalable Tree Boosting Systemcited by 5,120
  5. 2019DistilBERT, a distilled version of BERT: smaller, faster, cheaper and lightercited by 4,243
  6. 2018Adafactor: Adaptive Learning Rates with Sublinear Memory Costcited by 896
  7. 2024ORPO: Monolithic Preference Optimization without Reference Modelcited by 556
  8. 2025A Systematic Evaluation of LLM Strategies for Mental Health Text Analysis: Fine-tuning vs. Prompt Engineering vs. RAGcited by 14
  9. 2024An Assessment on Comprehending Mental Health through Large Language Modelscited by 5
  10. 2025Federated Fine-Tuning of Large Language Models: Kahneman-Tversky vs. Direct Preference Optimizationcited by 4
  11. 2025Large Language Models for Healthcare Text Classification: A Systematic Reviewcited by 3
  12. 2024Towards Sustainable Workplace Mental Health: A Novel Approach to Early Intervention and Supportcited by 2
1 more
  1. 2025Evaluating Large Language Models for Anxiety, Depression, and Stress Detection: Insights into Prompting Strategies and Synthetic Datacited by 2

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  1. 2023Mental-LLM: Leveraging Large Language Models for Mental Health Prediction via Online Text Data
  2. 2025Cognitive-Mental-LLM: Evaluating Reasoning in Large Language Models for Mental Health Prediction via Online Text
  3. 2023Towards Interpretable Mental Health Analysis with Large Language Models
  4. 2026When Retrieval Helps: Selective Retrieval for Single-Turn Mental-Health QA
  5. 2024Prompt-based mental health screening from social media text
  6. 2026Multi-Objective Alignment of Language Models for Personalized Psychotherapy
  7. 2026LLUMI: Improving LLM Writing Assistance for Mental Health Support with Online Community Feedback
  8. 2023From Classification to Clinical Insights: Towards Analyzing and Reasoning About Mobile and Behavioral Health Data With Large Language Models