# Mental-R1: Aligning LLM Reasoning for Mental Health Assessment

arXiv: https://arxiv.org/abs/2606.13176 · HTML: https://mlsanity.com/paper/2606.13176/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Placed in Clinical and biomedical applications, one of 17 directions in LLM reasoning.
- Builds on 32 of its 80 references that are in the map.
- First posted on arXiv 11 Jun 2026.

## Placed in

- LLM reasoning / [Clinical and biomedical applications](https://mlsanity.com/lr/clinical-and-biomedical-applications/)

## Builds on (most cited first, 30 of 32)

- [Training language models to follow instructions with human feedback](https://mlsanity.com/paper/2203.02155/) (2022)
- [The Llama 3 Herd of Models](https://mlsanity.com/paper/2407.21783/) (2024)
- [DeepSeekMath: Pushing the Limits of Mathematical Reasoning in Open Language Models](https://mlsanity.com/paper/2402.03300/) (2024)
- [Qwen3 Technical Report](https://mlsanity.com/paper/2505.09388/) (2025)
- [Direct Preference Optimization: Your Language Model is Secretly a Reward Model](https://mlsanity.com/paper/2305.18290/) (2023)
- [Let's Verify Step by Step](https://mlsanity.com/paper/2305.20050/) (2023)
- [DAPO: An Open-Source LLM Reinforcement Learning System at Scale](https://mlsanity.com/paper/2503.14476/) (2025)
- [Gemma 2: Improving Open Language Models at a Practical Size](https://mlsanity.com/paper/2408.00118/) (2024)
- [Does Reinforcement Learning Really Incentivize Reasoning Capacity in LLMs Beyond the Base Model?](https://mlsanity.com/paper/2504.13837/) (2025)
- [A Comprehensive Overview of Large Language Models](https://mlsanity.com/paper/2307.06435/) (2023)
- [ReMax: A Simple, Effective, and Efficient Reinforcement Learning Method for Aligning Large Language Models](https://mlsanity.com/paper/2310.10505/) (2023)
- [A Survey of Reinforcement Learning for Large Reasoning Models](https://mlsanity.com/paper/2509.08827/) (2025)
- [LLM Post-Training: A Deep Dive into Reasoning Large Language Models](https://mlsanity.com/paper/2502.21321/) (2025)
- [Dreaddit: A Reddit Dataset for Stress Analysis in Social Media](https://mlsanity.com/paper/1911.00133/) (2019)
- [Mental-LLM: Leveraging Large Language Models for Mental Health Prediction via Online Text Data](https://mlsanity.com/paper/2307.14385/) (2023)
- [MentaLLaMA: Interpretable Mental Health Analysis on Social Media with Large Language Models](https://mlsanity.com/paper/2309.13567/) (2023)
- [Evaluation of ChatGPT for NLP-based Mental Health Applications](https://mlsanity.com/paper/2303.15727/) (2023)
- [Consistent Paths Lead to Truth: Self-Rewarding Reinforcement Learning for LLM Reasoning](https://mlsanity.com/paper/2506.08745/) (2025)
- [Deep Learning for Suicide and Depression Identification with Unsupervised Label Correction](https://mlsanity.com/paper/2102.09427/) (2021)
- [RL Tango: Reinforcing Generator and Verifier Together for Language Reasoning](https://mlsanity.com/paper/2505.15034/) (2025)
- [PersonaX: A Recommendation Agent Oriented User Modeling Framework for Long Behavior Sequence](https://mlsanity.com/paper/2503.02398/) (2025)
- [EmoBench-M: Benchmarking Emotional Intelligence for Multimodal Large Language Models](https://mlsanity.com/paper/2502.04424/) (2025)
- [Latent Suicide Risk Detection on Microblog via Suicide-Oriented Word Embeddings and Layered Attention](https://mlsanity.com/paper/1910.12038/) (2019)
- [Data set creation and empirical analysis for detecting signs of depression from social media postings](https://mlsanity.com/paper/2202.03047/) (2022)
- [Beyond Empathy: Integrating Diagnostic and Therapeutic Reasoning with Large Language Models for Mental Health Counseling](https://mlsanity.com/paper/2505.15715/) (2025)
- [Towards Preemptive Detection of Depression and Anxiety in Twitter](https://mlsanity.com/paper/2011.05249/) (2020)
- [Are LLMs effective psychological assessors? Leveraging adaptive RAG for interpretable mental health screening through psychometric practice](https://mlsanity.com/paper/2501.00982/) (2025)
- [MentalGLM Series: Explainable Large Language Models for Mental Health Analysis on Chinese Social Media](https://mlsanity.com/paper/2410.10323/) (2024)
- [Many Ways to Be Lonely: Fine-Grained Characterization of Loneliness and Its Potential Changes in COVID-19](https://mlsanity.com/paper/2201.07423/) (2022)
- [MISE: Meta-knowledge Inheritance for Social Media-Based Stressor Estimation](https://mlsanity.com/paper/2505.03827/) (2025)

## Built on by (most cited first, 2 of 2)

- [When Text and Numbers Disagree: Evidence Arbitration in Large Language Models](https://mlsanity.com/paper/2608.20116/) (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)

Mental health problems such as anxiety, depression, and suicide remain urgent global challenges, where timely and accurate assessment is critical for effective intervention. Recently, large language models have been explored for mental health assessment. However, existing general-purpose post-training methods do not align with the cognitive processes of human assessment, which may lead to unreliable reasoning outcomes. To bridge this gap, we propose Cognitive Relative Policy Optimization (CRPO), a reinforcement learning framework tailored for the mental health domain. CRPO extends group relative policy optimization by integrating stage-dependent uncertainty modeling into the policy optimization process. Specifically, we introduce a stage-wise entropy regularization mechanism that encourages broad exploration in early reasoning phases and progressively enforces confident decision-making in later stages, mimicking the human cognitive shift from uncertainty to certainty. In addition, inspired by cognitive appraisal theory, we formalize cognitive reasoning stages, thereby guiding theory-grounded interpretable inference. Experiments on 8 mental health datasets show that CRPO achieves an average improvement of 10.4 percentage points in weighted F1-score over the best reinforcement learning baseline. Furthermore, the CRPO-trained model Mental-R1 demonstrates clear advantages compared with existing large language models on reasoning-intensive cases, suggesting that CRPO enhances reasoning capabilities for mental health assessment.