Explainable Detection of Depression Status Shifts from User Digital Traces

Automatic depression detection from conversational interactions holds significant promise for scalable screening but remains hindered by severe data scarcity and a lack of clinical interpretability. Existing approaches typically rely on black-box deep learning architectures that struggle to model the subtle, temporal evolution of depressive symptoms or account for participant-specific heterogeneity. In this work, we propose PsyGAT (Psychological Graph Attention Network), a psychologically grounded framework that models conversational sessions as dynamic temporal graphs. We introduce Psychological Expression Units (PEUs) to explicitly encode utterance-level clinical evidence, structuring the session graph to capture transitions in psychological states rather than mere semantic dependencies. To address the critical class imbalance in depression datasets, we employ clinically approved persona-based data augmentation, enable robust model learning. Additionally, we integrate session-level personality context directly into the graph structure to disentangle trait-based behavior from acute depressive symptoms. PsyGAT achieves state-of-the-art performance, surpassing both strong graph-based baselines and closed-source LLMs like GPT-5, achieving 89.99 and 71.37 Macro F1 scores in DAIC-WoZ and E-DAIC, respectively. We further introduce Causal-PsyGAT, an interpretability module that identifies symptom triggers. Experiments show a 20% improvement in MRR for identifying causal indicators, effectively bridging the gap between depression monitoring and clinical explainability. The full augmented dataset is publicly available at https://doi.org/10.6084/m9.figshare.31801921.

We describe our submission to the CLPsych2026 Shared Task on capturing and characterizing mental health changes through social media timeline dynamics. To infer the dominant self-states in posts (Tasks 1.1 and 1.2), we ensemble in-context learning of three open-weight large language models using majority voting. For predicting moments of change in a timeline (Task2), we train supervised classifiers on features derived from Task1.1 predictions. To summarize the patterns of mood dynamics and their progression over time within a timeline (Task 3.1), we augment in-context example labels predicted by upstream systems (Tasks 1.1, 1.2, and 2), yielding performance gains over zero-shot and unaugmented in-context learning baselines. Our submission ranked first on Task1.1, fourth on Task1.2, fourth on Task2, and third on Task~3.1.\footnote{The source code for the experiments is available at https://github.com/amirzia/clpsych26-cuny

We present DreamerNLplus, a hybrid framework for modeling mental health dynamics from social media timelines in the CLPsych 2026 shared task. Our system addresses three tasks: psychological state modeling, temporal change detection, and sequence-level summarization. For Task 1, we combine LLM-based data augmentation, DeBERTa classification, and Random Forest regression for structured state prediction. For Task 2, we use few-shot prompting with a locally deployed Llama 3.1 model to detect Switch and Escalation events using short-term temporal context. For Task 3.1, we explore both a deterministic rule-based summarization pipeline and a few-shot LLM-based approach, ranking \textbf{2nd} officially. Our RAG-based method achieves strong performance in Task 3.2, ranking \textbf{1st} for Improvement and \textbf{3rd} for Deterioration, demonstrating its ability to capture recurrent psychological change patterns across timelines. Our analysis reveals key challenges, including the mismatch between classification and regression performance, the difficulty of modeling temporal transitions, and the disagreement between semantic and similarity-based evaluation metrics. These findings highlight the complexity of modeling mental health dynamics and motivate future work on unified evaluation frameworks. We share our code and prompts at https://github.com/4dpicture/CLPsych2026