Sentiment-guided Commonsense-aware Response Generation for Mental Health Counseling

The crisis of mental health issues is escalating. Effective counseling serves as a critical lifeline for individuals suffering from conditions like PTSD, stress, etc. Therapists forge a crucial therapeutic bond with clients, steering them towards positivity. Unfortunately, the massive shortage of professionals, high costs, and mental health stigma pose significant barriers to consulting therapists. As a substitute, Virtual Mental Health Assistants (VMHAs) have emerged in the digital healthcare space. However, most existing VMHAs lack the commonsense to understand the nuanced sentiments of clients to generate effective responses. To this end, we propose EmpRes, a novel sentiment-guided mechanism incorporating commonsense awareness for generating responses. By leveraging foundation models and harnessing commonsense knowledge, EmpRes aims to generate responses that effectively shape the client's sentiment towards positivity. We evaluate the performance of EmpRes on HOPE, a benchmark counseling dataset, and observe a remarkable performance improvement compared to the existing baselines across a suite of qualitative and quantitative metrics. Moreover, our extensive empirical analysis and human evaluation show that the generation ability of EmpRes is well-suited and, in some cases, surpasses the gold standard. Further, we deploy EmpRes as a chat interface for users seeking mental health support. We address the deployed system's effectiveness through an exhaustive user study with a significant positive response. Our findings show that 91% of users find the system effective, 80% express satisfaction, and over 85.45% convey a willingness to continue using the interface and recommend it to others, demonstrating the practical applicability of EmpRes in addressing the pressing challenges of mental health support, emphasizing user feedback, and ethical considerations in a real-world context.

Critical Behavioral Traits Foster Peer Engagement in Online Mental Health Communities

Online Mental Health Communities (OMHCs), such as Reddit, have witnessed a surge in popularity as go-to platforms for seeking information and support in managing mental health needs. Platforms like Reddit offer immediate interactions with peers, granting users a vital space for seeking mental health assistance. However, the largely unregulated nature of these platforms introduces intricate challenges for both users and society at large. This study explores the factors that drive peer engagement within counseling threads, aiming to enhance our understanding of this critical phenomenon. We introduce BeCOPE, a novel behavior encoded Peer counseling dataset comprising over 10,118 posts and 58,279 comments sourced from 21 mental health-specific subreddits. The dataset is annotated using three major fine-grained behavior labels: (a) intent, (b) criticism, and (c) readability, along with the emotion labels. Our analysis indicates the prominence of ``self-criticism'' as the most prevalent form of criticism expressed by help-seekers, accounting for a significant 43% of interactions. Intriguingly, we observe that individuals who explicitly express their need for help are 18.01% more likely to receive assistance compared to those who present ``surveys'' or engage in ``rants.'' Furthermore, we highlight the pivotal role of well-articulated problem descriptions, showing that superior readability effectively doubles the likelihood of receiving the sought-after support. Our study emphasizes the essential role of OMHCs in offering personalized guidance and unveils behavior-driven engagement patterns.