Shreya Gupta

Shreya Gupta, Prottay Kumar Adhikary, Bhavyaa Dave et al.

Clinical case formulation organizes patient symptoms and psychosocial factors into causal models, often using the 5P framework. However, constructing such graphs from therapy transcripts is time consuming and varies across clinicians. We present InsightFlow, an LLM based approach that automatically generates 5P aligned causal graphs from patient-therapist dialogues. Using 46 psychotherapy intake transcripts annotated by clinical experts, we evaluate LLM generated graphs against human formulations using structural (NetSimile), semantic (embedding similarity), and expert rated clinical criteria. The generated graphs show structural similarity comparable to inter annotator agreement and high semantic alignment with human graphs. Expert evaluations rate the outputs as moderately complete, consistent, and clinically useful. While LLM graphs tend to form more interconnected structures compared to the chain like patterns of human graphs, overall complexity and content coverage are similar. These results suggest that LLMs can produce clinically meaningful case formulation graphs within the natural variability of expert practice. InsightFlow highlights the potential of automated causal modeling to augment clinical workflows, with future work needed to improve temporal reasoning and reduce redundancy.

Shreya Gupta, Boyang Huang, Barna Saha et al.

Despite the popularity of the Transformer architecture, the standard algorithm for computing Attention suffers from quadratic time complexity in context length $n$. Alman and Song [NeurIPS 2023] showed that when the head dimension $d = Θ(\log n)$, subquadratic Attention is possible if and only if the inputs have small entries bounded by $B = o(\sqrt{\log n})$ in absolute values, under the Strong Exponential Time Hypothesis ($\mathsf{SETH}$). Equivalently, subquadratic Attention is possible if and only if the softmax is applied with high temperature for $d=Θ(\log n)$. Running times of these algorithms depend exponentially on $B$ and thus they do not lead to even a polynomial-time algorithm outside the specific range of $B$. This naturally leads to the question: when can Attention be computed efficiently without strong assumptions on temperature? Are there fast attention algorithms that scale polylogarithmically with entry size $B$? In this work, we resolve this question and characterize when fast Attention for arbitrary temperatures is possible. First, for all constant $d = O(1)$, we give the first subquadratic $\tilde{O}(n^{2 - 1/d} \cdot \mathrm{polylog}(B))$ time algorithm for Attention with large $B$. Our result holds even for matrices with large head dimension if they have low rank. In this regime, we also give a similar running time for Attention gradient computation, and therefore for the full LLM training process. Furthermore, we show that any substantial improvement on our algorithm is unlikely. In particular, we show that even when $d = 2^{Θ(\log^* n)}$, Attention requires $n^{2 - o(1)}$ time under $\mathsf{SETH}$. Finally, in the regime where $d = \mathrm{poly}(n)$, we show that the standard algorithm is optimal under popular fine-grained complexity assumptions.