Large Language Models for Interpretable Mental Health Diagnosis
This addresses the challenge of diagnostic errors for mental health professionals by providing an interpretable tool, though it is incremental as it builds on existing LLM and CLP methods.
The paper tackled the problem of mental health diagnosis by developing a clinical decision support system that combines large language models with constraint logic programming to generate interpretable logic programs from diagnostic manuals, finding that expert inspection and modification are necessary to ensure faithfulness to official manuals.
We propose a clinical decision support system (CDSS) for mental health diagnosis that combines the strengths of large language models (LLMs) and constraint logic programming (CLP). Having a CDSS is important because of the high complexity of diagnostic manuals used by mental health professionals and the danger of diagnostic errors. Our CDSS is a software tool that uses an LLM to translate diagnostic manuals to a logic program and solves the program using an off-the-shelf CLP engine to query a patient's diagnosis based on the encoded rules and provided data. By giving domain experts the opportunity to inspect the LLM-generated logic program, and making modifications when needed, our CDSS ensures that the diagnosis is not only accurate but also interpretable. We experimentally compare it with two baseline approaches of using LLMs: diagnosing patients using the LLM-only approach, and using the LLM-generated logic program but without expert inspection. The results show that, while LLMs are extremely useful in generating candidate logic programs, these programs still require expert inspection and modification to guarantee faithfulness to the official diagnostic manuals. Additionally, ethical concerns arise from the direct use of patient data in LLMs, underscoring the need for a safer hybrid approach like our proposed method.