Large Language Models (LLMs) are promising tools for synthetic data generation in mental health. However, privacy policies and restrictions forced previous work to rely mainly on generic information. We present a comprehensive corpus of synthetic therapist-client conversations generated through LLMs. We construct our generation pipeline, SQPsych (Structured Questionnaire-based Psychotherapy), which uses real structured client profiles and psychological questionnaires without leaking any sensitive data. We fine-tune various openweight LLMs on our generated corpus, SQPsychConv, and test them through both automatic benchmarks and human evaluation with trained psychotherapists. We find that standard benchmarks do not adequately capture the strengths of our dataset, but expert judgment shows that SQPsych makes LLMs significantly better at therapist roleplaying. Experts also consistently prefer therapy sessions generated by our models compared to other mental-health-oriented LLMs. We release our code, fine-tuned models SQPsychLLM, and corpora at https://ai-mh.github.io/SQPsych.html.

Trustworthy clinical AI must use real evidence and avoid relying on surface-level artifacts. We evaluate 12 open-weight vision-language models (VLMs) on two clinical neuroimaging cohorts for binary classification of affective disorders and cognitive decline. Both cohorts include structural magnetic resonance imaging (MRI) acquired under their original research protocols. Prior work does not establish the included neuroimaging inputs as reliable stand-alone diagnostic evidence for the present tasks. Nevertheless, when neuroimaging context is introduced, smaller VLMs gain up to 0.66 F1 under the evaluated augmented conditions, becoming competitive with models an order of magnitude larger. Confidence estimation shows that most of the calibration improvement for the analyzed smaller models occurs after the MRI reference is added to the prompt, before any image is supplied. Our preliminary expert case study finds that faithfulness remains low in every condition examined, with the reviewed model introducing unverified clinical details. Finally, in our single-model intervention, preference alignment suppresses MRI-referencing behavior but reduces the augmented-condition advantage, leaving the underlying issue unresolved. These results caution against reading surface metric gains as evidence of true multimodal integration, with direct implications for clinical VLM deployment

This paper presents a shared task that we organized at the Foundations of Language Technology (FoLT) course in 2023/2024 at the Technical University of Darmstadt, which focuses on evaluating the output of Large Language Models (LLMs) in generating harmful answers to health-related clinical questions. We describe the task design considerations and report the feedback we received from the students. We expect the task and the findings reported in this paper to be relevant for instructors teaching natural language processing (NLP).

Applying differential privacy (DP) by means of the DP-SGD algorithm to protect individual data points during training is becoming increasingly popular in NLP. However, the choice of granularity at which DP is applied is often neglected. For example, neural machine translation (NMT) typically operates on the sentence-level granularity. From the perspective of DP, this setup assumes that each sentence belongs to a single person and any two sentences in the training dataset are independent. This assumption is however violated in many real-world NMT datasets, e.g., those including dialogues. For proper application of DP we thus must shift from sentences to entire documents. In this paper, we investigate NMT at both the sentence and document levels, analyzing the privacy/utility trade-off for both scenarios, and evaluating the risks of not using the appropriate privacy granularity in terms of leaking personally identifiable information (PII). Our findings indicate that the document-level NMT system is more resistant to membership inference attacks, emphasizing the significance of using the appropriate granularity when working with DP.

Neural machine translation (NMT) is a widely popular text generation task, yet there is a considerable research gap in the development of privacy-preserving NMT models, despite significant data privacy concerns for NMT systems. Differentially private stochastic gradient descent (DP-SGD) is a popular method for training machine learning models with concrete privacy guarantees; however, the implementation specifics of training a model with DP-SGD are not always clarified in existing models, with differing software libraries used and code bases not always being public, leading to reproducibility issues. To tackle this, we introduce DP-NMT, an open-source framework for carrying out research on privacy-preserving NMT with DP-SGD, bringing together numerous models, datasets, and evaluation metrics in one systematic software package. Our goal is to provide a platform for researchers to advance the development of privacy-preserving NMT systems, keeping the specific details of the DP-SGD algorithm transparent and intuitive to implement. We run a set of experiments on datasets from both general and privacy-related domains to demonstrate our framework in use. We make our framework publicly available and welcome feedback from the community.

The evaluation of recent embedding-based evaluation metrics for text generation is primarily based on measuring their correlation with human evaluations on standard benchmarks. However, these benchmarks are mostly from similar domains to those used for pretraining word embeddings. This raises concerns about the (lack of) generalization of embedding-based metrics to new and noisy domains that contain a different vocabulary than the pretraining data. In this paper, we examine the robustness of BERTScore, one of the most popular embedding-based metrics for text generation. We show that (a) an embedding-based metric that has the highest correlation with human evaluations on a standard benchmark can have the lowest correlation if the amount of input noise or unknown tokens increases, (b) taking embeddings from the first layer of pretrained models improves the robustness of all metrics, and (c) the highest robustness is achieved when using character-level embeddings, instead of token-based embeddings, from the first layer of the pretrained model.