ResearchResearch paperSpeech & Audio1 source · Oct 20, 2026

AudiPsy: Evidence-Grounded Multimodal Reasoning over Spoken Counseling Conversations for Depression Assessment

We propose AudiPsy, an evidence-grounded omni-LLM for depression assessment over spoken counseling conversations.

Key points

  • Depression assessment from counseling speech requires integrating textual and acoustic psychological evidence across turns, yet existing end-to-end classification approaches lack explicit multimodal evidence interpretation and context-aware reasoning.
  • AudiPsy employs an Observation-Assessment-Summary (OAS) paradigm to integrate dialogue transcripts, textual and acoustic emotions, and textual-acoustic emotion incongruence into structured reasoning.
  • To support this framework, we construct AudiPsy-Counsel, a synthetic spoken counseling conversation corpus with multimodal context augmentation, and develop a unified three-stage curriculum for depression-oriented reasoning.
  • Experiments on DAIC-WOZ demonstrate superior depression assessment performance over specialized depression detection methods and general-purpose speech/omni-LLMs, along with improved reasoning quality, while supplementary evaluation on EATD-Corpus supports AudiPsy's applicability to naturalistic conversations.

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