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Analyzing LLM Reasoning to Uncover Mental Health Stigma

arxiv.org/abs/2604.25053

quality89

Updated 5 h ago · first seen 11 Sept 2026

paper_01M294G5SG9AA1PQKTKHZHHPPQ

Published
11 Sept 2026
T1 · 5 h ago
arXiv
2604.25053
T1 · 5 h ago
Category
cs.CL
T1 · 5 h ago

Abstract

While large language models (LLMs) are increasingly being explored for mental health applications, recent studies reveal that they can exhibit stigma toward individuals with psychological conditions. Existing evaluations of this stigma primarily rely on multiple-choice questions (MCQs), which fail to capture the biases embedded within the models' underlying logic. In this paper, we analyze the intermediate reasoning steps of LLMs to uncover hidden stigmatizing language and the internal rationales driving it. We leverage clinical expertise to categorize common patterns of stigmatizing language directed at individuals with psychological conditions and use this framework to identify and tag problematic statements in LLM reasoning. Furthermore, we rate the severity of these statements, distinguishing between overt prejudice and more subtle, less immediately harmful biases. To broaden the reasoning domain and capture a wider array of patterns, we also extend an existing mental health stigma benchmark by incorporating additional psychological conditions. Our findings demonstrate that evaluating model reasoning not only exposes substantially more stigma than traditional MCQ-based methods but also helps identify the flaws in the LLMs' logic and their understanding of mental health conditions.

Authors 11

Sreehari Sankar, Aliakbar Nafar, Mona Barman, Hannah K. Heitz, Ashwin Kumar, Pouria Tohidi, Dailun Li, Danish Hussain, Russell DuBois, Hamed Hasheminia, Farshad Majzoubi

Specification

Official page

Source:arXiv (Atom API + RSS)T1observed 5 h agohigh

Arxiv announce type
replace

Source:arXiv (Atom API + RSS)T1observed 5 h agohigh

arXiv id
2604.25053

Source:arXiv (Atom API + RSS)T1observed 5 h agohigh

Categories
cs.CL, cs.AI

Source:arXiv (Atom API + RSS)T1observed 5 h agohigh

PDF

Source:arXiv (Atom API + RSS)T1observed 5 h agohigh

Primary category
cs.CL

Source:arXiv (Atom API + RSS)T1observed 5 h agohigh

Published
11 Sept 2026

Source:arXiv (Atom API + RSS)T1observed 5 h agohigh

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Provenance

Attributed facts

9

Source tiers

T19

Freshest observation

5 h ago

Conflicts

None