It Hears, It Sees too: Multi-Modal LLM for Depression Detection By Integrating Visual Understanding into Audio Language Models

Abstract

Depression is one of the most prevalent mental health disorders globally. In recent years, multi-modal data, such as speech, video, and transcripts, has been increasingly used to develop AI-assisted depression assessment systems. Large language models have further advanced this field due to their strong language understanding and generalization capabilities. However, conventional LLMs remain text-centric and cannot process the rich non-verbal cues found in audio and visual modalities, which are critical components in mental health evaluation. While multi-modal LLMs offer a promising direction, few are tailored for psychological applications. In this study, we propose a novel multi-modal LLM framework for depression detection. Our approach augments an audio language model with visual understanding and aligns audio-visual features at the timestamp level. This fine-grained alignment improves modeling of temporal dynamics across modalities while reducing the need for extensive training data and computational resources. Experiments on the DAIC-WoZ dataset demonstrate that our model outperforms both single-modality approaches and previous multi-modal methods. Moreover, the proposed framework can be extended to incorporate additional physiological signals, paving the way for broader clinical applications beyond mental health.