Patterns vs. Patients: Evaluating LLMs against Mental Health Professionals on Personality Disorder Diagnosis through First-Person Narratives

arXiv:2512.20298v4 Announce Type: replace-cross Abstract: Growing reliance on LLMs for psychiatric self-assessment raises questions about their ability to interpret qualitative patient narratives. This depth over breadth case study directly compares state-of-the-art LLMs and mental health professionals in assessing Borderline (BPD) and Narcissistic (NPD) Personality Disorders based on Polish-language first-person autobiographical accounts. Within our sample, the overall diagnostic scores of the top-performing Gemini Pro models (65.48%) were 21.91 percentage points higher than the average score

Source: arXiv cs.AI — read the full report at the original publisher.

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