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11/4/2025 2:41:47 AM | Browse: 21 | Download: 46
Publication Name World Journal of Psychiatry
Manuscript ID 108199
Country China
Received
2025-04-14 07:04
Peer-Review Started
2025-04-21 00:18
First Decision by Editorial Office Director
2025-05-13 12:15
Return for Revision
2025-05-13 12:15
Revised
2025-05-27 00:18
Publication Fee Transferred
Second Decision by Editor
2025-09-03 02:46
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-09-03 08:05
Articles in Press
2025-09-03 08:05
Edit the Manuscript by Language Editor
Typeset the Manuscript
2025-10-21 09:30
Publish the Manuscript Online
2025-11-04 02:41
ISSN 2220-3206 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Psychiatry
Manuscript Type Minireviews
Article Title Large language models in clinical psychiatry: Applications and optimization strategies
Manuscript Source Invited Manuscript
All Author List Yi-Fan Wang, Ming-Da Li, Su-Hong Wang, Yin Fang, Jie Sun, Lin Lu and Wei Yan
ORCID
Author(s) ORCID Number
Yi-Fan Wang http://orcid.org/0009-0009-0578-2017
Lin Lu http://orcid.org/0000-0003-0742-9072
Wei Yan http://orcid.org/0000-0002-5866-6230
Funding Agency and Grant Number
Funding Agency Grant Number
STI2030-Major Projects No. 2021ZD0203400 and No. 2021ZD0200800
National Natural Science Foundation of China No. 82171477
Corresponding Author Wei Yan, Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Huayuan Bei Road, Beijing 100191, China. weiyan@bjmu.edu.cn
Key Words Large language models; Clinical psychiatry; Mixture of experts; Mental health; Research progress
Core Tip This article comprehensively reviews the application scenarios and research advancements of large language models (LLMs) in psychiatry, ranging from outpatient reception, diagnosis and therapy, clinical nursing, medication safety, to prognosis tracking. It explores optimization methods for LLMs in psychiatry. These methods combine the techniques such as pre-training, supervised fine-tuning, retrieval-augmented generation, agent systems, and prompt engineering. Based on the research findings, we propose a clinical LLM for mental health using the Mixture of Experts framework. This approach addresses the shortcomings of single LLM system and aims to improve the accuracy of psychiatric diagnosis and therapeutic interventions.
Publish Date 2025-11-04 02:41
Citation

Wang YF, Li MD, Wang SH, Fang Y, Sun J, Lu L, Yan W. Large language models in clinical psychiatry: Applications and optimization strategies. World J Psychiatry 2025; 15(11): 108199

URL https://www.wjgnet.com/2220-3206/full/v15/i11/108199.htm
DOI https://dx.doi.org/10.5498/wjp.v15.i11.108199
Full Article (PDF) WJP-15-108199-with-cover.pdf
Manuscript File 108199_Auto_Edited_091650.docx
Answering Reviewers 108199-answering-reviewers.pdf
Audio Core Tip 108199-audio.mp3
Conflict-of-Interest Disclosure Form 108199-conflict-of-interest-statement.pdf
Copyright License Agreement 108199-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 108199-non-native-speakers.pdf
Peer-review Report 108199-peer-reviews.pdf
Scientific Misconduct Check 108199-scientific-misconduct-check.png
Scientific Editor Work List 108199-scientific-editor-work-list.pdf
CrossCheck Report 108199-crosscheck-report.pdf