People share mental health diagnoses on social media, yet how such language becomes visible around their self-disclosure, and whether community engagement tracks it, remain unexamined across conditions. We analyze 89,605 Reddit posts from 739 users across eight conditions, removing each user's diagnosis disclosure and aligning their surrounding posts to that anchor. Within the pre-disclosure year, language-visible burden was highest in the month before disclosure for six conditions, earlier for post-traumatic stress disorder and furthest from it for borderline personality disorder, and remained visible afterward rather than resolving. The theme Seeking Clinical Explanations showed the largest early-to-late difference before disclosure in five conditions, yet engagement rarely tracked what users wrote: only 9 of 360 language--engagement correlations survived correction. Disclosure is therefore a waypoint in an unevenly visible process, and we offer implications for community practice and platform design where engagement metrics do not reflect clinical need.
Recent work on protecting privacy during user-LLM interactions often focuses on direct, explicit identifiers: the personally-identifiable information (PII) captured by standard detectors. One such approach is Privacy-Conscious Delegation (PCD), where a local LLM acts as an intermediary. However, privacy risk does not stem solely from explicit identifiers but also PII-free self-disclosures, leaving users identifiable through combinations of quasi-identifying traits. We investigate a probabilistic variant of PCD, where we augment its objectives with an LLM-driven probabilistic estimation of k-anonymity. To facilitate this, we first create the PUPA-SD dataset, which contains naturalistic user queries with self-disclosure. Our preliminary results indicate that optimizing PAPILLON on PUPA-SD improves quality on unseen conversations across a variety of local models and produces the best privacy-utility balance for Llama-3.2-3B, while smaller models struggle to jointly optimize quality and privacy. We propose k-anonymity as a useful auxiliary metric for tackling PCD.
Ryuichi Sumida, Mao Saeki, Masaki Eguchi +4cs.HC cs.AI cs.CL
As conversational AI systems are designed for repeated use, a central question is how a series of interactions becomes a relationship. We present a longitudinal multimodal study of a memory-augmented conversational agent (24 participants x 10 sessions), in which participants rated five relational constructs -- familiarity, self-disclosure, perceived memory, conversational quality, and enjoyment -- after each session. Two complementary dynamics emerge. First, conversational quality strongly shapes how enjoyable a session feels in the moment but does not carry forward across sessions, whereas perceived memory is relationally conditioned -- predicted by prior relational state rather than reflecting system capability alone -- and it shapes later enjoyment indirectly, via subsequent self-disclosure. Second, relationships are punctuated by discrete turning points -- crashes and surges -- that are partially traceable in multimodal behavior and open different intervention windows: surges are more behaviorally detectable in the moment, enjoyment surges persist more reliably than enjoyment crashes recover, and some crashes are better forecast from person-specific behavioral drift than detected after they have already occurred. Together, the findings suggest that longitudinal human-AI relationships are built through both slow accumulation and abrupt turning points.