The increasing global prevalence of mental disorders, such as depression and PTSD, requires objective and scalable diagnostic tools. Traditional clinical assessments often face limitations in accessibility, objectivity, and consistency. This paper investigates the potential of multimodal machine learning to address these challenges, leveraging the complementary information available in text, audio, and video data. Our approach involves a comprehensive analysis of various data preprocessing techniques, including novel chunking and utterance-based formatting strategies. We systematically evaluate a range of state-of-the-art embedding models for each modality and employ Convolutional Neural Networks (CNNs) and Bidirectional LSTM Networks (BiLSTMs) for feature extraction. We explore data-level, feature-level, and decision-level fusion techniques, including a novel integration of Large Language Model (LLM) predictions. We also investigate the impact of replacing Multilayer Perceptron classifiers with Support Vector Machines. We extend our analysis to severity prediction using PHQ-8 and PCL-C scores and multi-class classification (considering co-occurring conditions). Our results demonstrate that utterance-based chunking significantly improves performance, particularly for text and audio modalities. Decision-level fusion, incorporating LLM predictions, achieves the highest accuracy, with a balanced accuracy of 94.8% for depression and 96.2% for PTSD detection. The combination of CNN-BiLSTM architectures with utterance-level chunking, coupled with the integration of external LLM, provides a powerful and nuanced approach to the detection and assessment of mental health conditions. Our findings highlight the potential of MMML for developing more accurate, accessible, and personalized mental healthcare tools.

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