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Understanding
Psychosis
What is psychosis?
Psychosis refers to a collection of symptoms that affect
the mind, where there has been some loss of contact with
reality. During an episode of psychosis, a personβs
thoughts and perceptions are disrupted and they may
have difficulty recognizing what is real and what is not.
Who develops psychosis?
It is difficult to know the number of people who experience
psychosis. Studies estimate that between 15 and 100
people out of 100,000 develop psychosis each year.
Psychosis often begins in young adulthood when a person
is in their late teens to mid-20s. However, people can
experience a psychotic episode at younger and older ages
and as a part of many disorders and illnesses. For
instance, older adults with neurological disorders may be
at higher risk for psychosis.
What are the signs and symptoms of
psychosis?
|
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What are the signs and symptoms of
psychosis?
People with psychosis typically experience delusions
(false beliefs, for example, that people on television are
sending them special messages or that others are trying
to hurt them) and hallucinations (seeing or hearing things
that others do not, such as hearing voices telling them to
do something or criticizing them). Other symptoms can
include incoherent or nonsense speech and behavior that
is inappropriate for the situation.
However, a person will often show changes in their
behavior before psychosis develops. Behavioral warning
signs for psychosis include:
β’ Suspiciousness, paranoid ideas, or uneasiness
with others
β’ Trouble thinking clearly and logically
β’ Withdrawing socially and spending a lot more time alone
β’ Unusual or overly intense ideas, strange feelings, or a
lack of feelings
β’ Decline in self-care or personal hygiene
β’ Disruption of sleep, including difficulty falling asleep
and reduced sleep time
|
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lack of feelings
β’ Decline in self-care or personal hygiene
β’ Disruption of sleep, including difficulty falling asleep
and reduced sleep time
β’ Difficulty telling reality from fantasy
β’ Confused speech or trouble communicating
β’ Sudden drop in grades or job performance
Alongside these symptoms, a person with psychosis may
also experience more general changes in behavior that
include:
β’ Emotional disruption
β’ Anxiety
β’ Lack of motivation
β’ Difficulty functioning overall
In some cases, a person experiencing a psychotic episode
may behave in confusing and unpredictable ways and
may harm themselves or become threatening or violent
toward others. The risk of violence and suicide decreases
with treatment for psychosis, so it is important to seek
help. If you find that you are experiencing these changes
in behavior or notice them in a friend or family member
and they begin to intensify or do not go away, reach out to
a health care provider.
|
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The National Institute of Mental Health (NIMH) has
information on ways to get help and find a health
care provider or access treatment at www.nimh.nih.
gov/findhelp.
If you or someone you know is struggling or having
thoughts of suicide, call or text the 988 Suicide &
Crisis Lifeline at 988 or chat at 988lifeline.org. In
life-threatening situations, call 911.
What causes psychosis?
There is no one cause of psychosis. Psychosis appears to
result from a complex combination of genetic risk,
differences in brain development, and exposure to
stressors or trauma. Psychosis may be a symptom of a
mental illness, such as schizophrenia, bipolar disorder, or
severe depression. However, a person can experience
psychosis and never be diagnosed with schizophrenia or
any other disorder.
|
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For older adults, psychosis symptoms can be part of a
physical or mental illness that emerges later in life.
Psychosis can also be a symptom of some diseases of
older age, including Parkinsonβs disease, Alzheimerβs
disease, and related dementias.
Other possible causes of psychosis include sleep
deprivation, certain prescription medications, and the
misuse of alcohol or drugs. A mental illness, such as
schizophrenia, is typically diagnosed by excluding these
other causes.
A qualified mental health professional (such as a
psychologist, psychiatrist, or social worker) can provide
a thorough assessment and accurate diagnosis. Find tips
to help prepare for and get the most out of your visit at
www.nimh.nih.gov/talkingtips. For additional resources,
including questions to ask your health care provider,
visit the Agency for Healthcare Research and Quality at
www.ahrq.gov/questions.
How is psychosis treated?
|
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How is psychosis treated?
Studies have shown that it is common for a person to have
psychotic symptoms for more than a year before receiving
treatment. Reducing this duration of untreated psychosis
is critical because early treatment often means better
recovery. A qualified psychologist, psychiatrist, or social
worker can make a diagnosis and help develop a
treatment plan.
Treatment of psychosis usually includes antipsychotic
medication. There are several different types of
antipsychotic medications, and they have different side
effects, so it is important to work with a health care
provider to determine the medication that is most
effective with the fewest side effects.
|
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Treatment also often includes other elements. There is
substantial research support for coordinated specialty
care, which is a multi-element, recovery-oriented team
approach to treating psychosis that promotes easy access
to care and shared decision-making among specialists,
the person experiencing psychosis, and family members.
People experience better outcomes from coordinated
specialty care if they begin treatment as soon as possible
after psychotic symptoms emerge.
Coordinated specialty care is now the standard of care for
early psychosis, according to βThe American Psychiatric
Association Practice Guideline for the Treatment of
Patients With Schizophrenia.β
NIMH research on coordinated specialty care
|
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The Recovery After an Initial Schizophrenia Episode (RAISE)
research project, supported by NIMH, established
coordinated specialty care as an effective treatment for
early psychosis and identified important elements for
helping people lead productive, independent lives. Learn
more about the RAISE studies at www.nimh.nih.gov/raise.
NIMH continues to prioritize research on and expansion of
treatments for early psychosis with the launch of the Early
Psychosis Intervention Network (EPINET) in 2019. Through
EPINET, NIMH funded awards to establish a national data
coordinating center and regional scientific hubs connected
to more than 100 coordinated specialty care programs that
provide early psychosis treatment in 17 states. The EPINET
website provides resources for researchers, health care
providers, administrators, and people experiencing
psychosis and their families. The website is found at
https://nationalepinet.org.
|
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Coordinated specialty care consists of multiple components:
β’ Individual or group psychotherapy is tailored to a personβs
recovery goals. Cognitive and behavioral therapies
focus on developing the knowledge and skills necessary
to build resilience and cope with aspects of psychosis
while maintaining and achieving personal goals.
β’ Family support and education programs teach
family members about psychosis as well as coping,
communication, and problem-solving skills. Family
members who are informed and involved are more
prepared to help loved ones through the recovery process.
β’ Medication management (also called pharmacotherapy)
means tailoring medication to a personβs specific needs
by selecting the appropriate type and dose of medication
to help reduce psychosis symptoms. Like all medications,
antipsychotic medications have risks and benefits. People
should talk with a health care provider about side effects,
|
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medication costs, and dosage preferences (daily pill or
monthly injection).
β’ Supported employment and education services focus
on return to work or school, using the support of a coach
to help people achieve their goals.
β’ Case management provides opportunities for people
with psychosis to work with a case manager to address
practical problems and improve access to needed
support services.
Learn more about the components of coordinated
specialty care at www.nimh.nih.gov/raise.
People with psychosis should be involved in their
treatment planning and consulted in making decisions
about their care. Their needs and goals should drive the
treatment programs, which will help them stay engaged
throughout the recovery process.
|
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It is important to find a mental health professional who is
trained in psychosis treatment and who makes the person
feel comfortable. With early diagnosis and appropriate
treatment, it is possible to recover from psychosis. Some
people who receive early treatment never have another
psychotic episode. For other people, recovery means the
ability to lead a fulfilling and productive life, even if
psychotic symptoms sometimes return.
Clinical trials studying psychosis and related disorders
NIMH supports a wide range of research, including clinical
trials that look at new ways to prevent, detect, or treat
diseases and conditions, such as psychosis. The goal of a
clinical trial is to determine if a new test or treatment works
and is safe. Although people may benefit from being part of
a clinical trial, they should know that the primary purpose
of a clinical trial is to gain new scientific knowledge so that
others can be better helped in the future.
|
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Researchers at NIMH and around the country conduct
clinical trials with people experiencing psychosis and
healthy volunteers. Talk to a health care provider about
clinical trials, their benefits and risks, and whether one is
right for you. For more information and to find a clinical
trial, visit www.nimh.nih.gov/clinicaltrials.
How can I find help?
NIMH does not endorse specific psychosis clinics or
evaluate individual practitionersβ professional qualifications
or competencies. However, several organizations are
available to assist in finding a treatment program in your
area. The following is not a comprehensive list of all
programs, and a programβs inclusion on the list does
not constitute an endorsement by NIMH.
β’ Early Assessment and Support Alliance (EASA):
EASA offers a National Early Psychosis Directory
that lists early psychosis programs across the
United States. The directory is available at
www.easacommunity.org/national-directory.php.
|
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] |
For more information about EASA, visit
www.easacommunity.org.
β’ Early Psychosis Intervention Network (EPINET):
EPINETβs Early Psychosis Intervention Network Clinics
provide treatment and services to individuals with
early psychosis across 17 states. The list of states with
early psychosis clinics is found at
https://nationalepinet.org/epinet-clinics.
For more information about EPINET, visit
https://nationalepinet.org.
β’ National Alliance on Mental Illness (NAMI): The NAMI
HelpLine can connect you with the NAMI office in your
state and help you find programs close to home.
Find ways to get help at www.nami.org/help.
Also, you can talk with someone at the NAMI HelpLine,
MondayβFriday, 10:00 a.m.β10:00 p.m. ET, by:
β Calling 1-800-950-NAMI (6264)
β Texting βHelpLineβ to 62640
β Emailing helpline@nami.org
For more information about NAMI, visit www.nami.org.
β’ Psychosis-Risk and Early Psychosis Program
|
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] |
β Calling 1-800-950-NAMI (6264)
β Texting βHelpLineβ to 62640
β Emailing helpline@nami.org
For more information about NAMI, visit www.nami.org.
β’ Psychosis-Risk and Early Psychosis Program
Network (PEPPNET): PEPPNET supports an Early
Psychosis Program Directory that provides services to
people at risk for or experiencing early psychosis. The
directory is available at https://med.stanford.edu/
peppnet/interactivedirectory.html.
For more information about PEPPNET, visit
https://med.stanford.edu/peppnet.
β’ Substance Abuse and Mental Health Services
Administration (SAMHSA): SAMHSA has an
Early Serious Mental Illness Treatment Locator
for finding mental health treatment facilities and
programs. Find a facility in your state at
www.samhsa.gov/esmi-treatment-locator.
For more information about SAMHSA, visit
www.samhsa.gov.
For more information
MedlinePlus (National Library
of Medicine)
https://medlineplus.gov
(en espaΓ±ol: https://medlineplus.gov/
spanish)
|
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For more information
MedlinePlus (National Library
of Medicine)
https://medlineplus.gov
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spanish)
ClinicalTrials.gov
www.clinicaltrials.gov
(en espaΓ±ol: https://salud.nih.gov/
investigacion-clinica)
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|
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Attention-Deficit/
Hyperactivity Disorder:
What You Need to Know
What is ADHD?
Attention-deficit/hyperactivity disorder (ADHD) is a developmental disorder marked by persistent
symptoms of inattention, hyperactivity, and impulsivity. Some people mostly have symptoms of
inattention. Others mostly have symptoms of hyperactivity and impulsivity. Some people have both
types of symptoms.
Symptoms begin in childhood and can interfere with daily life, including social relationships and
school or work performance. ADHD is well-known among children and teens, but many adults also
have the disorder. Effective treatments are available to manage symptoms.
What are the symptoms of ADHD?
People with ADHD may experience an ongoing pattern of:
βΊ Inattention: Difficulty paying attention
βΊ Hyperactivity: Showing too much energy or moving and talking too much
βΊ Impulsivity: Acting without thinking or having difficulty with self-control
|
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βΊ Inattention: Difficulty paying attention
βΊ Hyperactivity: Showing too much energy or moving and talking too much
βΊ Impulsivity: Acting without thinking or having difficulty with self-control
Signs of inattention can include frequent difficulty with:
βΊ Paying attention to details, leading to careless mistakes at school, work, or during other activities
βΊ Concentrating on tasks or activities, for instance, while having conversations, taking tests,
completing assignments, or reading papers
βΊ Listening when spoken to directly
βΊ Following instructions or finishing tasks at school, work, or home
βΊ Organizing tasks and activities, managing time, and meeting deadlines
βΊ Completing tasks that require sustained attention, such as homework, large projects, and
complicated forms
βΊ Losing things, such as backpacks, books, keys, wallets, and phones
βΊ Getting easily distracted by unrelated thoughts or stimuli
|
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] |
complicated forms
βΊ Losing things, such as backpacks, books, keys, wallets, and phones
βΊ Getting easily distracted by unrelated thoughts or stimuli
βΊ Forgetting about daily activities, such as chores, errands, and events, or other important things, like
assignments, appointments, and phone calls
Signs of hyperactivity and impulsivity can include often:
βΊ Fidgeting, tapping hands or feet, or squirming while seated
βΊ Moving around when expected to remain seated, such as in the classroom or office, or feeling
restless in these situations
βΊ Running, climbing, or moving around at times when it is not appropriate
βΊ Being constantly βon the goβ and acting as if driven by a motor
βΊ Being unable to quietly play or take part in hobbies and activities
βΊ Talking excessively
βΊ Answering questions before they are fully asked or finishing other peopleβs sentences
βΊ Struggling to wait or be patient, such as when playing a game or waiting in line
|
{"nccl_standard": "PDF/UA;HHS (2018 Regulations);", "author": "National Institute of Mental Health", "trapped": "False", "subject": "This brochure provides information about attention-deficit/hyperactivity disorder (ADHD) in children, terns, and adults including symptoms, how it is diagnosed, causes, treatment options, and resources to find help for yourself or your child.", "source": "downloads\\healthcare\\mental_health\\adhd\\adhd-2024.pdf", "title": "Attention-Deficit/Hyperactivity Disorder: What You Need to Know", "uploaded_via": "batch_uploader", "file_hash": "74df79fa4b4eaffc5dc2e154f46451e44bc221cb561b1755b7d51d44e6243143", "batch_upload": true, "nccl_status": "Passed", "creator": "Adobe InDesign 19.5 (Macintosh)", "file_size_mb": 0.57, "moddate": "2024-08-27T14:01:37-04:00", "producer": "Adobe PDF Library 17.0", "creationdate": "2024-07-31T16:05:41-04:00", "total_pages": 8, "file_name": "adhd-2024.pdf", "file_type": ".pdf", "keywords": "Attention-deficit/hyperactivity disorder; ADHD; hyperactivity in adults; inattention in adults; impulsivity in adults; how is ADHD in adults diagnosed; causes of ADHD; how does ADHD affect adults; depression; mental health; chronic illness; chronic illness and depression; symptoms of ADHD in adults; adults with ADHD; treatment for ADHD in adults; ADHD and clinical trials; atttention-deficit/hyperactivity disorder in children and teens; ADHD in children and teens; hyperactivity in children and teens; inattention in children and teens; impulsivity in children and teens; how is ADHD in children diagnosed; causes of ADHD in children and teens; how does ADHD affect children and teens; symptoms of ADHD in children and teens; children with ADHD; teens with ADHD; treatment for ADHD in children and teens; ADHD and clinical trials for children and teens; NIMH; National Institute of Mental Health; National Institutes of Health; NIH", "source_file": "downloads\\healthcare\\mental_health\\adhd\\adhd-2024.pdf", "upload_timestamp": "2025-11-16T17:05:04.502442", "nccl_app": "PDF"}
|
Vectorstore Dataset: Mental Health
Overview
This dataset contains pre-computed vector embeddings for the mental health domain, ready for use in Retrieval-Augmented Generation (RAG) applications, semantic search, and knowledge base systems. The embeddings are generated from high-quality source documents using state-of-the-art sentence transformers, making it easy to build production-ready RAG applications without the computational overhead of embedding generation.
Key Features
- β Pre-computed embeddings: Ready-to-use vector embeddings, saving computation time
- β Production-ready: Optimized for real-world RAG applications
- β Comprehensive metadata: Includes source file information, page numbers, and document hashes
- β LangChain compatible: Works seamlessly with LangChain and ChromaDB
- β Search-optimized: Designed for fast semantic similarity search
What's Included
This dataset contains 407 text chunks from 29 source documents, each pre-embedded using the sentence-transformers/all-MiniLM-L6-v2 model. Each chunk includes:
- Text content: The original document text
- Embedding vector: 384-dimensional float32 vector
- Rich metadata: Source file, page numbers, document hash, and more
Dataset Details
Dataset Summary
- Domain:
mental_health - Total Chunks: 407
- Total Documents: 29
- Database Size: 27.12 MB (7 files)
- Embedding Model:
sentence-transformers/all-MiniLM-L6-v2 - Chunk Size: 1000
- Chunk Overlap: 200
Dataset Structure
The dataset contains the following columns:
- id: Unique identifier for each chunk
- embedding: Vector embedding (numpy array, dtype=float32)
- document: Original text content of the chunk
- metadata: JSON string containing metadata (file_name, file_hash, page_number, etc.)
Embedding Model
This dataset uses embeddings from: sentence-transformers/all-MiniLM-L6-v2
Usage
Loading the Dataset
from datasets import load_dataset
# Load the dataset
dataset = load_dataset("meetara-lab/vectorstore-mental_health")
# Access the data
print(dataset["train"][0])
# Output:
# {
# 'id': '...',
# 'embedding': array([...], dtype=float32),
# 'document': '...',
# 'metadata': '{"file_name": "...", "page": 1, ...}'
# }
Loading Back into ChromaDB
from langchain_chroma import Chroma
from langchain_huggingface import HuggingFaceEmbeddings
from datasets import load_dataset
import json
# Load dataset
dataset = load_dataset("meetara-lab/vectorstore-mental_health")["train"]
# Initialize ChromaDB
embeddings = HuggingFaceEmbeddings(model_name="sentence-transformers/all-MiniLM-L6-v2")
vectorstore = Chroma(
persist_directory="./chroma_mental_health",
embedding_function=embeddings
)
# Add documents to ChromaDB
documents = []
metadatas = []
ids = []
embeddings_list = []
for item in dataset:
ids.append(item["id"])
embeddings_list.append(item["embedding"].tolist())
documents.append(item["document"])
metadatas.append(json.loads(item["metadata"]))
# Note: You'll need to use ChromaDB's Python client directly for custom embeddings
import chromadb
client = chromadb.PersistentClient(path="./chroma_mental_health")
collection = client.create_collection(name="mental_health")
collection.add(
ids=ids,
embeddings=embeddings_list,
documents=documents,
metadatas=metadatas
)
Using with LangChain
from langchain_chroma import Chroma
from langchain_huggingface import HuggingFaceEmbeddings
# Initialize retriever
embeddings = HuggingFaceEmbeddings(model_name="sentence-transformers/all-MiniLM-L6-v2")
vectorstore = Chroma(
persist_directory="./chroma_mental_health",
embedding_function=embeddings
)
# Load from HF Hub first (see above), then use with LangChain
retriever = vectorstore.as_retriever()
results = retriever.invoke("your query here")
Domain-Specific Usage Examples
This vectorstore is optimized for Mental Health domain queries. Here are practical examples:
Example Queries
from langchain_chroma import Chroma
from langchain_huggingface import HuggingFaceEmbeddings
# Load vectorstore (see "Loading Back into ChromaDB" above)
embeddings = HuggingFaceEmbeddings(model_name="sentence-transformers/all-MiniLM-L6-v2")
vectorstore = Chroma(
persist_directory="./chroma_mental_health",
embedding_function=embeddings
)
retriever = vectorstore.as_retriever(search_kwargs={"k": 3})
# Example queries for mental health domain:
example_queries = [
"What are the early warning signs of depression and when should I seek help?",
"What are effective cognitive behavioral techniques for managing panic attacks?",
"How can I support a loved one who is experiencing PTSD symptoms?",
"What are evidence-based strategies for managing chronic anxiety in daily life?",
"How does trauma therapy work and what can I expect from treatment?"
]
# Run a query
query = "What are the early warning signs of depression and when should I seek help?"
results = retriever.invoke(query)
# Display results
for i, doc in enumerate(results, 1):
print(f"\nResult {i}:")
print(f" Source: {doc.metadata.get('file_name', 'Unknown')}")
print(f" Page: {doc.metadata.get('page', 'N/A')}")
print(f" Content: {doc.page_content[:200]}...")
Common Use Cases
This dataset is useful for:
- Mental wellness assessment and guidance
- Evidence-based therapy information and techniques
- Self-care and coping strategy development
- Crisis intervention and support resources
- Psychological education and awareness
Real-World Example
# Complete example: Query and use results
from langchain_chroma import Chroma
from langchain_huggingface import HuggingFaceEmbeddings
# 1. Initialize (after loading from HF Hub)
embeddings = HuggingFaceEmbeddings(model_name="sentence-transformers/all-MiniLM-L6-v2")
vectorstore = Chroma(
persist_directory="./chroma_mental_health",
embedding_function=embeddings
)
# 2. Create retriever with relevance filtering
retriever = vectorstore.as_retriever(
search_type="similarity",
search_kwargs={
"k": 5, # Get top 5 most relevant results
"score_threshold": 0.7 # Minimum similarity score
}
)
# 3. Query the vectorstore
query = "What are effective cognitive behavioral techniques for managing panic attacks?"
docs = retriever.invoke(query)
# 4. Process results
for doc in docs:
metadata = doc.metadata
print(f"π File: {metadata.get('file_name', 'Unknown')}")
print(f"π Page: {metadata.get('page', 'N/A')}")
print(f"π Content: {doc.page_content[:300]}...\n")
Dataset Statistics
Content Statistics
- Total Chunks: 407
- Total Documents: 29
- Average Chunks per Document: 14.0
- Database Size: 27.12 MB (7 files)
Technical Specifications
- Embedding Model:
sentence-transformers/all-MiniLM-L6-v2(384 dimensions) - Chunk Size: 1000 characters
- Chunk Overlap: 200 characters
- Format: Parquet/Arrow (optimized for fast loading)
Performance Considerations
Loading Time
- Full dataset loads in ~5-15 seconds on average hardware
- Memory usage: ~0.6 MB for embeddings alone
- Recommended RAM: 2GB+ for full dataset operations
Search Performance
- Typical query time: <100ms for similarity search
- Optimized for retrieval of top-k results (k=5-10)
- Works best with vector databases like ChromaDB, Pinecone, or Weaviate
Citation
If you use this dataset, please cite:
@dataset{meetara_vectorstore_mental_health,
title={meeTARA Vectorstore: Mental Health},
author={meeTARA Lab},
year={2024},
url={https://huggingface.co/datasets/meetara-lab/vectorstore-mental_health}
}
Limitations and Considerations
- Language: This dataset is monolingual (English only)
- Domain specificity: Optimized for mental health domain queries
- Embedding model: Uses
sentence-transformers/all-MiniLM-L6-v2- ensure compatibility if switching models - Update frequency: Dataset reflects state at time of publication; source documents may have been updated
Alternatives and Related Datasets
Looking for other domains? Check out other meeTARA vectorstore datasets:
meetara-lab/vectorstore-general_health- General health and medical information- Additional domain datasets coming soon!
Maintenance and Updates
This dataset is maintained by the meeTARA Lab team. For updates, bug reports, or feature requests, please visit our GitHub repository.
License
This dataset is released under the Apache 2.0 License. This means you are free to:
- Use the dataset commercially and non-commercially
- Modify and create derivative works
- Distribute the dataset and modifications
Please see the full license text for complete terms.
Citation
If you use this dataset in your research or applications, please cite it as:
@dataset{meetara_vectorstore_mental_health,
title={meeTARA Vectorstore: Mental Health},
author={meeTARA Lab},
year={2024},
url={https://huggingface.co/datasets/meetara-lab/vectorstore-mental_health},
license={apache-2.0},
task={feature-extraction, text-retrieval, rag}
}
Contact and Support
- GitHub: meetara-lab/meetara-core
- Issues: Report bugs or request features on GitHub Issues
- Documentation: Visit our repository for detailed documentation
Made with β€οΈ by the meeTARA Lab team
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