对比了多种模型在六类心理疾病分类中的表现，发现Transformer更准但LSTM更快。

Millions of people openly share mental health struggles on social media, providing rich data for early detection of conditions such as depression, bipolar disorder, etc. However, most prior Natural Language Processing (NLP) research has focused on single-disorder identification, leaving a gap in understanding the efficacy of advanced NLP techniques for distinguishing among multiple mental health conditions. In this work, we present a large-scale comparative study of state-of-the-art transformer versus Long Short-Term Memory (LSTM)-based models to classify mental health posts into exclusive categories of mental health conditions. We first curate a large dataset of Reddit posts spanning six mental health conditions and a control group, using rigorous filtering and statistical exploratory analysis to ensure annotation quality. We then evaluate five transformer architectures (BERT, RoBERTa, DistilBERT, ALBERT, and ELECTRA) against several LSTM variants (with or without attention, using contextual or static embeddings) under identical conditions. Experimental results show that transformer models consistently outperform the alternatives, with RoBERTa achieving 91-99% F1-scores and accuracies across all classes. Notably, attention-augmented LSTMs with BERT embeddings approach transformer performance (up to 97% F1-score) while training 2-3.5 times faster, whereas LSTMs using static embeddings fail to learn useful signals. These findings represent the first comprehensive benchmark for multi-class mental health detection, offering practical guidance on model selection and highlighting an accuracy-efficiency trade-off for real-world deployment of mental health NLP systems.