Recognizing medical self-disclosure is important in many healthcare contexts, but it has been under-explored by the NLP community. We conduct a three-pronged investigation of this task. We (1) manually expand and refine the only existing medical self-disclosure corpus, resulting in a new, publicly available dataset of 3,919 social media posts with clinically validated labels and high compatibility with the existing task-specific protocol. We also (2) study the merits of pretraining task domain and text style by comparing Transformer-based models for this task, pretrained from general, medical, and social media sources. Our BERTweet condition outperforms the existing state of the art for this task by a relative F1 score increase of 16.73%. Finally, we (3) compare data augmentation techniques for this task, to assess the extent to which medical self-disclosure data may be further synthetically expanded. We discover that this task poses many challenges for data augmentation techniques, and we provide an in-depth analysis of identified trends.

Self-disclosure in online health conversations may offer a host of benefits, including earlier detection and treatment of medical issues that may have otherwise gone unaddressed. However, research analyzing medical self-disclosure in online communities is limited. We address this shortcoming by introducing a new dataset of health-related posts collected from online social platforms, categorized into three groups (No Self-Disclosure, Possible Self-Disclosure, and Clear Self-Disclosure) with high inter-annotator agreement (_k_=0.88). We make this data available to the research community. We also release a predictive model trained on this dataset that achieves an accuracy of 81.02%, establishing a strong performance benchmark for this task.