This book constitutes revised post-proceedings of the 4th International Symposium on Pervasive Computing Paradigms for Mental Health, MindCare 2014, held in Tokyo, Japan, in May 2014. The 11 full and 5 short papers presented were carefully reviewed and selected from 26 submissions for inclusion in the proceedings. The papers are organized in topical sections on recognition and assessment, mental health management, improving communication, depression, and self-applied treatments.