A Survey of Cognitive Distortion Detection and Classification in NLP

Archie Sage, Jeroen Keppens, Helen Yannakoudakis


Abstract
As interest grows in applying natural language processing (NLP) techniques to mental health, an expanding body of work explores the automatic detection and classification of cognitive distortions (CDs). CDs are habitual patterns of negatively biased or flawed thinking that distort how people perceive events, judge themselves, and react to the world. Identifying and addressing them is a central goal of therapy. Despite this momentum, the field remains fragmented, with inconsistencies in CD taxonomies, task formulations, and evaluation practices limiting comparability across studies. This survey presents the first comprehensive review of 38 studies spanning two decades, mapping how CDs have been implemented in computational research and evaluating the methods applied. We provide a consolidated CD taxonomy reference, summarise common task setups, and highlight persistent challenges to support more coherent and reproducible research. Alongside our review, we introduce practical resources, including curated evaluation metrics from surveyed papers, a standardised datasheet template, and an ethics flowchart, available online.
Anthology ID:
2025.findings-emnlp.804
Volume:
Findings of the Association for Computational Linguistics: EMNLP 2025
Month:
November
Year:
2025
Address:
Suzhou, China
Editors:
Christos Christodoulopoulos, Tanmoy Chakraborty, Carolyn Rose, Violet Peng
Venue:
Findings
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
14884–14899
Language:
URL:
https://preview.aclanthology.org/ingest-luhme/2025.findings-emnlp.804/
DOI:
10.18653/v1/2025.findings-emnlp.804
Bibkey:
Cite (ACL):
Archie Sage, Jeroen Keppens, and Helen Yannakoudakis. 2025. A Survey of Cognitive Distortion Detection and Classification in NLP. In Findings of the Association for Computational Linguistics: EMNLP 2025, pages 14884–14899, Suzhou, China. Association for Computational Linguistics.
Cite (Informal):
A Survey of Cognitive Distortion Detection and Classification in NLP (Sage et al., Findings 2025)
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PDF:
https://preview.aclanthology.org/ingest-luhme/2025.findings-emnlp.804.pdf
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