Does "Reasoning" with Large Language Models Improve Recognizing, Generating, and Reframing Unhelpful Thoughts?
On the map: LLM reasoning → Clinical and biomedical applications
Abstract (arXiv)
Cognitive Reframing, a core element of Cognitive Behavioral Therapy (CBT), helps individuals reinterpret negative experiences by finding positive meaning. Recent advances in Large Language Models (LLMs) have demonstrated improved performance through reasoning-based strategies. This inspires a promising direction of leveraging the reasoning capabilities of LLMs to improve CBT and mental reframing by simulating the process of critical thinking, potentially enabling more effective recognition, generation, and reframing of cognitive distortions. In this work, we investigate the role of various reasoning methods, including pre-trained reasoning LLMs and augmented reasoning strategies such as CoT and self-consistency in enhancing LLMs' ability to perform cognitive reframing tasks. We find that augmented reasoning methods, even when applied to "outdated" LLMs like GPT-3.5, consistently outperform state-of-the-art pretrained reasoning models on recognizing, generating and reframing unhelpful thoughts.
Key facts. Cited by 2 papers in the map (data through 14 Oct 2026). Placed in Clinical and biomedical applications, one of 17 directions in LLM reasoning. Builds on 12 of its 24 references that are in the map. First posted on arXiv 31 Mar 2025.
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- 2025DeepSeek-R1: Incentivizing Reasoning Capability in LLMs via Reinforcement Learningcited by 6,330
- 2022Self-Consistency Improves Chain of Thought Reasoning in Language Modelscited by 5,708
- 2019BERTScore: Evaluating Text Generation with BERTcited by 5,512
- 2024OpenAI o1 System Cardcited by 1,244
- 2022Towards Reasoning in Large Language Models: A Surveycited by 596
- 2024Multilingual E5 Text Embeddings: A Technical Reportcited by 372
- 2022Reasoning with Language Model Prompting: A Surveycited by 252
- 2025MMTEB: Massive Multilingual Text Embedding Benchmarkcited by 125
- 2023Cognitive Reframing of Negative Thoughts through Human-Language Model Interactioncited by 77
- 2024HealMe: Harnessing Cognitive Reframing in Large Language Models for Psychotherapycited by 47
- 2024Large Language Models are Capable of Offering Cognitive Reappraisal, if Guidedcited by 13
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Citing papers per year: 2025: 1; 2026: 1.
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- 2026To Think or Not To Think, That is The Question for Large Reasoning Models in Theory of Mind Tasks
- 2023Training Models to Generate, Recognize, and Reframe Unhelpful Thoughts
- 2025Multimodal Cognitive Reframing Therapy via Multi-hop Psychotherapeutic Reasoning
- 2025How Well Can Reasoning Models Identify and Recover from Unhelpful Thoughts?
- 2024Socratic Reasoning Improves Positive Text Rewriting
- 2025Mapping the Minds of LLMs: A Graph-Based Analysis of Reasoning LLM
- 2025Towards Understanding the Cognitive Habits of Large Reasoning Models
- 2025Large Reasoning Models are not thinking straight: on the unreliability of thinking trajectories