A system, method, and computer program product for combining causal domain models with reasoning and text processing for knowledge driven decision support are provided. A knowledge driven decision support system is capable of creating a domain model, extracting and processing quantities of text according to the domain model, and generating understanding of the content and implications of information sensitive to analysts. An interface may be used to receive input to model complex relationships of a domain, establish implications of interest or request a query, and update the causal model. A processing element can capture and process text into text profiles by incorporating the domain model and process the text profiles in accordance with the domain model by applying formal reasoning to the information to derive trends, predict events, or arrive at other query results. An output element can provide a user the resulting information related to the domain model.