Forecast Ledgerinterventional psychiatry and psychedelic medicineQuoted, dated predictions scored against public outcomes under one written method. Every score links to the words, the rule and the evidence.

Pending · due 31 Dec 2026

Rules 1.1.0 · as of 14 Sep 2026

Quote

“There will be three or more at-home depression treatment devices on the market by the end of 2026. We already have the Flow approval announced, and more is coming.”
· Ten 2026 Predictions on Which to Hang Your Hat. · substack post

Item 7 of the 2026 predictions list: at least three at-home depression treatment devices on the (US) market by end of 2026; Flow Neuroscience's approval is cited as already announced.

Intake

EventA proposition written from a template on the asset, with a resolution criterion and a named public source, before the outcome is looked up. The same event resolves every person's items on it. Method ›
Three or more at-home depression treatment devices on the US market
AreaOne of five topic classes: regulatory decisions, clinical trial outcomes, company and market outcomes, payer and policy, practice adoption. Every event has one area. Method ›
Company and market outcomes
DeadlineThe date by which the event must happen for the item to be true. It comes only from the person's words through the anchor table. Method ›
31 Dec 2026 AnchorThe fixed table that turns the person's own words ('by 2026', 'Q2', 'within two years') into a deadline. The coder never invents a date. Method › · “by the end of 2026”
Probability
0.90 LexiconThe fixed five-bin table that turns a phrase into a probability. The strongest phrase in the claim sentence decides; coders never read tone. Method › · binOne of five lexicon steps: A 'will' 0.90, B 'probably' 0.70, C 'may' 0.50, D 'unlikely' 0.30, E 'never' 0.10. A stated number goes to the nearest bin for calibration only. Method › A · “There will be three or more”
Base rateThe probability a published external study gives an event of that class and stage, fixed at intake. Halved when the item window is shorter than the class median time to decision. Never learned from the ledger's own items. Method ›
None in the table
Tags
affiliated, retrospective
Coder BCohen's kappa: agreement between two coders beyond chance, from -1 to 1. Reported for admit, event, deadline, bin and asserts from the second-coder match test. Method ›
admittedA statement that passed intake: sincere, the person's own claim, forward-looking, inside the five areas, and not excluded by a reason code. Only admitted statements become items. Method › · event E-0053 · deadline 31 Dec 2026 · bin A
Registry entry

By the period end, three or more distinct hardware devices with an FDA authorization naming a depressive disorder indication and home use are commercially available in the United States, per FDA device databases and sponsor availability announcements.

Resolved on FDA device authorization records and sponsor announcements only. Count the distinct hardware devices that, at the period end, (a) hold an FDA marketing authorization (510(k) clearance, De Novo grant or PMA approval, per the FDA 510(k), De Novo and PMA databases) whose indications for use name a depressive disorder (major depressive disorder or depression) and home use or use outside a clinical setting, and (b) are commercially available to patients in the United States per the sponsor's public announcement (press release or product website). TRUE if the count is three or more; FALSE otherwise. Devices marketed for depression without such an authorization, software-only products, and devices authorized only for in-clinic use do not count. If the FDA databases and sponsor announcements cannot establish the count 12 months after the deadline, the event is unresolvable.

Resolution source: FDA 510(k), De Novo and PMA databases (authorizations) with sponsor press releases (commercial availability)

Readings: 'On the market' is read as legally marketed in the United States: an FDA authorization naming depression and home use, plus commercial availability. The forecaster counts 'the Flow approval' as the first, so Flow counts if it is marketed by the period end.; 'At-home depression treatment devices' = hardware devices (the forecaster's example is a Flow headset) whose FDA indications for use name a depressive disorder and home use; the device type (tDCS, TMS, nerve stimulation, other) is not restricted; software-only digital therapeutics are not counted.; 'We already have the Flow approval announced, and more is coming' is context for the count, not a separate coded claim.

How to read
The event, criterion and deadline were written at intake, before the outcome1 if the registry event happened on or before the item's deadline, 0 if it did not. Written by a resolver who never sees p. Method › was looked up. Coder B coded the statement independently.

Coder A

Resolution

State
PendingAn item whose deadline has not passed. Counted, never scored. Method ›
Effective deadlineAn item enters the score only when its deadline has passed and the outcome is true or false. A claim already known true still waits for its deadline. Method ›
31 Dec 2026
Outcome1 if the registry event happened on or before the item's deadline, 0 if it did not. Written by a resolver who never sees p. Method ›
not occurred · checked through 13 Sep 2026
Resolver note
Count as of 2026-09-13 = 2, below the threshold of 3. (1) Flow FL-100 (tDCS): PMA P230024 approved 2025-12-08 for moderate-to-severe MDD in adults at home; US availability from 2026-09-01 per Flow and a 2026-09-08 launch report. (2) Neurolief Proliv Rx: PMA P250010 approved 2025-12-31, adjunctive MDD, for use at home or in clinic, prescription only; the sponsor reports availability through authorized prescribers and early commercial traction (counted). No third device: Cervella 510(k) K182311 (2019) names depression, but 21 CFR 882.5800 makes CES for depression class III with a PMA due by 2020-03-19, no Cervella PMA exists and its site says depression requires PMA; Alpha-Stim is US-cleared for anxiety, insomnia and pain only; Fisher Wallace has no FDA authorization (anxiety decision expected Q3 2026, depression 2027); Sooma is in an IDE pivotal trial; software-only products excluded.
BrierThe squared gap between a probability and the outcome, (p - o)^2. 0 is perfect, 0.25 is the constant coin flip, 1 is confidently wrong. Lower is better. Method ›
Not scored
How to read
State at window close; the outcome comes from the registry, the score from the rule.

Registry

Timeline

1 claim against 16 events in the field.

saiddueevent
5 Jan 2026 · Cybin / Helus Pharma: Cybin rebrands as Helus Pharma and moves its US listing to Nasdaq under ticker H12 Jan 2026 · MindMed / Definium Therapeutics: MindMed rebrands as Definium Therapeutics (Nasdaq: DFTX from Jan 15) and guides 21 Jan 2026 · Johnson & Johnson (Spravato): J&J full-year 2025 results show Spravato sales of about $1.7B, with Q4 2025 up 618 Feb 2026 · Compass Pathways: Compass prices a $150M public offering the day after COMP006 topline; with warra1 Mar 2026 · Alto Neuroscience: Alto closes a $120M private placement led by Commodore Capital at $20 per share,17 Mar 2026 · Neuronetics: Neuronetics appoints Dan Reuvers as CEO as 2025 revenue nearly doubles after the7 Apr 2026 · Neuronetics: Neuronetics' top shareholder says the company has 'chronically underperformed' a29 Apr 2026 · GH Research: GH Research prices a $117.5M underwritten offering at $18 per share to fund the 13 May 2026 · Compass Pathways: Compass Q1 2026 update: rolling NDA sections already submitted, final submission25 Jun 2026 · Definium Therapeutics: Definium closes an upsized $805M public offering at $34 per share three days aft25 Jun 2026 · Helus Pharma: Helus completes a $50M underwritten offering, lifting cash to about $207M ahead 8 Jul 2026 · Done Global: Done founder Ruthia He is sentenced to 72 months in prison and fined $90M for th15 Jul 2026 · Johnson & Johnson (Spravato): J&J Q2 2026 results show Spravato sales of $584M, up 25% quarter over quarter an16 Jul 2026 · Eli Lilly / AtaiBeckley: Lilly agrees to acquire AtaiBeckley for $6.75 per share cash plus a CVR of up to3 Aug 2026 · Helus Pharma: Helus Pharma appoints Michael Halstead as chief executive officer ahead of its p11 Sep 2026 · Eli Lilly / AtaiBeckley: Eli Lilly completes its acquisition of AtaiBeckley, taking BPL-003 and VLS-01 inELI LILLY / ATAIBECKLEY: ELI LILLY COMPLETES ITS ACQUISITION OF ATAIBECKLEY, TAKING BPL-003 AND VLS-01 INTHREE OR MORE AT-…Three or more at-home depression treatment devices on the US market · stated 1 Jan 2026Three or more at-home depression treatment devices on the US market · restated 1 Jan 2026 · p 90%90%TODAY2026

Company and market outcomes