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 23 Mar 2028

Rules 1.1.0 · as of 14 Sep 2026

Quote

“So every psychiatrist should use TMS as one of the treatments they offer if they're treating patients with depression pretty soon that's gonna include psychosis and other conditions of actually just about to submit a publication on auditory hallucinations, large fail phase three data. But I think there's a core tool of psychiatry. So it's not if it's when get on board.”
· TMS for Treatment-Resistant Depression: A Clinical Guide with Dr. Owen Muir (Psychiatry Boot Camp transcript) · podcast

Psychiatry Boot Camp. Muir predicts TMS will soon extend to psychosis (he is submitting a publication on auditory hallucinations from phase 3 data) and become a core tool every psychiatrist uses.

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 ›
FDA authorizes a TMS device for psychosis
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 ›
Regulatory decisions
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 ›
None stated · undated panelItems with no deadline in the person's words, scored on a uniform 24-month window from the statement date. Part of the headline panel since rules 1.1.0; also shown on its own. Method ›, 24-month window to 23 Mar 2028
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 · “that's gonna include psychosis ... it's not if it's when”
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
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-0128 · deadline none · bin A
Registry entry

The FDA authorizes a transcranial magnetic stimulation device for a psychotic disorder indication, including auditory hallucinations.

TRUE on the decision date, in the FDA 510(k), De Novo or PMA database, of a marketing authorization dated after 2026-03-23 for a transcranial magnetic stimulation device whose indications-for-use statement names a psychotic disorder or a symptom of psychosis (for example schizophrenia, schizoaffective disorder, auditory hallucinations or auditory verbal hallucinations). A breakthrough device designation, a published trial, a professional-society guideline and off-label clinical use are not an authorization. Resolution source: the FDA device databases (510(k), De Novo, PMA). FALSE at the deadline when no such authorization is listed.

Resolution source: FDA 510(k), De Novo and PMA databases

Readings: 'that's gonna include psychosis' reads as a TMS device authorized for a psychotic disorder indication; auditory hallucinations count as a psychotic symptom.; 'and other conditions' names no countable set, so only the psychosis indication is coded.

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 ›
23 Mar 2028
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 14 Sep 2026
Resolver note
No FDA marketing authorization for a TMS device with a psychotic-disorder indication is listed as of 2026-09-14. The four TMS 510(k) clearances dated after 2026-03-23 (K260189 and K260560 on 2026-05-22, K261228 on 2026-08-14, K260691 on 2026-08-23) all sit under product code OBP, the transcranial magnetic stimulator code for major depressive disorder; K260691 adds code QCI, obsessive-compulsive disorder. The De Novo database lists only two transcranial grants, from 2013 (migraine) and 2018 (OCD). No PMA for a TMS psychosis indication appears in the same window. Caveat: the openFDA 510(k) extract is current through 2026-08-31, so clearances in the first two weeks of September 2026 may not yet be listed.
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 19 events in the field.

saiddueevent
13 Apr 2026 · FDA / Janssen: FDA approves Spravato REMS modification S-028 adding Spanish translations of REM18 Apr 2026 · President Trump: EO 14401 orders FDA priority vouchers for breakthrough psychedelics, an ibogaine23 Apr 2026 · DOJ / DEA (Acting AG Blanche): Final order moves FDA-approved marijuana products and state-licensed medical mar24 Apr 2026 · FDA: FDA awards Commissioner's National Priority Vouchers to Compass (COMP360 psilocy24 Apr 2026 · FDA / Compass Pathways: FDA grants Compass a rolling NDA submission and review for COMP360 psilocybin in24 Apr 2026 · FDA / Compass Pathways, Usona Institute, Transcend Therapeutics: FDA awards Commissioner's National Priority Vouchers to Compass (COMP360), Usona24 Apr 2026 · FDA Commissioner Marty Makary: Makary says he expects an FDA approval decision on at least one priority psyched30 Apr 2026 · Axsome Therapeutics (Auvelity / AXS-05): FDA approves Auvelity for agitation associated with Alzheimer's disease, the fir23 Jun 2026 · Louisiana Legislature: SB 43 becomes Act 956 without the governor's signature after unanimous votes, cr24 Jun 2026 · FDA / Janssen: FDA approves Spravato REMS modification S-029 with updated REMS website workflow26 Jun 2026 · Oregon Health Authority: OHA proposes fee increases for the psilocybin services program ahead of the Sept29 Jun 2026 · DEA: Expedited administrative hearing opens on broader rescheduling of marijuana, inc13 Jul 2026 · FDA (psychedelic drugs guidance): FDA finalizes 'Psychedelic Drugs: Considerations for Clinical Investigations', s14 Jul 2026 · FDA: FDA finalizes the guidance 'Psychedelic Drugs: Considerations for Clinical Inves14 Jul 2026 · FDA: FDA announces a September 14, 2026 public hearing on future therapeutic use of p10 Aug 2026 · Resilient Pharmaceuticals (ex-Lykos, midomafetamine): Resilient resubmits the MDMA-assisted therapy NDA for PTSD without a new phase 310 Aug 2026 · Resilient Pharmaceuticals (formerly Lykos): Company resubmits its NDA for MDMA-assisted therapy for PTSD (proposed brand Rys25 Aug 2026 · DEA: DEA sends its final telemedicine special registration rule to OIRA for review; tDEA: DEA SENDS ITS FINAL TELEMEDICINE SPECIAL REGISTRATION RULE TO OIRA FOR REVIEW; T8 Sep 2026 · Definium Therapeutics (DT120): FDA grants Breakthrough Therapy Designation to DT120 (lysergide) ODT in MDD follFDA AUTHORIZES A…FDA authorizes a TMS device for psychosis · stated 23 Mar 2026FDA authorizes a TMS device for psychosis · restated 23 Mar 2026 · p 90%90%TODAY20272028

Regulatory decisions