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.

Known true · enters 23 Mar 2028

Rules 1.1.0 · as of 14 Sep 2026

Quote

“Anxious depression, and then up to 86, down, age 15 and more is coming, but we're not there yet.”
· TMS for Treatment-Resistant Depression: A Clinical Guide with Dr. Owen Muir (Psychiatry Boot Camp transcript) · podcast

Psychiatry Boot Camp with Mark Mullen. Muir summarizes current FDA TMS clearances (MDD, OCD, smoking, anxious depression, ages 15 to 86) and says more indications are coming.

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 a new indication
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 · “more is coming”
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-0019 · deadline none · bin A
Registry entry

The FDA grants a 510(k) clearance, De Novo authorization or PMA approval for a transcranial magnetic stimulation device for a disease or condition beyond those authorized for any TMS device at the statement date.

TRUE on the decision date in the FDA 510(k), De Novo or PMA database of a marketing authorization, dated after 2024-01-04, for a transcranial magnetic stimulation device whose indications-for-use statement names a disease or condition that no TMS device was authorized for on 2024-01-04. Conditions already authorized at the statement date (major depressive disorder including treatment-resistant depression, anxious depression, smoking cessation, obsessive-compulsive disorder, migraine for single-pulse TMS) do not count. A new population or protocol within an authorized condition, a breakthrough designation, an investigational device exemption or a non-US authorization does not count. Resolution source: the FDA 510(k) Premarket Notification database, with the De Novo and PMA databases for other pathways. FALSE at the deadline when no such authorization appears there.

Resolution source: FDA 510(k) Premarket Notification database; De Novo and PMA databases for other pathways

Readings: 'indications' = FDA-authorized indications for use of TMS devices. The forecaster lists the four conditions he treats as current; they are the FDA-cleared psychiatric and addiction indications at the statement date.; 'more indications' = at least one disease or condition new to TMS as a device class; one authorization for one new condition suffices. Any TMS manufacturer counts, since the forecaster names none.; A population expansion or a protocol change within an already authorized condition is not a new indication; a listed condition under another name (MDD for TRD) is not new.; TRD counts as MDD.; The forecaster counts anxious depression as its own indication, so a new patient population for a listed disorder counts as a new indication.

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
Known trueAn item whose event has already happened but whose deadline has not passed. Shown as 'known true, enters on <deadline>'; pending in every metric until then. 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 ›
occurred on 3 Jun 2026 · checked through 13 Sep 2026
Resolver note
FDA 510(k) K260402 (Wave Neuroscience MeRT System) has decision date 2026-06-03 under 21 CFR 882.5802 with new product code SIG; the indications for use name an adjunct for treatment of adult patients with PTSD. PTSD was not an authorized TMS indication on 2024-01-04 (authorized: MDD/TRD, anxious depression, OCD, smoking cessation, sTMS migraine), so TRUE on 2026-06-03. Earlier check: every TMS 510(k) decided 2024-01-05 to 2026-06-02 carried product code OBP (MDD) or QCI (OCD); the adolescent MDD clearances (Neuronetics K231926, 2024-03-22; BrainsWay K251391, 2025-11-07) and accelerated protocols are population or protocol changes that the criterion excludes; no TMS PMA and no other new TMS product code exist. One registry reading says a new population counts; the criterion as written excludes it and governs here. Under that reading the date would be 2024-03-22 (K231926).
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
Adversarial recheck

escalated (criterion): Verified K260402 (Wave Neuroscience MeRT, new product code SIG, 21 CFR 882.5802, decision 2026-06-03, PTSD) in the FDA 510(k) database and openFDA. openFDA lists 24 OBP (MDD) and 2 QCI (OCD) clearances from 2024-01-05 to 2026-09-13, no new QMD or OKP entries, and SIG as the only new TMS product code. Population and protocol clearances (NeuroStar adolescents K231926 2024-03-22; Magstim K243869; MagVenture K251119; BrainsWay K251391; Nexstim K252358) are excluded by the criterion text. Magstim's 2025-07-09 'pain' clearance is peripheral nerve stimulation held since K992911 (2000), not a new TMS condition. So under the criterion as written 2026-06-03 is right. But reading 5 says 'a new patient population for a listed disorder counts as a new indication', which makes K231926 (2024-03-22) the first-true date, 26 months earlier and possibly inside deadlines the criterion text resolves FALSE. Criterion and readings contradict each other; a human must pick which governs.

How to read
State at window close; the outcome comes from the registry, the score from the rule.

Registry

Receding horizon

Muir promised FDA authorizes a TMS device for a new indication 2 times; it happened on 3 Jun 2026.

promised datehappened
2024202520262027202820242025202620272028TODAY2024-01-04: by 2026-01-04 · p 0.902026-03-23: by 2028-03-23 · p 0.90HAPPENED 2026-06-03X SAID ON · Y PROMISED BY · DASHED: PROMISED = SAID · DOT AREA = P

Cluster E-0019

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 a new indication · stated 23 Mar 2026FDA authorizes a TMS device for a new indication · restated 23 Mar 2026 · p 90%90%TODAY20272028

Regulatory decisions