Declaration of competing interest Dr. Shell declares no financial interests or potential conflicts of interest related directly or indirectly to this work. Dr. McEvoy declares no financial interests or potential conflicts of interest related directly or indirectly to this work. Dr. McCall declares no financial interests or potential conflicts of interest related directly or indirectly to this work. In the past year, Dr. McCall has received research support from the NIA, The George Institute, and Axon Medical Technologies; served as scientific advisor for Axon Medical Technologies, Idorsia, Haleon, and Sigma Stim; been a CME Speaker for Sigma Stim; and holds equity in Axon Medical Technology, Florida State University, and Alza TV. Dr. Miller declares no financial interests or potential conflicts of interest related directly or indirectly to this work. In the past 12 months, Dr. Miller received research support from Augusta University and the Bia-Echo Foundation; served on advisory boards for Boehringer Ingelheim and Bristol Myers Squibb; and received honoraria from the American Psychiatric Association; NIH, Pharmacy Times, Psychiatric Times, and Techspert.