Annual report [Section 13 and 15(d), not S-K Item 405]

Note 1 - Organization, Plan of Business Operations (Details Textual)

v3.26.1
Note 1 - Organization, Plan of Business Operations (Details Textual)
1 Months Ended 12 Months Ended
Nov. 05, 2025
USD ($)
Apr. 24, 2025
USD ($)
May 10, 2024
USD ($)
$ / shares
May 01, 2024
USD ($)
Apr. 25, 2024
Jan. 05, 2024
USD ($)
$ / shares
shares
Feb. 28, 2023
USD ($)
Sep. 30, 2016
shares
Oct. 31, 2022
USD ($)
shares
Dec. 31, 2025
USD ($)
$ / shares
shares
Dec. 31, 2024
USD ($)
$ / shares
May 31, 2024
USD ($)
Apr. 28, 2024
$ / shares
shares
Jan. 31, 2024
USD ($)
Dec. 31, 2023
$ / shares
Nov. 30, 2023
$ / shares
shares
Jan. 31, 2023
$ / shares
shares
May 11, 2022
Deconsolidation, Gain (Loss), Amount                   $ 203,000 $ (0)              
Stockholders' Equity Note, Stock Split, Conversion Ratio                     75              
Class of Warrant or Right, Exercise Price of Warrants or Rights (in dollars per share) | $ / shares                   $ 10.56 $ 8.64       $ 32.42      
Fair Value Adjustment of Warrants                   $ (15,000) $ (170,000)              
Proceeds from Warrant Exercises                   $ 0 $ 9,421,000              
Common Stock, Par or Stated Value Per Share (in dollars per share) | $ / shares     $ 0.0001             $ 0.0001 $ 0.0001              
Stock Issued During Period, Shares, New Issues (in shares) | shares               250,000                    
Proceeds from Issuance of Common Stock                   $ 2,094,000 $ 1,623,000              
Retained Earnings (Accumulated Deficit)                   $ (105,489,000) (102,580,000)              
ATM Agreement [Member]                                    
Offering Agreement, Maximum Amount     $ 3,850,000                              
Commission Fee, Percent Fee     3.00%                              
Stock Issued During Period, Shares, New Issues (in shares) | shares                   938,990                
January 2023 Warrants [Member]                                    
Class of Warrant or Right, Number of Securities Called by Warrants or Rights (in shares) | shares                                 25,871  
Class of Warrant or Right, Exercise Price of Warrants or Rights (in dollars per share) | $ / shares           $ 22.545                 $ 116.25   $ 116.25  
Fair Value Adjustment of Warrants           $ 100,000                        
November 2023 Warrants [Member]                                    
Class of Warrant or Right, Number of Securities Called by Warrants or Rights (in shares) | shares                         221,333     194,667    
Class of Warrant or Right, Exercise Price of Warrants or Rights (in dollars per share) | $ / shares           $ 22.545             $ 22.545     $ 22.545    
New Series A Warrants [Member]                                    
Class of Warrant or Right, Number of Securities Called by Warrants or Rights (in shares) | shares           220,538                        
Warrants and Rights Outstanding, Term (Year)           5 years                        
Warrants and Rights Issued Classified as Deemed Dividend           $ 600,000                        
New Series B Warrants [Member]                                    
Class of Warrant or Right, Number of Securities Called by Warrants or Rights (in shares) | shares           220,538                        
Warrants and Rights Issued Classified as Deemed Dividend           $ 4,300,000                        
Existing Warrants [Member]                                    
Proceeds from Warrant Exercises           $ 4,500,000                        
October 2022 Warrants [Member]                                    
Class of Warrant or Right, Number of Securities Called by Warrants or Rights (in shares) | shares                         27,271          
Class of Warrant or Right, Exercise Price of Warrants or Rights (in dollars per share) | $ / shares                         $ 116.25          
Fair Value Adjustment of Warrants       $ 100,000                            
January 2024 Warrant Inducement [Member]                                    
Class of Warrant or Right, Number of Securities Called by Warrants or Rights (in shares) | shares                         441,076          
Class of Warrant or Right, Exercise Price of Warrants or Rights (in dollars per share) | $ / shares                         $ 22.545          
Warrants and Rights Issued Classified as Deemed Dividend                           $ 4,300,000        
May 2024 Warrant Inducement [Member]                                    
Class of Warrant or Right, Exercise Price of Warrants or Rights (in dollars per share) | $ / shares                         6.2          
Fair Value Adjustment of Warrants       200,000                            
Warrants and Rights Issued Classified as Deemed Dividend       4,500,000               $ 4,500,000            
Proceeds from Warrant Exercises       $ 3,700,000                            
Warrant Payment, Price Per Share (in dollars per share) | $ / shares                         $ 0.125          
New Class C Warrants [Member]                                    
Class of Warrant or Right, Number of Securities Called by Warrants or Rights (in shares) | shares                         689,680          
New Class D Warrants [Member]                                    
Class of Warrant or Right, Number of Securities Called by Warrants or Rights (in shares) | shares                         689,680          
Reverse Stock Split [Member]                                    
Stockholders' Equity Note, Stock Split, Conversion Ratio         75                          
Baergic [Member]                                    
Sale of Nonfinancial Assets, Contingent Consideration, Range of Outcomes, Maximum, Percentage 74.00%                                  
Sale of Nonfinancial Assets, Upfront Fee Received $ 300,000                                  
Sale of Nonfinacial Assets, Transaction Costs $ 100,000                                  
Deconsolidation, Gain (Loss), Amount                   $ 200,000                
Baergic [Member] | Axsome [Member]                                    
Business Combination, Voting Equity Interest Acquired, Percentage 100.00%                                  
Business Combination, Consideration Transferred $ 300,000                                  
Baergic [Member] | Axsome [Member] | Occurrence of Certain Development and Regulatory Milestones [Member]                                    
Business Combination, Contingent Consideration, Range of Outcomes, Maximum, Amount 2,500,000                                  
Baergic [Member] | Axsome [Member] | Each Indicator After [Member]                                    
Business Combination, Contingent Consideration, Range of Outcomes, Maximum, Amount 1,500,000                                  
Baergic [Member] | Axsome [Member] | AXS-17 Achieving Certain Commercial Sales Milestone [Member]                                    
Business Combination, Contingent Consideration, Range of Outcomes, Maximum, Amount $ 79,000,000                                  
Invagen Pharmaceuticals Inc [Member]                                    
Business Combination, Contingent Consideration, Range of Outcomes, Maximum, Amount                 $ 4,000,000                  
Business Acquisition, Equity Interest Issued or Issuable, Number of Shares (in shares) | shares                 5,185                  
Sale of Stock, Cash Transaction Fees, Percentage of Gross Cash Proceeds                 7.50%                  
Payments for Stock Purchase Costs                   200,000 $ 700,000              
Payment of Contingent Fee                   $ 1,400,000                
Fortress [Member] | Contribution Agreement [Member]                                    
Percentage of Transfer Ownership                                   100.00%
AnnJi [Member]                                    
License Agreement, Purchase Consideration             $ 3,000,000                      
Maximum Reimbursement Amount In Connection With Product Clinical Trial             10,800,000                      
Maximum Reimbursement Amount In Connection With Certain Development Milestones             14,500,000                      
Maximum Reimbursement Amount In Connection With Certain Drug Development Milestone             27,500,000                      
Maximum Reimbursement Amount Upon Achievement of Sales Milestone             165,000,000                      
Payments for Repurchase of Common Stock   $ 1                                
Payments Upon Termination of Agreement   200,000                                
Termination Payments Receivable   $ 1,600,000                                
License Agreement, Tax Withholding, Percent   20.00%                                
Termination Payments Receivable Within Thirty Days   $ 800,000                                
Termination Payments Receivable Within Ninety Days   800,000                                
Eligible Termination Payments, Development and Regulatory Milestones   5,000,000                                
Eligible Termination Payments, Commercial Sales Milestones   $ 17,000,000                                
Eligible Termination Payments, Royalty Percentage on Net Sales   1.75%                                
Eligible Termination Payments, Percentage of Subsequent Licensees   15.00%                                
AnnJi [Member] | Minimum [Member]                                    
Sales Milestone Required for Maximum Reimbursement             75,000,000                      
Eligible Termination Payments, Subsequent Licensees   $ 4,000,000                                
AnnJi [Member] | Maximum [Member]                                    
Sales Milestone Required for Maximum Reimbursement             $ 750,000,000                      
Eligible Termination Payments, Subsequent Licensees   $ 7,500,000