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Ashwagandha in bipolar disorder: cognition was not mood stabilization

An adjunct trial found differences on three cognitive tasks in stable bipolar patients. It did not establish treatment of mania, depression or prevention of future episodes.

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Supplement Science Insights Editorial Team

Published September 23, 2026

What was compared

Sixty euthymic people with bipolar disorder were randomized to an extract or placebo added to their maintenance medications for eight weeks. Fifty-three completed the study. [1]

Three cognitive tasks favored the extract, including backward digit span; other tasks did not significantly differ. Mood and anxiety scores remained stable. [1]

Limits of the result

Stability during a short study in already stable patients is not proof of relapse prevention or treatment of an active episode. Existing maintenance medicines remained part of the protocol. Funding and conflicts were not established from the abstract. [1]

A hypothetical distinction

Imagine an add-on improves one memory task while a patient continues an established medicine. That does not show the add-on can replace the medicine or control the illness on its own.

Evidence summary — Ashwagandha in bipolar disorder
DetailInterpretation
Maintenance medicinesContinued
Selected cognitive tasksImprovement signal
Episode preventionNot established
Ashwagandha in bipolar disorder: cognition was not mood stabilization — original article outline diagram
Original editorial diagram of this article’s sections; no product photograph or clinical finding is depicted.

Sources for this article

  1. Randomized placebo-controlled adjunctive study of an extract of withania somnifera for cognitive dysfunction in bipolar disorder - PubMed
    Source consulted: 2026-09-19. This is a reference resource, not a claim that we conducted the studies or tested a product.