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Stockholders' Equity - Additional Information (Detail) - USD ($)
$ / shares in Units, $ in Thousands
1 Months Ended 12 Months Ended
Nov. 02, 2021
Jun. 30, 2022
Aug. 31, 2020
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2016
Jun. 30, 2015
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2010
Class of Stock [Line Items]                          
Issuance of common stock in connection with asset acquisition                   $ 0 $ 0 $ 44,280  
Net proceeds from sale of common stock                   $ 8,199 18,162 80,996  
Options vesting period                   4 years      
Aggregate intrinsic value of stock options exercised                   $ 1,700 8,000 $ 55,500  
Cash received from options exercised                   $ 3,700 $ 12,900    
Weighted average per share fair value of options granted                   $ 13.66 $ 24.07 $ 24.16  
Unrecognized compensation costs                   $ 63,900 $ 66,000    
Weighted average period cost expected to be recognized                   2 years 8 months 12 days 2 years 3 months 18 days    
Weighted average remaining contractual term, Outstanding                   5 years 8 months 12 days      
Terms of award                   PSUs for which the number of shares issuable at the end of performance period can reach up to 200% of the shares approved in the award based on the achievement of certain pre-defined Acadia-specific performance criteria and continued employment through the vesting period      
Share price of common stock                   $ 15.92      
Issuance of common stock pursuant to employee stock purchase plan                   $ 4,494 $ 5,312 $ 7,162  
Potential payout $ 15,100                 11,800      
Estimated Liability                   900 600    
Fair value of awards $ 4,400                 1,800 5,600    
Compensation cost related to the awards                   $ 300 600    
Stock Options | Equity Incentive Plan 2010                          
Class of Stock [Line Items]                          
Exercise price of Options as percentage of fair market value                         100.00%
Options maximum expiration term                         10 years
Options vesting period                         4 years
Number of common stock authorized for issuance                   32,635,412      
Common stock available for grants                   12,108,840      
Common stock reserved for issuance under stock purchase plan   6,000,000     8,300,000 6,700,000 5,500,000 3,000,000 5,000,000        
Stock Options | Equity Incentive Plan 2004                          
Class of Stock [Line Items]                          
Exercise price of Options as percentage of fair market value                   100.00%      
Options vesting period                   4 years      
Number of periods additional number of shares could be added to shares authorized for issuance                   10 years      
PSU                          
Class of Stock [Line Items]                          
Unrecognized compensation costs                   $ 12,700 $ 11,500    
Weighted average period cost expected to be recognized                     2 years 3 months 18 days    
Weighted average remaining contractual term, Outstanding                   3 years 3 months 18 days    
Granted                   986,739 918,434    
Aggregate Intrinsic Value, Outstanding                   $ 32,700 $ 29,800    
Outstanding shares                   2,055,574 1,276,936    
Restricted Stock Units                          
Class of Stock [Line Items]                          
Unrecognized compensation costs                   $ 44,600 $ 39,800    
Weighted average period cost expected to be recognized                   2 years 8 months 12 days      
Employee Stock Purchase Plan                          
Class of Stock [Line Items]                          
Number of common stock authorized for issuance                   5,525,000      
Common stock reserved for issuance under stock purchase plan       3,000,000 600,000     400,000          
Common stock remained available for issuance pursuant to the Purchase Plan                   2,479,620      
Eligible employees percentage of earnings withheld to purchase shares under purchase plan                   15.00%      
Purchase price of common stock as percentage of market value                   85.00%      
Issuance of common stock pursuant to employee stock purchase plan                   330,525 296,850 377,963  
Average per share price of stock issued under purchase plan                   $ 13.60 $ 17.89 $ 18.94  
Weighted average per share fair value of purchase rights granted                   $ 13.91 $ 23.97 $ 22.47  
Issuance of common stock pursuant to employee stock purchase plan                   $ 4,500 $ 5,300 $ 7,200  
Cersci Therapeutics                          
Class of Stock [Line Items]                          
Issuance of common stock in connection with asset acquisition (in shares)     1,200,000                    
Issuance of common stock in connection with asset acquisition     $ 44,300