The evolution of LEE involvement in the BDRC and the RA program participation continuum. This figure illustrates the progression of individuals from being human subjects in research to engagement as LEEs, for their expertise in living with a BD, and subsequently participating as RAs. The top portion depicts this evolution, highlighting the transition and central role of LEEs. The bottom portion presents the RA program participation continuum, showcasing the increasing levels of engagement and leadership roles that trained LEEs can assume, ranging from engaged LEE and informed participant to research consultant, research collaborator, and ultimately research leader. Broad viewpoints and perspective will be welcomed among the LEEs that participate in the BDRC. Those selected for the RA Program will need to be highly motivated and have ample time to commit to the project.