<?xml version="1.0" encoding="US-ASCII"?>
<!-- Generated by CompSci Transform (tm) - http://www.compsciresources.com -->
<!-- Created: Fri Nov 07 17:07:43 UTC 2025 -->
<linkbase xmlns="http://www.xbrl.org/2003/linkbase" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.xbrl.org/2003/linkbase http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd">
  <roleRef xlink:type="simple" xlink:href="https://xbrl.sec.gov/ecd/2024/ecd-2024.xsd#PvpDisclosure" roleURI="http://xbrl.sec.gov/ecd/role/PvpDisclosure"/>
  <presentationLink xlink:role="http://xbrl.sec.gov/ecd/role/PvpDisclosure" xlink:type="extended">
    <loc xlink:type="locator" xlink:label="ecd_AllAdjToCompMember" xlink:href="https://xbrl.sec.gov/ecd/2024/ecd-2024.xsd#ecd_AllAdjToCompMember"/>
    <loc xlink:type="locator" xlink:label="NetAdjustmentsForEquityAwardsMember" xlink:href="btai-20241231.xsd#btai_NetAdjustmentsForEquityAwardsMember"/>
    <presentationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="ecd_AllAdjToCompMember" xlink:to="NetAdjustmentsForEquityAwardsMember" order="6.0" preferredLabel="http://www.xbrl.org/2003/role/label"/>
    <loc xlink:type="locator" xlink:label="EquityAwardsAdjustmentsMember" xlink:href="btai-20241231.xsd#btai_EquityAwardsAdjustmentsMember"/>
    <presentationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="ecd_AllAdjToCompMember" xlink:to="EquityAwardsAdjustmentsMember" order="7.0" preferredLabel="http://www.xbrl.org/2003/role/label"/>
    <loc xlink:type="locator" xlink:label="EquityAwardsAdjustmentsChangeInFairValueAsOfVestingDateOfVestedAwardsDuringCurrentYearMember" xlink:href="btai-20241231.xsd#btai_EquityAwardsAdjustmentsChangeInFairValueAsOfVestingDateOfVestedAwardsDuringCurrentYearMember"/>
    <presentationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="ecd_AllAdjToCompMember" xlink:to="EquityAwardsAdjustmentsChangeInFairValueAsOfVestingDateOfVestedAwardsDuringCurrentYearMember" order="8.0" preferredLabel="http://www.xbrl.org/2003/role/label"/>
    <loc xlink:type="locator" xlink:label="FairValueAtLastDayOfPriorYearOfEquityAwardsForfeitedDuringTheYearMember" xlink:href="btai-20241231.xsd#btai_FairValueAtLastDayOfPriorYearOfEquityAwardsForfeitedDuringTheYearMember"/>
<!-- [WMV6][pjLzSE1X44K7gwfp7fTToSyn9hI6do0Y7KeDoLudh4VHHTNjruMoutzIWYIuZ2aI/8TyFBVxAZ1drrDM/sMOU+958yGy0O8sbMmsqsk6DTT6YRcYYwhINqJvvyQdN8s57hW6UU8jOFT0f1gtfpQ6T2DHhNsGokoEN0Po/Cyhm5LbW7U3K6UtGVk9dpQmvPEo1iuopAQ4b7ReQ8E+gpIvfvlBlQdNRB9G5EpSSLUy9NAw4QaNu076cVGyrmJQjJcrXfl9yu1OX3UuLYj3U/hVGadkiH3pc6ULtA8KZkS0fRnF1XZKoNPPMPNBCF63zbvpJlgc] CSR-->
    <presentationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="ecd_AllAdjToCompMember" xlink:to="FairValueAtLastDayOfPriorYearOfEquityAwardsForfeitedDuringTheYearMember" order="9.0" preferredLabel="http://www.xbrl.org/2003/role/label"/>
  </presentationLink>
</linkbase>
