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Inside Bipolar

Inside Bipolar

137 episodes — Page 2 of 3

Dodging Bipolar Relapse in January: Beating Holiday Havoc

As the holiday season begins, we start feeling the pull to enjoy every treat, party, and late night that November and December has to offer. But for those managing bipolar disorder, the holiday frenzy can lead to more than just leftover fruitcake in January. Join Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington as they dive into the chaotic holiday whirlpool and explain how its demands can quickly become a recipe for relapse. They discuss why indulging in a little holiday cheer might feel innocent, but can lead to unwelcome surprises like depression, disrupted routines, and, in more serious cases, a bipolar episode. With humor, honesty, and practical advice, Gabe and Dr. Nicole help you navigate this festive season mindfully so that come January, you’ll feel recharged instead of regretful. If you want to enter the new year feeling strong, this is the episode for you. “One of the things I think that trips up a lot of people is we tend to save our splurges for special occasions. But during the holidays, I mean, from Halloween to New Year's, it feels like every day is a special occasion because it's the holiday season. So, but really, I mean, you can't have 65 days of special occasions. I mean, you just can't. Or else your body will be angry at you.” ~Dr. Nicole Washington, Host This episode is sponsored, in part, by Cornbread Hemp. They produced the first-ever USDA-certified organic CBD gummies in America. Save 30% on your first order using code "Inside30." To learn more -- or read the transcript -- please visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Nov 4, 202437 min

Love & Marriage: Tackling Relationship Challenges with Bipolar Disorder

Navigating marriage is hard enough — but when bipolar disorder is in the mix, things can get even more complicated. In this episode, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, dive into the complexities of marriage when one partner lives with bipolar disorder. Gabe shares candid stories from his two divorces and the challenges of untreated bipolar, while Dr. Nicole lends her expert insights on how unmanaged moods affect relationships. They explore why marital conflicts are often misattributed to mental illness and remind listeners that, sometimes, marriage itself is just tough. If you've ever wondered how bipolar disorder impacts a long-term relationship — or if you're looking for an honest discussion about love, trust, and coping with life's ups and downs — this episode offers a refreshingly real take on what it means to build a resilient partnership despite what complications bipolar disorder may bring. “We've already talked about how hard marriage is in general. Why add to it by not doing the things that you know are your responsibility? This is your responsibility in your marriage, is managing your symptoms, managing your illness. Just like every other responsibility that you have just by being married.” ~Dr. Nicole Washington, host To learn more -- or read the transcript -- please visit the official episode page. This episode is sponsored, in part, by Cornbread Hemp. They produced the first-ever USDA-certified organic CBD gummies in America. Save 30% on your first order using code "Inside30." Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Oct 28, 202435 min

Self-Sabotage and Bipolar: Breaking the Cycle

Dive into the intricate dance between self-sabotage and bipolar disorder in this eye-opening episode. Join Gabe Howard, who lives with bipolar, and Dr. Nicole Washington as they explore the often unrecognized ways that bipolar symptoms can lead to unconscious self-sabotaging behaviors. Discover how to identify patterns of self-sabotage and why understanding the "why" behind your actions is crucial for growth. If you’ve ever felt trapped by your own choices or wondered how to break free from destructive cycles, this episode offers valuable insights and actionable steps to reclaim control over your life. Don’t miss out on this essential conversation that blends lived experience with expert advice—tune in and start your journey toward healing today. "I think a lot of people are more aware of self-sabotage than they think. So when we talk about combating it, if people say to you, you're always self-destructing, you're always blowing up your spot, you're always causing yourself issues. You're your own worst enemy. You need to get out of your own way. These are all other ways to describe you’re self-sabotaging.” ~Gabe Howard, Host This episode is sponsored, in part, by Cornbread Hemp. They produced the first-ever USDA-certified organic CBD gummies in America. Save 30% on your first order using code "Inside30." To learn more -- or read the transcript -- please visit the official episode page. Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Oct 21, 202438 min

Seasonal Bipolar: Can Weather Really Cause Symptoms?

Can the changing seasons impact bipolar disorder, much like they do with seasonal depression? In this episode, Gabe Howard and Dr. Nicole Washington tackle the intriguing question of whether bipolar disorder can have seasonal patterns. Drawing on the latest research, they explore how seasonal changes affect mood, not just in terms of depression but also mania and hypomania. Dr. Nicole sheds light on the DSM-5's reclassification of seasonal affective disorder and how it now ties into major depressive disorder—and how that relates to bipolar disorder. From the science behind circadian rhythms to practical tips for managing seasonal mood shifts, including the potential risks of light therapy, this conversation will challenge what you think you know about bipolar disorder and the changing seasons. Tune in to stay updated and discover how understanding seasonal patterns can help make your condition more manageable. To learn more -- or read the transcript -- please visit the official episode page. This episode is sponsored, in part, by Cornbread Hemp. They produced the first-ever USDA-certified organic CBD gummies in America. Save 30% on your first order using code "Inside30." “Ads for light boxes pop up, and people are going to say, this is amazing. This is a fantastic idea. I'm just going to go with this light box. There is data to support that it helps with depression during this time of year, and all those things are great. It can be wonderful. It can help seasonal depression, but you have to be careful if you have bipolar disorder using a light box. Because it can spark a little hypomania or mania for some people. So you just have to be careful. Make sure everybody involved knows what the potential risks are before you jump into something like that.” ~Dr. Nicole Washington Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Oct 14, 202435 min

Overcoming Internalized Shame and Guilt in Bipolar Disorder

Shame, guilt, and self-stigma. Our host, Gabe Howard, may openly talk about living with bipolar disorder, but that doesn't mean he doesn’t feel shame and guilt. In this episode, Gabe and Dr. Nicole Washington dive deep into the lingering guilt many feel after a bipolar diagnosis. Why do feelings of self-stigma persist, even after years into recovery? From internalized discrimination to societal misunderstandings, Gabe shares how he grappled with his diagnosis and the emotional baggage that followed. Learn how to confront these feelings and, more importantly, find the path to internalizing stability and success. Whether you have a new diagnosis or have lived with bipolar disorder for years, this episode will resonate with anyone seeking to break free from shame and embrace their journey. Tune in for an honest, no-holds-barred conversation on the real struggles and triumphs behind living with bipolar disorder. “When we think, I live with bipolar disorder and I'm not smart, I'm garbage, and I'll never achieve, we say it to ourselves. We internalize these messages. So I think that we take the stigma from society, which is like a fire, and then we dump gas on it and then let it burn out of control. And we wonder why it's turning out poorly for us? I think a huge protective factor against guilt and shame is to openly discuss it.” ~Gabe Howard To learn more -- or read the transcript -- please visit the official episode page. Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Oct 7, 202437 min

Bipolar Mixed Episodes: Navigating the Unthinkable

Can mania and depression really coexist? In this episode, our hosts unravel the complexities of bipolar mixed episodes — where mania and depression collide in the same mind, often creating a personal hell for those experiencing it. Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington dive into the complexities of mixed episodes, highlighting that they’re far more than just mood changes. Bipolar mood episodes combine dangerous elements like high energy, impulsivity, and intense hopelessness. They use vivid analogies, comparing it to mixing vodka and Red Bull — a chaotic blend where alcohol and caffeine each trigger distinct sensations but together create an entirely unpredictable and overwhelming effect. This can help listeners visualize the volatile nature of mixed episodes and why they are so challenging to manage. Discover why mixed episodes carry a higher risk of suicide and why recognizing them matters. Tune in to learn how this evolving knowledge can lead to better diagnoses, treatment, and ultimately, better outcomes for those living with bipolar disorder. “When someone is sitting in front of me and I'm trying to figure out, what is this? Is this mania? Is this a mixed episode? And I'll be completely honest with you, a lot of times, mixed episodes don't even come to the forefront of my mind. It's not something I usually say, oh, let me screen for whether this is a manic episode or a mixed episode. In all the chaos of the mania, sometimes the depression parts can get missed.” ~Dr. Nicole Washington To learn more -- or read the transcript -- please visit the official episode page. Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Sep 30, 202432 min

Fear of Relapse? Navigating the Lingering Shadows of Bipolar Disorder

This episode delves into the often-overlooked aftermath of living with bipolar disorder, even after achieving stability. Gabe, who lives with bipolar, shares his personal experiences of lingering fears, the trauma of past depressive episodes, and the constant self-monitoring that comes with managing his illness. Dr. Nicole explores the delicate balance between responsibility and self-compassion, and how trauma, even if not officially recognized as such, can profoundly alter one’s life. They discuss the concept of post-traumatic growth, the importance of individualized coping strategies, and how to navigate the thin line between symptom and emotion. This episode offers hope and practical advice for those grappling with the long-term mental fallout of living with bipolar disorder. “Many people with bipolar disorder are not worried about mania coming back because we've romanticized it and we remember it so fondly. But many of us with bipolar disorder are terrified of depression coming back because we're afraid of it. The reality is, I never worry about winning the lottery, because if it happens, I'm just going to be so happy. But I do worry about running out of money. So, I'm not worried about a sudden influx of cash, but I'm terrified of not having enough cash.” ~Gabe Howard To learn more -- or read the transcript -- please visit the official episode page. Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Sep 23, 202431 min

Work-Life Balance Is a Scam: What It Really Means for Bipolar Disorder

Trying to achieve that perfect work-life balance? You’re not alone, and it might be doing more harm than good—especially if you’re managing bipolar disorder. In this episode, Gabe Howard, who lives with bipolar, and Dr. Nicole Washington debunk the myth of work-life balance, revealing how this ideal can fuel feelings of inadequacy and guilt for those living with bipolar disorder. Instead of chasing an impossible standard, learn about work-life integration and how to create a more compassionate, flexible approach to managing your daily life. If you’re tired of feeling like you’re constantly falling short in life’s balancing act, this episode will help you rethink what that balance looks like and find a more sustainable way to navigate your journey with bipolar disorder. “I want to say, to hell with those people. Those people do not understand us. They do not understand what we go through, and they don't understand that the way that we need to recharge is built for our life, our life managing bipolar disorder.” ~Gabe Howard, Host To learn more -- or read the transcript -- please visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Sep 16, 202433 min

Navigating Friendships and Support: Building a Balanced Bipolar Support System

Today we discuss how to navigate friendships, avoid echo chambers, and integrate professional advice into your bipolar support system. Learn why having a range of perspectives is essential for your mental health journey and how to effectively manage relationships without falling into codependency. We explore the intricate balance of maintaining friendships while managing bipolar disorder. Gabe, who lives with bipolar, shares his personal challenges with relying solely on friends with bipolar disorder for support and highlights the need for a diverse support team. This episode is a must listen for anyone looking to understand the role of friends in a bipolar support network and how to foster healthy, supportive connections. “You know, there are encounters I enter where being a woman is a very big part of that encounter, and I can connect with someone on that. There are times when things shift, and I'm more likely to connect with someone who is of the same race or ethnicity. It just depends on the situation. People with bipolar disorder are no different. They're no different when it comes to that.” ~Dr. Nicole Washington To learn more -- or read the transcript -- please visit the official episode page. Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Sep 9, 202439 min

The Impact of Menstrual Cycles and Hormonal Fluctuations on Bipolar Disorder

Today we delve into the complex relationship between menstrual cycles, hormonal fluctuations, and bipolar disorder. Join Dr. Nicole Washington and Natasha Tracy, who lives with bipolar disorder, as they explore how periods and other “women’s health” issues can impact mood stability and what menstruating people with bipolar disorder should know about managing their symptoms. Learn about the importance of tracking mood changes, the role of birth control in symptom management, and why open communication between gynecologists and psychiatrists is crucial. Whether you’re personally affected or simply curious, this episode sheds light on an often under-discussed aspect of reaching recovery with bipolar disorder. “For women, it's so hard to know what to say in that situation because of the lack of data, and hopefully you're able to twig in your own mind, OK, maybe that's happening. Maybe that's a conversation I need to have. Don't wait for your doctor to bring it up. Maybe they will, maybe they won't. But don't wait, because your life can be improved by bringing up that conversation today. So, there's no reason not to do that.” ~Natasha Tracy To learn more -- or read the transcript -- please visit the official episode page. Our guest co-host, Natasha Tracy, is an award-winning writer, speaker, and social media consultant from the Pacific Northwest. She works to bring high-quality, insightful, and trusted information on bipolar disorder and related illnesses to the public while engaging with the mental health community. Natasha is a mental health thought leader and subject matter expert in bipolar disorder. Her thoughts on it have been sought by the media and academics. Her Bipolar Burble has been named a top 10 health blog by Healthista, Health.com, Healthline, Medical News Today, and others. For a complete list of Natasha’s awards, see here. You can also see here for Natasha in the Media. In 2016, Natasha published her first book, the acclaimed Lost Marbles: Insights into My Life with Depression & Bipolar. Buy Lost Marbles on Amazon. Read more about Lost Marbles here. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Sep 2, 202445 min

Answering the Overlooked: Bipolar’s Brain Changes, Vertigo, TMS, and More (From Listener Questions)

Ever wonder if dizziness is from your medication or if there's really such a thing as medication-resistant bipolar disorder? In this episode, our hosts tackle questions submitted by listeners, diving into topics rarely discussed on other podcasts. Questions include: Is the brain of someone with bipolar disorder physically different? What exactly is TMS and does it work for bipolar? Was lithium really tested on guinea pigs first? Tune in for quick, informative answers — and a dose of humor — to questions that don’t usually get the spotlight but definitely deserve attention. Listen now! Here’s what’s covered, in order: Could dizziness or vertigo be a side effect of my medication, or is something else causing it? What’s the deal with TMS as a treatment for bipolar disorder? Is medication-resistant bipolar disorder real? What should I do if I experience side effects from my medication? Should I go to the emergency room? Is the brain of someone with bipolar disorder physically different? What’s the story behind lithium being tested on guinea pigs? To learn more -- or read the transcript -- please visit the official episode page. Cold Open Transcript: Gabe: They were testing gout on guinea pigs and they came up with a treatment for bipolar disorder? Yes, that's pretty much exactly what happened. Why is that so hard to believe? Dr. Nicole: Yeah. You're just envisioning all of these little manic guinea pigs running around, and then they gave them lithium, and all of a sudden they were just, you know, chill, leisurely walking around the pen? Is that? [Laughter] Gabe: Yeah, yeah. They were just like, ‘sup? I want to chill with you. Before, they were climbing all over each other and climbing up the walls. And I mean, some of them were depressed. I mean, some of the guinea pigs weren't climbing up. They were just, like, laying there, like, I don't want any, like. Yeah, it was just, it was just a bipolar mixture of guinea pigs. Cute, furry, cuddly little guinea pigs. Dr. Nicole: [Laughter] Oh, my gosh. Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Aug 26, 202439 min

How Is Bipolar Disorder Diagnosed?

Curious about how bipolar disorder is diagnosed? Join Gabe and Dr. Nicole as they break down the intricacies of the diagnostic process. From recognizing the subtle signs of mania and depression to understanding the importance of detailed questioning, this episode offers an in-depth look at what it takes to accurately diagnose bipolar disorder. Whether you're noticing symptoms in yourself or supporting someone you care about, our hosts explain with simple language and relatable examples. They make it easy to understand how doctors figure out if it’s typical behavior or something more serious. Join us to see how clinicians connect the dots to diagnose bipolar disorder in a way that's both informative and easy to follow. "Before we delve into any of that, this episode is not designed for you to diagnose yourself or others. If you are listening to this episode so that you can give yourself a bipolar diagnosis, hit stop now. Don't listen. It's a terrible idea. I want to state it so plain and simply because I see so many influencers offering what appear to be very close to diagnoses of people. And it scares me because people think they're getting good information and they decide that they have bipolar disorder, anxiety, depression and all kinds of other things, and they're not getting this from good sources." ~Gabe Howard, Host of the Inside Bipolar podcast To learn more -- or read the transcript -- please visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Aug 19, 202434 min

Overcoming Negative Thoughts and Embracing Positivity with Bipolar Disorder

Our hosts discuss practical strategies for managing negativity with bipolar disorder in this episode. They explore the importance of setting realistic expectations and making necessary adjustments in daily routines. They also emphasize the value in understanding and differentiating between baseline emotions and those triggered by bipolar disorder. Gabe, who lives with bipolar himself, shares insights on reframing negative experiences to recognize the positives in life — or at least to see a different perspective. Listen now to learn how intentional positivity and self-awareness can combat negative thinking and improve overall well-being. "Yes, it sucks. Bipolar disorder is not anything that anybody's signing up for. But if you have it, it doesn't mean that you should just view everything as all doom and gloom and nothing's ever going to go right for you. And you can say that about just about any diagnosis. It's cancer, it's diabetes, it's heart disease. Yes, they all suck. We would not wish them on anybody. But just because you are diagnosed with bipolar disorder doesn't mean that you just go lay down and just think, well, I might as well give up and go eat worms because I have this thing. There's still a way for you to find enjoyment in life, even through the struggle of having to deal with this very difficult thing." ~Dr. Nicole Washington To learn more -- or read the transcript -- visit the official episode page. Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Aug 12, 202439 min

The Truth About Resilience with Bipolar Disorder

In this episode, Gabe and Dr. Nicole discuss the misconception that resilience is an inherent trait for those with bipolar disorder, highlighting the hard work and external support necessary for true recovery. Gabe shares personal experiences of frustration with the superficial praise of resilience, stressing the importance of addressing the trauma and journey of living with a serious mental illness. Tune in to learn what resilience is (and is not), the need for genuine support, and the impact of toxic positivity on mental health. This episode is a must-listen for anyone seeking to understand the nuanced challenges faced by those with bipolar disorder and how lasting resilience is built. "Being able to weather that storm doesn't mean that the rain isn't hitting you. It doesn't mean that the wind is not blowing off your shutters. It doesn't mean that you're coming through it 100% intact. You are being battered, and it just means that when the storm is over, you're soaking wet. You're exhausted, your house is trashed, the shutters are everywhere, but you're still standing, and now you're going to turn around and say, okay, I need help putting those shutters back. I need some dry clothes. That's what resiliency is. But I think the vast majority of people believe that resiliency is that the storm never comes, and nothing could be more false than that statement." ~Gabe Howard To learn more -- or read the transcript -- visit the official episode page. Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Aug 5, 202438 min

Pinpointing Recovery: Defining ‘Regular’ Moods and Self-Directed Goals in Bipolar Disorder

SAMHSA defines recovery as a “process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.” But how do you define recovery for yourself? Today, our hosts delve into the complexities of defining and understanding recovery in bipolar disorder. They discuss the constant struggle to distinguish between bipolar symptoms and “normal” mood fluctuations, the importance of self-directed recovery goals, and the role of medication. Dr. Nicole provides insights on what constitutes a "normal" mood, while Gabe, who lives with bipolar disorder, emphasizes the value of personalizing recovery journeys. Tune in for an enlightening conversation that challenges common misconceptions, offers practical advice, and empowers you to take charge of your mental health. Don't miss this essential guide to navigating life with bipolar disorder! To learn more -- or read the transcript -- please visit the official episode page. "Recovery is complicated. It shouldn't be. You wouldn't think that it would be, but it is. And I think once we get comfortable with the idea that recovery is complicated, we can then get comfortable with the idea that recovery is personal. And once we get comfortable with the idea that recovery is personal, we can get comfortable with the idea that recovery is self-directed." ~Gabe Howard Resource Links: https://store.samhsa.gov/sites/default/files/pep12-recdef.pdf (shows entire pamphlet) https://www.samhsa.gov/find-help/recovery (references definition) https://store.samhsa.gov/sites/default/files/sma16-4958.pdf (pamphlet w/ dimensions of wellness) Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Jul 29, 202435 min

Bipolar Psychosis: Demons, Delusions, and Hallucinations

Join our hosts as they delve into the intricacies of psychosis, hallucinations, and delusions, highlighting the challenges faced by those who experience them and their impact on loved ones. Gabe shares his journey with bipolar psychosis, detailing the intense delusions involving demons that once dominated his life. Through candid conversation and professional insights, our hosts explore the realities of mental illness, emphasize the importance of compassionate support, and discuss practical strategies for managing symptoms. Whether you’re seeking understanding, support, or education, this episode offers invaluable perspectives on living with and overcoming bipolar psychosis. Listen Now! Cold Open Transcript: Gabe Howard: On television, the hallucinations are always perfect. The person who is hallucinating is seeing a fully-fledged person. They're able to interact with that person. They're able to touch that person. They're able to play chess with that person. Is that what a hallucination needs to look like in order for somebody to seek help for it? Dr. Nicole Washington: No, that is TV, man. That is not what this looks like. Sometimes, even on some of these based on true story movies that we make about people with psychosis, sometimes those people never have visual hallucinations, but it doesn't make for good TV. It doesn't bring the point home for the watcher or the listener. You need to have that too in order to really kind of get what's going on. To learn more -- or read the transcript -- visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Jul 22, 202440 min

Psychiatry's Controversies: Overprescription, Skepticism, and Finding the Middle Ground

Today, Gabe and Dr. Nicole discuss the anti-psychiatry movement, emphasizing the importance of balancing perspectives. They acknowledge the valid concerns of anti-psychiatry advocates but caution against the dangers of extreme views, which can undermine beneficial aspects of psychiatric treatment. They encourage reading both pro- and anti-psychiatry literature to make informed decisions while underscoring the need for improvements in the mental health field to address its historical (and ongoing) shortcomings. "I know because 'I did this research that says the following things,' and that research is not grounded in reality. That is the anti-psychiatry movement that we are most worried about. But again, submerge yourself in it, learn about it, understand it, figure out what pieces apply to your treatment. Do not answer shop. Do not get stuck in the echo chamber. Do not get stuck in the silo. Because that's not a way to get good care either." ~Gabe Howard, Host To learn more -- or read the transcript -- please visit the official episode page. Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Jul 15, 202443 min

Signs of Progress: How to Recognize Recovery With Bipolar Disorder

Today, we tackle the complex question, "How do you know if you're getting better with bipolar disorder?" Gabe shares his experiences and frustrations as a patient with bipolar disorder, and Dr. Nicole provides insights from a board certified psychiatrist's viewpoint. Together, they discuss the importance of setting realistic goals, the value of tracking progress through mood journals and standardized assessments, and the often-overlooked small victories in the journey toward wellness. Whether you're managing bipolar disorder or supporting someone who is, this episode offers practical tips and heartfelt advice on recognizing progress. "We have to figure out our own benchmarks. Better is relative, and we also have to be very careful in the whole funk of I'm not getting any better. Are you comparing yourself to yourself? [. . .] You need to compare you now to how you were 2 months ago, 3 months ago, 4 months ago. What are your benchmarks?" ~Dr. Nicole Washington To learn more -- or read the transcript -- please visit the official episode page. Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the Learn more about your ad choices. Visit megaphone.fm/adchoices

Jul 8, 202440 min

Navigating the Zombie Effect: Emotional Blunting with Bipolar Disorder

We discuss the common complaint from people with bipolar disorder of feeling emotionally blunted or like a "zombie" due to their medication. Gabe expresses the people’s frustrations when their concerns seem dismissed in favor of highlighting symptom improvements. Dr. Nicole emphasizes the importance of providing specific examples and patience because medications take time to stabilize. They conclude that to effectively address this issue, people need to clearly communicate their experiences, and psychiatrists need to balance symptom management with quality of life considerations. Cold Open Transcript: Dr. Nicole: But feeling like a zombie and not having that passion, to me, those are still two very different things. That's where the disconnect is. So, did you feel like a zombie or were you just less passionate about things? Gabe: So, once again we get back to where we started, which is that telling your Dr. Nicole you feel like a zombie is just a recipe for misunderstanding. . . And probably not getting what you want. To learn more -- or read the transcript -- please visit the official episode page. Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Jul 1, 202438 min

Essential Questions to Ask About Your Bipolar Diagnosis and Treatment

Our hosts delve into the crucial aspects of understanding and managing a bipolar disorder diagnosis. Join them as they break down five essential questions every person should ask their healthcare professional about their diagnosis and treatment options. Learn why these questions matter, how to navigate the complex diagnostic process, and explore some of the common treatment avenues. Whether you've just received a diagnosis or are seeking to deepen your understanding, this episode offers valuable insights to help you take control of your journey with bipolar disorder. Listen now for practical advice and expert guidance that can make a real difference. To learn more -- or read the transcript -- visit the official episode page. Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Jun 24, 202444 min

Unmasking Imposter Syndrome: A Deep Dive into Its Origins and Impact

Our hosts try to avoid pop psychology topics and focus on specifics with more robust scientific backing. However, imposter syndrome has been getting a lot of attention recently. Even though imposter syndrome isn't officially a diagnosis, it's a real issue for many, including people with bipolar disorder. The fact is, imposter syndrome can affect anyone, regardless of other mental health disorders, and finding community and allies is one way to combat it. In this episode, our hosts reflect on the broader societal implications and the importance of recognizing and validating achievements without self-doubt. Listen Now! "People with mental illness are constantly on the outside looking in. Always, always, always. Women in the 1970s, on the outside looking in. People of color, on the outside looking in. Being in environments where you are the only, you are one of the few. Any time you are in any of those kinds of categories, how could you not have imposter syndrome? If the world and society and the media and the way we portray people with bipolar disorder and all those things paint you in this one way, how could those things not creep into your psyche and affect how you see yourself and your ability to be successful?" ~Dr. Nicole Washington To learn more -- or read the transcript -- please visit our official episode page. Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Jun 17, 202446 min

Unpacking the Psych Appointment: Questions, Expectations, and Outcomes

Ever wondered why your psychiatrist bombards you with what seem like mundane questions? Join Gabe, who is navigating life with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, as they delve into the dynamics of your psych visit. Their talk will touch on mood charts, sleep journals, and a better understanding of what is going through your provider’s mind as they direct the appointment. Uncover the hidden gems behind those seemingly routine questions and learn how they can pave the path to your journey of recovery. The hosts discuss practical insights and invaluable tips for making the most of your mental health consultations. Discover the insider's guide to maximizing your psychiatric appointments by listening now! "If I can be frank for a moment, Dr. Nicole, these are the questions that come up in the Reddit threads, in the private social media groups, and the support groups. The questions that trigger us, offend us, annoy us, bother us. That we have some emotion about, a misunderstanding and, and some feelings about." ~Gabe Howard To learn more -- or read the transcript -- visit the official episode page. Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Jun 10, 202446 min

Off the Meds: Navigating Bipolar Treatment Challenges

The common issue of people with bipolar disorder wanting to stop taking medication is discussed in today’s episode. Dr. Nicole Washington highlights that often, these people present compelling reasons why they believe their diagnosis might be incorrect, but stopping medication without a strategic, supervised approach can lead to severe consequences. Both Gabe Howard and Dr. Nicole emphasize the importance of patient education about the chronic nature of bipolar disorder and the potential dangers of stopping medication cold turkey and unsupervised. They explore safer ways to manage medication concerns, such as dose adjustments and strategies for open and direct communication. "Is it rooted in evidence that you might not have bipolar disorder, or is it rooted in your strong desire for somebody to tell you you don't have bipolar disorder? Because there are people who have legit concerns about their diagnosis and they say, listen, I just don't think I have bipolar disorder. I genuinely do not think that is what's going on with me, and this is why. That's a totally different person than the person who knows full well that they probably do have bipolar disorder, but they really are trying to find somebody to side with them." ~Dr. Nicole Washington To learn more -- or read the transcript -- please visit the official episode page. Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Jun 3, 202441 min

Humor and Breaking Stigma: Joking about Bipolar Disorder

Is it ever OK to joke about living with bipolar disorder? And what about people who live with bipolar — are they welcome to jest about their experiences, or is it considered inappropriate? While mental health circles often advocate embracing humor as a healthy coping mechanism, there's also the acknowledgment that bipolar disorder is a serious condition and should not be trivialized. Today's episode delves into this nuanced topic, inviting listeners to consider various perspectives on the matter. "We're not going to stop jokes about living with serious and persistent mental illness and bipolar disorder. I think we can use our time better; that will make us feel a lot better about the assholes who are mean-spirited. For me, I want to know the intention behind the joke. If it's to be funny, I'm a lot less offended than if it's to literally insult people." ~Gabe Howard To learn more -- or read the transcript -- please visit the episode page. Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

May 27, 202444 min

Losing Your Provider: Navigating the Therapeutic Relationship from Beginning to End

We discuss the challenges people face when needing to find a new psychiatrist, therapist, or support group, emphasizing that while people often underestimate the difficulty of this process, it's a crucial step in managing a long-term mental illness. We highlight that a solid patient-provider relationship is vital and can take time to replace a trusted professional. Dr. Nicole Washington advises on the importance of maintaining an updated medical history and being active in transitioning to a new clinician to ensure continuity of care. Gabe Howard and Dr. Washington also emphasize the effect of suddenly losing a medical professional due to retirement, relocation, or other reasons and offer guidance on smoothly transitioning to a new clinician, reassuring listeners that it's normal to experience a range of emotions during this process. You wouldn't consider your psychiatrist your friend, your therapist, your friend, but it very much feels like you've lost someone very important. Someone who was very valuable in your journey with your bipolar disorder. And all of a sudden now they're gone. You can feel just as much grief as if you lost a loved one, because you've poured so much into that person and that relationship. These are deep relationships, so don't feel silly about why am I so sad? Don't minimize the importance and the value that relationship brings to you. So take the time to grieve that loss. ~Dr. Nicole Washington To learn more -- or read the transcript -- please visit the official episode page. Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

May 13, 202443 min

Navigating Family Support: The Partnership Paradigm with Bipolar Disorder

Today we discuss the importance of forming a supportive partnership with loved ones managing bipolar disorder without it devolving into a codependent relationship. We also discuss how important it is for our friends and family members not to micromanage or infantilize those living with bipolar. We emphasize the value of open communication so loved ones can express their fears and concerns and provide encouragement and positive interaction beyond the illness. Finally, the hosts encourage sharing this episode to help foster understanding and improve the support system for those living with bipolar disorder. To learn more -- or read the transcript -- please visit the official episode page. “One of the reasons that you might not be invited in the room is because of you, and because of the way that you have talked to your loved ones, the way that you keep asking that fully loaded question of have you taken your meds, the way that you are constantly fussing at them like they're still a teenager in your home. Those might be the reasons that they don't let you get involved. Maybe if you felt like more a part of their team, as opposed to still their parent or some person in authority, they might be a little more willing to let you in when it comes to those kinds of things.” ~Dr. Nicole Washington Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Our Host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Apr 29, 202442 min

Busting Bipolar Myths: Uncovering the Truths Behind the Lies

Dispelling myths surrounding bipolar disorder can be challenging, especially considering its diverse presentation among individuals. In this episode, Gabe and Dr. Nicole delve into these misconceptions, emphasizing the varied nature of the disorder's symptoms and the complexities involved in diagnosis and treatment. While acknowledging the importance of medication, they stress the holistic approach necessary for effective management, including therapy, support networks, and coping mechanisms. Additionally, they confront the misconception that loved ones are powerless in supporting individuals with bipolar disorder. Tune in now to gain a deeper understanding of bipolar disorder and learn the truths versus the lies. To learn more -- or read the transcript -- please visit the official episode page. “. . . And that is probably one of the most dangerous myths. And really, it has its claws into all of the other myths, that this is somehow simple. And I, I'm, I'm, I'm terrified that people believe it's simple, especially for our loved ones and for our people diagnosed with bipolar disorder. Because if they don't realize how complicated this is, and they don't realize how much work they need to do and how difficult this is going to be, then they might not be prepared for what's ahead.” ~Gabe Howard, Host Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Apr 15, 202434 min

Mood Stabilizers: Unraveling the Mysteries of These Medications

Today’s episode discusses the complexities and reality of mood stabilizers for the treatment of bipolar disorder. Though mood stabilizers can significantly aid in shifting mood, they are not perfect and come with various side effects, some of which may require regular blood monitoring and can affect daily life differently for each individual. You can work with healthcare professionals to manage side effects, and sometimes, you can even find the positives in the challenges of treatment. To learn more -- or read the transcript -- please visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Apr 1, 202448 min

Speed Shift from Mania to Steady Thoughts (and How to Manage)

Many people with bipolar disorder miss the feeling of mania despite its destructive nature. Today, we discuss the complexity of treating bipolar disorder, emphasizing the importance of patience, concrete examples of symptoms, and the fact that medication can help stabilize and potentially hinder a patient's cognitive functions. Gabe and Dr. Nicole both agree on the need for people with bipolar disorder to be strong self-advocates, involve support systems, and work closely with their healthcare professionals to achieve stability and recovery. To learn more -- or read the transcript -- please visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Mar 18, 202438 min

Exploring the Gritty and Ugly Sides of Bipolar

Addressing the more difficult and less discussed aspects of bipolar disorder, such as the high suicide rates associated with the condition, the severe impacts of depressive episodes, and societal stigma & discrimination is never easy. However, in today's episode, we ask ourselves, candidly, do podcasts like this one ignore the “ugly” side of bipolar disorder? What about mental health speakers, writers, and influencers? Has the desire to put a positive spin on the harsh reality of mental illness gone too far? Our hosts want to acknowledge the complexity of addressing bipolar disorder and its consequences while still providing hope and encouragement to those affected. This episode was inspired by a listener's email. As always, we encourage feedback and topic suggestions. Send them to [email protected]. To learn more -- or read the transcript -- please visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Learn more about your ad choices. Visit megaphone.fm/adchoices

Mar 4, 202443 min

Is “I’m Bipolar” a Stigmatizing Statement?

If you spend time discussing bipolar disorder, you’ll quickly see there are many complexities and controversies surrounding language and identity. Today’s conversation aims to emphasize respect and personal empowerment while encouraging society to accommodate individual language preferences and focus on broader issues of care for those living with bipolar disorder. In today’s episode, we explore the tension between person-first language and conscious language initiatives and the way individuals with bipolar disorder choose to describe their own experiences. We question the rigidity of language initiatives and advocate for preference versus hard and fast rules To read the transcript -- and learn more -- visit the official episode page. Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Dr. Nicole Washington is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Feb 19, 202438 min

Managing Urges and Impulses with Bipolar

“Bipolar urges" are the strong desires or impulses that people managing bipolar disorder may experience. Sometimes, giving in to these impulses can lead to significant life changes, such as quitting a job or spending excessively. It’s important to understand that while urges are a natural part of human behavior, managing them in the context of bipolar disorder is critical to prevent negative outcomes and maintain stability. In this episode, Gabe Howard and Dr. Nicole explore the challenges of discerning whether urges are symptoms of bipolar disorder or regular human emotions. They stress the importance of using strategies such as creating checklists, setting boundaries, and consulting a support team when making decisions. If you or a loved one manages impulse control in the context of bipolar disorder, this episode is for you. To learn more -- or read the transcript -- please visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Feb 5, 202439 min

Borderline Personality Disorder vs. Bipolar. Why the Confusion?

Borderline personality disorder (BPD) is often compared to — or even confused with — bipolar disorder. Many people are curious whether BPD and bipolar are the same thing with different names. In this episode, we discuss what BPD is, what it is not, and if bipolar disorder and BPD have any relation at all. We also delve into whether someone can have both disorders. Join us as Dr. Nicole and Gabe compare and contrast bipolar and BPD. To learn more -- or read the transcript -- visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Jan 22, 202441 min

Attending College with Bipolar Disorder

We’ve talked about how to manage going back to work after a bipolar diagnosis. But what about going to school? What is college like with bipolar disorder? What are the unique challenges of trying to navigate academia with a mental illness? And how can you put yourself in the best possible position for success? Join us as Gabe and Dr. Nicole discuss practical tips and considerations when starting your college career — all ideas and things that will put you in the best position for success. To learn more -- or read the transcript -- please visit the official episode page. Our host, Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Our host, Dr. Nicole Washington is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Jan 8, 202448 min

Maintaining Long-Term Recovery with Bipolar Disorder

It can take a long time to reach recovery with bipolar disorder, but once you do, what then? Is it over? Can you stop going to support groups, monitoring your sleep, and tracking your moods? What about your medication and doctor’s visits — can all that just be forgotten? In fact, how long will it be before you can stop paying attention to all of this and leave bipolar disorder in your rearview mirror? Join us as Gabe and Dr. Nicole share the answers to these questions and why it may be better to look at bipolar as an annoying roommate versus something you’ll never have to deal with again. And, perhaps most importantly, why that’s OK. To learn more -- or read the transcript -- please visit the official episode page. Our host, Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Our host, Dr. Nicole Washington is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dec 25, 202337 min

Annoying Things Psych Docs Say to Patients

We asked on social media for the most annoying things people’s psychiatrists have ever said to them. Wow, did we get some responses! From access to care to dismissing symptoms to offering nonsensical advice, people really feel many psychiatrists say a lot of annoying things. In this episode, we discuss the top four answers and Dr. Nicole shares some thoughts from her perspective. Even though people had a lot of feedback, the majority remained respectful and shared a lot of great insights. Listen now! To read the transcript -- or learn more -- visit the official episode page. Our host, Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Our host, Dr. Nicole Washington is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dec 11, 202336 min

Does What You Eat Affect Bipolar?

There isn’t a specific diet that will cure bipolar disorder, but that doesn’t mean what we eat has no impact on how we feel. In fact, our diet can directly affect how we feel, which can drive the symptoms of bipolar disorder in a myriad of ways. Join us as Gabe and Dr. Nicole share specific tips on ways to eat better — even when depressed. They also work to unpack all the reasons we believe what we do about food and how it ties together with a bipolar diagnosis. To learn more -- or read the transcript -- please visit the official episode page. Our Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Nov 27, 202340 min

Brain Fog and How to Manage It

Do you have trouble remembering things? Do you not think as quickly as you used to or as you would like? Does your memory or ability to focus often feel “foggy?” Do you think it may be caused by bipolar disorder? It could be your medication, or aging, or drinking, or something else entirely – but how do you know? Join us as Gabe and Dr. Nicole discuss the frustrating symptoms of brain fog and cognitive decline. To learn more -- or read the transcript -- please visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Nov 13, 202341 min

Host's Mom Shares Family Perspective of Bipolar

Bipolar disorder is difficult to manage and it doesn’t just affect the person with the disorder. The entire family is involved, often negatively. Unfortunately, more often than not, no one takes a greater hit than mothers. In this episode, our host Gabe Howard’s mom shares the early signs of bipolar disorder, what it was like to deal with teenage angst on top of serious and persistent mental illness, and what her worries are now. Join us as Gabe steps aside and leaves the show entirely in the hands of Dr. Nicole Washington as she interviews his mother, Susan Howard. To learn more -- or read the transcript -- visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Oct 30, 202344 min

In-Patient Hospitalizations: How to Stay Prepared

No one wants to be admitted to a psychiatric hospital, though being prepared could make it easier to manage. But how do you prepare for such a thing? Whether you have been admitted in the past or just want to feel better prepared for the possibility, this episode dives deep. Join us as Gabe and Dr. Nicole share advice on how to be legally prepared (what on earth is a psychiatric advance directive?), what to pack, what not to pack, and more. They also discuss the emotional implications of preparing for this type of crisis. Listen now! To learn more -- or read the transcript -- please visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Oct 16, 202339 min

Alcohol’s Impact on Bipolar Disorder

In our society, alcoholic beverages are very common, and since people living with bipolar disorder are just like everyone else, they absorb the same messaging surrounding drinking. From the simple wedding toast to “wine o’clock” and “beer thirty” to celebrate the end of a long work day, imbibing a drink is as common as breathing. But is this the best choice for people managing bipolar disorder? It is a complicated question that depends on a myriad of factors like where you are in your recovery or whether you take medication to treat bipolar. In this episode, we discuss just how big of a deal mixing alcohol and bipolar disorder is, answering questions like “Is it really dangerous?” and “Do you need to quit drinking entirely or can you just have a little bit?” We also delve into whether it is possible to regulate bipolar disorder with alcohol. Join us as Gabe and Dr. Nicole discuss the ins and outs of alcohol use and staying stable with bipolar disorder. To learn more -- or read the transcript -- please visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Oct 2, 202344 min

Is Hypomania “Just” Less Severe Mania?

Often, when discussing hypomania in bipolar disorder, it is described as “just like mania, but not as severe.” To the uneducated populace, this creates the idea that hypomania is not as serious and, for all practical purposes, is basically “mania light.” But is that accurate? Is hypomania simply a lesser form of mania? Or are mania and hypomania two distinct symptoms that need to be treated in unique ways? Join us as Dr. Nicole gives us all the medical info and Gabe shares how well-meaning bipolar advocates — like him — contribute to the confusion. To learn more -- or read the transcript -- please visit the episode page. Our hosts, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Sep 18, 202342 min

5 People For Your Support Team (That You Coach)

Building a support system to help you manage bipolar disorder is easier said than done. In this episode, Gabe and Dr. Nicole share that a support system is helpful and give hints and tips on how to build your team. They discuss who you should have on your support team and how to recruit them as well as who to avoid and why. They also share the five most important people they feel can offer the best support. To learn more -- or read the transcript -- please visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Sep 4, 202340 min

Families Seeking Forgiveness After Recovery (Part 2 of 2)

Last week, Gabe shared all the things his parents did wrong when it came to helping him manage his bipolar disorder. This week, he tells us some of the things his parents got right. Dr. Nicole shares how many of her patients have tried to reconnect with estranged family members, and they both discuss ways to bring people back together. An inspiring, hopeful, and motivating episode awaits! Please note: This is a continuing discussion from the previous Inside Bipolar episode, “Families Are Complicated and Bipolar Doesn’t Help (Part 1 of 2),” however, both episodes can stand alone. To learn more -- or read the transcript -- please visit the episode page. Host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Aug 21, 202328 min

Families Are Complicated and Bipolar Doesn’t Help (Part 1 of 2)

Our host, Gabe Howard, frequently shares how his parents “did everything wrong” when getting him help for bipolar disorder. He has shared the fractures in his family, the misunderstandings, and the conflict in multiple past episodes. In this episode, we dive into some of the specifics of his parent’s missteps and touch on what they could have done differently. Join us as Gabe openly discusses how these mistakes impacted him and what his relationship with his parents is like now. To learn more -- or read the transcript -- please visit the episode page. Our host, Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Our host, Dr. Nicole Washington is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Aug 7, 202336 min

Second Opinion for Bipolar Disorder Diagnosis

Receiving a diagnosis of any major medical condition is scary. A bipolar disorder diagnosis can be even scarier. Many people may disagree, wondering if the doctor is correct. Should you seek a second opinion and, if so, what if another doctor or mental health professional has a different perspective? Would you benefit from hearing it? Join us as Gabe and Dr. Nicole discuss when and how you might want to look into getting a second opinion. To learn more -- or read the transcript -- please visit the episode page. Host, Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Host, Dr. Nicole Washington is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Jul 24, 202343 min

Mania Stay and Depression Go? Treatment Options for Bipolar Symptoms

Most of us want to get rid of depressive periods, but we aren’t as sold on getting rid of manic periods. And why should we be? Why won’t doctors just do what we want and relieve our depression while not messing with the often incredibly enjoyable symptom of mania? Join us as Gabe and Dr. Nicole explain why the disorder — and the human body — just don’t work that way. To learn more -- or read the transcript -- please visit the show's official episode page. Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Dr. Nicole Washington is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Episode Transcript: Producer’s Note Learn more about your ad choices. Visit megaphone.fm/adchoices

Jul 10, 202336 min

Using Supplements to Treat Bipolar Disorder

Are you interested in the pros and cons of using over-the-counter supplements to treat bipolar disorder? Some people are curious about them and others feel they are equivalent to prescription medications. But, what’s the reality? Join Gabe and Dr. Nicole as they share the potential pitfalls of using supplements as a front-line treatment and discuss some of the more popular vitamins and supplements talked about for bipolar disorder. To learn more -- or read the transcript -- please visit the official episode page. Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Dr. Nicole Washington is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Jun 26, 202338 min

Are Routines Helpful to Manage Bipolar Disorder?

Many of us have been told that maintaining a consistent routine is the key to living well with bipolar disorder. But does that ever annoy you? Does it feel like you’re being treated like a child? After all, the idea of having a routine sounds like something a toddler does, not an adult. Listen as Gabe and Dr. Nicole discuss what the concept of routines gets wrong as well as what it gets right. They even throw in some helpful hints on creating one for yourself. But, perhaps most importantly, you’ll learn the suggestion Gabe has for naming your daily schedule. To learn more -- or read the transcript -- please visit the official episode page. Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Dr. Nicole Washington is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Jun 12, 202336 min

Is Mania Always Happy? All About Dysphoric Mania

Our host, Gabe Howard, often remarks that mania has the best public relations team in the world. Why else would mania be described as an unbelievable feeling of well-being and pure bliss? It seems mania is only ever discussed as an overwhelming positive experience. For many people, mania doesn’t include a euphoric feeling — prompting the question, is it even mania? In fact, is there such a thing as mania that doesn’t include euphoria? Join us as Gabe and Dr. Nicole discuss dysphoric mania and share how it’s different from a mixed state. To learn more -- or read the transcript -- visit the official episode page. Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Dr. Nicole Washington is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

May 29, 202342 min