Bipolar Advocacy 101: From Political Change to Family Boundaries

Advocacy isn’t yelling, protesting, or going viral — and for people with bipolar disorder, doing it the wrong way can actually make things worse. In this episode, we break down what real, effective advocacy actually looks like, starting where the stakes are highest: your everyday life and expanding to social and political activism — covering everything in between.

From setting boundaries with family members who won’t stop asking about your mental health to advocating calmly (and safely) with doctors, insurance companies, and healthcare systems to presenting in front of politicians, this episode tackles the uncomfortable truth: how you advocate matters just as much as what you’re advocating for.

Listener takeaways

• practical ways to advocate with doctors and insurance companies without risking care
• the difference between being firm and being perceived as aggressive
• why “quiet” advocacy and simply showing up still move the needle
• how failed advocacy efforts still lead to real, long-term change

Gabe Howard, who lives with bipolar disorder, shares hard-earned lessons from decades of lived experience, including how passion can be misread as aggression, why “made-for-TV” advocacy fails in real life, and how preparation beats confrontation every time. Dr. Nicole Washington brings the clinician’s perspective, explaining how advocacy can unintentionally become antagonistic — and how to communicate your needs without risking your care or personal relationships.

If you’ve ever wanted to stand up for yourself — or for the bipolar community — but didn’t know how to do it without backlash, this episode gives you a roadmap.

“If you want to be an advocate, you need to develop a thick skin. Because if every time somebody criticizes a point of view, a part of your life, you lose control? Unfortunately, you're not just somebody who got angry during a debate. No, you're a mentally ill person who doesn't know how to behave in public. . .” ~Gabe Howard, Host

Our host, Gabe Howard, is an award-winning podcast host, author, and sought-after suicide prevention and mental health speaker, but he wouldn’t be any of those things today if he hadn’t been committed to a psychiatric hospital in 2003.
Gabe also hosts Healthline's Inside Mental Health podcast has appeared in numerous publications, including Bipolar magazine, WebMD, Newsweek, and the Stanford Online Medical Journal. He has appeared on all four major TV networks, ABC, NBC, CBS, and FOX.
Among his many awards, he is the recipient of Mental Health America’s Norman Guitry Award, received two Webby Honoree acknowledgements, and received an official resolution from the Governor of Ohio naming him an “Everyday Hero.”

Gabe wrote the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are available directly from the author with free swag included! To learn more about Gabe, or to 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, Dr. Nicole 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.

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