

Inside Bipolar
Gabe Howard & Dr. Nicole Washington
Join Gabe, who lives with bipolar, and Dr. Nicole, a board certified psychiatrist, as they explore the spectrum of this misunderstood illness. They tackle bipolar disorder using real world examples, the latest research, and just enough funny to keep you intrigued. Signal Award Gold Winner, 2024. Signal Award Listener's Choice Winner, 2024. Webby Honoree two years in a row -- 2024 & 2025!
Episodes
Mentioned books

Dec 15, 2025 • 44min
Traveling with Bipolar: Tips That Actually Work
Traveling is supposed to be fun — but when you live with bipolar disorder, even a short trip can disrupt sleep, routines, and stability. In this episode, Gabe Howard (who lives with bipolar) and Dr. Nicole Washington get honest about why vacations can feel overwhelming, how to plan without fear, and the exact safeguards that make travel not just possible, but enjoyable.From jet lag to family expectations, from “what if I’m not stable in 6 months?” to navigating early recovery setbacks, this conversation gives you practical, nonjudgmental guidance you can use immediately. Whether you’re planning your first overnight away or a bucket list vacation, you’ll walk away with tools to travel confidently, all without sacrificing stability.
Listener takeaways
how travel disrupts routines — and which disruptions matter most
tips for setting realistic expectations and reducing travel anxiety
the difference between “I’m too sick to go” and “I’m just nervous”
how to create a personalized travel routine that supports stability
If you’ve ever wondered, Can I actually travel with bipolar disorder? the answer is yes. And this episode shows you how.
"I have so many stories of me losing my mind out in public and needing to be calmed down and, you know, given water. I have so many stories of getting ready to go to the show, the concert, the play, the, the event, the whatever, and then refusing to leave and ruining it for everybody else. So I don't want anybody to think that this just came naturally. . ." ~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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Dec 1, 2025 • 32min
Addressing Racial & Ethnic Groups in Bipolar Care: Stigma and Misdiagnosis Exposed
The mental health system didn’t start out fair — and in many ways, it still isn’t. In this powerful episode, Dr. Nicole Washington sits down with fellow psychiatrist Dr. Leesha Ellis-Cox to unpack the long, painful history that continues to shape the experiences of Black Americans seeking mental health care. From the horrifying “diagnosis” of drapetomania in the 1800s to the Tuskegee Syphilis Study, they trace how mistrust, stigma, and systemic bias became woven into the Black community’s relationship with psychiatry.But they don’t stop there. Dr. Nicole and Dr. Leesha explore the research showing that Black and Hispanic people are 3 to 4 times more likely to be misdiagnosed with schizophrenia instead of bipolar disorder — a mistake that can derail treatment, worsen symptoms, and put lives at risk.Listener takeaways
the historical roots of racial disparities in psychiatric diagnosis
why Black Americans are more likely to be misdiagnosed with schizophrenia
how stigma and generational trauma shape attitudes toward treatment
practical steps to find culturally humble, affirming providers
Most importantly, they offer real, actionable advice: how to find culturally affirming care, how to navigate bias in the system, and how Black and other communities of color can break generational silence around mental health. This conversation is validating, eye-opening, and deeply empowering. Listen now!
Our guest, Dr. Leesha Ellis-Cox, affectionately known as Dr. Leesha, is a double board certified child, adolescent, and adult psychiatrist. She earned both her Bachelor of Science and Doctor of Medicine degrees from the University of North Carolina at Chapel Hill and completed her general psychiatry residency training, child and adolescent psychiatry fellowship, and community mental health/public psychiatry fellowship at Emory University School of Medicine in Atlanta. Since 2009, she has lived and worked in Alabama and is the medical director at Central Alabama Wellness, a community mental health center located in metro Birmingham.
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.
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.
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Nov 17, 2025 • 39min
Parenthood, Choice, and Bipolar: Reproductive Justice Explain
People with mental illness, including bipolar disorder, have long been denied the right to make their own reproductive choices. This episode looks at how psychiatry’s history and stigma continue to shape who gets to decide.
Dr. Nicole Washington sits down with mental health advocate Dr. Keris Myrick to unpack the intersection of reproductive justice and mental illness — and how stigma, outdated systems, and silence continue to rob people of autonomy over their bodies and futures. Together, they explore the three pillars of reproductive justice — the right to have a child, to not have a child, and to raise a child in a safe environment — through the lens of psychiatric care.
Listener takeaways:
Learn what a Psychiatric Advance Directive is—and how to create one.
Discover how to start meaningful conversations with your providers about family planning.
Gain insight into how choice, autonomy, and care can coexist in mental health treatment.
Whether you’re living with bipolar disorder, a provider, or an advocate, this conversation will challenge your assumptions, break stigma, and offer new ways to protect choice, dignity, and autonomy for all.
Our guest, Keris Jän Myrick, PhD (ABD), MBA, MS is a nationally recognized advocate, executive, and storyteller whose work has redefined how we understand and reform mental health and substance use systems. Known for her fierce leadership, creativity, and humanity, Keris brings both lived and learned expertise to every space challenging the status quo and building new paths rooted in dignity and rights.
She serves as Senior Vice President of Partnerships and Innovation at Inseparable, where she helps shape mental health policy and practice. Keris also hosts the acclaimed podcast Unapologetically Black Unicorns, co-edits the Lived Experience Inclusion and Leadership column in Psychiatric Services, and serves on the boards of Disability Rights California and the Center for Health Care Strategies. She is an inaugural member of the Global Leadership Exchange (GLE) Lived Experience Council and lives in Los Angeles with her dog, Obi.
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.
Our typical cohost, 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 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. Learn more about your ad choices. Visit megaphone.fm/adchoices

Nov 3, 2025 • 46min
How to Find Hope When Bipolar Steals It Away
Life with bipolar disorder often feels like a constant battle, so being told to find hope can seem like a cruel joke. But what if hope isn’t naïve — it’s necessary? In this episode, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington dive deep into the real, practical power of hope and how to find it even when it feels impossible.
From planning something to look forward to, to saying “yes” to new experiences, they explore small, science-backed ways to keep hope alive. Gabe shares personal stories about concerts, silly dance videos, and even late-night wrestling shows that reignited his optimism, while Dr. Nicole breaks down why hope isn’t just wishful thinking — it’s a key part of recovery.
Listener takeaways:
why hope is more than a feeling — it’s a survival skill.
how planning future events (big or small) boosts mood stability
practical ways to document joyful memories to remember on tough days
the difference between hoping and believing — and why both matter
This is the episode you didn’t know you needed when things feel impossible. Listen now!
“Being intentional about remembering what it felt like to be happy and starting to formulate a plan to get back to it breeds a lot of hope. Because it's always easier to do something that you've already done.” ~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.
Please recommend this podcast to all your friends! Sharing the show is how we grow. Thank you! :)
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Oct 20, 2025 • 44min
Fish Oil and Bipolar: Hype or Helpful?
In this episode, Gabe Howard (who lives with bipolar disorder) and psychiatrist Dr. Nicole Washington unpack what the research actually shows, why supplement quality is inconsistent (and sometimes downright sketchy), and how side effects — even with “natural” products — are very real. In short, they dig into the science, hype, and hope surrounding omega-3 supplements.
Listener takeaways:
why omega-3s may help with certain bipolar symptoms — especially depression
the risks of using supplements as a substitute for prescribed treatment
how to spot high quality fish oil (and avoid bottles full of fillers)
why “natural” doesn’t automatically mean “safe”
Plenty of people in the bipolar community are desperate for alternatives to pharmaceuticals, and fish oil often gets framed as a safer, side-effect-free solution. If you’ve ever wondered whether popping a fish oil capsule could replace your meds — or just help you manage life with bipolar disorder more smoothly — this is the episode you don’t want to miss.
“If it's powerful enough to fight bipolar disorder, it is powerful enough to potentially have interactions. One of the things that I'm always fascinated about in the bipolar community is when we say things like, hey, this thing is so powerful, it will treat bipolar disorder, which we know to be dangerous and damaging, but it also is so safe that it won't cause any side effects or interfere with any other medications or any other organs or anything. It's like it can't be both.” ~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. Learn more about your ad choices. Visit megaphone.fm/adchoices

Oct 6, 2025 • 41min
Unpacking the Binge Eating Disorder and Bipolar Connection
What happens when binge eating disorder and bipolar disorder collide? Research shows they co-occur in as many as one in four cases — and yet, many people living with both conditions feel completely alone. In this episode, host Gabe Howard shares his personal journey of living with bipolar disorder and binge eating disorder, including how food was his form of self-medication.Board certified psychiatrist Dr. Nicole Washington breaks down the clinical side: what binge eating disorder actually is, how it’s diagnosed, and why treating it alongside bipolar disorder can get “tricky.”
Listeners will learn:
signs and symptoms of binge eating disorder (beyond overeating)
why stability with bipolar disorder often makes binge eating easier to manage
unique treatment challenges — including why the only FDA-approved medication for binge eating disorder may be destabilizing for people living with bipolar disorder
Gabe and Dr. Nicole rip the lid off the shame, secrecy, and stigma surrounding binge eating disorder, especially when it coincides with bipolar disorder. With honesty and compassion, they share practical treatment insights, real hope, and a powerful reminder: You are not alone. Whether you’re having trouble or supporting someone you love, this episode delivers validation, guidance, and the encouragement you need to take the next step toward healing and living your best life.
"I weighed over 550 pounds and I knew that I was unhealthy. But I didn't really see binge eating disorder as a mental health problem because bipolar disorder sucked all the oxygen out of the room. And I was lucky, I did go from over 550 pounds down to the 200 that I weigh now, because I had the right interventions. I treated both bipolar disorder and binge eating disorder. But I imagine that many listeners, they don't realize the connection between these two." ~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.
Learn more about your ad choices. Visit megaphone.fm/adchoices

Sep 22, 2025 • 35min
Hypochondria (aka Illness Anxiety Disorder) in Bipolar Disorder Examined
What happens when bipolar disorder collides with hypochondria? Is it even possible for someone to have both conditions? In this episode, Gabe Howard (who lives with bipolar) and Dr. Nicole Washington (a psychiatrist) tackle the complex overlap between bipolar disorder and what’s often called hypochondria but is now known as illness anxiety disorder.Together, they explore the confusion that comes when symptoms of panic, mania, or depression mimic physical health conditions — and why people with bipolar disorder often have trouble being taken seriously in medical settings. From emergency room misdiagnoses to the fear of “crying wolf” during a health scare, our hosts unpack the stigma and frustration many face when advocating for their physical health.Key takeaways
the difference between illness anxiety disorder (hypochondria) and bipolar symptoms
why people with mental illness are often dismissed in healthcare
how therapy can help reduce overwhelming health fears
You’ll also hear practical advice on how to tell the difference between anxiety and a medical emergency, the importance of knowing your symptom patterns, and why having a consistent primary care doctor is crucial. Listen now!
"It matters whether you have hypochondria or whether mania is driving it, because of your next steps. If you truly have hypochondria, if you really are a hypochondriac, you are worried about being sick regardless of your mood state. So whether you're happy, sad, manic, whatever, this hypochondria persists. If you're only ultra focused on illness in a manic state or a grandiosity state, or with some specific symptom of bipolar disorder. Then it's just the bipolar disorder manifesting itself." ~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.
Please share the show with everyone you know! Learn more about your ad choices. Visit megaphone.fm/adchoices

Sep 8, 2025 • 45min
Beyond Pills: Proven, Science-Based Approaches to Bipolar Management
What if managing bipolar disorder wasn’t just about medication? Too often, conversations around bipolar treatment stop at the pharmacy counter. But what about therapy that helps you process trauma? What about learning your triggers before a full-blown episode hits? What about diet, exercise, creativity, and community support? These are not extras — they’re essential.In this episode, hosts Gabe Howard (who lives with bipolar) and Dr. Nicole Washington (a board certified psychiatrist) dive deep into science-backed strategies for managing bipolar disorder beyond medication. From therapy to sleep hygiene to mindfulness medications, they explore the powerful “other pieces of the puzzle” that can help stabilize moods and improve daily life.
Key Takeaways
how being “med compliant” isn’t the be-all and end-all of bipolar management
why therapy, triggers, and sleep tracking can be critical in maintaining stability
how diet, exercise, and creativity can support long-term mental health
practical steps to build (and lean on) a strong, balanced support system
If you’ve ever asked, “What else can help manage bipolar disorder besides being ‘med compliant’?”— this episode has the answers.
“People aren't discussing them enough. When it comes to managing bipolar disorder, it's not one big thing that you do well. It's many little things. And this episode, especially the research for it, has really shown me that doing a lot of little things well often garners really big results.” ~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. Learn more about your ad choices. Visit megaphone.fm/adchoices

Aug 25, 2025 • 41min
Firing Your Mental Health Provider: Ending Gracefully, Safely, and Professionally
Do you feel trapped in a therapy or psychiatry relationship that feels stagnant, unsettling, or just plain wrong? This episode pulls no punches as hosts Gabe Howard — who lives with bipolar disorder — and Dr. Nicole Washington — a board certified psychiatrist — tackle the uncomfortable question most people think about but rarely voice: “How, and when, is it time to part ways with your mental health professional?"
This direct and practical conversation cuts through the guilt, the logistics, and the myths about “ghosting” therapists, psychiatrists, and counselors. Dr. Nicole explains when walking away is OK, when to be careful (especially with meds), and why honest communication can actually be beneficial to you as the patient. Gabe brings the patient perspective — what it feels like to doubt care, to fear being “difficult,” and some tips to tell if the problem is the professional, your stage in recovery, or just a bad fit.
Takeaways
You don’t have to explain, but honest conversation is usually the healthier choice.
Plan transitions first: “Ghosting” can create dangerous gaps in your care.
Ask for records and time your switch to minimize treatment disruption.
If you’ve ever wondered whether you owe the professional an explanation, how to keep medication continuity, or what to ask on day one to avoid a mismatch later — this episode is for you. Expect blunt truth and step-by-step strategies to move on responsibly so your recovery doesn’t skip a beat.
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.
Got topic ideas or questions? Hit us up at show@psychcentral.com! Learn more about your ad choices. Visit megaphone.fm/adchoices

Aug 11, 2025 • 40min
Do You Feel Taken Advantage Of Due to Bipolar?
Do you feel people are manipulating or using you because of your bipolar disorder diagnosis? If that question hits a nerve, this podcast episode is for you. When a listener emailed us because they felt they were being exploited due to their diagnosis, hosts Gabe Howard (who lives with bipolar disorder) and Dr. Nicole Washington (a licensed psychiatrist) dove headfirst into a frank conversation about loneliness, control, and the messy reality of potentially unequal relationships.
Gabe shares personal stories of how a friend used his desire for connection to get what they wanted — free tickets, emotional labor, and more — while giving little in return. Dr. Nicole helps unpack how mental illness can cloud your ability to spot toxic dynamics until it's too late. Together, they explore what it really means to set boundaries, recognize red flags, and take your power back without beating yourself up for what you allowed in the past.
You’ll learn how to rebuild your life with real friends, regain your self-worth, and protect your peace — one boundary at a time. If you've ever looked around and wondered, "Why do I feel like I'm the only one giving?" and wondered if you are being taken advantage of due to a bipolar diagnosis — listen now.
“The real reality is I've lost friends for all kinds of reasons. Because I've switched jobs, because I've moved, because I'm no longer in high school, because I've outgrown them. The number one reason, honestly, is because I don't have children. And many of my friends went on to have kids. When you live with bipolar disorder, you tend to think that the only reason that you lose people is because of bipolar disorder. And I don't think that serves us. I think maybe a better way to look at it is, you know, when you were sick, these were your friends. But as you reached recovery, as you got better, you made different friends because your situation changed. And I think that's much healthier than saying, well, bipolar disorder cost me all my friends.” ~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 available directly from the author with free swag included! Among his many accolades, Gabe received an official resolution from the Governor of Ohio naming him an “Everyday Hero,” and had the distinct honor of speaking at Oxford University in England.
To learn more about Gabe, or to 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, 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. Learn more about your ad choices. Visit megaphone.fm/adchoices


