Inside Bipolar

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

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 HowardTo 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

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, HostTo 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

Gabe shares his personal journey living with bipolar disorder, emphasizing the importance of a diverse support network. He discusses the risks of relying only on friends with similar experiences and highlights the value of incorporating various perspectives. Topics include navigating relationships while avoiding codependency, setting healthy boundaries, and the complexities of managing friendships. With insights from Dr. Nicole Washington, the conversation underscores the need for genuine connections and individualized recovery paths.

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 TracyTo 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

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

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 podcastTo 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

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 WashingtonTo 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

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 HowardTo 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

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 HowardResource 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