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Bipolar disorder can feel overwhelming, and you're not alone if you don’t understand what it’s all about. In this episode, Gabe Howard, who lives with bipolar disorder, and board certified psychiatrist Dr. Nicole Washington tackle the top ten questions about living with and managing bipolar.From explaining the difference between bipolar I and bipolar II to whether bipolar can be effectively managed to treatment options, they break down common misconceptions and deliver answers you’ve probably been googling. They offer real-life insights, clear up confusion about “mood swings” versus “mood shifts,” and reveal practical tips for loved ones supporting someone with the condition.Whether you have a new diagnosis, know someone with bipolar disorder, or are just curious, this episode will help you understand this complex illness from personal and professional perspectives.“I think that sometimes people hear that bipolar disorder is always going to affect their daily life, and they think that I'm never going to be free from this. No, it ebbs and flows. It's up and down. There is a little bit that we need to do every day to manage this illness, but we can get really, really good at it. And if we get really, really good at it, we can really limit the amount of effect that it has.” ~Gabe Howard, HostTo learn more -- or read the transcript -- visit the official episode page.This episode is sponsored, in part, by Cornbread Hemp. They produced the first-ever USDA-certified organic CBD and THC 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
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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, HostThis episode is sponsored, in part, by Cornbread Hemp. They produced the first-ever USDA-certified organic CBD and THC 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
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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, hostTo 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 and THC 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
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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, HostThis episode is sponsored, in part, by Cornbread Hemp. They produced the first-ever USDA-certified organic CBD and THC 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
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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 and THC 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 WashingtonOur 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
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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 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
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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
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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
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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
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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 WashingtonTo 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
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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.
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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
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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
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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
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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
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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
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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
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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, 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
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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 WashingtonTo 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
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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
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