Episodit

  • Turning Stress into Strength: Bipolar Management Strategies

    Turning Stress into Strength: Bipolar Management Strategies

    · Inside Bipolar

    Stress-free living is a myth, but stress-proofing your life? That’s a game-changer. In this episode, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, share practical strategies to build a "foundation" strong enough to handle the stress that comes with managing bipolar disorder.Whether it’s navigating late-night anxiety or managing specific bipolar symptoms, this episode provides actionable steps to take control. Discover how radical acceptance and small, tailored changes can help you feel more in charge of your mental health.“What creates just an unimaginable amount of stress for people with bipolar disorder is this ‘I’ve read your mind, I’ve decided it is true, and I’m going to react to it’ mentality. It doesn’t serve us and we need to find better coping skills.” ~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

  • Thriving at Work with Bipolar: Handling Symptoms and Setting Boundaries

    Thriving at Work with Bipolar: Handling Symptoms and Setting Boundaries

    · Inside Bipolar

    Balancing a career while managing bipolar disorder can feel overwhelming, especially when symptoms like anxiety, depression, or hypomania strike during work hours. What do you do when you’re at your desk and suddenly feel frozen or out of control?In this episode, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, share actionable tips to help you maintain focus and manage symptoms without jeopardizing your job. They dive into setting boundaries with co-workers, managing email overload, and creating routines that protect your mental health.Whether it’s using bathroom breaks as a reset, utilizing email autoresponders, or breaking free from the “always on” work culture, this episode is packed with practical advice to help you succeed. If you’ve ever felt stuck managing your bipolar disorder at work, this is the episode you’ve been waiting for!“I really want people with bipolar disorder to know that there are millions of people with bipolar disorder working jobs, really high-end jobs. They're managing it. They're figuring it out. They're putting in the work. They're finding the routines. They're finding the perfect scenario. They're reframing things. They're doing everything that they can to make it work. And they're just out there and we don't see them.” ~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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  • Treatment-Resistant Bipolar: Myth, Misunderstanding, or Medical Fact?

    Treatment-Resistant Bipolar: Myth, Misunderstanding, or Medical Fact?

    · Inside Bipolar

    Is treatment-resistant bipolar disorder a real diagnosis, just a concept, or entirely made up? It may surprise you, but depending on your perspective, an argument can be made for all three. Join Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, as they demystify what “treatment-resistant” bipolar disorder means.This candid conversation unpacks whether this label is in the DSM, what qualifies as an adequate trial of medication, and why the term can feel so daunting. Dr. Nicole reveals how the concept is rooted in treatment response — not symptom severity — and why patience and persistence are critical to finding stability.Gabe shares his personal journey of recovery, proving that treatment resistance doesn’t mean hopelessness. If you've ever felt frustrated with your treatment progress or questioned why recovery takes so long, this episode will give you clarity, hope, and a fresh perspective. Don't let this label confuse you — tune in to understand the truth behind the term.“As we talk about treatment-resistant bipolar disorder, I want people to know that it doesn't mean meds won't work for you. And in fact, I want to give you a little challenge. There are over 250 available psychiatric medications to treat bipolar disorder. The average person with bipolar disorder is taking three medications. Some people more, 4 or 5. But using the 250 available medications, the average cocktail of three, that's over 2.5 million combinations before you can say that it's not going to work for you.” ~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

  • When Bipolar Treatment Is Refused: What Can Loved Ones Do?

    When Bipolar Treatment Is Refused: What Can Loved Ones Do?

    · Inside Bipolar

    When someone with bipolar disorder refuses treatment, it can leave loved ones feeling helpless and overwhelmed. How can you support them without enabling their denial? In this episode, Gabe Howard and Dr. Nicole Washington offer actionable advice for navigating this emotional minefield. Learn how to foster meaningful conversations, set healthy boundaries, and take care of your well-being while encouraging them toward treatment. This is a must listen for anyone wishing to help a loved one with bipolar disorder.“They're ultra focused on their sick family member. I understand that thinking, but I want to just rip the band-aid off. If you are not paying attention to your own mental health, if you are not practicing self-care and you are not getting the mental health care you need, that is also a very large problem. You need to put your own oxygen mask on first before you are in a position to help your loved one.” ~Gabe Howard, HostTo learn more -- or read the transcript -- please visit the episode page.This episode is sponsored, in part, by Cornbread Hemp. They produced the first-ever USDA-certified organic CBD gummies in America. Save 30% on your first order using code "Inside30."Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com.Learn more about your ad choices. Visit megaphone.fm/adchoices

  • Keto for Bipolar: Cure or Craze?

    Keto for Bipolar: Cure or Craze?

    · Inside Bipolar

    Can following a keto diet help people with bipolar disorder reduce or even eliminate medication? While keto is often promoted as a potential game-changer for mental health, there’s a crucial question: Can it really help manage bipolar symptoms?In this episode, Dr. Nicole Washington shares insights from clinical experience, balancing keto’s possible benefits against the dangers of going off medication. Gabe Howard, who lives with bipolar, raises concerns about how fad diets can lead people to potentially harmful decisions, while Dr. Nicole explains what science currently says about keto’s effects on the brain.Together, they debunk myths and discuss how to safely consider diet changes without jeopardizing stability. Perfect for anyone curious about diet trends, mental health, and the complex intersection between the two. Listen now!“I have followed a keto diet. It is hard. If you really are saying, I want to commit, you need to do your research. You need to learn about macros and what a keto diet is, and how many grams of protein should you be taking in a day? How many grams of fat? What kinds of fats? How many grams of carbs should you limit yourself to? Are you going to intermittent fast with your keto? Like, there's so many parts to this, know what you're getting yourself into.” ~Dr. Nicole Washington To 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 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

  • Beyond Spa Days: Self-Care and the 8 Dimensions of Wellness

    Beyond Spa Days: Self-Care and the 8 Dimensions of Wellness

    · Inside Bipolar

    Self-care for bipolar disorder is more than relaxation — it's about nurturing every part of your life, from physical health to emotional resilience. This episode dives deep into the “8 Dimensions of Wellness,” providing useful, practical ways to meet your unique needs and stay balanced. If you’ve ever rolled your eyes at self-care advice, this episode may just change your mind.Listen in as our hosts delve into the often misunderstood concept of self-care. Gabe Howard, who lives with bipolar, confesses his love-hate relationship with self-care, admitting he's not the best at it and probably not alone. Together, he and Dr. Nicole Washington strip away the buzzword status of self-care, revealing it as an essential, practical toolkit for coping and thriving. They go beyond bubble baths and vacations and focus on building resilience in everyday life.Whether it’s setting healthier boundaries at work or redefining daily routines, Gabe and Dr. Nicole’s insights offer relatable, actionable steps that will resonate with everyone. Listen now!To learn more -- or read the transcript -- visit the show's official episode page.This episode is sponsored, in part, by Cornbread Hemp. They produced the first-ever USDA-certified organic CBD gummies in America. Save 30% on your first order using code "Inside30."Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com.Learn more about your ad choices. Visit megaphone.fm/adchoices

  • Top 10 Most Common Bipolar Questions Answered

    Top 10 Most Common Bipolar Questions Answered

    · Inside Bipolar

    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 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

  • Dodging Bipolar Relapse in January: Beating Holiday Havoc

    Dodging Bipolar Relapse in January: Beating Holiday Havoc

    · Inside Bipolar

    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 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

  • Love & Marriage: Tackling Relationship Challenges with Bipolar Disorder

    Love & Marriage: Tackling Relationship Challenges with Bipolar Disorder

    · Inside Bipolar

    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 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

  • Self-Sabotage and Bipolar: Breaking the Cycle

    Self-Sabotage and Bipolar: Breaking the Cycle

    · Inside Bipolar

    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 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

  • Seasonal Bipolar: Can Weather Really Cause Symptoms?

    Seasonal Bipolar: Can Weather Really Cause Symptoms?

    · Inside Bipolar

    Can the changing seasons impact bipolar disorder, much like they do with seasonal depression? In this episode, Gabe Howard and Dr. Nicole Washington tackle the intriguing question of whether bipolar disorder can have seasonal patterns.Drawing on the latest research, they explore how seasonal changes affect mood, not just in terms of depression but also mania and hypomania. Dr. Nicole sheds light on the DSM-5's reclassification of seasonal affective disorder and how it now ties into major depressive disorder—and how that relates to bipolar disorder.From the science behind circadian rhythms to practical tips for managing seasonal mood shifts, including the potential risks of light therapy, this conversation will challenge what you think you know about bipolar disorder and the changing seasons. Tune in to stay updated and discover how understanding seasonal patterns can help make your condition more manageable.To learn more -- or read the transcript -- please visit the official episode page.This episode is sponsored, in part, by Cornbread Hemp. They produced the first-ever USDA-certified organic CBD gummies in America. Save 30% on your first order using code "Inside30."“Ads for light boxes pop up, and people are going to say, this is amazing. This is a fantastic idea. I'm just going to go with this light box. There is data to support that it helps with depression during this time of year, and all those things are great. It can be wonderful. It can help seasonal depression, but you have to be careful if you have bipolar disorder using a light box. Because it can spark a little hypomania or mania for some people. So you just have to be careful. Make sure everybody involved knows what the potential risks are before you jump into something like that.” ~Dr. Nicole 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

  • Overcoming Internalized Shame and Guilt in Bipolar Disorder

    Overcoming Internalized Shame and Guilt in Bipolar Disorder

    · Inside Bipolar

    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

  • Bipolar Mixed Episodes: Navigating the Unthinkable

    Bipolar Mixed Episodes: Navigating the Unthinkable

    · 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

  • Fear of Relapse? Navigating the Lingering Shadows of Bipolar Disorder

    Fear of Relapse? Navigating the Lingering Shadows of Bipolar Disorder

    · Inside Bipolar

    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

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

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

    · Inside Bipolar

    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

  • Navigating Friendships and Support: Building a Balanced Bipolar Support System

    Navigating Friendships and Support: Building a Balanced Bipolar Support System

    · Inside Bipolar

    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

  • The Impact of Menstrual Cycles and Hormonal Fluctuations on Bipolar Disorder

    The Impact of Menstrual Cycles and Hormonal Fluctuations on Bipolar Disorder

    · Inside Bipolar

    Today we delve into the complex relationship between menstrual cycles, hormonal fluctuations, and bipolar disorder. Join Dr. Nicole Washington and Natasha Tracy, who lives with bipolar disorder, as they explore how periods and other “women’s health” issues can impact mood stability and what menstruating people with bipolar disorder should know about managing their symptoms.
    Learn about the importance of tracking mood changes, the role of birth control in symptom management, and why open communication between gynecologists and psychiatrists is crucial. Whether you’re personally affected or simply curious, this episode sheds light on an often under-discussed aspect of reaching recovery with bipolar disorder.
    “For women, it's so hard to know what to say in that situation because of the lack of data, and hopefully you're able to twig in your own mind, OK, maybe that's happening. Maybe that's a conversation I need to have. Don't wait for your doctor to bring it up. Maybe they will, maybe they won't. But don't wait, because your life can be improved by bringing up that conversation today. So, there's no reason not to do that.” ~Natasha Tracy

    To learn more -- or read the transcript -- please visit the official episode page.

    Our guest co-host, Natasha Tracy, is an award-winning writer, speaker, and social media consultant from the Pacific Northwest. She works to bring high-quality, insightful, and trusted information on bipolar disorder and related illnesses to the public while engaging with the mental health community.
    Natasha is a mental health thought leader and subject matter expert in bipolar disorder. Her thoughts on it have been sought by the media and academics. Her Bipolar Burble has been named a top 10 health blog by Healthista, Health.com, Healthline, Medical News Today, and others.
    For a complete list of Natasha’s awards, see here. You can also see here for Natasha in the Media.
    In 2016, Natasha published her first book, the acclaimed Lost Marbles: Insights into My Life with Depression & Bipolar. Buy Lost Marbles on Amazon. Read more about Lost Marbles here.

    Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com.
    Learn more about your ad choices. Visit megaphone.fm/adchoices

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

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

    · Inside Bipolar

    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

  • How Is Bipolar Disorder Diagnosed?

    How Is Bipolar Disorder Diagnosed?

    · Inside Bipolar

    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

  • Overcoming Negative Thoughts and Embracing Positivity with Bipolar Disorder

    Overcoming Negative Thoughts and Embracing Positivity with Bipolar Disorder

    · Inside Bipolar

    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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