"Do I have to take these meds forever?" It’s the most common question psychiatrists hear, but the answer is rarely a simple yes or no. In this episode, hosts Gabe Howard (living with bipolar) and Dr. Nicole Washington (board-certified psychiatrist) dive into the risks, the realities, and the honest conversations most doctors avoid when it comes to stopping bipolar medication.

They break down why "cold turkey" is a recipe for disaster and explain the equally dangerous "hot turkey" otherwise known as restarting a full medication cocktail after a long break. Gabe shares his own journey of switching doctors to find a specialist in titration, illustrating the difference between "Mercedes Benz care" and trying to navigate a "hoopty" ride on your own. Dr. Nicole explains the science of brain receptors, the logistical hurdles of compounding pharmacies, and why the medical community is often resistant to "deprescribing."

Listeners Will Learn:

·  Instead of "stopping" try reframing the conversation as "decreasing reliance"

·  Why lowering your medication slowly gives you better results

·  Finding a psych doctor who understands "deprescribing" may take time

·  A successful, safe medication adjustment can take a year or more—it is a marathon, not a sprint 

Whether you’re struggling with side effects like brain fog and sexual dysfunction or you simply want to feel more in control, this episode offers a roadmap for having an honest, data-driven conversation with your treatment team. Learn why "decreasing reliance" on medication is often a more successful goal than quitting entirely, and how to treat bumps in the road as data points rather than failures.

"Most people think stopping meds is like flipping a light switch—on Monday you're on them, and on Tuesday you're not. But in reality, it’s a slow, medical taper. It’s more accurate to describe this as 'decreasing our reliance' rather than just quitting, so we can actually see what the data tells us." ~Gabe Howard, Host

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

Gabe wrote the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are available directly from the author with free swag included! To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com.

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

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