Does your psychiatrist really understand what you're going through? Navigating conversations with your psychiatrist and other professionals helping you manage your mental health can be daunting, but it doesn’t have to be! In this episode, Gabe Howard and Dr. Nicole Washington tackle the communication disconnect between patients and mental health professionals. Learn why vague terms like "nervous breakdown" can hinder your treatment and how to provide the specific details your doctor needs to help you effectively.

They discuss the importance of sharing family mental health history, breaking down symptoms, and offering clear examples — even if you don’t know clinical terms. Packed with practical advice, this conversation will empower you to self-advocate, build stronger doctor-patient relationships, and get the care you deserve. Whether you're living with bipolar disorder or another mental health condition, this episode is an essential guide to speaking the same language as your healthcare professionals. Tune in and take the first step toward a stronger partnership with your psychiatrist and clearer, more effective communication!

Cold Open Transcript: 

Gabe: Although I imagine from your vantage point, Dr. Nicole not annoying your psychiatrist is probably a pretty damn good reason. [Laughter]

Dr. Nicole: [Laughter] I mean, annoy is a strong word. I don't know if it annoys me.

Gabe: Fair.

Dr. Nicole: I don't know that I'm annoyed when people come in not knowing these things or not being able to communicate these things. It just lets me know that I have a lot of work to do, that I have to be the one to do that education that was missed somewhere along the way.

To learn more -- or read the transcript -- please see 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.

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Love can be exhilarating, but for people with bipolar disorder, it can sometimes blur the lines between infatuation and mania. In this candid episode, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, dive into the complexities of new romance through the lens of bipolar disorder.

How can you tell if it’s true love, fleeting infatuation, or a symptom of mania? From grandiose declarations to the red flags of unhealthy expectations, they discuss how bipolar symptoms can amplify the highs and lows of relationships. They also explore how age, life experiences, and emotional milestones shape how we approach love.

Whether you’re navigating your own relationships or supporting someone with bipolar disorder, this episode offers relatable insights and practical advice to help you find clarity.

“Grand love gestures are absolutely my jam. And I know the world is filled with people who love romance. So I don’t want anybody to hear that all types of grand gestures and falling in love and soulmates are bad. But, if you are all consumed by that grand gesture and you can’t figure out anything else but to do that right now, then it could be mania.” ~Gabe Howard, Host

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.

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Doomscrolling can be especially harmful for people with bipolar disorder, amplifying mood changes and fueling anxiety or depression. In this episode, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, dive into the dark world of doomscrolling and why it’s particularly damaging for people living with bipolar disorder.

They explore why doomscrolling feels addictive and how it impacts your mental health. You'll learn actionable tips to curb this habit, including setting boundaries with technology, creating healthier routines, and finding alternative ways to stay informed. This conversation offers practical solutions tailored to life with bipolar disorder, helping you take back your time and mental well-being. Hit play to learn how to reclaim your time and happiness!

“We have in our hands a computer that's capable of having family photos, family videos. You know, aim it at your children, aim it at your dog, aim it at your cat. Aim it at your best friend. Have them sing you a little song. Whatever it takes. Just find something that replaces the doomscrolling. Because I really believe that people are listening to this episode because they know they're doing it, and they know it's not making them better, and they don't know why they're doing it and they don't know how to stop.” ~Gabe Howard, Host

To learn more -- or read the transcript -- please visit our 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.

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Is hypomania something you can use to your advantage, or is that a dangerous game to try? In this episode, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, take a deep dive into the nuances of hypomania, its diagnostic criteria, and the widespread belief that it can be harnessed for productivity.

They explore why some people may mistake elevated moods for hypomania, the risks of trying to "ride the lightning," and how support systems and self-awareness play crucial roles in managing this symptom. Whether you're seeking clarity on hypomania or practical advice for managing it, this episode offers thought-provoking insights and actionable takeaways.

"To point out that when we talk about managing hypomania, we first must make sure you are truly hypomanic. And I don't know anybody who is productive after four days of lack of sleep or four days of not being able to calm down, rest, think straight. But there's always this advice on how to harness hypomania and turn it into a $1 million business. Which also, not for nothing, sounds a little hypomanic to me." ~Gabe Howard, Host

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.

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What happens when someone with bipolar disorder relapses after years of stability? In this deeply personal episode, Dr. Nicole Washington interviews Gabe Howard, who lives with bipolar disorder, about his recent mood episode and relapse. Together, they uncover the subtle warning signs Gabe overlooked, the crucial role loved ones—and even strangers—played in recognizing the episode, and the surprising strategies that helped him regain stability.

From grappling with medication changes to discovering the therapeutic power of a daily walk, Gabe shares raw insights about living with bipolar disorder. Whether you're managing your own mental health, supporting someone you love, or simply curious about the realities of navigating a mood disorder, this episode offers valuable lessons and a message of hope: Recovery is always possible, even after setbacks.

“The number one thing that I wish that people wouldn't have said to me is, oh, you'll get through this because you've always gotten through it before. No matter how many times you've been through this, this does not guarantee success. That is a stupid thing to say. All of the people who I was in their thoughts and prayers. It's like, I know that's a nice thing, but I could really use actual help. Actual effort, labor, time, love. And you're just like, hey, I'm thinking of you.” ~Gabe Howard, Host

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.

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Confused about what medically constitutes “bipolar tendencies” or “bipolar adjacent symptoms”? Do you want to understand more about the diagnosis of cyclothymia? You're not alone! In this episode, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, tackle the murky waters of “not quite bipolar, but kind of.”

They cover what cyclothymia is and how it differs from bipolar I and II. Dr. Nicole breaks down the DSM criteria, the importance of proper diagnosis, and the challenges of identifying subtle mood patterns. Gabe shares relatable analogies to clarify these complex conditions.

Whether you’re a patient, loved one, or just curious about mental health, this episode helps demystify the labels, clear up misconceptions, and highlight the path to better understanding and treatment. Tune in for an insightful conversation on bipolar disorder that might just answer your lingering questions.

“Because I understand that there's a world of difference between schizophrenia and bipolar disorder. When it comes to bipolar disorder and cyclothymia, it sounds like they're much, much closer. But I think it's still probably good advice that your mileage may vary, and you need to take everything that you hear with a grain of salt. Because it may or may not apply to you.” ~Gabe Howard, Host

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.

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Do cluttered, racing, or disordered thoughts disrupt your daily life? Do you understand the differences between them? In this episode, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, unravel what these terms mean, how they differ, and discuss why they’re not exclusive to bipolar disorder. Using relatable analogies and personal insights, they explore the profound impact these thoughts have on mental well-being.

Listen to learn actionable tips to manage overwhelming thought patterns, from organizing your mental "papers" to differentiating between anxiety and bipolar-related symptoms. Whether you’re seeking clarity for yourself or a loved one, this candid conversation offers practical advice and compassion for navigating the chaos of an overactive mind.

“If you know that, okay, when I have these thoughts, there are certain things I typically like to do to help me manage them. I listen to music. I take a bath, I blow bubbles, I color dog coloring books. I jump up and down, I scream in a pillow, whatever that is for you. You know what? Those things are for you. But then you also are aware enough to know that those things don't always work.” ~Dr. Nicole Washington, Host

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.

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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, Host

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

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, Host

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

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 Howard

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