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:

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.

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 podcast

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.

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 Washington

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.

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 Howard

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.

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 Howard

Resource 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.

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.

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, 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.

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 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 

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.

Our hosts delve into the crucial aspects of understanding and managing a bipolar disorder diagnosis. Join them as they break down five essential questions every person should ask their healthcare professional about their diagnosis and treatment options.

Learn why these questions matter, how to navigate the complex diagnostic process, and explore some of the common treatment avenues. Whether you've just received a diagnosis or are seeking to deepen your understanding, this episode offers valuable insights to help you take control of your journey with bipolar disorder. Listen now for practical advice and expert guidance that can make a real difference.

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.