Inside Bipolar

Losing Your Provider: Navigating the Therapeutic Relationship from Beginning to End


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We discuss the challenges people face when needing to find a new psychiatrist, therapist, or support group, emphasizing that while people often underestimate the difficulty of this process, it's a crucial step in managing a long-term mental illness.

We highlight that a solid patient-provider relationship is vital and can take time to replace a trusted professional. Dr. Nicole Washington advises on the importance of maintaining an updated medical history and being active in transitioning to a new clinician to ensure continuity of care. 

Gabe Howard and Dr. Washington also emphasize the effect of suddenly losing a medical professional due to retirement, relocation, or other reasons and offer guidance on smoothly transitioning to a new clinician, reassuring listeners that it's normal to experience a range of emotions during this process.

You wouldn't consider your psychiatrist your friend, your therapist, your friend, but it very much feels like you've lost someone very important. Someone who was very valuable in your journey with your bipolar disorder. And all of a sudden now they're gone. You can feel just as much grief as if you lost a loved one, because you've poured so much into that person and that relationship. These are deep relationships, so don't feel silly about why am I so sad? Don't minimize the importance and the value that relationship brings to you. So take the time to grieve that loss. ~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.

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