Inside Bipolar

Obsessive thoughts and chronic worry can make it difficult to relax, sleep, enjoy relationships, or even stay present in everyday life. But what does it actually mean when someone says they’re having “obsessive thoughts,” and what can they do to break the cycle? In this episode, Gabe Howard (who lives with bipolar) and Dr. Nicole Washington explore the difference between everyday worry, excessive worry, and intrusive thoughts — and why that distinction matters when seeking help and choosing coping skills.  Together, they share practical strategies for getting out of the “roundabout of worry,” including coping skills like cognitive diffusion, reframing catastrophic thoughts, and thought postponement. Gabe also explains how he has used these strategies in his own life and how they helped him lead a more well-balanced life. Listeners will learn: why thoughts can feel true without being facts why making a “plan B” can reduce catastrophic thinking how to use the 5-4-3-2-1 grounding technique to reduce worry You don’t have to believe every thought your brain produces. Learning to step back from worry, focusing on what you can control, and redirecting your attention can help break the cycle. Listen now to learn practical strategies for managing obsessive thoughts and worry with bipolar disorder. Pull Quote: “Just because I think it doesn't mean it's true.” ~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.

Artificial intelligence (AI) is changing how we search for information, make decisions, and even seek mental health support. But can AI therapy safely help people living with bipolar disorder? In this episode, Gabe Howard (who lives with bipolar) and Dr. Nicole Washington explore the potential benefits and risks of using artificial intelligence for bipolar management. They discuss why people may trust AI more than doctors or therapists, what can happen when an AI chatbot validates thoughts that should instead raise a red flag, and whether AI can recognize dangerous symptoms of mania, depression, psychosis, or suicidality. The conversation isn't entirely negative. AI could help reduce clinician burnout, analyze patterns in mental health data, identify potential mood changes, and give people useful ideas for sleep, routines, motivation, and self-care. Listeners will learn: how artificial intelligence can help — and harm — people with bipolar disorder why human mental health care still matters how to use AI safely and protect your mental health So where should people with bipolar disorder draw the line? Gabe and Dr. Nicole discuss the promise, risks, profit motive, and safeguards that are still needed before AI becomes a trusted part of mental health care. Pull Quote: “AI thinks really quick. So every rabbit hole I jump down follows me right along. For mania? It’s gas on a fire.” — 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.

Many people wonder whether their bipolar diagnosis is correct. Maybe your symptoms don't match what you've learned. Maybe other circumstances — like trauma or substance use — better explain what you've experienced. Or maybe you've simply never felt confident that bipolar disorder is the accurate diagnosis. Where do you go from here? In this episode, Gabe Howard, who lives with bipolar, and board certified psychiatrist Dr. Nicole Washington explain why diagnosing bipolar disorder is rarely straightforward, what psychiatrists actually look for during a psychiatric evaluation, and why getting a second opinion is often a thoughtful step and not an act of denial. You'll also learn why diagnosis isn't based on a single appointment, why honest conversations about symptoms and substance use matter, and how confirmation bias and other systemic issues can influence mental health care. Dr. Nicole shares what a real psychiatric reevaluation looks like, how long it typically takes, and why the goal isn't to prove someone right or wrong, but rather to find the most accurate diagnosis possible. Listener takeaways: understand why diagnosis is an investigation that takes weeks or months — not one appointment why questioning a diagnosis isn't the same as denying one how to advocate for yourself while maintaining an open mind why a bipolar diagnosis is more complicated than many people realize If you've ever wondered, "Do I really have bipolar disorder?", this conversation will help you understand what questions to ask, what to expect from the diagnostic process, and why the best mental health care is built on collaboration and not assumptions. Listen now! 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.

You don't need a miracle cure to manage bipolar disorder—sometimes the smallest changes can have the biggest impact. Discover practical bipolar hacks that can help you recognize mood episodes earlier, reduce everyday stress, build healthier routines, and make life a little easier. In this episode, Gabe Howard (who lives with bipolar disorder) and Dr. Nicole Washington share practical, evidence-informed, real-world coping skills that can help you stay one step ahead of bipolar disorder. Gabe also shares the personal strategies he uses to recognize the early warning signs of episodes, and together they explore whether ideas like getting a pet, volunteering, or driving for rideshare apps are genuinely helpful bipolar hacks—or whether they can backfire depending on where you are in your recovery. Listeners will learn: Why lowering the bar on difficult days can improve long-term recovery How to build your own personalized "toolbox" of bipolar hacks Which bipolar hacks psychiatrists actually recommend Why chasing perfection is a recipe for suffering If you've ever wondered, "What can I actually do today to better manage bipolar disorder?" this episode is packed with answers. "The hack isn't expecting less from yourself forever—it's adjusting your expectations when you need to so you can keep moving forward." ~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.

Living with bipolar disorder often means navigating a minefield of impulsive thoughts and actions. For example, have you ever made a snap decision that you immediately regretted? In this episode, Gabe Howard (who lives with bipolar) and Dr. Nicole Washington dive deep into the chaotic reality of bipolar impulsivity. They discuss the critical difference between having an impulsive personality and experiencing impulsivity as a disruptive symptom of bipolar disorder. By learning to identify your personal baseline, you can start setting strategic guardrails before a passing thought becomes a permanent problem. Listeners will learn: how delaying gratification by just 24 hours can prevent regret how to conduct a chain analysis and why it works how reflecting on past destructive behaviors can provide valuable data to protect your future Managing a mental health condition is undeniably exhausting, but recognizing your patterns is the first step toward reclaiming your peace of mind. Listen now to learn practical, real-world strategies to stop impulsive behaviors in their tracks and protect your long-term stability. Cold Open Transcript: Gabe Howard: Any barrier, even a few-second one, can really help curb impulsive behavior. Maybe before you buy something, you wander around the block real quick. Maybe before you go home with that person, you go to the bathroom and splash water on your face. Maybe before you yell, you count to three. Impulsive behavior comes in all shapes and sizes and everybody's different and everybody has different tolerance levels, etc., so it's, it's really hard to find coping skills for something that is analogous to a bomb, right? It's everything's fine. Poof! Right. And now it's like, what's the coping skill for that? 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.

Why is it so easy to believe that every setback, unfinished task, messy room, or missed opportunity means you're failing? And why do so many people living with bipolar disorder automatically assume that everyone else has life figured out? After receiving an email from a listener managing feelings of worthlessness, Gabe Howard (who lives with bipolar) and Dr. Nicole Washington tackle one of the most painful and least discussed realities of bipolar disorder: the damage it can do to your sense of self. Listeners will learn: why comparing yourself to others often leads to unnecessary stress practical ways to challenge negative self-talk and self-criticism why bipolar disorder can intensify feelings of self-doubt why accepting the difficulty of managing bipolar disorder doesn't mean you’re giving up If you've ever looked at your life and wondered whether bipolar disorder has permanently damaged your ability to be happy, successful, or fulfilled, this episode offers something more valuable than easy answers: a thoughtful conversation about how to move forward without letting the diagnosis define your worth. Cold Open Transcript: Gabe: There's no scientific or medical way that you can prescribe somebody something and make them feel better about living with bipolar disorder. And please correct me if I'm wrong, Dr. Nicole. Dr. Nicole: Not, not 100%. I can't give you a magic pill that will make you all of a sudden feel like you have value and worth, that makes you wake up the next day and say oh, how valuable am I to the world? 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.

For many, a surge of energy, creativity, and expansive mood can feel like an absolute gift. For those living with bipolar disorder, a hypomanic episode feels less like a symptom and more like winning the mental health lottery. But beneath this romanticized exterior lies a sneaky and potentially destructive reality. In this episode, Gabe Howard (who lives with bipolar) and Dr. Nicole Washington break down the complex nuances of hypomania. Dr. Nicole explains the hidden risks of leaving these episodes unchecked and Gabe opens up about the difficulty of distinguishing between genuine happiness and a brewing clinical episode, providing a raw look at the internal tug-of-war patients face. Listeners will Learn: Teasing out the differences between having a great day and experiencing an abnormally expansive mood Why a decreased need for sleep is a massive red flag rather than a newfound productivity hack Learn the functional differences between mania from hypomania Acknowledge that romanticizing a hypomanic high often ignores the depressive plunge that follows Whether you are navigating a bipolar 2 diagnosis, wanting to understand the role hypomania plays in a bipolar 1 diagnosis, or supporting a loved one this conversation delivers straight talk without the medical jargon. Tune in to learn how to spot the warning signs, establish safety guardrails, and safely navigate the deceptive highs of hypomania. Listen Now! Pull Quote: “I know more people with hypomania who have gotten themselves into trouble than I do who thrive because of it." ~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. Share the show with everyone you know! :-) Thank you!

What if the anxiety you're facing isn’t bipolar disorder alone — but the fear of what might happen next? With humor, honesty, and practical insight, Gabe Howard, who lives with bipolar disorder, shares devastatingly real stories — including the panic attack that caused him to quit a job from the parking lot. Along the way, Dr. Nicole explains the critical differences between anxiety, panic attacks, panic disorder, and bipolar disorder, while unpacking why these disorders so commonly occur alongside bipolar disorder. You’ll learn why anxiety can quietly fuel isolation, how avoidance behaviors grow, what treatment actually looks like, and why therapy, coping skills, and medication each play different roles in recovery. Most importantly, this episode asks a powerful question: Can panic attacks and anxiety ever truly go away — or is the goal learning how to fight back? Listeners will learn: why using the correct terminology to describe panic and anxiety is essential for effective treatment why medication is often a temporary fix and not a long-term solution how to understand the “fear of fear” cycle — and begin breaking free from it Whether you’re having trouble leaving the house or trying to understand why your brain feels stuck on a “what if” roundabout, this episode offers the clinical clarity and authentic perspective needed to help break the cycle. Hit play to better understand the science of panic, anxiety, and bipolar disorder — and learn how to start taking your life back. "Panic attacks are disruptive as hell, I mean, how many times can I ‘panic quit’ my job from the parking lot before it becomes problematic?" ~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. Please SHARE the show with everyone you know as that's how we're gonna grow! Thank you for listening. :)

It is a common misconception that anxiety is just part of the package when you live with bipolar disorder. While anxiety can certainly be a symptom of a mood episode, for many people, it is its own distinct, comorbid diagnosis. In this episode, Gabe Howard (who lives with bipolar and anxiety) and Dr. Nicole Washington get real about the overlap between bipolar disorder and anxiety. Dr. Nicole explains the clinical difference between being a "worrier" and having a pathology, while Gabe shares personal stories of suffering from – and overcoming – anxiety. Listeners Will Learn: How to tell if your anxiety is a symptom of mania/depression or its own disorder. Why anxiety ruminations feel like an endless scroll of negative thoughts. Dr. Nicole’s genius (and socially acceptable) tactic for escaping an anxiety-inducing situation. How to avoid the suffering Olympics when it comes to bipolar and anxiety Whether you’re dealing with anxiety related to emails from your boss or you’re afraid to leave the house, we’re sharing practical, real-world strategies to help you pull back instead of pushing through. Listen Now! "My best anxiety coping skill, unfortunately, still involves me having that initial momentary terror. But it sure beats the old skill where I panicked, freaked out, and yelled at everybody." ~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. Please LIKE, SHARE, & SUBSCRIBE! Sharing the show with the people you know is how we grow!

Are you no longer experiencing pleasure or joy in day-to-day life? If you are living with bipolar disorder, you know the crushing weight of the “nothingness” — that specific, hollow moment where the things that used to define happiness suddenly feel like chores. This may not be a bad mood or a lack of discipline; it could be a clinical symptom known as anhedonia.In this episode, Gabe Howard (who lives with bipolar disorder) and Dr. Nicole Washington (a board certified psychiatrist) peel back the layers of this often-misunderstood symptom. Together, they share that losing your spark isn't a character flaw, but a biological hurdle that you can overcome. Listener takeaways: Learn exactly what anhedonia is — and is not. Learn how anhedonia can appear in dysphoric or agitated mania. Learn to distinguish between clinical loss of joy and simply “outgrowing” things. Learn how to define — and understand — “normal.” If you’ve ever felt like a “bad” or “lazy” person because you couldn't find the joy in life, this episode is the reality check you need. Learn why “gray is OK” and how to start the climb back to contentment. Listen now! "A lot of people don't recognize that boredom and contentment and blah is not depression. It's not anhedonia. It's not joy or happiness, but it is stability." ~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. Please, Share the Show! (Tell a Friend!)

"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. Tell a Friend: Sharing the show with the people we know is how our podcast will grow!

Bonus Episode of "Inside Schizophrenia" podcast from Healthline Media. “Paranoid schizophrenic admits to attacking dog walker.” When we watch a horror movie, we know the “madman” on screen is a work of fiction. But when the nightly news leads with a diagnosis to explain a tragedy, the fear it creates is very real — and often permanent.Why does the media lead with schizophrenia only when the story involves violence, yet remain silent when it comes to stories of recovery, hope, and humanity? In this hard-hitting episode, host Rachel Star Withers (who lives with schizophrenia) explores the Lead with Fear phenomenon — the dangerous journalistic trend of linking a diagnosis to a crime before the facts are even in — and why schizophrenia seems to have the worst PR team in the world. Later in the show, we sit down with two media heavyweights who are using their platforms to overhaul how the world views mental health.: Janet Yang, an Emmy and Golden Globe Award-winning producer and former President of the Academy of Motion Picture Arts and Sciences. Frank Kosa, an Emmy-nominated documentary filmmaker for National Geographic, the History Channel, and A&E. Listener Take-A-Ways: why "paranoid schizophrenia" is an obsolete clinical term that journalists refuse to let go of the startling statistic that fewer than 20% of news stories about schizophrenia include themes of recovery practical ways you can hold news outlets accountable and promote stories of hope Our guest, Frank Kosa, is an award-winning documentary producer-writer-director, and a journalist. He produced National Geographic’s “The Story of God with Morgan Freeman,” wrote the inaugural season of Travel Channel’s hit show “Booze Traveler,” produced the award-winning “The Revolutionary War,” a mini-series for A&E, “Christianity: The Second Millennium” and multiple shows of TV’s most engaging documentary series including “Life Without People,” “The Universe,” and “Game Changers.” His shows have aired on The Science Channel, The History Channel, Discovery, A&E, TLC, Animal Planet, The Travel Channel, The Weather Channel, Lifetime, Bloomberg TV, HGTV, and National Geographic. His print journalism has appeared in The LA Times, USA Today, Sacramento Bee, The Christian Science Monitor, and numerous magazines. He has also worked for films and TV shows produced by Universal, Warner Bros., & Sony. He is Emmy-nominated, has won a Cable Ace and other awards, and strives to tell stories that deeply connect with audiences. Our guest, Janet Yang, is an Emmy and Golden Globe Award-winning Hollywood producer, former President of the Academy of Motion Picture Arts and Sciences, and has been named one of the “50 Most Powerful Women in Hollywood” by the Hollywood Reporter. Yang’s extensive film and television credits include “The Joy Luck Club,” “The People vs. Larry Flynt,” “The Weight of Water,” “Shanghai Calling,” “High Crimes,” “Zero Effect,” and “Over the Moon.” Yang began her career by running the first distribution company to market Chinese films into North America. She also brokered the reintroduction of American studio films to the Chinese marketplace after a decades-long hiatus. This, in turn, led to joining Steven Spielberg on the historic production of “Empire of the Sun.” This was followed by long-term partnership with multiple Academy-Award winning writer/director, Oliver Stone. Our host, Rachel Star Withers, (Link: www.rachelstarlive.com) is an entertainer, international speaker, video producer, and schizophrenic. She has appeared on MTV’s Ridiculousness, TruTV, NBC’s America’s Got Talent, Marvel's Black Panther, TUBI’s #shockfight, Goliath: Playing with Reality, and is the host of the HealthLine podcast “Inside Schizophrenia”. She grew up seeing monsters, hearing people in the walls, and having intense urges to hurt herself. Rachel creates videos documenting her schizophrenia, ways to manage, and letting others like her know they are not alone and can still live an amazing life. She has created a kid’s mental health comic line, The Adventures of ____. (Learn more at this link: https://www.amazon.com/Adventures-Fearless-Unstoppable-Light-Ambitious/dp/B0FHWK4ZHS ) Our cohost, 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. He also hosts the twice Webby honored podcast, Inside Bipolar, with Dr. Nicole Washington. To learn more about Gabe, please visit his website, gabehoward.com.

Are you living with bipolar and a single parent or managing a household alone? Have you been told things like sleep hygiene (as an example) is a pillar of stability, but your teenager’s late-night schedule and the on-call pressure of solo parenting make that feel impossible? In this episode, hosts Gabe Howard (who lives with bipolar) and Dr. Nicole Washington (a board-certified psychiatrist) respond to a raw, honest listener email that challenges the "nuclear family" advice often given to single parents. They dismantle the crushing weight of "Mom Guilt" and the stigma that suggests a mental health diagnosis disqualifies you from raising healthy kids. Is the ship destined to sink, or are you just holding yourself to a standard that doesn't exist? Listeners will Learn: Why striving for perfection is a trap that leads to burnout If you don't prioritize your health, the whole household suffers How being real with your children can build a stronger foundation for the future Listen in to hear why Dr. Nicole believes you—the parent—are the undisputed MVP of your household. This episode is an essential look at modeling self-care for your children, setting "Do Not Disturb" boundaries without the guilt, and realizing that your kids don't need a superhero, they just need a healthy you. "Bipolar might be wriggling into your brain and attacking something you love -- your skills as a parent -- Don't let it." ~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. Thank you for listening. PLEASE LIKE, SHARE, AND SUBSCRIBE!

"What jobs are suitable for someone living with bipolar disorder?" It’s a question that floods our inbox, and the answer might surprise you: almost every single one. From high-powered criminal defense attorneys to surgeons and CEOs, people are nailing it in the workforce every day while managing a bipolar diagnosis. In this episode, hosts Gabe Howard (diagnosed with bipolar) and Dr. Nicole Washington (a board-certified psychiatrist) dismantle the "minimum wage myth" to provide a realistic roadmap for re-entering and thriving in the workforce. We explore why your diagnosis isn't a unique disqualifier, but rather a factor to manage -- much like a pilot respects the weather or a surfer respects the ocean. Listeners Will Learn: Why almost every line of work remains open even after a diagnosis. Practical financial and medical rules for your first year back on the job. How to transition from your couch to a worksite without hitting burnout. How to distinguish between a bipolar symptom and a normal job struggle. Failing often isn't a symptom of bipolar disorder; it’s just part of the universal human experience. Whether you’re currently unemployed, struggling with "failure to launch," or looking to switch jobs, this episode provides the baby-step protocol you need to launch your next chapter workwise. It’s time to stop letting stigma decide your paycheck and start respecting your own potential. "If the only reason you believe you can’t do a specific job is because you have bipolar disorder, I say try. I was surprised at how much success I had despite my diagnosis." ~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. Please like and subscribe -- and share the show with everyone you know so we can grow! Thank you.

Studies suggest people with bipolar disorder die 25 years younger than the general population. It’s a statistic that hits like a "thump to the chest," but is it a death sentence or a wake-up call — and is it even true? In this episode, host Gabe Howard (who lives with bipolar) and Dr. Nicole Washington (a board certified psychiatrist) peel back the curtain on the physical toll of living with a serious mental illness. While we spend so much energy managing our minds, we often neglect the “vessel” carrying us through life. From the 50% increased risk of sleep apnea to the increased risk of weight gain and diabetes, the risks are real, but they aren’t inevitable. We dive deep into why “bipolar adjacent” issues like diet, smoking, and sedentary lifestyles are the true drivers of the shortened lifespan statistic, and how building a rock-solid relationship with a primary care doctor can literally save your life. Listeners will learn: how sleep apnea mimics — and triggers — mood changes why not every physical symptom is “just bipolar” the truth about medication and your liver how your lifestyle choices and daily habits can rewrite your health statistics Stop treating your physical health as an afterthought. Whether it’s vitamin deficiencies mimicking depression or sleep apnea driving mood changes, it’s time to recognize that you have far more control over your outcome than the statistics suggest. 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.

If everything you do is labeled a symptom of bipolar disorder, do you ever get to be yourself? In this episode, Gabe Howard (who lives with bipolar) and board certified psychiatrist Dr. Nicole Washington tackle one of the most frustrating — and rarely discussed — realities of living with bipolar disorder: when regular human behavior gets pathologized by friends, family, and even well-meaning supporters.Want to watch TV the whole weekend? Suddenly it’s “depression.”Excited about a new idea or passion? You’re being “grandiose.”Stumble over your words or get animated in conversation? Sounds like “mania.”Gabe shares deeply personal stories about having his ideas dismissed, his ambitions questioned, and his successes doubted, not by strangers, but by the people who loved him most. Dr. Nicole explains why loved ones become hypervigilant, how fear and trauma shape their reactions, and where concern crosses the line into harm. Listen and Learn: learn how to tell the difference between bipolar symptoms and typical human behavior understand why loved ones become hyper-alert and how fear drives their reactions how to have hard conversations without losing your support system why community and peer support matter when loved ones can’t let go of fear This episode isn’t about denying bipolar symptoms; it’s about reclaiming your identity beyond the diagnosis. Because people with bipolar disorder deserve full lives, real dreams, and the freedom to be annoying, excited, ambitious, and human — just like everyone else. Cold Open Transcript: Gabe Howard: I don't think we're allowed to have these thoughts. Let's say that I was a person that did not live with bipolar disorder. And I came up with the pie-in-the-sky idea. The conversation is negative, but it also sort of moves forward. People with bipolar disorder don't get that. We just get shut down immediately, told that this is a symptom of our illness and that we need to cease this line of communication. And so they withdraw all that help, they withdraw all that information, and they leave us to fend for ourselves. Which actually puts us in a worse position. 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.

Paranoia is one of the most misunderstood symptoms in bipolar disorder — and using the wrong word can delay the right treatment. Using real-life examples, this episode explains how psychosis in bipolar disorder is typically tied to mood episodes, how paranoid delusions form, and why people experiencing them often don’t report symptoms. In this episode, Gabe Howard (who lives with bipolar disorder) and Dr. Nicole Washington (a board certified psychiatrist) break down what paranoia actually is, when it’s actually anxiety or hypervigilance, and when it crosses into psychosis and delusional thinking. They explain why “being paranoid” isn’t a diagnosis and how paranoid delusions fit under the psychosis umbrella. We answer common questions like: Is paranoia a stand-alone diagnosis in the DSM-5? When does healthy suspicion, anxiety, or hypervigilance get mislabeled as paranoia? Why does psychosis in bipolar disorder usually occur during manic or depressive episodes? What types of medications are commonly used to treat paranoia-related symptoms? How can loved ones spot symptoms the person may not recognize? If you’ve ever wondered whether paranoia is a typical worry, a trauma response, or something more serious, this episode brings clarity to a topic that’s often confusing — and rarely explained well. 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. Sharing the show with people you know is how we'll grow. Please like, share, and subscribe.

This episode was never supposed to exist. Mental health “rules” say patients and psychiatrists shouldn’t share power, shouldn’t speak publicly as equals, and definitely shouldn’t build a show together. Yet here we are — over 100 episodes in, winning awards, and recording our first-ever in-person episode. In this special behind-the-scenes conversation, we pull back the curtain on “Inside Bipolar”: why so many doctors refused to participate, why patient-led advocacy makes professionals uncomfortable, and why influencer culture both helps and harms people living with bipolar disorder. We talk candidly about distrust of psychiatry, accusations of selling out, the rise of misinformation, and why scared people cling to loud voices over evidence. We also go somewhere rarely discussed in mental health media: self-doubt, self-deprecation, and the reality that success with bipolar disorder often looks painfully ordinary. Listener takeaways why patient-doctor partnerships are rare — and why they scare both sides why “hopeful” mental health messaging often misses the mark how self-doubt and advocacy can exist at the same time how this podcast changed the way both hosts view mental illness No toxic positivity. No “inspiration porn.” No pretending recovery is a mountaintop moment. Just two people — one with lived experience, one with medical expertise — talking honestly about what actually helps, what doesn’t, and why this unlikely partnership changed how both of us see mental illness, advocacy, and each other. Cold Open Transcript: Dr. Nicole: Which one is the real Gabe? You put yourself down, actually, quite a bit. Do you really have a low opinion of yourself? Like, are you fundamentally like this guy who really thinks, like, I suck, and I just get up every day and put one foot in front of the other one and do the best I can? Or do you have a lot of confidence because you, almost at the same time, have to have a ton of confidence to get in front of the camera and do the speaking and do all the things. 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. PLEASE Share the show with everyone you know as it's how our community will grow. Happy Listening! :)

Advocacy isn’t yelling, protesting, or going viral — and for people with bipolar disorder, doing it the wrong way can actually make things worse. In this episode, we break down what real, effective advocacy actually looks like, starting where the stakes are highest: your everyday life and expanding to social and political activism — covering everything in between. From setting boundaries with family members who won’t stop asking about your mental health to advocating calmly (and safely) with doctors, insurance companies, and healthcare systems to presenting in front of politicians, this episode tackles the uncomfortable truth: how you advocate matters just as much as what you’re advocating for. Listener takeaways practical ways to advocate with doctors and insurance companies without risking care the difference between being firm and being perceived as aggressive why “quiet” advocacy and simply showing up still move the needle how failed advocacy efforts still lead to real, long-term change Gabe Howard, who lives with bipolar disorder, shares hard-earned lessons from decades of lived experience, including how passion can be misread as aggression, why “made-for-TV” advocacy fails in real life, and how preparation beats confrontation every time. Dr. Nicole Washington brings the clinician’s perspective, explaining how advocacy can unintentionally become antagonistic — and how to communicate your needs without risking your care or personal relationships. If you’ve ever wanted to stand up for yourself — or for the bipolar community — but didn’t know how to do it without backlash, this episode gives you a roadmap. “If you want to be an advocate, you need to develop a thick skin. Because if every time somebody criticizes a point of view, a part of your life, you lose control? Unfortunately, you're not just somebody who got angry during a debate. No, you're a mentally ill person who doesn't know how to behave in public. . .” ~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. Share the show with the people you know so that this free resource can continue to thrive and grow! Thank you in advance.

Being told to “calm down” has never calmed anyone down — especially if you are experiencing symptoms of bipolar disorder. In this surprisingly funny episode, Gabe Howard (who lives with bipolar disorder) and Dr. Nicole Washington break down why the world’s most common advice backfires… and what truly helps instead. Whether you’re spiraling at 2 a.m., overwhelmed in your car, or suddenly flooded with anxiety for no clear reason, the ability to de-escalate yourself is a core skill for managing bipolar disorder. But knowing how to calm down — without shame, judgment, or dismissive clichés — isn’t something most of us were ever taught. Listener takeaways how to build your own personalized calm-down toolkit how naming emotions instantly reduces their intensity how to challenge spiraling thoughts before they take over the difference between managing emotions versus invalidating them So, take a listen as our hosts share practical, stigma-free tools you can start using immediately, from deceptively simple breathing exercises to naming emotions, reframing intrusive thoughts, and building a personalized “calm-down buffet” of strategies that actually work for you. “And here's another pro tip that shouldn't be as earth-shattering as it is, but: admit it. Just admit that you need to calm down. Admit that you're anxious, agitated, overwhelmed, angry, elevated, whatever. Just admit it. Don't judge it. Practice some radical honesty with yourself and admit that you need to take a beat and that you need a moment. Don't try to deny it. And also don’t assume that it's because you live with bipolar disorder. You're a human with real emotions, but you still need to manage this.” ~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. Please follow, subscribe, and share! It's all absolutely free. Help us spread the word. Thank you!