Inside Bipolar

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! Learn more about your ad choices. Visit megaphone.fm/adchoices

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. Learn more about your ad choices. Visit megaphone.fm/adchoices

Traveling is supposed to be fun — but when you live with bipolar disorder, even a short trip can disrupt sleep, routines, and stability. In this episode, Gabe Howard (who lives with bipolar) and Dr. Nicole Washington get honest about why vacations can feel overwhelming, how to plan without fear, and the exact safeguards that make travel not just possible, but enjoyable.From jet lag to family expectations, from “what if I’m not stable in 6 months?” to navigating early recovery setbacks, this conversation gives you practical, nonjudgmental guidance you can use immediately. Whether you’re planning your first overnight away or a bucket list vacation, you’ll walk away with tools to travel confidently, all without sacrificing stability. Listener takeaways how travel disrupts routines — and which disruptions matter most tips for setting realistic expectations and reducing travel anxiety the difference between “I’m too sick to go” and “I’m just nervous” how to create a personalized travel routine that supports stability If you’ve ever wondered, Can I actually travel with bipolar disorder? the answer is yes. And this episode shows you how. "I have so many stories of me losing my mind out in public and needing to be calmed down and, you know, given water. I have so many stories of getting ready to go to the show, the concert, the play, the, the event, the whatever, and then refusing to leave and ruining it for everybody else. So I don't want anybody to think that this just came naturally. . ." ~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. Learn more about your ad choices. Visit megaphone.fm/adchoices

People with mental illness, including bipolar disorder, have long been denied the right to make their own reproductive choices. This episode looks at how psychiatry’s history and stigma continue to shape who gets to decide. Dr. Nicole Washington sits down with mental health advocate Dr. Keris Myrick to unpack the intersection of reproductive justice and mental illness — and how stigma, outdated systems, and silence continue to rob people of autonomy over their bodies and futures. Together, they explore the three pillars of reproductive justice — the right to have a child, to not have a child, and to raise a child in a safe environment — through the lens of psychiatric care. Listener takeaways: Learn what a Psychiatric Advance Directive is—and how to create one. Discover how to start meaningful conversations with your providers about family planning. Gain insight into how choice, autonomy, and care can coexist in mental health treatment. Whether you’re living with bipolar disorder, a provider, or an advocate, this conversation will challenge your assumptions, break stigma, and offer new ways to protect choice, dignity, and autonomy for all. Our guest, Keris Jän Myrick, PhD (ABD), MBA, MS is a nationally recognized advocate, executive, and storyteller whose work has redefined how we understand and reform mental health and substance use systems. Known for her fierce leadership, creativity, and humanity, Keris brings both lived and learned expertise to every space challenging the status quo and building new paths rooted in dignity and rights. She serves as Senior Vice President of Partnerships and Innovation at Inseparable, where she helps shape mental health policy and practice. Keris also hosts the acclaimed podcast Unapologetically Black Unicorns, co-edits the Lived Experience Inclusion and Leadership column in Psychiatric Services, and serves on the boards of Disability Rights California and the Center for Health Care Strategies. She is an inaugural member of the Global Leadership Exchange (GLE) Lived Experience Council and lives in Los Angeles with her dog, Obi. 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. Our typical cohost, ⁠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 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. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Gabe Howard (who lives with bipolar disorder) and psychiatrist Dr. Nicole Washington unpack what the research actually shows, why supplement quality is inconsistent (and sometimes downright sketchy), and how side effects — even with “natural” products — are very real. In short, they dig into the science, hype, and hope surrounding omega-3 supplements. Listener takeaways: why omega-3s may help with certain bipolar symptoms — especially depression the risks of using supplements as a substitute for prescribed treatment how to spot high quality fish oil (and avoid bottles full of fillers) why “natural” doesn’t automatically mean “safe” Plenty of people in the bipolar community are desperate for alternatives to pharmaceuticals, and fish oil often gets framed as a safer, side-effect-free solution. If you’ve ever wondered whether popping a fish oil capsule could replace your meds — or just help you manage life with bipolar disorder more smoothly — this is the episode you don’t want to miss. “If it's powerful enough to fight bipolar disorder, it is powerful enough to potentially have interactions. One of the things that I'm always fascinated about in the bipolar community is when we say things like, hey, this thing is so powerful, it will treat bipolar disorder, which we know to be dangerous and damaging, but it also is so safe that it won't cause any side effects or interfere with any other medications or any other organs or anything. It's like it can't be both.” ~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. Learn more about your ad choices. Visit megaphone.fm/adchoices

What happens when bipolar disorder collides with hypochondria? Is it even possible for someone to have both conditions? In this episode, Gabe Howard (who lives with bipolar) and Dr. Nicole Washington (a psychiatrist) tackle the complex overlap between bipolar disorder and what’s often called hypochondria but is now known as illness anxiety disorder.Together, they explore the confusion that comes when symptoms of panic, mania, or depression mimic physical health conditions — and why people with bipolar disorder often have trouble being taken seriously in medical settings. From emergency room misdiagnoses to the fear of “crying wolf” during a health scare, our hosts unpack the stigma and frustration many face when advocating for their physical health.Key takeaways the difference between illness anxiety disorder (hypochondria) and bipolar symptoms why people with mental illness are often dismissed in healthcare how therapy can help reduce overwhelming health fears You’ll also hear practical advice on how to tell the difference between anxiety and a medical emergency, the importance of knowing your symptom patterns, and why having a consistent primary care doctor is crucial. Listen now! "It matters whether you have hypochondria or whether mania is driving it, because of your next steps. If you truly have hypochondria, if you really are a hypochondriac, you are worried about being sick regardless of your mood state. So whether you're happy, sad, manic, whatever, this hypochondria persists. If you're only ultra focused on illness in a manic state or a grandiosity state, or with some specific symptom of bipolar disorder. Then it's just the bipolar disorder manifesting itself." ~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! Learn more about your ad choices. Visit megaphone.fm/adchoices

Do you feel trapped in a therapy or psychiatry relationship that feels stagnant, unsettling, or just plain wrong? This episode pulls no punches as hosts Gabe Howard — who lives with bipolar disorder — and Dr. Nicole Washington — a board certified psychiatrist — tackle the uncomfortable question most people think about but rarely voice: “How, and when, is it time to part ways with your mental health professional?" This direct and practical conversation cuts through the guilt, the logistics, and the myths about “ghosting” therapists, psychiatrists, and counselors. Dr. Nicole explains when walking away is OK, when to be careful (especially with meds), and why honest communication can actually be beneficial to you as the patient. Gabe brings the patient perspective — what it feels like to doubt care, to fear being “difficult,” and some tips to tell if the problem is the professional, your stage in recovery, or just a bad fit. Takeaways You don’t have to explain, but honest conversation is usually the healthier choice. Plan transitions first: “Ghosting” can create dangerous gaps in your care. Ask for records and time your switch to minimize treatment disruption. If you’ve ever wondered whether you owe the professional an explanation, how to keep medication continuity, or what to ask on day one to avoid a mismatch later — this episode is for you. Expect blunt truth and step-by-step strategies to move on responsibly so your recovery doesn’t skip a beat. 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. Got topic ideas or questions? Hit us up at show@psychcentral.com! Learn more about your ad choices. Visit megaphone.fm/adchoices

You can be living in a storm and swear it’s a sunny day. That’s what it’s like when insight slips away. In this episode, Dr. Nicole (board certified psychiatrist) and Kit Wallis (lives with schizoaffective disorder) explore why people with serious mental illness, like bipolar disorder, often can’t see their own symptoms — even when the evidence is undeniable. Dr. Nicole unpacks the science behind lack of insight and explains how it isn’t all-or-nothing. Insight flickers, evolves, and sometimes disappears just when you need it most. From Kit’s early experiences hearing voices (and assuming they were just a creative mind) to the manic episodes that shattered her reality, you’ll hear firsthand how denial and confusion can coexist. Discover why antipsychotic medications didn’t convince Kit the voices weren’t real, why manic highs feel too good to question, and why telling someone “you’re sick” rarely makes them believe it. If you’ve questioned why it’s so hard to see bipolar symptoms in yourself or a loved one, this conversation will open your eyes to the hidden forces behind denial — and acceptance. Cold Open Transcript: Kit Wallis: It took me years to figure out I was hallucinating. And the voices hated it whenever I did that. They were like, don’t do that, don’t research us, don’t do that. Looking back on it, it doesn’t make sense, but in the moment, it made perfect sense to me. It’s kind of wild to me that I can go through all this effort to really figure out what is going on and I still have moments where it just completely slips my mind. It still slips my mind when it is happening most of the time. We have a guest host for this episode (Don’t worry, Gabe Howard will be back!): Our guest host, Kit Wallis, who goes by SchizoKitzo, is a content creator who advocates for schizoaffective and bipolar disorders. She uses long-form videos on her YouTube channel and short-form content on platforms like TikTok and Instagram. Her content centers around her personal experience with schizoaffective disorder and often includes deep dives into research topics regarding mental health. Kit was diagnosed with the bipolar type of schizoaffective disorder in late 2020 and has struggled with symptoms since she was in middle school. Schizoaffective disorder is a mental health condition where someone experiences symptoms of schizophrenia--such as delusions and hallucinations--but also symptoms of a mood disorder--either major depression or, in Kit's case, bipolar. Realizing there was a lack of schizoaffective advocates, she decided to start her SchizoKitzo project to raise awareness for this complex condition. The mission of SchizoKitzo is to raise awareness of schizoaffective disorder and all of its aspects, from the mood side to the psychotic side. Kit works to bridge the gap between life and science so she can help break the stigma around mental health. 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. Learn more about your ad choices. Visit megaphone.fm/adchoices