Inside Bipolar - podcast cover

Inside Bipolar

Gabe Howard & Dr. Nicole Washingtonpsychcentral.com
Join Gabe, who lives with bipolar, and Dr. Nicole, a board certified psychiatrist, as they explore the spectrum of this misunderstood illness. They tackle bipolar disorder using real world examples, the latest research, and just enough funny to keep you intrigued. Signal Award Gold Winner, 2024. Signal Award Listener's Choice Winner, 2024. Webby Honoree two years in a row -- 2024 & 2025!
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Episodes

Maintaining Long-Term Recovery with Bipolar Disorder

It can take a long time to reach recovery with bipolar disorder, but once you do, what then? Is it over? Can you stop going to support groups, monitoring your sleep, and tracking your moods? What about your medication and doctor’s visits — can all that just be forgotten? In fact, how long will it be before you can stop paying attention to all of this and leave bipolar disorder in your rearview mirror? Join us as Gabe and Dr. Nicole share the answers to these questions and why it may be better to...

Dec 25, 202340 min

Annoying Things Psych Docs Say to Patients

We asked on social media for the most annoying things people’s psychiatrists have ever said to them. Wow, did we get some responses! From access to care to dismissing symptoms to offering nonsensical advice, people really feel many psychiatrists say a lot of annoying things. In this episode, we discuss the top four answers and Dr. Nicole shares some thoughts from her perspective. Even though people had a lot of feedback, the majority remained respectful and shared a lot of great insights. Listen...

Dec 11, 202339 min

Does What You Eat Affect Bipolar?

There isn’t a specific diet that will cure bipolar disorder, but that doesn’t mean what we eat has no impact on how we feel. In fact, our diet can directly affect how we feel, which can drive the symptoms of bipolar disorder in a myriad of ways. Join us as Gabe and Dr. Nicole share specific tips on ways to eat better — even when depressed. They also work to unpack all the reasons we believe what we do about food and how it ties together with a bipolar diagnosis. To learn more -- or read the tran...

Nov 27, 202343 min

Brain Fog and How to Manage It

Do you have trouble remembering things? Do you not think as quickly as you used to or as you would like? Does your memory or ability to focus often feel “foggy?” Do you think it may be caused by bipolar disorder? It could be your medication, or aging, or drinking, or something else entirely – but how do you know? Join us as Gabe and Dr. Nicole discuss the frustrating symptoms of brain fog and cognitive decline. To learn more -- or read the transcript -- please visit the official episode page. Ou...

Nov 13, 202343 min

Host's Mom Shares Family Perspective of Bipolar

Bipolar disorder is difficult to manage and it doesn’t just affect the person with the disorder. The entire family is involved, often negatively. Unfortunately, more often than not, no one takes a greater hit than mothers. In this episode, our host Gabe Howard’s mom shares the early signs of bipolar disorder, what it was like to deal with teenage angst on top of serious and persistent mental illness, and what her worries are now. Join us as Gabe steps aside and leaves the show entirely in the ha...

Oct 30, 202346 min

In-Patient Hospitalizations: How to Stay Prepared

No one wants to be admitted to a psychiatric hospital, though being prepared could make it easier to manage. But how do you prepare for such a thing? Whether you have been admitted in the past or just want to feel better prepared for the possibility, this episode dives deep. Join us as Gabe and Dr. Nicole share advice on how to be legally prepared (what on earth is a psychiatric advance directive?), what to pack, what not to pack, and more. They also discuss the emotional implications of prepari...

Oct 16, 202342 min

Alcohol’s Impact on Bipolar Disorder

In our society, alcoholic beverages are very common, and since people living with bipolar disorder are just like everyone else, they absorb the same messaging surrounding drinking. From the simple wedding toast to “wine o’clock” and “beer thirty” to celebrate the end of a long work day, imbibing a drink is as common as breathing. But is this the best choice for people managing bipolar disorder? It is a complicated question that depends on a myriad of factors like where you are in your recovery o...

Oct 02, 202347 min

Is Hypomania “Just” Less Severe Mania?

Often, when discussing hypomania in bipolar disorder, it is described as “just like mania, but not as severe.” To the uneducated populace, this creates the idea that hypomania is not as serious and, for all practical purposes, is basically “mania light.” But is that accurate? Is hypomania simply a lesser form of mania? Or are mania and hypomania two distinct symptoms that need to be treated in unique ways? Join us as Dr. Nicole gives us all the medical info and Gabe shares how well-meaning bipol...

Sep 18, 202345 min

5 People For Your Support Team (That You Coach)

Building a support system to help you manage bipolar disorder is easier said than done. In this episode, Gabe and Dr. Nicole share that a support system is helpful and give hints and tips on how to build your team. They discuss who you should have on your support team and how to recruit them as well as who to avoid and why. They also share the five most important people they feel can offer the best support. To learn more -- or read the transcript -- please visit the official episode page. Our ho...

Sep 04, 202342 min

Families Seeking Forgiveness After Recovery (Part 2 of 2)

Last week, Gabe shared all the things his parents did wrong when it came to helping him manage his bipolar disorder. This week, he tells us some of the things his parents got right. Dr. Nicole shares how many of her patients have tried to reconnect with estranged family members, and they both discuss ways to bring people back together. An inspiring, hopeful, and motivating episode awaits! Please note: This is a continuing discussion from the previous Inside Bipolar episode, “Families Are Complic...

Aug 21, 202331 min

Families Are Complicated and Bipolar Doesn’t Help (Part 1 of 2)

Our host, Gabe Howard, frequently shares how his parents “did everything wrong” when getting him help for bipolar disorder. He has shared the fractures in his family, the misunderstandings, and the conflict in multiple past episodes. In this episode, we dive into some of the specifics of his parent’s missteps and touch on what they could have done differently. Join us as Gabe openly discusses how these mistakes impacted him and what his relationship with his parents is like now. To learn more --...

Aug 07, 202338 min

Second Opinion for Bipolar Disorder Diagnosis

Receiving a diagnosis of any major medical condition is scary. A bipolar disorder diagnosis can be even scarier. Many people may disagree, wondering if the doctor is correct. Should you seek a second opinion and, if so, what if another doctor or mental health professional has a different perspective? Would you benefit from hearing it? Join us as Gabe and Dr. Nicole discuss when and how you might want to look into getting a second opinion. To learn more -- or read the transcript -- please visit t...

Jul 24, 202346 min

Mania Stay and Depression Go? Treatment Options for Bipolar Symptoms

Most of us want to get rid of depressive periods, but we aren’t as sold on getting rid of manic periods. And why should we be? Why won’t doctors just do what we want and relieve our depression while not messing with the often incredibly enjoyable symptom of mania? Join us as Gabe and Dr. Nicole explain why the disorder — and the human body — just don’t work that way. To learn more -- or read the transcript -- please visit the show's official episode page. Gabe Howard is an award-winning writer a...

Jul 10, 202339 min

Using Supplements to Treat Bipolar Disorder

Are you interested in the pros and cons of using over-the-counter supplements to treat bipolar disorder? Some people are curious about them and others feel they are equivalent to prescription medications. But, what’s the reality? Join Gabe and Dr. Nicole as they share the potential pitfalls of using supplements as a front-line treatment and discuss some of the more popular vitamins and supplements talked about for bipolar disorder. To learn more -- or read the transcript -- please visit the offi...

Jun 26, 202341 min

Are Routines Helpful to Manage Bipolar Disorder?

Many of us have been told that maintaining a consistent routine is the key to living well with bipolar disorder. But does that ever annoy you? Does it feel like you’re being treated like a child? After all, the idea of having a routine sounds like something a toddler does, not an adult. Listen as Gabe and Dr. Nicole discuss what the concept of routines gets wrong as well as what it gets right. They even throw in some helpful hints on creating one for yourself. But, perhaps most importantly, you’...

Jun 12, 202339 min

Is Mania Always Happy? All About Dysphoric Mania

Our host, Gabe Howard, often remarks that mania has the best public relations team in the world. Why else would mania be described as an unbelievable feeling of well-being and pure bliss? It seems mania is only ever discussed as an overwhelming positive experience. For many people, mania doesn’t include a euphoric feeling — prompting the question, is it even mania? In fact, is there such a thing as mania that doesn’t include euphoria? Join us as Gabe and Dr. Nicole discuss dysphoric mania and sh...

May 29, 202344 min

Is Overeating an Example of Self-Medication?

Our host, Gabe Howard, used to weigh over 550 pounds. These days, he maintains a healthier weight — and has done so for over 20 years. Many people, including Gabe, feel that binge eating is an example of self-medicating. Using something — in this case food — to mask the symptoms of bipolar disorder. If you feel that you may binge-eat as a way to deal with the symptoms of bipolar disorder, this episode is for you. Listen now to find other alternatives and understand the psychological mechanisms a...

May 15, 202350 min

Can Cannabis / Marijuana Treat Bipolar Disorder?

What about medical marijuana as a treatment for bipolar disorder? Now that cannabis is legal in many states, many people want to try smoking as a primary treatment method. Realistically, even before cannabis was legalized and regulated, people touted its benefits as a treatment of all kinds of mental health issues from depression to psychosis. But is it true? Join us as Gabe shares his own experience with marijuana use and Dr. Nicole shares the latest research surrounding living well with bipola...

May 01, 202341 min

What Is Rapid Cycling? (And What We Often Get Wrong)

Are you depressed in the morning and manic in the evening? Do you think that means you are a “rapid cycler”? What if it turns out that’s not the definition at all? Listen in as Gabe and Dr. Nicole discuss what rapid cycling is — and is not. As an added bonus, Dr. Nicole will tell us all about ultra rapid cycling and even ultra ultra rapid cycling. There is much to learn and a lot of nuance to unpack. Tune in now! To learn more -- or read the transcript -- visit the official episode page. Meet Yo...

Apr 17, 202338 min

Mom Shares How Childbirth Led to Bipolar Diagnosis

About 50% of women with bipolar disorder receive their diagnosis after the birth of a child — during the postpartum period. Despite that large number, there is little information available on the possibility of pregnancy triggering an initial episode of mania or other symptoms of bipolar. Jessica Ekhoff joins us as the first guest of Inside Bipolar. Ekhoff has postpartum bipolar disorder. She shares her diagnosis story and what she did next. To learn more -- or read the transcript -- please visi...

Apr 03, 202349 min

How Can I Tell If My Child Has Bipolar Disorder?

Bipolar disorder does have a genetic component, meaning if you have bipolar, your children are at an increased risk of having it themselves. But what does that mean on a practical basis? How do you know if your child actually has bipolar or if you might be seeing something that isn’t there? Is the “symptom” you see an indicator or just normal teenage behavior? Join us as Dr. Nicole and Gabe discuss how to advocate for the children in your life and handle your own fears. To learn more -- or read ...

Mar 20, 202338 min

Does Hollywood Portray Life with Bipolar Accurately?

Even though we all know that movies are fictional, alien robots don’t exist, and no one has magic powers, we often think pop culture portrayals of people with bipolar disorder — which are often negative — are accurate. In rare cases when people with bipolar disorder are shown as being successful, they are unrealistically successful — genius crime fighters, concert pianists, or movie stars. Join us as Gabe and Dr. Nicole discuss the impact pop culture has on how the real world sees bipolar disord...

Mar 06, 202337 min

Owning Our Mistakes Caused by Bipolar Symptoms

We have probably done things we’re not proud of while in the midst of a bipolar episode. But it isn’t our fault, right? After all, bipolar disorder isn’t our fault. Listen in as Gabe and Dr. Nicole explain why thinking that way could negatively impact your relationships and life. To learn more -- or read the transcript -- please visit the official episode page. Meet Your Inside Bipolar Podcast Hosts Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the aut...

Feb 20, 202339 min

Managing Marriage and Bipolar Disorder

We have talked a lot on this show about dating and how to start a relationship when you have bipolar disorder. But what about if you are already in one? What about those of us who aren’t dating, but are already married or in a long-term relationship? Tune in as Gabe and Dr. Nicole discuss ways to manage your condition in the context of your relationship and why your partner’s help can be invaluable. To learn more -- or read the transcript -- please visit the episode page. Meet Your Inside Bipola...

Feb 06, 202341 min

Is Happiness Possible with Bipolar?

Are you happy? No matter your answer, you might be asking the wrong question. Is happiness an emotion, a state of being, a destination, or an achievement? It turns out that happiness is not as cut and dry as we’ve been led to believe. Listen as Gabe and Dr. Nicole answer the surprisingly nuanced question: “Can people with bipolar disorder be happy? To learn more -- or read the transcript -- visit the official episode page. Meet Your Inside Bipolar Podcast Hosts Gabe Howard is an award-winning wr...

Jan 23, 202335 min

Stopping Bipolar Mania Before It Starts

It isn’t always possible to prevent a manic episode, but in today’s episode, we discuss possible techniques to try and stop mania in its tracks. Bipolar disorder is a cyclical illness and it’s important to remember that despite our best efforts, we can fall into mania. Join us as Dr. Nicole and Gabe discuss some strategies for preventing mania and tips for minimizing the potential damage from a manic episode. To Learn more -- or read the transcript -- please visit the official episode page. Meet...

Jan 09, 202344 min

Defeating Depression with Bipolar Disorder

You can do everything “right” and still find yourself in a depressive episode. This is largely because bipolar disorder is a cyclical illness. But what are some things you can do to minimize your chances or to break free? Join us as Gabe and Dr. Nicole give us some tips for recognizing, heading off, and even pulling out of a depressive episode. To learn more -- or read the transcript -- please visit the official episode page. Meet Your Inside Bipolar Podcast Hosts Gabe Howard is an award-winning...

Dec 26, 202239 min

Should You Tell Kids About Your Bipolar Diagnosis?

Should we tell children about a loved one's (or our own) bipolar disorder diagnosis? Just like discussing sex with children, talking with kids about mental illness is fraught with difficulty. But does it need to be? In this episode, Gabe and Dr. Nicole discuss when kids are old enough to be told, what you should tell them, and why it may be dangerous to avoid the topic. To learn more -- or read the transcript -- please visit the official episode page. Meet Your Inside Bipolar Podcast Hosts Gabe ...

Dec 12, 202242 min

Is Mania a Good or Bad Symptom of Bipolar Disorder?

“Mania has the best public relations team in the world” is Gabe's favorite “Gabe-ism.” It seems like everyone with bipolar disorder invariably remembers it as an amazing awe-inspiring time. Society, too, romanticizes mania, thinking about it often in positive ways. But is mania really that great or is this another example of bipolar disorder lying to you? What makes people remember mania so fondly, and what does it look and feel like to our friends and family? Listen as Gabe and Dr. Nicole discu...

Nov 28, 202238 min

Surviving Family Gatherings While Managing Bipolar

It is that time of year again: time to get with your extended family for the holidays. If you are not looking forward to it, join the club. A lot of people with bipolar disorder — and a lot of people in general — have trouble navigating complicated family dynamics. Join us as Gabe and Dr. Nicole shares some tips and tricks on getting through the holidays — or any other big gathering. To learn more -- or read the transcript -- please visit the official episode page. Meet Your Inside Bipolar Podca...

Nov 14, 202237 min
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