Inside Bipolar

What if managing bipolar disorder wasn’t just about medication? Too often, conversations around bipolar treatment stop at the pharmacy counter. But what about therapy that helps you process trauma? What about learning your triggers before a full-blown episode hits? What about diet, exercise, creativity, and community support? These are not extras — they’re essential.In this episode, hosts Gabe Howard (who lives with bipolar) and Dr. Nicole Washington (a board certified psychiatrist) dive deep into science-backed strategies for managing bipolar disorder beyond medication. From therapy to sleep hygiene to mindfulness medications, they explore the powerful “other pieces of the puzzle” that can help stabilize moods and improve daily life. Key Takeaways how being “med compliant” isn’t the be-all and end-all of bipolar management why therapy, triggers, and sleep tracking can be critical in maintaining stability how diet, exercise, and creativity can support long-term mental health practical steps to build (and lean on) a strong, balanced support system If you’ve ever asked, “What else can help manage bipolar disorder besides being ‘med compliant’?”— this episode has the answers. “People aren't discussing them enough. When it comes to managing bipolar disorder, it's not one big thing that you do well. It's many little things. And this episode, especially the research for it, has really shown me that doing a lot of little things well often garners really big results.” ~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

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

Do you feel people are manipulating or using you because of your bipolar disorder diagnosis? If that question hits a nerve, this podcast episode is for you. When a listener emailed us because they felt they were being exploited due to their diagnosis, hosts Gabe Howard (who lives with bipolar disorder) and Dr. Nicole Washington (a licensed psychiatrist) dove headfirst into a frank conversation about loneliness, control, and the messy reality of potentially unequal relationships. Gabe shares personal stories of how a friend used his desire for connection to get what they wanted — free tickets, emotional labor, and more — while giving little in return. Dr. Nicole helps unpack how mental illness can cloud your ability to spot toxic dynamics until it's too late. Together, they explore what it really means to set boundaries, recognize red flags, and take your power back without beating yourself up for what you allowed in the past. You’ll learn how to rebuild your life with real friends, regain your self-worth, and protect your peace — one boundary at a time. If you've ever looked around and wondered, "Why do I feel like I'm the only one giving?" and wondered if you are being taken advantage of due to a bipolar diagnosis — listen now. “The real reality is I've lost friends for all kinds of reasons. Because I've switched jobs, because I've moved, because I'm no longer in high school, because I've outgrown them. The number one reason, honestly, is because I don't have children. And many of my friends went on to have kids. When you live with bipolar disorder, you tend to think that the only reason that you lose people is because of bipolar disorder. And I don't think that serves us. I think maybe a better way to look at it is, you know, when you were sick, these were your friends. But as you reached recovery, as you got better, you made different friends because your situation changed. And I think that's much healthier than saying, well, bipolar disorder cost me all my friends.” ~Gabe Howard, Host Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are available directly from the author with free swag included! Among his many accolades, Gabe received an official resolution from the Governor of Ohio naming him an “Everyday Hero,” and had the distinct honor of speaking at Oxford University in England. To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, 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

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

You’ve received a new diagnosis of bipolar disorder. Now it’s time to sharpen your survival toolkit. In part two of this essential series, Gabe Howard (Lived Experience) and Dr. Nicole Washington (Board Certified Psychiatrist) dive straight into the signals you can’t afford to miss: the subtle shifts in sleep, mood, and behavior that whisper “episode incoming.” Learn why tracking your patterns today becomes your superpower tomorrow, and how a simple “chain analysis” can turn hindsight into foresight. With candid humor, real‑world examples (yes, Taco Bell may factor in), and expert guidance, this episode transforms “How did I miss that?” into “I can see it coming—and I’m ready.” Press play and empower yourself with the roadmap that turns panic into proactive action. (Link to the first episode: New Diagnosis? All the Basics Unlocked (Part 1 of 2)) Cold Open Transcript: Dr. Nicole You have to be honest with us about everything, including, as Gabe so eloquently put it, getting your freak on. Gabe: Getting your freak on. Getting your freak on. Dr. Nicole: You gotta tell us. Gabe: It's the number one reason that people stop taking their meds. Dr. Nicole: Yes, yes, yes. Gabe: And they always report to me I just stopped taking my medicine because I couldn't get an erection. Because my libido was down. You know, the sex didn't feel as good. I couldn't achieve orgasm. So I just Dr. Nicole: Yeah. Gabe: Stopped taking my medicine. And I don't want to tell my Dr. Nicole that. Dr. Nicole: Yeah. Because she's an old lady. Because she's Gabe: Yeah. Dr. Nicole: An old lady. She's the same age as my mom. I can't talk to her about sex. Gabe: Yeah, yeah. I hear that all the time. All the time. Number one reason. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are available directly from the author with free swag included! Among his many accolades, Gabe received an official resolution from the Governor of Ohio naming him an “Everyday Hero,” and had the distinct honor of speaking at Oxford University in England. To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, 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

Imagine hearing, “You have bipolar disorder,” and feeling the ground drop out from under you. That moment of shock and confusion is the very reason we made this episode. Join Gabe Howard (lived experience) and Dr. Nicole Washington (board certified psychiatrist) as they transform that initial overwhelm into a powerful first step. In this episode, you’ll discover the essential truths no one tells you when you get a new diagnosis: why bipolar is a lifelong journey (yes, it’s more like diabetes than a short-term infection), how to sort gold standard science from Reddit rumors, and why medications — while not magic — can be game‑changers when wielded wisely. Whether you’re fresh off your diagnosis or need a foundational refresher, press play and arm yourself with the knowledge, skills, and community wisdom that can turn this new chapter into your strongest one yet.  “When it comes to bipolar disorder, I caution you against answer shopping. It only hurts you when you believe incorrect information.” ~Gabe Howard, Host Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are available directly from the author with free swag included! Among his many accolades, Gabe received an official resolution from the Governor of Ohio naming him an “Everyday Hero,” and had the distinct honor of speaking at Oxford University in England.To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, 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

In this female-centric episode, board certified psychiatrist Dr. Nicole Washington welcomes mental health advocate Kit Wallis, who lives with schizoaffective disorder, for a fearless “girl power” takeover. Kit shares raw stories of being dismissed, sexualized, and romanticized simply for being a woman with a serious mental health diagnosis — and how one doctor’s simple question, “What is it like for you?” completely changed her care. Together, they pull back the curtain on the “crazy girl” trope, explore why stability truly is the new sexy, and celebrate the radical act of being heard. You’ll learn how gender bias sneaks into clinical decisions — from medication adjustments to life-altering procedures — and discover practical tools for reclaiming agency: setting boundaries, understanding transference in therapy, and advocating for respectful, person-centered care. Tune in and join Dr. Nicole and Kit for an uplifting, eye-opening discussion, because when women speak, real change happens.  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

What if a secret weapon in managing bipolar disorder isn’t a new medication or a breakthrough therapy — but a brisk 20-minute walk? In this refreshingly honest and hilariously relatable episode, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington take on the least talked about pillar of bipolar stability: lifestyle management, and more specifically, exercise. During a recent bout of depression, Gabe’s doctor “tricked” him into walking daily by describing it like a miracle pill. Spoiler alert: It kind of was. At first, Gabe thought the idea sounded like a total scam — and he didn’t even own sneakers. (His first walks were in Doc Martens.) But over the past year, daily walks have become part of his recovery. In this episode, Gabe opens up about what finally got him moving, why he stuck with it, and how something so simple ended up making a real difference. Dr. Nicole, a self-proclaimed workout hater, shares why she still encourages her patients — and herself — to move, even when it’s the last thing they want to do. From the science behind short daily walks to the mental health benefits for people managing bipolar disorder, Gabe opens up about what finally got him moving, how it changed his mindset, and why the smallest step forward can sometimes shift everything. "When somebody first mentioned going for a walk for bipolar disorder I thought what is this new age garbage? Like, I live with a serious and persistent mental illness. Going for a walk is not going to do anything. But I gotta tell you, I was wrong. Look, I’m not saying that it cures bipolar disorder. But I can say that it helps manage my moods." ~Gabe Howard, Host Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are available directly from the author with free swag included! Among his many accolades, Gabe received an official resolution from the Governor of Ohio naming him an “Everyday Hero,” and had the distinct honor of speaking at Oxford University in England. To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, 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

Imagine being fully awake, yet your body refuses to respond — a terrifying state where time seems to warp as you stand paralyzed. In this riveting episode, we dive deep into the elusive world of catatonia as it intersects with bipolar disorder. Drawing from special guest host Kit Wallis’s (SchizoKitzo’s) firsthand experiences, including moments of being physically “frozen” while fully aware, this episode unpacks the surprising complexities behind catatonia. Listeners will gain a clear and compassionate understanding of the three distinct presentations as host Dr. Nicole Washington, a board certified psychiatrist, breaks down the symptoms and dispels common misconceptions, while Kit shares intimate details of how these episodes have disrupted her life and ultimately guided her toward better management of her mental health. Whether you are directly affected by bipolar disorder or seeking a deeper insight into its hidden facets, this discussion promises to be an enlightening journey into one of the most misunderstood aspects of the condition. We have a guest host for this episode (Don’t worry, Gabe Howard will be back!): 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

Have you ever felt the crushing weight of doubt when every day is a battle with your own mind? In this episode, Gabe (who lives with bipolar) and Dr. Nicole (a board certified psychiatrist) cut through the BS and get real about staying on track with bipolar treatment. They dive into moments when giving up seems like the easier option and Gabe recalls a painful wake-up call from a friend who wasn’t holding back their anger — a moment that ignited a drive to prove everyone wrong. Dr. Nicole breaks down why even the smallest victories, like getting out of bed or planning a future getaway, can mean everything. With no sugarcoating, they explore the raw truth behind why fighting isn’t just for the dark days — it’s a constant, everyday challenge. This episode is for anyone who’s ever wondered how to find the strength to keep moving forward when life feels overwhelming. “I did not want to lay down and die. My core philosophical values and belief systems is that this is all there is. Whatever I do with it, that's my life. That will be how I'm remembered. That is what people will see. Whatever joy or suffering or pain or happiness or success or laughter or connections, this is all there is. And if I just sit at home and do nothing, then I will just be remembered as the guy who sat at home and did nothing. And I don't want to be remembered that way.” ~Gabe Howard, Host Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are available directly from the author with free swag included! Among his many accolades, Gabe received an official resolution from the Governor of Ohio naming him an “Everyday Hero,” and had the distinct honor of speaking at Oxford University in England. To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, 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

Why is schizoaffective disorder so often overlooked — even by mental health professionals — and how does it relate to bipolar disorder? In this episode, Dr. Nicole Washington sits down with guest host Kit Wallis (aka SchizoKitzo) to discuss Kit’s life managing schizoaffective disorder, bipolar type. Kit shares her decade-long journey through multiple diagnoses, from cyclothymia to bipolar I, before finally receiving the correct diagnosis of schizoaffective disorder. Kit explains why this diagnosis finally made sense and how she educated herself on her disorder. If you’ve ever wondered about the blurry lines between bipolar disorder, schizophrenia, and schizoaffective disorder — or just want to hear a powerful story of self-advocacy — this episode is for you. Cold Open Transcript:  Dr. Nicole: Some people will tell me that their voices are not all bad, and they don't necessarily want to get rid of them. Kit: Oh, man. That's a can of worms. That is a can of worms. When I was telling my psychiatrist that I was experiencing religious delusions, and I went on antipsychotics to get rid of the god who hated me, but not necessarily for the voices who helped me so much. I ended up losing the others and I think about the voices that I don’t hear anymore all the time because I miss them that much. We have a guest host (Don't worry, Gabe Howard will be back!) for this episode: Our 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, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Ever wonder what happens when two complex mental health conditions collide? In this episode, host Gabe Howard, who lives with bipolar disorder, and board certified psychiatrist Dr. Nicole Washington, peel back the layers of obsessive-compulsive disorder (OCD) and bipolar disorder, challenging the clichés and misconceptions that have long overshadowed these conditions. Using humor, candor, and expert insight, they share personal anecdotes and surprising research that illuminate the hidden battles behind intrusive thoughts, relentless rituals, and shifting moods. This conversation dives deep into how misinterpreting symptoms can lead to confusion and missed diagnoses — making it a must listen for anyone seeking clarity on the comorbidity of these two conditions.   Whether you’re navigating these challenges yourself or supporting someone who is, this episode invites you to rethink what you know about OCD and bipolar disorder. “It's very difficult to have an episode about OCD and bipolar disorder because they're two unique illnesses that present in very unique ways. And I'm not sure what it looks like when they blend together. You may or may not have it. The things that you're describing as OCD may very well just be personality traits or just part of bipolar disorder. So I want to ask you very specifically, is there anything unique about OCD and bipolar disorder put together that our audience needs to know that our listeners should be aware of or concerned about?”~Gabe Howard, Host Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Many people with bipolar disorder experience trauma — either from external events or even from the disorder itself. In this episode, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, dive into the deep waters of managing trauma with bipolar disorder. They cover the differences between trauma and post-traumatic stress disorder (PTSD), debunking common misconceptions. They explore how experiences like suicidal episodes, hospitalization, job loss, and manic behavior can leave lasting emotional scars and why it’s important to manage them. Most importantly, they discuss how to validate your experiences, communicate with loved ones and medical professionals, and take steps toward healing. If you've ever felt dismissed or struggled to explain how bipolar-related trauma affects you, this episode is a must listen. "People with bipolar disorder have trauma because of it. So much of this is driven from the fact that people aren't taken seriously. I want to say, as a person living with bipolar disorder, it is real. Bipolar disorder caused you trauma. You are traumatized because of your experiences with bipolar disorder." ~Gabe Howard, Host To learn more -- or read the transcript -- visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Bipolar doesn’t just impact mood — it can take a toll on your sex drive, too. In this frank conversation, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, break down how both depression and mania affect libido, the frustration of losing sexual desire, and the pressures of maintaining intimacy in relationships. They cover why some people care deeply about their loss of sexual desire while others barely notice and seem not to mind. How do medication side effects and the emotional weight of bipolar disorder complicate sex and intimacy? And what about the expectations partners place on each other? This episode tackles it all — including the unspoken struggles of men and women navigating sex while managing mental health and the symptoms of bipolar disorder. Whether you're personally affected or supporting a loved one, this episode offers crucial insights into an often overlooked topic. "When it gets right down to it, hyposexuality is simple. Your libido is lowered and you don't know why. You need to follow this up. I know people are listening to this because bipolar disorder is what they feel is causing their issue." ~Gabe Howard, Host To learn more -- or read the transcript -- visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Electroconvulsive therapy (ECT) often conjures extreme images — either as a medieval torture method or a miraculous cure. But what’s the reality? Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, dive deep into the facts, debunking myths and exploring the nuances of ECT as a treatment for bipolar disorder. In this episode, they discuss the effectiveness of ECT, why it’s not a first-line treatment, and the barriers patients face, from logistical challenges to fears about memory loss. With candid insights and personal reflections, they tackle tough questions: Is ECT worth it? What are the real risks? How does it compare to medication? Whether you're curious, skeptical, or considering ECT for yourself or a loved one, this episode offers a grounded perspective on a complex, life-changing therapy. Don’t miss this enlightening and thought-provoking discussion.   Cold Open Transcript: Gabe: Controversy aside, I don't understand how zapping somebody's brain makes them better. It just doesn't make any sense. Are electrical currents magic? Do they have some sort of medicinal capabilities? Dr. Nicole: No, [Laughter]. Well, no. Gabe, electro-currents are not magical. But the seizure that they induce is what can be valuable to the person with the disorder. Gabe: So the electrical shock stimulates the seizure. And the… Dr. Nicole: Yes. Gabe: Seizure is where the treatment comes in Dr. Nicole: The seizure is the treatment. The shock is just how we get there. To learn more -- or read the transcript -- please visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Does "bipolar rage" exist, or is it a misunderstood concept? In this episode, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, tackle bipolar rage and discuss why it’s not a clinical symptom of bipolar disorder. They explore the differences between anger, agitation, and rage, offering insights for those with bipolar disorder and their loved ones. Learn why violent outbursts can't always be attributed to bipolar disorder, and why personal accountability matters. This episode also empowers loved ones to prioritize their safety and set boundaries if they feel threatened, whether the behavior stems from bipolar disorder or something else. With practical advice, myth-busting facts, and a touch of tough love, this conversation offers clarity and actionable steps for managing tough emotions. Hit play to uncover the truth and start making meaningful changes today! “The best time to have a fire drill is when there is no fire. Don’t try to have a fire drill after the house is on fire. So many people try to work out how to prevent rage issues or arguments in the middle of arguments. Now is the time to do it. Not during, but before it happens.” ~Gabe Howard, Host To learn more -- or read the transcript -- please visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

ADHD and bipolar disorder often share symptoms, but are they truly co-occurring conditions or just two sides of the same coin? Join Gabe Howard, who lives with bipolar disorder, and psychiatrist Dr. Nicole Washington as they tackle one of the most perplexing topics in mental health. They dive into how these diagnoses overlap, how doctors differentiate between them, and why ADHD might sometimes be over diagnosed. Discover the challenges of treating ADHD in someone with bipolar disorder and why the right diagnosis matters for effective treatment. With engaging analogies and personal insights, this episode explores the fine line between labeling symptoms and focusing on wellness. If you or a loved one are navigating ADHD, bipolar disorder, or both, this is a must-listen conversation. Cold Open Transcript: Gabe: Hey, you're saying that I have bipolar disorder, but couldn't this just be ADHD or ADHD symptoms? You're saying that I have mania, but isn't that just hyperactivity? You're saying that I'm having racing thoughts, but isn't that just lack of ability to focus? Dr. Nicole: Yeah, yeah. Gabe: And they’re like, well, wait a minute. I just have ADHD. What’s this bipolar stuff that’s coming up? Dr. Nicole: It is possible that those symptoms that look like ADHD could be untreated mood symptoms. To learn more -- or read the transcript -- please visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Have you ever heard someone say they miss the “old you” — the life of the party, the one who could stay out all night and keep everyone entertained? For people with bipolar disorder, those “good old days” were often fueled by mania, bringing hidden chaos, risk, and pain. In this candid episode, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, dive into why some friends and family romanticize manic episodes, ignoring the struggles beneath the surface. They unpack the emotional toll of hearing, “You used to be so much fun,” and explore how to set boundaries, educate others, and navigate feelings of nostalgia. Whether you're managing bipolar disorder or supporting someone, this episode offers invaluable insights into maintaining stability while addressing the pressures of the past. Tune in to uncover the truth behind the “good old days” and why the “new you” deserves to be celebrated. Cold Open Transcript: Gabe: If somebody's like, I miss the good old days. I miss your mania. I miss how you used to be. Dr. Nicole: Yes. Gabe: You know, obviously I'm going to cut you off, you ignorant fool, is something you can say back. Dr. Nicole: [Laughter] Not if you want them in your life. I mean, if you're ready to cut it off, say what you need to say and walk away, in very dramatic fashion. But if this is a relationship that you want to salvage, I think then you have to be willing to put up a little bit of vulnerability, as hard as that may be. To learn more -- or read the transcript -- please visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Does your psychiatrist really understand what you're going through? Navigating conversations with your psychiatrist and other professionals helping you manage your mental health can be daunting, but it doesn’t have to be! In this episode, Gabe Howard and Dr. Nicole Washington tackle the communication disconnect between patients and mental health professionals. Learn why vague terms like "nervous breakdown" can hinder your treatment and how to provide the specific details your doctor needs to help you effectively. They discuss the importance of sharing family mental health history, breaking down symptoms, and offering clear examples — even if you don’t know clinical terms. Packed with practical advice, this conversation will empower you to self-advocate, build stronger doctor-patient relationships, and get the care you deserve. Whether you're living with bipolar disorder or another mental health condition, this episode is an essential guide to speaking the same language as your healthcare professionals. Tune in and take the first step toward a stronger partnership with your psychiatrist and clearer, more effective communication! Cold Open Transcript:  Gabe: Although I imagine from your vantage point, Dr. Nicole not annoying your psychiatrist is probably a pretty damn good reason. [Laughter] Dr. Nicole: [Laughter] I mean, annoy is a strong word. I don't know if it annoys me. Gabe: Fair. Dr. Nicole: I don't know that I'm annoyed when people come in not knowing these things or not being able to communicate these things. It just lets me know that I have a lot of work to do, that I have to be the one to do that education that was missed somewhere along the way. To learn more -- or read the transcript -- please see the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Love can be exhilarating, but for people with bipolar disorder, it can sometimes blur the lines between infatuation and mania. In this candid episode, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, dive into the complexities of new romance through the lens of bipolar disorder. How can you tell if it’s true love, fleeting infatuation, or a symptom of mania? From grandiose declarations to the red flags of unhealthy expectations, they discuss how bipolar symptoms can amplify the highs and lows of relationships. They also explore how age, life experiences, and emotional milestones shape how we approach love. Whether you’re navigating your own relationships or supporting someone with bipolar disorder, this episode offers relatable insights and practical advice to help you find clarity. “Grand love gestures are absolutely my jam. And I know the world is filled with people who love romance. So I don’t want anybody to hear that all types of grand gestures and falling in love and soulmates are bad. But, if you are all consumed by that grand gesture and you can’t figure out anything else but to do that right now, then it could be mania.” ~Gabe Howard, Host To learn more -- or read the transcript -- please visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices