logo
episode-header-image
Mar 2024
45m 11s

Exploring the Gritty and Ugly Sides of B...

Gabe Howard & Dr. Nicole Washington
About this episode

Addressing the more difficult and less discussed aspects of bipolar disorder, such as the high suicide rates associated with the condition, the severe impacts of depressive episodes, and societal stigma & discrimination is never easy. However, in today's episode, we ask ourselves, candidly, do podcasts like this one ignore the “ugly” side of bipolar disorder? What about mental health speakers, writers, and influencers? Has the desire to put a positive spin on the harsh reality of mental illness gone too far?

Our hosts want to acknowledge the complexity of addressing bipolar disorder and its consequences while still providing hope and encouragement to those affected. This episode was inspired by a listener's email. As always, we encourage feedback and topic suggestions. Send them to Show@psychcentral.com.

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.

He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or 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, 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.

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

Up next
Oct 6
Unpacking the Binge Eating Disorder and Bipolar Connection
What happens when binge eating disorder and bipolar disorder collide? Research shows they co-occur in as many as one in four cases — and yet, many people living with both conditions feel completely alone. In this episode, host Gabe Howard shares his personal journey of living wit ... Show More
40m 58s
Sep 22
Hypochondria (aka Illness Anxiety Disorder) in Bipolar Disorder Examined
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 ... Show More
35m 28s
Sep 8
Beyond Pills: Proven, Science-Based Approaches to Bipolar Management
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 die ... Show More
45m 4s
Recommended Episodes
Mar 2025
Your Thoughts Are Lying to You: How to Take Back Control
In this episode, our host interviews Dr. David Burns about his methods for overcoming negative thoughts and promoting joy using CBT techniques. Dr. Burns discusses various techniques and introduces his new digital tool, the Feeling Great app, which tracks personal feelings to fac ... Show More
26m 59s
Jul 24
Perimenopause and Depression: When Hormones Hijack Your Mental Health
What if the sudden mood changes, crushing fatigue, or unexpected anxiety you’re experiencing aren’t just stress or part of getting older, but signs of depression linked to perimenopause? In this episode, ADAA member expert and psychiatrist Dr. Crystal Clark joins host Gabe Howard ... Show More
19 m
Oct 2023
Mood Disorders
Did you know approximately 21% of US adults experience a mood disorder at some point in their lives? This is an extremely important, not to mention commonly tested, topic that all medical students should be familiar with. In this episode, our newest team member MS3 Bilal Rana wil ... Show More
40m 47s
Oct 2024
Is NAC Promising in Bipolar and Depression Treatment?
In this episode, we explore the potential of N-acetylcysteine (NAC) in treating mood disorders. We discuss its mechanism of action, clinical evidence for its use in depression and bipolar disorder, and its possible benefits for both adults and children. Could this natural compoun ... Show More
7m 58s
Feb 2025
Harvard Psychiatrist: How To Heal Your Mind With Your Diet - The Scientific Connection Between Nutrition & Mental Health
I'm going on tour! Come see The School of Greatness LIVE in person!Get my new book Make Money Easy here!What if the root cause of mental health disorders isn't just in your mind, but in your metabolism? In this groundbreaking conversation, Harvard psychiatrist Dr. Chris Palmer ch ... Show More
1h 37m
Jan 2021
Depression in children
Depression in children is characterised by sad or irritable mood, anhedonia, decreased capacity to have fun, decreased self-esteem, sleep disturbance, social withdrawal or impaired social relationships, and impaired school performance. It is one of the most common paediatric psyc ... Show More
25m 49s
Apr 2021
Depression in adults
Depression can describe both a mood and an illness. Major depressive disorder is a clinical syndrome involving mood, neurovegetative functions, cognition, and behaviour. It affects 5% to 10% of patients in the primary care setting. Dean F. MacKinnon, Associate Professor, Psychiat ... Show More
19m 56s
Jul 2021
Persistent depressive disorder
Persistent depressive disorder is a category that includes various forms of chronic depression in which depressive symptoms are present 'more days than not' over at least a 2-year period (1 year in children and adolescents). David J. Hellerstein, Professor of Clinical Psychiatry, ... Show More
18m 57s
Feb 2025
432 SelfWork: Doctors and Depression: A Conversation with Dr. Pam Buchanan
Today the focus is on doctors and depression, with Dr. Pamela Buchanan as my guest, in a second episode in the "Careers That Kill" series, discussing medical providers, the pandemic, and depression.  She's a board-certified physician, speaker and thought leader dedicated to t ... Show More
34m 15s
Feb 2025
How Groupthink Shapes Parenting, Medicine, and Health
​​Ever wonder why some of the smartest people, like doctors, can still get it wrong? In this eye-opening episode, Gabe Howard talks with Dr. Marty Makary, author of “Blind Spots: When Medicine Gets It Wrong,” to uncover how groupthink and cognitive biases influence not just medic ... Show More
26m 9s