In this solo Q&A episode of the Hardcore Self Help Podcast (Episode 424), I tackle two listener questions that address challenging mental health scenarios. The first question delves into the concept of antidepressant-associated chronic irritable dysphoria (ACID), a proposed condition rather than a formally recognized diagnosis, and the potential long-term effects of antidepressants in the context of bipolar disorder. I break down the limited research behind ACID, emphasize the importance of comprehensive care, and acknowledge the frustration that can arise when medications seem to worsen symptoms instead of helping.
The second question focuses on waking up early with irritability and racing thoughts. I provide practical strategies like pre-bed journaling to offload worries, identifying actionable steps for lingering concerns, and creating a calming buffer before sleep. I also discuss the importance of reexamining one’s work environment, considering meaningful changes, and finding fulfillment outside of a stressful job. Throughout the episode, I offer insights on self-advocacy, exploring alternative treatments, and laying the groundwork to regain a sense of control in your daily life.
Chapters:
00:15 — Introduction: Needing More Questions & Holiday Scheduling 02:00 — ACID Explained: A Proposed Condition, Not a Formal Diagnosis 08:00 — Bipolar Disorder & Antidepressants: Complex Interactions and Research Gaps 11:00 — Frustration with Care: Inadequate Guidance and Long-Term Medication Issues 14:00 — Exploring Alternatives: Therapy, Lifestyle Changes, and Treatments Like TMS/Ketamine 21:00 — Morning Irritability: Unpacking Workplace Stress & Uncontrollable Factors 24:00 — Reevaluating Work: Finding Meaning Outside Employment and Considering Changes 27:00 — Pre-Bed Journaling: Offloading Worries, Identifying Action Steps, and Creating Buffers 30:00 — Final Thoughts: Gratitude, Year-End Plans, and Continuing the Journey
About the Podcast
I’m Dr. Robert Duff, a clinical psychologist and the host of the Hardcore Self Help Podcast. I’m here to demystify mental health, break down psychological concepts, and provide actionable advice without unnecessary jargon. Through expert interviews, listener Q&A, and relatable discussions, this podcast aims to help you live a healthier, more fulfilled life.
Connect With Me:
#MentalHealth #Antidepressants #Bipolar #WorkStress #Journaling #SleepHygiene #QandA #SelfHelp #Psychology