Inside Bipolar

This episode was never supposed to exist. Mental health “rules” say patients and psychiatrists shouldn’t share power, shouldn’t speak publicly as equals, and definitely shouldn’t build a show together. Yet here we are — over 100 episodes in, winning awards, and recording our first-ever in-person episode.

In this special behind-the-scenes conversation, we pull back the curtain on “Inside Bipolar”: why so many doctors refused to participate, why patient-led advocacy makes professionals uncomfortable, and why influencer culture both helps and harms people living with bipolar disorder. We talk candidly about distrust of psychiatry, accusations of selling out, the rise of misinformation, and why scared people cling to loud voices over evidence. We also go somewhere rarely discussed in mental health media: self-doubt, self-deprecation, and the reality that success with bipolar disorder often looks painfully ordinary.

Listener takeaways

why patient-doctor partnerships are rare — and why they scare both sides

why “hopeful” mental health messaging often misses the mark

how self-doubt and advocacy can exist at the same time

how this podcast changed the way both hosts view mental illness

No toxic positivity. No “inspiration porn.” No pretending recovery is a mountaintop moment. Just two people — one with lived experience, one with medical expertise — talking honestly about what actually helps, what doesn’t, and why this unlikely partnership changed how both of us see mental illness, advocacy, and each other.

Cold Open Transcript:

Dr. Nicole: Which one is the real Gabe? You put yourself down, actually, quite a bit. Do you really have a low opinion of yourself? Like, are you fundamentally like this guy who really thinks, like, I suck, and I just get up every day and put one foot in front of the other one and do the best I can? Or do you have a lot of confidence because you, almost at the same time, have to have a ton of confidence to get in front of the camera and do the speaking and do all the things.

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.

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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.

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Being told to “calm down” has never calmed anyone down — especially if you are experiencing symptoms of bipolar disorder. In this surprisingly funny episode, Gabe Howard (who lives with bipolar disorder) and Dr. Nicole Washington break down why the world’s most common advice backfires… and what truly helps instead.

Whether you’re spiraling at 2 a.m., overwhelmed in your car, or suddenly flooded with anxiety for no clear reason, the ability to de-escalate yourself is a core skill for managing bipolar disorder. But knowing how to calm down — without shame, judgment, or dismissive clichés — isn’t something most of us were ever taught.

Listener takeaways

how to build your own personalized calm-down toolkit

how naming emotions instantly reduces their intensity

how to challenge spiraling thoughts before they take over

the difference between managing emotions versus invalidating them

So, take a listen as our hosts share practical, stigma-free tools you can start using immediately, from deceptively simple breathing exercises to naming emotions, reframing intrusive thoughts, and building a personalized “calm-down buffet” of strategies that actually work for you.

“And here's another pro tip that shouldn't be as earth-shattering as it is, but: admit it. Just admit that you need to calm down. Admit that you're anxious, agitated, overwhelmed, angry, elevated, whatever. Just admit it. Don't judge it. Practice some radical honesty with yourself and admit that you need to take a beat and that you need a moment. Don't try to deny it. And also don’t assume that it's because you live with bipolar disorder. You're a human with real emotions, but you still need to manage this.” ~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.

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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.

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The mental health system didn’t start out fair — and in many ways, it still isn’t. In this powerful episode, Dr. Nicole Washington sits down with fellow psychiatrist Dr. Leesha Ellis-Cox to unpack the long, painful history that continues to shape the experiences of Black Americans seeking mental health care. From the horrifying “diagnosis” of drapetomania in the 1800s to the Tuskegee Syphilis Study, they trace how mistrust, stigma, and systemic bias became woven into the Black community’s relationship with psychiatry.But they don’t stop there. Dr. Nicole and Dr. Leesha explore the research showing that Black and Hispanic people are 3 to 4 times more likely to be misdiagnosed with schizophrenia instead of bipolar disorder — a mistake that can derail treatment, worsen symptoms, and put lives at risk.Listener takeaways

the historical roots of racial disparities in psychiatric diagnosis

why Black Americans are more likely to be misdiagnosed with schizophrenia

how stigma and generational trauma shape attitudes toward treatment

practical steps to find culturally humble, affirming providers

Most importantly, they offer real, actionable advice: how to find culturally affirming care, how to navigate bias in the system, and how Black and other communities of color can break generational silence around mental health. This conversation is validating, eye-opening, and deeply empowering. Listen now!  

Our guest, Dr. Leesha Ellis-Cox, affectionately known as Dr. Leesha, is a double board certified child, adolescent, and adult psychiatrist. She earned both her Bachelor of Science and Doctor of Medicine degrees from the University of North Carolina at Chapel Hill and completed her general psychiatry residency training, child and adolescent psychiatry fellowship, and community mental health/public psychiatry fellowship at Emory University School of Medicine in Atlanta. Since 2009, she has lived and worked in Alabama and is the medical director at Central Alabama Wellness, a community mental health center located in metro Birmingham.

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 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.

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