Inside Bipolar

"What jobs are suitable for someone living with bipolar disorder?" It’s a question that floods our inbox, and the answer might surprise you: almost every single one. From high-powered criminal defense attorneys to surgeons and CEOs, people are nailing it in the workforce every day while managing a bipolar diagnosis.

In this episode, hosts Gabe Howard (diagnosed with bipolar) and Dr. Nicole Washington (a board-certified psychiatrist) dismantle the "minimum wage myth" to provide a realistic roadmap for re-entering and thriving in the workforce. We explore why your diagnosis isn't a unique disqualifier, but rather a factor to manage -- much like a pilot respects the weather or a surfer respects the ocean.

Listeners Will Learn:

Why almost every line of work remains open even after a diagnosis.

Practical financial and medical rules for your first year back on the job.

How to transition from your couch to a worksite without hitting burnout.

How to distinguish between a bipolar symptom and a normal job struggle.

Failing often isn't a symptom of bipolar disorder; it’s just part of the universal human experience. Whether you’re currently unemployed, struggling with "failure to launch," or looking to switch jobs, this episode provides the baby-step protocol you need to launch your next chapter workwise. It’s time to stop letting stigma decide your paycheck and start respecting your own potential.

"If the only reason you believe you can’t do a specific job is because you have bipolar disorder, I say try. I was surprised at how much success I had despite my diagnosis." ~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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Studies suggest people with bipolar disorder die 25 years younger than the general population. It’s a statistic that hits like a "thump to the chest," but is it a death sentence or a wake-up call — and is it even true?

In this episode, host Gabe Howard (who lives with bipolar) and Dr. Nicole Washington (a board certified psychiatrist) peel back the curtain on the physical toll of living with a serious mental illness. While we spend so much energy managing our minds, we often neglect the “vessel” carrying us through life. From the 50% increased risk of sleep apnea to the increased risk of weight gain and diabetes, the risks are real, but they aren’t inevitable.

We dive deep into why “bipolar adjacent” issues like diet, smoking, and sedentary lifestyles are the true drivers of the shortened lifespan statistic, and how building a rock-solid relationship with a primary care doctor can literally save your life.

Listeners will learn:

how sleep apnea mimics — and triggers — mood changes

why not every physical symptom is “just bipolar”

the truth about medication and your liver

how your lifestyle choices and daily habits can rewrite your health statistics

Stop treating your physical health as an afterthought. Whether it’s vitamin deficiencies mimicking depression or sleep apnea driving mood changes, it’s time to recognize that you have far more control over your outcome than the statistics suggest.

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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If everything you do is labeled a symptom of bipolar disorder, do you ever get to be yourself? In this episode, Gabe Howard (who lives with bipolar) and board certified psychiatrist Dr. Nicole Washington tackle one of the most frustrating — and rarely discussed — realities of living with bipolar disorder: when regular human behavior gets pathologized by friends, family, and even well-meaning supporters.Want to watch TV the whole weekend? Suddenly it’s “depression.”Excited about a new idea or passion? You’re being “grandiose.”Stumble over your words or get animated in conversation? Sounds like “mania.”Gabe shares deeply personal stories about having his ideas dismissed, his ambitions questioned, and his successes doubted, not by strangers, but by the people who loved him most. Dr. Nicole explains why loved ones become hypervigilant, how fear and trauma shape their reactions, and where concern crosses the line into harm.

Listen and Learn:

learn how to tell the difference between bipolar symptoms and typical human behavior

understand why loved ones become hyper-alert and how fear drives their reactions

how to have hard conversations without losing your support system

why community and peer support matter when loved ones can’t let go of fear

This episode isn’t about denying bipolar symptoms; it’s about reclaiming your identity beyond the diagnosis. Because people with bipolar disorder deserve full lives, real dreams, and the freedom to be annoying, excited, ambitious, and human — just like everyone else.

Cold Open Transcript:

Gabe Howard: I don't think we're allowed to have these thoughts. Let's say that I was a person that did not live with bipolar disorder. And I came up with the pie-in-the-sky idea. The conversation is negative, but it also sort of moves forward. People with bipolar disorder don't get that. We just get shut down immediately, told that this is a symptom of our illness and that we need to cease this line of communication. And so they withdraw all that help, they withdraw all that information, and they leave us to fend for ourselves. Which actually puts us in a worse position.

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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Paranoia is one of the most misunderstood symptoms in bipolar disorder — and using the wrong word can delay the right treatment. Using real-life examples, this episode explains how psychosis in bipolar disorder is typically tied to mood episodes, how paranoid delusions form, and why people experiencing them often don’t report symptoms.

In this episode, Gabe Howard (who lives with bipolar disorder) and Dr. Nicole Washington (a board certified psychiatrist) break down what paranoia actually is, when it’s actually anxiety or hypervigilance, and when it crosses into psychosis and delusional thinking. They explain why “being paranoid” isn’t a diagnosis and how paranoid delusions fit under the psychosis umbrella.

We answer common questions like:

Is paranoia a stand-alone diagnosis in the DSM-5?

When does healthy suspicion, anxiety, or hypervigilance get mislabeled as paranoia?

Why does psychosis in bipolar disorder usually occur during manic or depressive episodes?

What types of medications are commonly used to treat paranoia-related symptoms?

How can loved ones spot symptoms the person may not recognize?

If you’ve ever wondered whether paranoia is a typical worry, a trauma response, or something more serious, this episode brings clarity to a topic that’s often confusing — and rarely explained well.

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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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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