When Emotions Are Mistaken for Bipolar Symptoms

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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