Off the Meds: Navigating Bipolar Treatment Challenges

The common issue of people with bipolar disorder wanting to stop taking medication is discussed in today’s episode. Dr. Nicole Washington highlights that often, these people present compelling reasons why they believe their diagnosis might be incorrect, but stopping medication without a strategic, supervised approach can lead to severe consequences. Both Gabe Howard and Dr. Nicole emphasize the importance of patient education about the chronic nature of bipolar disorder and the potential dangers of stopping medication cold turkey and unsupervised. They explore safer ways to manage medication concerns, such as dose adjustments and strategies for open and direct communication. "Is it rooted in evidence that you might not have bipolar disorder, or is it rooted in your strong desire for somebody to tell you you don't have bipolar disorder? Because there are people who have legit concerns about their diagnosis and they say, listen, I just don't think I have bipolar disorder. I genuinely do not think that is what's going on with me, and this is why. That's a totally different person than the person who knows full well that they probably do have bipolar disorder, but they really are trying to find somebody to side with them." ~Dr. Nicole Washington 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. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. 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. Find out more at DrNicolePsych.com.