talkBD Bipolar Disorder Podcast CREST Bipolar Disorder Network

Internationally renowned bipolar disorder expert Dr. Trisha Suppes unravels the latest science in bipolar disorder treatment by breaking down the proven and cutting-edge treatments available today - exploring traditional solutions such as Lithium and mood stabilizers alongside exciting new options like psilocybin, ketamine, and the Ketogenic diet. Dr. Suppes also navigates the complexities of mania and tackles the perennial question: is lifelong medication necessary to live well with bipolar disorder?



(00:00) About Dr. Suppes

Medication Treatments

(03:00) Is Lithium the Gold Standard?

(05:22) Atypical Antipsychotics

(07:22) Dangers of Antidepressants?

(09:17) Medications Lose Strength?

Non-medication Treatments

(10:47) Psychotherapy

(12:54) Ketogenic Diet & Nutrition

(13:28) Cannabis

(14:20) Ketamine

Brain Stimulation Therapies

(15:18) rTMS (Transcranial Magnetic Stimulation)

(16:01) VNS (Vagus Nerve Stimulation)

(17:07) ECT (Electroconvulsive Therapy)

Bipolar Disorder is Complex

(18:52) Insight & Denying Bipolar Disorder

(22:45) Bipolar I: Need Meds Forever?

(23:44) Bipolar II: Need Meds Forever?

(26:22) Hypomania Causes Misdiagnosis

(28:16) Mixed States

Psychedelics

(29:28) Psilocybin & Magic Mushrooms

(32:33) Microdosing & LSD

(34:02) MDMA

Closing

(35:41) Keeping You "A Little Depressed"

(37:55) Why Recovery Is Possible

(39:06) Reflecting on Research Impact


Dr. Trisha Suppes, M.D., Ph.D., is a distinguished expert on the biology and treatment of bipolar disorder, and mood disorders generally. Dr. Suppes is the Director of Exploratory Therapeutics and Professor at Stanford University in the School of Medicine. At the VA Palo Alto Health Care System, she is Director of the CSP NODES and is the Founder of the Bipolar and Depression Research Program. Her areas of expertise include long-term treatment strategies for bipolar disorder, identification and treatment of bipolar II disorder, treatment of those with bipolar disorders and co-morbid conditions and use of complementary medicine. She has recently launched a new initiative to explore the use of psychedelics for mood disorders and PTSD in Veterans. Dr. Suppes has been integrally involved in numerous initiatives to improve evidence-based treatment for bipolar disorders. Dr. Suppes participated as a member of the DSM-5 Mood Disorders committee on updating the APA DSM-5 criteria for Mood Disorders and was chair of the APA DSM-5 Bipolar Disorder subcommittee. She was the past President of the International Society of Bipolar Disorders (ISBD).



Treatments Referenced 💊

Lithium, Lamotrigine, Clozapine, Depakote/Valproic Acid, Fluoxetine, Quetiapine, SSRIs, Mood Stabilizers, Antipsychotics, Psychotherapy, Psychoeducation, Interpersonal and Social Rhythm Therapy (IPSRT), Keto Diet, Marijuana, Ketamine, Neurostimulation, Repetitive Transcranial Magnetic Stimulation, Vagus Nerve Stimulation Therapy, Electroconvulsive Therapy, Psilocybin, Psilocin, Microdosing, LSD, MDMA



Learn more and share this episode: ⁠https://talkbd.live/bipolar-disorder-treatments



Special thanks: Eileen Grace Fischer and Mary Miller. This episode is hosted by Dr. ⁠⁠⁠Erin Michalak⁠⁠⁠ and produced by Caden Poh.



#talkBD Bipolar Disorder Podcast
talkBD gathers researchers, people with lived experience, healthcare providers, and top bipolar disorder experts from around the world to discuss and answer the most important questions about living with bipolar disorder. Learn more about talkBD: ⁠⁠⁠⁠⁠⁠⁠⁠https://talkBD.live⁠



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This is the powerful bipolar disorder story of "ordinary guy" Robert Villanueva.

Robert "Coach V" Villanueva grew up in East Bay of San Francisco amidst undiagnosed bipolar disorder. Seeking a better life away from a dysfunctional home, Robert left home at 15 and became a wrestling coach and garbageman before experiencing his darkest moments with depression and mania. At the brink of despair, Robert found solace among other patients and a glimmer of hope that would change his life forever. Through self-discovery and support from his family and community, Robert discovered new ways to live well with bipolar disorder.

Now a grandparent, international mental health advocate, and bipolar disorder researcher, Robert shares his story to offer hope to others on their journey to recovery.



(00:00) Introduction

(01:55) First Symptoms

(06:01) Darkest Days: Leaving Home & Ending It

(09:40) Hospital "First Time That I Was Ever Taken Care Of"

(12:49) The Hardest Phone Call

(15:55) Learning to Accept Bipolar Disorder

(18:35) "I Don't Want to Live in Fear"

(21:33) Telling My Story Through Advocacy

(23:39) It Is Possible To Manage Bipolar Disorder

(26:20) Thank Yous & Family

(30:03) "They Believed in Me"



Learn more and share this episode: http://bipolarinthebay.com



This episode is hosted by Dr. ⁠⁠Erin Michalak⁠⁠ and produced by Caden Poh.

#talkBD Bipolar Disorder Podcast
talkBD gathers researchers, people with lived experience, healthcare providers, and top bipolar disorder experts from around the world to discuss and answer the most important questions about living with bipolar disorder. Learn more about talkBD: ⁠⁠⁠⁠⁠⁠⁠https://talkBD.live



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Award-winning researcher ⁠Dr. Holly Swartz⁠ breaks down the "bipolar clock", and proposes a fresh approach to take charge of your bipolar symptoms by timing your light exposure, temperature, body position, eating, and social contact. Dr. Swartz also discusses the science behind social rhythm therapy (SRT) and Interpersonal and Social Rhythm Therapy (IPSRT), and presents a fresh approach to reset your biological body clock and take charge of your bipolar symptoms.

(00:00) Introduction
(00:13) About Dr. Holly Swartz
(04:00) Circadian Rhythms Are Key for Bipolar Disorder
(08:37) Advantages of Having a "Bipolar Clock"?
(11:42) Light Disruptions, Season Changes, Blue Light
(16:51) Create Consistent Routines
(20:51) Time Your Eating, Body Position, Social Contact, Temperature
(29:08) Track Your Social Rhythm Metric (SRM)
(30:25) Interpersonal and Social Rhythm Therapy (IPSRT)
(33:33) Social Rhythm Therapy Workbook for Bipolar Disorder
(36:00) Strive for a Supranormal Routine



Learn more and share this episode: ⁠https://bipolarclock.com⁠

Dr. Holly A. Swartz is Professor of Psychiatry at the University of Pittsburgh School of Medicine and President of the International Society of Bipolar Disorders (ISBD). She received her undergraduate degree from Harvard College, medical degree from Albert Einstein College of Medicine, and completed her psychiatric residency training at New York Hospital / Cornell University School of Medicine.

Dr. Swartz’s research focuses on understanding and optimizing treatments for mood disorders. She is well known for her work evaluating Interpersonal Psychotherapy (IPT) and Interpersonal and Social Rhythm Therapy (IPSRT) as treatments for depression and bipolar disorder. Her research focuses on the role of IPSRT and pharmacotherapy in the management of bipolar II depression and IPT in the management of maternal depression. She is engaged in collaborative projects to develop computational frameworks to model dyadic interpersonal behaviors in relation to psychotherapy process and outcomes and to understand neural correlates of change in chronotherapeutic behavioral interventions. Her research has been funded by the National Institute of Health, National Science Foundation, and the Brain and Behavior Research Foundation.



This episode is hosted by Dr. ⁠Erin Michalak⁠ and produced by Caden Poh.



#talkBD Bipolar Disorder Podcast
talkBD gathers researchers, people with lived experience, healthcare providers, and top bipolar disorder experts from around the world to discuss and answer the most important questions about living with bipolar disorder.

Learn more about talkBD: ⁠⁠⁠⁠⁠⁠https://talkBD.live

Over 2,400 years ago, Greek physician Hippocrates first detailed symptoms of "opposite" mood states - what we now understand as mania and depression. Throughout the Middle Ages and into the modern era, vivid descriptions of melancholy and euphoria continued to surface, drawing focus to a set of distinct symptoms that appeared to occur in cycles.

In this special talkBD episode, psychiatrist Dr. Manuel Sánchez de Carmona dives through centuries of evidence to uncover the fascinating story of manic-depression - and how we've come to know the condition today as "bipolar disorder".

(00:00) Introduction
(01:54) Virginia Woolf Knew She Was Ill
(03:58) Ancient Greece & Rome
(09:22) 19th Century France & Germany
(14:18) The Circular Pattern of Bipolar Disorder
(18:52) The Modern Era
(21:00) The Bipolar Spectrum
(24:14) The DSM & History of Mixed Features
(27:04) Today: Key Figures, Advocacy, World Bipolar Day
(31:50) The Term "Bipolar Disorder" Is Inaccurate?
(35:20) King George III & Life Charting
(41:49) Learning from Your History

People referenced
Ancient & Classical: Hippocrates, Aristotle, Aretaeus of Cappadocia, Posidonius
19th Century: Jean-Pierre Falret, Jules Baillarger, Karl Kahlbaum, Emil Kraepelin, Vincent van Gogh, King George III
Modern Era: Virginia Woolf, Karl Leonhard, Jules Angst, David Kupfer, Ellen Frank
Today: Kurt Cobain, Carrie Fisher, Kanye West, Britney Spears

Share this episode: http://bipolarhistory.com



Dr. Manuel Sánchez de Carmona is a member of the ISBD Board of Directors and works as an associate professor of Clinical Psychiatry for the Anahuac University in Mexico City, Mexico. He began his involvement with ISBD in 2008 as the founder of the ISBD Mexican Chapter and since then in key leadership roles: first as ISBD Secretary Treasurer and then as ISBD President, serving for two consecutive terms from March 2014 to December 2017. He was able to actively promote the Society and generate local chapters in several countries of Latin America, Asia, and Europe. He is passionate about providing education on bipolar disorders and using the Society as a game-changer in public mental health services. Since World Bipolar Day’s inception, he has been involved in its global promotion and making connections with experts with the lived experience to generate community awareness and fight stigma. Dr. Sanchez de Carmona has more than 30 years of clinical experience treating mood disorders and is interested in diagnosis, early detection, and providing quality of life to patients.

This episode is hosted by Dr. Erin Michalak and produced by Caden Poh.



#talkBD Bipolar Disorder Podcast
talkBD gathers researchers, people with lived experience, healthcare providers, and top bipolar disorder experts from around the world to discuss and answer the most important questions about living with bipolar disorder.

Learn more about talkBD: ⁠⁠⁠⁠https://talkBD.live

Psychiatrist Dr. Joanna Jarecki shares a powerful story of living with bipolar disorder - from spiralling into depression to being taken to hospital in handcuffs during mania. Dr. Jarecki reveals how her experience with bipolar I disorder turned her to psychiatry to help others in their recovery journey, and delivers a heartfelt message of hope that living well with bipolar disorder is possible. Hosted by Dr. Erin Michalak.



(00:00) Introduction
(01:52) Growing Up & Early Signs
(03:01) First Depressive Episode: "My World Was Ending"
(08:14) Mania: Grandiosity & Delusions
(10:52) Handcuffs & Hospitalization: "Fighting for My Life"
(15:02) The Aftermath: Shame, Treatment & Rebuilding
(21:49) Bipolar Disorder Made Me a Better Psychiatrist
(26:43) Why Recovery Is Possible
(30:58) What Psychiatrists Fail to Understand
(37:57) "I Promise You, Things Will Get Better"
(40:17) Thank Yous & Unconditional Acceptance



Dr. Joanna Jarecki is a Psychiatrist with interests in Mood Disorders, ADHD, Maternal/Peri-natal mental health, and physician health, and an Assistant Clinical Professor at McMaster University in Ontario, Canada. Her clinical approach has been influenced by her own lived experience with Bipolar Disorder, Type I, and her journey of recovery. Through this journey, and witnessing the recoveries of many patients, she has learned that people with bipolar disorder can flourish and live a full and meaningful life. She is passionate about sharing her story with the intention that it gives hope to others living with BD.



More on this episode: https://talkBD.live/bipolar-psychiatrist

#talkBD Bipolar Disorder Podcast
talkBD gathers researchers, people with lived experience, healthcare providers, and top bipolar disorder experts from around the world to discuss and answer the most important questions about living with bipolar disorder.

Learn more about talkBD: ⁠⁠⁠https://talkBD.live

A remarkable story of living with bipolar disorder: 36-year US Army retired combat veteran Maj. Gen. Gregg. F. Martin shares his experience of bipolar disorder after joining the army at 18, and how his symptoms remained hidden and undiagnosed despite alarming warning signs during multiple deployments and stages of his military career. Gregg Martin also details his route to recovery, bipolar disorder in his family, and his top strategies to live well with bipolar disorder. Hosted by Dr. Erin Michalak.



(00:00) Intro
(00:52) Joining the Army & Early Years
(06:51) The Iraq War & Paranoia
(11:22) Depression - "The Crash"
(13:27) "The Real Mania"
(16:45) How My Bipolar Symptoms Were Hidden
(19:31) My Diagnosis Was Exposed
(24:23) Rebuilding Relationships (Family & Friends)
(28:12) Two Sons Also Have Bipolar Disorder
(29:02) Reflecting on Misdiagnosis
(34:12) "You Will Pull Out of This"
(35:21) Message to Maggie (Wife)
(37:35) Daily Wellness Routine
(40:21) Bipolar General - The Book

Gregg F. Martin PhD, is a 36-year Army combat veteran, bipolar survivor and thriver, and retired two-star general. A former president of the National Defense University, he has lived most of his life on the Bipolar Spectrum, and is a qualified Airborne-Ranger-Engineer and strategist, who holds degrees from West Point and MIT. An author, speaker, and mental health advocate, he lives with his wife in Cocoa Beach, Florida.

Gregg's new book: “Bipolar General: My Forever War with Mental Illness”_ is available on Amazon (Hardcover/Kindle). The book is published by the US Naval Institute Press and endorsed by the Association of the US Army. For more information, visit https://generalgreggmartin.com

More on this episode: https://talkBD.live/bipolar-general

#talkBD Bipolar Disorder Podcast
talkBD gathers researchers, people with lived experience, healthcare providers, and top bipolar disorder experts from around the world to discuss and answer the most important questions about living with bipolar disorder.

Learn more about talkBD: ⁠⁠https://talkBD.live