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

Follow Us 🔗 Instagram: ⁠https://instagram.com/crest.bd⁠ LinkedIn: ⁠https://linkedin.com/company/crestbd⁠ X/Twitter: ⁠https://x.com/crest_bd Facebook: https://facebook.com/crestbd

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

Follow Us Instagram: https://instagram.com/crest.bd LinkedIn: https://linkedin.com/company/crestbd X/Twitter: https://x.com/crest_bd

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