Logo
    Search

    How to live with bipolar disorder, with David Miklowitz, PhD, and Terri Cheney

    enFebruary 01, 2023

    Podcast Summary

    • Understanding Bipolar Disorder: Misconceptions and TreatmentsBipolar disorder is a treatable mood disorder affecting 4% of people in the US, characterized by extreme mood swings between manic and depressive episodes. Doctors Mikluitz and Cheney emphasize accurate diagnosis and debunk misconceptions, including its link to creativity and belief in severe untreatability.

      Bipolar disorder, formerly known as manic depression, is a common yet often misunderstood mood disorder affecting up to 4% of people in the US. It's characterized by extreme mood swings between manic and depressive episodes. During manic episodes, individuals experience heightened energy, euphoria, and impulsivity, while depressive episodes bring on feelings of sadness, fatigue, and loss of interest. Despite common misconceptions, bipolar disorder is treatable with a combination of psychotherapy and medication. Doctors David Mikluitz and Terry Cheney, our guests on this episode of Speaking of Psychology, emphasize the importance of accurate diagnosis and debunk myths surrounding bipolar disorder, including its link to creativity and the belief that it's always severe and untreatable. They discuss the symptoms, diagnosis, causes, and treatments of bipolar disorder, as well as the challenges and triumphs of living with it.

    • Extreme mood swings between mania and depression define bipolar disorderBipolar disorder affects 2-3% of population, causes include genetics, biology, and social factors, symptoms can start at any age, early intervention and treatment can be effective, many undiagnosed

      Bipolar disorder is a mental health condition characterized by extreme mood swings between mania and depression. Approximately 2-3% of the population experiences this disorder, which can manifest as mixed states with symptoms of both mania and depression present. Mania is not the euphoric state most people think it is, but rather a state of agitation, irritability, and agitation. The causes of bipolar disorder are believed to be a combination of genetic, biological, and social factors. People with a family history of bipolar disorder are more likely to develop it, and certain life events can trigger or worsen the disorder. Symptoms can begin at any age, but are most commonly first experienced in adolescence or young adulthood. Treatment for bipolar disorder in children is a topic of debate, but early intervention and appropriate medication and therapy can be effective. It's important to note that not everyone with bipolar disorder is diagnosed, and many people may have experienced symptoms for years before receiving a diagnosis.

    • Treating bipolar disorder in children requires careful considerationA personalized approach balancing medication and psychotherapy is key for treating bipolar disorder in children. Proper diagnosis is crucial to effective treatment.

      Treating bipolar disorder in children is a complex process that requires careful consideration and a personalized approach. While medication can be effective, especially mood stabilizers like lithium, valproic acid, and Lamotrigine, it's important not to rush into heavy medications for very young children. Instead, doctors may opt for a "wait and see" approach, especially if the child's symptoms are not severe. However, if the child is being self-destructive or unable to function, medication may be necessary. The decision to medicate can be emotionally challenging for parents and children, and the length of treatment and potential side effects are important considerations. Psychotherapy can also play a role in treating bipolar disorder, especially in children who are not responding well to medication. Overall, the treatment of bipolar disorder in children requires a thoughtful, individualized approach that balances the potential benefits and risks of various treatments. Terry's experience highlights the importance of proper diagnosis and the potential challenges of receiving the wrong diagnosis, which can delay effective treatment.

    • Combining Medications and Therapies for Bipolar DisorderEffective bipolar disorder treatment involves meds, family-focused, individual, and group therapy, mindfulness, sleep, and avoiding triggers.

      Effective treatment for bipolar disorder often involves a combination of medications and psychotherapy, including family-focused therapy, individual therapy, and group therapy. Medication is necessary for many individuals, and it can provide a sense of relief and understanding that there is a solution to the condition. Therapies like cognitive behavioral therapy and mindfulness-based cognitive therapy can also be beneficial. Mindfulness, in particular, has shown promise in preventing depression and may even help some individuals experience increased happiness or hypomania. Lifestyle factors, such as getting regular sleep and avoiding triggers like alcohol, are also crucial for managing bipolar disorder. Overall, a comprehensive approach that includes both medical and therapeutic interventions is essential for effective management of bipolar disorder.

    • Maintaining a healthy lifestyle for managing mental health conditions like bipolar disorderAvoid alcohol and marijuana while taking psychiatric medications, prioritize sleep, check thyroid function, and maintain a consistent sleep schedule to manage bipolar disorder and optimize mental health

      Maintaining a healthy lifestyle is crucial for managing mental health conditions like bipolar disorder. Terry's personal experience highlights the importance of avoiding alcohol and marijuana while taking psychiatric medications due to their potential interference. Sleep is another essential factor, as it can significantly impact mood and overall well-being. Hormonal imbalances, such as those experienced during menopause, can also affect sleep and mental health. Additionally, checking thyroid function is important. Creativity and bipolar disorder have a potential connection, with some people experiencing an edge in artistic pursuits due to their condition's unique challenges and perspectives. However, maintaining a consistent sleep schedule is a crucial first step in managing bipolar disorder and optimizing mental health.

    • Exploring the Complexities of Bipolar Disorder: Hypomania, Mania, and DepressionHypomania brings creativity and outside-the-box thinking, but maintaining the right medication balance is crucial. Depression causes debilitating slowing down, and effective treatments vary. Getting out of bed during depression isn't a matter of willpower.

      During hypomania, individuals may experience increased creativity and thinking outside the box, while seeing connections between things. However, during mania, while there may be a surge in ideas and work production, the quality may not be optimal. Finding the right balance of medication to maintain a hypomanic state is crucial for some individuals, particularly artists. Depression, on the other hand, can bring about psychomotor retardation, a debilitating slowing down of mental and physical processes, making even simple tasks seem impossible. Effective treatments for this include psychostimulants, but when depression is severe, nothing may help except time. It's essential to understand that for individuals with bipolar disorder, getting out of bed during depression is not a simple matter of willpower, and the terror of the depression returning can be the worst part of the condition.

    • Understanding family members' good intentionsIn family-focused therapy, families learn to understand their loved one's perspective, set smaller goals, problem-solve, and communicate effectively using phrases like 'tell me where it hurts'.

      When dealing with family members of individuals with bipolar disorder, it's crucial to understand their good intentions despite the invalidating communication. Family-focused therapy involves setting smaller goals, problem-solving with the family, and helping them understand the child's perspective. Communication is key, and using phrases like "tell me where it hurts" can help shift the relationship and make the depressed person feel less alone. However, individuals with bipolar disorder must also be willing to understand their parents' confusion and frustration. It's essential to remember that family members want their loved ones to be happier and healthier, but their communication may not always be helpful. By focusing on understanding and problem-solving, families can become more supportive and effective in their approach.

    • Understanding Bipolar Disorder: A Complex DiagnosisThrough thorough assessments, considering a patient's history, and involving family, accurate diagnoses of Bipolar Disorder can be made despite its complex symptoms.

      While it can be challenging for parents and healthcare professionals to diagnose Bipolar Disorder due to its complex and ambiguous symptoms, education and family input are crucial. Many people with Bipolar Disorder present with symptoms that do not fit neatly into manic or depressive episodes, making diagnosis difficult. However, with thorough diagnostic assessments, taking the time to understand the patient's history, and involving family members in the process, accurate diagnoses can be made. Research is currently focusing on early intervention and prevention, aiming to catch the disorder in its early stages and minimize its severity through family psychoeducation.

    • Exploring new treatments and early intervention for bipolar disorderResearch on early intervention and prevention strategies, natural recovery reasons, psychedelics, and mindfulness holds promise for improving outcomes for some individuals with bipolar disorder. More research is needed on medication costs and reducing stigma.

      Early intervention and prevention strategies for bipolar disorder show promise in improving outcomes for some individuals. Researchers are also investigating the reasons why a subset of patients seems to naturally recover, and exploring new treatments like psychedelics and mindfulness. Terry, a person living with bipolar disorder, expressed the need for more research on the cost of medications and reducing stigma associated with the condition. Additionally, there is growing interest in the potential of psychedelics to help break through mental barriers for people with bipolar disorder, although more research is needed. Overall, while progress has been made, there is still much to learn and address in the field of bipolar disorder research.

    • The importance of staying informed about psychological researchStay updated with psychological research and insights through Speaking of Psychology podcast, accessible on APA's website or favorite podcast platforms. Share ideas for future topics by emailing speakingofpsychology@apa.org.

      Key takeaway from this episode of Speaking of Psychology is the importance of staying informed and engaged with psychological research and insights. You can easily access previous episodes on the show's website or your favorite podcast platform. If you enjoy the content, consider subscribing and leaving a review. And, if you have ideas for future topics, don't hesitate to share them by emailing speakingofpsychology@apa.org. Produced by Lee Winerman and sound edited by Chris Kundian, Speaking of Psychology is a valuable resource for anyone interested in psychology. Thank you for tuning in and supporting this initiative from the American Psychological Association.

    Recent Episodes from Speaking of Psychology

    How noise pollution harms our health, with Arline Bronzaft, PhD

    How noise pollution harms our health, with Arline Bronzaft, PhD

    From roaring leaf blowers to screeching trains, the world is full of unwelcome noise – and researchers have found that noisy environments can take a real toll on people’s mental and physical health. Arline Bronzaft, PhD, talks about how noise affects health and well-being, how it can harm kids’ learning, why it’s not just a problem in big cities, and the most unusual noise complaints she’s heard in her five decades of advocacy combating noise pollution.

    Speaking of Psychology
    enJune 26, 2024

    Mental health in a warming world, with Kim Meidenbauer, PhD, and Amruta Nori-Sarma, PhD

    Mental health in a warming world, with Kim Meidenbauer, PhD, and Amruta Nori-Sarma, PhD

    Last year -- 2023 -- was the world’s warmest on record, and 2024 could bring another record-shattering summer. Psychologist Kim Meidenbauer, PhD, and public health researcher Amruta Nori-Sarma, PhD, discuss how heat affects people’s mental health, emotions and even cognitive abilities; the link between heat, violence and aggression; who is most vulnerable to the effects of extreme heat; and what policy makers could be doing to mitigate its effects.

    Speaking of Psychology
    enJune 19, 2024

    How to motivate yourself and others, with Wendy Grolnick, PhD, and Frank Worrell, PhD

    How to motivate yourself and others, with Wendy Grolnick, PhD, and Frank Worrell, PhD

    Why can’t I get myself to run that 5K? Why isn’t my child getting better grades? We all have things that we struggle to accomplish – or that we struggle to get someone else to accomplish. Frank Worrell, PhD, and Wendy Grolnick, PhD, co-authors of “Motivation Myth Busters: Science-based Strategies to Boost Motivation in Yourself and Others,” discuss how our misconceptions about motivation get in the way of reaching our goals, why there’s no such thing as an “unmotivated” person, and the merits and drawbacks of strategies like rewards, competition and praise.

    Speaking of Psychology
    enJune 12, 2024

    The benefits of solitude, with Thuy-vy Nguyen, PhD, and Netta Weinstein, PhD

    The benefits of solitude, with Thuy-vy Nguyen, PhD, and Netta Weinstein, PhD

    The average American adult spends up to one-third of their waking hours alone. Psychologists are exploring how those hours spent on our own affect us – including the potential benefits, as well as the challenges, of solitude. Thuy-vy Nguyen, PhD, and Netta Weinstein, PhD, discuss the difference between solitude and loneliness, how solitude affects our emotions and stress levels, why some people crave solitude more than others, and why the stigma against solitude can make us uncomfortable with being alone.

    Speaking of Psychology
    enJune 05, 2024

    Which countries are happiest and why? With Lara Aknin, PhD

    Which countries are happiest and why? With Lara Aknin, PhD

    The 2024 World Happiness Report, which ranks the happiness levels of countries around the world, found that young Americans are less happy than their peers in many other countries. Psychology professor Lara Aknin, PhD, an editor of the report, talks about how the report defines happiness, why young people’s happiness levels may have dropped in the U.S, what drives happiness, and why being generous makes people happy – even when they don’t have much to spare.

    Choosing to be child free, with Jennifer Watling Neal, PhD

    Choosing to be child free, with Jennifer Watling Neal, PhD

    A growing number of adults in the U.S. are choosing not to have children. Jenna Watling Neal, PhD, of Michigan State University, talks about her research that’s found 1 in 5 adults are child free, why people are choosing not to have kids, the stigma child-free adults face, whether people who decide not to have kids early in life usually stick with that choice, and how the prevalence of child-free adults in the U.S. compares with other countries.

    How to cope with political stress this election season, with Brett Q. Ford, PhD, and Kevin Smith, PhD

    How to cope with political stress this election season, with Brett Q. Ford, PhD, and Kevin Smith, PhD

    If the thought of the upcoming election sends your stress level through the roof, you’re not alone. Psychologist Brett Q. Ford, PhD, and political scientist Kevin Smith, PhD, talk about how political stress affects people’s well-being; what high levels of political stress mean for people’s lives, for the U.S. and for democracy; and how to stay politically engaged while still maintaining your mental health.

    For transcripts, links and more information, please visit the Speaking of Psychology Homepage.

    How Sesame Street teaches kids about emotional well-being, with Rosemarie Truglio, PhD

    How Sesame Street teaches kids about emotional well-being, with Rosemarie Truglio, PhD

    Sesame Street has entertained and educated generations of children. Developmental psychologist Rosemarie Truglio, PhD, Sesame Workshop’s senior vice president of curriculum and content, talks about why the show has a new focus on young children’s emotional well-being; how Sesame Street translates complicated concepts into stories that young kids can connect with; the research that underpins all of the content on Sesame Street; and why the Sesame Street characters still resonate with so many adults.

    For transcripts, links and more information, please visit the Speaking of Psychology Homepage.

    What déjà vu can teach us about memory, with Chris Moulin, PhD

    What déjà vu can teach us about memory, with Chris Moulin, PhD

    The eerie sensation of “déjà vu” -- feeling a strong sense of familiarity in a new place or situation -- is one of memory’s strangest tricks. Researcher Chris Moulin, PhD, of Grenoble Alpes University, talks about why déjà vu happens; why both déjà vu and its lesser-known opposite, jamais vu, may actually be signs of a healthy memory at work; why young people are more prone to déjà vu; how he and others study déjà vu and jamais vu in the lab; and what these experiences can teach us about memory more broadly.

    For transcripts, links and more information, please visit the Speaking of Psychology Homepage.

    Related Episodes

    Managing Bipolar Disorder

    Managing Bipolar Disorder
    Today we're continuing our focus on bipolar disorder by exploring some tools and strategies that people can use to help manage their symptoms, or help loved ones do the same. As with all of the episodes in this series, please remember that bipolar disorder is best diagnosed by a licensed professional. Here's the Daylio app that was mentioned during this episode. Key Topics: 00:43: Is bipolar disorder considered curable? 05:16: How can someone begin managing their bipolar symptoms? 06:49: Is it possible to manage a manic episode? 09:18: The power of establishing routines. 10:50: Recognizing our vulnerabilities. 15:05: Managing stress and exercising self-control. 18:00: Shame, and recognizing our worth. 21:00: Self-harm. 28:00: Recap Overcome Anxiety:  Let go of anxiety and grow a greater sense of calm strength with Rick's Dealing with Anxiety program, which offers 5 powerful practices for managing stress and worries. Save 10% with coupon code BEINGWELL. Sponsors: Reset and rebalance with Recess, a sparkling water infused with hemp extract and adaptogens. Take 15% off your first order by using code BEINGWELL at checkout. Join over a million people using BetterHelp, the world’s largest online counseling platform. Visit betterhelp.com/beingwell for 10% off your first month!  Connect with the show: Follow us on Instagram Follow Rick on Facebook Follow Forrest on Facebook Subscribe on iTunes Learn more about your ad choices. Visit megaphone.fm/adchoices

    Michael Pipich || Owning Bipolar

    Michael Pipich || Owning Bipolar

    “Don’t be afraid. You are not alone.” – Michael Pipich

    Today we have Michael Pipich on the podcast. Pippich is a licensed Marriage and Family therapist, and has treated a wide range of mental disorders and relationship problems in adults and adolescents for over 30 years. Michael is also a national speaker on Bipolar Disorder and has been featured on radio and in print media on a variety of topics. His latest book is Owning Bipolar: How Patients and Families Can Take Control of Bipolar Disorder.

    In this episode we discuss:

    • The main characteristics of bipolar disorder
    • The three main types of bipolar
    • The suicidal potential among bipolar
    • Michael’s three-phase approach to treat patients with bipolar
    • The benefits of mania
    • The link between bipolar and creativity
    • How people with bipolar can thrive
    • Taking responsibility for your bipolar
    • How loved ones and family members can support those with bipolar
    • Linkages between bipolar and the different types of narcissism
    • Reaching out to help others

    Support this podcast: https://anchor.fm/the-psychology-podcast/support

    See omnystudio.com/listener for privacy information.

    How Bipolar Disorder Works

    How Bipolar Disorder Works

    Suffering from bipolar disorder means a lot more than your garden variety mood swings. Bouts of mania and depression are just the headlines. There are also theories that there's a link between bipolarism and creativity. Learn all about this disruptive, yet manageable disorder.

    Learn more about your ad-choices at https://www.iheartpodcastnetwork.com

    See omnystudio.com/listener for privacy information.

    Understanding Bipolar Disorder

    Understanding Bipolar Disorder
    Dr. Hanson and Forrest continue their ongoing series on “Who Am I” by focusing on a subset of the depressed mood states which we covered in our last episode in this series: bipolar disorder, formerly known as “manic depressive.” Depression and depressed mood are major problems for many people, and the material we’re going to get into today will be sensitive in nature. If things start to feel uncomfortable, feel free to skip around or turn it off altogether. As with all of the episodes in this series, please remember that bipolar disorder is best diagnosed by a trained mental health professional. Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Key Topics: 01:30: What distinguishes bipolar disorder from clinical depression? 05:07: Is there a reason why the name “Manic Depressive” was changed to “Bipolar Disorder”? 06:59: What are some of the diagnostic criteria for a manic episode? 14:46: The different kinds of bipolar disorder. 23:36: What bipolar disorder looks like day-to-day. Overcome Anxiety:  Let go of anxiety and grow a greater sense of calm strength with Rick's Dealing with Anxiety program, which offers 5 powerful practices for managing stress and worries. Save 10% with coupon code BEINGWELL. Sponsors: Reset and rebalance with Recess, a sparkling water infused with hemp extract and adaptogens. Take 15% off your first order by using code BEINGWELL at checkout. Join over a million people using BetterHelp, the world’s largest online counseling platform. Visit betterhelp.com/beingwell for 10% off your first month!  Connect with the show: Follow us on Instagram Follow Rick on Facebook Follow Forrest on Facebook Subscribe on iTunes Learn more about your ad choices. Visit megaphone.fm/adchoices