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Bipolar Disorder Part Two · Millennial Mental Health Channel

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When you walk by every night. I don't even know if I have the
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words right. This is Millennial Mental Health Channel. I'm doctor Justin Romano,
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a Child and Adolescent psychiatry fellow, and I'm Medikoreo, a licensed clinical therapist.
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Our podcast is here because we wanted to start a much neater conversation about
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mental health. Our goal is to teach you as much as we can by
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sharing our own experiences and interviewing experts in the mental health field. We will
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discuss topics like mood disorders, psychotic disorders, substance use, personality disorders,
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and many more. Millennial Mental Health Channel bimillennials for everyone. We hope you
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enjoy today's episode. MMHC is a production of Speaker from iHeartMedia, I Heartmia
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being Venidos. Welcome back, guys. It's nice to have you on the
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show. Today. We're talking about bipolar disorder and so we actually did an
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episode on this in the past, but Eddie and I had a conversation about
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it and it seems like our bipolar episode from the past was one of the
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so it's It consistently got a lot of downloads, so we wanted to revisit
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the topic and see what happens, See what magic happens, what sparks fly?
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Eddie, you got a story for me today? Well, before I
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share the story, I mean that last episode that shit was old, the
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one we did that, oh yeah, like three years old. Yeah,
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it was from like Okay, let's do some quick math. I think it
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was like episode twelve, right, and we're doing about every two weeks.
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So we started in November. So we did too that first November, two
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that December. That's four. I can do some math. Then we at
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the beginn of the year. We have eight left. So we did that
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around like April maybe April twenty twenty day time ago, right in the smack
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dad, middle of COVID. Yeah, n at the beginning time. Let's
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just reflect, just think, Yeah, take a moment of silence here for
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the pandemic, the shut down. Yeah, just all right, this shit
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was wild okay anyway, uh yeah, the bipolar disorder story. You know,
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I feel like I think when it comes to grad school and like training
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to be a therapist, and I'm sure other therapists can relate, you don't,
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like you talk about disorders and like there's like I had a psychopathology class
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where we like reviewed the ds That's when I first bought the DSM five.
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But I don't ever remember really specifically, and maybe it's just kind of didn't
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do the reading that often, but I don't really remember just going through the
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book and like today we're talking about this, and today we're talking about that.
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So part of me, when I got into internship and I finished and
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I graduated and I got into my first job in communite mental health, part
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of me felt like we really didn't go over diagnostic criteria. So once I
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got past things like depression, anxiety, ADHD, trauma, all the other
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disorders felt kind of like big, bad and scary because like I just didn't
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really I just didn't know. I didn't really understand. And it wasn't until
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maybe like two two and a half years into community mental health, like I
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met first ever client that had bipolar disorder diagnosed with bipolar disorder, yeah,
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and they were just so open about their experience and open about the things that
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they were going through that it really opened my eyes of like, oh wow,
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like I really don't know what bipolar disorder is. I can look it
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up, I can read it in the DSM. My handy dandy pocket sized
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DSM. But I really don't know. I don't really understand it until they
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were explaining it to me and really like describing like, oh, shoot,
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that's what a manic episode is. I know what a depressive episode is like
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the other part of bipolar, but like, wow, that's that is so
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interesting And then it really like brings back up like how many people incorrectly use
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the word bipolar And we'll talk about it later, but like it really that
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stuck with me and getting to hear from them their experience and how much once
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they were diagnosed correctly and were properly medicated and getting the right services, things
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just got so much better. And since then I've seen it more more at
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work and the different says I've worked in that like once you get a hold
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or an idea of what it is, you're really able to treat it and
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it's not the big, bad, scary thing that first second year therapist Eddie
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was worried about. You bring up a great point where yes, education is
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good and it's important to get those basics, but you don't learn everything,
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and that as you work as a clinician, as a practicing therapist, as
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a practicing doctor. You learn so much on the job and hearing people's stories
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impacts and influences the way you think about medicine, and so yeah, that
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makes total sense. I'm so glad that you met that person and they helped
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broaden your views there. And really it was me though was supposed to be
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the one that was helping, but they were helping me. And it's one
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of those things. There's certain clients and patients that you kind of just think
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about over the years, different things, different incidents, events, whatever,
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triggered like a memory. I'm like, oh, yeah, so and so
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so yeah, every once in a while they pop back up into my head.
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And I have a general life rule. I always try to keep in
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mind that I have just as much to learn from other people as they have
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from me, no matter what my position is too. So yeah, learn
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from your patients, learn from your students, learn from everyone. It's such
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an important thing to keep that open mind snaps snaps. I'm doing like cool,
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like a slam poetry snappy. Well, I got a story for you.
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I was actually watching the Taylor Tomlinson comedy special, and she is a
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very funny comedian who's actually going to be giving or getting her own late night
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comedy show. I think that Stephen Colbert is producing so good for her.
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She's kicking butt. But in one of her specials, she talks about getting
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diagnosed with bipolar disorder, and he kept on referring it to as like,
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oh, I am bipolar, and you know, the doctor explained it that,
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you know, we try to use the person first language. A person
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with bipolar you have by polar you're not you aren't bipolar. And she was
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kind of resistant to that idea. She was like, just call what it
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is. I am bipolar. Because I thought that was interesting that there has
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been this huge push towards person first language, but some people are like,
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ah, scrow it, I don't want to Yeah. I feel like I've
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noticed that too. There's a bunch of trainings you talk about, like trauma
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inform care and person Center language person first language. But if you talk to
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somebody who has struggled with addiction their whole life, they might be the first
6:30
person to refer them to themselves as an addict. And they do it all
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the time, and it's like part of me, I'm like, wait,
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no, you're supposed to be someone someone who struggles with addiction. I'm just
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like, who am I to say if that's what that's what they identify with.
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But yeah, I've noticed that too. There's a whole video that I
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show I've shown my my group therapy classes to the first year master students that
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it's from. It's like a cartoon, but it's like narrated by someone who
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has strug with addiction, and they call themselves an addict and have to preface
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the video to the students of like, Okay, look like I know we
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talk about person first and person centered and strength based language. They're not going
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to do that at all. And also like if that's their tress, their
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choice, and it might feel weird, it might feel uncomfortable, but that's
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that's what they that's what they choose to do. Dude, I feel it.
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It feels so weird to correct people on what they call themselves or like,
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you know, I've met a lot of people with addiction who be like,
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oh, I'm a junkie. No, no, no, you're a
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person who prefers junk. You know, It's just stupid. It doesn't make
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it sense. Well, the same thing like like if you hear people you
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know unfortunate when when people die of suicide or die by suicide, or they
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have a family member that dies by suicide. They say like, oh,
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my insert family member here committed suicide. And my first reactions I was like,
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no, no, it's died by some But it's like, what the
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fuck am I? Oh am? I to tell them like the correct words,
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you know, or like the politically correct word. I don't know.
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Yeah, it feels insensitive to be like, oh, I know that you're
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struggling here, but like, let me correct you real quick, let me
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let me, let me tell you the right way to say this. Bipolar
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disorder Okay, real quick. It's not just someone who changes their mood quickly.
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Okay, so let's let's get that one out of the way. But
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according to the according to the American Psychiatric Association, it is a group of
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brain disorders that cause extreme fluctuation in a person's mood, energy, and ability
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to function. Function again, Like, this is the misconceptions that it's just
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like you quickly move from one mood to another means you're bipolar. That's not
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it at all. I know. I get a lot of kids and teens.
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That's the thing. If a kid and teen is like, oh,
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my mom's so bipolar. This is a good opportunity to maybe provide some psycho
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education, give some additional feedback on like the correct terminology, terminology to use
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when adults do it. It's like, no, stop that right now.
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Right now, I feel like maybe I should be a little more sensitive to
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it. But yeah, like it's I hear it a lot. I get
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some I work with teens all the time where like they're like, oh,
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so and so is by polar, they're so bi polar. It's like,
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well, I know what you mean, but maybe this is a better way
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to describe it. It's almost kind of like people like, oh, that
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person's psycho and it's like, yeah, they're psychotic. They'd say yeah,
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yeah, exactly. Like one time I was working with a patient who was
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just losing it in the ICU, just ripping things up, wanted to be
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discharged, but wouldn't wouldn't we wouldn't discharge them, And the nurse was like,
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they're going psychotic in there. I was like, oh, yeah,
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do they have hallucinations, delusions, negative symptoms? Like, they're not going
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psychotic, they're pissed. It's not psychotic. You should use the correct terms.
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You are a healthcare professional. Get better words, yeah, use better
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words. Yeah. There are a lot of misconceptions about bipolar disorder that still
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exists today. And the only way to know someone if someone truly has bipolar
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disorder. And this is diagnostic criteria stuff out of the DSM that Eddie was
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mentioning earlier, the Diagnostic and Statistical Manual, Polar one has manic episodes,
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by Polar two has hypo manic episodes. And here's the difference. Bipolar one
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manic episodes are defined in the DSM as a distinct period of abnormally and persistently
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elevated, expansive and irritable mood and abnormally and persistently goal directed behavior or energy,
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lasting at least one week and present most of the day, nearly every
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day, or any duration if hospitalization is necessary. So that's a mouthful and
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it's confusing, But to kind of give you a story of someone who has
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had a manic episode, so say someone just stops sleeping, that's kind of
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the big one. They stop sleeping or maybe only getting an hour or two
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of sleep per day for at least a week, So for a week they're
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not sleeping at all, but they still have a ton of energy. So
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most people who don't get sleep, they're tired and they're sleepy and they're lethargic.
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But these people are cranking and they've got all these things that they want
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to do, and they've got all these projects that they want to do,
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so they're starting all these projects, but they're mind and a lot of times
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these people end up in hospitals, they end up in psychiatric hospitals, in
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police stations, things like that, because it's such a bad thing. It's
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such a big scary thing, a big change from the normal. One of
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the pieces too, and I think we mentioned it, but you know,
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people who have been diagnosed with bipolar sleep is such an important piece to it,
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not just like the absence of sleep or let's see, not just the
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part where Justin was mentioning like if they haven't slept for an extended period of
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time a week at least, and they're just like running on minimal sleep,
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but also not getting enough sleep for an extended period of time. I hope
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I'm making it enough of a distinction where it's like if you go an extended
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period of time where you're so busy with stuff, you're working late you're waking
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up early and you're only sleeping four or five six hours a night for an
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extended period of time, that could end up leading to triggering a manic episode
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totally. The story I like to tell for that one is, say a
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college student who finals are coming up and they're cramming all night. They're only
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sleeping three four hours a night because they're trying to read and study and do
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as much as they can, and then they maybe get through finals and then
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bam, hit a full manic episode. So that's an excellent point that that
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sleep schedule is so important. Yeah, some of the symptoms of a manic
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episode. The actual symptoms are like distractability you can't focus, impulsivity you do
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things without thinking, grandiosity you think you're better than you are, decrease sleep,
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and talkativeness. People who are who are manic tend to have what we
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call pressured speech, so they talk and it's really hard to interrupt them.
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They just kind of go and go and go, and then you can't really
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get in a word in edgewise. One other thing I was thinking, and
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I'm wondering where this fits in, either like the talkativeness, but with like
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writing or just any of the other symtimes you mentioned. I've seen multiple times
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where like an individual will like write on end no, just like right and
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right and right, and just next thing, you know, they have a
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fifty page novel of like all these thoughts that they're having that they need,
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that they need to get their point across of like I'm not leaving here until
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this happens, or I'm not doing this until people understand like what it is
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I'm trying to get out. Yeah, I've seen drawing too. I saw
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one of my passions, went online and found like a risk list of the
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fifty best records that you have to listen to before you die, and was
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trying to listen to all fifty of them like in a weekend. I was
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like, whoa, that's wild. Yeah. In terms of a true diagnosable
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manic episode, it has to have increased energy with three of the symptoms listed
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above for a whole week, and not in the presence of any drugs or
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alcohol. So we've talked about it before. There always tends to be specifiers
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in each diagnostic criteria where it'll be like if we think of depression, for
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example, major depressive disorder, major depressed story with this, and then at
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the end there's like unspecified or other specified and then oftentimes towards the end of
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the chapter there's like substance induced depressive episode or something. So it has to
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be without the presence of drugs, because things like methamphetamine, cocaine probably these
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are things that, like some of these symptoms come about because of the use
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of those and not necessarily because of a of a manic episode. Boy,
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I've seen lots of psychiatrists get burned with that. They'll be like, oh,
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you've had episodes of for a week in a row. You weren't sleeping,
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you had a ton of energy, you were starting off these projects.
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But they don't ask were you on meth? I just meth that's the big
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one, right, Yeah, And I've had that too, where people met
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full criteria for bipolar mania but they were using math. So that's yeah,
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And then it gets really tricky when people have real bipolar and also use meth
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too. Yeah. One thing I think about we ever talked about the show
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Drugs on here? Yes, at least have you and I talk about DRUGSNC.
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There was an episode a long time ago. It was in the Bay
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Area, Like they said, it in the BA area and they were talking
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about uppers and they're talking about they had a section of the episode about cocaine,
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but then they had another section of the episode that was about meth,
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and they were talking about how cocaine, excuse me, at least back ten
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is ish years ago, probably a little more in Bay Area tech companies was
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so normalized because you'd have people working hours on end, trying to get deadlines
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done. You know, this this hustle and bustle, this rat race of
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the Bay Area tech companies where people just using cocaine out in the open.
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And there was this guy who used to be in the tech industry, got
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caught up with methews, basically lost their job, the whole kind of cycle
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of addiction. And they said straight up, They're like, if meth was
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more societally, is that the right way a word actually more accepted by a
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society socially, If it was more socially, math would be the drug of
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choice for the tech people, because that's that should keeps you up. I've
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never done it, but in my drug and alcoholic classes, math keeps you
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up. A lot of the tech bros, a lot of the tech industry
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now they use legal stimulants ADHD medicines and so that's a huge problem for them
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too. Either way, Yeah, Wall Street tends to use a lot of
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stimulants. Tech Bross to use a lot of stimulants. There's a lot of
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this. Capitalists, Hey, America, work as hard as you can sacrifice
16:33
your own well being for money and your job. But that's beside the point.
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The average person with bipolar disorder will have two manic episodes per year.
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And I think that's important because I've I've met a lot of people who have
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been told by doctors that they are or they have bipolar and they'll say like,
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oh, yeah, I have two manic episodes per week. And it's
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like that doesn't really makes sense. That doesn't really quite drive jib, Like
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that sounds terrible and that is still something mental health related, but that's probably
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not bipolar disorder. Moving a bipolar two, and this will kind of make
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sense with Justin's point of like having two menic episodes in a week doesn't make
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sense. With a manic episode for bipolar one, it's lasting about a week
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each time. Correct. With bipolar two, people are experiencing what's called a
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hypomanic episode. Or like a low manic episode, which are really similar but
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they're not as intense, so they last about four to five days. All
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the same symptoms, but usually people do not need to be hospitalized and overall
17:34
are functional. For example, I had a patient in the past who told
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me that they would go through episodes of four days in a row where they
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only got about three four hours of sleep. They felt great, confident,
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they did great with women, and were very successful. They were energetic,
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they were able to get a ton of work done in a few days.
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They were maybe a little bit more irritable, but it wasn't really getting in
17:57
the way of their life for their relations and shit. But then they would
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crash and be super depressed for a couple of weeks after those episodes. It's
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almost like a crash from like substance us like withdrawal basically, but like through
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I'm not even gonna butcher like the chemically stuff, but just like I basically
18:15
withdrawal of your mental health. So we've mentioned a lot of things, a
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lot of symptoms. Some of them like you just mentioned with your example,
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some of them don't sound half bad. Yeah, some of them sound like
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why not, like you're telling me that I can get through a whole week
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sleep two hours a night, and I can crank out all this extra especially
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if someone in like a tech company, they can crank out all this extual
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work. Like who wouldn't want something like that? But I'm sure there's a
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reason why not. It can be really tricky to convince people to say like,
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hey, I know I feel great, but really you're about to crash
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soon and these medicines will help. So's it's a really hard thing. Yeah,
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that first client that I ever experienced, like diagnosed bipolar disorder with so
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like acknowledge, like, well, when that that shit is over, it
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sucks. Yeah, the crash sucks, I know. And that we talk
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about the show Euphoria quite a bit, but Rue like you can't even get
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out of bed to go pee when she's in that depressive episode. I think
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she mentions bipolar specifically as a diagnosis. Yeah, some stats and facts for
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you today, It's estimated that bipolar disorder is about two to four percent of
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the population. It is both genetic and environmental. So one way to look
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at how the genetics work is by studying twins. In identical twins, if
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one twin has it. There's only a fifty to sixty percent chance that the
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other twin also has to you in life that trigger it, like trauma depression,
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after running out of thousand miles an hour, doing all these things,
19:52
being impulsive, being grandio, saying these things, doing these certain things.
19:57
Imagine doing all that, being on top of the world, and then having
20:00
a clinically diagnosable depressive episode and then having to live with the things that you
20:06
just did, the actions that you just took, the things you said.
20:10
That's extremely tough. Yeah, And I've heard horror stories, no one I've
20:15
treated directly, but of people accidentally running people over with a car, like
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just horror stories of the impulsive things that they did in a manic episode.
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And it can be really life changing and heartbreaking totally. If you've ever met
20:30
anyone who's been diagnosed with bipolar one or bipolar two, or like you've heard
20:34
about it in the news or we'll talk about some celebrities later, Like,
20:37
it's more than just having two different moods at a time. It's more than
20:41
just this run around at one hundred miles an hour. There unfortunately, can
20:45
be consequences. There can be some pretty negative experiences that happen throughout a whole
20:52
cycle of bipolar depression. Yeah, it's a little more serious than someone just
20:56
having anger problems. Yeah. One last thing I want to add before we
21:02
talk about treatments is the average age of diagnosis is about twenty five years old,
21:07
and usually the first manic episode emerges emerges between the ages of twelve and
21:11
twenty four. So in terms of treatments, both medications and therapy can be
21:25
useful to treat bipolar disorder. Another important aspect that Eddie mentioned is sleep.
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That sleep schedule is so important, so sleep and stress can cause those episodes,
21:34
those manic episodes to happen. People with bipolar disorder, you usually have
21:38
to take multiple medicines. Yeah, usually bipolar is one of those ones that
21:42
tends to have more medicines than the average mental health client. But mood stabilizers
21:48
like lithium depicote, carbonmazipine, oxcarbazipene, lamotrigene, these prevent manic episodes from
21:56
happening. But you also have to take bipolar depression medicines too, and these
22:02
medicines tend to be completely different than the ones for regular depression, and even
22:06
the medicines for regular depression can make bipolar depression worse, so it gets really
22:11
tricky. And usually there's at least a couple of different medicines that you have
22:14
to be on, and the bipolar depression medicines tend to be in the class
22:19
of antipsychotics, like lorazodone and luma teperone. What about the newer medications?
22:25
Have I heard there's some that are kind of like out there and helping to
22:29
prevent mania entry depression. Yeah, and this is something you might see on
22:32
TV quite a bit, like tribevraylar. It's carip raisine, and there has
22:37
been some evidence that shows that it helps both in preventing manic episodes and in
22:44
helping the bipolar depression. So that is kind of nice that they're finally starting
22:48
to find some medicines that can do both so you don't have to be on
22:51
multiple but they tend to have their own side effects. Those damn commercials are
22:56
just like people like sam break and just like high five and shit and like
23:00
playing volleyball and like do you suffer from Menia's? Like well, what this
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is not whatt trying to get like all the like side effects listed out.
23:14
Our commercial suck man, that's so weird that we let that, Like,
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yeah, we have stuff like that. Other countries don't do that. Other
23:19
countries don't let pharma companies advertise on television. So I think that's something I
23:26
would like to see change in our lifetimes because I don't think it's healthy.
23:29
Yeah, okay, here's my question, all right, lithium. Yes,
23:33
am I wrong in remembering that lithium is mainly only for one of bipolar one
23:41
or bipolar two? Or am I off on that it can be used for
23:45
both? And overall it is a good medicine, has a ton of side
23:51
effects and can be dangerous if it gets super therapeutic or we have too much
23:56
of it in your system too. But yes, I think actually something came
24:00
out recently that said it can be just as useful in bipolar two. So
24:03
yeah, it can be good for both, but typically bipolar two. There
24:08
are some other options. Bipolar one, the first line medicine is you got
24:12
to start lithium, But for bipolar two there's some other things that you can
24:15
try first. You don't have to jump to lithium, so you can avoid
24:18
some of the side effects. We got a little history, minute history minute
24:22
of goal so we've got to put in an English accent to that or nerd
24:26
alert, whichever you prefer for this one. There's a lot of theories as
24:30
to why bipolar disorder developed, because a lot of times we see these things
24:33
as all negative, like, oh, this is a disorder, this is
24:37
something bad that's happening. But there might actually be an evolutionary advantage for it.
24:42
So this hasn't been proven or anything. It's really hard to prove these
24:45
types of things, but there's some cool theory out there. But bipolar disorder
24:51
seems to have emerged mostly in white people, Caucasians if you will, of
24:55
Neanderthal descent, in northern climates. So if you think about cold harsh winters,
25:00
and I'm from Wyoming, so I think about cold harsh winters a lot,
25:03
it would give you an advantage to have a burst of energy during the
25:07
winter defined food need less sleep, survive, right. So there has been
25:14
a correlation between seasonal affects of disorder and bipolar disorder, suggesting that bipolar disorder
25:18
may have emerged to fight depression over the winter months. So people who are
25:23
maned are often more confident, they're more impulsive, which leads to more sex,
25:29
and any time something leads to more sex, it tends to be favored
25:33
from an evolutionary standpoint. So in our world today, where we're constantly surrounded
25:40
by super dangerous things, it may be not the greatest disorder to have,
25:45
but it could have been an evolutionary advantage in the past, which I like
25:51
thinking about that kind of stuff. Interesting, huh, what you don't have
25:56
to if you don't have it off the top of your head. But is
25:59
there anything it's been like recent, like any recent article or anything that's talked
26:03
about this theory or things a little older. I think there was a newer
26:08
one that I talked to or that I just went to, like a grand
26:12
rounds on why that bipolar disorder could have actually been a good thing, But
26:18
I can't remember when exactly it was from. So interesting, you know,
26:21
it's also interesting or wild to think about. If you cite an article from
26:26
like two thousand, that shit is hello old, because twenty four But anytime
26:33
I like read something, or if I'm like getting stuff ready for like teaching
26:38
again in the summer, I'll be like, oh, yeah, two thousand
26:41
and five, It's like, damn, that was almost twenty years ago.
26:44
This is not recent. I go, yeah, it's pretty wild to think
26:48
about, Like, yeah, I'm thirty two and I just I keep talking
26:52
to oh a lot of my patients like I had. You know, I
27:00
tried not to cast too much on the podcast, but I was talking to
27:03
my patients. I was like, hey, you have a you have a
27:07
landline right in case you need to call someone. And my patient just looked
27:10
at me, and a teenage kid was just like, what the fuck is
27:12
a landline? Why would you disrespect him like that? Just making things up
27:22
the landline. He just looked at me and went, man, I feel
27:26
sorry for your generation. I was like, you know, ye fair,
27:29
I feel sorry for yours too. Good thing about the student that asked me
27:33
if I knew what snapchat was, and the nicest way possible, I had
27:40
to tell them like I've been I've known what snapchat was since the beginning.
27:44
Kid, you're you're just late to the party. Yeah, I got it
27:48
when I was in college. So yeah, super cool. Where like if
27:53
you wanted to type to someone wrong and let you type like two lines and
27:56
then you had to like spell the rest out with your finger, Yeah that's
27:59
right, man, we're dating ourselves, yes, we are a couple of
28:03
discussion questions. Have you seen anything get misdiagnosed as bipolar disorder? I don't
28:10
know about misdiagnosed as much as just like misrepresented. We talked about it,
28:14
like, ah, my my significant others so bipolar, my parents are so
28:19
bipolar, and it's like, wha, it's not really what bipolar is.
28:23
I think I read something interesting the other day and our friend Ryan, he
28:30
had asked me about this recently too. He asked like, what my thoughts
28:33
are? He asked in kind of a weird way. He's like, what
28:34
are your thoughts on psychotherapy? And I was like, I think I like
28:37
just woke up, so I was like, oh, when I opened on
28:40
my phone, I was like, you mean like therapy. He's like yeah,
28:42
I'm like, I mean I think it's good, and I mean it's
28:45
there, it's here or there, it really depends. There's a lot more
28:48
things than just like a yes or no type thing. But we talked more
28:52
and he's like, yeah, I was listening to this podcast and this lady
28:55
was on as a guest and she was saying how basically like the over and
29:00
the misuse of like therapeutic words and therapeutic terms is like really like almost like
29:07
diluting or like really just having a negative impact overall. And I was telling
29:11
Hi him, like, you know, I really just I read something on
29:14
Reddit of all places, like the therapists. I read it where someone had
29:17
asked, like, do you think there's too much diagnosis now or there's too
29:21
much of a like people trying to be diagnosed? And the person, I
29:25
think put in a really good way, like basically it feels like right now
29:27
the pendulum is swung in one direction compared to where it was before, where
29:32
you like never talk about mental health. Now everybody talks about mental health.
29:33
At least that's what it feels like, because everybody talks about mental health,
29:37
everybody has something wrong mentally, and if everybody has something wrong mentally, maybe
29:41
nobody has something wrong mentally. But basically, like it's talked about so much
29:45
to the point where like maybe it is overused and hopefully we're going to go
29:49
back and move into the like kind of more middle range as far as the
29:53
pendulum. But really, the point I'm trying to make is like, especially
29:59
with kids and teens, they use the words and phrases that they know,
30:02
so if the only way they know how to talk about mood swings with their
30:03
parents or that where their significant other with their friends is bipolar. That's what
30:07
they're gonna use. It's a good opportunity for us to be like, well,
30:10
no, that's actually not what bipolar means. You know, maybe this
30:12
is what you mean. A lot of kids will say like words like oh,
30:15
I'm depressed or I'm anxious, when really they could mean a bunch of
30:19
other things, And it's just an opportunity to really talk about like, Okay,
30:22
what are you excellent point that this stuff is changing and growing right before
30:27
our eyes. We live in such a unique time where we've never as a
30:32
society really addressed this stuff. So now that we finally are, what are
30:36
the ramifications, what's going to happen as a result, How are things going
30:38
to change? Are we overdoing or are we over overpathologizing? What are some
30:44
common things you see misdiagnosed as bipolar. I've seen a lot of trauma and
30:49
borderline personality disorder misdiagnosed as bipolar disorder, especially someone who has like bad trauma
30:56
and ADHD so they don't really sleep that much. But a lot of times
31:00
with trauma, your body loses control of its fight or flight reflex, and
31:06
so sometimes people with trauma, if something triggers you, your cortisol, your
31:11
stress hormone goes through the roof, You're adrenaline goes through the roof, and
31:14
it can really make you look like you were having a manic episode. But
31:18
it's more related to the trauma. So that can be a really tricky thing
31:22
and something I just wanted people to understand that. Yeah, if you do
31:26
have a lot of trauma and some of the symptoms of mania, it's important
31:30
to try and tease out the difference between the two. The next question we
31:33
have is what age does bipolar usually show itself. We mentioned a little earlier,
31:37
but yeah, what do you see as a psychiatrist. The tricky part
31:41
is what I've noticed is that usually depression comes first, and then you know,
31:48
they hit nineteen twenty years old and have a manic episode and it's like,
31:52
oh, Okay, we were treating the wrong type of depression the whole
31:56
time. But you don't really know until that manic episode comes out too,
32:00
So it can be really tricky. It's that old question, what came first
32:05
the depression of the mania? Yeah, of course I haven't heard that time
32:08
and time again. Yeah, Justin's favorite part. Let's let's get it.
32:15
Some famous people who have been diagnosed with bipolar disorder. And sometimes when we're
32:21
doing the celebrity section of the show, it's pulling teeth to find people who
32:24
have actually come out but with bipolar scores. Just listen lists of people who
32:30
have come out saying like, oh yeah, I have bipolar disorder. And
32:31
the first one on our list is Mariah Carey Eddie, did you ever get
32:35
into Mariah Man the Emancipation of Mimi? That album changed my life. I'm
32:42
so happy for you. That's wait, why are you laughing at me?
32:45
This is my we belonged to that dude? That like that album? I
32:52
don't know what it was. It was always on MTV, always playing the
32:53
music videos. You know, I E. Equals MC squared Touch my body
33:00
you know, yeah, fantasy. You might have to say that for me
33:08
too. Oh man, I'm blushing. Uh why not? It sounds dude,
33:17
it's it's random. Yeah, yeah, I know that one too.
33:21
Yeah, when you walk by every night, I don't even know if I
33:25
have the words right, why not do? Oh? Yeah, yeah,
33:30
I know that one. Too. Yeah, the girl in Rush Hour one,
33:35
she's the little girl in the back of Oh yeah, she sings that
33:37
song. Yeah, I'm so into you. Yeah that was my It's still
33:46
my ship. Yeah. Anyway, rush Hour one or Carry rush Hour two
33:52
and Mariah Carrey I like to better. Yeah, And I know I've said
33:55
it on the show, but I'm just a huge Jackie Chan fan. I
33:59
love watching jack He's so good. But Carry Fisher is up next on the
34:06
list. She got super famous super fast after Star Wars hit the theaters,
34:12
and then actually it's rumored that, like when they were filming Empire Strikes Back,
34:15
the second Star Wars film, that she doesn't even remember filming a lot
34:20
of those scenes because she was just so high out of her mind on cocaine.
34:22
Damn pretty wild. Yeah, speaking of cocaine, Mel Gibson is next
34:28
on the list, which I actually don't honestly know if Mel Gibson has done
34:31
a ton of cocaine, but I would assume. So. Who's Russell Brand
34:37
He's the English guy, He's a comedian. He's forgetting Sarah Marshall. That
34:42
guy, yeah, rangey guy. Does he have long hair, Yeah,
34:45
long haired scrubble That guy Yeah, funny dude. Apparently he's come out and
34:51
said he has been diagnosed with bipolar disorder. One of our favorites on the
34:54
show, Demi Levado Bingo. He apparently wrote the song Lithium. And then
35:01
speaking of Seattle based rock and rollers, Jimmy Hendrix, who wrote the song
35:07
Manic Depression. So he supposedly that when we didn't always used to call it
35:14
bipolar disorder, we used to call it manic depression, and so that was
35:16
what his song Manic Depression was about. Oh, as we wrap up for
35:22
today, I hope you guys have enjoyed. We wanted to revisit bipolar It's
35:27
something that is has a weird like notation connotation in our society, like people
35:35
don't fully understand it. People mislabel it, people think it's one thing when
35:38
it's really the other. We've talked about it with a ton of other mental
35:42
health disorders, like treatment recovery, getting better is one thousand percent possible.
35:47
Having bipolar one bipolar two does not mean like you cannot lead live a happy,
35:53
normal, regular life. It's something that once we catch it and get
35:57
you on the right treatment, righttation, all that good stuff, it can
36:01
really get better and things could be totally fine for you, So we hope
36:05
you get that message. As we're wrapping up for today, Thank you all
36:07
for listening, Happy New Year, Happy twenty twenty four. We'll give you
36:12
a reminder since this the new year, Apple podcast, Spotify, wherever you
36:15
get your podcasts, you can find us. If you like Apple podcasts,
36:17
feel free to leave us a five star review. You can also leave us
36:20
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36:23
leave a five star review, and you can leave an answer to the question
36:25
what did you think of this episode? On social media Instagram, TikTok,
36:30
Twitter, I'm not going to call it the other thing YouTube at Millennial MHC.
36:35
Thank you, Happy New Year again. We love you all and take
36:38
care of y'all. Mentors