The Science & Treatment of Bipolar Disorder | Huberman Lab Podcast #82
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- Опубликовано: 22 май 2024
- In this episode, I explain the biology, symptoms, causes and types of bipolar disorder (sometimes called bipolar depression). I discuss neuroplasticity and how the brain normally regulates mood, energy, and perceptions; then, I contrast that with the biology of bipolar disorder, which is characterized by extremes of energy and mood, e.g., mania and depression. I outline the mechanisms through which bipolar disorder manifests in the brain, including deficits of interoception and reduced connections between the parietal and limbic systems. I also outline how treatment options (such as lithium) work in part through homeostatic plasticity.’ I discuss not only lithium but also the treatment of bipolar with ketamine, different talk therapies, electroconvulsive therapy, transcranial magnetic stimulation, and nutraceuticals, including Omega-3 and Inositol supplementation. This episode should interest anyone who has or knows someone with bipolar disorder and, more broadly, those interested in how the brain works to create a balance between thoughts, energy levels, focus, and mood.
#HubermanLab #Bipolar #BipolarDisorder
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Timestamps
00:00:00 Bipolar Disorder
00:02:23 Momentous Supplements
00:03:42 Tool: Appetite Suppression & GLP-1, Parallel Pathways, Yerba Mate
00:10:23 InsideTracker, ROKA, Blinkist
00:14:24 Prevalence & Severity of Bipolar Disorder
00:16:30 Bipolar Disorder I, Diagnostic Criteria of Mania
00:28:58 Bipolar Disorder II, Individual Variability
00:33:07 Bipolar I vs. Bipolar II: Manic, Depressive & Symptom-Free States
00:38:20 Consequences of Bipolar Disorder, Heritability
00:46:53 Bipolar Disorder vs. Borderline Personality Disorder
00:51:51 Mania & Depression, Negative Impacts
00:53:06 History of Lithium Treatment
01:02:44 Lithium Treatment & Side-Effects
01:05:05 Effects of Lithium: BDNF, Anti-inflammatory & Neuroprotection
01:10:10 Neural Circuits of Bipolar Disorder, Interoception, Hyper- vs. Hypoactivity
01:17:11 Neural States & Mania, Parietal Lobe & Limbic System
01:22:58 Homeostatic Plasticity, Synaptic Scaling, Lithium & Ketamine
01:36:00 Talk Therapies: Cognitive Behavioral Therapy, Family-Focused Therapy, Interpersonal & Social Rhythm Therapy
01:43:18 Electroconvulsive Therapy (ECT), Transcranial Magnetic Stimulation (rTMS)
01:48:01 Psylocibin, Cannabis
01:51:50 Lifestyle Support, Supplements: Inositol & Omega-3 Fatty Acids
02:03:31 Omega-3s, Membrane Fluidity & Neuroplasticity
02:06:44 Mania, Creativity & Occupations
02:15:33 Bipolar Disorder: Diagnosis, Neural Circuits & Treatment
02:17:45 Zero-Cost Support, RUclips Feedback, Spotify & Apple Reviews, Sponsors, Momentous Supplements, Instagram, Twitter, Neural Network Newsletter
The Huberman Lab Podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.
Title Card Photo Credit: Mike Blabac - www.blabacphoto.com 
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I was diagnosed with bipolar 4 years ago I've learnt the hard way that it's best to stay away from all drugs including alcohol. The drug I used mainly was Marijuana which ended up sending me into psychosis and extreme manias which would end me up in hospital. Also found alcohol had a pretty negative effect on me and didn't mix well with my medication. Been sober over a year now and am living a much better life along side regular exercise, good sleep and healthy lifestyle. If you've got bipolar and are struggling keep pushing! I never thought my life would be this good again 👍
Yea, we need to resists the temptation of the manic moods to live quietly .
I found help in plant psychedelics like Ayahuasca and 5meo-DMT
Pretty much the same with me. Alcohol complicates it drastically. Keep it up though, the first year off it is the hardest. After a year/year and half i stopped thinking about it almost entirely. If a craving would pop up, it’s quickly shot down by the negative association. Additionally, The spirit molecule nixed my depression for about 6 months. Periodically using that and an added daily routine of meditation+pranayama completely changed my life. Now if I have a low, I have tools established to lessen the effects. In fact, the last bad low I had…only my body was sick…the depression didn’t effect my mood.
Anyways, all the best of luck to you my friend. 🖤
Congratulations dude!! My goal is to also become fully sober again. I think back to younger me happy and efficient version of me I was dealing with depression at a young age but, it was probably the best me. Sunlight and clean diet.
Sounds like you made quite a bit of progress. ✔️
This gives me hope
Psychedelics are just an exceptional mental health breakthrough. It's quite fascinating how effective they are against depression and anxiety. Saved my life.
Can you help with the reliable source I would really appreciate it. Many people talk about mushrooms and psychedelics but nobody talks about where to get them. Very hard to get a reliable source here in Australia. Really need!
Yes, dr.sporessss I have the same experience with anxiety, depression, PTSD and addiction and Mushrooms definitely made a huge huge difference to why am clean today.
I wish they were readily available in my place.
Microdosing was my next plan of care for my husband. He is 59 & has so many mental health issues plus probable CTE & a TBI that left him in a coma 8 days. It's too late now I had to get a TPO as he's 6'6 300+ pound homicidal maniac.
He's constantly talking about killing someone.
He's violent. Anyone reading this Familiar w/ BPD know if it is common for an obsession with violence.
Is he on instagram?
Yes he is. dr.sporessss
Shoutout to all of my fellow bipolar peers. We aren’t alone. Sometimes doing “the least” can be the most. I understand you.
My meds are working well but my brain fog is so bad, I’m struggling at work trying so hard just to get by ugh
I feel completely alone. I have no one and no support.
@@T6706K Where are you?
@@T6706K i feel the same
I feel this way too. Bipolar has ruin my life quality. I pray a lot when I feel alone. That’s helped.
I stopped my meds for a year because I convinced myself that I didn’t actually have bipolar disorder and the doctors only wanted to use me for money because of how expensive the meds were. One year later, absolutely catatonic, it hit me that I actually need treatment. Experiencing all the emotions a single person feels in an entire lifetime in one day gets pretty exhausting. It’s so much more than the moody stereotype.
If you suppress it it will come back stronger. Let it flow trough you and look at something not part of you just something that needs to flow and go away.
Read the post above yours it’s very hard to make the switch from meds to a healthy lifestyle but if you can force yourself to switch it can help and I’ve been off my meds for almost a year
@@GuidetteExpert😊😊😊😊
@@AquariusAmourdon't tell this to people
@@AquariusAmoura year is not long enough time.. come back in 5 and let us know how you're getting on off meds. I lasted almost two years. Went whole foods plant based. Took up running. I have so much joy, grounded in my faith, and still underneath it all... this disorder creeps its way back in even though there's absolutely nothing logically or emotionally wrong, nothing bad going on in my life. Thankfully I am only on a low dose antidepressant instead of a cabinet of meds, but my brain simply couldn't regulate on its own.
I'm disappointed that the only medication closely mentioned in this episode is lithium. I've lived with bipolar 1 disorder since I was 15 (13 years now) - and the medication class that has completely saved me and allowed me to live a normal life is anti-epileptic meds.
I was hoping to learn more about how my medication and how it was discovered as therapeutic. I have SO MANY questions!
1. How is it that antiseizure meds are so effective?
2. I was on Trileptal for 5 ish years and then eventually experienced breakthrough episodes and changed medications over a handful or rocky years. Is it common to need to change meds every 5 years or so? Of course there are so many factors in play here.
I also want to point to the most insidious human emotion I've had to fight off - shame. You mention all the negative things that follow a manic episode - financial, professional, relationships, etc. but you don't mention the intense feeling of shame that comes when you "come to" after a manic episode and have to untangle layers of delusion you've lived under. Along with my neurochemical differences, shame has been the main fuel for depression and major depressive episodes in my life. Please thumbs up if you've read this far and can relate. I do love this podcast and did learn some new things in the later half of the episode. Cheers!
@cassiecohen632 I also use an anti-epileptic meds to treat my BD type 2, it's normal to use different meds, I think I never was prescribed with lithium by my psychiatric doctor, but looks like a lot of people use it.
I admire your story thanks for your opinion!
Lithium have been the standard medication in the US for a long time, none of my psychiatrists recommended it and warned against it's side effects. I'm diagnosed with Bipolar 2 and use quetiapine and anti-epileptic meds, lamotrigin. Have been on the meds for about 3-4 years and it have had a very positive effect on me, reducing deep depressions and hypomanic episodes. This in turn have helped me recovering some type of self confidence, and to finally feel some sense of calm in my head.
The shame and stigma wears heavy on you, and I agree with you 100%. Dealing with the shame and anxiety after a hypomanic/manic episode have been the biggest trigger for depression for me as well. I guess because you lose control of your actions during such an episode. I have always tried to be as upfront as possible with colleagues and close ones, but lately I feel that I should just keep it to my self and stop explaining why I behaved in such a way. People just don't understand, and I don't really blame them. If anything people tend to "change" their perspective of me and pretty much everything i do from that point on is because "i am bipolar". Which in turn makes me question myself and puts me down.
The meds have saved me in every way possible really, I'm close to my 40's now and got on the right meds late in life, having been on anti-depressants in the past which made me manic, especially when mixed with alcohol. And I used to drink quite heavily. Today I mostly see light and feel more optimistic about the future when in the past I was stuck in endless darkness.
Reply to Cassie Cohen thx for your share. I totally relate to the “shame” in my case I just don’t speak about my two psych ephisodes or the full intensity because it’s to shameful even for me to remember the things I did. I feel reg people will not understand and will see me differently❤❤
Tegretol aka Csrbamazapine. Can help.
Hey guys, BP1 here. Since my diagnosis, which was during psychosis then hypomania with manic symptoms. Then the depression came. I quit alcohol. I didn't use other substances. Kept my exercising routine, make sure I get enough sleep everyday started eating well. I feel now I'm healthier than people without disorders. To my fellow BPs, keep away from any substances including alcohol, start exercising, you'll get addicted to the exercise because we have that addicting gene lol, get good sleep everyday, eat well, and you'll be healthier than most people.
How did you quit? Because for me I feel like I need THC on a very frequent basis. I use 1g of thc cart a day.
I do go to the gym. Been going for almost a year but every single time it's a struggle to get up and go.
@@Amystic-ery hey bro, I wanted to live a normal life. Be a good husband, good father, good son, good brother, good man, and I know I can't do if I mentally unstable. As for the exercise I train jiujitsu. I love it. I would recommend look at your life and look at the big picture decide if alcohol is worth it. I crave it, whenever that happens I drink a coke. Cutting it out entirely maybe too hard, I would get one beer with friends once a month but no more. That way you don't fight the crave and it doesn't build up. Then find a sport you like then you won't drag yourself. Good luck mate
@hoteyesng thank you very much. This helps a lot actually. I'll look into a sport instead of gym like you. That does seem more fun. Once again thank you
@@Amystic-ery no problem man. I love combat sport, maybe give boxing, muay thai, mma, bjj a shot. Find a good gym with good culture. Most gyms a pretty nice to new people and take it easy on them. If you don't like you can try crossfit, wall climbing, you name it man.
Definitely agree that exercise can be so helpful. I'm 71 and have an e-bike and e-trike that I ride. Meditation and Spiritual growth have helped me deal with being different. :)
I was diagnosed with BPD since my teenage, spent my whole life fighting BPD. Also suffered severe depression and mental disorder. Not until my mom recommended me to psilocybin mushrooms treatment. Psilocybin treatment saved my life honestly. 8 years totally clean. This is something that really need to be use globally to help people with related health challenges.
Congrats on your recovery. Most persons never realizes psilocybin can be used as a miracle medication to save lives. Years back i wrote an entire essay about psychedelics. they saved you from death bud, lets be honest here.
Can you help me with the reliable source 🙏. I'm 56 and have suffered for years with addiction, anxiety and severe ptsd, I got my panic attacks under control myself years ago and they have come back with a vengeance, I'm constantly trying to take full breaths but can't get the full satisfying breath out, it's absolutely crippling me, i live in Germany. I don't know much about these mushrooms. Really need a reliable source!! Can't wait to get them.
YES very sure of Dr.alishrooms. I have the same experience with anxiety, depression, PTSD and addiction and Mushrooms definitely made a huge huge difference to why am clean today.
Ive done shrooms last month in my house. It taught me how severely traumatized I was from alcohol. I healed from many mental traumas from my past and was able to forgive, let go. Shrooms to me is a remedy not a vice. I even felt more refreshed the morning after. So no hangovers. No depression mood for days. No anxiety.I now have a more calm mind
How do i reach out to him? Is he on Instagram
I got diagnosed with bipolar 1 5 years ago. Been experiencing constant symptoms all my life. I've been medicated for 4 years now, but I had been an alcoholic for most of that. Now I am a recovering alcoholic and recovering from decades of episodes. To anyone suffering out there, as low as you feel, or as insane you are thinking, there is hope to get better. Don't give up and be safe.
Very similar to my story, Fleshhammer6. Congratulations on your recent success with alcohol and your bipolar condition. You sound happy and content which is the big prize. I was diagnosed bipolar in 2017 but drinking heavily and doing all sorts of drugs. Quit drinking in May 2018 but not clean and eventually relapsed with booze in 2021. Heavy, heavy binge for over a year made me stop taking my meds and then ended up in jail and the ICU for a head injury. I have no criminal record but I had started blacking out and things went badly one night. Now happily sober for almost 4 months and rebuilding my life but more satisfied than I have ever been. AA is a huge part of that and I strongly encourage everyone with a drinking problem to find an AA group near them and just go. No expectations or anything. Just go and check it out. You can do the steps or not. The people there are just like you and you'll be amazed at what you hear. Just keep going to meetings and you'll find so much strength to stay sober and get your life back.
@BastardlyB I found a couple really good aa groups, have a sponsor and am working on tge steps. Has been great so far to have common people around me, helping out. Congrats on 4 months, amazing how sobriety helps us bp people so much
Thankyou. I have had this since I was nine years old.
@@faywilson5794 I can't be certain of course, but I really think I've been bipolar from a very early age as well. Maybe as far back as 10 years old or before. Looking back now, I can clearly see the patterns and mood shifts. My childhood was a mess and filled with anxiety and instability so there's a ton of PTSD involved also. If I was born prone to bipolar disorder, the early family instability surely made it happen.
0000 0
This podcast actually changed my life and how I look at things. Literally one of the best podcasts ever out there.
💯 % agree .I love this podcast !
Isn't this dude awesome.
Nobel peace prize in the cards my man.
Keep doing the work you know to be your mission.
Like how many people have been saved.
We should start a poll on here just for the award.
Like can someone create something like that. I'm sure we have some of the brightest souls right here on this whatever this is.
RUclips comment place
The place of no location and every location lol
As someone who's struggled daily through one symptom or another every single day for more than half of my life, I want to sincerely thank you for the compassion and respect that you gave us while discussing our condition. I had to fight back tears many times throughout the episode... more often than not we're called "crazy" or "psycho" and given no credit for how hard we try to manage our symptoms but we're so quickly demonized when we make a mistake. Thank you so much for your work Andrew.
Good points. I have a loved one trying to take the lowest dose lithium carbonate possible and it seems worse than before. So many horrible side effects.
Totally!!!!
You’re absolutely right. I’ve had people comment on the irritating things I’ve done while manic, and it hurts because they don’t understand how hard it is to keep it down. And they don’t know how hard it is to get out of bed every day when you’re in a depressive episode. Life, right now, is hell.
Thanks for sharing your description of daily life with bipolar. You also described my life, so articulately. Thank you, you wrote what I had no words to express
@@gorillaboardwalk4443 I hear you. What I can't stand is others thinking if I have an argument or disagreement with them that is all my fault because I have bipolar II and overreact to the smallest things. I do try to evaluate my reactions to things and here is what I have learned. Sometimes I do indeed overreact to things when I am either manic or depressed. However, when I am stable, that very same thing doesn't bother me. However, there are things that upset me whether I am stable or not. Sometimes the other person is indeed being an as*hole, and I am not overreacting and I will not be gaslighted. It's important to know your self- worth. I have to remind myself that I matter (on a regular basis).
I’ve been bipolar since I was youngun. It has brought me close to greatness and then shattered everything good I’ve ever had. 40yrs old now and I am fighting this with every thing I have. Married 5yrs and this has been trying for my wife. Oh yeah, I also have ADHD ta boot…. I’m trying to keep my world on my shoulders without falling…without failing AGAIN. I have always downplayed my issues due to the fact I was raised by old school dudes who said “go run that shit off or put on the gloves and get in the ring” Nothing a good beating won’t fix. I am envious in a way of the younger generation who were taught to deal and acknowledge their sicknesses.
To my brothers and sister who are suffering from Bipolar just like me. I have ocd too. My prayers to all us that we gain strength to continue our life and find meaning in our sufferings and transcend to contentment.
Thank you for this. I have been following your work since the first episode and I just wanted to say that you have inspired me to go back to school and pursue a degree in cognitive neuroscience at the age of 42. I have worked with communication and design as an art director in the advertising industry my whole life. But after recently being diagnosed with ADHD on top of an older bipolar II diagnosis I dove into the neuroscience in order to understand my divergent brain. I have decided to leave the industry and spend the second half of my life working in science communication and advocacy, helping neurodiverse children and youth with an emphasis on issues with attention, addiction and technology. So - thank you Dr. Huberman. Your enthusiasm for science and the human brain is more inspiring than you'll ever know.
Hes about to inspire me to do the same at 21 lol
thats amazing man, the study of something that piques such an interest will only bring you more amazement the further you go, very impressive and all the best with your studies, your motivation and drive to achieve more is inspiring to more people than you know, best of luck on your studies!
All the best you can do it 👏🏼
@@brianfrederick9219 Prejudiced approach to diagnose high volatility as illness rather than feature. Solve urself better and u will be abel to solve high volatility around you without the need to label it as a thing to solve. Get a real job. Like farming.
@@brianfrederick9219 I dislike this comment. Such frivilancies.
I've had terrible experiences with psylocibin. Drove me into mania and psychosis. Cannabis almost ruined my life mentally, physically and financially. Alcohol is my biggest demon though. I have Type 1 Bipolar Disorder and being completely sober has helped tremendously. I hope to cut out caffeine one day as well. I still struggle with SI. I find that some type of cardio everyday helps. Even if it's just walking for 30 min, I feel better. I'm happiest in the summer when I can SUP or kayak almost daily. Fall and winter with the time change are crushing. I also enjoy writing poetry extensively.
Sending love to everyone who has it. It's hard to exist with this complex disorder.
Yes stay away from these hallucinogenic drugs
My ocd intrusive thoughts as well as rumination AND bipolar is so crazy..I’ve tried self medicating with alcohol which set off some paranoia that went away and now I’m stuck with some schizophrenic traits..we just have to stay strong
A perfect storm of trauma caused all this for me
Oh my god. Late comment obviously but me too. From microdosing psychedelics. Kicked me up from lifelong bipolar 2 to an episode of delusional bipolar 1. From microdosing. Like they say in some ads and should say in this one “individual results may vary.”
And do you take medication? X
I'm 70, in 1998 I was diagnosed with manic depression (I don't like the term bipolar disorder because too many people think they know what that is, and they don't have to a clue.) More to the point, after five years or so of medications that didn't really help along with continued symptoms, a wonderful doctor suggested I try lithium, which I was afraid of. It totally changed my life. It's been hard to find reliable information about effects of using lithium with aging. So far I have just had to reduce the dose somewhat to keep blood levels appropriate. Thank you for r all the work you did on this video.
I watched it twice.
As a person with bipolar disorder, I really appreciate this lecture. Bipolar is extremely hard to live with and goes beyond simple mood swings. It can destroy your relationships, completely renovate your perspective about yourself and the world, and can be extremely dangerous to your health and safety. The information Andrew has presented not only helps people like me who suffer from bipolar, but also gives people better knowledge of what their friends and family with bipolar may be going through. Thank you Andrew.
What's even more destructive than the 'diagnoses' is the drugs (meds) these 'drs' prescribe to treat these 'disorders'. Psych drugs are destroying lives, benzodiazepines,
especially. Big Harma has been getting away with their cover ups and blatant lies. They lie to patients/clients, to families and partners, to everyone. Tellung people they have 'chemical imbalance' in their brain. It is bullshi** That was debunked decades ago. The 'drs' do NOT give informed consent to their patients, going over the side effects, the potential for permsnent damage to the body, and mind from long
term use. Benzodiazapines use can cause dependency in a matter of days, and can take months, or years to wean off them. The so called 'testing' of these drugs for safe use is corrupt. Psychiatrists are given perks to push these poisons onto trusting patients (victims). They prescribe these poisons to young children!!!. Even primary care dr's and RN's prescribe them to people for "every" ailment 'thinkable', mostly women!! They make billions of dollars pushing these pills onto innocent people. It is CRIMINAL, what this
Corrupt industry of death does to unsuspecting people,, looking to get help.. CRIMINAL!
$$$$$-MONEY-$$$$$
Absolutely here learning how I can help my pops. His large family is in denial about illness, still refuses to believe he didn’t act intentionally when manic. It’s exhausting
Yessss! You summed it up perfectly…people often think it’s all about your mood or how you feel, but it’s SO much more than that. When I’m manic, it’s like I have an entirely different brain! Different priorities, values, fears (or lack of), personality, preferences, desires, temperament…and when I come back down to normal, I’m like…😳 WTF was I THINKING?!? And have to do major damage control lol
For safety reasons, I try to stay home when I’m experiencing an episode now. That way I’m not shoplifting or drinking with hobos under a bridge or deciding I was going to be a stripper (true story).
It’s just sooo much more than mood. I can’t trust my own thoughts about half the time.
I am a psychiatric nurse practitioner and absolutely love your lectures. I refer my patients to your podcast for a comprehensive yet easy to understand explanation of their condition. Thank you for all you do❤
I am reaching out to see if you might have some advice for me. My friend (34 F) was diagnosed with BP in her teens. Her dad also has it. The thing is, for the last couple years she has stopped taking her meds and has declared she was misdiagnosed and never actually had BP. She told me she had a traumatic childhood and that's what caused her misdiagnoses; that it was easier for her family to accept the medically/professionally diagnosed label of BP and blame everything on that, rather than helping her emotionally heal. The thing is, I've definitely noticed how dramatically she has changed since stopping meds. All the symptoms mentioned in this video she has had in my presence at some point after she came off meds. When she's manic, I don't even recognize her as the friend I know. Is there any advice you may have for me as her friend? I wish she would start taking her medication again so I can have my friend back, but she hated how it made her feel. And now, she claims she never actually ever had BP. Is it common for people with BP to think they don't have it?
@@emilywood6830I am not a medical professional. But, it’s well known that people on Bipolar medications will stop the medications when their symptoms are in check. And it is known that many people stop their medications if it has any affects on their creativity. I hope this eases some of your worries. Just be there as a support to your friend. As long as your friendship doesn’t negatively impact your mental health!! Take care of yourself!! ( I’m sorry to repeat what Andrew said;but, I hadn’t watched the entire video prior to commenting)
@@emilywood6830 my mom has bi polar. When she is of her meds. She becomes manic and its very hard to either communicate or have a familar relationship as which was before during the time of taking meds.. .. to my understanding. Or experience taking my mom back to the mental health hospital they would keep her for a while and make sure she takes her meds. Its a battle and struggle when mom would want to and does stop taking the meds. Mentally its a great battle and we try to keep her stress free as possible. However once the meds is in her system and she "returns to normal" then its good. I have now real solution to getting your friend to take the meds besides taking her to the hospital. Since drugong someone is bad... whats worst is not seeing my mom as my mom or being numb to her words and reations or attitude isnt healthy least so i have been told.. but its how i deal with mom... this person is your friend. In one sense i urge you to be her friend by should support through talking with them and just checking up on them also some food to keep them healthy.. also i would say its okay to dial back when you are stressed and not seeing your friend as the person before.. you could face yourself and leave them be or keep little contact... no one is going to blame you if thats your choice... thank you for being a good person in the world.
How about κ-receptor antagonism?
My daughter was diagnosed bipolar and was in a catatonic state . She was never up for 7 days. If you are a nurse, how are you agreeing with this man?
Man. This is absolutely the best podcast out.
Yeah for real
I was diagnosed with Bipolar-2 at the age 62. Now, at 64 and with 4 medications taken daily, the only thing that changed for better is that I react less to triggers.
What changed for a lot worse is that, I have all symptoms of severe bipolar depression (10/10). My family thinks I am doing better because I am ‘calmer’ and ‘less impulsive’. But I am pretty much in a vegetative state. I have lost interest in just about anything. Starting my day is dreadful: I am so debilitated in the morning that getting ready for work, like shaving and ironing my clothes have completely fallen off my priorities.
This is a fantastic presentation. So informative. Knowing about your own condition can be quite empowering!
How you doing my friend? It got better?
As a bipolar individual, I really struggle with the fact that I really want to become a mom someday but I also don’t want to possibly pass on this disorder to my children. I feel very isolated sometimes and when I think of my condition I start to hate myself a little for being so off putting. I wish I could completely isolate itself from society. That way I can just live freely and not worry about how everyone perceives me. Wouldn’t feel so insecure bc I wouldn’t have to be reminded how different I am from anyone else. Just run away, become a new person everywhere I go. Just live day by day doing as I please. Seems freeing. Sounds like peace.
Then adopt
Hey, I had two children before I was 21. I was repeatedly misdiagnosed until I was 50. My relationships and children suffered but if You can get treated now and are stable and have good supports its possible.
I've always wanted to be a mom too. But beyond potentially passing it on if I had children, I was most concerned with the high chances of postpartum depression, not knowing how long it would last, and not being able to show up for a child the way it would deserve and need me to. I am grateful and blessed to be engaged to a man with 3 beautiful, happy, and healthy kids. Being a stepmom has its own set of challenges but to me it seems ideal as being pregnant, having a baby, and then raising a newborn is so much trauma and stress to the body and your emotional state, on top of the constant daunting care, patience, and attention it takes to raise a baby. My partner is very understanding of my condition which is so helpful because any family is just as stressful as it is rewarding. In some ways this lifestyle may be even more rewarding, knowing that I can be one more supportive person in these kids lives, and be part of making an already existing family fuller and happier than it was.
Yes. Have been married 43 years. Mostly happy history. But, sometimes, honestly, I long to live in a tent somewhere far, far away from all on-lookers. I don’t want to be alone, I need to be alone.
I had 3 children and had peuperal psychosis every time. Was diagnosed bipolar 1 after first birth, Sectioned, psychotic, abused inside hospital. Wasn't told about my diagnosis until in hospital with 3rd psychotic breakdown and pregnant with 3rd baby but didn't know when sent in.
If you know you are Bipolar and not BPD, you will need a lot of contact with a psychiatrist throughout the pregnancy and post-partum. You may need medication whilst pregnant. I did with my 3rd baby after being told I was manic-depressive - huge shock and made me suicidal for the 2nd and 3rd trimesters. I went through hell each time but gave birth to 3 perfect baby's who are now 30, 27 & 24!!
I hate bipolar 1. It is so hard to treat. Esp when I have CPTSD too. It impacts me so much. Everyday is a fight. Everyone I love suffers. There are some very dark days.
Loved ones - hold on. Don’t give up. The illness hurts you, there is a trapped human inside that body who cares and wants to treat you well. ❤🎉
I have Bipolar 1 and CPTSD and as a result of the childhood trauma, I have Borderline Personality Disorder. Check it out, coz I find its the BPD causes more destruction in my life, especially where relationships are concerned.
The two disorders, BAD & BPD often go hand-in-hand. You may find through researching BPD, the symptoms and traits are more relatable for you xx
Same diagnosis but with rapid cycling
So true. Even with treatment and trying so many modalities I've struggled with sleep, anxiety and depression. Not sure what to do...
I also have both. They just called it PTSD when I was diagnosed. My PTSD has improved a great deal, especially after getting the bipolar under better control. I got PTSD through no fault of my own but I continued to put myself in risky situations until my bipolar was treated. When I stopped that, it helped me put the past in the past. It sounds simple but, as you know, people often need medication and/or supplements to get stable enough to make the changes. Not suggesting anyone else struggles with this…just sharing my own experience.
You dont even need to differentiate between trauma and personality disorders. They're all caused by trauma.
Just discovered your podcast. I am 45 and I have bipolar 2. I have been alone my whole life and it is hard to trust anyone. Your podcasts have given me new hope and confidence. I finally found a medication (Lamotrigine) that calms my mind and has no side effects for me. I am excited to quit self medicating with weed and reclaim my brain and go to Nursing school. I wish I grew up with the internet but I am grateful it is here now and you are here now. Your work is life saving to those who are tired of the paralysis by analysis and want real, actionable tools to survive and thrive. Happy Holidays and thanks again Dr. Huberman
I'm 38 . Only 7 years younger than you and I have been using the internet extensively since I was probably 10. How have you not grow n up with it?
Hey, man. I'm the same but used codeine mostly. Lamictal is awesome as it gave me my life back and it helps me sleep. Glad to see that someone else is doing better too.
@@pbufh You're trying to gaslight people with Bipolar? The Borderlines will be covered soon
This account looks like a bot account .
Just saying
Good luck on your journey pal.
as a person who is the partner of somebody who experiences mania: it can be very different to how it is described here. Especially if it is not the first, but rather the 4th, 5th, 10th time. The person experiencing the mania does recognize it often. they will maybe be the opposite of distracted by hyperfocused. they will not be impulsive but the opposite - they will try to control themselves a lot, as they are scared to be impulsive. They will feel the drive and power of the mania, but not act upon it but suffering greatly because this shit is exhausting. Also, they can be quite aggressive, as in anything that comes in their way or in the way of the simplistic manic thinking will be pushed away - in words but also in a physical way - not with the intent to hurt but forgetting this could cause pain.
BP I with depressive baseline + mixed episodes here:
Thank you for sharing. As someone who suffered from mania probably 20ish times and was taken to psychiatric hospital 5 times; you are spot on. We are often very aware (especially when hypomanic or severelly depressive) of how close we are of full blown mania and we try to shut down in order to avoid social triggers.
I'm on a 14 days hypomanic state, BP is boderline impossible to recognize symptoms when the BP person is aware of how his illness affects others. I'm holding on, as I need to appear strong to my wife recorvering from a serious cirurgy, while taking care of our 2 year old. The enviorament factors are absurd right now; wish me luck.
To @hubermanlab, please get more information regarding mixed state; it's so unlogical that its hard even for scientist to grasp. In a nutshell It's literally hypomania and depression at the same time; where x=time and y=humor. however there's two vectors oscilating at the same momment-- overlaping up and down the baseline "happy and sad" "manic and suicidal"... it's truly bizarre.
❤
@@Anderson-rt7yk thank you for sharing too. My partner is now coming down from the mania, he was on zyprexa and temesta for about 2 months - nobody would have noticed him being manic and on medication without him sharing. also, without medication, NO WAY he would have been able to manage. I hope you get better soon too. You sound like a lovely person.
I couldn’t have said this better. Thank you❤
@@Anderson-rt7yk omg i am so touched that my words did reach other ppl's hearts. Well all i can say, thank you for sharing too and I believe in you. It is so hard, but you sound like you will make it thru. all the best.
thank you so mich for your kind words and your sharing of your experience. It is - i must say - truly empowering and touching to see and read that other ppl share our experience. I know the zyprexa/temesta state as my partner been there plenty of times before too. It is so hard what they have to deal with. You sound like a lovely person too ❤
I was diagnosed with Bipolar 1 when I was 35. For the first 20 years I spent much more time in a manic state. I did such crazy impulsive things and any progress I made between episodes was destroyed. I did drugs and would go to recovery, get clean and then I'd go manic and relapse. For the last 8 years I have much more depression. I have no hope anymore. I'm now 63. I love your podcasts. I'm a researcher at heart. I did my PhD and loved running the McGill Research Team. I didn't finish my PhD because of continuous mania and I couldn't concentrate, there was drug use, and I just screwed it all up.
Thank you for the podcasts. I want to join your premium channel but I'm on disability and money is tight. I guess these podcasts are hopeful. I find you funny as well😅
I have a Bipolar I diagnosis which first manifested after being put on antidepressants 20 yrs ago. I have found this to be quite common in working with peers/clients. In my case, after trying extensive pharmaceutical products (all of which had terrible side effects for me and had to be discontinued), I have found the most relief from lifestyle changes. Many of the ones you discuss, such as tools for managing stress, circadian rhythm, nutrition and supplementary nutrients, etc. In fact, these lifestyle management techniques are a core piece of my coaching approach for anyone with mental health diagnoses. Thank YOU Andrew Huberman for your interest in science and helping make this information more readily available 😉
Im so glad to hear that you have found tools to help, they have helped me a lot too
@@erlendgerhard4905 he certainly is no pioneer in mental health,in fact he is not qualified at all in this area.
Bipolar has a heavy genetic component so will happen with or without antidepressants which can precipitate a manic phase.Theres no benefit to supplementation at all.
@@scarred10 Re. genetic causes of Bipolar: in terms of the field of epigenetics, you can change how your DNA expresses itself by your diet, lifestyle and supplements. so it may not change your DNA's tendency to get bipolar, but can alter the "methylation of that DNA" which would determine how much mania if any is ever expressed (in the form of which proteins/hormones/enzymes etc are produced by that DNA strans/strands. ) I Hope this comment gives you hope.
@@drblaneyphysics they might but theres no proof for any of that yet.
I’m disappointed that you didn’t mention the manic state called “mixed mania”.
The one with bipolar disorder mixed mania have the pressured speech, flight of ideas,
but instead of the grandiose, “feeling good” mood,
there is anxiety & sadness. It is just as difficult to medically treat as rapid cycling mania.
With the general public, I think there is too much a focus on the grandiose mood.
As a retired psychiatrist, I focus on changes in baseline sleep & energy levels
to teach my patients how to proactively recognize so that the patient & I can address whatever is necessary for feeling level and normalizing sleep & energy.
I truly enjoy listening to your podcast on U tube. Mondays feel incomplete without the Huberman podcast.
@History with BPsychology Disappointment is not necessarily negative. It is simply a feeling.
I’m not sure how you read jealousy into my comment.
Yes! Nothing and addressing sleep changes is really important, and thanks for bringing up the mixed mania too :-)
Shoutout to all those not suffering from mental disorders but are watching these videos to learn how to deal with friends/family with these conditions. We are not bad people if we need a break from them. Bad juju can derail our journey
I'm learning how to build a successful future with someone diagnosed with Bipolar I. What are the biggest challenges you have encountered? It is fantastic that you are investing effort to learn how to deal with your family and friends. In her past relationships, she received horrible treatment from people who didn't have your level of commitment to learning how to do what was best for her.
@@JamesKelley1taking "breaks" from a *person* is the exact opposite of "commitment." Re-read the comment.
@@samhain9394 I was referring to OPs commitment to learning how to deal with and support those dealing with these conditions.
Happy you can take a break, unfortunately sufferers never get a break from it
Way to make us feel like a burden
Wow!!! This video was excellent!!! Thank you.
I'm a psychiatric clinician w/bipolar II disorder myself & you captured nuances of my experience that I've never heard or read from anyone else. One thing I would add, at least in my case, is that my depression w/bipolar II feels even lower than that of major depression.
This is a beautiful episode. I worked hard to get a biology degree after being diagnosed as BP2 years back. I know it sounds silly but even the neurobiology of BP is beautiful. And you never overexplain a single thing. In science this is just not possible. Information truly is power especially for those of us fighting for our lives against our very own brains. This is a real treat, thank you. Love from Ireland. 🧠❤️🇮🇪
Hi
U r on meds to complete ur degree
I have emailed this video countless times to my patients with newly diagnosed bipolar disorder. Your teaching was more informative to me than any lecture in medical school. The insight my patients are gaining into how they can recognize a hypomanic episode coming on is new to them, and so helpful. THANK YOU! -Alessandra Glaser MD
Being able to recognize symptoms before they are truly symptoms makes all the difference. If I'm getting irritable, I know something is off, and I have to adjust something. Usually, it's overstimulation, exhaustion, or hunger. Even if you sleep soundly and get enough sleep, daily events can overstimulate your system and lead to exhaustion. If that is the case, I take it easier. One still has to work and handle other responsibilities, but, for example, have leftovers, don't watch TV, and ask for a work extension if necessary.
You might want to fact check the first section of the video. Bipolar is not just the two types he discusses. It is a spectrum illness and so far more than 8 categories of symptom sets have been defined plus the people like me who are rapid cycling and experience the whole spectrum of symptoms experienced by those who have been diagnosed with bipolar one or bipolar two at different moments in time.
In my experience we cycle thru different symptoms. sometimes depending on what is going on in our lives and other times our mood changes out of the blue without any outside change.
Rapid cycling, treatment resistant bipolar spectrum disorder is very hard to live with. It's only one of the list of health challenges that I face daily.
And then there's the mental challenge of not being believed, of having to educate the doctor about my condition, of hearing useless advice.
I hope if you are serious about educating yourself and helping your patients that you take a look at other RUclips channels and sources of information.
One good source of information is the channel "Polar Warriors". It's run by a guy with bipolar who puts out videos for patients, their carers and doctors.
Blessings, Dot
I started having the swings at age 7, peaking at 14 even though I wasn’t diagnosed with BP 2 until age 40. I’m 67 now and looking back I shake my head at what a wrecking ball I was. I can’t tell you how great to listen to you talk about this and truly know what it’s all about. I never tell anyone because people don’t understand , and worse, don’t want to. Now, I take a cocktail of antidepressant to keep me out of the black hole, even if it is on the edge with my feet dangling in, and an old anti seizure med that keeps a lid on it.
I appreciate you sharing about describing your experience as a “wrecking ball”. I’ve used the same words. I finally got diagnosed with BP2 at 56yoa. It’s mind boggling to consider how many years of my life have been influenced/determined by this illness. I’ve also had to address some childhood trauma that I had no idea was unresolved. Believing in a better day. Thanks for helping me know I’m not alone.
I write most of my non-fictions at the early stage of depression. It seems that language functions as a way of giving the disorganized mind a route to follow so I don't lose myself. When I recover, I often find the writings to be so good that it feels they are beyond me. After listening to this episode, I realize I might have type two bipolar instead of depression. Thanks a lot for putting up such a great work.
Andrew, I’m convinced you are a saint. I’m beyond words grateful for this! Hospitalized finally at 34 in NYC, getting my MFA. Finally diagnosed with bipolar and put on lithium, which changed my life, Thank God! I have gone off my meds a couple times with scary results including the closest I’ve ever been to a suicide attempt. The climb to recovery and sobriety has been brutal. But I’m getting there one step at a time. I’m so thankful for this podcast!
How are you doing now? Fellow New Yorker here, managing thru ketogenic diet and supplements…
I assume many would love to see an episode on borderline personality disorder given it's prevalence and the many myths surrounding it. Sometimes people with BPD are unfortunately diagnosed with being bipolar. Many thanks to yours and your teams work. Regards
Same for ASPD! The personality disorders are so deeply misunderstood by the public.
Wež
In response to being asked about making an episode on borderline, Huberman replied [on Instagram] "We have an episode on bipolar coming out where I talk a little bit about borderline. Full episode on borderline personality disorder coming out soon." I can't wait! :)
@@cat-le1hf The DSM-5 Criteria shows clearly that ASPD and BPD both have highly varied symptoms ,diagnostic criteria and MSE than Mood disorders. These misdiagonosis are gicen either by inexperienced individuals or with clients being resistant in therapy.
Amen
You read my MIND. You had me at neuroplasticity, neurotransmitters, cognitive rigidity. I'm about 30 yrs in...it's a full time job and an inside job. The toughest job i will ever love. Great delivery, even about the terrifying reality of the tragedies people suffer.
I learned alot from you. I have been diagnosed with
Bipolar1 disorder, ADHD , anxiety, PTSD...oh...phobias. im very creative, very scientific. When its good, im like a finely tuned harp. When it's not, I can suck in angels and spit out demons. I'm an only child of two alcoholics. My lineage is polluted with mental health issues and addiction. Oh, I am 2234 days in recovery from alcohol. Besides sobriety, the next best thing that happened to me, was a lithium toxicity that put me into total organ failure... resulting in getting prescribed lamontragine after. I have cognitive rigidity. i get so "stuck." I need neuroplasticity, like yesterday! My provider is old skool. I'm grateful to have what I have, but I'm ready for an Integrated approach...I'm having an issue finding a dr. for these newer things. Most practices are run by "providers" with no psychiatrists...😳👀. Oh, I am working to brake free of persistant agoraphobia. Today, I drove for the first time since 2013. It took a long time to be diagnosed. I've had several psychopharmacologic magicians cross my path. I'm by no means exactly stable...I have been able to recognize and distance away from the hard-core destruction. I am "happy" for the first time in my life. I still have manic and depressive symptoms, at times..but without the alcohol...there's no gasoline on the fire, lol😂. You're dope on the breakdown! Sorry if this is lengthy and tangential. Oh geez...Alexander Shulgin is my idol since 1995. I invite and welcome ANY feedback. I am sooo OUT of the mental health closet! i enjoy talking shop and Mental Wealth. x
Congratulations on your sobriety!! Maybe Dr Huberman can recommend you to a research program that will assist you with your pharmacological mental health needs and some non-traditional care as well.
Watching on behalf of a family member diagnosed with bipolar 2 & NPD in 2017. Thank you, Andrew! Your podcasts are fabulously informative and very well structured!
As someone who was just recently diagnosed with Bipolar Disorder at 24, but had been treated for years as though I just had major depression, this was such an eye opening podcast. It also explained why it took so long to figure out and why, for years, nothing seemed to be working. Thank you for giving me a deeper understanding of what has been a burden to me for so long.
The way you present yourself, your articulation, your occupation, your mission of providing comprehensive information to the masses for free. What an impressive person.
👍
I’ve been struggling with diagnosed Bipolar type 2 since I’ve been 16- just about ten years. Medication didn’t seem to help and the highs and lows were becoming increasingly extreme between 18-20. At 20 I began using marijuana regularly and, while I thought it was helping me, it has taken the last five years to realize that it’s been a massive detriment to my wellbeing. It spiked my paranoia into extreme ranges when I was hypomanic while keeping me comfortable in isolating myself during the depressive periods, since I could just check out of reality. I’m finally waking up to how terrible it’s been for me. I don’t take medication, though maybe I should to help me through the depressive periods, which are still quite debilitating. However, through the work of people like Dr. Huberman, Dr. Jordan Peterson, David Goggins, and Jocko Willink, I’ve made exponential progress in managing my symptoms through regular exercise, sleep, and diet adjustment. The future looks far brighter!
So glad to hear you say that.👍😊
Stay with it! Maybe medicine will be helpful at some point- make sure you have people in your life to talk to for help when you need it!!!
Jared, this was an amazing story, and i can tell it really hurt you a few times to recall and and admit things you regret and the guilt and all the things that cone with changing who you are and start being a person you can love. As a person who grew up with a lot of bad influences, parents who set horrible examples but expected the opposite, depression, social anxiety, being bullied and then being bitter and becoming a bully, feeling alone and betrayed by everyone I thought were my friends and family, and unknowingly being bipolar, and finally coping with what I grew up around...drugs and alcohol...I can DEFINITELY relate to what you went through and still struggle with. I've battled my mental illness and trauma for longer than most people live through. As a recovering addict myself, one of the things that I do to get me through the day and prevent not only relapse, but any desire to ever relapse is to serve others. Random acts of kindness and showing love to those who need it and expecting nothing in return has made me a person I can respect. Traumas and loss, however, consume me. It all culminated in my eventual successful suicide attempt and having a PROLIFIC near death experience. What I learned is that we experience pain because can't understand the importance of live and relationships and our duty to others. It changed me completely as a person. It didn't remove the pain, quite the opposite, but it allowed me to understand it.
It's never too late for any of us to change what we became because of what we've experienced or were taught, and i can tell you have done an incredible job at overcoming things that pit most people in a grave, a prison, or an institution. This video might help a lit of people, and the fact you exposed yourself when you didn't have to gives me nothing but respect and appreciation for you. Keep loving and stay in the light brother❤
so I just went through a year of hypomania from bipolar 1 ... medication was off . .,... and recently put on Lithium, ... I learned more through this podcast than I had in the 30 years since diagnosis. Thank you so much .. this has to be the most embarrassing disease going . for those who are diagnosed... I am grateful the medication adjustment and knowledge is power ... so thank you for this.
Nothing to be embarrassed about
This is the best description of the ‘tip’ of the ‘visible’ iceberg condition called bipolarity I’ve ever heard…it is concise and right on…congrats… it is quite an achievement really…my ex had bipolar and it was years ago before anyone knew much about it…it was a lonely time for me with 3 small children and everyone blaming me for his condition…I literally found myself put in a dimension where I had to find my way back to a ‘normal’ life too…and with terrible personal effort, I did…so many paradigmatic changes…over a long period of time and all this without medical intervention…it can be done… but darn, it was really profoundly hard (at least for me, it was).
"my ex" and "3 small children" seems to sum it all up.
Just had to say that you’re amazing too. You harnessed the power in yourself to face such difficulties & loneliness and make changes in your life.
Andy, your podcasts are amazing and this one I listened to twice. I have a member of the family who is suffering from bipolar 1. There are 2 aspects (horrible aspects) that you did not address and I would be super interested to hear your analysis of it. One - 50% of people with bipolar deny that they are sick. If only they were taking the medication as you describe. But instead we are living in the vicious cycle of psychotic episodes between periods of almost total normalcy, which is incredible suffering for her and us. Two - you said ( absolutely correctly) that the family has a better window into the illness and can be very helpful. Not only none of her providers (private and hospital) never spoke to us about anything - they refuse to speak to us even if we r saying that we r not asking anything - just trying to tell them something. Last year court permanently activated her health proxy because she almost lost an eye, it says in the document that to reinstate her rights she would have to go to court and undergo a medical evaluation, which of course she did not do. but this year when she got involuntarily hospitalized again the hospital refused to honor it. They only talked to her, she took medication for 2 days and they released her in a terribly decompensated state. We hired a lawyer - they told him our proxy is “remote”. How can the doctors get away with it? She already tried to kill herself once and almost succeeded. But they keep for the sake of privacy refusing to include us in any treatment conversations in any fashion. It would be amazing if you address these elephants in the room that keep so many people ill unnecessarily. What are the remedies? How can we break this vicious cycle? Thank you again for all you do - we are learning soooo much from you!!!
I grew up with a mother who had bipolar one. One thing I don’t recall you mentioning is during their seven day manic episodes my mom would not sleep for days like you stated which would cause her to lose her voice, and then start to hallucinate until we could get her to the hospital which was no easy thing.
She then would stay in a mental institution for three months or so to get back on track with her meds etc, back then 40 years ago they would treat her with shock treatments, 75 of them over the years which never really worked as she always got her memory back. Her family, my aunts and uncles who didn’t understand the illness would try and blame me and my little brother who were just little kids trying to grow up in this crazy house for all of her issues. In reality, we felt sorry for her and wished there was someway we could help her. She hated how the drugs made her feel and that’s way she would go off them. She had tremors, and her jaw would move back-and-forth just to name a few of the side effects. I never felt she was properly treated because she just seemed very drugged up on lithium along with a few other drugs, in bed most of the time. She then died of liver failure at 64. 😢
I have a very similar situation with my dad. He really has been treated horribly by the ‘system’. He’s now 72 and in an old folks home and quite ‘burnt out’. - understandable (to say the least) considering all. 😢
Sorry to hear that mate.
Life can be tough n unfair on some of us aye 😒
Strength in numbers 👍
@@IsitReallyrealreally psychiatric drugs cripple and kill people, destroy relationships, ability to drive, work. Cause suicidal ideation, suicide attempts, suicide. These drugs are DANGEROUS AND DEADLY!!
I'm sorry for your Mom and for you. May you find peace and solace.
That’s very sad indeed. I’m sorry you had to endure that. Sending love
I HAVE Bipolar Disorder. I AM NOT Bipolar Disorder :) Thank you Andrew this is the best podcast on Bipolar Disorder I have been fortunate to listen to. Thirity years of diagnosed Bipolar Disorder and never had this condition explained in such depth and in a relatable way, so informative. I appreciate your videos so much..... Annie, Downunder :)
Thank you Annette for saying you HAVE and ARE NOT. A person IS NOT a disorder. When people say I am that is so frustrating to me.
I’m really careful to say “I have” and not “I am”. Words are so powerful. Plus it’s just a fact.
Absolutely love this!! 🎯🎯
I have type 1 manic bipolar. Diagnosed in 1995 when I had my first serious episode. Sometimes my doctor refers to it as mixed mania, as having symptoms of both mania and depression. It would be nice if mine included euphoria. But I get dysphoria. Everything is awful and terrifying beyond description, like a scene from a Stephen King novel. Also the agitation becomes extreme and at that point I start getting delusions. Standard paranoid delusions like my neighbor is plotting to kill me, I can tell by the way he emptied his trash can just now. I must fight to defend myself. Then if it goes higher, then we get beyond anything in physical reality. I talk to myself out loud at 1000 mph, unaware that I'm standing in a checkout line at the grocery store. It's terrifying. I'm grateful for the meds. They keep me functioning pretty well. I hold a full time job. Am able to support my kids. I'm on 7.5mg of Zyprexa, 15mg of Celexa, 200mg of Lamictal, and 1mg of Ativan 3 times a day. This has worked for me since 2001. I hope anyone out there with this or any other mental health disorder gets the care they need and the right meds. It can take a while to find it. Took me 5 years of in and out of the hospital every few weeks.
Glad you found the right combo that helps. Until I had a son with mental issues and I began suffering from anxiety and panic attacks I had no idea about mental illness and what people go through. I pray for everyone out there that is struggling that they find a good doctor who can guide them.
@Marius18 5meo-Dmt really worked for me . But I had also stabilised before and quite coffee, alcohol and stopped having a big business
Sounds more like schizophrenia?
Gosh that's exactly what my mother has, whenever she hada manic episode, which is quite often, she thinks that everyone is plotting against her and has had this paranoia that my dad is cheating on her and that we are trapping her at home to make money through filming her and selling her art.
It's absolutely life ruining for her and our entire family, I got so depressed in middle school I completely rejected to communicate with people for a while
I got diagnosed with bipolar 2 disorder 2 years after my mom passed away. It was hard for me or my dad to notice my mood swings before because it would look like I was just having emotional reactions to my mom's behavior.
Amd my dad though not diagnosed I'm pretty sure had severe depression when she was alive too, he would completely drown himself with cigarettes.
@@CosmicSphinx nope!
1:02:34 My granddaughter, 13 years old, has been diagnosed bipolar. I am watching a precious, talented girl struggle daily. In seeking to understand this illness, I found your podcast. Wow! Thank you. Clear, concise and understandable for non medical but very interested grandmas!
Try to keep an open mind where the diagnosis is concerned. 13 is too young in my opinion for such a label. I'm assuming you're in the USA? Most diagnoses of Bipolar are made in the early twenties. Quite horrified at the number of kids in America are given a bipolar diagnosis - could be so many things, especially when hormones are involved.
Be mindful also, of how being given such a diagnosis feels like and how it can distort one's perception of Self, especially when your Granddaughter is about to begin a very difficult transition from child to adult and identity is everything.
@@arabellacox great point, and I wish you all well.
I struggled mentally when I was a preteen adn teen because of my bipolar. I guess my advice would to just be there for her, be nice to her and once a week go and do something fun like getting nails done, bowling, walk at a park, or shopping. Getting out and about always helped me.
Thank you all for your kindness. The psychiatrist was reluctant to issue a final diagnosis because of ramifications. However, she put her on a drug to treat it and I have to tell you, we have a different girl. From rage over the tiniest thing and lashing out at her siblings to laughing, funny and interactive. No side effects so far other than tired, which goes away. She can still be difficult but that is so far from the child she had become! I would love nothing more than this not being bi-polar. But thank God there are drugs that help…which probably means it is!
@@dinahmonahan7161 Oh thats great! I take lamotrigine and seroquel everyday. Also, she is porbably very very smart, bipolar has attributes of high I.Q.s, super creative, and can do well at school if interested in the subject. I finished a pharmacy school with honors when I was 20 years old. Im now a pre-law student. I also have ADD and generalized anxiety disorder. I just try my best in school.Praying for your continued success in helping her
This is amazing! I have treatment-resistant depression and was given lamotrigine(Lamictal) which is usually used as a “mood stabilizer” for bipolar, and it” cured me” Basically I grew up baked in stress therefore either my already existent propensity to depression or poor glutamate circuitry
Your podcasts are very informative, thorough, and easy to understand. I have recently started thinking about the ISSUES OF MULTITASKING. I feel like it became really common in our day and age to work on 2+ things simultaneously. More and more I notice throughout my conversations that people listen to podcasts while doing homework, listening to audiobooks while falling asleep, watching youtube, while consuming food, etc. I've heard you talking about oversaturating our brain with information and sensory overload here and there. I'm sure, that there are a lot of people like me that are deeply concerned with consuming so much information and I was wondering if you could dig a little deeper into this topic.
Those who find it interesting to learn about, please like this comment to make sure Dr. Huberman sees it.
Again, thank you for your terrific work!
+1
That's so true, I honestly feel uncomfortable only doing one thing at a time
And once again....much gratitude ♥
+2 ;)
I was diagnosed with bipolar type 1 one and a half years ago after a very intense mania episode that ended up in a psichosis (before that I had no idea I was bipolar and did not have had any symptoms), and have had very mild depressive episodes. It is very hard not wanting to go back to the mania phase because it feels so good (at least until your brain and body crashes and you go insane), but I've found out that having a moderate lifestyle is the best for long term mental health. Thanks Andrew the talk was on point and keep up this incredible work that youre doing!
My Dad was diagnosed with BPDII 11 years ago after being sectioned, but we knew for decades. His manic episodes gave him the creative, workaholic drive that made him a hugely successful businessman, at his height he owned 2 shops, 2 flats, 7 houses, 3 cars, 2 motorbikes and had more money in his back pocket than most Dads had in their bank account. But he was only human, eventually the drink, drugs, impulsivity, wild spending, lack of sleep etc caught up with him and he crashed, burned and lost almost everything, heartbreaking for a daughter to watch her hero self destruct. However, since the sectioning and the countless combinations of medications he's been drugged with including Lithium, Olanzapine and Haloperidol, he's never gotten better, he's worse than EVER. The side effects were horrific, the treatment was never successful and to this day - I still don't have my Dad back, I preferred his condition to this inertia, at least he got stuff done, he's almost housebound now, a wreck! This was a 6ft6 charismatic, talented, artist, life and soul of the party - so I'm not entirely convinced of the medication route, not for all cases anyway, although I am aware stubborn patients make treatment difficult, if the treatments weren't so laden with side affects, maybe they'd be easier to stick to✌🏻
wow
Sadly a lot of treatments are designed to neuter the patient from the rest of society. They can't give lobotomies anymore so the medication is the next best thing for that. It honestly sounds like your Dad needed healthy habits, CBT and systems that would keep him out of trouble but still be able to harness his abilities even if they were part of the disorder. I wish you and your family well.
Wasnt he behaving very aggressively and violently off the meds even tho while being active in his daily life? Cuz my mom was and has been either off the meds and during a psychosis triggered by a loss of her mother
@@MH-et5snwow i never thought about that. I thought my mom has been depressed on the meds. But she is so inactive but not angry aggro or violent anymore
@@1gamznot everybody is angry aggro
I'm an Adult PMHNP-BC (Psych. NP) of 30 years who specializes in Mood Disorders/Bipolar Disorder and commend you on your thorough research on this complex illness and emphasis on Lithium as Gold Standard treatment. You covered nearly everything!
But please be sure to not forget to give credit to the entire discipline of Mental Health (Board Certified) Nurse Practitioners who are out there in the field, saving lives and currently outnumbering Psychiatrists (who are retiring in great numbers and low numbers specialiazing in medical school)..and, sadly, many of us are doing the exact same work for about 1/4 the pay! We work inpt, crisis, Day Hosp, Sub Abuse Program, Partial Program, Group practice, Individual private practice, University, etc,
Thank you,
PLH
Hospital janitors outnumber psychiatrists AND nurse practitioners, and they make sure the hospital is sanitary, so I think it's unfair that you don't credit them in your comment. See how ridiculous you sound? This is a video about research in Bipolar, not your career. Neither you nor any NP has done any groundbreaking research in this field, so they actually deserve zero credit in this video.
@@michaelgeorge4643😂😂 thank you for that comment. Made me laugh out loud. Sincerely a fellow bipolar individual currently suffering from insomnia.
Paige, you should consider getting your narcissism under check. Not everything revolves around you and your career 😊
seriously????? get over yourself. I've had countless patients who were psych nurses... The took batshit to a whole new level.... Scariest patients I've ever cared for. 4 pt restraints, observation, sneaking in dozens of pills in their purse, ripping off their gowns, seducing the male staff.... One asked me to get her a narc and offered to split it with me.. They all went back to work within weeks or months of when they were admitted
Wow, you are really unkind. @@michaelgeorge4643
Wow! Thanks so much for this episode. My mom and sister were both bi-polar. My mom first being diagnosed in the early 70’s as having major depression. There were several times in my childhood when she would be hospitalized for months at a time. When they didn’t figure out the mania part until the early 80’s when she had a very bad maniac period where it went on so long she became delusional. At that point they gave her lithium and she took that daily. After that she had one more minor episode but the lithium kept her pretty much able to live a normal life. I know many things in her life contributed to her illness, being molested as a child, an abusive mother, and an abusive alcoholic husband. She died at 53 from lung cancer.
My sister first attempted suicide when she was 16. She had 5 attempts overall and they diagnosed and treated her as well as having major depression intially and it took nearly 15 years before they diagnosed her as having being bi polar type 2 with her maniac phases being very mild and extremely short. Medication, talk therapy, and things like mindfulness really helped her live a good life.
I was always very scared of being bi polar myself. Instead I got the backlash of living a kind of chaotic childhood being shuffled around a lot and a lot of drama. I was unsupervised as teen and didn’t learn a lot of coping and decision making skills. Thankfully I managed to turn out ok, suffering with some generalized anxiety disorder and a weakness for toxic men which therapy has helped me work through.
Even though I had this in my family I didn’t understand it but this episode really laid it out well. And this may sound wired, relieved me of some guilt that sister had the burden of bi polar but yet I didn’t. I think it was because she lived with our father who was abusive to both her and my mother. My mom left our dad when she was six month pregnant with me. While my life had challenges, it was quite a bit different than hers and after listening to you, I’m wondering if that was the difference.
I’m a causal listener but when I do listen to an episode I find them extremely informative. Thank you again for shedding light on this very misunderstood illness. And thank you for helping me understand two important people in my life who are no longer here. Hopefully people who have loved ones in their lives will learn stuff they can apply now! 💜
Human of the Century FULL STOP
It is OK l can check Dr.H. playlist and see what may work.......
Blessings on your life and thank God your mother removed you from that toxic environment before the circumstances could touch you...
You have had bad challenges. I’m glad you are stable.
I have bipolar 1 disorder and had mainly anxiety and suffered in abusive relationships til my late 30s when my bipolar symptoms worsened and became obvious. Then I was diagnosed. It was also bad through my teen years tho, so not saying you’re not good…just sharing my experience. My dad had it.
I have lost 3 friends to suicide from Bipolar, one is alive but we can no longer be friends as she is just too unpredictable and her behavior is extreme at times. Very messed up disorder. Thank you, Andrew, for covering this subject.
Everybody has challenges in life. It's not a competition. Killing yourself, there's no excuse. Nobody said the alternative was easy either
Sorry to hear. You are blessed to not suffer from this illness. You are a good person for taking the time to understand it. Best wishes
That's crazy that you have/had 4 bipolar friends. You could be a bipolar magnet 😅 jk
Thank you! This was one of the best descriptions ever! As an instructor in Psychology and we also have some family members diagnosed, appreciate so much your attention to this and educating all of us with your expertise with clear understanding and rays of hope.
Thank you so much for the impact you are making to the world with your podcasts! All this science free for us to understand the world and the human beings..
Cannot express how grateful I feel for you, your fellow podcasters and youtube!❤
I know words only carry so much value, but I’m truly grateful for you Andrew Huberman.
Thank you for the kind words of feedback. All the best, Andrew
I have type II bipolar syndrome. Was diagnosed during lockdown at age 35 having also had an isolated episode at 21.
Great episode Andrew. Helped solidify my learning.
Key for me had been finding out about the work of Professor Kay Redfield Jamieson. She's a bipolar phycatrist who has written extensively on the topic. Touched by fire and her memoirs are phenomenonal books.
In addition, agree with the points on prescription drugs and having a good doctor are key to getting issues resolved initially.
Also managing stress, exercising and dieting and hydrating well, and critically sleeping regularly are all very important.
Being able to socalise what is in your head with a trusted and close friend or therapist is good too.
The anxiety and fear of judgement after a break down can be one of the most crippling and debilitating things.
Giving yourself time and learning to be compassionate with yourself is very important too.
You can beat yourself up and blow things out of proportion quite easily.
Hard but, 'never loose perspective' - good to remember too.
Thank you for sharing
@@janette-sa you are welcome. 😊
What do you make of Dr Andrew's definition of type 1 and 2?
I am not sure if its an American way of defining. Seemed reverse from how I've had it described in the UK.
Hope all is well in your world.
@@jamesbrewster7441 Dr. Huberman's definition comes from the DSM 5. Other systems can and do classify mental disorders according to different criteria. France for example does not use the DSM (maybe not even the ICD) classification of mental health disorders. Bipolar I is marked by the presence of at least one manic episode and a depressive episode within a certain time frame. Bipolar II is marked by a cycle of hypomania where a major depressive episode has not been present. That's a pretty standard definition of BPD I/II.
@@anger_resolution - you are a gentleman. Greatly appreciate the clarity
My wife takes her meds and smokes weed. People wouldn't know she has bipolar unless we told them. I watch her all day and see her struggle. Certainty is a necessity for her. I know that science can't quantify personality. So we took a route that science can't know. Faith based upon historical precedent. The Bible in other words. Its been 14 years now and we've done well. Thanks for the video brother.
This video is very long did it talk about weed?
Thank you. I always learn so much from your podcasts; but I was diagnosed as BP2 rapid cycle over 20 years ago. I've been on meds(Lamictol) for most of that time.
I began "re educating" myself on BP management last summer, this podcast just confirmed a lot of what I learned AND has provided me with new information.
I have to say how powerful it is to read so many comments that I completely "get!" It's true that it's helpful to know "I'm not alone."
I'm a therapist and even though I've been educated on Bipolar Disorder and have significant experience with medication management I found this episode incredibly informative. I especially loved learning the history of how Lithium was discovered to be effective treatment for Bipolar Disorder and all the ways lithium helps the brain. I look forward to your further series on various mental health diagnoses from the neurobiological focus.
This may have already been requested as a sole topic for discussion, but I would be very interested in an episode devoted to menopause, well more specifically perimenopause. I know it has been covered somewhat in previous episodes. You mentioned someone on a previous episode who sounded like she would be a good guest/resource. Thank you for your time and dedication.
I have noticed bipolar behavior with pre-menopause. I wonder if you can cover this. 🤔
I would love this too but I’m not sure he’s our guy for topics specifically related to women’s health. I mean I think he’s capable, just not really that interested. I truly hope I’m wrong, bc he’s a magnificent communicator when he’s interested. But previous attempts to include women’s health fall way short of the interest, curiosity and preparation he puts into other topics. If you’re hoping for an expansive and deep tour of menopausal health I highly recommend OBGYN Dr. Jen Gunter. For menopause and cognitive decline I highly recommend neuroscientist Dr. Lisa Mosconi.
@@megcortes4967 huuy
It has been requested, menopause, female hormones, etc. I think Dr Huberman pointed out that it's coming but it's always good to bump up the requests to make it visible 😁👍
Yes, please.
I Thank you for being so concise. I am diagnosed with BP1. My paxil & wellbutrin basically assist my brain to function at levels that could fluctuate between BP2 & to a somewhat normal frame of thinking. And I use the term 'normal' rather loosely.
I now, at 61, find myself looking back at my entire life with wonder and awe. I have come a long way from being one heartbeat away from deaths door to understanding what kind of work it physically and mentally takes to acquire a state of well being. And I work hard at maintaining a healthy state of mind. And between finding intelligent guides such as yourself, taking my meds everyday no matter what, paying attention (squirrel) and having an attitude of gratitude that enables myself the freedom to truly "feel" love in all of its wondrous facets. I find a place of calmness and acceptance to living my life in a constant state of curiosity and learning how to achieve my souls deepest yearning. To Love and be Loved. And in this state of Healing, I am vulnerable, yet very capable, of placing myself in a position of being able to help others along on their Healing Journey.
And it's very true that I can only keep it by giving it away.
This is the comment that I posted on Solving Bipolar Disorder. ❤
Early days of becoming a disability support worker and found your talk more than Informative and enlightening. Thankyou for all your work, and helping us who are Interested in gaining some knowledge and insight.
A person with bipolar 2 checking in here! When Andrew mentions how disabling it can be at times it really struck a cord. I can't overstate how awful it is but after a few years of trying different meds, STOPPING DRINKING, and trying to recognize when things start getting a little "off" it can become MORE manageable. Realizing it is something you will have to deal with the rest of your life was a very hard reality to accept.
Having people close to you who know your personality and that you trust has been a fantastic resource for me. I asked those few people that know to please tell me if they notice any unusual behavior. Having a loved one say something to you out of concern and not being condescending about it means a lot. It is nearly impossible to recognize it on your own but someone close to you would notice instantly if they knew what to look for. I am so thankful that I had medical access to see doctors (USA) to find out about the diagnosis. If there was more public outreach to treat mental illness so many problems in our society would disappear.
Some people, if they know you are bipolar, will use it to discredit and offend you (if they are asshole, not all people). I have certainly lost friends after telling them about my diagnosis. Or those "friends" suddenly became very distant. One of those friends who drifted aware eventually said the bipolar diagnosis made him scared of me, believing every horrible stereotype in the book. At least I got that friend back after explaining some examples of episodes in the past, he then realized how different it is from the common stereotypes. You can be the life of the party and loving life, then the next week mentally feel like a port-a-potty for no reason at all. I envy the people that think it is like depression or sometimes just getting a bit hyper. It is impossible for them to understand and I hope they never have to.
Controversial opinion, I would say if you decide to tell people around you, be very cautious. Would go as far as to say do not tell anyone except your doctor if you can. It will drastically change people's opinion of you (not always in a bad way, just 99% of the time).
On the drugs topic, Lithium is the worst thing ever (for me). It 100% works, but I oftentimes found myself slumped over drooling on myself, fully aware and alert, just not really there. While physically I was alive, it just made me into a zombie. Lamictal has been getting the job done. Started ketamine IVs about a year ago and it has been the most impactful thing so far. I think most people, not just my fellow bipolar squad, should try ketamine therapy.
Hearing about the genetic aspect, I am not sure I could bring myself to have a biological child. I never would want to put someone through this illness and taking that risk seems selfish. Hope some people out there may be able to get me to change my mind on that one haha
Ketamine is not covered by insurance. This means you must have a lot of money to get it. That rich people can only afford it is very unethical and unfair.
@@lab4389 $150 for a once a month treatment is well worth it in my book. Not sure how $150 a month for medical reasons means I have tons of money. People spend more on therapy. Mood stabilizers without insurance run ne $350-400. Yes it is unfair and shouldn't be this way. It's a pain in the ass to make work but people have different priorities and spend their money on different things.
@@lab4389 I do generally agree with you. Just wouldn't discourage people from exploring the option. Ketamine can do great things for people and saying it's only for the rich isn't a great way to push the message. Even if it is for the most part true
I really appreciate your explanation, I not too long ago met a really nice girl I started having feelings for, she opened up about having bipolar and taking meds. I have been trying to learn as much about this, how can I support her ? Sometimes I feel she really likes me while other times I feel she doesn't care.
I was diagnosed with manic bipolar and I appreciate this so much because I’ve learned more in the last 2 hours than in the last 4 years since I was diagnosed. Thank you Andrew!
Blessings!! Knowledge is so powerful...walk in faith and trust in the power of spirit that awakens and daily provides
Nourishment til you were led here!!
1:15:42 My God....Man! You deliver the explanation of the pathophysiology of bipolar disorder so well! It's hard to believe you're not a psychiatrist. Your scientific mind really just encapsulates everything to put it in simple language for us. As a healthcare provider, I'm now obtaining my post-masters psychiatric nurse practitioner certification so thank you for helping me understand this material. My professor's lectures surely only made me more confused. I love watching your humbled delivery on every topic. Please speak on schizophrenia if you haven't, the amount of receptors and neurotransmitters involved have my head spinning! Thank you!
Thank you for acknowledging the suffering that manic bipolar people go through. I was pretty hopeless about there being a non-pharmaceutical solution but, this podcast ep was very eye opening.
I’ve been watching every episode of this since there were just a few thousand subscribers. It’s such a joy to see it doing so well and that it has such a solid, interested group of viewers/listeners.
As you've mentioned that you read all the comments just wanted to send love and appreciation for all the great information you share with us!
Thank you. I do and I appreciate your note. All the best,
Andrew
Please let me join you giving back to Dr H. our appreciation and respect ....
I just keep getting more and more intrigued & impressed as I watch this video. You have an incredible way of explaining things. Great insight
Dr. Huberman I think all of your podcasts are excellent!
Your bipolar podcast is especially helpful to me since I have it.
I can tell how genuine, caring and knowledgeable you are, and am so appreciative of these podcasts😊
You are awesome ❤
I got diagnosed with Bipolar Disorder September 2021. Literally all the symptoms mentioned regarding mania I had and last for well over a month. Ended up in hospital for just over 2 months, it was a fucking crazy experience. I had been struggling with consistent depressive bouts with extreme brain fog for 4 years before it. Although it’s been super difficult, I seem to be slowly feeling myself again with no major depression bouts. Although it’s been super difficult, it has given me a slightly different and unique perspective on things.
🎉
I’ve been waiting for this episode. I have bipolar disorder and when manic, psychosis comes along with it. I can go three nights without sleeping. Ive never had the euphoria, just miserable and in a constant state of terror. I’ve also never had depression. My mania doesn’t mean I go out buying things and doing drugs, it usually goes with religious paranoia, cleaning my house like I’m on crack, crying in public and making a fool of myself, calling my priest because I think I’m possessed…
I’ve started using a sun light box, supplementing fish oil (especially EPA), inositol , Vivian b, taurine, choline and a multivitamin. It’s helped tremendously and I’m weaning off my medication to conceive my third child. Exercise is essential for me. There is nothing that helps as much as that.
These things I believe are truly helping. I wish I had found them when I was in high school, it would have saved me so much embarrassment.
I have bipolar 1, and I've managed for years with no medications just supplements.
What a blessing you have found the combination that is helping you cope ♥
this is exactly my story always possesed by religiou feeling that i am possed by devil …. also medication no works i tried without meds can i ask u how u deal with that religious ocd ? i have to say that i didnt practice any spiritual things before my bipolar …. now when i have that state of mind im always conviced im possed by devil
@@BeingBetter what supplements?
@@BeingBetter yes what supplements?
Absolutely great and informative! I was diagnosed with bi polar 2 back in 1983. I have been on lithium ever since, the medical fraternity have been fantastic in helping me to maintain and succeed in a normal way! I have great respect and thanks for the information shared
So glad podcasts like this exist....we need more education on these things. I am amazed at how simplified the psychiatrists have talked to me about my condition....i have made far more progress in living with my disorder through research than going from drug to drug to drug being put out of work due to side effects and withdrawals....
Bipolar II here. I was diagnosed at 17 years old with manic-depression in 1983 and have been under treatment since. However, while the meds have been effective, the psychotherapy has sucked to the point I've suffered more than necessary- frequent psychiatric hospitalizations and aggressive encounters with law enforcement, etc. I have a criminal record and my driver's license has been revoked at least twice. I blame the fact that the psychiatric and medical fields do not seriously consider bipolar comorbidities such as ADHD. In my late 30's, I was re-diagnosed with bipolar II disorder and ADHD.
Eighty percent of people with ADHD have bipolar disorder. And the ADHD wrecks havoc on my bipolar symptoms. The negative affects of ADHD brings on anxiety which triggers my bipolar and my mood cycles which eventually leads to severe suicidal thoughts then inevitably hospitalization and it's a constant cycle. However, I'm doing extremely better in managing my disorders and it's down to you Dr. Huberman.
I discovered your Huberman Lab podcast on ADHD and it was a game changer. Understanding ADHD from the neurological perspective allowed me to develop protocols to successfully manage it. From you, I started following Dr. Russell Barkley who filled in the ADHD gaps. Exercise, Ashtanga yoga, intermittent fasting, getting daily natural light with forward ambulatory movement, Wim Hof breathing, and finally cold therapy- totally rocks! I'm currently on SSDI for bipolar but since I started the new self-treatment, I'm on my way to getting off SSDI and going into social work private practice.
Your podcasts gave me a life worth living, Dr. Huberman. I will forever be grateful to you. Sincerely, Andrea Krueger, LMSW-C, RYT-200
One day you will explain your struggle and your pain will become someone else's salvation. Stay strong, I've experienced everything you and more with BPD. We are warriors and I salute you.
@@MasterApprentist Thank you. *fist bump*
It's not true that 80% of people with ADHD have bipolar.
I’m not sure whether the fact is true, but I’m sure your experiences are. I suffer from the same combination of ADHD and bipolar and it is absolutely exhausting. A lot of medicine that is used to treat ADHD trigger bipolar mania so they don’t give it to you. Just have to deal with the ADHD without medicine and it sucks. I barely finished law school and graduating this month. But I didnt pass the bar due to manic episodes and the adhd. Sigh, keep pushing, promise you are not the only one.
About psilocybin, after using it i had my first hypomania episodes at the age 21. Then using a bit too much i had psychosis for weeks. Then i got diagnosed with Bipolar 1.
I am thankful to that because i have only been depressed earlier.
Lithium made me feel like myself again, before all the depressions started.
Thank you soo much Huberman this content is amazing!
Great podcast! Thank you. Our son, 20, was diagnosed bipolar disorder I. He got his first mania episode when he was 17. As parents, we are continuing to learn to understand the handicap and how to better support him living with the disease.
We would appreciate that you share experiences and helpful information.
I’m about two hours in and I just can’t help but cry.. Thank you for this. I was diagnosed in 2018 with PTSD, anxiety & insomnia.
Andrew, I know you will probably never see this but you posting these videos is more than science. You are saving people. I have major depression right now and fighting for my life. I try to use any tools I pick up from your videos.
Have you looked into psychedelics?
Shroomies
@@mouwersor Well I am under a care of a psychiatrist right now and just started wellbutrin after zoloft and prozac did not work, so cant just randomly take shrooms. Maybe one day idk i have pretty intense anxiety
MAPS is an organization that supports use of psychedelics. Completely reputable.
Very informative presentation. A good rule of thumb to distinguish between bipolar and BPD is what characterizes BPD is an intense fear of abandonment and rejection (that's at the core of why interpersonal relationships trigger episodes of intense mood disregulation). They are much different conditions and are constantly misdiagnosed.
Interesting
What's BPD
I have an intense fear of abandonment
Thanks for this podcast. I listened because I’ve been recently in what we might call a depressive episode following a month long period of intense and extremely productive work. I thought this might be a sign of bipolar disorder. But this episode has dispelled me of that myth. My “manic episode” was triggered by an intensely stressful situation at work, and I was extremely productive. My “depressed episode” is probably more like some kind of recovery or withdrawal from all the adrenaline. Moreover so many other factors don’t match up with bipolar disorder. I think my interoception is very good. During the manic episode I was very focused, and not at all distractible. There’s nobody else in my family with this problem.
Thanks so much for this episode Dr. Huberman. My sister has BP1 and her manic episodes were always linked to lengthening daylight. She would become hypomanic around March, and fully manic and psychotic by mid June. She spent several 4th of July's hospitalized. She's been medicated and stable for years now, but still needs higher doses of her medication in the spring and summer. I remember when I first saw this pattern emerge and I read study after study about the link between circadian rhythm disruptions and bipolar disorder.
agree, I know two cases that respond poorly to long days(maybe less sleep)
Andrew, thank you for your empathy. Your explanation is the best one I have ever heard. I am always educating myself about BP1 and ways I can better help myself live a better life. My moods are as such, living with Bipolar 1 (rapid cycling). Highs and lows are equal to each other. I don't have a base-line. I call it the thin-blue-line, but I have never experienced it. I have crashed and burned too many times to keep track of. Took a year off work to get help at age 35. Returned to work, lasted 3 months, hospitalized twice in one year. I lost my teaching career of 10 years. I have never used drugs or alcohol. I am now age 60. In my family, I have a first cousin on my mother's side who has BP1. On my dad's side, I have a first cousin who has BP1 and her two sons also have BP1. Also, other family members have various mental health issues, but have not seen the light. It's a double-whammy, sadly. :( And, alcoholism is a problem on both sides of my family.
I have been diagnosed with BP1 - my partner has a diagnosis of BP2. I’ve been on Li over 10 years. I’m also a RMHN in the Uk.
I have lived and breathed this disorder personally and professionally for a long time, but still found a lot of learning in this podcast. Thanks so much for your dedication and for making challenging subject matter easily accessible.
I'm Brazilian, foreign videos have helped me a lot. I'm 36 years old, I found out the diagnosis last year, after a lot of distrust. I went through about 7 psychiatrists, I was treated as resistant depression, I took several antidepressants and it didn't get better, until I was finally referred to a very good psychiatrist. Nowadays, a lot of things in my life make sense, my disease has been getting worse over time, untreated bipolar gets much worse. I cycle fast, I have moments of depression rather than hypomania. I have comorbid anxiety and panic syndrome
Hi
I absolutely love your work. I would love to hear an episode on autism and the related anxiety. My 8 year old is autistic and I find it so fascinating yet challenging how his mind works. Thank you for all you do, I have truely learnt so much listening to you 🙏🏼
I do not have bipolar or a MH disorder, but I encourage the people who do not suffer to help the sufferers and help make their world a better place. Support them, be there for them, give them confidence, tell them that you are there for them, someone very very close to me has Bipolar, she says I am the best support that she has ever had, but I have had to learn a lot about mental health over the last 4 -5 years. She is my world, and I could never be without her. Don't walk from MH, its very real, support, love, understand, encourage, help and learn. If everyone did that, the world would be a much better place.
Thank you so much Dr. Huberman for providing such valuable insights regarding this topic. Understanding the biological orange of bipolar disorder is crucial when designing a treatment plan. Thank you so much for all your work!
Exceptional detailed information about Bipolar Disorder known mechanisms and very clear about the importance of having a proper treatment. One of the best videos I’ve seen about Bipolar Disorder.
The most difficult part of bipolar is recognizing and accepting that you have it. Lithium worked well for me. Minor side effect was weight gain which I easily mitigated with intermittent fasting. Nice to know Lithium also helps to reduce inflammation. Although treatment was easy for me , this is usually not the case. Good luck on your journey!
Interesting I self diagnosed myself years before the doctors did
What was the tipping point that made you realize and accepting you could have this condition? My 25 yr old son I strongly believe has BPD and I don't know how to approach the subject without him getting aggressive and not be receptive.
Yup. I’ve seen this with my dad. To this day, he denies he has bipolar, so of course he refuses treatment.
Thank you so much for this. Thank you so much for being so validating. One thing you didn't really get into was the potential ineffectiveness of SSRIs on bipolar depression. I spent years trying anti-depressant after anti-depressant and only seemed to get worse. Hypomania felt like life was just really good at those times so it went undetected for what it was. I did not get my bipolar II diagnosis until my early 40's. Lithium and Latuda saved my life. Thanks again. Keep up the good work!
Excellent podcast! I throughly enjoyed it and learned so much! Very excited for a more in depth podcast on borderline personality disorder! Many thanks to you Mr. Huberman and everyone else who has contributed to this podcast!
Thank you Dr. Andrew Huberman for providing so many suggestions for therapy - this is a welcome service helping to navigate this bewildering disorder.
Already watched most of it on Spotify this morning at the gym, really fascinating stuff, thanks for all that you do to bring free public health information to the people!
Yes...we truly thank you
I have been diagnosed bipolar 1 , with both extreme s, and the creativity has been a therapy for me. Writing drawing music and sculpture have all been a great outlet during both depression and mania. And yes lithium was a game changer for me. I remember saying to my psychiatrist, " This is what normal feels like." A peaceful outlook with ability to focus that was beyond me before except in glimpses. Thank you for your podcasts.
Glad to hear you're doing well with lithium!
This was incredibly informative. I've witnessed my son try to navigate his condition unsuccessfully for 15 years now. He's just been hospitalised again, following another mania episode. This time, for the first time, the psychiatrist has prescribed lithium... maybe this new to my son, yet commonly used treatment for bipolar disorder is just what he needed. Im hoping, as it's a hellish condition for parents to witness in their adult children. i wish I'd come across this podcast before. it's addressed all my fears and it's given me hope.
Thank you Sir! was diagnosed in 2021. I was 46, I was adopted had no clue it was coming. Hindsight I was symptomatic back in my 20's on Active duty in the Army. I got out in 2002. Never knew to get treatment but by 2016 it had destroyed my marriage , my health , and my career. Lost insurance the VA finally diagnosed it in 21 and gave me meds but still looking for solid care. My cycles are speeding up now and my memory doesn't go past the cycle I am in. Finally got a person to help me get my hands around it, make appointments, etc. Again thanks doc great job.
Always have been a student of neuroscience, I have a bachelor's in it.
I never had been diagnosed with bipolar, but there's a pattern I notice in myself for the past 13 years.
I have a depression episode every Winter and mania every Summer dependent on how many stress triggers come up. A few weeks ago, I triggered a manic phase when going on a trip. A lot of anxiety lingered after my trip, and anxiety levels were way too high the whole time over my trip that it lingered over when I got back. When I got back from the trip, I couldn't get rid of the anxiety. Within the first week I got back I started microdosing psilocybin and within my first dose I had no more negative thoughts of the past and my anxiety was gone and I began smiling again, being present. I finally calmed down, and had no anxiety. This is a wonder drug.
This is funny, I am getting to the end of the video and I myself am a poet by hobby since the 2nd year I started noticing these symptoms when I was ~15.