Podcasts about Hypomania

This past week, I had the pleasure of attending the Advanced Course for Walsh-Trained Practitioners. To date, 1,200 practitioners from 75 countries have been trained using the Walsh approach.For those unfamiliar, the Walsh Research Institute, founded by Dr. William Walsh, has looked at the nutrient levels of over 30,000 people with brain-related symptoms and found a surprisingly small number of nutrient imbalances (low zinc, high copper, high pyrroles, and methylation imbalances) that repeatedly show up. We address these imbalances in those with depression, anxiety, panic, obsessions, compulsions, inattention, brain fog, hyperactivity, autism, dementia, psychosis, and mood swings with significant and, at times, dramatic results. Bipolar disorder, however, because of its shifting in neurotransmitter states from mania and depression, can be particularly difficult to treat. More than nine million Americans have been diagnosed with bipolar disorder. This severe condition can lead to drug or alcohol use, financial or legal problems, discord in relationships, work and school instability, and/or suicide attempts or suicide. The course typically begins with an acute onset, followed by episodes of mania and depression, which often worsens in severity over time.In this post, after describing bipolar disorder, I will use Dr. Walsh's Comprehensive Theory of Bipolar Disorder, recently shared at the Society of Neuroscience, to explain:* the cause of bipolar disorder* the reason for the onset, persistence, and increasing severity for many over time* the reason for the increased risk of other health issues* the reason for the switch between manic and depressive states* how this information impacts treatment and preventionBipolar DisorderIt is important to note that the type of bipolar disorder I am referring to here is Bipolar I, a condition in which there are discrete episodes of mania often followed by episodes of depression. Such episodes can occur rarely or even multiple times a year.Manic episodes usually last a week up to several months and include three or more of the following:* increase in activity, energy, or agitation* distorted sense of well-being or self-confidence* needing much less sleep than usual* usually talkative or talking fast* racing thoughts or flight of ideas (jumping from one topic to another)* easily distracted* poor decision-making- e.g., excessive spending, risky sexual behavior* may become psychotic (have a break from reality)Hypomania has less severe symptoms which have less impact on functioning at work, school, social activities, and relationships. Having hypomanic episodes is not sufficient to warrant a diagnosis of Bipolar I.Depressive episodes, which often last a couple of weeks but can vary, include five or more of the below symptoms that are affecting functioning at work, school, social activities, and relationships:* depressed mood (sad, lacking feeling, hopeless, irritable, angry, or tearful)* marked loss of interest or enjoyment of activities* weight loss or weight gain (without dieting or overeating)* too much or too little sleep* behavior slowed down or restless* fatigue - loss of energy* feelings of worthlessness or inappropriate guilt* problems concentrating or making decisions* suicidal thoughts, plans, or attemptsBipolar II Disorder is a different condition. This diagnosis is given when someone has at least one major depressive episode and at least one hypomanic episode. Depressive episodes are often longer here. There is never a manic episode. Despite its name, this is not a milder form of Bipolar I. Biochemically, it is considered a different disorder.Rapid cycling is used to describe bipolar disorder when, in the past year, there have been at least four episodes of switching from mania or hypomania to depression. This can describe either type I or type II (depending on the presence or absence of mania). As with many other diagnoses, the terms came from seemingly related symptoms instead of a root cause or biochemical understanding.Dr. Walsh's comprehensive theory, which I'll describe, focuses on Bipolar I, in which there are manic episodes usually followed by depressive episodes. For those who struggle with mood swings changing within a day or a week as opposed to discrete mood episodes of mania or depression, pyrrole disorder should be considered.Genetics or Epigenetics?Having a first-degree relative (parent or sibling) with bipolar disorder raises the risk of developing bipolar disorder. After thirty years of genetic research, however, a gene for bipolar disorder has not been identified. The genetics are more complicated. It appears there are many genes involved.2021 Genome-Wide Association Study (GWAS)These studies compared the genomes of about 5,000 individuals with bipolar disorder and about 8,000 (controls/individuals without bipolar disorder). Over time, more and more “bipolar” genetic variants have been identified. By 2021, there were 64; however, there are expected to be hundreds. Of these 64 genetic variants, 49 are DNA repair genes and antioxidant genes that occur throughout the body (not just the brain). Just as it sounds, DNA repair genes make enzymes that repair DNA. Antioxidant genes make enzymes that support our protective antioxidant systems. Many of these genetic variants are also associated with cancer and other conditions impacted by DNA damage. This would suggest that those with bipolar disorder come into the world with a vulnerability in their ability to repair DNA damage (which translates to cell damage, tissue damage, and, in the case of the brain, neuronal damage. An event, however, is required to shift this vulnerability to illness.Accelerated DNA DamageWhat damages DNA? Free radicals and thus oxidative stress. To remind you, oxidative stress occurs when our body's inherent antioxidant systems are overwhelmed or depleted by free radicals (due to an insult - a toxic exposure(s), source of inflammation, or trauma). A depletion of our protection leaves our cells and DNA vulnerable to further oxidative stress and damage. If we have variants on protective genes, then we can be even more vulnerable.Numerous studies have found high levels of superoxide, hydroxyl, and ONNO (peroxynitrite)free radicals in those with bipolar disorder.This vulnerability to DNA damage also explains why many with bipolar disorder have a higher risk of other health issues, including heart disease, breast cancer, multiple sclerosis, kidney failure, immune disorders, migraines, gastrointestinal illnesses, and others. But What About the Other 15 Genes? Genetic Weakness on Ion ChannelsThe remaining identified genes are more specific to bipolar disorder and relate to ion channel genes. Ion channels exist on the neuronal membranes, allowing potassium, sodium, and calcium to move in and out of the nerve cell. This movement creates an electrical charge that travels down the cell, releasing a neurotransmitter into the space between that neuron and other neurons to communicate with the next cell(s). OnsetHere again, an epigenetic event (toxic exposure, trauma, significant illness, etc.) leading to oxidative overload impacts the production of the proteins used in these channels, which affects the movement of ions in and out of the cell (more specifically causing flooding of potassium ions (K+) outside the cell) leading to hyperactivity of that nerve. This is why Dr. Walsh's theory considers bipolar disorder a channelopathy.EuthymiaEuthymia - when the mood is neither manic nor depressed - interestingly, appears to be the first mood state after the onset of the condition. The flooding of K+ outside the cell leads to hyperactivity of neurons for serotonin. However, that doesn't appear to cause symptoms since serotonin inhibits or keeps the activity of dopamine, norepinephrine, and glutamate in check.ManiaThe onset of mania starts to occur when the serotonin neuron hyperactivity (from the K+ flooding outside the cells) starts to fizzle out. What follows is a reduction in the inhibition of the neurotransmitters (dopamine, norepinephrine, glutamate, and others) that cause widespread neuronal hyperactivity, which causes manic symptoms.Eventually, the declining serotonin activity becomes the dominating force and triggers depression, which may persist for some time. Eventually, the serotonin nerves return to hyperactivity (again keeping things at bay), resulting in a stable mood - euthymia. Progression of Illness It is well known that preventing manic episodes can prevent the severity of the condition from escalating over time. Dr. Walsh's theory also addresses why.Aside from impacting neurotransmission, the problems occurring at the ion channels are also associated with further DNA damage. This means that each episode can potentially add to the DNA damage. Add to this typical DNA damage (for all of us) that comes with aging. A typically untreated original and often persistent insult (such as a toxic exposure), events occurring at the ion channel, and aging can lead to the progression and increasing severity of illness.TreatmentAs with any theory, the inevitable question becomes, how does this impact treatment? Allopathic or mainstream psychiatry uses medication approaches that aim and usually succeed at stabilizing mood. Again, this is important because of the consequences of mania or depression but also because of the potential physiologic damage caused by ongoing episodes. What isn't typically addressed in conventional psychiatry are:* Sources of oxidative stress. Does this person have mold toxicity, Lyme, metal toxicity, candida or other microbial overgrowth, chemical exposures, high EMF exposure, trauma, and/or chronic stress that are continuing to deplete protections and contribute to DNA damage? These are the types of issues that those of us who consider ourselves functional and environmental psychiatrists address.* Support for the antioxidant system. As with any brain condition, robust antioxidant support is indicated to address free radicals, but in this case, it is also indicated to prevent further DNA damage and to protect the ion channels. * Nutrient imbalances in varying combinations are typically also involved, such as methylation imbalances (often overmethylation), pyrrole disorder, and copper-zinc imbalances. Each of these can be exacerbated by high oxidative stress, which is a further cause of oxidative stress.Research into targeted antioxidants will be needed to build upon Dr. Walsh's research. The free radicals (superoxide, hydroxyl ions, and ONNO) are more easily addressed in the body than in the brain. In the meantime, in addition to more typical antioxidants, NAC (which inhibits activity at the glutamate receptor) and MT (metallothionein) promotion therapy (a combination of glutathione, zinc, B6, and specific amino acids) are expected to be beneficial.PreventionBecause bipolar disorder appears to be an epigenetic DNA damage illness (caused by major oxidative overload), early antioxidant treatment in those who are vulnerable to bipolar disorder may prevent the onset and development of this disease. It won't be long before such vulnerabilities can be identified, as early as infancy.For more on the work of Dr. William Walsh and the Walsh Research Institute Practioner Resource Map (, visit: https://www.walshinstitute.org/As always, I welcome your comments and questions.And if you would like to help me get this information out into the world, please consider sharing.Until next time,Courtney P.S. To learn more about non-patient consultations, treatment, and monthly mentorship groups, please visit my website at:CourtneySnyderMD.comMedical Disclaimer:This newsletter is for educational purposes and not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment for yourself or others, including but not limited to patients you are treating (if you are a practitioner). Consult your physician for any medical issues that you may be having. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit courtneysnydermd.substack.com/subscribe

Is hypomania something you can use to your advantage, or is that a dangerous game to try? In this episode, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, take a deep dive into the nuances of hypomania, its diagnostic criteria, and the widespread belief that it can be harnessed for productivity. They explore why some people may mistake elevated moods for hypomania, the risks of trying to "ride the lightning," and how support systems and self-awareness play crucial roles in managing this symptom. Whether you're seeking clarity on hypomania or practical advice for managing it, this episode offers thought-provoking insights and actionable takeaways. "To point out that when we talk about managing hypomania, we first must make sure you are truly hypomanic. And I don't know anybody who is productive after four days of lack of sleep or four days of not being able to calm down, rest, think straight. But there's always this advice on how to harness hypomania and turn it into a $1 million business. Which also, not for nothing, sounds a little hypomanic to me." ~Gabe Howard, Host To learn more -- or read the transcript -- please visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

On the podcast Hyperfixed, host Alex Goldman sets out to solve mysteries and conundrums that listeners submit. But he's found himself having to do some figuring out for himself. Alex finally got diagnosed with ADHD just a few years ago, when he was around 42 years old. Which was a big relief after years of struggling with things like attention and task completion. The problem was that the meds they gave him triggered hypomania followed by big depressive crashes, resulting in a diagnosis of bipolar disorder type II. So now Alex has to manage depression, ADHD, and hypomania. It's tricky.Thank you to all our listeners who support the show as monthly members of Maximum Fun.Check out our I'm Glad You're Here and Depresh Mode merchandise at the brand new merch website MaxFunStore.com!Hey, remember, you're part of Depresh Mode and we want to hear what you want to hear about. What guests and issues would you like to have covered in a future episode? Write us at depreshmode@maximumfun.org.Depresh Mode is on BlueSky, Instagram, Substack, and you can join our Preshies Facebook group. Help is available right away.The National Suicide Prevention Lifeline: 988 or 1-800-273-8255, 1-800-273-TALKCrisis Text Line: Text HOME to 741741.International suicide hotline numbers available here: https://www.opencounseling.com/suicide-hotlines  

This Saturday is the winter solstice, marking the beginning of winter. Many look forward to the festive events taking place, but for the 10 million Americans struggling with seasonal affective disorder it can mean dark times ahead.What is seasonal affective disorder?Seasonal affective disorder is recurrent episodes of depression, mania, or hypomania with seasonal onset and remission. Typically, it starts in late fall/early winter and subsides in late spring/early summer.What are typical symptoms of seasonal affective disorder?Depressed mood.Decreased interest in pleasurable activities.Insomnia or hypersomnia (individuals may often describe sleeping 1 hour more than warmer seasons).Fatigue or decreased energy.Change in appetite or weight.Difficulty concentrating.Feelings of guilt or worthlessness.Restlessness or psychomotor slowing.Suicidal thoughts.Mania: extreme mood swings, high energy.Hypomania: elevated mood and energy that is less severe than mania.What treatment options are currently available?Antidepressants.Light therapy: there are several products available on the market. Per Yale School of Medicine, the light should be at least 10,000 lux, 20x brighter than regular indoor light. Individuals do best if they use the light box for at least 30 minutes in the morning, before 8 a.m. Some boxes are more costly than others. Check with your healthcare team and insurance company for a prescription and coverage, respectively.Talk therapy such as cognitive behavioral therapy (CBT), can help with reframing unhelpful thoughts surrounding cold weather, dark days and associated recurrent symptoms.What steps can you take to prevent some of these symptoms?Get outdoors in natural light, especially within the first couple hours of waking.Be physically active.Maintain a consistent sleep schedule.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Oliver drops brand new collab with DION & Funk Tribu "I WANT YOUR LOVE", the club mix of his collab with Armin van Buuren "Freedom", his new HI-LO track "HYPOMANIA" and some of the best new dance music from around the world on a fresh #HeldeepRadio! #heldeepradio | https://twitter.com/OliverHeldens | https://www.facebook.com/OliverHeldens

Oliver drops his brand new collab with Armin van Buuren & Sam Harper "Freedom", his new HI-LO track "HYPOMANIA" and some of the latest and greatest dance music from around the world on a fresh #HeldeepRadio! #heldeepradio | https://twitter.com/OliverHeldens | https://www.facebook.com/OliverHeldens

Welcome to another episode of this is bipolar with your host, Shaley Hoogendoorn. Shaley, a mom, teacher, wife, and content creator, shares her journey of living with Bipolar II disorder. In this solo episode, she delves into the early warning signs of hypomania. Shaley explores her personal experiences and engages with responses from the Instagram community to highlight common early warning signs such as sleep disturbances, racing thoughts, and impulsive behaviors. She emphasizes the importance of medication compliance and self-awareness in managing bipolar disorder. Additionally, this episode introduces the concept of shorter podcast segments that will feature insights from the community. Shaley also discusses the impact of seasonal changes, the urge to organize, and the challenges of maintaining relationships during hypomanic episodes. Join Shaley in this insightful and heartfelt discussion, and learn how recognizing early warning signs can help in managing bipolar disorder effectively. Don't miss the follow-up episode where she will share strategies and tips for handling hypomania and mania. Connect with the This is Bipolar community on Instagram at @this.is.bipolar and join the conversation!   MARKET RESEARCH OPPORTUNITY: If you have bipolar one disorder or major depressive disorder and are having at least one treatment there is an opportunity for you to be paid to share your story and experience. I am proud to partner with Health Influencers United and C-Space to offer an opportunity for participants to be a part of new market research. Together, we can have our voices be heard, and we can help shape the future of health support. In this group, you will be connecting with others. You may find comfort in these open discussions, in seeing that you are not alone in your experience. In joining this community, you're contributing to advancing healthcare. You'll be compensated for your time and for your insight. We deeply respect your privacy, so your participation is treated with the utmost care. And there are confidentiality protocols, so your personal information and identity will be safe. CLICK HERE and see if you qualify. By sharing your unique experience with major depressive disorder or bipolar 1, you have the power to create some positive change.   My dear listeners, Thank you from the bottom of my heart for listening. If this episode or podcast means something to you, I would be forever grateful if you would follow/subscribe the ‘this is bipolar' podcast wherever you listen to your podcasts so you stay up to date. It would also mean the world to me if you gave a 5 ⭐️ review- this helps the podcast reach those who need to hear it most. Much love, Shaley xo   #bipolardisorder

Mr. Joe returns for his first episode after back surgery. He provides updates on his recovery, state of mind, podcasting status, and his mother's latest mind set. Mr. Joe also provides examples of mania in comparison to hypomania.

For over a year, Ariane hid the true severity of her symptoms and tried so hard to portray a choreographed image of the good, responsive mother who kept it all together. Motherhood was the performance of her life… until it wasn't. The stage makeup and sparkles fell away when her symptoms escalated and she had to be admitted to a general psychiatric hospital. Ariane had to finally step out of the spotlight and allow her psychiatrist to take the lead, but this is when she was able to recover. In this episode we discuss all the facets of Ariane's recovery: medication, diagnosis, psychodynamic therapy with her psychiatrist, a hospital admission, art therapy, dancing, embracing the mundanity of recovery, and finding purpose through writing, advocating via the Centre of Perinatal Excellence (COPE), teaching ballet, and publishing her new novel, Because I'm Not Myself, You See. Part story, part book review, part in-depth discussion about the current state of perinatal mental health and advocacy, and part amused ramblings from two MBU graduates, this is part two of Ariane's story. Buckle up, it's going to be quite the ride.   GIVEAWAY Congratulations to the winners who scored one of FIVE copies of Ariane's new book 'Because I'm Not Myself, You See: A Memoir of Motherhood, Madness, and Coming Back From the Brink' thanks to the generosity of our friends at Black Inc.   FOLLOW the podcast on Instagram and Facebook @perinatalstoriesaustralia for more maternal mental health stories, education, advocacy, and community. PLEASE leave a review or rating on your favourite apps or consider buying me a coffee (well, preferably a tea!) :) VISIT the website perinatalstoriesaustralia.com to share your story or to see more content from the podcast guests. MADE WITH LOVE by Rebecca (host, founder, storyteller) x

Jeff talks to Dr. Kathryn Eve Lewandowski about both schizophrenia and the different types of bipolar disorder. Eve shares overviews on both disorders, tips for spotting their signs and seeking treatment, and answers audience questions about successfully supporting someone living with these conditions.Kathryn Eve Lewandowski, PhD, is the director of clinical programming at McLean OnTrack™, a program for young adults in the early stages of psychotic disorders. She is also a member of the International Society of Bipolar Disorders (ISBD) Targeting Cognition Task Force and the International Consortium Investigating Cognition in Bipolar Disorder (ICONIC-BD).RELEVANT CONTENT:– More about the episode: https://mclean.link/eks– Read the episode transcript: https://mclean.link/o2o- - - The McLean Hospital podcast Mindful Things is intended to provide general information and to help listeners learn about mental health, educational opportunities, and research initiatives. This podcast is not an attempt to practice medicine or to provide specific medical advice.© 2024 McLean Hospital. All Rights Reserved.

Ketogenic therapy, commonly in the form of a keto diet, is often known for having more “side benefits” than “side effects.” However, it is a powerful medical intervention and, as such, not entirely without risks. In some instances, individuals transitioning onto a keto diet to treat a mental health condition, like bipolar or schizophrenia, can experience symptoms of hypomania. There are many strategies to increase the safety of keto and mitigate potential risks, including slowly easing into a ketogenic diet, monitoring sleep, having a bridge medication available, and always having expert guidance from a clinical care team. In this interview, Dr. Bret Scher discusses the risk of hypomania with two experts in the metabolic psychiatry field: Harvard-trained psychiatrist and author of the groundbreaking book, Change Your Diet, Change Your Mind, Dr. Georgia Ede, and Nicole Laurent, LMHC, a counselor who trains non-prescribers on assisting patients with ketogenic therapy. According to Dr. Ede, hypomania and other unwanted psychiatric symptoms are uncommon when implementing ketogenic therapy. She recommends that people not allow these risks to dissuade them from trying this form of treatment. Featured in this episode: Georgia Ede, MD https://www.diagnosisdiet.com/ Twitter: @georgiaedemd Order Change Your Diet, Change Your Mind: https://www.diagnosisdiet.com/change-your-diet-change-your-mind Nicole Laurent, LMHC https://www.mentalhealthketo.com Twitter @KetoCounselor Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry. Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/ About us: Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them. Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications. #MetabolicMind #KetoForMentalHealth #MetabolicPsychiatry #BipolarDisorder #MetabolicNeuroscience #KetogenicMetabolicTherapy #NutritionalKetosis#MentalIllness#AlternativeTreatment#Obesity#MedicationSideEffects#Schizophrenia #Hypomania

Wednesday's episode will be slightly delayed due to bipolar disorder! (All is well, but productivity takes a backseat to mental health.)I'm leaving the description the podcast AI wrote (mostly) intact because it's a great example of writing for SEO and not for purpose. My "sleep and focus wavering" does not sharpen my resolve, it mostly makes me tired and frustrated. Also my focus doesn't "waver," it hyper-fixates. California was not sunny, it hilariously rained the entire time due to the atmospheric river weather event.I have no idea where the "endless cups of coffee" came from.Healwell is totally down with self-care, particularly the kind that means you need to stop working right now.I full intend to help "nurture your career," but not in the next 3 minutes.AI WRITTEN DESCRIPTION: As your host, I'm opening up about my journey with bipolar disorder and how it's recently shuffled our podcast calendar. Navigating the unpredictable tides of hypomania, I've found my sleep and focus waver – but it's this very challenge that sharpens my resolve to deliver the enriching content you've come to cherish. With a candid heart, I share the strategies that help me manage my health while remaining steadfast in crafting our episodes, ensuring that our latest offering arrives imbued with the same fervor and dedication you expect.Our latest adventure took us to a vibrant conference in sunny California, bursting with opportunities to network and exchange groundbreaking ideas over endless cups of coffee. I'm thrilled to recount this exhilarating journey and pass on pearls of wisdom that will elevate your future conference endeavors, whether you're a novice or a habitual participant. This episode is a celebration of human connection, the courage in revealing our vulnerabilities, and the importance of self-care—principles that guide us both personally and professionally. Join us for an episode that's as much a lesson in nurturing your career as it is in fostering your well-being.Support the showHealwell Homecoming is September 20-21st in Arlington, VA. Come for the classes and stay for the party!Let us know what you think! Send us an email: podcast@healwell.orgCheck out our interview-style podcast: InterdisciplinaryYou can support Healwell and the cool things we make by donating here!Other ways join in: Leave us a review on Apple Podcasts Find bonus content from Interdisciplinary and early release episodes on Patreon! Check Healwell's live and online classes Continue the conversation with a two-week free trial of the Healwell Community Find a copy of Rebecca Sturgeon's book: "Oncology Massage: An Integrative Approach to Cancer Care" Thank you to ABMP for sponsoring The Rub!Healwell is a 501(c)(3) non-profit based out of the Washington DC area. Check us out at www.healwell.org

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Welcome back to Analyze Scripts, where a psychiatrist and a therapist analyze what Hollywood gets right and wrong about mental health. Today, we review "The Morning Show" season 2. This season is pretty heavy with themes of substance abuse, toxic relationships and Mitch Kessler's [SPOILER ALERT] death by suicide. We spend time discussing cancel culture and the complexities of the human experience. We also explore Cory's charcter, is he hypomanic? Or is it more of an ADHD presentation we are seeing? Who does Bradley choose? Is everyone in love with their mother? Listen now to your favorite TV loving shrinks for our full break down. We hope you enjoy! Instagram TikTok Website Dr. Katrina Furey, MD: Hi, I'm Dr. Katrina Fury, a psychiatrist. Portia Pendleton, LCSW: And I'm Portia Pendleton, a licensed clinical social worker. Dr. Katrina Furey, MD: And this is Analyze Scripts, a podcast where two shrinks analyze the depiction of mental health in movies and TV shows. Portia Pendleton, LCSW: Our hope is that you learn some legit info about mental health while feeling like you're chatting with your girlfriends. Dr. Katrina Furey, MD: There is so much misinformation out there, and it drives us nuts. Portia Pendleton, LCSW: And if someday we pay off our student loans or land a sponsorship, like. Dr. Katrina Furey, MD: With a lay flat airline or a major beauty brand, even better. Portia Pendleton, LCSW: So sit back, relax, grab some popcorn. Dr. Katrina Furey, MD: And your DSM Five and enjoy. We get started. We just wanted to include a trigger warning for this episode. This episode could include discussion about some themes and topics that might be upsetting, including, but not limited to things like substance abuse, suicide, self harm, disordered, eating, and harassment and assault. So if any of those topics are too upsetting, we totally get it. Please feel free to skip this episode and join us next week. Otherwise, we hope you enjoyed. Portia Pendleton, LCSW: Thanks for joining us today to cover the Morning Show season Two. If you have not listened to our take on season one, feel free to scroll back a couple episodes in our feed. Season two did come out in September of 2021, which was kind of in, like right. The throes still of COVID I mean, not like the Lockdown, which this show oh, my God. With that visual of New York City, which was eerie, to say the least. But did you watch this in real time? Dr. Katrina Furey, MD: No, I think I watched it last year, maybe, but rewatching it again. I had, like, a visceral reaction to all of the COVID stuff. What about you? Portia Pendleton, LCSW: It was weird. I really like and we talked about this about season one, how they show, right? Like, real time things. And it's so funny thinking back to hearing about, you know, it was like, in more of the Asian countries in Asia. It was kind of, like, sprinkling through. And I remember having some friends traveling internationally and being like, yeah, it was weird. Like, a lot of people are wearing masks, not domestically. And then all of a sudden, it was here, right? And it was like this very March white. I don't know, like, the grocery stores were full, and then they were empty. Schools were open and they were closed. It wasn't a smooth transition. Oh, this is coming. It was just like, okay, we're making this decision. Dr. Katrina Furey, MD: Oh, my gosh. I remember I'm so ashamed to admit this, but I was supposed to go on a bachelorette party to New Orleans, like, right in mid March, and it was for my very good friend, Dr. Kristen Heisel, an infectious disease physician at Mass General Hospital, so you can imagine what her March 2020 turned into. But as the news of COVID was, like, trickling in, I remember sitting in the psychiatrist talking to a colleague being like, this is just going to be like ebola where we all freaked out. And then it was fine. And I was like, trying to tell myself this because I really wanted to go on this Bachelorete trip and I feel so selfish saying that. Should we cut that? Like, does that make me look at. Portia Pendleton, LCSW: I can share a similar thing. Dr. Katrina Furey, MD: But then my friend kristen called me after they had this super secret meeting at MGH and was like, we're not like, you need to go to the grocery store immediately. This is like a really big deal. Harvard is preparing. They've talked to like, this is going to be a really serious thing. And I was like, oh, my god. And then two days later, yeah, everything shut down. Portia Pendleton, LCSW: It's funny because I was in DC. In February, like mid February, and there was still nothing. I don't know which speech I know that's not the right word for it was happening, but everyone in congress and the senate were there and it was really busy and it was fine. The airports were all good. But then I ended up having to come back from puerto Rico early. So I've told this story, obviously to my friends, but for my new friends out there listening. So we had been here and meeting family down in puerto Rico who had missed it by three days of what was kind of happening. And we were like, should we go? Should we not? And we're on the airplane, it's about to take off. They shut the door and everyone's like, phone alerts start to go off if you have news alerts. And it was that all international travel was stopped and we weren't going internationally. But I was immediately like, I need to get off this plane. Obviously I couldn't. So we went to Puerto Rico. We told our family that was down there and they just did not get it's. The like, this isn't a big deal. Why is everyone up there freaking out? Brian were like, my partner and I were like, how can you not understand? The grocery stores are empty. So we ended up flying home early and thank goodness we did because the island closed down. There was a ship in the port there from Italy that had some italian travelers that were sick and so it was just chaos. And then I remember coming back to work on Monday and we closed, right? So we had this meeting of how we were going to handle it. Everyone took their laptops and we went home. And then I never went back to that job. Dr. Katrina Furey, MD: Yeah, it was scary. I don't know, I feel like triggered watching this show and all the COVID stuff. It's like hard for me to watch. I notice kind of like not looking at the empty street. It's just like really hard for me to watch. I thought they did a magnificent job, though, covering it and how they had Daniel, the lone wolf, sort of like raising the alarm and seeing how Mia, who's now in Chip's old role, is kind know, not covering, know, choosing other stories to cover instead. And then they send him to China, right? Portia Pendleton, LCSW: And he is just like in the throes of it being like, this is serious. They keep giving him a short segment, they cut his segment, he's like but. Dr. Katrina Furey, MD: It'S so symbolic of how we were all thinking about it until it was really serious, right? And then we sort of see the COVID sprinkled in, I thought, even starting with New Year's Eve and how joyous it all was, like, woohoo. Portia Pendleton, LCSW: 2020. Dr. Katrina Furey, MD: And now as we watch it, you're just like, if we all knew what was coming. And then they still sort of sprinkle in COVID throughout the whole season as it builds. And I enjoyed how they kept reminding us of the date. Like, oh, Alex comes back February 20. And I was like, oh my God, that's like three weeks before it's going to start. And then her last day was like March, I don't know, like 14th or something, right? Like, it just kept building and building and building till we see Alex with COVID and we see Bradley, like, rushing into the Er to find her brother in the chaos of the emergency room with COVID cases. And it was just like, we see them all go home and trying to figure out contact tracing and Corey with. Portia Pendleton, LCSW: The and being silly with like, I don't know what that know? Dr. Katrina Furey, MD: Well, we didn't know what it meant. And Corey's like, can you stand can you step back? 6ft, right? Oh my God. Portia Pendleton, LCSW: It was such like an awkward time because I think everyone it was new social norms that we all had to just adopt and everyone had their own length of time for getting on board with specific social norms or not. And I think it was just like, there's a lot of awkward interactions with people. Dr. Katrina Furey, MD: I think what I found personally interesting as a physician and as a psychiatrist, as the time when it all hit, I was still doing some moonlighting at a local hospital and fortunately that was like extra work. And so as soon as I started to feel unsafe, I stopped. And I had a lot of guilt over that, but certainly I had a couple of shifts. I never will forget how scared I felt because I didn't have enough PPE. And I remember nurses coming in and smuggling in masks to each other and saying, don't tell the supervisor. And we were trying to figure out, as a psychiatrist, what do you do when there's a code and you don't know if the patient's COVID positive? Like a behavioral code, agitation, delirium, things like that, that you get called for in the middle of the night, like, how close do you get? How close do you not get? We didn't know yet how is it transmitted? How does it affect if you have history of asthma, how does it affect you? How does it affect kids? All of that stuff. I just will never forget being so scared. And I remember leaving one of those shifts and realizing, like, I can't do this right? Like, I'm terrified. And one of the nurses being like, Dr. Fury, are you okay? And I was like, no, I'm really not. And then I think as a physician, realizing this is really serious, during that time when everyone was trying to figure out, like, do we really need to stay home? Do we really need to stock up? And when people were like, oh, it's just 60 days lockdown. And I was like, this is going to be years, and it's just hard to watch. Portia Pendleton, LCSW: It was an interesting theme, like, you said that even I know one of the producers who went up to Mia with one of like it was a COVID story about a number going up, but there was also, like, three other things happening that day. And she was like, Nope. No, we're not running that story. And it's just right. Like, they didn't and then all of a sudden, it was the most important thing, right? Like, in mid March, everyone that's all anyone could talk about. And I remember, funnily enough, with the morning show being like, right, a news network. I'm just not, like, a news watcher. And I watched the news, right, for like, 72 hours when things had locked down. And then I was like, this isn't. Dr. Katrina Furey, MD: So great for my mental mental health. Portia Pendleton, LCSW: Yeah, but it was wild. Dr. Katrina Furey, MD: It was wild. Portia Pendleton, LCSW: Dr what was it? Fauci. And then that woman with the scar, Deborah. Dr. Katrina Furey, MD: And just watching them try to keep their composure. I'll never forget that. Meme going around with Dr. Fauci, like, touching his forehead in frustration and being like, you know, it's bad when the man telling you don't touch anything is like touching its head in frustration, right? And they showed clips of Dr. Fauci in this. So the season does culminate with COVID and I'm really interested to see now that we know season three is about to come out, like, how does that evolve? But there was a whole lot more in season two, and I have no idea how we're going to cover it. Portia Pendleton, LCSW: All in this know? So so we have some new characters. We have Stella, who's the new president of the news division. Dr. Katrina Furey, MD: I think she took Cory's job. Portia Pendleton, LCSW: Yep. Dr. Katrina Furey, MD: And then Corey took Fred's job, right, because they fired Fred. Portia Pendleton, LCSW: Yeah, that was a little I mean, it became clear, but right at the end of season one, it seemed like Corey was going to be let go, and then they ended up letting Fred go. And then Corey stepped into that role, which is what he wanted, right. And I think he kind of set some things up so that happened. Dr. Katrina Furey, MD: And I think also we come to find out he's kind of in cahoots with right? Like, it kind of sounded like I was a little confused by this, but it kind of seemed like Bradley thought she walked in and said, I'm not coming back if you don't rehire Corey. And then they did. But then we sort of found out later on that Fred was like, corey should be my successor and give me all this money. And then he's maybe pulling some strings in the background. So he's like gone but not really gone. That kind of confused me. Portia Pendleton, LCSW: Yeah. Corey is an interesting guy. Dr. Katrina Furey, MD: Do you think he's hypomanic? Portia Pendleton, LCSW: He is something. He is so animated and constantly hyper and activated. I just want to know his routine off when he's not at work. We saw some of his exercise routine. Dr. Katrina Furey, MD: When I saw that I was like, I think he's hypomanic constantly on the go. But explain that a little bit. Portia Pendleton, LCSW: Yeah. Dr. Katrina Furey, MD: So when we think about hypomania, what we mean by that clinically is when you think about depression, we think about people who have clinical symptoms of depression for two weeks or more. That's where your mood is lower than your average baseline. We all have mood fluctuations over the course of our life, but when you're feeling depressed, your mood is way too low. Now, the flip side of that is something we call mania. This is what we see when you have something called bipolar disorder where not only do you have the depressive episodes, but then you also have the manic episodes where your mood is way too high, right? Like, you don't need sleep. You're talking a mile a minute. You have all these big grandiose ideas. You're really impulsive. Portia Pendleton, LCSW: And people can tell. Dr. Katrina Furey, MD: People can tell when you are fully manic. That's a psychiatric emergency. You need to go to the emergency room. A lot of times people end up getting hurt either because they're doing something really risky like skateboarding down a highway or something or because they're using substances or sex, gambling, spending money, things like that. There's something in between what we call euthymia, which is like a typical normal baseline mood. You still have fluctuations because you're human, but it's all within a controlled range of feelings. It never dips too low or too high. Mania is like the highest you ever get. Hypomania is kind of like halfway in between. And some people with hypomania function really well in society. Like maybe corey, right. Like, maybe he only needs 4 hours of sleep. Cool. He can get a lot more work done. Maybe he has boundless energy, but he's not like, talking way too fast or having really big ideas that are people with mania might write their memoirs on postit notes and put them all over their room, for example. He's not really behaving like that outside the norm. But sometimes people with hypomania are really successful and productive because they just don't need as much sleep, and they have more energy than the average person. He also could be abusing stimulants or something. Portia Pendleton, LCSW: He could be and sometimes I think there's that little edge or overlapping, also, potentially, of ADHD, just like, really hyperactive. You know, what if you have ADHD? Some of the symptoms with mania are not presenting, though. But just that on the go. And we think about people who, in adulthood often find careers that do fit better if you have attention hyperactive or you're inattentive. It's hard when you're a child. I know I'm taking a little bit of a left turn here because school is pretty much the same. Right? We have expectations for everything. But when you get into adulthood, there's so many hands on careers. There's so many careers that you can be on the go that we see people typically be able to function a little bit better with that. So even I'm wondering for him, right. He's constantly being stimulated. He's constantly thinking of these things. So it's like that's a great point. He's got something, though. Dr. Katrina Furey, MD: Man, I'd love to evaluate him. He also has a history with his mom, which we won't get into all the details. Please watch the show. But which clearly influences his behavior and his love, it seems like, for Bradley. One thing I thought season two did a really interesting job of is, like, depicting how they're all falling in love with who I imagine their parents were. Right. I don't know. What did you think? Did you pick up on that at all? Portia Pendleton, LCSW: Yeah. Or, like, with Bradley. Right. It's like, for me, I felt like Laura was someone she never had. Right. Like, safe. She was really empathetic, really nurturing, really sweet, kind, really good advice, really validating, not dismissive. And then it's just, like, interesting now with, like, in the mix. It's like, who know in season three, I guess, where does and it's like it depends on, I think, where she is with herself and doing work or not. Because I would say and again, this is just like a guess if she hasn't done work on herself, I could see her picking Corey, and if she has, then it's like Laura. Dr. Katrina Furey, MD: So I think it's going to be Cory. Portia Pendleton, LCSW: Yeah. Dr. Katrina Furey, MD: What did you think about that scene with Laura and Bradley where Laura was encouraging Bradley to go to therapy? Portia Pendleton, LCSW: I thought it was excellent. Dr. Katrina Furey, MD: Right. I thought it was so gentle. Yeah. Portia Pendleton, LCSW: You're crazy. You need to go to therapy, or you need to get over this, so you should go to therapy. It was just, like, very like, it seems like you need to talk about this, or you need some support, you need someone to help you figure this out. Stuff with your brother. Dr. Katrina Furey, MD: Yes. After her brother Hal. And we'll get into this a little more later. That depiction of being the sibling of someone with an active addiction coming from a dysfunctional home life, we'll definitely get into all of that. But I thought the way Laura so, like, validated how hard all of that was for Bradley and said, I think you need some help figuring this out. Have you tried? Therapy was just such a nice way to bring it up. And then I thought it was so honest when Bradley was like, I think they're going to tell me I'm crazy, I'm scared. And I was like, girl, me too. I hear you. I think we all feel like that, right? Portia Pendleton, LCSW: And what a great Know line for her to say, right? Dr. Katrina Furey, MD: I thought that was such a beautiful depiction of sort of like a nice way to encourage someone you love to seek help and a really nice way to introduce a really tough concept of boundaries and when is it time to walk away? That's hard. Portia Pendleton, LCSW: That's hard. And I think in the spirit of therapy, everyone could use it on the Know. I think Mia certainly needs some support. I mean, what a complicated loss she is experiencing. Right. Dr. Katrina Furey, MD: It's like Mitch, you mean? Portia Pendleton, LCSW: Yeah. And even just of this distance, right, of just know, fall from grace as a loss, his loss of the show and then ultimately, right, like his death and then reporting on it and you can see her tearing up. But knowing that he also did all these horrible things and know had come out in this episode, these questions around, like, was he praying specifically on black mean? I just was like, Mia, I would love to I don't just I really like her character. I really empathize with her and I would love for her to get all the support she can. She seems like she's throwing herself into work, which is the job. I mean, I think it just is what it is. Dr. Katrina Furey, MD: At the end of season one, he looked so haggard and disheveled and exhausted. And I was like, you are like, going to collapse at the beginning of season two. He looks great. He's like well groomed. He's engaged. He's got this beautiful little house. Portia Pendleton, LCSW: He's driving a Subaru. Dr. Katrina Furey, MD: He's probably getting 8 hours of sleep a night. He's probably exercising. Maybe he's playing pickleball. Like, he looks so good. And it was fascinating to me how he so early on told Bradley, like, if I ever talk to Alex again, I got a lot to say to her. But then when she shows up and asks him to come back, he's like, okay, yeah. Why do you think he did that? Portia Pendleton, LCSW: I don't know if it was a selfish, not like, self seeking, self serving thing where it's like, I do want to be a bigger producer, right? Like, I'm this little smaller station and this is really my world. Or was it his connection with Alex? Does he think he owes her? Is there, like you had mentioned before, a trauma bond with like I don't know if it was for I mean, it could be all of those things at the same time. So what about you? Dr. Katrina Furey, MD: I think my theory is that I do think, like, near the end when they have that knockout fight in the car where they're really raging at each other and she mentions that she feels like he's in love with her and she doesn't love him like, that that got me thinking, like, is that true? Especially because then when he was making out with his fiance and was like, let's go do it in Alex's office, and that is kind of creepy. Portia Pendleton, LCSW: Yeah. Dr. Katrina Furey, MD: It got me thinking, like, was his mom, like Alex? Did he have a self centered, narcissistic mother who was constantly absent or critical? And is he seeking that validation unconsciously? Portia Pendleton, LCSW: Right. Dr. Katrina Furey, MD: But is he seeking that approval, that acceptance, that validation in a super unhealthy way? That's what I think. So I'd love him to get some therapy too. And I think what we were talking. Portia Pendleton, LCSW: About with who Bradley will choose based on her own internal path, I think same with like, if he is a well self, he's going to choose his current right like life, right. Working at the smaller station with his this this quiet, healthier, seemingly life, but maybe not so big and showy, right? Like you could see him kind of being pulled back and back and back into this abusive relationship. Dr. Katrina Furey, MD: Right. And we see that with how in that final scene or the final episode when Alex is on air with COVID which was weird that he lied and said he tested positive too. So he's like, totally around her. He could have just put a mask on if he could find one. I guess back then they were hard to find, but we see his fiance call and he declines it. Portia Pendleton, LCSW: He also then puts something on the prompter that Alex wasn't expecting, which is like, so are you getting back at her or you just like it was confusing of where they're going to land. Dr. Katrina Furey, MD: 100% because in so many ways, their relationship continued evolving in a very raw, honest way. But then we continued to see the power dynamic stay the same when she FaceTimes him. Portia Pendleton, LCSW: Right. Initially from bed and after, they are still not okay. They had just had that big fight in the car. And then she's like, very sick. He's being kind, but he gets sucked. Dr. Katrina Furey, MD: Into her again and again. And she keeps using him as a narcissist will do again and again. And I felt like at the very beginning of season two with Alex, she's in her little chalet. It looks so cozy. She has a dog now. She's writing her memoir. And you see when she comes back to the station, that dinner party at Corey's house, I felt like she put on such a good mask of like, I've really done a lot of self reflection. I want to be different. And then as the season progresses, under more and more stress and scrutiny, I just feel like she's the same old narcissist she's always been. And we see it in such a big way that she goes to Italy to get this letter from Mitch as if he's not again, she doesn't care what he's dealing with. She doesn't care that know, at that point, we knew COVID was spreading. She doesn't care. We see how much she doesn't care about other people. She kicks them off the private jet so she can get back. She goes back to work despite knowing she was in it. She doesn't answer chip's phone calls for like weeks. She's just so utterly selfish and it's. Portia Pendleton, LCSW: Just such a big and telling Mitch's wife, right. I think she thought that she was being so kind, like, I'm going to tell her, look at me. Dr. Katrina Furey, MD: I'm such a person. Look at me. But it's like, no. And I loved when Mitch's wife really put her in her, right? Portia Pendleton, LCSW: Well, because her whole world was shattering then. Because it's like other people know, right? She had been so desperate to protect that secret that her and Mitch had know consensual sex. And now it's like, well, actually, other people do know, or other people. There were whispers. And then when Bradley got the excerpts from the book and she's interviewing Maggie, it was just so fascinating to watch Alex unravel, right? Because her whole world had changed. She's no longer in the driver's seat. Her world is falling around her. People are starting to not like her. Dr. Katrina Furey, MD: Because people are seeing the real her. And the whole world was about to see the real her. Like, we saw Daniel's reaction to the real her. And I was really proud of him again, in that early scene at the dinner party, that he didn't just let her off the hook and like, because that's what he's supposed to do. He really held her accountable. And you see how much he does not like that. Portia Pendleton, LCSW: Daniel may be doing some work therapeutically. He is starting to stand up for himself more. He's setting is he is doing what feels authentic to him. You know what? Dr. Katrina Furey, MD: He has the it factor. Portia Pendleton, LCSW: Okay. Dr. Katrina Furey, MD: I agree with his grandpa. Portia Pendleton, LCSW: Yeah. Okay. Dr. Katrina Furey, MD: I didn't love the cringy song and dance for Alex, and I'm sure that was humiliating for him, but he's got the if factor. And I would be ****** if I were him that I almost got the job at the other network and I agreed to stay. And then Alex just like, stabbed. He just uses people. We really saw that in that scene with Laura when they talked about going to see Bring into Noise, bring Into ****, we see how even with like and I thought this was actually really smart of the writers because it shows that Alex has always been this way, that she was new on the scene. Laura was like know, she was like the lead anchor. She was closeted at the time, but she had some close friends who knew. And it sounds like we're accepting, but it wasn't the kind of thing you just shouted from the rooftops back then. And then soon after, Alex coming into the social circle, all of a sudden it leaks and all of a sudden she gets fired. And then Alex disappears but rises up the ranks. And it was just really interesting to see Alex try to get on Laura's good side and sort of remember that whole scenario so differently from how it actually happened. Portia Pendleton, LCSW: Do you think that there was malicious intent or do you think Alex just had no, no. It was either malicious intent or zero self awareness at that time. Dr. Katrina Furey, MD: Honestly, I feel like for someone with narcissistic personality disorder, how do you split the difference? I really feel like Alex meets criteria for that and she's always just it might not be conscious, but unconsciously thinking for herself and putting her own needs first. And the whole world revolves around her and quite literally it does. Being in such a powerful position in the media, we see again, people kick people off the private jet so she can get home. Chip comes in and exposes himself to COVID so she can go on the like, quite literally, people do revolve around her. So it's hard to like, was it malicious or was it just selfish? But where's the line? Portia Pendleton, LCSW: I saw a really interesting TikTok with Alison Stoner. So she was a child star and so she just made this video. It's from September 1, if you want to watch it. And she kind of speaks on how in the film industry, especially starting out with in childhood, how narcissists are kind of grown, even if it's not like rightly. You're born with the trait. And so I think what we've talked about also with Succession 100% is just like how do you have developed drive, right? This internal drive that maybe separates you or you have what do you call it? Like predestined predetermined. Pre, whatever that word is. I'm not saying it predisposed to something that maybe comes out in some people, not others. I don't really see it in Daniel. Dr. Katrina Furey, MD: Right. But maybe is that why he's not so as successful? Portia Pendleton, LCSW: Because he's not so brutal? Dr. Katrina Furey, MD: That's the thing, is you have more empathy and you think about others. Portia Pendleton, LCSW: Right. Dr. Katrina Furey, MD: And so that kind of holds him back. Portia Pendleton, LCSW: Exactly. Dr. Katrina Furey, MD: Whereas Alex was thinking for herself and wanted what she wanted and was going to get it at and then she. Portia Pendleton, LCSW: Did and then she did and then she did over and over and over again doing it. And then there are her expectations. I mean, even her family we saw in season one way more, but the facade with her partner, they did that because of her career, because she asked them to. It was expected. Dr. Katrina Furey, MD: And when you're on her good side, when you're on the good side of the split, she is so charming and funny and. You feel special being in her orbit, right? Like, we see that time and time again with Chip. And I feel like that's how she keeps sucking people in to help further her own agenda, though. That's the thing. Even Bradley again, I think because Bradley hasn't done the work, she's getting sucked in in a way that they I don't even think consciously realize. But Bradley's getting sucked in, too. And in many ways, we see that Bradley's mom, although very know in terms of not being successful, not being wealthy, but is still very critical, dismissive and invalidating. Much like Alex's, when you're on her bad side, like when you try to confront or criticize or point out that she's done something wrong, quickly flips on you. But I think that's why Bradley keeps getting sucked, why all these people get sucked into her orbit and she just uses them to get what she wants. Portia Pendleton, LCSW: So what do you think? Do you think it was Bradley being sucked in? What do you think about the interview with Bradley? And, like, what was Bradley's angle? I mean, I liked it. I know a question I'm saying to me. I liked it in the fact that I don't like Maggie, really. And I don't know if that's because I'm in Alex's. I just thought as a woman, instead of being about Mitch, which I'm not saying that in the way that it dismisses, because Alex is not like, a good person, really, but the fact that she kind of lied the whole time about what the book was. And it's like, I remember when Bradley was scrolling through the pages, gets in the back, right? She see her name twice. And then Alex, it's this huge thing. She's on the COVID And I thought that was a really I liked how she challenged her on some of like, why isn't this about Mitch? This was supposed to be about all of the guys and whatever. And yes, Alex is a part of that, which she doesn't want to admit. But I did appreciate kind of the pushback on, too. Dr. Katrina Furey, MD: I did too. And I think I would imagine Alex has really hurt Maggie. She must like I feel like this was Maggie's way of calling her to the carpet. Is that a saying? Maybe we'll go with know, like, holding her accountable and being, like, exposing who she really is to the world. But I think what Bradley was saying was, like, was that your right? Portia Pendleton, LCSW: Why'd? Dr. Katrina Furey, MD: You do know, why did you do this? Especially when she came to you and begged you not to. And that is true. She did. It was interesting. Yeah, I think it was really interesting. I don't think Alex expected it at all. I don't think anyone did. And then I'm wondering, why did Bradley do it? Portia Pendleton, LCSW: Right? Dr. Katrina Furey, MD: And again, is it like. Portia Pendleton, LCSW: Corey keeps putting her in these interesting, like, of, well, you should do it because you're fair. And it's like what does that mean? Remember when he's like, can you do the interview? And she's like, well, why? I don't know. This might be difficult. And he's like, I just know that you'll be really fair. But it was a drawn out it was intentionally that we heard that moment. What does that mean? Dr. Katrina Furey, MD: And I feel like especially in season two, we see that I hate this about professional settings, when people are saying one thing but really meaning something different and you have to learn the lingo and the undertones and what's being implied. I feel like we saw that a lot with season two. So just that when he's saying fair, does he mean, don't hurt the network. Let's keep us in a good light? Is that what he really means or does he mean, you'll be fair? Portia Pendleton, LCSW: I think it's almost both. But I'm only saying it's both because I think the fact that he likes her complicates things for him. I don't think he's used to that. I don't think he knows what to do with Bradley initially. He likes her. He keeps giving her all of these things. He keeps promoting her, promoting her, promoting her. Is it because he truly right, has this almost fantasy of how amazing she is as a career woman? Or is it that love piece? Is it infatuation? Dr. Katrina Furey, MD: But then he's the one who outs her. So he also loves her, but he's hurting her. And that makes me want to know more about Corey's mom. We learned just a little bit how he was taking care of her and he's kind of taking care of Bradley in terms of giving her the job, giving her a place to stay, rising through the ranks, giving her even Laura, like sending Laura into her life. Can you please help her? Portia Pendleton, LCSW: But with her in a really weird way? Permission. I think he made it in his head, okay, for him to do that when he outed them. Because Bradley he made Bradley say, right, he set her up to be like. Dr. Katrina Furey, MD: You have to do whatever it takes to protect. Portia Pendleton, LCSW: And, like, I think I don't know, maybe Bradley would at the end of the day, if it was super black and white or she knew the outcome later on, that she'd be like, maybe she would have given permission for that. I don't know. But in his head, I think he got permission from her. And that absolves him of the guilt. Yeah, guilt. Maybe it comes out in season three, maybe. Dr. Katrina Furey, MD: Because I don't think he ever told her that it was him. Portia Pendleton, LCSW: Right. Dr. Katrina Furey, MD: I thought he was going to at the end, but then he said, I love you. And then I was like, can he not sit with the guilt of telling her this? So he says he loves her instead, right? He's fascinating. I really hope we see a lot more of his development. I really hope we see Bradley in therapy in season like, I really, really hope we do. Portia Pendleton, LCSW: I think that would be a great line of whatever, to see Alex and. Dr. Katrina Furey, MD: Bradley in therapy together, almost like couple therapy or family therapy. Portia Pendleton, LCSW: And maybe she did she would go to therapy twice. Right. Dr. Katrina Furey, MD: And she's good. That's right. Portia Pendleton, LCSW: She talks some of the external problems, like the network or the cancellation. Right. But it's not about her. It's not deeply rooted in her Psych for interest. Dr. Katrina Furey, MD: And then she'd be good. She'd be like, I'm good. Or it would be like we saw in succession with the family therapy, right. Where you can't actually go anywhere substantial or honest. Portia Pendleton, LCSW: Yeah. Dr. Katrina Furey, MD: So rewatching those episodes with Alex and Mitch and watching Mitch's death by suicide was really emotional for me. But what about for you? What did you think of all that? Portia Pendleton, LCSW: It's interesting. Bringing then in paola paula. Paula because I feel like I was just feeling many different feelings towards Mitch. At the one hand, I obviously don't like his character. I think he's like, a crappy person. Dr. Katrina Furey, MD: Really hard to see Steve Carell like this. Portia Pendleton, LCSW: Yes. Right. But 100% such a good job. Dr. Katrina Furey, MD: And he's also such a good choice because I think it automatically makes you, like, ambivalent. Portia Pendleton, LCSW: Yep. Dr. Katrina Furey, MD: Right. Portia Pendleton, LCSW: And he is right from the office like this. Like everyone loves my favorite boss. But then, obviously, this is also another character. But it's like, oh, it's a perfect character based on his other fictional characters. Dr. Katrina Furey, MD: 100%. Portia Pendleton, LCSW: Right. Dr. Katrina Furey, MD: Because he's just, like, beloved. He's funny, rodeo virgin. There hasn't been bad press about Steve Carell, as far as I know. So him being in the role, it just automatically, I think, plants that seed of ambivalence in our minds. Portia Pendleton, LCSW: Yes. So when he was in Italy and that woman kind of came up to him right. And was, like, saying those things to him, and then we know her friend is filming it. Yeah. Paula come in and kind of interject. I didn't know how to so Mitch was like, right. He's excommunicated. He's living in Italy. He's by himself again. I think at that moment, he doesn't still have self awareness. I think he has more than his mentor. I think there's lines that Mitch won't cross that mentor did, but he still, I think, is lacking self awareness or really kind of understanding. He's still trying to, I think, come back or liked again. But I was again torn with that woman kind of saying those things to me. He's like, he's here minding his business. He's a hat on. Like, he's not right. Dr. Katrina Furey, MD: Exactly. Portia Pendleton, LCSW: Clear the restaurant for me. Dr. Katrina Furey, MD: And I thought it also brought up this idea of cancel culture and that exploration in a really smart way, how, like, yeah, he's done something many things that are awful and egregious. But, yeah, he's alone. He's not doing anything egregious right then. And we're just going to provoke him in hopes of filming it, that it'll go viral for that person's. Personal gain. That was. Portia Pendleton, LCSW: I i the one thing that I liked Paola said to them was kind of just the pointing out of, like, you're doing this to post it. And I was, yeah, like, this isn't you kind of coming up and having a conversation and being like, I just feel like I need to say you whatever. Like a small thing, which, again, still is unprovoked, but whatever. I think just like, people do that, right? People do that. She would have gone viral and had her moment and that feels just a little icky. So anyway, moving through that, I think, just because I always am. So I don't think it's naive, but, like, go lucky, optimistic, never ending. But I feel like Mitch, in his way, on his path, which is not mine or other people's, was kind of exploring what he did. Dr. Katrina Furey, MD: He was I thought so, too, way more than exactly. Portia Pendleton, LCSW: Like, I think he, with time was changing, maybe with more support. I think that documentary that he did with Paolo was powerful or learning of that survivor in Italy that she was talking about or trying to film or make the documentary about. I think he was learning. And so I'm wondering if because he was it was like all of a sudden there was this guilt or like he couldn't handle the fact that he was this person who did these terrible things because he wasn't suicidal before. It was on his journey almost to changing that he took his life. Dr. Katrina Furey, MD: It was so sad. Like that scene where he swerves and then you see his hand let go. I was like, oh, it really gets him. And he shuts his eyes like he's at peace. Portia Pendleton, LCSW: Oh, so sad, portia I mean, he's a children. I don't know. I feel like he had the capacity for change and you have to want it, and he didn't want it before. I don't think he wanted to be. Dr. Katrina Furey, MD: Alone, away from everyone. COVID, like, thinking about your life, I do think I was seeing more and more capacity for reflection and introspection and ability to change, and I wasn't seeing that from Alex. To me, it was a fascinating juxtaposition of her coming out to Italy, won her letter from him, really railing on him, saying anything she could to get what she wanted. Portia Pendleton, LCSW: And then them being good and then them not being good. Dr. Katrina Furey, MD: It was like this whiplash and then them dancing and having these really tender, loving moments and then parting ways, it seemed like, on good terms. And then that happens. But then in between, I guess, then he is intimate with Paola, who he's. Portia Pendleton, LCSW: Very upset by the allegations about it being like, preying on black women. Dr. Katrina Furey, MD: Yes. Portia Pendleton, LCSW: I don't know. It was sad. It was definitely sad and unexpected for me. I did not see that coming. Dr. Katrina Furey, MD: And one thing we've talked about in some previous episodes is that humans are complicated and flawed and complex and you can be a perpetrator and a victim. Like, we talk about this a lot with children who grow up in really abusive households and then, unfortunately, become abusive as adults, but I feel like we see that with Mitch here. And again, I'm not trying to be a Mitch Apologist or anything, but he did awful bad things, and now he's being treated so and, yes, he should be held accountable and be fired and maybe arrested or charged with things like all of that. And I think this show, we see what could happen to a human soul going through that and then being just, like, piled on, piled on, piled on top of it, as he does seem to be trying to figure it out or figure out how do you move forward? Right. Portia Pendleton, LCSW: I think it's also, like, the power of cancel culture, which is what I heard you kind of saying, but not saying those specific words just now. Because I think when some things are very clear, like taking absolutely social media or any kind of presence out, it's like, okay, you do something bad, maybe you do get convicted. Like, you actually are part of the criminal justice system, and you go to jail. It's like you are then treated poorly and in this terrible system. But it's clear then it's like the world, everyone hates you. They are death threats, making things about your kids. It's so interesting to hear people talk about cancel culture or being canceled because everybody says it's, like, the worst thing, because it's so unique. I don't know. It feels nuanced. I know it's not super new at this point, but it's just this weird thing. Dr. Katrina Furey, MD: And I think, too, with social media, I feel like that has to add to it. It's not just like you're being canceled at your place of work, in your immediate family, or even in America. He was canceled internationally, and again, in some ways, he deserves it. 100 million%. And then all the piling on at the same time. You just think about that is a human at the end of the day, too? And this is really tricky. I feel like this is really hard for everyone, humans, me to wrap my head around. The show just does such a good job portraying really difficult topics. And as we wrap up, I do want to make sure we talk about Bradley and Hal. What did you think of this? Portia Pendleton, LCSW: I thought it was was because I was so moved and I was so angry at him when he know, I'll make it really simple. He's describing how their mom has impacted him right. By being threatening, manipulative, all of these things. And he does it exactly to Bradley, like, within the same sentence. And it's just like I was speechless at how well they got it. Right. Dr. Katrina Furey, MD: I know. Portia Pendleton, LCSW: And then Bradley, the guilt tripping, the threatening, the putting it it's on you. My substance use is on you. Showing up and hurt me. Job horrible. Dr. Katrina Furey, MD: All of it. You can just see how much she is struggling with wanting to help and support him. Especially now that she has so much money, like more money than they ever had and she can't help him. But then being totally like, what are you doing? Like, why are you showing up here? Are you using? She looks through his bag and then he notices. But then it's like, of course she right. And it's just they perfectly demonstrated that dance. And that scene when she's dropping him off at rehab and trying to set those boundaries like Laura was encouraging her to, was heartbreaking. But I felt like if I was her therapist, I would say you have to set boundaries. Portia Pendleton, LCSW: I would have been very proud of her for how she was when she dropped him off. I can't do this for you. This is your decision. Go in or go out. I can't make you sober. And then sucked back in again later on. Dr. Katrina Furey, MD: But Manipulatively leaves all the money and disappears again. It's like just like Alex disappearing with her back and not answering anyone's calls. It is such a primitive way of getting someone's attention, right? By scaring them, being like, oh, you don't want anything to do with me? Well then look what's going to happen. And it totally worked. Portia Pendleton, LCSW: And it's so hard to not be impacted by that. People do it 1000 times over and over again. Sometimes they never stop and sometimes they do, but it just breaks you as a person and having to do that over and over and over again. Dr. Katrina Furey, MD: You really need help navigating that. And that's where support groups, even like Alanon, your own individual therapy can help with that. I don't think there was any way for Bradley to stick with her boundaries in that situation. I thought her reaction was really accurate and human and you just saw all the desperation and remorse and guilt and everything that she was feeling. And I feel like, unfortunately, people who love someone affected by substance use will totally relate to that. Portia Pendleton, LCSW: And the people who know in a relationship like Laura with Bradley, because I think that can oftentimes alienate the person like Bradley even more. Because as things are happening, as Hal is pushing Bradley and kind of like making her unwell, there's the people around Bradley like Laura, who then even more so will start to be know, you really can't do this anymore. You really need to set a boundary. And sometimes that know, break a relationship, right? And so then it's like, then you're more know, you're without more it's so it seems know, okay, it's just between Bradley and it just the spider web goes out so far with how substance abuse impacts families. Dr. Katrina Furey, MD: That's what we always say, right? It's a disease of the family. It affects everyone. Which I guess you could say about most mental health conditions. But we really see it with substance use. And it was just what a portrayal. And I mean, so expertly done and so heart wrenching. I was so glad she did finally find him, but I'm really worried they're both going to get COVID now. Or I was like, Bradley, what if you have COVID and you're running in exposing all these other people? And it's just like the chaos, right? Portia Pendleton, LCSW: And it's still so at the beginning. So they hadn't shut down, no visitors yet. It's within all the chaos of her own life. And then it's like you're seeing which we love, the parallels of all the chaos that now the world is being pushed into. Dr. Katrina Furey, MD: So where do you hope season three goes? Portia Pendleton, LCSW: I'm sure there'll be at least a couple episodes, right, with them working from home. And I'm curious how that is. But then I'm wondering where season three ends. I know I'm getting way ahead of myself, but because will Cobra be, quote unquote, over? Are they back into the office? Does anyone die? Are Corey and who does Bradley end up with? Is anyone fired? Is Alex ever able to gain anything? Does she keep doing her? Dr. Katrina Furey, MD: No, I don't have any hope for her. I'm sorry. Portia Pendleton, LCSW: I think it's interesting because the show, or maybe not the writers, but the producers or the directors in an interview had talked about how they really wanted to give Alex her redemption at the end of season two. And I feel like maybe a person without mental health background would think she did. Dr. Katrina Furey, MD: Were you watching, like, the stay tuned for the show? I did watch that for a couple of episodes, including the last one, and I think they touched on, like they were trying to say, like, Alex is human. And I'm like, yeah, and really far on the narcissistic spectrum, like, really lacking empathy and ability to appreciate how our actions affect others. So I just don't think that's going to magically develop. Portia Pendleton, LCSW: Yeah. And if it does, I don't know. I think the writers, like we've talked about a million times, are wonderful and have they must have mental health experts they have to, helping them develop these characters. Dr. Katrina Furey, MD: If you want some more, you can find us at Analyze Scripts podcast. Portia Pendleton, LCSW: Exactly. So please reach out to us anywhere. You can find us on Instagram or TikTok at Analyze Groups podcast or check out our website. You can also email us if you'd like to get in touch with us on a more of a professional level. But stay tuned for more of our episodes and check out the ones that we have back in the feed. There's a lot. Dr. Katrina Furey, MD: There's a lot. All right, thanks for listening and we'll see you again next Monday. Portia Pendleton, LCSW: Bye bye. Dr. Katrina Furey, MD: This podcast and its contents are a copyright of analyzed scripts, all rights reserved. Any redistribution or reproduction of part or all of the contents in any form is prohibited. Dr. Katrina Furey, MD: Unless you want to share it with your friends and rate review and subscribe, that's fine. Dr. Katrina Furey, MD: All stories and characters discussed are fictional in nature. No identification with actual persons, living or deceased places, buildings or products is intended or should be inferred. This podcast is for entertainment purposes only. The podcast and its contents do not constitute professional mental health or medical advice. Listeners might consider consulting a mental health provider if they need assistance with any mental health problems or concerns. As always, please call 911 or go directly to your nearest emergency room for any psychiatric emergencies. Thanks for listening and see you next time.

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Often, when discussing hypomania in bipolar disorder, it is described as “just like mania, but not as severe.” To the uneducated populace, this creates the idea that hypomania is not as serious and, for all practical purposes, is basically “mania light.” But is that accurate? Is hypomania simply a lesser form of mania? Or are mania and hypomania two distinct symptoms that need to be treated in unique ways? Join us as Dr. Nicole gives us all the medical info and Gabe shares how well-meaning bipolar advocates — like him — contribute to the confusion. To learn more -- or read the transcript -- please visit the episode page. Our hosts, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. He is also the host of Healthline Media's Inside Mental Health podcast available on your favorite podcast player. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

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In this SOLO episode mental illness activist, Shaley Hoogendoorn shares what its like to have the hypomanic "switch" in Spring and leading into Summer. She talks through about the big shift from the winter depressive period to her hypomanic high she is currently coping with. This episode shares the really hard parts of living with bipolar disorder. Shaley's story is not entirely unique and she hopes that others that live with bipolar episode will feel seen, understood and less alone. Her greatest hope is that she could gives insight into the messy middle of living with a mood disorder and share her coping strategies and tools. IG @this.is.bipolar TIkTok @this.is.bipolar Your Hostess with the mostest: Shaley Hoogendoorn is a speaker, vlogger and mental health advocate who aims to dismantle the stigma around mental health and create a safe community for those that struggle. She lives with bipolar ll, and is passionate about educating and empowering others about mental health disorders. She has contributed to publications for Sanctuary Ministries, Psych Central and BPHope magazine. She hosted a series interviewing women living with mental illnesses at SheLoves Magazine in a series named: Sisters in Mental Illness. Shaley is a content creator currently co-hosts “This is Bipolar” vlog and podcast. Shaley is also an elementary school teacher and an event planner. If you enjoyed this episode or if this podcast means something to you please hit follow or subscribe button. If you really loved it, would you consider making a small donation to further support the work of 'this is bipolar'. I am forever grateful that I get to do this bipolar advocacy work.  

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Are you or a loved one struggling with bipolar disorder? Or worried about mood swings and periods of depression? This episode could change your life.  Join Jennifer Reid, MD as she interviews nationally recognized Bipolar Disorder expert, Dr. Claudia Baldassano, MD, about her frequent conversations with patients, volunteering her practical tips and message of hope.  We discuss:1) Dr. B's approach for guiding young patients through a first diagnosis2) Her recommendations re: alcohol and marijuana 3) A message of hope and support for individuals and family members living with bipolar disorderSeeking answers for you or your loved one?  Dr. Baldassano sees individuals from all over the country for a comprehensive, state-of-the-art consultation at the  University of Pennsylvania Mood Disorders Treatment Program. References from Episode:Depression and Bipolar Support Alliance (DBSA)National Alliance on Mental Illness (NAMI)The Bipolar Disorder Survival Guide by Dr. David MiklowitzDr. Claudia Baldassano is an Assistant Professor of Psychiatry at the University of Pennsylvania. She completed her residency training in both Neurology and Psychiatry at the Massachusetts General Hospital and fellowship at the Harvard Bipolar Program before joining Penn in 2000.  She is also the recipient of numerous teaching awards including The Robert Dunning Dripps Memorial Award for Excellence in Graduate Medical Education. ______________________Seeking a mental health provider? Try Psychology TodayNational Suicide Prevention Lifeline: 1-800-273-8255SAMHSA's National Helpline - 1-800-662-HELP (4357)Dial 988 for Mental Health EmergencyThank you to Brendan Callahan for the original music featured on the podcast.Disclaimer:The information and other content provided on this podcast or in any linked materials, are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only.If you or any other person has a medical concern, you should consult with your health care provider or seek other professional medical treatment. Never disregard professional medical advice or delay in seeking it because of something that have read on this website, blog or in any linked materials. If you think you may have a medical emergency, call your doctor or emergency services (911) immediately. You can also access the National Suicide Help Line at 1-800-The Reflective DocThe Reflective DocWebsite - Instagram - Facebook - Linked In - Twitter - Think Like a Shrink Blog on Psychology Today

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My guest this episode is Chris Palmer, M.D., a board-certified psychiatrist and assistant professor of psychiatry at Harvard Medical School. He explains the important connection between nutrition, metabolism and mental health and his pioneering work using the ketogenic diet to successfully treat patients with various mental illnesses, including depression and schizophrenia. Dr. Palmer explains how the ketogenic diet is an evidenced-based treatment for epilepsy, mimics the fasted state and can offset the cognitive decline in Alzheimer's. He describes the key roles of mitochondria in mental health, how certain conditions likely arise from mitochondrial dysfunction, and how low-carbohydrate diets increase mitochondrial turnover to improve mental health. He also explains how low-carbohydrate diets positively impact the gut microbiome and weight loss, important risk factors for mitochondrial health such as marijuana and alcohol, and the best way to increase circulating ketones depending on individual needs. We also cover how a ketogenic diet impacts mood, sleep, and fertility. Dr. Palmer's work stands as a revolutionary approach to mental health and disease that, given the prevalence of mental health challenges, should be of interest to people of all backgrounds and ages. Thank you to our sponsors AG1 (Athletic Greens): https://athleticgreens.com/huberman Thesis: https://takethesis.com/huberman Eight Sleep: https://www.eightsleep.com/huberman ROKA: https://www.roka.com/huberman InsideTracker: https://www.insidetracker.com/huberman Supplements from Momentous https://www.livemomentous.com/huberman For the full show notes, visit hubermanlab.com Timestamps (00:00:00) Dr. Chris Palmer, Mental Health & Metabolic Disorders (00:03:25) Thesis, Eight Sleep, ROKA (00:07:18) Nutrition & Mental Health (00:20:43) Low-Carb Diets & Anti-Depression, Fasting, Ketosis (00:27:52) Schizophrenia, Depression & Ketogenic Diet (00:34:32) AG1 (Athletic Greens) (00:35:38) Psychiatric Mediations, Diet Adherence (00:42:35) Highly Processed Foods, Ketones & Mental Health Benefits (00:46:51) Ketogenic Diet & Epilepsy Treatment (00:56:10) Ketogenic Diet & Mitochondria Health (00:57:05) Nutrition & Benefits for Neurologic/Psychiatric Disorders (01:05:44) Mitochondrial Function & Mental Health (01:15:12) InsideTracker (01:16:23) Mitophagy, Mitochondrial Dysfunction, Aging & Diet (01:25:09) Neurons, Mitochondria & Blood Glucose (01:31:54) Obesity, Ketogenic Diet & Mitochondria (01:40:00) Mitochondrial Function: Inheritance, Risk Factors, Marijuana  (01:46:34) Alcohol & Ketogenic Diet (01:55:21) Brain Imaging, Alzheimer's Disease & Ketones (02:01:05) Exogenous (Liquid) Ketones vs. Ketogenic Diet (02:06:27) Neuronal Damage, Ketones & Glucose  (02:10:16) Alzheimer's Disease, Age-Related Cognitive Decline & Ketogenic Diet (02:23:45) Ketogenic Diet & Weight Loss (02:35:47) Ketogenic Diet & Fasting, Hypomania, Sleep (02:46:37) Low Carbohydrate Diets, Menstrual Cycles, Fertility (02:52:23) Obesity Epidemic, Semaglutide & GLP-1 Medications  (03:01:01) Zero-Cost Support, YouTube Feedback, Spotify & Apple Reviews, Sponsors, Momentous Supplements, Neural Network Newsletter, Social Media Disclaimer Title Card Photo Credit: Mike Blabac

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