Internationally renowned bipolar disorder expert Dr. Trisha Suppes unravels the latest science in bipolar disorder treatment by breaking down the proven and cutting-edge treatments available today - exploring traditional solutions such as Lithium and mood stabilizers alongside exciting new options like psilocybin, ketamine, and the Ketogenic diet. Dr. Suppes also navigates the complexities of mania and tackles the perennial question: is lifelong medication necessary to live well with bipolar disorder?
(00:00) About Dr. Suppes
Medication Treatments
(03:00) Is Lithium the Gold Standard?
(05:22) Atypical Antipsychotics
(07:22) Dangers of Antidepressants?
(09:17) Medications Lose Strength?
Non-medication Treatments
(10:47) Psychotherapy
(12:54) Ketogenic Diet & Nutrition
(13:28) Cannabis
(14:20) Ketamine
Brain Stimulation Therapies
(15:18) rTMS (Transcranial Magnetic Stimulation)
(16:01) VNS (Vagus Nerve Stimulation)
(17:07) ECT (Electroconvulsive Therapy)
Bipolar Disorder is Complex
(18:52) Insight & Denying Bipolar Disorder
(22:45) Bipolar I: Need Meds Forever?
(23:44) Bipolar II: Need Meds Forever?
(26:22) Hypomania Causes Misdiagnosis
(28:16) Mixed States
Psychedelics
(29:28) Psilocybin & Magic Mushrooms
(32:33) Microdosing & LSD
(34:02) MDMA
Closing
(35:41) Keeping You "A Little Depressed"
(37:55) Why Recovery Is Possible
(39:06) Reflecting on Research Impact
Dr. Trisha Suppes, M.D., Ph.D., is a distinguished expert on the biology and treatment of bipolar disorder, and mood disorders generally. Dr. Suppes is the Director of Exploratory Therapeutics and Professor at Stanford University in the School of Medicine. At the VA Palo Alto Health Care System, she is Director of the CSP NODES and is the Founder of the Bipolar and Depression Research Program. Her areas of expertise include long-term treatment strategies for bipolar disorder, identification and treatment of bipolar II disorder, treatment of those with bipolar disorders and co-morbid conditions and use of complementary medicine. She has recently launched a new initiative to explore the use of psychedelics for mood disorders and PTSD in Veterans. Dr. Suppes has been integrally involved in numerous initiatives to improve evidence-based treatment for bipolar disorders. Dr. Suppes participated as a member of the DSM-5 Mood Disorders committee on updating the APA DSM-5 criteria for Mood Disorders and was chair of the APA DSM-5 Bipolar Disorder subcommittee. She was the past President of the International Society of Bipolar Disorders (ISBD).
Treatments Referenced 💊
Lithium, Lamotrigine, Clozapine, Depakote/Valproic Acid, Fluoxetine, Quetiapine, SSRIs, Mood Stabilizers, Antipsychotics, Psychotherapy, Psychoeducation, Interpersonal and Social Rhythm Therapy (IPSRT), Keto Diet, Marijuana, Ketamine, Neurostimulation, Repetitive Transcranial Magnetic Stimulation, Vagus Nerve Stimulation Therapy, Electroconvulsive Therapy, Psilocybin, Psilocin, Microdosing, LSD, MDMA
Learn more and share this episode: https://talkbd.live/bipolar-disorder-treatments
Special thanks: Eileen Grace Fischer and Mary Miller. This episode is hosted by Dr. Erin Michalak and produced by Caden Poh.
#talkBD Bipolar Disorder Podcast talkBD gathers researchers, people with lived experience, healthcare providers, and top bipolar disorder experts from around the world to discuss and answer the most important questions about living with bipolar disorder. Learn more about talkBD: https://talkBD.live
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