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Dr. Kirk Honda and Bob Goettle talk about psychopathic bosses, Kirk's panic attacks, people who deny mental illness, and how to deal with siblings with bipolar.


The Psychology In Seattle Podcast. 


Feb 25, 2019.


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Music by Bread Knife Incident.  


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Anonymous

I have a professor who gives out articles by Thomas Szaz. I can't tell if he wants us to be aware that the deniers are out there or if he is secretly sort of one too, even though he's teaching in a CMHC masters program.

Anonymous

I just listened to this episode and found the bit about bipolar people not being people you can depend on very hurtful and (hopefully) inaccurate. I have bipolar 1, take my medication and attend therapy on a regular basis. My family and friends can depend on me.

Anonymous

I think Dr. Kirk was detailing what he experienced personally with the person close to him that was diagnosed with bipolar disorder. Because he is a psychiatric professional, a lot of the people reaching out to him will be much closer to the side of crisis than the side of recovery. I agree that it came off in a pessimistic way, and I wonder what his thoughts on it would be now that a few years have passed. It can be hard to display optimism as a medical professional, because they see what happens in the worst cases, but optimism is still so important for patients and us as listeners to hear because they are some of our key support figures that help us believe that recovery is possible. On another side of the coin, in my own life I have known successful and dependable people with bipolar I, even with psychotic features. I'm talking about professors & people with high octane careers. People who are that functional are often very particular about who they disclose to, because of the intense negative stigma they face. However, some of them do disclose to trusted work supervisors or HR if they feel safe at their company and they can be accommodated if they have an episode. These people tend to have larger support networks that work together to help them. Their stories are less likely to include a bunch of family and friends that backed off or exited their life after they got diagnosed. People need people. People who are given up on are much more likely to give up on themselves. People with support are going to be more likely to stay medicated and/or continue to search for better medications for themselves, and have robustly developed crisis plans. With enough support people can have an opportunity to flourish. Our society doesn't really often provide competent support to people with mood disorders, much less disorders on the psychosis spectrum. Go to a bipolar support group and you will be exposed to a lot of different people with different life paths they have taken, and supports that have actually been of use to them. Many of these people are kind, and do help others. Everyone is at a different stage in their own recovery, and some are less able to help themselves than others. Bipolar, schizophrenia, or schizoaffective are not diseases that erase your humanity or use to the human race. It makes sense that people's affect changes after diagnosis. The diagnosis often comes during/after a period of immense trauma. It may be the most traumatic time of their entire life. The diagnosis is heavily stigmatized by society. You have to come to terms with the fact that something cyclical happens to you that is not your fault. There are so many things to worry about now that you never had to before, not even counting medication. The fact that the diagnosis is relatively rare, so you may feel like others won't understand you, or listen to you with empathy. You might worry that people will be afraid of you because of the diagnosis, even though you know that you are a kind person. You might worry you can never have a normal life now. There can be a lot of fear. It's hard to feel like you are an island. There is a lot of trauma that needs to be addressed. We can all be helped by experiencing empathy, support, and examples of people who have experienced successes, even in small ways, so that those who are struggling can have a road map into living a safer, kinder, more stable and secure life. Thank you for taking the time to touch on some of these more serious disorders Dr. Kirk, really glad they help to get some of these discussions started.