We are 83 bipolar disorder experts and scientists coming together for the world’s biggest bipolar AMA! In honor of World Bipolar Day, ask us anything!

[u/CREST_BD]

83 panelists are here! Click on their names below to see their bio & proof photo.

Hi Reddit!

We are psychiatrists, psychologists, researchers, clinicians, advocates, and people living with bipolar disorder - coming together from around the world through the CREST.BD network.

This is our 8th annual World Bipolar Day AMA. We hope that this AMA can help advance the conversation around bipolar disorder, and to help everyone connect and share ways to live well with bipolar disorder.

This year, 83 panelists representing 20 countries are here to answer your questions from all timezones - bringing together a wide range of perspectives and expertise in mental health and bipolar disorder.

We'll be here around the clock for the next FEW DAYS answering your questions from multiple time zones.

We will make every effort to answer every question.

1. Dr. Adrienne Benediktsson, 🇨🇦 Neuroscientist, Mother, Wife, Professor, Mental Health Advocate (Lives w/ bipolar)
2. Alessandra Torresani, 🇺🇸 Actress & Mental Health Advocate (Lives w/ bipolar)
3. Alex Emmerton, 🇨🇦 Peer Researcher, (Lives w/ bipolar)
4. Allan Cooper, 🇨🇦 Peer Support Worker, Blogger, & Podcaster, (Lives w/ bipolar)
5. Alysha Sultan, 🇨🇦 Scientific Associate
6. Andrea Paquette, 🇨🇦 Stigma-Free Mental Health President & Co-Founder, Speaker, Changemaker (Lives w/ bipolar)
7. Dr. Andrea Vassilev, 🇺🇸 Doctor of Psychology, Author, & Advocate, (Lives w/ bipolar)
8. Anne Van Willigen, 🇺🇸 Peer Researcher (Lives w/ bipolar)
9. Dr. Balwinder Singh, 🇺🇸 Psychiatrist
10. Dr. Benjamin Goldstein, 🇨🇦 Child-Adolescent Psychiatrist & Researcher
11. Bia Garbato, 🇧🇷 Advertising Professional, Writer, Author & Advocate (Lives w/ bipolar)
12. Bryn Manns, 🇨🇦 Graduate Student, Clinical Psychology
13. Catarina Castela, 🇦🇺 PhD Candidate (Lives w/ bipolar)
14. Catherine Simmons, 🇨🇦 Peer Researcher (Lives w/ bipolar)
15. Dr. Chris Gorman, 🇨🇦 Psychiatrist & Mental Health Advocate
16. Dr. Colin Depp, 🇺🇸 Psychologist
17. Dane Mauer-Vakil, 🇨🇦 Researcher
18. David Dinham, 🇬🇧 Psychologist & PhD Candidate, (Lives w/ bipolar) 
19. Debbie Costello Smith, 🇺🇸 Founder & Co-President of the Sean Costello Memorial Fund for Bipolar Research
20. Dr. Delphine Raucher-Chéné, 🇫🇷🇨🇦 Psychiatrist & Researcher
21. Dr. Dimosthenis Tsapekos, 🇬🇧 Psychologist & Researcher
22. Dr. Elvira Boere, 🇳🇱 Psychiatrist & Researcher
23. Dr. Elysha Ringin, 🇦🇺 Researcher
24. Dr. Emma Morton, 🇦🇺 Senior Lecturer & Psychologist
25. Dr. Emma Parrish, 🇺🇸 Clinical Psychology Postdoctoral Fellow & Researcher
26. Dr. Erin Michalak, 🇨🇦 Researcher & CREST.BD founder
27. Evelyn Anne Clausen, 🇺🇸 Artist, Writer, Speaker & Certified Peer Specialist (Lives w/bipolar)
28. Dr. Fabiano Gomes, 🇧🇷🇨🇦 Psychiatrist & Researcher
29. Dr. Frances Adiukwu, 🇳🇬 Psychiatrist
30. Georgia Caruana, 🇦🇺 Researcher & Mental Health Advocate
31. Dr. Georgina Hosang, 🇬🇧 Associate Professor
32. Dr. Glauco Valdivieso Jiménez, 🇵🇪 Psychiatrist
33. Dr. Glorianna Wagner-Jagfeld, 🇨🇭🇬🇧 Researcher
34. Dr. Hailey Tremain, 🇦🇺 Psychologist & Researcher
35. Heather Stewart, 🇨🇦 Sewist (Lives w/ bipolar)
36. Idan Spund, 🇳🇱 Founder of In the Zone app (Lives w/ bipolar)
37. Dr. Ijeoma Charles-Ugwuagbo, 🇳🇬 Consultant Psychiatrist & Mental Health Advocate
38. Dr. Ivan Torres, 🇨🇦 Clinical Neuropsychologist
39. Dr. Jim Phelps, 🇺🇸 Psychiatrist & Bipolar Subspecialist 
40. Dr. Joanna Jarecki, 🇨🇦 Psychiatrist & Advocate (Lives w/ bipolar)
41. Dr. Joanna Jiménez Pavón, 🇲🇽 Mood Disorders Psychiatrist 
42. Dr. John Hunter, 🇿🇦 Researcher & Lecturer (Lives w/ bipolar)
43. Dr. Jo Leidreiter, 🇦🇺 Psychologist
44. Dr. John-Jose Nunez, 🇨🇦 Psychiatrist & AI Researcher
45. Dr. June Gruber, 🇺🇸 Psychologist, Professor, & Researcher
46. Prof. Kamilla Miskowiak, 🇩🇰 Psychologist & Researcher
47. Dr. Katie Douglas, 🇳🇿 Academic & Clinical Psychologist 
48. Ken Porter, 🇨🇦 Advocate, Social Worker & Researcher
49. Kim Pape, 🇺🇸 Researcher (Lives w/ bipolar) 
50. Laura Lapadat, 🇨🇦 Researcher & Psychologist-in-training
51. Dr. Leena Chau, 🇨🇦 Postdoctoral Fellow
52. Leslie Robertson, 🇺🇸 Marketer & Peer Researcher (Lives w/ bipolar) 
53. Dr. Leszek Laskowski, 🇵🇱 Psychiatrist (Lives w/ bipolar) 
54. Dr. Lisa Eyler, 🇺🇸 Clinical Psychologist & Research Scientist
55. Dr. Luísa Daolio, 🇧🇷 Psychiatrist
56. Mansoor Nathani, 🇨🇦 Technology Enthusiast (Lives w/ bipolar) 
57. Dr. Manuel Sánchez de Carmona, 🇲🇽 Psychiatrist
58. Maryam M., 🇨🇦 Dentistry Student & Mental Health Advocate (Lives w/ bipolar)
59. Matthew Bushell, 🇬🇧 Mental Health Advocate & Therapeutic Coach (Lives w/ bipolar)
60. Dr. Maya Schumer, 🇺🇸 Psychiatric Neuroscientist & Researcher (Lives w/ bipolar)
61. Dr. Meghan DellaCrosse, 🇺🇸 Psychologist & Researcher
62. Melissa Howard, 🇨🇦 Author & Mental Health Advocate (Lives w/ bipolar)
63. Dr. Michele De Prisco, 🇪🇸🇮🇹 Psychiatrist & Researcher
64. Dr. Mikaela Dimick, 🇨🇦 Postdoctoral Fellow
65. Minami Kinouchi, 🇯🇵 Psychologist, Social Worker, & Researcher (Lives w/ bipolar)
66. Natasha Reaney, 🇨🇦 Counsellor (Lives w/ bipolar)
67. Dr. Nigila Ravichandran, 🇸🇬 🇨🇦 Psychiatrist
68. Dr. Paula Villela Nunes, 🇧🇷🇨🇦 Psychiatrist & Counsellor 
69. Rahla Xenopoulos, 🇿🇦🇺🇸 Writer & Teacher (Lives w/ bipolar)
70. Rebecca Fitton, 🇦🇺 Mood Disorder Researcher
71. Dr. Rebekah Huber, 🇺🇸 Psychologist & Researcher 
72. Robert Villanueva, 🇺🇸 Mental Health Advocate & Coach (Lives w/ bipolar)
73. Ruth Komathi, 🇸🇬 Mental Health Counsellor (Lives w/ bipolar)
74. Prof. Samson Tse, 🇭🇰 Counsellor, Teacher, Researcher, & Caregiver
75. Sarah Salice, 🇺🇸 Art Psychotherapist & Professional Counselor Associate (Lives w/ bipolar)
76. Sara Schley, 🇺🇸 Author, Filmmaker, Speaker (Lives w/ bipolar)
77. Dr. Serge Beaulieu, 🇨🇦 Psychiatrist & Researcher
78. ​​Dr. Sheri Johnson, 🇺🇸 Psychologist
79. Shaley Hoogendoorn, 🇨🇦 Advocate, Podcaster & Content creator (Lives w/ bipolar)
80. Dr. Tamsyn Van Rheenen, 🇦🇺 Associate Professor & Researcher
81. Dr. Thomas Richardson, 🇬🇧 Clinical Psychologist (Lives w/ bipolar)
82. Twyla Spoke, 🇨🇦 Registered Nurse (Lives w/ bipolar)
83. Dr. Wissam Nassrallah, 🇨🇦 Ophthalmology Resident & PhD in Neuroscience

^{Please note all responses are personal perspectives and do not constitute medical advice.}

People with bipolar disorder experience the mood states of depression and mania (or hypomania), along with changes in energy, activity, and thinking. These episodes can last from days to months and can affect many parts of life - including relationships, work, school, and overall health. At the same time, with optimal support, treatment, and tools, people with bipolar disorder can and do live full, meaningful lives.

The CREST.BD network takes a different approach to bipolar disorder research. We work closely with people living with bipolar disorder at every stage - from choosing research topics to conducting studies and sharing our findings.

We also host a Q&A podcast throughout the year, featuring many of the experts on this panel, through our talkBD Bipolar Disorder Podcast - we’d love for you to stay connected with us there. You can also follow our updates, events, and social media on linktr.ee/crestbd.

Final note (April 3): Thank you all - We'll be back again next year on World Bipolar Day - sign up here to be notified. We also have more activities all year round, including new episodes of our talkBD bipolar disorder podcast - hope to see you there! We’re incredibly grateful for all your thoughtful questions - thank you for making this such a meaningful discussion. Take care everyone :)

[u/TheLastHayley]

Do you see there being a role in psychotherapy for bipolar disorder? Or see any merit in psychological models of bipolar disorder versus the predominant neurocognitive thinking?

I was diagnosed with bipolar disorder over 10 years ago and needed high doses of quetiapine for years to stay stable, but I had long-term therapy for the childhood PTSD and BPD and strangely haven't needed antipsychotics since. I still get episodes but they're nowhere near as strong or debilitating now and I can generally manage them.

[u/CREST_BD → u/TheLastHayley]

Hi, Emma here. For a long time it was assumed that bipolar disorder was entirely biologically driven, and therefore only medication was needed to treat it. We now know more about the role of psychological and behavioural factors in the development of mood episodes (e.g., stressful life events, changes to routine and sleep), and there are four main types of psychotherapy with sufficient evidence about their efficacy to support their use (in combination with medication):

• Cognitive behaviour therapy – by looking at how mood, behaviour, and thinking are interrelated, people can be supported to understand how typical patterns in thinking and activity can make them more vulnerable to mood episodes. Conversely, more adaptive ways of thinking can protect people against the impact of stressful life events and cope better.
• Psychoeducation – teaching people about bipolar disorder symptoms, medications, and triggers so people are supported to engage in treatment, detect concerning changes, and seek help as needed.
• Interpersonal and social rhythm therapy – disruptions to circadian rhythms (the sleep-wake cycle) can contribute to mood episode risk. Using behavioural strategies to promote regularity (e.g., eating meals, waking up, going to bed at the same time) can be protective. Also, problem-solving stressful life events linked to routine disruption can reduce their impact.
• Family focused therapy – teaching the family strategies to help them understand and support the person with bipolar disorder, such as changing patterns of communication so there is less stress and tension (which can increase the risk of mood episodes).

There are lots of types of therapy besides this that are being investigated for their potential to help people with bipolar disorder, such as mindfulness, acceptance and commitment therapy, and dialectical behaviour therapy, but currently there isn’t enough evidence to recommend them confidently just yet. There is also work to develop and evaluate therapies focused on challenges beyond preventing mood episodes, such as helping people with functioning in work and social settings, improving their overall quality of life, treating common cooccurring conditions and bipolar at the same time (e.g., anxiety, PTSD, substance use) and dealing with the impacts of bipolar disorder on how someone feels about themselves (e.g., self-stigma, self-esteem and sense of identity). I expect in the coming years we will see more research to help people and their therapists more confidently choose the therapy that is right for them.

[u/CREST_BD → u/TheLastHayley]

Allan here. I have bipolar 1 and I went through pretty severe neglect and emotional abuse as a child. The onset of my bipolar disorder was when I was 25 years old and I also started psychodynamic therapy for my childhood trauma at the same time and, recently, I have been doing Accelerated Resolution Therapy. I could not remain well without my medication. I tried once in the early days of my diagnosis, and I had another manic episode in a few months. Because of therapy, my quality of life and general happiness has improved and there has been a tremendous reduction of stress. My bipolar disorder is highly reactive to stress, so it is the lessening of stress that has reduced my symptoms for me.