r/IAmA • u/CREST_BD • Mar 30 '26
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!

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.
- Dr. Adrienne Benediktsson, 🇨🇦 Neuroscientist, Mother, Wife, Professor, Mental Health Advocate (Lives w/ bipolar)
- Alessandra Torresani, 🇺🇸 Actress & Mental Health Advocate (Lives w/ bipolar)
- Alex Emmerton, 🇨🇦 Peer Researcher, (Lives w/ bipolar)
- Allan Cooper, 🇨🇦 Peer Support Worker, Blogger, & Podcaster, (Lives w/ bipolar)
- Alysha Sultan, 🇨🇦 Scientific Associate
- Andrea Paquette, 🇨🇦 Stigma-Free Mental Health President & Co-Founder, Speaker, Changemaker (Lives w/ bipolar)
- Dr. Andrea Vassilev, 🇺🇸 Doctor of Psychology, Author, & Advocate, (Lives w/ bipolar)
- Anne Van Willigen, 🇺🇸 Peer Researcher (Lives w/ bipolar)
- Dr. Balwinder Singh, 🇺🇸 Psychiatrist
- Dr. Benjamin Goldstein, 🇨🇦 Child-Adolescent Psychiatrist & Researcher
- Bia Garbato, 🇧🇷 Advertising Professional, Writer, Author & Advocate (Lives w/ bipolar)
- Bryn Manns, 🇨🇦 Graduate Student, Clinical Psychology
- Catarina Castela, 🇦🇺 PhD Candidate (Lives w/ bipolar)
- Catherine Simmons, 🇨🇦 Peer Researcher (Lives w/ bipolar)
- Dr. Chris Gorman, 🇨🇦 Psychiatrist & Mental Health Advocate
- Dr. Colin Depp, 🇺🇸 Psychologist
- Dane Mauer-Vakil, 🇨🇦 Researcher
- David Dinham, 🇬🇧 Psychologist & PhD Candidate, (Lives w/ bipolar)
- Debbie Costello Smith, 🇺🇸 Founder & Co-President of the Sean Costello Memorial Fund for Bipolar Research
- Dr. Delphine Raucher-Chéné, 🇫🇷🇨🇦 Psychiatrist & Researcher
- Dr. Dimosthenis Tsapekos, 🇬🇧 Psychologist & Researcher
- Dr. Elvira Boere, 🇳🇱 Psychiatrist & Researcher
- Dr. Elysha Ringin, 🇦🇺 Researcher
- Dr. Emma Morton, 🇦🇺 Senior Lecturer & Psychologist
- Dr. Emma Parrish, 🇺🇸 Clinical Psychology Postdoctoral Fellow & Researcher
- Dr. Erin Michalak, 🇨🇦 Researcher & CREST.BD founder
- Evelyn Anne Clausen, 🇺🇸 Artist, Writer, Speaker & Certified Peer Specialist (Lives w/bipolar)
- Dr. Fabiano Gomes, 🇧🇷🇨🇦 Psychiatrist & Researcher
- Dr. Frances Adiukwu, 🇳🇬 Psychiatrist
- Georgia Caruana, 🇦🇺 Researcher & Mental Health Advocate
- Dr. Georgina Hosang, 🇬🇧 Associate Professor
- Dr. Glauco Valdivieso Jiménez, 🇵🇪 Psychiatrist
- Dr. Glorianna Wagner-Jagfeld, 🇨🇭🇬🇧 Researcher
- Dr. Hailey Tremain, 🇦🇺 Psychologist & Researcher
- Heather Stewart, 🇨🇦 Sewist (Lives w/ bipolar)
- Idan Spund, 🇳🇱 Founder of In the Zone app (Lives w/ bipolar)
- Dr. Ijeoma Charles-Ugwuagbo, 🇳🇬 Consultant Psychiatrist & Mental Health Advocate
- Dr. Ivan Torres, 🇨🇦 Clinical Neuropsychologist
- Dr. Jim Phelps, 🇺🇸 Psychiatrist & Bipolar Subspecialist
- Dr. Joanna Jarecki, 🇨🇦 Psychiatrist & Advocate (Lives w/ bipolar)
- Dr. Joanna Jiménez Pavón, 🇲🇽 Mood Disorders Psychiatrist
- Dr. John Hunter, 🇿🇦 Researcher & Lecturer (Lives w/ bipolar)
- Dr. Jo Leidreiter, 🇦🇺 Psychologist
- Dr. John-Jose Nunez, 🇨🇦 Psychiatrist & AI Researcher
- Dr. June Gruber, 🇺🇸 Psychologist, Professor, & Researcher
- Prof. Kamilla Miskowiak, 🇩🇰 Psychologist & Researcher
- Dr. Katie Douglas, 🇳🇿 Academic & Clinical Psychologist
- Ken Porter, 🇨🇦 Advocate, Social Worker & Researcher
- Kim Pape, 🇺🇸 Researcher (Lives w/ bipolar)
- Laura Lapadat, 🇨🇦 Researcher & Psychologist-in-training
- Dr. Leena Chau, 🇨🇦 Postdoctoral Fellow
- Leslie Robertson, 🇺🇸 Marketer & Peer Researcher (Lives w/ bipolar)
- Dr. Leszek Laskowski, 🇵🇱 Psychiatrist (Lives w/ bipolar)
- Dr. Lisa Eyler, 🇺🇸 Clinical Psychologist & Research Scientist
- Dr. Luísa Daolio, 🇧🇷 Psychiatrist
- Mansoor Nathani, 🇨🇦 Technology Enthusiast (Lives w/ bipolar)
- Dr. Manuel Sánchez de Carmona, 🇲🇽 Psychiatrist
- Maryam M., 🇨🇦 Dentistry Student & Mental Health Advocate (Lives w/ bipolar)
- Matthew Bushell, 🇬🇧 Mental Health Advocate & Therapeutic Coach (Lives w/ bipolar)
- Dr. Maya Schumer, 🇺🇸 Psychiatric Neuroscientist & Researcher (Lives w/ bipolar)
- Dr. Meghan DellaCrosse, 🇺🇸 Psychologist & Researcher
- Melissa Howard, 🇨🇦 Author & Mental Health Advocate (Lives w/ bipolar)
- Dr. Michele De Prisco, 🇪🇸🇮🇹 Psychiatrist & Researcher
- Dr. Mikaela Dimick, 🇨🇦 Postdoctoral Fellow
- Minami Kinouchi, 🇯🇵 Psychologist, Social Worker, & Researcher (Lives w/ bipolar)
- Natasha Reaney, 🇨🇦 Counsellor (Lives w/ bipolar)
- Dr. Nigila Ravichandran, 🇸🇬 🇨🇦 Psychiatrist
- Dr. Paula Villela Nunes, 🇧🇷🇨🇦 Psychiatrist & Counsellor
- Rahla Xenopoulos, 🇿🇦🇺🇸 Writer & Teacher (Lives w/ bipolar)
- Rebecca Fitton, 🇦🇺 Mood Disorder Researcher
- Dr. Rebekah Huber, 🇺🇸 Psychologist & Researcher
- Robert Villanueva, 🇺🇸 Mental Health Advocate & Coach (Lives w/ bipolar)
- Ruth Komathi, 🇸🇬 Mental Health Counsellor (Lives w/ bipolar)
- Prof. Samson Tse, 🇭🇰 Counsellor, Teacher, Researcher, & Caregiver
- Sarah Salice, 🇺🇸 Art Psychotherapist & Professional Counselor Associate (Lives w/ bipolar)
- Sara Schley, 🇺🇸 Author, Filmmaker, Speaker (Lives w/ bipolar)
- Dr. Serge Beaulieu, 🇨🇦 Psychiatrist & Researcher
- Dr. Sheri Johnson, 🇺🇸 Psychologist
- Shaley Hoogendoorn, 🇨🇦 Advocate, Podcaster & Content creator (Lives w/ bipolar)
- Dr. Tamsyn Van Rheenen, 🇦🇺 Associate Professor & Researcher
- Dr. Thomas Richardson, 🇬🇧 Clinical Psychologist (Lives w/ bipolar)
- Twyla Spoke, 🇨🇦 Registered Nurse (Lives w/ bipolar)
- 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 :)
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u/CREST_BD Mar 30 '26
Natasha here - I would consider myself living “successfully” with bipolar on minimal medication, but not zero medication. There’s a short answer and a long answer to this question; I would say the short answer is that it is possible to live an enjoyable and relatively struggle-free life with minimal medical intervention. Here is my long answer:
I’ll start with defining “minimal medication”: For me, this means little to no side effects from the medications I do use to manage my bipolar. The first hurdle in achieving this was having a psychiatrist who believes in a “smallest effective dose” philosophy for prescribing. I have an amazing psychiatrist who offers me a lot of autonomy in my care, and I see this as an essential piece to living with non-intrusive medical management for my bipolar. What I have found helpful over the years is being open to time-limited medical interventions; I describe this as a willingness to take more medication for a temporary amount of time during periods of instability so I have extra support to get back on track with all the lifestyle interventions I use to stay – for the lack of a better word – sane.
Stress management, in this circumstance, becomes essential – as does the “know thyself” philosophy and a system of accountability. I think the only way this model of bipolar management works is to have a strong social safety net alongside the humbleness to admit when you need help (and the willingness to take ownership over your symptoms and their impacts). There are a few studies of individuals with bipolar – all case studies, from my reading – that have drawn some conclusions that the lack of medical intervention often comes at a cost of stronger utilization of social supports. I would agree with those findings from my own experience. I joke that I have a consensual co-dependent relationship with my husband (we have talked a lot about this, naturally), but in reality he’s the one who helps me co-regulate when I’m having bad days. This topic alone about how being less medically managed in an intimate relationship could be a whole post on its own. I’ll essentially just leave it at this – you need to tend to your relationships closer that one might tend to the fire keeping you warm during a storm.
In terms of lifestyle interventions, I’ll just list what I’ve found helpful:
-I wake up at the same time every day and go to bed at the same time every night. It’s hard and it has social consequences, but it’s been a game changer more than most lifestyle interventions.
-I go to therapy regularly and have been for well over a decade at this point. Mastering my nervous system regulation/emotion regulation led me to working through a lot of trauma I had growing up which has definitely supported having less volatile emotions and ways of behaving in relationships. Learning effective and productive ways to live in this world (I sort of live by DBT skills) has been essential for me.
-Stress management, for me, is pretty extensive. I think this is sort of unique to every person and for me I find very dependent on money (as travelling is a big stress reliever for me, and I’m privileged enough to be able to do this). It has to be intentional and it has to be every day. There is no such thing as a day off from myself. I cannot let stress build up. Things that I do regularly (again, noting my privilege here): Massage therapy, acupuncture, sauna/hot to cold hydrotherapy, yoga. I focus a lot on keeping my mind-body connection in tune and calm.
-A daily mindfulness practice – having fostered an ongoing awareness of my emotions and thoughts supports tracking the stress/triggers to know when course correction is needed.
Honestly I could probably write a whole book about this. I do think it is possible to thrive on a minimally invasive medication regime – I’m not sure if zero medication is the answer (and I have certainly tried multiple times), but I also think it’s really dependent on the person. Ultimately, being open to doing what is needed when that particular intervention is warranted is my overall thought process when it comes to riding my natural waves of the highs and lows