What happens when mental health and addiction collide? In this episode of Giving Voice to Depression, David Shamszad shares his raw and revealing story of living with bipolar disorder and alcohol addiction — a combination often referred to as a dual diagnosis.From self-medicating through college to hospitalization, reckless mania, and rock bottom, David opens up about how stigma, shame, and silence kept him from getting help for years. His turning point came after a dangerous blackout that could have ended in tragedy — and became the moment he chose recovery.Now 10 years sober, David reflects on the long road to understanding his bipolar disorder, the importance of therapy, and how sharing his story publicly has become a form of healing.If you or someone you love struggles with both mental illness and substance use, this episode offers insight, validation, and hope. Recovery is possible — and it often begins with honesty.Primary Topics Covered:What “dual diagnosis” means and why it’s often misunderstoodThe connection between bipolar disorder and addictionHow self-medicating can delay diagnosis and worsen symptomsThe impact of shame, stigma, and cultural norms on help-seekingDavid’s experience with mania, depression, and suicidal thoughtsThe moment of clarity that led to his recoveryWhy sobriety alone isn’t enough — therapy and connection matterPractical tools for managing co-occurring conditionsHow hope grows “drop by drop” through small acts of supportTimestamps:00:00 - Introduction to the episode and dual diagnosis 01:15 - What it means to live with both a mental health condition and addiction 02:12 - David’s early signs of bipolar disorder in college 03:33 - How shame and masculinity silenced his depression 04:50 - Manic highs, risky behavior, and denial 06:08 - The crash after mania: waking up in fear and paralysis 07:25 - Hospitalization and first bipolar diagnosis 08:27 - The power of naming an illness — and the shame that still lingered 09:30 - Understanding Bipolar I vs. Bipolar II 10:31 - Alcohol as self-medication and the illusion of control 11:20 - The night that changed everything: waking up injured and afraid 12:20 - Realizing addiction could destroy more than just his own life 12:42 - The decision to get help and tell the truth 13:18 - Ten years sober and learning to rebuild 14:15 - Therapy, coping skills, and daily maintenance 15:15 - Message to those still struggling: recovery happens gradually 17:31 - The power of “small drops” of hope and connection 18:54 - Reflections on stigma, masculinity, and vulnerability 20:28 - Encouragement to speak up and seek support 24:23 - Where David is now: success, sobriety, and service 25:09 - Closing thoughts and resources for helpExplore mental health and addiction treatment options at recovery.comFacebook Community: https://www.facebook.com/GivingVoiceToDepression/Terry's LinkedIn: https://www.linkedin.com/in/givingvoicetodepression/