Sean Blackwell joins the Art & Science of Breathing to challenge long-held assumptions about bipolar disorder, psychosis, and what healing can look like outside conventional psychiatry. We explore how diagnostic labels emerged, why bipolar I often overlaps with what used to be called schizophrenia, and where the boundaries of the biomedical model begin to break down.

Sean dives into 18 years of work with holotropic breathwork, describing how altered-state breathing can surface trauma, dissolve rigid patterns in the psyche, and—under the right conditions—help people move out of chronic depression, bipolar states, and long-standing emotional blocks. We examine the tension between subjective experience and scientific evidence, why breathwork is so difficult to study, and how a future clinical trial might actually be designed.

Other themes include:

• the difference between bipolar I, bipolar II, and schizophrenia

• why “spiritual emergencies” get misdiagnosed as illness

• breathwork as a parallel to psychedelic therapy

• emotional suppression in modern work culture

• subjective vs objective truth

• modern vs traditional shamanism

• how intuition can guide life-changing decisions A wide-ranging conversation at the intersection of psychology, spirituality, trauma, and human potential.

Learn more through / @bipolarawake