Incontinence While Sleeping — or “pooping” the mattress — isn’t as unusual as you might suppose. While this sudden evening time exercise could also be embarrassing, it doesn’t should fully derail your psychological well being. 

There might be many causes for sleeping incontinence however you’ll by no means uncover what they’re for those who’re unable to maneuver previous the psychological trauma. This week we’re sharing sincere, private experiences discussing the best way to cope with out dying of embarrassment. Hear Now!

(Transcript Accessible Under)


About The Not Loopy Podcast Hosts

Gabe Howard is an award-winning author and speaker who lives with bipolar dysfunction. He’s the writer of the favored e book, Psychological Sickness is an Asshole and different Observations, out there from Amazon; signed copies are additionally out there instantly from Gabe Howard. To study extra, please go to his web site,





Jackie Zimmerman has been within the affected person advocacy recreation for over a decade and has established herself as an authority on persistent sickness, patient-centric healthcare, and affected person neighborhood constructing. She lives with a number of sclerosis, ulcerative colitis, and melancholy.

You’ll find her on-line at, Twitter, Fb, and LinkedIn.



Laptop Generated Transcript for “Sleep IncontienceEpisode

Editor’s Be awarePlease be conscious that this transcript has been computer-generated and due to this fact could include inaccuracies and grammar errors. Thanks.

Announcer: You’re listening to Not Loopy, a Psych Central podcast. And listed here are your hosts, Jackie Zimmerman and Gabe Howard.

Gabe: Welcome to the Not Loopy podcast. I’d wish to introduce my co-host, Jackie, who not solely lives with melancholy however has not seen Die Onerous. Are the 2 related? It’s your resolution.

Jackie: And I’d wish to introduce my co-host, Gabe, who lives with bipolar, his spouse Kendall, and has additionally by no means seen the film Now and Then, and I don’t know if that’s like a generational factor, however that was a pivotal film in my youth.

Gabe: No one’s ever heard of it. Like, I preserve pondering that you just say “Now & Later,” the 80s sweet. As a result of some for now and some for later. In contrast to now the place it’s simply all for now and then you definitely whine.

Jackie: No. No. In case you have seen Now and Then, pricey listener, please tell us. Remark someplace. Proper, someplace. Ship Gabe hate mail about how he ought to see this film with extremely well-known actresses in it.

Gabe: Positive, positive. I’ll examine my e mail. I’ll examine my e mail.

Jackie: Okay, OK. Gabe? Positive. Gabe, you known as me this weekend and you had a really critical tone in your voice and you mentioned that you just had one thing to inform me. What did you name me about, Gabe?

Gabe: I instructed you, I shit the mattress.

Jackie: You probably did, certainly you probably did. And I, though very respectful of your scenario, was thrilled that you just known as me as a result of I’m the person who folks name once they have poop points.

Gabe: The listeners are in all probability simply now beginning to notice that I’m not utilizing the phrase shit the mattress. I really shit the mattress

Jackie: You probably did? You probably did.

Gabe: Like actually and I’m not utilizing actually, figuratively. It was a traumatic expertise, to say the least. I’ve a good friend who’s a physician. She was unavailable. Which left you?

Jackie: And I promptly was like, Gabe, this must be a podcast episode.

Gabe: And I used to be promptly no, as a result of that’s simply not the type of factor that you just speak about well mannered society ever in any respect.

Jackie: However I don’t dwell in a spot of well mannered society, to not point out, as we talked about on the cellphone, that is one thing that occurs to folks, not simply folks like me with bowel ailments, however this occurs to lots of people.

Gabe: In my frantic Googling of this, I used to be shocked to search out out simply how widespread that is. You realize, it has 1,000,000 completely different names from nocturnal diarrhea, persistent diarrhea. Plenty of what? Plenty of diarrhea. After all, we’ve all heard the entire commercials the place they speak about a aspect impact of remedy being anal leakage. The underside line is, that whereas horrifying, it’s virtually routine how typically the common individual loses management of their bowels.

Jackie: And we wished to speak about this, to not perpetually speak about shitting the mattress over and over once more. So for those who’re listening and to this point you’re like, wow, this episode will not be going to be my bag. Hold in there, as a result of the explanation we’re speaking about it’s because it’s so widespread. The impact that it could possibly have in your psychological well being afterwords and the way you navigate that.

Gabe: I make my residing, as folks know, on this podcast and on the psych central podcast and standing up in entrance of individuals and speaking about the entire issues that occurred to me due to untreated bipolar dysfunction. I wrote a e book known as Psychological Sickness Is an Asshole out there on my Site,, as a result of I wished to speak about the entire terrible issues which have occurred to me due to psychological sickness. After which this factor occurred. And I instantly didn’t need to speak about it anymore. I used to be like, no, no, no, no, no. That is one step too far. This isn’t the type of factor that you just deliver up that’s actually fascinating to me as a result of individuals who know my work and you may simply do a Google and discover my work would suppose that I wouldn’t be shy of something. That’s type of how tousled that is, proper? Even a man like me who makes my residing overtly discussing issues about psychological sickness and about well being and about life that different folks need to sweep beneath the rug, didn’t need to focus on it.

Jackie: However that’s what makes us an excellent crew. You see, as a result of I shit the mattress and promptly instructed the entire Web about it.

Gabe: And that’s very fascinating as a result of the explanation that I known as you, Jackie, is due to a narrative that you just revealed a protracted, very long time in the past that I discovered to be stunningly relatable, though it was pre mattress shitting and it was about the way you had been in a brand new relationship. Wasn’t very previous in any respect.

Jackie: And I used to be sleeping over at his home and I shit the mattress in the midst of the evening. I used to be horrified. I contemplated simply leaving and by no means speaking to him ever once more as a result of what’s the different? It’s really speaking to someone and saying, hey, you man who thinks I’m superb. I simply shit in your model new mattress, by the way in which. Model new mattress. It was one thing I couldn’t even dream, a dialog that was not possible to have. So I stayed up all evening. I cried and I cleaned the mattress. I woke him up and requested him to go away to the lounge. And I contemplated all of the ways in which he was in all probability gonna break up with me the following day as a result of he was possible simply as horrified as I used to be. Nicely, he wasn’t and he didn’t. And as a substitute, he broke up with me months later for a extremely dumb cause, however not due to this. And that’s necessary to recollect.

Gabe: The phrase “shitting the mattress,” in fact, is a well known phrase. It simply means you fucked up. I’ve used this phrase in all probability my complete grownup life. I attempt to run an occasion and it doesn’t go effectively. I shit the mattress I get on stage and no person laughs at any of my jokes. I’m fairly positive that if they’d tomatoes, they might throw them. And I used to be like, , Gabe, how did your present go? Ahh, I shit the mattress, it was terrible. I’ve mentioned it about so many individuals, Jackie. We speak about language lots on this present, . Are you bipolar? Are you an individual residing with bipolar? You realize, phrases matter. We have to change our speech patterns. And also you and I’ve lengthy held that. Look, we simply want to speak about this, as a result of getting it out within the open is what’s necessary. And I considered the phrase “shit the mattress,” everyone makes use of it, however the phrase, oh, you shit, the mattress is definitely fairly problematic probably for folks. Nicely, such as you, Jackie. Individuals like me now. Yeah. All of us do it. To not make this a present about language the entire sudden, nevertheless it simply exhibits you that there’s only a ton of phrases which have a that means that you just don’t notice till you notice. I believed the phrase shit, the mattress was only a phrase. It had no that means and it had nothing to do with me. Now I would like you to know I’m nonetheless gonna use the phrase. Love the phrase. The phrase is unbelievable. And I hope that when folks come as much as me and say, Hey, Gabe, you shit the mattress, they’re telling me I did a foul job as a result of I don’t need this to be my factor. However yeah, simply it’s it’s on the market now. It’s on the market now that that is one thing that occurs to folks.

Jackie: Nicely, you’re conscious about it now. Proper. It’s private at this level. Whereas earlier than it was only a phrase. Now it’s one thing that you just even have lived by. That’s what made me really feel like this might be episode as a result of I’ve lived this many occasions. However as someone who doesn’t dwell with a bowel illness, you’ve skilled it now. And I feel lots of people who hearken to our present, particularly those that take psychiatric medicines, additionally could expertise this as a result of that could be a widespread aspect impact of a whole lot of these medicines.

Gabe: In order that’s a really fascinating factor that you just deliver up first we obtained to outline the phrase widespread. We don’t need everyone to freak out. You realize, widespread is one thing on the market. You realize, one in 100 thousand is widespread as a result of there’s three billion folks on this planet. So the phrase widespread, , might be problematic. I solely say that as a result of I don’t need everyone to cease taking their medicines for worry of shitting the mattress.

Jackie: It’s level. It’s not widespread in that it’s going to occur to everyone. However if you get your remedy, it comes with that little piece of paper that has a bunch of teeny tiny phrases on it and it’s known as the P.I, which is the bundle insert. And on that lists all of the uncomfortable side effects, every little thing you would probably ever know. And everyone I do know promptly rips it off the entrance of their bundle and throws it within the trash. You would learn it. I learn them, which possibly makes me an overachieving nerd, however I learn them. I need to know what might probably occur. And I feel for those who learn yours, there’s an opportunity that aspect impact is on there.

Gabe: And you may see why it might be on there. I imply, for those who actually cease and give it some thought. Medicine interacts together with your physique and everyone is completely different and our our bodies job. The entire cause that we expel waste is to get unhealthy issues and pointless issues away from us. So it actually type of is sensible {that a} widespread remedy aspect impact may very well be anal leakage or diarrhea or that type of diarrhea that occurs in the midst of the evening if you’re not anticipating it. And I used to be actually shocked at how widespread it was. And once more, once I say widespread, I imply, it’s simply occurred to everyone at the least as soon as. I believed that I used to be the one person who this ever occurred to avoid wasting for my good friend Jackie. And I used to be type of fortunate. Proper. And I’m being very honest right here since you had been open and wrote the article about shitting the mattress. And since we’ve talked about it earlier than on the present, I’ve seen your speeches at conferences the place you speak about this sickness and the entire issues that you just went by. And it made me really feel not so alone. However the actuality is, most individuals don’t know a Jackie. The fact is, most individuals don’t know a Gabe. Most individuals don’t know anyone. Lots of people are managing this stuff all by themselves. They’re managing particularly psychological well being points, particularly psychological sickness. And so they don’t need to speak about it. And I need to be very clear that that is one thing that’s going to occur to in all probability each grownup. And once I say each grownup, I don’t imply each 80 12 months previous. I don’t imply each individual in a nursing house. No, we’re speaking 20, 30, 40, 50 12 months olds. We’re speaking younger folks, center aged folks. It’s the physique doing what the physique is meant to be doing. You realize, in essentially the most scary and traumatic of the way.

Jackie: It’s true. This might occur to simply about anyone for nearly any cause.

Gabe: We’ll be proper again after these messages.

Announcer: Desirous about studying about psychology and psychological well being from specialists within the area? Give a hearken to the Psych Central Podcast, hosted by Gabe Howard. Go to or subscribe to The Psych Central Podcast in your favourite podcast participant.

Announcer: This episode is sponsored by Safe, handy, and reasonably priced on-line counseling. Our counselors are licensed, accredited professionals. Something you share is confidential. Schedule safe video or cellphone classes, plus chat and textual content together with your therapist everytime you really feel it’s wanted. A month of on-line remedy typically prices lower than a single conventional head to head session. Go to and expertise seven days of free remedy to see if on-line counseling is best for you.

Jackie:  And we’re again, speaking about, ah, we’re speaking about shitting the mattress, that’s what we’re speaking about. And the explanation I actually wished to speak about it was not solely simply to be like, hey, you’re not alone. Shit the mattress twins, proper. However was additionally as a result of I wished to say this factor might occur and it might occur to any of us at any time. How do you make this factor not develop into an enormous set off to tank your psychological well being? As a result of it might for those who let it proper. If you happen to purchased into the stigma of the phrase shit, the mattress, the embarrassment that’s related to the digestive tract. All of those adverse emotions round this pure factor that we do. It’s straightforward to see how that would have a extremely adverse impact on you. And I feel that it’s necessary to the touch on that as a result of one, we’re a psychological well being podcast. However two, as a result of that is one thing that if it hasn’t already occurred to you, may very well be in your future.

Gabe: And there’s nothing that you are able to do to keep away from it. I hate to say it that means, however my, my, my. Yeah. Yeah. You realize, it’s the midnight. You’re simply waking up. It’s groggy. You notice one thing horrific has occurred. You don’t know what to do as a result of this isn’t one thing that folks make a recreation plan for as a result of no person ever thinks it’s going to occur to them. And , you’ve obtained to be sensible. You bought to scrub this up. However then you definitely’ve obtained to determine, like, what to do. And as a lot as I hate to say that we’re going to cowl, , publish shit self-care strategies. I feel that we have to focus on it as a result of when and if this occurs to you, I don’t need it to derail your complete psychological well being plan as a result of frankly, that might be worse. No one desires to shit the mattress. However that’s a one time prevalence. That’s one thing that occurs to you as soon as on daily basis of your life. You’re managing psychological well being and psychological sickness. And that’s like your complete complete outlook. And also you don’t need one thing which may occur or one thing that has occurred as soon as to develop into the focus of your self-care routine. Jackie, because the skilled, what do you do?

Jackie: Nicely, there’s a pair various things that I feel you need to do, particularly if we’re speaking about this in context of possible the trigger being some type of psychiatric remedy. The very first thing to do, effectively, not the precise very first thing, however possibly after you do another issues, might be to name your physician. And that’s necessary for a pair causes. One, to report back to your physician that this occurred and put it in your file. So if it retains taking place, possibly you’ll want to reassess your remedy. The opposite cause is as a result of this type of occasion is so underreported. It doesn’t develop into often known as a aspect impact of medicines as a result of we don’t need to speak about it. So then we don’t speak to our docs about it as a result of whoa, embarrassing can’t probably do this. After which they don’t know to inform the opposite sufferers. This may very well be a factor to occur, too. So name your physician. And if you are able to do it over the cellphone, it feels much less invasive if you’re not head to head having this dialog. Ship an e mail when you have a affected person portal. There’s a whole lot of ways in which you are able to do this. Shield your self. Probably assist different sufferers with out having to be head to head, which I do know I’ve completed. It’s a very uncomfortable dialog to have, even when that is one thing that occurs to you on the common.

Gabe: It’s additionally necessary to deliver it as much as your psychiatric service suppliers as a result of it won’t have something to do together with your remedy. It won’t have something to do together with your psychological well being. It won’t have something to do together with your psychological sickness. It might simply be unhealthy luck. Individuals do get sick. Individuals do get diarrhea. You determine to eat at that sketchy joint that simply opened and you’re like, hey, the costs are good. You get steak for $5.99. And it made you sick. Additionally, as we age, the meals that we are able to eat and not have points surrounding actually does change. My mother used to say that I had a forged iron abdomen. Clearly that’s now not true.

Jackie: The subsequent factor that I’d do is use somebody you belief in your life and inform this story to simply verbal vomit. What occurred? Get it out of you and then hopefully by no means speak about it once more. And the explanation why is as a result of and that is possibly, possibly that is simply me, but when I’ve one thing traumatic and horrifying and embarrassing that occurs, I need to preserve that shit inside. Ha ha.

Gabe: I see what you probably did there.

Jackie: Horrible pun. I need to preserve it inside. I need to internalize it. I’m in all probability going to isolate about it. And that’s not good. I’m going to perseverate on it. I’m going to maintain reliving it. It’s going to in all probability have a extremely unhealthy impact on how I’m feeling about myself, how I’m feeling about life. It might actually take issues unhealthy rapidly. And I feel that by getting it out into the world, it’s a kind of issues that possibly who you inform is like, oh my god, me too. I completely do this, too. You by no means know. I simply suppose it’s actually necessary to share it with somebody. Possibly it’s your therapist. Possibly that’s the most secure place for you. However I I’d not preserve this inside. I feel to protect psychological well being. It must type of dwell on the surface.

Gabe: I feel that’s precisely proper as a result of I understand how I internalize it and catastrophize issues. I’m nonetheless having arguments with my ex-wife in my head pondering, what if I’d have mentioned this? Then she would have mentioned that. Then I’d have completed this and then I’d have gained the argument. And it might at all times begin off this fashion. Oh, I’m unhappy that this occurred. Oh, however that point, she mentioned this. Oh, I might have mentioned that. Oh, I’m so offended. And it by no means ends in place. And once I lastly began to speak it out with folks, a kind of folks being my therapist, I finished doing that. If you happen to preserve one thing this large in your head, you’re going to maintain pondering, oh, my god, what if I wouldn’t have eaten this? What if I’d’ve taken my capsules at a unique time? What if I’d have simply woken up? What if I’d have? And also you’re going to what if your self to dying? As a result of there is no such thing as a finish to your creativeness. And if you’re something like me, my creativeness is imply to me. I at all times take into consideration the entire issues I did unsuitable. And the entire causes that I’m an terrible individual. And as a lot as I didn’t need this to occur and as a lot as I by no means need it to occur once more, which is why I’m following up with my docs and doing every little thing I can to be sure that this by no means occurs once more. It was useful to learn how widespread that is. It was additionally very useful to search out out that extra possible than not, I’m not in any hazard. The physique was doing what the physique does, and whereas it’s unlucky and not pleased, it’s not essentially unhealthy. I must observe up with my physician to search out that out 100 %, however for essentially the most half, shitting the mattress, not life threatening.

Jackie: Very similar to Brene Brown, who I respect a boatload, says, this might create a disgrace storm. And the issue with the disgrace storm is that for those who don’t get it out of you and possibly share it with someone, God forbid it occurs once more, then what do you do? Proper. You’ve already created this factor you may’t speak about. It already makes you are feeling horrible. Then it occurs once more. And simply the potential for the downward trajectory is large. So I really feel like for you, for the folks round you, for the opposite folks on this planet who additionally shit the mattress. It’s essential to share this expertise. You don’t should do it on the Web like I did a number of occasions at this level. You don’t should share for the larger good in that sense, however protect your self and be sure that every little thing’s cool and that your psychological well being goes to be preserved no matter this incident.

Gabe: Jackie additionally suppose it’s price declaring extreme and persistent psychological sickness as a trigger for incontinence, each urination and bowel points. After I was so depressed, I used to be suicidally depressed. I didn’t need to get off the bed. And though I knew that I used to be going to urinate, I didn’t have the energy to maneuver. I simply couldn’t. And I used to be so depressed, I didn’t care. I’d relatively lay there in my very own waste than stroll the 10 steps to the toilet. And that was simply the truth of the place I used to be. The identical factor can occur the opposite means. And once we take into account psychosis, if you’re actually out of your thoughts, if you don’t know the place you’re, this could result in every kind of issues that aren’t fascinating. It’s not simply pondering that you just’re being chased by those that aren’t there. It’s additionally about not understanding the wants of your bodily physique, which going to the toilet is a few of these. It actually simply is widespread for a lot of, many causes. And the explanations are going to be individualized. I don’t suppose that I can state that sufficient. I don’t need anyone to hearken to this podcast and say, hey, the Not Loopy folks mentioned that I did this due to X. No, the Not Loopy folks mentioned, inform your physician, see your physician, unravel it. However extra possible than not, it’s not that large of a deal. That’s what the Not Loopy folks mentioned.

Jackie: Gabe, I do know that speaking about, we’ll say issues of the disgusting nature, will not be your forte. You will have talked about that on quite a few events.

Gabe: I hate it.

Jackie: I feel it was actually courageous of you to name me and to be prepared to place this in a podcast. And I take advantage of the time period courageous hardly ever as a result of it’s not my favourite time period, however I do suppose that it was courageous. So for those who’re feeling the way in which that Gabe feels or you will have shit the mattress, the way in which that Gabe did and I’ve as effectively, let’s be actual right here. If you happen to take nothing away from this episode, let or not it’s these few issues. One, you’re not alone. Not less than Gabe and I’ve additionally shit the mattress. Two, please name your physician, be sure that every little thing is okay. And three, don’t internalize this. Share it with somebody, somebody you belief, somebody who won’t choose you and simply just remember to’re taking good care of your self each bodily and mentally after one thing like this.

Gabe: And hey, after you’re completed doing all of that, share this podcast in every single place. Thanks, everyone, for tuning into this episode, please. Wherever you downloaded this podcast, give us as many stars or hearts as humanly attainable and use your phrases. Inform us why you preferred it. Love one thing in regards to the present? Hate one thing in regards to the present? Need to give us an thought? Or hey, identical to emailing strangers? Hit us up at [email protected] Keep tuned after the credit for an outtake, and hear on a present like this, it’s in all probability going to be one. We’ll see everyone subsequent week.

Jackie: See ya.

Announcer: You’ve been listening to Not Loopy from Psych Central. Totally free psychological well being sources and on-line assist teams, go to Not Loopy’s official web site is To work with Gabe, go to To work with Jackie, go to Not Loopy travels effectively. Have Gabe and Jackie file an episode dwell at your subsequent occasion. E-mail [email protected] for particulars. 


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