This is a story about how people respond to incentives...

The last time I was in the Accident & Emergency department of a general hospital, I got a ticking off from the consultant. It was almost as if he didn't understand that the threat of kidney failure and early death was no disincentive to the path through life I was taking. It shouldn't have been a surprise to him: I hadn't gone to the hospital through choice, but instead the police had taken me there.

This was my life for a while: being passed from pillar to post by people who didn't understand what I was going through or how to deal with me. One thing that everybody seemed to agree on though, was that tough love was probably the best option. I should be ridiculed, shamed, talked down to and ostracised until I "saw sense" and decided to change the course of my life. Why would anybody choose the life that I had?

Actually, the police were excellent, seeing as they deal with society's dregs day in and day out. The well-to-do Royal Free hospital on the hills of London's exclusive Hampstead, was perhaps less used to dealing with those who have lost their way in life. Certainly, those who were struggling with drink and addiction, that I met, were sent to more central hospitals, like UCLH on the Euston Road.

I certainly don't see hospital as the first port of call, to rectify issues, and I bandaged my own massive leg wound and would have tried to avoid hospital, had paramedics not insisted that I was admitted, on another occasion.

It is only with regret that I have consumed NHS resources, but I certainly don't feel that there was any choice in the matter. When I injured my leg one night on London's streets, alone, I pulled out the broken glass and let it heal as I lay in agony in a bush for several days, with the blood-soaked wound sticking to my torn trousers. It needed stitches and I needed antibiotics to avoid infection, but I was lucky. I saved the NHS some money and I've got the scars to prove it.

Passing the buck, and driving somebody away from their home, family and friendship groups... making somebody feel ashamed, turning them into an outcast, demonising and villainising somebody... that's ridiculous!

I picked the wrong life partner: somebody judgemental, violent, abusive. That's my fault. I wasn't equipped with the life experience to know that I should walk away. My own parents relationship was full of verbal abuse and psychological warfare, but they stayed together: commitment to a partner was all I knew. I was naïvely optimistic that things would finally work, if only I tried hard enough.

When depression worsened and became bipolar disorder, when bipolar was overshadowed by addiction... things were chaotic, and consumed my sanity, temporarily. I was heavily dependent, trusting, of my partner and my Dad, and my GP. They acted with ignorance and without consideration of my wishes. Later, my partner would act with spite and selfishness.

It's hard to recover if your partner is working against you, and has your Dad in co-operation too. But, I'm going over heavily trodden ground. I don't mean to re-iterate this. I mean instead to talk about another approach: carrot, not stick.

I was dealing with something, in technical terms, called a clusterfuck. A combination of mental health problems, an unsupportive partner, unsupportive and even obstructive family, sex addiction, drug addiction, having to find a new home, new friends, new job... it's too much to ask of somebody. A breakdown, a major relapse, becoming completely dysfunctional: this was made inevitable by the circumstances around me.

Only the police acted with any restraint. The police see lives ruined, and people enter into the revolving-doors of criminal justice. The police know that slapping a criminal conviction onto somebody makes their life harder, rather than improving their chances of rehabilitation into society, so they are reluctant to condemn somebody to that fate. However, many in the rest of society are keen to label and ostracise and destroy their fellow human beings.

We are living in an increasingly isolated society, where we are mistrustful of each other. We avoid listening to anybody's personal story, lest it instil some sense of sympathy within ourselves. To view every stranger as a potential murderer, rapist, paedophile, thief and dirty junkie, is easier than just seeing other human beings, and feeling compelled to hesitate in the rat race for a second and give somebody a hand up.

We are all competing with one another so fiercely, that we believe that it is only with intensely selfish and self-centred actions, to the detriment of society as a whole, that we can get ahead, that we can succeed. We believe that we are helping our family, by turning a blind eye to the beggars, the homeless, the poor and the addicts and alcoholics.

The welfare state is being dismantled. The sympathy of society and the basic human instinct for care and compassion is being eroded. Instead we have a culture of "every man for himself" and we'll allow incredible human suffering to be perpetrated in our names, because we are sold good vs. evil fairytales by a wealthy elite, intent on turning us into scared, isolated consumers.

I feel with certainty that the depression that I feel - the dissatisfaction with what I see in the world - stems directly from an unpleasant attitude that's prevalent everywhere I look: the collapse of social bonds, and the mistrust of strangers, neighbours, fellow human beings.

I've paid over £30,000 just to be treated like a human being, by some kind and compassionate, non-judgemental people. That's all it takes to help somebody on the road to recovery: just don't be an arsehole to them. Be consistently nice to each other, and the world won't be such a shit place that people get depressed in, want to get intoxicated and want to kill themselves.

Yes, it's true that when my life is absolutely appalling, I will probably run to drink & drugs. What's the alternative? The razor blade and the noose.

They feed you in hospital. You could try starving people, to punish them for getting sick, but seeing as that's how I ended up in hospital I can't see why that would work. Carrot works. Stick doesn't

Tags: #depression #suicide #bipolar #mentalhealth #nhs #addiction #drugs