This is a story about paralysis...

I'm never really unsure of what to do. I generally have a very certain idea of what I want to do and how I'm going to do it. I have a really big problem when I can see all the way to the end, and life seems to be a bit of a paint-by-numbers exercise. I really struggle when life is predictable and routine.

I went to see a psychiatrist on Wednesday. I knew what I wanted from the psychiatrist: to see a clinical psychologist. I also knew what the likely outcomes were if I was honest: to have pills thrown at me and put myself at risk of being locked up on a psych ward. It was a situation that was so predictable, that I was able to forecast exactly which medication the psychiatrist would suggest.

Instead of allowing myself to be sectioned and swallowing the prescribed medication, I ran away. I'm currently 1,200 miles away from home and by the time I get back the system will have forgotten all about me. If I really wanted to get what I need - which is some talk therapy - then I'd have played a completely different strategy. Frankly, I can't really afford to be sitting on a therapist's couch - I've nearly run out of money.

So, I find myself away from my friends and my new home, in a strange city, in a new job. It's very stressful. I'm very anxious. However, it's also novel and therefore a little exciting. Even though I've done similar work a million times before, I'm still a little challenged by meeting new people and learning the particular nuances of the organisation I've just joined. There's a little novelty in the experience, even if ultimately I'll realise that it's the same old shit, and I'll be on cruise control until the end of the assignment.

I'm presently thinking about eating pasta from a plastic pot, having poured boiling water over it from a miniature kettle in my hotel room. I will need to stir and eat the pasta with a shoehorn, in the absence of any cutlery. This is the glamorous life I live.

You may wonder whether the stress of homelessness, near-bankruptcy, drug addiction, brushes with the law and general dysfunction in every area of my life, is something that I regret. No. No I don't regret it. Having been an adrenalin-junkie extreme-sports enthusiast all my life, you can't get more of a rush than playing "go for broke" in real life. It seems inevitable that I would push everything to the limit, including taking life-or-death chances.

It is a little hard to see where the reward is, when my life seems mostly miserable. I've had unbearable anxiety and depression for long periods during the last couple of years. However, I'm not rushing to the doctor and begging for a miracle cure. The deeply distressing feelings I'm having are doing very little to change my behaviour. I almost guarantee that I'll find the urge to self-destruct almost irresistible, if I pull through my latest episode of adversity.

Having lived in a bush in a park, it seems rather more preferable to be living in a hotel like I am now. Having nearly run out of money, it seems preferable to have a well-paid job, like I do now. However, I can't make any sense of life when I swing between impending doom and intolerable boredom. What's the point of living if it all ends in misery and disaster? I'm too busy moving from certain destitution to probable financial stability at the moment, to stop and have suicidal thoughts, but I know that the absurdity of the rat-race existence is already something that I'm not able to ignore - I'm completely unable to relax and enjoy trivial distractions.

Existential angst paralyses me. I wake up and I want to go back to sleep, but I can't because I have to go to work. I get to work and I want to walk out, but I can't because I can't lose this job. I should work but I want to scream "THIS IS ALL JUST UTTER BULLSHIT". Everywhere I look, I see needless complexity; makework. Existence itself is just killing time before our eventual death. Why go through the stressful and exhausting bit in the middle? Why not take the short-cut and just commit suicide?

It's strange to write like this, given that I've overcome the incredible stress of getting this job, travelling over a thousand miles and facing my first nervous couple of days in the office. Given that I'll avoid bankruptcy if I just keep turning up and keeping my mouth shut, why would I be writing about suicide? I'm not even suicidal at the moment. I've entered a strange kind of state, where I'm incredibly anxious, but I know that suicide doesn't make sense anymore. I know that I've gone to strange cities, started new jobs and rescued myself from financial ruin enough times. Why am I even writing about death and disaster?

January.

It's been a very, very long time since I had a stable January. Potentially, I'll still have well-paid work in the New Year. Potentially, I don't have to start job hunting and worrying about money during the absolute shittest time of year. Potentially, I start 2018 with prospects rather than worries.

On the flip side, you might say that I'm stuck in a cyclical pattern and that I keep trying the same thing but expecting different results, except you'd be wrong. I'm trying something that's been staggeringly successful, and the circumstances are different each time. One of these days, there's going to be a combination of favourable factors, as opposed to badly-timed clusterfucks.

Money is a 'trigger' for self-sabotage, one might say. Also, finding myself trapped on a rainy miserable island in the middle of winter is also a 'trigger'. My coping strategy in the past was to jet off to Venezuela or Brazil for a couple of weeks. I had a long successful career doing that.

In order to survive, I'm going to have to orchestrate friends, work, money, a place to live, a passion and a girlfriend. You might scream with frustration at your screen, because we're all trying to get that perfect balance, and there's always one area of our life that's not going as well as we'd like it to. Erm, well... you don't know how good you've got it, actually. Try living in a bush in a park with none of the things I listed, then get back to me. This is not a boo-hoo story - I'm just explaining how dysfunctional my life got. If it helps you to say it's all my fault for making bad life choices or whatever, then knock yourself out, but I'm far too busy figuring out whether there's some way I can rediscover a reason to live to worry about shit like that.

I'm just writing now. I'm brain dumping. I'm trying to write without a filter.

It's possible that I got caught in some thought loops before, and I needed to take a break from my usual blogging topics. It's possible that my blog wasn't helping me at all. It's possible that I'd lost perspective, because I'd been doing too much navel gazing. I took a break and now I've come back.

Now, I'm writing mindful of the fact that I have friends who I've been living with in Wales. I'm mindful of the fact that I've got a friend who helped me get this job. I'm mindful of the fact that I can't afford to put a foot wrong. I'm mindful of the precarity of my situation. I'm mindful of the fact that writing is actually pretty exhausting, and I need to devote quite a lot of my energies into doing a good job and impressing the people I'm working with. I'm mindful of the fact that I have repeated the pattern of boom and bust, and it looks pretty obviously cyclical to a casual observer. I'm mindful of the fact that my consistent perseverance in the face of a headwind might look a bloody-minded and stubborn refusal to acknowledge reality. That's not the case.

There's a prescription for an antidepressant waiting for me at my doctor's surgery back in Wales. Given the chance, I would be institutionalised by the mental health services. Instead, I'm pursuing a ridiculously optimistic and hopeful, yet extremely risky strategy, of attempting to avoid medication and the dead-end of financial ruin and the mire of pathetically paid jobs that're just as soul-destroying as the very well paid job I've got. I'm not happy about being unmedicated, but I wouldn't be happy popping pills either. I'm not happy about having to work a bullshit job, but I wouldn't be happy doing a so-called 'fulfilling' one either (there are none).

"What if you're still depressed and anxious in 6 weeks time?" the psychiatrist asked me. "Wouldn't you regret not having started taking medication sooner?" he asked. What happens if I don't give up though? Wouldn't I regret never finding out what happens if I stick to my guns and persevere? What am I going to find out, that nobody else ever would, because it's too hard?

I didn't mean to write so much, but I've uncorked some of the stuff I've been holding back. I've never regretted writing, despite the seemingly dreadful consequences. Writing has been financially disastrous for me, but yet it's got to be a healthier coping strategy than drink or drugs, or even going to the gym excessively, where I'll strain my heart and give myself arthritic joints.

I imagine that I'll meet a nice girl soon enough, and the pleasure of tactile affection will change my mood. I imagine that my lengthy abstinence from mind-altering substances will pay dividends soon. Already, some feeling has returned to my nerve-damaged foot/ankle. I must surely be somewhat more sharp-witted, now that I'm not taking heaps of pills every day. I must surely be on course to return to a more normal life, since kicking my addiction to stimulants.

I'm going to give myself a big pat on the back for reducing my alcohol consumption to a moderate level, breaking my physical benzodiazepine dependence, reducing my sleeping pill habit to almost nothing, getting off powerful prescription painkillers, staying 'clean' from supercrack for 6 months and otherwise living a pretty damn healthy life. It might not seem like I've done very much this year, apart from work three contracts, survive double kidney failure, survive a suicide attempt and survive a bunch of very traumatic events, but I'm damn well going to go ahead and congratulate myself on having spent a couple of days in my new job in what must be the very best mental health that I've enjoyed all year, even if I'm diabolically depressed and anxious.

Thinking about my achievements a little more, I'm going to give myself an imaginary medal for 30 days of not drinking, 30 days of writing a novel and spending more days clean and sober than I've spent intoxicated by medications, drugs and alcohol. Quitting a whole host of highly addictive drugs and medications, while in the throes of depression and anxiety, is something I'm going to go ahead and actually feel really proud of - sorry, not sorry. While I'm at it, I'm going to give myself another imaginary medal for not writing my blog for 30 days too. That was harder than you'd think.

My verbal diarrea is pretty bad, so I'm going to stop now, but I hope you can see that I'm not idle, even if you think I've been unproductive, lazy and self-sabotaging all year. It pisses me off that anybody might think I don't have a work ethic.

I'm not going to give up on my crazy experiment to see how my mental health is affected by my circumstances by just damn well being patient, consistent and relentless. I'm controlling the variables.

Tags: #mentalhealth #suicide #medication