This is a story about performance enhancing drugs...

As is often the case for people in the New Year, I decided to try to cut down on unhealthy habits. I decided to drink less, stop taking sleeping pills and stop taking a medication which is sometimes prescribed for anxiety. The net result has been an enormous rebound in my insomnia and anxiety levels. I was not at all functional this morning. I didn't go to work.

If you think that depression, anxiety and other mental health problems are due to a moral failing, you're an imbecile. "We'd all like to take the day off. People in Africa don't lie in bed because they're depressed" etc. etc. If you think like that then I'd like to curse you with a panic attack. Anxiety is a terrible thing - it's not just a feeling that can be wished away or accepted. The whole point about anxiety is that it's invasive - if it could be ignored, it wouldn't be anxiety.

Having spent most of 2017 physically dependent on benzodiazepines, it seems inevitable that I would have lost my ability to cope with low to moderate anxiety without relying on pills. Also, there's a lengthy period where the withdrawal from substance dependency creates a gnawing miserable round-the-clock inescapable anxiety, that makes every passing second feel like a year. To quit benzodiazepines is the hardest thing you'll ever do.

I was lucky enough to be able to concentrate on getting through the nasty withdrawal process. I was in a lovely environment to go through the worst of the horrible withdrawal syndrome. Because I didn't have so much pressure and stress, I was able to quit diazepam, alprazolam and pregabalin. I reduced my zopiclone by half. To quit those 4 medications in the space of four months is unprecedented. Well done me.

I had to go back to work. I was running out of money. The fact that I went back to work doesn't show that I was well; that I was recovered. The fact that I went back to work shows just how desperate my financial situation is. Necessity, not good mental health.

My mood improved when I got back into work. My destiny seemed to be in my own hands - all I had to do was work and money would come flooding back into my depleted bank account. However, the stress and pressure created intolerable anxiety. It was inevitable that I would drink more alcohol, as an unhealthy coping mechanism.

For a while, I've been less suicidal. I've even entertained some thoughts about what I might do when my finances are looking healthier. Surely to be thinking about the future shows a remarkable improvement from where I was, when I was having endless suicidal thoughts.

In fact, without the crutches of medication I'm still a sick man. I couldn't function today. I couldn't face the day. You might make light of how bad things were, but it was enough to make me immediately want to end things - to kill myself. In the blink of an eye, the tiny amount of hope, optimism and opportunity could be snuffed out. Without something to help me deal with unbearable stress and anxiety, I was very sick; incapacitated.

So, I feel forced back onto the pills. I feel like I have to choose: my money or my life. I'm being ransomed. What choice do I have?

You might struggle to relate if you've never suffered from anxiety that's so bad that it's paralysing. It's worth remembering that I've climbed cliff faces, mountains and jumped out of planes. I know anxiety very well and how to cope with it. I'm quite familiar with techniques for managing my own anxiety levels. I've done things that you'd probably never dream of doing because you'd be too afraid. I'm a fucking expert on anxiety.

Perhaps you could replace "people in Africa don't complain" with "it must be bad if Nick says it is" because you know I jumped out of perfectly good aeroplanes. I don't mean tandem either, where somebody else jumps and I'm just a passenger attached to them. When I jumped out of those planes, it was all me... I had to decide whether to jump out or not. I made those leaps of faith. I know what anxiety is. I'm qualified. I'm qualified to judge, and I'm qualified to say what's a tolerable level of anxiety, and what isn't.

I'd rather not be on any pills, but I have to choose: pills or my job.

The sleeping tablets probably aren't too bad, but the anxiety-reducing painkillers are preventing the nerves in my left ankle from healing properly. There are very real negative consequences for continuing to take a medication that I'd be much better without... if only I didn't have to work while I'm recovering.

Recovery is not a quick process. When you're talking about a clusterfuck of substances, then it can't be rushed. How do you suppose you'd cope with stresses that are barely tolerable at the best of times, plus a whole load more unpleasant feelings that very few people can ever handle? Talk to anybody who's taken a psychoactive medication for any length of time and they'll tell you: those things are an utter shit to get off, and most people never manage. Medication changes are one thing that most patients won't tolerate. Most patients get anxious even thinking about medication changes, let alone stopping their medications altogether.

From January 2017 until now, I've stopped tramadol, codeine, dihydrocodeine, pregabalin, zopiclone, zolpidem, alprazolam and diazepam - all at the max dose. Tell that list to any doctor and there'll be shocked disbelief. Patients just don't quit all those addictive psychoactive medications so quickly. There are consequences to quitting every single one of them. Quit tramadol and you'll have sweating, nausea, diarrhoea, aches and pains, and cravings for tramadol. Quit zopiclone and you'll have insomnia, restlessness and anxiety. Quit all of them and you'll be completely dysfunctional; your life will be unliveable; unbearable.

Thus, I'm forced to keep going with some of the medications, just to be functional. I can't lose my job. I can't lose that money. I'm financially fucked.

It's a catch 22 situation.

Tags: #medication