This is a story about neurotoxicity...

What's happened to the left hand side of my face? My eyelid has drooped; my face is no longer symmetrical. Why do I have a facial tic? Why is my speech slow and slurred? Aren't these all symptoms of cognitive impairment; brain damage?

I decided to read back through some of my blog - I read from February through to June, when I was very unwell. I was surprised that a lot of it was gibberish - I thought that I had written with lucidity, but I had mis-remembered things.

As is so often the case with me, I dice with death and I dodge bullets. I'm still very sick, but I'm getting better. I'm going to make a full recovery. My speech is normal; my face doesn't tic and my eyelid no longer droops. The brain is a remarkable thing, but I do need to stop abusing my body.

A month ago I was livid; I was unbelievably angry. I was fighting for my income, my home and my liberty - I was fighting for my legal rights - and I was spitting venom; I was furious at being abused; mistreated; taken advantage of.

I re-read the lengthy blog post I wrote a month ago, which started OK, but then I got plunged into repetitive thoughts - you can tell that my brain was stuck on a loop and I repeated myself several times. It's surprising that I could express myself fairly well, given the circumstances. I imagine that it took me a long time to compose what I wrote, and I clearly struggled to remember what I'd written at the start, as I reached the end.

It's tempting to edit and airbrush history, but it's much more interesting to maintain a public record of exactly what I was thinking and feeling at a certain point in time. Inadvertently I also capture other details about my state of mind in the way in which I express myself.

I've now been writing for long enough to capture two periods of total abstinence from all mind-altering substances, including alcohol, caffeine and nicotine. I'm a lifelong non-smoker. I stopped drinking caffeinated beverages in 2013. During this particular period of abstinence, I've not drunk any alcohol for 35 consecutive days.

What's the net result of all this?

Nah, I'm only kidding... that was me when I was twenty years old. However, I'm sure there's been a marked improvement now that all the crap is out of my system.

A few friends spoke to me soon after I arrived on the psych ward. Although I sounded like my old self and I was in good spirits, my recovery was only just beginning - friends who see me and speak to me on a regular basis report that I'm much improved from how I was a month ago.

My hair, my skin, my nails, my teeth, my breath, my sweat and most importantly, my brain - all of these things are completely different, now that I'm not glugging gallons of booze and popping loads of pills.

I cringe with shame a little bit, to think that I made myself very exposed and vulnerable at a time when I was very unwell - the public got a little bit of a behind-the-scenes peek at me when I was extremely poorly. You can go digging in the archives, if it pleases you, or you can take my word for it: there's no surprises and there should be no pleasure in gawping at somebody when they're sick.

If we've not spoken for a while, I highly recommend that you get in contact and we actually speak on the phone - my email is nick@manicgrant.com. You might be very surprised to learn that your friend is in possession of most of his marbles, and not the raving lunatic that you might have guessed I would be, after such a traumatic couple of years.

Here's another one for the photo album, taken only seconds ago. My left eye is not yet 100% and I'm still suffering a lot of brain fog and other recovery-related problems - it'll be a month or two before I'm fighting fit. My face still tics when I'm stressed, but it's less pronounced.

I'm struggling with horrible anxiety, depression and confusion; memory problems. None of this is a surprise to me - it's to be expected, given what I've been through and I'm still going through.

I've got no idea what I'm really writing about, or what my purpose is now. Is this still the world's longest suicide note, or am I now campaigning to end the stigmatisation and discrimination that our less fortunate members of society must face: the mentally ill, alcoholics, drug addicts and homeless people... the dregs that nobody wants to touch with a bargepole. I know that I want to be the voice of the voiceless, although I know how clichéd that sounds.

I'm swimming through a fog of confusion, but I know I'm slowly getting better.

Tags: #mentalhealth #recovery

This is a story about pill popping...

If you're unfortunate enough to find yourself on a psych ward, you might be surprised to discover that you don't have a choice about whether you take your medication or not - you can be treated against your will. That's worth repeating one last time: you can't refuse your treatment.

At the moment, I'm effectively unmedicated. I'm taking pregabalin for neuropathic pain, but I'm reducing my dose by 50mg every 4 days, so I will stop taking it altogether in just 12 days time. I'm taking zopiclone for insomnia, but I will halve the dose in 7 days time and stop taking it altogether in 21 days time. Meanwhile, I've been taking a tiny dose of lamotrogine - just 25mg - which is too little for it to have any effect.

But, presumably I was on some heavy medications while I was in hospital?

No. No I was not.

Since the 9th of September 2017, I've stopped drinking altogether - I'm teetotal - and I've stopped abusing benzodiazepines (Xanax and Valium). I've also not taken anything other than pregabalin and zopiclone. It was less than 3 weeks ago that I started taking a tiny dose of lamotrogine, which is not capable of controlling any mood disorder that might be troubling me.

I must admit that I rather toyed with the poor psychiatrists who saw me. I casually dropped olanzapine and sodium valproate into conversation, and their faces lit up like a Christmas tree. My fellow patients were acutely unwell, and injections of Depakote - colloquially known as "depo" - were dished out to anybody who exhibited troublesome behaviour. It's a sad sight to see somebody who's just had their injection, shuffling along the corridor like a zombie.

Although strictly speaking this is not supposed to happen, I dictated the medication I wanted. My notes from my psychiatrist in London had not travelled up to the North of England with me, and my new doctor (General Pracititioner) knew nothing about me. The clinical team had to take my word as gospel.

I'm now wondering whether to be compliant with the medication that I decided I wanted, or not.

tags: #mentalhealth #bipolar #medication

This is a story about subservience...

It's grim up North. I didn't think it would be but it is. Here's Coronation Street. Beautiful, isn't it? Presently, that discarded sofa would be where I'd sleep if I discharged myself from hospital.

Without the crutches of alcohol, benzodiazepines and sleeping pills, I feel overwhelmed by stress and anxiety, because of the precarity of my position. Without a home; without a job; without financial security - there's plenty of rational reasons to be distressed.

People implore me to sit back and relax, but they don't realise that I've got loan payments to make; credit card payments to make; overdraft interest to be paid. To have to spell this out multiple times is frustrating.

"Why don't you just go bankrupt?"

Yeah, nice one, Einstein. Did you know that I do a lot of consultancy for financial services organisations? It's imperative that I have a clean credit record - prospective employers will do credit checks on me. You might as well suggest that I go out and commit a crime and add a criminal record to my list of woes.

"It's too soon to be thinking about going back to work"

Well, unless I'm accepting that I'm abandoning all hope of ever repaying my creditors and suffering a life of poverty at the mercy of the state, then no, it's not too soon. There's a concept called runway that I talked about at length during the first half of this year. I was unwell, but during my convalescence I was running out of runway. What happens when a plane runs out of runway?

In short, I'm driven to seek income, to prop up my depleted finances and keep servicing my debts.

If you're really wanting to poke your nose into the darkest recesses of my life, then you should know that I can easily earn enough to replenish my savings and get onto an even keel, with just 5 or 6 months of contract work in London. That I ever left London seems like a mistake, but I had few options - what I did was the right thing in the circumstances.

Today, I'm detoxed from alcohol and benzodiazepines - the physical dependency has been treated - but it quite literally nearly killed me. In addition to the massive deliberate tramadol overdose, my hospitalisation meant I abruptly stopped drinking and taking benzos, which caused me to have loads of seizures - in short, you should never suddenly stop heavy drinking or taking large doses of benzos, because you could die.

So, one might argue that I'm in a better place than when I attempted suicide. Yeah, I guess the biggest threat to my life has gone - my physical dependency on medications and alcohol.

Now, the biggest threat to my life is me - the desire to be dead is an insistent nagging thought that won't go away. It makes so much sense to commit suicide: all I have ahead of me is stress.

The rebound anxiety - having ceased taking medications and drinking alcohol - is causing me to suffer an intolerable amount of unpleasant feelings. It feels like I'm going to feel awful forever, and who would want that?

Of course, my perceptions are probably warped - nothing lasts forever. However, should I really be living my life just hoping to die of natural causes?

I could be writing about how pleased and happy I am to have a second chance - I survived a very large overdose and other medical complications that really should have killed me: the team at the Intensive Care Unit (ICU) were very surprised that I survived. Shouldn't I embody every trite contrived platitude you've ever heard? Shouldn't I be carpe diem'ing? Shouldn't I be counting my blessings? Shouldn't I be thanking my lucky stars?

Without stopping to consider all the reasons I tried to kill myself, my problems are not going to go away on their own, are they?

If my suicide attempt was an impulsive thing that I had any regrets about, then perhaps surviving would give me some long-lost appreciation for life. However, I'm spine-chillingly cold and rational about the biggest decision that anybody can ever make: the decision to die. Having been stuck in a never-ending cycle of attempts to get my life back together again, I was exhausted and unable to face rebuilding everything again. I'm still exhausted.

There was a fleeting chance that my suicide attempt could have been a minor setback, but I was completely shafted by the company I was working for. The mistreatment I suffered was inhumane; monstrous. I'm almost speechless that I could have been treated so badly.

I'm stuck between three things:

1. To act positively, and go and earn some more money
2. To act negatively, and pursue my legal rights
3. To simply attempt to kill myself again

To follow the first option is to repeat the behaviours I mastered a very long time ago. It was 20 years ago I got my first full-time job; rented my first apartment. It was 20 years ago that I learned about office politics and how to get ahead in life - a life of corporate conformity.

Instinctively, I reject the bullshit that made me unwell. For 20 years I've observed the rats in the rat race, and for 20 years I've observed the world become a shitter place - an exploding population is on collision course with mass starvation; unrestrained fossil fuel burning has led to runaway climate change, which is causing parts of the world to become uninhabitable, killing and displacing billions of people; deregulated free-market capitalism has raped the globe's finite resources and created a culture of wealth-worship where nobody gives a fuck about anything.

To be a principled, ethical man, is a kind of disadvantage - my political philosophies about social justice and a more fair and equal world, are exploited. I find myself screwed over by people who are willing to trample on anybody and everybody, in a desperate and disgusting scramble up the slippery sides of a mountain of dead bodies.

I've proven that I can play by the rules, but the whole game is bullshit and most people are cheating. I don't have anything to prove to anybody anymore; I've shown that I can wear the corporate mask and fit in with the herd; I've shown that I can live a life of subservient conformity, but it drove me to point of taking my own life.

I don't wanna play anymore, and the only way I can see to call time on this bullshit is to kill myself.

I think to myself that I've suffered and that I must turn that suffering into a piece of art - a monument to the stupidity of humanity. It's grandiose and ridiculous to think that a piece of writing could have any useful effect on the world, but this is my only legacy. Do you deny me the facts? To think that I would no longer live & breathe was a shock to many who've stuck with me and followed my story.

Of course, I'm sick and I've got "insight" into my illness - that is to say that I can consider an objective point of view. It's natural that I'd be feeling terrible, only 24 days after I very nearly managed to kill myself. It's natural that I'd be feeling terrible, given the clusterfuck of issues I've got to sort out if I want to go on living. I can see that I may very well be feeling unnaturally anxious, because my brain is re-adjusting to life without booze and benzos to soothe the stresses that are ever-present in the world.

A doctor suggests that I avoid the news, political protests and other things that I might get worked up about. Is this akin to a lobotomy? I think I would very much like a lobotomy... that's how I arrived at the brain-numbing chemical lobotomy that I swallowed every single day. Unfortunately, my brain is very much intact.

Why am I still so painfully conscious?

Tags: #suicide

This is a story about peaks and troughs...

I'm in the middle of a warzone. "I WANT TO GO HOME" yell multiple angry men, who are considered unsafe to be out in the community. It's all kicking off on the psych ward, because today is ward round with the doctors. Today is the culmination of a week of waiting and hoping; hoping that today will be the day that the consultant decides to grant some liberty to the men who are detained here - the top doctor is all powerful.

Ward round is supposed to be 10 minutes per patient, but I'm a psychiatric anomaly - completely unmedicated, yet compliant, articulate and reasonable. The staff - nurses and support workers - report that I have been polite and well mannered. It's rare that a middle class person winds up on an NHS psych ward - my fellow patients are all victims of poverty, and their mental health conditions make them most unmanageable indeed.

Having moved from an 8-bed Psychiatric Intensive Care Unit (PICU) to this ward that sleeps 20+ men, the intensity of what's going on around me is much greater, even if there isn't the sound of struggling patients being dragged down the corridor to a padded and soundproofed isolation booth. At least on the PICU I could lock my bedroom door and feel a little safe. Of course, the staff opened a little peep hole every 15 minutes to check I was still breathing, but it was a much less stressful environment.

The world's most terrible shower was one of my big disappointments, as I repeatedly pressed a push-button to get a pathetic dribble of water that could barely wash away the soap from my hair. At least the water was warm, I thought. Then, a nurse knocked on the door and offered to make me a bacon & egg barm (roll) and I was pleasantly surprised. Returning to my bedroom, I was greeted with the delicious sight of the lovely breakfast snack pictured above.

A lot of people have presupposed that the food is terrible on the psych ward, but it's actually very decent. Through my turbulent journey of the last few years, I've eaten a lot of hospital food. When you're on a general NHS ward, you actually get a spectacular choice of meals, plus kosher and halal options too, which I can highly recommend.

Because my ward round time overran, I missed lunch. I asked if the staff were making any trips to the local shop - my permission to leave the ward has been cancelled due to the fact that I'm a suicide risk - and if they could get me a sandwich.

Despite the commotion, somehow a kind nurse managed to make me beans on toast with scrambled eggs. I was actually more disturbed by the disruption of the routine than I thought I would be. The amount of stuff that's happening all one one day is insane. The clamour for the doctor's attention is just as bad as you'd think it would be, given that everybody's been locked up all week and only this one guy has the power to allow anybody off the secure ward.

These two meals - breakfast roll and beans on toast - are unlikely to be in line with the NHS's ambitions to reduce salt, sugar, fat and other unhealthy things from patients' diet. Salt sachets are liberally sprinkled onto all the regular food we get, replacing the salt that would usually be added by the chef - the net salt consumption must surely be the same. There was something delicious about these beans, in their sweet tomato sauce on white bread. The carbohydrate content of this meal must have been huge, even though it was virtually fat-free except for a light coating of margarine on the toast.

The fluctuations in blood sugar and medications are very pronounced. From 10pm to 9am, no medications are dispensed, but they are dished out throughout the day. From midnight to 6am, the smokers are not allowed to cluster around the doorway that leads to the tiny outdoor area surrounded by high fences, in order to get their nicotine fix. Tea and coffee is decaffeinated, but I quit drinking hot drinks quite a few years ago. The fluctuation in the importance of days of the week, is all fixated around Tuesdays, when ward round happens. The tension in the air is palpable - patients want their freedom.

Being a non-smoker, the passing of time is marked by food and sleep for me. Masturbating in the world's shittest shower is not something I've even brought myself to do, yet, although the sexual needs of the 20+ men on this ward can't be magicked away with medication. There's clearly an undercurrent of sexual tension, which reveals itself in inappropriate ways... however, can we view the natural urges of these men - myself included - as wicked and wrong, when they are simply part of our biological make-up?

Three hot meals a day. None are particularly photogenic, but I devour every last bite. The pleasure of eating is one human thing that can't be denied to us, despite the dining not being haute cuisine. I'm grateful for the safety of this NHS psych ward, and the food I receive at taxpayers' expense.

My ensuite bathroom has no shower, but at least I don't have to share a toilet to dispose of the digested remains of what I shovel into the hole in my face. I barely chew, but mealtimes are the three happy moments in my day, which is otherwise just spent waiting... waiting.

Tags: #food #mentalhealth #hospital

This is a story about being hounded to death...

One week ago, I was shovelling pills into my mouth, washed down with pints of white wine. The LD50 is the lethal dose that will kill 50% of the test subjects. Lethal doses are normally calculated in milligrams per kilogram of body weight. Tramadol is quite a reliable way to kill yourself, with plenty of examples of successful suicides in the literature, for anybody who wishes to trawl the medical journals.

Most opiates will cause respiratory arrest. Tramadol seems to kill more often through serotonin syndrome, according to what I read in advance of my suicide attempt. I can tell you exactly what it feels like, to reach your wits end, decide to end your life, and follow through with the necessary steps. I can tell you exactly what it feels like, during the periods of consciousness, as you die.

Once I had downed all the capsules and their gelatin shells had started to dissolve, I started to become quite intoxicated, thanks in no small part to the wine I used to wash my legally prescribed pain medication - tramadol - down my throat. Of course, I had stockpiled the capsules, which is not what my doctor had anticipated I would do, when they wrote the prescription, but I was getting a box each visit to the pharmacist, with each box containing plenty to end my life.

I decided to send out some final Tweets, when I believed I was beyond the point of no return. I have no idea whether I inadvertantly saved my own life or not, by alerting my social media contacts to the fact that I was on my way to meet my maker.

Discussion of what pushed me over the edge is not really warranted here, suffice to say that I simply had nothing in reserve when my fragile embryonic new life in this Northern city started to crumble. I had given 100% to my new job, my new girlfriend and my new friends. I had no safety net, when the slender threads that supported me, snapped suddenly.

Firstly, it should be noted that it takes quite a long time for your stomach and large intestine to process enough capsules for you to start to experience the onset of a fatal overdose. I had imagined that 40 minutes would be plenty for the first wave of powerful tramadol to hit me, and to make me unconscious or at least delerious and incoherent. I was wrong - I was able to send out several Tweets that actually seem to make sense now - one week later - as well as being gramatically OK and without spelling mistakes.

Secondly, it should be noted that the ideal scenario of falling asleep and not waking up, did not happen at all. I did get waves of soporific effect from both the alcohol and the tramadol, but I imagine that the adrenalin of knowing I was on my way to the grave kept me mostly conscious. My eyelids would get heavy and my head would drop, but my body fought to stay alive and I kept jerking awake.

Thirdly, I have horrible snatches of memory. I can remember exactly what it was like to fill my mouth with capsules, and gulp them down with wine from a pint glass. I remember how agonisingly long it took to empty out all the packets into the box, which I used as a kind of cup, from which to tip a load of tramadol into my mouth before swallowing it. I can remember the emergency services battering their way into the bathroom, where I had slumped in the dark, waiting to die. I can remember telling them where all the empty pill packets were.

I can remember telling somebody - was it somebody at the hospital? - who my doctor was and exactly what overdose I had taken. I can remember the very worst moment, when the hospital told me that death was likely to be slow and painful, not the unconscious affair I had imagined.

I can remember when I started to have seizures. I can remember begging the hospital not to treat me with activated charcoal; not to pump my stomach; not to resuscitate me if I went into cardiac arrest. I can remember coming round after 12+ hours under sedation, breathing with a ventilator. I had a tube coming out of my nose, one down my throat and one up my dick - I had been intubated, catheterised and had several canulas installed, including an arterial one that was measuring my blood pressure. It felt like I had snot running down my face, but it was just a tube that was being used to put stuff into my stomach to neutralise the deadly chemicals.

I can remember a nurse or a doctor came and asked me a question, and I tried to reply but I couldn't. Every time I tried to speak, my lungs pushed air against the ventilator, and I would be left momentairily be gasping for air until I allowed the machine to breathe for me again.

I can remember a different nurse or doctor reassured me that I would be able to speak once the tube had been pulled out of my throat, where it was impeding my vocal chords. I was so relieved, because it was deeply distressing to lose my ability to talk and have moments where I couldn't breathe.

I can remember being asked how I felt about the fact I had survived an overdose that should have been fatal. I felt terrible about telling the hard-working intensive-care nurse or doctor that nothing had changed... in fact things were worse than ever, as I imagined that the overdose would have caused horrific organ damage. I expressed in no uncertain terms that I still wanted to die.

I can remember drifting in and out of consciousness. From Saturday night to Tuesday morning, I had no idea whether I was in A&E resus, intensive care or the high dependency unit. I can vaguely recall being told, but the memories seem all out of sequence, and dreamlike - quite unreal.

I can remember being wheeled into a general hospital ward at some point on Tuesday, and then wheeled off to my own private room. I can remember slowly regaining some mental capacity. I can remember a visit from a psychiatrist, where I again expressed my distress with my situation and fear that I would not be able to guarantee my own safety - what had improved since I had tried to end my own life? Nothing. In fact, my situation had worstened: I had no idea what kind of state my apartment would be in when I got home - my wallet, keys, phone and other personal effects had gone missing. It seemed unthinkable that I would have to face potentially being locked out of my apartment, with no money or credit cards on me, and no means of contacting anybody.

When I did finally make it back home, things were worse than I had even imagined. My laptop and digital camera had been stolen. Every single prescribed medication had been stripped from my shelves and drawers and cupboards. There was one single solitary pregabalin capsule, almost left mockingly on my bedroom floor which lay in disgraceful mess. I need pregabalin for nerve damage in my left ankle/foot... as a non-opiod painkiller. I desperately needed some of the zopiclone that I had stockpiled, in order to sleep after such a horrific ordeal. These are not dangerous medications, ironically. I had moved myself off the tramadol, because it was not desirable to use it as a long-term painkiller. I had stockpiles of zopiclone, because it was useful for these very eventualities. The home treatment team had thrown bucketloads at me, because sleep is so important for good mental health. Where was all my prescription medication?

There was no sign of my mobile phone anywhere, and without my wallet and laptop, I was completely stuffed in terms of being able to get a message to anybody. From Saturday night until around 3 or 4am on Wednesday morning, I had been completely cut off from the world... mostly unconscious, and without access to telephone, email or social media.

Wednesday daytime, the way I was treated at the office - where I went to store the few valuables that had not been stolen - was extremely odd; if not downright rude and unpleasant. It was most unsettling indeed to be treated so oddly at my place of work, especially after surviving a suicide attempt and having suffered a burgulary. I was also fighting off panic attacks and pain, because my legally prescribed medications had been stolen too.

After a quite baffling experience at the office, where I was ushered out of the door as if I was an interloper, the CEO of the company I had been doing consultancy work for, spoke to me to say that he would be very happy to see me for a beer, but that I could spend the rest of the week sorting out everything that now dauntingly lay ahead of me: repairing the damage from the break-in and replacing the stolen items. Life is profoundly difficult without your credit and debit cards, mobile phone and laptop.

I managed to get an emergency prescription for 7 days of pregabalin and zopicline, so that I could restabilise my medication regimen. I managed to get enough cash out from the bank to replace my laptop, but not my smartphone or pay for repairs to my flat. I was starting to be overwhelmed with the enormity of the task that was expected of me: for a suicide survivor to carry on with their life as if nothing had happened. My home felt violated and insecure. There was something weird going on at work. It was deeply unsettling.

Gladly, I was re-admitted to hospital at Accident & Emergency, because I was driven into crisis by the horrendous near-death experience, only to then find that my two most valuable and prized possessions - my smartphone and laptop - had been stolen, and my flat had been ransacked; my front door and bathroom door were smashed up; the place had been turned upside down.

The fact that I was discharged from hospital and ended up back at my trashed apartment at 3 or 4am on Wednesday morning is something that should never have come to pass. What the fuck are you doing discharging a suicidal person in crisis, into a situation where they've got more on their plate than they can handle? How the fuck am I going to go back to life as normal, without my smartphone, laptop or a secure home to keep myself and my possessions in? How the fuck am I going to get through life without the pain medication for my nerve damage, and sleep medication for the horrendously stressful circumstances.

Being re-admitted to hospital - first the Accident & Emergency department, and then psychiatric hospital - was inevitable, and essential for my safety and wellbeing.

I could have bounced back, but the strange experience at the office and the amount of things I had to sort out due to theft or loss, was simply too much for somebody as sick as I was then.

I managed to get a replacement debit card for my business bank account, and make some cash withdrawals using my passport, but after replacing my mobile phone and laptop I had very little money left; I was exhausted stressed and in no mood to return to my home that not only felt violated, but also not a secure place to keep myself and my valuables.

My very worst fear was realised: that of finding myself completely alone in this Northern city with nobody to turn to for support. Without a smartphone, I felt completely cut off from social media. By some strange co-incidence, my work colleagues were both out of town. This was the perfect storm. This was exactly what I never wanted to ever happen - to be isolated and alone.

I thought about throwing myself off a high building, or under a bus. In the end, I finally made it back to where I should have been allowed to stay: the safety of hospital. Surviving a suicide attempt is a big deal, and then to have shit to deal with at work and home, was horrendous.

My memory about how I arrived back in hospital is just as fucked up as you'd expect of somebody who's been through a near-death experience and survived, but only barely. I'm not sure what's real and what's dream. I feel like I died all over again. I have these strange memories of trying to replace my mobile phone, laptop and get enough cash out of the bank to replace my iPhone too. I can remember waking up on a hospital trolley and re-orienting myself with reality... there were lots of things that I could vaguely remember, but they seemed to be from a different life. Had I died and had my heart restarted? Certainly, there was a period where I was sure I was dreaming. Perhaps I was still having seizures, because of the unbelievable disturbance to the stability of my life, including the regularity with which I was able to take my medications and soothe my jangled nerves with alcohol.

I write to you now, in stone cold sobriety. My alcohol consumption has been practically zero for a whole week... cut at a rate that would easily cause problems, especially considering that all the other medications that I have been prescribed have been very irregularly given to me too. Rebound insomnia from suddenly stopping zopiclone would be expected. Suddenly stopping pregabalin will have terrible consequences, as with any of the GABA agonists. I'm surprised I haven't had MORE seizures or perhaps even been killed by the sudden withdrawal of medications that I had become physically dependent on, as well as alcohol. You can't just suddenly stop drinking and taking the pills that I had been prescribed - you have to taper down gently.

In a way, I'm in a good situation now that I'm off all the alcohol and most of the meds that I had become dependent on. My sleep is terrible, I'm in a lot of pain, and I'm overwhelmed by anxiety and a general sense of unease, but it's good to not be drinking so much and having to take pills just to stay calm through some incredibly stressful events.

My housing, employment and general situation is dreadful. I'm being royally dicked over by everybody who has sensed that I'm in a vulnerable state. It's an abosoute disgrace, how people have tried to put the boot in and deal the final death blow to me, when I was already bruised and bloodied and at death's door.

I'm in psych hospital until Monday at least, which is a blessed relief. I have a room with a door that hasn't been kicked in and has a fairly sturdy lock, with which to protect my valuables. I get three hot meals a day and there's plenty of hot water. There are loads of mental health professionals on hand if I was feeling suicidal again.

Sadly, I am having to turn to the law to defend me from mental health discrimination, illegal eviction, and hopefully recover my valuables that were lost or stolen due to negligence. At least I am in a safe place from which to defend myself. Justice will prevail.

I think it's outrageous that I was ever declared fit and well enough to be let out of hospital, especially given the ransacked shithole I had to go back home to, and the mistreatment I received at work. However, I am also sympathetic towards the police, who have a difficult job to do, as well as to the fact that I have received a substantial amount of hospital care, to save my life.

There's a fairly simple ethical guiding principle here though: don't fuck with vulnerable people. I'm pretty mad that I'm the one with the stolen iPhone, MacBook, the battered and bruised body, the missing medications and having faced some terrible stress, on top of the situation that was already so horribly desperate that it drove me to try to end my own life. Nobody is coming to me and offering me compensation of any kind, despite my phone and laptop being supposedly covered under a company insurance policy.

I have a fully functioning conscience - a moral compass - and I am trying to set matters straight that I am responsible for. Even in the midst of what might have been the final hour or two that I walked upon this Earth, I still had concern for rectifying certain things, and I still do. I'm being treated like shit, but I don't feel that entitles me to treat others like shit. I'm in a horrible situation, but I'll do what I can from where I can... although I do expect to be treated fairly and in accordance with the contractual obligations, housing obligations and obligations to not be discriminated against because of my mental health crisis. The door swings both ways, and I take my ethical conduct very seriously.

Sadly, the law and solicitors of various flavours are being involved, which means I can do little until they're back at work again on Monday. I need to proceed through the official channels, seeing as I'm being beaten with a legal stick. I'm outraged that my housing and income is under threat, simply because the opportunistic shits that I've been doing some work for have sensed an opportunity to try and scam me.

I wish everybody would just do the right thing, or offer to rectify things when they have made a mistake.

Anyway, as you can tell, I'm feeling quite sorry for myself, given the shitshow of my life. My guardian angel has arrived in the nick of time to help me stay afloat, but I'm still battered, bruised, organ damaged, hospitalised, under threat of illegal eviction, my client is in breach of contract with unpaid invoices, my employment offer has been withdrawn due to mental health discrimination, and the dreadful ordeal on Tues/Weds with being released from hospital too early, has pretty much fucked any chance of recovering my delicate poise. Everything was so fucking fragile, and it burned down in the blink of an eye.

Fundamentally, where is my girlfriend, my friends - my support network - as well as my work colleagues, income, housing and all the other pieces of the puzzle that make a liveable life? All I can see are circling vultures, greedily eyeing me up as a piece of carrion.

At least we have a decent legal system here in the UK and justice will prevail eventually. Nobody can get away with acting unethically and abusing vulnerable people. I'm safe in hospital. I can defend myself from here.

Finally... I got my replacement laptop working and I'm back online.

Without the structure of being able to capture images and compose my thoughts on the pages of this blog, I've been rather cut adrift. Without my social media contacts, I've felt totally isolated and that nobody knows what I'm going through, although my guardian angel has bridged the gap very well, so I must give a great deal of thanks to her.

Nobody knows just how close to the edge you are until it's too late. What an absolute shitshow.

Tags: #mentalhealth #suicide

This is a story about key performance indicators...

Most of us have salaried jobs and most of us have line managers. We sit down once or twice a year with our manager - the boss - and we agree some performance objectives for us to try and meet. When we have an appraisal of how well things have been going at work, we look at whether or not we managed to achieve what we were supposed to do.

I hate to have to break it to you, but what you're doing is complete and utter bollocks.

In hierarchical organisations, your pay rise and promotion prospects are decided by somebody who's been promoted into a position of total incompetence. Intrinsic to their very existence, organisations have a pyramid structure, where there are vast numbers of people trying to reach the next rung on the ladder; the next layer of middle-management.

You would hope that hard work and rhetoric about meritocratic culture would help you get ahead in life, but you've been playing the game by the wrong rules.

Work is a popularity contest. If you want to get the best pay rise and the best promotion, you have to be liked by people who are more senior than you are, and you have to make your boss look good: those are the only two rules.

If you are not liked by your boss and you didn't do any of the things that you were supposed to do, it doesn't matter at all, so long as you did things that make your boss look like he or she is 'managing' you effectively. If you are liked by multiple senior people, then your boss will not be able to block any ambitions you have for promotion, which is pretty much all your boss is trying to do - bosses are promoted until they can no longer be promoted, and then they block their subordinates from progressing in their careers.

Being liked by your peers and/or your subordinates is completely unimportant. Nobody gives a shit about the underlings' opinions. Nobody is ever going to ask your peer group what they think about you. Therefore, to be popular amongst people at the same level as you - or below - is only to waste precious time that you could spend impressing more senior people.

It is notable, that at no point have I mentioned doing any work. This is because doing work is a complete waste of time. Nobody ever got a pay rise or a promotion for doing actual work. If you're busy doing work, then how are you going to have any time to make yourself popular or do things that make your boss look good? If you do the things that you agreed with your boss, how can your boss take any credit for doing anything other than just doing their basic job?

Thus, organisations have disincentivised work and incentivised spending time kissing asses and yelling loudly about how great we are, while we attempt to get promoted into positions of incompetence.

Seriously, if you think you're good at your job, you're stuck at a dead-end - you're going nowhere.

Pictured above is a plastic crate full of empty wine bottles, beer bottles and beer cans. When the plastic crate is full, I can count the empty containers, read the ABV (Alcohol By Volume) off each one, and total up the aggregate amount of alcohol that I have consumed in a given time period. This gives me a data point, which I can record in a spreadsheet.

You might assume that there would be an inverse correlation between my alcohol consumption and my monthly take-home pay, but in fact, the very opposite is true - the more I drink, the more I earn.

I'm not going to argue with the data. The facts are the facts. My consumption of alcohol is the best predictor of my income. I can't tell you what the causality is, but I can tell you for certain that there is a correlation. However, I will tell you what my hypothesis is though.

Drinking is a social lubricant. I'm prone to saying and doing regrettable things while under the affluence of incahol, but the lunchtime 'sesh' or the after-work beers are not subject to any organisational hierarchies - we are all equals when inebriated. Being drinking buddies with the bosses never did any harm to anybody's career, provided you are not sick on anybody's shoes.

Being hungover compromises your ability to function, forcing you to find creative excuses for your lack of productivity. Hanging around the water-cooler or coffee machine - nursing a sore head - you often encounter your partners in crime from the previous night's drinking escapades, many of whom will be senior managers. When later questioned "what the f**k have you been doing all day?" you have a absolute watertight excuse that you have been talking to some highly respected member(s) of your organisation.

Over time, the objective of achieving tangible productive output is replaced by the skill of being drunk or hungover for most of the time that you're at work, while also looking busy and making influential friends.

If we consider a hypothetical scenario. Subject A works hard and drinks very little, but subject B works very little and drinks very hard. We then plot the salaries and alcohol consumption onto a comparative graph. When we do this, we can see that subject A is badly paid, whereas subject B's wages are significantly higher and climb steadily - well above the rate of inflation.

Furthermore, if we measure our hourly wage, based on the amount of sober and productive time that we give to our employers, we can see that the heavy drinkers - at least in my own case - are paid an astonishing amount of money for their work.

One caveat: drinking a bottle of vodka every night alone at home, is out of proportion with the amount of alcohol being consumed with members of your organisation. When social drinking metamorphosises into pure alcoholism, your hourly sober wage becomes infinite. You are swigging from a bottle hidden in your desk or your gym bag, in order to maintain your state of intoxication throughout the working day... you are not making your boss look good or increasing your popularity with senior managers. In short, your days are numbered.

Great companies are built on the foundations of alcohol & coffee. Some of the most amazing people I've ever met are 'functional alcoholics' but the pejorative term seems to be an oxymoron. It's impossible to decide whether alcohol gives us the 'Dutch courage' to tackle horribly stressful things, or whether people who shoulder great responsibility, are reaching for the bottle to salve their anxiety.

Of course, I am not encouraging you to drink intoxicating liquor, but it would be dishonest of me to deny the facts contained in the data and perpetuate the myth that sobriety and productivity are virtuous, in the amoral world of business.

One must question one's motives for continuing existence. Are you here to pass on your genes - to rear your progeny - and if so then why are you not having unprotected sex at every opportunity? Are you here to maximise the amount of time that you are drunk or high, and if so then why are you not drinking morning, noon and night?

Some of the more conceited individuals who walk amongst us - including myself - talk about leaving their "mark" on the world. I imagine leaving a fucking great big smoking crater, like the one from that huge asteroid that struck the Earth, wiping out the dinosaurs. That's not to say I want to commit mass murder, but simply that I'm on a trajectory travelling at high speed, and I have absolutely no idea what I'm going to smash into and what damage I'm going to cause.

To avoid the difficult questions and the certainty that you will die and leave a hole in people's lives, is folly.

Why is it that I gravitate towards brilliant individuals, who are never teetotal vegans who abstain from sex, masturbation and everything else that might be vaguely enjoyable? Why is it that when you scratch the surface of anything that glitters like gold, there's a strangely alluring stench of debauchery?

If I wanted to die in obscurity, written off as an addict and an alcoholic, would I not have just allowed society to label me and blame me for everything that's fucked up and has no other convenient scapegoat? How can we hold William S. Burroughs and Ernest Hemingway in such high regard, when they epitomise alcoholism, heroin addiction and suicide?

To say I'll die a meaningless death is apparently untrue ("you'd be missed") but to say that my death will have repercussions - like ripples in a pond - is conceited and a dreadful cliché... many suicides are motivated by the idea that it's the grandest of gestures.

We must all confront our own mortality, and every day that you spend 'doing your job' is just a waste of fucking time.

Tags: #alcohol #career #suicide

This is a story about irreversible decisions....

Nearly 400,000 people killed or injured themselves using a gun, in the United States in 2016. That's 1 one 1,000 Americans, who them will shoot themselves each year.

In the United Kingdom, the only way for me to get a gun is to buy one on the dark web. For me to possess a firearm without a license and keep such a weapon without a locked gun cabinet, contravenes many British laws. In short, deadly weapons are outlawed in the United Kingdom and to 'bear arms' could see me imprisoned.

For £8.40 I obtained 112 tramadol capsules, which are contained in the brightly coloured box pictured above. The aggregate weight of the deadly opiate within this box is 5.6 grams. An overdose of tramadol is considered to be anything above 0.4 grams. Therefore, this box contains 14 times the maximum 'safe' dose. Death would be a certainty, if I was to swallow little more than a couple of mouthfuls of this medication.

Perhaps, you are thinking, that I procured this deadly substance through the dark web. In fact, I had been prescribed this pain relief treatment by my doctor, and I had collected three of these boxes quite legally and within my rights as a British citizen.

For £25, I had stockpiled enough pills to end my own life several times over.

In a deal I struck with my psychiatrist, I surrendered two out of three of the boxes that I was entitled to possess. My general practitioner (GP) had authorised a pharmacist to dispense this controlled substance to me... little did they know that I had already weaned myself off these addictive opiates and had amassed a total of 336 capsules, which contained approximately 17 grams of tramadol in total.

For many citizens of the USA, they consider it an inalienable right to own guns. Equally, I reserve the right to end my own life peacefully, painlessly and without undue suffering.

In the UK, people throw themselves under trains or hang themselves. If you are kiled on the railway, the driver of that locomotive will have to live with the recollection of seeing you hurl yourself onto the tracks; somebody will have to collect your body parts, put them into a body bag and take them to a hospital morgue. If you hang yourself, somebody will find your lifeless body suspended by whatever cord you chose to make a noose out of... they will have to cut your lifeless corpse down, and there will be clear evidence that your final moments of life were not at all pleasant for your body: your bowels and bladder may well have been involuntarily emptied and the ligature to your neck will have caused significant trauma.

The smallest amount of blood, semen, faeces or urine, seems to spread out far more than any other substance. A person who has chosen to evacuate the contents of their veins and arteries will be as white as a sheet, and there will be a shocking contrast with the dark red life-giving substance - their blood - that has been deliberately emptied from their body. 

Does it not seem better that if one has to deal with a cadaver, that it should be less physically mutilated? Does it not seem humane that people should die with the most peaceful expression that's possible in the circumstances?

What should I say about the sudden darkness that descended on me yesterday? There's little point in offering fake reassurances that everything's OK. The truth of the matter is that I live life with daily precarity, and with only a few bare bones of a social skeleton around me - seemingly inconsequential events lead to a disproportionate response. "It's not the end end of the world" somebody might say, and they're right, but when you're already close to the tipping point, it doesn't take much for it to be the end of your life.

I've done a zillion things impulsively in my life. None of those rash decisions have led me up a dead-end alleyway, yet.

There's something tantalisingly alluring about swallowing a couple of handfuls of pills and then slipping peacefully into unconsciousness. Even if I was to have seizures before I finally gave up the ghost, I would be completely unaware of my body's struggle to keep itself alive. How wonderful, to have the option to end the suffering on a whim.

To think that I'm being flippant or making light of the final decision that I'd ever make is not true.

One of the reasons I quit drinking a couple of years ago - for 120 consecutive days - is that I was afraid of acting impulsively while intoxicated. It's one thing to wake up with a hangover, thinking "why the fuck did I say/do those things?" but it's quite something else to not wake up at all.

I live with a toxic combination of a high-stress job, financial pressures and limited social support. Beyond Facebook and Twitter. I've retreated into a world of technology. The few close friends that I have are hand-picked because they're loyal and sympathetic towards my circumstances, which - I assure you - are not a result of free-will choices or preplanning. To have a seemingly minor setback might cause irrational behaviour, but so fucking what? Please show me the contract that my brain has signed up to, saying that it will always think rational things.

This blog was supposed to be a short and sweet message of reassurance, after a 'cry for help' yesterday. It was not nice wandering around the city centre for a few hours, hoping that the awful imperative to hurt myself, would pass harmlessly.

Tags: #suicide

This is a story about mass consumption...

"I need to stop drinking so much" I think to myself ridiculously frequently. Alcoholic drinks are very fattening and I'm not doing enough exercise. A combination of a sedentary job, depression and a physical injury, have conspired to give me every possible excuse I need, to spend my spare time in a state of intoxication. Banks grease the wheels of commerce - so we are taught in economic theory - and alcohol is the oily lubricant for every kind of social situation imaginable: births, weddings, celebrations & commiserations. I doubt the United Kingdom would achieve a fraction of its productivity, without the motivation of knowing we can have a beer or a glass of wine, when the working day is done.

It should come as no surprise to you that having lived on the ragged edge my whole live - an adrenalin junkie and extreme sport enthusiast - I would turn every knob and dial up to "11", give it 110% and to take things TO THE MAX, yeah!

The UK's chief medical officer recommends that I drink no more than 140ml of alcohol per week, which is 20ml per day. A conservative estimate for my current alcohol consumption would be 100ml per day, which is 5 times the recommended healthy limit. Each week, instead of drinking 140ml, I am drinking 700ml at least.

I have 3 pints of 4.8% strength beer after work, with my colleagues. An imperial pint is 568ml, and 4.8% of 568ml is 27ml. My daily allowance is 20ml of alcohol, so a single pint of beer already exceeds my daily drinking allowance by 35%. By the time I've drunk all three pints, I've had 82ml out of my weekly allowance of 140ml - 59% gone in a single social outing, and just 41% left for the rest of the week.

I have a bottle of wine at the weekend - a two glasses on Saturday, and a glass with my Sunday lunch. Wine bottles contain 750ml, and wine is around 13% ABV, so therefore that adds up to 98ml more alcohol, on top of the the 82ml I already drank, making a total of 180ml for the week - an excess of 40ml versus my recommended weekly allowance, which is 29% more than I'm supposed to consume.

The reality is that I easily drink two pints of beer or ⅔ of a bottle of wine each day. 14 pints of beer contains 382ml of alcohol. 3.5 litres of wine contains 455ml of alcohol.

Does that make me an alcoholic, you must be wondering.

My psychiatrist accused me of being an alcoholic, to which I replied "pish and fibble; what flabbergasting nonsense". We can do some easy calculations, to work out if I am an alcoholic or not.

Let's take the worst-case scenario where I consume 100ml of alcohol per day. Ethanol is metabolised at a constant rate in the human body. That is to say, the quantity of blood in your alcohol-stream does not follow some kind of exponential decay calculation. Assuming I drink for 4 hours each evening, by around 6am in the morning, I'm completely sober. This means that I'm stone cold sober for 13 hours out of 24, which is 54% of the time. This simple mathematics shows that I'm not an alcoholic, quod erat demonstrandum.

My psychiatrist is clearly not capable of recalling her basic medical training, which would have taught her that alcohol is metabolised by the liver in a completely different way to more complex molecules. Very specific proteins and enzymes are required to chemically decompose inorganic (i.e. invented in a laboratory) medications. We can do a simple test, to again prove whether I'm an alcoholic or not.

Again, taking the worst-case scenario where I consume 100ml of alcohol per day, if I was to abruptly stop drinking alcoholic beverages, we should expect me to exhibit alcohol withdrawal syndrome within a few days of sobriety. Assuming that I suddenly ceased all alcohol consumption, I should - at the very bare minimum - get shaky hands and other physical symptoms that would prove that my body has become physically dependent on alcohol. The fact of the matter is that I can stop drinking for 2 or 3 days, and suffer no ill effects beyond a psychological craving for intoxicating liquor. This simple test, again shows that I'm not alcoholic, QED.

Despite the failings of my highly qualified physician - my psychiatrist - who has specialised in the alteration of brain function through the blunt instruments of psychoactive medications, she unarguably stumbled upon a truth in amidst her lazy and untrue accusations of alcoholism: I do drink too much.

Another definition of an alcoholic or an addict, is somebody whose life is adversely affected by drink or drugs, but who does not respond to the negative consequences in a rational manner. If you put your hand in a fire it hurts, right? So, why would you put your hand in the fire again? The perverse behavioural pattern of continuing to act in a way that is undeniably harmful, has also come to be recognised as another definition of alcoholism and addiction.

One only needs to consider the question "why do people smoke?" to see that there is grey between the lines. Smoking is expensive, makes you smell, stains your teeth and makes your mouth taste unpleasant to any non-smoker whom you kiss [with tongues and stuff] - these are the immediate consequences of smoking tobacco. In the medium term, smoking will give you a revolting phlegmy cough as well as literally burning enough cash to purchase a reasonable quality second-hand motor vehicle, or enjoy several foreign holidays. In the long-term, emphysema and lung cancer will bury smokers in an early grave.

It's oft-quoted that "the liver is the only organ in the human body that can repair itself" but this is patently untrue. Chronic cirrhosis - scarring of the liver - will not heal itself. Conversely, many drug addicts who have overdosed and been declared "brain dead" have gone on to make full recoveries, despite a consensus of medical opinion that life support should be withdrawn. The BBC commissioned Louis Theroux to make a series of documentaries about life in Los Angeles, and the episode entitled "Edge of Life" recorded the 'miraculous' recovery of a man whose brain was deprived of oxygen for at least 12 minutes, which is well beyond the limits of what we believe any human to be able to withstand.

Many of those who have been unfortunate enough to be a victim of a stroke, will go on to recover the ability to speak, walk and recover other functions that were lost as a result of brain injury - this is underpinned by the inherently plastic nature of the brain. Plasticity does not mean 'made of plastic' - it means adaptable to change, including the ability to recover from trauma.

An alcoholic may easily consume a litre of vodka per day - perhaps some 400ml of alcohol - which would equate to 2,800ml of alcohol per week. Given that the recommended weekly intake for a man or woman is just 140ml, alcoholics - of whom there are very many - consume at least 20 times as much alcohol as they should do, according to the UK's top doc.

It seems unsurprising that somebody who drinks to an incredible level of excess - where they are intoxicated from the moment they wake up to the moment they lay their head to rest - should sustain an injury to their liver, rendering the organ irreparably damaged.

This essay does not seek to argue that I would not benefit - in terms of my physical and mental health - by abstaining from alcohol consumption. However, one must be mindful that drinking is endemic in UK culture and to be a non-drinker would impose significant societal pressures and judgements upon me. I have, in the past, been falsely accused of being a "recovering alcoholic" merely for the reason that I chose to be teetotal for a period of over a hundred consecutive days. I decided to be alcohol abstinent for a competitive challenge - one of my best friends had completed a period of 100 days of sobriety. In the end, I beat his sober-streak by 20 days.

If you're concerned about your alcohol consumption, drug habit or the quantity of psychoactive medications that you guzzle into the cavernous hole in your face every day, then you should simply ask yourself this one question:

Are you shovelling more and more mind-altering substances into your body each day, or have you found a steady quantity that satiates your want and need for intoxication?

While you fret about eating a 'balanced' diet and being 'healthy' you forget that for 4,000,000,000 years, organisms - just like us - have had to cope with a world that's too hot, too cold, too acidic, too alkaline, too oxygen rich, too carbon-dioxide rich, too sulphurous, too contaminated with arsenic & other toxins, and generally fucking hostile to anything that we define as 'alive'. Humans inherit all of the many abilities to deal with everything from the icy wastes of the frozen poles to the dry & scorching sandy deserts.

The ubiquity of alcohol represents the antidote to the curse of becoming self-aware; the torment of perceiving our own mortality; the torture of realising that life is fucking bullshit, and we all die alone. If we don't go crazy we'll lose our minds.

I do not seek to dissuade alcoholics from seeking treatment, nor do I encourage anybody to recklessly endanger their health. I would hope that any reader who has been able to follow the thread of my thesis to this point, would be able to see that I'm mounting a robust attack on those who seek to perpetrate alarmist & sensationalistic nonsense, onto a populace who have been harmlessly intoxicating themselves since well before any form of any recorded history.

If you are teetotal, I applaud you and I advise you to maintain your alcohol-free existence, but you probably possesses some characteristics that predispose you towards abstinence, not shared by your brethren who imbibe intoxicating liquor. Please; do not smugly think of yourself as morally superior.

By happy accident, I never addicted myself to nicotine, so I look upon smokers with a detached sense of amazement that tiny quantities of a plant alkaloid - in the order of a grain of salt - can induce antisocial behaviours in those who are in the vice-like grip of nicotine: a chemical compound whose psychoactive properties are formidable. I apply a cool objective reasoning that I am able to enjoy, to other addictions that I do and do not partake in.

It's Friday, and in the time that it has taken me to compose this essay, I have consumed 35% of my weekly alcohol allowance.

Cheers!

Tags: #alcohol

This is a story about succession planning...

The British have always liked hot drinks.

Coffee shops were terribly trendy in the late 1600s, having been launched in Oxford before springing up across London, where ships that brought the crop of beans to English shores found many willing patrons for the roasted, ground and brewed end product.

Tea symbolises imperial Great Britain. The Indian town of Darjeeling - formerly part of the British Empire - is synonymous with the tender leaves that citizens of the United Kingdom douse with boiling water, infusing bitter plant alkaloids into the hot liquid. "Put the kettle on" are four words that will be said in millions of homes this evening, despite the stimulating effects of caffeine.

Cocoa beans have given rise to hot chocolate, also known as drinking chocolate. Even a small UK food & drink shop will offer all manner of flavourings for hot water. Nestled in amongst the other things that my fellow Brits would categorise as 'hot drinks' I found something that I think of as a powerfully concentrated and flavoured spread, ideally enjoyed on toasted slices of bread - a jar of Bovril beef extract.

The flavour of Bovril is closer to Marmite and Vegemite - or any other brand of yeast extract - than it is to beef, in my opinion. How exactly they "extract" Bovril from a cow is something that I don't really want to think about. I suppose it's a macroscopic version of what they do with microscopic yeast - microorganisms are just the same as cattle really... eating, shitting, reproducing and not doing much else.

In this Bovril-drinking Northern city, conspicuous by their absence are people with skin tones darker than my own and women wearing headscarves. I formerly lived in a region where the population is 46% Muslim. Surprisingly, the Bengali shopkeepers have no issue with selling pork and alcohol to those who are not forbidden - for religious reasons - from eating swine flesh and imbibing the intoxicating liquor created from fermented fruits and grains.

In this unfamiliar part of Northern England, there are innumerable drinking establishments in my local vicinity, as well a vast number of hot food outlets where a bacon or sausage "bap" can be procured as a traditional breakfast snack.

India - before she was partitioned in 1947 - was a nation where Muslims would respect the holiness of cows in the Hindu culture, and reciprocally the Hindus would respect the Muslim rejection of pigs as unclean animals, and alcohol as an addictive intoxicant that places a heavy burden on any society that permits its consumption.

Modern global society still holds strong religious views on the treatment of domesticated animals and the brewing and consumption of alcohol. When we examine the historical evidence using the scientific method, we can see that cows and pigs would not exist today as we know them, without human intervention spanning many more thousands of years than even the oldest religion. Furthermore, we can see that humanity has been intent on its own intoxication throughout the history of civilisation. The Mayans were chewing coca leaves at least 3,400 years before Islam had its golden age, and vastly predates Hinduism and Judaism. Ergo, we must conclude that excluding beef, pork, alcohol and other things from our diet and habits of consumption is a relatively recent 'fad'.

The Chinese are the biggest per capita consumers of pork, while America and the developed nations hoover up vast quantities of refined coca leaves in the form of white powder cocaine and rocks of freebase cocaine, known as crack. Opium, morphine and diamorphine (heroin) are endemic worldwide. Caffeinated beverages - hot or cold - are guzzled by the globe. Alcohol is cheaper than bottled mineral water from desirable brands like Evian or Perrier. Yet, only in the North of England - so far as I know - do people consume a hot drink made from Bovril.

I hate being spread thin. I'm adaptable and I can be sent all over the globe to work with people who observe different cultural traditions. I am relatively worldly-wise enough to not commit a faux-pas, such as eating food before sundown in front of those observing the Ramadan period of fasting. I can pretty much figure out whatever you want me to do, if you're paying me enough and you're not open to persuasion that your ideas are probably terrible in their original unmodified form.

Why have a dog and bark yourself?

Now I find myself juggling the essential task of finding a doctor who will keep me supplied with the medications that I have become physically dependent on, while also settling in a new home in an unfamiliar city. I must also meet the demands placed upon me in the pursuit of enough money to eat, service my debts and give myself more security and freedom of choice.

I'm withdrawing from Xanax (alprazolam), Valium (diazepam), Ambien (zolpidem), zopiclone and Lyrica (pregablin). All of these drugs work in a very similar way - mimicking the brain's own 'brakes' and calming neural activity. These medications cause a chemical called GABA to be released in the brain, block the brain from recycling any unused GABA, or imitate the 'signature' of GABA itself. The overall effect is tranquillising, stress relieving and aids sleep, but the withdrawal is quite the opposite. In fact, the abrupt withdrawal from any or all of the medications listed can cause life-threatening seizures.

I must juggle social drinking - alcohol is a mandatory social lubricant in most UK culture - with the need to use alcohol as a form of self-medication for the stress I'm under. I also use alcohol as a substitute for the powerful psychotropic medications that my body has become dependent on, like heroin addicts kick their habit using methadone. Alcoholics can break free from physical dependence using benzodiazepines such as Librium (chlordiazepoxide). I'm doing it the other way round, because I know I can stop drinking - I plan on doing so in October, when I will use the excuse that I'm going teetotal to raise money for charity (a.k.a. Stoptober) - as I have done successfully before.

How I ended up with so much on my plate is not really my intended subject of this lengthy diatribe, but in my dark and difficult moments, I am facing a clusterfuck of competing demands on my time and energy, while also dealing with panic attacks and a general feeling of uneasiness and discontent; a false perception of threat, danger and imminent disaster.

My perceptions are not completely warped. Earlier this year, both my kidneys completely failed. Very recently I narrowly escaped homelessness, bankruptcy, destitution and destruction. Unpleasant feelings are a harbinger of a genuine medical emergency - I am detoxing myself without the supervision of a doctor or nurse, while also working full time.

I've skippered yachts and kept my crew safe in stormy weather; I've led groups safely up and down dangerous mountains covered with snow and ice; I've become blasé about near-death experiences, because I've now had so many. I don't think I'm exaggerating or being hyperbolic when I say that I'm facing my life's toughest challenge so far.

The demands placed upon me in my day job seem unreasonable at the moment, but I was desperate for fast cash. I was drowning and I was thrown a lifeline - beggars can't be choosers.

Friends who have submitted themselves to the mercy of the state seem to have suffered greatly from the trials and tribulations of dealing with compassion fatigued bureaucrats. A great many nurses and doctors have told me that I'm 'entitled' to live at the expense of the government - i.e. my fellow citizens - because of the taxes I have paid in my life, and because my mental illness disqualifies me from being 'fit for work'. To put work as my priority, ahead of treatment is something that none of my doctors want, but equally there's a long queue of people who would prefer to sit at home smoking cannabis and playing on their Playstations, rather than flipping burgers or scrubbing toilets for the minimum wage.

Like concentrated beef extract, I'm intense; I'm focussed; I can achieve a lot very quickly. The terrifying truth is that the world applauds anybody who exhibits bipolar behaviours... what happened to all those 'overnight successes' and 'one-hit wonders'? They spent all their money on fast cars, beautiful women, drugs & alcohol, and the rest they just wasted, is the oft-repeated quote.

Once you've figured out a winning formula, all you can do is teach others to follow in your footsteps. If you can train an army of mini-mes to do the grunt work - the heavy lifting - then life becomes more sustainable. Only a fool repeats the same behaviour, expecting different results.

And so, I desperately need to find my successor - somebody to fill my shoes and shoulder some of the burden, allowing me to recover and stabilise, rather than being trapped in a cycle of just repeating things that I've done before a thousand times.

It's hard to find somebody who's willing to do a shitty job, and it's hard to find somebody who's able to navigate their way through the piles of shit and find the better way of doing things. I might be that diamond in the rough, but that doesn't mean it's a great idea to get me scrubbing toilets or flipping burgers, even though I will do if you ask me, pay me and I'm desperate enough.

Having a desperation-driven economy, with most of us spread thinly - stressed out and always on the brink of breakdown and ruin - is a terrible, terrible thing to do to people.

Hunger will drive ingenuity and industriousness, but it's not a sustainable strategy, no matter how much Bovril you have to eat and/or drink.

Tags: #career #addiction #drugs #mentalhealth #bipolar

This is a story about panic attacks...

Am I thirsty or do I just want to get pissed? I feel like my world is falling apart, but maybe I just want to numb myself with medication. I feel like I can't cope, or is it that I crave soothing chemicals? I feel like the tasks ahead are impossible but my perceptions are clearly warped - I don't know which way is up and which way is down.

If somebody was to burgle my home, I'm not sure whether they'd be more pleased with the expensive consumer electronics that they could resell, the wad of Euros that they could convert into pounds or the massive bag of opiates, benzodiazepines, sleeping pills and other highly coveted medications, which would probably be the reason for their criminal trespass in the first place.

I stopped taking opiate painkillers earlier in the year. It was hard, but it wasn't that hard. Sweating and nausea and pain; constipation and loose bowel movements; sleepiness and blunted emotions - withdrawal was over eventually and I don't even remember it being that bad, in hindsight.

How long have I been drinking a bottle of wine every day for? Tonight I've had a tiny bottle of beer and that's it, but my drinking has raged out of control, as I've sought to calm my nerves and self-medicate for incredible stress and emotional pain in my life.

How long have I been taking tablets for? Certainly long enough that if I abruptly stopped, I would have a seizure. It's a miracle that I haven't had a fit, but the gaps I've had in-between handfuls of pills - lasting two or three days - could have killed me in a multitude of other ways anyway.

Almost every day, I wonder why my optimism and hope has turned to fear, doubt and despair - I become convinced that I'm unable to function; unable to face the future.

Like many addicts any alcoholics, I'm overwhelmed by negative feelings and I become convinced that the only way to ease my suffering would be to kill myself - quickly by suicide, or slowly with drink & drugs.

Without structure & routine - social contact and the prospect of a happy & contented life - it's a miracle that I've not plunged into the deep depths of fully blown alcoholism and an ever worsening drug problem. Today was a sink or swim day, but I made it through.

No bottle of wine today. No Xanax. My situation is improving. My unhealthy consumption patterns of alcohol, drugs & medication, continue to abate, despite the protestations of my brain. I was in two minds about committing suicide tonight. I was tempted by alcohol - of course - but the urge to drink was relatively easily resisted.

If you wished to categorise me as an alcoholic and/or a drug addict, I'm afraid your attempt would be thwarted by the facts. Alcoholics can't stop drinking and drug addicts can't stop taking drugs. Guess again, sucker.

I'm suffering unspeakable discomfort at the moment, but I'm forcing my body - including my brain - down a path that it's reluctant to take, but it's for its own good. It will be weeks, maybe even months before I feel the benefits of what I'm putting myself through, but I know that if I don't do it, the alternative outcomes are very undesirable, to say the least.

Eventually, I will sleep without sleeping pills, feel free from panic & anxiety without tranquillisers, be able to cope with my neuropathic pain without painkillers... perhaps my body will even repair its damaged nerves, without the interference of artificial compounds not found in nature. Two and a half million years of human evolution, and you think we got everything right in the last 70 years?

Would I take antibiotics for an infection? Yes. Would I edit my genes if I could get rid of any faulty ones? Yes. However, psychiatry doesn't have a lot of triumphs to crow about - if superbugs don't kill you, then mental illness will probably ruin what little quality of life you had anyway.

My brain tells me I'm about to die or that I should kill myself. I know - rationally - that my brain is feeding me unreliable information, and that I should ride out the storm, however, knowing this doesn't make me feel any different at all.

Eventually, it's too much.

Tags: #suicide #alcohol #addiction