This is a story about giving the audience what they want...

It should come as no surprise that Google mainly brings me readers who wish to find out how to kill themselves. My number one blog post is all about how to suppress the hypercapnic alarm response, in order to be able to asphyxiate yourself, or in other words suffocate to death. For writing candidly about suicide, I was once accused of being irresponsible by a psychiatrist, but frankly if somebody's intent on killing themseves then they're going to find a way. I'm not encouraging anybody to commit suicide, nor do I glamourise suicide - you must surely be convinced that my life is not an enviable one. How is it possible to envy the dead anyway? There have been 100 billion humans who have died since homo sapiens became a species, so it's hardly like I'm a unique role model.

Secondly, Google brings me readers who very dearly wish to know how to have better sex. I don't mean lovemaking techniques, I mean drugs and medications that significantly enhance sex. The main search term that seems to bring readers in their droves is "drugs that make you horny". Perhaps more interesting - although very few people search for this - is my research into medications that allow men to have multiple orgasms. There's information hidden in these pages that explain how to reach unimaginable heights of sexual ecstasy, so I don't really know why the Google searches seem so unimaginative and my sordid little guides on how to have masses of mind-blowing orgasms remain largely overlooked.

That I know what kind of Google searches bring readers to my website is not any kind of hacking or cybersnooping, but is a service that Google themselves provide called Google Webmaster Tools. In addition, there is Google Analytics, which somewhat less reliably tells me the keywords that people used to search and find this site. The idea is that I could better tailor my content to give people what they want. People seem to mainly want to kill themselves with nitrogen gas, or some other inert gas other than carbon dioxide.

It's sometimes said that we see a world that reflects our own feelings. So, if we're angry then we perceive the world as being an angry place. Because I'm depressed and suicidal, I therefore see depression and suicide everywhere I look. However, there are good data to support my feelings: suicide is the number one killer of men under the age of 45... far bigger than any diseases, car accidents, murder, drug addiction and all the other things you could think of that would prematurely kill a person. It seems I'm onto something doesn't it?

What do any of us want other than to fuck, eat, sleep, procreate and various other things that an organism would be expected to do? I could write about food and the pleasure of eating, but I've found that the pursuit of drug-enhanced sex has been more rewarding. I could write about extreme sports, and the adrenalin rush from doing dangerous things, but I've found that taking addiction to its most extreme has been far more exciting than any parachute jump or cliff face that I've climbed.

There are an incredible amount of people who want to read about getting high. There are very few people who seem to want to read about quitting drugs, although my blog posts about detox and rehab are often visited. There are heaps and heaps of people who want to get sober. In fact, it's quite depressing just how many people are looking for a cure for their alcoholism. There are heaps and heaps of alcoholics who would very dearly like to find a way out of the situation they're trapped in, and some of them find their way to this website looking for answers.

Another thing I can see is trends. I can see whether I'm getting more visitors, or fewer. I can see that live-publishing a draft manuscript of a novel on my blog was not a crowd pleaser. I can see that documenting the trials and tribulations of an IT consultant working for an investment bank is not a crowd pleaser. I can see that generally, there's an inverse correlation between how well I am, and how many visitors I get to my website. That would be expected... there are a lot of concerned people out there, and when things are going swimmingly there isn't so much of a need to keep an eye on somebody who's been actively suicidal at other times. However, there's a cynical part of me that wonders how much people are looking for drama, also. There's very little drama in a wealthy white educated middle-class guy complaining about his lot in life, because his job is a little underwhelming.

Of course, I'm writing now with my tongue in my cheek.

There's more drama than there's ever been, because this is make-or-break time. I'm fending off drug addiction, sex addiction, porn addiction, alcoholism, risk taking, money spending, near-bankruptcy, crushing levels of debt, homelessness, insomnia, anxiety and panic attacks, suicidal depression and complete melancholic malaise about my life and the state of the whole world and those who live upon this planet's surface. In terms of jeopardy, things are at their most precarious, because a slip-up now would send me crashing drastically. To relapse when I'm in the middle of on/off addiction and a mental health crisis is no drama because I'm living with daily highs and lows and I don't spend more than a few days or weeks without a major incident. To relapse now would be to throw away 6 or 7 months of arduous struggle against adversity. To relapse now would be a cruel blow, when I've overcome such insurmountable odds.

To deviate from my plan and my story would be foolish. To attempt to react to the stats and the data I have in my possession and write what the audience seem to want - to play to the crowd - would keep me in a perpetual state of sickness. If I was intent on having the most popular blog that I could write, it would conflict with my desire to recover and live a normal life. I've even been accused of wanting to stay sick to please my 20,000 Twitter followers. I'm regularly accused of being alarmist, attention seeking and melodramatic. I'm occasionally accused of being contrived, and even that I'm some kind of fake.

Where's the punchline, we wonder. When am I going to ask you to reach for your credit card? Am I selling T-shirts and mugs? Am I going to emblazon this site with advertising and harvest your personal data? Am I going to start a mailing list and spam you? How do I even make money out of this? Do I want fame or notoriety?

Of course I want to be noticed. Of course I want readers; followers. Of course I want what I write to be read. How ridiculous to suggest that there's some virtue in writing in obscurity. It's not noble to hide your thoughts and feelings and emotions and inner monologue... it's stupid. What people want to read more than anything else is authentic writing from real people. Public diaries; journals; blogs. If you like people and human stories, what could be better than the real-life soap opera of a person's life laid bare for all to see, warts and all.

I don't know where I'm going with this, but I don't want to go down the well-trodden path of clickbait and slavishly obeying the analytic data that seems to suggest that pictures of kittens and puppies go down very well on the internet. What kind of an artwork would I be creating, if I was to ask the audience what I should paint on my canvas?

Does life imitate art, or does art imitate life?

Tags: #socialmedia #writing

This is a story about habituation...

What a surprise! There's a small glass of wine left in the bottle today. How did I end up missing that? I normally drink the house dry, every single night. I've stopped buying gin, Pimms and other spirits, to avoid the temptation of a strong early-evening drink, to take the edge off the day; the nightcap that sends me to bed completely sozzled.

I'm not saying I've become some pious teetotaler who rather too proudly proclaims their abstinence, as if it makes them a better person somehow. I respect former alcoholics who know that once they pop they can't stop, but anybody who chooses not to eat or drink something because of their beliefs and values can bloody well keep it to themselves.

The French - during a water shortage - put up public notices saying "SAVE WATER: DRINK WINE". I fucking love the French.

I've been having my rocket fuel antidepressants for a few weeks now, but I'm sleeping 14 hours a day and I'm almost completely incapacitated by depression. The doc told me to take two pills a day, so I'm taking four, trying to speed things along a bit. The timing could not be worse. I need to be up and about, earning money, enjoying our all-too-brief British summer. Instead, I'm in bed with the curtains closed.

The friend who challenged me to 100 days of sobriety now takes 3 day breaks from drinking. I can't remember the last day where I didn't have any alcohol. Probably when I was in hospital, or maybe the day of the London Marathon, when I momentarily relapsed onto the really hard stuff: supercrack.

Perhaps that's one of the main reasons why I'm still depressed - it was only a month ago that I was convinced the sound of helicopters and yelling crowds, was an angry mob and the police, out to get me. Paranoia like that is awful. Supercrack is a Hell of a drug.

What a year. Starting well with a contract for Lloyds, but then suddenly my foot was numb and swollen. By the time I made it to Accident & Emergency, my whole left leg had swollen up. Acute kidney failure meant two weeks on dialysis and an operation to put a 25cm long rubber tube into a vein in my groin. Managed four days work then lost the contract - too sick to work. My flatmate had buggered off and owes me thousands of pounds in rent & bills; made a complete mess of my spare bedroom. Nobody knew why my foot was numb and I couldn't move it very much, despite being poked and prodded by various doctors. I was taking huge doses of opiates to manage the pain, and had to endure horrible withdrawal - nausea, cold sweats, diarrhoea - when I decided to try and get off the painkillers.

Gawd knows how long I've been taking Xanax and Valium for. I probably need a benzo detox. Opiate withdrawal is unpleasant but benzo withdrawal can kill you.

But, one step at a time. I'm going to try and only drink half a bottle of wine tonight. She wants to drink early and then stop; I want to drink late and then go to bed. It's going to be a test of my willpower, which is severely compromised by alcohol.

If tonight goes well, I'll try and do three consecutive days with no booze; see if it helps my mood. I'm sure my liver will thank me - it's already pretty busy trying to process all those chemicals I put into my body; all those pretty pills.

It's true, the more someting is ubiquitous, the harder it is to abstain from it. I hadn't dabbled in drugs for a decade, when the Dark Web brought a drug superstore right into my living room. Little packages of joy coming through the letterbox, allegedly. It's easier to get booze though. If you really have the thirst for it, you can nip to your local convenience store or even have it delivered to your door in London, 24 hours a day.

They tell recovering addicts to delete all their dealers' numbers from their phone; avoid friends who are still using drugs; change your lifestyle to avoid reminders of the places you used to use drugs. But what if you only ever did drugs on your own? What if you never met a dealer in your life? What if you could never forget the steps to access the Dark Web?

Why am I so hard on myself when I'm dealing with so much? Addiction, hospitalisation, psychiatric wards, mental health conditions, painful injuries, money worries, people owing me lots of money, need to get another contract, need to get a new flatmate, need to fix stuff up, need to stabilise and get into a sustainable position.

Alcohol's probably the most health-destroying drug; the most dangerous to quit if you're dependent; the most ubiquitous; the drug I've been abusing for the longest.

One step at a time.

Tags: #alcohol #drugs #addiction #mentalhealth

This is a story about whether it's right to stay with an alcoholic and/or an addict...

Poor me, poor me, pour me another drink. Like every alcoholic and/or addict I have a million and one reasons why I had one too many bottles of wine, or why I lapsed or relapsed into drug addiction.

I mentioned on Facebook earlier today that I rearranged the furniture in a hotel room in Bournemouth, right at the very worst most moment of my divorce. If you think that "worst moment of my divorce" caveat is me getting my excuses in early, then you're wrong. Let's get this straight: I didn't break anything or chuck a telly out of the window, but I made a lot of extra work for housekeeping.

I was actually so concerned that I was in such a bad frame of mind that I was actually going to throw a telly out of the window, so I phoned the duty solicitor. The duty solicitor gets phoned after you've been arrested, if you don't have your own solicitor.  I had not been arrested, but I didn't like the way things were going.

The duty solicitor was rather bemused by a person ringing up to chat about things before they're arrested.... in anticipation. He said that he didn't think the police would arrest me, and I should probably just ring friends and family. I was loathe to involve friends & family in a mess that I had made.

Eventually, having tried several other local solicitors, I rang the family solicitor, who phoned my Mum, who told my Dad to phone me. He was exceedingly unhappy that one of his longest friends had suggested that I might be in the need of a bit of support during a messy divorce.

I rang my friend Tim, who texted an ex police constable, who confirmed that the police would not press charges given the circumstances. Tim came to the hotel, and said it wasn't bad at all and we could fix it up in 5 or 10 minutes, but I just wanted to get home.

Despite a couple of offers of financial compensation for any inconvenience or damage the hotel manager laughed, being rather experiences with the wrecked hotel rooms due to the large amount of stag dos who visit Bournemouth. His housekeeping staff had not even commented. However, I still feel guilty about that today.

That was December 2013.

Let's make one thing really clear before we go on. My ex wife did not addict me to drugs. She's not responsible for any of my addiction: then or now.

My startup company fell to bits because I was under unbearable pressure to deliver Investment Banker lifestyle on startup wages, and base my company in Bournemouth, where there are no angel investors, no venture capitalists, no startup scene, no customers, it was over 2 hours away from my co-founder and his new baby girl. It was an irreconcilable problem, with my ex-wife being least willing to compromise despite having a job she could work anywhere in the country. But, that's not her fault. It's my fault. It's my fault that I made myself CEO instead of my co-founder. It's my fault I couldn't handle the pressure. It's my fault I wasn't strong enough to leave a toxic unsupportive relationship.

Drugs - legal highs - appeared on the scene in the autumn, as I sat at home, desperately depressed about the situation. I had already tried about 5 different antidepressants by this point, and had even moved on to trying over 10 extremely rare antidepressants that are extremely rarely prescribed, even in treatment-resistant depression cases.

It's not like I didn't recognise the problem. I accessed local drug & alcohol drop in centres, where I sat listening to teenaged alcoholic prostitutes talking about their children being taken into care, knowing that I owned my own home, cars, boats, hot tub, summer houses and had tens of thousands of pounds in the bank. I left, because it feel like sheer selfishness to deprive the time that could be given to somebody more needy.

I spent a day in a residential rehab as a day patient. By the end of the day, I had brushed up all the leaves, done all the washing up, hoovered, mopped and done just about everybody's weekly chores. The people's lives were fascinating, but most of the day was drinking tea & coffee and sitting around.

I don't know if I was successfully hiding my habit, but I gave a talk to a bunch of startup founders in London, and a few came over and said they'd heard me speak in Cambridge, and they thought my public speaking had improved a lot. Go figure.

The only real problem for hiding my habit was school holidays - my ex being an educator - when I wouldn't have the daytime to take drugs. Christmas holiday was unspeakably awful, with me sneaking off in the middle of the night to take drugs.

Getting clean and staying clean is my sole responsibility, but I found it telling that the only book on addiction my ex read parts of was called "Nag your loved one sober".

After Christmas, my ex demanded that my parents take me away. Naturally, they resisted and I resisted. My dad came down, and my ex had been nagging our mutual GP about how hard it was on her to deal with my addiction. Deal with my addiction? She didn't even know about it until a week earlier, when I struggled to hide it during the school holidays.

I was completely spooked by the sudden appearance of my dad and my GP, through no request of my own. The idea of leaving my home, my friends and everything else I'd spent years building around myself, to go live in a house I'd never lived in, trapped in a village where I didn't know anybody. That's fucking offensive.

Anyway, the psychiatrist I saw just before I left Bournemouth told me to taper off the legal highs gradually - over the course of 6 to 8 weeks - because nobody knew what withdrawal would be like.

Having gotten rid of me to my parents' house, my ex then refused to take my phone-calls and generally treated me like dog dirt.

I would say, that if it turns out you're dating an addict and/or alcoholic, you should make a decision - based on how long you've been together - as to whether they're the type who's going to bleed you dry and move onto the next unwitting victim, whether you're prepared to help them - and trust me, it's really fucking hard - or whether it's your moral duty to help them because they became unwell while they were your husband, wife or long term partner.

Anyway, my ex continued to be a right ***** until someone who isn't me hacked her email account and found out that no sooner had I left MY house, she had been dating other people. I confronted her with her infidelity, and she started treating me like a human again. Unfortunately, I thought a leopard could change its spots, so I spent £4,000 on flights to Hawaii to get married and £3,000 on an engagement ring. As you can tell, I'm the kind of junkie who spends all their money on themselves.

I struggled with sobriety, but held down a couple of good jobs and continued to be a good provider. My ex could have called off the wedding at any point.

The wedding, which was supposed to be stress-free with no guests, somehow became one of the most stressful things I've ever had to deal with. The whole holiday was ruined by my bridezilla. In the end, I threw a tantrum and said I could no longer deal with teepees and camper vans that break down and other eclectic but stressful shit that I had to organise, and booked us into the $800 a night Hilton. I had cocktails by the pool and it was bliss, but there were two days until we had to go home.

I relapsed as soon as we got home. It didn't help that my then-wife had booked a taxi online, specifying the wrong year. We could have stayed at Heathrow and waited for 4 hours, but having been on a plane for most of a day, I wanted to get home: unexpected £180 taxi ride in a black cab that I managed to negotiate.

My then-wife must have ordered my parents to come and 'deal' with me, because my dad marched into my house and said "you're an addict. you're an addict. Can't you see you're a dirty addict?" which was rich coming from a man with a history of drug use. That's not the kind of treatment you should ever receive in your own home, nor did it take account of the fact that I'd been in a lot of correspondence with several specialist psychiatrists who could deal with my specific condition: dual diagnosis. I was bipolar before I was a junkie, and the two do not complement each other well.

My mum had decided that she could 'smell' drugs on me. Unless she has a gas chromatograph mass spectrometer for a nose, she is wrong. You can smell smoke and cannabis on somebody's clothes, but drugs that you snort, swallow and inject are excreted through kidneys and faeces. It's a completely disproven hypothesis. Anyway, My then-wife did nothing to vouch for my sobriety when my mum had a go at me on my sister's wedding day (I was clean).

I'd gone back to working at JPMorgan, and they coughed up £12k for me to go to The Priory for 28 days, without a single qualm. My general psychiatrist had said I needed treatment in a therapeutic environment, which clearly my home was not. My then-wife said that she'd divorce me if I followed his advice and got treatment, and that she'd rather be a widow than a divorcee.

On my first day at The Priory, I phoned the local florist near our home, and asked them to leave a different flower each day under the windscreen wiper of my then-wife's car, before she left for work. She however, joined the dating sites again and decided not to visit or phone me.

During my stay at The Priory, we established that I was not well supported at home, and indeed, perhaps my relationship did not contain the prerequisite levels of respect, love, care, compassion etc. etc.

I panicked on day 27 of rehab, realising I had to divorce my wife, sell our house and decide what I was going to do next with my life. I spent the day talking to a few friends about different ideas, and returned for my final day a lot happier.

Straight after that was the birth of my niece. My loving then-wife did not attend. In fact. I remember her once being extremely put out that my grandmother had the temerity to die at an inconvenient moment. I think my friends had been right all along: she really was "the poison dwarf".

Anyway, after being under virtual house arrest, where I must admit I abused a lot of drugs as I tried to grapple with the magnitude of selling a house and downsizing. Probably moving to London. The friends who would take sides. Having to get a new job. I got fed up with my then-wife making me feel absolutely terrified by her unjustified rage and abuse, so I took to cocooning myself into a single room of our ample 3-bedroomed house, and even built myself a man cave in our summer house. She was never content to leave me be, and would hammer and scream all the time at whichever door I cowered behind.

Then, I sent an SOS email to our parents, to come and force our separation. I was starving. I had no toilet, no shower. Do you think that's the way that people get clean & sober?

My friend Posh Will kindly offered his spare bedroom to get back into London life. I was clean & sober, riding my bike all over London, incorporating a new company and touting for consultancy work. I was entrepreneur-in-residence at PlayFair capital and I was loving the London startup scene. I was making new friends and I quickly got a beautiful new girlfriend. I know I wasn't the first to commit adultery, because someone who isn't me hacked my then-wife's email and found out she was fucking a married man with kids.

Then, divorce turned nasty. A six week house sale turned into a six month sale, simply because my then wife wanted to drag it out, knowing I had no income yet in London. She kept making me do the 4 hour round trip to Bournemouth to do trivial things she could do herself, like get estate agent valuations. Finally, we arrive in December 2013, where I went to a hotel because our house was sold but I was so angry and frustrated by my wife dragging out the sale to the point I almost ran out of money, I was going to trash the place.

Sure, I then did a 5 days of a 10 day detox, at a place where they didn't know what a detox was, or how to deal with somebody with a benzo habit. I then did 7 weeks at a proper residential rehab. My parents were on my no-contact banned list, but my mum still wrote to me with Louise's divorce demands. I told her from the start I wanted to rent out the house, defer the divorce and deal with it all when I had my health. When she refused, I said take whatever you want, but just don't drag it out. If I wasn't the kind of person who assumes that everybody's OK deep down, I'd say that it was all because she's a vindictive, abusive, greedy, *****.

Anyway, after a mix-up at my parents about what day of the week it was, my dad demanded that I get dressed in front of him and leave immediately. I agreed to leaving immediately, but I refused to get dressed in front of him, on the grounds that it would be one of the most degrading things you could ever ask a person to do. He manhandled me and a mirror got knocked off the wall, slicing my shin muscle in half along with 4 tendons and 2 nerves. Only then did he allow me to get dressed in privacy.

After my operation, I was taking fentanyl and tramadol - both strong opiate painkillers - for the pain, and yet I managed to avoid becoming addicted to these drugs. Having to wear a plaster cast kinda means you're going to have to destroy a nice business suit, and who wants to hire somebody who's sick?

My friends said it was time for me to get a place of my own, although I was still on crutches. I rented a room nearby. I went for dinner with Posh Will, and I was honest with him about my addiction struggles, and his attitude towards me changed visibly immediately. Our friendship was almost ruined, because he had such strong preconceived notions about what drug addiction is. He virtually accused me of being at risk of coming round to his house to steal stuff to feed my habit. I had the money from the sale of my house and some successful Bitcoin investments. I didn't need to steal from my friends. I cried myself to sleep and then tried to commit suicide.

Hospital discharged me, but I'd lost my flat, so I was homeless. I lived in hostels and Kensington Gardens. I guarantee you that not many people get clean from drugs when they're homeless.

Anyway, I finally got a great group of friends at a hostel in Camden, and a beautiful girlfriend. Those were some of the happiest months of my life. I also got an IT contract for Barclays and a room in a student house in Swiss Cottage.

I did have a couple of 'lapses' on mild drugs, but I was clean and I was happy. Then Barclays terminated my contract and I was evicted (the landlord was selling the apartment).

I tried to put a brave face on things and have a happy family Christmas, but I'd broken up with my girlfriend, lost half my friends, lost my contract, was homeless again. A lovely family in Ireland saved my life, looking after me at one of the most depressing and vulnerable times of my life.

At the suggestion of Posh Will - ironically - I stayed in a hostel in Shoreditch. Initially I had a whole dorm to myself, but when they realised I had an OK personality and was a long-term resident, they moved me to the infamous 'Ward P'. The drink and the drugs were off the scale in that place. I had to leave because I was off my face around the clock, but it seemed normal because everybody was.

I started staying in AirBnB places, because they were homely and I could do short [but expensive] lets. I'd recently reconnected with an old friend, so it was nice to live near him, in the East End.

I was running out of money again, so I stayed in a really awful hotel that's covered quite extensively in the blog post called Finsbury Park Fun Run.

That got me back to the Camden Hostel, but I was still hopelessly re-addicted to drugs. Trust me, it's hard to hide a drug habit in a 'regular' tourist hostel, and the tourists don't really love it if you're acting all weird because you're so strung out you can't even see straight.

Somehow, I managed to land the HSBC contract.

I ran out of money. Working for HSBC while living in a hostel is just not possible either. More drugs - whole week AWOL from work. Got away with it.

Stayed clean all the way to Christmas pretty much. I was a wreck on Christmas Day. I hadn't eaten for days. My Kiwi sofa surfer had kindly cooked the turkey but he'd pretty much cremated it, and it'd taken him hours to coax me out of my bedroom. Still, it was super kind of him to cook the world's most depressing Christmas lunch.

Then drugs, drugs, drugs to March 21st. I had a bag that could quite easily have kept me supplied for 3 years. That's the problem with being rich and choosing a cheap and powerful drug - you're never going to run out.

Are you spotting a theme yet?

January, February and March are my nightmare months. If I'm off kitesurfing at some exotic location, no problem. If I'm working a contract, no problem.

This year, I've had acute kidney failure and severe and ongoing leg/foot trauma AND the loss of my contract at Lloyds to deal with. However, I had the best Christmas ever and I'm also dating the world's most amazing girlfriend, so perhaps these things should cancel each other out?

I have to think about drugs at the moment, because my leg is so damaged that I need a cocktail of strong opiate painkilllers, nerve blockers and a sleep aid, just to be able to partially function. I wake up every 4 hours in the night in excruciating agony.

Through the urgent need to re-stock on painkillers, I found myself back on the Dark Web. It was a stupid move. I kinda knew I'd never be able to resist the urge to go window shopping. I tried to order weaker drugs that might satisfy the craving that was instigated by nothing more than buying other products, but lapse and relapse were inevitable.

My most amazing girlfriend in the whole wide world is somebody I could spend 100% of my time with, and never get tired of her company. We like the same trashy TV. We enjoy the same high-brow movies. We both have an insatiable appetite for feature-length documentaries. We love London. We love the same things and we love each other.

Why then would I relapse onto incredibly dangerous and destructive drugs?

The watchword you need to look for here is trigger. When I was with my ex-wife, if she ever went on holiday on her own - which is something she did regularly during the death throes of our relationship - it built a Pavlovian association with an opportunity to take drugs without having an aggressive abusive ***** attempting to kick my prison door in and screaming horrible things at me.

I found a black market seller who would supply just enough for me to have a moment of fun, but not enough for me to end up in a destructive binge. Then that supplier disappeared, and I ended up buying the next smallest bag I could find: 100 to 200 mild to medium strength doses.

The net result is that I spent all yesterday evening and all last night trying to jam my locked bathroom door closed with a pair of nail tweezers, because I was convinced that angry neighbours had phoned the police, and even a mob had formed outside my apartment, ready to heckle me when the police led me from the building, cuffed in shame.

That's a net result of two things:

1. Having more than you need of a highly addictive drug is bound to lead to a binge
2. It's impossible to measure milligram doses of drugs without excellent scales. The difference between no effect, and psychotic overdose, can not be seen by the human eye

I sold my scales because I've successfully been having long periods of abstinence, and it makes sense to get rid of drug paraphernalia that could 'trigger' a craving.

Of course, I should have controlled my craving. Of course, I knew what the worst-case scenario would be. Of course, it seems to suggest that the love of my beautiful girlfriend is not enough.

All I can say in my defence is that my life is pretty depressing right now. I'm on such strong pain relief that I can barely even concentrate on writing. I'm not well enough to go back to work. I've been stressed about running out of money and being evicted.

Life is also awesome right now, because me and my incredibly fetching and intelligent and knowledgeable girlfriend both have riverside apartments, and we take turns to spend nights watching sunrises and sunsets.

She has a really difficult decision to make right now. My longest period of abstinence from drugs is what? 9 months, since becoming addicted. My longest period of sobriety was 121 days. All my money has been frittered away on private healthcare, periods where I was too unwell to work, and yes - perhaps as much a 5% - has been spent on drugs. Would you choose somebody like that for your boyfriend?

Alright, so my drug habit isn't going to lead me to a life of crime. I've been cautioned by the police 4 times, but there's not much point in wrecking my career because I'm an addict is there, when I'm not shoplifting, dealing drugs, robbing, doing fraud or committing any other crime.

However, this weekend has shown that I still have the capacity to get myself in a life threatening mess. I was ready to stab myself in the carotid artery this morning, rather than have my life ruined by a criminal record and have all that shame on top of what has already been a pretty awful February and March.

Of course, nobody can deny that I brought this on myself and that the behaviour is just the same as it was over the last few years. Is my addiction getting better? It's certainly not cured.

If you want to know if my addiction is getting better, you could look at my medical records for 2014. I was an inpatient for 14 weeks. You could consider the fact that the longest period I had without my drug of choice was 2 weeks, for the first couple of years. You could consider the fact that I'm in a meaningful relationship with a kind, caring and compassionate girlfriend who's sympathetic and well informed. I'm not lying to her to have a drug habit behind her back. I've lied to her twice when she went away on holiday, both times shortly after I had lost a contract and was a bit depressed.

Ask yourself, am I worth knowing as a friend? I could drop a dirty HIV or hepatitis infected syringe in your kid's playpen. I might replace your salt with cocaine for a prank. I'll probably take money out of the purse and wallet of everybody in your house. I'll nick anything that isn't nailed down. All I want to talk about is drugs drugs drugs and my life story's not interesting because it just goes addiction addiction addiction. I'll bring shame on your family and you'll get in trouble just because you're friends with me. Not worth it, is it?

What about dating a junkie? Well, everything they say is a lie, and you won't like having sex with them all the time because you know they're probably thinking about a syringe of heroin while they're doing it to you. They'll take all your money and ask for more. Nobody ever got cured of drink & drugs. Death's too good for 'em.

I do feel terrible about the lies [two] and the betrayal of trust. Also, she knows that a binge could easily hospitalise or kill me. She's also trying to have a relaxing holiday break, but she knows I'm sick, haven't had any sleep and haven't had anything to eat.

She can't watch me like a hawk all the time. She can't spy on me using webcams when she's on holiday. She doesn't know what I get up to at home when she's at work.

Why take a risk on a loser with such a poor track record?

I've told her if she wants to break up with me, I'll fight to save the relationship, but I won't just say anything to talk her out of it. I actually advised her to break up with me, because I'm a month or two away from earning money again, I've got depression, bipolar and maybe even borderline personality disorder, along with the death sentence of dual diagnosis. Would you want your kids to have those faulty genes? Would you want your family to find out one day that you've been dating a loser?

Anyway, that's where I am right now.

No amount of stick will stop anybody from taking drink or drugs. I need to find a social group to regularly attend. I need to get out of the house more. Through socialising will come enjoyment of even more people's company, as well as routine. There will be new opportunities. Maybe a new hobby? I'll get a new contract and throw myself into work. Once the money starts rolling in, me and her can have holidays and plan adventures.

Could I replace everything and everybody in my life with supercrack? Almost. It is pretty fucking good. Still, how much money would you need? Even if you lived in a tent, I still reckon food & drink would cost you £150-200k over your shortened lifespan. I do however think you get sick of it after a while, but the bastard thing is so fucking good when you go back to it after a little break.

What can I tell you? That's the truth?

So am I honestly comparing a night with the love of my life, with a sniff of supercrack? No. The comparison is facile. If you choose the tent dwelling supercrack life, there's no coming back from that. Also, I've never been in such a good relationship in my life: it just keeps getting better and better.

One final question to ask yourself? Even if you think you have the perfect partner, perfect friends, perfect job and generally perfect life... do you still occasionally do something that looks totally insane in the context of your amazing life, like get too drunk, or take a recreational drug even though you never do drugs? Do you think the fact that you do that, means you love your partner any less?

Tags: #drugs #addiction

This is a story about treatment for drug addiction...

Having been to four different rehabs, I feel fairly qualified to give a few insights into what happens behind closed doors. Residential rehabs often hide away in leafy suburbs, where there are large houses that can accommodate human trash: dirty junkies and nasty alcoholics.

"Death's too good for 'em! String 'em up!" I hear you say.

Yes, yes, don't worry. We'll get to the idea that an addict will always be an addict, and that we should just write them off as a lost cause.

Boscombe in Dorset - an area of Bournemouth - is where many councils choose to send their difficult members of society, from all over the country. Supposedly, being by the seaside will be good for recovering alcoholics and former drug addicts. There are certainly plenty of rehabs in the area. Even Paul Gascoigne has found himself shuffling around Boscombe's streets, buying bottles of gin from the local off-license.

Ironically, many years after moving to Bournemouth, I became addicted to drugs and found myself in the perfect place to get treatment for my addiction.

Let's talk a little bit about drug addiction.

Having a 'drug habit' is not the same as drug addiction. 'Experimentation' is not the same as addiction. Partying is not the same as addiction. Addiction will rapidly destroy your health, wealth and prospects. Hospitals, police cells and prisons are the institutional stomping grounds of the addict, on their rapid descent into the fires of Hell. If you're successfully hiding your habit from your friends, partner and boss, then addiction hasn't fully taken hold. Addiction is destructive.

What about detox?

You can't really rehabilitate while the drugs and alcohol have got their hooks in you. If you abruptly stop drinking, you might get the shakes, become delirious, have a fit and maybe even die. If you stop taking heroin, you're going to feel sick and in pain. If you stop taking cocaine or amphetamines, you're going to be unbelievably exhausted and depressed, to the point where you're in real danger of killing yourself.

"You should kill yourself if you're a junkie" I hear you say.

What you haven't understood is that drug addiction is slow suicide. Do you think the addict or the alcoholic isn't aware that their body is getting utterly fucked up, and they're going to go to an early grave?

Detox is about breaking the physical addiction that the body has to drugs and/or alcohol. Detox is about suffering the worst of withdrawal, in an environment where substitute drugs can be administered to make the process safe, humane and tolerable. An alcoholic literally risks death if they stopping drinking without Librium. Is it ethical to ask people to die just because you're hung up on ideas like "willpower"?

There's the term "psychological addiction" that needs to stop being used. It's better to think about addiction like this: why did somebody get addicted in the first place?

"Because drugs are fun" I hear you say.

There are shitloads of people who take drugs all the time but they aren't addicts. Every weekend, raves and nightclubs are packed full of people taking Ecstasy (MDMA). Vast quantities of cocaine gets hoovered up by the eager nostrils of young professionals in cities around the world. Every day, a huge proportion of humanity smokes cannabis or drinks alcohol. Why aren't all these people raging addicts and alcoholics?

If you ever feel like quitting, remember why you started.

Most addicts' lives were truly appalling before their addiction took hold. For sure, addiction doesn't improve anybody's life, but it's not like there's any hope of a better life just because an addict quits drugs. The cycle of petty crime, scoring drugs, getting sick, being hospitalised and being locked up... it doesn't look great, does it? But what's the alternative? Flipping burgers and still not having enough money to make ends meet?

So, it's obvious that the rehabilitation process will only be successful if it can return a person to a better life than the one they were trying to escape from with drugs and drink.

The first rehab I attended was in Bournemouth, situated in a grand house at the end of a sweeping driveway, surrounded by mature pine trees, on a road of millionaires' mansions. The place was full of people from Greater London and the surrounding counties, ejected by their councils to make room for more rich middle-class people.

The biggest issue amongst my fellow rehab residents was housing. Boscombe has vast numbers of crappy bedsits that can just about be afforded with housing benefits. London and the South-East has no cheap housing for undesirable members of society. My fellow rehabbers were gleefully pushed away from where they were born and bred - and their families - because they were written off.

A typical day at the Bournemouth rehab would consist of a breakfast of baked beans, white toast and cheap sausages, followed by many rounds of tea, coffee and biscuits, until the 'therapeutic' day began. There were two or three sessions a day, where everybody sat in a big room, slouching on comfy sofas, vaping on e-cigarettes and slurping drinks. It was supposed to be group therapy, but it was basically just listening to heartbreaking tales of people's children being taken into foster care.

Most of the day in Bournemouth rehab was given over to matters of court appearances, housing office appointments, social worker visits and attempts to obtain various forms of welfare benefits. Almost everybody in rehab was in poor physical health, due to a life of drug abuse. Almost everybody in rehab had some underlying mental health disorder.

Those were the dregs of society, but they were warm and welcoming and they accepted me as one of their own. I was warned by staff to leave my iPhone at home and watch my wallet, but I never felt for a single moment as if my peers were going to rob or take advantage of me. I was somewhat appalled by the staff members' low opinion of their service users, but I suppose there's an element of the gamekeepers and the poachers: anybody who's keeping you under lock and key is kind of fair game, because resentment is going to build about the power that staff exercise over people in treatment.

Over the course of the 28-day program, my fellow rehabbers and I would build up special privileges for good behaviour, such as being allowed to go to Alcoholics Anonymous, Narcotics Anonymous or Cocaine Anonymous meetings. Being allowed to go into town, accompanied by a staff member, was the next privilege that accrued. Then, trips to town were permitted when accompanied by a peer who had attained 3 weeks of good behaviour. Finally, you might prove yourself to be trustworthy enough to go into town alone or as a chaperone.

Transgressions could include: not getting up in the morning, not doing your assigned chores, not attending group therapy, being caught with contraband, failing a drugs test and - most serious of all - going somewhere without permission.

Being expelled from rehab for going into town on your own might not sound like a terrible consequence, but almost everybody was there because treatment was mandated by the courts, as part of parole or an attempt to retain contact with children. Being chucked out of rehab could result in going back to prison, or never seeing your children again. The line between treatment and punishment was rather blurry.

My next rehab was 5-star luxury by comparison. You might have heard of it. It was The Priory.

If you're paying £12,000 for a 28 day stay in the countryside, you'd expect it to be pretty nice, wouldn't you? The Priory certainly delivered on making me feel special and cared after... for a high price. Therapists outnumbered patients, the bedrooms were very well appointed and comfortable, the food wasn't bad and there were luxuries like a gym and grounds to take a stroll around. Nobody was made to feel like a prisoner under house arrest.

Unsurprisingly, my fellow Priory rehabbers were rich compared to the Bournemouth lot. There were six-figure salary earning executives and heirs to multimillion-pound fortunes. Alcohol was also the predominant poison, as opposed to heroin.

One girl was so desperate for a drink, that she filled a mug with hand sanitising gel - which contained alcohol - and sweetened it with orange squash.

Therapeutic days were packed full of yoga, mindfulness, art therapy, educational videos, as well as group therapy. Supposedly following the 12-step program we only had enough time to complete the first two steps. AA and 'aftercare' meetings were held in the evenings at The Priory, which we were encouraged to attend, but most of us just watched DVDs in our bedrooms.

In my final week at The Priory, I asked "what next?"

Turns out that 28 days just isn't long enough to turn your life around. 28 days is just about long enough to get over the worst of the drug withdrawal and start thinking about how awesome the drugs are going to feel after a little break and three square meals a day. Aftercare programs are almost as expensive as rehab and last 3+ months: who's got that kind of money and can afford to take that long off work?

Having been through an acrimonious divorce, sold my house, rescued a tiny fraction of my most treasured possessions, boxed my life up, put everything into storage and suffered a horrible family Christmas, I was pretty fucked up by the whole ordeal. I needed to get cleaned up and straightened out again.

The next rehab I booked, I asked for a detox. I didn't want to have to get up in the morning and go to stupid group therapy. I hadn't slept or eaten properly for weeks. I'd been taking benzodiazepines for months and it was possible that I'd developed a physical dependency that could be life-threatening. I needed professional medical care.

The rehab I ended up in was like an alternative therapy spa break. There was a hot tub - called the sex pond - and a vibrating massage table, with whale music playing in the pitch black room. The main thing I was there for was sleep, food and a doctor on hand in case I had a seizure. Reluctantly, I consented to have acupuncture and to do some mindfulness: both of which I fell asleep during.

Most of the staff were kind and caring, but the guy who owned and ran the rehab was a complete egomaniac who clearly wanted his own cult. This idiot tried to force me to attend 'group' therapy, which was basically him giving interminable boring monologues about the time when he went into a Native Indian sweat tent. Believe me, the last thing you want when you're recovering from a near-fatal toxic combo of drugs, is to be a captive audience for some total moron.

While I was at that third rehab, a man was brought in, smashed out of his mind and covered in red wine. He'd been transferred up from the first rehab I'd been in down in Bournemouth. He'd walked out and gone into town to get pissed. Revolving doors.

I had to get away from that place. It wasn't therapy. Fuck knows what it was. Probably just a bit of respite for both family and addict alike.

Finally, I achieved what I wanted: I got back to London. Bullshit family Christmas was over. Divorce and house sale was over. I was free from horrible destructive relationships and nasty people, but I had picked up an addiction and failed to deal with it. My life to that point had been dictated by people who didn't care about my welfare.

I got myself into my fourth and final rehab: a 13 week residential treatment program in Kensington, West London.

Immediately, the place felt right. Rehabs are supposed to be run by former addicts and alcoholics. The guy who I met on my initial assessment had gold teeth and mean tattoos. The guy who ran the place had a massive scar across his face. These were people whose opinion an addict could respect, because they'd been all the way to rock bottom and back again: they'd seen friends die from overdoses and a lot of other rough shit too.

My most important lesson in rehab was how to do time. I had already been heavily institutionalised by working my whole career for massive corporations - with the limits that full-time work and education imposes on your freedom - but I still had lessons to learn about liberty. It helped a great deal that one of my fellow rehabbers was a young lad who'd been in prison twice by the age of 21.

Rehab is literally a kind of house arrest. You can leave anytime you want, but there will be consequences. It was fun to walk up to the gate (pictured above) and put a foot out over the pavement... just stopping short of taking a single step off the property.

It's not too hard to white-knuckle 3 or 4 weeks of abstinence. The first couple of weeks you'll feel awful, but your body is so abused that it's grateful for the sleep and the food. The next week or two are hard, but you know there's light at the end of the tunnel: you'll soon get your fix. You just have to count down the hours, minutes and seconds.

I don't believe you can rehabilitate somebody in just 3 months. So many things get fucked up when you're an addict. You need to get a job and go back to work, pay your bills and any debts that got racked up, repair and replace broken stuff and get a place to live. Everything got fucked up by my addiction: my shoes and clothes were wrecked and everything in my life was in total disarray.

Imagine being a company director through a period of addiction. My accounts and taxes were all messed up, and important paperwork was lost or misplaced.

What about my CV? How could I explain those periods of absence from work?

What about my routine?

Do you realise how much of your life runs itself on autopilot? You pay your rent/mortgage, council tax, electric, gas, water, sewerage, broadband, mobile phone, home insurance, life insurance, car insurance, road tax, MOT, TV license and a zillion other things. You get up every day, have breakfast and go to work. People know and respect you at work and you know how to do your job. You see your friends and socialise. You have your hobbies and you exercise. Do you think you can put all that stuff back together, running smoothly, overnight?

When you're an addict, everybody distances themselves from you. It's obvious that if you even so much as speak to an addict, they're going to steal your newborn baby and sell it to buy crack cocaine. It's obvious that anybody who injects marijuana or sniffs glue is a worthless selfish nasty person who's out to kill you.

Rehabs are necessary because family and friends are judgemental gossips who offer you useless advice like: "have you tried not taking drugs?" or "maybe you should just stop".

Rehab was a holiday from being judged to be an evil failure, morally weak and simply lacking in willpower.

Rehab showed me that I do have the willpower to stop taking drugs whenever I want. Rehab showed me that I'm not weak and I'm not powerless.

By the time I finished my four stays in rehab, I still hadn't run out of money, I had never been arrested, locked up, hospitalised or homeless. I had been nowhere near rock bottom.

I never actually reached rock bottom though. I experienced things that were awful at the time, but I needed to have those experiences.

Stopping drugs is the least of anybody's concerns. Drugs actually help when your life is unbearably shit. Just ask anybody who suffers from depression or anxiety if they'd like to give up their antidepressants or tranquillisers.

Obviously, I'm glad I never got a criminal record or sustained any life-changing injuries, but maybe I needed to come close. Being locked up in a police cell a couple of times and spending weeks in hospital, were not things on my bucket list, but I think they were necessary experiences to complete my adventure.

When the time was right, I got a place to live, a girlfriend and a job. Without those things, life isn't worth living, but equally, those things don't create recovery.

Bullying was relentless and intolerable at school for 11+ consecutive years. Nothing I did was ever right or good enough for my parents. My parents' relationship was appalling - full of verbal abuse and hostility - and I got involved with a girl who physically and mentally abused me, who I stayed with for many years. I got so used to broken, abusive relationships. Do you think that kind of stuff can get healed by 28 days in rehab? Do you think that all my problems came about just because I sniffed a bit of white powder?

You might think I act normally and sound perfectly reasonable, rational and able to string a sentence together, but it's the opinion of the medical professionals who've treated me, that I'm dealing with depression, bipolar and even borderline personality disorder. Clearly, I've had many episodes of mental health issues... including a period of many years before drugs even entered the picture.

This is called dual-diagnosis: the clusterfuck that is both addiction and mental health issues combined. The tail that wags the dog.

I've cherry-picked the best treatment and the most humane and compassionate approach to fixing my addiction and now I've arrived at the situation where - joy of joys - I'm 'just' dealing with depression and anxiety.

I'm itching to press the 'fuck-it button' because life is intolerably stressful, unrewarding and my depression is refusing to lift. What's the solution? Drugs? Been there, done that.

Rehab taught me how to quit drugs cold turkey. Rehab taught me that I'm in control, so long as my life seems worth living.

Addicts and alcoholics are taught on the 12-step program that they're powerless. I'm certainly powerless, but it's over things like whether I get offered a decent job that pays enough money to be able to live. Being powerless to influence the things that really matter to me in life, such as whether I can live with dignity or not, creates incredible stress and anxiety.

I can choose to stop drinking or taking drugs, but why would I, if the alternative is ESA assessments and having my inadequate welfare benefits cut off by somebody who's not even a qualified doctor? Why would I quit, if I have to prostitute my mind and body, to go and work some pointless bullshit job for somebody promoted into a position of incompetence, if I'm 'lucky' enough to be offered a pittance to do the job?

It's so hard to escape the things that drove us to drink & drugs in the first place.

Rehab was important for me to forgive myself for things that weren't even my fault. I didn't make a mistake, getting addicted to drugs: it was a deliberate act and I'd live my life exactly the same if I got to start over from scratch. Rehab was respite from those who wish to scapegoat sick people.

Fundamentally, rehab connected the 'clean' and the 'dirty' world and allowed me to see that they're two sides of the same coin.

Every saint has past and every sinner has a future.

Tags: #addiction #drugs #alcohol

This is a story about being objective...

If you want to compare two measurements you have to use the same yardstick. If you are comparing two subjective things then how can you possibly draw any concrete conclusions?

At times, I have kept a mood diary. I rate my mood from 1 for worst to 10 for best. Who's to say that if I rate myself as "1" during prolonged depression that's comparable to "1" on a bad day when otherwise I've been feeling mostly normal?

During a lengthy period of depression, where nothing seems to hold any pleasure or enjoyment: subjectively, life is terrible. I also have periods when I'm generally in a much better mood, but something really shitty will happen. The shitty thing might feel like the end of the world at the time, but I'm not going to kill myself over it: I'll quickly get over it and move on with my life... so can it really be a "1" even if it feels like it at the time?

If your mood slowly improves or declines, over the course of several weeks or months, can you spot the trend? If you're suffering a lengthy depression, does your yardstick change? You might have a day where you just feel normal, but now you rate that 10, because it's the best you've felt in as long as you can remember.

Do you even remember how you used to feel, before you got depressed?

This might be why I have a tendency to invite hypomania, because at least it's clearly some kind of polar opposite from depression, even if I don't exactly feel "happy".

Defining "happy" has started to get really hard.

Going in search of happiness has been a disappointing experience. Anhedonia means the loss of pleasure and enjoyment of things that you used to get a kick out of. Finding that you no longer love the things you've always loved to do, is terrifying, because it's further confirmation of the way that you feel: "everything is shit".

I ended up completely rebasing my whole idea about what made a happy day:

• "Got to work only an hour late"
• "Didn't quit my job"
• "Only drank one bottle of wine instead of two"
• "Survived another week without being sacked"
• "Got out of bed at the weekend before it went dark"
• "Went to the shops"

I know that I must be unwell, because I used to have happy days that were more like this:

• "Cooked a healthy dinner"
• "Went for a walk or a bike ride"
• "Took some cool photographs"
• "Went to an event"
• "Made a new friend"
• "Did some work I'm proud of"

Now, I could do those things, but I don't feel like it. Often when I try to force myself to do things, I get very stressed about it and I find it really exhausting. When I get home I feel wiped out and that I shouldn't have bothered. I find myself out taking a walk and nothing takes my interest enough to photograph it. That's weird. I used to live behind the lens.

So, I started to bring in more objective measurements: movement data, alcohol consumption, number of social engagements, number of words written.

When I analyse the data, I think the most reliable predictors of my subjective feelings of depression, are movement and alcohol. Looking at last year, I was averaging 12,000 steps a day, and although I had alcohol binges, my average consumption was reasonably low. This year, I'm averaging 7,000 steps a day and drinking excessively nearly every day.

Now, you might think "walk more, drink less" would be the solution, but this assumes a causal relationship. Perhaps I was more in the mood to walk more and drink less, last year. Perhaps the relationship is the other way around and my poor lifestyle 'choices' are actually due to depression.

We often tell people to eat healthier and exercise more, to improve their mood, but perhaps it's the people who have a happier mood who are the ones more likely to eat right and be active. In actual fact, healthy eating and being more energetic could be a good predictor of happier people.

The cause-effect relationship is not always clear. Psychologists had published a paper that appeared to show that smiling made you feel happier. However, when the experiments were repeated, the results could not be reproduced. If you can't reproduce the results of your experiment, it's not good science.

A friend made the following amusing observation:

"People who are dying of dehydration can't just mime drinking water to quench their thirst"

I think this hits the nail on the head perfectly. While depressed people can eat healthier and go to the gym, they're just going through the motions. They're not getting the benefits that their happy counterparts are getting, and in fact it could be pure torture for them.

There's an experiment where a pigeon is fed at a computer-controlled random interval. What the researchers found was that whatever the pigeons were doing the first time they got fed, they then decided they needed to do again, in order to get fed. Let's say the pigeon was cocking its head to the side when the food was released, the pigeon will then start repeatedly cocking its head, and believe that it is causing the food to be released, when in fact it's completely random. Essentially, the pigeons had become superstitious.

It seems relatively random - unpredictable - when a depression is going to lift. Let's say you were trying acupuncture or homeopathy at the time when your mood started to improve: you might assume a causal relationship between the alternative treatment and the lifting of your depression.

Even a double-blind placebo trial is not exactly fair. Psychiatric medications do make you feel noticeably different. I would be able to tell whether I was taking an inert placebo pill, or something psychoactive. I would know whether I was in the control group or not. Placebos don't work if you know you're taking a placebo, so this could explain some of the mood improvements seen with antidepressants. The antidepressant might look effective, when compared with the control group, but it's the placebo effect.

Antidepressant clinical trials generally only take place over 6 to 12 weeks. Many common antidepressants take 6 weeks before their effects can even be felt. There is no focus on long-term outcomes in these trials, only that the medication should perform better than placebo.

Many trials of longer duration have shown that being unmedicated might be more effective in the long-term, than taking antidepressants. Pharmaceutical companies are not concerned with long-term outcomes. In order for a medication to be sold to the public, it merely has to be safe and proven to be marginally better than placebo.

You would have thought that taking antidepressants would be a lot better than not taking them, right? In actual fact, there might only be a 15% chance of you feeling better, but there's a 15% chance of unpleasant side effects. The very process of going to your doctor, being listened to by somebody nonjudgemental, and then feeling something even if it's not actually better, might convince you that you're improving, when actually your depression could be lifting quite naturally anyway.

Culturally, we have developed a strong superstitious belief in the power of medicine. We believe there's a pill for every ill. We believe that a man in a white coat can wave a magic wand and we'll be cured of any ailment; discomfort.

You only have to go into any pharmacy during the winter, to see signs that say "we have no medication to treat your common cold". The fact that doctors and pharmacists have to tell people not to waste their time with an incurable virus that has unpleasant but non-life-threatening symptoms, shows how strongly we believe in the power of medical science to save us from even a runny nose.

There is a clear difference between "feeling a bit sad" and depression. Depression is life-threatening. Depression has a massive impact on people's quality of life. However, we are often medicalising a non-medical problem.

If somebody who's feeling down visits their doctor and receives some medication that's basically a placebo that makes them feel a bit different - drugged - then their pseudo-depression will lift, because it was going to anyway. The non-judgemental medical consultation will also have marginally assisted.

However, those who have prolonged severe depression - to the point of suicidal thoughts - may find that their quality of life is actually reduced by medication, because it gives no real mood improvement, but it does have unpleasant side effects. The longer-term studies seem to back this up.

Through extensive research, I found a number of medications that are very rarely prescribed, but have been used for treatment-resistent depression. These medications are dopaminergic not serotonergic.

There are a whole raft of medications used to treat Parkinson's disease, that have been shown to exhibit antidepressant effects and can successfully treat patients who had previously been treatment-resistent.

In the most severe cases of depression, deep-brain stimulation has been employed with remarkable efficacy. Deep-brain stimulation had previously only been used on patients suffering from Parkinson's disease, to stop their tremors.

The idea of having electrodes implanted into my brain does not sound immensely appealing. Rats who have had electrodes implanted in their lateral hypothalamus will starve themselves to death, in order to press a lever thousands of times an hour, to stimulate their brains. Do humans who have had the same procedure, just stay at home hitting the button as often as they can? We have wandered into the territory of the neurological basis for addiction.

This is how I arrived at my decision to use a medication that helps people to quit smoking.

My very first addiction was to nicotine. I had no choice in the matter. My parents forced me to breathe their second-hand smoke. Because I was a tiny child, the concentration of nicotine in my bloodstream would have been very high. Second-hand smoke was responsible for inflicting an addiction onto me in my infancy.

In the UK, nightclubs, bars and pubs used to be filled with smoke, until July 2007. My addiction was therefore maintained through passive smoking. The timing of the ban seems to correspond with my first episodes of depression.

The stop-smoking drug called Zyban is actually France's most popular antidepressant. The French have found that Bupropion - the active ingredient in Zyban - is also effective for treating alcoholism. The link between addiction and depression seems clear.

I have a theory that my brain is in mourning. I was subjected to second-hand smoke throughout my childhood, and I spent a lot of time in smoky clubs and pubs. Nicotine withdrawal was something I was used to experiencing again and again, but what I'd never been through was a prolonged period of withdrawal, because I would regularly get a hit of second-hand smoke. It wasn't until the age of 27 that I was finally able to escape nicotine, because of the smoking ban, even though I have never smoked in my life. You would expect that such a prolonged addiction would produce a profound psychological effect, when my brain realised it was never getting any nicotine ever again.

I then experienced a later period of addiction. Although there were periods of abstinence, these never exceeded 3 or 4 months, and the total amount of time that I struggled with addiction is close to 5 years. The addiction was extreme. The drugs I was using have a much more profound effect than cigarettes. Still today, after 6 months of total abstinence, I get shaky sweaty hands and feel sick with anticipation at even the merest thought that I might be able to obtain some drugs.

Although Bupropion is a poor substitute for the addiction I once had, it does at least slightly soothe the aching sense of loss... the mourning.

Thinking about this more now, it seems obvious that I should mourn the loss of the love of my life. My addiction was so obsessive, overwhelming, all-consuming. How on earth can you let something like that go, with just a 28-day detox, or a 13-week rehab, if it's been a huge part of your life for years?

It should be noted that my mental health problems, which predated my addiction, compound the problems. To give an official name to my ailment: it's called dual-diagnosis. That is to say, Bipolar II & substance abuse. Yes, substance abuse is a kind of mental illness. Take a look at the kind of self-harm that addicts are inflicting and tell me that's normal behaviour. That is why substance abuse is classified as a disease.

Bipolar II is a motherfucker, because it comprises both clinical depression and hypomania, which are both destructive. Therefore, I'm actually suffering with triple-diagnosis and trying to fix 3 illnesses... although the hypomania is something that most people with Bipolar II wouldn't give up, and substance abuse is hard to stop because of addiction.

I haven't had a hypomanic episode in almost a year, and I've been abstinent from drugs of abuse for 6 months, therefore the final nut to crack is this damn depression, which might turn out to simply be the fact that - subconsciously - I'm depressed that I can't take drugs anymore. It feels like the love of my life has died, hence why I'm describing it as mourning.

How long it will last, I have no idea, and I've lost patience... hence resorting to a mild form of substitute prescribing. I successfully beat addiction once before using Bupropion. I beat it using progressively weaker drugs, until I was weaned from my addiction.

You wouldn't ask a smoker to quit without nicotine patches. Why would you expect somebody with an addiction to harder drugs could quit with willpower alone? The only slightly unusual thing is that the stop-smoking drug seems to be just as effective for addictions to things other than nicotine.

Perhaps we will one day treat all addictions as compassionately as we treat nicotine addictions. Certainly, there doesn't seem to be a lot of appliance of science, when it comes to treating addiction to anything other than smoking.

Subjectively, cold-turkey & willpower is a fucking awful approach to beating addiction. We have the scientific data to show that smokers are 4 times as likely to successfully quit, with nicotine replacement therapy and smoking cessation medications like Zyban.

Of course, a relapse would be disastrous, but haven't I already relapsed back into depression?

I've been on medication for 5 days now, and Bupropion should start to be effective within a week, so perhaps I will feel an improvement in my mood any day now. Certainly, my suicidal thoughts seem to have stopped, but that could be psychosomatic and also because my horrible contract ended.

You see what I mean about how hard it is to control the variables? Human lives are messy and complex. It takes vast quantities of data to be gathered over many years, not a 6 to 12 week trial with 30 people.

Also, there's an argument to say that your subjective yardstick is altered by your experiences. Your perfect 10 can become unattainable, except through the use of powerful narcotics. Does that also mean that the best you can ever hope to feel is mildly depressed, now that the bar has been set so high? My only hope is that my brain "resets" itself over time. The brain can downregulate parts that are overactive, in order to maintain equilibrium, so it can also upregulate... eventually. The big concern is neurotoxicity: have I irreversibly "burnt out" the reward centres of my brain?

6 months isn't long though. I'm going to see what happens if I can make it to a year. Presumably, there might be marginal improvements that have happened already, but are too subtle for me to perceive. The data actually bodes well: instead of spiking back up into hypomania, things have plateaued during the last couple of months.

This unethical self-experimentation doesn't yield any results worth publishing but it does give clues as to what could be worth researching. A sample size of one is not statistically significant, but it's important to me, because my life depends on it.

Tags: #bipolar #depression #mentalhealth #addiction

This is a story about fact vs. fiction...

It's hard to defend yourself when you're sick. It's easy for people to take advantage of a soft target, and invent their own version of events. It's easy to discredit somebody, when you've left them dead and buried. The dead can no longer speak up for themselves.

I needed to break up with my abusive ex-wife and rebuild my life in London. London is where all the good IT contracts and jobs are. London is where I have a good chance of reconnecting with significant numbers of friends and business contacts. London is where good stuff happens.

I had an excellent credit rating. I was going to arrange for a bridging loan to cover the expenditure of relocating back to London from Bournemouth. The loan was risk free, because I had such a large amount of equity in my house. The credit risk was underwritten by the fact that as soon as the house was sold, the loan could be repaid.

I was going to arrange credit with a commercial lender, so that I had the security of knowing that I had the funds to cover me until I got a new job back in London. However, my parents insisted that I could count on them. My parents told me that I didn't need the extra stress and hassle of arranging credit, and worrying about money and administrative affairs, when I had the extremely upsetting task of leaving my home and setting up life again in London.

However, when I then said that I needed to borrow the money - secured against the large lump sum of equity tied up in my house that was being sold - they then reneged on their promise. They left me high and dry. They dumped me in the shit. With no excuse, they fucked me over. Unacceptable.

Don't make promises you have no intention of keeping.

Don't offer to support vulnerable people, and then screw them over.

It's not a fucking joke.

It's not fucking funny.

It has consequences.

Far reaching consequences.

I never got an apology or an explanation from my parents for fucking me over like that. I can only assume that they liked the idea of sounding like real parents, but actually they don't have a single shred of decency. They don't have an ounce of honesty. They are untrustworthy. They are liars. They are utter c**ts.

It wasn't like I'd asked them for support. I was putting my own commercial borrowing arrangements in place to cover my relocation. My parents insisted that I could count on them to bridge the gap. It made sense... there was no risk, because the debt was underwritten with the equity in my house, which was vacant and being sold. It made sense that they should profit instead of a commercial lender. I was doing them a favour, because they would earn a better rate of interest off me than they would from any savings interest.

But.

Let's assume that they decided I was going to blow all the money on drugs.

My drug of choice - the one I got mixed up with by accident during the agonising destruction of my relationship and my business - is something that I've jokingly nicknamed "supercrack". As the name suggests, it's highly addictive. It used to be legal, not so long ago.

A strong dose of supercrack is 15mg. That's 0.015 grams.

The length of time that a dose of supercrack will last is about 18 hours. It's an incredibly potent stimulant.

On the dark web, you used to be able to buy 5 grams of supercrack for $150, including postage. That's enough to last 333 days, assuming you sleep 6 hours a night.

If you take supercrack around-the-clock you will not sleep, and therefore your immune system will get very low and you will soon die. The longest I ever took supercrack in a round-the-clock binge was 10 days. That's 10 days without sleep or food. I don't think you could go much longer without dying.

When I moved back to London, I was no longer using supercrack.

If I was using supercrack, from the day I moved back to London to today, I would have spent the princely sum of $450.

In fact, to use supercrack for 50 more years - long past my natural life expectancy - would only require 274 grams of the dangerous drug, which would easily cost me less than $10,000. In fact, I could probably have bought 1kg in bulk for $5,000, which would have been enough for 200 years of drug abuse.

So what did happen to all my money?

Well, I made it to my first Christmas back in London by buying Bitcoins on my credit cards and with my overdraft, which then increased 1,200% in value. I hadn't been able to work, because the stress of not having any money, and having your parents and ex-wife completely dicking you over, while also having to move the contents of a 3 bedroom house into storage and rebuild your life again, was rather too much to ask.

My parents expected me to go to their house for a jolly fucking family Christmas, when they had royally fucked me over. What a joke.

December was all too much, and by the 27th I was in full-blown relapse (which only cost a few dollars in drugs).

However, rehab doesn't come cheap... and guess who was going to pay? ME!

I've paid around £30,000 for private treatment. Guess what? It doesn't work.

Unless you have a supportive environment, treatment doesn't work. Don't bother going into rehab, unless you're going to get rid of toxic people, toxic places and toxic jobs from your life.

My first stay in rehab (The Priory) was long enough for me to see that I was being abused by my ex-wife and we needed to break up. My next stay in rehab was long enough for me to get over being dicked over by my parents. My last stay in rehab gave me just about enough strength to make a plan to cut my toxic parents out of my life altogether.

Since then, I now know the knack of quitting drugs.

Amino acids such as 5-HTP, L-Tyrosine and Phenylalanine replace the depleted neurotransmitters in your brain. Bupropion and amphetamines (like dexedrine) can cushion the cravings and depression, lack of energy and cognitive impairment.

Benzos and Z-drugs are a great way to amplify an addiction. Sleeping off the comedown by taking 'downers' to take the vicious edge off the 'uppers' means that you start to believe you are able to get all the upsides without any of the downsides. However, all you're doing is storing up the mother of all comedowns for a later day.

Coming off benzodiazepines is the single most awful thing you are likely to ever experience in your life. I'm not sure if you've ever had a panic attack or insomnia. Certainly, you must have experienced stress and anxiety. Imagine having a round-the-clock sense of horrible unease, fear, dread. If benzos calm you down, the payback is in rebound anxiety. What goes up must come down, and living with anxiety is terrible.

Something like diazepam is very long acting, so you find it's in your bloodstream for ages even after you stop taking it. The withdrawal from it lasts weeks: insomnia & anxiety.

Coming off stimulants isn't that bad. You're exhausted, suicidally depressed, physically weak, uncoordinated, slow witted, and cognitively impaired. You might be in terrible physical shape from lack of food, lack of sleep and over-exertion. It's nothing that a month in bed can't fix.

Obviously, coming off all drugs at the same time is a clusterfuck, because you'll have anxiety and insomnia, keeping you awake through your exhausted suicidal depression. But, this is the payback for polydrug abuse. What goes up must come down.

In September 2013 I escaped addiction by swapping from supercrack to dexedrine and then tapering my dose down. I further cushioned the blow by using zopiclone to get my sleep back on track. It was relatively easy and painless, especially as I also completely changed my whole environment by moving to London and reconnecting with old friends. I got a new girlfriend and started helping my homeless friend, Frank.

Drug addiction is a teeny tiny bit about the brain chemistry, and it's a whole lot more about toxic environments. Believe me, the more stress, disruption, isolation and mistreatment is perpetrated against me, the more I'm itching to pull the "fuck it" trigger.

Drug addiction is both an easy and a difficult existence. If you haven't got the guts to actually end your life quickly and cleanly, it will get you to your grave faster than you think. I think every addict knows where they're headed, but they don't give a fuck because everybody else is pushing them down that road too.

You would have thought that addicts would be our most cared for and nurtured members of society, because they're pretty much walking around with a noose around their neck, advertising their intention to kill themself. However, my experience was that my own parents and ex-wife couldn't wait to see me dead and buried.

When I eventually accepted that experimentation had become addiction and I needed professional help, I said to my ex-wife that I needed a 28-day detox. She said she would rather that I died. She actually categorically said that she would rather be a widow. These were her words. This was not a general comment. This was her saying that she would prefer it if I didn't have 28 days treatment and get better. This was her saying that what she wanted was for me to die, not get better.

When I got clean and moved back to London, my parents essentially made the same choice. Rather than honour their unsolicited offer to profit from my need for a bridging loan, they saw the opportunity to pull the rug out from under my feet and plunge me back into chaos, stress and destruction.

When things are going wrong now, I assume that I'm totally alone, and that everybody is totally hostile. I assume that doors are going to be kicked in by an abusive and violent ex or parent. I assume that treatment is going to be withheld. I assume that people would rather that I was dead.

Abuse leaves psychological scars. Calling somebody a liar, and treating them disrespectfully denies them any self esteem. Pulling away a person's means of supporting themself, and generally attacking their opportunities to escape and recover is not proof that the person is a failure and vindication of your decision to fuck them over. Let's take a look at cause and effect.

Drug addiction is a place that a person turns to when their life is unliveable. The more you mistreat a person and deny them any opportunity to recover, the more they're going to say "fuck it" and go back to killing themself slowly.

Recovery can be quick and painless if action is swift, decisive and early intervention is taken. Addiction is like a house on fire. The sooner you put out the fire, the more of the house you save. There's no point sitting around to see if the fire goes out, and then putting out half the fire. "The fire is mostly out" or "we'll just put a bit of water on the fire and see if things improve" is just utter bullshit. You're looking for an excuse to fail that person if you act like that.

I'm angry.

I don't know if this is coming across. I'm really fucking angry.

I'm spinning everything like I'm a victim. Well, that's because I'm sick of victim blaming. I know that taking the position of the victim is not a good place to start, but it's maddening because the facts are clear: the strong have exploited the weak, and tried to kick a vulnerable person into an early grave. Secrets die with a person, and it's a lot easier if a victim is dead.

I made plans for my business and my future based on the idea that I had a loving, supportive partner. I made plans based on a "for richer, for poorer" and "in sickness and in health" marriage vow that we made to each other. I made divorce and recovery plans based on an unsolicited offer of support from my parents. Parents are supposed to support their children. People are supposed to honour their word. Plans are based on agreements.

How can you make any plans or do anything if nobody keeps their word? How can anything function without people acting with a shred of integrity.

I paid for nonjudgemental reliable support, at great personal expense. The rest I did on my fucking own. Who the fuck got me out of the park and into a hostel? Who the fuck got me out of the hostel into a contract and a hotel? Who the fuck got me out of the hotel and into a flat? Who the fuck got me more contracts when the previous ones didn't work out for long enough for me to get ahead?

Recovering from depression, bipolar disorder, the destruction of your business, ruining of your career reputation, divorce, the selling off of your home and the giveaway of many of your precious possessions, having to relocate across the country, having to re-establish your life again. You think that comes easily? You think that comes cheaply? You think that can be done all on your own? You think that can be done while people jeer and take the piss from the sidelines, calling you horrible names and creating additional obstacles for you?

Now, sprinkle in substance abuse.

Drug addiction is the easy part. I should be getting a fucking ticker-tape parade for what I've been through. I should get a fucking gold medal. I should get my picture in the motherfucking paper, with lots of quotes from all my adoring fans.

Some drug addicts are driven to lie, cheat and steal. We are told that addicts leave dirty needles in children's playgrounds and try to sell drugs to your kids to get them hooked.

What exactly could anybody's problem be with me? I've paid for all my own treatment. I've never stolen any money to buy drugs. I never even bought drugs from anybody who could conceivably be accused of putting money into crime and terrorism. All I've ever wanted to do is get back to London, and restabilise myself.

What does stability look like?

Like this:

• Place to live
• Income to pay for food & accommodation
• Social contact
• Free from debt and financial stress

And I've come to realise it also means:

• No more toxic people in my life: especially my parents
• No more klingons: I can't carry any dead wood
• No more arbitrary measures: being teetotal is unnecessary. I'm going to do whatever works.
• No more shame: I've got nothing to be ashamed of

The compromises, sacrifices and things that I put up with to keep hope alive are not inconsiderable. My adherence to integrity and personal standards means that I am taking on additional challenges that I could easily circumvent by simply declaring bankruptcy and depositing myself in the care of the welfare state.

I've paid an absolute fucktonne of tax in my life, so I should feel entitled to a handout, but I don't. I don't want a life that's dependent on the state giving me a small amount of the money back that I've paid into the national purse. I'm proud and I've worked hard all my life. I've worked hard to dig myself out of a very deep hole, and I deserve a fucking break.

I'm writing this now, completely free from any drugs. My mind is my own. I have let my brain recover, and now I have nothing but pure rational thought.

Where's my money gone? It's been spent on surviving. It's been spent on keeping the possibility of recovery alive.

Recovery from drugs?

No.

Recovery from the shit that drove me into the arms of addiction.

Will I be able to recreate the past, and get back the things I lost? No, never. Of course not!

So, am I bitter and full of regret?

Actually, I'm working my bollocks off just as hard as I've always done throughout my life FOR THE FUTURE. In 4 or 5 months I could be back in the same financial position that I was in before everything imploded, except I will be in pole position to continue at a much accelerated pace. I have a much greater chance of building a happy new life, now that I am rid of the toxic people who sabotaged everything I had worked so hard to build.

Every day in the rat race is an unpleasant reminder of the fact that I got screwed over, and this is the source of my bitter rants. I am tired. It has been exhausting to rescue things.

But, it's in my nature to build and repair. It's in my nature to look to the future, not look to the past. The only reason I do look to the past, is that I'm saddled with the consequences of being dumped in the shit by people who let me down and broke their promises.

In the world of startups we talk about a pivot. Take your lessons learned from going in one direction, and take them in another to find your sustainable competitive advantage.

Through this fucked up world of pain that I've been through, I've found several important stories that need to be told.

There is the story of the people who are disadvantaged. Those who are discriminated against because they have mental health problems or who have struggled with addiction. There are society's undesirable members. There is the issue of homelessness, and the harsh and uncaring world that waits for single people who fall on hard times. There is the arms race in the war on drugs, with legal highs and the cat and mouse game between chemists and governments. There is the battle that rages inside our heads: mania and depression. There are the differences in perception: who is mad and who is sane.

A rich white middle class investment bank employee, IT consultant, software engineer, homeowner, husband and neatly presented boy with good manners, well educated and well behaved. Young, fit and active. Adventurous, outgoing and gregarious.

If it can happen to me, it can happen to anybody.

The stories have got to be told.

Tags: #addiction #drugs #divorce #parents #legalhighs #mentalhealth #homeless

This is a story about what happened next...

Ordinary person discovers this one weird trick. When they saw what happened next, they were AMAZED!!!

So, I've been accused of being anti-psychiatry, but in fact I'm not. The discovery of chemicals that can cross the blood-brain barrier and affect your perception of the world, has been incredibly important for the understanding of neurological functions, as well as the pathology of mental illness. It's also true that pharmacological interventions are priceless during episodes that would otherwise be unmanageable.

For the record, my own diagnoses have included:

• Clinical depression
• Type II Bipolar Disorder
• Anxiety
• Stress
• Borderline Personality Disorder (BPD)

I've been treated with:

• Antidepressants
• Antipsychotics
• Mood stabilisers
• Anxiolytics / hypnotic sedatives
• Sleep aids

Then having read a meta-analysis of psychiatric treatment outcomes by Robert Whittaker in his books Mad in America and Anatomy of an Epidemic, I decided to embark upon an unethical study, with me as the test subject. I decided to go completely unmedicated.

The general public often associate unmedicated mental health patients with some wild-eyed looney, who has slipped their straightjacket, ducked the tackles of the hospital orderlies and legged it out of some mental health institution. There is an assumption that people with mental health problems are homicidal maniacs, and a danger to the public. I'm here to dispel that myth.

Going unmedicated is not something I would ever advocate. The withdrawal effects from psychiatric medication are likely to be severe and unpredictable. It's not something that should ever be done without consulting your doctor. However, I did it, and this is my account of what happened.

Firstly, coming off medication is hard. Really hard. I've had comedowns from drug abuse that haven't been as bad as coming off anxiety medications, for example. What goes up must come down, and there's no avoiding the fact that coming off a 'feel good' medication means that you are going to feel bad. Really bad.

Fundamentally, that's why many of us take medication, isn't it? To feel normal. To feel better than we would do without it. That's certainly how I got mixed up in the whole world of mental health in the first place... because I felt terrible. I was exhausted and suicidal and depressed and demotivated and I didn't enjoy anything. I needed happy pills, because all my happy had leaked away somewhere, and I was just spending 14 to 16 hours a day asleep, and the rest of it in bed hoping that the world would go away.

The thing is, the unnatural 'happy' pills destabilised me, and my mood then swung too happy, and entered a mood cycle of alternating periods of depression and hypomania. Enter the mood stabilisers. It's starting to sound like a story about the old woman who swallowed a fly, isn't it? For those who are unfamiliar with the story, she then swallowed a spider to catch the fly, and then something else to catch the spider and so on, until she swallowed something so large it killed her.

The problem with trying to treat human moods with medications is that the brain has evolved to be homeostatic. That is to say, the brain has evolved its own mechanisms to maintain stability, and anything you introduce artificially will quite naturally destabilise those systems.

The stability of your moods can also be destabilised by supposedly normal things. We are all supposed to be able to cope with the pressure of exams, work, domestic duties and so on, but for some of us, it will all become too much. Is this mental illness, or are these 'nervous breakdowns' actually something that threaten to blight the lives of every single person? Is it a lottery as to whether the stress will become overwhelming?

I self-medicated for stress for years, using copious amounts of alcohol. Of course, at work you then have to compensate for the foggy mind caused by a hangover, so you start to drink strong coffee. I was probably having the equivalent of about 12 shots of espresso every single day. The amount of caffeine contained in those shots was practically the same as being an amphetamine addict, and indeed my boss at the time - who got me into this destructive lifestyle - had the racing speech and fast jerky movements that you would associate with a speed freak.

When I moved onto harder stimulants, including a drug that would keep me awake for over a week at a time, I found that my mind was not as robust as I had assumed it would be. I managed to induce within myself, symptoms that were unmistakably schizophrenic.

Consumed with paranoid delusions, hearing and seeing things and with completely warped perceptions, I was very mentally unwell indeed. This divided medical opinion. Some professionals wanted to treat me as if I had permanently damaged my brain, and had now become a schizophreniac. Others could see that the symptoms were likely to abate, if I just got some sleep, had some food & drink and started to detox and let my frazzled brain recover. Thankfully, the latter was the correct opinion.

Does that mean that all schizophreniacs can recover and live normal unmedicated lives? No, sadly not. I've seen quite a lot of people who have been suffering acute episodes of mental illness as a result of circumstances or substance abuse, and these people have recovered as soon as they were removed from the situation that landed them in hospital. However, there are clearly some patients who are either too badly damaged, or have some other pathology that is driving their illness, and medication is necessary to control the psychosis & mania.

For my own part, I have lived without caffeine for many years now, and I try to keep alcohol consumption to a minimum. I've been medication free for a few years, but I have dipped back into both sedatives, sleep aids as well as powerful stimulants, during times of crisis. It's been a few months since the last time I dabbled with anything psychoactive, and I'm still suffering rebound anxiety and depression.

Life is incredibly hard right now. I'm stalked by suicidal thoughts all the time, and stress is almost unbearable. I would dearly love the comforting embrace of a chemical security blanket. I long for intoxication. However, despite the hard, sharp edges of daily existence, at least my emotions aren't blunted and I feel like I have wonderful mental clarity.

Every day is a struggle, and my perception of time is completely warped. I feel like this depression is going to last forever, and I assume that everybody hates me and that I have nothing to offer the world, and I'm never going to be happy ever again. However, I'm able to be very rational, and I can see that my perceptions have merely been warped by my mood, which is partly because I'm still recovering from the abuse of sleeping pills, anxiety drugs and stimulants.

It would be easy to write off my tale as that of a drug addict, but that's not really the story. In actual fact, self medication with 'bad' chemicals was only very recently, and well after I was diagnosed with various mental health problems and had already been taking 'good' chemicals (i.e. medications). All psychoactive chemicals are inherently destabilising.

Self medication is a disastrous path to go down, but all attempts to force your moods to go one way or the other without changing the environment that you're in, will be doomed to failure. I wanted happy pills so that I could remain in the rat race, and maintain a standard of living that I had gotten used to. However, what I really needed was to escape that bullshit world.

Propping up my ailing mental health so that I could continue to work a job that I hated and that bored the shit out of me was a dumb choice. Mental health is too precious to fuck about with using pills and potions. If you're not feeling great, that's probably because you need to get out in green spaces more, eat healthier, get some new friends, ditch that mean abusive partner, disown those horrible parents who never congratulate you on your achievements and always give you a hard time, and quit trying so hard to impress people and be somebody you're not.

This is my prescription for life: be myself and tell everybody to shove their ill-informed opinions about my life up their arse. Nobody's an expert in my life and how to live it, and so many of the so-called experts are actually unhappy themselves, nor are they bringing happiness to the lives of the people they advise. Judge people on their results.

Fundamentally, there is an epidemic of mental health issues, and nobody is curing anyone, so trust nobody except for yourself, and do what feels right for you.

I discharged myself, because I was in hospital voluntarily. I've had several 'section' assessments but never been sectioned under the Mental Health Act. However, I'm an unmedicated mental health patient on the loose, so look out!

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

This is a story about destructive relationships...

I stood up my most respected and one of my most sorely missed friends for the third time yesterday.

I was supposed to see him and his family just before Xmas, then we were going to have Tea at the Ritz, then we were going to travel to Heathrow, catch up on the train and in in the ample time before his flight.

WHAT'S GOING ON?

Well, I've never not had a girlfriend. I'm too addicted to sex. After the most almighty row at my ex-wife's brother's wedding, we took a break from each other for a few days. While she discussed my faults and possible solutions with her parents, I found a way out of one destructive relationship and into another.

I have written before about our unhealthy co-dependency on sex, and sex on drugs. "NRG-3" had no ingredients listed, but it was the last untried chemical on a legal high & research chemical website where each weekend, my ex and I would fuck on a different drug.

I would spend a bunch of spare time at Cambridge, reading about research chemicals, and then I would order one, ready for when I next saw my ex. I saw us like Alexander and Ann Shulgin, and had read their candid co-biographies about synthesising about 3,500 psychoactive drugs, and testing them all on themselves. The ones that seemed safe and interesting, as an aphrodisiac, Alexander took with Ann and they compared notes in their famous books PIHKAL and TIHKAL, which I read when I was 17/18 years old.

Only "NRG-3" was going in the bin. I did some snooping and found that "NRG-x" was the name for the old stock of unsold 'legal' highs that weren't legal anymore. Most people speculated that it was Methylenedioxypyrovalerone, which Crystal Meth and Crack users were switching to because it was 1/1,000th of the price per dose. Except MDPV had terrible extrapyramidal side effects in people not regularly abusing stimulants: panic attacks, palpitations, tachycardia, hyperthermia and said to be more addictive than the illegal drugs.

John McAfee, the famous billionaire software engineer became addicted to MDPV and started posting videos of himself pointing a loaded gun at his head on YouTube. The more I read, the more convinced I was that I needed to add the pyrovalerones to my 'never try' list (heroin, crack, crystal meth, PCP).

Only, in a suicidal state after the aforementioned temporary separation from my ex-wife, I thought "fuck it, what harm can 15mg do?" 15 milligrams is 10 to 20% of the size of a dose of 'most' stimulants. The line of white powder is more of a short, thin, hyphen. Your eyes can't believe that 15mg is so tiny.

My affair started immediately. I loved this drug. I loved the effects of this drug more than the pleasure I derived from my destructive relationship with my ex-wife. I had a mistress. I was having an affair. I was also free from the fear of losing my co-dependee.

I took 800mg over 4 days when I had intended to only take 15mg, for the duration of it's effects, which could be between 3 and 24 hours. It's not a stable and predictable compound. My behaviour had always been stable and predictable: I would take a single accurately measured dose, orally, and I had never ever broken my rule.

I had tried maybe 50 drugs up to this point, so I wasn't naïve, but I found myself saying and doing things I knew were addict clichés. "I'll just have a little bit more", "that looks underweight/small, I'll just increase the dose slightly", "I'm going to have one last dose then I'm going to stop", "OK, this really is the last one".

I didn't eat, I didn't sleep until the 3rd night. When I woke up I was having a terrible panic attack. Time inched by. My pulse and blood pressure were maxed. I was convinced I was going to die. I wasn't naïve though. I downloaded a computer game called Samorst, and played that for 12 hours. I felt a bit better.

This happened a few weeks after Springboard ended. I knew I had to pitch in London a month after demo day. I remember almost turning back home as I was almost on the train to London, because the thought of leaving my drugs for a few hours was scary. Way scarier than giving a pitch while high and hoping nobody from Springboard noticed I was high, sleep deprived and I had lost weight.

Everyone said that my London pitch was better than my Cambridge one (practice? home town?  drug-induced confidence? Smaller audience?).

Maybe I just didn't care so much. Jason Trost of Smarkets spotted the founder problem I had right away. I picked a startup that would be cashflow-positive, I could code in on my own in no time, and we already had a customer (5 or 6 household names by the time we started Springboard). The problem was this: I'd solved the problem in my head, written it: boring work only now, and I had no founder passion except pride in our startup.

David Hazell should have been the CEO from day one, and it took him well out of his ColdFusion comfort zone, but he can code Java and Objective-C as well as running a well administered business.

So how do you cure an MDPV addiction? Simple. Stop taking it. My ex took it as personal that I got addicted and she thought I wouldn't quit out of stubbornness  and I just needed shouting at and abusing.

I had a 'man cave' (office/lounge/bedroom) built in the summerhouse I built, but she would still walk down the garden path to shout at me there.

As if this wasn't enough, my parents were ordered to come and take me away. Things didn't get off to a flying start when my ex lets my Dad in and he's been primed to start shouting "you're a junkie" too, the moment he got in my front door. I was in the middle of an email about admission to a specialist drug clinic in London, and I should have told the hypocritical c**t to get the fuck out of my house that I paid for, back to his house which was bankrolled by my mum, and the money that came from the profit of the little cottage that my granny bought her.

My parents then insisted that we get some fresh air (it was January and I was not in a good state). Even though I wore dark glassess and a coat with a big collar, it was still mentioned at work that somebody had seen me out on the clifftop while I was off work sick.

My GP kindly gave me 5 weeks so I could attend the 28-day detox program at The Priory, where one of the country's best psychiatrists specialising in dual diagnosis (Bipolar & substance abuse) was based. A few white lies were told to protect my professional reputation and my health insurance would pick up the £12,000 bill.

My ex-wife said if I went into private hospital, she would divorce me. My psychiatrists said dual diagnosis mortality rates are very high, they disagreed that it was lack of willpower that had meant I hadn't quit by means of being shouted at, and professional care was needed, even just to see what was going on with my comorbid Bipolar II.

3 and a half weeks is what I lasted in hospital, before it dawned on me that I was going back to the same life. 3 weeks became a kind of benchmark. I could quit for 3 weeks, but never any longer. Ignorant people will say that proves a lack of willpower. Fuck you ignoramus.

When separation and divorce finally started to happen, my friend Will rescued me back to London, where I managed 2 months abstinence before my lazy ex wife insisted I travel 240 miles to get 3 valuations on a house she lived and worked less than a mile from.

I had just founded a new startup, was in advanced discussions about raising money, had built a working prototype, cycled to TechStars London every day, had a beautiful girlfriend and lived with one of my oldest friends and made new local friends as well as reconnecting with old.

Paying the mortgage on an empty property ate my savings, especially when she rejected a cash buyer who wanted to move in 6 weeks. Instead she chose an agent who didn't know the area or have any clients looking in that area, and accepted an offer from a couple in a chain who didn't even have an approved mortgage. They took 6 months.

When my parents refused to help ease the cashflow burden like they had repeatedly promised they would - not wanting stress to cause a relapse - it took me a hell of a lot of effort & distraction to raise money that I would have prepared in advance, if I knew their offer was just hot air.

I relapsed back in Bournemouth, with the idea of turning the house into a homeless shelter or something else to piss my ex off. Rang the family solicitor after all the other laughed at me, because I had trashed a hotel room in a drug-fuelled rage, and I wanted to prepare them before I handed myself in to the police.

Strangely my friend Tim turned up, got me out of there, then my Dad got me back to Oxford. Turns out the family solicitor had phoned my mum and begged them to help their son. I was very keen my dad contact the hotel and let me settle the matter with them directly. He didn't care. He doesn't have my ethics.

I had told Will (most innocent and naïve man ever) to chuck me out if I ever got any mail from Spain or Germany. Luckily I managed to find MDPV in the USA, but it still feels shitty using drugs in your friends house, even if you're trapped on the first floor with your leg in plaster in agony because the docs won't give you anything stronger than Tramadol (in case you abuse it).

Camden Town is not a good place to be a drunk or a drug addict. I would meet with Frank every day for weeks until he got a paid hostel bed. While I was making notes, to tell his story, I unwittingly took down the addresses and contacts of everywhere I had to go to try and get help from Camden.

Eventually Will did chuck me out, because of lies my Dad told him. Will did it very nicely, but my Dad destroyed the relationship we had. I remember lying in hospital, 2 canulas, torn liver, burnt abdomen, failing kidneys, and not only did Will ask for his keys back, he asked if I had made any other copies.

This is what happens when a drug addict hypocrite c**t like my Dad starts 'helping' instead of helping like he originally falsely offered to do with a modest bridging loan.

(as an aside my parents lied to my sister and said they'd lent me 250% More money than they actually did, and that I was 'emotionally blackmailing them' by being in hospital, even though they're not my next of kin anymore and I would never bother telling them if I was in hospital. No, my mum said it's ok because it's only worth making the coroner's if they need somebody to identify my body)

I survived homelessness and further hospital admissions, so I saved my mum that train fare, but Camden Council kept reneging on their promises. I got a one line email from Camden Council Housing, saying I couldn't even get a hostel bed

"On the basis of the information you have provided I am afraid that you do not meet the residence criteria to be considered for our Hostels Pathway Scheme."

What the fuck? Do you only accept people with money and houses and nice parents?

If you ever want to speak to a psychiatrist in hospital here's a little trick. Ask the the receptionist if you can borrow her phone and then dial the switchboard. Say "can I speak to the bleep holder for psychiatric liaison please?" Make sure you don't let on you're a patient until you absolutely have to. Saying "I'm trying to locate a bed in a psych ward or crisis house in London for a voluntary admission" doesn't actually contain any lies.

In this way, I was able to get 2 whole weeks of accommodation out of the council tax I pay Camden Council. I don't feel bad, because I had a massive wound in my leg and my penis was hanging off.

At the end of the two weeks, Camden Council said "here's a number for you to phone [if you haven't been mugged or stabbed, and still have your phone]  in the morning for us to come check on you". I said I wanted to stay in a a derelict tennis court maintenance shed to stay dry. They said, "we need you to stay where [muggers are and people have pissed]".

So I booked myself into a suite at the Royal Camden Golf & Spa Resort (a 14 bed dorm in a hostel) and proceeded to go into drug withdrawal. The think about London hostel dorms is, there's bunks, and there's a bathroom, and then outside there's the capital city of London, but if somebody is going through drug withdrawal in one of the bunks, fuck London, you should stay and watch them cos there's no privacy. It's like "Trainspotting" as a live play with one of the best actors you'll ever meet.

Fuck rehab at £430 a night... a hostel is a great place to get clean, provided you have a Laurence. Laurence could see that this was a dress rehearsal, and opening night would be never hopefully, and ushered a disappointed crowd of rubberneckers off around the sights of London. 

I'd managed to hang onto enough money to put myself through the cheapest rehab in the country, which is in Bournemouth believe it or not. I told my mum to hang on though (could hae been yet more lies anyway) because I needed to finish my round of golf and I had a massage booked for later [as in, hostels are like cheap rehab anyway].

Before long I had a group of friends. Laurence from the mountains. Rory the Lidl vodka stealer. Jody the poet. Definitely not French Jack. Psychic Laura. "I just want a baby" Priscilla. "Quite Old But You Still Would" Marla, Gorgeous Flavie, My later ex (banned) Antonella. DJ Kristos.... and many many more, including Paolo who had previously been acting tourguide, but with about 8 times as many years in the Big Smoke than him, I accidentally stole that role.

The thing about a hostel is, if you want drugs, everybody else wants to share, and you have to be high in public. Also, there's none of this pious "not a drop of alcohol shall pass my lips bollocks", and it's a lot easier to get clean with a beer in your hand than an herbal tea being told by some ex-junkie "drugs are bad mmmkay".

It took me a month to get clean and another month to get a job (and stay clean) and then I stayed clean until I dumped Antonella for being abusive, and then Laura got all mumpy that I didn't move onto her. Jody, who was in Love with Antonella, also was angry with me. My entire group of friends in London (except Rory) fell apart, and then my contract ended.

• Abusive relationship = multiple relapses
• No money + massive stress = relapse
• No job + no friends = relapse
• Innocent/naïve middle class person + lies about drug addiction = no friend

So I was nursed back to health by the nicest family in Ireland. The O'Riordan's of Killlavullen, Cork [The Rebel County]. I owe them my life.

The thing about the O'Riordans is that they're the smartest most hard-working and make do people you'll ever meet. Eddie, Laurence's dad's climbed 8,000m peaks and can sail, as well as repair just about anything. Breda, Laurence's mum is just so full of love & care, without all that œdipus complex bollox that my mum needs to deal with. There's sister Maria the nurse who all the boys in Magners drink in to look at and chat to, but they know they'd get the beating of a lifetime if they touched her. Then there's Danielle, with her scholarship, but she's practically already [unofficial] #2 in a company that's about to IPO. She's got Dublin culture but no arrogance.

Anyway, seeing and staying touch, and not falling out with friends is hard. Imagine if all your money just takes you deeper into debt, and keeping your mind quiet is harder than working any job... and it used to say lots of interesting things, but now it just says one: "MDPV"

Just about anything and anything that could have hurt my self esteem has happened. Showing a nurse your penis hanging off is a good one. How's about the police leading you out of a hotel, handcuffed, just wearing boxing shorts ["I'm sure you deserved it, you devil"].

And I keep having to go back to doing what I have done since the age of 17 to stop myself from going bankrupt, but I hate it and it's so easy I can type and have a conversation at the same time. And then when I've got just enough money, I'll walk into the boardroom and I'll tell the board exactly what I think, and I always get fired, but they're too scared I'm going to whistleblow to not give me a reference, so they just quietly sack whoever needs to actually go.

So, I came up with a couple of lists of things I like doing and don't like doing, and I've come up with a bunch of ideas that bring in money, keep me busy, and doing the things I like not the things I don't.

I'm sending it to Jakub, because he's the only man alive who can judge whether I'm talking pie in the sky bollocks or it might be worth a go (maybe with some discussion with his dad).

I have a practical speculative list too, which I might send to Rory, as he's the only man alive who'd come in on me with some mad scheme to stop both of our minds from driving us mad.

Jakub, it just remains to say, I'm so sorry for standing you up, but I was 6 months clean in San Francisco, but I had to ethically walk away from the HSBC corruption and incompetence. Since then, it's been promises, promises and false starts, but I'm waiting for the day when I either die cos I'm dumb enough to figure out how to get high for 14p a day, or smart enough to do something I can be proud of and it was my destiny.

So cute (9 October 2013)

P.S. - Sansa (Happy Birthday!), Lydia, Margaret, Nicola, David, Willian, Will, Jess, Cameron... I'm going as fast as I can. It's like trying to get a 10,000kg ball rolling.

Tags; #startup #addiction #friends

This is a story about rehab...

What's the difference between detox, rehab and inpatient treatment for mental health disorders? Very little actually. Here's my little exposé into being a patient of the UK's most notorious private drug and alcohol abuse treatment provider.

As far as my medical records show, I was admitted to The Priory for treatment for Type II Bipolar Disorder, during an episode of acute illness. My private health insurance picked up the bill and JPMorgan gave me the time and the space to get better. They're a great employer actually.

I had found a local private psychiatrist, as I was running out of ideas for how to deal with my Dual Diagnosis (Bipolar & substance abuse) and I knew that the stats weren't good. Not many people recover from such a death sentence of a diagnosis.

I was very lucky to find the psychiatrist that I did. I had been trying to get in contact with a number of specialists directly, but things were very slow going during the Xmas/New Year period, when a lot of people suffer a big decline due to the bad weather and family pressure to put a jolly face on everything during the holiday season.

I contacted a general psychiatrist at the local private hospital, and he turned out to be one of the nicest, kindest people I could ever have hoped to meet. It was pure relief to meet somebody nonjudgemental who would hear my story without leaping to immediate conclusions. The first time I met him, he simply said "we can only play the cards we are dealt" which had me in floods of tears, as it was the first time that anybody had ever said something so kind to me.

I had been taking quite a kicking from my supposed loved ones - but I'm not going to go into that anymore - and been made to feel very guilty and a total failure for having gotten sick. It should be noted that I became clinically depressed and suicidal before any substance abuse entered the picture. Bipolar symptoms had always been present in my life, but it took a further 2 years to get diagnosed. Then, finally, substance abuse reared its ugly head and became the most pressing issue.

From my point of view, I had struggled for years and years with recurrent suicidal ideation, suicide plans. I have struggled all my life with mood instability. To be simply dumped in a bucket labelled 'lost cause addict' was a bit s**t to be honest, after 30 odd years of reliable good service, despite fairly debilitating mental health problems.

Perhaps I'm complaining too much, making too much of a big thing of my struggles? Yes, yes, yes, there are people who've had it so much harder than me, blah, blah, blah. Ok, unless you've sliced your forearms multiple times, lengthways along your veins, with a razor blade, do me a favour and shut up? Some of my friends are wonderfully supportive and have gone out of their way to learn about mental health problems. Perhaps you could follow their example?

So you think this is attention seeking? Save it for the funeral.

It's true that it's taking me a while to work up the bravery to take the Final Exit. Ending your life is a big deal, and you've got to do it right, otherwise you're just going to end up in hospital in pain.

I've had cans of inert gas to suffocate myself, 2 grams of Potassium Cyanide, enough barbiturates to slip into a coma and drown in my hot tub while unconscious, travelled to the top of tall buildings, cliffs and peered over the edge of high bridges. The most serious attempt I made was trying to open my veins with a razor blade. I must admit though, I was just testing the water. You want to make sure that you open some major veins, like the jugular, if you want to die quickly.

Stupidly, I still have hope and some faith in myself. I should write myself off for dead, like those-who-shall-not-be-named have done.

So it came to pass that I went into The Priory, with a referral to one of the country's leading experts on Bipolar Disorder and Dual Diagnosis. JPMorgan were told that I was experiencing mental health problems (true) but the main objective was for me to detox for 28 days, so that there was a clearer clinical picture, and the treatment of my Bipolar and depression could begin.

That makes me an addict right? Don't need to read the rest of the story. Skip to the end. Case closed.

Well, actually, The Priory and my psychiatrists were concerned with my mental health, and saving my life, not just labelling me as an addict and sticking me into the revolving doors of mistreatment and stigma that those suffering individuals endure. The Priory is actually a private hospital, and cares primarily for those suffering with various mental health disorders that are less controversial and stigmatised than substance abuse. There were ten times as many patients who were there because of depression, anxiety, schizophrenia, borderline personality disorder, eating disorders etc. etc.

It's actually all part and parcel of the same group of problems. One fellow patient had been admitted with mental health issues, but out of some drive to self-destruct, she started filling up a mug with alcohol-based hand sanitising gel and flavouring it with orange squash, and drinking it to get drunk.

One of my fellow patients tried to commit suicide by climbing a high wall and hurling herself off, while I was there. Does it matter if she was being treated for depression, or for substance abuse? The fact of the matter is that she was suicidal at that moment. Mental illness of some kind had driven her to try and take her own life.

There was a game we used to play, when a car used to roll up to the house, and out would step the worried looking family members, dragging some dishevelled son, daughter or partner out of the back seat and into a meeting about admission. We used to try and guess what they would be admitted for. Sometimes it was obvious - if they had red wine all spilt down their clothes for example - but often it was nearly impossible.

But what's it actually like, in private hospital? Are there rock stars and stuff? Well, my doctors had treated a number of high-profile sportsmen and women, but when I was there, there weren't any rock stars. Couple of millionaires but no rock stars.

Really, it's much like an NHS mental hospital, except a little more well appointed. Everything is bolted down and the windows don't open and the doors don't lock. The lights don't dangle down and there are no curtains. Mirror glass is made of plastic, and pictures are screwed to the wall, not hung. Yes, there is quite a lot of anti-hanging thought that has gone into things.

When you arrive, you will hand over your razor, scissors, tweezers, solvent containing toiletries, shoelaces, belt etc. to the nurses to keep at their station. If you want to have a shave you'll have to ask for permission, and you'll only get a short amount of time to attack your face with something sharp.

Plus, it's still a hospital, and people are very sick. One woman said to me "it's OK, your secret is safe with me" and tapped her nose with a knowing wink. It later emerged that she thought I was a royal prince, and that my presence in hospital was a state secret. She also came into my room and stole all my underwear and my books, before the nurses tracked down her hiding place.

The rooms are actually as good as any 3-star hotel, with a writing desk, nice view of the gardens, an OK single bed and an ensuite with no shower curtain or plug (drowning is frowned upon). Once you're off suicide watch, you might get to move to one of the double bedrooms that are further away from the nurse's station.

Other than the slight refinement of having a TV and a telephone in your bedroom, there is little different from NHS mental health treatment. The food was very good, I have to say, but your days are generally structured around morning and afternoon trips to the dispensary hatch for your medications, and being regularly checked on by nurses if you're not in some group activity.

Between art therapy, yoga, mindfulness, music therapy, table tennis, TV, movie night and generally socialising with the other patients, it all sounds like a thoroughly lovely spa break. There was a gym and quite big grounds that one could roam in, provided you told the nurses where you were going and how long you'd be gone for. Leaving the compound within my 28 days was forbidden.

Your partner can come and visit you, and you can give a knowing wink at the nurses station before you have sex, so that nobody barges in on you unannounced. Just don't take too long. Visiting is only on a Sunday, so you'll probably have a sack like Santa anyway. You have to hand over your mobile phone and laptop, and digitally detox, so pornography is hard to come by. Probably because sex addiction is also treated at the hospital.

We should remember that although people talk about 'rehab' we need to be quite clear about the treatment route of substance abuse. There is first a detox. It's necessary to break the body's dependence on substances, and treat the withdrawal. If you are an alcohol or a benzodiazepine abuser, there's a good chance that withdrawal could kill you, so the hospital will put you on tapered medication to get you off those substances. If you are an opiate abuser, you will get very sick from withdrawal symptoms, and these can be attenuated with substitute prescribing or by putting the patient into induced sleep. If you are a stimulant abuser, you will suffer cognitive impairment, exhaustion and suicidal depression.

After detox, which could take the whole 28 days, then comes rehabilitation. Depending on how dysfunctional a person has been, they could need 3 to 6 months of rebuilding their damaged life in a safe environment. Just breaking the cycle of chemical dependency is not enough. There's a reason why a person entered that cycle in the first place. There's a reason why that person stayed in that cycle.

We know that gambling addicts don't inject packs of cards into their veins, so addiction can't just be about chemical substances, can it?

So it was, as my time at The Priory drew to a close, the staff gave me the bad news that my treatment was incomplete. I would need another 3 months of rehab if I wanted to make the changes permanent. I flipped out. I discharged myself, went home for a day. Then I spoke to one of the staff on the phone and decided to go back for the remaining few days of treatment. She-who-shall-not-be-named decided that I had "failed" in my commitment to getting better. That's simply a lack of understanding about the commitment that is needed to support somebody in recovery.

Recovery is not about abstinence, it's about having people who love you trying to support you. Support does not mean hectoring, bullying, nitpicking and generally being obnoxious to a person. Your holier-than-thou drinking and smoking and generally behaving like it's OK to do whatever you want and laughing in the face of the abstainer is not helpful, OK?

Abstinence doesn't even work anyway. It's just a continual reminder of what people want to believe: that you're somehow a bad person, that you're faulty, defective. People want to treat you differently, want to label you. Teetotallers are ridiculed, treated with contempt. Why bother being teetotal?

Certainly, not being a smoker was a problem in hospital. There would be long periods where I was left all on my own, because everybody was outside smoking. There is no real abstinence in the world. I found the nurse's stash of caffeinated coffee in one of the more remote kitchens, and in some hospitals you are even allowed to have caffeinated drinks. 'Addicts' are encouraged to not give up smoking and tea/coffee, because they will need those things as a crutch, during those early days of abstinence.

If you look a little more closely at human behaviour, you will see that people are self medicating in one way or another. You'll see the hypocrites, dosing themselves up with stimulants in the form of caffeine. You'll hear the hypocrites, being hypocritical about addiction inbetween puffs on their cigarette. You'll suffer the hypocrites, swallowing their pills and liquids they have as government sanctioned, medically approved substitute addictions.

I could go to my doctor and get a prescription - called a script in addict parlance - for something to salve my addiction and turn it into something seemingly acceptable in society. It's OK if my pills come in boxes from the pharmacy, with my name printed on them and with a prescription from my GP or psychiatrist?

If I had to go to work at the moment I would probably need some Dexamphetamine, or at least a gallon of super strong black coffee. Because I've used so many stimulants, I can drink heaps of coffee without having the anxiety, palpitations and sweats that you would get, but it's a poor substitute for genuine amphetamines, even if the caffeine molecule is virtually identical.

There's no magic in treatment. There's no magic to recovery. It's just time & space and being treated nicely by people, being respected as a human being.

It's important to respect people.

Just respect people.

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

This is a story about helping people...

Those are some kids from an extremely poor fishing village in Northern Brazil who I gave my surfboard to. Imagine one of them gets really good at surfing, like former Brazilian windsurfing World Champion, Ricardo Campbello. But then imagine if they get a lucrative sponsorship deal and then with their wealth and fame, they get into drugs and die of an overdose. Did I help or did I hinder?

Same dilemma when a friend or relative gets sick. If you help them back to health, they might then go on to do something that they wouldn't have been able to if you'd just let them die. You now feel responsible for their fate. If they do good things, you feel glad and proud of what you did to help them. If they do bad things, you question whether you should have helped them, and not just let them die.

Is that how it works? I don't know. I don't tend to look at people and actions as good and bad. I tend to assume that there is a set of circumstances, an environment, that drives a person's behaviour. I also can't stand by and let things play out. I don't want to play God either, and decide that I know the future, and sit in judgement over anybody. I feel it's my duty to help where I can.

And so it was, I came to be helping Frank, or trying at least, to escape alcoholism and homelessness. A hotel and a hostel that I stuck him in, to get him off the streets, were not exactly thrilled to have him as a guest. But unwittingly, they are part of a larger story that saw Frank go through treatment for alcohol dependency, go teetotal and get a place to live.

For all I know, I may have delayed or detracted from something that was inevitable anyway. I might have actually risked his recovery, for all I know. All I know is that when I met him, he was homeless and a polydrug abuser with an alcohol dependency, as well as numerous other health complaints that were being exacerbated by living on the streets.

Naturally, Frank wanted more than I could give. He wanted me to make all his problems go away. Nobody can do that for somebody else. We're all fighting our own fight at the end of the day, we just need some supporters in our corner. We just need somebody to hold the bucket while we spit blood into it.

So, what's the difference between a lapse, and a fully-blown relapse into drug and/or alcohol abuse? Well, somebody who's had a drink, sobered up and is now telling you "I won't do that again" but has a bottle of vodka in their bag is clearly not very committed to sobriety.

During my recent shenanigans, I hid my little bag of Supercrack. Then I took a load of legal benzos and went to sleep. When I woke up, I considered that I needed to end the binge completely, or risk total relapse, however it was too easy to just go and retrieve my little baggie from its hiding place and continue the whole horrid affair.

It wasn't until I chose to flush the chemicals down the plughole, by my own free will, that I had clearly delimited the episode as a lapse, not a relapse.

Anybody is capable of going on the Internet and following the steps that I did, and then tearing open the postal envelope and snorting the contents inside. Therefore, we share the same addictive potential, you & I. In fact, I'm less of a risk than you, because I have far greater first-hand knowledge and experience of what the negative consequences are. It might take you several months or years before you realise that you're in deep s**t.

So, I'm presently going through a chemical and digital detox. That means that I probably haven't read any blog comments, Facebook comments, Facebook messages, WhatsApp messages or anything that has been sent to me electronically. Sorry about that. I do need those messages and I will get round to reading them and responding. I am extremely grateful that you took the time to send me anything. Please keep reaching out.

I do need your help, and it will make a positive difference. You're not 'enabling' me to continue to do anything naughty/bad, and you're not guilty by association to some future as-yet uncommitted crime spree or whatever it is that holds back those who think they have God-like Minority Report style powers to preordain the future.

I've been a bit of a puppet on a string, but I've managed to sever the ties to those unseen hands, and now I'm just your friend, who is very sick and very tired and very alone and very sad and very vulnerable.

Tags: #frank #homeless #addiction #alcohol #drugs #addiction