This is a story about breaking the cycle...

Two of these medications are addictive. Half of these tablets are dietary supplements that can be bought from a health food store. As I stop taking three prescribed medications, withdrawal side effects that I'm suffering from include: insomnia, anxiety and panic attacks. Why stop?

If you're doing something that seemingly provides no benefit to your life, but is hard to stop, then why are you doing it?

The list of things that I could be said to have enjoyed habitually has grown to an extensive list that includes sex, spending money, alcohol, stimulant drugs, benzodiazepines, sleeping pills, painkillers, pornography, computer games, reading, arguing with people, work, masturbation, driving fast, junk food, music and just about anything else that makes life liveable. Strangely, my current day-to-day life includes almost none of these things.

Given my natural tendency to binge on anything I enjoy, perhaps it is abstinence that I am now taking perverse pleasure in the over-indulgence of. I barely have the words to describe how truly dreadful it is to be withdrawing from the most addictive chemicals on the planet - abstaining from alcohol & benzodiazepines can be so hard on your body and mind, that you will die from seizures. Why on earth would I choose to go without the things that would salve the aching that my body has for anxiety & stress alleviating substances?

It was suggested to me that my choice to go without all the things that would help me feel better, is akin to a kind of self-harm. Writing this now, I'm inclined to agree. All the stress and anxiety that I have avoided for years is all hitting me like a sledgehammer. Everything I've ever enjoyed and seen as a reason for living, is barred from me for reasons of self-denial.

Perhaps this is a kind of meditation. Like a monk who takes a vow of celibacy, through this difficult period maybe I will learn something that I would not be able to whilst indulging in the terrestrial temptations.

There is a deliberate alteration of my behaviour, of course. I have decided to deny myself alcohol and my prescribed medications (yes, this is in agreement with my doctor, yawn). I could very easily continue to drink alcohol and take pregabalin, not to mention illegal narcotics and prescription drugs which I could obtain through the black market, but I choose not to. I do not stop because I have an incentive to do so; I stop because it is hard and it is interesting - I'd gotten a little bored of my wanton excesses.

I could write and write and write - perhaps the armchair psychologists amongst you will speculate that I have simply transferred all of my multiple addictions into an addiction to writing.

Tags: #addiction #socialmedia #alcohol #drugs #writing

This is a story about neurotoxicity...

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

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

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

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

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

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

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

What's the net result of all this?

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

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

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

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

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

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

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

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

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

Tags: #mentalhealth #recovery

This is a story about subservience...

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

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

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

"Why don't you just go bankrupt?"

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

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

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

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

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

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

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

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

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

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

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

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

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

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

I'm stuck between three things:

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

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

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

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

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

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

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

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

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

Why am I still so painfully conscious?

Tags: #suicide

This is a story about customer service...

Amongst a small group of my friends, we have all found that a medication called pregabalin - marketed as Lyrica in the UK - has been useful to us, but also has adverse side effects and is difficult to stop taking. Pregabalin is quite good at combatting anxiety and improving sleep, which are obviously the desirable effects: most of us have stress in our lives, and struggle to get enough high-quality sleep. Personally, pregabalin is an effective treatment for the phantom limb pain I feel, due to damaged nerves - I can't feel my left foot. Pregabalin is far better than the opiate painkillers, which left me sweating and nauseous at times. However, stopping taking pregabalin leaves me feeling anxious and gives me insomnia - what goes up must come down.

Soon pregabalin - "the new Valium" - will be scheduled as a class C controlled substance, which makes it much harder to obtain a prescription, and possession without a prescription could be punished with a criminal conviction.

Here on the psych ward, a man screams for a "blue tablet". Perhaps more blatantly obvious as an addiction, another man attempts to wheedle more Subutex (buprenorphine) out of the staff - he's been droning on about having his dose restored from 8mg to 16mg, because he is being weaned off the synthetic opiate he is addicted to. I can hear this guy, who is obviously no stranger to our prison system, chopping and snorting drugs his room. The man who screams for a "blue tablet" is actually asking for a 10mg diazepam pill - blue in colour - which is Valium. Our screaming friend decides he wants to leave hospital, and the staff tell him he can't leave because he's going to take heroin. "It's my body! I do what I want!" he screams. Then, he starts getting abusive.

Early on in my hospital detention under section 2 of the Mental Health Act, I ask a nurse if she can nip to the shop to get me a 4-pack of beer. We lock eyes for what seems like an eternity. I maintain a completely straight face. Then, we both snigger and she regains her composure. She jokes that we should have a big piss-up on the ward. With a different nurse, I tell her with a straight face that they have forgotten my methadone and she immediately unlocks the cabinet containing the opiates that are so coveted by some patients here... I hastily tell her that I was joking, but she still continues to search my medication chart. Do I look like a junkie? I certainly don't have track marks on my arms or other identifying features of an injecting drugs user, such as abscess scars.

A doctor comes to take my blood. She doesn't shut my bedroom door. Three men, who I know were heroin users, peer into my room and I feel bad that I didn't ask the doctor to close the door or get up and close it myself - surely the sight of a needle going into a vein is going to be a terrible trigger. There's good evidence that addicts' brain reward pathways are activated when they see drugs and drug paraphernalia for just 33 milliseconds, which is less than the 40 milliseconds that a single frame of cinema film is shown for.

Having been detoxed from my physical dependency on benzodiazepines and alcohol, I find that I crave nothing more than a few drinks in the evening - some wine or some beer - to take the edge off the stress and anxiety of my situation and help me relax during what is a fairly dreadful clusterfuck of issues with employment, housing, accommodation and my health. However, I don't want to sabotage my treatment and recovery.

I'm incredibly grateful to the NHS, for accidentally detoxing me while they were treating my deadly deliberate overdose - my suicide attempt. Being physically dependent on a medication is to be shackled to it - to stop taking it would cause seizures and potentially death. There wasn't a 'buzz' that I was chasing with booze & benzos. I was using mind-altering substances to soothe my jangled nerves: self medication.

Am I glorifying drug taking, or making light of serious matters? Don't be so ridiculous.

An epidemic of illicit opiate use sweeps across the United States, with the number of overdose deaths and addicted babies born, skyrocketing in the past few years. An epidemic of mental health issues has pushed the services that are there to support those who become unwell, to breaking point. Only a wilfully ignorant person would turn a blind eye to what's happening all around us.

Carfentanil - a synthetic opioid - is so powerful that an aerosol of it could be sprayed in a packed metropolitan area and cause hundreds of people to die from respiratory arrest. This drug is being sold as an adulterant in bags of heroin, in the United States today. In the UK, carfentanil's less potent - but still deadly - chemical cousin, fentanyl, is quite common now in batches of street heroin. If you're worried about terrorism and weapons of mass destruction, these things have already arrived on the shores of the US and UK, in the form of incredibly deadly chemicals that are available for sale to anybody with the money.

My fellow patients are unrelenting. There's been a 2-day nonstop assault on the staff, as the patients attempt to get a tiny amount more synthetic opiate out of the doctor. There's not much else to do on the ward, and whatever medications the doctor has decided to write on their chart will remain fixed for a whole week. I guess they've got nothing to lose apart from their 30 minutes of escorted leave from the ward. One patient has done a runner, sensing that the doctor's decision has not gone the way he would prefer.

"You've not done anything wrong. You can come back and you won't be in any trouble" a stressed looking nurse is saying down the telephone, to the patient who has gone AWOL. Meanwhile, a patient takes breaks between harassing the staff for 8mg more Subutex, in order to chop and snort lines of white powder in his room - presumably he has a plentiful supply of his own drugs, which he wishes to supplement with a legal prescription.

I try to calmly await my section tribunal, despite the chaos outside my bedroom door.

It should be noted, that the quality of care does not vary with one's behaviour - the staff are supremely professional - but good manners are declared as the number one thing that every staff member wants, on a notice board that tells the patients a little more about the team of people who look after us.

Good manners cost nothing.

Tags: #hospital #mentalhealth #drugs #addiction

This is a story about the comeback kid...

Here's quite an interesting document, to me anyway - it says that I was transferred to a Northern city hospital's intensive care unit (ITU) on Sunday 10th September and all I had were the clothes on my back. The date of my original admission to hospital - Saturday 9th September 2017 - is shown quite clearly in the top left, under my name.

The reason why this document is interesting to me, is that I started having seizures at some point after arriving in hospital. I was already well into a fatal tramadol and codeine overdose when the emergency services got to me. I'm pretty sure I remember the hospital telling me that they'd make me as comfortable as possible but I was probably going to die, or words to that effect.

I've been through all my paperwork and I can't find my hospital discharge summary. I suspect that it may have gone wayward during the insane events of the Wednesday & Thursday following my fatal overdose. I will be obtaining another copy as soon as I can. Any documents I can lay my hands on are useful for me, because seizures, coma and unconsciousness are not particularly conducive to remembering the events of my hospitalisation very well.

What must be self-evident is that I was very sick indeed, to have been in intensive care.

Anybody who's followed my story knows about my plans. One only needs to go back to a blog post on August 10th to see one of the actual boxes of legally prescribed medication that constituted part of my fatal overdose.

I use those words fatal overdose quite deliberately. I had calculated the dose that would be fatal, doubled it and then chucked in another shitload of prescription opiates for good measure. I wasn't messing around. This wasn't a cry for help. This wasn't some attention seeking bullshit. This was a very real, calculated, pre-planned and meticulously executed suicide - following the precise steps that I had outlined earlier in the day.

It might surprise you to learn that I set an alarm on my phone, so that I wouldn't tweet or otherwise let on that I was in the process of killing myself, before I was beyond the point of no return. Who does that? Certainly not somebody who has any intention of going on living, I would've thought. Would you be brave enough to take a fatal overdose and gamble that you might get saved by social media? Seems like a pretty dumb publicity stunt or way of getting attention - in all probability you'd just wind up dead.

I remember when I was in the Emergency Department of the hospital, trying desperately to get a drink of water - I was fully aware that having more fluids in me would allow more of the deadly medications to be absorbed into my bloodstream, accelerating my death. The hospital were wise to my suicidal intent and they knew that they could ignore my requests to not be treated, as soon as I fell unconscious or started having seizures. The anaesthetists must have stepped in at some point and put me into a medically induced coma.

Imagine waking up in a hospital gown, with a tube coming out of your piss hole, sellotaped to your leg. Imagine waking up and not being able to speak, because there's a tube down your throat. Imagine waking up and all you can see all around you are machines that are either pumping stuff into you or taking stuff out - loads of screens and loads of digital readouts. I had more input and output ports than a Personal Computer (PC) from the 1990s.

I've written about this before, but I need to write about it again, because I'm trying to process what happened to me with only the scant information that's available. Between the hospital and the police, they pretty much conspired to keep my friends, family and work colleagues completely in the dark about whether I'd lived or died and what the hell was going on. I wasn't really conscious until Tuesday 12th of September 2017 - that's quite a long time to be in limbo land. On the Tuesday, I was vaguely aware that my sister and my work colleagues wanted to speak to me, and I wanted to speak to them, but I wasn't allowed to. What utter bullshit.

The police have since phoned the company that I was working for, and told them in no uncertain terms that I was in hospital and not at all able to communicate with them to let them know I was going to be off work on the Monday & Tuesday. However, the company has severed all contact with me and has been avoiding the office since Wednesday 13th September 2017. What on earth could they be so afraid of, that they daren't answer the phone or go to the office? What on earth are they thinking? I have no idea, because they won't return my calls or reply to my emails.

Over that Wednesday & Thursday following my fatal overdose, everything collapsed around my ears. Without a phone, wallet, cash, laptop or any of the other things most of us take for granted every single day, I was lost in a city that was nearly completely alien to me, with not a single person to turn to. It was highly distressing. It was exhausting and stressful, to go from place to place, replacing whatever I could.

The Apple Store in the nearby shopping centre became the centre of my world, having been impolitely muscled out of my office with rather flimsy excuses. I dug my heels in, because something fishy was going on and I wanted people to come clean - what the fuck was going on? Why was I being treated so unprofessionally? It was a horrible experience, and not something I should have been put through, given my recent discharge from hospital.

I received a phonecall saying I had an email with some letters from a solicitor, from the company I was working for. How was I supposed to read this email, without my laptop or smartphone? Nobody from the company would speak to me properly. I did not receive even the bare minimum professional courtesy that should be extended to somebody who'd been a valued member of the team for some time.

Because the matter is now being handled by legal professionals, due to the complete refusal of the company to treat me with the common decency that any human being might expect - let alone adhere to contract and UK laws - I can't really go into any more detail. I'll be sure to share the details of any court proceedings so that this blasted company can't get away with their inexcusable misbehaviour.

Of course, the pages of this blog document my darkest secrets in unflinching detail, but this is therapy for me and I do not mix my professional and my social media identities in a way that might besmirch or sully the reputation of a company that is trading ethically and within the law. There are a lot of Nick Grants out there in the world, and I'm just one of many. In fact, this whole blog could have been created by somebody who maliciously intended to impersonate me, for nefarious purposes, couldn't it? Have you been careful to check who actually controls my Twitter, Facebook and blog? Is there anywhere that there is a direct reference to who and what I actually do for a day job, that could justify the mistreatment I've suffered?

One should remember that this blog has been the best thing I ever did, in terms of being able to stabilise my life and recover my poise after homelessness, addiction, alcoholism, financial problems and a whole world of pain, absolutely tore me to shreds. Should I hang my head in shame and hide in the shadows? Should I keep my mouth shut, and pretend that nothing bad ever happened to me?

There's absolutely no way you're gonna shut me up without killing me. I'm loud and I'm proud. It's more important that I write my story in unflinching detail, than cowering in fear and attempting to cover up what's happened to me. What have I got to be ashamed of? I've worked damn hard to get my shit together after it was blown to bits, so I'm damn well going to write about it.

Of course, culturally we only allow those who are already successful to share their stories of their life struggles, that challenge the status quo and our preconceptions. Paul Gascoigne and George Best have done a lot to bring the ethical debates surrounding alcohol abuse into the public consciousness, for example. Ronnie O'Sullivan and Stephen Fry have candidly shared their experiences of cocaine addiction, but yet we still revere them as great people... why is this? If you've been reading carefully, you'll know that I'm teetotal and I'm not on any drugs, except for pregabalin (for nerve damage) and zopiclone (because it's bloody hard to sleep on a noisy psychiatric ward of a hospital) which are both legally prescribed to me.

It seems I've taken a battering, because of foolish assumptions that have been made about me. Just about the only correct assumption that you could've made, is that I should probably be dead, after having ingested such a massive overdose and had plenty of time for it to take effect before the emergency services got me to hospital.

I really can't get myself into the mindset, where I would mistreat somebody who'd been hospitalised and was very sick. Please, somebody explain to me what have I done wrong, apart from what I've already very publicly admitted to? Is it right to crucify me; to punish me beyond the punishment that I've already suffered? Do you not think it was awful, what I've been through? Why would you put the boot in and kick me when I'm down? I don't understand why the shit continues to be rained down upon my head.

Does somebody want to explain to me how it's at all ethical, that I came to find myself homeless, unemployed and isolated in a city I'd never set foot in two months ago, after I took all the risks and put in so much effort to try and make a go of things?

Answers on a postcard to Nick Grant, Planet Earth.

Tags: #suicide #depression #mentalhealth #bipolar #career

This is a story about therapy...

Everybody's an expert on my mental health, it seems. I need to be exercising more, eating a balanced diet, abstaining from alcohol and mind-altering substances BUT not the ones the doctors want to give to me. But which doctors? Every doctor has a different idea of how I should be treated - which doctor should I listen to? Perhaps somebody else knows, because people have some very strong opinions on what I should be doing, considering that only a handful of individuals with whom I am still in contact, have known me for any length of time and have followed along. Only I know what I've tried before and what I haven't - what works and what doesn't.

Here, there's a student nurse whose dissertation investigated the benefits of exercise, in terms of potentiating - that is to say improving - the efficacy of medications. Not considered for a single second, was the control study which would have investigated the efficacy of exercise alone. This student nurse, who I find passionate and intelligent, was eager to suggest that I tried sodium valproate or lithium - both life-shortening medications prescribed to people who have regular episodes of mania where they believe they're Jesus reincarnated etc. Everybody thinks they've got a cure to a problem I might not even have - it was under a very dark cloud that I entered hospital, one must remember.

Externally, the perception of a psychiatric ward is that it must be a place of therapeutic activities and meetings with doctors to fine-tune my medications and cure me of my madness, making me safe to release back into the community again. Internally, my fellow patients perceive staff members as persecutors, jailers and masters of everything from food & drink, to bedtimes and bathtimes - a cross between a policeman, a teacher and a parent. Certainly, to have a blackboard on the wall is an incredibly dated nod to the classroom days of our youth. Note that the list of activities for the ward is completely blank, which I find quite accurate... not that I'm complaining.

The UK's stringent fire regulations for institutional buildings - hospitals, schools etc - mean that they look very similar. A company that manufactures and supplies the fixtures and fittings for a school will probably also supply those same items to a hospital. Everything needs to be built to last in this incredibly abrasive environment, where the footfall in the corridor would destroy even the most hard-wearing of floors, laid by a contractor who normally worked in regular houses. The finish is not just high standard, but the selection of the materials used has been honed over the years to create an interior that is easily mopped and wiped down, and very hard to damage.

As a patient, I find myself recalling my schooldays, as a dinner lady ladles goo onto plastic plates and I sip juice from containers that are identical to those that I had in my boyhood. Just like school, nothing much really happens except for crowd control. There is a little sifting and sorting, so the naughtiest boys end up in the shittest parts of the hospital, and the golden child will find themselves in the top class. However, it must be remembered that staffing a hospital is a job to quite a lot of people, and over the many years that they will work their job, any ill-founded notions of making a difference, will be thrashed out of them by the system. Nothing changes very much or very fast in massive organisations - you can't fight the system, or else you will drive yourself insane... that goes for both patients and staff.

It's very hard to not be driven mad by being hospitalised. It's a chicken and egg situation. For sure, nobody gets hospitalised without putting some effort into it. It's very hard to get a psych bed in the UK, unless somebody's gonna pay £5k/week for you to go into a private place. Of course, the patients here are here for a reason, but I have also experienced the terrifying moment where I realised that my liberty has been restricted. I just heard the jangling of a massive bunch of keys, carried by one of the staff members, as she passed my bedroom door. If I was to draw back my curtains, I would see bars on my window, to stop anybody climbing in or out. There are constant reminders that I'm here under lock & key, and to escape would require a little more social engineering (or climbing) than another secure ward that I was on in 2015, where I could have just walked out behind somebody who was leaving the ward, and then run away. To run away now, I would need to request an escort off hospital premises, and then I would simply get an Uber or perhaps I might have arranged a local cab company to have my getaway car waiting. I came into hospital with £1,150 in crisp £50 notes, so I have the financial means to grease whatever palms I need to.

Why would I want to escape though? Yes, you're right - to discharge myself prematurely would be a mistake. This isn't a very therapeutic environment, because staff spend so long spying - quite literally - on patients, which is absolutely dreadful for mental health: creating an us & them culture and exacerbating even the slightest hint of paranoia. If you value your dignity, privacy and liberty, psych hospital is not for you. There aren't any therapeutic activities. However, it is a safe place where my rent and bills are paid, I get 3 free hot meals a day, I get my own bedroom/office type thing which is quite generously proportioned and has an ensuite bathroom, and I don't need to cook, clean or otherwise worry about the responsibilities that burden nearly every other creature that was unfortunate enough to have been born.

Sounds nice, doesn't it? Perhaps you too would like a stay - mandated for up to 28 days on a section 2 - in the hotel "psych ward". Perhaps you imagine that it's a calm and restful place, where I get to sleep lots and read books. I think perhaps you're getting confused with that holiday you took to Tuscany last year. On a psych ward, you get woken up in the middle of the night by alarms going off, staff running in the corridors, yelling and screaming. On a psych ward, music blasts at top volume from patients' bedrooms, because headphones are not allowed lest we strangle ourselves with the cables. On a psych ward, one must evaluate the level that one's fellow patients are intoxicated by their cocktail of medications, and whether one has the energy to engage in their psychoses that are extremely repetitive - I've been here a week and I've learned a little of everybody's "thing"... their particular identity on the ward, which is characterised by an apparent madness, which is why we must remain here. I wonder what mine is? The staff tell me that I'm lazy - always just sitting with my laptop. Yes, that must be me right? Probably just watching mindless Netflix rubbish on it, right?

Ward rounds - when important decisions about "leave" are made - happen on Fridays and nothing else happens apart from waiting and hoping. Most patients here are hoping to get some leave. Some have not left the ward for nearly 6 months - considered too much at risk of running away, if they were allowed out of this super secure part of the hospital, accompanied by a staff member.

Gossip is rife, and everybody on the ward knows that I arrived with a wad of cash and was granted leave from the hospital almost immediately. I try to downplay these things, and now people have forgotten. When takeaways or shop orders are being placed, I feign not having any money, in the hope that I can alter my perception in the eyes of my fellow patients and the staff. I remember being called into the office, simply because some of the senior staff members wanted to have a look in my envelope, containing all those fifty pound notes. It's totally vulgar, and an accident of the illness that was stimulated into existence by the ridiculous sleep deprivation, stress and disruption to my medications and routine, over Tuesday / Wednesday / Thursday of last week, which followed my near-fatal suicide attempt... it should be expected that my behaviour would have gone a bit haywire, under the crushing pressures I faced.

Perhaps I will be "stepped down" to a less restrictive ward today. I had to pack my bags last night, because I thought I was being moved. I should have remembered that nothing happens very quickly in the National Health Service, but sometimes if you're quick, you can nip in before the system decides that actually you're getting ahead far too fast. I'm not really in a rush to go anywhere though - this ward is perfectly decent and I know the two spots where I can get 3G signal.

I'm here to recover, but I'm not here to feel completely isolated. Who do I know in the local area who can come visit me? Two months ago I'd never set foot in this city, and the company I've been working for has cut all contact and has been skulking around in a most unusual manner. I have nobody - it's a real ball-ache for any of my friends to travel, just for a 2 hour visiting slot. Even my fellow patients, who are locals, do not have visitors - the hospital environment is not exactly somewhere people would like to spend their free time.

Should I immerse myself in the daily rhythms and routines of the hospital? Should I hang around by the door to the kitchen, looking for food scraps to be tossed out? Should I hang around by the door to the yard, hoping to be let outside? I'm not a fucking dog. I find it immensely useful to maintain contact with those who are still in full possession of their marbles, while I'm in an environment where staff humour the patients - "is it Tuesday today?" one asks, and is told that yes it is, even though it isn't... is that useful, helpful, therapeutic?

I was very sick when I was brought in, without a doubt. Some incredibly stressful things still hang over me, like Damocles' sword. I have little power to influence the speed of my recovery, nor the speed with which those who have wronged me are forced to offer recompense. At least I'm in a safe place to pursue what is rightfully mine: to get money that is owed to me and recover my possessions. I'm in a safe place to make arrangements for housing and income, so that I don't fall flat on my face, as soon as I leave.

I'm glad I'm here, at the moment.

Tags: #mentalhealth #bipolar #suicide #depression #hospital

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Tags: #mentalhealth #suicide

This is a story about inconvenience...

Being an independent man is not all it's cracked up to be. The trash that is strewn throughout my apartment is there to greet me when I get home, exactly where I left it all. Despite my best efforts to streamline my life and create an efficient existence, the daily demands of basic living outpace my ability to stay ahead.

Upon my coffee table are empty beer and cider cans, a used fork, mug and wine glass, half a pint of lime cordial, €50, a cigarette lighter and two candles, baby wipes, two rechargeable batteries, a rubber band, the plastic wrapper from a piece of cheese, a red ribbon and a roll of kitchen towel.

On the floor lies the plastic that held a 4-pack of cans together; the cans having since been separated from each other; no doubt their contents now consumed.

This is - in the English vernacular - my 'living' room. If I was going to do any withdrawing it would be to my bedroom, not my drawing room. I am not lucky enough to be blessed with a drawing room. My minuscule city centre apartment only has one reception room, which must double as both a place to sit and a place to eat - a 'lounge-diner' in the parlance of an estate agent (also known as a realtor, for my North American readers).

As well as clearing away the trash and doing my recycling, I also have the glamorous job of putting away my dried laundry. As you can see, my kitchen is not capacious enough to accomodate my trashcan, recycling AND leave me able to open the door to access my washer/dryer. Everything serves at least a dual purpose in this microcosm.

Gone is the luxury of the Nick Grant patent Floordrobe™ which allowed me to dump clean clothes into a number of boxes in a pseudorandom manner. Underpants and socks would be slowly sorted towards the rightmost boxes. Jeans and hoodies would be slowly sorted leftwards. Other garments would find themselves in whichever box they could fit in. Getting dressed would be a kind of rummaging exercise.

Now, I must carefully pair my socks and put my undergarments away in one of the three drawers that I store my clothing, bedding and towels within.

My life is pretty much indistinguishable from that of a successful multimillionaire pop star, as you can see.

Somebody has not been following the Operating Procedure Manual correctly. Used orange juice cartons should be discarded, as the waxed paper is not recyclable. The beer can should be in the recycling bin, ready to be emptied into the communal store. The plate and other cutlery should go into the sink, in the absence of any other space in which to temporarily queue these used implements, in preparation to be washed by hand.

The backlog of washing up is slowly accumulating. In order to fill this sink with hot soapy water, it may become necessary to remove the dirty items beforehand. I admit, this is an inefficiency, but I have not yet managed to find a convenient gathering place for the things that I will need to clean at some future time.

Living alone, I feel slightly better that I don't have to fill my dishwasher before I run it, in order to make energy-efficient usage of the household appliance. It's no hardship to wash a few plates, glasses, cutlery and utensils, but a dishwasher serves as a place to neatly stack the dirty dishes while one waits for the critical mass to be reached to justify the electricity, water and detergent that will be used.

I'm pleased that my refrigerator is not overbrimming with things that I am unlikely to consume before they are rendered inedible through mould and bacteria. It might be a sad sight, to see a fridge that belies such a pitiful existence, but at least there is nothing rotting or smelling bad in here.

If there appears to be a system, you are mistaken. By accident, all the alcohol has been concentrated on the top shelf, while the door contains the milk and orange juice as one might expect. However, the discrepancy between the position of the ketchup and the mayonaise shows that this is perhaps the most randomised of all areas which might be covered under my Operating Procedure Manual.

Now, we may look upon the systematic and rigorous thinking of an engineer and marvel. Upon the top shelf is bicarbonate of soda, which is useful for baking as well as making crack cocaine. The middle shelf is where my favourite crisps and biscuits are stored. The bottom shelf contains freeze-dried meals for breakfast, lunch and dinner - oats, pasta and noodles - which can be prepared with the simple addition of boiling water and only require stirring once or twice, to prepare a modest quantity of food within just 5 minutes.

Although the food in this larder has extremely high salt and carbohydrate content, there are actually some nutrients contained in these convenient packages.

I prefer to look to my fridge for a meal which can be microwaved, containing a mixture of meat and vegetables. The 'ready meals for one person' that I purchase - two for £5 - are the mainstay of my evening diet, excepting alcohol and crisps. I am supposed to consume 2,500 calories on a daily basis, as an average adult man - my breakfast starts healthily with orange juice, strawberry compote, a banana and porridge; my lunch marks the beginning of a downward spiral, as I devour a heated buttery flakey pastry with rich meaty filling; my dinner is largely a liquid diet of either beer or wine - I'm not fussy as long as alcohol makes up the bulk of the remaining calories that are the source of my sustenance. I imagine that I am consuming more calories than I need, given that my flat stomach now lurks somewhere beneath a modest covering of fat.

With my belly now full of wine and cottage pie - eaten directly from the plastic container in which I microwaved it - I eagerly anticipate spending the remainder of my waking hours restoring my tiny oasis of calm to a state of good order. Actually, I'm being sarcastic as fuck. I'm appalled by the idea that I now have to make several trips to the trashcan and recycling box, put away my clean laundry, wash my dishes and clean down the surfaces.

The more astute reader will have picked up on references to objects that seem out of character with a life of singledom. What, pray tell, would I be doing with a red ribbon and candles? On closer inspection of photographs, one can see strange objects like a hairbrush which looks like a penguin, were it to be turned over. It's not uncommon for hair straighteners, hairdryers, women's shoes and handbags, as well as other feminine accessories, to be seemingly randomly distributed throughout my apartment. In the course of courtship, visits seem to bring a shower of objects that would have no place or purpose in my normal day-to-day existence.

What should I do with the talcum powder on my dining table and hairbrush that I found buried deep in my couch?

My own life is barely manageable. I'm upset that I haven't found the time, energy or space to write for over a week. Some of my most beloved friends in the Twittersphere have written to me with concern that I have disappeared, fearful that perhaps I have relapsed and disappeared into some kind of institution, or perished.

When I set out to write a blog two years ago, I said to myself that I would try to write every single day; to be disciplined and give my life some purpose, even if I didn't understand what that purpose was at the time.

Now, as I slowly approach the million word mark, I'm pleased that I have written so much and so regularly, but the thing that I always wanted to avoid - mundane writing about my day-to-day life - has imposed itself upon me to such a great extent that I share with you, my beloved reader, the intimate details of a somewhat lonely and desperate existence. Of course, my blog charts the ups and downs of bipolar disorder, substance abuse and functional alcoholism, along with the journey from homelessness to somewhat more stable living arrangements.

The most perceptive amongst you will have detected the subtle undertones of a cry for help. How is it that a grown man can collapse under the trivial weight of some unopened mail and the other detritus of daily life? I don't know, but I can tell you with certainty that the effect on my sense of wellbeing is nontrivial, when I arrive home to an apartment in some state of minor disarray.

I'm happier than when my life was unencumbered by dating and women - as well as meeting new friends - but I'm also disproportionately freaked out by my delicate system being disturbed by tiny things that have seismic impact, psychologically. Is this hyperbole? Yes, it seems like it when I have tackled the list of easy tasks to put things back in good order. But my priorities are somewhat perverse: work, sleep, eat... and write. To say that the domestic duties are beneath me is wrong. I clean as I go. I tidy, wash and organise as an integral part of my movements. The left hand washes the right.

The minimalism with which I live my life - everything I own that's important to me fits in one large suitcase - is encroached upon by other lives which are messy and hard to integrate with my own systemic approach. Why would you leave that THERE? I wonder to myself, attempting to reverse-engineer the thought processes that probably don't exist.

A place for everything and everything in its place.

Tags: #dating

This is a story about trying too hard...

"You've got to meet my friend..." she enthuses. "Can [my friend] stay at your place on Saturday?" she asks, well in advance of the weekend. "You two were separated at birth - you share the same spirit animal" she tells me. The pressure to get along with this new person - talked about in reverential terms - is immense.

She's planning a meal out. At the restaurant, I'm told that I'm going to be sat specifically next to this over-hyped friend, because it's assumed that we are going to get along like a house on fire. That's an arson joke, but we'll get to that later.

Friday - the night of the meal - all my new friends-to-be had signed a card to welcome me into their lives. There was a helium balloon on the table, like at a 5-year-old's birthday party. Nobody ever went to such elaborate lengths to make me feel a sense of belonging; acceptance. I was almost moved to tears, but I had a job to do that night: to meet & greet and make a good first impression.

We were eating dinner - Brazilian barbecue meats - and my 'spirit animal' was sat in the corner of our booth, not eating. It was announced - against her wishes - that she had been on a 4-day drug binge, taking what is colloquially known as "meow meow". Unsurprisingly, an exclusive diet of powerful stimulant drugs does not give you an appetite for anything of nutritional value. Sitting in a restaurant is probably the last place on earth I'd ever want to be after a binge like that. I decided to temporarily park any "getting to know you" chit-chat with her until a time that my spirit animal was in a better place, physically & mentally.

After dinner, the group began to fracture. There were some who wanted to go to a packed noisy pub selling lousy overpriced drinks, and others who preferred to come back to my nearby apartment, where we could all have a comfortable seat on my big couches, and converse without having to shout - a bona fide middle-class thirty-something cliché: the house party.

One reason for the success of the house party is that it's a far better environment for the consumption of recreational drugs. I'm not foresworn from drug use, but to me, addiction is not a social activity. My general personality and attitude - no fear & everything to excess - had led me to drug overdoses of supercrack that put me in hospital with multiple organ failure. My drug taking was not recreational - it was abusive, reckless and akin to playing Russian roulette with a 6-bullet revolver loaded with 5 bullets.

If you have successfully made yourself a comfortable wealthy middle-class life, it's your mortgage repayments and other household bills that keep you awake all night, not powerful Class-A narcotics. To lose just one night of sleep and have the mentally destabilising effects of recreational drugs, has a profoundly negative effect on the week that follows. I never noticed that my weekend partying had a negative knock-on effect on me when I was young, but now my age has now become a factor.

One of my new friends - who's the same age as me - did the sensible thing and headed home at a reasonable hour. He had his sister's wedding on the Saturday and he appointed me as the responsible adult, in charge of putting the girl who was going to drive him to the wedding, into a cab, in time for her to then drive a gazillion miles across the country. "How are you going to stay awake and concentrate on the road after partying all night?" I asked her. "Amphetamines" was her answer. I can't fault her logic - if it works for fighter pilots, then why wouldn't it work for an ordinary car driver.

Fighter pilots have "go pills" and "no-go pills" which are taken respectively at the beginning and end of a mission. I offered to make her one of my special "no-go" preparations, so that she wasn't wired as hell at the wedding and clearly off her nut on speed, but she declined.

At the first ever party I've thrown in my new apartment, it was snowing. When the "good stuff" started to run out, Billy Whizz came out for a run. The white dusting on a makeup mirror started to become a hybrid mix of different substances. Molly came for a visit too.

Predictably, like any party that Charles is invited to, the whole room was talking over the top of each other and making boastful claims. For some reason, my reaction to this was to admit that I'm a grower not a show-er. This prompted one of the guys to claim that he was both a grower AND a show-er. Having been dared to get my dick out and show him I duly obliged in front of my guests. This guy then took me in the kitchen to prove one part of his aforementioned claim: he did have a substantially proportioned soft penis.

I then asked the room for their opinion on a classic ethical philosophical dilemma thought experiment, knowing that it would provoke lively and entertaining debate. Soon, this prompted a couple to leave the party, almost without saying goodbye because they were still arguing about the 'right' answer to a question that divides legal, moral and scientific opinion. "Bullseye" I thought to myself.

With Charles still having a strong influence on the room, oneupmanship raged out of control. We ended up comparing scars. While the girls were not exactly thrilled to show off any evidence of self-harm, me and the guy with the big [soft] dick debated who had the better scar from an operation. This segued into "who's spent more weeks in hospital?" as I steered the competition towards "who's the most insane?" knowing that I would easily be the undisputed champion.

At this point I was getting a bit bored with the war of words, so I just rolled up my sleeve and slashed 3 or 4 cuts into my arm with a kitchen knife. I then became immediately aware that I was so desperate to impress my new friends that I had just mutilated my body in a sudden act of self-harm.

With the theme returning to dares again, my 'spirit animal' dared me to suck my own penis. I explained that without an erection, it would be a difficult act to fulfil, but in the spirit of the dare, I asked if she would be content to see me lick my own foreskin. She confirmed that it would satisfy the conditions of the dare. Without hesitation, I dropped my trousers and got my soft penis as close to my mouth as I could, and then pulled my foreskin until I could touch it with my tongue - it was actually easier than I thought it would be. Obviously, there are not that many people - especially growers not show-ers - who would drop their trousers and suck their own dick for the amusement of their guests. This was a far more impressive feat of courage than cutting my arm with a kitchen knife.

After that, the number of crazy anecdotes that I could tell were stories that all revolved around a similar theme: being hospitalised or locked up in police cells. The stories that drug addicts tell are not that varied or interesting.

I decided to demonstrate my culinary skills in the kitchen. With an unspecified secret ingredient - some of the snow that was falling earlier in the evening - I gave a practical demonstration of a chemistry experiment. Namely the conversion of a salt to a "free base" where water, carbon dioxide and sodium chloride are isolated as 'useless' byproducts. This chemical reaction allows a salt with a high melting point - which would combust in the presence of a naked flame - to be altered into a crystal with a low melting point, allowing it to be vaporised without burning.

With sodium bicarbonate mixed with the mystery ingredient, in a spoon, a few droplets of water were added. The carbon dioxide fizzed away in a delightful effervescent chemical reaction. A few pinches of sodium bicarb later and we reached the point where the fizzing stopped. Then, I heated the spoon and boiled away the salty water, leaving only the "free base" crystals.

What would you do with this crystalline substance, one might ask?

Well, first, you need to take an empty beer or soda can and make an indentation at the opposite end from the bit you drink out of. Then, perforating the thin aluminium of the can with a pin, you can create an area where air may enter the can, when you to suck on the end you'd normally drink out of. Another option - if you can find such an object - is to take a hollow glass tube and put wire wool (Brillo pads work well for this) into one end.

Having allegedly made this concoction and strange contraption - which was all part of me showing off what a badass I am - I had allegedly demonstrated how to make crack cocaine and a pipe to smoke it. There couldn't have been a more "fuck you - I'm fucking hardcore" demonstration of how 'streetwise' I am, unless I'd whipped out some rubber tubing, a thin aluminium spoon, clean pins (hypodermic syringes), a small ball of cotton wool and proceeded to 'cook' a batch of heroin and prepare it for injection. I've never injected heroin by the way, although I did have fentanyl - which is 1,000 times more powerful - injected into me in hospital. Most people are afraid of needles and associate needle use with people whose drug addiction has led them to a completely dysfunctional life that consists of a miserable merry-go-round of theft/robbery/prostitution, 'fencing' stolen property, scoring herion and then getting high until there's no drugs left and there's only 4 hours until you get "junk sick" and have to repeat the whole exercise again.

Before I put the last of my party guests into a taxi - my friend who was driving to the wedding - at about 6:30am, three of us insufflated a few final lines of white powder, allegedly.

My spirit animal had a nice time until the drugs started to wear off, and then cognitive impairment, a drug-induced panic attack and akathisia (inability to stop twitching/tic'ing and/or jiggling of legs) left her in a rather sorry state where it was pretty clear that she was suffering from an unpleasant ordeal. I tried laughing at her. I tried telling her to stop being such a wuss, given the relatively 'mild' binge that she'd been on - just 4 or 5 sleepless nights, and relatively low doses of very impure drugs. In the end, I took pity on her and made her a little shot glass with things to cure her anxiety, replace lost dopamine and serotonin, and basically put her to sleep - there's no 'magic bullet' for insomnia and sleep deprivation, but sleeping pills damn well help. I threw all manner of things into my special 'comedown cure' that would ease her suffering. She was talking gibberish; she couldn't understand what I was saying, and I had to spend 20 minutes trying to maintain her concentration and eye contact for long enough that she could swallow what I'd prepared for her. Then, finally she fell asleep with a look of calm on her face. I don't mind babysitting the occasional person who's going through the consequences of 'self-inflicted' shit, but it would have been inhumane to let her suffer unnecessarily.

Saturday night, I made her another concoction that would prevent "the Sunday from Hell" where the consequences of an outrageous drug binge were brought into sharp focus by the need to start work again on Monday. "I want to order a pizza" she announced at about 11:30pm, having swallowed the curative remedy only 10 minutes earlier. "You have 10 minutes to get into bed, otherwise you're going to pass out on the floor" I warned her. My earlier good work had moved her out of binge mode and into a state where her appetite had returned, but 8 more hours of quality sleep was vital for both of us. The die was cast.

10 minutes later, I pulled her mobile phone out of her hand - the pizza company's number half-dialled - picked her up from the floor where she had collapsed in a most unladylike position, and carried her to bed. I was so tired that I could barely see straight to send a couple of texts before I passed out too.

After 9 hours sleep, we both awoke feeling pretty damn refreshed, considering the way we'd abused our bodies. I'd improved her average daily sleep time for the week, from 2.5 hours to 5.3 - more than 100% better. Ideally, we would all have perfect sleep hygiene and get 8 hours a night. I needed to end her drug binge, save her from many hours of unnecessary suffering and let her catch up on desperately needed sleep. I was giving her a fighting chance of not losing her job, thus spiralling even further downwards. This is about the best you can ever hope to do for an addict until they're ready to acknowledge that their addiction is rampaging out of control. Addiction always leads to complete & indiscriminate destruction of your entire life, health and will prematurely kill you.

I incurred the wrath of my 'spirit animal's' best friend for not condemning her addictive behaviour. Do I have the moral authority to lecture anyone on their lifestyle? I know better than anybody else I've ever met, how you can go from riches to rags. Supercrack was the paving stones of the road to Hell - hospitals, police cells, hostels and sleeping rough. I overcame my addiction to one of the most powerful drugs on the planet, as well as dealing with the total destruction of my life - divorcing my wife, selling my house, losing my job. So it would seem that if anybody's got an opinion that's worth respecting, it'd be mine. However, humans' relationship with drugs & alcohol is way more complex than "this is bad for me so I'm going to stop"... otherwise nobody would take drugs, get drunk, smoke cigarettes, drink coffee or energy drinks.

We live in a world where we try to find somebody with anatomically opposite genitals to us, squirt some love snot into them, and then spend the next 18+ years looking after our blood and mucous covered alien-like midget progeny, that was painfully ejected from the girl's sex hole. Human behaviour does not follow purely rational rules.

Human use of intoxicating beverages and preparations of plants that contain bitter alkaloids - with the intention of seeking psychoactive effects - is behaviour that's almost as old as cave painting, making fire and sharpening pieces of flint to make spears.

My kidneys are over 50% recovered from my last hospital visit. The facial tic that was caused - quite literally - by brain damage, has now repaired itself. The people and places that are no longer in my life because of supercrack addiction, have been replaced by a new city, new home, new job and new friends. Yes, it could've been worse, but believe me... nobody needs or wants to be told the bleedin' obvious. If it was just a case of saying "fire is hot and will burn you" and "knives are sharp and will cut you" then we'd see a 100% reduction in those injuries, by the bullshit logic that we need to nag and shame addicts into fixing their dirty little habits.

Often an addict is conveniently labelled as a black sheep, and becomes entertainment for the group that surrounds them. Lots of concerned hand-wringing and "we need to do something" empty talk goes on, but all that really happens is that the addict becomes a pariah, with nobody nonjudgemental left to turn to - it's the loneliest thing... lonelier even than being a homeless person injecting heroin under a bridge. Trust me: to spend time in the company of addicts and alcoholics who make no secret of their loss of control and the destruction of their lives, is to gain a nonjudgemental social support network that can make the difference between life & death. Fuck any condescending prick who thinks they're a moral authority who can sit in judgement and save you from yourself. Even with my stories of drug-induced insanity, hospitals, police cells and psych wards being by the far the most extreme you've ever heard, I can't tell an addict or alcoholic what to do with their life.

To hear the same hectoring, lecturing bollocks from people who [do or don't] know what it's like to realise you've overdosed and you've got 30 seconds to dial 999, or just let yourself die... it's not working, is it? I don't know if you've seen the stats, but only Portugal is winning "the war on drugs" and the way they're doing that is to destigmatise and decriminalise drugs, despite immense pressure from the United States to stop saving lives and improving the wellbeing of the Portuguese people.

So, that was the weekend that was full of drug-fuelled insanity that would supposedly trigger me to relapse back onto supercrack. Bullshit.

Tags: #addiction #friends #drugs

This is a story about key performance indicators...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Tags: #alcohol #career #suicide