This is a story about mass consumption...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Cheers!

Tags: #alcohol

This is a story about winos...

If you've ever spent a night in a cheap sleeping bag, you'll know what it's like in the small hours of the morning, when the temperature plummets and you can't get warm - you're frozen to the bone and your body shakes to move your muscles, burning energy to heat your blood, which keeps you awake. All you can think about is how nice it would be to be snug and warm and cosy. A rough night will teach you to appreciate your duvet, blankets, heating boiler or furnace, roaring fire and other sources of warmth, like spooning with your sweetheart.

I've slept on a glacier, and it's horrible how quickly the ice leeches away the heat from any body part that strays off your sleeping mat. Concrete is just the same - without some insulating barrier between you and the floor, the cold seems to rise up and enter you... your lips turn blue and your teeth chatter.

In this city of concrete, brick & cement, limestone and granite, there are far more homeless people than I'm ever used to seeing. I've been homeless and slept rough in London. The UK's capital city is a magnet for those seeking to improve their fortunes, through employment opportunities, begging from rich tourists or simply the high quality narcotics.

"Have you scored?" yells a man behind me, to a man at the other end of the road. It's 9:30am on a Wednesday, and these two beggars look familiar to me. My ten minute walk to the office takes me past almost 15 men, who all congregate along the route between the city's two main railway stations - each with their own 'patch'. Some sit quietly with a paper cup on the pavement in front of them; eyes downcast but intently watching the world go by in their peripheral vision. Some look me square in the eye from several hundred metres away - well aware that I am pretending to not notice them - before timing a polite and muted "spare some change please?" request to perfection... all I can say is "sorry mate". Some linger at an intersection, where they step into my path... "excuse me" they say, and my eyes flick up to meet theirs... they know immediately that the element of surprise has not worked - I saw them before they saw me - and I continue my walk undiverted.

How do I know that it's a man who slept rough in that doorway, and he was probably an alcoholic and/or a heroin addict? If one wishes to be pedantic, I don't.

Speaking frankly, a woman who sleeps rough is is at risk of becoming a rape victim at some point. Another unspeakable and unpalatable truth is that a woman in the grips of addiction is not going to spend her nights having her body illegally violently sexually violated against her will, when she could spend that time turning tricks - there are an insatiable number of punters for blowjobs and sex - to pay for just enough heroin and crack to numb the pain of another shitty day of human existence.

What I say is not sexism, prejudiced or anything other than the situation as it stands in the UK - sadly, there are enough rapists out there to make sleeping on the streets a dangerous thing for a woman to do, so our local government will ensure that they are not complicit in any acts of rape or sexual assault that get perpetrated on the streets, though their negligent inaction.

A single man with an alcohol and/or drug problem is not considered to be vulnerable enough to be housed by the local government. In fact, the alcoholics and addicts who line the busy thoroughfares of this bustling city, are viewed as a liability with regards to giving them money and a place to live. "They'll only spend it on drink and drugs" completely misses the point about cause and effect, but statistically it's proven to be mostly correct. Council houses (a.k.a. social housing) and apartments have been turned into absolute shitholes by so many men in the past, that the local authority treats their homeless adult single male population like a plague of modern-day lepers.

Thus, I can make an educated guess that this almost entirely unused fire exit doorway, was where a man laid his head to rest last night. He was probably a heroin addict, but this means nothing - whether it's a symptom or the cause of his destitution is a non sequitur, because homelessness and addiction are intractable. It is as if we ask "which came first? the eggshell or the egg yolk?" without considering the ridiculous notion of having one without the other, and completely ignoring the chicken.

The United Kingdom was flooded with cheap alcohol during the boom years of the 1980s, when the British pound sterling was strong versus the French franc, and enterprising men and women set off across the English Channel to bring back vast quantities of wine. France grew grapes and fermented them in a country that was predominantly rural and agricultural. England, by comparison with our nearest neighbour, has dense areas of population clustering around factories, coal mines, steel mills, dockyards and other organs that were necessitated for the functioning of an empire, as well as the defence of the realm.

Heroin's quality and availability once fluctuated wildly in the UK. The fields of opium-yielding poppies flourish in Afghanistan and Thailand, but the trade routes - the Silk Road - were at the mercy of incredible geopolitical forces. Now, thanks to the intervention of the USA and the UK in illegal foreign wars and 'regime' toppling, the supply of high-quality cheap narcotics has never been in more rude health.

If you think a homeless heroin addict single man is a fool and a failure, you are wrong; completely wrong. If you think in terms of 'bang for your buck' a £10 bag of heroin is going to get you a lot more fucked up than £10 of alcohol. If you think that injecting drugs is insane, you haven't considered the insanity of putting something you've paid your hard-earned money for, into your acidic stomach, where nearly 1/3rd of it will be destroyed. The rational thing to do is to put 100% of your intoxicant directly into your bloodstream.

If we followed the logic of the homeless man, we would all have a canula in one of our veins, and we would pay £1 for pure ethanol to be squirted into our bodies from a syringe, whereupon we would be immediately intoxicated to the point of near-blackout.

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Before we go any further, I should make it clear that I am not advocating injecting drugs - or drug abuse of any kind - nor have I ever injected any drugs, or had another person inject me with narcotics.

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If one wishes to consider the desperate plight of an addict or alcoholic, one only needs to think about the period when many homeless men would drink methylated spirits. Methanol differs from ethanol chemically, but methylated spirits - known colloquially as meths - has been deliberately poisoned by manufacturers, in an effort to discourage human consumption, without success. I can buy 5 litres of meths - roughly the same volume as 7 bottles of wine - for around £10, but to drink it would kill me. Out of desperation to avoid delirium tremens, which can cause seizures and death, alcoholics will drink small amounts of meths to self-medicate for their physical dependence on alcohol, despite the fact that it will cause them to go blind.

The war on drugs and the war on terror have now created a reliable supply chain, whereby the most powerful narcotics on the planet are available at unsurpassed purity and at rock-bottom prices, as never before witnessed in human history.

Competitive free-market economics has given rise to a swathe of pharmaceutical giants, vying to innovate with new medications that are 'better' than anything seen before, in a race for profits. Fentanyl and carfentanil were born into this world in the 1960s and 1970s, respectively. Carfentanil is so potent, that an aerosol mist of it could be used as a weapon of mass destruction. Although the Russian government does not officially acknowledge it, carfentanil has been used in a terrorist hostage situation - pumped into a building as a gas - resulting in the deaths of 125 innocent civilians in a single incident, from opiate overdose.

The rise and rise of the zero-hours contract McJob and a hopeless future for unskilled labourers, in the face of global capitalism, has created insecurity and the total destruction of the prospect of happy and contented family life for a scandalous number of men. While pram-faced mothers, with gold hoop earrings and their hair held back tightly in a scrunchie, will be prioritised for social housing, our entire welfare system discourages work and parental bonds. Economically, a single mother is better off than one who stays with the father of her children. Dads have been made redundant by cheap Far-Eastern labour. People respond to incentives, and so we have created a generation of children from broken homes. We have created an unacknowledged mountainous scrap-heap of homeless single male drug addicts, in a society that has no better use for them, other than to let them rot.

We are all familiar with the concept of supply and demand, but there is also something intrinsic in our genetic programming that makes us seek out value for money. It seems obvious that given the choice of intoxicants, I would select 1 gram of carfentanil instead of 1 gram of morphine. An amount of carfentanil the same size as a grain of salt is enough to kill me by overdose - carfentanil is better value for money, being about 10,000 times more potent than morphine.

The opium smokers became morphine addicts, then diacetylmorphine (heroin) addicts, then fentanyl addicts and now carfentanil addicts. The subsection of the population who have abandoned hope are always driven to seek the strongest mind-altering substance that they can obtain, for the money which they beg (panhandle), borrow or steal in order to support their 'habit' each day.

1 kilogram of carfentanil could kill the entire population of the United Kingdom. Carfentanil is produced in bulk quantities in the Far-East, where - ironically - all the manufacturing and mining jobs have gone, leaving vast numbers of men economically redundant.

In this city where I now live, the capitalists drove the cloth-making industry into a race to the bottom, negatively affecting the prosperity of nations such as India, which has over a billion inhabitants. It seems apt that the 'payback' for this global suicide pact should be so publicly conspicuous. Homelessness and addiction are openly on display, as symptoms of a world that is sick with an illness that's called capitalism; vulgar greed and hoarding of wealth.

I am full of sorrow that so many of my fellow citizens are left bewildered as to what happened to their once-great nation, and seek solace in all the wrong places. To help even one man (#frank) exhausted my economic reserves. All I have left is the power to spread word to more people than I could ever manage to speak to individually, using the power and freedom of the Internet. I preach to the converted, so often, but to stop and speak to the abandoned men - each in their 'patch' - is impossible in the face of a capitalists waving a fistfuls of dollars in front of a sea of hungry people.

All I can say to my readers who own computers, smartphones and Internet connections - you have a golden ticket that the man who slept on the cardboard in the doorway last night, does not have. He's viewed as trash, just the same as the remnants of his existence left behind when he awoke and moved elsewhere this morning.

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

This is a story about succession planning...

The British have always liked hot drinks.

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

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

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

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

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

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

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

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

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

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

Why have a dog and bark yourself?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

This is a story about panic attacks...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Eventually, it's too much.

Tags: #suicide #alcohol #addiction

This is a story about changing beyond recognition...

This 25 year old Londoner was hopelessly addicted to kitesurfing, and had secured a job in Bournemouth, where he would work mornings and evenings, leaving his afternoons free to go to the beach. Working for a huge international organisation, he had secured a ludicrously good deal - salary and relocation allowance - and the Human Resources (HR) people who he negotiated with had no idea that the real prize was to be able to kitesurf every day.

Despite being confident and outgoing, he was hiding crushing insecurities about his attractiveness to the opposite sex - a complete lack of self-esteem - and was struggling to find the girl of his dreams, who would be the cherry on top of a lovely cake. Being a hopeless romantic, and pretty inexperienced despite his 25 years on this Earth, he could fall in love at the drop of a hat and be heartbroken when a simple fling didn't turn into anything more serious.

Overcoming his ineptitude with women, he got together with a girl who looked perfect on paper and she was a pretty and petite blonde. He was smitten. She was a science graduate and a computer programmer. She even worked for a client that he'd worked for 6 years before, and he knew many of her colleagues.

In the words of one of his best friends, she was a "conversion project". He would teach her to kitesurf, and then they could travel the world together, chasing warm wind, soft sand and water that was mirror flat or had perfect waves. Brazil, Venezuela, Cape Verde, South Africa, The Canary Islands... there was an endless list of exciting countries to visit with this beautiful girl, and kitesurf together.

There she was, giving it a damn good go in Poole Harbour, under his tuition. Why she was wearing a buoyancy aid in water that's so shallow you can stand up in it, was anybody's guess, but I guess it made her feel more confident. Kitesurfing in those days was super dangerous - the emergency release mechanisms were just being developed, and if you let go of the bar, you'd be dragged along out of control, like being tied to the back of a speedboat being driven by a maniac, until you crashed into one of those harbourside houses.

After a year, he decided to propose. He asked her dad's permission. He did all the things that he thought he should do: buy a house, get married, get a pet, have kids. Thankfully - for the kids' sake - they stopped short of doing that last one. Just looking after their a cat had a very strong bonding effect. Their cat is probably the reason they stayed together as long as they did.

They got married in Hawaii, of course. He was allowed to wear flip flops, but not board shorts. In fact, he had a tough time from bridezilla for almost the whole trip until he put his foot down and said he just wanted to sit by the pool or on the beach, drinking ice cold beverages. She wanted to be sightseeing in a decrepit camper van that they weren't insured to drive. He checked them into a luxury hotel, which cost a small fortune - it was Christmas time after all - and finally, for a brief moment, he had a tiny bit of holiday relaxation.

Notably, they didn't take their kites or kiteboards. Travelling with a wedding dress and linen suit was a teeny bit difficult, but not as hard as lugging a 30kg bag that's nearly as tall as person. However, Hawaii has wind, waves. warm water and beautiful sandy beaches. Barely a few hundred metres from where Barack Obama was spending his holiday break, our missing young man was forced to try pole dancing (windsurfing) for the first time, in desperation to get his 'fix'. There was the shame and indignity of being a beginner windsurfer he was an experienced kitesurfer in a paradise location, who could have been having the time of his life.

After landing at London Heathrow, after over 20 hours of flight time, it turned out that his new wife had used an online booking website to arrange the taxi home, but had not accounted for the fact that they would be away over New Year's Eve. An innocent mistake, but it left them stranded, exhausted, in the middle of the night.

Within a month, he was in private hospital. It was all too much for him. She would rage and throw tantrums when things didn't go her way. He would bite his tongue and try to fix everything. The pressure to please her was unbearable... but it was never enough. He'd bought her a hot tub because she said she had loved having one in California. He'd shown her the world, staying in the best hotels and eating in the best restaurants. He'd married her in one of the most romantic destinations you could ever choose, and he'd even agreed not to wear board shorts. She was threatening divorce while he was sending her a different flower every day, from hospital, to show he still loved her. Despite him being a generous lover, she was on 'no strings attached' dating websites, looking for sex.

If crêpes Suzette, flambéed at your table, with the best views of any restaurant in Malta, is not enough to whisk a girl of her feet, he was left bamboozled as to how he could possibly please her. He was completely naïve, believing that if he treated her like a princess, she would love him as much as he loved her. He was wrong. It hurt and he was heartbroken.

It made no sense. People would come to their summer garden parties and be served home-made burgers and marinated chicken, plus endless varieties of sausages hot off the barbecue, while a range of delicious salads that she had prepared, were laid on for the vegetarians and to garnish the plates with. Fire pits and patio heaters kept people warm after the sun went down, and there was the hot tub kept at a toasty 38 degrees (100 degrees Fahrenheit).

It made no sense. People would come out for trips on his boat to see one of the largest natural harbours in the world. Him and his wife were a natural host and hostess. They were a great team when they were entertaining guests.

For her birthday one year, he took her in his boat up the Wareham River, moored up outside The Priory Hotel, and they ate lunch on the patio, which was some of the finest dining in Dorset - cooked by Michelin star standard chefs - with beautifully manicured lawns leading down to the river bank.

Why they quarrelled and grew apart is a mystery. She wanted to learn to sail and he was an RYA dinghy sailing instructor and experienced yacht skipper. She wanted to rock climb and he had the qualifications and experience to teach her. She wanted to climb mountains, and he had spent months in the high Alps and was a mountain leader (guide) experienced in dealing with emergencies, working with groups of varying ability, and acclimatising to altitude. He taught her how to snowboard and was grinning from ear to ear when she followed him off piste without a moment of hesitation.

However, he was baffled and slightly insulted that she spent a lot of money to go and learn from other people. He'd taken her sailing multiple times, and taught her a lot. He'd taken her rock climbing, and shown her the ropes; pardon the pun. He'd taken her into the mountains and shown her the basics of navigation, safety, route planning and even how to retreat when things don't go to plan. That's our missing man and his ex-wife, in every picture above except the mountain one. where he's the one taking taking the photo.

He was, undoubtably, looking for the love of his life, but married the wrong person. Friends warned him that him & her weren't a good match. "The poison dwarf" was too hot to handle, especially for a sensitive guy who was relatively inexperienced with women and still nurtured the Disney "happily ever after" idea of finding true love. He mounted a kindness offensive - an attempt to satisfy her every whim, her every ambition, but yet it still wasn't enough. He was delicate. She was aggressive.

It made him sick - mentally unwell - all this arguing and rejection. He wanted to just grab her and squeeze her tight until she felt safe and loved. Maybe that was the problem: she felt trapped and smothered. They met when she was only 23, which I guess is quite young, considering that he proposed when she was only 24. For their parents' generation, that would not have been unusual, and he did things the old fashioned way: buying a house to start a family. However, she complained she hadn't seen enough of the world; experienced enough of life's adventures. He set out to rectify this, but what she was really saying is "I'm not ready to be a one-dick woman just yet".

His best friend coined the phrase "conversion project", which is to take a girl and turn her into a kitesurfer; a sailor, a climber; a mountaineer. This friend literally asked "are you ready to be a one vagina man?". Soon after that, this friend went on a trip to sow his wild oats across Scandinavia, before coming home to marry the poor girl who'd had to tolerate this temporary break-up in the full knowledge that his motive was completely unreasonable. They're a happy couple with twins and a lovely house now, so maybe he was right. At the time, his wife wanted to punch his friend in the face or testicles, or probably both.

Before his petite blonde wife, the happy smiling 25 year old - pictured when our story began - had tried to make it work with a kitesurfer who lived 186 miles away, and nowhere near the sea. He'd tried to make it work with other kitesurfer girls too. An incredibly beautiful Burmese kitesurfer girl seemed to be flirting with him when she was on holiday with him in Sardinia, but he was so shy and inexperienced, he didn't dare try to kiss her.

Our missing man tried to make it work with his wife, again and agan and again and again, and eventually it broke him. He broke down and sank into depression, bipolar disorder, alcohol abuse and made a stupid mistake which was his ultimate demise: the abuse of legal highs. This was the beginning of the end.

In the chaos, confusion, stress and trauma of divorce, selling his house, saving his most precious possessions, leaving the town he'd called home for 8 years and all his friends... all mixed in with toxic additives like mental health problems, addiction and alcoholism, he was a little lost boy. He's been missing for nearly 11 years. There have been times when somebody who appeared to be him popped up briefly, but like an apparition, he melted away into nothingness again.

Is it any wonder that he disappeared? He gave so much of himself away - his love - trying to make relationships work; trying to make girls feel special and cherished and loved and like princesses; trying to please; loving unconditionally.

This blog contains the bitterness; the accusations of wrongdoing - the evidence of the inexcusable and terrible behaviour that was perpetrated against the author. This blog tells the story of why that young man went missing, and why he's still missing. Perhaps why he'll never be found. If he's missing, perhaps, you shouldn't search for him.

Perhaps there's no place in this world for a naïve little boy who has so much love to give, but nobody to give it to. So many times in life he was left reeling, hurt and wondering what he did wrong, when all he tried to do was to be as nice as he could possibly be. Perhaps that silly little boy got it all wrong, and life's not about being nice and kind to people; it's about using people and getting what you want at all costs. The boy was not made for this world - he was like an alien from another planet.

Look at this old man. Look at the sadness that he tries to hide, but something in his eyes betrays him. He knows he's nothing like that happy smiling 25 year old young man, photographed 12 years ago. He knows that all the kings horses and all the kings men couldn't put him back together again. He knows that whatever it was that happened, it damaged him badly. Unconditional love, infectious happiness, a sense of contentment and the enthusiastic exuberance that characterised our missing little lost boy, are qualities that this old man doesn't possess - they're completely different people.

It's a tragedy when we lose somebody who brought fun & excitement, adventure & exhilaration, thrills & spills, into people's lives. It's a tragedy when many lives are touched - improved - and then we lose that person.

I don't think we'll ever find him though. He's gone forever.

Tags: #relationships #depression #bipolar #mentalhealth #alcohol #drugs #suicide

This is a story about a peaceful death...

Try this at home if you like: it's impossible to hold your breath until you pass out. Even if it were possible, your conscious decision to hold your breath would then be overridden when you were unconscious, so you would start breathing again.

Don't try this at home, because it's dangerous, but it probably won't kill you: if you take a plastic bag with no holes in it, and tape it around your neck so that no air can get in or out, pretty soon you'll start to hyperventilate. You're going to panic, and you're going to know that the plastic bag is stopping you from getting the fresh air you need, so you're going to tear a hole in that plastic bag. It's possible you could control that urge until you passed out, and then you'd soon die of asphyxiation, but if you remain conscious you'll find that the urge to take a breath of fresh air is overwhelming.

You'd think that it was a lack of oxygen that was causing this panicked desire to take a breath of fresh air, but you'd be wrong. What governs your overwhelming desire - panic - to take a breath after you've been deprived of fresh air, is something called the hypercapnic alarm response. It's actually elevated levels of CO₂ that are causing your brain to say "oh, shit, I'm about to suffocate".

If you were going to gas people to death, you could use chlorine. Chlorine gas will burn the lungs from the inside, when inhaled. The chlorine will combine with water in your lungs, to make hydrochloric acid, which will cause fatal internal chemical burns - your lungs will be so damaged, they're rendered useless. The pain would be excruciating, as the chlorine attacks your lungs, throat, larynx, eyes and other parts of your body that have some dampness. Death would be slow and painful, as you struggled to breathe with lungs that were being disolved by acid.

If you were going to gas people to death, you could use a nerve agent, like sarin or venomous agent X. These potent nerve agents interfere with muscular control. Without control of the muscle of your diaphragm, you are unable to breathe in and out. Dying with a nerve agent, you would be fully conscious of the fact that you couldn't breathe: that is to say you couldn't actually suck any air into your lungs, even though you desperately wanted to. You may lose other muscular control, and drop to the ground, twitching, but you would be fully conscious until you asphyxiated. More of a painless death than chlorine, but pretty awful to be unable to breathe in and out, even though you want and need to.

If you were going to gas people to death, you could use pure nitrogen. The air we breathe is 78% nitrogen, which is inert and innocuous. Food manufacturers fill your bags of crisps with pure nitrogen. So, if we breathe nitrogen all the time, how can you use it to gas people to death? Well, obviously in a room that's filled with 99% nitrogen, there's hardly a trace of oxygen - certainly not enough to keep you conscious and alive. Worryingly, the brain has no way of knowing that it's not getting enough oxygen, so you'd just pass out and asphyxiate rather unexpectedly. You'd start to get confused as your brain was deprived of oxygen. Your ability to think would be so impaired, you'd never figure out - through logic - that you were suffocating, before you passed out and died. In a way, you'd die stupid and ignorant.

If you were going to gas people to death, you could use carbon dioxide. CO₂ is readily available in the form of fire extinguishers. An over-zealous demonstration of a fire extinguisher in a small unventilated room, could leave you gasping for air, which is the effect intended on a fire: to deprive it of oxygen. You might unwittingly deprive yourself of oxygen. In a death chamber filled with CO₂ you would be hyperventilating - gasping for breath - until you eventually passed out and then finally asphyxiated after a few minutes. This to me, is the very worst kind of death. With the nerve gas, you'd want to gasp for air, but you wouldn't be able to. With nerve gas the other effects on your motor functions would be a distraction, as you twitched uncontrollably on the floor. However, with the CO₂ you'd be hopelessly sucking in lungfuls of gas, but feeling a rising sense of panic as you were acutely aware that you were in the process of suffocating. For most people, it would be the worst two or three minutes of their life: a terrible torturous way to die; cruel and unusual.

I've spent plenty of time in the high Alps and been to the summit of many mountains over 4,000 metres, which is about 13,000 feet. This altitude is classified as being "very high" which is the grade below "extreme". At the summit of Mont Blanc the percentage of available oxygen drops from 21% to 11%, which is roughly half what you normally breathe. You can breathe twice as fast to try and compensate, but there's a limit to the speed with which your body can absorb a lungful of oxygen. If you're breathing twice as fast, your body has half as long to absorb the available oxygen from that air. I know what it's like to be gasping for air, when my muscles were burning with lactic acid because they've not been able to get enough oxygen. I know what it's like to be slightly lightheaded and giddy, because my brain is not getting all the oxygen it needs. However, if you sit still and calm, lower your heart-rate and your respiration rate, you can soon get the oxygen levels in your blood back up to a safe percentage.

Deep sea divers know that to panic could be deadly. Panic is a fight-or-flight mode where your heart-rate and breathing increase, getting your blood full of oxygen so that your muscles can use it if you have to make a run for it. However, with only a finite amount of compressed gas to breathe and the necessity to ascend to the surface slowly, it's imperative that divers maintain a relaxed metabolic state, to preserve the precious oxygen in their tanks. To swim like crazy to the surface might mean you can take as many deep breaths of fresh air as you like, but bubbles of nitrogen in your bloodstream will have nucleated, and they will cause excruciating pain as they work their way through your body and can even kill you if they reach the brain - this is called "the bends".

I just found out that in Denmark, where most of our bacon comes from, they euthanise pigs using CO₂ which I find distressing, thinking that pigs have the same hypercapnic alarm response that we do. The pigs spend 4 minutes in a chamber filled with CO₂ and then they are unconscious or they have asphyxiated. They don't feel their throats being slit, which causes a massive drop in blood pressure, immediately rendering the brain as good as dead. However, I want to know if those pigs spent some of those 4 minutes, hyperventilating, panicking, trying to breathe in and out enough to not suffocate... hopelessly.

Genocide, ethnic cleansing, euthanasia and to some extent, animal slaughter, all raise questions about the suffering in the final moments before death. If I was going to rank the ways I'd choose to die, this would be my choice:

1. Massive laceration to the carotid artery - the drop in blood pressure would cause instant unconsciousness, and death would swiftly follow
2. Diamorphine or fentanyl overdose - while this effectively kills through respiratory arrest, which is the same as asphyxiation, you would almost certainly die quickly and painlessly, unconscious
3. Nitrogen (or other inert gas - e.g. helium) - to breathe this gas until you lost consciousness would require a certain amount of steely resolve, to not tear off the bag or mask. Completely painless, but requiring 2 or 3 minutes that would be psychologically unpleasant.
4. Potassium cyanide - this would produce a relatively swift and certain death, but there may be some minutes of pain and discomfort

The poisons arsenic, ricin and strychnine, along with the nerve agents botulinum, sarin and venomous agent X, would all have undesirably slow or indirect ways of killing you - for example, inhibiting your ability to breathe. To die by these deadly agents would be most undesirable, given the suffering in your final moments.

Point blank gunshots to the head can miss major blood vessels and parts of the brain that control your vital organs, and as such, very many people have survived attempted suicide using a gun. This is probably largely to do with Hollywood portrayals of suicides being committed by putting the gun in your mouth: liable to result in the bullet missing the spinal cord and anything else important, and just leaving a hole in the back of your head/neck. Painful, but not fatal.

Therefore, without the assistance from a person with anatomical and surgical knowledge, to sever your carotid artery, and without the access to the controlled (illegal) substances of diamorphine and fentanyl, your best option is to obtain a canister of wine preserver gas, a large plastic bag and some duct tape. Filling the bag with the gas, you would place it over your head, top up the gas as much as possible and then tape it airtight around your neck. You should lose consciousness within minutes and die soon after that - completely painlessly. A home remedy to euthanise yourself.

Many dentists who commit suicide breathe nitrous oxide - laughing gas - through a mask until they lose consciousness and asphyxiate.

The problem with a home made pill cocktail - opiates to stop your breathing and benzodiazepines and Z-drugs (zopiclone, zolpidem) to keep you unconscious - is that your stomach needs to break down many many pills and for their contents to enter your bloodstream rapidly, without you vomiting. Augmenting with alcohol may increase the ability of the opiates to stop you breathing, and assist in keeping you unconscious, but there is a fairly big time window where you might be discovered and there are a number of variables that make the result more unpredictable than is acceptable, if you've made the final decision to euthanise yourself.

As you can see, those who are thinking about ending a life have much to consider, even if it's just a pig to make bacon out of. I would prefer my pigs to be killed with pure nitrogen gas, than pure CO₂. In actual fact, even though the halal practice of slitting an animal's throat looks barbaric, it's very humane, for the reasons explained above - it would be my first choice, for myself.

Gas chambers, animal and human euthanasia - you're welcome.

Tags: #suicide

This is a story about pulling the wool over somebody's eyes...

Every day, between 6pm and 8pm, I get a visit from a different stranger. They all belong to Tower Hamlets' Community Mental Health Team, and specifically to the home treatment Crisis Team, but it must be a big team because I almost never see the same person more than once. Everybody's reaction is the same when I let them in: "wow! look at the view!".

The fact is, I have enough money to last me 2 more weeks, but then I'm not just skint... I'm actually insolvent. I have a lease that doesn't expire until September and I have to service various debts that I ran up, just trying to stay alive.

"Oh, you probably spent all your money on drugs" I hear you say.

Recently, I was on the dark web, looking for something for a friend - something to relieve pain that wasn't on offer on the NHS. Having located some vape oil, containing medical cannabis, I then couldn't resist the urge to continue window shopping. To my alarm, the worldwide supply of supercrack had dried up, due to the Chinese very effectively banning the production and sale of it.

There was one supplier - in the whole world - selling his remaining stock of supercrack. 10 grams. That amount of good quality cocaine might cost you £900. For 10 grams of supercrack, I paid the princely sum of $134.

How long do you think 10 grams of supercrack lasts? Well, we can work it out. A severe addiction might consume as much at 15 milligrams per day - that would be enough to not sleep for a whole day and night. So, easy maths then.... 10,000 divided by 15 = 667 days. One year and ten months, of daily drug abuse for $134. No. I did not spend my money on drugs.

So, back to the strangers in my home each evening. I sit them down on the sofa, next to the patio doors that lead onto the balcony.

Still somewhat wowed by the view, they can also see a number of expensive electronic trinkets lying around. The conclusion that is instantly drawn is that I'm not really in crisis, but in fact I'm wealthy, successful and totally in control of my life. They couldn't be more wrong.

I wrote about this the other day, but lurking behind the door into the kitchen, are a load of bottles for recycling. In theory, I've stopped drinking, but that's just a technicality. If you're in the grips of a mental health crisis or drug-induced behaviour, then you don't tend to have a glass of wine in front of the TV. Remarkably, I've had a bottle of white wine in the fridge, unopened, for over a week.

"Why don't you just have one glass and stop?" a psychiatrist asked me. I replied that oxygen would make the wine go off, so I needed to finish the bottle once it was open. She suggested a vacuum pump wine preserver, to which I replied that I bet I'd never be able to find one. The penny dropped, and she realised I was taking the piss. The reason why I don't stop is because I don't want to. Alcohol is an effective way of getting intoxicated, so you don't give a fuck about your problems... except I do seem to give a fuck in a strange way, because whenever I get ridiculously drunk, I punch my bathroom door so hard that it makes a hole in it. Then I wake up and think "why did I do that?" and I'm filled with regret.

Strangers who come in my house don't see my bedrooms. My main bedroom with the ensuite has got blood spots all over the floor from some accidental injury or something. There's lots of evidence that I imprisoned myself in that room, for some reason. In fact, there's lots of evidence outside the communal areas, that I've absolutely lost my mind at times.

Recently, being in possession of quite a good set of tools, as well as a box of screws, I set about attempting to screw a desk to the door of my spare bedroom, or something like that. The plan wasn't even clear to me. Once you lose more than about 3 nights of sleep, your priorities are quite corrupted. Instead of hydration, food and sleep, my focus switched to barricading the bedroom door. If you have a dark sense of humour, you may chuckle at the fact that as soon as I had completed my task, I then needed to undo my work because I needed to use the lavatory.

These are the kinds of things that are quite important if you want to understand just how sick I am, but the 'window dressing' which is my lounge, balcony and view, rather distracts from the piles and piles of dirty dishes, and overbrimming laundry baskets. The home visit team members walk away thinking "I must tell my colleagues about that awesome view", rather than "I must tell the doctor that the patient looked like he hadn't slept for days, or eaten much".

Can I fix things? I've pretty much given up hope. There just isn't time.

10 grams of supercrack certainly doesn't help, and I knew that a relapse would be one problem too many, on top of a giant shit sandwich. However, the things I've tried that are a sensible and realistic approach, have brought in way too little cash for way too much effort. I'd rather have my MacBook Air and iPad Pro, than a few pennies, even if they're surplus to requirements most of the time.

I could keep up appearances for friends and family, but I lived in fear of my work colleagues discovering that I suffered from mental illness for so long, that the exhaustion became unbearable. It was an open secret that I would be late to work during periods of depression, or not turn up at all. Everybody knew that I liked a drink, but I surrounded myself with other heavy drinkers. The problems worsened, and I had to run twice as fast to just to stand still. I came to London, knowing I could burn a bunch of bridges, and never exhaust all the options open to me, but it's bullshit, having to interview for jobs when you've got a 20 year career behind you and countless people who know you're good at what you do. Also, why shouldn't my friends know what's going on in my life. If they're true friends, they'll see that I'm still me, but I'm in crisis - they won't suddenly change their opinion of me, because of prejudice, although one close friend did and it broke my heart.

Don't lift up the rugs or look under anything: I've swept so many things under the carpet. Out of sight out of mind. I don't bear close scrutiny, but nobody looks very carefully anyway. First impressions count for everything.

After the insanity comes a further insanity - a paranoia that my flat is trashed and I'll never be able to bodge it up good enough to escape hefty bills for repairs that are completely over-inflated by the unscrupulous letting agents.

Where am I going to go? What am I going to do? The fact that you're asking those questions is the clue as to why I might wish to escape into alcoholic oblivion, or take supercrack. There are no easy answers. I know I keep going on about it, but the whole hospital/dialysis/job loss fiasco has left me questioning what the f**k I'm doing, working IT contracts in London, except for the staggering amount of money that it brings in. It doesn't compensate for the up-front stress, followed by the abject boredom and misery.

You'll probably find me sidling up to you in a bar in 20 years time - the known local drunk - and saying to you "I remember the time I lived by the River Thames and worked for the world's biggest companies" and you'll think that I'm some delusional twat.

I hope I just die before I suffer that indignity.

Tags: #mentalhealth #depression #alcohol #drugs #addiction

This is a story about habituation...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

One step at a time.

Tags: #alcohol #drugs #addiction #mentalhealth

This is a story about infidelity...

Yo ho ho and a bottle of Xanax. We're off to take a sailing trip across the Atlantic to New York. I'm nervous, but she's with me - she's also an experienced sailor - so I'm excited and I'm sure that between us we can manage the voyage. At first we are heading towards Dover. Why are we travelling East when we need to be sailing West? Then, we are becalmed and a fog descends. The water is glassy and flat and the sails flap uselessly. A road sign appears and it becomes apparent that we are in London, on a road. We are towing the yacht on a trailer. I rack my brains, trying to think of the best marina with a hoist to lift our yacht into the sea. I can't think straight.

This is a dream, obviously.

Next, I'm approaching a nightclub, skipping the queue outside and heading straight for the entrance. I present my left hand to the bouncer, who shines a torch on it. I brush past him so confidently, and he's not really paying attention, so he doesn't notice that I don't have an ink stamp that says I'm allowed in. Nobody challenges me. I go past the dance-floor and into another room. I notice somebody sucking on a glass tube with what looks like shards of gold, or maybe honeycomb, being ignited with a lighter. Then, an old schoolfriend wants to show me something he's making. He's pouring chemicals into a large jam jar. He's making shake-and-bake methamphetamine. The crystals aren't perfect shards of ice, but instead they're a milky mess. I know the drug will be potent, but the solvents and other chemicals used are deadly. I'm afraid, but also drawn to it, like a moth to a flame. Somebody has prepared some lines of a white powder; it's being passed around. I wake up.

My doctor warned me that my new depression treatment - California rocket fuel - would lead to vivid dreams, but I've always had a lot of dreams.

In a way, my new dreams are better than the old ones. When I used to dream before, they were basically all the same: I have some supercrack and I'm trying to find a private place to take it, but every time I think I'm safe from intrusion, and I'm about to snort a line, somebody interrupts me. Then begins a stressful game of hide-and-seek where I'm trying to escape the voyeurs who wish to intrude on my private drug use. I never actually manage to get any drugs up my nose before I wake up.

Of course, drugs are still my mistress. I've got a virtually unlimited supply of opiates, in the form of tramadol and codeine. I've got stacks of benzodiazepines, in the form of diazepam and Xanax. I've got loads of Z-drugs in the form of zopiclone and zolpidem. I've got pregablin, venlafaxine and mirtazepine. I've got Viagra and Cialis. None of these chemicals seem to make the blindest bit of difference to my depression, and they're certainly not my drug of choice: supercrack.

I go to the chemist, and I have to give two signatures, because they're giving me medications that are controlled substances - they're illegal to possess without a prescription. I'm handed a carrier bag that's bulging with boxes packed full of blister strips containing capsules full of chemicals, or pills that have been pressed into certain shapes and sizes, with numbers and letters imprinted on them. Everything is so colourful. If I lose a pill on the floor by accident, I can identify exactly what it is.

I get confused at night, as I swallow 6 pregablin capsules (white with black lettering), 2 venlafaxine tablets (round and dark orange), 2 mirtazepine tablets (small lozenge shaped, light orange), 2 zolpidem tablets (tiny white lozenges) and a Xanax (an oblong with "XANAX" imprinted on one side). Sometimes I also take a zopiclone if I can't sleep (round white tablet). When my leg was in pain, I would also take 2 co-codamol with 30mg of codeine in each tablet (large white lozenges) and 2 tramadol capsules (green and yellow). Trying to remember if I took everything, and make sure I don't take anything twice, is quite difficult. I'm almost at the point where I should prepare all my tablets and check I've got everything before I greedily gulp them down. I can now swallow 6 tablets at once, easily.

My real mistress, and the beast that's out to kill me - supercrack - is tamed at the moment. I know that a lapse would be disastrous in my financially precarious situation, but I'm also so doped up that my libido and craving for supercrack is under control... for now. I'm not a superstitious person, but I feel like I'm tempting fate just writing these words.

I don't bother keeping a tally of how long I've been 'clean'. It's a ridiculous idea. If a person quits one thing, they start doing something else. A former gambling addict might become obsessed with fitness and go to the gym 7 days a week. A smoker who quits will probably start eating more, to compensate for the loss.

It might seem logical that the longer you're addicted to something, the harder it will be to quit and stay 'clean' but nobody seems to realise that the more times you quit and have periods of abstinence, the better you get at quitting and resisting temptation. Medically, the binge & quit cycle of drug taking is the most damaging, because the binges are so extreme: days and days without sleep or food, and huge doses of really harmful drugs, when your poor body has just about recovered and was starting to get back to normality.

Of course, the really harmful stuff is to relationships. She doesn't mention it very often, but she's worried about the next time I just disappear off the face of the Earth, and reappear skinny, sleep-deprived and suffering from all the nasty side effects of supercrack: paranoia, obsessive-compulsive behaviour and panic attacks; not to mention tachycardia, malignant hyperthermia and rhabdomyolysis. I'm no stranger to hospitals and psych wards.

If you meet me in person, I seem polite, well presented, somewhat smart and certainly confident and self-assured. I can make smalltalk and feign interest in other people's lives. I remember the tiny details that people tell me, which I can see are important to them, so that I can bring them up if ever there's a lull in conversation; an uncomfortable silence. There's no chance you'd peg me as a 'druggie' or a 'stoner' or a 'junkie'. I take perverse pleasure in contradicting and confounding the stereotypes.

Despite my ability to confidently bullshit my way through life, I do wonder if I'm as seriously sick as my doctors tell me I am. They can't make their mind up whether I have treatment-resistant major depressive disorder, bipolar disorder, borderline personality disorder or some dual or triple diagnosis of all of them, plus the substance abuse, of course.

On top of the chemical cocktails, there's a bottle of wine every night, just like every other middle-class professional. Lots of people would say that alcohol is part of the problem, but the last time I quit I quickly went hypomanic and lost my contract. Seems to be the story of my life: losing my contracts through ill-health. All the evidence points to chronic illness that makes me unfit to work, but my confident and upbeat attitude - plus my employability - has got me stuck in a groundhog day loop, where I work enough to pay the bills for a year, but then implode spectacularly and find myself without gainful employment, yet again.

Undoubtedly, my affair with supercrack wreaks havoc across every area of my life, but what about the depression? What about the hypomania? What about the fact I see everything in black and white, and I either love you or hate you? Even when I'm 'well' and functioning, I've still gotta be right: intellectual pride and arrogance.

I've committed to a new regimen of antidepressants, for the first time in years, so maybe my mood will improve if I can keep taking the pills regularly for 4 to 6 weeks... then we'll see if these blunt instruments of brain manipulation actually fucking work for once.

Meanwhile, money pours out of my bank account and the end of the runway gets ever closer, but the wheels of the aeroplane are still on the tarmac. If I can't psych myself up to overcome the depression, stress and anxiety enough to hide my problems and tackle the arduous task of getting another contract, I'm fucked. The house of cards will collapse quicker than you can say "fuck my life".

It's remarkable how much time I spend thinking about setting my affairs in order: making sure my life insurance pays out to my sister, making sure I've left instructions so that friends who've helped me out get repaid, making sure I've thrown away everything that's of no value, making sure that I've listed the details of all my bank accounts and creditors, making sure I've left enough money in my company so that my accountant can wind up the business and he gets paid, and also making sure that at least a teeny bit of my legacy is preserved: I've written a novel and this blog has about 600,000 words, plus photos. I always said I wanted to leave a smoking gun, in case anybody wanted to investigate how stress - mainly financial worries - can destroy a person and drive them to suicide. My biggest fear is being written off with a simple throwaway label: "mentally ill" or "substance abuse" or whatever... things are never as simple as that.

While most people are planning summer holidays and extended weekend breaks over the bank holiday weekend, I'm paralysed by the ever-approaching end of the runway, combined with debilitating stress and depression. Things look straightforward, because I've made life look like a walk in the park so far, but in fact I'm just very good at hiding the deteriorating situation, when my back's against the wall. Just because I can rescue myself in the nick of time, doesn't mean I can always do it, forever. I feel physically sick at the thought of the effort involved in doing what I do, all over again, even though it's a well-practiced tried-and-trusted formula.

Time just gets frittered away, which is fine when you're getting your regular salary and you spend most of your time at your desk just counting down to the weekend or your next holiday, but when you're in my situation, in a way, I'm dying. How do you think you'd feel if you were left penniless, homeless and with a bunch of vultures trying to take the clothes off your back? How do you think you'd feel if you know you can make everything alright again, if only you were well enough to work, but you feel sick and the thought of going back to the office caused you severe stress, anxiety and paralysed you; unable to cope or deal with the situation?

Tick tock goes the clock, and it doesn't stop. You have to run just to stand still. This is why it's so attractive to run away with my mistress and pretend my problems don't exist: escapism.

I want to escape this invisible prison.

Tags: #drugs #depression #suicide #mentalhealth #career

This is a story about a disappearing act...

Jesus could turn water into wine. I can turn wine into water, urea and a small amount of faeces. I can do the same with gin. It's a miracle!

Miracles and acts of faith are supposed to cause the skeptical to be surprised. I myself, was very surprised to see that a couple of bottles of gin have disappeared without a trace. Where is it all going?

I've lost all portion control.

With beers, I can tell you how many cans or bottles I've had. I think to myself "if I have that 5th pint, I'm going to feel like shit tomorrow".

With wine, when you start measuring it in bottles - plural - then you're in trouble. Two bottles of wine is shitloads of alcohol. The problem is that three large glasses of wine finishes a bottle, so I think "I'll open another bottle and just have one glass and leave the rest" except that I don't ever leave wine undrunk.

With spirits, I have no means of accurate measurement. A 'finger' of gin in a glass is a substantially different volume, depending which finger I use and which glass I'm pouring into. I actually have no idea how much hard liquor I'm consuming, versus wine and beer. I totally lose all portion control.

When I'm sharing a bottle of wine, secretly I know that I'm drinking faster and filling my glass a little higher, but I still only count the number of bottles consumed. Two bottles between two means that I only drank one bottle of wine, therefore I can have that extra drink, for some perverse reason.

I don't get the shakes. I don't have to have an 'eye-opener' drink in the morning. I don't pour vodka on my cornflakes. However, I guess it's a fine line. I can't remember how many consecutive days I've drunk a substantial amount of alcohol. Who's counting?

The recycling is mostly empty green glass bottles, and I shamefully dump disproportionate loads, while my temperant neighbours have diligently washed out their kale smoothie bottles and neatly folded up the cardboard box that contained organic vegetables.

These warning signs don't escape my notice, but sobriety achieved nothing. What did I prove, being sober for over a hundred days, just for a challenge? I do need to get my drinking under control though.

In a way, walking up to the corner shop for a £1 can of lager kept me in check. There was a small amount of effort involved, and the social pressures of not being drunk and disorderly in the streets (or the shops). If I was too pissed to stagger to the off-licence and get another can, then I'd had my fill and it was time for bed. I would wager that I drank less when I was homeless. It's the middle-class respectability and covert nature of drinking at home in the company of other well-heeled individuals that makes it all OK, provided you don't go over the top.

We speak in hushed whispers about that one friend or relative who's slightly too eager to reach for the bottle and refill everyone's glasses, filling his or her own to the brim. "Are they OK?" we wonder, and then we reassure one another "I'm sure they've got it under control".

It's the drinking alone that'll get you. To be released on your own recognisance is a dangerous situation. One, two, skip a few, ninety-nine, one hundred. Who's counting anyway?

So, my 'special squash' and nightcaps will have to go, and then perhaps I'll have the demon drink under control a little bit. A bottle of wine a night seems to be about the middle-class average anyway. How the hell is a person supposed to cope with this stressful world without wine?

Goodbye gin, my only true friend.

Tags: #alcohol