This is a story about doing the right thing for the wrong reasons...

I had 3 options: hospital, suicide, support network. Thankfully, I still have the latter.

I really didn't fancy another inpatient hospital admission. I probably would have had to accept stronger psychiatric medication, as it's pretty clear that my life hangs by a thread. One rash, hot-headed decision and it could be snuffed out in the blink of an eye. Think that sounds melodramatic? Screw you.

If you think that people say that they're depressed and suicidal because they're attention seeking, you're wrong. If you want to understand suicide a little more, you should watch The Bridge, by Eric Steel. It will cost you £2.49 and 90 minutes of your life.

I watched The Bridge as an inpatient. My suicidal plans to take Potassium Cyanide, changed. I decided that jumping off the Golden Gate bridge would have much deeper personal meaning, seeing as I had to cancel a San Francisco trip because of my horrible divorce. If you're going to die, do it quick & clean, or do it in some meaningful way, right?

Does it seem irresponsible? Well, actually I took out life insurance that covers suicide, that will leave a small legacy for my sister and my niece. I'm sure they'd rather have their brother/uncle, but suicide isn't really a choice but instead it's a reaction to unmanageable factors out of the control of that suffering individual.

So, instead of going back to hospital and being put in a chemical straightjacket, I made a video explaining what I was going to do and why. Then I booked a flight to San Francisco, packed a bag and headed to the airport. I was a man on a mission, but also a man on fire.

My friends have been scattered fairly far & wide. My friend John came back from Australia relatively recently, but we have been out of contact for years & years, and I struggled to support him - paying his rent and wages - when my need was very much vice-versa. We fell out when I grew impatient with his adoration of TV rather than job-hunting.

My friend Dave lives near Bristol. I would love to spend more time with him, but it's away from my work in London. That was one of the problems that was a coffin nail in our startup: Hubflow. I'm super grateful that Dave is such a great guy that he forgave me for becoming a complete sociopathic a**ehole as the pressure and stress of it all became too much, when I was CEO, and that we still seem to have a good friendship.

My friend Tim lives in Bournemouth. I really want to avoid that place. Bad memories linked to my divorce and startup failure. London is home. I like London.

My parents and a few old friends live in Oxford. I was dragged there against my will, and then my ex cheated on me, while I was temporarily evicted from my home. Bad memories. It's not my life... I live in London, not Oxford.

My sister and my friend MG live in Nottingham. I'd like to give it a go, but I haven't let London run its course yet. I will probably try and have a little pied-à-terre up there soon, so I have a base nearby my sister at a way lower cost than London. It's good to have an escape plan in case sh1t goes bad. Don't have one at the moment... hence suicidal thoughts.

I really want to get up to the North-East of England to see my friends Andy and Jim. It's a strange land for me though... I've been to the USA more times than I have been in the North of England, in my adult life.

So, when I booked my flights to California, USA, I knew that I was at least going somewhere with relative familiarity, even if that familiarity comes only from the movies I have watched and technology companies (Apple, Google, Oracle, Facebook etc. etc.) that I worship.

Also, I knew that there might be a chance to see long-lost friends, Ben & Jakub, who are business founders in Silicon Valley. Now, I feel very very embarrassed about the way I have conducted myself while things have not been going very well. I feel most embarrassed of all in front of these role models of mine, who have handled the same pressure and stresses. They have done it without vindictively and publicly blaming their shortcomings on their ex and/or parents.

Embarrassment drove me into my shell, made me withdraw. I didn't want the London Kitesurfers and my Cambridge peers from the Springboard Program to see me - an enthusiastic, happy-go-lucky, extroverted, capable and entertaining guy - so subdued by unhappiness in a destructive relationship. 

I stopped talking to my friends.

That was nearly fatal. Social media is the reason why I have maintained a toe-hold in life. Friends have reached out to me, when I'm clearly fumbling around without a bloody clue as to what the heck is happening to me, except that I'm loosing my grip on my will to live. That's made the difference. That's why I didn't chuck myself off the Golden Gate Bridge.

Thanks.

Jakub lent me the Apiry.io bike so I could cycle to Marin County, across the Golden Gate Bridge. Another thing ticked off the bucket list (Friday 30th October, 24 hours after making the video)

Tags: #suicide #depression #bipolar #startup #entrepreneur #parents #childhood #oxford #london #media #mentalhealth #friends

This is a story about the rise and rise of mental illness...

I used to be a Sea Scout. The motto of the Scouts is "Be Prepared".

When I suspected that I was becoming mentally unwell, I read every book, website, academic paper and journal that I could find that I felt related to my mental health and its potential treatment. I educated myself.

I'm an educated patient. Because I'm an educated patient, I avoided being medicated with a Selective Serotonin Re-uptake Inhibitor (SSRI) which would have caused greater mood instability than I was already suffering with.

SSRIs are also linked to emotional blunting and the destruction of the sex lives and relationships of many couples. My relationship was already on the rocks, hence going to the doctor to see if there were some magic beans or a silver bullet, that could cure my ills.

Fundamentally, I believe that some mental health issues are risk not destiny. There don't seem to be any genes that are clearly faulty in individuals who suffer from Unipolar Depression and Bipolar Disorder. They are complex spectrum disorders. Some people are really dysfunctional when they are unwell, and others find ways of coping, sometimes to the point that people around them don't even know they are suffering.

However, out of desperation, I have tried the following medications, prescribed to me:

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Mirtazepine

This was well tolerated (no nasty side effects that made me want to stop taking it). It certainly seemed to reduce my stress levels and get some sleep. I think I might have rebounded though and started to go hypomanic fairly quickly.

Quetiapine

Unless you like weight gain, constipation, dry mouth and feeling like a drugged zombie for the few hours that you are awake, before your next dose knocks you out and you start the whole miserable 24 hour cycle all over again... I can't say this medication gives much quality of life beyond dribbling at daytime TV.

Aripiprazole

This is useful to see if your head is held straight. If your head is leaning to the left, then you will dribble out of the left side of your mouth. If your head is leaning to the right, then you will dribble out of the right side of your mouth. If you are holding your head perfectly straight, then you will dribble out of both sides of your mouth.

Lithium

This is hardcore. You need to have regular blood tests. It will shorten your life. Avoid if you can tolerate other meds or manage without.

Sodium Valproate & Depakote

Do you plan on working again? In an office? 9 to 5? Not really compatible with going back to work full time. If you're not completely manic (psychotic) then best avoided.

Lamotrogine

Just takes so damn long to get up to a therapeutic dose, you go through another hypomanic episode, decide that you're fine, and then stop taking your medication anyway. It's pretty subtle. Apparently it improves REM sleep. I dream a lot anyway. My sleep quality is more a function of good sleep hygiene.

Olanzapine

Fast acting. Good to calm you down if you're having an unmanageable moment. Makes you sleepy though... couldn't really work 9 to 5 on it.

Bupropion

Fast acting. Incredible antidepressant. It did give me a panic attack once though. Also stokes my hypomania pretty bad. Although it's a nicotinergic agonist, it actually shares many characteristics of stimulants like caffeine and amphetamine. Makes you pretty horny. Helps you quit smoking too (I don't smoke though).

Diazepam

Mother's little helpers (Valium). This powerful long-acting GABA agonist is an amazing anxiolytic. You could literally stand in the middle of a highway and not give a sh1t about the cars whizzing past you at 70mph. Super addictive. Horrible to taper off.

-----

Fundamentally, do any of these medications work? Well, I can vouch for Bupropion, Olanzapine, Mirtazepine and Diazepam for their short term efficacy. However, the body soon gets used to the effects and builds tolerance, which means you forever need to increase the dose to get the same therapeutic effect... welcome to homestasis, b1tches!

In my anecdotal experience, it's better to tough out the storm and not mess with the ridiculously complex organ that is a brain. When the psychopharmacologists imagined how Prozac (Fluoxetine) was having its antidepressant effect they expected to see higher serotonin levels in spinal fluids. They told the world that depressed people had "low serotonin". They just guessed and they guessed wrong.

Type I Bi-Polar Disorder was also known as Manic Depression. This is a serious illness that requires serious treatment. It's not my place to comment on whether medication plays a part in that. I'm no expert on Type I BPD.

Type II Bipolar means that you have hypomanic episodes, not fully blown mania. That means risk taking, spending money, hypersexuality, racing thoughts and pressured speech... amongst other symptoms, such as reduced need for sleep & food, and intolerance of slow-witted fools.

I'm Type II. I think it's a very important distinction. If I can control my mood disorder with good diet, good routine, good sleep and abstinence from alcohol & drugs (including prescribed drugs) then my brain has the best possible chance of finding homeostasis.

If I can remove unnecessary stress in my life, caused by complete ass-hats, and I'm empowered to just get the f**k on with my life, then my symptoms will abate. It's as simple as that.

This was the first time that Frankie had ever seen snow. His brain adapted to the change in environment (December 2010)

Tags: #bipolar #mentalhealth #depression #suicide #sex #drugs #frankie

This is a story about burnout...

Here I am, back in Cambridge, after 4 years of ups & downs. What happened?

Well, I got hit by a perfect storm. I could see the storm coming - I'm a sailor after all - but I couldn't sail fast enough to get out of the way. Part of the reason for the sudden breakdown was uncontrolled self-medication with the GABA agonist, ethanol, which had suppressed my natural anxiety response until things were literally unbearable. The other reason is a lack of support from my parents. In fact, they actually undermined me and lied about supporting me.

Life is stressful. My sister is a single mum on a low income, working 6 days a week, going through a horrible divorce. That's stressful. I was a startup founder, in conflict with my co-founder and my girlfriend, who were both pulling me in different directions and away from my investors in Cambridge and my customers and talent pool in London. That's stressful too.

Our parents are always looking for the easy way out. They are not good at taking any responsibility, but I don't blame them. Whatever it is that causes them to be so slippery at accepting that they have 2 children who need their support, I want to find out and help them. My sister is a supermum to her daugher, my niece.

Even though our parents don't realise or appreciate it, we have been working so damn hard all our careers to make sure we don't place any financial burden on them. My sister and I have suffered in our adult lives as a result.

Something had to give.

You should give your children enough to do something but not enough to do nothing. It's as simple as that. If you don't give enough to allow your kids to do something then you're not a good parent. Simples.

My sister gives my niece a brilliant life.

So, I want to help my parents with their alcoholism. I want to help them see that projecting their inadequacies onto their kids is over-pressuring them. I want them to see that their kids are nice people who care about family and want to look after their parents in the manner to which they have become accustomed, but we are living in an age when the government has bankrupted the country.

Life is hard as a young person.

Baby boomers had it unbelievably easy versus the prospects that a young person faces today. The chance of a young person being debt free, owning their car, buying a house... these are pie in the sky dreams that will never come to fruition unless your parents are able to comprehend that their dreams of being idle pensioners are of lower priority than miserable deprived grandchildren and stressed anxious children, who have become parents themselves.

We have known about contraception and family planning for long enough, that there is no excuse for not thinking about the wellbeing of any children you might spawn. Having a baby does not make you clever. It means that your body did something that it was evolved to do... just the same as a slug, a pig, a fish, a bird. Reproduction just means that you failed to use your higher brain function, and acted instead, no differently than a fly laying eggs in putrid meat. Well done.

There are a great number of barely educated and underprivileged kids who are bored on housing estates and have no hope of escaping these sink holes. They are incentivised to perpetuate generations of welfare dependent and economically inactive families. These people have been robbed of the things that would enable them to work their way out of poverty and deprivation.

My parents both went to University, so they have no excuse.

I delayed starting a family until I had done more research into the genetic factors in Type II Bipolar Disorder, and had verified whether I could consistently manage my own illness in a stressful environment. Only when I know that I'm not going to pass on bad genes and I'm not going to have another stress-related burnout, will I consider stopping using contraception.

Condoms are a good thing.

My parents enjoy looking after my cat, Frankie, until I'm ready to be a good human to him again (August 2012)

Tags: #university #career #divorce #parents #depression #suicide #alcohol #addiction #bipolar #youth #sex #politics

This is a story about observation...

Frankie is a people cat. He needs company. When we went away to France for a couple of days, he was lonely and wouldn't leave our neighbour alone. He invited himself into her lounge and wouldn't leave. When we got home, he yawned, stretched and padded over to greet us. He let us all know how much he missed his humans.

It would be rather sinister to say that I had been observing my fellow patients in hospital, but it was kind unavoidable. I don't really watch TV and I find humans much more interesting than most other things. I also bonded with my companions, and the staff.

It was a locked ward, but I was there voluntairily so I guess I could have asked to be discharged whenever I wanted. But I went there to be safe, so it seemed crazy to ask to leave when it took me 13 hours to be admitted, and I was in a place of safety.

It's a bit of a strange compromise though: safety under lock & key. I wasn't sectioned but, scarily, the consultant did consider it, which was a little ridiculous considering I had been safe for 6 days by that point. A section can be 72 hours, 28 days or even 6 months... terrifying, considering all I did was go to my GP one afternoon.

Anyway, hospital was brilliantly therepeutic. I managed to tackle a bunch of stressors in my life, with the help & support of the NHS team. My treatment was very holistic: drawing, sculpture, drama, cooking, socialising, plus non-judgemental chatting to mental health professionals, of course.

Medication plays a role too, but it's very unclear whether it helps or it hinders, in the long term. Sure, if I was having a psychotic episode - seeing and hearing things - and was a real danger to myself or others, pharmacological intervention might be unavoidable, but is it really necessary to medicate a functional, articulate, self-aware and coping individual?

When I presented to my GP, we had the briefest of chats imagineable. My GP only really needed to know one thing: I couldn't guarantee my own safety. I had tried to keep myself safe, but plans to kill myself had formed in my head. It was only a matter of time before I acted on them. Free will is an illusion. We are controlled by circumstances. Try choosing not to be in pain next time you stub your toe.

Wanting to be in hospital is a big deal. Psychiatric wards are not for the faint hearted. You will have somebody checking on you a couple of times an hour - especially at night - and people yell out randomly all night. People sing to themselves. People wash obsessively (or is it compulsively?). People shuffle. People mutter incomprehensibly. People steal your stuff. People ask you strange questions. People are aggressive. People are inappropriate. There is a lot of anger, crying, frustration, fear, boredom, confusion, despair... but there is also hope and optimism. Strangely, I find the environment to be calming. It's supposed to be. It worked for me.

Obviously, you can't have shoelaces, belts, razors, scissors, cables (e.g. for charging a mobile phone), curtains (including shower curtains), locks on doors, furniture that's too tall, windows that open more than the smallest possible crack, windows or mirrors that could be shattered... there's a fairly comprehensive list of safety considerations.

Here's a little picture of the space where you can get some fresh air:

Nice, isn't it?

Well, yes it kinda is. The fact that the NHS has gone to all the expense of designing something that is - presumably - to discourage people from climbing the walls and jumping off. I guess that most people aren't such a good climber as me though, so it works for the majority of suicidal patients.

People also have unmet needs that are fairly obvious when you observe them for a little while. As a lifelong non-smoker, it was obvious to me just how important nicotine was in the lives of almost all the patients. The hospital has been smoke free for nearly 3 weeks, which is a huge burden on staff, who must accompany patients off the hospital premises every time they need a cigarette. Yes, that's right, need... these people are psychologically drug dependent. Nicotine is an extremely addictive drug.

Luckily I had already eliminated alcohol from my life too, 3 weeks prior to hospital admission. I actually have a working theory that that it's the reason why I became so deeply depressed. It happened to me in 2008 as well, when I quit drinking. It's so hard to avoid alcohol though - it's so socially engrained - that conducting an in-vivo study has been very hard, but I've gathered quite a bit of excellent quality data now (I've agressively managed to control other variables).

Frankly, I'm a bit of an oddity. I'm completely unmedicated, abstinent from caffeine and all drugs and alcohol. I have been for a long time. I'm about as clean living as they come. A perfect test subject for an unethical experiement into whether mental health issues come about due to environment, genetics, diet, social factors, stressors etc. etc.

Why unethical? Well... quite simply, if my mood sinks too low, I will take my own life. It's really not a choice. I don't want to die - at the moment - but when those dark times come, I feel quite differently. You feel differently too, and that's why you're thinking "why?" or some version of incomprehesion. You don't know how it feels until you've been there, and I really do discourage a trip to the edge of the abyss.

It's ironic. I have no fear of death, but yet I am able to rationalise that it would be foolish to make an irreversible decision. I ride my bike through handlebar-width gaps between double-decker busses, I climb the tallest trees, jump out of aeroplanes, have my photo taken on perilous ledges with no ropes attached to me, and drive at the limit of control.

One of the staff in hospital suggested to me the other day that I could keep 1% in reserve, just in case of emergency. It actually didn't sound too crazy.

Please support the Junior Doctors if they strike, and any other NHS workers. They deserve better pay & conditions (October 2015)

Tags: #suicide #depression #bipolar #NHS #mentalhealth #drugs #alcohol #caffeine #nicotine #frankie

This is a story of a culture that is destroying people's mental health and lives...

Management by balance-sheet, bean counters, spreadsheet jockeys and "yes" men and women are joining a set of executives who do everything in their power to abstain from any of the hard work and responsibility that is necessary in the world.

We have all heard horror stories of people being sacked by text message. In fact, skilled workers, professionals, have been steadily robbed of their worth and self-esteem since powerful rich men, behind closed doors in gentleman's clubs were allowed to asset strip British industry. The practice continues today, as companies are allowed to be headquartered in the UK, but are offshoring all the jobs for cost reasons, and are draining the wealth of the nation.

Europe is fast becoming little more than a tax haven for global businesses, with billions, if not trillions of dollars of profits being pushed through legal entities that have little reason for existence other than to evade the taxes that these companies rightfully should pay to the countries that they have extracted the profits from.

Luxembourg is the most obvious example, but Ireland has recently jumped on the bandwagon. The amount of tax that is paid by Vodafone (group HQ is Luxembourg... funny that, considering that Newbury, UK is where I thought they were founded?) or Apple and Amazon (taxed via Irish legal entity... I know Apple Maps is rubbish but it's a long way from Silicon Valley?) is a pittance. The amount of profits that these companies make is disgusting, versus what they pay as percentage of their gross profits.

However, maybe there is a good reason for all of this?

When I became unwell, and asked good old UK government for support - as somebody who has always paid my full taxes, has no offshore bank accounts, has never tried to evade or avoid taxes - I found that there was worryingly little of a safety net there.

I went to my doctor (General Practitioner, or GP for short, here in the UK) and had a 30 second conversation about what was going on in my life.

"Have you heard of Fluoxetine"

Well, yes, I have heard of Fluoxetine. It's the generic name for Prozac, which is an antidepressant from the 1980s. What the hell is my doctor doing dishing out 25 year old pills to somebody who they have taken 30 seconds to get to know? Well, we know that the NHS is extremely cost pressured, given that we have to give such large tax breaks to profitable billion dollar companies and make sure that we don't take too much inheritance tax from dead multi-millionaires. Oh, and we need nuclear atomic bombs too. Yes, we need to make sure we can always annihilate every person on earth at the flick of a switch.

Luckily for me, I walked away from a course of powerful psychoactive medication, that has been proven in long-term studies to be less effective than placebo. It also takes 6 weeks to take effect. My episodes of depression tend to be about this long anyway. Also, SSRIs make you fat and destroy your sex life, as well as blunting your emotions and generally making your sh1t life even more sh1t, but you'll be too doped up to even realise, unless you ever emerge from the chemical haze.

I'm pretty upset about this, if you hadn't picked up on that.

Another thing that is very annoying is that, as anybody who takes a few more minutes to get to know me will tell you, I'm certainly not what you might term unipolar. My life is littered with examples of radical mood swings. Catch me at a certain time, and you will see my racing thoughts, pressured speech, lack of sleep, intolerance of dimwitted twits, and evidence of my wacky projects.

One day I whimsically decided to knock down my shed, order a load of wood from a sawmill and build a giant beach hut summer house thing in my back garden. Somebody suffering from unipolar depression does not normally do such a thing, according to the DSM-IV/V.

I had to learn all about Google Sketchup, so that I could design the thing, learn about different types of timber, wooden building construction techniques, roofing techniques, planning laws governing outbuildings, estimate how much I would need in terms of materials, locate a sawmill, find a roofing supplier, get a chop saw, nail gun and roofing blow torch (the most fun tool of all).

At no point did any of this seems slightly strange or beyond my capabilities, as a spotty IT nerd who did little more than turn coffee into software for a living, by pressing buttons on a computer, in a comfortable air-conditioned office.

Working around-the-clock seemed perfectly normal too. I remember one neighbour pointed out that the sound of nails being hammered at 9pm was not helping him to study for an English exam... but how are you supposed to hammer quietly? I did try and hammer more considerately, but it seemed more considerate to simply get the project done as fast as possible (I think I took 3 days to complete the structure) given that I didn't know the sleep patterns of everybody within earshot.

So "Mega Shed" as she was affectionately known, appeared at the bottom of my garden in under a week, at a cost of £700. An ordinary week in anybody's life? Well it's hard to judge from an internal point of view, as you can't step out of your own mind and view yourself as others would.

Naturally, friends, colleagues and family are always impressed by a person's industriousness and ingenuity, so I saw no real reason to back off the gas. When the world rewards you for efforts, this reinforces your belief that what you are doing is sustainable.

I then decided to sit in my garden and read a huge stack of books on Quantum Mechanics. This then progressed to me reading every paper that looked interesting in Cornell University's online archives. Naturally, I then started emailling a bunch of the authors, and getting engaged in particularly interesting email based discussions with people around the world about De Broglie's Matter Waves (Pilot Wave theory) which looked a hell of a lot more elegant than all that Standard Model crap that couldn't be unified with General Relativity.

Instead of being discouraged, I found academics to be kind, indulgent and generous with their time. I took things too far, of course, and wrote a paper on the measurement of collapsing Quantum States in an entangled system, spread over a physical space larger than the light-cones of the particles being measured. Standard Quantum Eraser type stuff. I even tried to get it published. Lolz.

At no point did anybody actually directly say to me "you seem to be as mad as a box of frogs on acid with lasers coming out of their nostrils" so I kept digging myself into a deeper and deeper thought hole until I sank into another depression, with no idea what had just happened to me.

The thing is, it's fairly entertaining, enthralling, to watch somebody who is hypomanic. In our age of Big Brother and myriad reality TV shows, we seem to think that it's OK to be a spectator in somebody's spectacular life.

We seem to think it's OK to sit back and watch somebody go absolutely bezerk. It's that person's fault, right? Or maybe it's not their fault, but it's not your responsibility... that would be somebody else? Maybe doctors? Maybe the police? Maybe the council? I don't know... I'm just going to watch - because this is just too horrible to miss a minute of - and I can't tear my eyes away this is just so awful, somebody should do something about it, but not me, and not yet because I'm really getting into this. Brilliant. Who needs TV anyway?

I don't think that I'm not personally responsible for getting unwell, but I don't think that people know how to help, really. I don't think that people are particularly incentivised to help either. We have a very isolated existence. We don't know our neighbours, we don't trust strangers, we ring the police to deal with things that we used to work out between ourselves, we expect our doctors to give us magic beans to cure all society's ills.

So, today is World Mental Health day and World Homeless Day. I can tell you, from personal experience, that mental health issues can lead to homelessness. When I was discharged from hospital after a suicide attempt, I was given 2 weeks accommodation, and I was expected to use that time to arrange my own accommodation. I went to the council offices with a letter from my doctors, explaining that I was extremely vulnerable and that I should receive urgent assistance. The person I spoke to then went on holiday and that was the last I heard of it.

I don't blame the system or the people. People are trying to do the best that they can, but there are so many people in need of assistance, and so little money, because we are fixated on helping the rich to get richer, rather than supporting the most vulnerable members of society. I'm not even angry about it. Living in the Royal Parks and on Hampstead Heath was an eye-opening education for an extremely highly qualified and well educated guy who fell on hard times. If you think I chose to become homeless, then f**k you, you ignoramus.

Yes, I could have sold my camera, but I wanted to document what happened to me and I already sold all my other possessions to support myself. When will you be satisfied? Sell my clothes? Locking me up for being naked will be expensive (June 2014)

Tags: #mentalhealth #bipolar #depression #homeless #sex #banking #career #london #culture