This is a story about life support...

I was in a metaphorical coma for 4 years. I was virtually on life support for the first 2 years, and then I woke up to find my wife and parents trying to turn off the 'machines' that were keeping me alive. Shame on them. I gave up on life and spent the next 2 years at death's door, in and out of hospital.

The first 2 years, there was nothing anybody could do. Having suffered 6 years at the hands of somebody so unfaithful, cruel and abusive, my body & mind finally gave out on me. I cracked, collapsed, capitulated. The crash was inevitable. You just can't abuse somebody for so long and expect them to just suck it up.

Two years might sound like a long amount of time to 'care' for somebody, but if all you're doing is going on dating websites and taking holidays using my money then it's not all bad. I don't even care about the money. I'm open hearted. I pay it forwards. If you take and you don't give back, then I know that you pay a debt of guilt. I know that if you have a moral bone in your body, you know what the true balance of karma is.

Actually, not a lot of caring went on. During my first hospital admission, my ex-wife didn't even ask about visiting hours, the phone number to contact me or bother making any plans to come visit. The moment I was admitted to hospital, she jumped right on those websites and started arranging to meet people. What a c**t.

Oh, sorry... I'm not supposed to be bitter about stuff. Yes, I'm supposed to be the punchbag. I'm not supposed to have feelings. I'm supposed to be a pincushion. If you prick me, I'm not supposed to bleed. I'm supposed to be inhuman. But insofar as I can tell, I'm very much human. Sorry about that.

I suppose she's human too, although it's hard to imagine when she treated me so inhumanely. I suppose she was probably a sex addict or something. Definitely some psychological problems, but who am I to judge? I'm just the guy who was nearly killed by her narcissism and selfishness.

I wonder how you can move on like that. Destroying somebody, putting them in hospital, and then just immediately thinking about the next victim. I wonder what kind of callousness, lack of empathy, psychopathy, allows you to expend a human life and move on as if it was nothing.

I suppose if you've decided that you want another boyfriend or husband because you don't like the one you've got, the best thing to do is probably abuse them until they kill themself. It's a lot quicker and easier than just breaking up with them. I guess she had moved on, which is why she thought it was OK to go on dating websites while I was fighting for my life.

What difference does having a supportive partner make anyway? What difference does having supportive parents make? It can't be very much. The parents should just support the partner who's going to be bereaved and help to finish off the sick and weakened person. Yup the sick person is a lost cause, so it's a good idea to hurry death along a bit.

My parents initially refused to help at all. They refused to help either of us. Then they started abusing me too, but I can see that it was probably an ill-advised attempt at 'tough love'. Well guess what? I'd had my fill of tough love having my face smashed in by my partner.

Then my parents did what she wanted, which was to get me out of the way so she could go on dating websites as if she was single and had managed to buy a house on her pathetic salary. Yes, she quite liked the house that I paid for. She did let me have the deposit back when we divorced, but only because my solicitor fought for it. I just wanted my life. I told her to take as much as she wanted, and horrifyingly she wanted it all, including my life!

Perhaps this horrible treatment had something to do with prolonging the first terrible 2 years. I was a bit like a car running on 3 cylinders, spluttering and coughing, kangarooing down the road. There were opportunities for recovery. There were periods of improvement. However, the toxic atmosphere still persisted. You just can't recover when your partner wants you dead and your parents are co-operating with them.

I'm pretty canny. I know how to choose my battles wisely. I knew that it would drive me insane if I tried to battle the abusive shits head-on. You just can't win a battle where you're outnumbered and weakened. If you want to live, you need to curl up in a ball and protect your vital organs, and wait for the blows to stop being rained down on your head. You need to play dead.

So my ex-wife took her loot and ran for the hills, leaving me bruised and bloody in the gutter. I don't begrudge her taking her share. She paid into our joint finances, and took far more than that, but it's not her fault that she's so sick that she can't do the basic maths. She felt entitled, to damages perhaps? But it was me who was damaged. It was me who was left fighting for my life. It was me who was nearly dead.

I just wanted her out of my life after she said she'd rather I was dead and marked my suicide note in red pen, with loads of abuse all over it (she's a teacher, you see... so that's OK, right?). She was homocidal. I'm not saying she's a murderer (that I know about) but it's pretty worrying behaviour. Certainly a breach of the "in sickness and in health" marriage vows we made to each other. What a c**t.

Oh sorry, almost a bit of bitterness there. Except it's passing now. Now that I know that I'm free, and I'm alive, and I'm somewhat recovered from where I was 2 years ago, when we finally separated. It was a very close call. Apparently probate is a lot easier than divorce. That was her preference anyway, to be widowed rather than divorced. That's what she said to me. What a c... oh, hang on, I'm now starting to feel pity for her, rather than bitterness.

Yes, I'm wondering what could drive a person to have such careless disregard for a human life. It's rather worrying. She must have had some pretty horrible stuff happen to her as a kid. Yes, I really pity her. What a sad messed up person. What a shame. She is very smart and I found her very attractive, although a lot of people wouldn't fancy her. I was totally in love with her, even though she was very hard to love.

I really hope she learnt some stuff from our relationship. I know that I did. When a recent ex-girlfriend started throwing abuse and plates and knives at my head, I dumped her immediately. She was a feisty Italian lovable little thing, but there's no future for me with somebody who thinks that kind of abuse is acceptable. When another girlfriend started using abusive language towards me, I told her I didn't like it and asked her politely to stop, and she did. That seems more normal to me, more healthy.

I think alcohol and drugs can be dangerously disinhibiting. I don't think my Italian ex was drunk at the time but she was probably high on drugs or on a comedown. I have no idea. It's just an excuse anyway. Those things are not changing your character, they are just revealing what lurks beneath the surface. They are showing you what that person is really like, under the surface.

When you get drunk or you get high, you are testing yourself to the limits. You are effectively putting yourself into an extreme situation that would never occur in normal life, except during exceptional circumstances. You are switching the mode in your brain to a state that it would normally only enter because of a response to something very unusual.

By taking drink or drugs, you are going to trigger fight or flight responses in yourself. When I got very upset with my ex-wife, I used to get in a taxi, or drive to an airport. I'm a lover not a fighter, so it's the flight response, not the fight response, that gets triggered in me. I left our joint birthday party in 2006 because she was having a tantrum and saying she was having a horrible time.

I called the cab for both of us, but she was having such a horrible time that she wanted to stay, so that everybody could see how horrible it was for her, having a massive party. What was horrible for me was seeing the girl I loved very upset. I was trying to take her away from a situation that she was telling me was horrible for her.

Another time, she was having such a horrible time, sitting on a sofa with my friends, with me excluded for some reason. It was so horrible for her, having all these friends around her, caring about her. It must be so horrible to be loved by somebody who cares and wants to make you happy and protect you from horrible things. That must be horrible. I drove to Gatwick Airport, because I didn't know what to do. The flight response.

Yes, I fly, I don't fight. I can fight, but I won't. I will take flight. Fighting doesn't achieve anything. Flying gets you out of the situation of conflict and stops anybody from getting injured. It's the more evolved response to a stressful situation.

I flew us around the world many times. That was my solution. I paid for tens of thousands of pounds worth of flights, to keep her happy, to keep us happy. She was very hard work, and had very expensive tastes, but she was worth it and I don't regret it. I loved her to bits.

It kind of works, having 5 star holidays all over the globe. I remember her having an absolute meltdown every time something would go wrong with our travel arrangements, and I would just have to quietly move her a safe distance away, and then go and use a charm offensive to repair the damage caused by her sour face and tantrum, before negotiating what she wanted.

Holidays were very stressful. She wanted a camper van when we went to Hawaii. The poor people who ran the camper van company just wanted to have a relaxed Christmas break, and when their camper van broke down, there wasn't a mechanic on the island of Oahu who fancied fixing it during the holiday season. I had to bust my balls, and theirs, just to keep her from throwing her toys out of the pram. It was hard work.

That's just one example. Every holiday, she was very demanding, and I was her personal tourguide, smoothing things over with the locals. Yes, she was very organised, officious, but that's not the way the world works. Things go wrong, and things don't run like clockwork. I remember getting wound up when taxi drivers would stop in the middle of the road and talk to each other in remote windswept locations that hardly any Europeans ever visit, but then I realised that it's important to embrace local culture. It's important to go with the flow. I learnt some patience, some humility.

Yes, you can go to a place and splurge your cash and expect to be chauffeur driven around by a man-servant. However, when I asked her, she said she wanted the authentic experience. As her personal tour guide, I delivered what my client asked for, always. I think she really liked the local bus we caught in Egypt, packed full of farmyard animals and cargo, with the passengers who just wanted to discuss English Premier League football with us.

Travelling is hard work, and it's stressful, when you're the one who has to figure stuff out on the ground and actually deal with the language and cultural barriers. Getting stroppy and telling people that you're disappointed and "it's not good enough" really doesn't get you anywhere. Tact and diplomacy are the order of the day.

I hope my exes enjoyed their holidays. I really poured my heart & soul into making sure they had a lovely lovely time.

13,796ft high, at the summit of Mauna Kea. Trip of a lifetime. Was she grateful? The fact she wanted me dead would suggest not (December 2012)

Tags: #divorce #suicide #depression #mentalhealth #bipolar #frankie

This is a story about a split personality...

This is 1 Churchill Place and this is Nick: the schoolboy who leads an exciting double life. For when Nick eats a banana, an amazing transformation takes place. Nick is BANANAMAN, ever alert for the call to action.

I'm not actually Bananaman, but I do eat porridge and a banana every morning. I'm also ever alert for the call to action. I wasn't born to follow.

In Silicon Valley, and with the top people in banks, there is an arms race. But it's not with weapons, it's with smart people. If you let good people go to your competitors, they will beat you. It's that simple. High performance teams make stuff happen.

There's no point in being part of a race to the bottom. I was really impressed by the way that Barclays have embraced the modern software development paradigm. They hired bright young people and allowed them to get on and make some damn high quality software. They let them run their projects with a risk-based approach and using Agile best practices.

I got a bit cross with a couple of people at Barclays, who were straddling the line. They were neither demanding quality and an old-school attention to detail, nor were they very talented or quick. However, the bulk of the developers were amazing and a pleasure to work with. There is always dead wood in any organisation. The problem comes when somebody gets promoted to a position of incompetency.

There's no sense in bluffing your way into a role you can't handle. If your skills aren't up to it, you can't handle the pressure or you just don't have relevant experience, stay away... you're just going to land you, your team and your company in trouble. I've never stepped away from a role in a particularly elegant way, but I haven't dug myself a hole either. I hate people who make themselves into a key man dependency when they're incompetent.

Fail fast. Move fast and break things. There's no sense in spending years and years doing something you're not very good at. I hate the way that we all need to push for promotions in order to get a pay rise and not be on the breadline, but people end up being promoted to positions they're hopelessly unqualified for, because all they're good at doing is kissing ass to clamber up the greasy pole.

Yes, if I had an hour to do some actual work or an hour to make myself more indispensable, or improve my promotion prospects, you can guess which one I'm more economically incentivised to do.

The way that corporations are run encourages people to delegate the things that they're supposed to do, and concentrate on things that only further their personal objectives, which are in direct conflict with the organisational needs. The most junior team members do all the work, while their managers concentrate on making themselves look good, and scrapping over the few promotions.

This adversarial system is flawed from the outset.

Look at how compliant these suit wearing office workers are, patiently queuing to get on a packed tube train to take them back to their miserable tiny home that they hardly spend any time in. They spend all their time pushing paper around in order to service the mortgage, which is a millstone around their neck.

God forbid that you end up procreating. Then your nuts really are in the vice. You will be having to sprint along on that treadmill to service all your debt, working to worship angry bawling midgets that are hungry and have relentless needs for clothes that they will soon outgrow or be ruined by this decadent practice of 'playing'. Ha! F**k those little sh1ts! They get to 'play' all day... how nice for them. Bastards.

Well, there's a way to punish those little sh1ts for being born. Yes, they should have a taste of what it's like to have not kept your cock in your trousers. Yes, they should be forced to go to an office like environment. No play for them. I have to sit at a desk all day, bored out of my mind, so the fruit of my loins has to too.

That'll teach the kids for being so stupid as to give birth to themselves, without a care in the world for how they're going to pay the mortgage, dress themselves or feed themselves. There's a rumour that babies can't even forage for food or kill an antelope. Who the hell do this race of midgets think they are? Arrogantly expecting to be wheeled around in carriages, and getting to gorge themselves on milk swelled breasts all day. That looks like a jolly nice life to me. I don't get to suckle on any breasts at all in the office. Yes, I was sacked last time I did that.

I'm rather patiently waiting for the day that I'm big enough to go to school. Mummy says that when I'm all grown up I will get to go and study with the other children. I will get to read books all day, and write poems and sh1t. Yes, that sounds like good fun. I would like to do that all day. At the moment all I do is follow grown ups around and get told off when they make mistakes. I do tests that they know the answers to, but they don't like my answers.

I see that the grown ups like to drink coffee and alcohol. I'm too young to have those things, but they look like a lot of fun. I would like to have those things. It looks like the coffee allows you to concentrate on doing your job, rather than having to deal with the existential angst of executing pointless tasks. It looks like the alcohol allows you to deal with the anxiety of never quite being able to break free from a system that is engineered to break the will of the sheep-like people, and force them into a system of meek compliance.

Yes, I think I will like it when I become a student, and I will get to lie around drinking booze and coffee, and pontificating about life the universe and everything. Reading books and writing is a lot more fun than being told what to do by grown ups. Mummy says I'm smart so I deserve to get to sit around and be complemented for coming up with the same answers to questions as the grown ups.

I can see now that the master plan is working very well. I can see now that studying history, politics and having mastery of the English language, has led us to this point of great enlightenment. Yes, I can see how amazing society has become since we started getting everybody to read the same books and work in the same offices doing the same kinds of things. I can see now that this kind of groupthink has been a very successful experiment. Life is so amazing now.

I'm so disappointed that I didn't come up with the very clever idea of studying other people's mistakes in order to be able to be an expert on mistakes. I'm clearly not very clever, because I'm not very good at making mistakes. Except the mistake of accidentally doing successful stuff. Yes, I should be like the grown ups who study mistakes and then copy them. I'm not very good at following their example. I'm not a very good student of failure.

I stupidly keep building stuff that works. I stupidly keep making a profit. I stupidly keep succeeding. How silly of me. Yes, that's clearly not the way the world works. We need to have failure. We need to have fighting. We need to have war. Success is not an option in the modern, enlightened world.

Let's not listen to the successful people who are proven and are making things work without violence and conflict. No, let's glorify the bullies and the warmongers instead. We should definitely have a society run by failures, run by those who can't make things work, harbour ideas of violence and vengeance to compensate for their inadequacies. Those are the kinds of leaders I want.

I see now that we are choosing just the very kinds of leaders that we really need. The kinds of people who want to go into positions of authority, responsibility... they are invariably the kinds who are not on a total ego-trip and grinding an axe, have a chip on their shoulder. They definitely don't have micropenises and some kind of small-man syndrome.

Yes, all the warmongering. Getting your willies out, I mean getting your guns out. Yes, it's very macho. It's definitely not overcompensation for your inadequacies. I'm definitely full of much more admiration for leaders who advocate violence. I'm definitely in favour of a global society based on bashing each other over the head with clubs. I'm definitely not in favour of diplomacy and peace. War is the answer, but I've been too stupid to see it before.

How foolish of me not to see the brilliance in the idea that we can all have pointy sticks and we can just attack each other and take whatever we want. I'm really looking forward to living in a cave again and foraging for nuts and berries and trying not to be eaten by a tiger. It sounds a lot more exciting than working in an office.

Yes, working in an office is pretty boring. I'd much rather be bullying somebody with my pointy stick. Especially if I have a pointy stick but they don't. Yes if I get to poke them with my pointy stick with no fear them being able to poke me back, because I'm the only one with a pointy stick, then I'll feel like the king of the world, which is the whole reason for the existence of the Earth and humanity, right? The whole reason the entire planet and the human race was created was as a massive entertainment system for me, right? I'm entitled to go out poking whoever I want with my pointy stick because it's fun.

The whole reason the world exists is so that I can have fun. It's a playground, and I'm allowed to play. I'm bored in my job and I want the attention of the other children and I like playing games, so I'm going to sharpen a stick and go and poke the most vulnerable weak person I can find. That will make me feel good.

I have no words to describe just how boring it is moving money around for pointy stick manufacturers. I have no words to describe just how boring it is never getting to play with those pointy sticks. I have no words to describe just how boring it is to never get to poke anybody with a pointy stick.

I've studied the history of poking people with pointy sticks and it sounds like a lot of fun. There's a lot of hope & glory in poking people with pointy sticks. It sounds like a barrel of laughs. It sounds like a game of soldiers.

So what the hell am I doing flying a desk when I could be flying a drone. I'm good with computers. I used to like computer games. Poking people with pointy sticks makes you feel better about yourself. What's not to like? I think I've found my perfect career.

It must take a lot of bravery to sit behind a screen, pressing buttons, in the full knowledge that the remote system that you are controlling that is poking people with pointy sticks, completely protects you from any physical pain or risk of injury or death. Yes, that's a really brave thing, I think, to sit playing war games on a computer.

Whether the people being poked by your pointy stick are real or they're simulated, that doesn't really matter. It's just that the graphics are probably more realistic in the simulator. I like the way the heads explode when you shoot them in the simulator. I don't like the physics of reality. They say that the simulated people don't even have families. Where's the fun in killing some computer simulated person who doesn't even have a family?

It gets boring after a while, killing simulated people. Time to drop some real bombs. The physics in reality isn't as good, but at least you're killing real people with real families. At least there is real human suffering. We haven't figured out how to simulate human suffering yet, or maybe nobody is particularly interested in experiencing simulated human suffering. Maybe there's no money in simulated human suffering. Maybe there is only money in real human suffering, for the manufacturers of pointy sticks.

That is all.

Frankie is well trained. Look at him doing his filing. It's a File-o-Frank (April 2007)

Tags: #frankie #politics #computing #banking #career #london

This is a story about burying your head in the sand...

The gravy train has left the station. The party's over. The song has stopped. If you haven't got a place to sit you're out of the game of musical chairs.

The middle classes have been very busy playing musical chairs with their make-work jobs in bloated service industries that contribute nothing to the real economy. Meanwhile, in the real world, climate change and poverty have been largely ignored.

Sadly, a large swathe of older middle class people are very lazy. They sit at home in their big houses, watching TV, reading newspapers and criticising everything, but never lifting a finger to do anything. Many don't even vote or destroy their ballot paper.

Today, at the climate change march held in London, I saw many grandparents who are very concerned about the world that is going to be left for their grandkids. Sadly, my parents have no concern for their children or grandkids. You can't make a difference to the world by sitting around taking drugs, sorry Mum & Dad... the world doesn't work like that.

My parents have sucked a great deal of money out of the state to pay for illnesses relating to their abuse of alcohol, drugs and smoking, but they give so little back. It's really embarrassing. When they were contacted because I was in hospital with a 30% chance of surviving, they decided to wait for the call from the coroner... they decided it wasn't worth the 45 minutes or so to travel from Oxford to London Paddington.

Okay, so I'm not doing a great job of changing the direction of my writing yet. I'm trying to move it from the angry rants into some more positive stuff, and finishing my own story. However, I had to deal with my parents earlier in the week, and I just found it incredible that they would sit there and tell me that London is too far for them to visit a gravely ill son or daughter in hospital. Today I saw many thousands of pensioners who are far older and in much worse health than them, out in the wind & rain, protesting against man made climate change.

My parents live not far from David Cameron's constituency home, and I think that they epitomise the Conservative mindset of out of sight, out of mind. Because these ridiculously selfish people never actually see suffering and pain first hand, they can smugly sit there in their multi-million pound Cotswold houses and do nothing except criticise the victims of the world's cruelty.

That's an injury that was inflicted on me by my own father. He seemed to think that treating his own son like a human was somehow optional, and it was OK to perpetrate an act of savagery against me. I really don't think there could ever be any justification or reasonable explanation for somebody of sound body and mind doing something like that to a person, so I'm not even going to go into the circumstances surrounding it. I'm totally appalled by the way that my parents speak to me and treat me, and the things that they have done to me. I'm over it. They're pretty much dead to me.

There's a simple formula for looking after a human life: be kind. That's it. It's not hard. If you're hitting humans, abusing them, telling them they're bad, calling them names, criticising and undermining them, humiliating them and generally robbing them of self esteem, disrespecting them and treating them like utter shit... yeah, that's not good. That's probably going to fuck them up.

The National Health Service (NHS) was kind to me. After I bandaged up my leg with sanitary towels and a dressing gown cord, I came back to London. The Royal Free Hospital repaired 4 tendons and 2 nerves in my leg, so I could move it and have feeling again. God bless the NHS.

I've always looked after myself and it's ironic that the first time I needed an operation is because my own parent attacked me. My dad has actually had to have a few operations because of his poor lifestyle choices. Drinking and smoking and taking drugs f**ks up your body and it's the NHS who have to pick up the pieces.

It's better to build happy healthy children than to try and fix f**ked up adults. Surely it seems to make more sense to hug your kids and make them feel loved and cherished, to look after them, rather than just dump them on the state? I don't believe in this difficult child horse-shit. Kids respond to their upbringing. Be nice, and your kids will be nice too. It's that simple.

I've been trying to get all of my travelling and entrepreneurial ambitions out of my system, and I know that drug-taking in front of children is a complete no-go. I have even delayed fatherhood while I figure out what's going on with my mental health. I take the responsibility of parenthood very seriously. If you don't alter your lifestyle at all for your children, you're a terrible person.

So my friend Klaus keeps reminding me that "your wound is your gift" and I think he's right. I look at the huge scar on my leg, and I'm reminded just how toxic even my own parents could be, and that I need to be kind and compassionate and work hard for the benefit of humanity. I'm reminded just how irrelevant such terrible people are in my life, in the lives of the ordinary people of the world and in the future of the planet.

Such horrible selfish people need to be outed from their positions as moral authorities, and stopped from gaining any kind of political influence. If you don't have empathy, kindness, compassion... what the hell are you doing having any influence over children and grandchildren? You don't deserve anything more than to sit and rot in your home in lonely misery.

So where is my own empathy, compassion? Well, I'm very beaten down, but when my parents are eventually as weakened and old as the oldest and weakest member of the climate change march that I saw today, then perhaps I will approach them again with the olive branch of peace. Until then, they are far too vicious and cruel and ignorant and horrible to be approached. Let them stew in isolation for fear that their toxic ideas might permeate.

I'm very jealous of friends who have good relationships with their parents. I would like to have a loving, caring family with close ties between us all, but my parents are so toxic that they have poisoned many of the relationships between our family members. They spend a lot of time cultivating their woe betide me tales of their own suffering. Yes, it's called karma. If you drink and smoke and take drugs and treat your kids like shit, then you'll be sick and miserable and you'll deserve it.

Weirdly, I do still love my parents. I guess this recurrent feeling of feeling unconditional love for somebody who treats you like shit could be the basis for a mood disorder. Always trying hard to please a parent, and receiving an unpredictable response dependent on their state of intoxication with drugs or alcohol can create a lot of uncertainty in a child's life. It can shape a personality into one that has issues with boundaries and healthy forms of self-expression.

Communicating my distress via a blog looks like really strange behaviour, but believe me, I've tried all the other ways, and the above scar is my reminder that the result is never good. I had successfully managed to keep my parents at arms length for many years, much to the benefit of my health and happiness, but sadly my ex-wife managed to screw that up with some kind of bullshit story that brought my dad and his heavy-handed aggression, violence and woeful ignorance into play, with disastrous results for me.

When your back is against the wall, when you're cornered, when there is a lynching mob out for your blood, whipped into a frenzy with lies and ignorance... you have to resort to unusual tactics if you want to survive. I'm not really sure if I want to survive. I'm very exhausted by death by a thousand cuts, and everybody wants to put the boot in. However, unfortunately the survival instinct seems to prevail even though I'd love to just curl up and die.

So, I'm lashing out again. Sorry about that. Maybe you shouldn't corner and cruelly torture somebody who has been so badly beaten and bruised. They say that an injured animal is the most dangerous.

I'm trying to redirect my energy into more positive things though. I'm trying to be heard again, not in the hope of saving myself, but in the hope that somebody else who's in a similarly dark place can see that they're not alone. I'm hoping that somebody else who's going through hell might read my story and feel a little bit less alone in the world. I'm hoping that anybody who can relate, feels a little bit less like an unwanted freak.

I'm going to continue on my path of brutal honesty. I'm not out to name & shame anybody. This is my unedited story. There's a lot more to come, and a lot of it is going to be shameful and embarrassing for me, but I'm going to tell it anyway. I'm going to tell it because it needs to be told. People need to know what happens when you bully and abuse somebody. People need to know what happens when you repress and oppress and humiliate and exclude and destroy self-esteem and take away somebody's hope and reason for living.

I also want to try and keep going on a positive path of recovery, and discover if there's a path back to happiness and light. If the story has a message of hope in it that is emerging, that's a good thing. It might help somebody else who's going through hell, and then it was worthwhile me sharing and facing my fears of ridicule and shame.

I'm trying to do good deeds.

You can take the boy out of Oxford, but you can't take the Oxford out of the boy (November 2015)

Tags: #politics #parents #childhood #london #nhs #injury

This is a story about the spread of lies and misinformation...

Wealth does not trickle down, but information does. If you pass off lies as if they were facts, they will spread and people will start to believe complete rubbish. Journalists need to check their facts. So should we, if we are going to broadcast things all over social media and to our friends and family.

I was disappointed by the number of my friends sharing a story about an ambulance "packed with explosives" at the Germany vs. Netherlands football game that was called off last night. I think it is little co-incidence that these were the same friends sharing stories about what a successful air strike the French had made against "ISIS" the day after the Paris attacks. From what I could see, it was an air strike against the sovereign nation of Syria. Strikes against a nation without declaring war on them is illegal, or so I thought? Perhaps it's me who is confused.

So, what the heck is going on in the world? My friends and family have been turned against me, with rumours being spread about my mental health, alcohol and drug issues. If you didn't see it with your own eyes, or see some evidence, why would you believe those who would seek to damage? What is the ulterior motive, when we are being told that a group of people or an individual is "evil" and needs to be excluded, wiped out... they are dehumanised.

What does this kind of infighting really achieve? Aren't we all the same, under our clothes? Don't we all bleed red? Don't we all feel pain when you hurt us? Don't we all have fear when you threaten us? Don't we all cry when you isolate and exclude us?

What's the point in spreading lies, misinformed rubbish that's based on complete ignorance? What are you hoping that it will do? It certainly won't make anybody think you're a better person. It certainly won't advance humanity, civilisation. It won't protect you and your children and your grandchildren.

Yes, I think that fundamentally, people are playing on the fears that you naturally have as a parent. You want to defend the genetic material that you have managed to replicate into another bag of DNA... your children and grandchildren. You will happily kill if it means that more copies of your DNA get to be reproduced. It's the selfish gene in action.

However, you have higher brain functions. Society and the advancement of the human race now means that we have written language and a body of historical literature that we can learn from. We can look at what has happened with countless empires and see that the same mistakes get repeated over & over again. Human nature includes animal nature, and that most basic nature is to fight and fuck and try and pass on your genes.

Do you think you could rise above the level of a mosquito, just for a minute?

Stop sucking blood and fighting and fucking. That's what animals do.

Yes, you're an animal, but you also have the gift of consciousness, which means that you're self aware, and you can self-direct your actions based on the evaluation of more than whether you are horny or hungry. Yes, you might still be horny and hungry, but you can also be considerate and kind and thoughtful. You can surely see the physical manifestation of immorality in the world? Does "thou shalt not kill" apply to you?

So, I'm not religious, but at least religion preaches a code of morality. I have morals even though I don't worship any god(s). I believe in certain things that have been attributed to a 2,000 year old man who was supposedly called Jesus Christ... but I'm not a Christian.

Let he who is without sin cast the first stone. Does that ring any bells? Guns and bombs are like stones, that we are raining down on the heads of many of our fellow human beings fairly indiscriminately. That's immoral.

You cannot let things that are going on in the world sit comfortably on your conscience, unless you're some sort of psychopath. Look at the huge number of refugees fleeing illegal wars. You help to support the kind of horrific barbaric behaviour that is causing this human suffering. If you're thinking "what can I do?" or "it's nothing to do with me" you are an ignoramus. You are a horrible person.

Your kids and grandkids have got to grow up on this polluted war-torn rock. If you're teaching them that it's OK to sit idly by while people are killed, or worse, you are promoting killing and illegal war, you are immoral and you are destroying the world. You don't deserve to be teaching your children and grandkids vile views that will perpetuate the cycle of hatred and violence.

An eye for an eye leaves everyone blind.

That is all.

Frankie: "Why, daddy? Why do the horrible people do it? I just want to eat cat food and play with a ball of string and sleep in the sunshine" (June 2007)

Tags: #parents #politics #civildisobedience #frankie #terrorism

This is a story about psychoactive substances...

Here's an example of the kind of run-of the-mill parties I used to throw for all my friends. I once spent £700 on sparkling wine during one particularly lavish garden party. I think I was a bit of a 'lush'.

Drinking culture is sometimes celebrated. Certainly throughout the City, we thought it pretty normal to be slightly sloshed at our desks after lunch quite often. After work was carnage. A copious amount of alcohol was consumed by all involved.

I worked for HSBC for a little over 4 years, and JPMorgan for a further 3 and a bit, before my body really needed a break. At my leaving do I was downing shots at 4am with an alcoholic who later needed a liver transplant. The consumption was unchecked and rampaged out of control.

So, I've not been drinking for 52 days and I don't go to Alcoholics Anonymous meetings, so I can't be an alcoholic, can I? The definition of somebody who is an addict or an alcoholic is somebody who can't stop taking a substance, despite the detrimental effects on their life. Seeing as I don't drink or take drugs, I can't be an alcoholic or an addict. Quod erat demonstrandum.

In fact, I'm not somebody you normally meet. I don't drink tea, coffee or other caffeinated beverages, such as Coca-Cola and Red Bull. I don't smoke. I don't drink. I don't take any medication. I don't take any legal or illegal drugs. That makes me a real oddity.

People like to say "I can quit anytime I want" and are particularly adept at avoiding their most obvious addiction... caffeine. I've written about it before, but it's worth reminding people... you're probably addicted to caffeine but in denial. You need to give it up for over 3 days to really experience withdrawal, because you have reached steady blood-plasma concentration which means that it will take that long before you start feeling the withdrawal and cravings.

So, basically, don't lecture me on addiction until you reach the level of clean living that I have achieved. I'm not lecturing you. I'm just giving you the facts and telling you why I won't listen to a hypocritical word you say until you prove your 'willpower' to me.

On the topic of mood stability: I self-medicated successfully for years using caffeine to fight depression & somnolence, especially during winter. I used alcohol to calm my anxiety and racing thoughts, and treat my insomnia. I had a high-powered job and successful career throughout, so it's hardly like anybody can argue that I was not extremely adept at self-medicating.

Except that one day, my body decided it had enough. I was struck with extreme fatigue and depression that was completely debilitating. If you say "oh just get out of bed and stop complaining" after somebody has worked as many hours as I have done, don't be surprised if you get punched in the face.

It's not a competition. Except that it is. There's an arms race in the City. Who can stay later than their boss to try and impress and get that big bonus. And then when everyone has stayed later than the boss, the game is to stay later than each other. How late can you send an email to the boss, basically saying "just leaving the office now [you should know that I won the prize of working hardest]".

Sadly, that's pretty much how the bonuses and promotions get decided... who's worked the longest hours and raised awareness of just how hard they've been working, louder than anybody else. If you want to get to the top of the pyramid scheme you have to clamber over the other clawing bodies in the pit with you.

Getting ahead in your career is also dependent on how well you handle your ale. Yes, there is a lot of machismo in drinking culture. Going home and not going out drinking can damage your career. You need to be seen to be seen. You have to wait until everybody is so drunk that nobody remembers you leaving, before you slope off home.

So, between strong coffee and lots of beer & wine, that pretty much fuelled the first 11 years of my career. It certainly worked, in terms of pay & promotions, but it cost me a lot in terms of health. Not obvious health, like having to have a liver transplant luckily, but more subtle than that. My body & brain are just not very good at managing without stimulants and depressants to manage my mood... I've been drinking heavily with workmates since the age of 17.

So, if you think I'm less of a person for struggling with my moods and you are looking for an obvious thing to point the finger at, you are going to be disappointed if you want to point at drink & drugs, because I'm abstinent from both.

You might also want to consider your own relationship with alcohol and caffeine before you brand any labels on anybody. You would be surprised to learn about your own 'addictive personality'.

There's actually no such thing as an addictive personality. We are all programmed to like food, sex, gambling. Our brains are all affected by plant alkalis and alcohol and other substances that will cross the blood-brain barrier. You're no different from me.

That is all.

Cheers! (July 2009)

Tags: #addiction #drugs #mentalhealth #career

This is a story about setting a good example...

If you take drugs in front of your children, you are a sh1t parent. Period. No ifs. No buts.

If you are high on drugs, drunk or otherwise intoxicated, stoned, coming down, craving drugs or generally in a f**ked up state because you are abusing drugs and alcohol, then you are an inconsistent parent, and this sends very mixed messages to your children, which affects the development of their personality.

Your children are like sponges. Little rabbits have big eyes and big ears. They can pick up on the variations in your mood. They can sense the instability caused by drink & drugs. It affects them.

If you smoke your drugs or cigarettes in a confined space with your children, even worse. Drugs are measured in the body using a unit called mg/kg. That's milligrams of drugs in the bloodstream per kilogram of body weight. I don't know if you've noticed this but children are a lot smaller than adults.

If two adults are smoking in a car, and there is a small child present, that child may be forced to smoke the equivalent of several boxes of cigarettes for even a short car ride. Nicotine is a horribly addictive drug. Imagine addicting that child and making them go through nicotine withdrawal over and over and over again, when the child doesn't have a clue what's happening to them or any ability to explain what they're going through.

My friend's parents used to call me Nicotine, as a nickname, because I used to stink like an ashtray. My parents were always driving somewhere, smoking. I was just part of the baggage being lugged around. I felt like a burden. My parents just wanted to get drunk and take drugs. I was an accident. Oops.

If you are a sh1t role model for your children, they will want to run away from home as soon as they can and never come back.

I don't know if this is coming across, but I don't think my parents are very responsible. I don't think they are very good role models.

It's unbelievable, but they actually think they are cool for taking drugs. That seems rather immature to me, but then I've always felt like I have to be more mature than them, because they're not very responsible.

I left home as soon as I had a job and enough money for a flat, age 17. I couldn't wait to get away from such bad role models. They are liars and hypocrites and they are lazy and project their inadequacies onto their children, who are hard working and mature and responsible.

I don't know if this is coming across, but I'm very disappointed with their behaviour.

Parents must try harder. All my friends in my generation are very responsible parents. I think the baby boomers could try taking a leaf out of our book. Don't try and roll it up and smoke it though, like you usually do.

Did you know my own father refused to read anything I write? Pretty p1ssed off about that.

"La la la, I'm not listening" I imagine him saying while putting his fingers in his ears. How childish.

And parents wonder why their kids run away from home and never want to come back. Tsk!

That is all.

Tags: #parents #childhood #bullying #drugs #oxford #london #homeless

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:

-----

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 about unquantifiable needs...

It takes a lot of effort to keep up with somebody in distress. If you're not going to go the distance, you are just guessing, and you will be wrong on every conclusion drawn from lazy presumptions.

Whenever my homeless friend Frank phoned me, I would get on my bike and travel from Kentish Town to King's Cross to meet him. This might have been rather inconvenient for me, but I had started so I was going to finish. That's the first thing you need to know about me & Frank: we are determined people who finish what we start.

I had decided to take a trip to Prague, Czech Republic, to see a friend from the Springboard Accelerator Program, Cambridge. In so doing, I wasn't there for Frank. The consequences for him were nearly disastrous.

Did you know you can't keep one single solitary crab in a bucket, because it will crawl out and escape? However, you can keep two or more crabs in a bucket, because as soon as a crab tries to escape the other(s) will pull it back down into the bucket. They keep each other imprisoned. Mutually assured destruction.

Frank is a happy-go-lucky kinda guy, like me. We trust people. We give people the benefit of the doubt. We ran into some of Frank's 'friends' just before I had to catch my flight to Prague. They tried to mug me. Luckily I was streetwise enough to see what was happening and I cycled off. There was nothing else I could do. They stole Frank's iPhone, so I couldn't contact him. I had no idea what had happened to him.

When I got back from my trip to Prague, I got a call from Frank's friend, Paul, saying he had just been discharged from hospital.

There was a significant disparity between Frank's story and his hospital discharge notes. He told me he had been discharged from St. Pancras Hospital, but his discharge notes were clearly from UCLH. He told me that he had sustained a head injury, but there was no mention of that in the notes.

However, what did check out was that Frank was an alcoholic and he had gone through untreated withdrawal that could have killed him. Delirium Tremens killed the famous singer Amy Winehouse and it nearly killed Frank. The notes didn't seem to draw much attention to the fact that he did not receive treatment for his withdrawal. I guess London hospitals see a lot of homeless alcoholics though... mainly in the morgue.

When I first met Frank, on Primrose Hill, the first thing I noticed was that he was clean shaven, well dressed, had a tidy haircut and spoke articulately. The second thing that I noticed was that he was drinking at 7am. When we went to get a cup of tea later, I noticed that he started shaking quite badly... it was time to skip the tea and get him an alcoholic drink.

Buying alcohol for an alcoholic? Had I lost my mind?

You are ignorant about the dangers of abrupt alcohol withdrawal syndrome for an alcoholic. It's not a perfect solution, to buy them a beer, but do you really want somebody having a Grand Mal seizure and dying right in front of your eyes, because you are too stubborn to educate yourself about the damned-if-you-do-damned-if-you don't trap that an alcoholic can't escape.

So, alcoholics are abandoned by society, begging enough money to self-medicate for their physical dependence with the threat of horrendous withdrawal syndrome and possible death, if their blood alcohol level drops too abruptly.

How do I know this? I've known alcoholics, I've seen people get treated, I've read books and papers and online resources. You can do it too, if you care. It's certainly a lot easier to be wilfully ignorant, though, and incorrectly say "why don't they just stop drinking and use some willpower?". It's certainly a lot easier to not know any facts and just be wrong about everything.

What if that person was your son, daughter, brother, sister, husband, wife, girlfriend, boyfriend, friend? Just let them die, right?

Well done.

First, do no harm (October 2013)

Tags: #frank #homeless #alcohol #addiction #NHS #friends