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Managing Bipolar Without Medication

11 min read

This is a story about personal responsibility...

Handful of pills

I often like to think that I'm 'cured' of bipolar, but the reality is that I can have incredibly functional periods, where it certainly appears to the outside observer as if I'm perfectly healthy. However, the stability of my life - and my mood - is not due to having received treatment, nor is it accident or pure good luck. There are a lot of choices, deliberately made, which keep me functional.

We must accept that whether I'm functional or not, I do experience a mood disorder: bipolar. I can be suicidally depressed but working productively at my desk, with my colleagues blissfully ignorant of my distress and the danger to my life. I can be fighting to control my hypomania with every fibre of my being, desperate to unleash the 'high' episode and experience a period of incredible creativity and productivity, but I know that my colleagues would bear the brunt of my irritability, and their suspicions would be raised by my fast speech and general intensity... I would be told to go home; I would be told I'm working too hard, and I would ignore them, only to subsequently crash.

I'm prone to taking huge risks. I'm prone to depressions that leave me unable to leave my bed or face the world for long periods. I'm prone to hypomanic episodes where I take on ridiculously huge projects, and somehow manage to complete them, but at great expense to my health and stability.

Nobody could say that I don't have to be aware of my bipolar disorder at all times, because it always threatens to plunge me into suicidal depression, or make my hypomanically high - neither state is compatible with a regular 9 to 5 Monday to Friday office job.

Luckily, nobody employs me because I'm a slow and steady guy; nobody employs me because I plod along doing nothing much in particular, keeping a low profile. The reason why I get employed is because I get stuff done. I get a lot of stuff done. I get things done that people say couldn't be done. Then, one day "I can't even" as the kids say. Yep. That's a complete sentence. I can't even finish a sentence properly when I'm having one of those episodes. I become dysfunctional if I don't manage my illness. There's no denying that I'm unwell when I get so sick I can't leave my bed, answer my phone or send an email: I go AWOL.

For years I struggled with the different episodes. I allowed too much of my hypomania to be conspicuously visible in the office. I allowed too much of my depression to overspill from my private life. I was in the office when I shouldn't have been and I wasn't in the office when I should have been. I allowed my mood to dictate my behaviour, as so many of us do, because it's virtually impossible to behave otherwise.

I tried being my own boss, so I could work as hard as I wanted when I was hypomanic, and sleep as much as I needed when I was depressed. Things got worse, not better. I tried tablets. I tried so many tablets. Things got worse. Things got so much worse and I became so dysfunctional that my life fell apart, but nobody believed me. I was sleeping rough in Kensington Palace Gardens - a complete mess - but because I sound posh and intelligent, and I've had a great career, nobody believed that I was losing my battle with my mental illness, and I was incredibly vulnerable. I desperately needed help, but to outside observers, I seemed to have some semblance of the self-reliance I'd always had... everyone assumed that I was as competent and capable as I'd ever been, and that I could take care of myself.

Things got very bad. I was hospitalised several times, both for medical emergencies due to physical health problems which threatened my life, and for the seemingly unending mental health crisis I was suffering. The fact I was alive was taken as evidence of my resourceful nature and self-preservation instincts - my ability to be responsible for myself - but it's pure blind luck that I'm not dead, along with a heck of a lot of skill, effort and energy by a vast number of medical professionals, who've saved my life during various organ failures, seizures and generally near-fatal awfulness which took place in high dependency hospital wards and intensive treatment units.

Today, my life gives few clues about the journey to this point. I have two large scars on my legs and a tattoo behind my ear. The tattoo is something that any observant person might see, as a tiny clue that I've been though some pretty appalling stuff, but the scars are usually hidden beneath my clothes.

The length of time that I've spent working closely with a close-knit group of colleagues, and what we've achieved together as a team, is the basis for the impression that people have of me, along with my general demeanour. I'm lucky enough to have retained my full faculties and suffer no impairment due to the horrors of the past. My colleagues see a competent and capable individual who they have come to depend upon - they trust me and the seek out my opinion. In this sense, you could be forgiven for thinking me 'cured' of bipolar.

I'm hoping that I will stay in my new home city for a long time, and I will build an ever-increasing circle of friends, neighbours and other acquaintances, who see me going about my daily business; who have pleasant normal interactions with me. My existence is clearly no longer full of crises; I'm obviously much more stable than I was, and that stability has proven reasonably reliable.

None of this is an accident. None of this is pure chance.

I don't have any caffeine. I know that alcohol is bad for me, and I avoided it for months, which was very beneficial to my health. I try to sleep as much as possible - 10 or 12 hours a night whenever I can. I keep to a routine... I keep to a REALLY STRICT routine if I can. Mealtimes, when I get up, what I wear, what I eat, writing every day, quiet time before bed, glasses to filter out blue light, dietary supplements... these are some of the things that are working well. I know I need to exercise more and I know I need to get more natural light too. It would be healthy to have regular social contact with people outside work. It would be good if I had a local support network.

My job often bores me, but I put up with it. I'm often too depressed and anxious to get out of bed and go to the office but I force myself. I often find there's not enough time to watch films and documentaries, or do anything other than write, eat and get ready for bed, after work, but I'm trying to do more.

I've gotten tired. Really tired.

Last week was incredibly exhausting. Work was immensely stressful and demanding. Some relationship difficulties cause me to lose a lot of sleep, as well as being very emotionally demanding and stressful. I got a kitten, which has been extremely rewarding and exciting, but also a disruption to my delicate routine and an additional set of responsibilities.

Adrenalin has carried me through the past few weeks and I've managed to skip almost entire nights of sleep on several occasions, seemingly without consequence, but it's all caught up with me.

I haven't been looking after myself.

I've broken my rules.

I've broken the rules which keep me safe, healthy, secure and stable. I've broken the rules which have kept me functional for a very long period of time. I've broken the rules which I invented to end the crises and the dangerous highs and lows. I've broken the rules and I've paid the price.

I'm not sick but I'm not well.

I underestimated the damage it would do to my health, drinking too much and staying up all night. I overestimated my ability to cope with extra stress and big changes. Suddenly I have a girlfriend and a kitten, where previously I had nothing but a big empty house. My life is immensely more pleasant and enjoyable, but it's also suddenly become incredibly fragile. I'm suffering bouts of insecurity and occasional outbursts of frustration that my comfortable stable security and safety margin of spare energy has been exhausted, leaving me irritable and impatient.

It's my responsibility to make sure that I'm getting enough sleep. There aren't enough hours in the day, but I can take some holiday. I've worked non-stop since I got home from Mexico at the start of January. Nobody can work so hard, move house, get a girlfriend, furnish a home and get a kitten, without having a holiday. I've been relentless. I've acted as if I've got limitless energy and a superhuman ability to achieve impossible feats at incredible speed. To all intents and purposes, I've pulled off almost everything, but the cracks are showing - I'm heading for disaster.

Whether I've already gone too far, allowing myself to become too tired and letting myself become unwell, remains to be seen. I was irritable and unpleasant last night, and there might be consequences. Who knows what damage I've done?

I'm going to sleep until lunchtime tomorrow. I'm going to recharge my batteries.

I know that a few extra hours sleep is not enough. I need a whole week of lie-ins. I need a whole week of afternoon naps. I need at least a whole week of being free from the relentless demands which I've faced this year. I desperately need another holiday. I've left it too long, as usual, but I hate going away on my own.

That's another part of the non-pharmaceutical treatment for my bipolar disorder: holidays. I genuinely need holidays for the sake of my health, but when my life was chaotic I would work as hard as I could for as long as I could when I was well, because I felt so much pressure to earn as much money as possible, to support me during episodes of illness. I've come to realise that it's incredibly unhealthy to have 6, 9, 12 and even 18 months without a proper holiday. I need a week away. I need a week of rest and relaxation, and ideally that would be with my girlfriend, if I haven't p*ssed her off and upset her with my unstable mood already.

I wonder if I'll make it - last long enough - to be able to go away on a nice holiday to recharge my batteries. I think that I need to start taking evasive action immediately. I need to be strict with my bedtime. I need to be strict with alcohol. I need to take some mornings off work to catch up on sleep. It might be advisable to take a whole week off and just do nothing for the sake of my health. I know that I've let my health get into a precarious state.

I haven't looked after myself and I need to act.

I could spend a week pottering around my lovely house, with my kitten to keep me company. I think my health would benefit significantly. I need to loosen my grip on my work. I need to relax. I need to rest and recuperate.

Burnout is not good. I'm so sick of burning out. I'm so sick of episodes of mood disorder. I can regain stability, but I need to recognise that I'm not well and I need to act immediately. Yes, I could cling on until the end of July for a holiday with my girlfriend, but there's a huge chance I could get really sick if I try to wait that long. I'm going to have to take some time off work, for health reasons, and it's not the end of the world.

I hope I write again soon that I did the sensible thing, and that I'm getting on top of managing my health. I hope to write that I'm regaining some safety margin, so that I can remain cool, calm and patient, and not be irritable and unpleasant. I hope to write that I'm treating my girlfriend nicely, not being an exhausted wreck, full of insecurity and instability.

I feel super bad that I've mismanaged my illness, but all I can do now is to try to look after myself.

 

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Debt Made Me Rich

5 min read

This is a story about borrowing money...

Private bank

If you speak to anybody on low and middle incomes, they will tell you that debt is bad. Particularly, poor people are made incredibly poor through money-lending practices. Amongst the economic bottom 50% of people, you will hear them say things like "watch the pennies and the pounds look after themselves" and "don't borrow money" and generally disparaging comments about the whole business of going into debt.

Poor people are wrong about debt.

Borrowing money can make you rich.

The problem is that the terms on which poor people are offered borrowing facilities are grossly unfair. The richer you are, the cheaper it is for you to borrow money. The poorer you are, the more expensive it is for you to borrow money. At a certain inflection point, it becomes uneconomical to borrow money, because the terms are so bad. Generally, poor people can only borrow money on such incredibly bad terms, that it's a trap - they shouldn't take those loans, because they'll end up worse off.

Thus, we have a paradox. If you're rich, you should take the cheap loans you're offered. If you're poor you shouldn't take the "credit" that you're offered, because it's always a really bad deal which will leave you worse off.

We are living in an era of ubiquitous legal loan-sharking, where tiny debts can ruin lives and cause suicides.

Small loans - interest-free or at very low interest rates - can make an incredible difference to a poor person's life. The costs associated with being poor are horrifyingly unethical: the poorest in society will have to pay numerous punitive charges and borrow money at extortionate rates of interest, as they desperately struggle to meet very basic day-to-day costs, which would require borrowing facilities of a very meagre amount.

Imagine if we gave every poor person a £1,000 interest-free overdraft facility, for the purposes of cashflow. Of course, the worry is that people would borrow that money and spend it frivolously - on consumables - but if we study the behaviour of the poorest members of society, we can see that they are incredibly economical with their money. It's amazing how the poorest can make so little money go so far, and generally when they get into a financially distressed situation, the sum of money which has tipped them over the edge is pilferingly small.

How we stop people from using their £1,000 borrowing facility to buy themselves a stupid gadget, or spend it on drugs and alcohol, is not a question I think we need to answer. I think that we are all equally capable of being financially reckless and irresponsible, and the answer to the risk of a few, is not to impose a horrible life on vast swathes of society.

It angers me that the richer I get, the more money I can borrow, and the cheaper it is for me to borrow it. It's unjust. The poorest segment of society is being harshly punished for no good reason, except they're unfortunate enough to be poor, which is not their fault.

In fact, being able to borrow enough money to live for 2 months without a salary, and pay rent and deposit on a new place to live, would allow people who are trapped in low-paid jobs in deprived parts of the country to be able to relocate. A temporary bridging loan to cover those expenses, while the person has a gap in their earnings and extra expenses, would allow people to move, who otherwise are completely trapped because they can never miss a paycheque, and they can't afford to save up the rent and deposit necessary to move from one home to another.

Debt made me rich, because I've been lucky enough to go into debt while pursuing financial opportunities. Through borrowing, I've been able to move to find well-paid work. Without credit facilities, I'd have been bankrupted and therefore unable to work through any temporary dip in my earnings. On average, my earnings are great, but once you're in the situation where each monthly pack packet is immediately spent on rent and bills, you are completely trapped and it's impossible to escape.

Debt is dangerous, for sure, if you're using your credit cards to live an unsustainable high-roller lifestyle, but I doubt that many people are so foolish as to do that. Should so many people be made to suffer a horrible existence, because we're so afraid that people will be financially reckless if we give them the freedom to move around and get better jobs? It seems as though it's another example of capitalism not being efficient at all - people are not free to sell their labour to the most competitive bidder, because they are so horribly trapped.

 

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After The Mania, Regret

8 min read

This is a story about the consequences of a mood disorder...

Bipolar memory

Having had a mood disorder - bipolar - all my life, with its symptoms perhaps becoming indisputably obvious from adolescence onwards, I've had a lot of time to reflect upon the regrettable consequences of things that I said and did when I was experiencing hypomania or mania.

As a child I had little opportunity to do anything which had any particularly negative consequences. I took risks I suppose and I established a pattern of frenzied activity followed by melancholic lethargy. The intensity of my early hypomania was triggered by the rare event of being able to spend time with friends, when so much of my childhood was spent bored while my parents took drugs and got drunk. The excitement of escaping the boredom and oppression of being trapped in a house or a car with drugged-up or drunk dribbling morons, was so great that I would talk rapidly, be unable to sleep and I exuded so much energy that my friends and their parents were alarmed by this behaviour, which was uncharacteristic of how I acted at school, for example.

School terms were long and they were unbearable. For whatever reason, I was bullied constantly. School was something to be endured and I treated it in very much the same way that I treated my parents' negligence - I lived inside my own head, bored but attempting to entertain myself with my own imagination. I was incredibly patient, given the unpleasantness of my school days and the time I was forced to spend with my parents, who were so incredibly selfish that they destroyed most chances I would've had to form meaningful long-lasting friendships. Every school holiday, and indeed many weeks and months of term-time, my parents would remove me from the company of my peers, because they wanted to get drunk and take drugs in an isolated rural location, where they thought they would be safe from the criticism which they would draw for the neglect they were showing me; they attempted to hide their disgusting disgraceful behaviour.

My parents' folie-a-deux, which I see now was a toxic co-dependency, motivated by their addiction to alcohol and drugs, was clearly very formative and shaped my character. I became a patient plotter, who could put myself into a trancelike disconnected state to endure the interminable boredom of being trapped with a pair of dribbling moronic drug addict drunks, with no friends to play with - deliberately isolated from my peers.

This is why I do not celebrate mothers' day - because my mother is nothing more than an alcoholic drug addict with bad taste in men, and I wish I had never been born.

Luckily, modern society reveres those who have bipolar tendencies. How would anybody be expected to pass their school examinations, university finals or write a dissertation, unless they were able to cram and work hard in short and intense periods, having the academic holidays to then collapse on the brink of a nervous breakdown, to recover? How would anybody be expected to undergo the the awfulness of attempting to get a foot on the first rung of the career ladder, and the dreadfulness of the 9 to 5 office grind, unless they could muster the manic energy to be enthusiastic in numerous interviews where you're expected to lie about how excited you'd be to join Acme Corporation and their widget manufacturing business? How can you get ahead in your career, when you are so thwarted by your colleagues and the dreadful bureaucratic nature of organisations - with their "can don't" attitude - except by having periods of intense focus and effort, which no stable level-headed person would ever undertake in their right mind? How could you quit your job, start a company and make it successful, unless you had some kind of screw loose, which drives you to work 100+ hours a week and not give up on something until the results are delivered?

Nobody much cares about the periods of depression that regularly occur in the life of a person with bipolar disorder, because we celebrate achievements and we hide our failures. We pretend that we never screwed up. We pretend that we never got sick. According to our CVs and our LinkedIn pages, we are perfect infallible human beings, who are completely flawless. Because people with bipolar disorder regularly have episodes of hypomania or mania which are full of boundless creative energy, they have an impressive list of achievements under their belt. Nobody ever lists their depressions on their CV or LinkedIn.

Moving house and breaking up with my last girlfriend has left me exhausted and all alone in a new city. I have a work colleague who is reasonably friendly, but a very busy family man, and I have met one new friend, although they don't live very nearby. It's hard to describe how lonely and isolated I am - physically - because few people ever reach this point in their life without taking some kind of evasive action. It's very unnatural for humans to go to strange places and leave themselves totally cut off from social contact, beyond the minimum necessary to get money and buy food.

The flurry of activity which pre-dated me moving house was prompted by stress, and it contributed to the exhaustion and depression I'm feeling now. Also, I feel embarrassed that my grand plans to work on projects presently lie abandoned and the people who I was in contact with have been neglected for quite some time. It's very damaging to my self-esteem to know that my behaviour is so conspicuously unpredictable and unreliable, which leads people to believe that there's little value in the investment of a deeper and more meaningful friendship. When I crash, I cannot face the pressure of maintaining contact, so I disappear and I'm overwhelmed with guilt over the people and projects which are being neglected.

Sometimes, mania prompts me to say regrettable things. I particularly use Facebook as a 'safe space' to rant when I'm struggling with my mental health, because at least it keeps my regrettable words contained in a place where they're not publicly accessible. My friends can respond and calm me down, and I'm not left scrabbling to delete things which were inadvisable to write and publish publicly. My friends - if they're real friends - would take my words with a pinch of salt and not unduly categorise me as a madman and a lost cause.

It's deeply worrisome, knowing that my mental health can collapse and I can act regrettably. It's an unsettling and insecure state of affairs, knowing that I could easily destroy the good reputation I have and the respect of my colleagues, if I was to show a little bit too much of my illness. I keep things relatively neatly partitioned: my blog is where I write honestly, but always mindful that my words are subject to public scrutiny. Facebook is where I write things which are almost always a cry for help, or in some way symptomatic of the very bad mental health problems I'm dealing with. Work is where I spend a great deal of effort "acting normal" and attempting to show a reliable consistent side of myself, despite dreadful inner turmoil and very difficult events in my personal life.

One might say that this entire blog is regrettable, given that it's easily discoverable by my work colleagues, but I do not speak ill of anybody or the organisations I'm involved with, and I do not bring my profession into disrepute - I think that my conduct is perfectly acceptable, and I'm prepared to defend it on the grounds that I find it immensely therapeutic to have this outlet, and the support of people who are kind enough to read my words and send me kind messages.

I have a lot of regret. I admit that I could have made much better choices in a lot of situations. I don't hide behind my mental illness as an excuse. I'm perfectly capable of accepting that my behaviour has been regrettable and that I should have handled things differently.

Why then continue to write like this? The answer is complicated: I have no idea what would happen if I didn't have this single thread of consistency in my life. Rightly or wrongly, I credit this blog with bringing me things which have saved my life: my guardian angel, the people who got the emergency services to save my life during my most recent suicide attempt, the family who looked after me when I was jobless and homeless, and some of the friends who I speak to on a regular basis, who all only know me because I put myself out into the public domain - they reached out to me and rescued me, in their own ways.

 

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Clean & Sober

5 min read

This is a story about prescribed medications...

Akira

After 4 months of sobriety I'm grateful for the weight loss. My liver must be very grateful for the break. It was exactly 2 years ago that my addiction peaked, when I had managed to obtain a stockpile of my drug of choice that would last me 6 years. Having that stockpile was a pivotal moment, because I knew that I would not survive for more than 6 months with a virtually limitless supply of the drug I was hopelessly addicted to. I knew that I had tested the patience of a very supportive friend - my guardian angel - and I announced to her that I would be committed to overcoming my addiction, which I have done.

These two achievements are not to be underestimated, and are also set against a backdrop of great financial hardship and other averse circumstances. I've been forced to move around. I've been forced to work when I'm sick. I've been forced to go deeper into debt and to re-invest the money I receive, in order to escape from the horrible trap I found myself caught in.

It's not really possible to travel directly from the depths of drug addiction and alcoholism to clean and sober living. A person can't wake up one day and decide that they're going to stop taking drugs and drinking. There are consequences of such a decision.

My hospitalisation in 2017 represents the peak of the consequences of my decision to attempt to quit addictive substances. At that time, I was still physically addicted to one prescribed medication and four which I obtained on the black market. It seems obvious that I should have ended up on an intensive care ward, having seizures, in a coma, with a machine breathing for me. It seems obvious that the battle was too hard to win and I would capitulate.

Presently, I am physically addicted to one medication and psychologically dependent on another. In terms of progress, this is a vast improvement versus taking 5 medications every day - instead of three physical dependencies, I have one, and instead of two psychological dependencies, I have one.

I swallow one pill for anxiety. If I abruptly stop taking that medication, I risk having a fatal seizure.

I swallow one pill for sleep. If I abruptly stop taking that medication, I will have insomnia.

I don't drink, which is great news for my physical health.

I'm working, which is great news for my bank balance.

Everything seems to be under control.

However.

My dependence on the black market is problematic. I had attempted to stockpile enough medication to allow myself to taper my dosage down and free myself from the physical and psychological dependence on the tablets, but the disruption of a breakup and moving house was a huge setback. My stocks are running low and I'm having problems replenishing my supply.

Of course, my plan all along was to end up completely substance-free. I tried in 2018 but my drinking got out of control. Drinking alcohol as a way of compensating for the unpleasant withdrawal side-effects of stopping medications, is not something that's good for my health. I gained weight and became alcohol dependent. Having broken my alcohol dependency, I would like to remain mostly teetotal because it's better for my weight, fitness and general health.

If you talk to any doctor they will tell you that all their patients suffer significant discomfort when withdrawing from psychiatric medications which they have been taking for long periods. In fact, the doctors will tell you that it's virtually impossible to get their patients to quit the prescribed medications which they have become dependent on.

Why quit?

It seems to be in vogue to stop people taking medicines which humanity has used safely and effectively for a long time. It seems to be trendy to stop people from taking opiates, benzodiazepines, tranquillisers, sedatives, hypnotics, sleeping pills and a whole host of medicines which were greedily guzzled by many generations without any issues. It seems to be the way of modern medicine to offer 'safer' ineffective alternatives and refuse to prescribe effective medications.

I can attest to the great difficulty of getting off the addictive medications which doctors don't prescribe. I've been addicted to all of them, and I've successfully stopped taking all of them for lengthy periods, so I can describe in exquisite detail the very many agonies and unpleasantnesses associated with cessation of these medications. I can recall exactly what the withdrawal side-effects are like for the pills that your doctor won't give you.

I find it hard to find a good reason to quit and be completely 100% free from any mind-altering substances, but I'm certainly having difficulties in maintaining a reliable supply, which puts me at risk of a potentially fatal seizure. Quitting the medications which give my life enough stability to be able to hold down a well-paid job, is not desirable, but it seems necessary given the exhaustive efforts undertaken to thwart me - playing the stupid cat-and-mouse game with a bunch of people who don't care about the consequences, is a waste of energy and I would love to be free from the stress of dependency and uncertainty about the supply of something which I physically need.

Luckily, my physical dependency is something I have the capacity to alter - unlike type 1 diabetes - so I am following through with my plan to wean myself off the two remaining medications, hopefully slowly enough that it doesn't destabilise me so much that I lose everything.

My version of clean and sober might not seem very impressive to you, but I assure you that it is a considerable achievement to have beaten fully-blown addiction to every substance imaginable and restored some health and wealth to my shattered life.

 

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Lööps

9 min read

This is a story about having a pity party...

Minitel

My memory and perception of time are very badly affected by strong medication. Every day ends the same for me - swallowing 6 pills and falling unconscious - and every afternoon and evening the fog clears and I'm overwhelmed with anxiety, due to the medication effects wearing off. The routine is useful because it helps me stay functional and earning a lot of money, but I'm stuck in a loop which only contains working, sleeping and eating. Days are indistinguishable and time passes incredibly slowly.

I write repeatedly about suicidal thoughts because I'm very trapped. I've become physically dependent on medication and the withdrawal effects are intolerable. I struggle to recognise the pattern in my moods, because my memory is impaired. I function perfectly effectively at work because of the monotony of what I do, and the fact I'm using skills I grasped as a child, long since mastered and turned into muscle memory and reflex. Everything in my life is something I've done a million times before. There are no new and novel challenges in my life. There is nothing which I could embark upon as a voyage into the unknown, except for death I suppose.

I think about getting a girlfriend, making friends, finding a new hobby. I think about buying more furniture and generally making my home more comfortable. I think about getting on top of my mountain of administrative bureaucratic tasks. None of these things are new or interesting to me - they're simply chores.

I'm blessed with a large amount of people who I'm in contact with via the internet. I'm never short of somebody to talk to via message or email. Some friends have stayed in contact and I've even made some new friends quite by accident. Perhaps I take all this for granted, but I'm just stating the facts.

I see my situation as unavoidable. I see my choices as so limited that I actually have no choices at all. The claim might sound unlikely, but my analysis is invariably correct. I'm in the process of creating choices for myself, while the world works exceptionally hard to thwart, frustrate, delay and annoy me. I'm not so paranoid that I believe that anybody's "out to get me" but in my lifelong experience there are always setbacks which far exceed a person's capacity to insulate and protect themselves. We live with the constant peril of our car breaking down or some other unexpected financial disaster wrecking our carefully laid out plans.

In other ways, my life is frighteningly random. I was almost bankrupt when a friend recommended me for a job, which rescued me from certain ruin. One year later, that friend killed himself. Another friend recommended me for another job, which has led me indirectly to where I am today. My improving financial situation is entirely a fluke and it's likely to end up in financial disaster at any moment. I've been maximally leveraged for far more years than I care to remember. My avoidance of homelessness and destitution is thanks to blog readers who have offered assistance. These rescuers have appeared in my hour of need, not through any coherent cries for help which I've communicated, but instead through the randomness of life.

Similarly, I expected to die in September 2017. I had planned and premeditated my suicide attempt. I had been systematic. I had done my research and I was sticking to the script. Again, random people off the internet intervened in collaboration with old friends and I was saved... just.

I feel sorry for myself but I can't decide how much of my situation is of my own making and how much was preordained. It certainly seems that whatever I try to do, my life appears to be running on invisible rails. If I try to ruin my life, I cannot, and if I try to improve my life, I cannot expedite or hurry things along.

Every day at work earns considerably more money than I spend. Every month my financial situation improves. However, my risk and exposure are steadily constant. I live with zero security. I live with very real and tangible threats to my home and my income, which also threaten to then cause a catastrophic chain of events that would see me cast from my profession and barred from accessing everything which middle-class people take for granted: bank accounts, mortgages, car loans, house rentals and other things requiring a credit check. Even most jobs with big companies are barred to bankrupts nowadays.

Money ebbs and flows through my accounts. Vast amounts of my wealth is hoovered up by the idle and lazy, who arrogantly expect to be paid money because they already have money. The turnover of money is beyond my capacity to track it. To monitor my accounts would be an exhausting waste of time and energy. Instead I see the vast wastage as preferable to the miserly task of bean counting. At least I know that some of my money ends up in the pockets of people who need it - it flows to me and it flows outwardly again, but at least it is flowing. I have no time or respect for people who cling to money, denying it to the economy.

I've lost count how many times I've lost everything but earned it all back again plus interest. I must have spent several lifetimes' fortunes. The aggregate value of my productivity must be a very big number. I certainly haven't been idle.

My life is very straightforward. Get the money, spend the money.

The straightforward nature of my life is the root cause of my unhappiness. I feel like a rat who has had electrodes implanted deep into its brain, so that it can stimulate the reward pathways by depressing a lever. It's very easy to press the button and get the thing which I'm supposedly living for. Don't have sex, press the lever. Don't have children, press the lever. Don't eat, press the lever. Don't drink, press the lever. I can press the right buttons and get the things which everyone covets - money, houses, cars, boats... whatever.

When you've been in the situation where you can buy whatever you want, including a lifetime's unlimited supply of drugs, then you have become the rat who presses the lever until it dies, because it doesn't eat or drink - it just presses the lever, because the lever is the best that life can possibly be. If you've ever thought "I could die right now because I'm so happy" that's what the rat is thinking when it presses the lever. Nobody should ever experience that... it's too much to handle.

Ultimately, I have reduced life to its most fundamental and primitive components. I understand mortality. I understand the lever. Life has boiled down to a choice between three things for me: pressing the lever, killing myself, or seemingly interminable boredom and suffering; repetition.

I had to make the choice to stop pressing the lever. I did so because of guilt about not repaying a debt to a friend. I could see that I was going to die of thirst, like the rat pressing the lever, and that I would die with a considerable lack of dignity. I turn 40 this year and it's pure pride that drives me towards confounding all expectations that I should end up a dead homeless bankrupt junkie.

I repeat myself so endlessly, but this is how I keep myself on-track. The speed limit of the universe is maddening, because I can see where I want to end up and I can see the route I need to take, but there's no way I can make the journey pass any quicker. I'm very much wishing my life away because I can picture so clearly where I want to be. I see everything that's not on the critical path as superflous. I've jettisoned girlfriends, friends, hobbies and interests, intellectually stimulating work, social contact and - strangely - drugs and alcohol. My life is austere. My life is brutal simplicity personified.

I wonder if perhaps I am on the autistic spectrum. I have rigid and fixed routines. I wear certain clothes on certain days at work, from a pre-planned wardrobe. I eat the same things. I have a place for everything and everything must be in its place. I follow a sequence for everything. I have routes that I always follow. I have a single unwavering approach to life; a single way of getting money and getting what I want. My life is designed to fit a designated path; everything is controlled down to the level of minute details. I have memorised unusual things, such that my words and actions seem to flow out of me automatically, despite the complexity of a task or seeming impossibility of memorising a sequence of keystrokes.

I blend in well enough now in adulthood. It's been a while since anybody called me a weirdo. In fact, I portray a convincing facsimile of a normal person, outwardly.

For a person with a mood disorder, I appear to be remarkably stable, and all the more so considering that I'm not taking any mood stabilisers. I stabilise myself with self-medication and strict routine. It's hell, but it's an internal hell which I manage to hide from my work colleagues.

It pleases me that I've been able to blend in. It pleases me that I've been able to pretend to be normal for lengthy periods of time, and to prove that I can hold down a job, pay my bills and otherwise conform like a regular guy, for sustained periods. It pleases me that I stop and start drugs and alcohol whenever I want - I can be clean and sober whenever I choose, without difficulty.

Everything is a loop. Round and round I go.

The present loop is one of the most boring and most suicide-inspiring.

 

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Lost Cause

7 min read

This is a story about predictions...

Recycling

Bookmakers and actuaries are extremely good at predicting the future. The profits of these well-established enterprises depend upon accurate predictions, based upon a vast amount of historical data. Better statistics lead to better predictions, which lead to accurate odds and sustained profitability. If it wasn't possible to predict the future in this way, there wouldn't be a business model for life insurance or gambling.

Unfortunately for individuals, generalised predictions are fairly accurate while individual predictions are not. It is no use asking an actuary when you will die, so that you can plan your life accordingly. The actuary will not be able to tell you whether you'll die of a heart attack age 45, or whether you'll die in your sleep age 95. Those extra 50 years present a considerable problem for the individual, but the actuary does not care, because they spread the risk of having to pay out on life insurance across a large group. On average, the insurer will win. However, none of us can know whether we're going to die prematurely or live unusually long.

It might seem prudent to avoid smoking, drinking and consumption of excessive calories. It might seem prudent to go to the gym every day. It might seem prudent to eat a balanced diet, containing a mixture of fruit and vegetables, full of amino acids, vitamins, minerals, trace elements and other chemical compounds your body needs to repair itself and stay healthy. However, while we can say for certain that smoking and obesity will lead to health complications, none of us can make choices to assure ourselves of a long life.

One day you might just drop dead.

The temptation to use statistical analysis to make predictions for an individual is overwhelming in a world where we have discovered the classical laws of physics. We presume that we are able to predict the future as easily as we can predict the trajectory of a missile. Unfortunately, individuals do not follow simple parabolic curves. While there are statistically significant correlations - good predictors - this does not mean that we can know the future life of a human, after gathering a few crummy data points.

All we have managed to unearth so far about the mysteries of human life is that we can understand risk not destiny. You might have genes which appear to doom you to a certain fate, but those genes are not always expressed in the way which we expect. The sequencing of the human genome has failed to provide the crystal ball that it was promised to deliver, but instead revealed the unimaginable complexity of epigenetics. No clear genes have been found for things such as diabetes and depression. There is no gene which hard-wires our life expectancy into every cell.

Who could have predicted that smoking would be banned in public buildings and the workplace, drinking culture would become diminished, supermarkets would import food from all over the globe, such that strawberries would be on their shelves all year round, and the workplace would become so safe and so sedentary? Who could have predicted that mental health problems would reach such epidemic proportions that the leading cause of death amongst 20 to 40 year old men would be suicide?

Ultimately, the biggest thing affecting my life expectancy appears to be a choice which I'm free to make.

I've never smoked and I quit drinking 4 months ago. I eat a balanced diet and I'm a healthy weight. These things are happy accidents. Every afternoon my anxiety builds to an increasingly intolerable level and every evening I feel suicidal. I live alone and have no friends or family nearby. I have no children, pets or partner.

My life is on a knife-edge.

If you were going to bet on the statistically probable outcome of my life, you'd have lost a lot of money already. I'm afraid to say that I'm an outlier and I have refused to conform to the predictions. I'm a single data point and as such I'm not statistically significant on my own, but the significance of my own life and its outcome is, unsurprisingly, important to me.

It's a hard life being an outlier. Literally, almost everyone is betting against you. It will be harder to get an education, get a job, get a home, borrow money, find a partner, get life insurance, get a pension... all of these things are thwarted by people who believe that they are able to predict my destiny. I'm continuously confronting people who believe I'm a lost cause, and therefore not worth taking a risk on.

We can see that this attempt at prediction becomes a self-fulfilling prophecy. When racial stereotypes become pervasive - for example - then we see that minorities are harshly and unfairly prejudiced, which harms their chance of success and reinforces the correlation between uncorrelated factors. Skin colour should not be a good predictor of socioeconomic outcome, but the data overwhelmingly shows that it is.

From the moment you enter the vast educational system, you are being sifted and sorted in a way which tests you and gathers data on you, in order to attempt to predict your future. Something as random as getting an illness will affect your school attendance data, which will be used against you as a predictor of supposed future failure. You are constantly at risk of flagging yourself as a "disaster waiting to happen" and suffering lifelong prejudice due to the systemic attempts to analyse individuals statistically.

I suppose I now revel in the fact that I'm a living contradiction. My problems with mental health, addiction, alcohol, hospitalisations, psych ward stays, trouble with the police and refusal to be sifted and sorted by the mainstream education system, are not in agreement with the predictions that I should end up bankrupt, in jail and/or dead, having lived a life with no useful contribution to society, and in fact having been a burden. I'm the guy your mother warned you about. I'm the one who isn't supposed to be allowed to freely roam the streets. I'm the one who all the gatekeepers have in mind - I'm the one they want to keep out, but yet I'm very much on the inside.

If those who think they can gaze into the future by studying my data had their way, I wouldn't have a job, a house, any money. The system has tried very hard to railroad me into certain outcomes, because it's what was expected and predicted.

I genuinely don't know whether I'm going to kill myself or if my depression is going to lift and life's going to become pleasant and bearable. I've lived with depression for long enough to know that my choices will have little effect on the outcome. No amount of prescription medication, therapy, yoga and other such things will have the intended effect. It has always been the least expected things in my life which have wrought the most important changes.

If I was betting on myself, I suppose I would bet that I'll die at my own hands. If I was betting on myself, I suppose I would bet that I won't be able to escape the debt trap. If I was betting on myself, I suppose I would bet that I will crumble and break, because that seems like the obvious thing I would do, from looking at the black marks against my name. If I was going to bet according to statistics, I would definitely bet against myself.

However, we know that fundamentally the universe does not obey classical physics, when we study the underlying laws, but instead there is inherent uncertainty. Outcomes are nondeterministic. Knowing my past does not allow anybody to know my future. There is a nonzero probability of every possible outcome, no matter how unlikely it may seem.

My day-to-day life is dominated by a single question - am I going to kill myself? - but despite being the best placed person to answer that, I do not know the answer. Events unfolding are as much a surprise to me as they are to you.

 

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Waiting Game

7 min read

This is a story about biding your time...

Dehydrator

One of my favourite things to make and eat is beef jerky or biltong. Mixing a marinade, lovingly covering the meat and then slowly drying it is something which can take 30 hours or more. The smell is quite tantalising throughout the process, but there's no short-cut to the end. If the beef is marinated for less time, it will be less flavoursome. If the beef is dried too quickly it will be cooked instead of dehydrated, and it will be brittle, not chewy.

My life has become a game of waiting. I'm paid for my attendance, not my contribution. I'm paid to be present, but also paid to be quiet. The more I'm present and the quieter I am, the greater my financial reward, but it's pretty unbearable. I literally just have to watch the clock and think of the money. If I tried to make myself useful, people wouldn't like it and it would cause problems.

The situation is ridiculous, because even a small child could see that I don't have to do anything and I will be handsomely rewarded with desirable things, such as cash, houses, cars, holidays, clothes, gadgets and suchlike. It's very easy to extrapolate and say that it's almost inevitable that I'm going to earn a staggering amount of money, for doing almost absolutely nothing.

The situation is hard to handle. I can see every single step in-between here and the 'finishing line'. It's as if there's a well-lit staircase that leads to the top of Mount Everest, and I know exactly how many steps there are, and also that theoretically my body is capable of climbing that many steps, but it's psychologically distressing to know exactly how many steps there are between me and the summit. Sometimes it's not a good thing to know the way. Sometimes it's not a good thing to be so aware of the journey ahead.

I'm aware that human bodies only last a finite amount of time before they fail. I can comprehend the number of sleeps that I have left before I expire from old age. A friend pointed out that 9 years is 108 months, which seemed like an interesting way to break down a decade - making it more bite-size - but the idea of living for another decade is not inviting to me. Getting to the end of this month will be an achievement.

My perception of time is warped. My sense of boredom is heightened. My attention span is ruined. I feel anxious all the time. I have terrible anhedonia.

Life's not very liveable but life must go on. I have to choose between the rat race and the endless exertion to keep my head above water, or else I will be turfed out onto the streets and will have to live a pitiful life of begging and sleeping rough.

My thoughts turn to suicide often.

Suicide is the obvious choice, because it ends the struggle completely. No more anxious waiting. No more slow plodding towards the inevitable. No more unpleasantness.

I'm aware that I'm frustratingly close to a major breakthrough. I'm aware that I've rebuilt myself fairly miraculously and I'm a completely different person from the junkie I was 2 years ago. It seems brutal that I would lose the love of my life, lose my amazing apartment, be forced out of the city I called home and end up attempting suicide, only to end up surviving and clawing my way back from almost-certain bankruptcy, only to give up at the point I was at break-even. It seems ludicrous that I'd claw my way back from so-called "rock bottom" and then decide that it wasn't worth it, except to die with a bit more pride and dignity.

I was chatting to a friend and we wondered whether we had screwed up our brains and our bodies too badly to ever recover. We both reported feeling a lot of physical discomfort and health problems, as well as terrible depression and anxiety. Ironically, he has all the things that I think I want: a girlfriend, hot weather and freedom from the rat race. The thing we have in common is bipolar disorder and substance abuse, so perhaps the evidence is pretty clear - drugs will mess you up and leave you in a miserable state.

The annoying thing is that my life isn't filled with drug abuse. My life is filled with 9 to 5 Monday to Friday commuting and office routine. My life is filled with paying rent and bills. My life is filled with supermarket shopping and doing laundry. My life is filled with mountains of paperwork. I've been well-behaved and I've made healthy choices, but it hasn't made any difference - I'm still depressed.

I suppose my depression can be explained away by events such as a breakup and a lot of stress - moving house - as well as the sustained problems I've faced in the past years, as I've attempted to restore my health and my wealth. It's hard not to lose patience though. It's hard not to give up, given the sustained effort that has been required to get where I am, and the way I feel at the end of it all.

After all the effort and the uncertainty and the horrible things I've had to endure, when I think "was it worth it?" I'm not sure that it was. In fact, I'm pretty certain that I wish I hadn't bothered. I'm pretty certain that I'd like for the pain and suffering to end sooner, rather than later. I cannot see any reason to carry on, when the reward is only more pain and suffering.

I'm kinda worried about keeping myself safe. I started thinking about places in my house where I could hang myself. I started thinking about cutting some major blood vessels in the bath. I started thinking about obtaining highly toxic poisons from the internet. I started thinking about practical considerations, such as the effect on my sister.

It's not good when a considerable part of your waking day is spent thinking about ending your own life.

I'm aware that I've probably unbalanced my delicate brain chemistry, through stressful events as well as medications. I binged on some pills. I self-medicate with other pills. The demands placed upon me by moving house and working a stressful job have driven me to feel suicidal before. I don't have any friends in the city where I live. These things are not conducive to good mental health.

I know that if I keep forcing myself to go to the office, my bank balance will continue to improve, which opens up a whole world of possibilities and reduces the amount of stress and pressure in my life. I know that as long as I stay alive, the days are getting longer, the nights are getting shorter and the weather is improving. I know that depression doesn't last forever. I know that anxiety has only ever come into my life as a result of abusing alcohol and benzodiazepines. I know these things, but it doesn't make the present day any more bearable.

There's no way to hurry things along. I either have to wait, or kill myself.

 

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Ignorant Of My Own Stupidity

7 min read

This is a story about benchmarks...

Crossed wires

There's no way for me to really know how much permanent brain damage I've inflicted upon myself. There's no way to know how much cognitive impairment I've caused. There's no way to know how many brain cells I've killed and how much grey matter I've destroyed. Most of the time I feel fine - no change - but sometimes I have a sudden panic that I've lost a lot of my ability to think.

My concentration span is ruined, but I think that's a pretty endemic problem given the ubiquity of smartphones and social media. The reasons for my brain damage are pretty obviously down to neurotoxicity of chemicals I've put into my body, but it's hard to know what I'd be like if I hadn't lived through that period of drug abuse. I feel dumb, but maybe I'd have been made dumb by other stuff anyway, like the steady stream of mind-numbing entertainment which is available over the internet.

I learned some new things in the past 15 months, so my ability to learn doesn't seem totally ruined. I achieved some difficult projects, so my ability to deliver complex pieces of work also seems to be functioning OK. This is a relief - at least my brain is functioning OK in a professional capacity. The demands seem relatively light on my brain - not too taxing - except for the concentration issues and the boredom. The boredom has always been an issue.

I think about the incidence rate of me saying or doing stupid stuff. Sometimes I worry that I'm saying just as much dumb stuff as ever, but then I look at the frequency of the really bad dumb stuff, and I realise that my spectacular own-goals are becoming less and less frequent. When I screw up, it's not as long and protracted and it doesn't cause as much damage.

Of course, I haven't done the data-collection and analysis, but I'm usually right. My hunches are usually correct, because I do collect data as I go along and I regularly compare periods of time using hard numbers.

Still, I can't quite shake the feeling that I've made myself pretty dumb through my abuse of drugs.

I think it's useful that I don't drink caffeinated beverages. I think that caffeine gives me a kind of false sense of security and overconfidence. I'm sure that caffeine is to blame for tipping me into a manic state.

It's kinda useful that I don't drink alcohol. When I quit drinking once in 2015 it was followed by a bad period of mood instability that ultimately cost me a job, financial security and then ultimately resulted in going back to square one. I'm undecided about the role alcohol has in my life, but at the moment I'm glad to be getting my intoxicants in the form of a measured dose, which is not fattening or otherwise damaging to my physical health.

I feel a little stupefied by medication. I feel quite drugged and intoxicated. I have no idea what I'm going to feel like once I finally manage to wean myself off all the pills.

It's very hard to judge where I'm at.

I look at metrics such as my average earnings. The data is very positive.

I look at metrics like my step count. The data is very negative.

I look at things like the tightness of my belt, and things are very positive again. I look at myself in the mirror when I get out of the shower and I can visibly see the improvement. There's no denying the substantial physical change - I'm losing weight and looking healthier.

I combine everything into a generalised view and I can see that this summer is likely to deliver a continued decline, which the step count data robustly supports, as well as my general perception that I've had a couple of terrible years in a row. However, the future is somewhat in my own hands, so I can choose in advance to make plans for the summer which will be something to look forward to. I can plan to succeed, instead of waiting to fail.

I know that having a girlfriend would make life more bearable, but I also know that it has always provoked instability too. I know that breakups have been the catalyst for the most self-destructive behaviour in my life. I find myself wanting some validation that I've done well. I find myself driven by insecurity a little - wanting to reassure myself that I'm still attractive.

I find that my addiction hasn't been cured. I've had thoughts which have resisted suppression, surfacing from my subconscious. I'm experienced enough to know exactly what part of my brain is plotting. I can see all the warning signs. However, I think I've proven that I'm disciplined enough to resist and get through difficulties. It's been too hard to get here - I'm not going to screw things up.

It's difficult to live with so many episodes of boom and bust. There's so many examples to analyse. I can see all the things that have worked very well, and I can see all the things which have been utterly disastrous. It should be good to have so many experiences to draw upon, but it's actually a bit frustrating. Theoretically, I know all the right moves, but linking them together into a dance is not at all easy.

I endlessly analyse everything. I extrapolate. I predict.

My predictions don't make for comfortable reading. I can see that my improvements are only marginal, while the long-term trend is pretty dreadful. I can see that there's a lot of hard work ahead with very little reward. However, I do know that for every year that I'm well more than I'm sick, my situation will improve and my quality of life is much better. For every year that I work more than I don't, my finances improve, which opens the doors to a world of possibilities. Better finances means better living conditions, which means better state of mind, better self-esteem and a whole load of things that I want become easier to get.

I'm not so stupid that I can't see my mistakes and the damage I've done to myself. I'm not so stupid that I can't take premeditated steps to try to change my own future and improve my ultimate outcome. However, I do admit that my intellect has thus far never been something that's stopped me from doing dumb stuff.

I've retreated into my own mind, so it's very hard for me to ask other people whether they can see me improving or declining. My perceptions have been very badly impaired in the past. It's virtually impossible to know whether I'm on the brink of breakthrough or disaster.

It's kind of a make-or-break time. Either the universe gives me everything I want, at long last, or I really have been banging my head against a brick wall all this time. The next few months will determine whether I'm bouncing back or whether I'm doomed.

I've seen a few documentaries about people recovering from traumatic brain injuries, and I see that they can achieve remarkable recovery, but personality change and some impairment seems to always linger. I suppose these things don't matter, in my world where I've successfully re-invented myself. Nobody much remembers who I was and what I was capable of anyway, so perhaps it's helpful that there's no benchmark for me to get depressed about.

 

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Asleep On My Feet

5 min read

This is a story about sleeping pills...

Attic

The existence of this photo is something quite remarkable, even though it's hard to understand if you're not me. This photo captures the end of my attempt to smoothly extricate myself from an acrimonious divorce and pick up my life in London again with little damage. This photo captures the beginning of an astonishingly difficult period of my life - the part that contains all the homelessness and hospitalisations.

I try to compartmentalise everything, and to compare present experiences with past ones to see if I'm repeating patterns of behaviour which are flawed.

One experience which is oddly haunting is that of walking around in a somewhat out-of-body state; tunnel vision. I can hear my mouth talking - I can hear my voice - but it doesn't feel like I'm saying the words... I just hear them. It feels like I'm dreaming.

My brain is recovering from an avalanche of pills I've shoved down my throat in the past fortnight. I'm surprised I haven't suffered seizures or kidney failure, given the cocktail of chemicals I've swallowed.

I forget that I messed up my brain chemistry.

I wonder why I can't concentrate and my anxiety has gone through the roof. I wonder why my perception of time is so warped: The seconds and minutes are dragging along, taking hours and days to pass. My days in the office have been difficult, but my days at home have been no easier. There's no respite from the problems of my mind, my mood, my perceptions - I can't escape my brain.

I forget that I stopped drinking.

I wonder why the days are so long and I seem to have so much more time to do stuff. I wonder why I'm more able to cope. I wonder why I'm not so overwhelmed by things. Then I remember that I'm not shackled to alcohol anymore. I get to Friday and I start thinking that I should get drunk, but then I remember that it doesn't help, but it definitely hinders.

I think about all the detoxes and rehabs and I try to tell myself that £12,000 and 28 days in The Priory - the UK's Betty Ford - isn't enough to 'cure' me then I should go easy on myself. I think that I should allow at least four weeks since any major incident, before deciding that things are broken and won't get better. I think that 6 weeks is better, as a period of recuperation. I think that perhaps 3 months is best of all - 3 months stability and routine is the minimum, before making any big changes.

I always tried to rush things. I got very impatient and I tried to hurry things along. It ended badly.

I got very agitated. I got very angry. Nobody seemed to understand the urgency. Everybody seemed to be getting in my way.

The universe doesn't like to be hurried, it seems.

I think about how many different things I wanted in a short space of time. I wanted to work with my hands. I wanted to not work in an office. I wanted to be my own boss. I wanted to be the CEO of a tech startup. I wanted investors. I wanted to win. Then, I wanted rapid promotions and progression. I wanted to make a notable contribution. I wanted to have a say in everything.

I thought I was going somewhere.

I can look back and laugh at myself, but I must've carried some of that same person from the past into the present, which means I'm laughable today too.

I did learn to keep my mouth shut though, a little bit.

I think it's an interesting story, but I'm biased. I find it interesting that I was held back for years, which was frustrating, but then I squandered many years as an addict, which made absolutely bugger all difference. Instead of screwing up my whole career and future earning potential, my profession just patiently waited to accept me back once I'd got a lot of nonsense out of my system.

What terrifies me is how many years it's been and how similar this feeling is - of being asleep on my feet - to that feeling I had when I thought I was managing to escape my screwed up life and start over again, back in London. It's terrifying to think I haven't progressed at all, except I'm older and I've damaged my body and brain quite a lot.

I thought "OK time to stop now" a long time ago, and then found that I couldn't. The things that I didn't want to happen - like losing all my money and sleeping rough - happened and I landed up having major medical emergencies. I'm smart enough that I made it this far and my story is kinda remarkable, but anything that's vaguely similar to the past gives me a lot of superstitious heebie-jeebies.

This weekend is tougher than I thought it'd be. I'm not as far progressed with my finances as I thought I'd be. I'm not as clean and sober as I'd hoped I would be. There have been setbacks. My journey has been nonlinear.

What's surprising is that the universe has just handed me some major life components. Whether I'm intent on screwing up my entire life or whether I'm trying to achieve something great, pretty much the same outcomes seem to happen. I'm pretty convinced that free-will is an illusion. I don't feel like I'm just observing, but the evidence seems to be that I don't have any control.

Of course, I have too few 'normal' experiences to really benchmark where I'm at. I have too few 'normal' human interactions to gauge whether I've lost my mind or whether I'm OK. I'm completely free from any oversight. I'm untethered.

I don't know what's going on and I'm starting to ramble. I feel very peculiar.

 

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Tinnitus

5 min read

This is a story about hurting myself...

Ear

There's an insufferable noise inside my head. It's a bit like a hissing, whining, wailing, screaming roar. I can't actually hear anything per se, but there's something that's far noisier than everything else that I can perceive. The world seems very loud and invasive to me - every tiny sound is amplified to neve-jolting volume - but the noise inside my head is louder, even though it's silent.

I know this doesn't make any sense.

At its most basic, the noise is like the shrill notes of a horror movie, which indicate that something bad is about to happen. The noise is deeply unsettling; disturbing. I feel on edge.

Then, after a while, because the noise doesn't go away, it seems to become more urgent: Pain, injury and death feel as if they're about to happen. I'm in a constant state of 'flinching' from the anticipated blows to my body.

The feared pain never seems to quite arrive, but instead there's a dread that this feeling will never go away. This is my life now: Living in a constant state of anxiety; living with perpetual sustained threat.

How can I go on living like this?

How can I live with this noise?

There is no noise.

My rational brain knows that there isn't any noise. My rational brain knows there isn't any threat. My rational brain knows there isn't anything to be anxious about.

Further, I know why this anxiety is so bad: Because I've been through an incredibly stressful life event, and I'm not using my usual coping mechanisms, such as drinking alcohol.

In fact, I'm effectively putting myself through alcohol detox, tranquilliser withdrawal and sleeping tablet comedown, whilst simultaneously doing one of the most stressful things that ever happens in our lives - moving house.

If I don't learn to cope without alcohol then it will destroy my health and send me to an early grave. If I don't learn to cope without tablets, then I will be forever trapped by addiction.

The unfortunate short-term consequence is very unpleasant to live through.

In fact, it's so unpleasant I've started to think I would very much like to not be alive.

That's the noise.

The noise continuously tells me to hurt myself; to end the pain.

If there was a sound that existed which told you you're better off dead, then it rings at full volume in my ears. Its sustained pitch and relentlessness tells my brain it's never going to go away, things are never going to get better, and this unbearableness is a permanent state of affairs... and the only escape is death.

I've been through enough anxiety and depression to know that things don't get any worse than this, and eventually things do get better. I have unfortunately experienced enough prolonged panic attacks to know that this is just another one, and although seemingly interminable, it will eventually pass.

Given a little more freedom - a few more options - I would stay at home in bed, and sleep. To make matters worse, however, I feel compelled to be in the office, which is just about the worst place in the world, because I have to pretend like everything's OK when it's not. I have to sit in my office chair for 7 or 8 hours, when every single bit of my body and mind screams to be doing something distracting or relaxing.

Driving in heavy traffic is a mild improvement over sitting at my desk. In fact, sticking sharp objects into myself would be a mild improvement over sitting at my desk. Jumping out of my office window and falling to my death seems like a vast improvement over sitting at my desk.

It's a pretty disturbing state of affairs and I'd be yelling for help, except that I know there's no comfort that anyone's going to offer me. Nobody's going to pay for me to be sick in bed. Nobody has anything they can say or do to ease the situation. I'm just going to have to suck it up.

It's not like I've run out of pills or the shops have run out of alcohol. It's not like I couldn't go into debt while I get better. There are temporary solutions, but they all delay the inevitable.

I suppose I'm ripping off the sticking plaster, as opposed to peeling it off gently little by little. This is a short sharp shock. This is the fastest route between two points, but also the rockiest road, with thorny bushes, biting insects, choking dust and a whole host of other things that don't mean it's necessarily the easiest path.

Now... I need to go and find distractions until it's time for bed. Today has been an incredibly long day, and I wish I hadn't woken up.

 

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