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Misuse of Drugs

21 min read

This is a story about fit for purpose...

Prescription medications

Here are a range of prescription medications. Three of them are illegal to possess without a prescription under the Misuse of Drugs Act, because they are scheduled as "class B" and "class C", respectively carrying a 5 year prison sentence, a 2 year prison sentence and an unlimited fine.

So, 3/5ths of the medicines pictured here could see me locked up for somewhere between 2 and 5 years, if I didn't have a prescription.

The medication at the top of the picture is lamotrigine, which treats bipolar depression, as well as epilepsy. It has no abuse potential, but it does carry a high risk of causing a fatal skin rash.

The medication in the middle of the picture is bupropion, which treats addiction to nicotine. It has no abuse potential, but it also carries a high risk of causing seizures, which might be fatal.

The medication in the bottom-left of the picture is pregabalin, which treats neuropathic pain. It is addictive and can be abused. Pregabalin is a "class C" controlled substance, and anybody caught in possession without a prescription, will receive 2 years imprisonment and an unlimited fine.

The medication in the top-right of the picture is methlyphenidate, more commonly known as Ritalin®, which treats Attention-Deficit-Hyperactivity Disorder (ADHD) and Attention-Deficit Disorder (ADD). It is addictive and can be abused. Methlyphenidate is a "class B" controlled substance, and anybody caught in possession without a prescription will be imprisoned for 5 years and receive an unlimited fine.

The medication in the bottom-right of the picture is zopiclone, which treats insomnia and other sleep disorders. It is addictive and can be abused. Zopiclone is a "class C" controlled substance, and anybody caught in possession without a prescription, will receive 2 years imprisonment and an unlimited fine.

So, if I didn't have a prescription for all the medications on this table, I could be facing 9 years in prison and an unlimited fine, should the judge decide that my sentences should run consecutively, not concurrently, due to the gravity of my crime.

Yet, millions of UK citizens receive the medicinal benefits of pregabalin, methylphenidate and zopiclone, and the quality of their lives is greatly improved. These tablets were developed as medicines by pharmaceutical companies, to treat medical problems. Substantial empirical evidence was gathered in many controlled trials, to prove that these medicines were safe and effective at treating the medical problems they have been licensed for.

Indeed, these medicines have unexpected benefits beyond the purpose they were licensed for. Lamotrigine improves sleep quality. Bupropion is a fast-acting non-drowsy antidepressant, which also increase libido and enjoyment of sex. Pregabalin reduces anxiety and aids sleep. Methylphenidate improves concentration, allowing students to study harder and for longer periods. Zopiclone can prophylactically prevent psychosis and mania, by preventing sleep deprivation.

It is very hard to argue that the Misuse of Drugs Act and the Psychoactive Substances Act are successful laws, because the evidence shows that the use of mind-altering substances remains entirely unaltered by legislation which seeks to discourage that behaviour, and harshly penalises those who break the law.

If I approached my GP and asked for zopiclone to help me sleep, methylphenidate to help me concentrate at work, pregabalin (or any benzodiazepine) to treat my anxiety and zopiclone to treat my depression, they would flatly refuse all my requests.

My GP would tell me that zopiclone is too addictive, despite my insomnia ruining my life. My GP would tell me that methyphenidate is too addictive, despite my inability to concentrate impairing my ability to be productive at work. My GP would tell me that pregabalin is not licensed to treat anxiety, and it's too addictive, despite my poor quality of life due to anxiety. My GP would tell me that benzodiazepines are too addictive, despite my life-ruining anxiety. My GP would tell me that bupropion is not licensed to treat depression.

Instead, I would be offered sertraline, which would allegedly treat my depression and reduce my anxiety. Sertraline is very slow to take effect and it has an emotionally-blunting effect, as well as affecting sex drive and ability to orgasm. Sertraline is not an effective treatment for anxiety. Sertraline is not an effective sleep aid. Anybody who has ever tried to quit sertraline will tell you that it is very addictive and the withdrawal side effects are intolerable.

In short, doctors would offer me nothing.

In short, doctors would tell me to go away, even though their medicine cabinets are stuffed full of medicines which have been extensively proven to treat the ailments which ruin my quality of life. The medications exist, but I would be denied a prescription to access those medications.

This much like a man who is dying from a bacterial infection being told that he's not allowed any penicillin, because a small number of people have a penicillin allergy.

Then, there are medications such as diacetylmorphine and ketamine, which are considered essential medicines. Diacetylmorphine, more commonly known as heroin, is scheduled as "class A" which carries a 7 year prison term and an unlimited fine, if possessed without a prescription.

How can we have a Misuse of Drugs Act which puts diacetylmorphine - a medicine routinely prescribed - into the same category as crack cocaine. Crack cocaine is fiendishly addictive and has zero medicinal use. Crack cocaine is so addictive, that it might even be considered to be "instantly addictive" and the vast majority of its users commit acquisitive crimes - muggings, thefts, burglaries - to raise money to pay for their drug addiction. Addiction is a medical condition, not a crime.

How can we have a Misuse of Drugs Act which puts mushrooms into the same category as crack cocaine? In fact the law states that it's magic mushrooms which are a "class A" controlled substance, which implies that the government believes in magic. Is that not utterly terrifying? Is it not utterly terrifying that our lawmakers are so mentally impaired that they would make specific reference in law to a certain type of mushroom which is "magic". Like, are you for real? We actually have laws criminalising magic, in the 21st century.

What would be a fitting punishment for anybody possessing a "magic" mushroom? Perhaps they should be made to climb a beanstalk grown from "magic" beans. Perhaps they should be lashed to a dunking seat and immersed underwater until they drown. Perhaps they should be burnt at the stake. These are the punishments that are most ususal for involvement in "magic".

We also know that behaviours such as sex and gambling can be addictive, but nobody imagines that gambling addicts inject decks of playing cards into their veins. In fact, gambling is widely permitted, advertised and promoted throughout society, despite its addiction potential. We are allowed to have sex, even though there is a risk of contracting sexually-transmitted diseases, and there is addiction potential.

Terrifyingly, the government has now passed an Act of Parliament which criminalises:

Things that cause hallucinations, drowsiness or changes in alertness, perception of time and space, mood or empathy with others

Obviously, eating a big meal might cause you to feel drowsy. Being tired will make you drowsy and less alert. Being tired will affect your mood and make you more 'snappy' with others. It seems pretty obvious that children are a thing that causes drowsiness, changes in alertness, mood and empathy with others. Many mothers get post-natal depression (mood change) and many parents feel a great deal of empathy towards their children. Is the production of children going to carry the 7 year prison sentence, as the law states?

The law helpfully tells us that:

Food [doesn't] count as psychoactive substances.

But, hang on a second... aren't mushrooms food? If I'm a mushroom producer or supplier, am I exempt from the 7 year jail sentence?

Let us imagine that I cross-breed a "magic" mushroom with a regular mushroom, not thought of as "magic" by government lawmakers, I must surely be able to produce a non-magic mushroom, which I can supply as food, even though it might cause hallucinations, changes in perception of time and space and mood. Clearly if I used gene editing, I could produce a mushroom that was not "magic" at all - no witchcraft or wizardry necessary - and this could be bought and sold in the supermarkets as food.

Fundamentally, the Misuse of Drugs Act and the Psychoactive Substances Act are flawed pieces of legislation, which are not protecting citizens of the United Kingdom, reducing crime, reducing antisocial behaviour, saving lives or reducing the burden on public services. In fact, it is categorically clear that the UK's approach to mind-altering substances is a gigantic waste of money, which is also ruining countless lives, by criminalising people with medical conditions.

The fact that we have the word "magic" in our statute books, criminalising mushrooms that are alleged to have "magical" properties, in the 21st century, is quite absurdly ridiculous. The fact that we have put "magic" mushrooms, diacetylmorpine and crack cocaine into the same "class A" schedule, carrying the harshest punishments. Diacetylmorhine is an essential medicine, administed every day by up to 130,000 doctors and countless nurses. Picking "magic" mushrooms to share with my friends is punishable by life imprisonment.

I can understand that crack cocaine is an instantly addictive drug that drives most of its users to commit a very great deal of crime, because they are suffering from an illness. Therefore those who supply crack cocaine are committing a terrible crime, because crack cocaine exists for no other purpose than its abuse, and it's abuse is so devastating that it ruins the life of the sick person and creates very many victims of crime. I can understand why supply of crack cocaine is punishable by life imprisonment.

I cannot understand that "magic" mushrooms, which are not addictive, and its users commit no antisocial nuisance nor cause any burden on the state, and are an incredibly safe thing to eat with no fatalities attributed to their consumption, are seen as the same as crack cocaine in the eyes of the law. Those who supply magic mushrooms are no more guilty than a person who obtains a crate of beer, with which to share with their friends. 

The antisocial behaviour of people intoxicated by alcohol, the addictiveness of alcohol and its adverse health effects, makes suppliers and producers of alcohol culpable for a very serious crime, which deserves harsh punishment, if we follow the logic applied to other mind-altering substances.

To sell packs of cigarettes is possession with intent to supply an addictive harmful substance. The health damage caused by cigarette smoking and the antisocial nature of it, because of the harm caused to passive smokers by second-hand smoke, as well as the unpleasant smell of cigarette smoke, which also harms items of clothing and other property. Cigarette smoking places considerable burden on the state, who must invest significant sums of money into smoking cessation treatments, smoking prevention programs and treat the many smoking-related diseases. Smoking-related diseases shorten lives, cause early death and reduce the productive capacity of those who suffer from cigarette addiction. Cigarettes have a high economic cost to society. Suppliers and producers of cigarettes, cigars and loose tobacco are culpable for a very serious crime, which deserves harsh punishment.

When the esteemed neuropsychopharmacologist Professor David Nutt was adviser to the government on its drug policy, he suggested - based on overwhelming empirical evidence - reclassifying all drugs based upon the health risks they posed, the harms they cause to society, and the economic cost of their use and abuse. He was forced to resign. Drugs are a politcal pawn and the government has no interest in the wellbeing of its citizens, with respect to drug use.

We only need to look at Portugal, which took a scientific data-driven approach to its drug policy and has achieved:

  • 60% increase in uptake of addiction treatment programs
  • 90% drop in the rate of drug-injection related HIV infection
  • 45% decrease in the murder rate
  • Drug-related deaths dropped to 3 per million (in comparison to the EU average of 17.3 per million)

The most [un]surprising thing of all is that drug use remained the same. People like to take drugs. LOTS of people like to take drugs. Alterations to the law do not affect people's desire to take drugs. Drug laws are not a disincentive to drug taking, because drug taking has been a feature of human life since pre-historic times. People want to take drugs, hence why alcohol, cigarette and coffee consumption is ubiquitous and legal.

2.5 million Xanax tablets were purchased on the black market in the UK. At least half a million people in the UK are using MDMA (ecstasy) on regularly, and on a single weekend, a million tablets could be consumed. Almost one million UK citizens are using powder cocaine, and most of them are affluent professionals.

What we can learn from Portugal is that punitive drug laws have no affect on citizen's behaviour. The criminalisation and harsh punishments are not a disincentive to illicit drug purchase and consumption.

Legislation to criminalise the sale of alcohol - prohibition - was tried in the USA from 1920 to 1933, and it was an abysmal failure. Industrial alcohol was deliberately made extremely poisonous in 1927, causing innumerable deaths and making people blind. But people drank it anyway, getting literally "blind drunk". Moonshine was responsible for vast numbers of speakeasy customers being poisoned: 33 people in Manhattan, NY died in just three days, for example.

We can see from all historical evidence, worldwide, that every culture has used mind-altering substances extensively. Coca leaf chewing is common in South America. Tobacco smoking and chewing originated in North America. Betel nuts and areca leaves are chewed all over Asia. Khat leaves are chewed in Africa. Tea leaves a brewed in hot water in China and India. Coffee beans are roasted, ground and brewed in South America. Cannabis has been drunk as Bhang in India for more than 3,000 years, and the Egyptians were smoking cannabis 3,600 years ago. Opium was being consumed 5,400 years ago, by the Mesopotamians. Alcohol wins the top prize though, because it's been brewed for at least 13,000 years - since the goddam stone age.

The invention of distillation apparatus is a relatively recent phenomenon, but we should accept that human desire for intoxicating alcoholic beverages has been unwavering since the discovery of the fermentation process, and the invention of brewing methods. The body of archeological evidence overwhelmingly proves that beer and wine were present in human lives, continuously. Mass production of cheap distilled spirits pose new challenges, but we must remember that society does not adapt to scientific and technological advances with sufficient speed to avoid difficult periods of re-adjustment.

The isolation of psychoactive molecules responsible for psychoactive effects, and the laboratory synthesis of those naturally occurring compounds, has resulted in highly refined and pure chemicals. The investment in high-volume chemical production for industrial and agricultural uses, makes the precursor ingredients for synthesised compounds extremely cheap, and therefore, drug supply can inexpensively meet drug demand, through mass-production. The very poorest people in the world are often able to afford to buy very potent and pure drugs.

In 1804 Friedrich Sertürner isolated the morphine molecule from opium. In 1804 the world's population was 1 billion and the average global income was $3 a day (adjusted for inflation). Today, 3.4 billion people live on approximately $3 a day, which means that there are 340% more people living in poverty on an increasingly overcrowded planet.

We know from animal studies that stress and overcrowding affects behaviour adversely - "the behavioural sink" - and experiments have produced compelling evidence. Animals whose living conditions are intolerable, will prefer water laced with alcohol, cocaine, heroin and other addictive drugs. When the experiment is repeated with better living conditions, such as having other animals to socialise and have sex with, more comfortable bedding, exercise wheels and toys to interact with, then the rats prefer to drink the water without any mind-altering substances.

Findings from experiments with overcrowding in rat colonies found the following disturbing results:

Many female rats were unable to carry pregnancy to full term or to survive delivery of their litters if they did. An even greater number, after successfully giving birth, fell short in their maternal functions. Among the males the behavior disturbances ranged from sexual deviation to cannibalism and from frenetic overactivity to a pathological withdrawal from which individuals would emerge to eat, drink and move about only when other members of the community were asleep.

The animals would crowd together in greatest number in one of the four interconnecting pens in which the colony was maintained. As many as 60 of the 80 rats in each experimental population would assemble in one pen during periods of feeding. Individual rats would rarely eat except in the company of other rats. As a result extreme population densities developed in the pen adopted for eating, leaving the others with sparse populations.

Infant mortality ran as high as 96 percent among the most disoriented groups in the population.

Translated into human terms, we see that the majority of the world's population live in overcrowded cities. We see neglected and abused children taken into foster care. We see high infant mortality rates in the developing world. We see sexual deviancy. We see widespread manic-depressive symptoms and other psychiatric illnesses. We see men living lives of quiet, desperate isolation, withdrawn from the world and spending most of their time in their bedrooms, emerging only to grab a microwave pizza or use the toilet.

One must remember that in the rat overcrowding experiments, there were no drugs or alcohol. The behaviour of the rats was a spontaneous response to their living conditions.

Thus, we must conclude that the problems we see in society are not caused by drugs and alcohol, but the abuse of drugs and alcohol is caused by intolerable living conditions.

In the west, the social problems we have are due to industrialisation and mass-production, which required high-density housing in close proximity to the factories, mills, textile manufacturers and steel works. The social problems were compounded by the service industries building tall office blocks in the business districts of major metropolitan areas. Property developers built high-rise housing blocks in cities which were already densely populated.

Manhatten had a population of 60,000 people in 1800. Today it has a population of 1.7 million people who each earn $378,000 per annum, on average.

Hong Kong Island had a population of about 3,000 people in 1842. Today it has 1.3 million people and a 2-bedroom city centre apartment would cost about $2 million to buy.

Those are the affluent places.

In the developing world, the social problems are due to the purchasing power of "soft" currencies. Only the US dollar, Japanese yen, European euro, Swiss franc, Canadian dollar, Australian dollar, New Zealand dollar and British pound, are considered to be "hard" currencies.

Developing world nations need to build factories, mills, mines, railways, ports, power stations, which can only be paid for in hard currency, along with hospital and a university, fully equipped, staffed. The university needs a library full of books. Almost everthing has to be imported, and the suppliers want to be paid in hard currency.

The developing world nations take out loans from the World Bank, issued in hard currency to buy what they need. The crop harvest, manufactured products and natural resources are exported to buyers who pay with soft currency. Labour is also sold using soft currency .

$1 can purchase 8.3 minutes of labour in the USA. $1 can purchase 36 hours of labour in Ethiopia. The poorest and hungriest Ethiopians get paid 10 Ethiopian birr for 12 hours labour. A day's wage is the same as the cost of the day's food.

$1 is exchanged for 30 Ethiopian birr. The dollar seller can pay 3 Ethiopians their daily wage, after they complete 12 hours labour. The Ethiopian birr seller can purchase $1 of specialist goods, specialist services, or hire a highly-qualified and experienced expert, from the richest nations. $1 could purchase 1 minute of time from a prospecting geologist to survey Ethiopia's stone, ores, minerals, metals and gemstones. When the data is gathered, Ethiopia can then calculate the capital expenditure to purchase land, build processing facilities, buy equipment, and build supply infrastructure. Then they consider the cost the cost of paying for supply chain services. They calculate how soon they can be ready to start exporting. They calculate a sustainable export capacity and work out the anticipated lead time from initial purchase order, legally binding supply contract, agreed.  The operating costs are deducted from the expected income from the exports. It's pretty easy maths:

(Capital expenditure + operational costs + transport costs) - (average raw material market price x quantity of raw material available)

This equation gives three numbers,

1. How much money do we need spend before we see a single dollar

2. How much money will be earned until all the natural resource is gone

3. Proft (if any)

Wheat to make flour with is $0.46 in the US commodities exchange. Coffee beans are $0.94/kg. Orange juice is $1.17/litre. Cotton is $0.71/kg. Raw sugar from sugar cane has by far the lowest market price, of $0.13/kg.

Processing makes little difference: Alcohol made from cane sugar trades at $1.34/litre and refined white sugar trades at $348.

So we can forget growing crops. The US and EU subsidise their farmers by purchasing their harvest, then dumping it in huge silos, or otherwise paying farmers a subsidy for not growing their crop, which is greater than the amount the farmer could expect to earn by selling the harvest. That's economic warfare by the wealthy west on the impoverished developing world nations. The game is rigged.

Then stone, ores, metal, precious metal and gemstones are worth considering.

Iron ore trades at $89/kg. If you invested in heavy machinery and a processing plant: Copper trades at £3/lb, Aluminium at $1/lb. Nickel at $6/lb and Zinc is at $1/kg.

This is because $1 can purchase at least 1kg of flour, which will feed a mother and child for a day. The hungriest poorest people will exchange 12 hours labour . Therefore $1 buys 87 times more labour in the poorest parts of the developing world, than it does in the USA. So $1 is offered in exchange for enough local currency to buy 1kg of flour. It costs 30 Ethiopian birr to buy 1kg of flour,

The densest population on the planet is Tondo - a district in Manila - where you are never more than 2 metres away from another person. I'm 1.83 metres tall, so if I lay down to sleep, I would have 17 centimetres between me and the nearest person That's disturbing.

The developing world population has increased dramatically in the last 200 years, which is a lot of hungry mouths to feed, in countries which might not have clean drinking water, medicine, sanitation systems, and people live with a lot of hunger. See below:

World pop growth

Can you see the trend? Poor nations are getting more populated, which drives down the value of their labour drives down the value of the crops they produce, and drives down the price of the the other commodities they can produce. In a system of global free-market capitalism: A hungry person will work harder for longer, than a well-fed one. A person who lives in a country with high infant mortality rates will have more children that a person with great well-equipped hospitals and doctors, in every city.

It's ludicrous to be criminalising things which would never exist if we paid more for our edible crops. For example, 1kg of opium resin is worth $2,506 if you buy it wholesale directly from the farmers in Afghanistan. That heroin has a market value of $6,600 in the USA.

The drug problem is the inevitable conclusion of exploiting the developing world's labour, crops and raw materials.

I should really have written this as a series of blog posts, but I might is this in a non-fiction book I plan to write if I can convince somebody I like to co-author it with me. Or at least get a literary agent to find me a publisher and give me an editor.

Side note: I started writing this on Saturday and it's now Monday (well, Tuesday, technically) and I've hardly slept. I must publish this now, and proof-read and edit tomorrow.

I hope you find these 4,000 words entertaining.

 

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My Sex Problem - Part Two

7 min read

This is a story about overcompensation...

Weymouth harbour yacht

I wrote yesterday about having a sex problem. Not a sex addiction, or anything kinky, but that I have too much sex because my fragile self-esteem depends upon it. I use sex as a form of reassurance, that I've banished my unhappy adolescent and late teen years, as well as my early twenties, safely into the past. I use sex as a form of proof that those bad times are never going to come back to bite me. I can never go back to those unhappy times.

There's something I need to talk about.

There's something I need to mention.

I'm not a fool.

I'm not so stupid and gullible that I believe every boast and every lie that was told, at school and at college, about how much sex everyone was getting. I'm not swayed by the common misconception that everybody else was at it [fucking] like rabbits. I'm not convinced by the gossip and the bragging and the boasts of sexual conquests, which circulated widely in the pressure-cooker of the school and college environment.

What I know are the facts.

I only care about the facts.

I don't really give a shit how much sex, how many blowjobs and how many hand-jobs were being had by my peer group. I don't really care how many sexual acts were actually carried out. These are facts that I'll never truly know.

What I DO know, without a shadow of a doubt, is that the vast majority of people's adolescent schooldays included having boyfriends/girlfriends, and all the associated relationship learning and development that's associated with that. The vast majority had crushes, thought they'd fallen in love, sent love notes, asked each other out, declared themselves to be couples, were known to be couples, called each other boyfriend and girlfriend, and had at least kisses and cuddles... intimacy and a relationship status.

What I DO know for a fact is that the vast majority of my peers learned about jealousy, cheating, breakups, reconciliations, relationship arguments and all the other things which turned them all into well-rounded average people: One giant homogenous mass of people who've all had a more-or-less identical experience of teenage love.

What I DO know for a fact is that my parents blocked my opportunity to go to university, where I might then have had the opportunity to start playing catch up. At school, there were too many thick-skulled knuckle-draggers, but at university I would have been amongst my own kind: The academic high-achievers; the bookworms; the geeks and the ones who were bullied outcasts, because our brains were highly developed, but something about us painted a target on our backs, making our lives a living hell, when mixed in with a vast number of no-hopers, with no aspirations.

School was simply a holding pen, before prison for the guys, or pram-pushing for the girls. Those savages needed to be left behind, and university would have been my opportunity to heal some of the trauma, but my parents blocked and sabotaged my attempts to go, despite the ease with which I obtained generous offers from very highly regarded academic institutions.

I'm incredibly bitter that I was separated from my dear friends in Oxford - a hyper-intelligent bunch who have achieved great things - and I was dumped into a school in the middle of fucking nowhere, where the best career opportunity was some kind of unskilled minimum-wage seasonal employment. The place we moved to from Oxford was a backwater dead end, because my parents are selfish dead-end loser alcoholic junkies, who never gave a shit about the consequences they were inflicting on my life; the opportunities they were actively denying me.

The picture of me is of me aboard my yacht, age 21, with my girlfriend.

Yeah, that's right, I bought a yacht when I was 21 years old.

I worked for a bank in Canary Wharf, London, earning £470 a day. I was 21 years old and I was earning £2,350 a week, and I owned a yacht, and I had a girlfriend. I was earning over £10,000 a month and I had a red sports car, a yacht... and most importantly, I had a girlfriend.

Can you see how insecure I was?

Can you see how materialistic I was?

For Christmas presents I used to buy people Fortnum & Mason luxury hampers. I flew business class and stayed in 5-star hotels. I was 21 years old.

I was a massively insecure, damaged, insecure person. I overcompensated by spending vast amounts of money on status symbols and living a making vulgar demonstrations of my wealth, because I was still a bullied kid... I was still a lonely bullied kid. I was still the kid who didn't have those kisses behind the bike sheds at school. I was still the kid who didn't ever have a girlfriend at school. I never asked anyone out, got asked out, fell in love, cheated, broke up.... I never had any of that, unlike almost everybody else in the whole entire world.

I used my brain to get a good job. Then I used by brain to get a better job. Then I used my brain to get an even better job, until the point where I was earning six-figures annually and I got all the status symbols to pro-up my fragile self-esteem. I got a "penis extension" red sportscar. I got a yacht. I ate in fancy restaurants and went on luxury holidays. All of it was a massive "FUCK YOU" to those awful years when I felt so unlovable; so unwanted... so rejected.

I don't even care about the sex, but it's symbolic for me. I have sex when I'm not horny - not in the mood - because it's a test... I want to know I can always have it, because it proves that I'm sexually attractive. It proves that without the sportscar, the yacht, the luxury holidays and the other status symbols, that somebody loves me. I need proof beyond all reasonable doubt that I'm now a person who people want in their lives, as a lover, as a boyfriend... as a husband.

Becoming a homeless, bankrupt, alcoholic, drug addict with mental health problems was a bit of a problem, but do you know what happened? I had some great relationships. I was homeless and living in a 14-bed hotel dormitory when I got together with an extremely attractive Italian girl, and we had a passionate romance. I was sleeping rough in a park when a wealthy Parisian woman fell in love with me and took me back to her fancy home in Notting Hill and nursed me back to health, despite my chronic drug addiction and incredibly unstable mental health.

I present myself now as exactly what I am: a penniless, mentally ill, recovering alcoholic, recovering drug addict, who lives a very precarious existence. I'm never far away from becoming homeless again, or being consumed by drug or alcohol abuse. I have no wealth anymore. I have nothing to offer. I'm not a 'catch'.

Because I feel so insecure about being 39 years old and not owning a luxury home, full of expensive furniture, with a sportscar parked on the driveway and a speedboat moored in the marina, all I'm left with is some kind of physical proof that I'm loved: does somebody want to fuck me, even though I'm a loser. I'm not even young and hot anymore. My hair is going grey and I'm carrying a few extra pounds of weight. I feel like I'm every woman's idea of a worst nightmare date: No cash, no assets, no flash car, no house... nothing to show for my 39 years on this planet. Why would anybody fall in love with me?

Sex is the only thing that gives me any certainty at the moment. Sex is the only thing that props up my fragile self-esteem, because my life has fallen to pieces.

I don't care that I missed out on sex as a teenager. I care that I missed out on love.

 

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Not Drinking Alcohol

6 min read

This is a story about life on the wagon...

Leftover booze

At more-or-less the same time as one of my best friends drank himself to death, I stopped drinking. I'd like to say that I decided to stop drinking because it seemed like the right thing to do, given how alcoholism had destroyed the health of my friend and pretty much killed him, but it was actually due to more complicated, and much less noble reasons.

Alcohol comes in 'portions' more or less: Beer comes in cans or bottles and wine comes in a bottle. Portion control with beer seems like it should be easy enough, because one or two beers don't contain very much alcohol. Portion control with wine is a little harder, because a bottle of wine contains the same amount of alcohol as six and a half cans, as pictured.

The calculations, if you're interested, are based on the 750ml bottle of red wine, which has 14.5% alcohol by volume (ABV) and the 330ml cans of beer, which have 5% ABV.

I bought all this alcohol, even though I don't drink.

I bought the red wine, because it's an ingredient in a dish I make with red cabbage. The alcohol is evaporated during the cooking process.

I bought the beers, because I needed to replace some that I had 'borrowed' from somebody, back when I was drinking. The reason why the carton is open and some of the cans have gone is because my girlfriend also 'borrowed' some cans - she drinks whenever she wants, unlike me.

I want to drink.

I get home and I see this bottle of wine and these cans of beer, and it's very difficult not to allow myself a single glass or a single can, at the end of a long working day, or perhaps as a weekend treat. It's very difficult to justify my sobriety to myself.

I must remind myself of why I stopped drinking.

I stopped drinking because I couldn't stop drinking. One evening I drank all the beer I had bought for myself, then I drank all the beer I had bought for my girlfriend, then I drank some of the beer that didn't even belong to either of us. Then I smashed some stuff up and passed out. Apparently I did other stuff too, but I don't remember many of the details. I was blackout drunk. My memory has holes in it, although I do remember that it was enough for me to decide that I shouldn't drink anymore.

I didn't drink at all, except Christmas Day and New Year's Eve, and then I went on an outing to the beautiful Georgian spa town of Bath. In this picturesque setting, a group of us proceeded to embark upon an all-day drinking session. I was careful to only have one alcoholic drink for every three that they had, but later on in the evening they stopped drinking, while I carried on. I didn't drink much, but I was a little hung-over.

It's probably no co-incidence that I had little patience and a short temper following that drinking session, and while I was nursing my hangover I lost my cool and broke up with my girlfriend. I struggled to emotionally regulate and stay calm, while being somewhat provoked. I completely failed to defuse and de-escalate the situation, and instead I found myself packing my bags and storming off into the night.

I'd like to say that I've felt the benefits of sobriety, but I don't think I have. I've lost weight and I feel better about my appearance because of that weight loss, but I don't feel much healthier or that I have more energy and enthusiasm to be fit and active. I don't feel like my mood is improved. I don't feel like my sleep is improved. However, if I had continued to drink heavily every day, I expect that I would have continued to put on a lot of weight, and that my health would have slowly deteriorated.

It's the middle of winter, so it's hard to measure the benefit of being sober. Perhaps come the summertime, I will feel my mood lift and my energy levels will be elevated, such that I feel like getting out and about. Certainly, if I was drinking heavily, I would be in no mood to make any travel plans or spend any time doing anything except watching TV and films, with a steady supply of alcoholic drinks.

Another thing to consider is that I heavily sedate myself with Xanax and use sleeping pills, so that I can remain functional and cope with the demands of my job, while also dealing with a mood disorder and a hatred for my profession which dates back as far as the very beginning of my life in corporate hell, over 20 years ago.

Perhaps when my debts are paid off, my housing is more secure, I'm more financially comfortable and I feel more settled at work and in the place where I'm living, then I'll be able to give up my chemical crutches and feel a lot healthier and happier. However, for the time being, I am getting what I need to cope in the form of a handful of calorie-free pills, which do far less health damage than the gallons of toxic alcoholic liquid which I used to guzzle.

Temptation is less of a problem than you'd think it would be, having realised that my body's natural thirst could be quenched with non-alcoholic fluids. I had programmed myself to associate wanting a drink, with wanting an alcoholic drink.

I successfully de-programmed my brain, so that I no longer craved hot drinks, which was surprisingly difficult but I managed it.

I suppose if I was very strict and disciplined I could completely de-program my craving for alcoholic beverages, but I know that it was a very long and hard process to eliminate tea and coffee from my life, as well as energy drinks and even coca-cola, which all contain caffeine.

I've even been slightly tempted to try fasting, allowing myself only water to drink for a period of a few days, because I often eat when I'm not really hungry, and I'd like to lose even more weight.

Ultimately, it might be vanity which provides the motivation for healthy living. I don't want to be fat with red-wine stained teeth and lips. I don't want to have a beer belly.

I'm happy knowing that I've "stopped the rot" to some extent, but I must admit that it's very hard to resist allowing myself to have a glass of red wine or a can of beer, after a long hard working week, on a Friday night. Would I be able to stop after just one though? Historically, I've never been able to drink in moderation.

As an epilogue, it should be noted that at my friend's funeral, a group of us, who used to drink heavily with the deceased, all got absolutely blind drunk until the hotel we were staying in refused to serve us any more alcohol. It's what my friend would have wanted.

 

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Bipolar Medications

8 min read

This is a story about tailored medicine...

Different tablets

It's a subject I've written about at length before, but I was writing about my experiences with different mood stabilisers earlier today and I thought I would re-purpose that content for my blog, because I'm tired and I'm stressed, and it seems like a logical thing to do: To take something I wrote earlier and re-use it.

What I've written is in the style of advice given to somebody who's perhaps newly diagnosed as bipolar, or perhaps suspects that they have bipolar disorder. What I've written is from my own personal experiences. What I've written is not meant to be completely authoritative and factually correct, but I'm aware that it's my general writing style to present my opinions in a persuasive manner.

So, without further ado, let's get onto the list of bipolar mood stabilising medications I have known and loved (or hated, more like).

Quetiapine (Seroquel)

Horrible side effects, including weight gain, daytime sleepiness, dry mouth and constipation. When it takes effect, it's so strong that it's very hard to get to bed, or use the toilet in the middle of the night. Cannot be mixed with alcohol - the alcohol makes you feel very unwell.

Overall, this medication feels like being "heavily sedated" and it would be very difficult to carry on a normal life at dosages above 200mg. At dosages of 300mg or more, you'll be sleepy and dopey all the time. At dosages over 400mg, you'll be a shuffling zombie, good for nothing except dribbling in front of daytime TV.

Not compatible with having a job.

Aripiprazole (Abilify)

This medication had a strange side effect, where I lost fine motor control of my lips and seemed to produce excessive amounts of saliva. It was impossible to have a conversation with somebody without spraying them with spit, which was a horribly degrading experience for me.

Aripiprazole is very long-lived in the body, so it can take a week or more to wear off and get back to normal, even after taking this medication for only a couple of days (i.e. if you try it and you get bad side effects immediately, you'll have those side effects for a whole week at least).

Because of its very long half-life, I would have serious reservations about trying this one, except as a last resort.

Lamotrigine (Lamactil)

No side effects at first, but the dosage has to be increased very slowly with this one. Migrane headaches are a very common side effect, which I got, so I decided to stop taking it. The headaches are tolerable, I guess, because this is the medication with the fewest side effects.

Some psychiatrists might not consider lamotrigine to be a mood stabiliser, but in fact more of an antidepressant which is safe for bipolar people to take. It improves sleep quality so I think it's a good choice from amongst the fairly bleak options.

Also a good choice if you plan on attempting to have a normal job and work.

Olanzapine (Zyprexa)

Side effects include weight gain, daytime sleepiness and a general feeling of being drugged, but nowhere near as bad as quetiapine.

Very good at quickly stopping a manic episode, so it could arguably be used only when entering a manic phase, and then stopped a short while later, but this would require discipline.

Not recommended to take on a long-term basis.

Not compatible with having a normal job.

Sodium valproate (Depakote)

Dreadful side effects. Will turn you into a total shuffling, dribbling zombie and eventually you will get an irreversible kind of brain damage, which will cause you to make involuntary facial movements (a bit like a tic).

This is an awful drug, given to paranoid schizophrenics who are very severely sick (paranoia, hearing voices, hallucinations etc).

If you're on this, it's probably forcibly injected into you in a psychiatric institution. The injections last for 3 months. Don't ever let yourself get so unwell that this becomes necessary. Exhaust all the other options first.

Lithium

Very hard to get the dose right, and requires regular blood testing, which is annoying and inconvenient. Very effective and side effects are tolerable if you can get the dose perfect but it might take many years to find exactly the right dose, and it will be very destabilising if you start going too low with your dose - i.e. you might end up triggering manic episodes when you're simply trying to avoid side effects.

Lithium causes irreversible health damage when used long term, and is therefore "life limiting" in a way - it might reduce your lifespan by 5 years or more, which is obviously a high price to pay.

General Comments

Psychiatrists will tell you that you need to commit to a medication for at least 3 months, in order to feel the therapeutic effects and for the side effects to wear off. I have tried all the medications listed above for 3 months or more, and the side effects never wore off. The side effects were intolerable for all the medications, except lamotrigine.

If you take these medications for longer than a few weeks (with the exception of lamotrigine) then you cannot stop taking them abruptly. If you suddenly stop taking these medications, you will have horrible rebound mania and possibly psychosis too (hearing voices etc). However, I have successfully 'weaned' (i.e. tapered) myself off all these medications, without too many problems.

The worst manic episodes I've had have been when stopping quetiapine and olanzapine abruptly. When I've tapered off the medications slowly, my mood has been fine and I've not had any problems. In fact, every time I've stopped taking a medication, I've felt much better, because the side effects are so awful.

I would advise you to consider olanzapine as a treatment for acute episodes of mania... i.e. you should have some ready to take, and when you start to go manic then start taking it to make sure your mania doesn't spiral out of control.

I would also advise you to consider lamotrigine as first or second choice. I believe many busy working professionals with bipolar disorder find lamotrigine to be a good medication, because it has few side effects.

Psychiatrists will probably pressure you to be on a stronger medication, which is likely to be an atypical antipsychotic (quetiapine, aripiprazole, olanzapine, sodium valproate, risperidone, clozapine) but all of these will have very profound side effects, most notably making you feel tired and sleepy, lethargic, foggy-headed, confused, increasing your appetite and reducing your sex drive. It's personal choice, but I find those side effects unacceptable.

Alternatives to Medication

Alternatively, you can use good lifestyle choices to manage bipolar: no alcohol, no caffeine, strict bedtimes, strict work:life balance, exercise, good diet. You will probably need some trusted people around you who can let you know when your speech is becoming more pressured, you're getting irritable, perhaps you're getting a little obsessive about projects, becoming more impulsive and taking more risks... essentially, when you're heading into a manic episode, which could escalate. I find that getting 8 to 10 hours sleep each night, no more and no less, helps me to keep my mood stable. I also find that my manic episodes are much less of a problem since I quit caffeine. Recreational drugs are a terrible terrible idea, and completely incompatible with bipolar, unfortunately, especially the stimulants: legal high powders, speed, coke, crystal meth, meow meow, M-CAT, mephedrone, monkey dust etc. etc.

Stressful life events can be very triggering for mania, as well as the temptation to work hard because of a job change, promotion or exciting project. It takes a lot of careful planning to ensure that stress is kept to a minimum and work:life balance is preserved. If you want to get obsessed with anything, make it exercise and the great outdoors.

In Conclusion

I'm living a functional and complete life, with a full-time job, managing to have good relationships, managing my money, not engaging in risky behaviours or otherwise suffering many problems with my bipolar disorder. I have depressions, which are sometimes bad enough to cause me to take some time off work, but only a few days here and there. I have hypomanic episodes, where I can spend a lot of money and make impulsive decisions. However, considering that I don't take any mood stabilising medications for my bipolar disorder, my mood is remarkably stable and almost everybody would consider me to be successfully managing my condition, without having any particularly adverse effects on my quality of life.

I can highly recommend trying to go medication free, or spending a lot of time trying different medications and tweaking the dosage, because life is so much better when you're not drugged up to the eyeballs with powerful psychiatric chemicals, which radically alter you and your personality, with horrible side effects.

I'm not antipsychiatry per se, but I would advise people to make very well informed decisions and remind your clinicians that it's your body, so it's your rules, and like with every profession, there are people who are brilliant at their jobs and there are people who are not so great. You need to educate yourself so that you know whether you're getting good advice or not. You can't just trust everybody who calls themselves a doctor.

Mental health is complex. Bipolar disorder is complex. People are complex. We are all individuals and we have individual needs and individual unique circumstances. Tailor your solution to meet your needs.

 

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How I Became a Drug Addict Again

6 min read

This is a story about re-relapse...

Syringe

The title of this blog post, the hyphenated nonsensical word "re-relapse" and the image of an oral syringe which I happened to spot lying on the floor of a hospital, are all intended to set the tone of this piece: Everything you think you know about drug addicts is probably wrong, especially when referring to "drug addicts" as a collective group of mostly identical people.

I could easily wander into the territory of blathering on about "we're not all the same, you know" and other such clichés, but instead I thought I'd simply tell you the story of my re-relapse.

I guess how I became a drug addict again is far less interesting and important than why, so I'm actually going to explain some of the who and the what which means my story makes sense, I hope.

Back in November 2018 - less than 3 months ago - I was a drug addict. I also booked some flights to Mexico for my girlfriend and I, so that we could spend Christmas and New Year on the beach. This presented a problem: How does a drug addict go on holiday?

When I went on holiday to Turkey for a week in October 2018, I literally went cold turkey, which I thought was really funny because I had travelled to Turkey for a hot holiday during the cold UK autumn. The irony of it had a kind of poetic deliciousness, which I couldn't resist. Besides, I wasn't that much of a drug addict at the time.

During that week in Turkey, I struggled to sleep at first, without the drugs which I had become addicted to. Then I became incredibly tired and lethargic due to lack of sleep, and I didn't leave my hotel room for 3 days. However, by the end of the holiday I was able to enjoy some sunshine and I was also 'clean' - I was no longer a drug addict.

Now we must ask: If I had managed to get 'clean' and beat my drug addiction, why would I relapse? The answer is quite simple and straightforward really: Because I am using drugs as a coping mechanism for my ordinary day-to-day circumstances.

What about Mexico?

I had planned a 2-week holiday with my girlfriend, to Mexico, which would have been far more enjoyable than the holiday to Turkey, except for the fact that my drug addiction had escalated. I'm not sure what was so particularly awful about November, except that the UK weather was getting even colder and more miserable, but I found it necessary to augment my existing drug addiction with additional substances.

I did not want to travel through two international airports carrying controlled substances, for which I did not have a prescription. In the UK, it's a criminal offence to be in possession of certain medicines, unless you have a prescription. I did not have a prescription. One of the medicines which I needed to transport with me to Mexico via transatlantic flight, in order to maintain my drug addiction, was unfortunately illegal to possess in the UK without a prescription.

What was I going to do?

I procrastinated for a long while, and then with 3 weeks until the scheduled departure of our flight to Mexico, I decided to start reducing my dose a little bit every day. I tapered myself off one of the medications I was addicted to - Xanax - until I was no longer addicted to it, so I was then able to travel without being at risk of prosecution for trafficking narcotics across international borders.

Essentially, I got 'clean' again. Yet again. I've gotten 'clean' so many times.

Oh, did I mention that I also quit drinking?

Yeah. Don't try to quit Xanax in the space of 3 weeks if you're addicted to it. If you're addicted to Xanax, you need to taper down your dose really slowly or else you'll have problems.

I had problems.

I drank 9 pints (5 litres) of very strong beer and I don't remember many of the details, except that I went bat shit crazy and smashed some stuff up. I was pretty much blackout drunk, so my memory is very patchy. I was out of control. I was a mess. The worrying thing is how little of it I remember.

So, I quit drinking soon after I started trying to quit Xanax. Mixing alcohol and Xanax is a bad idea, but drinking alcohol while quitting Xanax is a disastrous idea.

However, quitting alcohol and Xanax, when you're addicted to both... that's hell.

I had 3 weeks where I felt like the world was about to end and life was not worth living. I had 3 weeks where I was absolutely convinced that every conceivable disaster was lurking just around the corner. I had 3 weeks of the most unbearably awful anxiety.

Then I went to Mexico.

Turns out you can just buy Xanax over-the-counter in a pharmacy in Mexico if you smile nicely and pay in cash. Obviously, I was well aware that it's illegal to sell Xanax in Mexico, but I was also well aware that it wasn't illegal for me to buy it or possess it. So, I bought a bottle of Xanax from a Mexican pharmacy, and I resumed my drug addiction. Xanax is branded Tafil in Mexico by the way... if you ever need to get some.

Then, at the end of my holiday in Mexico, which was awesome by the way, I threw the leftover tablets in the bottle into the trash, at the airport.

Since my holiday, my life has continued pretty much as normal. I don't drink - I've managed to remain almost completely sober since I quit alcohol back in December. My life is also normal, insofar as I'm a drug addict.

Every night I take a sleeping pill and a tranquilliser, and I do so because I need sleep and I need to be tranquil. My life circumstances dictate my need for the substances I use.

I imagine that I will become completely 'clean' and 'sober' again one day, but for the time being, I need to endure some pretty horrible life circumstances, and I find that the drugs I'm addicted to are helping me to cope, even though it's commonly thought that all drug addiction is automatically a bad thing.

What I wish for is not to be 'clean' and 'sober' but for the circumstances of my life to be more pleasant and favourable to a life without the 'crutches' of drugs, but what I wish for seems mostly impossible, at the moment. I can't achieve the impossible. I have to work within the limits which I'm constrained by. I have no control over most things in my life, which cause me a great deal of discomfort and unhappiness, but I've found my coping mechanisms which work.

The end.

 

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I Lost 5 Years of my Life

6 min read

This is a story about the wilderness...

Endless desks

Why am I not more rich and comfortable? Why don't I have financial security and a home which nobody can evict me from? Why do all my years of experience and all the massive multinational corporations on my CV assure me a comfortable standard of living?

Conversely, why haven't I ended up with a criminal record? Why haven't I ended up in jail? Why am I not dead?

Why am I not bankrupt? Why am I not sleeping rough? Why am I not an alcoholic or a drug addict?

Why is my physical health OK? Why is my mental health OK?

I've picked up my life and carried on as if nothing happened, but something very major did happen.

Luckily I had a head-start of 3 or 4 years on my peer group, at least in terms of career progression and the accumulation of wealth. When we do the math, it seems I'm no more than 1 or 2 years behind where I should be, and I'm rapidly catching up again.

I get frustrated that it's going to take a couple of years before I'm back in the position - in material terms - which matches my skillset and experience. I get frustrated that there's no way that I can accelerate the process of clawing my way back to the position in society which I used to occupy.

I could have arrived back at a position of health, wealth and prosperity much sooner, but my experiences during my wilderness years have altered me for life. Most people live in terror of loss: Losing money, losing assets, losing relationships and damaging their reputation. I learned during the difficult wilderness years that the world is a big enough place that even the most madcap escapades go entirely unnoticed.

It is with great pleasure and pride that I am returning myself to a position of status which gradually begins to approach the status I held before my fall from grace.

Is it shallow and vain and pretentious, to wish to maintain our status in society?

Bullshit.

At first, it was an adventure to sell my house, sell my car, give away all my possessions, sleep rough and truly start my life all over again. I felt a great sense of relief that I was unburdened by the constant worry that what I had worked so hard to get and to achieve, would be stolen or damaged. It was liberating and I had the time of my life, truly free from any sense of responsibilities or duties. I entrusted my fate to good fortune, and a healthy dollop of my own wit and ingenuity.

Then, I realised that my wide-eyed innocence and trust in people laid me wide open to exploitation. I'm sure I hardly had any money stolen off me by other homeless people, but as I began to get my life back on track, I found that there are an entitled, spoiled, brattish, immoral group of people who've never known suffering or deprivation, and they see it as their birthright to dip their hand into my wallet, instead of paying their own way. I attracted a lot of freeloaders, who had no guilt or conscience, when it came to stealing from me - these were people who've never slept rough; these were people who've never known what it's like to lose everything, and they never will, because they're spoiled brats who can telephone their mothers and fathers and receive massive cash handouts. Those freeloaders will never have setbacks in their lifetimes, because they're from wealthy, generous, loving families.

It's a source of great shame and damage to my self-esteem that I drive a very battered and rusty old car, and that I live in rented home in one of the poorest areas of the country. It's a source of great shame and embarrassment that I have indebted myself in order to pay my rent and bills, simply to house myself and feed myself. It's a source of constant worry and anxiety that my work colleagues might wonder why one of their "superstar" consultants dresses in worn-out clothes and gives away other clues which hint that the wealth they would expect me to have, is not present: I'm poor.

It's shit being poor. It's shit being poor when you work in a world where everybody who does my job as well as I do is not poor. The loss of status should not be underestimated.

When a man loses status, he is highly likely to lose his life.

It's one of the hardest things to do, to recover from a major setback, which has ruined your finances, your secure housing, your material possessions, like your new car and your nice clothes. The hard thing is knowing that everybody can see that you fucked up and it takes years and years and years to put things right. Some people will never be able to recover.

My recovery is not about mental health. My recovery is not about alcohol. My recovery is not about drugs. My recovery is about self-esteem, which is damaged so drastically, and is so hard to repair, that for most people they will just give up and kill themselves. It's a fatal blow.

One of the reasons I keep trying and I keep writing, is because I want to be one of the few people who's lived to tell the tale of coming back from such a major setback. Plenty of people have survived, but few have gone on to thrive. I want to tell the story of regaining my pride and my dignity, and of being indistinguishable from a person who didn't spend 5 lost years in the wilderness.

This is our little secret. Every day I pay off a little bit more of my debt and I fix up a little bit more of my life. Every day I become a little bit more like the person I would've been, if it hadn't been for my missing 5 years. This is our secret, because the joke is on those people who have absolutely no idea what I've been through.

At work, I feel so proud that I'm doing valuable work and I'm almost back to being as good as I always thought I was going to be, by the time I reached the age I am. I'm so proud of the work I do. I'm so pleased that my brain and my natural aptitudes and the talents I was fortuitously given, are being put to good use and I feel as competent and capable as anybody. I don't feel damaged, and that's so important for my self-esteem.

This isn't about pride. This isn't about regret. This is about the damaging effect that loss of status can have on a man, with fatal consequences.

 

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Perfect Storm

4 min read

This is a story about life at the limits...

Cliffs

I suppose that it's a regular complaint of mine that I'm feeling overwhelmed, and it's a regular boast that I've been through some substantial periods of adversity. I'm also aware that the picture I've selected to accompany today's blog post is not exactly very stormy, but it's the best I could come up with in the circumstances.

I stopped writing for a while, which was because my friend killed himself, and also an enormous project kicked off at work, and also I had plans to get myself across the Atlantic Ocean and back again in one piece... plus all the many other important things to numerous to list. In short, I didn't make the time to write and there were a number of very good reasons why I took a break from writing every day.

Now, my friend's funeral is done, my transatlantic jaunt is done and the enormous project at work isn't going to be finished any time soon, so I must resume my daily writing duties, even on days when I don't feel like writing.

This morning I woke up and I felt terrible. I considered not going to work. I got to the office and several of my colleagues told me that I looked awful and said that I should go home. There was snow forecast and local schools were closing. My colleagues weren't doing anything except staring out of the window and/or talking about stockpiling food. I came home early and worked from my bed.

Unfortunately, I have my 'day job' plus my company to run, plus this website, which I have started to attempt to migrate from one place to another, although all these things are behind the scenes. I also treat my writing a bit like a job, in that I sometimes force myself to write even when I'd much rather be doing something else, or I've got a lot on my plate.

The things that get neglected are my sister and my niece, my friends, all the phone-calls I never answer, all the messages and emails I never reply to, and all the tasks which can be deferred for as long as possible. I need a haircut. My car needs servicing. Today is the final day that personal taxes are due to be paid in the UK, and I was close to the deadline as usual. I need to find a new place to live. I need to renew my car insurance. I need to see if my former friend's mum still has my stuff - the majority of my stuff - still stored in her garage, or whether she's disposed of it, since the fallout with the friend.

I quit drinking back in early December, although I did have a couple of drinks on Christmas Day and New Year's Eve. Quitting drinking helps, actually. I feel fitter, healthier and I've lost some weight. I find my life to be much improved versus the recent period when I was drinking heavily every single day.

Something's gotta give though.

Today it was my health. Sunday, Monday and Tuesday, it was also my health. Every day I take too many sleeping pills and too many tranquillisers.

Eventually, the weather will improve, my finances will improve, my routine will stabilise, I will get the housing security I need, I will have the regular social contact I need, I will get the exercise I need, I will replace my run-down old car with a newer nicer one, I will replace my worn-out clothes, I will pay off my debts and I will get a haircut.

Not today though.

 

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My Friend The Alcoholic

6 min read

This is a story about unorthodoxy...

JPMorgan

This time last year I saw my old friend from JPMorgan in Warsaw. He'd just gotten me a job. I was almost bankrupt. Some years ago we had been propping up the bar at 4am, the last remaining men standing after all-day-drinking to celebrate me leaving the investment banking world... temporarily. We have the same attitude and approach to life: Everything to excess.

I'm writing this with a little haste, because I'm in a compromised situation.

I need to tell my friend not to kill himself - having received a number of worrisome messages and a call recently - but I can't do so in a direct manner, because it's barely more than a year ago that I tried to take my own life. I know that nobody could have talked me out of it. When I communicated, I did so to ensure that my intentions were clear: I did not want misadventure or an open verdict to be recorded by the coroner.

But.

This is not about me.

This is about a friend who sounds like he's about to end his life.

I have no idea what the emergency setup is in Poland. I have no idea whether a person can be located by their smartphone. I have no idea what the crisis intervention services are like. I have no idea what it's like to be 'sectioned' or otherwise interred for your own safety - 'committed' one might say - in Poland, and whether I might be unwittingly unloading a whole unwanted extra pile of shit on my friend's head, by raising the alarm.

I'm not ungrateful to those who contacted the emergency services on my behalf, who undoubtedly saved my life, but I'm aware that my decision-making power was taken from my hands. In fact, I clearly said at the hospital that I didn't want any medical intervention, but they decided I didn't have the capacity to make the decision to refuse treatment.

Does my friend have capacity?

He says he's drinking 2 or 3 bottles of vodka per day. I'm a borderline alcoholic, and I'd say that my judgement is pretty impaired when under the influence. I doubt I'd have so readily swallowed all those tablets during my suicide attempt last year if it wasn't for the Dutch courage of a gutful of booze.

It's easier to make the final decision when intoxicated.

Perhaps this gives me the moral authority to intervene and save my friend from himself. Perhaps it's my duty to inform the emergency services, such that my friend can sober up and then see how he feels about killing himself once he's got a clear head. How's he going to feel about being forced to sober up and face the decision to go on living in the cold light of day, with a dreadful hangover?

I can tell you all the answers to these questions.

I can tell you exactly how it feels to regain consciousness when you had hoped you'd be dead.

So can my friend.

I can't patronise him. I can't talk him out of what he wants to do. I can't approach the subject.

Strangely, I hope he has capacity enough to read this.

If he does - and I might try to prompt him into reading it - then what do I want him to know?

He needs to know that almost exactly one year ago, I was convinced that my life was totally beyond any hope of salvaging, but he salvaged my life. He got me a job, which rescued me from certain bankruptcy. He got me a job in the nick of time. He saved my bacon.

What can I do for my friend?

I remember he told me how buoyed he was by all the support I get via social media. I remember how emotional it made him feel, reading the comments section on my blog.

I want him to feel that outpouring of love from all four corners of the globe. I want him to feel anchored by connections.

My friend and I tend to value our sense of self-worth by the number of dollars, euros or pounds that somebody will press into our sweaty palms for a day's labour. My friend and I both feel valued when we're paid a lot and a company is chasing us for our skills.

It's disturbing to me that my friend knows that he can get a highly paid job in any investment bank in the world. He knows that he's needed and wanted in the corporate sector. It's worrisome that he knows that, but it's somehow not enough. I can relate. I know what that feels like.

I don't know what to offer him.

To remind him of his value and how much he's cherished is a cliché. I can't patronise him by talking about how much he'd be missed and what a huge hole he'd leave in all the lives he touches.

We're talking about the man who quite literally reversed my fortunes, exactly 12 months ago - from bankrupt to bankrolled; from rags to riches.

What can I say, except that I've written these 900 words with as much speed as I can manage, because from the tone and content of my last phonecall with my friend, he's in a very bad way. I'm very worried about him. I'm acting as swiftly as I can, in an unorthodox fashion, because I want to do something to interrupt and disrupt his behaviour, which looks to be on collision course with disaster.

I know that if anybody said to me that I lacked capacity, or was so patronising as to believe that they know better, and I should be relieved of the decision-making power to end my own life, then I would become doubly stubborn and bloody minded. I'd kill myself just to prove you wrong. Of course I would.

What can I say? I need to publish this, urgently.

I hope my friend reads this. I hope my friend - who helped me get back on my feet almost exactly a year ago - is somewhat moved by my desperation to try something, anything to move the conversation towards positive exciting plans for the future, and our next adventures.

I haven't been writing regularly, and of course I tend to be very self-centred, but I hope that I can continue to write, and include my friend as a living member of the tiny little world in which I inhabit. There are quite literally only two people who I speak to on a regular basis, one of whom is threatening to make an early departure from the party.

He might feel a little uncomfortable that I've made references that almost made him identifiable. Good. I'd rather have him angry and upset with me, than having missed an opportunity to get his attention. I'm being deliberately disruptive and provocative.

Please, mate, don't put me in this position!

Don't make me decide whether I have to call the emergency services or not!

This sucks!

 

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On Probation

7 min read

This is a story about being on tenterhooks...

Book quote

I'm a living contradiction. I choose security and certainty over the vain hope of hitting the jackpot. If I was given the choice between having a "B" grade, but not having to do any work or suffer any uncertainty, versus the potential to achieve an "A+" then I would take the "B" grade without a moment's hesitation. If you think that's settling for mediocrity, you're wrong - I choose my battles and I achieve "A+" grades all the time... as an accidental consequence of pursuing the things I'm interested in and passionate about.

The other part of my contradictory personality is that I choose to take incredible risks. I jump out of planes. I climb rock faces. I scale high mountains. I ride gigantic waves in gale-force winds. Why the hell would I do that?

There are a lot of risk-reward-cost-benefit calculations that go on inside my head.

I've gathered a lot of data.

The decision to take dangerous highly addictive drugs might seem like one of the most baffling choices that a person would elect to do. For example, taking heroin is seen as an indication of character flaw, but being a BASE jumper is seen as cool, although the latter carries the same risk of premature death.

Let's do a bit more in-depth analysis, shall we?

Cost of being a rock climber:

  • Rock boots: £45
  • Harness: £75
  • Chalk bag & chalk ball: £15
  • Rope £150
  • Helmet £50
  • Belay plate: £20
  • 10 quickdraws: £150

TOTAL: £505

So, for somebody who wants to climb a rock face safely, the minimum amount they're going to have to spend is over £500. Also, you might fall and die. Let's re-iterate that: It's pretty damn obvious that if you climb up a vertical rock face and you lose your grip, you can fall to the ground and be killed on impact.

Cost of being a mountaineer:

  • Crampon-compatible boots: £200
  • Crampons: £120
  • Base layers: £40
  • Mid-layers: £80
  • Shell layer jacket: £250
  • Shell layer salopettes: £180
  • Ice axes: £250
  • Helmet: £50
  • 9mm waterproof rope: £175
  • Ice screws: £120
  • Warthogs: £40
  • Deadman: £40
  • Backpack: £150
  • Survival bag: £20
  • Down sleeping bag: £300
  • Down jacket: £200
  • Tent: £350
  • Sleeping mat: £60

TOTAL: £2,625

So, for somebody who wants to climb a 4,000m+ mountain (Mont Blanc etc) then you're going to have to shell out more than £2,500. In fact, it's going to cost you a lot more, because you're going to need lots of things I didn't list, like spare pairs of socks, spare base layers, and also a stove, cooking utensils, plus all the other expedition gear. You're not going to have much spare change out of £3,500. Did I mention that you're highly likely to be killed by falling rocks, avalanches, falling into a crevasse, or simply plummeting to your death.

I shan't follow the same process for kitesurfing, yacht sailing or skydiving, but the financial cost of putting your life in danger can be staggering, especially when we consider that rugged outdoorsy types are somehow healthy and laudable people of good character and moral fibre; made of the right stuff.

Another group of people who we might consider are the entrepreneurs. Who are these people who reject conventional employment - salaried jobs - and instead choose to make their money by means other than selling their singular body and brain. Are these people risk takers too?

In fact, all the celebrated members of society have one thing in common: they've had the financial means to pursue avenues that are not available to most of the populace, because the need to eat, be housed and be clothed is an insistent demand which is too pressing for all but those who enjoy considerable economic advantages. Do not believe the bullshit - rugged adventurers are not brave souls and entrepreneurs are not gifted geniuses... they're all people who've had the financial backing in order to pursue their expensive dreams. Don't believe any of the "self-made man" bullshit. Behind every "self made" man are a whole bunch of people who've underwritten their risk.

I busted my shoulder up pretty badly - broken bones - on a beach in a remote part of Brasil. My startup co-founder broke his leg very badly indeed in roughly the same part of Brasil. That part of the world is many hours away from a good hospital with a surgeon and operating theatre where complex orthopaedic surgery could be performed. Would we have been so adventurous if we hadn't become somewhat complacent about the bubble we live in?

I'm on probation at the moment. I'm on best behaviour. I'm trying to impress my new girlfriend. I'm trying to prove that I'm a good boyfriend.

But, do I really think that I'm going to fail?

Have I ever been worried that I'm going to fall to my death?

Have I ever been worried that world-class medical establishments and all the many wonders of modern civilisation aren't rapidly available in an emergency? Have I ever been worried that somebody wouldn't patch me up as good as new, if I had an accident?

It's never really crossed my mind that I might not get what I want. Of course, I've had heart-stopping moments when I've suddenly realised how staggeringly exposed I am. I've spent so much of my life living on the edge that I've become desensitised to the worrying fact that a chain is only as strong as its weakest link, and the more times I put my life at risk, the greater the chance that I'm going to be badly injured or killed.

I was worried that I was too fat, old, mentally ill and addicted to drugs and alcohol to ever meet somebody who'd fall in love with me. I was worried that I was too indebted and lacking in any assets - such as a fast car and big house - to be attractive to any object of my affections. I was worried that I was a washed-up loser; a has-been.

Our whole lives are lived under Damocles' sword, somewhat. We could mess up our exams. We could mess up our careers. We could mess up our relationships. There's never a single moment when we can really relax and feel like we're not on probation in some way.

I guess I'm pretty sanguine. I get anxious and I torment myself a very great deal with catastrophic thinking but ultimately, I feel the fear and do what I was always going to do anyway. I'm well aware of the innumerable and virtually unimaginable risks, but if you examine my behaviour - as opposed to what I write - then you'll see that I never choose the low-risk option; you'll see that I continuously pursue the very best that life has to offer, despite stress levels which are almost intolerable.

Tomorrow is an important day, but I already know that I'm going to be OK. My risk is underwritten. What's the worst that can happen? Death? Hospitalisation? Been there. Done that.

 

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No News is Bad News - Part Two

6 min read

This is a story about radio silence...

Hotel room

On June 20 of this year I attempted to write my life story from 2011 onwards, covering the happiest, most successful period of my life and the pinnacle of my career - doing a tech startup accelerator program in Cambridge with a cohort of incredible people - and the subsequent reasons why I stepped down as CEO, separated from my wife, sold my house and settled my acrimonious divorce.

I wrote 10,000 words in a non-stop brain dump. Once I started I couldn't hold back - the words flooded out onto the page.

It was supposed to be succinct. It was supposed to be a simple set of bullet points.

It turned out to be a lot harder than I thought, to write down even the first part.

Part two has a lot to cover:

  • Homelessness
  • Hospitals
  • Police
  • Drug addiction
  • Psych wards
  • Suicide attempts
  • More banking jobs
  • More IT projects
  • Moving to Manchester
  • Moving to Wales
  • Several relationships and breakups; love and loss
  • Psychosis
  • Self medication
  • Alcohol
  • Depression
  • Anxiety
  • Boredom
  • Financial problems
  • Near-bankruptcy
  • Salvation

I'm not going to write part two in the same way that I wrote part one.

That was 6 months ago. This is now.

A lot can happen in 6 months.

As a quick recap, here are the problems I've been trying to tackle this year:

  • £54,000 of debt
  • Homeless
  • No job
  • No car
  • Single
  • Addicted to prescription drugs: sleeping pills, tranquillisers and painkillers
  • Alcohol abuse
  • Depression, anxiety and bipolar disorder

As if those problems weren't enough, in June I had relapsed onto supercrack. I'd been working but I'd lost my job - through no fault of my own - and I was in no hurry to get another one, because my addiction had returned with a vengeance. I was in a place with no family and only a handful of friends, none of whom were equipped to deal with my clusterfuck of issues. I was more-or-less alone, except for the people who I try to connect with on a daily basis through my blog, Twitter, Facebook and other digital means.

I came up with the title "No News is Bad News" because it's usually true. I came up with that title, because a period of silence on my blog is usually cause for concern. It's usually time to start phoning round the hospitals to see if I've been admitted. It's usually time to start worrying if I'm dead or dying.

Back in June - 6 months ago - the title was very apt, because I hadn't been online for a while. Losing my job had completely destroyed my hopes of dealing with the mountain of issues I was facing. Losing my job had wrecked my plans for recovery.

Today, my world looks very different.

I can't tell you too much - because it's private - but I'm writing from the comfort of my girlfriend's bed. Her bedroom is very pink and girly. She just brought me a plate with a generously buttered thick slice of toast and a glass of orange juice, which I am eating in bed. I'm getting crumbs in the bed and greasy finger-marks on my laptop.

I'm no longer living out of a suitcase in a hotel and eating in the same gastropub every night, sat at a table for one. I'm unofficially co-habiting. We only met a few weeks ago. The relationship is going fast. Too fast some might say.

I kiss my sweetheart good morning and wish her a good day as I depart for work. My journey takes no more than 15 minutes when the traffic is kind to me. I'm finding it easy to get up in the morning. I don't dread lonely evenings in a bland hotel room. I don't dread the unsustainable interminable monotony of miserable days in the office, and miserable evenings spent alone.

I'm going too fast though.

I'm working too hard.

It takes vast quantities of alcohol, sleeping pills and tranquillisers to prevent me from working 12 to 14 hour days. It requires a huge amount of effort to stop myself from working at the weekend. I'm desperate to achieve results as quickly as possible, because the finishing line is within sight.

It could be months before I'm well-and-truly out of the danger zone and enjoying some long-overdue financial security. It's definitely going to be a long time before I get truly settled at home and at work. I need to decide where I'm going to live and what I'm going to do for a job, on a more long-term basis. At some point, my good luck is going to run out and I'll be forced back into living out of a suitcase, maintaining a long-distance relationship, and having to face the anxiety and stress of proving myself in a new organisation, with a new set of work colleagues.

Mania has arrived. There's no doubt about that.

My manic energy has been ploughed into my day job, instead of my new novel. I worry that my work colleagues have noticed that I've completely obsessed by my project. I worry that the undesirable accompanying behaviours - irritability, rapid and pressured speech, arrogance and delusions of grandeur - will become so hard to hide in the office that I might be forced to disclose my bipolar disorder to my colleagues, in the hope that they'll be sympathetic.

My blog has been neglected, along with my friends.

I work too hard. I'm moving 'too fast' in my new relationship - the "L" word has been used and she has given me a key to her place. We're going on holiday together. All my original problems are still there, to some extent. I need to decide where to live, pay off my outstanding debts, drink less, quit the sleeping pills and tranquillisers, get my mania under control.

What else can I tell you?

I can't try to tell you too much all at once, even though I desperately want to. I want to sit down and write 10,000 words without taking a single break. I want to pour my heart out onto the page and tell you everything, but I'm trying to pump the brakes a little bit. I'm trying to be a little bit sensible, even though I'm clearly going too fast.

It feels like the week-long hiatus from blogging was not bad news. Perhaps it's good news? No. It's not good news. I'm not looking after myself. I'm not managing my bipolar very well. I'm allowing myself to become manic, for the purposes of achieving 'great' things at work. It's exciting to be manic after so many months of depression and misery.

It would be a good idea for me to resolve to resume my daily writing, but I'm wary of making unrealistic promises. Today, I'm coming to terms with the fact that my 3rd novel remains unfinished, when I had hoped to have completed it yesterday.

That, ladies and gentlemen, is my present situation in a nutshell.

 

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