This is a story about body dysmorphia...

It's strange to look at a photo of myself with an old friend from not-too-many-Christmasses ago - at least according to my faulty memory - and not really recognise the face looking back at me as my own. It's not that I'm younger. It's that I can clearly see in many features of my face that I'd failed to escape from an abusive relationship and an acrimonious divorce unscathed. My life reboot had been sabotaged and it seems as plain as day to me that I was very sick.

My eyes appear at first glance to be bright and alert, but in a stimulant-induced way, so I wear a glassy stare into the distance, not looking at anything in particular. On closer examination, there are tell-tale signs around my eyes that I've been sleeping both too much and too little.

It surprises me how easily I can see from my face that I have hardly any body fat. In 2013 I had my body fat very precisely measured at circa 2%.

The body I'm in today feels very alien to me.

But the face in the picture above is also a different person, I feel.

Every couple of weeks I start skipping breakfast, having light lunches and smaller, healthier evening meals. Every couple of weeks I take a break from drinking alcohol. It doesn't make any difference.

For more years than I care to remember, I've woken up and I've dreaded going to work, and I've felt oppressively burdened by debt. My life is very simple, and in many ways very enviable, but it's also thoroughly awful. Theoretically the awfulness is only a temporary situation, but somehow it's turned out to be a nonstop nightmare lasting half a fucking decade.

The nightmare could be lazily attributed to drug addiction, but you might be surprised to learn that the truth is far less conveniently simple.

Having spent more than two decades trapped in the rat race, being a very stoic, quiet, boring, obedient and subservient tiny cog in a massive machine, and suffering the incredible boredom of going to bland beige offices, attending endless interminable meetings about nothing, shuffling paper around a desk and pretending to look busy, it was fucking exciting to go insane and embark upon a drug-fuelled rampage.

You might think that police, paddy wagons, Accident & Emergency, high-dependency wards, psychiatric hospitals, police cells, intensive care, sleeping rough and hostel dorms would be the worst thing imaginable - and those things probably were terrible at the time - but you need to understand the psychology of a person who wants to jump out of a perfectly good airplane and plummet towards the ground at terminal velocity. If you think that only stupid people get addicted to drugs, it's you who is stupid, because you haven't appreciated the value in calculated risks.

I would thoroughly advise every person on the planet to avoid supercrack like the plague, but it would be remiss of me to not acknowledge some attributes of my experiences of the last 5 years, which might be considered surprisingly beneficial.

Weight. Loss.

We'd all like to be a bit skinnier, wouldn't we? We'd all like to lose a bit of that hard-to-shift belly-fat.

I look in the mirror at the slight gut which has appeared in the ten months which I've been working, without the interruption of a drug-fuelled rampage, and I think "where the fuck did that gut come from?"

It depresses me that I've put on weight.

It depresses me that my appearance has changed.

I'm not fat. I'm not overweight. I'm just kinda 'normal' for a 39-year-old bloke, but that fucking sucks, because I took for granted the fact that I was as skinny as a racing snake on a diet. There's something attractive about an 'athletic' body, and that's not the body I have anymore... or rather, that's not the body I have at the moment.

One of the reasons I kept ending up in hospital, is because my body ran out of fat to break down to keep itself alive, so it started breaking down my muscle. When my muscle was broken down to provide energy to keep my cells fuelled and save my life, there were a lot of toxins released too, which totally fucked my kidneys. Basically, I was starving to death but dying of kidney failure faster than I was dying from lack of glucose, because I was so unnaturally lacking in body fat. My body made a very tough decision at a certain do-or-die moment, to destroy muscle allowing my heart to keep pumping for a little while longer, at the expense of my kidneys.

I eat.

I eat a lot.

I drink.

I drink a lot.

I eat and drink whatever the fuck I want and however much I want. I have juicy fatty steaks with butter sauce, washed down with lashings of red wine, every single night of the week.

I'm a disgusting old man.

I've been so depressed and oppressed by my awful circumstances, that I've barely been outside all summer. My skin is pale. One of my arms is covered with ribbons of self-harm and suicide attempt scars. One of my wrists has a big lump where a bone was broken by police who were kindly assisting me in getting to hospital. I've got this gut. This fucking gut. Where the fuck did it come from?

Have you heard of DNP?

It's a fat burner.

I'm highly tempted to take a week or two off work and just burn off the fat using this drug which increases your metabolic rate. Of course, a side-effect is malignant hyperthermia, but that's nothing I haven't already experienced a great deal of, as a supercrack addict. Also, insomnia, anxiety, panic attacks, tachycardia, organ damage and death... all risks I'm prepared to accept in order to be skinny and gorgeous again.

Although I'm crippled by mountainous debts, I drive a wreck of a car which is worth less than my phone, I live in rented accommodation and my body is covered with scars from drug-fuelled insanity, self-harm and suicide attempts, the most damaging thing to my self-esteem is what I've done to myself during this period of so-called health and wealth. While I've been earning megabucks for massive organisations and being mostly abstinent from supercrack, my life has materially improved massively - I've earned an absolute fortune - but psychologically it's been awful, and my body has suffered far more than even the very worst days of my supercrack addiction insanity.

I don't think supercrack is a solution, although the weight-loss is arguably a very desirable side-effect, in much the same way as a bout of explosive diarrhoea or a tapeworm infestation might be. Unfortunately, society worships the skinny, just as much as it worships the bipolar, even though those people might not be very healthy people at all.

As a single man - and rapidly approaching 40 years old - of course I want to feel sexually attractive. While girlfriends have always said "I like a bit of meat on your bones" fnarr fnarr, they have had a vested interest in my health and robustness as opposed to my raw attractiveness, in terms of a skinny athletic body.

The temptation to restore my athletic figure with a week or two of unpleasant suffering, taking a fat-burning drug and feeling like shit, seems like a small price to pay for the prize of being more sexually attractive. With the insecurity of feeling like I'm a washed-up has-been loser, dirty old man filthy pervert, useless debt-riddled, asset-less waste-of-space, with nothing to offer womankind, it's sorely tempting to take some short cuts. What happened to my house, sports-car, yacht, speedboat, cash pile and other desirable material things, which would be highly coveted? What value is there in a 39-year-old who's pale and average build? I'm ten a penny.

This is the calculated gamble. Presently, my gamble is to get rich quick, or more precisely, to pay off my debts incredibly quickly at the expense of my health, social life and mental wellbeing. The price I pay is my appearance: I eat and drink too much; don't exercise.

Of course, I have no plans to resume my supercrack-fuelled insanity, but to not acknowledge the rewards and unexpectedly positive benefits of better living through chemistry would be disingenuous.

Tags: #supercrack #fat #diet #food #sex #dating #addiction #homeless #police #hospital

This is a story about nerve damage...

As you can see from the picture above, I had a very bad injury to my left leg. What you might not know is that the massive lesion to my leg healed perfectly. Some nerves were severed when a piece of mirror glass guillotined its way through my shin, but the nerves managed to regrow. The severed tendons and muscle was sewn back together and my leg had completely recovered.

Then I got DVT (deep-vein thrombosis).

The first I knew about the DVT was that my ankle looked a bit swollen and my foot went numb. It was the fact I hadn't needed to urinate for several days which prompted me to go to hospital. On the day I decided to go to hospital, my foot, ankle, leg and knee were swelling at an alarming rate. By the time I was examined in Accident & Emergency, my left leg was almost fully twice as large as the right leg.

My weight soared from around 80kg (176 pounds or 12½ stone) to 95kg (209 pounds or 15 stone) which is a heck of a lot of weight gain for 5 or 6 days. It took many many sessions of dialysis to get that fluid out of me, while the hospital anxiously waited for my kidneys to start working again.

Unfortunately, the blood clot/thrombosis and other complications caused nerve damage. Presumably the blood vessels which had been surgically repaired and the nerves which had managed to re-grow and re-attach themselves, were quite fragile versus normal physiology. My foot went numb.

To be more accurate, my foot was left numb after many months of excruciating pain.

I had a nerve condition study and an MRI scan, but there was still a lot of swelling and other damage, making it unclear whether a surgical intervention might ever return the feeling to my foot. My main concern at the time was pain management, because it was too painful to walk any great distance, and pain kept me awake at night very badly. I was taking the maximum dose of tramadol AND codeine, plus supplementing prescribed painkillers with dihyrocodiene and other opiate medications, which I bought on the black market. I was briefly a very heavily dependent opioid painkiller user.

Opiates have weird side-effects. I couldn't tell whether the nausea, itching, constipation, cramps, sweating, diarrhoea, and intense anxiousness about maintaining my supply of opiate painkilllers, was a result of their effects or the effect of withdrawal. All I knew was that I would have periods where I felt incredibly rubbish, and then periods where things were more bearable, despite dosing myself regularly throughout the day.

The thing which made the greatest difference - other than a loving, caring, attentive and wonderful girlfriend - was a topical ointment containing diclofenac, which is a NSAID (non-steroidal anti-inflamatory drug). Because of the earlier complications with my kidneys, many medications were contraindicated. Perhaps I shouldn't have used the diclofenac gel, because it's not very kidney-friendly, but it was the only thing which gave me any reliable relief.

It's possible that most of my pain was related to opiate withdrawal and strange interactions between the tramadol, codeine and dhydrocodeine, which I should not have been combining, but I did so out of desperation for pain relief. It's possible that in my desperation for pain relief, I actually made things worse. Perhaps tramadol alone would have been more effective.

Eventually, I decided that I hated all the effects of the opiates, so I decided to go cold turkey. I had been heavily opiate dependent, for a period of several months, so I was expecting to experience pure hell quitting the opiates. Certainly a lot of noise has been made about the addictiveness of OxyContin, Vicodin and other painkillers which have been implicated in the opiod addiction epidemic sweeping the United States, declared a nationwide public health emergency by President Obama on October 26th 2017.

Back in July 2017, I tried to walk from my apartment to my local Chinese takeaway in flip flops - a distance of about 500 metres. I could not walk more than ten paces without the flip flop coming off my left foot, because it was so numb and my toes were somewhat 'clawed' such that I couldn't hold the flip flop on my foot or tell when it was slipping off.

For almost all of 2017 I was taking a neuropathic painkiller called pregabalin - marketed as Lyrica - which I found to be quite effective. However, it occurred to me that this painkiller might have been preventing the natural nerve re-growth which had successfully healed my severed nerves once before. After 9 months with no improvement to the numbness in my foot, I was becoming quite depressed about the prospect of never regaining any feeling in my foot, and consequently never being able to wear flip-flops again, without tying them onto my foot as pictured above.

I like wearing flip flops. They're an important part of my beach bum seaside-dwelling kitesurfer identity.

I decided to stop taking pregabalin.

If anybody tells you that pregabalin is not addictive, they're just plain wrong.

Pregabalin quite recently became a scheduled drug in the UK, making it illegal to possess without a prescription. Pregabalin affects the GABA system of the brain, just like alcohol, Valium, Xanax and GHB/GBL, which are all considered to have a high abuse potential, so naturally pregabalin is no different.

Of all the drugs I've quit and medications I've withdrawn from, pregabalin is one of the worst. Because of its tranquilising and sedating effects, the rebound when withdrawing creates a state of insomnia, anxiety and induces the general sensation that the world is about to end, which lasts for months.

I quit pregabalin under the supervision of doctors, tapering the dosage down gradually, but it was a pretty aggressive schedule, which was chosen by me. I wanted to quit pregabalin as quickly as possible, because I wanted to find out if it would help my nerves re-grow and allow me to wear flip flops again, or indeed be able to feel a kitesurf board underneath my feet.

Pleasingly, I can report that I put on a pair of newly-purchased flip flops tonight, and I was able to walk around without the left one falling off.

My left foot feels different from the right one, but I do have some sensation restored and I don't have the aches and pains which troubled me during a lot of 2017.

It might seem like a minor point, but it's actually something that has disproportionate imporance in my life: To be able to wear flip flops again is a big deal.

Life is better in flip flops.

Tags: #accident #injury #dvt #hospital #kitesurfing #beach #summer #sun #holiday

This is a story about misanthropy...

On this day 5 years ago, I tried to help a homeless alcoholic called Frank. I made a lot of notes. As my divorce disrputed my attempt to get my life back on track in London, dragging me back to Bournemouth to empty and sell my house, it destroyed my fragile new life and plunged me into the very world of homeless hell, which I had usefully compiled notes on. I did manage to help Frank, but ironically crosssed paths with him later on - as I was descending into hell, he was well on his way to recovery.

On this day 4 years ago, I got myself off the streets, out of the 14-bed hostel dorm, and back into banking. I went to Barclays, which quickly dug me out of debt and restored some long overdue health, wealth and prosperity to my life.

On this day 3 years ago, I went to HSBC and repeated the same magic trick of managing to get myself back off the streets, out of the hostel, into a lovely Thameside apartment, and out of debt. Feeling like my life was going well, I went to a hackathon to create technology solutions to the refugee crisis.

On this day 2 years ago, I was lying to my girlfriend and my guardian angel, because the project I'd been working on had ended prematurely and I hadn't bothered to get another contract. Instead, I had tried to treat my own depression with medication prescribed by an online pharmacy, destabilising my mental health - inducing hypomania - and causing a subsequent relapse.

On this day last year, I woke up as a resident of Wales for the first time since being born here. The day before, I had been discharged from a psych ward in Manchester, England, following a suicide attempt which was very nearly successful.

I'm pretty upset that divorce was such a destabilising distraction at a time when I desperately needed a clean break, and I'm struggling to forgive and forget my ex-wife and parents sabotaging all my hard work; destroying my chance to follow through with well thought out plans which were subsequenty proven to be correct and successful.

I can blame the Barclays thing not working out on a couple of idiots who got fired for trying to screw me over, but in all truth, I wasn't very stable. I was too outspoken. I didn't keep my mouth shut. I made mistakes in my personal life. I had lapses.

I can blame the HSBC thing not working out on the sheer pressure and workload of working on their number one project, while also dealing with homelessness and cripling debt. I can blame a friend who asked me to help him get a job. I can blame a few loafers who benefitted from my hard work. But, again, I was too outspoken. I wasn't at all stable. I was so exhausted and stressed that I was very strung out and very manic.

I can blame not wanting to immediately get another contract 2 years ago on the fact that the project had been so mind-numbingly spirit-crushingly boring, and I'd been so de-skilled, that I'd lost all self-confidence. I really couldn't face any more of the same awfulness without taking a break. However, it was still my so-called 'choice' to relapse and I knew the consequences were likely to be dire, although I kinda "got away with it" that one time.

I can blame attempting suicide and nearly dying on the fact that I knew instinctively that I was in deep trouble. The contract in Manchester didn't pay enough to get me out of debt. I knew I was going to get shafted by a very unpleasant and immoral wannabe Labour MP, who embodies none of the values of socialism. I was working too hard for too little reward, but I also made bad so-called 'choices' such as getting mixed up with a social group who mostly bonded over recreational drug abuse. There was no way I was going to be able to quit physically addictive sleeping pills, tranqulisers and neuropathic painkillers, as well as working a very demanding job which didn't even pay enough to make any kind of dent in my debts. Suicide was my choice, in the face of overwhelming odds stacked against me.

So, here I am in Wales.

What's going to be different this year?

I'm in approximately the same financial position that I've been in all those previous years. My mental health seems to be the same, swinging between suicidal depression and mania.

Just gotta keep my mouth shut.

Gotta make sure I don't go on any crusades, trying to save anybody.

Put on my own oxygen mask before helping others.

This year is different because I've been working for 10 consecutive months without a major fuck-up. Of course, there have been fuck-ups, but they haven't caused me to lose my contract or otherwise let my client down. I've delivered a couple of projects quite successfully, to the great satisfaction of my clients.

This year is different because I've had an affordable place to live of my own since March, and I don't have anybody mooching off me or otherwise trying to ride my coat tails. I don't have anybody pressurising me to subsidise their laziness and inability to make good on their financial commitments. I don't have anybody using my gas, electric, water, sewerage, council tax and broadband, and running up thousands of pounds worth of rent arrears.

This year is different because I've had contract extensions and managed to have consecutive contracts, such that I've hardly stopped working at all.

This year is different because I've been working on my skills and making myself more confident and employable. I've felt increasingly capable and good at my job, without getting too deep into the territory of delusions of grandeur.

This year is different because the pressure is markedly reduced and the stress levels are more manageable, despite crushing mountainous debts. There have been really awful times - such as renting a place to live - but I seem to be well established in a good routine now, such that I just need to keep turning the pedals.

I drink too much. I'm unfit.

However, in the space of 11 months I'll have managed to buy a car, rent an apartment, pay off £21,000 of debt, and save up enough money to pay a hefty tax bill. I don't enjoy living out of a suitcase, but I'm not slumming it anymore. I've been able to take a weekend break to see old friends in Prague and I have a week-long holiday to Turkey booked, which will be my first proper holiday for over 2 years. I stay in a nice hotel midweek and I eat in a gastropub. This is the self-care aspect, which didn't really get taken care of in previous years. There's no point working as hard as I do unless it's delivering some quality of life; I might as well just kill myself if life's going to be an unrewarding slog.

I sometimes can't believe what comes out of my mouth, in terms of the fucking rage which is somewhat pent-up inside me. This is a summary of the many false starts I've had, and nearly-but-not-quite moments, where it looked like I was going to make a breakthrough and get properly back on my feet. It's incredibly frustrating to repeatedly do the impossible - quitting addictive drugs, getting off the streets, out of the hostels and back into mainstream civilised society, while also dealing with a major mental health problem - and to see that there's nothing wrong with my approach per se. On paper, everything should go perfectly and quickly restore me to health, wealth and prosperity, but it does require a run of good luck, and that luck is very much dependent on the co-operation of other people.

Who do I want to blame? Capitalism? Banking? Bad bosses? Wimmin? Parents? Even friends?

I spend a lot of time writing very aggressive angry stuff.

I can't believe what I write.

Maybe this year won't be any different, because I'm a spoiled overprivileged vile bitter old man, who doesn't take any personal responsibility; I'm too quick to blame others.

We shall see. The story continues.

Tags: #frank #homeless #hostel #friends #banking #london #wales #capitalism #debt #career #addiction #alcohol #recovery

This is a story about three consecutive weeks away from home...

Despite some pretty serious drug and alcohol issues, having reduced my supercrack addiction to just a couple of relapses in the last 16 months, my life is going considerably better. Before, things were too chaotic and messed-up to manage basic adulting, let alone making complex plans and following through with them.

Poly-substance abuse makes life particularly unmanageable. Stimulants produce excessively, obsessively focussed attention on tiny details, to the point of dismantling a television to see how it works, but forgetting why and not thinking about the consequences, such as not being able to put it back together again. Tranquillisers paper over the cracks temporarily, forestalling the inevitable crash and inducing amnesia, such that the brain doesn't have its natural corrective reaction: "fuck! I should never do that again! that was dumb!".

In the grips of drug-induced mania, I've made a lot of plans, contacted a lot of people, done a lot of hard work and generally laid some of the groundwork for grand schemes, only to let everything rot and wither on the vine because eventually I crash. My ideas are never dumb per se but as we say in the startup world: ideas are worthless; execution is everything.

This weekend I need to wash and pack 3 weeks worth of clothes; 3 wardrobes - work, UK autumn and holiday sun. I need to buy flip flops and sunscreen. I need to get a haircut.

I need to load up my car on Monday morning with everything I need for 3 weeks.

It sounds like an adventure, right?

I've had enough adventures to last me a thousand lifetimes.

My left arm is covered in scars where I've slit my wrists and cut my veins lengthways. My left shin has a humongous scar from when I was trying to escape from my sister's bedroom, where my dad had cornered me, and I picked up a mirror to defend myself - like a shield - which got smashed and a massive piece of glass dropped like a guillotine blade. My right thigh has a huge scar from when I fell through a glass roof, running away from voices in my head; admittedly more obviously a consequence of my so-called bad choices but easily understood in terms of the fucking abuse I had suffered at the hands of my ex-wife and my parents beforehand.

My life is remarkably improved since mostly quitting drugs, legal highs and black-market medications, but I'm loathe to become one of those "drugs ruined my life" idiots, because clearly there was a reason why I was driven to seek something in substances: I was denied a conventional happy contented life. This isn't a "poor me... poor me... pour me... another drink" whingefest. This is simply a statement of fact.

My needs are the same as anybody else's: food, shelter, companionship, intimacy, safety, security.

I'm a pretty basic guy.

Garbage in, garbage out.

If it sounds to you like I'm absenting myself from personal responsibility - distancing myself from my bad choices - then I've got a few questions for you. Where were you when I was lying on the floor dying of a suicide attempt overdose a couple of times? Where were you when I was in hospital all those many, many times? Where were you when I was sleeping rough? Where were you when I was arrested, locked in a cell and then released without charge? Where were you when I was voluntarily admitted to a psych ward, or sectioned? I've faced so much adversity alone. It's true that in the last couple of years I've had the assistance of my guardian angel, but that person is clearly the reason why I've recovered, obviously. I was floundering on my own, but at no point did I ever fully abandon the notion that I was personally responsible for influencing the outcome of my life, or death.

So you think life's complicated doing the school run? Wiping bums, making packed lunches, playgroup, after-school activities, grazed knees, tears, tantrums, sleepless nights, sore nipples and general procreation-related bullshit is a reason why your life is hard? I've got 7.6 billion living breathing walking talking reasons why you're a fucking idiot. I've got over a hundred billion skeletal remains of your failed attempts to clone yourself into immortality you fucking moron. You're at the top of the bell-curve you rutting simpleton.

Life's not a competition but I'm winning.

This is not what I intended to write tonight at all, but I've abandoned all attempts to avoid repetition and any misguided belief that I'm able to project an idealised image of myself, as opposed to baring my ugly soul for anybody who unfortunately happens to be looking in this direction at the time.

You might think that my life is an enviable adventure, but it's actually a fucking nightmare, without kisses, cuddles, hugs, spooning and the comfort of knowing that I'm safely embedded within the crowd; safety in numbers, like a school of fish.

I'm an outlier and it sucks.

Tags: #depression #suicide #homeless #single #addiction #supercrack #recovery

This is a story about self-experimentation...

It's very difficult to conduct a scientific study involving human beings. Our innate ability and inclination to adapt to our ever-changing environment means that we can't control the variables as we would be able to in vitro.

Sample sizes are always tiny - statistically impossible to gain any insight from - because of the difficulty of recruiting so-called ideal study candidates and being able to follow them for long enough to gather any meaningful data. Each individual will have wildly varying personal circumstances, which render any studies of hundreds or thousands of participants, complete and utter pseudoscience hogwash; nonsense; garbage.

Aggregating data from all the antidepressant controlled trials, as well as thousands of other studies into the efficacy of those medications, concludes to a high degree of statistical significance, that in more than 80% of cases the person's depression would have 'cured' itself on its own - medication makes no difference at all.

Clearly, psychoactive medications do have perceptible effects, just as you're able to tell if you've drunk 4 pints of beer or 4 pints of water. Thus, a double-blind placebo trial is not a placebo trial at all, because those who are in the placebo group know that they're unmedicated.

The question then arises: can we prove that some medications have positive effects?

Problematically, we are as superstitious as an animal with a bird-brain, quite literally. If a food pellet is randomly released to feed a pigeon kept in a cage, the pigeon begins to believe that whatever it was doing when the food pellet was released caused the food pellet to be released. If the pigeon was - for example - turning 360 degrees clockwise when the pellet was randomly released, it will continue to spin in circles, believing that its actions are causing the food pellets to be released. This is called magical thinking and humans are just as prone to it as a bird-brained pigeon.

Extrapolating, if we take up yoga, start eating kale, listen to whale music, start believing in imaginary sky monsters, wear lucky underwear, read self-help books, use homeopathic remedies or start doing any one of the many billions of similarly stupid and futile superstitious rituals, these are at least 80% likely to co-incide with a natural improvement in our mood which would have happened anyway. However, we will falsely attribute our better mood and more hopeful future, to something which actually had absolutely no effect whatsoever so far as good empirical evidence-based repeatable science is concerned.

To control the variables is extremely hard, in complex modern life.

I had a very good night's sleep last night, woke up early, ate a healthy breakfast, got to work early, had a productive day, and I felt like I had the energy and enthusiasm to do some exercise. My quality of life was manyfold better today than it has been for a very long time. My hope and optimism were sky high today.

Let us deconstruct the reason for my good day.

Last night I swallowed two 7.5mg zopiclone tablets, which are a sleeping pill. Perhaps it's high quality sleep, delivered with some help from medicine, that's the reason I had such a good day - I was well rested and refreshed.

No.

Earlier in the year - and in fact quite recently - I had completely quit all sleep aids and I was sleeping very well without them. I have no problems initiating sleep and remaining asleep. This variable is eliminated.

Last night I swallowed one 2mg Xanax tablet, which is a short-acting benzodiazepine hypnotic-sedative muscle relaxant, generically known as alprazolam. Perhaps it's relief from anxiety delivered with the help of medicine that is the reason why I had such a good day - my anxiety was subdued.

No.

Earlier in the year - and in fact quite recently - I had completely quit all sedatives, tranquillisers and tranquillising painkillers and I was coping very well with my anxiety without those medications. I am fully functional despite my very high-stress and demanding life. This variable is eliminated.

Last night was my 5th consecutive night without alcohol. Perhaps it's the healthy decision to quit booze and become teetotal which is the reason why I slept better, woke up refreshed, had improved concentration and felt more full of energy and enthusiasm for other healthy activities than I have done for a long time. I thought about catching up with a friend. I thought about doing some exercise.

Ah. We have a problem.

On the face of it, we have 3 significant changes, and those changes all concern mind-altering substances.

I can be fairly certain that I'm able to sleep and I'm able to cope with my anxiety without medication, but I combined two medications which should have helped with both, which is already complicating the clinical picture, but then I also quit heavy drinking quite abruptly and managed to get through 5 consecutive sober days. 3 changes is far too many changes to attribute my improved mood to any one of them, or even all 3 in combination.

But.

Oh no.

There are other changes too.

I got paid on Monday. Getting paid is always a good day. Sure, Monday I was off work sick, but it wasn't until yesterday that I started doing some sums and I realised that I can pay off half my debts at the end of the month. It's something worth considering.

I went back to work on Tuesday. Not losing my job is always a big relief when I get sick. Sure, it'd be pretty bad luck to lose my job after just one day off sick, but it's always a relief somehow to go back to work and find everything's fine and people are cool with me. It's something worth considering.

I have 8 working days - less than two weeks - until I go away on holiday. I haven't had a week-long holiday since July 2016, over two years ago, so that's a massive relief to know that I'm going to get a relaxing break soon. It's something worth considering.

I spent the weekend in the company of old friends. I took a flight to Prague. Socialising and travel are exciting and stimulating. I played with my friends' children. We did activities, like sightseeing and mushroom picking in the woods. All of those things are very nice and normal and pleasant. Sure, it was exhausting, but now that I've gotten over the travel I have some really nice memories of that trip. It's something worth considering.

At work I'm starting to feel like I'm really making a difference and I'm a valued member of the team. My colleagues were glad to have me back and people are keen to work with me. I feel cherished and a little bit more secure every day. I feel increasingly confident in my own skills, knowledge and experience. It's something worth considering.

My sister picked up my mountain bike from my parents, so that I can collect it from her. I'm looking forward to seeing her and maybe my niece too. I'm looking forward to having my bike back. I'm looking forward to getting my bike repaired, upgraded, and being able to use it to get a bit more fit and active. It's something worth considering.

Lives are complicated.

Life is complicated.

It's impossible to control the variables.

If you were looking for the perfect test subject - a guinea pig - you would fail to find a better one than me, because so many things in my life are constant. I stay in the same hotel, I eat in the same gastropub, I do the same job I've done for 21+ years. I'm a creature of habit and I'm not destabilised by anybody else, such as family, a partner or children. I've cut every variable out of my life that's possible to do, short of locking myself in a laboratory cage. I'm the perfect test specimen.

I can't tell you why I had a good day today, but I have very good reason to believe that it was a combination of a multitude of factors, including the sleeping tablets to help me get back into a good sleep pattern, the anxiety tablets to help me cope with intolerable stress levels, the sobriety, the travel, the socialising, the money, the job satisfaction and a million and one other little things, all of which are very positive. For example, my Apple Macbook was repaired under warranty, saving me the cost of a £1,500 replacement or a hefty repair bill, which is a big relief. Who could have predicted any of this and why would we attribute my life improvements to any one particular thing, such as the favourable mood of an imaginary sky monster? Stuff was just going to get better on its own.

As you can tell, I'm not the superstitious type.

I will, however, be taking a zopiclone and a Xanax again tonight.

Tags: #medication #depression #anxiety

This is a story about having a miniature nervous breakdown...

I know it's offensive to say "I'm a bit OCD" just like you can't be "a bit in a wheelchair". However, I'm a bit of an authority on life implosions. It's not hyperbole to describe myself as on the brink of a breakdown and/or a suicide attempt. If anybody could know just how close I am to breaking point, I would be me, given that I've lived far too much of my life on the limit; I've had far too many breakdowns and brushes with death.

What do I mean by a breakdown?

There's the fairly tame stuff, like not going to work, not answering the phone, not answering the door, not opening the curtains, not getting out of bed, not washing, not eating, not socialising, not paying the bills, not opening the mail, not doing any kind of activities, sleeping all the time, unpredictable random bouts of uncontrollable crying, suicidal thoughts and plans... that kind of stuff. That's your common-or-garden depression tame breakdown stuff, which destroys your job, your finances and your relationships with friends and family.

I can pretty much manage to stay functional and not lose my job, even when I'm spending 40 hours a week at my desk plotting to kill myself. I can quite literally spend a whole day in the office thinking about what poison I'm going to buy, where I'm going to get it from, how I'm going to use it, which tall buildings I can access the balconies of, what pavement or other area there is beneath the balcony, how I would gain access, how I would get there... all the little details.

Nowadays, I plod along like it's ordinary to have those thoughts and feelings. That sort of stuff is just ordinary background noise to me.

There's other tame stuff like spending vast sums of money on expensive consumer electronics and plane tickets. Casual sex, alcohol and drug abuse; extreme sports, bad driving and other excessive risk taking. All of that stuff is part of my day-to-day existence.

I'm able to quell both my impulse to stay in bed and my impulse to run away, to such a great extent that I've given an excellent false impression of a highly functional adult human being, for 10 or more consecutive months. A large number of people have been fooled.

I've dragged myself to work after drinking 3 bottles of wine. I've dragged myself to work after a multiple-day drug binge without any sleep. I've kept the receipts for thousands of pounds worth of consumer electronics and mostly resisted the urge to walk out of the office and jet off to an exotic location with a fat wad of £50 notes in my pocket, yelling "SEE YOU IN HELL" and flicking V-signs at my colleagues as I exit.

It's the last part that's been my biggest success.

My brain mostly tells me I'm brilliant and other people are slow and dimwitted. I work with very smart people, and the less I say about my colleagues the better. Let's just focus on the me part, because it's a confusing issue. My thinking goes a little bit like this...

"I was a drug addict sleeping rough in a bush in a park, nearly bankrupt, and now I'm putting together this massive software system for a gigantic organisation, even though I'm as mad as a box of frogs, and yet everybody seems to respect my opinion, trust me and follow my leadership; they pay me an obscene amount of money"

So then I start thinking...

"Who else in my organisation is a nearly-bankrupt severely mentally ill person who was sleeping rough in a bush in a park and physically addicted to multiple dangerous drugs?"

When I arrive at the conclusion that my colleagues have not faced the same adversity, it fuels delusions of grandeur. Why would it not? It seems only logical that the reason I'm not destitute or dead and instead I'm earning big bucks and doing important work, must be because I'm special and different. I write this paragraph dripping with sarcasm, the reader should note.

On the matter of the success part: turns out that it's a good idea to keep your mouth shut most of the time, if you want to get along well with the literally hundreds of thousands of employees who work with you in some of the world's biggest organisations. It turns out that it's an even better idea to keep your mouth shut and not say what you think, if you're plagued with delusions of grandeur, brought on by the sheer ridiculousness of seemingly being able to drag yourself out of the gutter and reach the stars at the drop of a hat.

It's quite mind-fracturing to believe at the same time that you're worthless and that the world would be better off without you, while also believing the hard evidence that no matter how hard you try to destroy your life, you still remain eminently employable and in-demand; no matter how many times you walk out the office shouting "GO TO HELL FUCKTARDS" somebody somewhere still will offer you a great big suitcase filled with £50 notes to sit at a desk and think about killing yourself.

It should be noted that I like my colleagues and I think they're very smart people.

It should be noted that there hasn't been a "GO TO HELL..." moment for quite a while.

Like, there probably hasn't ever been a "GO TO HELL..." moment.

Not ever.

I get very worked up about the systems, the organisations, the politics, the structural problems, the inherent unfairness and absurdity of it all. I get very worked up about perfection, utopia and engineering elegance. I get very worked up about management incompetency. I get very worked up about the speed with which things get done, which feels painfully slow.

These opposing forces within me - the depression and the mania - seem to express themselves quite suddenly as an exhaustion which confines me to bed for many weeks, jetting off around the world or getting very angry with one particular situation. The anger one is probably the most destructive; the other two are recoverably destructive.

I'm particularly fearful of waking up one day and being unable to go to work, which is strange because that would probably be the least damaging of all outcomes. Yes, it doesn't look great to disappear and not answer your phone for weeks, but understood within the context of a major episode of depression, most people's reaction is sympathetic.

Past experience has taught me that becoming arrogant, cocky and full of myself leads to saying and doing stupid things in the office, which is far more damaging than being off work sick. As hypomania boils over into all-out mania, I know that I can be prone to say the wrong thing to the wrong person at the wrong time; patience and tolerance wear thin.

Somehow, I manage to navigate a path through both extremes, so long as I'm not too depressed or too manic. I build up some goodwill which carries me through difficult periods. I prove my worth and make myself useful, such that I get second and third chances.

Knowing myself very well, I feel like I've been skating on thin ice for far too long. I feel like I'm well overdue a meltdown; a major catastrophe.

I don't have any spare energy left to maintain my mask of sanity; I can no longer keep up my "game face".

The mask is slipping.

My main preoccupation should be remaining civil.

So long as I can remain civil, I'll probably be forgiven for having a breakdown.

I'm too outspoken, as usual. People are getting to know me. I'm super exposed.

Some poor bastard usually feels the sharp end of my tongue and I desperately attempt to apologise and take back the things I said in the heat of the moment. My regret and remorse are heartfelt, but it's usually too late. Gotta keep things civil, no matter how much pressure and stress I feel I'm under.

Perhaps worst of all are the lies and the boasts, which come at the very end of a long period of fake it until you make it when I actually no longer need to fake it anymore. Lolz. Irony.

The fear of being exposed as an imposter - having my secrets revealed - has followed me around for an incredibly long time, but now I'm almost-but-not-quite back on my feet. This is the very worst period.

I need to consolidate my gains.

But.

I'm so close to having a breakdown.

Tags: #depression #bipolar #mania #hypomania #career #debt #homeless #addiction

This is a story about when the alarm clock goes off...

I'm routinely late for work but I think I've figured out why. I was very tired when my alarm went off this morning, but I think I could've gotten out of bed and gone to work. I was tired but I felt OK. I needed more sleep but I'd have been alright if I immediately got out of bed.

Unfortunately I let the dread set in.

My thoughts and feelings changed from "I need more sleep" to "I'm going to be late" to "I don't want to go to work at all". From initially planning to get up, iron a shirt, iron a jumper, take a shower, get dressed and drive to work, I then started planning how best to tell my team that I wasn't going to make it to our morning meeting. As lunchtime approached I dreaded having to finally get up and the ridiculousness of "I'm going to be late" meaning not turning up until the afternoon.

I did not get up.

As the afternoon wore on I was dreading having to tell my team that I was actually going to be a no-show. I dreaded the loss of earnings. I dreaded the damaging impression that I'm unreliable. I dread the day that I'm finally unable to keep going any longer, and I stop turning up for work altogether. I dread the day that I hit the wall.

I did not tell my team that I was going to take the day off sick.

It might seem like I'm my own worst enemy. It might seem like I'm making things harder for myself. It might seem like there's a long string of decisions here, and I'm making bad choices, but it doesn't feel like it at all. The whole process is quite agonising.

A couple of times in the past fortnight I've woken up at around the time when my alarm goes off. I've gotten up, dressed, had breakfast, driven to work and arrived on time or even early. "This must be what life's like for a normal person" I've thought to myself. It's been blissful on those days. Life has felt sustainable and pleasant and I've even envisaged being able to keep working for the foreseeable future, on those good days.

Most days are not good days.

I've only found a few solutions for the dread.

Short-acting hypnotic-sedatives work very well in the short term. Xanax and zopiclone last just long enough to get a good night's sleep a bit more tranquillising effect in the morning, when the dread would normally set in. Without a sleep aid, the dread sets in the night before: "I'm never going to get enough sleep and I'll be exhausted in the morning" I think as I lie awake until the wee hours of the morning.

Alcohol works a little bit as a sleep initiator but the liver metabolises alcohol so efficiently that it's mostly eliminated from your bloodstream after 4 or 5 hours. Alcohol-induced sleep is not high quality and it's followed by dehydration and a full bladder, which I usually try to ignore because I'm warm and comfortable in bed. By the time the alarm goes off alcohol withdrawal and bad sleep combine to make the dread doubly bad.

Getting absolutely smashed drunk works surprisingly well as a mechanism for getting me to the office more-or-less on time. Waking up half-pissed from the night before does offer an intoxicated tranquillisation which allows me to overcome the dread.

Driving to work drunk and/or tranquillised and being in the office while reeking of alcohol and/or slurring due to tablets, is a pretty undesirable state of affairs. Public transport, heavy lunchtime and after-work drinking were the norm in the City, so my heavy alcohol dependency was not conspicuous until I was banished to the provinces.

Everything's catching up with me now.

The heavy boozing has led to sudden weight gain this year, which depresses me. Drinking heavily no longer seems like a sustainable strategy to get through the working weeks.

The solution is a total detox, exercise, sensible bedtime, healthy breakfast and good sleep hygiene; routine. The solution is to live the most boring life imaginable, dedicating myself purely to the pursuit of being able to get up in the morning. The solution is to completely change the way I live - the way I act - in order to fit in with early-bird culture.

In many ways I am still going through an extended benzodiazepine withdrawal, neuropathic painkiller withdrawal and sleeping tablet withdrawal. My alcohol use has prolonged and worsened the excruciating withdrawal from the physically addictive medications. My body and brain's instinctive reaction to drink more and eat more to compensate, has been a very poor coping mechanism and has instead lengthened and exacerbated the negative symptoms, instead of providing the mild relief I so desperately crave.

Having used Xanax a couple of times in the last fortnight, it was remarkable how my brain responded: "THIS is the stuff which I've been screaming for" it seemed to say, as I gained some long-overdue respite from round-the-clock anxiety and the dread.

Obviously it's not desirable to use pills or booze long-term. Obviously, it'd be good to suffer the short-term pain and get healthy, before things get any worse. I've done a substantial part of the hard work, in breaking my physical dependence to a multitude of addictive medications.

I desperately craved alcohol all weekend but remained sober because my friends who I was visiting are not big drinkers. I was really craving alcohol tonight, but I managed to resist, although I'm comfort-eating to compensate for the craving.

I hate the situation, where I'm not where I want to be with anything. I'm not teetotal. I'm not medication-free. I'm not doing the healthy stuff. I'm gaining weight not losing it.

To eat less, eat healthy, go to the gym, be teetotal, stop taking sleeping pills and stop taking the occasional tranquilliser, but yet maintain my miserable single hotel-dwelling living-out-of-a-suitcase life, seems completely ridiculous. However, using my misery as a justification for drinking as much as I want, whenever I want, is also ridiculous and has led to appearance change and health degradation, which I don't find acceptable.

Tonight I've comfort-eaten and not done any exercise. Tonight I will take one or maybe even two sleeping pills. However, I won't have any alcohol or tranquillisers. I'll try to go to sleep at a sensible time. I'll try to get up early, have a healthy breakfast and get to work on time. If I can do all that, it's still a reasonable achievement considering the circumstances.

I'm not reliable. I am struggling. Hopefully nobody will hold it against me though.

Tags: #career #depression #sleep #medication

This is a story about a journey all the way to the bottom and back up...

The year was 2011. I fought with my girlfriend about relocating my startup. The year was 2012. Depression and destruction. The year was 2013. Divorce and drugs. The year was 2014. Suicide attempts and homelessness. The year was 2015. Getting better, but still very severely mentally unwell; quite insane. The year was 2016. Substantially recovered, but not quite; false start. The year was 2017. The worst of all the years.

During the last 7 years, a lot of the cohort from the startup accelerator program I attended in Cambridge, have all gone on to be spectacularly successful both in business and in their personal lives. They've strengthened their relationships, had children, bought houses, yachts and sportscars. They've become much in-demand conference speakers and widely respected captains of industry, with amazing reputations.

I went down.

I went down hard.

I went all the way to the bottom.

I had enjoyed a lot of the material success and achieved a bunch of life goals much earlier than most of my peers, but it didn't take long to undo all that hard work. It doesn't take much effort to give up all the gains you've made. It's a lot easier going downhill, than clawing your way back uphill.

I guess a kind of rock-bottom moment was when I arranged to have high tea at The Ritz with one of my best buddies from the startup accelerator. I stood him up because I was in big trouble. Mental illness, addiction, alcoholism, homelessness, debt, divorce, loss of assets, loss of my startup, loss of all hope conspired to rob me of all my self-esteem. My buddy is not the kind of person who'd make me feel like a failure or invoke any kind of shame and embarrassment in me, but I couldn't let him see me in the state I was in. I was a complete mess. I couldn't even be seen in public.

I slept rough, I lived in a hostel, I went into heaps of debt just staying alive. I wrecked my body and mind with prescription drugs, legal highs, illegal drugs, alcohol, black-market medications and a ludicrously high-risk lifestyle, which had been so punishing that it had hospitalised me multiple times for multiple weeks.

I managed to meet up with my buddy once, just as I was going through divorce in 2013, before things got really bad, but they were still pretty terrible. I saw him again in 2015, when I was having extreme mania and generally suffering with terrible mental health problems brought on by stress, pressure, exhaustion and sleep deprivation. I stood him up in 2016.

Somehow I managed to see my buddy in 2017, when he was celebrating the culmination of 6 years hard work on his startup, at exactly the same time as my life was well and truly beyond any hope of saving; my entire world was imploding. My dream of rebuilding my old life in London completely collapsed and I had nothing but debt and the threat of imminent eviction, which at least forced me to temporarily act with a little bit of self-preservation instinct, but I soon ended up in such a dire situation that I decided my life was over; I tried to kill myself. In summer 2017, the directions the lives of my buddy and I could not have gone in more opposite directions. I had failed. I was a miserable failure.

This year, what had been originally been planned as a holiday with my girlfriend turned into a bromance weekend with my buddy. Things were looking up. I'd been working for almost 7 consecutive months without a major disaster. My life was still pretty wrecked, but at least it was improving. I was in a bad state after a messed-up May, where I'd had a relapse, but thankfully it didn't ruin everything.

I had a bit of a lapse a little over a week ago. The instability which ensued prompted me to spend money. Some of that money got spent on a weekend visit to see my buddy again. Things have continued to substantially improve, although my life is still pretty wrecked, by all reasonable measures. Annoyingly, my buddy has seen me right in the middle of a period of bad mental health, immediately following a relapse. Annoyingly, I'm not seeing my friends when I'm at my best, but instead they're seeing me when I'm destabilised and a bit sick; exhausted and stressed.

It should be noted, however, that there is a significant difference between today and the time I decided to jump off the Golden Gate Bridge. Today is much more like the optimistic period I had in 2013 where it looked like I was going to get out of a bad relationship and start rebuilding my life. Today is not at all like 2017, which was a total train-wreck; I was a complete mess.

I feel like I must have trashed my brain. I feel like I must have fried my mind. I feel like my mental health is utterly wrecked and people are probably just humouring me, like I was ever one of their peers.

I would love it if I've gotten back to enough of a healthy state that I'm doing OK. I would love it if I'm somewhat getting back to normal, and not too much lasting damage has been done.

I know it's no use wanting to go back in time; wanting to get back to exactly how I was at some point in the past. That's impossible.

My biggest fear is that I'm some sort of washed-up loser; that I'll never recover any quality of life; that I'm irreparably damaged and any spark of brilliance which justified my presence amongst that cohort of 2011, has long since been extinguished. I fear I'm a has-been.

My brain feels sluggish and slow. I feel somehow inferior. Not just to the brilliant people I met in Cambridge, but somehow to almost everybody. I've spectacularly completely and utterly failed at life.

I'm about to board a flight back to the UK. I have a good job and my cashflow is OK. I have a holiday planned. I have a place to live and other life essentials. Things are not that bad but I'm aware that I've barely begun my journey back up from the bottom. It's worse than starting with nothing. What I'm talking about is starting deep in negative territory.

It's ridiculous and unhelpful to compare myself to the man I was in 2011 and imagine what might have been. I am where I am. I should be pleased I'm not destitute; dead.

I should be dead.

But I'm not.

My life has entered a very surreal phase now. I'm living a life which should lead towards health, wealth and happiness. I'm moving very fast in a positive direction, but the journey I've been on has been very extreme in every conceivable way.

Things are seemingly normal, but also not normal at all. Nothing ever was normal in my life. Nothing ever will be. I suppose at least things are abnormal in the right kind of way now, at the moment.

It's hard re-adjusting to the new [old] normal.

Tags: #startup #cambridge #friends #suicide #homeless #bipolar #addiction #mentalhealth

This is a story about wakefulness promoting agents...

I used energy drinks to help me get through the aftermath of a screw-up back in May. I still had some left to help me get through a screw-up last week.

I forget how fragile my life is; how fragile my stability is.

I'm not aware how much I have recovered. I'm not aware how quickly I have destroyed that recovery.

It's only that I can remember key milestones, such as being hospitalised a year ago, or screwing up back in May - when I bought the energy drinks - that I can attempt to avoid repeating the same mistakes, which will hopefully break the cycle.

Unfortunately, uppers, downers, sleep deprivation and all those other things which are destabilising, seem to conspire and combine in ways that destroy my insight and render me dumb.

I often have no idea just how slow-witted and dumb I really am.

I've written and deleted thousands of words tonight.

I'm in Prague for the weekend. I have to go back to work on Monday; it's the start of another ordinary week. I have to carry on. I have to keep my 10-consecutive-month streak of uninterrupted work going for a bit longer. I have to pretend to be stable, even though I'm really not. I have to fix the things I've broken. I have to keep moving forwards, even though I sometimes take a backwards step.

Spending vast sums of money, international travel, seeing old friends after a long period of social isolation, caffeine, sudden changes in medication, sleep deprivation, drastic changes in alcohol consumption... it's bound to be very destabilising.

Work is relentless. Debt is relentless. Progress is imperceptible. Insight is hard.

I'm punch-drunk.

Tags: #caffeine

This is a story about practicing what you preach...

Friday and Monday were bad days for me. I got sick and I didn't handle things as well as I could have done. I haven't been looking after myself and I haven't been doing the things I need to do, to prevent burnout and breakdown. A crisis was inevitable and a disaster was probable.

My struggles with mental health problems, suicide attempts, self-harm, alcohol and substance abuse are an open secret. I have a tattoo quite plainly visible behind my ear, which symbolises those struggles, and its meaning is widely known and easily looked up on Google. In fact, I myself am quite easily looked up on Google, where all my struggles are documented with unflinching honesty.

I include for the reader, a heavily redacted photograph of one of the walls of my office, which is plastered with eye-catching posters declaring that it's OK to talk about mental health problems.

In my early twenties, by chance both my boss and I were meticulous record-keepers, gathering weird and wonderful data; we both had a kind of geeky love for statistics and the wonderful ability of statistical analysis to tease out interesting facts from the numbers. When I was leaving that job after 4 years, my boss and I compared notes. On all the days that he had thought I arrived late to the office because I was hungover, I was actually depressed. On all the days he thought I was productive and most valuable, I was actually hungover. My boss was correct in guessing that I have a mood disorder, but completely unable to understand how it affected my performance in my job. The effects of alcohol were mostly unpredictable. As it turned out, both my boss and I would be considered to have bipolar disorder, alcohol abuse problems and to excessively consume coffee, by all objective measures. We never discussed any of this until my final few days in that job.

I'm fortunate enough to have never been compelled to comply with any strict routine, perhaps because bosses are well aware that I would simply not abide. Despite a complete lack of communication on the subject, an unspoken agreement is reached: the boss understands that they have a valuable asset in somebody who can work incredibly hard in short bursts, when required, at the expense of daily plodding predictability.

Unfortunately, the predisposition towards making negative assumptions is quite pervasive. There is a tendency towards the assumption that any irksome, undesirable, unpredictable or unreliable behaviour is due to bad choices. It's automatically assumed that any lateness or sickness absence is due to alcohol or drug abuse, as opposed to the more kind, concerned and sympathetic assumption that it's due to so-called legitimate reasons, such as physical illness.

Advertising my prior problems with unflattering problems such as drug and alcohol abuse, leads to the presumption that all my struggles must be related to my own "poor choices".

Having a visible tattoo makes me very exposed; prone to becoming a victim of prejudice and discrimination.

Having a public blog makes me doubly exposed.

It's been an exhausting journey, sticking with my bold decision to write publicly using my real name, but I feel as though I'm getting closer to the day when I'll be able to fully unify my identity, and not suffer adversely. My skills, experience and professional contribution have always been highly valued even though my mood disorder has caused me to be late or absent on many days; on balance it's better to have me on your team than to discriminate against me because of my mental health problem. Now we are reaching the point where my prior issues with suicide attempts, self-harm, alcohol and drug abuse, are clearly not preventing me from being a highly productive and very appreciated member of the teams I'm a member of. We're almost at the point where I can go public (although I already did).

Ultimately, this is my little joke on the corporate world. It amuses me that I can write about all the things which you're not supposed to - because we're all supposed to be protecting our professional reputation and defending our identities - but if you're good at your job, you're honest and you're not an asshole, the world can be surprisingly accommodating.

Your parents will tell you not to get any visible tattoos or an outrageous haircut, because you'll never get a job. I don't suggest that anybody dabble with dangerous drugs, but if you do go astray, don't hide in anonymous shame. If your perfect attendance record is being affected by mental health problems, your legal entitlement to medical confidentiality is worthless, because bosses will always assume the worst. In short: anybody who's lucky enough to have you has to take the complete package, warts 'n' all.

I am obliged, by my code of conduct, to keep any employer, client, colleague, project, customer, connected party or any other identifiable detail, completely confidential, which of course I do. I spend a great deal of time considering my words very carefully, and I redact anything I photograph or quote, such that nobody knows who I am, where I work, who I work for, what I work on, what precisely I do or indeed anything about me and those around me, unless you already know me, of course - that's the joke. The story, names, characters, and incidents portrayed are anonymised. No identification of actual persons (living or deceased), places, buildings, and products can be made or could be inferred, except by those who are already privy to highly restricted information.

Of course, my face connects my professional identity with this one, and my tattoo is the clue that there's more to me than meets the eye.

I really can't wait for the day that it's OK to be myself, wherever, whenever. It will be a big relief.

Tags: #identity #privacy #socialmedia #career