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Comorbidity

10 min read

This is a story about a sick man...

Psychiatrist letter

I didn't drink last night or tonight. I've stopped taking sleeping pills. I've stopped taking anxiety medication. I've stopped taking tranquillisers. I've stopped taking sedatives. I don't take antidepressants. I feel very unwell.

I woke up and I thought about getting some rope and going to find a tree to hang myself from. I've not really thought about hanging much, but it's been on my mind. I think about a last minute change of heart, where I might try to take the weight off the noose, but it would be futile - I would try and I would fail. I think about the uncomfortable final couple of minutes, where I'd be panicking as the hypercapnic alarm response would make me thrash around, trying to get air into my lungs. Hanging would be a brutal way to die, because I imagine that I'd be conscious for quite a lot of it, then I'd lose control of my bowels and some poor sod would find me strung up with soiled underwear. Somebody would have to cut down my lifeless body. Anyway, that seemed like one of the options this morning.

This should be a happy period of my life. I'm not homeless, I have friends, a girlfriend, money and a car. I'm not a drug addict. I'm highly employable. I have my physical health, mostly. I've got a local job which is very well paid.

What's going on? Why am I so depressed?

I'm trapped. I can't go backwards. I can't stay still. I can't go forwards. I need to keep moving forwards, but I've run out of rope; I'm at my wits end.

I should have taken some time off in-between the last job and the new one, but that's not the way things worked out. Make hay while the sun shines, they say. Don't look a gift horse in the mouth, they say. Somebody opened a briefcase of money, tempting me with it, and it seemed like a good idea at the time. It is a good idea. It's a really good idea to have a really well paid job that's a short distance away from where you live. The problem is, I've got nothing left to give.

I can't fail. I can't falter. I have to succeed. I can't go back. I can't stand still.

I'm so desperate to feel better, but I know that the answer doesn't lie in pills. I know that to take antidepressants would send me manic. I know that pills aren't the answer. I'd love to feel a bit better though. My bank balance would love me to feel a bit better. It'd be nice if I didn't keep writing things that worry and upset my friends and girlfriend. Such is life. These are the cards I've been dealt.

What's important to me? It seems like it's all about work and money, but that's a good place to start. Without work and money there can be no future. Without a future there's nothing to hope for - I might as well just give up. This is the strange situation, where work is making me unwell, but without work I'll get unwell because I'll get into financial difficulties and I'll have nothing to look forward to except bankruptcy.

Just a little bit longer... if I can just work for a little bit longer...

How much money did I lose in January and February to ill health? Was it £10,000? What does it matter? I worked as hard as I could.

I've managed to buy a car. I've managed to get a local job. I've got a girlfriend. I've got some money in the bank. These are major milestones; major achievements. Things are looking up in my life.

I need to impress some new people; prove myself. I've got a new routine to get into. I've got a load of new stuff to learn, and not the fun kind of learning - this is stuff I'm expected to know already. I've got to give a good first impression - I can't turn up to work hours late every day; I can't let on that I'm not very well.

I'm sick but I can't afford to be. I'm sick but there's too much at stake. I'm sick but I don't want to lose the amazing opportunity that's fallen in my lap. I'm sick but my life looks perfect in a lot of ways - why am I sick?

I don't want to accept that I'm sick but the anxiety and depression are unbearable. It's enough to drive me to drink, drugs and/or suicide. I want to run away from the source of stress. I want to hide under the duvet for a couple of months. I need to recover but I can't - there's too much work to do. I need time off but I can't afford to lose everything.

I'm the epitome of functional. I'm getting up and doing the things I need to do, even though it's destroying me. Somehow I keep putting one foot in front of the other. Somehow the things that need to happen keep happening. I'm keeping the plates spinning even though I'm sick. At times, I'm quite happy and contented. At times I'm a picture of good health and carefree joy.

I've worked hard - even if you don't think I have - to give myself some easier times. I've put up with horrible situations because I knew they'd pay off in the end. There has to be some reward, otherwise it wouldn't have been worth the stress and aggravation at all. It would be a lie to say that my life is purely miserable. Misery kind of stalks me though - I know it lurks just around the corner at all times.

"Cheer up... it might never happen!" somebody might say, but I really wish it would happen, because I can't stand the constant anxiety. I can't stand the fact that it is happening, and I know exactly how long it's going to keep on happening for because it's not very difficult to work out such things. I know exactly what to expect. I know exactly the way things are going to go. I know exactly what has to be done. I know exactly how awful it's going to be.

My mood would be a lot better if I could abandon all responsibilities and follow my mood. I know that time passes incredibly slowly when I'm having to kill time and suffer horrible periods with nothing to do at work. I know that it's incredibly toxic to my mental health to be solving the same problems I've done a million times before, but with a load of constraints that artificially limit me from being able to work and occupy myself - to keep myself busy. I know that isolation - working alone - is really unbearable. The last place on earth I should be right now is twiddling my thumbs, bored but chained to a desk with nothing to do and nobody to talk to.

I'm going through a difficult transitionary period. I should have taken some time off. I'm emotionally exhausted. I'm trying to switch mindset, from the isolation of the last job to the possibilities of a new opportunity. I know that I need to give it a few days, or a couple of weeks, to get settled.

Everything's so stressful and unsettled. I've got a new commute to get used to. Somehow, I've got even less of a home than I did when I was living in AirBnBs. I can't get changed. I can't have a shower. I can't take a shit. I can't make myself something to eat. How did I end up like this, with a stressful job and no place to call my own... no bedroom; no privacy. It sounds ungrateful, but it's just a description of my current situation, at times. It could be worse, perhaps - I could be homeless; destitute. I could be additionally isolated and lonely, living alone. It could be worse... it could be worse... it could be worse. There is gratitude, but there is also a heap of stress and anxiety that's beyond what I can cope with. I am grateful, but I'm also struggling.

What do I want? Do I want everything to be perfect right now? Do I want easy solutions, like swallowing pills? Do I think somebody should gift me everything I need, all wrapped up with a bow? Do I expect somebody to just give me the keys to a place of my own and wave a magic wand to move all my stuff? What about friends? Should I just snap my fingers whenever I need them, and snap them again when I don't want them around?

I don't know about any of this stuff. All I know is that I woke up and I thought about finding some rope and a tree to hang myself. I thought about walking out of the perfect opportunity that's fallen in my lap. I thought about letting everything go to hell in a handcart, because I've reached the end of my tether. I don't know why I think this stuff. Maybe I'm a bad person. Maybe I'm an ungrateful little shit. Maybe I should just fuck off and die.

I don't know what I'm going to do. I'm going to have another alcohol and sleeping-pill free night and hope that these awful feelings subside. I'm going to hope for a better day tomorrow. I'm going to grab my black holdall and take the show on the road.

I'm sick, but do I have to be? I think I know where the problems are. I think I know the solutions. I know that nothing's going to be perfect. I know that life is full of compromises. All I can think to do is to keep trying to set things up so that the very least number of things are causing me distress. I keep reducing the number of things that are unpleasant and broken, in the hope that at some point things start becoming a bit easier, because at the moment there are too many times when life's unbearable.

Maybe I need to quit drinking. Maybe I need a drink. I don't know. Too much change and too much that's unsettling. I've lived out of a suitcase for far too long.

Yes, underlying mental health problems are the obvious thing to point to, but what's the solution? Of course the little bit of me that's got some survival instinct left thinks that being medicated up to the eyeballs, living in a council house, supported living or institution is preferable to death. Is being alive without dignity or hope preferable to this life that's a fate worse than death? Isn't it all the same anyway? If the rewards aren't there and the suffering is unbearable, why bother?

I managed half a day in my new local job, and I felt sick, sick, sick.

Maybe tomorrow will be better. If it's not, I don't know if I can carry on.

 

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Your Mileage May Vary (YMMV)

8 min read

This is a story about past performance as a guarantee of future performance...

Boy racer cars

In the space of a few photos - arranged chronologically in my album - we jump from my wedding, a Formula 1 racing circuit, skydiving and dawn breaking over London, photographed from Primrose Hill. These were the only things that seemed worthy of a photograph, sandwiched in-between my honeymoon and my separation from my wife. My niece was born in this period, but I keep my special photos in a different place from my everyday snaps - I photograph a lot of random things for my visual diary.

I was chatting to a friend and former colleague and he asked me if I'd "dealt with any of [my] demons?". I wonder what he meant. When we started working together I was nearly bankrupt, living in a hostel (i.e. homeless) addicted to drugs and having mental health problems. Yes, I suppose I've dealt with a few demons. I don't want to make excuses for past mistakes, or assume that everything's going to be plain sailing again in future, but that job we did together where I was working six and a bit days a week, 12 to 14 hours a day, and trying to get myself clean and off the streets.... it was a challenge.

There was that time that I moved to a city I'd never visited before, moved into a flat I'd never set foot in before and started work on an incredibly ambitious project, with no team supporting me. I had a tiny hiccup - also known as a medical emergency that left me in a coma in intensive care - which caused me to lose two days at work, and that was the end of that, even though I'd delivered 85% of the project.

A guy rang me up, asked me if I could do a piece of work for him. I said it would take me 6 weeks. He asked if it could be done in 3 weeks. I said it could, but the end result would be rubbish. I've been working on that project for 12 weeks and the result is great... in fact, I finished 6 weeks ago and I've been killing time ever since, because there isn't anything left to do but the guy wants to retain my services. This guy STILL wants to retain my services. One very happy client. I'm not good at being bored though.

Wherever I've gone, I've delivered value; I've improved things; I've earned my money. Wherever I've gone, I've made stuff work, on time, exceeding expectations. Wherever I've gone, it's been of substantial net benefit to my client. However, the mileage has varied.

During that period when I didn't take many photographs, I spoke to my boss. He'd rung me up to congratulate me on a really important piece of work that I'd done, and tell me that I was getting a special commendation award and a hefty extra unexpected bonus in my pay packet. Ironically, I was just about to go into hospital for a month-long stay. I knew I was sick. It was bizarre to be having this conversation, knowing that I was in the middle of a crisis.

Some people are steady Eddies. Some people will be consistently mediocre. Some people will never disappoint you, because they inspire such abysmally low expectations. I've never really had much interest in steadily and slowly plodding my way towards low quality, late, over-budget and depressingly below-average outcomes for projects that ultimately end in failure. Fail fast.

We're very afraid of failure in the corporate world. Nobody fails, in fact, we just succeed in unplanned ways: "think about all the lessons we can learn from this project" we say, as we realise that it's a pile of stinking crap that's never going to fly. It's not really in my DNA to be part of that culture.

Failure is a huge part of who I am. Failure to get to work on time. Failure to get through an entire year without having a single sick day. Failure to be content to just take my wages and ignore problems; not try to improve things; not to try to make things into a success. I fail. I can get sick. I can drink too much coffee and start shooting my mouth off - become overconfident, arrogant and deluded due to lack of sleep and too many stimulants - and I can become depressed and unable to get out of bed. Sue me. I get shit done. There's my consistency: when there's a deadline, I consistently meet it. I consistently deliver on time and on budget. I'm highly INconsistent when it comes to when I'm going to turn up in the office, or even IF I'm going to turn up in the office for a few days.

With this do-what-the-fuck-I-want kind of attitude, I've had a string of successful projects and happy bosses and clients, but it occasionally causes resentment amongst the morning-lark steady-Eddies whose only virtuous attribute is that they're always there at their desks on time, despite the fact they're fucking useless at their jobs. In fact, this statement is unfair. An organisation needs a mix of steady Eddies and sprint'n'coasts. I don't really sprint and coast... it's more like work my bollocks off and burn out a little bit, but it gets stuff done.

It's difficult for me, because there will always be some bosses who will gleefully receive the fruits of the labour from those incredibly productive periods, and then think that it's 'normal' and sustainable. When it becomes expected to work at a super high level of intensity, there's no gratitude for the incredible cost of such a feat, and there's no allowance for the fact that for every up there must be a down - people have to be given time to recover after exerting themselves.

I really don't think that there's a 'slow and steady' way to achieve some things. Fast is the only way to go, and the faster the better. The sooner you see something that's real and tangible and working, the sooner you know whether it works the way you expected it to or not. There's no value at all in something that's only half-built. I'd rather have people say "I wish it did this AS WELL" rather than "I wish it worked". Even if people say "that's not what I expected" at least they've got something that they can use, or can serve as a prototype.

A lot of managers don't really know what they want when they're recruiting. They'll hire a lot of folks who are very good at playing buzzword bingo, answering interview questions and keeping a low profile in organisations so they can keep getting paid - but those aren't exactly great qualities for getting projects delivered.

The precarity of my situation should have pushed me towards meek compliance - perhaps I too should have learned to keep my mouth shut, cover my arse and spin jobs out so that they last as long as possible. Perhaps I too should have learned the fine art of looking busy and coping with the soul-destroying nature of pointless work and projects that are doomed to failure. Perhaps I need to stop caring so much. Not my circus, not my monkeys, right? Not my money, so I shouldn't care, right?

I feel terrible imposter syndrome, because I've had a turbulent few years. I feel terrible imposter syndrome because it wasn't very long ago that I had a pretty horrendously insurmountable heap of problems. I feel terrible imposter syndrome because my past performance is no guarantee of future performance, despite a 20+ year career where my achievements completely eclipse and nullify any of the very few hiccups, none of which has meant that there hasn't still been a successful project outcome.

I don't know how to characterise myself. In the corporate world, nobody talks about any difficulties they've faced - everything is given a positive spin. In the corporate world, gaps in your CV and things like that are severely career-hampering blemishes; black marks. I think it's a huge strength, that I've made positive contributions to important projects, despite having to deal with some incredibly difficult things in my personal life at the same time. If the corporate world could wrap its tiny mind around it, I'd love to give the background context to my employment history.

Thus, mileage can vary. If you hire somebody who's never had a problem in their life, assuming that their spotless record is going to remain so forever, you might be disappointed if they ever face any difficulties, because they're probably not the kind of person who's ever had to deal with challenging circumstances. You might hire somebody because they've never had a mental health problem, but anybody can get depressed. A person who's experiencing problems for the first time in their life is going to be less able to cope and communicate and manage effectively, than the person who's been functioning with those kind of problems in their life for years and years. Every set of circumstances is different. Every set of pressures is different. Every time is different.

I just keep rolling the dice. As long as I'm allowed to keep rolling the dice, I'm winning more than I'm losing.

 

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Rock Bottom

7 min read

This is a story about quality of life...

Warchalking

You would have thought that rock bottom would come when you're sleeping rough, arrested by the police, thrown into a cell, you've spent all your money on drugs, you've got a physical dependency, you end up hospitalised or locked on a psych ward. You would have thought that losing your job, your apartment and tarnishing your otherwise squeaky clean CV, credit score and other things that are important to give you access to well-paid respectable work, would be the most crushing blow. In fact it's the lead-up to the point where you lose everything that's far worse. Once you're cut adrift and tossed by the wind and the waves, then you might as well just relax and go with the flow.

I woke up this morning, having been awake since 3am, worrying about the tricky transition between two contracts that are worth six figures, annually. It's a nice problem to have, right, to have two companies offering to pay you big fat wads of cash for your time and expertise, but the reality is somewhat more complicated.

I've drained my business bank account, because I've needed to buy plane tickets, book hotel rooms, train tickets and AirBnB rooms. I've been working for three months, but I'm still waiting to be paid - these are the commercial challenges I face. You've got to speculate to accumulate.

I have borrowing facilities available to me, but a substantial portion of my income is wasted on interest, paying for the money which I've needed for cashflow. Cashflow is tight when you're only managing to work 12 weeks a year, because you've been so unwell. I was hospitalised with DVT and both my kidneys had failed. I was hospitalised after a massive overdose - a suicide attempt. I was hospitalised and sectioned for mental health reasons, for my own protection. These are considerable obstacles to earning money, despite the fact that I discharged myself from hospital against medical advice, so that I could struggle into the office and not lose my job... but I lost it anyway. After my suicide attempt I struggled into the office, but I lost my job anyway.

I'm struggling into the office every day. I'm working Tuesday to Friday, for 4 hours each afternoon. My colleagues look at me like I'm taking the piss, as I saunter in at lunchtime and leave soon after 5pm. I travel across the country on a Tuesday morning, and I travel back the other way on a Friday evening - over 3 hours each way, which some people might scoff at. I know that there are many people who do long commutes, but I doubt many of them do them in the same year they were hospitalised as many times as I've been, due to medical emergencies.

This is my rock bottom - I'm only able to work about 16 hours a week, but it's killing me. I woke up this morning and I'm properly physically sick. If it hadn't been for the fact that I had to check out of my AirBnB, I would have stayed in bed. You'd have stayed in bed too, if you felt like I do. This is rock bottom - struggling along and barely managing to survive, even if you think that my situation is not very desperate.

I'm quite qualified to tell you what's desperate and what's not, because I've slept rough on the streets; I've lived in 14-bed hostel dorms and psych ward dorms. It's not a competition. Either you accept that I know what rock bottom looks like, or you don't.

What you can't see - because you only look at the good bits - is how quickly my life could unravel. I've got no safety net; I've got no cushion. My life hangs by a few slender threads. Of course I accept that I've had a run of good luck, such that I haven't ended up bankrupt and sleeping rough again. Of course I accept that I've had a run of good luck that there are still opportunities available to me; there's still a slim chance that I might rescue myself from my desperate situation.

There's an infantile attitude that I have to constantly suffer, like life is simple and all I need to do is get a job stacking shelves in a supermarket. You don't understand how real life works. You're not acknowledging reality. In reality we can't just abandon all responsibility and pretend like it's not psychologically destructive to lose hope; to have our dreams shattered. Loss of status and having a black mark against your name is a big deal. Being chased by debt collectors and bailiffs is a big deal. Having court summonses and court judgements and being sued into oblivion is a big deal. Getting fines and charges and all the other things that get slapped onto a poor person whose life is imploding, is a big deal. Real life... REAL LIFE involves earning as much money as you can, so that you don't have to take a calculator with you to the supermarket and ration out the value-price beans. Your infantile fantasies that we can just abandon everything that society holds dear - bank accounts and credit checks - and instantly switch our lives to be free and easy... this is complete and utter horse shit.

The reality of life is that there's a great deal of precarity. It might not look like it, but I've worked very hard to get myself back on my feet and I'm still a long way off. It might not look like it, but I couldn't have put in any more effort; I couldn't have handled any more stress - it's enough to give the most stable and secure person that you know a massive nervous breakdown. Eventually, we all reach our breaking point. We can't tolerate mental torture forever.

I've got my 3+ hour train journey, then a night in one place, a night in another, a night somewhere else, then it's back on the train, back to my job, time to check into yet another AirBnB I've never set foot in before. I need to buy two birthday presents, get a haircut. I need to do some washing. None of this is beyond the wit of man, but I'm so mentally and physically sick that I need to spend at least a week in bed, but I can't. I've got to keep the plates spinning.

Yes there are parents out there who are stressed out of their minds. Yes there are starving Africans. Fuck the fuck off. You think I've only got nice problems to have? You think my life is rainbows and puppy dogs and candy floss? Fuck the fuck off.

This is my rock bottom, because I want to throw everything away. It's too much effort. It's too much stress. It's causing too much anxiety. It's too exhausting. You think what I do is easy? If it's so fucking easy why isn't everyone doing it? If it's so easy, why aren't more people bouncing back from divorce, losing their home, drug addiction, alcoholism, bankruptcy, trouble with the police, mental health problems, suicide attempts, physical health problems and all the other things that bury people? Why aren't more people pulling themselves up by their bootstraps and getting themselves back on their feet?

It feels like I'm really close to a breakthrough, and that's what makes it so hard. All the time I'm thinking "it's only another 6 weeks, 3 months, 6 months... until I'm all fixed up and back to health, wealth and prosperity". It seems like it's no time at all, but that's because you're an idiot. You just don't understand how the shortest possible time can feel like an eternity, when you're in agony; when you're in such distress.

So close but yet so far.

 

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Why do I Write so Much?

11 min read

This is a story about brain dumping...

Hospital bed

I wish I was writing short and sweet think-pieces, but I'm not. I wish I was writing on a variety of topics, but I'm not. I wish I had all day long to compose something, edit it, improve it and give it some quality, but instead I come home and unload - I spend all day chained to my desk, hating every second, so when I finally sit down in front of my computer all I can do is pound out thousands of words that need to be unleashed, because I've been driven crazy alone in the office all day.

One of the reasons for writing so much is fear: Fear of dying misunderstood. If you felt like you had to write down everything you ever wanted to say, because you were going to die, then you'd write lots too, wouldn't you? What would you want to say to your family? What would you want to say to your partner? What would you want to say to your kids? What would you want to say to your friends? What would you want to tell the world? When you start to think about all that, then you might find that you've got quite a lot to say.

Isn't it so painfully embarrassingly teenaged angsty to be saying "I don't want to die misunderstood" and writing a diary where I go on and on about how the world is out to get me and grown-ups are awful? Isn't it super-duper immature to write like I've got all the answers and I'm the first person in the history of the universe to ever experience a few bad emotions and get a bit grumpy about having to work for a living? Shouldn't the shame of realising that I'm making a fool of myself cause me to shut the hell up? Can't I see myself? Don't I know how I'm coming across?

I guess I got into this writing habit when I felt like I was writing my own obituary. Then, over time, I've felt more and more comfort from knowing that I have uploaded as much of my mind into the cloud as I possibly can. It would be ridiculous to think that I'm somehow immortalising myself by spewing words out into the ether, along with all the trillions of others - every man and his dog has a blog, and believes what they're writing is profound. To think that I'm in any way original or making any kind of useful contribution, would be complete stupidity.

I've now reached the point where the steam of consciousness is seemingly endless, if anybody were to dig back in the archives. Any new reader would quickly tire of reading my boring dross, so it's almost as if I've been writing since the dawn of time. I write so much that it has to be skim-read - the themes are so repetitive; my points are so laboured. Like measuring the height of a child every single day, there seems to be very little progression - to the naked eye, I'm going nowhere with this, yet if we look back in the archives we can see that my life today is remarkably different versus 3, 6 or 12 months ago. 3 months ago I didn't have a job. 6 months ago I didn't have a home. 12 months ago I was a drug addict.

The archives don't chart my turbulent existence very well, because I don't write regularly when I'm sick and dying. It's hard to continue writing when you're in hospital, for example, so there are gaps. The gaps themselves tell a story. I have access to my photo library, which fills in some of the blanks, but I need to tell the story of what happened because otherwise people would never be able to guess from my photos. I write so much at the moment because I'm fearful that I'm going to lose my mind, kill myself or relapse into drug addiction. I write now, for fear of not being able to write later.

Just to write words like "drug addiction" or "didn't have a home" conjures up images of injecting heroin under a bridge. I write so much because I could easily be dismissed with a lazy label: Addict, for example. I write because things aren't as simple as they would seem to the casual reader. I write because there's complexity. I write because there aren't any easy conclusions that can be quickly drawn.

There's a process of reconciliation - those who know me are trying to reconcile the person they know with the story I'm telling of the more unfortunate events in my recent life; those who are getting to know me through only the pages of this website, are trying to reconcile what they understand of drug addiction, homelessness and mental health, with a story which seems to feature these elements in an atypical and non-stereotypical way. I deliberately write factual things - "I was a patient on a locked psychiatric ward" - knowing that it's shorthand for describing a person who serves no useful function in society, and should be kept in the asylum forever. When I write "drug addict" I do so knowing that it conjures up images of syringes and crack dens. I write because I'm an educated middle-class white guy who works for an investment bank, and I don't take drugs and I'm not homeless. Every preconceived notion you've ever had is going to be challenged, if you were to read my whole story. I don't think I'm original, special or different. However, my experience of addiction treatment services, homelessness, mental health and other public services, has shown that I'm an outlier - I'm even suspected of being some kind of hoax, or otherwise just a tourist passing through.

"It's not all about you" I'm often reprimanded. If you think I'm selfish and self-centred and conceited and vain and narcissistic and anything else of that ilk that you want to throw at me, you can f**k off and read somebody else's blog. This is where I write "Nick woz ere" in the hope that I either get better, or at least I made my very best attempt at explaining how difficult life is when you're laid low by depression, mood instability, abusive relationships, averse childhood experiences, divorce, loss of status, loss of home, addiction, mental health problems, suicide attempts, hospitalisation, institutionalisation, police, fire, ambulance... you name it!

To have built a Twitter following around one topic, and one topic only - the many trials and tribulations of Mr Nick Grant - seems incredibly narcissistic. I promise you that one reason I'm NOT writing, is to simply to shock and entertain... I'm not writing to be popular, even though I must admit that it helps my self-esteem a very great deal that people are reading what I write.

There's a very great temptation to give my 'fans' what they want. I can see that there are certain topics that create a great deal of engagement with my readers, and I could become addicted to the buzz of feeding that desire. I know what gets 'likes' and retweets. I know what gets chins wagging (virtually). I know that I could easily seed a thread of discussion, or otherwise troll in order to feel that I'm noticed and I'm making some ripples in the pond. Like many relatively early pioneers into cyberspace, I've spent enough time online to know what courts controversy and what kind of online persona I project... but that's not the way I play things. What I write comes from an earlier period in my childhood, when I used to write a journal for a cherished English teacher of mine to read - it was a formative experience.

I write because I'm a sensitive little soul in a world of bragging and bravado and bullshit. I write because I'm not going to win at sports, or even some kind of memorising-regurgitation exercise. I write because it's non-competitive and it's the only way I know to express myself - to dump out all the emotions that surge in my heart.

I'm aware that I have a bad case of verbal diarrhoea, but I don't care because my life is otherwise ascetic - I work, sleep and eat, and I have little outlet for self-expression and the pursuit of things that tickle my academic fancy; I have little opportunity for interesting discourse with fascinating people. It seems horribly self-indulgent to write so much about myself, but nobody asked you to read, did they?

I often think about the ears:mouth ratio, and that I should use them in the correct ratio. If you meet me in person - and I hope we do get to meet in person - then you might see that since I started writing, I've stopped the dreadful habit of just waiting for my turn to speak. I hope I'm a good listener. I hope I'm more engaged than I appear to be, writing all this god-awful stuff about myself. I've learned a lot about other people since writing so much about myself, because I don't feel so pressured to defend myself and otherwise present myself in the most favourable light that I can. I don't feel the need to tell you much about me at all really, in person, because it's all written down in a lot of detail if you really want to read it (which I don't recommend).

I'd ideally like to be writing high quality pieces on a variety of subjects, that take no more than a few minutes to read. 700 words is the sweet spot, I think - not too short, and not too long. As I write this, my rambling has just passed the 1,600 word mark. If ever you thought that writing a 2,000 word essay, a 10,000 word dissertation, 40,000 word MSc or 80,000 word thesis was a torturous task, then I'm just going to laugh at you because I've blogged 821,000 words to date and I'm aiming for a million by the end of the year. "Yes, but they have to be the right words" says a friend... she forgets that I've also written tens of thousands of lines of computer code in the last year alone, which have to be right otherwise they simply won't work - there's no wiggle room when a computer's involved, because it either works (true) or it doesn't (false)... it's binary.

I'm now writing utter horse shit, you realise, because I can't bear to be parted from the page. This moment - writing - is when I feel connected and switched on. It's like I've had the brakes on the whole time, and suddenly they're let off and I can just flow. If I wasn't writing, then I'd be getting up to mischief, so it's great to be able to write about whatever I want... just pouring words out onto a page.

Of course these are the insane ramblings of an unhinged man, but that's why you came here, isn't it? If I'm writing, it means that I'm still in the land of the living. If I'm still stringing together a coherent sentence, there's a little bit of me left on this earth - I haven't departed for the next life yet.

Do I cringe with embarrassment when I think about things I've written? Of course. If I could go back in time and stop myself from writing publicly about all the gory details of the inner-workings of my mind, would I do it? No way. If I could stop myself and go back to living a life of quiet obscurity, would I? No - I much prefer to document what's really going on with me, in a place that's readily available for anybody to come and peek into my mind.

I feel like I should write an obligatory bit of self-deprecation, saying what a self-centred idiot I am, but you know what? I can't be bothered. Yes this is all meaningless waffle - and so much of it - but the internet is not going to run out of bytes anytime soon... better out than in.

There we go... 2,000 words of nothingness. Just as meaningless as your uni dissertation that nobody will ever read. Just as meaningless as that thesis, that book, your entire life... whatever it is. It's easy to write, and it's also hard.

 

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Do No Harm

11 min read

This is a story about helping people...

Dialysis

I'm a bit of a work-in-progress. I was on a psych ward in Manchester after a suicide attempt - homeless, jobless, single, friendless (in terms of local friends) and estranged from my family (except my sister). Then, I was plucked out of that dismal life and brought into my friends' family life on a farm in Wales. My friends are aware of my suicidal distress; my depression; my wretched situation. My friends are helping me to get back on my feet.

To leave the psych ward was an immediate improvement to my life. To have a quiet room of my own; a double bed - these were luxuries not afforded on the psych ward, where I was in a 4-bed dorm with only a curtain for privacy. I was unlikely to make new friends on the psych ward - my fellow patients were profoundly unwell and I had no plans to stay in Manchester. I didn't really have anybody to talk to. Now that I'm embedded in my friends' family life I can chat to them and the members of their immediate and extended family - I've been welcomed into the fold... instant social life.

It was my choice not to be sectioned or have the home treatment team - part of the community mental health team (CMHT) - involved in my care. It was my choice to not take lamotrigine, sertraline, lithium or sodium valproate. It was my choice to travel 1,200 miles away on business, and to go back to work in London for an investment bank. I have my reasons for making these choices, but they put my life in jeopardy - the choices are hard to understand. It seems reckless, arrogant and irresponsible to risk my life.

I'm earning money and I'm dating. In some areas, my life seems to be improving a huge amount. In other areas things are every bit as desperate as they were back in September/October of last year. At least when I was on the psych ward I was relatively safe. When I was on the psych ward I'd put myself in the hands of the state - they were responsible for feeding me, housing me and keeping me safe. I didn't feel bad about relying on the state to look after me, because I was so vulnerable. Now, my friends must feel very responsible.

At face value, my depression looks treatable. At face value, my problems look trivial. At face value, I appear to be very functional.

To treat my depression could trigger mania. To protect me from mania - with powerful medications - could leave me unable to work. Without work I will never regain my self-esteem and independence, which will lead to depression and suicidal thoughts. Without self-esteem I won't be able to find a partner. Without a partner I'll be lonely and depressed and suicidal. To meet somebody special and start a new relationship could trigger mania, or bring a whole heap of feelings of inadequacy that could trigger me to seek medications - I want to be full of energy and happiness with my new romantic interest. For example, there's a feeling of pressure to have a rock hard dick and be able to have sex multiple times a night. How do I even function without medications? Uppers and downers, antidepressants and mood-stabilisers, antipsychotics and tranquillisers, sedatives and sleeping pills, erectile dysfunction drugs and refractory period suppressants... things to help me feel good. I so desperately want to feel good.

There's another risk that I don't talk about so much: Relapse into drug addiction. This time last year I was pretty hopelessly addicted - in the clutches of supercrack. Foolishly, I was looking for some Bitcoins I hadn't spent and I found them... on the Dark Web waiting to be used to purchase narcotics. I resisted temptation, but I spent a few days thinking about self-sabotage. It's been 8 or 9 months since I was a drug addict, but that's not very much time at all - it was really recently that drug addiction was wrecking me and everything I held dear.

I've got a fairly simple strategy for avoiding relapsing into drug addiction: To kill myself. Addicts die as demons; despised; hated. Addicts are blamed for their bad choices - the architects of their own destruction. My solution is simple: Die while clean, sober and sane, so that nobody can demonise me. I just want to have some dignity. That's all I ask for really... some dignity.

So, my problems are not really mental health, but they're not really addiction either. I don't take drugs or medications, I'm not mad and I'm not bad. I'm just trying to live a normal life: to have a home, some friends, a girlfriend, a job, cat(s)... a few things. Not much; I don't ask for much.

My friends have helped me. I've met somebody who I really like, but it's early days... don't want to get carried away. I'm working and I've done a good job and the client wants to extend my contract. I've battled with my mental health and addiction demons, and to all intents and purposes I'm winning. I'm a bit of a success story, in a way - an example of what you'd hope would happen if you got involved in somebody's life, with the intention of helping them.

I have been helped. I am stubborn and I do things on my own terms, but not without good reason. I'm glad - for example - that I'm not doped up to the eyeballs on medications that would leave me emotionally blunted and anorgasmic. I'm enjoying the pleasure of a little oxytocin as I cuddle my sweetheart. I'm glad I'm feeling stuff.

There's been a suicide. I can relate to the victim. I also feel super bad that my friends are having to deal with the aftermath of that suicide when they know I'm a big suicide risk: it feels like they must be additionally worried about me, and I don't really know how to talk to them when they're dealing with that suicide. It's no secret that I'm having regular suicidal thoughts. It's surely too much for them. It's too much for me. My instinct is to withdraw; to remove myself from the situation.

I feel a bit ineligible for life. I shouldn't have friends; I shouldn't have a girlfriend; I shouldn't do anything, because I'll probably fuck it up. Whether I kill myself or relapse into addiction, either way I end up dead, so I'm not allowed to have nice things, like friends and a girlfriend; I'm not allowed to have self-esteem... I should just sit and rot on a psych ward.

I feel like running away. I feel like I should put every penny I've earned into extracting myself cleanly from the situation. Nice people don't deserve to get hurt and don't deserve to have to deal with the aftermath of unpleasant stuff.

That it would cause pain, whether it's suicide or relapse, is not something that's going to stop it happening. We can't beat people into submission. I need a reason to live - friends, a girlfriend, independence etc. I need my self-esteem and the natural endorphins that lift my mood, through healthy social contact, sex and other things like that. Nobody ever got better without those things. You can't 'get better' first and then build a healthy life.

My friends took a big risk trying to help me. Any girl who'd tangle with me is taking a big risk. The risk doesn't make me less likely to do myself harm. If anything, the risk I pose is something that adds a great deal of pressure, which is exhausting. What should I do? Should I exclude myself from society, just as most parts of society would very much like to exclude me? I'm a modern leper: The escaped mental asylum patient; the junkie; the tramp; the alkie; the washed-up loser.

I look back to September 9th, when I begged the staff at the Manchester Royal Infirmary not to treat me: No activated charcoal, no gastric lavage, no intubation, no resuscitation. When I lost consciousness, they helped me anyway, in the way that they're trained to help people. They saved my life, even though I made it explicitly clear that I didn't want to be helped - I wanted to die, in no uncertain terms. What if I go on to hurt my new friends? What harm would there have been in just letting me die? I'm going to die anyway, one day.

If I seem ungrateful for the help I've received, I'm sorry. This is the truth of the matter: I'm living a part of my life I didn't expect to have, but I'm not automatically grateful for it. It makes it harder, in a way - I didn't plan on being alive this long. I'm not sure who I'm alive for, because it's certainly not for me at the moment.

I'm one of the lucky ones. My situation is improving. It's quite hard for me to mess my life up any more than I've already messed it up. It's relatively easy to make improvements to my life. It seems as if I can fix things up quite quickly, depending on your definition of "quick".

I guess it seems short-sighted to kill myself when I don't know what tomorrow's going to bring. There's always a chance that tomorrow's going to be better than today. There's always a chance I'm going to wake up and feel glad that I didn't die on September 9th.

People kill themselves when they don't think their life is salvageable - there's too much damage: too many dashed hopes and dreams; too much shame and embarrassment; too much loss of status... too much disappointment. A person kills themself when they're a hard worker; a high achiever; they'd worked hard to get where they'd got to, but it seemed like it was all for nothing - they were potentially going to lose everything they'd ever dreamed of having. It can't be overstated, the devastating impact that it can have, re-adjusting our expectations when we're thwarted. You might say "it's only money" or "it's only a job" but you'll find that those things are pretty important in modern society. Try going anywhere without somebody asking you "what do you do?" and "where did you study?" and "do you own your own home?" and myriad other questions that will remind you that you've crashed and burned. Try doing anything when you're poor and you'll find it's really hard - money really helps, and you can get quite used to having it and not having to stress about it anymore. Who'd really want to go back to being poor, if you've experienced poverty and debt, and worked hard to get out of that pit of misery?

Every day I face the same thought that pushed me over the edge, causing me to attempt to commit suicide: I can't do it; it's too much work; it's too hard; I've reached my limit; I can never overcome this. Of course, we feel that all the time, but when there's an event that suddenly creates a huge problem to be solved, or something that's potentially going to be life-ruining, then it's too much to handle. We're all right at the limit. None of us has the spare capacity to deal with some mountainous pile of shit being dumped on us, when we're reached the maximum of what we can tolerate.

Of course, I'm a little fragile. It's only gonna take a few bumps in the road to cause me to push the "fuck it" button. I'm delicate; vulnerable. The only solution is to act positively - to go out there, work hard, keep trying, take risks and aim to regain the things I need and want, hoping that nothing super bad happens. It's luck. I just need a run of good luck. I have to hope my luck holds, because I don't have the spare capacity to withstand a whole lot of bad stuff happening.

It's Valentine's Day, and I'm aware that my sweetheart might read this. It's early days. She should run a mile. There's too much to handle here. I'm putting it out there anyway.

My friends are dealing with the aftermath of a suicide when they haven't even managed to 'fix' me yet. I am I going to remind them of the person who successfully committed suicide, every time I talk to them?

We can't 'fix' anything. All we can do is try to leave things better than when we found them. Should we help? It's hard to not do any harm when we try to help.

 

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Relativity

7 min read

This is a story about moral superiority...

Standard lengths

We are all well aware that there's no point comparing anything unless we are using the same unit of measurement. To say that my penis is 6 long is meaningless. If it's 6 centimetres then that's not very impressive. If it's 6 millimetres that's a downright micropenis. If it's 6 feet then that's just an impractical length - I'd have to coil it up or sling it over my shoulder. Clearly it's important to know what unit of measurement we're talking about.

Next comes the problem of standardisation. If you've ever bought cocaine then you'll know that your drug dealer's scales use a different set of weights and measures than those which would be officially approved. On a fully calibrated weighing scale, you may be disappointed to learn that you've been ripped off by at least 10%, not including whatever was added to bulk out the product when your precious powder was cut.

On the topic of comparing apples with apples, how should we compare 1g of cocaine cut with teething powder, with 1g of cocaine cut with powdered milk? Is it even meaningful to compare weight when we don't know the purity? You might not even be buying cocaine - there are many [cheaper] drugs that mimic its effects, and others that are added to give the classic numbness you feel when it's rubbed on your gums or snorted.

So, if we have measured length, weight and density (or purity) then what else is there that we could measure? Time. How do we measure time?

We had the movement of the sun, the flow of sand and water through primitive timing devices, and clockwork, but the devices are not very accurate. It wasn't until the miniaturisation of clockwork movements into pocket watches that we had a reliable device to keep time, but these are still quite inaccurate. It was discovered that quartz crystals had a mechanical resonance, and that an electronic device could 'count' the vibrations - 32,768 vibrations is 1 second. Temperature fluctuations will cause a quartz digital clock to gain or lose a second or two over the course of a year. It sounds accurate enough and for the purposes of this piece I won't delve any deeper into the strange workings of time.

Now, let's suppose you and I synchronise our watches and say to one another "let's meet back here at this time tomorrow" do you suppose we have both experienced exactly 24 hours, when we meet up again the following day? Do you suppose that each of our 24 hours passed at exactly the same rate?

I could explain some of the minutiae of special and general relativity, but I'm writing about the kind of relativity that we experience every day. Unless you're on a spaceship travelling at 97% of the speed of light, special relativity is not really going to apply in everyday life. Unless you're mucking about near a neutron star, general relativity is of no concern in this terrestrial tale.

So, you and your companion parted ways for 24 hours. So, when you compare your watches, they're still showing exactly the same time, right? But, did time flow at the same rate for both of you? Is it a useful comparison to say that both of you experienced the same 24 hours, as measured by your watches?

Let's imagine our two experimenters - call them Alice and Bob - went about their normal business. Alice is a scientist and she went back to her lab where she had some discussions with her colleagues about the fundamental nature of reality. Bob works in a pea factory, canning peas. Bob went back to the pea factory and did a 12-hour shift, pulling a lever that puts a pre-measured quantity of peas into a can. Alice isn't even sure how long she was at work, because she was so engrossed in her discussions with fascinating people. Bob knows exactly how long he was at work, because his whole time he was wishing the factory whistle would blow so he could go and punch his timecard. Was one hour of Alice's work the same as one hour of Bob's work?

Next, Alice and Bob go home. Alice has a husband she adores, 3 kids and a cat. She put the kids to bed and drank a glass of red wine with her husband, while updating him on the day's events. Bob lives on his own in a dismal flat. Bob sat drinking vodka because he hates his job, but he has to do another 12-hour shift tomorrow. Did Alice and Bob's evening pass at the same speed as each other's?

Alice slept for 7 hours before springing out of bed to get the kids up and prepare breakfast. She was buzzing with energy and full of enthusiasm about the day ahead. Bob slept for 12 hours and woke up with a sense of dread - he was disappointed that he hadn't died in his sleep. Clearly, there was a disparity in the amount of sleep each of them got, although their watches did not go to sleep. How can we compare two people's day, when we get different amounts of sleep?

We might agree that Alice and Bob's watches experienced the same 24 hours, insofar as can be measured using hours, minutes and seconds, but do you think that time passed at the same speed for them, in the way that they subjectively experienced it? Is time a meaningful unit at all, in this context?

Imagine if every hour we asked Alice and Bob to rate how fast the last hour had passed for them - either "quickly", "slowly" or "normal". We might see that Alice rates her hours as passing quickly, while Bob rates his hours as passing slowly. When we consider this, we see that their conscious hours are very different indeed, and the actual number of hours, minutes and seconds elapsed is not a very useful measure.

Thinking about this disparity in perceived hours, between different individuals in different jobs, it seems quite obvious that it's cruel and torturous to expect those who are suffering to tolerate the passage of time, when others find that their day flies by with ease.

What we see is that a number of people won't hold down a job, and will chop and change between different money-getting pursuits because they find most work to be unbearably shit. Some of us will find so little difference between one McJob and another, that we will be unable to work at all. Some of us know very clearly what kind of work we can't stand: working in offices and having to get up early in the morning, is very badly suited to a night-owl who has a brain and a personality, for example.

Relatively speaking, I'm one of the lucky ones. I'm extremely well remunerated and I pretty much do whatever I want - I'm not somebody you could ever 'manage' or boss around. If I don't feel like working, I don't go to work. If I want to quit, I can quit and find another job really easily. The problem with work is that it never pays enough for what's expected of you - the pay packet never fully compensates you for giving up your precious time, and the interminable tedium. Obviously, that's slightly insulting, considering I earn bucketloads, but I'll gladly switch with you and flip burgers for a while, because the monotony of my 20 year career is killing me.

The grass is greener etc. etc. Believe me I don't want to be mopping floors as my full-time occupation and getting paid minimum wage. However, it's completely bafflingly insane to be grateful for a job that's making you unwell and robbing you of your precious time. We only get one life so I don't understand why we spend so much of it bullying each other into working shitty jobs. I don't understand why those whose days are excruciatingly awful don't complain and demand a hundredfold pay increase. I don't understand why more people don't decide to go hungry and homeless, in the face of the oppressive tyranny of bullshit jobs.

Given the obvious health risks of being bored and stressed at work - as bad if not worse than smoking cigarettes - then I think we should be getting danger money. They're not paying us enough!

 

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How to be a Philosopher

8 min read

This is a story about thinking...

Thought bubble

There's a bit of a monopoly on thinking. I mean, you're allowed to think and stuff, but you're not allowed to share those thoughts. Well, you can share your thoughts but nobody's going to care, because you're a nobody. People want to know the opinions of a rich spoiled heiress who's famous for having her sex tape plastered all over the internet, but not your opinions. People want to know the opinions of those whose opinions are already well publicised, and those who already have a platform and a group of devout followers. Nobody wants to hear any new thoughts, ideas or have their cherished philosophies challenged.

Thus, we arrive in the quagmire of modern day living. We are heavily weighed down by our attachment to notions of what we consider to be virtuous, conferring greater social status and conforming to acceptable social behaviour - norms, if you like.

If you wish to conduct a real-world philosophical experiment, try asking a person on a crowded bus or a train if you can sit where they're sitting. There's nothing written into law to say that you're not allowed to ask if you can sit down without a socially accepted reason, such as being old or pregnant, and I very much doubt you were taught by your parents or in school that you shouldn't ask for somebody to give up their seat for you, so where did the protocol come from? How did it become enshrined that we accept "they had it first" as validity for possession of something we desire?

One might argue that thieves are an example of an antisocial behavioural pattern that, nevertheless, allows a person to get the things that they need in life, just as any one of us might steal the milk from a cow, or the seeds from a plant - we see numerous examples of behaviour that is criminalised and stigmatised in some forms, but accepted and even revered in others. Why is it that we call welfare claimants "scroungers" and "parasites" but we don't we criticise bosses, managers, slave-owners and similarly idle people who profit from the labour of others?

I feel compelled to caveat what I'm writing, and say that there's a kind of absolute morality which decrees that any action which has a victim - rape and murder, for example - is always wrong, while theft and fraud could arguably be said to be victimless, because wealth always needs to be redistributed. In actual fact, in a godless world with no afterlife, there is no place for morality - when you're dead you're dead, so you might as well do whatever the hell you want, provided the profit to you is greater than the potential societally-imposed consequences.

If you were asked to say what the prevailing philosophy of the present day is, what would you reply? Would you say that we are still religious and subscribe to the ancient belief systems of the major religions? Would you say that we have adopted the philosophy of the Ancient Greeks? Would you say that we have adopted modern politico-economic philosophies, which could broadly be described as socialist or conservative? How would you react if I suggested that we are like a rudderless ship at the moment - we have no guiding philosophy and we are led by vapid celebrities who are incapable of imagining a culture beyond wealth worship and superficial bullshit.

The terrifying truth is that atheism and capitalism have won, ushering in an era of scientific progress, technological advancement and incredibly efficient industry, but without a guiding philosophy. Nobody seems to care that we've forgotten to ask a fundamental question: Why?

Why are we here? Why are we doing what we're doing? Why are we even alive?

Ultimately, we may come to realise that we might as well live completely hedonistic reckless irresponsible lives, because it's immediately rewarding and death is inevitable. In a godless world with no afterlife, what possible reason is there to consider anything other than maximising our pleasure, right now? There is nothing after this - we just die.

Because it's deeply disturbing to see your family and friends dying, and to know that we are mortal too, we arrive back at the need for religion: Comforting bullshit to allow us to cope with the fact that we're soon going to die. Religion offers an answer where there is none to be found. Science needs no opinion on what existed before time itself, because the question is nonsensical. Science needs no opinion on where our consciousness goes when we die, because it seems self-evident that it doesn't go anywhere at all - you just cease to exist.

Taking the thought experiment - life without any guiding philosophy - to its ultimate conclusion, we can see that we might as well perpetrate rapes and murders and leave the surface of the planet scorched and barren, as we wring every ounce of pleasure out of the present instant. Who cares about tomorrow when we're all going to die? This seems to have a ring of truth about it, when we consider the direction the human race is travelling in. Our laws are nothing versus the power of global capitalism, celebrity, wealth worship, drugs, slavery and the general abandonment of philosophies that sought to make the world a fairer place, where human excesses were curtailed and greed was considered sinful.

There is a vacuum at the moment, left behind when we rejected religion as superstitious bullshit, which of course it is, but religion is also the glue between the pooh - religion at least gave us a kind of consensus of opinion about right and wrong, and why it's better to live life with some view to improving the world for future generations. Governments, politicians and civil servants are not the right people to become a new church. We cannot rely on power-hungry busybodies to provide us with any kind of societal structure, because rules and regulations are nothing if there's no guiding philosophy that people subscribe to. It's a bit like speeding: we all know what the speed limit is, but very rarely do we feel like it applies to us, because rules are there to be broken.

We have created a generation who believe in nothing and want to commit suicide. We have created a generation who are smarter than ever before, but who have nothing to look forward to, and we don't have an answer for them when they ask: Why was I even born?

If you're looking to me for an answer to the big question - why are we here? - then I can give it to you but you're not going to like it. In fact, it rather deserves a blog post of its own, although I've hinted at my answer when I mentioned the scorched earth, created by raping and pillaging all the planet's resources, and the death of consciousness. I've written before about quantum immortality. You really don't want to hear all that stuff again - it's not very nice, even if there's a pretty decent chance it could be correct and it'd be really easy to prove.

Are you still looking for an answer to the big question? If you are then I have good news [sic]. The argument for not being hedonistic and short-termist is that one person can make a difference. Of course, one person on their own is just a blithering idiot who can rant and rave in isolation. We might see that those who live their lives as an example to others are often taken advantage of and lose out because they don't cheat, steal and otherwise conduct themselves without a shred of moral decency. What's the point in voicing an opinion in a world that doesn't care who you are or and whether you live or die? Well, there's a slim chance that your tiny contribution might become part of a bigger movement - a billion whispers become a deafening roar. In a world where no almighty church is going to impose itself on you and declare any wayward views heretical, we have both collective and individual responsibility to formulate our own life philosophies, that are hopefully capable of improving the world, rather than continuing to perpetuate patterns of behaviour that will destroy everything.

Our current thought leaders have provided nothing except the perpetuation of the status quo, the nihilistic vacuum left behind by the decline of religion, and the boom of free-market capitalism. The free market believes in nothing. Politicians believe in nothing. We can no longer survive in a world where we are led by leaders who simply tell us what we want to hear. We can no longer survive as a species when we worship those who exhibit the least capability for free-thinking, the highest preference for elitism and the concentration of the monopoly on thinking in a few powerful hands.

To call myself a writer, a thinker, an intellectual - these things are laughable, of course. However, why do you think that?

 

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Goodbye, Jinxed January

8 min read

This is a story about the bitter end...

Urine bottle

For a devout atheist, I can be surprisingly superstitious. I seem to have survived Jinxed January without losing my job, becoming homeless, going bankrupt, being hospitalised, getting sectioned, getting arrested, getting anybody pregnant, committing any crimes, taking any illegal drugs, contracting a terminal illness or dying. Epic win.

I looked in my photo archives to see what I was doing this time last year. Apparently I was pissing in a bottle, hospitalised on a high dependency ward with kidney failure. On my blog, I was writing about "what would Jesus do?" so I was clearly pretty deranged, but then I was on dialysis for several hours a day, which was not exciting so I'm sure my mind must have been wandering a lot. On Facebook I was jabbering about a cocktail of painkillers, sleeping pills and tranquillisers I was taking to try to get some sleep on the ward. I feel relatively sane and happy by comparison - my life looks quite peachy compared to that unfortunate period.

I looked back two years ago to see what was going on at the end of January and there's a gap. I simply ceased to exist for a few days, before popping up and writing over 3,000 words about all manner of things. It looks pretty conclusive that I was in the vice-like grip of madness and shenanigans.

I can't look back three years on my blog, because I only started two and a half years ago, but I do know that three years ago today I was staying with friends in County Cork, Ireland. My contract with Barclays had been terminated early, I'd broken up with my girlfriend, lost loads of friends because of the breakup and I had been evicted from my apartment in Swiss Cottage. I needed to escape from London for a bit, because I couldn't take any more, and so my friends looked after me in rural Ireland. Not so jinxed, but pretty jinxed because my life was still totally messed up.

I can see from an email that four years ago I was receiving inpatient treatment for dual diagnosis - bipolar and substance abuse - after the messiest and most acrimonious divorce you can imagine. My life was profoundly dysfunctional - I'd only just managed to escape "the poison dwarf" and the relationship that nearly killed me. My stuff was in storage and I was living with friends in Kentish Town. My new business had been put on hold because the divorce and house sale had been too much for me to handle. I'd been surviving by mining bitcoins, but the price had crashed and I was in big trouble, even though I'd managed to cash in at $1,100 per bitcoin.

I can't see my email from five years ago, because I lost my original Google Mail account, which I'd had since soon after GMail launched for public beta testing. I can see that I was late for my appointment to see a psychiatrist who I'd found (albeit a week later) so I imagine that things were pretty dire... although I clearly had the presence of mind to find a private psychiatrist and arrange my own treatment, so I'm guessing this was the beginning of the descent into Hell. This time five years ago - roughly - my new wife told me that she wanted to be a widow and that she wouldn't let me have the treatment I needed. This time five years ago, I was trying to find people to help me, while my wife and my parents broke my heart. This time five years ago, I realised that I needed to get my parents and my wife out of my life at all costs - I realised they're toxic people and that if I wanted to have any kind of future, they couldn't be part of it.

Five years of insanity is a hell of a long time. In those five years, things got a lot worse before they got any better. In those five years, I sorely missed my house and my cat. In those five years, I sorely missed the life I'd built for myself, with my friends and my good reputation and my good job. I threw away a lot, taking a gamble that I'd be better off in the long run. The last five years have been insane, but I don't see how I could have extricated myself from the situation any better. I've played the best I could with the cards I was dealt.

I'm sick and tired of Jinxed January, and I hope I've seen the back of it; I hope I've broken the curse.

Of course I tempt fate by saying that now I've had one un-jinxed January then I've got things sussed and it'll all be plain sailing from here. Of course there are going to be Foul Februarys and Miasmic Marches but January has been my nemesis for so long. I don't want to get cocky and complacent, but it's a big deal that I've beaten this dratted month. February and March are going to be dreadful, but at least I have a few quid in my pocket, no imminent threat of homelessness and nothing particularly awful on the horizon. I have another month of paid work ahead of me. For once, I have a few things going in my favour.

You might see that my biggest fight is with myself. Of course, there's work available year-round and my skills mean that I'm never going to go hungry and homeless, except through spectacular self-sabotage. It seems obvious that I should just quietly and obediently pop the pills and behave myself. It doesn't look that hard to just get my head down and concentrate on working hard to get myself back into a position of financial security. To say that by the end of the year I could be well and truly wealthy again, seems like no time at all to you. However, you must remember that I march to a different beat. My timescales are not the same as your timescales.

I'm not going to get paid for the whole of February. A very Frugal February beckons. The weather's just as dark and miserable in February and my job will be just as isolating, lonely and boring. The unfavourable conditions very much remain unpleasant and unconducive to any mood improvement. However, the so-called short month of February does seem like a less daunting proposition than Jinxed January was. I'm cautiously optimistic.

Another month without an almighty fuck-up is a huge achievement, in the context of my messed up 5 years of Jinxed Januarys. If I'm being superstitious, so be it, because it's helped me to avoid going off the rails.

I'm really pleased with where I'm at actually. Drink and drug free, unmedicated, as sane as I'll ever be, relatively settled in my home life, regular(ish) income and gainful employment. There aren't too many loose ends to tidy up. I'm on top of my taxes and my paperwork. To be in this position, at this dreadful time of year, where I don't have anything looming that's of major concern, is a really big deal.

I submitted another invoice to my client, and even though I lost over £4,000 of potential earnings this month, I'm still in profit after expenses. The money's not in the bank yet, but it's on its way. Perhaps it will be good to spend another month being a little thrifty - money after all, can be something that's triggering.

Of course, I'm getting ahead of myself. I'm imagining that by the end of February, my financial woes will be mostly ended. I'm imagining that by the end of March I'll be feeling positively wealthy again. I'm projecting into the future, and that's bound to end up making me miserable. I still have a whole month more of my miserable boring contract to do. I need to start looking for the next job, at some point sooner rather than later. I can't make tomorrow come any sooner, and I shouldn't wish away today.

What can I say, except I'm slightly glad that I didn't throw away a perfectly salvageable situation. I'd still rather be dead, because it's been a lot of stress and hassle, but I'm alive so I'll carry on for a bit longer and see what tomorrow brings.

 

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The Relentless Manipulation of my Moods Using Every Means at my Disposal

9 min read

This is a story about music...

Out clubbing

The only things that seem to be capable of making me cry at the moment are Disney movies and a 90-second passage from The Tempest, which is about dreams and sleep. I quote it now for your interest, and as I write this big salty tears are rolling down my cheeks:

Our revels now are ended. These our actors,
As I foretold you, were all spirits and
Are melted into air, into thin air: 
And, like the baseless fabric of this vision, 
The cloud-capp'd towers, the gorgeous palaces, 
The solemn temples, the great globe itself,
Ye all which it inherit, shall dissolve
And, like this insubstantial pageant faded, 
Leave not a rack behind. We are such stuff 
As dreams are made on, and our little life 
Is rounded with a sleep.

It seems remarkable to me that I'm not able to resist the mawkish and emotionally manipulative thrust of the Disney movies, and I blub in all the right places and even some of the wrong ones. To accuse me of being emotionally unstable or having a tendency towards inappropriate emotional responses to situations, is grossly inaccurate and untrue. I would agree that I'm unguarded; trusting... a little vulnerable and certainly quite naïve, although I would argue that I prefer to be naïve than cynical and guarded.

In terms of protecting myself from whimsically falling in love and getting hurt, I would say that I don't protect myself at all. My emotions go where they want to go and I let them. I use the "L" word very sparingly and tend to distrust strong emotions, viewing them as transient; fleeting. I favour loyalty above everything else. I've got no time for game playing and wimpy wusses who are afraid of getting hurt.

Under a railway arch in Vauxhall, I experienced what the children of doting parents must experience their whole lives - to be loved, cared for; adored. I felt a sense of contentment and security that had been absent throughout my bullied childhood. I felt the warm embrace - the hug, if you like - that had been absent in my life and had turned me into an insecure person who completely lacked self-confidence and a sense of identity. I'd been through 8 schools and lost countless friends due to my druggie alkie loser parents not giving a shit about the damage they were doing. The experience of clubbing under the railway arches was curative - this was the love that had been sorely absent in my life. The catalyst? MDMA.

Fifteen years later, my marriage was collapsing. I needed to go to hospital. I was admitted to The Priory thanks to my private health insurance.

It's actually unremarkable that I grew out of a brief period where I dabbled with recreational drugs - ecstasy - and went on to have a 15-year blemish-free career, before the stress of a toxic and abusive relationship tipped me back into the very state I was in when I was a child: in desperate need of some unconditional love. It seems obvious that depriving a person of their identity and security, and bullying them, would result in trauma and psychological damage. It seems obvious that the same negative stimuli would elicit the same negative response.

While I was in The Priory, I handed in my iPod after a couple of weeks. I had decided that I was using music as a way of manipulating my moods, in a similar manner to people drinking, smoking and using drugs, in response to stress and other negative situations. I decided that if I was going to take treatment seriously, I would have to avoid things which I could use and abuse to alter my mood.

Presently, we seem to think it's virtuous to deny ourselves all the things we enjoy. Cream cakes (too fatty), fizzy drinks (too much sugar), beer and wine (alcoholic), masturbation ("wanker", "tosser" etc.), spending money (too fun) and all the other things that make life mildly bearable are given up for January, while we run on a treadmill in a gym, or lash ourselves with a bunch of nettles or whatever the f**k it is that 'virtuous' people do these days.

When I was seized with the notion that pure devotion to a 'natural' life would lead to happier, healthier times, it became as obsessive as anything else that might be characterised as an addiction. I became addicted to making every single tiny health tweak in my life that I could. I cut out dairy and gluten. I washed out my sinuses with saline. I probably would have done colonic irrigation if I'd thought about it at the time. The whole thing was dumb - pure superstition and pseudoscience.

Today, I take dietary supplements - 5-HTP, tyrosine and magnesium - which are supposed to provide my brain with the building blocks it needs to restore normal mood and improve my sleep. However, I've also abused simple amino acids and even pure dopamine - in the form of L-DOPA - to put my brain into a completely unnatural state, with the intention of achieving an otherwise unattainable euphoria or level of performance.

I've abused stimulants to stay awake and give me the energy to dance all night. I've used prolactin-suppressing medications to allow me to have multiple orgasms. I've used erectile dysfunction medications to allow me to sustain an erection for priapic lengths of time. I've used drugs to move my mood up, down and sideways - attempting to 'play god' if you like.

How many drugs and medications have I tried? Two hundred? Three hundred? More? This is not hyperbole - I had the time, the money, the determination and the means.

If you think I'm an idiot who makes bad choices, I ask you to look again. Imagine what my upbringing was like before I discovered that there was this chemical - MDMA - that unlocked me from that miserable prison. Of course I was going to mistakenly believe that it was a trick that could be repeated. In my desperation to escape a toxic abusive relationship 15 years later, I tried heroin, crack and crystal meth - amongst innumerable others - and none of them grabbed me. I methodically worked my way through everything I could get my hands on - illegal drugs, legal highs and black-market prescription medications.

The net result was not a predictable one. Instead of being dead in a ditch due to poly-substance abuse, I'm now quite averse to any psychoactive substances. I'm one of the few people you know who doesn't drink caffeinated beverages. That I'm unmedicated for my mental health problems is not because I think I'm "well" but because I know that I prefer to suffer the symptoms - very few people you know are prepared to tolerate depression and anxiety, but I do so on a daily basis without medication to assist me.

There's a part of me that wants to quit carbs, quit booze and join a gym, but frankly I've got enough shit on my plate just trying to get up in the mornings and not kill myself.

I loosened the purse strings and bought a few new clothes at the weekend. I went on a couple of dates. I'm listening to euphoric dance music, eating what I want to eat and drinking quite a lot. Fuck it. Life's too short to be miserable.

Last night, a woman ran up behind me as I was crossing the road and started asking for money. I said "sorry". She launched into an escalating level of abuse, accusing me of saying "no" and for toying her when she was "begging [for my] help". She was too busy yelling and screaming horrible names at me to be interested in the fact that I would've helped her, absolutely. In fact I still would. Fuck it, even if she was just rattling for "B and white" (heroin and crack, also known as "dark and light") and she was short for the score, I'd have helped. You've got to acknowledge the complexities of life and human nature if you want to help anybody. Expecting everybody to be gym-going, kale-eating, alcohol and drug free totally fucking ridiculously 'virtuous' people is absurd. Most of us have a vice.

When I think about how long I lived without my cat to stroke, and without the pleasure of snuggling with a girl I'm really into, I'm surprised I made it this far. What's the point of life without a good healthy dose of oxytocin? Is life even liveable without the bonding hormone? I really don't think it is.

So, as we approach the end of Jinxed January, I'm throwing caution to the wind little by little. I'm buying myself new clothes and having a haircut, because it's great for my self-esteem. I'm dating and having sex because it's fucking awesome. I'm letting myself do a million little things that just make my day a little bit more bearable, because that's what life's all about if you don't want it to be suicidal misery.

There's a chance that all the little changes in my life will destabilise me. It's all quite stressful, even if it's also fun. I'm quite well aware that something as simple as a late night can throw my world into quite a lot of chaos, but sod it, life's too short and I've waited and been sensible for long enough.

I don't think I'm going to go clubbing and take any MDMA any time soon though.

 

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Lifestyle Choices

6 min read

This is a story about non-pharmacological interventions...

Clinical psychology

The word "choice" is a little unfair. To suggest that people could help themselves by making better lifestyle choices assumes that our choices are unbiased. It seems obvious that we'd choose low-fat, low-carb, low-salt options because they're better for our heath, but we're biased towards things that taste nice. It seems obvious that we'd cut alcohol, caffeine, drugs and medications out of our life, because they all have nasty side effects, but we're biased towards things which make us feel good. It seems obvious that we should work less, spend more time with our families and not commute so far, but sadly it's not easy to up sticks and move closer to our jobs and often we have to do jobs we hate because we need the money.

At my meeting with a psychiatrist today we essentially agreed that I can manage my disposition towards mood disorder using lifestyle choices, but it's going to take a lot of hard work. I need to exercise more, I need to change my job and I need to cut down or even quit my alcohol consumption. As well, I need to continue to have strict bedtimes, avoid caffeine, dim the lights after dusk, use a light box in the mornings and eat a balanced diet. I also need to resist the urge to spend money, take risks, be promiscuous and dabble with drugs. All fairly obvious stuff, but none of it is much fun.

Aside from some disagreement over whether I'm type 1 or type 2 bipolar, and the severity of my illness, I actually got on pretty well with the psychiatrist. To hear the words "you have a chronic condition that cannot be cured" is not very nice and my instinct was to argue that I don't have a condition at all - my symptoms have been a product of my environment; caused by the stress of my situations I've been in. In actual fact, I concede that I've had symptoms of bipolar for as long as I can remember... it's just that my bosses and work colleagues have always been very understanding of my highs and lows. A lot of people would get sacked for coming in to work two hours late every day, or shooting their mouth off and throwing a tantrum in the middle of the office, but there's a place in the workplace for somebody who can work for weeks without any sleep when there's a crazy deadline to meet. I agreed with the psychiatrist that I've got a lifelong condition, which will need careful management. It doesn't scare or upset me, because I managed my condition effectively for years before things got dangerously erratic.

To hear lithium and sodium valproate banded around as potential treatments is not what I wanted. I prefer to think that I've got a mild form of bipolar which can be managed with a medication like lamotrigine, or no medication at all. I consider that my 'high' periods have been hypomanic because I had no grandiosity, psychosis or paranoia. The psychiatrist considers me to be a fully blown manic depressive, because my manic phases have lasted more than a week. I think we'll have to agree to disagree, because my mania does not seem at all severe, except when exacerbated by drugs and sleep deprivation.

I asked about talk therapy. There's an 18 month waiting list. I'm being referred, but 18 months is a heck of a long time to wait for psychological therapy. Getting some kind of talk therapy has become a crusade to me, because I first sought treatment in 2008, so it's been 10 years since I asked and I still haven't received any therapy.

In short, I think I agree that I have a certain amount of risk towards becoming really unwell, but it's not destiny. I have a lot of hard work to do, and I have to continue to make so-called smart choices, when really my life's not a lot of fun and I still have to figure out how to pay the bills somehow. I do agree that there's something about me - call it an illness if you like - that means I have to pay a bit more attention to my lifestyle than others might, who don't share the same predisposition towards mood instability.

I went into the psych consultation feeling quite unique and special. I was feeling pretty proud of myself for being unmedicated and having dealt with a lot of things that were definitely wrecking my life. Then the psych helped me see that a lot of people who are bipolar have a similar story of reckless risk taking, money spending, hyper-sexuality, drug taking, getting into conflict with bosses, drinking too much and all the other things that lead to a point where lives get utterly screwed up. I suppose there comes a certain point where a person just can't continue to live their life a certain way - the end of the road. Where my inclination was previously to commit suicide, I'm perhaps slightly erring on the side of trying to mend my ways and crawl back into normal society over broken glass.

I can see the temptation of a chemical crutch to aid my 'recovery' but I'm still pretty adamant that I'm going to go medication free. Actually, the psychiatrist agreed with me that something like sertraline, or even lamotrigine, could push me into hypomania. Antidepressants have always had a mood destabilising effect on me in the past. There's something to be said for feeling miserable: it does somehow make you appreciate the better times, when they eventually arrive.

So, it seems like a rather well-behaved life beckons for me. I don't relish the prospect of having to always make sensible choices, but I guess I'm not a young man who can bounce back from anything anymore.

Hardly thrilling, but the saga continues. I'll keep you posted on how it goes, doing the boring mundane stuff.

 

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