Nick Grant

This is a story about taking the edge off...

There's a popular meme which asks what's classy if you're rich, but trashy if you're poor. Among the answers is daytime drinking. Certainly, what gets classed as alcoholism for poor people, is just considered taking the edge off after a long hard day, for the wealthy.

Drinking and the United Kingdom go hand-in-hand. The weather is pretty atrocious for the majority of the year, and not in a Skandinavian way, with pretty snow and ice, but instead in a miserable grey-skied, drizzly rain kind of way. The UK doesn't get cosy during winter time, it just gets depressing. While the UK has a bad - but deserved - reputation for being the home of larger lout football hooligans, and horrendous rates of alcoholism, is it any wonder, considering the dreadful weather?

If we examine humanity's need for intoxication, we can see that it's well correlated with dreadful weather. The longer and more miserable the winter, the more people drink.

Looking at wider habits of intoxication, we can see that life is unbearable, for the majority of us, without something to take the edge off.

Why then do we fetishise brutal sobriety?

There's noting admirable about being teetotal. I've been teetotal for a month and a half, and I doesn't make me morally superior. I'm not a better person, just because I'm not imbibing alcohol. The only reason not to drink is pure vanity: that I'm dieting, and alcohol was contributing the vast majority of calories which I was consuming.

Without alcohol, I'm struggling. Without alcohol, I'm unstable and finding it almost impossible to plod along at snail's pace, bored out of my mind. I'm finding it impossible to get through the day: it's unbearably horrible.

I do not recommend experiencing raw unfiltered reality. It's awful.

Of course, nobody does experience raw unfiltered reality. Everyone drinks. Everyone smokes. Everyone pushes their buttons in some artificial way or another. Everyone takes medications. Everyone finds a way to artificially alter their brain.

I suppose that when I said we don't have the Scandinavian kind of cosiness, with warm sweaters, open fires, great central heating, insulated houses and snow outside, we do have a British kind of cosiness: country pubs, with lots of British beer. The Britons have always been big consumers of beer, and never moreso than during the dark, cold winter months. The British adapt to their miserable British winter weather, by retreating to the pub, and drinking more.

The idea that we should be able to maintain a certain constant level, in all areas of life, year-round, is complete insanity. Of course we need to sleep more when the days are shorter, the nights are longer, and it's colder. Of course, we need to be less active in the winter. Of course, we can't work the same hours. Of course, we can't go outside as much. Of course, we're going to eat and drink more. The seasons are not constant - there is summer and winter - and neither can we, as biological creatures, be constant either.

Doing a very extreme diet at the same time as being teetotal, coinciding with the clocks going back, the nights getting longer and the weather getting colder: this is something which is awful to experience, raw and unfiltered. I'm tired, hungry, cold, and I'm hit with the full force of the horrendous anxiety which human existence induces. This world is fucking shit, to experience without anything to take the edge off.

While the whole world is drinking alcohol, smoking, taking tons of pills, drinking tea, coffee, energy drinks, eating super sugary foods, upregulating themselves with gym workouts and suchlike, and bombarding themselves with a ton of dopamine-inducing entertainment - film, TV, video games, news media, social media, internet, pornography - I'm struggling along, experiencing raw reality, which is truly terrible. Do not recommend. Stay with your trusty pills - you need them!

The phrase "raw dogging reality" is stolen from a Tweet I saw, but it very aptly sums up the horribleness of human existence, without pills, booze, drugs, cigarettes or any of the other vices which make life liveable.

Tags: #alcohol #medication #drugs #nicotine #caffeine #mentalhealth #depression #anxiety

This is a story about stability...

In 2015, a bet with a friend, that I could stop drinking for 100 consecutive days, cost me my job. The story is a little bit more complicated than the simple summary I've given, but that's about the long and the short of it.

The brain has a tendency to rebound. That is to say, if you've been very calm, then your brain will rebound and make you anxious. If you've been very happy, then your brain will rebound and make you depressed. Well, mine does anyway.

Mind-altering substances can be destabilising - for me - but they can also be stabilising. For many productive years, I used a combination of stimulants and CNS depressants - caffeine and alcohol - to manage my mood. If I was going too high, I would drink booze to tamp things down, and if I was going too low, I could drink coffee to pep me up. It was a crude system, but it worked.

In terms of how my colleagues perceive me, they like me best when I'm hungover, because I'm quiet and I'm not argumentative. They like me least when I'm hopped up on caffeine, because I'm overly garrulous and quarrelsome. However, I've managed to get through decades of a very successful career in this manner, without any issue.

The issues have come when I've stopped using things like alcohol and caffeine to regulate my mood.

Stopping caffeine was beneficial. I sleep better and I'm more productive; more creative. Sure, if I needed to do a lot of very repetitive easy work, caffeine would help me concentrate, but most of the work I do is very difficult, requiring a lot of flexible thinking - caffeine is not the right tool for the job.

Stopping alcohol has been massively detrimental. I swing between periods of paralysis, where anxiety stops me from doing anything, and periods of irritability. If I'm hung over, I'm happy to coast along and keep quiet. With a clear head I often have little patience, when I'm particularly tired and stressed. Stopping alcohol makes me massively tired, because I don't sleep well.

Once the first couple of sober weeks have passed, I start to have too much energy, very much like when I've had too much coffee. My thoughts race and I'm irritated by dimwits who test my patience to the limit. I struggle with the glacial pace of large organisations, more than ever, when my brain is functioning particularly well, free from hangover or otherwise dulled by alcohol abuse.

It's hugely advantageous, if one must work with dimwits, to chemically lobotomise yourself using alcohol. It's too painful to drag dimwits along, or be held back all the time; it's too frustrating; too time-wasting. Without alcohol, the sheer incompetence and lack of productivity of most of the brainless idiots who bimble along in the corporate world, is unbearable.

Of course I'm somewhat plagued by an underlying mood disorder which predisposes me towards delusions of grandeur and irritability with dimwits, but alcohol really helps. Alcohol has helped me in my career for decades. Without alcohol, I would have gone of and done something interesting but far less lucrative, years ago. I'm extremely well paid, because I'm bribed to work with dimwits. I'm extremely well paid because it's excruciatingly boring waiting for the penny to drop in the hamster-wheel that serves as a brain in some of the dimwits that I work with.

In all honesty, I don't work with many dimwits. I do like my colleagues. There are just one or two who really try my patience and I have so little patience, now that I'm sober.

Sobriety sucks. Sobriety conflicts with my career; my employability; my likability. I need to take a break from drinking though, for the sake of my physical health. I'm about halfway though my month of sobriety, which I'm taking to give my body a break from the damaging onslaught of alcohol.

Hopefully I'll push through this difficult period and become a bit less irritable at work. Hopefully I won't lose my job, again.

Tags: #work #alcohol #bipolar

This is a story about brain training...

I spent a week living in a Warsaw hotel, making sandwiches in my room, using a shoe-horn to spread mayonnaise and mustard on the long-life bread bought from a nearby convenience store which mainly sold alcohol and snacks. This would hardly be a great example of ingenuity - a sign of a brilliant mind at work - but it certainly addresses the first part of this short essay: hunger.

Hunger is not just about food, so I thought I would get the food part out of the way at the beginning.

We can be hungry for sex, love, companionship, social contact. We can be hungry for thrills; adrenalin. We can be hungry for substances of abuse, including alcohol, tobacco and caffeine. There are all kinds of hunger, not all of which can be satiated with food, although we can often try to use food to fill the gaping void inside ourselves. Comfort eating is something I find myself doing when tired, bored or otherwise hungry for something other than food.

I wanted to write about intellectual hunger.

There are some questions which don't require much brain-power to answer, such as: how am I going to feed myself cheaply for a week in a hotel that's nowhere near anything except a couple of shops which mainly sell alcohol? The answer to this question is not one requiring intellect, but instead the answer simply requires lowered standards and the willingness to suffer a little.

Another question might be: how am I going to increase my standard of living as much as possible, as quickly as possible?

Again, this second question is quite easy to answer and requires very little thought or effort of the mind. The answer to the question simply requires more lowering of standards and willingness to suffer. Ultimately, one can always sell a kidney or make bodily orifices available for sexual gratification of paying punters. Problems of this nature are not taxing or interesting, in an intellectual way.

With too much of life occupied answering trivial questions and doing the unpleasant obvious things - prostituting yourself and living in vile conditions - we arrive at a far more interesting question: why bother?

4 years ago it was obvious to me that I knew exactly what I needed to do, how I was going to do it and how long it was going to take, in order to restore myself to health, wealth and prosperity. The prospect of repeating tasks which had become so repulsively boring and easy to me, although somewhat stressful too, was doubly abhorrent because of the lack of novelty combined with the lack of intellectual challenge.

I think in many ways it would have been much easier to accept a fate imposed upon me by circumstances, and abandon the pursuit of an outcome which was almost too far out of reach; almost too unbearable to suffer while en-route.

When I say "easier" I mean intellectually nourishing.

What right do I have to spend my days talking to interesting intelligent people? What right do I have to spend my days reading interesting books? What right do I have to explore ideas, have discussions and write down my thoughts? What right do I have to publish what I write? What right do I have to be allowed readers? Why should I be entitled to have any of those things?

I suppose I accepted that a more interesting course through life was not available to the likes of me. Those who are fortunate enough to ask themselves "what kinds of things do I find interesting?" or "what would my perfect job be?" and to then use these answers to formulate a life which is compatible with capitalist society, are not in the same socioeconomic boat as me. This is not to say that I'm deprived and disadvantaged, but merely that I'm incredibly pragmatic and quite unwilling to risk a decline in my living standards, back to a time when I was sleeping rough and the most pressing question of each day was: where shall I sleep to stay dry and keep me safe from violence and robbery?

So, my 4-year writing project began. I scratched my itch as best as I could with the facilities at my disposal. I have written and published as if I am one of those entitled brats who gets to spend their time choosing from an almost unlimited menu of very pleasant options, because their socioeconomic circumstances protect them from the peril of destitution.

I'm still surprisingly far from ever being able to ask myself "what would I like to study?" or "what is my dream job?" but the vast majority of us will never be fortunate enough to be able to do anything other than suffer the coercion of capitalism, and to do unpleasant things in order to survive.

It seems churlish to complain, given that I have certainly been able to feather the nest recently, and I do my complaining in far more pleasant surroundings than a bush in a park, sleeping rough.

Although I'm time poor and nowhere near being financially comfortable enough to feel confident in risking any major alterations in my chosen life course, I am lucky enough to be emerging from an incredibly lengthy period of suffering, in order to shore up life's practical considerations: housing etc.

Theoretically, it's now a matter of months until some very real and tangible results arrive as a result of a very sustained campaign, which has been excruciatingly boring and predictable, with very little freedom of choice.

In conclusion, I appreciate that my situation is fast becoming an enviable one, and soon I will have the freedom to make choices which offer more intellectual nourishment, which has been so lacking during the 4 year period where I simply had to do whatever it took - to suffer - in order to preserve all future opportunities, and avoid any catastrophic life-changing disasters which would force me down another path.

Tags: #homeless #career

This is a story about personal responsibility...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

I've gotten tired. Really tired.

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

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

I haven't been looking after myself.

I've broken my rules.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Tags: #bipolar

This is a story about benchmarks...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

I endlessly analyse everything. I extrapolate. I predict.

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

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

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

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

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

Tags: #addiction

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

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

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

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

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

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

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

I want to drink.

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

I must remind myself of why I stopped drinking.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Tags: #alcohol

This is a story about tailored medicine...

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

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

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

Quetiapine (Seroquel)

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

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

Not compatible with having a job.

Aripiprazole (Abilify)

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

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

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

Lamotrigine (Lamactil)

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

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

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

Olanzapine (Zyprexa)

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

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

Not recommended to take on a long-term basis.

Not compatible with having a normal job.

Sodium valproate (Depakote)

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

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

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

Lithium

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

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

General Comments

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

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

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

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

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

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

Alternatives to Medication

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

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

In Conclusion

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

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

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

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

Tags: #bipolar #medication #mentalhealth

This is a story about normalising...

There is some debate about what type of bipolar disorder I suffer from. I've always thought that I had the milder type 2 variety, because my 'high' periods had never caused me any problems at work or at home, but perhaps it's only because I've been fortunate enough to enjoy wealth and privilege that I've gotten away without suffering dire consequences. In fact, my 'high' periods have always produced far more wealth than my stable periods, reinforcing the idea that I don't have a very severe mental illness at all.

The world around us produces bipolarity.

Most of the time, there's nothing to do at our boring bullshit jobs. Most of the time we're in neutral gear coasting along. Most of the time our lives are filled with bland monotony.

We need to cram for exams. We need to shine in job interviews. We need to dazzle our new work colleagues. We need to work crazy hours to finish projects in time for deadlines. We need to dedicate ourselves to solving very hard problems, by thinking about them intensely without getting distracted. We need to pursue our love interests obsessively. We need to practice, practice, practice - to the exclusion of everything else - if we want to get good at a particular skill or sport.

We reward every bipolar aspect of somebody's personality. We celebrate bipolarity.

Who cares if you're depressed all summer, so long as you got through your final exams? Who cares if writing your dissertation or thesis nearly killed you, so long as you finished it on time? Who cares if your project burnt you out as long as the deadline was met? Who cares that nearly every aspect of modern life wrings more out of you than you can healthily give, so long as you're winning?

We are driven to use substances which confer a competitive advantage. Alcohol will tranquillise your jangled nerves. Caffeine and nicotine will pep you up. Who cares that there's a price to be paid for using these uppers and downers? Society will handsomely reward you for skipping sleep and using every substance available to you, at the expense of your health.

I'm a lifelong sufferer of social jetlag. To work 9 to 5 hours in an office is torturous because my body clock is not designed to run to that schedule. I'm genetically programmed differently from all those obedient little drones who find it easy to rise and shine. My DNA is completely different from that of an early bird. We're very different animals.

I'm a lifelong sufferer of interminable insufferable excruciatingly painful boredom. Waiting for something interesting to happen at work and for things to get exciting has consumed 95% of my wasted fucking time, spent looking busy at my desk.

Once all the waste-of-space dead-wood losers have finished having endless meetings and not making any decisions, when the project deadlines loom large, finally I have my moment to shine. I can't understand why anybody would have me - a miserable depressed cynic who turns up insultingly late every day - around in the office ruining morale, except that I'm pretty handy to have available when something actually needs fucking doing, which is surprisingly rarely. I guess the reason why my services are retained is because I can usually cobble something together that works, pretty damn quickly, although it always requires hypomanic levels of obsessive round-the-clock effort.

It appears that it's me who is aberrant, so I must comply and conform to the world around me. Because most people are wage-slave drones who do a whole lot of nothing most of the time, I am forced to pretend I'm just like them. I'm forced to act like I'm perfectly OK bumbling along doing sweet F.A. for most of the 40-hour week. I'm forced to act like I prefer be bored out of my tiny mind 95% of the time, just like them.

The problem is that I build up a lot of pent-up energy, like a compressed spring.

When eventually there's something to do, I race along at breakneck pace. When at long last I'm unleashed I tear along as fast as I can, because it's so damn wonderful to be free, having been held back for an eternity.

The system worked for a couple of decades. I managed to fit in for my whole career. I managed to get along just fine, even though I had a mental illness the whole time: bipolar disorder.

I discovered the unalloyed joy of telling people to fuck off. I discovered that it's not the end of the world if you quit your job and start your own company, because you were being exploited and unfairly discriminated against. I discovered that the whole capitalist society is rigged to make you paranoid about becoming unemployable, because of gaps on your CV or other less-than-ideal obedient slave behaviour.

What I later discovered is that there is a lot of very easy money to be made in the corporate world, if you're prepared to sell your soul and suffer the interminable boredom. It's easy money provided you're prepared to put up with an unfulfilling career doing things which are morally dubious. You can become a prostitute, getting fucked by the rich, or you can become a corporate whore and fuck the poor on behalf of the rich.

Only the rich have the luxury of being able to mess around doing so-called philanthropic things, with money they made from war, drugs, slavery, pimping and other forms of exploitation.

My working week consists of a whole lot of keeping my mouth shut because of my vested interests. The best thing I can do is sit quietly at my desk for 40 hours a week. Nobody cares whether I do any work or not, so long as I'm a willing participant in the conspiracy of silence. The more silent I am the better. There is an inversely proportionate relationship between how much I speak and how much I earn.

This time of year is always very difficult for me. I've had a helluva year to get to this point, but I'm in a good position to cement the gains I've made.

[I screwed up copy-pasting this text, which I'd put in the clipboard in the event that I accidentally lost my progress. I lost a few hundred words, but I'm not going to retype them now. This will have to do. I'm frustrated, but I've already written more than a thousand words, which is plenty]

Tags: #bipolar

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 delicate senses...

My preference for sweet or salty, my thirst and my sense of smell are all altered by alcohol, but I'm not able to perceive those alterations to my senses in any given moment. It's only when I carefully analyse my behaviour that I can see I drink more water and eat more sweet things when I've been sober for a few days, and I begin to see food as something worth spending time and effort on, instead of eating as a chore.

If alcohol can alter those senses so profoundly, I wonder what other subtle effects it has on me. The sleep I get seems to be of much lower quality when I go to bed drunk, although I don't perceive that at the time because I find it much easier to fall asleep when I've had lots to drink. When I have a break from drinking I notice that I have very vivid dreams, bordering on nightmares, which reveal a lot of things going on in my subconscious. Having used alcohol as a crutch for so long, it's amazing how much trauma I've repressed and not dealt with.

I made a prediction earlier in the week that I'd have increasingly better days, not because we're getting closer to the weekend, but because I'm sobering up. It's hard to quantify, but I found it much easier to get up this morning and although there were periods when I was bored and miserable at work, I found myself far less inclined to give up and walk out.

There was a leaving do at work and my colleagues invited me out drinking tonight. There's an open bottle of wine in my cupboard and I bought 4 more because there was an offer at the supermarket. The temptation to drink and the social pressure to get drunk is hard to escape. Alcohol is a social lubricant and can be especially welcome when making smalltalk and getting to know people. This week has felt long and difficult and it's hard not to reach for the bottle as a reward for putting myself through the misery.

Which came first? The misery or the alcohol?

I find it easy enough to stop drinking when I want to, but I wonder if I've simply become habituated into experiencing and putting up with awful feelings. Alcoholics can begin to enjoy the sensation of neat liquor burning their throat as they glug it down, and junkies can get needle fixations and enjoy injecting themselves. I wonder if my brain has become confused by my cycle of highs and lows; boom and bust. I wonder if I'm simply unable to tell when I'm half-drunk, hungover, withdrawing, completely intoxicated or stone cold sober, because there's nothing extreme enough to register on my scale. The highs and lows which I've experienced have ranged by such an exceptional amount that I've become used to never feeling very good at all. Earlier this year I didn't even notice that I had a bad chest infection, except that my ribs were so tender I couldn't sleep and it was agonising to sit up in bed in the morning, or to cough. Depression and anxiety are just things I live with, without medication.

I know that my brain is a homeostatic organ which will attempt to return itself to equilibrium. If I put stimulants into my body, I will make myself more tired. If I put depressants into my body, I will bounce back the other way. Everything has an effect for a short while before my brain readjusts and it becomes normal. It shocks me how functional I can be when full of drink and drugs, or under an incredible amount of stress and in very bad circumstances.

I'm attempting to control the variables. I'm attempting to clear my brain of drink and drugs. I'm creating a pharmacologically unpolluted state, where I'm free from nicotine, caffeine, uppers, downers, medications, hard drugs, soft drugs, legal highs and every other thing we normally use in our daily lives to tweak our moods hither and thither.

I stay in an identical hotel room and eat in the same place every night, normally choosing one of only a handful of my favourite dishes. I'm doing the same work I've done my whole 21+ year full-time career for an organisation which is ostensibly similar to all the others I've worked for, solving exactly the same problems I've solved a million times before. It's an almost perfect experiment. I can't imagine that it would be possible for almost anybody else to experiment on themselves in the same way, because so few of us are capable of giving up things like tea and coffee, or of sticking with a job which makes us excruciatingly bored and thoroughly miserable.

So far, my conclusion is that alcohol does not make the time pass any quicker, reduce anxiety or aid sleep. My conclusion is that alcohol makes it harder to concentrate and cope with the boredom. My conclusion is that alcohol is not very helpful, but I'll tell you what is helpful: money. Despite being almost continuously drunk for the past 9 consecutive months, undoubtedly the biggest changing variable has been my ever-increasing wealth. I can't say whether it would have been easier and more pleasant to reach today without alcohol, and whether I'd have been more inclined to improve areas of my life which are completely absent, such as a social life, but I can say that alcohol was ever-present. Is it possible that I might not have made it so far without alcohol? I really don't think it's likely that I would've made it through the roughest patches without alcohol as a relatively inexpensive coping mechanism, even if it's a very poor medicine for reducing anxiety, fighting depression, stabilising my mood and helping me sleep.

If we consider that a year ago I was suicidally depressed, manically high, abusing drugs, addicted to medications and generally in a dreadful state with little or no hope of escaping that situation, I don't see how it would be possible to resolve everything without something to use to self-medicate.

It's impossibly unlikely that anybody's going to gift you £100,000 and a year off work to get your life sorted out, which is what it would take to rescue somebody whose entire world has imploded spectacularly, leaving them crippled with mountainous debts, homeless, jobless, single, estranged from their family, mentally ill, alcoholic, addicted to drugs and dependent on medications.

As my head clears, I realise I've pulled of an impossible feat. I've come back from a clusterfuck of issues which should have buried me a million times over.

It's hard to avoid the pitfall of marvelling at the miraculousness of my recovery, such that I start to believe I'm special, different and perhaps even immortal. It's hard to see the evidence and to not draw the conclusion that the clearly exceptional achievement must mean I'm destined for greatness. At least I have a clear enough head to see that I've fallen foul of that before, and that it's important to keep my brain intoxicated just the right amount to stop it from overheating. Going teetotal in 2015 caused me to swing into mania, so I'm not going to make that mistake again.

I'm also aware that I'm no longer a young man and that the past few years have been very hard on my brain and body. Ultimately I can't keep pushing myself as hard as I have been and taking extreme risks. Sooner or later my luck is going to run out, even though all the evidence seems to indicate that I'm immortal.

As my thoughts start to wander towards topics which have always been a little too hot to handle - such as quantum mechanics - I now start to realise that there's a lot to be said for being a bit of a drunk, at least until I'm filthy rich again.

I've managed to avoid drinking again tonight. I'm going to see how I feel tomorrow, but I must be careful to preserve the good progress I've made this year, even if that means continuing to drink because it's my tried-and-trusted means of keeping my mania at bay. Better the devil you know.

Physically, I have a runny nose, a sore throat and a headache. I feel terrible, which I imagine is because I'm at the 3 or 4 day sober mark and my body is seriously protesting about the lack of alcohol. If I continue my sober streak I'll feel physically better, but there's always the risk that mania will rear its ugly head and I'll screw up everything I've worked for 9 consecutive months without a holiday to rebuild.

September is coming. September is my nemesis. If I can get through September smoothly, that will be a huge milestone.

Tags: #bipolar #alcohol #anxiety #depression