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Misuse of Drugs

21 min read

This is a story about fit for purpose...

Prescription medications

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

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

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

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

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

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

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

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

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

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

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

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

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

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

In short, doctors would offer me nothing.

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

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

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

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

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

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

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

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

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

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

The law helpfully tells us that:

Food [doesn't] count as psychoactive substances.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Those are the affluent places.

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

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

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

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

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

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

This equation gives three numbers,

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

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

3. Proft (if any)

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

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

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

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

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

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

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

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

World pop growth

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

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

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

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

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

I hope you find these 4,000 words entertaining.

 

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Adjustment Disorder

7 min read

This is a story about provocation...

Pathway

I suppose the reason why my episodes of mania synchronise perfectly with periods of high stress and exhaustion, is some kind of defence mechanism - perhaps an evolutionary adaptation; something deliberately left in my genes, because it's served a useful purpose during unsettled times throughout the history of humanity.

It's problematic for me to work in an open-plan office at the moment. It's problematic for me to be surrounded by so many mild-mannered and quiet individuals, who seem happy to spend all day looking at their email inbox, waiting for something interesting to appear.

How my colleagues manage to cope in an environment that's pretty stale and ultra-conservative, I don't know. Big personalities and loudmouths are not the kinds of people who become long-serving members of my organisation. In fact, a girl I dated from my office said she cried when she got her security pass, because its expiry date was 10 years in the future. "Nobody would choose to work here" she said.

It's not that bad.

I like it.

I'm just not so sure that everyone who's within earshot of me is my greatest fan. I have a foghorn-like voice in two situations: 1) when I'm scared and insecure, and 2) when I'm manic, like I am now.

I suppose I knew that mania was cropping up - rearing its ugly head - but it served a purpose. I needed to find a place to live and make all the necessary moving preparations. I needed to continue to work hard at my job, while also finding the extra energy and the motivation to do something I hate: Moving.

The mania has propelled me to move very fast, but it also causes my brain to speed up dangerously. A colleague told a joke about friction coefficients - a classical physics joke - and I said I could come up with a better one about quantum mechanics, in only a few seconds. According to my colleague, it took me no more than 15 seconds to invent a "XXX walks into a bar..." type joke, which was actually pretty good considering I thought of it on the spot AND it involved two really fundamental things about quantum mechanics. Nothing to do with Schrödinger and his cats, but actually to do with Planck and his constant... but I digress... both jokes have a very small audience who'd appreciate them.

I'm fizzing and crackling with so much energy at the moment that I'm physically uncomfortable to be around. I think I'm literally giving people near me headaches.

One of the first things I said this morning was "do chairs really exist?" which was supposed to be funny, but my colleagues reaction was to tell me it was too early to start talking about philosophy.

I didn't get to sleep until 3:30am or maybe even 4am.

Does the lack of sleep cause the mania, or is the insomnia a symptom of the mania? It's impossible to know.

It's not like I couldn't sleep, but I can't see how else I can fit everything into the 24 hours of the day, without some late nights. I know that I need regular bedtimes. I know I need lots of sleep. But, there's so much to do.

The busier I am, the more productive I am, strangely. Today I did all kinds of horrible jobs that I wasn't looking forward to, like buying a washing machine, booking a van to move my stuff, arranging to have broadband internet installed, arranging to have my post redirected and a zillion other admin jobs, but I also managed to do a piece of work that I'd been putting off for days and days.

Where I'm finding the energy from to maintain my daily writing, as well as the development of NickBot™ and the migration of my website from one hosting provider to another, I have no idea, considering that I also have a demanding full-time job and I waste at least 50% of my time saying stupid things out loud and distracting people.

I guess I was wasting a lot of time and energy on a bad relationship, so escaping that has released me from a lot of pointlessly exhausting nonsense. I was very trapped. I was very miserable.

I'm very stressed now and I felt momentarily like I was very alone, but perhaps that's what prompted me into a frenzy of activity, sending out lots of messages to people I care about, trying to surround myself with people who care about me. There's a horrible period of stress approaching rapidly - moving day, and subsequent days - but I'm pretty well prepared for it, which I'm surprised about, because I can often become too overwhelmed by anxiety to even leave my bed. I'm surprised that depression hasn't laid me low.

All of my psychiatric problems can be considered acute: i.e. they have been spontaneously provoked into existence by the extreme set of life circumstances that I'm simultaneously dealing with. This is adjustment disorder which is just another way of saying "your life is hell right now" and that quite rightly, my brain and body are compensating for the extreme demands placed upon me.

I'm pretty terrified right now, of screwing up the good relationship I have with my colleagues and my workplace. People have been patient with me, but that patience is wearing thin. It's unusual for a manic episode to last so long, but I've managed to keep myself sustained for periods of 6, 8 and even 13 weeks before... but it always led to a horrible crash. There have always been disastrous consequences for allowing too much of my mania to overspill into the open-plan offices which I work in.

I try to rein myself in. I try to put my headphones in and keep my head down. But, then somebody wants to ask me something. Then I overhear something and my red-hot brain which is travelling at a million miles an hour immediately sparks off and I'm talking - interjecting - with something which I think is profound, but nobody can keep up with me... I'm just acting a bit weird and annoying, from the point of view of my colleagues.

I'm working from home for a couple of days. I'm going to try to pace myself and remind myself that I've got a nice long overlap of my tenancies, so I don't have to move everything all at once. If I forget anything, I can always make more trips. There's no need for me to put so much pressure on myself.

I'm pushing hard in every area of my life, simultaneously. I want my colleagues to think I'm a brilliant genius who can do anything. I want my perfect house, fully furnished and looking beautiful. I want to feel instantly at home in a city which I've barely visited. I want my side project - this website - to make a giant leap forward, in terms of technology.

It's too much, and there will be a price to be paid.

I need to be super careful.

I can't afford to lose my job, for example.

I can't afford to lose anything, in fact.

Everything teeters dangerously on a cliff edge.

But, I've kind of gotten used to living on the edge.

If nothing else, at least this period is quite life-affirming and I'm coping remarkably well. Even when I got in trouble with the big boss the other day, I managed to rescue things very rapidly and get back on good terms. Even when I wasted days and days procrastinating, I caught up very rapidly. Even when I felt that there was too much to do in too little time, to move house without dying of stress and anxiety, everything seems to be falling into place.

I've written twice as much as I meant to, of course, because I can't quite rein myself in; I can't quite pump the brakes and slow myself down.

So long as I keep doing what my colleagues are doing, which is mostly killing time looking busy, then I'll probably get through this difficult period without doing too much damage. Less is more.

 

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Trying Not To Go Manic

6 min read

This is a story about corporate culture...

Motion blur

I've spent all year expecting my health to let me down, expecting my past to catch up with me, and expecting my mania to cause me to become intolerable in an open-plan office, curtailing my ambitions to return to a state of wealth, stability and all-round life prosperity.

Mania is a constant threat.

"You might want to keep your voice down and mind the swearwords" a trusted fellow contractor warns me in private. "You could hear me?" I ask - apparently my fog-horn voice was booming out as I was in my stride. I feel like I'm in my element, which translates to the sudden re-appearance of a cocky and self-assured version of myself who's too unguarded and outspoken to fit in well in a big organisation. This is what I've been dreading. This feels like nightmare scenarios of the past playing out all over again. This is what I hoped wouldn't happen.

There are a mountain of reasons why I'd be triggered into mania. After spending months living in a hotel, single and lonely as hell, I'm in a relationship now. After spending a whole year in desperate financial trouble, I've now almost repaid all my crippling debts. After the arduous task of getting through security vetting, credit checks, reference checks, and leaping over numerous other obstacles designed to trip people up - people just like me - I feel pretty well established at my workplace. Colleagues seek my opinion and applaud my work, but it all goes to my head and fans the flames of my ever-inflating ego. Any minor delusions of grandeur I might have been harbouring could quickly become all-consuming.

I have a quiet private conversation with another contractor. I wonder if I'm at all protected, if I reveal my mental illness. I assume that I'm not, because I'm a consultant, not an employee of the client who I'm working for. However, he reassures me that I'm afforded some protection in the law and I could consider disclosing my condition, in order to receive more lenient treatment if I can't manage to keep my big stupid mouth shut.

I take a tablet to sleep and a tablet to be able to get up and go to work - otherwise insomnia and anxiety would destroying my life and make me completely dysfunctional. Why don't I take a mood stabiliser?

I'm trying to tame the beast: I feel really physically unwell - run down - but yet my brain is fully focussed on achieving a spectacular thing at work; something I can crow about and something which will make a name for myself. I'm intent on proving a point to the world. It makes me happy, in a way, that I've dealt with enormous adversity and achieved a helluva lot in the space of 12 months. It makes me happy to travel at great speed. It makes me happy to rush along, even if I get a little burnt out.

The way that I perceive life can change completely overnight. It was less than a month ago that I thought life was pointless, boring, unfulfilling, absurd, and the task of repaying my debts, falling in love, finding a rewarding job and becoming stable and happy in a sustainable situation, was utterly impossible. Today, that dream seems to be tantalisingly within reach.

I have 4 short weeks until my next holiday.

I'm leaving the country.

Again.

In the past year I've been to Warsaw, Faro, Prague and Antalya. The more I travel, the happier I am. I'm going travelling during the Christmas and New Year holiday season, and I'm going away with my girlfriend, which is going to be incredibly nice. It would be churlish to complain about how lonely it was to spend a week in Turkey on my own, but it seems pretty obvious that I'm going to have an incredible time with my travelling companion.

It's important that I have a job to come home to in 2019. It's important that I don't fuck everything up.

Perhaps my paranoia is a little unjustified. I made it this far, didn't I? Even when I was sick in the first half of this year, I still managed to impress my clients and deliver their software projects. I've left a lasting good impression at the organisations where I've worked. I've impressed my colleagues. I probably shouldn't worry too much.

However, I must acknowledge that a little success can go to my head, and I can quickly turn into a maniac.

Need to stay sensible for the next 4 weeks. Need to keep quiet.

I could easily have worked 12 or 14 hour days all this week, but I resisted the urge. I could easily have worked today - a Saturday - when instead I should be resting and recharging my batteries. My body is physically sick, but my brain is buzzing. I'm limping along, because I need the money.

I'm paranoid because I see warning signs from years gone by. I'm paranoid because I know myself and I know my patterns of behaviour. I'm paranoid because there's a mountain of evidence that I'm spectacularly good at self-sabotaging.

I find it somewhat reassuring to look back through what I've written and published, and to see that I'm far less tired, strung out and outright bat-shit insane than I was a few years ago. I find it reassuring that I've learned a lot about my patterns of behaviour and how to manage my moods in a corporate environment. I've learned some skills for being part of a fit in or fuck off culture.

I hope I'm gonna be OK. I hope I can muddle through the next 4 weeks and go away on holiday feeling confident that I'm well-liked by my work colleagues, and they're going to welcome me back with open arms in 2019.

Can mania be bludgeoned into submission by sheer force of will? Can I use my mania to achieve what I want at work?

Only time will tell.

 

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Stash

10 min read

This is a story about drug dependency...

Pills

This is how I function. This is how I normalise myself. This is how I comply with society's demands. This is how I cope with social jet-lag. In our fit-in-or-fuck-off culture, this is how I conform. These are my crutches. I might appear functional and unimpaired. It might be somewhat insulting or offensive to describe myself as struggling in any way - perhaps I should instead talk about my wealth and privilege and acknowledge that since being born with a silver spoon in my mouth, my life has been uninterrupted gilded luxury; I've never known pain; I've never known suffering.

Think about the starving African children.

I comparison with the 8 or 9 bottles of red wine I was consuming every week - drinking alone - my use of a few sleeping pills and tranquillisers seems relatively safe and healthy.

This is all I have left.

I've had to eke out my dwindling supplies for far longer than I'd expected to. My opportunities to "re-up" have been constricted and constrained. I've been forced into drug withdrawal, which mercifully has been bearable because of my successful rationing strategies.

Insomnia has been the price I've paid for economising; suddenly cutting back on the medications I've become dependent on. Hypomania has been a very real and tangible consequence of the brain chemical destabilisation.

Perhaps I shouldn't meddle with my mind? Perhaps I should put my faith in the medical community? Perhaps there are people who know what's best for me?

Ironically, I'm using these medications - obtained on the black market - to plaster over the cracks and blend in with the very people who are specifically tasked with deciding what's best for you. I'm a member of the paternalistic elite. One should always remember that the people dishing out the advice and prescriptions are just as fucked up as everybody else.

My hypomania constantly threatens to boil over and create a disaster. My hypomania is a constant threat to all the health and wealth I've managed to accumulate this year. My hypomania is almost impossible to conceal, constantly attempting to sneak out from under the cover and camouflage I've carelessly draped over it, in the hopes of it being ignored and not talked about by my discreet, polite and extremely civilised colleagues.

Unable to sufficiently bludgeon my brain into submission to society's demands, using powerful psychiatric medications, my mask slips.

Exhaustion from the toll of 11.5 consecutive months desperately attempting to re-enter civilised society has reduced me to surviving on my instincts. I speak without thinking. It is only my well-practiced and well-rehearsed routines which allow me to continue to appear functional, when my mind has crumbled and descended into outright insanity internally. If I could only sit mute in my office chair at my desk, I would be fine, but unfortunately stuff pops into my head and pours out of my mouth before I have a chance to hold my tongue.

My medication dependency is a cruel mistress. My anxiety skyrockets in the late afternoon and evenings as my short-acting tranquilliser wears off. My insomnia robs me of refreshing and energy-replenishing sleep, leaving me almost paralysed by panic attacks about the simple task of getting out of bed, having a shower, getting dressed and going to work. Unless I take the right amount of pills at the right time, my mask of sanity quickly slips. The illusion of a functional productive member of society quickly evaporates, the moment that I skip a dose or start reducing my medication.

Of course, I'm hopelessly dependent. I admit it. So what?

My life revolves around my regular medication doses. So what?

Doesn't anybody's life revolve around cyclical things? Life and death, sunrise and sunset, summer and winter, weekdays and weekends, work and leisure, awake and asleep, hungry and satiated, horny and spent, love and loss. Some of the cycles are societally and culturally enforced to remain the same year-round, when it's clear that it's unnatural. Why the hell don't we sleep more in winter, when the days are shorter? Why the hell don't we sleep more when we're tired? Who the hell invented the fucking alarm clock and the 9 to 5 office job anyway?

I am quite literally tyrannised and oppressed - abusively coerced - into compliance with health-damaging social rituals, lest I be excluded from society; marginalised. It's in my rational economic self-interest to comply, but it's in the interests of my mental health to refuse to comply. Non-compliance will be met with harsh and intolerable economic sanctions.

Of course I seek out and consume the pharmaceuticals which 'normalise' me and allow me to cope; to function.

You might be surprised that I'm a junkie who needs his fix so that he can work a boring office job. You might think that junkies take drugs to feel pleasure and otherwise get high, but my drug dependency is mandated by the otherwise unbearable awfulness of the 9 to 5 grind.

You might think that people get rich off drugs by selling them. You might think that drugs will ruin your life, my drug dependency has been a mandatory part of repairing my life. Do you really think that it's humanly possible to achieve the kind of comeback - the recovery - which I've managed to complete during the past 11.5 months of turning up at the office and acting normal, without access to the full range of pharmaceutical options?

I've done the impossible: gotten off the streets, where I was sleeping rough, gotten out of the hostels, gotten off the terrible drugs, gotten out of the psych wards, repaid unimaginably huge debts, got myself a place to live of my own, got myself a respectable good job, held down that job, impressed my colleagues, delivered high quality work on time and on budget.

You think that was possible without performance enhancing drugs? Are there laws that say I can't use the very best of medical technology to allow me to function at my very best in a workplace environment? I'm not an athlete. I can use whatever the fuck I want and I have done.

It might seem logical to presume that I must now have a massive drug habit, because I've leaned so heavily on unhealthy coping mechanisms to get me to the point I'm at today.

I use the word "dependency" very carefully.

It's true that technically I am dependent on medications. It's true that abrupt cessation of the 2 or 3 medications I use on a regular basis would be catastrophic for my career, my reputation, my finances, my stability and all the other things in the house-of-cards which constitutes my life.

However, the doses I take are laughably negligible.

Instead of being in a horrible mess, the dose which maintains me in a functional and stable state is totally reasonable and acceptable. The problems I've stored up for the future - by becoming dependent on medications for normal day-to-day functioning - are pathetically tiny insignificant problems compared with the goddam mountainous obstacles I've had to tackle to get this far.

It concerns me that my stash is now critically low, because my whole happy healthy wealthy future hinges upon the continuation of the well-established routine for another 6 to 12 months, at the very least. If I can carry on with my dirty junkie medication dependency for another 18 months I will be rich as fuck compared to the struggling masses, which would be an unexpected result for anybody who's been brainwashed to believe that junkies like me are no-hope losers.

I don't go to the doctor. I don't have a psychiatrist. I don't have a psychologist. I don't have a community mental health team (CMHT) or a crisis team. I do what the fuck I want.

My experiments with being completely medication-free earlier in the year were a total disaster. I do hope that one day I'll be able to quit the pills, but I don't see how I'll ever be able to do when my health needs directly contradict capitalism's need to exploit me as an expendable commodity. There is a fundamental incompatibility between human needs and corporations' needs. There is a systemic inability to cope with anybody who deviates from the top of the bell curve.

I'm different, and I no longer expect society to accomodate me. I accept that I must alter myself - with pharmaceuticals - so that I can accomodate society's inflexible demands for homogeny and conformity.

I swallow a sleeping pill so that my social jet-lag is medically corrected. I swallow a short-acting tranquilliser so that the existential dread of working a pointless bullshit meaningless office job is bearable. I'm not overjoyed or happy to be doing it. In fact, I'm not happy at all about any of the situation. It would be fucking weird if I was artificially happy all the fucking time, because there's not a lot to be happy about during the death-throes of late capitalism.

You know what makes me happy? Spooning. Kittens. Holidays. Sex. Dreaming about going to live in a cabin in the woods. Delicious food. Binging on mindless entertainment. Extreme sports. Writing.

Should I be attempting to live the dream? Should I be trying to have it all? Should I mix work and pleasure?

Yes, I'm going to do all those things but you have to pay to play and it costs a fuckload of cash to make dreams come true.

I'll leave you with this quote:

"The power of inclosing land and owning propriety, was brought into the creation by your ancestors by the sword; which first did murther their fellow creatures, men, and after plunder or steal away their land, and left this land successively to you, their children. And therefore, though you did not kill or theeve, yet you hold that cursed thing in your hand, by the power of the sword; and so you justifie the wicked deeds of your fathers" -- A Declaration from the Poor Oppressed People of England, Gerrard Winstanley

It's up to the reader to decide whether I'm a Lord of the Manor, born into wealth and enjoying inheritance from my ancestors who plundered and stole. The fact that you've persevered reading this text in English using a computer or smartphone puts you into a certain socioeconomic set and suggests a level of academic achievement, which might suggest you might have benefitted equally from "the power of the sword" although you did not "kill or theeve" yourself.

All I can say of myself is that I'm trying to play by the rules in a rigged game. Nobody said I wasn't allowed to use performance enhancing drugs. This isn't sport, it's survival.

 

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Biting Off More Than I Can Chew

4 min read

This is a story about feeling overwhelmed...

Rare steak

My favourite movie is Francis Ford Coppola's Apocalypse Now. I am almost able to recite the script, verbatim, from memory. I don't re-watch films. I don't re-read books. This movie is my one exception. I've seen it dozens of times.

I don't tend to use a lot of quotes or epigraphs in my writing. Why would I borrow somebody else's words when mine say exactly what I want? I'm confident enough in my own thinking and writing abilities to avoid the insecurity of believing that my own words have less value than somebody else's.

I do however offer this one quote from my favourite movie:

"Everyone gets everything he wants. I wanted a mission, and for my sins, they gave me one. Brought it up to me like room service. It was a real choice mission, and when it was over, I never wanted another." -- Captain Willard, Apocalypse Now

Having spent vast parts of this year tormented by extreme boredom, I am now swamped. I have something to get my teeth into at work, which also has quite a lot of pressure associated with it. I have a creative writing project - my novel - which I've been struggling to write due to poor preparation. I have my blog. I have dating. I also need to get fit, resume some of my hobbies, collect my mountain bike from the other side of the country and make some new friends. My work routine is well established and I'm making excellent progress financially, but it's time consuming and exhausting.

I wanted to be busy.

Now I am.

Never a dull moment, presently, but there's always something or somebody I'm neglecting. Sleep and a stable routine are early casualties, as I flit between many competing demands. Of course I'm having a lot of fun and I have boundless energy at times, but I crash down and become paralysed by anxiety.

Earlier today I thought it might be easier to just kill myself, rather than have to get two taxis and a train, wash and dry all my clothes for the week ahead, and drive to the office at the crack of dawn. It was only a fleeting moment of suicidality and it wasn't particularly serious because I didn't start to plan the act, but I definitely couldn't face the heap of tasks ahead of me. It depressed me that my novel and my blog were going to potentially become casualties - so much writing to do.

I'm somewhat regretting having asked for so much, and been given it all eventually, all in a short space of time. For a while almost none of my needs were being met, and then suddenly I've been swamped by everything all at once.

I can't quite figure out how to balance all the things I need. Money, challenging work, sleep and intimacy are probably my top four priorities, but each one brings a swathe of other complications. The more things I add into my simple life, the more destabilised I become. I worry that I'm going to end up repeating the mistakes of previous years, when I became over-tired and over-stressed, which pushed me into a state of mania. Mania will be fatal to my career. Mania will be fatal to my relationships. Mania will be fatal to my financial stability.

I wondered to myself if I've made a mistake in being unmedicated. I think I was just desperately sleep deprived though.

My life violently see-saws between the dread of Sunday night and Monday morning, binge drinking on a Thursday and Friday night, stopping my sleeping pills and tranquillisers at the weekend and suffering dreadful insomnia and anxiety, and some other rather destabilising things, such as dating. I swing between the fear that my life is going to become over-complicated and stressful, and the fear that I'm going to die alone. I know that my simplified life brings vast financial rewards, but the lack of kisses and cuddles is almost unbearable. Living out of a suitcase is awful. Drinking alone is unhealthy. Changing my routine is destabilising and exhausting. Other people are unpredictable.

It's a difficult balancing act: trying to live a sustainable and stable life when I'm naturally prone to mood instability, and I am dealing with a number of things which are dreadfully broken.

This sounds like quite a whinge-fest. On the whole, I have lots of things to be very grateful for. A lot of my problems are nice problems to have.

I shouldn't complain.

I'd rather be busy.

I wanted a mission.

 

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Alone With My Thoughts

6 min read

This is a story about bad memories...

Hotel bed

I drew back the curtains this morning and I was almost relieved to see that it was cloudy. One of the theme park rides was on fire also. I did not need much of an excuse to go back to bed.

I'm not actually sleeping that much.

It's nice to be in the position where I have quite strong cash reserves, I'm on holiday, and I have a job and a place to live when I return home. Rarely do I have all those puzzle pieces at the same time.

When things are broken and stressful in my life - beyond my ability to control things and influence the outcome - then I don't cry; I park my emotions and move myself into a neutral gear. I'm a leaf tossed through the air by hurricane-strength winds. There's no sense in thrashing around and wasting any energy.

Now is the worst time.

The time before an anticipated milestone.

I got very worked-up about my million-word milestone, and very paranoid that something was going to trip me up. My work-rate increased as I neared the finishing line, as I desperately wanted to reach the end when it was in sight.

Now, there are some major financial milestones on the horizon. In a couple of weeks I can clear half my important debts, with a whopping great big 5-figure lump sum. In a couple of months, I hope to clear the balance of what I feel I have a moral obligation to repay, because it was borrowed from a friend, not borrowed out of thin air, like it would be with a faceless corporate bank. By the end of March, I should be completely debt-free.

My mind is working overtime, thinking about all the things that could go wrong.

It seems likely that I'll get to the end of the month OK, but beyond that, recents years have shown that this is a very difficult period for me. I can't help comparing my behaviour with previous experiences, and worrying that I'm becoming too much of a loudmouth. I'm acutely aware that any bumps in the road could be disastrously psychologically damaging - it's very hard to pick myself back up after major setbacks, because the path to victorious recovery is quite plainly laid out in front of me and to snatch it away is cruel. There is absolutely nothing that I haven't seen and dealt with before - my recovery is a paint-by-numbers exercise.

I'm not sure if it's the job that's killing me... I think it's the debt. Every day when I wake up I'm still deep in debt, and I'm more in debt than when I went to sleep, because the interest on my loans accrues while I sleep, but I'm not working and earning any money. Debt hangs around like a bad smell; all-pervasive.

When alone with my thoughts, I re-analyse my actions. I wonder if I have been entirely fair in my assessment of events. I re-imagine things, admitting more fault and being more charitable towards those who deserve to receive the benefit of the doubt.

I try to make sense of everything.

Most people are too busy and they're too embroiled in everyday life to stop and think about how they arrived where they are. Most people are too swept up in the minutiae of childrearing and bickering with their other half, to particularly give much thought to anything. Most people's lives plod along, not veering too far from the top of the bell curve; safely within the boundaries of accepted norms.

My mind scans all the years of my life, but is mostly fixated upon the period filled with the most traumatic events, which covers roughly the last 6 years. Of course, I wonder why bad things have happened, and there are clear memories from earlier times in my life, which provide pretty compelling evidence of why I'd be predisposed to the vulnerabilities which have led me down a certain path. It's not a blame game; it's simple cold, hard, rational analysis of the facts at hand.

I'm bombarded with intrusive thoughts. I can see why I'd want to blot out most of my mind's activity with alcohol and tranquillisers, when I have a period like this, where I'm alone with my thoughts. The traumatic memories come at me thick and fast. It's ludicrous, when I think about the number of traumatic events I've lived through and have harrowing memories of. I haven't received any counselling or therapy to help me with any of the stuff I've been through.

My mind has constructed a kind of "map of the madness" which allows me to understand how I arrived where I am today. Without the ability to see the bigger picture, I'm sure I'd be irretrievably lost in the mists of insanity. I constantly consult my 'map' to see if I'm repeating mistakes I've made in the past. I use my 'map' frequently to ensure I'm doing all the things which have proven successful in the past, and avoiding the things which have turned out to be pitfalls.

For 5 out of 7 days of this holiday, I'll have been confined to my bed. For most of that time, I was probably suffering insomnia or otherwise alone with my thoughts.

It's been hell, but it's probably been useful.

My mind isn't "pleasantly unclouded" now that I'm off all the sleeping pills and tranquillisers. In fact, I'm a nervous wreck. My brain torments me with various day-dreams about ways in which I could be killed, maimed or suffer catastrophic economic disaster, such as being evicted, being made jobless and otherwise tormented by a society which is keen to disown and marginalise me.

Annoyingly, my thoughts can't be easily dismissed as irrational nonsense. At the root of every worry is a seed which is perfectly valid. In fact, far too often my worries have proven to be well-founded. Everything that could go wrong has gone wrong.

In fact, I'm more comfortable when things are going wrong than I am when there are positive milestones within sight. It's agonising, not knowing what new unexpected horror is going to come and destroy the pleasant future which I'm owed.

I'm so ridiculously alone, as I don't speak to any family, friends or partner on a regular basis. My life isn't really shared with anybody, even though I publish my innermost thoughts and feelings quite publicly online. I have great friends who I chat to regularly online, but when I'm in a foreign country in the dark, alone with my thoughts, it isn't possible to get much more alone than that. I guess I could pick up my phone or open my laptop, and I've got a whole internet full of people to chat to, but it's not quite the same as having a face-to-face conversation with somebody and maybe even getting a hug.

This week has been shockingly unexceptional, because I've gotten so used to being alone.

 

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Phone in the Throne Room

5 min read

This is a story about being in the lap of luxury...

Loo telephone

As I write this now, there are no fewer than 8 buttons which control the lights in this hotel room packed with tech. There's a PlayStation 4, projector and screen which drops from the ceiling at the push of a button. There are many, many little things which surprise and delight me, but perhaps none more so than the telephone in the toilet.

The hotel phoned my room, concerned for my wellfare because the "do not disturb" button had been depressed for 3 consecutive days. They were worried, was I OK?

When the phone rang, there was also a ringing from somewhere else. I thought it was the room next door. I presumed it was some sort of technical malfunction, like when the power went off, causing the lights and air conditioning to be turned on in the middle of the night, throughout the whole hotel. In fact, it was the telephone in the bathroom ringing.

This afternoon I forced myself out of bed, put on some shorts and a T-shirt and drew the curtains for the first time in recent days, and saw that the skies were a little overcast. I expect that if I was out all day under those overcast skies I would still get a little bit of a tan, but I needed little excuse to draw the curtains again and retire to bed.

I'm starting to worry that I'm going to go back to work every bit as pale and pasty as when I departed under the UK's gloomy skies.

The small number of things which I need to do to prepare for a day at the beach or in the theme park, comprise having a shower, getting dressed, putting my money, laptop and other valuables in the safe, and packing a bag with a towel, sunglasses, sun screen and stuffing a fistful of Turkish Lira into my pocket. However, these minute tasks, along with the ever-present worry that it's a bit weird that a 39-year-old single man is hanging around a family resort, have conspired to keep me locked up indoors.

I spend a lot of my time tormented by the sensation that I have unfinished business at home. I've made a decent dent in my debts, but debt still looms large in my life. It doesn't feel like I can relax and enjoy myself, when I'm still so deep in negative territory. My lucrative contract leads me back to wealth and prosperity, theoretically, but losing the contract would leave me high and dry, as has happened so often before.

As you would expect at the end of the holiday season, during school termtime, midweek this resort is quite quiet. Mercifully, I've identified some other guests who are waving their phones around with gawping mouths, appearing to be other man-children who've decided to embark upon a ridiculous holiday unbecoming of our advanced years.

I'm starting to feel quite a bit of pressure to give my skin some colour in the few remaining days. I did need the sleep though; to spend some time liberated from the tyranny of daily working life demands.

I spend the night cursing myself for having used sleeping pills again - causing rebound insomnia - and the day cursing myself for not being able to overcome my depression, exhaustion and anxieties, such that I'm able to get out of this hotel room and enjoy my holiday.

I'm glad I went away on holiday, even if I'm crippled by insecurities about how people are judging me. I'm glad I'm away on holiday, even though the prospect of doing simple things - like ordering food or walking to the beach - is overwhelmingly daunting. I'm glad I'm away on holiday, despite being quite unwell, which is never great when in a foreign country.

At home, I stay in the same hotel and eat in the same gastropub every night. At home, I maintain the same identical routine each week, wearing the same pre-planned outfits at work and in the evenings. At home, I have controlled the variables, to give myself as little stress as possible, and the greatest chance of success in my battle to dig myself out of debt.

At home, the tiniest inconveniences can be harbingers of doom. I'm highly attuned to any hint that my controlled environment - my well-laid plans - are about to be bulldozered.

This resort is perfect in every way. There are no beggars or homeless. There are no shopkeepers trying to hawk their wares. There are no less-salubrious areas. There's nothing that would give rise to an unexpectedly negative or traumatic experience. Not a single thing is out of place, except me perhaps.

I'm crushed by imposter syndrome, both at home and abroad. I live with the daily threat of being asked to leave hanging over me, which would destroy any prospect of me being able to escape from under the dark storm-cloud of debt. I fully expect to be told: "you don't belong here" and to be cast back onto the streets.

I don't belong. That's the truth.

 

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Addiction World Tour

5 min read

This is a story about drug smuggling...

Tablet

I never intended on becoming a narcotics trafficker. It happened by accident. To say that I'm a helpless puppet with my strings being pulled by the unseen hand of addiction, is not the whole truth. My executive brain functions and rational mind are still present, but there's quite a battle that rages within me. I'm mostly unaware of powerful subconscious thoughts which are often driving my behaviour, with my superego unable to perceive that I'm being steered towards addiction-sustaining acts, or indeed omissions.

Travelling from a rich country to a poorer one, customs might not expect illegal narcotics to flow in that direction, and as such might be caught off-guard by anything smuggled across the border by a wealthy Brit. My rational conscious brain says it's not worth taking the chance. Each country has their own drug laws and their own attitude towards those who flout them, with some countries being very punitive indeed, in an attempt to make an example of those who are part of the narcotics trade.

I've carried controlled substances across international borders a few times, quite by accident. Obviously I'm not talking about kilos of cocaine. I'm talking about the occasional tablet which escaped my notice when I was packing my bags.

I tried to buy some zopiclone - sleeping tablets - on the day I arrived here in Turkey. I hadn't planned to, but I saw a sign for a pharmacy and I thought I would enquire if it could be bought over the counter. It turns out you can't buy it without a prescription from a Turkish doctor.

Then, predictably, I had a sleepless night.

The last few weeks at work have been quite bearable, but perhaps only because I've been drinking heavily, taking sleeping tablets and also taking tranquillisers. I knew I was creating a problem for myself with the impending holiday, but I also needed to get through the seemingly unending and almost intolerable working weeks, without having a nervous breakdown.

After hardly sleeping all night, I then had very vivid nightmares. A lot of my nightmares revolved around drug addiction.

Feelings of overwhelming depression and anxiety have kept me in bed all day.

I expected this.

I'm paying the price for having made my working day more bearable using addictive sleeping pills and tranquillisers, because now I'm going cold turkey in Turkey. Lolz.

I knew this would happen. I was prepared to accept some panic attacks and sleepless nights; some horrible anxiety and gnawing dread; feeling like the world's about to end. This the deal with the devil that I struck: to be able to keep working my full-time job and able to cope, but to pay the price later.

I could have sworn I searched my bag thoroughly, to ensure I wasn't carrying anything through the airports that I shouldn't have been. In fact I did search my bag thoroughly, but my subconscious prompted me to be not quite thorough enough. I genuinely believed that I was travelling with not even a single solitary tablet to salve my anxiety and insomnia, my my subconscious was much more alert - as anxiety reached its peak, it told me to search more thoroughly and it knew I would find something. One lonely blue tablet, nestled in the stitching of the fabric, which could only be located with an obsessive search.

Of course, one blue tablet does not an addiction make.

Lots and lots of 'accidents' do however add up to an addiction.

It's unavoidable that I'm going to have to suffer some cold turkey withdrawal from sleeping pills and tranquillisers this week. It's unavoidable that I'll return to the UK far less addicted - dependent - on medications than when I left. That's one of the reasons why I chose to spend my holiday in a foreign country, where I'd be less likely to be tempted to fall back into old habits, although of course addictions follow you everywhere.

I would argue forcefully that the worst of my addiction is dealt with, and I'm using medications to help me keep working and earning money, in order to pay off mountainous crippling debts. I would argue that I'm using medications reasonably responsibly, and not in an abusive or recreational manner. I would argue that I'm hyper-aware of the risks of becoming physically dependent on benzodiazepines, and would not risk that happening again now I've managed to escape the clutches of that dreadful class of drugs.

It does however somewhat surprise me that I've managed to do it again - to smuggle drugs by accident - although mercifully this one tablet has therapeutic, not abusive potential. It's a bona fide medicine. It's not the dreaded slippery slope; the thin end of the wedge.

I need to be aware of the risk that I could back-slide gradually into an increasingly abusive and regular pattern of drug abuse. I need to be careful. I'm well aware that the worst of my addiction was prolonged for a very long time, because I thought I was able to get away with casual, occasional or so-called recreational use, which lulled me into a false sense of security; I was deluding myself.

Not the happiest story ever told, having spent the day in bed with the curtains drawn, but I often have days like this on holiday, where the accumulated stress and anxiety of the preceding months suddenly swamps me. I've hardly taken a day off sick, so it should be expected that I'd get sick as soon as I relaxed.

It'll soon be Monday morning, but at least I don't have to go to work this week.

 

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The Supercrack Diet - Part Two

8 min read

This is a story about body dysmorphia...

Christmas photo

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

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

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

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

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

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

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

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

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

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

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

Weight. Loss.

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

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

It depresses me that I've put on weight.

It depresses me that my appearance has changed.

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

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

I eat.

I eat a lot.

I drink.

I drink a lot.

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

I'm a disgusting old man.

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

Have you heard of DNP?

It's a fat burner.

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

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

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

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

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

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

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

 

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Life Is Better In Flip Flops

6 min read

This is a story about nerve damage...

Tied on flip flop

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

Then I got DVT (deep-vein thrombosis).

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

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

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

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

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

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

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

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

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

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

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

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

I decided to stop taking pregabalin.

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

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

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

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

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

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

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

Life is better in flip flops.

 

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