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Rehabilitation

12 min read

This is a story about civilised society...

Lots of pills

What is rock bottom? My life doesn't seem to obey the rules - the first time I was forced to sleep rough because of my drug addiction and chaotic lifestyle, I had about £50,000 in the bank. Of course I could have stayed in a very fine hotel, but the culture clash between me in my dishevelled state, the hotel staff and the other guests was going to create a lot of friction. The first time I ran out of money I owned my own home. The first time I had depression so bad that I wanted to kill myself, I seeming had it all: friends, girlfriend, good job, money in the bank, nice house, boat, cars etc. etc.

Rock bottom seemed to begin shortly after I landed a lucrative contract with Lloyds Banking Group, when I sat on my leg which caused circulation problems, resulting in a blood clot and deep-vein thrombosis (DVT) which then caused kidney failure and landed me in hospital on dialysis. It wouldn't have been so bad, but the DVT caused nerve damage and the pain was excruciating, so I was taking the maximum dose of tramadol, which is an opiate painkiller.

I started to get closer to rock bottom moments when I desperately sought relief from the pain - I obtained codeine and dihydrocodeine tablets on the Dark Web, as well as some extra tramadol. I was in too much pain and discomfort to work. The ludicrous amount of opiate painkillers I was taking left me a dribbling mess at the office. When I lost the job which I had fought so hard to keep, it destroyed me. I started swallowing a chemical cocktail which I'm very surprised didn't kill me.

The problem with opiate painkillers is that they cause very unpleasant physical symptoms. When you take opiate painkillers they make you sleepy and constipated, and when you withdraw you get diarrhoea, aching, sweating and a whole host of other flu-like symptoms. It's thoroughly unpleasant and withdrawal brings back the original pain twice as bad.

I had started taking a neuropathic painkiller called pregabalin - marketed as Lyrica - which isn't an opiate. I was also taking sleeping pills: zolpidem - marketed as Ambien - and zopiclone.. These are what you might call downers as they all have a sedating, tranquillising and soporific effect. The list of downers doesn't end there. I had started to use increasing amounts of diazepam - Valium - and alprazolam - Xanax - which have similar effects to the pregabalin, zolpidem and zopiclone.

So, to recap, I was taking on a daily basis: tramadol, codeine, dihydrocodeine, pregabalin, zolpidem, zopiclone, alprazolam and diazepam... and that's just the pills.

You can't function if you're as doped up to the eyeballs as I was, so I was also drinking strong coffee, Red Bull energy drinks, taking dexedrine and occasionally dabbling with crystal meth in an attempt to bring myself out of my stupefied state of drugged intoxication.

Somehow, I managed to get off the opiate painkillers. I went cold turkey and it was unpleasant, but after a week or so things started to improve. Life on opiates is a horrible merry-go-round of repeatedly having to take a dose every two or three hours to stave off the nasty withdrawal symptoms. I feel very glad that I was able to kick them to the kerb without too much difficulty.

Getting off all the other pills proved much more difficult. You can't just stop taking benzodiazepines - like Valium and Xanax - because you'll have a seizure if you've been taking them for a long time at high doses. Benzos are far more physically addictive than opiates - you can die if you suddenly go cold turkey.

During this extended period of unpleasantness, I broke up with the love of my life in a moment of spectacular stupidity and drug-induced insanity. To my ever-lasting shame, I continued my non-stop blogging and oversharing on Twitter and Facebook, broadcasting my idiocy to all my friends as well as on the public internet. That was - in retrospect - definitely rock bottom, but I was too messed up to see it at the time.

My super-expensive London apartment was burning through my cash and available credit at very high speed, and it became apparent that I was going to get into rent arrears if I didn't take drastic action. All my worldly possessions had to be boxed up and put into storage, and I didn't have enough money left to be able to afford to rent anywhere cheaper in London. I was forced to leave my home and my home city, in search of the first financially viable opportunity, which arose in Manchester.

You'd think that being effectively bankrupt and homeless would be rock bottom, but no, I still think that my rock bottom had been spread over an extended period when my life truly started falling apart. It started with the blood clot and the DVT in my leg/ankle and reached its peak when I broke up with my wonderful lovely amazing ex. It's very hard to pinpoint a single moment of rock-bottomness, because there was a chain-reaction of events which unfolded like a slow-motion car crash. Unlike a car crash, however, I was dimly aware of the disasterous decisions that I was making and should have been more in control.

I'm not an idiot, so of course I knew that I shouldn't risk becoming addicted to opiate painkillers. I'm no fool, so of course I knew that all the sleeping tablets, tranquillisers and sedatives were addictive and I was becoming dependent on them. When I relapsed back into fully-blown supercrack addiction the consequences were obvious: the sleep deprivation and the stimulant psychosis is enough to send anybody insane.

There was never a moment that was so utterly awful that I would call it rock bottom. In fact, the moment when I decided that I need to take evasive action and attempt to avert total disaster, was not a moment at all. I had known for a long while that the money I had managed to accumulate would only allow me to survive for a finite amount of time, and that my expensive London lifestyle was burning through cash at an astonishing rate. I knew exactly how long I could remain as a jobless junkie, before I became bankrupt, destitute and homeless. The only surprise to me is how lucky I am that total disaster was averted at all.

When I left London for Manchester I carried a horrible addiction with me. Benzodiazepines are insidious as they creep their way into your life, literally lulling you into a state of tranquility. Quitting benzodiazepines is not only extremely dangerous, but almost indescribably unpleasant as well - peaceful, tranquil and anxiety-free existence is replaced by incredible anxiousness, stress, worry, nervous tension, insomnia, restlessness and a general sense of all-pervasive and inescapable unease.

I ended up in a shitty apartment, being paid less than half what I'm worth, with an incredibly stressful and demanding job, in a city where I have no friends or family. I had a couple of "rebound" flings with girls, which had seemed promising at first but then ended miserably. Perhaps this was my rock bottom, because this was when I made my most premeditated and calculated attempt to kill myself.

I don't think I tried to kill myself because I was at rock bottom. There have been times in my life when I've been in much worse situations. I could see that there was no way I was going to be able to quit all the addictive benzodiazepines and make new friends and woo a new girlfriend and deliver my project at work and get back on my feet financially. I had a fleeting moment where I lost hope and I was so heavily doped up that it was a lot easier to kill myself. I was so full of medication that I quite calmly poured myself several pints of white wine, which I used to wash down about 400 tablets and capsules, most of which were very powerful and deadly opiate painkillers.

I should have died. I certainly didn't have better than 50/50 odds.

After they told me in hospital that I was going to survive, soon followed the moment which would seem most like rock bottom to a casual observer. I quickly had even more problems than when I had attempted suicide. I lost my job and my apartment and found myself not only homeless, jobless and virtually penniless, but also sectioned and locked up on a psych ward in a part of the country miles away from any friends or family. However, I'd suffered days of seizures while in hospital and had been through an incredibly rapid benzo detox. I was at least free from the shackles of my benzodiazepine addiction at last. It would have been impossible for me to detox on my own and without intensive medical assistance.

Having to sell my house due to my divorce was incredibly traumatic and destabilising, but I was glad to be rid of my horrible ex-wife. Becoming homeless in London and getting in trouble with the police was traumatic and I thought I'd never be able to recover from the shame of being arrested and locked up in a cell, but the police are kind and they helped me - they didn't want to ruin my life [or me to ruin it myself]. Sleeping rough and living in a hostel was an adventure and I made lots of new friends. Becoming a poly-drug abuser - addicted to a whole heap of medications - going insane and breaking up with the love of my life was incredibly tragic and I feel very guilty about what I put her through, as well as being heartbroken myself... however, I needed to escape the high cost of living in London and reduce the enormous financial pressure I was under. For every downside I see an upside. For every moment that was thoroughly awful at the time, I can look back and see that none of those moments were bad enough to be called rock bottom.

My life today could be characterised conventionally as 'desirable' by most ordinary people's standards. I have a large amount of so-called disposable income - although I use every spare penny to rapidly repay my debts - and I'm quickly returning to a position of financial stability. I have a lovely apartment with sea views, which is far more spacious than I need. I have a very well paid respectable job and I work with smart people. My commute is not too far. I enjoy a great deal of comfort and luxury, which belies my troubled past. I've never had to compromise on my lifestyle - although I've come within a whisker of bankruptcy on very many occasions, I've never had to economise or alter my habits of consumption.

On the flip side, I've lost contact with many friends and I have no local support network to speak of. I live a very solitary reclusive existence, where I spend 99% of my leisure time alone, reading, writing, watching documentaries and films. I'm unfit and I drink too much. I'm bored and unchallenged most of the time at work, and I'm depressed and anxious a lot. The tiniest things can inflict an incredible amount of stress, causing sudden and breathtakingly powerful suicide and self-harm impulses.

By anybody's measure I'm rehabilitated. In the last year I've worked for 4 different organisations and delivered 4 big projects successfully. I've earned a lot of money. I've got my own home. I've got money in the bank. I've got a car. I'm getting up and going to work and my colleagues have absolutely no idea what I've been through, and they would never suspect a thing. I'm quite a convincingly 'normal' productive member of civilised society. I've even managed to sail through background checks and security clearance, and found myself in positions of responsibility, which one would not normally imagine being given to an ex-homeless, ex-junkie, near-bankrupt person with mental health problems, who's known to the police.

If you believe that people can be rehabilitated - that deep down there's always some good in a person no matter how many bad things there are in their past - then I think that I could be a poster-boy for that idealistic belief. I hope that my story indicates that it's worth giving people a second chance; allowing them to pick up the pieces of their broken lives and to be rehabilitated without prejudice and stigma.

Of course, I still have the potential to f**k up spectacularly, but on the whole my net contribution to society must surely be a positive one. I am trying my very hardest to see if I can at least break-even.

Am I rehabilitated? Inside I feel very broken and that happiness and contentment are still an extremely long way away, but to all outside observers and by all objective measures I represent a great success: the proof that a person can re-enter civilised society and make a valuable contribution, provided they are given the chance.

Am I rehabilitated? I leave it to the reader, who is far better informed than most, to decide.

 

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Binging on TV

7 min read

This is a story about edutainment...

TV

I set myself the objective of writing 1 million words in 3 years on this website. To date, I've written over 950,000 words. Of course, some of it is complete garbage. I've written during periods of extreme sleep deprivation, paranoia, stimulant psychosis, mania, hypomania. I've written from psych wards. I've written while losing my home, losing jobs, losing my mind. I've kept writing through it all, and my task is nearly done.

I wrote a whole novel that I'm quite proud of, and 42,000 words of another novel which I'm not so proud of, but I learned a lot. My first novel came relatively easily; I wrote about what I know. The first year that I was blogging seemed to go relatively easily, but the second and third years have been... eventful.

I've lost friends because of my blog, but I've also gained new friends all over the world. My words have been used against me by ex-employers and ex-girlfriends, but more fool them: I think it's the most cowardly and pathetic thing in the world to hit somebody when they're vulnerable; kick a man when he's down.

I've made myself incredibly vulnerable. My whole psyche is on display to the entire world; public property. In the last week alone I've had readers in over 50 countries, speaking nearly 40 different languages as their mother tongue.

I'm not so arrogant, deluded and hubristic to believe that I have any influence, of course, but nobody can deny that I exist... out there in cyberspace. Very few people have gathered their thoughts so exhaustively and presented them at such length.

The internet is littered with abandoned blogs. Twitter is awash with billions - if not trillions - of throwaway garbage 140-character tweets. Even now with 280 characters, what can people really say that's profound or interesting, with such a constraint? Creativity does not love constraints: when was the last time you read a book which could be tweeted? The various competing messaging platforms - SMS, iMessage, Facebook Messenger, WhatsApp, Twitter DM, Instagram DM - all store huge archives of chat between their users, but it's all throwaway garbage; transient tosh.

Of course what I'm writing is not profound or perhaps even interesting. Of course what I'm doing is not original; it's not a novel idea. Of course I'm not special or different in any way. Of course I'll never achieve anything except my arbitrary target of writing 1 million words in 3 years. What was the point?

I could sit around and be a consumer. I could sit around and consume content. I could read other people's books and blogs and never write another thing. I could watch films and TV and never create a single thing in my whole life. I don't have to write. There are plenty of people who write already. Why does the world need another writer? What have I got to say which is going to add anything of value to the literature?

Writing and creating art became an urgent need which could not be ignored any longer. Writing is a healthier addiction than slouching on the couch, having soap operas and celebrity reality TV shows projected into my living room for all my waking hours. Writing has become a habit, and I've become habituated into the ritual of writing down my stream of consciousness and making it public. Writing my innermost thoughts and feelings publicly has become part of me, because I always existed but I didn't have anywhere to exist... I was trapped in my own mind and I needed to escape that prison and go live in a place that was less isolated. I live in cyberspace. I live through my writing and those who it connects with. Anybody can connect. I'm publicly accessible. I'm common property.

I've interrupted a weekend spent binging on Netflix and Amazon streaming videos. I've deliberately paused the endless stream of nonstop entertainment to write. Why would I do that? Why would I deny myself the pleasure of sitting and doing nothing - being entertained - and spend my precious time writing this? Most people find writing to be a real chore. Most people would struggle to write a thousand words, let alone 950,000. Even your average university-educated person will consider their 10,000 word undergraduate dissertation, 40,000 word masters dissertation or 100,000 word thesis to be a lifetime achievement. If you want to level the accusation at me that it's easy to write complete crap, I remind you that in amongst the 950,000 words I've written are the best part of 2 completed novels, which had to have coherent plots and credible characters, and be written well enough to deserve to be read... although I admit, my unfinished second novel is pretty crappy.

It's hard to create something. It's easy to pick things apart. It's easy to be a consumer. It's hard to finish a project. It's a lot harder than you think to write a whole novel. It's ridiculously hard to commit to a 3-year 1-million-word writing project and see it through to the end.

There's something kinda tragic about broadcasting when nobody's listening. Why do people keep public video diaries when they've got no audience? Why do people keep blogging when nobody reads or comments on their blog? Why do people keep tweeting when they've got no followers?

The answer to the riddle of why people speak to an empty room is something that you might never know, because you're not prepared to publicly ridicule yourself to find out. You think you already know the answer: that it's stupid and pointless. However, how does anybody learn how to be a good writer in the first place? How does anybody get followers and readers? How does anybody go from nothing to something; somebody?

Nothing happens if you just sit around watching TV. You're not going to win the lottery if you don't even play the game. All that's gonna happen is that you'll get fat and old and wonder what you did with your life, if you don't ever create anything. That's fine; that's what most people do: they just get fat, old and then they die, and nobody knows a damn thing about them except for their nearest and dearest. They take their secrets to the grave.

This might be seen as a vanity project; egotistical, but you've got to remember that at the funeral of people who've committed suicide, everyone always says "if only we knew" and "what could we have done differently?" and they're ultimately left with more questions than answers. The only antidote to that I can see is to begin to change the way we live: instead of lives of quiet desperation, we can now express ourselves fully. We have all these amazing communication tools which we can use to connect with one another. There should be no monopoly on who's allowed to communicate; broadcast; publish.

Yes, there's a snobbery around self-publishing, but it's the quickest and easiest way to get yourself out there; to be heard.

I've been racing against time to make myself heard; to get all of this down on the page so it can be read by anybody who's interested. It's been a race against time to communicate enough of myself, that I feel like I'm not going to be one of those suicides where people are left wondering about anything: it's all written down.

I'm not saying I'm actively suicidal at the moment, but I know how quickly my circumstances can change; how rapidly my mood can blacken.

It feels like a good use of my time to write every day, even if nobody is reading.

It feels good to write, when I would otherwise just be binging on TV shows during my leisure time.

It feels good to create, not just consume.

 

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Find What You Love, and let it Kill You

5 min read

This is a story about taking things too literally...

Fast food

Very poetic, but I think the original author meant an obsession with a  beautiful woman, rich food, riding a motorbike too quickly or numerous other things where people would say "he died doing what he loved doing".

When it comes to drink, drugs and cigarettes (although "love" is a bit of a strong word for disgusting fags) people are like "no no no no. I didn't mean that literally".

Personally, I'd rather drink myself to death and let my addiction rampage out of control, than have a long life of mediocrity - endless hours spent watching light entertainment TV shows, riding the commuter train, bumbling along at work just because it's a job.

I've been ridiculously lucky, in that I have so many highly paid jobs I could apply for and probably get.

My dad taught me from an early age that there's no God and no afterlife so I have create to meaning.,

Currently I live for supercrack, with my writing a close second.

The infrequency of my blogging, most of the last 14 nights have been alcohol free and mostly without food, tells you everything you need to know about how much I love suercrack.

Let's get this straight: supercrack is killing me. It's wrecking my kidneys and heart, let alone the brain damage and other damage that's caused by stumbling around drunk from sleep deprivation, in the pitch black because you're too paranoid about anybody seeing your druggie face.

Let's also get this straight: I do not love supercrack. I spent whole nights holding my bedroom door shut with my feet, convinced that somebody's in my apartment and intent on seeing me at my lowest ebb; my most undignified, I spent until about 4am last night waiting up for the people to who wanted to harm me (stone thrown at window and back door kinda aggressively rattled. I decided to hide in the bathroom, which has a lockable door. Then, there were the sounds of drilling and work-boots and what I assumed were the landlord's minions who had taken it upon themselves to sort out my pit of misery and shame.

It is my understanding that, in the UK, you may not enter an owned or rented home without at least 24 hours prior notice, unless there's an "emergency" the landlord has to fix (e.g. a leak), the police have reasonable cause to believe that your life may be in danger... or a warrant. I don't know anything about warrants. I imagine they're not the easiest things to get for 'minor' crime, such as making a noise in your bathroom at 6am.

I was flabbergasted when I checked the time, having emerged from the bathroom - my doorbell had just rung - looking for a police offer to save me from the intruders who never once responded to my shouts of "who are you?" and "what are you doing in my apartment?" and "what authority do you have to be here?" and "you'd better be police officers with a warrant otherwise there's going to be hell to pay".

For every 15 enjoyable minutes of supercrack, it will give you 36 hours of paranoia, sweating, obsessive thinking, tachycardia, brachycardia, bruxism, dread, fear, anhedonia, loss of self-esteem, insomnia, lack of energy.

Today, I nearly died of dehydration, malignant hyperthermia, rhabdoyalosis and excess exertion placed on my heart. This is how the supercrack minset goes: "this is brilliant.... I should take more".... enter stimulant psychosis.

Tomorrow I have to deal with some of the consequences of going bat-shit insane from stimulant psychosis. Most of it revolves around barricading doors. I took the precaution of papering my windows shut, because drug addiction is not a spectator's sport - you're a sick fuck if you want to see people at their most vulnerable. However, the papered shut windows - in my mind at least - have attracted the attention of would be voyeurs, who would love nothing more than to see me taking drugs and masturbating to porn.

Fine, let it kill you, but your dignity will die first. I genuinely believed I was going to be carted off today, having not showered for 3 days and been pretty much constantly sweating. Oh the smell. The smell.

Then, what else are you prepared to lose? Your girlfriend? Your home? Your job? Your money (although admittedly supercrack is super cheap - it's fixing me and the other stuff that's expensive).

My loss of earnings from being too unwell - comedowns after stimulant psychosis - to work is over £4,000. People with coke habits put thousands up their noses. If you think my money goes on drugs, you're wrong. I've probably spent several thousands on beds in the last few years... I just decide they need 'remodelling' when I' off my rocker. Don't ask me why.

I need to stop this, before it costs me my job, my clean criminal record, my apartment, more money than I can afford, and my sanity (already in bad shape). It really pisses me off how it can have me physically shaking and vomiting, with the strength of the craving, after a year of being a good boy.

I thought to myself today: "it'd be a shame if I died, because I haven't reached a million words yet or achieved anything much to be proud of". I was giving a lecture on how to be a good Java programmer to nobody in particular, in the dark of my bathroom earlier.

I'm still managing to work - albeit from home - but it won't be long before my relapse becomes obvious to all involved. I've got a bloody yacht I can use now, but I haven't left the house since May 14, when we broke up. I dumped her - of course. I probably already knew in my subconscious mind that I was going to relapse.

 

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I Hate to Worry You, but You Should Worry

8 min read

This is a story about warning signs...

Night vision

One of the reasons why I write every day - and publish publicly - is because it's a healthy habit: I do it when I'm well, or at least not dreadfully unwell. One of the reasons I publish every day is because it gives a lot of clues about my state of mind, and therefore informs the reader about the risks to my life.

For example, I published every single day - without fail - while I was working in London, because I was on the brink of suicide nearly every day. More often than not, if I stop blogging, I'm either dead or dying. If you look at the previous blog posts leading up to the days I stopped blogging, then you'll see plain as day all the warning signs.

The problem is, people get used to hearing a struggling person casually saying "I wish I was dead" and they think it's part of their personality; they think that they're "crying wolf". Trouble is, many of those people will eventually kill themselves, or at least attempt to. There's a lot of bullshit about "attention seeking" and not having to worry about the ones who are talking about it: "it's the quiet ones you've got to worry about". Bullshit bullshit bullshit. There's a lot of bullshit - especially in the medical community - which equates to "I don't think you're really going to do it. Go on! Do it! Prove it! I call your bluff!".

The net result is dead people. Lots and lots of dead people. A man kills himself every 2 hours in the UK. When you visit a doctor and the number one thing that's going to kill you is suicide, and the doctor has the opinion that you're "probably not" going to kill yourself, they're arrogantly gambling with your life.

I get it. It's boring hearing about how awful people's lives are. I get it... it gets REALLY BORING waiting for a suicidal person to finally do it. DO IT ALREADY. I'M BORED OF WAITING. I'VE HEARD YOU SAY YOU WANT TO KILL YOURSELF SO OFTEN, SO I WANT YOU TO DIE SO I DON'T HAVE TO HEAR IT ANYMORE.

Thus, we arrive at the world's longest suicide note. 900,000 words and counting.

Nobody can say "I didn't know" or "we'd have done something if we knew" or "we don't understand".

I've documented in exquisite and unflinching detail, every single aspect of what makes me suicidal.

The photo above is taken using the night-vision mode of my smartphone. The photo is taken through the crack at the bottom of my door. You can see my bike in the hallway, but other than that the image is pretty hard to discern. This is a snapshot of psychosis - I was using the night-vision mode on my smartphone to 'peek' outside my bedroom and look into the rest of my empty apartment, but the psychosis was telling my that my apartment wasn't empty. I was looking for intruders: the shadow people.

My mental illness started as common-or-garden variety depression, meaning that I was planning to kill myself by sellotaping a bag full of pure nitrogen over my head, and asphyxiating. I bought the canisters of nitrogen gas. I bought the duct tape. I found an airtight bag big enough to envelope my head, and leave enough space so I could breathe in the nitrogen. Nitrogen is not a poisonous gas, but it's inert... if you breathe pure nitrogen, you're not breathing any oxygen, and you'll quickly pass out and die.

I bought potassium cyanide. I even put a picture of the potassium cyanide that I'd bought on Facebook and told people what it was and what I planned to do with it. The most notable reply I got was from a 'friend' who was angry that I had it in my house when he brought his kid over to visit... which I did not. It was triple sealed in airtight vacuum packaging, then placed in a hazardous chemical containment jar, then finally it was placed in a locked steel strongbox in my summerhouse - nearly 100m away from the house. His kid must be pretty special to be able to pick two locks, locate the container and open the packaging in order to ingest the deadly chemical. That was the most notable reply. THAT WAS THE MOST NOTABLE REPLY - anger that somebody's child might have died if they had the ability to time-travel and pick locks.

So... nobody gives much of a fuck.

I was immediately discharged as soon as I came out of my coma and my kidneys started working again, following my attempted suicide in Manchester, when I'd ingested enough tramadol to kill an elephant. They didn't transfer me to a psych ward. They didn't put me in a crisis house. They didn't do anything - they just discharged me, whereupon I had to go back to the apartment where I'd tried to kill myself, with its door hanging off its hinges because the emergency services had to kick it down to save me. The first thing I said to the ITU doctor when I came round was "I'm upset that I'm alive. I wanted to die. I told you not to treat me; not resuscitate me. I still want to die". What the actual fuck? Do the capitalists want to exploit me so badly that they'll keep me alive against my will?

There's an 'unsound mind' argument, but my mind is free from drink, drugs, medication and other mind-altering substances. My brain is working the way nature intended through millions of years of evolution. MY BRAIN IS FUCKING WORKING. If I'm depressed, it's because of depressing bullshit jobs, war, famine, climate change, inequality, brutality, bullying, people who don't give a fuck whether you live or die, and people who want you to stay alive so they can exploit you until the day you die of old age and exhaustion. My mind is perfectly sound. I'm having a sane reaction to an insane world.

If I'm not blogging, you should worry.

If I stop blogging, worry.

In a perfect world, I'd tell this fucked up world to fuck off and I'd become an artist. I'd quit my god-awful boring unchallenging piss-easy pointless bullshit job, and I'd go do something creative. I'd be a 'bum'. I'd be a 'loser'. I'd reject 'civilised' society and go have some damn fun. 21+ years in the rat-race full time, and 13+ years in full-time 'education' which was just bullying and absolute bullshit box-ticking for the sake of school league tables. I don't give two fucks about pieces of paper to wave around - they prove nothing - and I don't give two fucks about inflated job titles for work that is ABSOLUTELY USELESS. Take a long hard look at yourself - you're all talk and no action; you produce nothing; your job is completely and utterly useless; you're very busy doing NOTHING.

However I kill myself - quickly by jumping off a tall building, or slowly with drugs and alcohol - it's the same end result. We all die in the end anyway, so I really don't see the point in prolonging the suffering. Cut to the chase. Jump to the end. Skip the awful bit, with the commuting and the BORING BORING BORING bullshit made-up pointless jobs.

Yes, at one point I had lots of lovely holidays and lots of friends, plus lots of material trimmings like sports cars, yachts, speedboats, hot tubs, summer houses, a house, a garden, a cat... then I said to myself "but I'm still depressed that my job is utter bullshit which doesn't do anything of any use for anybody". So I became an electrician. I can proudly say that lots and lots of families have lights, and power sockets, and electric ovens, and electric hobs, and electric showers, and power to their hot tubs, and power to their sheds and outbuildings, and power to their electric gates and power to a million and one other things. Work that I did is responsible for improving the lives of all the tons and tons of families for whom I installed the electrics in their homes. Trouble is 1) people begrudge paying tradesmen, expecting them to work for minimum wage, 2) the work destroys your health, because there's so much brick dust, asbestos etc, and 3) the responsibility for doing a safe installation to safeguard the lives of everybody who will ever be in those houses, is not reflected in the wage or the health damage aspect.

Pushing paper around my desk and pretending to look busy carries zero risk that a mistake of mine might kill somebody, but yet I get paid 5 or 6 times more money... but I'm intolerably bored.

I might as well be an artist. At least with the creative arts, you're paid fuck all but it's lots of fun, intellectually stimulating, free from responsibility, and nobody gets electrocuted to death if you make a tiny mistake... in fact, can you even make a mistake as an artist?

This blog is an artwork; it's a piece of evolving art - it's durational to use the wanky arty term.

But, when the art stops my heart stops.

If I stop blogging, you should worry about me.

 

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Short & Sweet

11 min read

This is a story about burnout...

Graffitti

There's a lie which we're all guilty of perpetuating: Work hard and you can improve your life; if you work hard enough you can achieve anything. It's not true and it's wicked to repeat the lie, because we end up blaming ourselves for our appalling living conditions. "If only I'd tried harder in school" so many of us wail, but "if only I worked harder" is not something that a dying person ever says on their deathbed.

It's obvious that there's a grotesque disparity between hard work, dedication, passion, productivity and personal wealth. If you're going to try and argue that the owner of a large property portfolio works harder than a nurse, then you deserve a punch in the face. If you believe that the beneficiary of a trust fund, who doesn't have to work at all, is somehow more deserving than the person who cleans toilets for a living, then you must be suffering from psychosis.

I've heard it said that life is fair, because it's unfair to everybody. Human afflictions don't care whether you're rich or poor - a billionaire still needs an ambulance and a cardiac surgeon if they have a heart problem, and money can't buy them immortality. However, this does not seem to consider the great injustice of the world: that our efforts and actions will make virtually no difference at all. It doesn't matter how badly you want to study at Oxbridge and enter a lucrative profession - if you were born into the wrong socioeconomic circumstances, you're not going to be able to achieve your potential. It doesn't matter how badly you want to elevate yourself from poverty, and how hard you work - you're trapped and you'll never escape.

The media love to shove folklore heroes in our face. The media work very hard to assist our willing suspension of disbelief. Little girls think they're going to be like Kate Middleton and marry a prince - the tale that we're told is that she's an ordinary girl and that any one of us could be plucked out of poverty, but it's bullshit... she went to a very expensive private school. Little boys think they're going to become 'self-made' men, and there are plenty of examples of entrepreneurs who claim to have not received any assistance in building their business empires, except that close scrutiny reveals that they had their risk underwritten by friends and family; they have access to wealth and connections that ordinary people don't.

You show me the success story and I'll show you the unfair advantages that the person enjoyed. Nobody got to the top on merit. Nobody gets anywhere by working hard - it's a lie.

In fact, to work hard and assume that it's going to lead to pay rises and promotions is a kind of mental illness: it's called "Tiara Syndrome". It's a bit like the fantasy of a knight in shining armour coming to rescue us - a person who has Tiara Syndrome is expecting that somebody will come along and put a tiara on their head, just because they work really hard and they're good at their job. Sadly, it doesn't happen.

Behind every fortune is a great crime. The only way to get ahead in life is to lie, cheat and steal.

"The power of enclosing land and owning property was brought into the creation by your ancestors by the sword; which first did murder 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 thieve, yet you hold that cursed thing in your hand by the power of the sword; and so you justify the wicked deeds of your fathers, and that sin of your fathers shall be visited upon the head of you and your children to the third and fourth generation, and longer too, till your bloody and thieving power be rooted out of the land"

A Declaration from the Poor Oppressed People of England (1649)

So, if we've been writing about this problem for the best part of 400 years, things must be alright, mustn't they? Don't fix what ain't broke and all that. Why rock the boat?

Life expectancies are starting to fall - people are dying younger. There's a mental health epidemic. There's an opioid epidemic. Living standards are declining. Billions of people live in poverty, and within our lifetime we'll witness a Malthusian catastrophe that will dwarf any other mass extinction event seen on planet earth. If you thought the Ethiopian famine was bad, wait until you see what the next few decades have got in store for us. With high-yield modern mechanised farming techniques, we have plenty of food, but we are staggeringly bad at sharing things fairly. If you believe that the present situation of wealth disparity is acceptable, then you're signing the death warrant for billions of people - a holocaust knowingly perpetrated on the human race, for no better reason than sheer unadulterated greed.

Remember that none of the Nazis were allowed to say "I was just following orders" as any kind of defence. To fail to act and to say that you're just doing what everyone else is doing, is immoral. To be passive and turn a blind eye, or to throw up your hands and say "there's nothing I can do" is not acceptable. Yes, it's our instinct to look after our own families, but the day is coming when that selfishness will backfire. Your kids are going to need a place to live. Your kids are going to end up in debt. Your kids are facing a shitty future, and your grandkids are going to inherit a completely hopelessly screwed situation - do you think they'll agree with you, that it was right that you sat back and did nothing?

If you think you're helping your kids by instilling some kind of 'work ethic' in them and getting them to study hard, you're making a mistake. Remember: nobody ever got anywhere by working hard. Hard work can be a useful thing, but we must consider what our labour is being used for - if it's making weapons and oppressing people, then hard work is immoral when it contributes to the war on humanity. Sometimes the best thing to do is to withhold labour - to deprive the tyrants of the manpower they need to conquer and achieve world domination. Sometimes the best thing to do is conscientiously object; to nonviolently protest.

I've thought long and hard about how I can make a difference. I thought about medicine. I thought about law. I thought about politics. I thought about science and engineering. I find myself in technology, and I'm desperately disappointed. No amount of smartphone apps and websites is going to address the problems at the root cause, which appears to be competition. Why must there be competition? Why do we have to measure and grade people, and declare that some of us are not worthy of consideration? Why do we have artificial scarcity and force people to fight over an artificially limited amount of so-called 'money'? Why do we put artificial limits on the numbers of people who can pursue a certain professional discipline? Why do we want to have elitism? Why do 99% have to be told they're shit and they don't matter and they're expendable, so that the 1% can feel special?

I was on the fast-track. I was made unconditional university offers and allowed to skip entire academic years. I got onto a graduate training program 3 years sooner than any of my peers. I got pay rises and promotions so quickly that I was earning six-figures by the age of 20. I'm an example of one of those success stories that you might read about, that are supposed to make you believe that with enough hard work anyone can reach the top of the pyramid - be a CEO or a prime minister or a president, or a king or queen. It's bullshit. Why would I turn on the system that's given me everything I've ever wanted? Why would I bite the hand that feeds me?

No amount of houses, sports cars, yachts, speed boats, luxury holidays and all the other trimmings of a wealthy life can ever make you quite feel like you're content with the way things are, because you can never fully insulate yourself from the suffering and poverty that surrounds us. The fact that you're reading this on a PC, laptop, tablet or smartphone, means that you're one of the lucky ones - you're somewhere that has electricity and the internet, which means there's probably clean drinking water too. If you think about those less fortunate than yourself, they're probably considerably well below your standard of living. Wherever you are in the pecking order, there's always some unfortunate who's desperately in need of help, because we've set up society to fail people - the very process of succeeding ourselves means trampling others underfoot to get ahead in life. It's a zero sum game - for somebody to win, there has to be a loser.

Life doesn't have to be like this - so adversarial. There's no limit on the number of "A" grades we can give out, or the amount of money we can print. There's no limit on the number of doctors we can have. We live in a world that's been artificially constrained to create winners and losers. There's no need to have competition so inbuilt to society. Yes, we might see that nature is full of competition - survival of the fittest - but we're not beasts. We've become super-intelligent and capable of producing vast surpluses of everything we need. With high-yield farming techniques and agricultural mechanisation, we can feed ourselves until we burst. With mass production and factories, we can have a virtually unlimited amount of goods - clothes and shoes and building materials, as well as pointless consumer crap that we arguably don't need.

Like the many utopians who I studied while doing the research for my second novel, I can see a world that's jam-packed with all the technology that we need to improve the human condition, and elevate half the planet out of poverty. I can see that we already possess everything we need - we don't need nuclear fusion or flying cars or any other sci-fi fantasies... we already have the means at our disposal, to improve our lives.

As a person who wants to make a positive difference - to effect meaningful change - I find it very distressing that those who are working very hard to improve the world are being thwarted. Imagine all the effort put in by doctors, nurses, politicians, charity workers and myriad others who do what they do because they want to make the world a better place... but it's not working, is it? The world is getting steadily more and more fucked up.

If you think I'm seeing the world through a 'blue filter' and my depression tinges my perceptions, we only need to look at the hard data - homelessness, depression, anxiety, alcoholism, drug addiction, poverty, crime and all the other indicators we have of the health of our society are telling the same story: Things are getting worse, not better. Your kids will have to get into heaps of debt to obtain their education, and then they won't be able to afford to buy a house. Your kids are going to struggle to find work. Your kids are going to struggle, full stop. Your grandkids are absolutely fucked. It doesn't take a genius to extrapolate from the data and see where we're headed. Things aren't just going to magically improve without anybody doing anything. Don't look to politicians to cure society's problems. Don't look to charity to cure society's problems. Don't look to the church to cure society's problems. If any of the existing status quo members were going to do something to fix things, they'd have done it at some point in the last 400 years, wouldn't they?

I haven't figured out what I'm going to do yet, but the best "not in my name" protest I can think of is to kill myself. The best way I can think of to register my objection with the status quo, is to end my life.

Maybe I have a lemming-like instinct to kill myself because of overpopulation. Perhaps my genes are telling me to kill myself for the good of the species. Certainly the self-preservation instinct feels much weaker than the powerful emotions that tear through me, thinking about the futility of the oft-tried ways of making a difference.

If there's no opportunity to make a meaningful contribution, why go on?

 

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Lifestyle Choices

6 min read

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

Clinical psychology

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

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

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

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

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

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

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

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

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

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

 

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Unholy Trinity

11 min read

This is a story about lethal combinations...

Three empty cans

Those who are familiar with the more extreme end of Grindr casual sex shenanigans will know that there's an unholy trinity of club drugs - crystal meth, GBL/GHB and viagra - which provide the sexual stamina for outrageously debaucherous f**kfests. To arrange drug-fuelled sex parties via the Grindr app is shockingly quick and easy. Under the influence of these drugs, one's sexual appetites are rarely satiated.

My own unholy trinity is far more prosaic - sleeping pills, tranquillisers and alcohol.

I never intended on becoming hooked on 'downers' and indeed I was very well aware of the physically addictive nature of the benzodiazepines. There is absolutely nothing that appeals to me about being intoxicated on CNS depressants. I do not enjoy feeling under the influence of the GABA agonists. For me, it was all about wanting the absence of something: the absence of panic attacks where I felt like I was going to die; the absence of interminable insomnia; the absence of the skin-crawling feeling of anxiety; an escape from a life that was unbearably awful.

Alcohol was a taste I had to acquire. Getting drunk was a necessary part of getting laid - Dutch courage. Booze was ubiquitous at work and it was necessary to be a drinker to get ahead in my career. I would have been a suspicious outsider if I'd been sober during the many drunken lunches, after-work beers and meals where wine flowed liberally. Alcohol lubricates the world of investment banking and I fully embraced the culture.

Valium crept into my life as I searched for something to help me manage the undesirable side effects of stimulant abuse. I thought I could swallow a couple of pills and sleep off the worst of my addiction without any consequences. I knew that I was playing with fire - to use one addictive drug to combat the effects of another - but that's the kind of addict logic that I applied at the time. I knew that if I abused benzodiazepines for more than a few months, I'd end up with a physical dependency that would cause me to have seizures if I abruptly stopped taking the pills. I did what I felt I had to do.

Sleeping pills never held any appeal. If there's one thing I'm really good at, it's sleeping. I quickly figured out that the best way to escape an oppressive and unpleasant world is to be unconscious. I can put myself into a zoned-out trancelike state and sit quietly for hours. I can spend all day dozing in bed, even after 12 hours of restful sleep. I'm a master of sleep. Why would I dabble with sleeping pills?

Some of the benzodiazepines have a very long half-life. If you take benzos - like Valium - for a long time, they never really leave your bloodstream. If you're addicted to Valium, you're just topping up when you take the pills. Strangely, it's possible to have insomnia when you're on tranquillisers - you just lie there awake, not caring at all that you're not asleep. It's restful, but it's not refreshing, if you know what I mean?

During one of the most difficult periods of my addiction to a powerful stimulant - a drug that sends me completely psychotically insane - I could hear helicopters hovering over my apartment. All the traffic on the road had stopped - I couldn't hear any motorbikes, cars, lorries, buses or trucks. Then, I heard a lot of yelling. To my paranoid drug-addled and sleep-deprived mind, this was the thing I'd been dreading: the police and the army were coming to get me and drag me in front of a crowd of people, to shame and ridicule me. The 'enemy' were coming to get me. Then, I heard a commentator announce that the first runners of the London Marathon were about to come past my apartment block. Of course! It was the marathon, the route of which travels right past where I was living.

I was still fairly traumatised by the whole marathon thing, even though I quite quickly figured out that the helicopter wasn't there to deliver a SWAT team clad in black uniforms in through my bedroom windows. I turned to diazepam to soothe my jangled nerves. I swallowed about 20 high-strength 10mg blue tablets. That's a HELL of a lot of diazepam. It didn't touch the sides. What I really wanted was to be unconscious. Sometimes, being tranquillised up to the eyeballs just isn't enough.

Zopiclone and zolpidem entered my life as medications to allow me to have a seemingly normal sleep/wake cycle. When I was abusing a powerful stimulant, it would not be uncommon for me to spend four or five nights without sleeping at all. The most nights I ever went without sleep was about ten, which sent me completely barmy, of course. As you reach the outer extremities of an impossibly bad stimulant addiction, strangely you yearn to have a normal appetite and normal sleep. The tranquillisers helped me to stay on top of stimulant psychosis, but I needed sleeping pills otherwise I was just going to die from a low immune system, or otherwise go completely and permanently insane.

I can't stress enough how important sleep is. Without regular refreshing sleep, nothing else is going to fall into place. There's no hope of improvement and recovery without sleep.

The sleeping pills - such as zopiclone and zolpidem - don't actually give you normal sleep. Sometimes you can 'wake up' and feel a little bit like you've been asleep, but you haven't been - you've been drugged. Your body and your brain kind of knows the difference between sleep and unconsciousness. When you suddenly jerk awake and you say "what! where am I?" then that's usually an indication that you've been drugged, rather than sleeping.

I used sleeping pills for most of 2017. I almost don't know how to sleep without them. When you get habituated into using sleeping pills, you can get very anxious about trying to sleep without them. The anxiety around getting enough sleep builds and builds. You spend horrible days at work where you're trying to keep your eyes open, and then horrible nights awake because you desperately want to get enough sleep to catch up, but you can never get enough. Bedtime becomes super charged with nervous energy and you have an incredible longing for a night of refreshing sleep. The more you want sleep, the harder it is to get it. Sleeping pills are addictive, because they take away that anxiety and deliver some kind of dependable nightly rest, even if it's not very refreshing.

I abused my little toxic trio of chemicals because they gave me back my life. My life used to revolve around the highly potent and addictive stimulant drug which I had unfortunately become incurably hooked on. My life was going to hell in a hand cart. I was on collision course with permanent psychosis. I was definitely going to end up locked up in a mental institution for the rest of my days. To fight fire with fire was madness, but it worked. Although it was very dangerous and I nearly died as a result of poly-substance abuse, somehow I popped out the other side intact.

I didn't drink alcohol since last Saturday. Once I start drinking, I don't seem to be able stop when I want to. I don't seem to be able to drink in moderation. When I get the taste of beer or wine, I glug it down and I don't stop until I think "oh dear, I've had too much to drink". Because of all the occasions when I've thought "I wish I hadn't drunk so much" recently, I've decided that not drinking is the safest course of action.

I've been taking sleeping pills all week. I need some sort of crutch dagnammit! How am I supposed to cope in such unfavourable conditions without something to help make life a little more manageable. To lose sleep would be bound to push me back towards strange strung-out thinking, and make me liable to say or do something stupid.

One week from today I will see a psychiatrist. It's been 8 weeks or so since I last saw a psychiatrist. I haven't been taking any medication - except for the aforementioned sleeping pills - and I'm wondering if I should cut my pills down to absolute zero. It would be really wonderful to say that I'm not a drinker, not a smoker, I don't have tea, coffee, cola or energy drinks, and I don't take ANY medication at all. It's so rare that a psychiatrist would encounter somebody who's completely free from ALL psychoactive substances. I think I would really love it, to have the psychiatrist ask me "so, how do you feel?" and be able to answer, knowing that it's me and only me, and not some version that's twisted by caffeine, nicotine, drink, drugs and medications. How precious would that be, to be my real authentic unadulterated self?

To get to this point where I might be able to be completely free from all mind-altering substances has been an almost impossibly unbearably awful experience that's put my life at great danger, as well as my livelihood. Why the hell would I put myself through so much suffering? Why wouldn't I go a little more easy on myself?

What I find with substances is that they're insidious. Every time you say "one cigarette won't hurt" or "one glass of wine will be OK" you could be setting off down a road that leads to a whole bottle of wine, two bottles of wine, a bottle of vodka. I'm never going to be some boring teetotaller, but at the moment my life is so unbearable that I'll keep pouring myself glass after glass of booze until the pain and the anxiety is blocked out and I'm blacked out.

My nightly sleeping pill habit is comparatively healthy. I don't increase the dose. The dose is measured. There aren't any fattening calories in a sleeping tablet. Sleeping tablets don't give me awful hangovers. There could be much worse things to be hooked on. However, wouldn't it be awesome to look the psychiatrist straight in the eye and say "I haven't taken a single mind-altering substance for a week now".

This week has been awful without my little chemical helpers, but maybe next week will be better, and the week after will be even better still. Wouldn't it be awesome if I break free from chemical dependencies?

Of course, I will have to admit that I had unbearable anxiety and suffered suicidal thoughts that very nearly killed me. I will have to admit that it would have been sensible to take the sertraline (Zoloft in the USA or Lustral in the UK) instead of trying to tough it out without, and abusing things which I really shouldn't have done. It's true that I could have developed a sertraline habit by now - the withdrawal syndrome is pretty awful, so I'd be trapped onto yet another addictive medication. Yes, it would have helped me to get through some super stressful awfulness, but I'm going to end up like the old lady who swallowed the spider to catch the fly etc. etc.

My friend who's a doctor is incredibly frustrated that "Nick knows best" as usual. They're mad as hell that I'm doing my own thing; marching to my own beat. It seems patently absurd to reject a medication that could be a tiny bit better than placebo, in as little as 8 weeks. So, why is it that I feel a little bit better today? Seems rather coincidental, doesn't it?

My week at work was awful. In fact, I was too unwell to work for 3 out of 5 days. My week was almost unbearable. In the interests of being fair and honest, I must admit that this last week has made me question my stubborn decision. I've wondered whether I made a mistake. Then, I remember that I'm closer than I've ever been to proving my point: that I can be stable, contented and happy without pills. I plan on rejecting all my diagnoses at some point. I plan on declaring myself sane. I plan on being 'normal'.

How does somebody become normal if the paternalistic guardian class can always say "that's only because you're on the right medication"? When it says "medication takes 6 to 8 weeks to become effective" what would happen if you didn't take the damn pills? That's what I'm finding out. It was super telling to me that people were so quick to say "told you so" when the game wasn't even finished - the results aren't in yet.

It's been awful, but I'm winning. Bi-winning.

 

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Drug of Choice

8 min read

This is a story about cyclical patterns...

Me with pills

In 2014 I was homeless and addicted to drugs. I got myself a job at a bank, got myself a place to live and paid off all my debts. Then, I lost my contract. I went to a shop in Soho and bought two packets of a legal high powder and proceeded to undo all my hard work. Within a matter of weeks, I was back on the supercrack.

In 2015 I was homeless and addicted to drugs. I got myself a job at a bank, got myself a place to live and paid off all my debts. Then, I lost my contract. I went online and bought two packets of legal high powder and two packets of legal benzodiazepine tablets. Within a month, I was back on the supercrack.

In 2016 I had a lovely apartment. I was clean all summer. I went on holiday. I met an amazing girl who I was totally in love with. I wrote my first novel. I had a brilliant Christmas with my girlfriend and her family. Then, I got myself a job at a bank. My left leg swelled up to twice the size of the right leg, both my kidneys failed, I was put on emergency dialysis and I had to be admitted to hospital for a couple of weeks, on a high dependency ward. Then, I lost my contract. Within a fortnight I was back on the supercrack.

In 2017 I had a lovely apartment. I took supercrack. I tried to quit the supercrack. I got depressed. I tricked my doctor into giving me California rocket fuel - a combination of venlafaxine and mirtazepine antidepressants. I went hypomanic and split up with my amazing girlfriend. I bought enough supercrack to last me two years. I went insane with stimulant psychosis and was thoroughly beastly towards my amazing girlfriend. I ran out of money. I moved to Manchester. I got another girlfriend. We broke up. I tried to kill myself. I spent a couple of days with a machine breathing for me in intensive care. I got sectioned and got locked up on a secure psych ward. I moved to Wales. I wrote 42,000 words of my second novel. I got myself a job at a bank. There isn't enough time left in 2017 to get back on the supercrack. I'm worried I'm going to relapse in January. I haven't lost my contract yet.

Fluid in my leg

If we dip into each year a little bit more closely, 2014 was a really dreadful one. I was an inpatient for about 14 weeks. I lived in a bush in Kensington Palace Gardens and slept rough on Hampstead Heath. I was in two rehabs. I lived in a 14-bed hostel dorm, but that was actually one of the highlights. I abused a lot of benzodiazepines and amphetamines, as well as the supercrack. I got in trouble with the police. Twice.

2015 looks tame by comparison. Although I abused stimulants and 'downers', I had a couple of visits to a lovely family in Ireland, who looked after me. Strangely, it was working 12 hour days and working 7 days a week that exhausted me and tipped me into hypomania. I spent a week suicidal on a psych ward then suddenly decided to fly to San Francisco. I went straight to the Golden Gate Bridge, which I had contemplated jumping off. I was sober for 120 consecutive days. I deliberately got my contract terminated, because I had ethical objections to what the bank I was working for was doing. I started blogging.

2016 is unusual - perhaps there is no easy pattern we can spot - because I got myself clean and into work much earlier than I'd managed in previous years. I worked a whole contract - notably not for a bank - without going mad and getting sacked. I got a good reference and my team were really pleased with the way I ran the project. My life was quite stable. However, I was a sneaky bastard. I was using supercrack and benzos in secret, and lying to my amazing girlfriend to cover up my drug abuse.

2017 was off the charts. I've never been so sick. I've never been so close to death. For the first half of the year I had binge after binge after binge. I abused opiates, sleeping pills, tranquillisers, club drugs and stimulants. My drug abuse was definitely going to kill me. I had a physical dependency on benzodiazepines that looked impossible to cure - how was I going to escape from the death trap? I decided I couldn't escape, so I took a massive overdose. The hospital gave me a 50:50 chance of pulling through.

I'm worried that I'm repeating old patterns of behaviour. I always go back to the banks when I need money, because they pay so well and it's the quickest way of digging myself out of debt. I'm living out of a suitcase, moving from AirBnB to AirBnB. It's exhausting and stressful: factors that tipped me into hypomanic insanity back in 2015.

What is unusual is that I'm going into the New Year with a contract in place: I have my job and it's going well. I'm starting 2018 with money on the way, as opposed to the fear of bankruptcy and eviction. I'm going into next year with far fewer stresses than I've had for a very long time. Perhaps it's good that there aren't even any girls in the picture at the moment. Love and sex always have a bit of a destabilising effect on me.

Writing this summary of my hit-and-miss boom-and-bust crazy life, I wonder if I'm doomed to forever repeat the pattern.

One thing that's notably different this year is living with a family. I care about them. I imagine what it'd be like if the kids asked "where's Nick?" and the answer was that I was dead, or as good as dead because I'd relapsed onto supercrack.

This year, I quit supercrack, tramadol, codeine, dihydrocodeine, diazepam (Valium), alprazolam (Xanax), zolpidem (Ambien), zopiclone and pregabalin. I was prescribed venlafaxine, mirtazepine and lamotrogine, but I don't take any of them now. I had 30 consecutive sober days during October. In fact, I was sober from more or less the start of September to early November. My brain has been completely drug-addled at times, but I'm clean as a whistle at the moment - I'm unmedicated and I'm not taking any mind-altering substances. I don't drink caffeinated beverages.

I'd like to tell you that I feel wonderful, but I don't. I have a cold. It's winter. Winter is shit.

You might look at all the times I've tripped up and conclude that I'm bound to trip up again. However, you might look at all the things I've fixed and conclude that I'm pretty good at fixing up my life when it's fucked. All I've got to do is bring together all the different elements: friends and family, work and home, money and rest and relaxation, stability and exercise and hopes and dreams, love and romance and sex. Easy, right?

If you're wondering what my drug of choice is, and thinking that it's supercrack, you're wrong. Look more closely at the picture at the top of this blog post. What's that thing in-between my legs? It's not my male member, it's a wine glass.

Hello wine my old friend

With closer examination of my entire adult life, we can see that alcohol features heavily. In fact my latest job came about as a result of being friends with a lovely guy who's an alcoholic. We spent a week getting pissed, when I was supposed to be finding my feet with the new job. Somehow, I've managed to drink my way through a very successful career. Without booze I'm somewhat out of kilter. Without booze, how would I self-medicate for my mood fluctuations?

Yes, without booze, my bipolar disposition rages out of control. I work too hard. I take everything too seriously. I fly off the handle.

I'm not genuinely suggesting that booze is harmless or the cure of all ills, but it's been such a big component of my adult life that I don't really know how to cope without it. How would I have survived the recent stresses and strains of a 2,500 mile round-trip, to go and gather money from the latest bank I'm working for, without alcohol? How would I square away my deep unhappiness with the work I do, with the need to earn money, if it wasn't for drowning my sorrows? Alcohol might be a terrible solution, but it's the one I've got and I know it works.

Is it lunchtime yet? I'm not an alcoholic, because I don't drink in the morning. I just make sure I lie in bed until it's after midday.

 

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Penultimate Day

4 min read

This is a story about relapse...

Booze

I've downed a whole pint of cold crisp refreshing lager before I've even realised I've done it. How I came to be in the bar in the first place is unclear, but I've greedily drained the contents of the pint glass and replaced it on the tabletop. A sense of "what have I done?" sweeps over me. Although I feel guilty - I have let people down; I have failed - I immediately decide to have another pint, and another, and another... until I wake up.

This morning was the first morning all year - more or less - that I didn't wake up and immediately think about reaching for a packet of pills.

"Addict!"

Hold your horses - things are a little bit more complicated. What would you do if you suffered from chronic pain? Would you just grin and bear it?

Perhaps the medication I have been taking for pain has inadvertently helped me to stay off the booze. Now that I only have one more day before I stop taking pain medication, a subconscious desire to get drunk has returned with a vengeance.

Every time I see beer & wine, I imagine that it would taste amazing and I get a mild craving to consume some. However, thankfully I can remember that alcohol didn't taste very nice after I stopped drinking for a period of over 4 months.

There's no reason why I'd stop taking my prescribed pain medication and become a teetotaller, except that I want to clear my head - I'm desperate to see what my brain is like, without the intoxicating chemicals I've been putting into my body.

My dream last night was very vivid, and the feeling that I had accidentally failed in my mission to temporarily abstain from mind-altering substances, was the strongest feeling: I was devastated. Then, in my dream I decided that if I was going to fail, I was going to fail spectacularly.

The fact of the matter is that I haven't failed at all. I'm spectacularly successful. Very few people are able to beat the demon drink, and especially not at the same time as quitting physically addictive medications and overcoming a heap of other shit too. I'm a motherfucking world-leading expert on sobriety and getting clean.

Skin-crawling anxiety, suicidal depression and a warped perception of time, means that the hands of the clock barely move as I wait for my brain to recover sufficiently, so that I can feel slightly better.

I wait. I wait and I wait and I wait.

To say that I'm white-knuckling the journey to being totally clean from all substances, is cruel and unkind. To accuse me of being some kind of "dry drunk" or to suggest that I'll always be an alcoholic and an addict is ridiculous. If labels and stigmas are going to follow me around forever, I'll be more than happy to return to substance abuse. I aim to confound prejudices - there's no point in suffering pointlessly.

Trust me - I'm suffering a million times worse than I ever did before, even when I was in the depths of stimulant psychosis. Even when I was in deep shit and completely messed up, that lasted for the blink-of-an-eye versus the round-the-clock awfulness I'm having to endure at the moment. I might've thought I was going to die at times, but now I really wish I had died.

Tomorrow I have 24 little hours to endure and then my recovery starts properly - every day after tomorrow takes me a little bit closer to normal brain chemistry. Every day that I manage to stay clean & sober after tomorrow will allow my body to restore itself to its natural state of homeostasis.

It's going to be like the world's shittest Christmas Eve.

 

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Hospital Curtains

6 min read

This is a story about modesty...

Psych ward male dorm

It took 12 days to be "discharged" from my section - that is to say, to be allowed to leave the secure psychiatric ward whenever I wanted. However, it took 21 days before I was actually discharged from hospital: no vulnerable adult can leave hospital without a discharge plan, although I could have discharged myself against the advice of the healthcare professionals who were taking care of me, because I was a free man.

I'd been assessed to see whether I needed to be detained under the Mental Health Act at least 5 times. 6th time lucky.

When you find out for the first time in your adult life, that you're about to be detained against your will, I would've thought that everybody would have a similar reaction: "oh my god, I'm now trapped somewhere I might not want to be, and I don't have any say in the matter" which is distressing.

It's not so much that I didn't want to be in hospital; it's that I couldn't leave even if I wanted to. Although I wanted to be in hospital - because I knew I was very sick and in a dreadful situation - there was still a moment where I thought "oh shit what have I done?".

To calmly accept your plight is not something that would be anybody's natural reaction. Under such stress and shock, it's hard to recognise immediately that any attempt to fight against the system will lead to further difficulties. I was least surprised out of anybody that I got sectioned, having been the one who actually phoned the police to come and get me. Of course, escape is not hard if you're determined enough. I was conflicted - I was safe, but the price I paid was my detention: I lost my liberty.

Running away from a psych ward will result in the police being called to look for you. Britain's most dangerous psychiatric patients are kept in facilities which are far more secure than anything I experienced. I could have escaped easily and the police wouldn't have tried very hard to find me - I was a danger to myself but not others.

Our natural reaction to detention is to panic and start yelling for anyone who can possibly get you out - a solicitor, a social worker, a family member - and to start demanding your rights. There's a process that's got to chew you up before it can spit you out, and once you've just started the rollercoaster ride there's no getting off until the end - scream if you want to go faster.

Despite my messed up state, I knew that I had the right to appeal my 'section' with a tribunal supposed to happen within 7 days. I knew that my dad had the right to request my release, with a decision having to be made within 72 hours. I didn't have much hope that my dad would be helpful, so I requested an appeal.

It's so damn hard to get any treatment for mental health problems, beyond some cheap patent-expired generic medications or a computer-based Cognitive-Behavioural Therapy (CBT) thing. Inpatient hospital treatment, paid for by the NHS, is only given to very unwell people or exceptionally stubborn & determined people. However, when you have been admitted to hospital once as an inpatient under a section, you might struggle to ever escape the revolving doors.

Many of my fellow patients had the same story - they were released from hospital, stopped taking their medication, went mad and were brought back into hospital, where they were forced to start taking medication again... eventually being released and starting the whole process again.

Note, when I say "forced to start taking medication" I literally mean that they were held down by a whole gang of hospital staff members and forcibly injected against their will.

It would be stupid to argue that psychiatric medication is entirely unhelpful. However, one should be mindful that a perfectly sane person who had been taking powerful antipsychotic medication, would experience extremely powerful withdrawal symptoms if they stopped. Antipsychotic withdrawal symptoms are indistinguishable from the spontaneous psychosis that occurs in a person with a mental illness - how can one distinguish between a madman and somebody who's experiencing the perturbations of a brain that's readjusting to medication-free homeostasis?

As we move towards a world where the majority of us suffer near-debilitating levels of anxiety and depression, and psychiatric medications are dished out like candy from general doctors who have no specialist training in the treatment of mental health problems, are we diagnosing disease when we should be looking at what a person's life circumstances are like?

Ironically, I was diagnosed with adjustment disorder, which is to say that I simply couldn't cope with stressful life events - a clinical label for an intolerable clusterfuck of dreadful stuff which could happen to anybody. There isn't a pill for adjustment disorder, yet, although a bottle or two of wine each night is often chosen as self-medication.

The stress of living with 20+ mentally ill men in a locked psych ward is something that most people would not adjust to particularly easily. The 4 walls of my home were replaced with a curtain, which was opened every 15 minutes by a nurse or a support worker to observe what I was doing.

I think psych wards are necessary and I'd rather have the apparatus that treats mental health problems, than not have it at all. This is not an essay that criticises mental health treatment or the hardworking professionals who care for people with mental health problems. I write merely to reflect on my journey through the mental health system, which finally ejected me yesterday. I'm coming to terms with the fact that I was discharged from hospital, and today is the first time in weeks where I have woken up somewhere I can leave without having to ask permission.

Yes, I think that sums up yet another Earth-shattering overnight change to my life: I've gone from a flimsy curtain and a locked door, to 4 solid walls and I'm free.

 

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