This is a story about being hounded to death...

One week ago, I was shovelling pills into my mouth, washed down with pints of white wine. The LD50 is the lethal dose that will kill 50% of the test subjects. Lethal doses are normally calculated in milligrams per kilogram of body weight. Tramadol is quite a reliable way to kill yourself, with plenty of examples of successful suicides in the literature, for anybody who wishes to trawl the medical journals.

Most opiates will cause respiratory arrest. Tramadol seems to kill more often through serotonin syndrome, according to what I read in advance of my suicide attempt. I can tell you exactly what it feels like, to reach your wits end, decide to end your life, and follow through with the necessary steps. I can tell you exactly what it feels like, during the periods of consciousness, as you die.

Once I had downed all the capsules and their gelatin shells had started to dissolve, I started to become quite intoxicated, thanks in no small part to the wine I used to wash my legally prescribed pain medication - tramadol - down my throat. Of course, I had stockpiled the capsules, which is not what my doctor had anticipated I would do, when they wrote the prescription, but I was getting a box each visit to the pharmacist, with each box containing plenty to end my life.

I decided to send out some final Tweets, when I believed I was beyond the point of no return. I have no idea whether I inadvertantly saved my own life or not, by alerting my social media contacts to the fact that I was on my way to meet my maker.

Discussion of what pushed me over the edge is not really warranted here, suffice to say that I simply had nothing in reserve when my fragile embryonic new life in this Northern city started to crumble. I had given 100% to my new job, my new girlfriend and my new friends. I had no safety net, when the slender threads that supported me, snapped suddenly.

Firstly, it should be noted that it takes quite a long time for your stomach and large intestine to process enough capsules for you to start to experience the onset of a fatal overdose. I had imagined that 40 minutes would be plenty for the first wave of powerful tramadol to hit me, and to make me unconscious or at least delerious and incoherent. I was wrong - I was able to send out several Tweets that actually seem to make sense now - one week later - as well as being gramatically OK and without spelling mistakes.

Secondly, it should be noted that the ideal scenario of falling asleep and not waking up, did not happen at all. I did get waves of soporific effect from both the alcohol and the tramadol, but I imagine that the adrenalin of knowing I was on my way to the grave kept me mostly conscious. My eyelids would get heavy and my head would drop, but my body fought to stay alive and I kept jerking awake.

Thirdly, I have horrible snatches of memory. I can remember exactly what it was like to fill my mouth with capsules, and gulp them down with wine from a pint glass. I remember how agonisingly long it took to empty out all the packets into the box, which I used as a kind of cup, from which to tip a load of tramadol into my mouth before swallowing it. I can remember the emergency services battering their way into the bathroom, where I had slumped in the dark, waiting to die. I can remember telling them where all the empty pill packets were.

I can remember telling somebody - was it somebody at the hospital? - who my doctor was and exactly what overdose I had taken. I can remember the very worst moment, when the hospital told me that death was likely to be slow and painful, not the unconscious affair I had imagined.

I can remember when I started to have seizures. I can remember begging the hospital not to treat me with activated charcoal; not to pump my stomach; not to resuscitate me if I went into cardiac arrest. I can remember coming round after 12+ hours under sedation, breathing with a ventilator. I had a tube coming out of my nose, one down my throat and one up my dick - I had been intubated, catheterised and had several canulas installed, including an arterial one that was measuring my blood pressure. It felt like I had snot running down my face, but it was just a tube that was being used to put stuff into my stomach to neutralise the deadly chemicals.

I can remember a nurse or a doctor came and asked me a question, and I tried to reply but I couldn't. Every time I tried to speak, my lungs pushed air against the ventilator, and I would be left momentairily be gasping for air until I allowed the machine to breathe for me again.

I can remember a different nurse or doctor reassured me that I would be able to speak once the tube had been pulled out of my throat, where it was impeding my vocal chords. I was so relieved, because it was deeply distressing to lose my ability to talk and have moments where I couldn't breathe.

I can remember being asked how I felt about the fact I had survived an overdose that should have been fatal. I felt terrible about telling the hard-working intensive-care nurse or doctor that nothing had changed... in fact things were worse than ever, as I imagined that the overdose would have caused horrific organ damage. I expressed in no uncertain terms that I still wanted to die.

I can remember drifting in and out of consciousness. From Saturday night to Tuesday morning, I had no idea whether I was in A&E resus, intensive care or the high dependency unit. I can vaguely recall being told, but the memories seem all out of sequence, and dreamlike - quite unreal.

I can remember being wheeled into a general hospital ward at some point on Tuesday, and then wheeled off to my own private room. I can remember slowly regaining some mental capacity. I can remember a visit from a psychiatrist, where I again expressed my distress with my situation and fear that I would not be able to guarantee my own safety - what had improved since I had tried to end my own life? Nothing. In fact, my situation had worstened: I had no idea what kind of state my apartment would be in when I got home - my wallet, keys, phone and other personal effects had gone missing. It seemed unthinkable that I would have to face potentially being locked out of my apartment, with no money or credit cards on me, and no means of contacting anybody.

When I did finally make it back home, things were worse than I had even imagined. My laptop and digital camera had been stolen. Every single prescribed medication had been stripped from my shelves and drawers and cupboards. There was one single solitary pregabalin capsule, almost left mockingly on my bedroom floor which lay in disgraceful mess. I need pregabalin for nerve damage in my left ankle/foot... as a non-opiod painkiller. I desperately needed some of the zopiclone that I had stockpiled, in order to sleep after such a horrific ordeal. These are not dangerous medications, ironically. I had moved myself off the tramadol, because it was not desirable to use it as a long-term painkiller. I had stockpiles of zopiclone, because it was useful for these very eventualities. The home treatment team had thrown bucketloads at me, because sleep is so important for good mental health. Where was all my prescription medication?

There was no sign of my mobile phone anywhere, and without my wallet and laptop, I was completely stuffed in terms of being able to get a message to anybody. From Saturday night until around 3 or 4am on Wednesday morning, I had been completely cut off from the world... mostly unconscious, and without access to telephone, email or social media.

Wednesday daytime, the way I was treated at the office - where I went to store the few valuables that had not been stolen - was extremely odd; if not downright rude and unpleasant. It was most unsettling indeed to be treated so oddly at my place of work, especially after surviving a suicide attempt and having suffered a burgulary. I was also fighting off panic attacks and pain, because my legally prescribed medications had been stolen too.

After a quite baffling experience at the office, where I was ushered out of the door as if I was an interloper, the CEO of the company I had been doing consultancy work for, spoke to me to say that he would be very happy to see me for a beer, but that I could spend the rest of the week sorting out everything that now dauntingly lay ahead of me: repairing the damage from the break-in and replacing the stolen items. Life is profoundly difficult without your credit and debit cards, mobile phone and laptop.

I managed to get an emergency prescription for 7 days of pregabalin and zopicline, so that I could restabilise my medication regimen. I managed to get enough cash out from the bank to replace my laptop, but not my smartphone or pay for repairs to my flat. I was starting to be overwhelmed with the enormity of the task that was expected of me: for a suicide survivor to carry on with their life as if nothing had happened. My home felt violated and insecure. There was something weird going on at work. It was deeply unsettling.

Gladly, I was re-admitted to hospital at Accident & Emergency, because I was driven into crisis by the horrendous near-death experience, only to then find that my two most valuable and prized possessions - my smartphone and laptop - had been stolen, and my flat had been ransacked; my front door and bathroom door were smashed up; the place had been turned upside down.

The fact that I was discharged from hospital and ended up back at my trashed apartment at 3 or 4am on Wednesday morning is something that should never have come to pass. What the fuck are you doing discharging a suicidal person in crisis, into a situation where they've got more on their plate than they can handle? How the fuck am I going to go back to life as normal, without my smartphone, laptop or a secure home to keep myself and my possessions in? How the fuck am I going to get through life without the pain medication for my nerve damage, and sleep medication for the horrendously stressful circumstances.

Being re-admitted to hospital - first the Accident & Emergency department, and then psychiatric hospital - was inevitable, and essential for my safety and wellbeing.

I could have bounced back, but the strange experience at the office and the amount of things I had to sort out due to theft or loss, was simply too much for somebody as sick as I was then.

I managed to get a replacement debit card for my business bank account, and make some cash withdrawals using my passport, but after replacing my mobile phone and laptop I had very little money left; I was exhausted stressed and in no mood to return to my home that not only felt violated, but also not a secure place to keep myself and my valuables.

My very worst fear was realised: that of finding myself completely alone in this Northern city with nobody to turn to for support. Without a smartphone, I felt completely cut off from social media. By some strange co-incidence, my work colleagues were both out of town. This was the perfect storm. This was exactly what I never wanted to ever happen - to be isolated and alone.

I thought about throwing myself off a high building, or under a bus. In the end, I finally made it back to where I should have been allowed to stay: the safety of hospital. Surviving a suicide attempt is a big deal, and then to have shit to deal with at work and home, was horrendous.

My memory about how I arrived back in hospital is just as fucked up as you'd expect of somebody who's been through a near-death experience and survived, but only barely. I'm not sure what's real and what's dream. I feel like I died all over again. I have these strange memories of trying to replace my mobile phone, laptop and get enough cash out of the bank to replace my iPhone too. I can remember waking up on a hospital trolley and re-orienting myself with reality... there were lots of things that I could vaguely remember, but they seemed to be from a different life. Had I died and had my heart restarted? Certainly, there was a period where I was sure I was dreaming. Perhaps I was still having seizures, because of the unbelievable disturbance to the stability of my life, including the regularity with which I was able to take my medications and soothe my jangled nerves with alcohol.

I write to you now, in stone cold sobriety. My alcohol consumption has been practically zero for a whole week... cut at a rate that would easily cause problems, especially considering that all the other medications that I have been prescribed have been very irregularly given to me too. Rebound insomnia from suddenly stopping zopiclone would be expected. Suddenly stopping pregabalin will have terrible consequences, as with any of the GABA agonists. I'm surprised I haven't had MORE seizures or perhaps even been killed by the sudden withdrawal of medications that I had become physically dependent on, as well as alcohol. You can't just suddenly stop drinking and taking the pills that I had been prescribed - you have to taper down gently.

In a way, I'm in a good situation now that I'm off all the alcohol and most of the meds that I had become dependent on. My sleep is terrible, I'm in a lot of pain, and I'm overwhelmed by anxiety and a general sense of unease, but it's good to not be drinking so much and having to take pills just to stay calm through some incredibly stressful events.

My housing, employment and general situation is dreadful. I'm being royally dicked over by everybody who has sensed that I'm in a vulnerable state. It's an abosoute disgrace, how people have tried to put the boot in and deal the final death blow to me, when I was already bruised and bloodied and at death's door.

I'm in psych hospital until Monday at least, which is a blessed relief. I have a room with a door that hasn't been kicked in and has a fairly sturdy lock, with which to protect my valuables. I get three hot meals a day and there's plenty of hot water. There are loads of mental health professionals on hand if I was feeling suicidal again.

Sadly, I am having to turn to the law to defend me from mental health discrimination, illegal eviction, and hopefully recover my valuables that were lost or stolen due to negligence. At least I am in a safe place from which to defend myself. Justice will prevail.

I think it's outrageous that I was ever declared fit and well enough to be let out of hospital, especially given the ransacked shithole I had to go back home to, and the mistreatment I received at work. However, I am also sympathetic towards the police, who have a difficult job to do, as well as to the fact that I have received a substantial amount of hospital care, to save my life.

There's a fairly simple ethical guiding principle here though: don't fuck with vulnerable people. I'm pretty mad that I'm the one with the stolen iPhone, MacBook, the battered and bruised body, the missing medications and having faced some terrible stress, on top of the situation that was already so horribly desperate that it drove me to try to end my own life. Nobody is coming to me and offering me compensation of any kind, despite my phone and laptop being supposedly covered under a company insurance policy.

I have a fully functioning conscience - a moral compass - and I am trying to set matters straight that I am responsible for. Even in the midst of what might have been the final hour or two that I walked upon this Earth, I still had concern for rectifying certain things, and I still do. I'm being treated like shit, but I don't feel that entitles me to treat others like shit. I'm in a horrible situation, but I'll do what I can from where I can... although I do expect to be treated fairly and in accordance with the contractual obligations, housing obligations and obligations to not be discriminated against because of my mental health crisis. The door swings both ways, and I take my ethical conduct very seriously.

Sadly, the law and solicitors of various flavours are being involved, which means I can do little until they're back at work again on Monday. I need to proceed through the official channels, seeing as I'm being beaten with a legal stick. I'm outraged that my housing and income is under threat, simply because the opportunistic shits that I've been doing some work for have sensed an opportunity to try and scam me.

I wish everybody would just do the right thing, or offer to rectify things when they have made a mistake.

Anyway, as you can tell, I'm feeling quite sorry for myself, given the shitshow of my life. My guardian angel has arrived in the nick of time to help me stay afloat, but I'm still battered, bruised, organ damaged, hospitalised, under threat of illegal eviction, my client is in breach of contract with unpaid invoices, my employment offer has been withdrawn due to mental health discrimination, and the dreadful ordeal on Tues/Weds with being released from hospital too early, has pretty much fucked any chance of recovering my delicate poise. Everything was so fucking fragile, and it burned down in the blink of an eye.

Fundamentally, where is my girlfriend, my friends - my support network - as well as my work colleagues, income, housing and all the other pieces of the puzzle that make a liveable life? All I can see are circling vultures, greedily eyeing me up as a piece of carrion.

At least we have a decent legal system here in the UK and justice will prevail eventually. Nobody can get away with acting unethically and abusing vulnerable people. I'm safe in hospital. I can defend myself from here.

Finally... I got my replacement laptop working and I'm back online.

Without the structure of being able to capture images and compose my thoughts on the pages of this blog, I've been rather cut adrift. Without my social media contacts, I've felt totally isolated and that nobody knows what I'm going through, although my guardian angel has bridged the gap very well, so I must give a great deal of thanks to her.

Nobody knows just how close to the edge you are until it's too late. What an absolute shitshow.

Tags: #mentalhealth #suicide

This is a story about the straw that broke the camel's back...

You'd think that the closest I ever came to finishing this suicide note - and ending my life - would have been the time both my kidneys failed and an old ankle injury made it almost impossible to work. I also lost one of the best IT contracts I've ever had and became hooked on legally prescribed pain medication, which pretty much scuppered my ability to get another contract. I was running out of money fast, but struck down with physical and psychological problems - depression - I could barely function.

My girlfriend at the time was exhausted after spending weeks in hospital with me, while the survival of my kidneys was in doubt. She came to all my outpatient appointments. She helped me hobble around and get my prescriptions for my pain. Then, I dumped her. She was exhausted and she'd just been to Cornwall - Land's End - to meet her new nephew. I had a crisis while she was away and in her state of tiredness, she couldn't think straight. In the state I was in, I needed her help, but to me she didn't seem to care - that was my warped perception, at least. I immediately broke up with her, because what seemed like life or death to me didn't seem to matter to her due to compassion fatigue and physical tiredness. To my messed up mind it seemed as if she didn't care about me, when I desperately needed her help.

Having no girlfriend, no job, no money, bad health and a ridiculously expensive riverside apartment to keep up the rent & bills payments on, losing a loan that had been promised to me by my girlfriend, further compounded a dreadful situation.

I sold a lot of my most precious things, even though I knew that the money would barely cover a month's rent. Being a high earner, most welfare benefits were inaccesible to me and to have a black mark on my credit score would preclude me from ever working in banking again.

I became hopeless, resigned to a fate of eviction, bailiffs, debt collection agencies and destitution. The best option was to spend 28 days in hospital, said my psychiatrist - at least I would be safer there.

My trigger finger was itchy, but I knew that if I could beg a sofa or spare bed to sleep on, I would at least avoid another period of homelessness. One of my Twitter followers offered her spare bedroom and things briefly looked up, but then she changed her mind. One old friend offered to put me up in a bed & breakfast for 2 weeks, which would have been welcome respite. An old schoolfriend said if I was desperate I could couch-surf in his 1-bedroom apartment, where he has a 4-year-old daughter. Three offers, which gave me a momentary boost, but at the same time, it's somewhat depressing that of all the people I know on Facebook and Twitter who have generously proportioned houses, nobody else even offered to let me pitch my tent in their back garden... my experience of dealing with the local council and government benefits system means that you're just plain wrong if you think all those taxes you pay mean you won't end up sleeping rough, if life doesn't treat you well.

I always had a plan - 336 tramadol tablets - that would virtually assure me a swift and painless death, but I always felt a few steps removed from actually following through with it.

I'm so exhausted and unwell at the moment, in a stressful (but rewarding) job that it took hardly anything to push me over the edge to the most suicidal I've ever been. Losing my new local girlfriend and the accompanying social group, would be too much to bear, when I haven't the energy to grieve the loss and to pick myself up again.

There was no doubt in my mind about what the plan was. I could visualise the steps. It took every ounce of effort and willpower to overcome the urge to simply empty the 336 capsules into a small glass, add some other opiates that would cause respiratory arrest, and them simply get drunk until I passed out... probably less than 60 minutes, and I'd have departed from this world.

It might seem rash; an overreaction, but the rollercoaster ride I've been on has left me without a single percent of spare capacity. Even something minorly inconvenient or unexpectedly going wrong, can cause a seemingly disproportionate reaction.

I wasn't scared. I wasn't hesitant. It would have been done, and that would have been that. Call it a strength if you like - I can take bold fearless actions, even if they would certainly cause my life to be ended.

The scary thing is just how quickly I would have acted, having started the process. Less than an hour, to be a cold white corpse with purple lips and rigor mortis setting in. "Will I feel differently in an hour?" I asked myself, hypothetically supposing that I delay my deadly potion in order to see if my mood changed.

Luckily, I acted positively and pursued a more favourable resolution to what was almost certainly going to be a breakup. She said she wasn't going to pick up the phone or reply to my messages, which would perversely have only accelerated the commencement of my death ritual.

While it looks like a sudden thing to do over a very trivial trigger, things have to be seen in the wider context. I know how depressed and lonely I was before I met this girl and her friends. I know that the effort involved in courting her almost cost me my sanity, stability and job. I know how hard things have been at times during the umpteen years I've been diagnosed with clinical depression. At some point, you're so sick of a miserable life, that you'll gladly welcome the end of the suffering.

I felt a little bad about leaving the project I was working on unfinished, but I'd done the hardest bits, so most of it that was left to do was copy & paste.

I didn't feel any sadness or guilt, for depriving friends and family of the living version of me. Less than 1% of the people I'm in contact with, offered any kind of assistance when I was in a crisis. Basically, I mean fuck all to anybody, no matter what they say.

I'm sleep deprived and my brain chemistry just isn't right at the moment, but still, I know when it's time to go - you get sick of all the bullshit of living, Being alive is over-rated. It's been mostly suffering for me (boo hoo! get the violins out).

So, that was the time I nearly killed myself, deliberately... a close shave.

Tags: #suicide #depression

This is a story about irreversible decisions....

Nearly 400,000 people killed or injured themselves using a gun, in the United States in 2016. That's 1 one 1,000 Americans, who them will shoot themselves each year.

In the United Kingdom, the only way for me to get a gun is to buy one on the dark web. For me to possess a firearm without a license and keep such a weapon without a locked gun cabinet, contravenes many British laws. In short, deadly weapons are outlawed in the United Kingdom and to 'bear arms' could see me imprisoned.

For £8.40 I obtained 112 tramadol capsules, which are contained in the brightly coloured box pictured above. The aggregate weight of the deadly opiate within this box is 5.6 grams. An overdose of tramadol is considered to be anything above 0.4 grams. Therefore, this box contains 14 times the maximum 'safe' dose. Death would be a certainty, if I was to swallow little more than a couple of mouthfuls of this medication.

Perhaps, you are thinking, that I procured this deadly substance through the dark web. In fact, I had been prescribed this pain relief treatment by my doctor, and I had collected three of these boxes quite legally and within my rights as a British citizen.

For £25, I had stockpiled enough pills to end my own life several times over.

In a deal I struck with my psychiatrist, I surrendered two out of three of the boxes that I was entitled to possess. My general practitioner (GP) had authorised a pharmacist to dispense this controlled substance to me... little did they know that I had already weaned myself off these addictive opiates and had amassed a total of 336 capsules, which contained approximately 17 grams of tramadol in total.

For many citizens of the USA, they consider it an inalienable right to own guns. Equally, I reserve the right to end my own life peacefully, painlessly and without undue suffering.

In the UK, people throw themselves under trains or hang themselves. If you are kiled on the railway, the driver of that locomotive will have to live with the recollection of seeing you hurl yourself onto the tracks; somebody will have to collect your body parts, put them into a body bag and take them to a hospital morgue. If you hang yourself, somebody will find your lifeless body suspended by whatever cord you chose to make a noose out of... they will have to cut your lifeless corpse down, and there will be clear evidence that your final moments of life were not at all pleasant for your body: your bowels and bladder may well have been involuntarily emptied and the ligature to your neck will have caused significant trauma.

The smallest amount of blood, semen, faeces or urine, seems to spread out far more than any other substance. A person who has chosen to evacuate the contents of their veins and arteries will be as white as a sheet, and there will be a shocking contrast with the dark red life-giving substance - their blood - that has been deliberately emptied from their body. 

Does it not seem better that if one has to deal with a cadaver, that it should be less physically mutilated? Does it not seem humane that people should die with the most peaceful expression that's possible in the circumstances?

What should I say about the sudden darkness that descended on me yesterday? There's little point in offering fake reassurances that everything's OK. The truth of the matter is that I live life with daily precarity, and with only a few bare bones of a social skeleton around me - seemingly inconsequential events lead to a disproportionate response. "It's not the end end of the world" somebody might say, and they're right, but when you're already close to the tipping point, it doesn't take much for it to be the end of your life.

I've done a zillion things impulsively in my life. None of those rash decisions have led me up a dead-end alleyway, yet.

There's something tantalisingly alluring about swallowing a couple of handfuls of pills and then slipping peacefully into unconsciousness. Even if I was to have seizures before I finally gave up the ghost, I would be completely unaware of my body's struggle to keep itself alive. How wonderful, to have the option to end the suffering on a whim.

To think that I'm being flippant or making light of the final decision that I'd ever make is not true.

One of the reasons I quit drinking a couple of years ago - for 120 consecutive days - is that I was afraid of acting impulsively while intoxicated. It's one thing to wake up with a hangover, thinking "why the fuck did I say/do those things?" but it's quite something else to not wake up at all.

I live with a toxic combination of a high-stress job, financial pressures and limited social support. Beyond Facebook and Twitter. I've retreated into a world of technology. The few close friends that I have are hand-picked because they're loyal and sympathetic towards my circumstances, which - I assure you - are not a result of free-will choices or preplanning. To have a seemingly minor setback might cause irrational behaviour, but so fucking what? Please show me the contract that my brain has signed up to, saying that it will always think rational things.

This blog was supposed to be a short and sweet message of reassurance, after a 'cry for help' yesterday. It was not nice wandering around the city centre for a few hours, hoping that the awful imperative to hurt myself, would pass harmlessly.

Tags: #suicide

This is a story about succession planning...

The British have always liked hot drinks.

Coffee shops were terribly trendy in the late 1600s, having been launched in Oxford before springing up across London, where ships that brought the crop of beans to English shores found many willing patrons for the roasted, ground and brewed end product.

Tea symbolises imperial Great Britain. The Indian town of Darjeeling - formerly part of the British Empire - is synonymous with the tender leaves that citizens of the United Kingdom douse with boiling water, infusing bitter plant alkaloids into the hot liquid. "Put the kettle on" are four words that will be said in millions of homes this evening, despite the stimulating effects of caffeine.

Cocoa beans have given rise to hot chocolate, also known as drinking chocolate. Even a small UK food & drink shop will offer all manner of flavourings for hot water. Nestled in amongst the other things that my fellow Brits would categorise as 'hot drinks' I found something that I think of as a powerfully concentrated and flavoured spread, ideally enjoyed on toasted slices of bread - a jar of Bovril beef extract.

The flavour of Bovril is closer to Marmite and Vegemite - or any other brand of yeast extract - than it is to beef, in my opinion. How exactly they "extract" Bovril from a cow is something that I don't really want to think about. I suppose it's a macroscopic version of what they do with microscopic yeast - microorganisms are just the same as cattle really... eating, shitting, reproducing and not doing much else.

In this Bovril-drinking Northern city, conspicuous by their absence are people with skin tones darker than my own and women wearing headscarves. I formerly lived in a region where the population is 46% Muslim. Surprisingly, the Bengali shopkeepers have no issue with selling pork and alcohol to those who are not forbidden - for religious reasons - from eating swine flesh and imbibing the intoxicating liquor created from fermented fruits and grains.

In this unfamiliar part of Northern England, there are innumerable drinking establishments in my local vicinity, as well a vast number of hot food outlets where a bacon or sausage "bap" can be procured as a traditional breakfast snack.

India - before she was partitioned in 1947 - was a nation where Muslims would respect the holiness of cows in the Hindu culture, and reciprocally the Hindus would respect the Muslim rejection of pigs as unclean animals, and alcohol as an addictive intoxicant that places a heavy burden on any society that permits its consumption.

Modern global society still holds strong religious views on the treatment of domesticated animals and the brewing and consumption of alcohol. When we examine the historical evidence using the scientific method, we can see that cows and pigs would not exist today as we know them, without human intervention spanning many more thousands of years than even the oldest religion. Furthermore, we can see that humanity has been intent on its own intoxication throughout the history of civilisation. The Mayans were chewing coca leaves at least 3,400 years before Islam had its golden age, and vastly predates Hinduism and Judaism. Ergo, we must conclude that excluding beef, pork, alcohol and other things from our diet and habits of consumption is a relatively recent 'fad'.

The Chinese are the biggest per capita consumers of pork, while America and the developed nations hoover up vast quantities of refined coca leaves in the form of white powder cocaine and rocks of freebase cocaine, known as crack. Opium, morphine and diamorphine (heroin) are endemic worldwide. Caffeinated beverages - hot or cold - are guzzled by the globe. Alcohol is cheaper than bottled mineral water from desirable brands like Evian or Perrier. Yet, only in the North of England - so far as I know - do people consume a hot drink made from Bovril.

I hate being spread thin. I'm adaptable and I can be sent all over the globe to work with people who observe different cultural traditions. I am relatively worldly-wise enough to not commit a faux-pas, such as eating food before sundown in front of those observing the Ramadan period of fasting. I can pretty much figure out whatever you want me to do, if you're paying me enough and you're not open to persuasion that your ideas are probably terrible in their original unmodified form.

Why have a dog and bark yourself?

Now I find myself juggling the essential task of finding a doctor who will keep me supplied with the medications that I have become physically dependent on, while also settling in a new home in an unfamiliar city. I must also meet the demands placed upon me in the pursuit of enough money to eat, service my debts and give myself more security and freedom of choice.

I'm withdrawing from Xanax (alprazolam), Valium (diazepam), Ambien (zolpidem), zopiclone and Lyrica (pregablin). All of these drugs work in a very similar way - mimicking the brain's own 'brakes' and calming neural activity. These medications cause a chemical called GABA to be released in the brain, block the brain from recycling any unused GABA, or imitate the 'signature' of GABA itself. The overall effect is tranquillising, stress relieving and aids sleep, but the withdrawal is quite the opposite. In fact, the abrupt withdrawal from any or all of the medications listed can cause life-threatening seizures.

I must juggle social drinking - alcohol is a mandatory social lubricant in most UK culture - with the need to use alcohol as a form of self-medication for the stress I'm under. I also use alcohol as a substitute for the powerful psychotropic medications that my body has become dependent on, like heroin addicts kick their habit using methadone. Alcoholics can break free from physical dependence using benzodiazepines such as Librium (chlordiazepoxide). I'm doing it the other way round, because I know I can stop drinking - I plan on doing so in October, when I will use the excuse that I'm going teetotal to raise money for charity (a.k.a. Stoptober) - as I have done successfully before.

How I ended up with so much on my plate is not really my intended subject of this lengthy diatribe, but in my dark and difficult moments, I am facing a clusterfuck of competing demands on my time and energy, while also dealing with panic attacks and a general feeling of uneasiness and discontent; a false perception of threat, danger and imminent disaster.

My perceptions are not completely warped. Earlier this year, both my kidneys completely failed. Very recently I narrowly escaped homelessness, bankruptcy, destitution and destruction. Unpleasant feelings are a harbinger of a genuine medical emergency - I am detoxing myself without the supervision of a doctor or nurse, while also working full time.

I've skippered yachts and kept my crew safe in stormy weather; I've led groups safely up and down dangerous mountains covered with snow and ice; I've become blasé about near-death experiences, because I've now had so many. I don't think I'm exaggerating or being hyperbolic when I say that I'm facing my life's toughest challenge so far.

The demands placed upon me in my day job seem unreasonable at the moment, but I was desperate for fast cash. I was drowning and I was thrown a lifeline - beggars can't be choosers.

Friends who have submitted themselves to the mercy of the state seem to have suffered greatly from the trials and tribulations of dealing with compassion fatigued bureaucrats. A great many nurses and doctors have told me that I'm 'entitled' to live at the expense of the government - i.e. my fellow citizens - because of the taxes I have paid in my life, and because my mental illness disqualifies me from being 'fit for work'. To put work as my priority, ahead of treatment is something that none of my doctors want, but equally there's a long queue of people who would prefer to sit at home smoking cannabis and playing on their Playstations, rather than flipping burgers or scrubbing toilets for the minimum wage.

Like concentrated beef extract, I'm intense; I'm focussed; I can achieve a lot very quickly. The terrifying truth is that the world applauds anybody who exhibits bipolar behaviours... what happened to all those 'overnight successes' and 'one-hit wonders'? They spent all their money on fast cars, beautiful women, drugs & alcohol, and the rest they just wasted, is the oft-repeated quote.

Once you've figured out a winning formula, all you can do is teach others to follow in your footsteps. If you can train an army of mini-mes to do the grunt work - the heavy lifting - then life becomes more sustainable. Only a fool repeats the same behaviour, expecting different results.

And so, I desperately need to find my successor - somebody to fill my shoes and shoulder some of the burden, allowing me to recover and stabilise, rather than being trapped in a cycle of just repeating things that I've done before a thousand times.

It's hard to find somebody who's willing to do a shitty job, and it's hard to find somebody who's able to navigate their way through the piles of shit and find the better way of doing things. I might be that diamond in the rough, but that doesn't mean it's a great idea to get me scrubbing toilets or flipping burgers, even though I will do if you ask me, pay me and I'm desperate enough.

Having a desperation-driven economy, with most of us spread thinly - stressed out and always on the brink of breakdown and ruin - is a terrible, terrible thing to do to people.

Hunger will drive ingenuity and industriousness, but it's not a sustainable strategy, no matter how much Bovril you have to eat and/or drink.

Tags: #career #addiction #drugs #mentalhealth #bipolar

This is a story about panic attacks...

Am I thirsty or do I just want to get pissed? I feel like my world is falling apart, but maybe I just want to numb myself with medication. I feel like I can't cope, or is it that I crave soothing chemicals? I feel like the tasks ahead are impossible but my perceptions are clearly warped - I don't know which way is up and which way is down.

If somebody was to burgle my home, I'm not sure whether they'd be more pleased with the expensive consumer electronics that they could resell, the wad of Euros that they could convert into pounds or the massive bag of opiates, benzodiazepines, sleeping pills and other highly coveted medications, which would probably be the reason for their criminal trespass in the first place.

I stopped taking opiate painkillers earlier in the year. It was hard, but it wasn't that hard. Sweating and nausea and pain; constipation and loose bowel movements; sleepiness and blunted emotions - withdrawal was over eventually and I don't even remember it being that bad, in hindsight.

How long have I been drinking a bottle of wine every day for? Tonight I've had a tiny bottle of beer and that's it, but my drinking has raged out of control, as I've sought to calm my nerves and self-medicate for incredible stress and emotional pain in my life.

How long have I been taking tablets for? Certainly long enough that if I abruptly stopped, I would have a seizure. It's a miracle that I haven't had a fit, but the gaps I've had in-between handfuls of pills - lasting two or three days - could have killed me in a multitude of other ways anyway.

Almost every day, I wonder why my optimism and hope has turned to fear, doubt and despair - I become convinced that I'm unable to function; unable to face the future.

Like many addicts any alcoholics, I'm overwhelmed by negative feelings and I become convinced that the only way to ease my suffering would be to kill myself - quickly by suicide, or slowly with drink & drugs.

Without structure & routine - social contact and the prospect of a happy & contented life - it's a miracle that I've not plunged into the deep depths of fully blown alcoholism and an ever worsening drug problem. Today was a sink or swim day, but I made it through.

No bottle of wine today. No Xanax. My situation is improving. My unhealthy consumption patterns of alcohol, drugs & medication, continue to abate, despite the protestations of my brain. I was in two minds about committing suicide tonight. I was tempted by alcohol - of course - but the urge to drink was relatively easily resisted.

If you wished to categorise me as an alcoholic and/or a drug addict, I'm afraid your attempt would be thwarted by the facts. Alcoholics can't stop drinking and drug addicts can't stop taking drugs. Guess again, sucker.

I'm suffering unspeakable discomfort at the moment, but I'm forcing my body - including my brain - down a path that it's reluctant to take, but it's for its own good. It will be weeks, maybe even months before I feel the benefits of what I'm putting myself through, but I know that if I don't do it, the alternative outcomes are very undesirable, to say the least.

Eventually, I will sleep without sleeping pills, feel free from panic & anxiety without tranquillisers, be able to cope with my neuropathic pain without painkillers... perhaps my body will even repair its damaged nerves, without the interference of artificial compounds not found in nature. Two and a half million years of human evolution, and you think we got everything right in the last 70 years?

Would I take antibiotics for an infection? Yes. Would I edit my genes if I could get rid of any faulty ones? Yes. However, psychiatry doesn't have a lot of triumphs to crow about - if superbugs don't kill you, then mental illness will probably ruin what little quality of life you had anyway.

My brain tells me I'm about to die or that I should kill myself. I know - rationally - that my brain is feeding me unreliable information, and that I should ride out the storm, however, knowing this doesn't make me feel any different at all.

Eventually, it's too much.

Tags: #suicide #alcohol #addiction

This is a story about all-night fun and frolics...

I had an interview today. I mean yesterday. I made a new friend last Wednesday, or was it Thursday? Once you go past midnight, things get complicated.

I lead a follow-the-sun existence. During the morning, I'm saying good night to my friends in Australia and New Zealand. As the day wears on, it's bedtime for my friends in India and other parts of Asia. At around noon, I say good morning to my friends on the East Coast of North America, and at about 3pm I say good morning to my friends on the the West Coast - we chat all day, all evening, into the night. Then, my friends in the Czech Republic, Italy and France remind me that it's almost my own bedtime, but I skipped my medication: I'll sleep when I'm dead. By the time 5am comes around, those friends in Canada and the United States are starting to think about getting some sleep themselves... but for friends in New Zealand and Australia, it's a whole new day. It's only me who hasn't been to bed and is getting confused about whether it's today or tomorrow.

I keep skipping my medication, so that I can be alert and on top of my game for job interviews. Without a job, I'm going to be bankrupt in no time. I'm already being turfed out of my apartment without getting a penny of my deposit back. Where am I going to live? How am I supposed to feed myself?

This isn't supposed to happen. I have mood stabilisers. I have sleeping pills. I have strict instructions to keep to the same bedtime every night and not to over-sleep: 8 to 10 hours is plenty, which will make many parents grit their teeth with envy. Under normal circumstances, I live a heavily medicated existence where I shuffle around and speak frustratingly slowly. The hospital staff who visit me at home to check on me are happy to see me in that state: I should be no trouble to anybody, in that chemical straightjacket.

I did take my pills tonight, probably more than 12 hours late. I doubled up on the sleeping pills, but I practically wrote the book on sleep deprivation. I can tell you exactly what happens after 3 or 4 days, then 6 or 7 days without sleep. After 9 days of 24-hour consciousness and not so much as a snooze, I can give you an approximate description of what this state of sleeplessness is like. At the 10 day point, who knows if or when I'll regain consciousness - psychosis consumes anybody who didn't sleep for as long as 10 days. Calendars and days of the week become as alien to me as a smartphone would be to an Amazonian tribe who've remained completely undiscovered in the densest and most inaccessible jungle.

I've been packing up my stuff, and I found some headphones I really love and an amplifier for them. I used to dance at all-night raves and club nights. I might not have been writing my blog so much, but I was having important online conversations. I decided I did't want to die angry with the world, so I started writing more conciliatory words; I started writing to say "thanks" instead of "f**k you buddy". All this while, I'm listening to music that I hadn't been able to stand because none of it matched my mood; none of the lyrics spoke to me; there was nothing I could relate to.

The last happy thing I remember doing with her was watching the sequel to Trainspotting. We were both buzzing. Reading - the town - was a special place for us both and the music festival in 1996 is where I watched Trainspotting in the cinema tent, and then heard Underworld play Born Slippy in the dance tent. The soundtrack to the movie got us both listening to the classic tunes and their modern remixes, and speculating about the meaning of the lyrics.

Dirty numb angel boy

And tears boy

And all in your inner space boy

You had chemicals boy

I've grown so close to you

She said come over

She smiled at you boy.

I then decided to repurpose a song I liked into a poem for her.

The poem is a sad goodbye if you like. I got the job. I'm leaving the city where we currently live. I'm leaving all those reminders of a time when I thought we'd be together forever, and she'd look after me if I got sick, and vice-versa.

Summer Break-Up

A thousand words
captured in a photograph
of me and you
drinking prosecco on the grass
so hard to breathe
the way you made me laugh.

That summer dating
ended all right
seemed like you would be
the only one for me
and seemed like I was too
the only one for you.

Later when we were alone
we promised everything we owned
and every little bit of me
tingled excitedly
this thing was so right
was exactly what it felt like
how could it go wrong?
now it's all gone.

People told me all the time
that love is just a state of mind
but they don't know love's hard to find
and that's why I'm not changing mine.

Yesterday
I called you up
the hundredth try
and I'm still out of luck
your number changed
and I guess so did you.

But I'm not the same little
helpless dying flower
that you nurtured and saved
because now I do believe
that inside of me
you set me free.

When I see your picture, I smile
because I think of you happier
without my weight on your shoulders
I must take my wings and soar
but I've never felt afraid like this before

It's 7am now. I'm going to get a couple of hours of sleep. I've probably been writing complete drivel, and I don't want to upset her. I did promise her that we'd leave each other alone to move on with our lives, but I lied... I felt like I was going to die. I just had to hope she'd never find out I'd killed myself. Now, there's a chance that things could work out for me, and I could get a fresh start; a new challlenge to hurl myself into to forget all about love and heartbreak for a while.

Time is a great healer, and if you're awake 24 hours a day, you're living about 33% more than everybody else, but you don't get over a breakup any quicker.

Sleep is also a great healer, so to bed, I must.

Tags: #relationships

This is a story about home treatment...

This is what the Conservative government's 1990's Care in the Community policy looks like, in practice. An extremely low-paid NHS worker, who isn't trained as a mental health nurse, is dispatched on public transport to travel across the London borough of Tower Hamlets, to bring me a bag of medication. They're supposed to check that the old packets are empty, which 'proves' I've been taking my medication. They're supposed to escalate any problems to nurses and doctors, back at base. If they can't find me or get in contact, they're supposed to ring the police.

It's that final point that's the important one: the police got co-opted into this half-baked scheme. Of the people the police deal with - the front-line officers - most of them will have mental health issues. The police are picking up the pieces of the mental health epidemic. When somebody is truly having a mental health crisis, the police will be the ones who get that sick person to the place where they should have been in the first place: a psychiatric institution.

There are nurses, psychiatrists, social workers and the like, who are involved in assessing whether you need to be detained under the Mental Health Act - what's known colloquially as a 'section'. If you're seriously mentally ill and out in the community, it's down to the police to find you, catch you, detain you and get you to that assessment where you get 'sectioned'.

Also, the police are out there, picking up body parts off the train tracks and underground railway. The police are there when somebody has jumped off a bridge and landed in a river or on some mud flats, or maybe gone splat into something harder below - perhaps a road. The police are there when somebody looks like they're about to jump under a train or off a bridge - CCTV operators are trained to look out for agitated members of the public, who look like they're about to top themselves.

Around the time of Care in the Community, there was an explosion in prescribing of psychiatric medication by our ordinary general practitioners (GPs) - our regular family doctors - there were 9 million prescriptions for Prozac in the UK in 1991. This is the principle behind Care in the Community: put people in a chemical straightjacket, and they can be safely released back into the general population. Ten years later, there were 24 million prescriptions for Prozac and another ten or so years later again, and London alone gets through over 60 million prescriptions for Prozac. These are almost all issued by a GP, not a psychiatrist.

When it comes to "serious" mental illness - anxiety disorders, bipolar disorder (a.k.a. manic depression), schizophrenia, personality disorders - the NHS kicks you out of the bit where you get various therapy options (e.g. CBT) and instead you're referred to a psychiatrist, who will prescribe some fairly brutal medication. In the case of schizophrenia, you could have a risperidone implant, injected underneath your skin, which will keep you in a chemical straightjacket for up to 6 months.

The other people who got co-opted into this Care in the Community policy were the general public. An average member of the public is fairly fearful of a schizophrenic, believing them to have multiple personalities and a propensity for violence. Several murders that received significant media attention, focussed on the fact that they were committed by formerly institutionalised schizophrenics. Depression is now such a common feature of people's lives, that any stigma has gone, but most people would be fearful of living near, working with, or having their children around a schizophrenic, surveys have found. Lock your doors - there might be a madman lurking nearby.

If I was in hospital, I'd have somebody checking on me every 30 minutes to an hour - making sure I hadn't found some way to harm myself. With the Crisis Team (a.k.a. Home Treatment Team) who are tasked with keeping me safe at home, I see them every other day. I could take a fatal overdose 2 hours before they were due to arrive, and by the time an ambulance got to me, I would be well and truly dead as a dodo.

I had stockpiled 336 tramadol tablets (16.8 grams) which is enough for two people to commit suicide, easily. As part of their responsibility to help keep me safe, they asked me for the tramadol back. I gave them 112 tablets (one box) which was a tick in their box. In hospital, I would never be able to hide the remaining 224 tablets from the nurses. If I took an overdose, I'd be fed activated charcoal, have my stomach pumped, be put on a respirator and given various medications to counteract the deadly effects of a tramadol overdose, in plenty of time to save my life.

I can't tell you what the cause and effect is. I can't tell you whether Care in the Community is the reason for the mental health epidemic, or whether it's something else, such as the collapse in living standards and precarious lives we live now, with our income and housing under constant threat.

Most people don't like to lose their liberty. In fact, it's distressing to be locked up somewhere, and not allowed to leave. There are crisis houses, where you can come and go as you please during the day, but you have to be back by nightfall and sleep there or else the police will be sent out to find you. This seems like a compromise that would suit most people who are having a mental health crisis, who pose no danger to the general public.

With the false security of Care in the Community, the number of beds available for those having a mental health crisis, has been slashed dramatically. You can attempt suicide and be hospitalised - in intensive care - and then discharged out onto the streets, simply because there isn't a free bed on a psych ward or in a crisis house, where you could more safely transition back to normal life. You can be suicidal, and the best the NHS can offer you is to come check that you're still alive once a day.

As a man, I'm many times more likely to commit suicide than a woman, but far less likely to seek help. This means that I have had the good fortune of being looked after once in a crisis house and once under a voluntary 'section' on a psych ward. Not many people receive lifesaving treatment like that - the resources just aren't there anymore.

So, what's the solution? Pharmaceutical companies tell us their medications are better than ever. More and more of us are taking powerful psychiatric medication. But, yet, the percentage of the population suffering from mental health issues is ever-growing; suicide rates keep climbing - there is, undoubtably, a mental health epidemic. My personal opinion is that it's not a medical problem: it's a problem created by insecurity: jobs and housing; it's a problem created by declining living standards and soaring levels of stress.

No amount of pills are going to fix the mental health epidemic, even if you bring them to my door.

Tags: #mentalhealth #suicide #depression #bipolar

This is a story about the never-ending story...

When I lost my house in my divorce, I did a smash and grab, boxing up things that I thought would have good resale value. I had money, even though my ex-wife had tried to bankrupt me, because I sank every penny I could borrow into Bitcoin at just the right time. I had a friend's guest bedroom. I had my health. I had hope; optimism.

"Why don't you sell some stuff?" my parents unhelpfully asked, when my ex-wife demanded a £7,000 bribe so that she would stop delaying the sale of the house and trying to bankrupt me. At that time, I didn't have £7,000. I had about £3,500. I sold my car, raising about £2,000, but I knew that to spend weeks and weeks getting £100 here and £200 there, just wasn't going to raise the remaining £1,500 without a couple of months of dedicated time-wasting. If you can earn £500 to £600 a day contracting, should you spend time selling a small TV for £100, or should you go and get an IT contract instead?

I hadn't 'lost everything' by any stretch of the imagination. Losing your home is unbelievably traumatic. Moving house is one of the most stressful things you could ever do. However, I was now living with two old friends and their three lodgers. What I lost materially, I also gained by getting out of a relationship where I was either being abused or in fear of being abused (yes: having to keep yourself behind a door, when somebody is punching and kicking it and screaming abuse at you is "abuse") and I gained some new friends and regular contact with some old ones.

That old life sat in boxes in storage for a couple of years, and I didn't miss any of it. I lived with my friends, then a miserable shared house that drove me to attempt suicide, then a bed & breakfast (Camden's alternative to a psychiatric hospital), then hostels, then the park, then a crisis house, then Hampstead Heath, then hostels again, then a kind man's spare room (who was horribly abused by his wife) and then the flat where I live now.

I've learned from my mistake, and I'll be storing the very minimum I can get away with. A lot of stuff is going to be thrown away. I know it sounds wasteful, but I've tried for over two weeks to sell some things for a price that makes it more like I'm being a charity than trying to get some money. Certainly, my time has been wasted more than you could possibly imagine, for an incredibly futile amount of money. I could make more money begging.

I now don't have enough money to pay for cheap accommodation long enough to get a job, start it, and get paid. There's also the Catch 22: in London, I can earn enough to dig myself out of the hole, but I can't afford the high cost of living. In some other town or city, I can earn enough to sustain my current shitty situation, but I'll never escape. Somebody's going to lose money they're owed (e.g. my landlord) and I'm going to pay reputational cost: credit rating wrecked, county court judgements... maybe even bankruptcy.

I could feel some relief to be off the treadmill, and be able to live "poor & happy" but poor is one thing, and having a black mark against your name is quite another. You can't even rent a place in this country without a credit check.

I'm not sleeping in a shop doorway that smells of piss, and having to beg enough money for food each day, but I've got a near impossible decision to make: is hope more important, or is it more important to have less pressure to keep a good credit score and avoid black marks against my name, They're both equally shit to be honest. As soon as I start defaulting on debts, the courts will fuck me over, and all hope of a simple life will simply evaporate - I'll be working shit jobs AND paying a disproportionate amount of my salary to leeches.

I've got a new pair of shoes, and they make me happy. My flip-flops, which were my summer footwear - very much part of my identity - I can't walk in because my left foot is numb. I tried cycling the other day, and it's really hard to bunnyhop with a numb foot. But, my summery shoes have been my lottery win, in the face of unrelenting worry.

How ironic, that the last time my life collapsed, I was trying to get away from somebody who was ruining my life, and this time, the collapse has almost been guaranteed by the fact that I left somebody who was improving my life, giving me hope, supporting me and underwriting some of my risks. I'll probably never meet somebody like that ever again, and that's the hardest thing... knowing that a moment of mental illness has cost me more than it ever has done in the past, and I've lost at least 3 well paid jobs because I went hypomanic.

I can't cope. I can't cope in the slightest. I can't even begin to face the first step down a road I've walked before. I've been cutting my arm again, but going slightly deeper and with a sharper knife; figuring out how hard I have to press to open my veins lengthways. I think about those 8 grams of tramadol - all you need for an overdose - and how easy and painless it would be. I think about the relief of it all being over.

The usual admonishment is about how selfish it is to leave so many problems for the living; that no matter how tidily you leave your affairs, somebody still has the awful task of going through the detritus of your life. What can I say? Sorry? It's not like anybody ever thought to themselves "oh, better not kill myself because it's a bit selfish".

Don't ring the police or panic or anything. If it's done and there's a body, you'll know and you'll be warned, so that unfortunately, some front-line worker will have to deal with it. At the moment, I'm just trying some food and some sleep, in the hope that this feeling will pass, because it's never been this strong and it terrifies me, to know I'm so close to the limit, but the need for some peace and relief from the stress and the misery and depression is totally overwhelming me.

"Try upping your medication" - oh go fuck yourself.

"There must be somebody who can help" - yeah, that's probably you, but because everybody thinks "there must be somebody" that means there's nobody.

"What about the government?" - yawn. Go watch "I, Daniel Blake" and then you'll understand what the Tories have done to the welfare state. Ken Loach didn't even use true stories he could have done, because he wanted to represent an average experience, rather than an extreme and sensationalistic one.

I'm going to try and sleep on it, but just getting through this evening seems like too much to cope with.

Tags: #suicide

This is a story about home visits...

I went to my GP. I forget why I went, but one of the main reasons was because I'd been depressed for so long that I wanted to try antidepressants again, but a really powerful combination called "California rocket fuel". One of the provisos of me getting the prescription at that visit, was that I would see a psychiatrist to review my case.

The first time I saw this new psychiatrist, the rocket fuel wasn't having much of an effect, and I offered to swap my stockpiled tramadol, in order to remain on the same antidepressants. She was really pretty worried about me though, and I was supposed to see somebody once a week.

I got a surprise text message from the Mental Health Crisis Team home visitors. That wasn't what I had agreed with the psychiatrist, and I felt let down by mental health services, again, so I ignored their requests to come visit.

By the time I went back to the psychiatrist for a second time, about a week after the first, I had become unwell, broken up with my girlfriend quite spectacularly and I had abruptly stopped the rocket fuel.

I didn't feel suicidal. I felt confused. I knew that the breakup had been done hastily, and that I didn't have the love and support that I needed. I knew that without her, my future was pretty bleak. I really had very few ideas about what to do next. My psychiatrist's concern - from the beginning - was to stabilise my mood. I'm not taking a therapeutic dose of anything at the moment, because it takes so long to safely start my new medication.

In some ways, the breakup prompted me to act with urgency - trying to sell high-value items and asking contacts for work. My energy has been low for as long as I can remember, and I still can't face the open jobs market. I've stopped even taking the recycling out or doing any washing. I started out well enough, but a couple of minor setbacks and I was discouraged

I was safe at her place. Safe from reminders of all the places where I cut myself, or put a knife to my throat and tried to find my jugular vein with the point of the blade. I was safe at hers, from self-sabotage and making an already long list of jobs even longer.

Back at my place I sank like a stone.

The thing about the Home Teeatment Team, is that you never see the same person twice. They all get distracted by the view and they have no idea if I'm deteriorating or not, which I most definitey am. If they saw me more than once, they'd notice the untidy beard, the dirty clothes, the weight loss, the extreme exhaustion.

My alternatives to home treatment are a crisis house or hospital. I'll be forced to leave my home, if I stop seeing the home treatment team. Come to think of it, I'll probably be forced to leave my home anyway.

I slept on the sofa last night, because my two bedrooms are in such a mess.

Ironically, the home treatment team will see a much better-presented version of me, this evening, because I had a shave. What they don't understand is that the reason I shaved was to make myself presentable for going to the shops. I don't really want my neighbours or my concierge to know that "unwell" is an understatement. I eat one meal a day, if I'm lucky. The only reason I'm showering is because of keeping up appearances for the home treatment team. I either don't sleep, or I pass out for a few hours. I wish I could sleep right now, but sleeping suddenly became really hard.

Tower Hamlets is at least well funded versus Camden, so I've got far more options. However, having a home visit from somebody different every day, really doesn't tell them that I'm sinking, fast. The pile of recycling is jut one of many clues that I'm in a bad way, and the downward spiral is getting beyond critical.

Bloody disaster.

Tags: #mentalhealth

This is a story about Nick Grant...

Here's where I start and end each day. My side is the far side with all the pillows. This is how morning begins, with the gathering of pillows to prop myself up in bed. You can also tell this is a morning photo, because of the dressing gown casually tossed aside. Also, because it's day and not night. I spend most of my life in bed.

Here you can see the charger for my laptop within grabbing distance of the bed. Normally the laptop would be within grabbing distance too. My day would usually start with checking my phone for Facebook notifications, WhatsApp messages, Twitter notifications and emails that don't look too scary, like I'd actually have to do anything about them.

I don't normally get up at 'breakfast' time, but this is what I would eat if I could be bothered to boil water, pour it into a pot and stir for a couple of minutes. Sounds like hard work to me. I would normally go for two slices of buttered toast, which I would take back to bed, in order to get crumbs everywhere for that lovely scratchy feel when trying to sleep.

Ah, I see you've found my floordrobe. Here are clothes that are clean, or at least appear clean and don't have any sick or pooh on them. It's against my religious beliefs to eat lunch in a dressing gown, so I normally don the garment which is on the top of the pile, having checked for sick and pooh. Then I saunter into the kitchen to see what I can have for lunch, requiring the least effort.

Mmmmm... it's brunch. Breakfast is a drink - a protein shake with the aforementioned oats, but all you have to do is shake the bottle. Lunch is also a kind of drink - soup - but you have to microwave it for 6 whole minutes or else it's not pleasant to drink like the protein shake. Also, do not drink the soup in big gulps straight from the container like you would with the shake... or at least not until it's cooled down.

All that getting dressed and microwaving has left me ravenous. I have supplemented my brunch with several packets of crisps and enough cheese to clog most ordinary people's arteries. As you can see, I'm still very busy doing things on my laptop that don't earn me any money.

Right, time to do something producti... wait a minute. There's hundreds of Sky TV channels, Apple TV, Netflix, Amazon Video, Now TV and BBC iPlayer. Let's find something educational to watch. Perhaps a documentary about history or something.

I suppose I could read a book; expand my mind; grow my intellec... wait a second. THERE'S A MAN AND HE'S GOT A FUCKING DOG. HOW DID I NOT KNOW ABOUT THIS? I can see how my afternoon is going to be spent. This is what a productive day at home looks like... TO THE MAX.

Fucking books everywhere. It's the academic equivalent of flopping your dick out at a dinner party and saying "pretty impressive, huh?". Fuck off books. I have to find out what happens to that man. And his dog. It's important.

Awww the dog owners keep giving their dogs little treats. I think I deserve a snack. It has been a stressful day. So many snacks; so little time. All your snacks are belong to me.

I should really go out; get some exercise. You can't eat as much as I do when you're not doing any physical activity all day. I'd better check what it looks like out there. There might be a blizzard, or a hurricane. There might be robbers or nuclear fallout. Nobody ever got killed to death while watching TV, did they?

Ah there it is - the outside. In fact, I am outside on the balcony. This surely counts as going outside AND exercise. That will do for the day. I'm exhausted. Looks a bit dodgy down there - I'm sure it's wall-to-wall robbers. That sky is threatening too - I'm sure that hurricane is going to arrive any minute now. Safety first; time to go back inside where it's safe.

People have been talking about "the hum" for years now. Well, I found out what it is. This fucking thing hums 24 hours a day. You can hear it even with all the double glazed windows and doors shut. Well, I suppose that's why this flat only cost a gazzilion pounds instead of a bazzilion pounds. London... the place where you're grateful to live with a fucking loud humming noise, just to own a tiny flat. My flat's valued at twice as much as this one and doesn't have a hum and it's bigger... but I couldn't afford to buy it.

I never drink before midday, but sadly that only applies on weekends and holidays. I've got to wait until 6pm and there's no white wine or gin left, and the red wine will stain my teeth, which will be a dead giveaway that I've been on the booze all afternoon. I suppose I can just look at it longingly.

I might just wait here in the hallway for her to get home. I'm lonely. Why does she have to work and pay the mortgage and buy everything I eat and cook and clean and take care of my every whim? Perhaps this is why some cultures allow multiple wives. I don't see why I shouldn't be allowed my own harem. I'm sure men would be in favour of bigamy if we held a referendum, which is at least 50% of the vote.

This is kind of like Big Brother Live, except you only see a contestant very occasionally and very briefly, as they walk down the corridor. Admittedly, I don't think that Endemol are going to pay me very much for the rights to produce the programme. It's entertaining me a bit though, and maybe I will be here at the very moment she arrives home. If I just wait here... will my patience hold out?

I said I was going to cook tonight. I'm making meatball fornication. I've got balls and I'm going to fornicate. Seriously though, here is a meal on top of a stove. I can cook and everything. I'm a modern man.

Only kidding. If I was actually going to prepare a meal, it would be a microwave ready meal. I was kidding about the preparing meals thing too. She's cooking chicken fajitas, and I'm under strict instructions not to eat the ingredients which are in the fridg... oh fuck. I ate the cheddar. No grated cheese for us on our fajitas. Oh well; I did eat quite a lot of cheese earlier, so at least *I* haven't missed out.

Hurrah! She's home. That deserves a toast. I'm going to drink all the alcoholz. Gin & tonic followed by white wine as an aperitif, then red wine with dinner and dessert, and then 'special squash' which can only be made while she's in the toilet. Sadly, the noise of me unscrewing a bottle cap means I normally get busted. Also, I reek of booze.

Time for bed. I'd better just take my medication. They all say "do not consume alcohol while taking this medication" but that's just advice, right, like traffic lights when you're on a bike. The doctor also told me not to take the maximum dose of tramadol and not to take it at the same time as the codeine but what the fuck does that jumped up twat know with their fucking 5 years of training. Fuck off. I'm also prescribing myself a combination of zopiclone, xanax and diazepam... all at doses well exceeding what those stingy bastard doctors will give me. It's the only way to get a decent night's sleep. Note: there's the dexedrine to help me wake up from my lethal cocktail of drugs, assuming I haven't died in my sleep.

"I'm just going to turn the fan on" she says just before we switch out the lights AS IF THE FUCKING HUM WASN'T BAD ENOUGH. Why was I even born? Why must I suffer like this? I must have been a paedophile in a previous life or something. YES, PLEASE! MORE NOISE WHILE I TRY AND SLEEP. Then the drugs kick in and the next thing I know she's kissing me goodbye before she leaves to go to her so-called job that earns the so-called money that pays the so-called mortgage and bills.

As you can tell, I'm the breadwinner and the brains of the operation round here. Man of the house; master of my domain.

And that, ladies and gentlemen, is my life.

Tags: #career #london