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If you're Happy and you Know it Shake your Meds

2 min read

This is a story about pill popping...

Chemist prescription

If you're unfortunate enough to find yourself on a psych ward, you might be surprised to discover that you don't have a choice about whether you take your medication or not - you can be treated against your will. That's worth repeating one last time: you can't refuse your treatment.

At the moment, I'm effectively unmedicated. I'm taking pregabalin for neuropathic pain, but I'm reducing my dose by 50mg every 4 days, so I will stop taking it altogether in just 12 days time. I'm taking zopiclone for insomnia, but I will halve the dose in 7 days time and stop taking it altogether in 21 days time. Meanwhile, I've been taking a tiny dose of lamotrogine - just 25mg - which is too little for it to have any effect.

But, presumably I was on some heavy medications while I was in hospital?

No. No I was not.

Since the 9th of September 2017, I've stopped drinking altogether - I'm teetotal - and I've stopped abusing benzodiazepines (Xanax and Valium). I've also not taken anything other than pregabalin and zopiclone. It was less than 3 weeks ago that I started taking a tiny dose of lamotrogine, which is not capable of controlling any mood disorder that might be troubling me.

I must admit that I rather toyed with the poor psychiatrists who saw me. I casually dropped olanzapine and sodium valproate into conversation, and their faces lit up like a Christmas tree. My fellow patients were acutely unwell, and injections of Depakote - colloquially known as "depo" - were dished out to anybody who exhibited troublesome behaviour. It's a sad sight to see somebody who's just had their injection, shuffling along the corridor like a zombie.

Although strictly speaking this is not supposed to happen, I dictated the medication I wanted. My notes from my psychiatrist in London had not travelled up to the North of England with me, and my new doctor (General Pracititioner) knew nothing about me. The clinical team had to take my word as gospel.

I'm now wondering whether to be compliant with the medication that I decided I wanted, or not.

 

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Notes on a Suicide - #WorldMentalHealthDay #WorldSuicidePreventionDay

8 min read

This is a story about slipping through the safety net...

Discharge summary

Exactly one month ago was World Suicide Prevention Day and exactly one month ago I was in a critical condition, on life support in intensive care. I was given a 50/50 chance of living or dying, following an overdose the night before. It seems sickeningly ironic that if the emergency services had reached me just a little bit later, I wouldn't be writing this. If I didn't live in the United Kingdom, where we have the best healthcare system in the world, I would probably not be writing this.

It was 9 years ago that I first sought help for my mental health. "Have you heard of fluoxetine?" asked my doctor, within 30 seconds of me explaining my symptoms: suicidal thoughts, low mood, low energy and an inability to get out of bed and go to work like normal. I was disappointed to be offered patent-expired generic medication, without a moment's hesitation. I walked away empty handed.

Clinical depression was where I started my mental health journey. Having the label "clinical" made a huge difference. To add that word - clinical - onto how I was feeling, was necessary to defend myself from anybody who might say "just snap out of it" or "pull yourself together". In my case, having a label was desirable - it wasn't an excuse; it was a diagnosis.

Every time I've gone to my doctor, I've been hoping to receive some counselling, but instead I got referred into psychiatric services as an outpatient in 2010. I was referred for Cognitive-Behavioural Therapy (CBT) treatment, but by the time I was assessed, my mood disorder had been diagnosed as type II bipolar disorder. The assessment concluded that my mood disorder was too severe to be treated with CBT. I was left with no psychological treatment. "What am I supposed to do?" I asked. "Go back to your doctor" came the reply. It was a devastating disappointment.

By 2011 I was so unwell that I was assessed under the Mental Health Act, to see if I needed to be detained in hospital - what is colloquially referred to as a "section". I begged to be hospitalised as I was suicidal. I repeatedly said the classic cliché that so many people will say when they are desperate for help: "I'm going to kill myself". Community Mental Health Teams (CMHTs), crisis teams and home treatment teams must hear those words so often.

With a shortage of psychiatric beds, there's a huge reluctance to "section" anybody. At the time of my first section assessment, my girlfriend and my dad were present, so the assessment concluded that I could be kept safe at home. In fact, I sawed a hole in the back of my shed, climbed over a neighbour's fence and ran away. The police were called to look for me because I was a danger to myself.

Soon after that, I was seen by a private psychiatrist, referred and admitted for 4 weeks of inpatient treatment at a private hospital. The cost was over £12,000.

There was some debate with my medical insurance company as to whether my bipolar disorder was acute or chronic. The insurance company said it was a chronic condition, and therefore not covered by the policy. The consultant whose care I was under, managed to argue - over the course of a couple of nail-biting weeks - that my presentation was acute.

Having to resort to the private sector; having disputes with an insurance company - none of this was conducive to getting better. In fact, having to find my own psychiatrist, get approval from the insurance company to even speak to the doctor and then having the stress of thinking that I might need to spend £12,000 of my dwindling savings, was an awful ordeal when I was clearly very unwell.

At the end of 2012 I got married and 8 months later I separated from my wife. She didn't care about the incredible stress that divorce and selling our house would put me under. I moved to London to live with supportive friends while my life was ripped to pieces. I lost my job.

By 2014, I completely slipped through the safety net. I took an overdose and lay dying of multiple organ failure on the floor. I managed to phone a friend who got me to hospital. After a week, the hospital discharged me to a hotel. I had two weeks to organise my own accommodation because no bed on a psychiatric ward could be found for me. My muscles were horribly damaged by the overdose and I was in agony. With a bundle of documents to prove that I was a priority case for emergency housing, I visited the local council housing department. The officer I saw promptly disappeared on holiday, abandoning my case. I became homeless.

After living in cheap backpackers' hostel, I reached my two week limit, which is a rule that most hostels have. I then started living in a bush in Kensington Palace Gardens. When it became apparent that living in a bush was not a long-term solution, I stumbled into nearby Paddington - St Mary's Hospital - and presented myself at Accident & Emergency. 12 hours later, I was given two weeks respite in a "crisis house". I tracked down the housing officer who I'd spoken to before. At the end of two weeks, I received a one-line email: I wasn't eligible for any help from the local council. Why? What now?

I was homeless on Hampstead Heath. It was very beautiful, but it was still summer. What was I supposed to do when the weather turned bad?

How had this situation come to be? I'd been a highly functional, productive and fine upstanding member of society: I'd had a successful career, paid taxes all my working life, bought a house, gotten married and done all the things we're supposed to do. What the heck was I doing homeless and abandoned by the state when I was obviously a vulnerable adult? My doctor had written a letter saying I was a vulnerable adult, and my psychiatrist had done the same. These letters had been presented to the local council housing officer, but yet it had made no difference. What have you got to do to get help in this country?

Eventually, I came to be living in the North of England, in an apartment which was a perk of a job I'd taken out of desperation. The apartment was miserable, dark and dingy, and I was terribly lonely. On the 9th of September 2017, I took a massive overdose, which I had researched on the internet to make sure it was likely to be fatal. I regained consciousness after having been in a coma, in hospital, on the 11th of September 2017 - I had completely missed World Suicide Prevention Day. A machine was breathing for me and I was put back to sleep. I didn't leave the intensive care and high dependency wards until the 12th of September 2017.

On the 13th of September 2017, I found myself discharged from hospital and left to flounder all on my own. I didn't want to go back to the apartment where I'd tried to kill myself. I've not been back there. I'll never go back there.

I was sectioned - a section 136 - after being taken to hospital by police. I had to make a massive public nuisance of myself in order to get help. The hospital upgraded me to a section 2, which meant I was going to be kept on a psychiatric ward for up to 28 days. Why now? I'd had two near-fatal overdoses, which had hospitalised me in a critically ill condition, but yet I hadn't been considered enough of a risk to myself to receive inpatient psychiatric treatment. Why did it take so long to finally get the treatment I'd been begging to get for 6 years?

The psychiatric ward discharged me from my section after 12 days, and another week later I was discharged from hospital - a good samaritan has taken me into their home. Again I wonder why no temporary housing was forthcoming, given the fact I am so vulnerable - I lost my job and my apartment due to mental health discrimination. I'm being victimised again & again.

I'm in a safe place now, but my food & accommodation comes from a charitable family who have taken pity on me, after reading my story on my blog - we clearly don't have a system that works for the whole of society. We can't all turn to Twitter every time we're having a mental health crisis.

My Twitter followers brought the emergency services to my door, saving my life. Through my blogging and social media presence, a stranger read about my desperate plight, and kindly offered to take me into the family home.

Today, I feel OK, but why have I been subjected to such a horrific ordeal? I very nearly succeeded in ending my own life, because no help was forthcoming when I really needed it - we're locking the stable door after the horse has bolted.

Using myself as a case study, the safeguards we have in place to prevent suicides are woefully inadequate. My first-hand experience of NHS mental health services, is that they're desperately underfunded and overstretched.

There will be so many tragic preventable deaths if we allow the current situation to persist.

 

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Therapy¿

6 min read

This is a story about being overwhelmed...

Park bench

I sit sunning myself in the park. It all looks very idyllic, doesn't it? How enviable my life is - I have not a worry in the world. Wouldn't you too, love to be as footloose and fancy free as I am? Wouldn't it be great if you were unburdened from all your responsibilities and worries, and could just cavort around doing whatever the fuck you wanted, just like me?

A friend phones me. He tells me that all my problems are all my own fault. I can't disagree with him. He tells me that I'm self-centred. I can't disagree with him. He tells me some stories about some problems in his own life. I can't say that my woes are worse than anything he's been through. He tells me about how tough things are in the developing world. I can't disagree.

My head buzzes with thoughts. My thoughts aren't racing; they're quite rational, reasonable, structured and logical. My thoughts aren't warped by a broken ability to correctly perceive reality - I corroborate how I'm feeling with people who are considered to be sane, to validate that I'm not thinking what I'm thinking because I'm unwell.

I've been seriously unwell before. I sat in ice-cold bathwater for hours with a sharp knife at my throat, keeping my elbow on the bathroom door so that if it was opened it would drive the blade into my jugular vein and carotid artery - that was unwell.

I've been seriously unwell before. I've imagined people abseiling down the side of my apartment block who were going to smash in my windows and come into my bedroom. I've imagined that I'm being spied upon. I'll leave it to the reader to conclude what psychiatric label is usually attached to such thoughts.

I've been seriously unwell before. I spent 12 or even 18 hours at a time, trying to make something out of cardboard, string, plastic, rubber, metal, wicker, cloth or whatever else was lying around. I was once convinced I was building a house around myself, but when I had a moment of lucidity, I realised I had simply been moving the same cushion around in a small circle, in a trancelike state.

Of course, I'm not claiming to be well at the moment.

It's been suggested to me by a few people that I could be malingering - that I took an overdose that was very likely to kill me in circumstances where I was very unlikely to be saved, fully knowing that I would survive... somehow; that I managed to fake mental illness so well that I was brought to hospital under a section 136 by the police, and that I continued to fake mental illness so well with the team who assessed me, that I was detained in hospital under section 2 of the Mental Health Act. It's either the greatest ruse - a masterful piece of deception and death-defiance - or maybe it's really easy to abuse the few brain cells I still have left, for nefarious purposes.

Anyway, I'm not supposed to be writing about myself. Think about the starving African children.

Where do you think I live? How do you think I eat?

I'm dependent on charity.

Park bench.

Yeah, damn straight I'm glad I was born in Northern Europe, in a wealthy country where we have a welfare state. Damn straight I'm glad I don't live in some hot dusty shithole, where hunger and disease are rife.

"I want to go home"

My home is this park bench. It's true, I have received kind offers to live with a couple of very charitable people. It's a big deal, to invite a mentally ill, recovering alcoholic, recovering addict, into your home. I bet you wouldn't do it, would you? I probably eat newborn babies and stomp on kittens' heads, just for my own sick amusement.

"I want to go home"

I hear people asking to go home a lot. Every day I hear people shouting that they want to go home. I don't ask to go home. I wonder why?

I chat to somebody about living in a caravan and hiding from debt collectors. My heart leaps. I yearn to escape the relentless pressure I feel to get back to work and start turning the pedals again, but I'm conflicted - I'm a principled man and I want to service my debts; I want to play by society's rules.

Nobody plays by society's rules, except those at the bottom who are trapped into poverty - they have no choice. I've played by the rules for long enough, and it's made me so miserable that I tried to kill myself. People urge me to take a break from the rat race, but they don't understand that the house of cards is going to collapse - there's a lot of money riding on me being able to get back on my feet.

Like a sportsman who chokes at the critical moment, I feel immense pressure to perform and it affects me.

It sounds like I'm pointing the finger of blame everywhere other than myself. Is that your signature on a contract that says you would accept Payment Protection Insurance (PPI) on that loan? Why didn't you read the contract? Did you take out that endowment mortgage or didn't you? How come you didn't understand something that was completely straightforward? Why won't you take responsibility for your obligations?

My friend is right. My life is a problem of my own making.

This whole fucked up mess is a problem of our own making. We are joint and severally liable - do you understand what that fucking means? Do you own up to your part that you've played in all of this?

I'm trying to do my bit and it's making me unwell. So unwell in fact that I tried to kill myself. I mean proper kill myself - dead, forever, gone, finito, sayōnara, the end.

Either I'm the most devious bastard that ever disgraced the surface of the Earth, or circumstances are somewhat out of my control - I'm not fully responsible for the gigantic mess I'm in. Of course, I'm a very convenient scapegoat though.

Although it seems very disjointed and jumbled, this blog does not write itself effortlessly. This blog is not unimportant. This blog is important to me, so that's at least one reason why it's important - I don't need any more than that. Call me selfish and self-centred all you like but I've tried to remove myself from the picture, and I failed. Am I supposed to be sorry that I'm not dead, and I'm still wasting your precious oxygen? Am I supposed to apologise for writing something that you could choose not to read, if you wanted to?

Think about the starving African children. Wow I'm cured!

 

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Two Weeks Ago I was Dead

9 min read

This is a story about the comeback kid...

Hospital property record

Here's quite an interesting document, to me anyway - it says that I was transferred to a Northern city hospital's intensive care unit (ITU) on Sunday 10th September and all I had were the clothes on my back. The date of my original admission to hospital - Saturday 9th September 2017 - is shown quite clearly in the top left, under my name.

The reason why this document is interesting to me, is that I started having seizures at some point after arriving in hospital. I was already well into a fatal tramadol and codeine overdose when the emergency services got to me. I'm pretty sure I remember the hospital telling me that they'd make me as comfortable as possible but I was probably going to die, or words to that effect.

I've been through all my paperwork and I can't find my hospital discharge summary. I suspect that it may have gone wayward during the insane events of the Wednesday & Thursday following my fatal overdose. I will be obtaining another copy as soon as I can. Any documents I can lay my hands on are useful for me, because seizures, coma and unconsciousness are not particularly conducive to remembering the events of my hospitalisation very well.

What must be self-evident is that I was very sick indeed, to have been in intensive care.

Anybody who's followed my story knows about my plans. One only needs to go back to a blog post on August 10th to see one of the actual boxes of legally prescribed medication that constituted part of my fatal overdose.

I use those words fatal overdose quite deliberately. I had calculated the dose that would be fatal, doubled it and then chucked in another shitload of prescription opiates for good measure. I wasn't messing around. This wasn't a cry for help. This wasn't some attention seeking bullshit. This was a very real, calculated, pre-planned and meticulously executed suicide - following the precise steps that I had outlined earlier in the day.

It might surprise you to learn that I set an alarm on my phone, so that I wouldn't tweet or otherwise let on that I was in the process of killing myself, before I was beyond the point of no return. Who does that? Certainly not somebody who has any intention of going on living, I would've thought. Would you be brave enough to take a fatal overdose and gamble that you might get saved by social media? Seems like a pretty dumb publicity stunt or way of getting attention - in all probability you'd just wind up dead.

I remember when I was in the Emergency Department of the hospital, trying desperately to get a drink of water - I was fully aware that having more fluids in me would allow more of the deadly medications to be absorbed into my bloodstream, accelerating my death. The hospital were wise to my suicidal intent and they knew that they could ignore my requests to not be treated, as soon as I fell unconscious or started having seizures. The anaesthetists must have stepped in at some point and put me into a medically induced coma.

Imagine waking up in a hospital gown, with a tube coming out of your piss hole, sellotaped to your leg. Imagine waking up and not being able to speak, because there's a tube down your throat. Imagine waking up and all you can see all around you are machines that are either pumping stuff into you or taking stuff out - loads of screens and loads of digital readouts. I had more input and output ports than a Personal Computer (PC) from the 1990s.

I've written about this before, but I need to write about it again, because I'm trying to process what happened to me with only the scant information that's available. Between the hospital and the police, they pretty much conspired to keep my friends, family and work colleagues completely in the dark about whether I'd lived or died and what the hell was going on. I wasn't really conscious until Tuesday 12th of September 2017 - that's quite a long time to be in limbo land. On the Tuesday, I was vaguely aware that my sister and my work colleagues wanted to speak to me, and I wanted to speak to them, but I wasn't allowed to. What utter bullshit.

The police have since phoned the company that I was working for, and told them in no uncertain terms that I was in hospital and not at all able to communicate with them to let them know I was going to be off work on the Monday & Tuesday. However, the company has severed all contact with me and has been avoiding the office since Wednesday 13th September 2017. What on earth could they be so afraid of, that they daren't answer the phone or go to the office? What on earth are they thinking? I have no idea, because they won't return my calls or reply to my emails.

Over that Wednesday & Thursday following my fatal overdose, everything collapsed around my ears. Without a phone, wallet, cash, laptop or any of the other things most of us take for granted every single day, I was lost in a city that was nearly completely alien to me, with not a single person to turn to. It was highly distressing. It was exhausting and stressful, to go from place to place, replacing whatever I could.

The Apple Store in the nearby shopping centre became the centre of my world, having been impolitely muscled out of my office with rather flimsy excuses. I dug my heels in, because something fishy was going on and I wanted people to come clean - what the fuck was going on? Why was I being treated so unprofessionally? It was a horrible experience, and not something I should have been put through, given my recent discharge from hospital.

I received a phonecall saying I had an email with some letters from a solicitor, from the company I was working for. How was I supposed to read this email, without my laptop or smartphone? Nobody from the company would speak to me properly. I did not receive even the bare minimum professional courtesy that should be extended to somebody who'd been a valued member of the team for some time.

Because the matter is now being handled by legal professionals, due to the complete refusal of the company to treat me with the common decency that any human being might expect - let alone adhere to contract and UK laws - I can't really go into any more detail. I'll be sure to share the details of any court proceedings so that this blasted company can't get away with their inexcusable misbehaviour.

Of course, the pages of this blog document my darkest secrets in unflinching detail, but this is therapy for me and I do not mix my professional and my social media identities in a way that might besmirch or sully the reputation of a company that is trading ethically and within the law. There are a lot of Nick Grants out there in the world, and I'm just one of many. In fact, this whole blog could have been created by somebody who maliciously intended to impersonate me, for nefarious purposes, couldn't it? Have you been careful to check who actually controls my Twitter, Facebook and blog? Is there anywhere that there is a direct reference to who and what I actually do for a day job, that could justify the mistreatment I've suffered?

One should remember that this blog has been the best thing I ever did, in terms of being able to stabilise my life and recover my poise after homelessness, addiction, alcoholism, financial problems and a whole world of pain, absolutely tore me to shreds. Should I hang my head in shame and hide in the shadows? Should I keep my mouth shut, and pretend that nothing bad ever happened to me?

There's absolutely no way you're gonna shut me up without killing me. I'm loud and I'm proud. It's more important that I write my story in unflinching detail, than cowering in fear and attempting to cover up what's happened to me. What have I got to be ashamed of? I've worked damn hard to get my shit together after it was blown to bits, so I'm damn well going to write about it.

Of course, culturally we only allow those who are already successful to share their stories of their life struggles, that challenge the status quo and our preconceptions. Paul Gascoigne and George Best have done a lot to bring the ethical debates surrounding alcohol abuse into the public consciousness, for example. Ronnie O'Sullivan and Stephen Fry have candidly shared their experiences of cocaine addiction, but yet we still revere them as great people... why is this? If you've been reading carefully, you'll know that I'm teetotal and I'm not on any drugs, except for pregabalin (for nerve damage) and zopiclone (because it's bloody hard to sleep on a noisy psychiatric ward of a hospital) which are both legally prescribed to me.

It seems I've taken a battering, because of foolish assumptions that have been made about me. Just about the only correct assumption that you could've made, is that I should probably be dead, after having ingested such a massive overdose and had plenty of time for it to take effect before the emergency services got me to hospital.

I really can't get myself into the mindset, where I would mistreat somebody who'd been hospitalised and was very sick. Please, somebody explain to me what have I done wrong, apart from what I've already very publicly admitted to? Is it right to crucify me; to punish me beyond the punishment that I've already suffered? Do you not think it was awful, what I've been through? Why would you put the boot in and kick me when I'm down? I don't understand why the shit continues to be rained down upon my head.

Does somebody want to explain to me how it's at all ethical, that I came to find myself homeless, unemployed and isolated in a city I'd never set foot in two months ago, after I took all the risks and put in so much effort to try and make a go of things?

Answers on a postcard to Nick Grant, Planet Earth.

 

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Perception and Reality

10 min read

This is a story about therapy...

Ward activities

Everybody's an expert on my mental health, it seems. I need to be exercising more, eating a balanced diet, abstaining from alcohol and mind-altering substances BUT not the ones the doctors want to give to me. But which doctors? Every doctor has a different idea of how I should be treated - which doctor should I listen to? Perhaps somebody else knows, because people have some very strong opinions on what I should be doing, considering that only a handful of individuals with whom I am still in contact, have known me for any length of time and have followed along. Only I know what I've tried before and what I haven't - what works and what doesn't.

Here, there's a student nurse whose dissertation investigated the benefits of exercise, in terms of potentiating - that is to say improving - the efficacy of medications. Not considered for a single second, was the control study which would have investigated the efficacy of exercise alone. This student nurse, who I find passionate and intelligent, was eager to suggest that I tried sodium valproate or lithium - both life-shortening medications prescribed to people who have regular episodes of mania where they believe they're Jesus reincarnated etc. Everybody thinks they've got a cure to a problem I might not even have - it was under a very dark cloud that I entered hospital, one must remember.

Externally, the perception of a psychiatric ward is that it must be a place of therapeutic activities and meetings with doctors to fine-tune my medications and cure me of my madness, making me safe to release back into the community again. Internally, my fellow patients perceive staff members as persecutors, jailers and masters of everything from food & drink, to bedtimes and bathtimes - a cross between a policeman, a teacher and a parent. Certainly, to have a blackboard on the wall is an incredibly dated nod to the classroom days of our youth. Note that the list of activities for the ward is completely blank, which I find quite accurate... not that I'm complaining.

The UK's stringent fire regulations for institutional buildings - hospitals, schools etc - mean that they look very similar. A company that manufactures and supplies the fixtures and fittings for a school will probably also supply those same items to a hospital. Everything needs to be built to last in this incredibly abrasive environment, where the footfall in the corridor would destroy even the most hard-wearing of floors, laid by a contractor who normally worked in regular houses. The finish is not just high standard, but the selection of the materials used has been honed over the years to create an interior that is easily mopped and wiped down, and very hard to damage.

As a patient, I find myself recalling my schooldays, as a dinner lady ladles goo onto plastic plates and I sip juice from containers that are identical to those that I had in my boyhood. Just like school, nothing much really happens except for crowd control. There is a little sifting and sorting, so the naughtiest boys end up in the shittest parts of the hospital, and the golden child will find themselves in the top class. However, it must be remembered that staffing a hospital is a job to quite a lot of people, and over the many years that they will work their job, any ill-founded notions of making a difference, will be thrashed out of them by the system. Nothing changes very much or very fast in massive organisations - you can't fight the system, or else you will drive yourself insane... that goes for both patients and staff.

It's very hard to not be driven mad by being hospitalised. It's a chicken and egg situation. For sure, nobody gets hospitalised without putting some effort into it. It's very hard to get a psych bed in the UK, unless somebody's gonna pay £5k/week for you to go into a private place. Of course, the patients here are here for a reason, but I have also experienced the terrifying moment where I realised that my liberty has been restricted. I just heard the jangling of a massive bunch of keys, carried by one of the staff members, as she passed my bedroom door. If I was to draw back my curtains, I would see bars on my window, to stop anybody climbing in or out. There are constant reminders that I'm here under lock & key, and to escape would require a little more social engineering (or climbing) than another secure ward that I was on in 2015, where I could have just walked out behind somebody who was leaving the ward, and then run away. To run away now, I would need to request an escort off hospital premises, and then I would simply get an Uber or perhaps I might have arranged a local cab company to have my getaway car waiting. I came into hospital with £1,150 in crisp £50 notes, so I have the financial means to grease whatever palms I need to.

Why would I want to escape though? Yes, you're right - to discharge myself prematurely would be a mistake. This isn't a very therapeutic environment, because staff spend so long spying - quite literally - on patients, which is absolutely dreadful for mental health: creating an us & them culture and exacerbating even the slightest hint of paranoia. If you value your dignity, privacy and liberty, psych hospital is not for you. There aren't any therapeutic activities. However, it is a safe place where my rent and bills are paid, I get 3 free hot meals a day, I get my own bedroom/office type thing which is quite generously proportioned and has an ensuite bathroom, and I don't need to cook, clean or otherwise worry about the responsibilities that burden nearly every other creature that was unfortunate enough to have been born.

Sounds nice, doesn't it? Perhaps you too would like a stay - mandated for up to 28 days on a section 2 - in the hotel "psych ward". Perhaps you imagine that it's a calm and restful place, where I get to sleep lots and read books. I think perhaps you're getting confused with that holiday you took to Tuscany last year. On a psych ward, you get woken up in the middle of the night by alarms going off, staff running in the corridors, yelling and screaming. On a psych ward, music blasts at top volume from patients' bedrooms, because headphones are not allowed lest we strangle ourselves with the cables. On a psych ward, one must evaluate the level that one's fellow patients are intoxicated by their cocktail of medications, and whether one has the energy to engage in their psychoses that are extremely repetitive - I've been here a week and I've learned a little of everybody's "thing"... their particular identity on the ward, which is characterised by an apparent madness, which is why we must remain here. I wonder what mine is? The staff tell me that I'm lazy - always just sitting with my laptop. Yes, that must be me right? Probably just watching mindless Netflix rubbish on it, right?

Ward rounds - when important decisions about "leave" are made - happen on Fridays and nothing else happens apart from waiting and hoping. Most patients here are hoping to get some leave. Some have not left the ward for nearly 6 months - considered too much at risk of running away, if they were allowed out of this super secure part of the hospital, accompanied by a staff member.

Gossip is rife, and everybody on the ward knows that I arrived with a wad of cash and was granted leave from the hospital almost immediately. I try to downplay these things, and now people have forgotten. When takeaways or shop orders are being placed, I feign not having any money, in the hope that I can alter my perception in the eyes of my fellow patients and the staff. I remember being called into the office, simply because some of the senior staff members wanted to have a look in my envelope, containing all those fifty pound notes. It's totally vulgar, and an accident of the illness that was stimulated into existence by the ridiculous sleep deprivation, stress and disruption to my medications and routine, over Tuesday / Wednesday / Thursday of last week, which followed my near-fatal suicide attempt... it should be expected that my behaviour would have gone a bit haywire, under the crushing pressures I faced.

Perhaps I will be "stepped down" to a less restrictive ward today. I had to pack my bags last night, because I thought I was being moved. I should have remembered that nothing happens very quickly in the National Health Service, but sometimes if you're quick, you can nip in before the system decides that actually you're getting ahead far too fast. I'm not really in a rush to go anywhere though - this ward is perfectly decent and I know the two spots where I can get 3G signal.

I'm here to recover, but I'm not here to feel completely isolated. Who do I know in the local area who can come visit me? Two months ago I'd never set foot in this city, and the company I've been working for has cut all contact and has been skulking around in a most unusual manner. I have nobody - it's a real ball-ache for any of my friends to travel, just for a 2 hour visiting slot. Even my fellow patients, who are locals, do not have visitors - the hospital environment is not exactly somewhere people would like to spend their free time.

Should I immerse myself in the daily rhythms and routines of the hospital? Should I hang around by the door to the kitchen, looking for food scraps to be tossed out? Should I hang around by the door to the yard, hoping to be let outside? I'm not a fucking dog. I find it immensely useful to maintain contact with those who are still in full possession of their marbles, while I'm in an environment where staff humour the patients - "is it Tuesday today?" one asks, and is told that yes it is, even though it isn't... is that useful, helpful, therapeutic?

was very sick when I was brought in, without a doubt. Some incredibly stressful things still hang over me, like Damocles' sword. I have little power to influence the speed of my recovery, nor the speed with which those who have wronged me are forced to offer recompense. At least I'm in a safe place to pursue what is rightfully mine: to get money that is owed to me and recover my possessions. I'm in a safe place to make arrangements for housing and income, so that I don't fall flat on my face, as soon as I leave.

I'm glad I'm here, at the moment.

 

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Pay my own fun oh and I pay my own bills

9 min read

This is a story about inconvenience...

Candlelit dinner

Being an independent man is not all it's cracked up to be. The trash that is strewn throughout my apartment is there to greet me when I get home, exactly where I left it all. Despite my best efforts to streamline my life and create an efficient existence, the daily demands of basic living outpace my ability to stay ahead.

Upon my coffee table are empty beer and cider cans, a used fork, mug and wine glass, half a pint of lime cordial, €50, a cigarette lighter and two candles, baby wipes, two rechargeable batteries, a rubber band, the plastic wrapper from a piece of cheese, a red ribbon and a roll of kitchen towel.

On the floor lies the plastic that held a 4-pack of cans together; the cans having since been separated from each other; no doubt their contents now consumed.

This is - in the English vernacular - my 'living' room. If I was going to do any withdrawing it would be to my bedroom, not my drawing room. I am not lucky enough to be blessed with a drawing room. My minuscule city centre apartment only has one reception room, which must double as both a place to sit and a place to eat - a 'lounge-diner' in the parlance of an estate agent (also known as a realtor, for my North American readers).

Washer dryer

As well as clearing away the trash and doing my recycling, I also have the glamorous job of putting away my dried laundry. As you can see, my kitchen is not capacious enough to accomodate my trashcan, recycling AND leave me able to open the door to access my washer/dryer. Everything serves at least a dual purpose in this microcosm.

Gone is the luxury of the Nick Grant patent Floordrobe™ which allowed me to dump clean clothes into a number of boxes in a pseudorandom manner. Underpants and socks would be slowly sorted towards the rightmost boxes. Jeans and hoodies would be slowly sorted leftwards. Other garments would find themselves in whichever box they could fit in. Getting dressed would be a kind of rummaging exercise.

Now, I must carefully pair my socks and put my undergarments away in one of the three drawers that I store my clothing, bedding and towels within.

My life is pretty much indistinguishable from that of a successful multimillionaire pop star, as you can see.

System failure

Somebody has not been following the Operating Procedure Manual correctly. Used orange juice cartons should be discarded, as the waxed paper is not recyclable. The beer can should be in the recycling bin, ready to be emptied into the communal store. The plate and other cutlery should go into the sink, in the absence of any other space in which to temporarily queue these used implements, in preparation to be washed by hand.

Dirty dishes

The backlog of washing up is slowly accumulating. In order to fill this sink with hot soapy water, it may become necessary to remove the dirty items beforehand. I admit, this is an inefficiency, but I have not yet managed to find a convenient gathering place for the things that I will need to clean at some future time.

Living alone, I feel slightly better that I don't have to fill my dishwasher before I run it, in order to make energy-efficient usage of the household appliance. It's no hardship to wash a few plates, glasses, cutlery and utensils, but a dishwasher serves as a place to neatly stack the dirty dishes while one waits for the critical mass to be reached to justify the electricity, water and detergent that will be used.

Man fridge

I'm pleased that my refrigerator is not overbrimming with things that I am unlikely to consume before they are rendered inedible through mould and bacteria. It might be a sad sight, to see a fridge that belies such a pitiful existence, but at least there is nothing rotting or smelling bad in here.

If there appears to be a system, you are mistaken. By accident, all the alcohol has been concentrated on the top shelf, while the door contains the milk and orange juice as one might expect. However, the discrepancy between the position of the ketchup and the mayonaise shows that this is perhaps the most randomised of all areas which might be covered under my Operating Procedure Manual.

Larder shelves

Now, we may look upon the systematic and rigorous thinking of an engineer and marvel. Upon the top shelf is bicarbonate of soda, which is useful for baking as well as making crack cocaine. The middle shelf is where my favourite crisps and biscuits are stored. The bottom shelf contains freeze-dried meals for breakfast, lunch and dinner - oats, pasta and noodles - which can be prepared with the simple addition of boiling water and only require stirring once or twice, to prepare a modest quantity of food within just 5 minutes.

Although the food in this larder has extremely high salt and carbohydrate content, there are actually some nutrients contained in these convenient packages.

I prefer to look to my fridge for a meal which can be microwaved, containing a mixture of meat and vegetables. The 'ready meals for one person' that I purchase - two for £5 - are the mainstay of my evening diet, excepting alcohol and crisps. I am supposed to consume 2,500 calories on a daily basis, as an average adult man - my breakfast starts healthily with orange juice, strawberry compote, a banana and porridge; my lunch marks the beginning of a downward spiral, as I devour a heated buttery flakey pastry with rich meaty filling; my dinner is largely a liquid diet of either beer or wine - I'm not fussy as long as alcohol makes up the bulk of the remaining calories that are the source of my sustenance. I imagine that I am consuming more calories than I need, given that my flat stomach now lurks somewhere beneath a modest covering of fat.

Finished dinner

With my belly now full of wine and cottage pie - eaten directly from the plastic container in which I microwaved it - I eagerly anticipate spending the remainder of my waking hours restoring my tiny oasis of calm to a state of good order. Actually, I'm being sarcastic as fuck. I'm appalled by the idea that I now have to make several trips to the trashcan and recycling box, put away my clean laundry, wash my dishes and clean down the surfaces.

The more astute reader will have picked up on references to objects that seem out of character with a life of singledom. What, pray tell, would I be doing with a red ribbon and candles? On closer inspection of photographs, one can see strange objects like a hairbrush which looks like a penguin, were it to be turned over. It's not uncommon for hair straighteners, hairdryers, women's shoes and handbags, as well as other feminine accessories, to be seemingly randomly distributed throughout my apartment. In the course of courtship, visits seem to bring a shower of objects that would have no place or purpose in my normal day-to-day existence.

What should I do with the talcum powder on my dining table and hairbrush that I found buried deep in my couch?

My own life is barely manageable. I'm upset that I haven't found the time, energy or space to write for over a week. Some of my most beloved friends in the Twittersphere have written to me with concern that I have disappeared, fearful that perhaps I have relapsed and disappeared into some kind of institution, or perished.

When I set out to write a blog two years ago, I said to myself that I would try to write every single day; to be disciplined and give my life some purpose, even if I didn't understand what that purpose was at the time.

Now, as I slowly approach the million word mark, I'm pleased that I have written so much and so regularly, but the thing that I always wanted to avoid - mundane writing about my day-to-day life - has imposed itself upon me to such a great extent that I share with you, my beloved reader, the intimate details of a somewhat lonely and desperate existence. Of course, my blog charts the ups and downs of bipolar disorder, substance abuse and functional alcoholism, along with the journey from homelessness to somewhat more stable living arrangements.

The most perceptive amongst you will have detected the subtle undertones of a cry for help. How is it that a grown man can collapse under the trivial weight of some unopened mail and the other detritus of daily life? I don't know, but I can tell you with certainty that the effect on my sense of wellbeing is nontrivial, when I arrive home to an apartment in some state of minor disarray.

I'm happier than when my life was unencumbered by dating and women - as well as meeting new friends - but I'm also disproportionately freaked out by my delicate system being disturbed by tiny things that have seismic impact, psychologically. Is this hyperbole? Yes, it seems like it when I have tackled the list of easy tasks to put things back in good order. But my priorities are somewhat perverse: work, sleep, eat... and write. To say that the domestic duties are beneath me is wrong. I clean as I go. I tidy, wash and organise as an integral part of my movements. The left hand washes the right.

The minimalism with which I live my life - everything I own that's important to me fits in one large suitcase - is encroached upon by other lives which are messy and hard to integrate with my own systemic approach. Why would you leave that THERE? I wonder to myself, attempting to reverse-engineer the thought processes that probably don't exist.

A place for everything and everything in its place.

 

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Concentration

9 min read

This is a story about depression and burnout...

Lime cordial

If there's one thing I hate, it's a long drawn out journey to the grave. I really don't want to be on my deathbed, remembering the past, but unable to distinguish one day from any other. So many of us are in a routine of waking up, pressing the "snooze" button, having a shower, getting dressed, going to boring bullshit jobs, coming home, watching TV, preparing some food, loading the dishwasher, doing washing & ironing, and having joyless sex or masturbating to pornography - all purely to relieve the animal urges to copulate, eat, drink, piss, shit and sleep.

Life offers very few opportunities for memorable experiences, especially if you have made the ethical decision not to clone your genes through the impregnation of yourself or somebody else. This does not automatically mean that I consider myself morally superior or in a position to hand down judgements from my high horse. To write emotively on one topic does not logically confer that I hold negative views on those who have embarked up the one-way street that is motherhood or fatherhood. Please; do not send me your protestations that being a parent is both tough and rewarding. I KNOW that parenthood is something that I have no first-hand experience of. I DO respect everyone's unique set of life decisions - everyone's gotta live their own life as best as they see fit, and are able to do, playing the cards that have been randomly dealt to them.

My approach to life remains very much the same as it's always been: high risk, high reward.

I joked with a girl - mocking her - that I had fathered a string of illegitimate bastard children, and was being mercilessly pursued by the Child Support Agency (CSA) for money to pay for the upkeep of these offspring that I had carelessly brought into the world. She thought I was being serious.

So, where is all my wealth hidden? I've been a top-bracket taxpayer for most of my working life. Surely I can't have squandered so much disposable income on drink & drugs, and also been able to have a successful career. This is either unthinkable, or grossly unfair that I've had such a surplus, but yet still managed to snatch defeat out of the jaws of victory.

I've paid for convenience whenever I've been able to. Why would I clean my toilet, when I could pay somebody less than I earn per hour? While the cleaner has the close encounter with the porcelain throne, I could be working on a more glamourous project that pays very handsomely. It's a false economy to clean your own toilet, just as it is to do all of the many household chores, which can be done by a professional housekeeper.

When you apply this cost:benefit analysis to your entire life, you end up spending 37.5 hours a week reading news websites and planning your next holiday; enjoying a lifestyle that is approaching the much vaunted "age of leisure".

If you think I'm lazy, you're wrong. Only a crazy person would do the same repetitive tasks that they could easily automate, or train somebody who's prepared to do the work - subcontracted or outsourced - for less money, which leaves you with a net profit AND you don't have to do the shitty job. Repeat this process, because it is scalable, and you're on the right path... assuming you want to be rich and have lots of spare time. Perhaps you LIKE punching meaningless numbers into spreadsheets. Perhaps you WANT to clean toilets.

I looked at a list of the seven deadly sins, and realised that I could be a poster boy for Christian immorality.

If you've ever taken an interest in astrology and the signs of the zodiac, then you're easily fooled by writing that is deliberately ambiguous, leaving the interpretation to the reader, to apply to his or her own life. Religion has made a healthy living out of contrived platitudes that are completely meaningless in the context of the realities of human existence. The Bible, the Qu'ran, the Torah and all the other religious texts are so written as to be [mis]interepreted by the faithful flock.

One might as well say that if you breathe air, drink water, consume fats, proteins, carbohydrates, salts, amino acids and other vitamins and minerals, as well as trace amounts of every element & chemical compound, then you're a doomed sinner. If you urinate, defecate, ejaculate and perspirate, you're going straight to Hell. The demons that walk amongst us, corrupting our innocence and threatening to plunge society into chaos and destruction, are those who fornicate, copulate and enjoy fellatio or cunnilingus. The fact that all of these things are encoded into the very fabric of our corporeal vessels - the DNA of almost every cell in our body - is a fact that seems to have escaped the notice of those who are so easily conned by priests, vicars, preachers, witch doctors, shaman, tarot card readers, astrologers and other snake-oil salesmen and women.

I imagine I'd be pretty bummed if I found out I had an incurable terminal illness that was going to cut my life short, versus my expected lifespan. What would I do about it though? Which god should I pray to?

As a wise friend of mine said, you can be tricked by your genes into believing that love and hormonal bonding are real and tangible. If you think that parents, grandparents, great grandparents - and so on - are somehow going to end up 'less dead' than the people who didn't try to clone themselves, you're wrong. Even in the most anthropocentric & egocentric of interpretations of theoretical physics, you will have to witness the death of everybody you know, as well as the destruction of the planet, the solar system and the galaxies. Eventually entropy will be victorious over the entire universe, with time itself ceasing to be a meaningful concept and nowhere for you - or indeed anything - to exist.

If you believe in god(s) capable of making man and a world fit for human habitation, then you must also accept that this power is equally capable of destruction. He taketh away as much as He giveth - you can surely see this with your own eyes. This is the other side of the same coin that says that an infinitely small point, with infinite density and infinite energy, suddenly exploded into a universe. Following the same reasoning, either the universe will eventually collapse back into itself, by the force of its own gravitational pull, or it will expand until it is so uniformly cool and sparse that it is indistinguishable from the most perfect of vacuums - absolute nothingness.

I look at the world through a madman's eyes - I've read so much and delved so deep into the realm of the theoretical, proven in physical experiments as well as experiments that one can conduct through logical thought alone. I've seen, in my mind's eye, things that cannot be unseen. As Douglas Adams joked, if you see too much of the universe all at once it will destroy you - it's the ultimate torment; the ultimate death.

In an uncaring universe, I can see why people would seek comfort in the fairytale worlds of sky monsters and star signs, but it's pure childishness and immaturity. However, I envy the blissfully ignorant; I envy the blindly faithful, unshakable in their wilful stupidity.

I've worked very hard to master the machines of pure logic and reason - the computers - as well as spending most of my hard-earned wealth on lengthy periods, where I have absented myself from the demands of menial day-to-day existence. I told you that you were wrong about me having squandered my money on drink and drugs. The vast bulk of my conscious waking hours have been spent in startling sobriety; completely crystal clear thinking.

I carved three deep gashes the length of my forearm, with blood gushing out aplenty, before the arrival of two Metropolitan Police officers interrupted me. I can give you the long and exact chain of decisions that led me to do this, which were robustly defended by a logical thesis. That the police arrived was not a surprising outcome for me; in fact I had already anticipated everything that happened that day. The only thing that surprised me was that I was able to bandage my self-inflicted injuries using an actual first aid kit, which I discovered by chance, rather than having to resort to sanitary towels, kitchen roll and sellotape.

You would think that I would be completely insane, completely alcoholic, completely drug addicted or perfectly healthy, contented and conspicuously rich. Scratch the surface, and every saint has a past and every sinner has a future.

If you think the world's gonna end, why hasn't it already? If you think everything's held in stable equilibrium, you simply haven't looked outside your front door: it's fucking war out there and nothing is stable at all. Civilisations destroy themselves and species go extinct - there's evidence of it everywhere.

Thus, you discover me - a distilled and concentrated form of sinner; completely unrepentant and embodying everything you were told in church to fear and shun; the very epitome of evil. Yet, I'm made of the same stuff as you.

I invite you to judge me; to critiqué me. I invite this criticism, because how can good exist, without evil?

 

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Spread Thin

9 min read

This is a story about succession planning...

Beef bovril

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.

 

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Body Parts

6 min read

This is a story about unsolicited pics...

Flesh

I'm kind of an asexual being, which is unusual for somebody with bipolar disorder. Of course, I have my moments of madness, where I'm convinced that I'm irresistible to the opposite sex, but it's life experiences that have inflated my ego. With a seemingly unending stream of positive examples that I can draw upon, there is no pin to prick my ballooning self-confidence and self-assured manner. Similar to irritating arrogant idiotic cocaine-snorting men - puffed up with grandiose notions of my own importance - I exude something that draws susceptible creatures in, like attracting moths to a flame.

It is with some guilt and worry that I search my conscience to see if I have become a sociopathic narcissistic conman, out to take advantage of anybody who's ensnared in a web of self-delusion that I have not acknowledged until now. Perhaps, I have lied to myself so successfully, that I believe my own bullshit. I've adopted a strategy of unrelenting introspection and examination of the morality of my behaviour, accompanied by complete heart-on-sleeve emotional openness and vulnerability. However, I must admit that making myself vulnerable appears to have the opposite effect to that which the most masculine of men would imagine - that of bringing out protective instincts and something feminine in women who no longer need protecting from wolves and sabre-tooth tigers... not that I ever believed in such patriarchal fables anyway.

Am I a feminist? Absolutely no way. I prefer boobs that have spent their life supported by a brasier, so that their youthful protestations against the force of gravity have been assisted. I like long hair, not short; I like skirts, not trousers & dungarees; I like giggles & heart-melting eyelash batting, not being told I'm guilty for all the sins of those who share a Y chromosome.

Every female friend of mine reports the phenomenon of receiving - via the medium of electronic communication channels - pictures of the erect male member from somebody with whom they have engaged in the preliminary stages of the courtship ritual. Not a single woman I can name has found this either desirable or sexually arousing, but yet the practice seems to continue unabated. Perhaps these men would have better luck on Grindr, with those of their own gender.

I'm a passive observer. It's as if by having my sexuality neutered by stress and chemicals, I'm able to see the bizarre nature of human behaviour in the same way that you would impassively and objectively view a BBC television documentary about the mating of birds or bees.

When I was younger, I couldn't imagine being in the navy or on some kind of seagoing vessel, oil rig or working another kind of job where I would be away from the steady supply of sex, on demand. It was unthinkable to me that hundreds of men might be confined inside a metal hull, surrounded by seawater and lashed by the waves - for weeks or even months at a time - without the comfort of kissing, spooning and the joy of pure unadulterated fucking.

Even today, as my virility declines, I am still insistent on proximate co-location with any prospective sweetheart, despite the fact I'm lonely and single.

It's probably true that free high-quality pornography, streamed over the Internet for instant gratification of any sexual peccadillo that takes one's fancy, has contributed to a world where every male fantasy is fulfilled - rule 34, which states that porn exists for everything you could possibly imagine, and more that you can never un-see.

What a world we currently live in, where sex tourism is openly discussed without shame, despite it being a form of slavery. Craigslist advertises rooms that are available to young women 'rent free' - the payment being made in kind, not in cash. Webcams and stripping become irresistibly attractive income sources for female students looking to fund their education.

We have become culturally indoctrinated by a myopic and ill-educated worship of money - fiat currency - where we obsess over salaries, bank balances, the cash in our pockets and the value of our homes and other assets. We worry about pension funds and funding our kids through college/university. Yet, we are not smart enough to perceive our own obsession over the ridiculously abstract concept as exchanging pieces of paper with numbers written on them, all day long. The entire globe has been perverted by 'wealth' into a place where girls and women are preyed upon by lecherous disgusting old men. I hope you're happy, with the 'value' of your stock portfolio, while your daughter parades herself in front of an unthinkable number of horny tossers, masturbating furiously... your obsession with 'money' made this happen.

Who am I to talk about such things, when I've been so close to ground zero? There's an easy answer to that - I'm the guy who's well read in economics as well as having first-hand experience of every aspect of banking... I know what money actually is. There really is a magic money tree - the stuff just gets invented out of nothingness.

I have no right to talk about moral bankruptcy when I'm a white male, living in the developed world and after enjoying a life that so many people dream of having - it's a terrible hypocrisy. I glamourise and glorify things that are truly atrocious, don't I?

Perhaps I will be vilified after my death, like those who profited from the more conspicuous forms of slavery and human trafficking of the past. My only defence is that I did not choose the time or place of my birth, nor my parents or my gender - this defence is fairly watertight until when, exactly? At what point do we become culpable for our part in some global conspiracy to enslave the vast majority of humanity? At what stage in life do we accept responsibility for our conscience, our decisions and our moral compass?

This is why I write: when I am dead you will have a corpse, but you will not have the contents of my mind. I'm uploading myself into the cloud, so that you may judge both my inner and my outer self.

You could be the world's expert on human anatomy, but the fatty tissues of my brain would be virtually indistinguishable between my cadaver and any other.

These corporeal vessels which we temporarily inhabit tell us nothing about our minds and our personalities, although I cannot deny that I sometimes receive a sexual thrill when I see a woman's nipple.

"Send nudes" is the precursor to 'Netflix and chill', so I'm told.

 

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MISSING PERSON

12 min read

This is a story about changing beyond recognition...

Missing boy

This 25 year old Londoner was hopelessly addicted to kitesurfing, and had secured a job in Bournemouth, where he would work mornings and evenings, leaving his afternoons free to go to the beach. Working for a huge international organisation, he had secured a ludicrously good deal - salary and relocation allowance - and the Human Resources (HR) people who he negotiated with had no idea that the real prize was to be able to kitesurf every day.

Despite being confident and outgoing, he was hiding crushing insecurities about his attractiveness to the opposite sex - a complete lack of self-esteem - and was struggling to find the girl of his dreams, who would be the cherry on top of a lovely cake. Being a hopeless romantic, and pretty inexperienced despite his 25 years on this Earth, he could fall in love at the drop of a hat and be heartbroken when a simple fling didn't turn into anything more serious.

Hot blonde

Overcoming his ineptitude with women, he got together with a girl who looked perfect on paper and she was a pretty and petite blonde. He was smitten. She was a science graduate and a computer programmer. She even worked for a client that he'd worked for 6 years before, and he knew many of her colleagues.

In the words of one of his best friends, she was a "conversion project". He would teach her to kitesurf, and then they could travel the world together, chasing warm wind, soft sand and water that was mirror flat or had perfect waves. Brazil, Venezuela, Cape Verde, South Africa, The Canary Islands... there was an endless list of exciting countries to visit with this beautiful girl, and kitesurf together.

Poole harbour

There she was, giving it a damn good go in Poole Harbour, under his tuition. Why she was wearing a buoyancy aid in water that's so shallow you can stand up in it, was anybody's guess, but I guess it made her feel more confident. Kitesurfing in those days was super dangerous - the emergency release mechanisms were just being developed, and if you let go of the bar, you'd be dragged along out of control, like being tied to the back of a speedboat being driven by a maniac, until you crashed into one of those harbourside houses.

After a year, he decided to propose. He asked her dad's permission. He did all the things that he thought he should do: buy a house, get married, get a pet, have kids. Thankfully - for the kids' sake - they stopped short of doing that last one. Just looking after their a cat had a very strong bonding effect. Their cat is probably the reason they stayed together as long as they did.

Hawaii wedding

They got married in Hawaii, of course. He was allowed to wear flip flops, but not board shorts. In fact, he had a tough time from bridezilla for almost the whole trip until he put his foot down and said he just wanted to sit by the pool or on the beach, drinking ice cold beverages. She wanted to be sightseeing in a decrepit camper van that they weren't insured to drive. He checked them into a luxury hotel, which cost a small fortune - it was Christmas time after all - and finally, for a brief moment, he had a tiny bit of holiday relaxation.

Notably, they didn't take their kites or kiteboards. Travelling with a wedding dress and linen suit was a teeny bit difficult, but not as hard as lugging a 30kg bag that's nearly as tall as person. However, Hawaii has wind, waves. warm water and beautiful sandy beaches. Barely a few hundred metres from where Barack Obama was spending his holiday break, our missing young man was forced to try pole dancing (windsurfing) for the first time, in desperation to get his 'fix'. There was the shame and indignity of being a beginner windsurfer he was an experienced kitesurfer in a paradise location, who could have been having the time of his life.

Pole dancing

After landing at London Heathrow, after over 20 hours of flight time, it turned out that his new wife had used an online booking website to arrange the taxi home, but had not accounted for the fact that they would be away over New Year's Eve. An innocent mistake, but it left them stranded, exhausted, in the middle of the night.

Within a month, he was in private hospital. It was all too much for him. She would rage and throw tantrums when things didn't go her way. He would bite his tongue and try to fix everything. The pressure to please her was unbearable... but it was never enough. He'd bought her a hot tub because she said she had loved having one in California. He'd shown her the world, staying in the best hotels and eating in the best restaurants. He'd married her in one of the most romantic destinations you could ever choose, and he'd even agreed not to wear board shorts. She was threatening divorce while he was sending her a different flower every day, from hospital, to show he still loved her. Despite him being a generous lover, she was on 'no strings attached' dating websites, looking for sex.

Crepe suzette

If crêpes Suzette, flambéed at your table, with the best views of any restaurant in Malta, is not enough to whisk a girl of her feet, he was left bamboozled as to how he could possibly please her. He was completely naïve, believing that if he treated her like a princess, she would love him as much as he loved her. He was wrong. It hurt and he was heartbroken.

It made no sense. People would come to their summer garden parties and be served home-made burgers and marinated chicken, plus endless varieties of sausages hot off the barbecue, while a range of delicious salads that she had prepared, were laid on for the vegetarians and to garnish the plates with. Fire pits and patio heaters kept people warm after the sun went down, and there was the hot tub kept at a toasty 38 degrees (100 degrees Fahrenheit).

It made no sense. People would come out for trips on his boat to see one of the largest natural harbours in the world. Him and his wife were a natural host and hostess. They were a great team when they were entertaining guests.

For her birthday one year, he took her in his boat up the Wareham River, moored up outside The Priory Hotel, and they ate lunch on the patio, which was some of the finest dining in Dorset - cooked by Michelin star standard chefs - with beautifully manicured lawns leading down to the river bank.

Why they quarrelled and grew apart is a mystery. She wanted to learn to sail and he was an RYA dinghy sailing instructor and experienced yacht skipper. She wanted to rock climb and he had the qualifications and experience to teach her. She wanted to climb mountains, and he had spent months in the high Alps and was a mountain leader (guide) experienced in dealing with emergencies, working with groups of varying ability, and acclimatising to altitude. He taught her how to snowboard and was grinning from ear to ear when she followed him off piste without a moment of hesitation.

All the things

However, he was baffled and slightly insulted that she spent a lot of money to go and learn from other people. He'd taken her sailing multiple times, and taught her a lot. He'd taken her rock climbing, and shown her the ropes; pardon the pun. He'd taken her into the mountains and shown her the basics of navigation, safety, route planning and even how to retreat when things don't go to plan. That's our missing man and his ex-wife, in every picture above except the mountain one. where he's the one taking taking the photo.

He was, undoubtably, looking for the love of his life, but married the wrong person. Friends warned him that him & her weren't a good match. "The poison dwarf" was too hot to handle, especially for a sensitive guy who was relatively inexperienced with women and still nurtured the Disney "happily ever after" idea of finding true love. He mounted a kindness offensive - an attempt to satisfy her every whim, her every ambition, but yet it still wasn't enough. He was delicate. She was aggressive.

It made him sick - mentally unwell - all this arguing and rejection. He wanted to just grab her and squeeze her tight until she felt safe and loved. Maybe that was the problem: she felt trapped and smothered. They met when she was only 23, which I guess is quite young, considering that he proposed when she was only 24. For their parents' generation, that would not have been unusual, and he did things the old fashioned way: buying a house to start a family. However, she complained she hadn't seen enough of the world; experienced enough of life's adventures. He set out to rectify this, but what she was really saying is "I'm not ready to be a one-dick woman just yet".

His best friend coined the phrase "conversion project", which is to take a girl and turn her into a kitesurfer; a sailor, a climber; a mountaineer. This friend literally asked "are you ready to be a one vagina man?". Soon after that, this friend went on a trip to sow his wild oats across Scandinavia, before coming home to marry the poor girl who'd had to tolerate this temporary break-up in the full knowledge that his motive was completely unreasonable. They're a happy couple with twins and a lovely house now, so maybe he was right. At the time, his wife wanted to punch his friend in the face or testicles, or probably both.

Before his petite blonde wife, the happy smiling 25 year old - pictured when our story began - had tried to make it work with a kitesurfer who lived 186 miles away, and nowhere near the sea. He'd tried to make it work with other kitesurfer girls too. An incredibly beautiful Burmese kitesurfer girl seemed to be flirting with him when she was on holiday with him in Sardinia, but he was so shy and inexperienced, he didn't dare try to kiss her.

Our missing man tried to make it work with his wife, again and agan and again and again, and eventually it broke him. He broke down and sank into depression, bipolar disorder, alcohol abuse and made a stupid mistake which was his ultimate demise: the abuse of legal highs. This was the beginning of the end.

In the chaos, confusion, stress and trauma of divorce, selling his house, saving his most precious possessions, leaving the town he'd called home for 8 years and all his friends... all mixed in with toxic additives like mental health problems, addiction and alcoholism, he was a little lost boy. He's been missing for nearly 11 years. There have been times when somebody who appeared to be him popped up briefly, but like an apparition, he melted away into nothingness again.

Is it any wonder that he disappeared? He gave so much of himself away - his love - trying to make relationships work; trying to make girls feel special and cherished and loved and like princesses; trying to please; loving unconditionally.

This blog contains the bitterness; the accusations of wrongdoing - the evidence of the inexcusable and terrible behaviour that was perpetrated against the author. This blog tells the story of why that young man went missing, and why he's still missing. Perhaps why he'll never be found. If he's missing, perhaps, you shouldn't search for him.

Perhaps there's no place in this world for a naïve little boy who has so much love to give, but nobody to give it to. So many times in life he was left reeling, hurt and wondering what he did wrong, when all he tried to do was to be as nice as he could possibly be. Perhaps that silly little boy got it all wrong, and life's not about being nice and kind to people; it's about using people and getting what you want at all costs. The boy was not made for this world - he was like an alien from another planet.

Paddling

Look at this old man. Look at the sadness that he tries to hide, but something in his eyes betrays him. He knows he's nothing like that happy smiling 25 year old young man, photographed 12 years ago. He knows that all the kings horses and all the kings men couldn't put him back together again. He knows that whatever it was that happened, it damaged him badly. Unconditional love, infectious happiness, a sense of contentment and the enthusiastic exuberance that characterised our missing little lost boy, are qualities that this old man doesn't possess - they're completely different people.

It's a tragedy when we lose somebody who brought fun & excitement, adventure & exhilaration, thrills & spills, into people's lives. It's a tragedy when many lives are touched - improved - and then we lose that person.

I don't think we'll ever find him though. He's gone forever.

 

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