This is a story about primary care...

Primum non nocere is in and of itself a non sequitur because the use of Latin and other languages of classical antiquity is primarily intended to deter the hoi polloi from becoming educated. The number of doctors who are able to train, qualify and practice, is something that is tightly controlled in order to maintain high salaries - artificial scarcity - as opposed to allowing the unrestricted proliferation of medical knowledge which might improve the health of the nation.

Those who profess the Hippocratic Oath might be able to stay true to the vow they have sworn if they practice the treatment of acute illness in a hospital - dealing with curable disease and injury - but in the treatment of chronic illness in the community, as General Practitioners (GPs), can we say the same?

If we look at a few obvious statistics, we can see that medicine is failing. Average life expectancies have started to fall and chronic illness has seen a dramatic rise. There is an epidemic of mental health problems, and suicide is the biggest killer of men under the age of 45.

Of course, one might say that the root causes of these conditions are non-medical.

It occurred to me that a significant piece of the NHS has already been privatised, in that many general practice surgeries are owned and operated as private profit-making enterprises. This seemed to present a significant conflict of interest, so I decided to conduct an experiment.

I asked a GP a simple question: when you're treating a patient, do you think about their healthcare needs, or do you think about other things? The reply was shocking.

"It's not about [the patient] it's about everybody else"

I'd had my suspicions for a while - gathering plenty of evidence - that those who profess to do no harm might actually have been corrupted into serving other purposes; into betraying their profession and failing in their duty of care. This was the final confirmation that my worst fears were realised, and there are powerful actors within the healthcare system who place other things above the health of their patients.

By co-opting doctors into the capitalist profit-driven sector of the economy, and by co-opting them into the welfare system, we are asking doctors to choose between their luxury cars, the private school fees for their children, and other trimmings associated with their high social status, versus increased taxes to pay for the welfare state. By placing the most vulnerable people in society in front of the doctors, when seeking incapacity benefit, the government is pitting one group against another.

If the study of economics has taught us anything, it's that people respond to financial incentives. While a GP might argue that they're saving valuable taxpayer money, which might be spent on the NHS, by denying incapacity benefit to a vulnerable member of society, one must also admit that the GP acts in rational self-interest. Less money spent supporting society's most vulnerable means a lower tax burden and more money in the pockets of the profiteers, which include GPs who are partners in their practice.

The first principle of do no harm forbids a doctor from weeding out malingerers based on their best guess. To cut off somebody's incapacity benefit is definitely harmful, and there is no diagnostic test which could decide with a high degree of accuracy who is the malingerer and who is genuinely unable to work. If the doctor in question truly cares about their patients, they would have no option but to choose the option which gives most benefit and inflicts least harm.

We see so many suicides because patients are fobbed off with inferior treatment options, because it's a cheaper alternative to give somebody pills than to give them psychological therapy. While I understand that being cost-conscious might be seen as being pragmatic, it again violates the principle of do no harm. To fob a desperate and vulnerable person off with ineffective medication, when better treatment options are available, is tantamount to negligence. If a doctor has a consultation with a man under the age of 45, they must surely be well aware that suicide is the thing that is most likely to cause their death, and they should therefore treat it as a serious threat to their life. To call people's bluff and knowingly prescribe ineffective treatment is obviously the reason why suicide rates are so scandalously high.

I imagine that some doctors - although egotistical and in love with themselves - have a tiny piece of them that wants to make a difference and save lives. I think that exhaustion and the pressures that are felt by ordinary people are imposing themselves on doctors now, who are struggling to send their children to the best private schools (boo hoo) and are feeling compassion fatigued because of burnout. If we can relieve the pressure on GPs, they may become more willing and able to work in support of their patients' needs, as opposed to "everybody else" (read: being the government's job police).

I strongly believe that we have an urgent need to change primary care, so that it becomes not-for-profit, and patient healthcare can become the primary objective. Perhaps profits are not the primary motivator, but money has a corrupting influence which can be clearly seen when you speak to a GP who is/was a partner of a practice. Co-opting healthcare professionals into the job of coercing vulnerable people into bullshit McJobs, where they are exploited by the capitalists, has absolutely nothing to do with healthcare and is most certainly harmful.

I've witnessed first-hand how this care for "everybody else" - instead of patients - has become shorthand for the compassionless, sympathy-lacking, bullying, hectoring and suicide-inducing grotesquely twisted vision of so-called medicine, inflicted on society's most vulnerable people.

If you want to be the job police, and you think that suicides are an acceptable price to pay, so you can feel superior and send your kids to private school, perhaps medicine is not for you.

Tags: #nhs

This is a story about doing things you dislike...

Pretty soon I'm going to have to start turning up at work on time, because I have a good first impression to make. Pretty soon I'm going to be commuting to work along with lots of other miserable people, clogging up the roads and getting stressed out of our minds. Pretty soon I'm going to have to pretend like I'm a regular office worker, and suffer the cold early mornings - getting out of bed when it's a really miserable time of year, defrosting the car and pretending like it makes perfect sense to be acting the same as if it was the middle of summer.

I'd worked really hard so that I could start to take it easy, maybe switch careers or maybe reconfigure my life so that I work less and get paid more, or at least I'd be somewhat my own boss. Everything went to hell in a handcart, so instead I'm still stuck in the rat race. It's not that I haven't worked hard and achieved a lot... it's that I went backwards rapidly for quite a few years. Instead of just wiping the slate clean, I'm trying to do the honest decent thing and live my life the hard way - to pay the price for those years I lost in the wilderness, where everything I'd worked so hard to build ended up getting messed up and destroyed, and I got in a right old mess.

I could just say "screw it" because I've rebuilt myself from nothing a couple of times already. I've already proven the point - that I know how to get my life sorted out when it's in a mess. It's been really disheartening to fight back and rebuild my life, only to have it fall to pieces again - a lot of the reason being that working hard to achieve something is one thing, but working hard and achieving nothing is soul destroying. All my hard work amounts to nothing - I still don't have health, wealth and prosperity, so why did I bother? All of my hard work hasn't even managed to get me back to zero yet - I'm still stuck in a very deep hole.

You might think that the hole I'm in is because I made really bad choices, and there's some justice, but what you don't realise is how vulnerable people can get when they're unwell. I've been ripped off for thousands of pounds by people who've sought to take advantage of me when I've been sick. I don't really begrudge it, because that's the kind of society we've built, where we trample on each other to get ahead, but it's pretty hard to accept that - for example - one guy doesn't even think he's done anything wrong, even though he owes me thousands of pounds.

To live life with honesty and integrity is really hard work and I don't think that there's enough appreciation of that fact. While there are lots of rich people who are financially reckless, leave their staff members unpaid and declare bankruptcy owing millions and billions of pounds. While we say that a 'self-made' successful entrepreneur must be really smart and totally deserves their fortune, we fail to give acknowledgement to all the smart hard-working people who've led lives with more risk-aversion and prudence because they simply couldn't afford to fail - they had rent and bills to pay, and no wealthy family to bail them out of any financial difficulties.

It would be lacking in humility to claim that I'm a hard worker, and dishonest to say I don't have some element of my risk underwritten. My risk is underwritten in strange ways - I know that I do a very good impression of a well-mannered posh person, which seems to be quite endearing... I seem like a worthy cause to those who are charitably minded. I think it would be unfair to say that I've ever mooched off anybody's kindness or otherwise taken assistance without the intention of using it to improve my life as intended, but I've definitely had help that would never be forthcoming for less fortunate members of society who are easily identifiable as "undesirables". Nobody wants to help a white trash football hooligan drug addict, for example, which is why I can't begrudge any wealth that's been redistributed from my pocket into the pocket of somebody who nobody else would help.

Wealth has flowed through me and into other hands. I'm a model citizen in a way, because wealth really has trickled down in my world. A lot of money has come my way, but I haven't hoarded it - it's all gone back into the economy, and you'll be very glad to hear that only the teeny tiniest fraction was spent making enterprising drug dealers on council estates any richer, and most of the dosh has been spent making the rich richer - rent, interest, taxes etc.

The future that lies ahead is going to involve a lot of the same crap I was doing 20+ years ago when I started my career - it's practically the same job. My future is going to involve working just as hard as I did back when I was trying to escape from the rat race. My future is incredibly disappointing, because I should have been very comfortably wealthy by now, and it's only because I was abandoned when I was at my most vulnerable that so much stuff got ruined and I'm having to rebuild from a position that's *WORSE* than starting over. I'm starting from a *HUGELY* disadvantaged position.

The only slight comfort is the fact that it's seemingly quite "quick" for me to get back to a position where I'm doing OK. It might take most ordinary people a hell of a long time to dig themselves out of the kind of hole I've got myself in, or even leave them with no option other than to declare bankruptcy and start again from the bottom rung of the ladder, but I'm "lucky" enough to get to "quickly" recover, although you don't realise just how exhausting it's been to be flirting with disaster for so long.

So, I have to put up and shut up for a while longer. Even though I'm taking the fast-track it feels like it's lasting an eternity, because it's so unbearably nasty to be going through an all work and no play struggle, with horrible stuff hanging over me. This isn't my comeuppance - this is me paying the price for all the people who've gleefully come and picked my pocket when I was vulnerable. I haven't lived beyond my means - it's a miracle I've lived at all... I should be dead.

The main message I've been receiving in life is "hard work doesn't pay" and "give up and kill yourself" because every attempt to work my way out of poverty has burnt me out and not got me anywhere. Every attempt to play by the rules of the game has been futile. Every attempt to act with honesty, integrity and personal responsibility has made me feel mugged off.

I don't really know how to give up. I don't really know how to accept defeat. Maybe I'm a bad loser, but the game's not over, so I'm playing on. That might sound really positive, but I'm not going to need much of an excuse to throw in the towel - it wouldn't take much to make me decide that all the effort and the stress just hasn't been worth it, and that everything's hopelessly ruined.

Friends think they see repeating patterns in my behaviour, but don't they see that there are patterns everywhere? Sleep and wake. Work and leisure. Feast and famine. Sprint and coast. Yes I've tried the same strategy quite a few times, but it's always had different results. Yes there are things I've tried before, but don't you think that the remarkable thing is that I've avoided bankruptcy, destitution, permanent debilitating mental illness, chronic drug addiction... and an early death, of course. If anything, I've been trying some of the 'same' things because they work very well - for example, I would have thought that being well paid is far better than being really badly paid, but it's true... I've never tried the latter - maybe that's where I've been going wrong all along!

Maybe I have been making bad career choices, but most jobs all involve the same things: desks, offices, email and meetings, plus horrible commutes to work. Most jobs seem to involve being awake when you don't want to be and doing things you don't like doing. If two jobs are more-or-less identically horrible, why would I choose the underpaid one?

So, I'm sticking with offices and 9 to 5 and Monday to Friday and desks and computers and emails and water-coolers and all the other shit that goes with the territory. I'm sticking with having to get up even though I want to stay in bed, going to a place I hate and doing work that I hate, because it's essential if I'm going to have another shot at trying to build a more pleasant life - we can't do anything we want, until we have a shitload of money in the bank, and my only source of money is selling my brain and body to the highest bidder.

It sucks, but it's always sucked.

Tags: #career

This is a story about the bitter end...

For a devout atheist, I can be surprisingly superstitious. I seem to have survived Jinxed January without losing my job, becoming homeless, going bankrupt, being hospitalised, getting sectioned, getting arrested, getting anybody pregnant, committing any crimes, taking any illegal drugs, contracting a terminal illness or dying. Epic win.

I looked in my photo archives to see what I was doing this time last year. Apparently I was pissing in a bottle, hospitalised on a high dependency ward with kidney failure. On my blog, I was writing about "what would Jesus do?" so I was clearly pretty deranged, but then I was on dialysis for several hours a day, which was not exciting so I'm sure my mind must have been wandering a lot. On Facebook I was jabbering about a cocktail of painkillers, sleeping pills and tranquillisers I was taking to try to get some sleep on the ward. I feel relatively sane and happy by comparison - my life looks quite peachy compared to that unfortunate period.

I looked back two years ago to see what was going on at the end of January and there's a gap. I simply ceased to exist for a few days, before popping up and writing over 3,000 words about all manner of things. It looks pretty conclusive that I was in the vice-like grip of madness and shenanigans.

I can't look back three years on my blog, because I only started two and a half years ago, but I do know that three years ago today I was staying with friends in County Cork, Ireland. My contract with Barclays had been terminated early, I'd broken up with my girlfriend, lost loads of friends because of the breakup and I had been evicted from my apartment in Swiss Cottage. I needed to escape from London for a bit, because I couldn't take any more, and so my friends looked after me in rural Ireland. Not so jinxed, but pretty jinxed because my life was still totally messed up.

I can see from an email that four years ago I was receiving inpatient treatment for dual diagnosis - bipolar and substance abuse - after the messiest and most acrimonious divorce you can imagine. My life was profoundly dysfunctional - I'd only just managed to escape "the poison dwarf" and the relationship that nearly killed me. My stuff was in storage and I was living with friends in Kentish Town. My new business had been put on hold because the divorce and house sale had been too much for me to handle. I'd been surviving by mining bitcoins, but the price had crashed and I was in big trouble, even though I'd managed to cash in at $1,100 per bitcoin.

I can't see my email from five years ago, because I lost my original Google Mail account, which I'd had since soon after GMail launched for public beta testing. I can see that I was late for my appointment to see a psychiatrist who I'd found (albeit a week later) so I imagine that things were pretty dire... although I clearly had the presence of mind to find a private psychiatrist and arrange my own treatment, so I'm guessing this was the beginning of the descent into Hell. This time five years ago - roughly - my new wife told me that she wanted to be a widow and that she wouldn't let me have the treatment I needed. This time five years ago, I was trying to find people to help me, while my wife and my parents broke my heart. This time five years ago, I realised that I needed to get my parents and my wife out of my life at all costs - I realised they're toxic people and that if I wanted to have any kind of future, they couldn't be part of it.

Five years of insanity is a hell of a long time. In those five years, things got a lot worse before they got any better. In those five years, I sorely missed my house and my cat. In those five years, I sorely missed the life I'd built for myself, with my friends and my good reputation and my good job. I threw away a lot, taking a gamble that I'd be better off in the long run. The last five years have been insane, but I don't see how I could have extricated myself from the situation any better. I've played the best I could with the cards I was dealt.

I'm sick and tired of Jinxed January, and I hope I've seen the back of it; I hope I've broken the curse.

Of course I tempt fate by saying that now I've had one un-jinxed January then I've got things sussed and it'll all be plain sailing from here. Of course there are going to be Foul Februarys and Miasmic Marches but January has been my nemesis for so long. I don't want to get cocky and complacent, but it's a big deal that I've beaten this dratted month. February and March are going to be dreadful, but at least I have a few quid in my pocket, no imminent threat of homelessness and nothing particularly awful on the horizon. I have another month of paid work ahead of me. For once, I have a few things going in my favour.

You might see that my biggest fight is with myself. Of course, there's work available year-round and my skills mean that I'm never going to go hungry and homeless, except through spectacular self-sabotage. It seems obvious that I should just quietly and obediently pop the pills and behave myself. It doesn't look that hard to just get my head down and concentrate on working hard to get myself back into a position of financial security. To say that by the end of the year I could be well and truly wealthy again, seems like no time at all to you. However, you must remember that I march to a different beat. My timescales are not the same as your timescales.

I'm not going to get paid for the whole of February. A very Frugal February beckons. The weather's just as dark and miserable in February and my job will be just as isolating, lonely and boring. The unfavourable conditions very much remain unpleasant and unconducive to any mood improvement. However, the so-called short month of February does seem like a less daunting proposition than Jinxed January was. I'm cautiously optimistic.

Another month without an almighty fuck-up is a huge achievement, in the context of my messed up 5 years of Jinxed Januarys. If I'm being superstitious, so be it, because it's helped me to avoid going off the rails.

I'm really pleased with where I'm at actually. Drink and drug free, unmedicated, as sane as I'll ever be, relatively settled in my home life, regular(ish) income and gainful employment. There aren't too many loose ends to tidy up. I'm on top of my taxes and my paperwork. To be in this position, at this dreadful time of year, where I don't have anything looming that's of major concern, is a really big deal.

I submitted another invoice to my client, and even though I lost over £4,000 of potential earnings this month, I'm still in profit after expenses. The money's not in the bank yet, but it's on its way. Perhaps it will be good to spend another month being a little thrifty - money after all, can be something that's triggering.

Of course, I'm getting ahead of myself. I'm imagining that by the end of February, my financial woes will be mostly ended. I'm imagining that by the end of March I'll be feeling positively wealthy again. I'm projecting into the future, and that's bound to end up making me miserable. I still have a whole month more of my miserable boring contract to do. I need to start looking for the next job, at some point sooner rather than later. I can't make tomorrow come any sooner, and I shouldn't wish away today.

What can I say, except I'm slightly glad that I didn't throw away a perfectly salvageable situation. I'd still rather be dead, because it's been a lot of stress and hassle, but I'm alive so I'll carry on for a bit longer and see what tomorrow brings.

Tags: #depression #suicide #divorce #career #mentalhealth #bipolar

This is a story about free will...

Having spent the best part of a month in hospital, I am now convalescing in the Welsh countryside. It's remote, rural, peaceful and therapeutic, which is exactly what I need. Why on earth wouldn't I stay here, when this is the very best place I could be for my health and wellbeing?

If you believe in free will, then I'm afraid you're quite deluded. Every decision we make is heavily biased by circumstantial factors.

Having experienced the stress of moving to new places, getting jobs, making friends and otherwise climbing the greasy pole, I've got nothing to prove - I know exactly what to do and exactly what to expect. I have very little motivation to repeat the same well-worn moves that I learned a long time ago - I'm sick of playing the same old game. Rebuilding my life holds no surprises; only stress and misery.

Thus, I arrived at the decision to die, some time ago.

When you've decided to die, there isn't any fear of failure, shame, embarrassment or any of the other things which would usually predispose your behaviour towards more risk-averse choices.

If you look at my life choices through the prism of depression and defeatism - I have no desire to play by fucked up rules - things make a lot more sense than any stupid over-simplifications. Perhaps you think I'm infantile, immature and irresponsible? In actual fact, I'm not inflicting this shit on children who didn't ask to be born. I'm terminating the cycle of pain: somebody's gotta stand up to the relay-race of human misery, where fathers fuck up their sons.

I'm not critical of parenthood per se, but it would be irresponsible of me to spawn offspring of my own when my kid(s) might ask me one day "if you had a miserable life, then why did you bring me into the world?". Given that my children might ask about my own unhappy childhood, it seems unconscionable to take the chance that I could perpetuate that misery.

In a world of war, famine, climate change and spiralling problems, we are clearly on collision course with disaster. I don't want to add to the world's woes. To be yet another sharp-elbowed parent, concerned with the propagation of my genes at the expense of everything else, does not seem like a good idea when there's another option: to not do that.

I can end the male lineage and bury the surname "Grant" which I inherited from a heroin addict. I can do my bit and act in accordance with a conscience that encompasses more than my animal instinct to rut like a beast and impregnate willy-nilly.

Fucked up ungrateful entitled rich spoiled know-it-all brat says my shattered brain. I think about the people who've tried to help me; who care about me. I feel guilty that I feel so bad; still feel suicidal. Countless opportunities seem to be open to me - am I rejecting them? Am I throwing the 'gifts' that I have received back in the faces of the bearers? If I am ungrateful, so what?

My charmed existence has led me to a situation that's quite wonderful, but also exquisitely painful because of it - this isn't real life I think to myself. I can't stay here. The need to earn money to pay for debt and taxes will force me back onto the treadmill. The misery of the rat race is inescapable, except through suicide.

Tags: #suicide #depression #career

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

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.

Tags: #suicide #mentalhealth #bipolar #depression #nhs #hospital

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 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 mismatches...

Writing is hard. More specifically, writing well is pretty damn hard. To write well every day; to finish a book; to have the discipline - that's the hardest. Lots of people write - it's our preferred method of communication these days, rather than the phone. My Facebook friends are mostly what you'd term "well educated professionals". Some of my Facebook friends are people who used to write every day on the same discussion forum as me. When I step out of that bubble, I'm reminded that it was the general populace who invented 'text speak' and still use it to this day, because writing is just a means to an end for them - to send short colloquial messages about their banal lives, where the style, grammar and intangible beauty of a well-constructed sentence has zero value to them.

When I started my blog, I didn't know where I was going with it. Then, I remembered that a friend who aspired to be an author, and has now published three books, said that he was going to blog for a year, to test his discipline and hone his art. I copied that idea.

When I started my debut novel, the idea was to write at least 1,667 words a day, so that after a month, I would have achieved a 50,000+ word count.

This year, things started going wrong almost from the very outset.

In the blink of an eye, I found myself in hospital on a high-dependency ward, with acute kidney failure. My weight had gone from 77kg to 95kg, because I had stopped urinating: my bladder was empty. I was on dialysis and generally being poked and prodded by some very worried looking doctors. I didn't have my laptop or a means to connect to the Internet - those aren't the kinds of things you take with you when you get a phonecall from the doctor you saw in Accident and Emergency saying "how soon can you get back here? Do you need us to send an ambulance?"

Like dominoes, the pillars of my life started to collapse. First, I lost my job - they couldn't wait for me to get better, even though I discharged myself from hospital after two weeks, against medical advice. Then, rent, taxes, bills, insurances and everything else started to become a matter of imminent financial implosion. Depression tore through my mind like an inferno through a building. The strong opiate painkillers, that I needed for the leg injury which caused my kidney failure, made doing anything at all quite challenging - it might not have been heroin, but I sure as hell got sick if I forgot to take my 4-hourly dose. Writing and work were replaced with lying on the sofa in a drugged-up haze, half-aware of whatever was on TV.

You'd think that after I got off the painkillers and I could walk distances again, without it causing me agony, I would be ready to find another job. Anybody who followed my story through December and January, will know that Christmas and New Year scuppered my job search. Effectively, I went through the stress twice, and then lost the job anyway through no fault of my own. I wrote about how psychologically damaging that was, having argued with the doctors so much, discharging myself and getting angry phonecalls from doctors and consultants saying I needed to go back to hospital; I was risking my life and I was still critically ill.

I didn't need concerned doctors to tell me I was still ill and in no position to work - my commute to work, with my heavy ankle brace, caused me untold pain. How was I supposed to travel every day on overcrowded public transport, and walk the final part of the journey, when it would leave me exhausted and crying in pain when I got home. I was relieved when my boss told me to take some more time off to get well; only it was him being cowardly - my contract was terminated soon after leaving the building.

Everything else from that point has been measured by that yardstick.

If it's hard and stressful to get a job - and to start that new job - under normal circumstances, can you imagine pulling out a 25cm dialysis tube from a massive blood vessel in your groin, with blood everywhere, and leaving hospital when all the doctors are begging you to stay? Can you imagine your first day in the office, except that less than 48 hours ago you were considered so sick that you might need a kidney transplant, or even die because the dialysis wasn't working effectively? Can you imagine working those first few days in your new job, getting phonecalls twice a day from different doctors saying that if I turned up at any A&E and had a blood test, they would admit me to hospital as a critical case, because of the dangerous toxins circulating in my bloodstream? Can you imagine dealing with almost unbearable pain as well as doing your job? And then what happened? I went to all that effort and I lost the job anyway.

I've been a full-time IT professional for 20 years, and to be honest I lost the love for it very quickly. I spent most of 1999 recovering from weekends of all-night raves. I spent most of 2001 to 2005 chatting with my friends on a discussion forum and organising kitesurfing holidays and weekend trips away. 2005 through 2008 I worked very hard, but I surrounded myself with alcoholics, who were some of the very best people I've ever had the privilege of working with. 2008 I thought I was pissed off with JPMorgan, but it turned out that I had simply reached the limit of what I could take with IT jobs for big companies. Ever since then, I've made my money as an entrepreneur, independent developer and IT consultant, as well as speculating in emerging technology (e.g. iPhone apps, Bitcoin mining). I work about 5 months a year, and I hate it, but it pays the bills. My last contract paid £660 a day, so you can see, I don't have to work for very long to earn what I need.

So, now I'm in the situation where I was tipped over the edge. It's not normally very hard for me to find a new contract, and I find the actual work very unchallenging; easy. To have worked so hard to get well, get out of hospital, get to that job, and then to lose it... when I fucking hate IT work anyway. It was the last straw. The company said they'd have me back as soon as I was fully recovered, but the spell was broken - I used to put up with the boredom and the bullshit, because I was earning the equivalent of well over a hundred grand a year... if I ever worked a year. I can't go back to it. You could offer me £1,500 a day, start tomorrow, free rein to work on whatever project I want, and I don't think I could do it. It's like all that hatred of the job and the politics and the bureaucracy and the insanity and incompetence of people in positions of authority, suddenly hit me all at once.

I stopped caring that I'm going to be nearly £6,000 short on my tax bill, in 27 days time. I stopped caring that I'm not going to be able to pay my rent next month. I stopped caring that if I go bankrupt I'll never be able to work in financial services again, be a director of a company, have anything except the most basic bank account, which means I wouldn't be able to - for example - rent a car. I stopped caring that I'll never be able to get another mortgage or rent my own place. I stopped caring that I would lose my excellent credit score - I have borrowing facilities of £30 grand and no debt that shows up on those credit checks. I stopped caring that many of my possessions would be sold by bailiffs for a fraction of what they're worth. I stopped caring that I would lose things that I spent years and years choosing and customising: a mountain bike I bought when I was 18, with the lightest frame money can buy, handmade and hand painted - including my name - which I have added the very best of everything to, bit by bit, until the total cost of the bike is as much as a decent car... but it's not about the cost; it's about the pride in doing that - the pride in customising something with painstaking effort over 19 years.

Now, I'm a minimalist. I'm a digital nomad. I've used all my experience as a mountaineer and Alpinist to travel light, with clothes that pack small, but they're super warm and everything either dries quick or stays dry. I have a grab bag that weighs perhaps no more than 15kg, but I could sleep quite comfortably in an extremely cold winter. I learned through bitter experience, the discomfort caused by cheap equipment: blisters, wet feet, damp clothing, sleeping mats that don't stop the cold penetrating from frozen ground, tents that get flattened by gales, synthetic sleeping bags that don't keep you warm. Everything that I carry meets the three criteria: light, strong and expensive. There's also a fourth criteria: how effective something is in terrible weather. It might be subtle, but there really is a big difference between a 'good' waterproof jacket, and one that costs well over £400; for example, are you able to use the hood but still move your head to look around? How many drawstrings are you able to operate without having to unzip anything?

There's so much crap that I just want to dump. I've ended up with paperwork that goes back to 1997. I only ever wear a few different outfits and I wear my clothes until they're threadbare. I could lose 95% of my clothes and not even miss them. I have boxes of stuff that I rescued from my house before it was sold, during my divorce. It was a smash & grab - I was paying for the man & van by the hour plus we had to get back to London before my self storage shut. I literally took no more than an hour to grab anything of real value, and a mug that my sister hand-painted for me. Can you imagine that? I dumped my books, a summerhouse that I designed and built myself, stuffed full of gardening equipment, garden furniture, tools, mountaineering equipment like ropes, ice axes, crampons, a pile of kites that probably cost me many thousands of pounds when they were new. I dumped my hot tub. I dumped games consoles, games, DVDs. I dumped kitchen knives, Le Creuset cast iron casserole dishes. I dumped my Weber barbecue, my fire pit and patio heaters. I dumped the bed I bought when I moved to West Hampstead in 2000. I dumped the oak dining table and chairs I bought when I bought the house. I dumped an antique sash window that had been turned into a mirror by my dad, as a Christmas gift. I dumped the huge wardrobe that I built to go right to the bedroom ceiling - one side customised just how my ex-wife wanted it, and another side customised just how I wanted it. I dumped a garden that I had lavished hundreds of hours on, making the grass lush and green, weeding the path, mulching the beds and tending the mature shrubs and palm trees. I dumped my electric guitar and electronic drum kit. In fact, I dumped a whole band's worth of instruments for playing Guitar Hero. Where was I going to keep all this stuff, living in my friend's spare bedroom? It was going to be ages before the house was sold and I got the money to get a place of my own again.

Now, I have a place of my own, by accident. One friend thought he was going to live with me rent free, but he hadn't done the maths - the rent was more than his salary, and he was fucking useless. The one bit of work that he was supposed to do that would have brought in some money for my company he fucked up. He hassled me for an interview at HSBC, which I wangled for him... and then I had to deny I knew him very well, as he was exposed as inept. My next flatmate didn't pay his rent for 3 or 4 months and never paid me any bills. He was surprised when I told him that he was going to find his stuff dumped on the street if he didn't get the fuck out.

If I was going to cut & run, I'd want my two MacBooks (Air & Pro) and I guess I'd take my iPad Pro too - call them tools of the trade - plus 3 pairs of high-end headphones, and my grab bag (tent, sleeping bag, sleeping mat) with my good waterproof jacket and my down jacket. I'd wear my waterproof trainers, water-resistant trousers and my fleece, with a merino wool base layer. I'd take my passport and €500 in cash that I have lying around. I'd take phone and a battery pack that can charge it 12 times. There's not a lot more that I tend to travel with, except copious quantities of benzodiazepines and Z-drugs. When you live in a hostel for a year, you learn what you need and what you don't. When you live under a bush in a park or on a heath, you learn what you're prepared to have stolen, potentially. It took my fellow homeless in Kensington Palace Gardens over a month to find my hiding place - people don't really venture into massive thorn bushes. If you're smart, you can disappear from the world, despite living in a densely populated city. People's dogs would smell my food, but their owners couldn't see me in the gloom. Hampstead Heath is somewhat more of a challenge, because people like to fornicate in the bushes, but the general rules apply: people are lazy and stick to the paths mostly, so by choosing the remotest part of the heath, you very rarely see anybody.

My life is in the process of breaking up again; disintegrating. I don't care. I am so depressed.

Let it all burn down, I say.

Tags: #depression

This is a story about a better world...

On the topic of how the human race should divide labour & treasure - the products we manufacture and the food we harvest - a friend and former boss challenged me to come up with "something new and truly revolutionary" because I'm "a smart chap". Challenge accepted.

To my friend, the "constant drone of the right and the left is incredibly boring". Ok, fine. Let's set aside all political parties, their ideologies and their manifestos.

Right now, in the UK, we are a rudderless ship. Parliament was dissolved. All those constantly droning politicians are out campaigning, rather than doing what we elected them to do, which was to make new laws which we thought would make our lives better.

So, what the hell is going on? Why isn't there rioting in the streets? Why do I still have power in my apartment and water coming out of the taps? Why haven't a revolutionary group stormed the gates of the Palace of Westminster, and forcibly taken up residence in the House of Commons, declaring themselves as our new rulers?

In our day-to-day lives, we're quite familiar with parts of our national heritage. You picked up the letters off the doormat, with The Queen's head on a stamp. The jolly postman drove off in his red Royal Mail van. The train you travelled on to get to work, ran on tracks that are maintained by Network Rail. The road you drove on to get the kids to school is maintained by the Highways Agency. If you crash, the police and ambulance service will get you to a National Health Service hospital. When you eat any food, DEFRA will make sure that it's fit for human consumption. The electricity that boils your kettle was transmitted through the National Grid. Your house was built to national building regulations, the electrical system conforms to the national wiring regulations, the gas supply conforms to national standards. The Met Office warned you of any bad weather and made sure that various flood gates were opened to protect residential areas. When you got home, you watched British Broadcasting Corporation television programmes. Let's not forget the Foreign and Commonwealth Office who will look after you if there's trouble abroad, and of course the Passport Office who issued you with valid travel documents in the first place. The Driver and Vehicle Licensing Agency will make sure that the nation's roads are free from unsafe drivers, and the Department for Transport will make sure that every vehicle is inspected and tested to meet national standards. Her Majesty's Land Registry makes sure that nobody steals your house and the police make sure nobody steals your possessions.

Then, there are parts of our national heritage which are quite unseen. As a maritime nation, Britain imports and exports a lot of goods. UK Export Finance will lend to private companies who are exporting British goods, so that cashflow isn't held up while the container ship makes way for whichever port it's destined for. The Ministry of Defence is busy dreaming up new ways to kill people in nasty ways, while also forming part of the United Nations permanent peacekeeping forces, which keep a lid on pockets of unrest in faraway lands, which hopefully maintains a degree of global stability, although this is a controversial point. The MoD also have at least one Vanguard class submarine at sea, hidden underwater from the prying eyes of satellites, containing 16 Trident thermonuclear missiles, which in theory stops anybody from nuking us. Although not really acknowledged as existing, MI6 is busy gathering intelligence - i.e. spying - to protect us from foreign threats, which at the moment is mainly radical Islamists and the IRA.

All of those droning politicians haven't done a single thing except drone, since parliament was dissolved, so why is the UK still continuing to function perfectly well?

One might argue, why do you really care whether your electricity came from a state-owned monopoly power station, or a privately owned and operated one? In terms of the benefit to us all, the question is always the same: where did the money go, and how was it distributed?

In an unrestrained system of free-market capitalism, a foreign company will build their power station here in the UK using foreign labour and foreign materials. They will then sell us the electricity. Obviously, the foreign power company now has some pounds that they don't really want, so they sell them for another currency. This drives down the value of the pound, as well as creating a net currency outflow: more pounds leaving the UK than coming in. This attracts asset strippers and other vultures, who buy up valuable assets at a price that seems cheap to them, but expensive to anybody who lives in the UK. Look at the soaring value of London property prices: most of the transactions have been foreign investors; many of whom won't even live in the houses and apartments they've bought.

Eventually, if privatisation is allowed to continue, everything we need in daily life - housing, energy, food, clothes, water - will profit a foreign investor and our pounds will be virtually worthless, so things will be really expensive. The idea of competition works well when you're buying something you don't really need off the Internet, but are you going to move house every time the landlord puts the rent up, because the place next door is more competitively priced? Efficient markets only work when there's liquidity. Have you ever tried changing your bank or your energy supplier? It's a massive ball-ache.

I like living in a country where buildings don't fall down, I don't get electrocuted, the roads are safe and if I am unfortunate enough to have an accident, then I'll be sewn back together by world-class surgeons and looked after in a super well-equipped hospital.

My utopian ideas revolve around self-sufficiency. My utopia is probably a steel-hulled self-righting sailboat, with wind and solar electricity generation, big batteries, water purification and desalination. For food, the main boat would tow a super-tough floating greenhouse containing some kind of gimballed field to stabilise it in the waves. I would grow genetically-engineered beefburgers and other high-yield crops, and tow my floating greenhouse along with me in calm weather. In an unexpected storm, I could cut away the greenhouse-boat, and then retrieve it later using radio transmitter tracking. Most of the time I'd be moored up in some cove that's sheltered from the prevailing winds. Line-caught fish and squid would be a large part of my diet, but underneath the field-boat would be lots and lots of ropes growing mussels. I think a family of 5 could live a fairly decent life until the next generation were old enough and experienced enough to take to the seas on their own vessel.

Obviously, utopia doesn't scale, so most political discussions unfortunately, revolve around questions of ownership and wealth inequality; plus there's the important point about people who steal from the UK, by not paying their taxes and moving their money offshore.

As for revolution; that's just foolish. We need political reform: proportional representation and preferential voting. We need to abolish wealthy donors buying peerages from political parties. In fact, I'm in favour of abolishing political parties altogether. We need very low caps on how much money you can spend on political campaigning.

I'm less of a Marxist/Stalinist/Leninist/Maoist/Trotskyist than you think (well, maybe the latter a little bit) and I'm most concerned with the staggering amount of wealth that's hidden in tax havens, and tax that's avoided using accounting scams like Vodafone and their ilk. I'm also concerned by CEOs and politicians who don't "eat their own dog food" - if you run a bank, you should keep all your money in a bank account with the bank you run (hint, hint, Stuart Gulliver) and if you're a Member of Parliament, you should send your kids to state school and have regular NHS healthcare: no private options for those who seek to govern.

There isn't really an -ist that describes me, nor can I be pigeon holed as left, right or centre. My views and opinions are influenced by some ideas, but to say that I think that there's some autocrat, political party or ideology that works perfectly, is quite wrong. The world is a messy place, and there are plenty of people who'd like to poop your party just to show you up, even if you ever conceived the perfect system for society to conform to.

Summing up what I want from our society: social justice, income spread of no more than 100% from the lowest paid to the best paid, state-owned monopolies on essentials like health, energy, transport, education and housing, investment in science and technology, investment in massive infrastructure projects that are a source of national pride, minimum income (as opposed to full employment), 100% inheritance tax and your house/apartment reverts to state ownership after death, beefed up Competition and Markets Authority with a mandate to attack any area that has become a significant part of ordinary people's monthly expenditure, halve spending on defence and spend that budget on the UK Space Agency, decriminalise all drugs, regulate and tax sales of Cannabis for medicinal use, drug law enforcement budget to be spent on addiction treatment and education instead, the creation of a state-owned national investment bank and laws to restrict the use of financial instruments, make charging interest illegal.

That's quite a lot, isn't it? Implementing it all would be a pigging pain without treading on a lot of toes; hence the boat idea.

Tags: #politics

This is a story about treatment for drug addiction...

Having been to four different rehabs, I feel fairly qualified to give a few insights into what happens behind closed doors. Residential rehabs often hide away in leafy suburbs, where there are large houses that can accommodate human trash: dirty junkies and nasty alcoholics.

"Death's too good for 'em! String 'em up!" I hear you say.

Yes, yes, don't worry. We'll get to the idea that an addict will always be an addict, and that we should just write them off as a lost cause.

Boscombe in Dorset - an area of Bournemouth - is where many councils choose to send their difficult members of society, from all over the country. Supposedly, being by the seaside will be good for recovering alcoholics and former drug addicts. There are certainly plenty of rehabs in the area. Even Paul Gascoigne has found himself shuffling around Boscombe's streets, buying bottles of gin from the local off-license.

Ironically, many years after moving to Bournemouth, I became addicted to drugs and found myself in the perfect place to get treatment for my addiction.

Let's talk a little bit about drug addiction.

Having a 'drug habit' is not the same as drug addiction. 'Experimentation' is not the same as addiction. Partying is not the same as addiction. Addiction will rapidly destroy your health, wealth and prospects. Hospitals, police cells and prisons are the institutional stomping grounds of the addict, on their rapid descent into the fires of Hell. If you're successfully hiding your habit from your friends, partner and boss, then addiction hasn't fully taken hold. Addiction is destructive.

What about detox?

You can't really rehabilitate while the drugs and alcohol have got their hooks in you. If you abruptly stop drinking, you might get the shakes, become delirious, have a fit and maybe even die. If you stop taking heroin, you're going to feel sick and in pain. If you stop taking cocaine or amphetamines, you're going to be unbelievably exhausted and depressed, to the point where you're in real danger of killing yourself.

"You should kill yourself if you're a junkie" I hear you say.

What you haven't understood is that drug addiction is slow suicide. Do you think the addict or the alcoholic isn't aware that their body is getting utterly fucked up, and they're going to go to an early grave?

Detox is about breaking the physical addiction that the body has to drugs and/or alcohol. Detox is about suffering the worst of withdrawal, in an environment where substitute drugs can be administered to make the process safe, humane and tolerable. An alcoholic literally risks death if they stopping drinking without Librium. Is it ethical to ask people to die just because you're hung up on ideas like "willpower"?

There's the term "psychological addiction" that needs to stop being used. It's better to think about addiction like this: why did somebody get addicted in the first place?

"Because drugs are fun" I hear you say.

There are shitloads of people who take drugs all the time but they aren't addicts. Every weekend, raves and nightclubs are packed full of people taking Ecstasy (MDMA). Vast quantities of cocaine gets hoovered up by the eager nostrils of young professionals in cities around the world. Every day, a huge proportion of humanity smokes cannabis or drinks alcohol. Why aren't all these people raging addicts and alcoholics?

If you ever feel like quitting, remember why you started.

Most addicts' lives were truly appalling before their addiction took hold. For sure, addiction doesn't improve anybody's life, but it's not like there's any hope of a better life just because an addict quits drugs. The cycle of petty crime, scoring drugs, getting sick, being hospitalised and being locked up... it doesn't look great, does it? But what's the alternative? Flipping burgers and still not having enough money to make ends meet?

So, it's obvious that the rehabilitation process will only be successful if it can return a person to a better life than the one they were trying to escape from with drugs and drink.

The first rehab I attended was in Bournemouth, situated in a grand house at the end of a sweeping driveway, surrounded by mature pine trees, on a road of millionaires' mansions. The place was full of people from Greater London and the surrounding counties, ejected by their councils to make room for more rich middle-class people.

The biggest issue amongst my fellow rehab residents was housing. Boscombe has vast numbers of crappy bedsits that can just about be afforded with housing benefits. London and the South-East has no cheap housing for undesirable members of society. My fellow rehabbers were gleefully pushed away from where they were born and bred - and their families - because they were written off.

A typical day at the Bournemouth rehab would consist of a breakfast of baked beans, white toast and cheap sausages, followed by many rounds of tea, coffee and biscuits, until the 'therapeutic' day began. There were two or three sessions a day, where everybody sat in a big room, slouching on comfy sofas, vaping on e-cigarettes and slurping drinks. It was supposed to be group therapy, but it was basically just listening to heartbreaking tales of people's children being taken into foster care.

Most of the day in Bournemouth rehab was given over to matters of court appearances, housing office appointments, social worker visits and attempts to obtain various forms of welfare benefits. Almost everybody in rehab was in poor physical health, due to a life of drug abuse. Almost everybody in rehab had some underlying mental health disorder.

Those were the dregs of society, but they were warm and welcoming and they accepted me as one of their own. I was warned by staff to leave my iPhone at home and watch my wallet, but I never felt for a single moment as if my peers were going to rob or take advantage of me. I was somewhat appalled by the staff members' low opinion of their service users, but I suppose there's an element of the gamekeepers and the poachers: anybody who's keeping you under lock and key is kind of fair game, because resentment is going to build about the power that staff exercise over people in treatment.

Over the course of the 28-day program, my fellow rehabbers and I would build up special privileges for good behaviour, such as being allowed to go to Alcoholics Anonymous, Narcotics Anonymous or Cocaine Anonymous meetings. Being allowed to go into town, accompanied by a staff member, was the next privilege that accrued. Then, trips to town were permitted when accompanied by a peer who had attained 3 weeks of good behaviour. Finally, you might prove yourself to be trustworthy enough to go into town alone or as a chaperone.

Transgressions could include: not getting up in the morning, not doing your assigned chores, not attending group therapy, being caught with contraband, failing a drugs test and - most serious of all - going somewhere without permission.

Being expelled from rehab for going into town on your own might not sound like a terrible consequence, but almost everybody was there because treatment was mandated by the courts, as part of parole or an attempt to retain contact with children. Being chucked out of rehab could result in going back to prison, or never seeing your children again. The line between treatment and punishment was rather blurry.

My next rehab was 5-star luxury by comparison. You might have heard of it. It was The Priory.

If you're paying £12,000 for a 28 day stay in the countryside, you'd expect it to be pretty nice, wouldn't you? The Priory certainly delivered on making me feel special and cared after... for a high price. Therapists outnumbered patients, the bedrooms were very well appointed and comfortable, the food wasn't bad and there were luxuries like a gym and grounds to take a stroll around. Nobody was made to feel like a prisoner under house arrest.

Unsurprisingly, my fellow Priory rehabbers were rich compared to the Bournemouth lot. There were six-figure salary earning executives and heirs to multimillion-pound fortunes. Alcohol was also the predominant poison, as opposed to heroin.

One girl was so desperate for a drink, that she filled a mug with hand sanitising gel - which contained alcohol - and sweetened it with orange squash.

Therapeutic days were packed full of yoga, mindfulness, art therapy, educational videos, as well as group therapy. Supposedly following the 12-step program we only had enough time to complete the first two steps. AA and 'aftercare' meetings were held in the evenings at The Priory, which we were encouraged to attend, but most of us just watched DVDs in our bedrooms.

In my final week at The Priory, I asked "what next?"

Turns out that 28 days just isn't long enough to turn your life around. 28 days is just about long enough to get over the worst of the drug withdrawal and start thinking about how awesome the drugs are going to feel after a little break and three square meals a day. Aftercare programs are almost as expensive as rehab and last 3+ months: who's got that kind of money and can afford to take that long off work?

Having been through an acrimonious divorce, sold my house, rescued a tiny fraction of my most treasured possessions, boxed my life up, put everything into storage and suffered a horrible family Christmas, I was pretty fucked up by the whole ordeal. I needed to get cleaned up and straightened out again.

The next rehab I booked, I asked for a detox. I didn't want to have to get up in the morning and go to stupid group therapy. I hadn't slept or eaten properly for weeks. I'd been taking benzodiazepines for months and it was possible that I'd developed a physical dependency that could be life-threatening. I needed professional medical care.

The rehab I ended up in was like an alternative therapy spa break. There was a hot tub - called the sex pond - and a vibrating massage table, with whale music playing in the pitch black room. The main thing I was there for was sleep, food and a doctor on hand in case I had a seizure. Reluctantly, I consented to have acupuncture and to do some mindfulness: both of which I fell asleep during.

Most of the staff were kind and caring, but the guy who owned and ran the rehab was a complete egomaniac who clearly wanted his own cult. This idiot tried to force me to attend 'group' therapy, which was basically him giving interminable boring monologues about the time when he went into a Native Indian sweat tent. Believe me, the last thing you want when you're recovering from a near-fatal toxic combo of drugs, is to be a captive audience for some total moron.

While I was at that third rehab, a man was brought in, smashed out of his mind and covered in red wine. He'd been transferred up from the first rehab I'd been in down in Bournemouth. He'd walked out and gone into town to get pissed. Revolving doors.

I had to get away from that place. It wasn't therapy. Fuck knows what it was. Probably just a bit of respite for both family and addict alike.

Finally, I achieved what I wanted: I got back to London. Bullshit family Christmas was over. Divorce and house sale was over. I was free from horrible destructive relationships and nasty people, but I had picked up an addiction and failed to deal with it. My life to that point had been dictated by people who didn't care about my welfare.

I got myself into my fourth and final rehab: a 13 week residential treatment program in Kensington, West London.

Immediately, the place felt right. Rehabs are supposed to be run by former addicts and alcoholics. The guy who I met on my initial assessment had gold teeth and mean tattoos. The guy who ran the place had a massive scar across his face. These were people whose opinion an addict could respect, because they'd been all the way to rock bottom and back again: they'd seen friends die from overdoses and a lot of other rough shit too.

My most important lesson in rehab was how to do time. I had already been heavily institutionalised by working my whole career for massive corporations - with the limits that full-time work and education imposes on your freedom - but I still had lessons to learn about liberty. It helped a great deal that one of my fellow rehabbers was a young lad who'd been in prison twice by the age of 21.

Rehab is literally a kind of house arrest. You can leave anytime you want, but there will be consequences. It was fun to walk up to the gate (pictured above) and put a foot out over the pavement... just stopping short of taking a single step off the property.

It's not too hard to white-knuckle 3 or 4 weeks of abstinence. The first couple of weeks you'll feel awful, but your body is so abused that it's grateful for the sleep and the food. The next week or two are hard, but you know there's light at the end of the tunnel: you'll soon get your fix. You just have to count down the hours, minutes and seconds.

I don't believe you can rehabilitate somebody in just 3 months. So many things get fucked up when you're an addict. You need to get a job and go back to work, pay your bills and any debts that got racked up, repair and replace broken stuff and get a place to live. Everything got fucked up by my addiction: my shoes and clothes were wrecked and everything in my life was in total disarray.

Imagine being a company director through a period of addiction. My accounts and taxes were all messed up, and important paperwork was lost or misplaced.

What about my CV? How could I explain those periods of absence from work?

What about my routine?

Do you realise how much of your life runs itself on autopilot? You pay your rent/mortgage, council tax, electric, gas, water, sewerage, broadband, mobile phone, home insurance, life insurance, car insurance, road tax, MOT, TV license and a zillion other things. You get up every day, have breakfast and go to work. People know and respect you at work and you know how to do your job. You see your friends and socialise. You have your hobbies and you exercise. Do you think you can put all that stuff back together, running smoothly, overnight?

When you're an addict, everybody distances themselves from you. It's obvious that if you even so much as speak to an addict, they're going to steal your newborn baby and sell it to buy crack cocaine. It's obvious that anybody who injects marijuana or sniffs glue is a worthless selfish nasty person who's out to kill you.

Rehabs are necessary because family and friends are judgemental gossips who offer you useless advice like: "have you tried not taking drugs?" or "maybe you should just stop".

Rehab was a holiday from being judged to be an evil failure, morally weak and simply lacking in willpower.

Rehab showed me that I do have the willpower to stop taking drugs whenever I want. Rehab showed me that I'm not weak and I'm not powerless.

By the time I finished my four stays in rehab, I still hadn't run out of money, I had never been arrested, locked up, hospitalised or homeless. I had been nowhere near rock bottom.

I never actually reached rock bottom though. I experienced things that were awful at the time, but I needed to have those experiences.

Stopping drugs is the least of anybody's concerns. Drugs actually help when your life is unbearably shit. Just ask anybody who suffers from depression or anxiety if they'd like to give up their antidepressants or tranquillisers.

Obviously, I'm glad I never got a criminal record or sustained any life-changing injuries, but maybe I needed to come close. Being locked up in a police cell a couple of times and spending weeks in hospital, were not things on my bucket list, but I think they were necessary experiences to complete my adventure.

When the time was right, I got a place to live, a girlfriend and a job. Without those things, life isn't worth living, but equally, those things don't create recovery.

Bullying was relentless and intolerable at school for 11+ consecutive years. Nothing I did was ever right or good enough for my parents. My parents' relationship was appalling - full of verbal abuse and hostility - and I got involved with a girl who physically and mentally abused me, who I stayed with for many years. I got so used to broken, abusive relationships. Do you think that kind of stuff can get healed by 28 days in rehab? Do you think that all my problems came about just because I sniffed a bit of white powder?

You might think I act normally and sound perfectly reasonable, rational and able to string a sentence together, but it's the opinion of the medical professionals who've treated me, that I'm dealing with depression, bipolar and even borderline personality disorder. Clearly, I've had many episodes of mental health issues... including a period of many years before drugs even entered the picture.

This is called dual-diagnosis: the clusterfuck that is both addiction and mental health issues combined. The tail that wags the dog.

I've cherry-picked the best treatment and the most humane and compassionate approach to fixing my addiction and now I've arrived at the situation where - joy of joys - I'm 'just' dealing with depression and anxiety.

I'm itching to press the 'fuck-it button' because life is intolerably stressful, unrewarding and my depression is refusing to lift. What's the solution? Drugs? Been there, done that.

Rehab taught me how to quit drugs cold turkey. Rehab taught me that I'm in control, so long as my life seems worth living.

Addicts and alcoholics are taught on the 12-step program that they're powerless. I'm certainly powerless, but it's over things like whether I get offered a decent job that pays enough money to be able to live. Being powerless to influence the things that really matter to me in life, such as whether I can live with dignity or not, creates incredible stress and anxiety.

I can choose to stop drinking or taking drugs, but why would I, if the alternative is ESA assessments and having my inadequate welfare benefits cut off by somebody who's not even a qualified doctor? Why would I quit, if I have to prostitute my mind and body, to go and work some pointless bullshit job for somebody promoted into a position of incompetence, if I'm 'lucky' enough to be offered a pittance to do the job?

It's so hard to escape the things that drove us to drink & drugs in the first place.

Rehab was important for me to forgive myself for things that weren't even my fault. I didn't make a mistake, getting addicted to drugs: it was a deliberate act and I'd live my life exactly the same if I got to start over from scratch. Rehab was respite from those who wish to scapegoat sick people.

Fundamentally, rehab connected the 'clean' and the 'dirty' world and allowed me to see that they're two sides of the same coin.

Every saint has past and every sinner has a future.

Tags: #addiction #drugs #alcohol