Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

16. Self Inflicted

"I should be upstairs saving lives and instead I'm here wasting my time here talking to you" the consultant harshly chided. "I'm needed in surgery helping patients who don't deserve to be here" he continued.

"We're picking up the pieces of your self-inflicted mess and that's not fair."

The staff and patients within earshot of the ward could not help listening in to the consultant's angry tirade. They cringed with embarrassment on behalf of the petite and ghostly white girl who looked the angry doctor straight in the eyes with a contemptuous stare. She seemed completely unmoved, which only enraged him further.

The consultant briskly walked off. Everybody in the vicinity had stood spellbound, watching the scene unfold and there was a moment of hesitation before anybody started to move around. It was deathly quiet before people resumed talking again. A male nurse who had been hovering near the girl's bed now came over to replace an empty drip bag. He studied her face.

"He doesn't know what he's talking about. I didn't choose to come here" said the girl.

"He's very good at his job. He's very respected in this hospital" the nurse replied.

"I don't dispute that. But I didn't want to come here and take up anybody's valuable time" she said.

The nurse stopped what he was doing and looked at her.

"The police brought me here. It wasn't my choice. I didn't want to come."

The nurse wanted to tell her to keep her voice down, but he knew that it would be hypocritical, given that the consultant had launched a loud verbal assault on the silent girl. She hadn't spoken a word to contradict him. In fact, they had never spoken. He had read her notes and marched into the ward to give her a lecture. The other staff were quite sympathetic towards this fragile creature who had been so apologetic that she had ended up in hospital.

Lara had to put two canulas into the girl's pale skin when she arrived on the ward. Inside the crook of her arm and down the length to her wrists, there were scarred track marks and pus-filled abscesses. Lara searched the back of the girl's wrists but couldn't find a single vein that hadn't collapsed.

"I'm sorry. That hasn't worked. We'll have to try again" Lara said as she pushed the thick needle of the canula into a vein in the girl's ankle.

"It's fine. Don't worry. I'm sorry it's so hard. I'm used to it" the girl said.

Lara knew that it must hurt, but the girl didn't make a sound, even when she slightly flinched with pain.

"I bet she can't feel a thing" muttered one of the other nurses to Judy, the ward manager. They were watching through the glass from the corridor.

"She detoxed in intensive care. She's probably in a great deal of pain and discomfort" said Judy with a stern look at her colleague.

The hospital was a fairly nonjudgemental place. Even when the radiographers would gossip about the strange objects that they had seen on X-rays, that had been inserted into mens rectums, there was still a lot of sympathy amongst the staff and sensitivity for the feelings of the patients. "Imagine shitting that out" Anne cackled, talking about a toy car that a man had "accidentally sat down on" and had been unable to remove himself.

On a general ward, those who stayed for any considerable length of time were the geriatric patients. The patients Lara looked after either got better and were discharged, or they got worse and were rushed off to surgery or intensive care. The old people took a long time to recover and had multiple health problems as their aged bodies slowly shut down and died. Young people were a relative rarity on the ward and there was something shocking about seeing somebody unwell when they had their whole life ahead of them.

The young girl on Lara's ward had been admitted with pneumonia, septicaemia - blood poisoning - as well as a number of infected abscesses. She had hepatitis B and C. She was HIV positive. Her blood borne diseases were not affecting her health but would severely shorten her life expectancy. This shocking prognosis was at odds with the defiant and beautiful patient who seemed so strong despite being critically unwell.

As an emergency admission, the girl was still wearing the same clothes that she had been when the police had brought her to hospital. Her thickly applied make-up was still plastered to her face. Her short skirt, boob tube, mascara, black eyeliner and bold lipstick unmistakably identified her as a sex worker. Her uncovered arms betrayed the fact that she was an injecting drug user, but the men who picked up street walkers wouldn't notice or care about such things.

"Do you want me to find you some pyjamas?" Lara asked, trying not to stare at the small scars all over the delicate flesh on the underside of the girl's arms.

"Only if it's no trouble" the girl replied with a grateful smile.

Rummaging in one of the store cupboards, Lara managed to locate some pale green pyjamas and a pair of beige disposable slippers wrapped in cellophane.

"Here" said Lara. "I'll put these on this chair and we'll get you unhooked from all this stuff when that drip bag is next empty" she said.

A drip fed into the canula in the girl's ankle. She had a blood pressure cuff and oxygen level monitor attached to her arm. A machine pumped fluids into her body. A catheter bag hung below the bed, half full of urine. The tentacles of cables and tubes spread out from the white sheets of the bed where she lay, to the surrounding machines and equipment.

Changed out of her clothes and into clean hospital-issued pyjamas, the girl had managed to quickly clean her face in the bathroom. Her complexion was unhealthy but she was clearly very young. Without her makeup, she was just a helpless sick child.

"Are you OK in there?" Anne asked. "Lara, is that you?"

Anne was stood outside the ladies' staff toilet. She had heard somebody sobbing inside. Lara emerged sniffling and dabbing at her eyes with toilet paper. Anne looked around to make sure nobody had noticed them, while Lara fussed with her handbag and tried to walk away as if nothing had happened.

"Whoa there girl! You're not going anywhere. We're going to mine. No arguing" said Anne.

Lara had stifled her sobs as they exited the building and headed to the nurses' accommodation block. It was the end of their shift but Lara had obviously been locked in the toilets for some time because the rush to leave the building had quietened down.

No sooner had Anne closed the front door of her studio apartment behind them, Lara burst into tears again.

"What's wrong? Is it that girl in ward D?"

"She.. she... she's so young" Lara snivelled.

"Yeah. Heartbreaking" said Anne in a flat tone.

"But she's got nobody. Did you hear the way Osborne spoke to her?"

"Well, he's got a point. Nobody forced her to start taking drugs" Anne said, pouring out two large glasses of white wine.

This made Lara sit up and stop crying, although her eyes were still filled with tears.

"That's such a cliché. You think she's to blame for her own problems? You think she chose everything that's happened to her?" asked Lara.

Anne sat down on the sofa next to Lara and handed her a glass.

"No. I'm sure she was abused as a child. I'm sure she was raised in foster care. I'm sure she's had a hard life. I just mean, some kids turn out alright and some don't. They're not born with a crack pipe in their mouths" said Anne.

Lara knew that her friend wasn't being harsh. It was no use for them to wallow in misery over every tragic case that crossed their path. Anne was being supportive and kind by looking out for her and giving her space to talk about this girl away from work, even though she was challenging Lara's sympathetic stance.

"I don't think it's as simple as Doctor Osborne makes out" Lara said, taking a gulp of wine, still unable to look her friend in the eye.

"He shouldn't have spoken to her like that. He was shouting. Everybody heard him."

"Yeah" said Lara weakly.

"I bet he feels bad about it now. He was just mad because it's so tragic that she's messed her life up so badly at such a young age."

"He's not her dad" said Lara.

"Yeah, but he probably feels a bit protective, like a parent. Like you say, she's got nobody."

"There were people from social services, the police, addiction support workers. They're all worried about her. Lots of people want to see her get better. She doesn't seem at all afraid about how sick she is."

"You know this is her third hospital admission this year? Doctor Osborne is as worried as anybody" said Anne.

"You can't lecture somebody like that" said Lara, catching her friend's eye now.

"You can't get so personally involved. I bet that's why you were crying, wasn't it? Because you didn't want to leave her and go home"

"Yeah. Everybody is judging her. Because she's a junkie and a prostitute" replied Lara, starting to cry again.

"It's not your battle. You can't save her. All you can do is make her as comfortable as possible while she's on the ward"

"During my shift" said Lara.

"Yes, that's right. During your shift. You have your own life too."

"Can I sleep on your sofa tonight? I want to get drunk" asked Lara.

Next chapter...

This is a story about being objective...

If you want to compare two measurements you have to use the same yardstick. If you are comparing two subjective things then how can you possibly draw any concrete conclusions?

At times, I have kept a mood diary. I rate my mood from 1 for worst to 10 for best. Who's to say that if I rate myself as "1" during prolonged depression that's comparable to "1" on a bad day when otherwise I've been feeling mostly normal?

During a lengthy period of depression, where nothing seems to hold any pleasure or enjoyment: subjectively, life is terrible. I also have periods when I'm generally in a much better mood, but something really shitty will happen. The shitty thing might feel like the end of the world at the time, but I'm not going to kill myself over it: I'll quickly get over it and move on with my life... so can it really be a "1" even if it feels like it at the time?

If your mood slowly improves or declines, over the course of several weeks or months, can you spot the trend? If you're suffering a lengthy depression, does your yardstick change? You might have a day where you just feel normal, but now you rate that 10, because it's the best you've felt in as long as you can remember.

Do you even remember how you used to feel, before you got depressed?

This might be why I have a tendency to invite hypomania, because at least it's clearly some kind of polar opposite from depression, even if I don't exactly feel "happy".

Defining "happy" has started to get really hard.

Going in search of happiness has been a disappointing experience. Anhedonia means the loss of pleasure and enjoyment of things that you used to get a kick out of. Finding that you no longer love the things you've always loved to do, is terrifying, because it's further confirmation of the way that you feel: "everything is shit".

I ended up completely rebasing my whole idea about what made a happy day:

• "Got to work only an hour late"
• "Didn't quit my job"
• "Only drank one bottle of wine instead of two"
• "Survived another week without being sacked"
• "Got out of bed at the weekend before it went dark"
• "Went to the shops"

I know that I must be unwell, because I used to have happy days that were more like this:

• "Cooked a healthy dinner"
• "Went for a walk or a bike ride"
• "Took some cool photographs"
• "Went to an event"
• "Made a new friend"
• "Did some work I'm proud of"

Now, I could do those things, but I don't feel like it. Often when I try to force myself to do things, I get very stressed about it and I find it really exhausting. When I get home I feel wiped out and that I shouldn't have bothered. I find myself out taking a walk and nothing takes my interest enough to photograph it. That's weird. I used to live behind the lens.

So, I started to bring in more objective measurements: movement data, alcohol consumption, number of social engagements, number of words written.

When I analyse the data, I think the most reliable predictors of my subjective feelings of depression, are movement and alcohol. Looking at last year, I was averaging 12,000 steps a day, and although I had alcohol binges, my average consumption was reasonably low. This year, I'm averaging 7,000 steps a day and drinking excessively nearly every day.

Now, you might think "walk more, drink less" would be the solution, but this assumes a causal relationship. Perhaps I was more in the mood to walk more and drink less, last year. Perhaps the relationship is the other way around and my poor lifestyle 'choices' are actually due to depression.

We often tell people to eat healthier and exercise more, to improve their mood, but perhaps it's the people who have a happier mood who are the ones more likely to eat right and be active. In actual fact, healthy eating and being more energetic could be a good predictor of happier people.

The cause-effect relationship is not always clear. Psychologists had published a paper that appeared to show that smiling made you feel happier. However, when the experiments were repeated, the results could not be reproduced. If you can't reproduce the results of your experiment, it's not good science.

A friend made the following amusing observation:

"People who are dying of dehydration can't just mime drinking water to quench their thirst"

I think this hits the nail on the head perfectly. While depressed people can eat healthier and go to the gym, they're just going through the motions. They're not getting the benefits that their happy counterparts are getting, and in fact it could be pure torture for them.

There's an experiment where a pigeon is fed at a computer-controlled random interval. What the researchers found was that whatever the pigeons were doing the first time they got fed, they then decided they needed to do again, in order to get fed. Let's say the pigeon was cocking its head to the side when the food was released, the pigeon will then start repeatedly cocking its head, and believe that it is causing the food to be released, when in fact it's completely random. Essentially, the pigeons had become superstitious.

It seems relatively random - unpredictable - when a depression is going to lift. Let's say you were trying acupuncture or homeopathy at the time when your mood started to improve: you might assume a causal relationship between the alternative treatment and the lifting of your depression.

Even a double-blind placebo trial is not exactly fair. Psychiatric medications do make you feel noticeably different. I would be able to tell whether I was taking an inert placebo pill, or something psychoactive. I would know whether I was in the control group or not. Placebos don't work if you know you're taking a placebo, so this could explain some of the mood improvements seen with antidepressants. The antidepressant might look effective, when compared with the control group, but it's the placebo effect.

Antidepressant clinical trials generally only take place over 6 to 12 weeks. Many common antidepressants take 6 weeks before their effects can even be felt. There is no focus on long-term outcomes in these trials, only that the medication should perform better than placebo.

Many trials of longer duration have shown that being unmedicated might be more effective in the long-term, than taking antidepressants. Pharmaceutical companies are not concerned with long-term outcomes. In order for a medication to be sold to the public, it merely has to be safe and proven to be marginally better than placebo.

You would have thought that taking antidepressants would be a lot better than not taking them, right? In actual fact, there might only be a 15% chance of you feeling better, but there's a 15% chance of unpleasant side effects. The very process of going to your doctor, being listened to by somebody nonjudgemental, and then feeling something even if it's not actually better, might convince you that you're improving, when actually your depression could be lifting quite naturally anyway.

Culturally, we have developed a strong superstitious belief in the power of medicine. We believe there's a pill for every ill. We believe that a man in a white coat can wave a magic wand and we'll be cured of any ailment; discomfort.

You only have to go into any pharmacy during the winter, to see signs that say "we have no medication to treat your common cold". The fact that doctors and pharmacists have to tell people not to waste their time with an incurable virus that has unpleasant but non-life-threatening symptoms, shows how strongly we believe in the power of medical science to save us from even a runny nose.

There is a clear difference between "feeling a bit sad" and depression. Depression is life-threatening. Depression has a massive impact on people's quality of life. However, we are often medicalising a non-medical problem.

If somebody who's feeling down visits their doctor and receives some medication that's basically a placebo that makes them feel a bit different - drugged - then their pseudo-depression will lift, because it was going to anyway. The non-judgemental medical consultation will also have marginally assisted.

However, those who have prolonged severe depression - to the point of suicidal thoughts - may find that their quality of life is actually reduced by medication, because it gives no real mood improvement, but it does have unpleasant side effects. The longer-term studies seem to back this up.

Through extensive research, I found a number of medications that are very rarely prescribed, but have been used for treatment-resistent depression. These medications are dopaminergic not serotonergic.

There are a whole raft of medications used to treat Parkinson's disease, that have been shown to exhibit antidepressant effects and can successfully treat patients who had previously been treatment-resistent.

In the most severe cases of depression, deep-brain stimulation has been employed with remarkable efficacy. Deep-brain stimulation had previously only been used on patients suffering from Parkinson's disease, to stop their tremors.

The idea of having electrodes implanted into my brain does not sound immensely appealing. Rats who have had electrodes implanted in their lateral hypothalamus will starve themselves to death, in order to press a lever thousands of times an hour, to stimulate their brains. Do humans who have had the same procedure, just stay at home hitting the button as often as they can? We have wandered into the territory of the neurological basis for addiction.

This is how I arrived at my decision to use a medication that helps people to quit smoking.

My very first addiction was to nicotine. I had no choice in the matter. My parents forced me to breathe their second-hand smoke. Because I was a tiny child, the concentration of nicotine in my bloodstream would have been very high. Second-hand smoke was responsible for inflicting an addiction onto me in my infancy.

In the UK, nightclubs, bars and pubs used to be filled with smoke, until July 2007. My addiction was therefore maintained through passive smoking. The timing of the ban seems to correspond with my first episodes of depression.

The stop-smoking drug called Zyban is actually France's most popular antidepressant. The French have found that Bupropion - the active ingredient in Zyban - is also effective for treating alcoholism. The link between addiction and depression seems clear.

I have a theory that my brain is in mourning. I was subjected to second-hand smoke throughout my childhood, and I spent a lot of time in smoky clubs and pubs. Nicotine withdrawal was something I was used to experiencing again and again, but what I'd never been through was a prolonged period of withdrawal, because I would regularly get a hit of second-hand smoke. It wasn't until the age of 27 that I was finally able to escape nicotine, because of the smoking ban, even though I have never smoked in my life. You would expect that such a prolonged addiction would produce a profound psychological effect, when my brain realised it was never getting any nicotine ever again.

I then experienced a later period of addiction. Although there were periods of abstinence, these never exceeded 3 or 4 months, and the total amount of time that I struggled with addiction is close to 5 years. The addiction was extreme. The drugs I was using have a much more profound effect than cigarettes. Still today, after 6 months of total abstinence, I get shaky sweaty hands and feel sick with anticipation at even the merest thought that I might be able to obtain some drugs.

Although Bupropion is a poor substitute for the addiction I once had, it does at least slightly soothe the aching sense of loss... the mourning.

Thinking about this more now, it seems obvious that I should mourn the loss of the love of my life. My addiction was so obsessive, overwhelming, all-consuming. How on earth can you let something like that go, with just a 28-day detox, or a 13-week rehab, if it's been a huge part of your life for years?

It should be noted that my mental health problems, which predated my addiction, compound the problems. To give an official name to my ailment: it's called dual-diagnosis. That is to say, Bipolar II & substance abuse. Yes, substance abuse is a kind of mental illness. Take a look at the kind of self-harm that addicts are inflicting and tell me that's normal behaviour. That is why substance abuse is classified as a disease.

Bipolar II is a motherfucker, because it comprises both clinical depression and hypomania, which are both destructive. Therefore, I'm actually suffering with triple-diagnosis and trying to fix 3 illnesses... although the hypomania is something that most people with Bipolar II wouldn't give up, and substance abuse is hard to stop because of addiction.

I haven't had a hypomanic episode in almost a year, and I've been abstinent from drugs of abuse for 6 months, therefore the final nut to crack is this damn depression, which might turn out to simply be the fact that - subconsciously - I'm depressed that I can't take drugs anymore. It feels like the love of my life has died, hence why I'm describing it as mourning.

How long it will last, I have no idea, and I've lost patience... hence resorting to a mild form of substitute prescribing. I successfully beat addiction once before using Bupropion. I beat it using progressively weaker drugs, until I was weaned from my addiction.

You wouldn't ask a smoker to quit without nicotine patches. Why would you expect somebody with an addiction to harder drugs could quit with willpower alone? The only slightly unusual thing is that the stop-smoking drug seems to be just as effective for addictions to things other than nicotine.

Perhaps we will one day treat all addictions as compassionately as we treat nicotine addictions. Certainly, there doesn't seem to be a lot of appliance of science, when it comes to treating addiction to anything other than smoking.

Subjectively, cold-turkey & willpower is a fucking awful approach to beating addiction. We have the scientific data to show that smokers are 4 times as likely to successfully quit, with nicotine replacement therapy and smoking cessation medications like Zyban.

Of course, a relapse would be disastrous, but haven't I already relapsed back into depression?

I've been on medication for 5 days now, and Bupropion should start to be effective within a week, so perhaps I will feel an improvement in my mood any day now. Certainly, my suicidal thoughts seem to have stopped, but that could be psychosomatic and also because my horrible contract ended.

You see what I mean about how hard it is to control the variables? Human lives are messy and complex. It takes vast quantities of data to be gathered over many years, not a 6 to 12 week trial with 30 people.

Also, there's an argument to say that your subjective yardstick is altered by your experiences. Your perfect 10 can become unattainable, except through the use of powerful narcotics. Does that also mean that the best you can ever hope to feel is mildly depressed, now that the bar has been set so high? My only hope is that my brain "resets" itself over time. The brain can downregulate parts that are overactive, in order to maintain equilibrium, so it can also upregulate... eventually. The big concern is neurotoxicity: have I irreversibly "burnt out" the reward centres of my brain?

6 months isn't long though. I'm going to see what happens if I can make it to a year. Presumably, there might be marginal improvements that have happened already, but are too subtle for me to perceive. The data actually bodes well: instead of spiking back up into hypomania, things have plateaued during the last couple of months.

This unethical self-experimentation doesn't yield any results worth publishing but it does give clues as to what could be worth researching. A sample size of one is not statistically significant, but it's important to me, because my life depends on it.

Tags: #bipolar #depression #mentalhealth #addiction

 This is a story about drug dealers...

The top image shows an official UK prescription. A doctor registered with the GMC prescribed me the medication and a pharmacist registered with the GPHC filled my prescription. The bottom image shows black market prescription drugs for sale on the Dark Web. When you buy from the Dark Web an anonymous vendor will sell you whatever you want, no questions asked.

In order to receive my official prescription, I had to answer 14 yes/no questions. One of the questions was "do you have high blood pressure?". How the hell should I know? The last time I had my blood pressure checked was 11 months ago, and I've gained loads of weight and have been drinking far too much since then.

According to my order tracking, a doctor spent 7 minutes deliberating my 14 answers - 30 seconds per answer - before writing my prescription. I never met this doctor, we never spoke and they never saw my medical records.

Some years ago, with a great deal of arm-twisting from my private psychiatrist, my GP agreed to prescribe me Bupropion for the depressive episodes of my bipolar disorder. In the UK, Bupropion is not licensed for the treatment of depression or bipolar disorder. NICE guidelines do not recommend the use of Bupropion for anything other than as a smoking cessation treatment. Basically, my GP faced being struck off the GMC register if I suffered some horrible medical complications because of an adverse drug reaction.

I've been back in London for 3 years and I've had 2 different GPs since then: one in Camden and one just across the road from where I live. Neither of them has prescribed me a single medication, but the Camden GP took it upon himself to phone me on my mobile in his personal time to see if I was still alive. My GP went out of his way to try and help me.

The average face-to-face GP consultation time in the UK is just under 9 minutes. Imagine having just 9 minutes to establish that somebody is suicidally depressed and then select a psychiatric medication for your patient. The medication could either save them or reduce their quality of life even more. It's not much time, is it?

And so, I became an educated well-informed patient. A doctor I spoke to some years ago said that I would be better off finding a "prescription pad psychiatrist" who would write me a prescription for whatever I wanted. These doctors exist. They're available online, without even having to meet them or speak to them on the telephone, it would seem.

I have no criticism of the ethics of what the doctor and the pharmacist who I obtained my official UK prescription from are doing. It doesn't seem unethical to me.

Interestingly, it cost me £90 for 60x 150mg Bupropion tablets. I could easily buy the exact same medication for less than half that price on the Dark Web. If I was to buy the medication from India, it would cost me less than £6 (plus postage).

On the NHS, a prescription costs £8.40 if you're working and not entitled to welfare benefits.

Basically, you pay for convenience. With the online pharmacy I had a short form to fill in and I got my medication delivered next day. With the Dark Web, I would have had to faff around with Bitcoins, but my medication would also have been delivered next day. With my doctor, I would have had to make an appointment, and there's every chance that they wouldn't have been prepared to take the risk of writing an off-label prescription. With the Indian medication, their postal service is appalling and it takes weeks for a delivery to arrive.

One reason not to order from the Dark Web though, is that you can get anything you want. It's easy to start window shopping. Once you've loaded up your account with some Bitcoins, it's easy to fill up your 'shopping basket' with all kinds of things that you're curious about, or things that you know you really shouldn't be buying because they're bad for you. It's a slippery slope.

One of the reasons why I don't have any drug dealers phone numbers and I've never bought drugs from a drug dealer, is because it's so convenient. I don't believe in the idea of a 'pusher'. People want drugs, plain and simple. The drugs push themselves.

One of the reasons I'm not using internet banking at the moment, is because it makes it too easy for me to buy some Bitcoins, transfer them to a Dark Web marketplace, and have a little jiffy bag containing deadly white powder, hitting my doormat the very next day.

I don't believe prohibition works, but certainly making things a little more inconvenient does offer some protection from temptation. I wouldn't even know where to begin, trying to find a drug dealer, unless I wanted to buy low quality cannabis or terrible quality imitation cocaine from one of the many dealers who hang around by Camden Lock.

Prohibition created legal highs. Prohibition created the Dark Web. Because I'm an IT expert and a sensation seeker, when I read about legal highs in the news I was tempted to give them a go. The rest is history. All of that "moral panic" crap in the media had precisely the opposite effect than intended. A naïve middle-class IT professional working for an investment bank, suddenly became exposed to a world that I would never have become part of, if it wasn't for the fact that prohibition lowered the barrier to entry.

As the legal highs started to get banned, I then took to Internet forums to find out where people who had stockpiled - like me - were supposed to go after we ran out of drugs. That was how I found out about the Dark Web. Yet again, prohibition moved me from a world that was legal, taxed and regulated, towards the dark and murky world of illegal drugs.

One day, in a pit of despair at my spiralling addiction, I decided to order all the drugs. I bought crack, heroin and crystal meth. I didn't even know what to do with them. You can snort heroin and meth, but not crack, as it turns out. How does a middle class homeowner even smoke crack? I didn't even own a cigarette lighter.

A couple weeks later, I had nailed my door shut and put newspaper all over the windows. It's remarkable how quickly a respectable middle-class rich person can turn the house they own into a crack den.

What's also remarkable is how quickly you figure out that you've bought a one way express ticket to an early death, if you have vast sums of money and a reasonable intellect.

One day, I smoked a pipe - I had bought a meth pipe off the Dark Web by this point - that had been filled with heroin, crack and meth. I thought "is this as good as it gets?". The room was bathed with a yellow light, even though it was barely lit. There was a calm serenity. I thought "this ain't even that great" and decided that I'd better stop before I decided that it was great.

It's the strangest thing, flushing rocks of crack and a big bag of heroin down the loo, not because you're addicted and you want to quit, but because you can see how easily you could become addicted.

People think that drug addiction is all about wanting drugs and taking drugs, but it's not that at all. Drug addiction is about identity, routine, habituation, ceremony, lifestyle... things that I even struggle to explain. If you're just locked in a room with a virtually limitless supply of drugs, because the postman keeps bringing your supply and you have lots of money in the bank... you'd think you'd just take drugs and more drugs until you died or ran out of money.

In actual fact, addictions are self-limiting. Given a clean pure supply of drugs, eventually, addiction becomes kinda boring or the downsides start to outweigh the upsides.

I'm lucky, because I'm wealthy and I'm not a total dumbass. I tried so many drugs, and eventually found one that was far better than crack, heroin or crystal methamphetamine, but cost less than £1 a day.

I used to buy a packet of capsules off the Internet for £27. This was a legal high called "NRG-3", which turned out to be MDPV: I've nicknamed it supercrack. The packet contained 20 capsules, and each capsule had 100mg of MDPV in it. I would hide these capsules all over the house, so that I would never have to hunt for very long to get my fix, when the cravings became unbearable.

I would divide the 100mg contents of a capsule into 3 equal piles. Then, I would divide one of the piles into 2 lines. I would snort one of the lines, which would weigh approximately 17mg.

17mg of MDPV is a very strong dose. Basically, it's enough to be bat-shit insane for 24 hours. I would pretty much always end up going back for the second line... so that's 48 hours of insanity, with no sleep. I would go back to work for a rest.

120 days of bat-shit insanity for £27.

Cheap.

Deadly.

You spread 120 days over the weekends, and you've got 2 years worth of hiding a drug habit. If you do anything for 2 years, it becomes an integral part of your life. It's hard to change the habits of a lifetime. Again, you've gotta be smart and spot the changes in your behaviour.

I started cancelling plans, because a 1-day drug binge turned into a whole weekend drug binge.

I started not making any plans, because I was planning on taking drugs all weekend.

How the hell I held down a job during this time, I have no idea.

My psychiatrist and my GP thought I was self-medicating for depression. They thought I was in control. They actually told me "don't stop what you're doing... just try to cut down gradually". My GP signed me off work for 5 weeks, and I thought "great! I can take drugs for 4 weeks and then spend a week recovering".

It's true that my clinical depression and abusive relationship had led me to self medication, but when it became drug experimentation, I lost control over the course of a year. I started with a legal drug called Methylone, which I took every day and it worked to alleviate my depression. Then, when I found NRG-3 during a messy breakup, I was completely hooked.

Less than a month after becoming addicted to NRG-3, I started carrying a letter with me and a £20 note in an envelope. The letter said:

"I am a drug addict. If you have found me with breathing difficulties or unconscious, please put me in a taxi to A&E".

In actual fact, the letter was far more detailed and contained some information that would have been useful for any medical professionals who had the misfortune of trying to look after me... but you get the idea. The penny had dropped. I knew I was in trouble. Self-medication had turned into experimentation, which had unleashed addiction.

For others, there are 3 valuable lessons I learned:

1. Depression, stress, relationship difficulties, money worries, housing worries: these are the things that create a festering swamp. Addiction will take hold, not because of the drugs, but because somebody's life is already awful. If you want to prevent addiction, you need to improve people's lives, not ban drugs.
2. Even though it sounds disingenuous, it does make sense to shop around. Think about all those Oxycontin addicts who haven't yet figured out that heroin is stronger and cheaper. They're going to one day. How much money are they going to 'waste' in the meantime?
3. Addictions are naturally self-limiting. People need to quit on their own terms. There's an oft-quoted line about how addicts and alcoholics "can never get enough of their drug of choice". In actual fact, very few people can actually afford to take as many drugs as they want. Look at the mega wealthy: aren't you surprised that so few of them drop dead from drug abuse?

Alcohol is a dumb choice of drug, because it's so damaging to the liver. In a way, benzos are the smart alternative. GHB/GBL makes you 'drunk' but it doesn't have the same hangover, and it's not so damaging to the body. You can buy 10 litres of "alloy wheel cleaner" from BASF in Germany for about £500. That's equivalent to 7,000 shots of vodka, and it won't give you cirrhosis of the liver.

Cocaine is a dumb drug of choice, because it's so expensive and the adulterants are highly damaging to the mucous membrane in your sinuses, to the point where you might lose your nose. You can buy nitracaine from China in bulk for just a few dollars per gram, and it'll be 99% pure.

Heroin is damn cheap. It's the injecting that causes the problems: collapsed veins, abscesses and dirty needles leading to blood-borne diseases. With an adequate supply of medical grade diamorphine, a heroin addict can live a long, healthy happy life, and will probably "grow out" of their habit in their 40s or 50s.

Crystal meth is cheap anyway. Smoking meth is undoubtably incredibly destructive to teeth and lungs. It sounds crazy to say this, but given an adequate supply, at least crime will go down and the need for prostitution goes away. With higher self-esteem because people are not selling their body to get drugs, surely a large number of addicts are going to stop using eventually?

I'm not saying "legalise all drugs and have your local supermarket stocking crystal meth". Drugs are so widely available and so cheap, we're at the point where prohibition is like a bad joke. Shutting the original Silk Road marketplace on the Dark Web just caused dozens more imitators to spring up and fill its place. You can't legislate to control human nature. It doesn't work. Supply and demand are the only forces that you need to understand.

If you have a loved one who you think is at risk of addiction, or struggling with addiction, you can prevent that journey from even starting by making their life vastly better so that addiction never takes hold. Once an addiction has started, you're not going to be able to cut it short by cutting off their supply of money or forcing them into some rehab program. An addict will simply go around any obstacle. An addict needs to quit on their own terms, when they've had enough.

Perhaps I will never have had enough, because perhaps my life will never improve. Certainly, when you're depressed, stressed, bored shitless by your job, worried about money, isolated and lonely... those things are perfect breeding conditions for addiction to take hold. Why the hell are you being clean & sober, if your clean & sober life is utter bullshit?

This is how I've arrived at the decision to start using drugs again.

Except, I'm being smart... I think. I think I'm smart. Correct me if I'm wrong. Am I smart?

What am I doing differently? Well, nothing really. I'm combining my experience from far too many years of ups, downs and dangerous self-experimentation. However, I have meticulously gathered data. I have documented pages and pages of details on my drug and medication use, and cross-correlated that with my mood diary, earnings, movement data and every other data source that I could harvest.

My conclusion: I need a fast-acting antidepressant that gives me a mood improvement.

So, I decided to prescribe myself Bupropion.

It arrived today.

I took it.

The experiment continues. It's a big relief to finally change something, after 6 painful months of controlling the variables, even though it was causing me untold mental anguish.

Actually, two things changed today, which is a shame, in terms of conducting a decent trial.

Today, I'm unemployed.

Anyway, I need to get another job, and it might just be a little easier, now that I have relented and I'm taking happy pills... let's see, shall we?

Tags: #drugs #addiction #mentalhealth #medication #depression

This is a story about milestones...

There are so many people who either "don't smoke" or call themselves "social smokers". People say "I only smoke when I drink". There are so many people who claim that they are free from drink and drugs, but they're actually popping Xanax, antidepressants, Oxycontin, Solpadeine, Co-codamol (codeine), Vicodin and tranquillisers. There are so many people who sneer at substance abusers, but they drink, smoke and consume lots of tea, coffee and energy drinks, without realising they're dependent on alcohol, nicotine and caffeine, just to cope with normal everyday life.

In 6 months, I got through those 59 tablets - a combination of diazepam and nitrazepam - in an attempt to avoid a nervous breakdown and to survive an extremely stressful situation, where my whole career, solvency, home and life as a respectable member of society, hung in the balance.

If you take benzodiazepines continuously for over 3 months, you have probably become physically addicted. What that means is that you might have a seizure and die, if you were to abruptly stop taking the medication.

I've run out of benzodiazepines today.

I'm not worried about this.

59 tablets, of 2mg to 5mg strength, spread over 180 days, is a piss in the ocean. There's no way that I'm going to have withdrawal symptoms from stopping taking benzodiazepines. I might be a little anxious; I might have a little insomnia; I might feel a bit panicky. However, I'm not going to die.

A couple of years ago I took myself off to rehab. For over 3 months I had been swallowing a little cocktail: 6x 10mg diazepam tablets, 4x 2mg Xanax, 2x 10mg Ambien, 2x 15mg Zopiclone. Maybe it wasn't quite that much. I have no idea. Benzodiazepines cause amnesia. All I can remember is that I used to fill up the palm of my hand with various pills, and swallow them all in one go. Lights out. Wake up 2 days later.

You're in a hell of a mess when you're mixing uppers and downers; stimulants and tranquillisers; but that's what we do every day, when we have our morning coffee and a glass of wine when we get home from work. If you have a strong coffee after a boozy dinner, you're basically having the middle-class equivalent of a speedball (cocaine & heroin, injected).

Obviously, I'm irreverently mocking your self-delusion, when you tell yourself that you're not "hooked" on anything.

I've used alcohol and the occasional tranquilliser tablet, in order to limp through the last 6 months. I haven't been having tea, coffee or other caffeinated drinks.

I've actually tapered off the alcohol and the benzos, to the point where I only drank 2 days in the last 14. I didn't take any benzos all weekend.

The thing is, if you're smart and you're disciplined, addiction is something you can master. It is possible to give up anytime you want. It is possible to become really good at quitting drugs and booze. I'm a fucking expert in abstinence.

Almost like an alarm clock going off, my subconscious revealed that I had simply been waiting for 6 months.

School was absolute shit for me. Getting through the long school days of bullying was awful. Getting through the long terms of bullying was unbearable. Getting through year after year after year of bullying was absolutely dreadful. All I was doing was waiting for the end of school bell, the school holidays, and the day that I could finally leave school and get the fuck away from the bullies.

Family life was absolutely shit for me. I couldn't wait to move out of home, and get away from my arsehole parents. I've loved paying my own rent and bills. I've loved being independent. I do have all the fucking answers. I went out into the world, got a place to live, got a job, and never looked back. Up until then, I'd just been waiting for the day I could finally leave home, and it couldn't come a moment too soon.

So, I spent 17 years, just waiting. I was biding my time. I know how to suffer patiently. I'm an expert in suffering patiently.

Then, I applied my expertise in deferred gratification to the working world. I took shitty entry-level jobs and worked my way up. I stuck with shitty projects, and shitty companies, so that my CV would look good. I stuck with shitty bosses and put up with glass ceilings. I stuck with idiots who couldn't see my potential, and I just suffered because I had a game plan.

I can patiently wait anything out. I've had to spend about 16 weeks with very limited liberty, being treated as an inpatient. That's not including the time I've spent in hospital receiving emergency treatment. In theory, I could have discharged myself, but there would have been consequences. I spent 7 weeks with somebody who'd been in prison twice, and he acknowledges that I have a mindset that suggests I know how to do time.

I mean, Christ, I spent the best part of 5 years working for one damn company, in one damn building, with the same damn people. Day after day, month after month, year after year. I've done 19 bloody years on the IT gravy train, solving the same damn problems again and again and again, and seeing the same damn mistakes time after time.

And so, I wondered to myself, why didn't I have a packet of drugs to tear open, in celebration of the fact that I have so easily completed a 6-month period of abstinence?

What you'll find with many addicts, is that they're liars. When they say that they're abstinent, they're actually lying to themselves and others. I've done "6 months clean" before, but that hasn't counted "the occasional weekend" and one or two "lapses" (note: a lapse is a 'small' relapse). In actual fact, you're still addicted, but you're limping yourself along by hiding your habit, from yourself and others. You start to believe your own lies.

I've arrived at 6 months "clean" and it really is clean. As clean as anybody in the history of anything, ever.

Most people who quit smoking will drink more, have more coffee, eat more. Most people who quit anything, will find some way of compensating. It might be exercise; it might be work. Basically, humans need shit. We're not fucking robots. Humans have always had intoxicating substances. Wine was being made 6,000 years before Jesus Christ was even born... that's over 8,000 years ago!

Anyway, I started looking at websites of awful toxic Chinese "legal" highs. Then I had a look at the Dark Web. The amount of drugs that are available to order over the Internet is just staggering. Prohibition has spectacularly failed. The designer drug industry is enjoying such a boom time, thanks to ridiculous laws that force chemists to get creative. Technology's answer to the eternally insatiable human demand for mind-altering substances has created a whole swathe of online marketplaces stocking every drug under the sun.

There's something for everybody in the cornucopia that has been created by the war on drugs.

My finger hovered over the "Buy Now" button, because I've damn well proven my point. Pick some arbitrary milestone, and I'll hit it, easily. But, what do I have? My life is miserable. All I have ahead of me is stress and loneliness; insecurity and pain; suicidal thoughts and a sense of abandonment. Fairly easy to justify a relapse, isn't it, when you work so hard and you're not getting anywhere.

Then, I thought, what could I do that's slightly more sensible?

With a bit more searching around on the Internet, I found that you can consult a doctor online and have a prescription despatched next day. In the space of 7 minutes, a doctor agreed to prescribe me a fast-acting antidepressant called Wellbutrin. I needed something because I felt certain that I was either going to commit suicide quickly by cutting an artery, or commit suicide slowly by relapsing back into drug abuse.

Wellbutrin is a wonderful medication, because it's fast acting, it doesn't make you drowsy, and it doesn't ruin your sex life. Have you experienced the boredom of patiently fucking somebody who takes an SSRI antidepressant, waiting an absolute age before they possibly cum, but probably won't be able to? Who wants a sex life like that? I don't want my emotions blunted. I don't want 'brain zaps' and uncontrollable crying when I try and stop the damn medication.

Yeah, who knows what the fuck happens next. Tomorrow, I have a 2-month supply of a fast-acting antidepressant that you can't get on the NHS being delivered. Maybe life will look a bit less hopeless when I'm drugged out of my mind, like virtually everybody else I know.

It feels like selling out, but it's nearly killed me having to fight tooth and nail just to have a roof over my head and a job, while also being nearly stone cold sober. I don't have kids to remind me why I get up and go to work. I don't have pets to look after. I literally have no reason for living, except to achieve some arbitrary goals.

I thought, as an added bonus, that I would also be celebrating one year of blogging today, but it turns out that happened a couple of weeks ago. Today is my last day at work, and I've had a couple of leaving dos, which is nice, but I do of course have to go though all the stress and hassle of applying for new jobs, interviewing, making a good first impression etc. etc. How ironic that things seem to have conspired to happen today.

As luck would have it, a colleague has recommended me for another job, which I might end up interviewing for tomorrow and could even be asked to start a new contract as early as Monday. If I do that, I'm damnwell going to need a few happy pills to carry me through, because I had been thinking that I was going to have a minor nervous breakdown.

Anyway, a milestone of sorts. Nice to leave work with a few slaps on the back and "well done"s. Nice to know that I didn't 'cheat' with my 6 months of abstinence from addictive stimulants. Where's my fucking reward? Surely I should feel better than I do, but I'm depressed and anxious. I'm overwhelmed by the task of having to hustle again, to keep the momentum going.

But really, is there momentum, or did I just wait for 6 months, in order to have a well-earned breakdown?

Is that what life is? Just waiting to die, miserable as fuck?

Tags: #depression #suicide #addiction #drugs

This is a story about unhealthy coping mechanisms...

I've been surviving on a combination of barely concealed loathing and contempt for my job, copious amounts of alcohol, occasional use of tranquillisers and a lot of passive-aggressive blogging. It seems to have worked, according to my bank balance and my CV.

In four months, I had one day off sick and a one-week holiday. That's not bad. Just 6 working days that I was unproductive. 1 out 82 working days unwell is only 1.2%.

It's been killing me in unusual ways though.

I've been comfort eating a lot. When I first started my contract, I was munching my way through loads of sweets and nuts at my desk. I was having a great big lunch. I was having cakes and pasties. I was having super-size meals at McDonalds. I was coming home and stuffing my face with crisps, ice cream and unhealthy meals.

I've been drinking far too much. To begin with, I was picking up a bottle of wine on my way home, every single day. I switched to beer because I could drink more of it, but there would be less alcohol in it. There's 94ml of alcohol in your average bottle of white wine. There's 75ml of alcohol in 3 cans of lager, even though the beer is double the volume. Then, things got out of control briefly. I was having two bottles of wine, or 6 cans of beer. The alcohol was a real problem, but then so was the job. Sobering up at my desk was a way of getting through the day.

Early on in my contract, I decided that I wasn't going to blog at work. I wanted to do my best to look busy. I didn't even want to surf the web and read the news websites that I like. I certainly didn't want to be looking at Facebook on my phone all day long. However, that just made things worse. Getting through the empty boring days was excruciating agony. By the time I got home, I was so relieved, but so stressed out, that I felt I needed alcohol to relax and face the next day.

Then, I started to read the news. I found myself constantly clicking refresh, willing something to happen. The summer months are fairly dreadful anyway. The politicians have gone off on holiday, the markets are quiet. Not a lot was going on. Brexit provided a very unhealthy obsession for a while, and I took great delight in trolling the closet racists and xenophobes. Post-Brexit was quite anti-climactic, and just tragic.

I decided that the only way that I was going to stay sane was to write 3 times a day. I was briefly mailing short stories that I was writing to a couple of friends. They helped to keep me sane by being the willing recipients of my bleak allegorical tales of wage slavery: read Alan the Alcoholic if you want to know what I mean.

Finally, I decided I would allow myself to blog at work. I had the additional problem of being told I could no longer use my personal MacBook and I would have to have some piece of shit PC "because data security" or whatever. Anyway, I then didn't have access to my photo library - I try to use images that I own the copyright for - and I didn't have Photoshop to be able to make high quality edits. There's also a slight worry about what kind of corporate spyware is watching what I'm doing.

Somehow, I've nearly limped through to the end of my contract, and I even managed to work my notice period, which is something I haven't done for 6 or 7 years. I'm even getting a couple of leaving dos, as opposed to being escorted off the premises by security (that's never actually happened, but things haven't been wrapped up 'neatly' in recent years).

Obviously, I'm on really dodgy ground, because I'm going to be looking for a new contract in a fortnight or so, and I suppose prospective new employers could stumble on my Twitter profile, Facebook page or this blog. So, to be sensible, I probably have to blog "nicey nicey" for a couple of weeks, so that all the juicy gossip is buried deeper than most miserable corporate drones would ever dig.

I'm not sure what the magic formula is for recovery from clinical depression / major depressive disorder, bipolar disorder, substance abuse (dual diagnosis), borderline personality disorder, functional alcoholism and all the other labels that get bandied around. However, I'm pretty sure that it looks like this:

• An absolute imperial fucktonne of cash. I mean LOADS.
• Rest & recuperation. I don't just mean a couple of weeks. We're talking months or years
• Surround yourself with addicts and people with mental health problems. Nobody else 'gets' it
• Cut horrible toxic people out of your life
• No compromise
• Force yourself to do things you don't like very much
• Do something that requires discipline and routine, and stick with it for months, if not years
• Set yourself some achievable goals, where you're in control

That last one is probably the most important. I absolutely love the fact that I've been blogging for over a year, and I'm on track to write 365 blog posts and 450,000 words in less than 13 months. I've blogged from psychiatric hospital. I've blogged from San Francisco. I've blogged from a desert island off the coast of North Africa. I've blogged through a couple of projects from hell. I've blogged through depression. I've blogged through addiction. I've blogged through isolation. I've blogged through loneliness. I've blogged through suicidal thoughts and self harm.

The only thing I haven't quite done yet is to blog through happiness and contentment, but either that's coming or blogging is keeping me trapped in a certain mindset and stopping me moving on with my life.

I don't think writing like this is keeping me stuck in a rut. I can't imagine my life without writing now. Writing has become such a part of me. I'm more a writer than anything else. There's nothing else I live for, as much as writing. There's nothing else that I put as much passion and energy into. There's nothing else I'm as enthusiastic about.

I guess for many people, work is what defines them. "What do you do?" is the classic middle-class party icebreaker question, when meeting new people. What do you even say if you hate what you do, or you're flailing around to find something new? What should I say, on Thursday, when I'm out of a job again?

If I tell people I'm an IT consultant, that's slightly misleading, because that's a thing that I do just to get money when I'm desperate, and I won't even be consulting for any clients on Thursday, or for at least a fortnight or so after that.

However, I'm not going to stop writing when I finish my contract. I can't see me ever stopping writing, now I've started. What would I do with myself? How would I structure my day, without writing?

Obviously, writing is not a panacea, and it's a dangerous strategy to turn yourself into an open book. So many people will gleefully abuse your honesty, in order to gain a competitive advantage over you, put you down. So many people are looking for an excuse not to hire you, or to sack you. I'm giving my enemies all the ammunition they could possibly want.

However, isn't there something poetically wonderful about loading the gun, handing it to your enemy and turning your back on them? If they choose to shoot you in the back, with the bullet that you loaded in the weapon that you gave to them, isn't that going to eat away at them for the rest of their life?

Isn't there something exciting about deciding to say things that you're not allowed to say because of the conspiracy of silence? People are so afraid about becoming unemployable, and tainting their professional reputations. I almost want to start linking to this blog from my LinkedIn. Of course, every time I write the word "LinkedIn" the higher up the Google search index I will climb when somebody types "nick grant linkedin" into the little search box.

I'm not sure how much the 9 to 5, Monday to Friday routine has given my life some useful structure. I think, on balance, it's been more damaging to my mental and physical health to have a shitty project and an offshore team, than any benefit that I have gained by forcing myself to get out of bed every morning. I have no difficulty getting up and getting on with being productive, when I'm working on something that isn't mind-numbingly boring and depressing anyway.

The suffering has been worth it, financially, and with money comes opportunity: the opportunity to find something better to do with my limited time on the planet. Life is short: too short to be working a job that's like death itself.

Who knows how I'm going to feel when I wake up on Thursday. Will I feel elated, depressed, motivated, anxious?

I'm not exactly in a rush to get my CV out into the marketplace and find myself in another shitty contract. I want some time out, and I want to be more picky about the project I choose next time, even if I am still in a precarious financial situation. It's unwise to become complacent about your employability. Catastrophic market events can happen at any moment, and work can dry up overnight.

Will I be able to cut down my drinking, eat less, exercise more, or will the task of job hunting loom large and make me unbearably anxious? I certainly lost a lot of sleep during the week that my contract was terminated early and my flatmate revealed that he didn't have any money to pay his rent & bills for the 4th month running. Life's never straightforward, is it?

Health vs. wealth. That seems to be the battle that is being fought. Is it possible to have it all? Watch this space.

Tags: #career #mentalhealth #addiction #depression #bipolar #alcohol

This is a story about escape velocity...

A happy healthy life is a fairly simple prescription. It's not hard to look for slightly happier people and imitate their magic formula.

In essence, what I have distilled things down to is this:

• Home - so you can be warm and dry and your stuff isn't stolen
• Job - so you can pay your rent/mortgage, bills and buy food & clothes (yes, clothes wear out)
• Family - not blood relatives, but anybody who loves and cares about you
• Friends - social media doesn't count; you have to see friends face to face
• Disposible income - get deeper and deeper into debt and you'll lose your home
• Goal or passion - this can be work, this can be your kids, this can be a hobby; you need something.
• Girlfriend/boyfriend - everybody's gotta get laid, and it's important to have intimacy and companionship

At the moment I have 3 out of 7. Assuming that you need 50% or more to be OK, it's no wonder that I'm depressed as hell and have a lot of suicidal thoughts.

Yes, I have friends who I see less than once a week, so I do have friends. Yes, my sister and I do occasionally exchange text messages, even though we haven't seen each other for the best part of a year. Yes, my goal has been to get myself into a position of financial security, and I've been making great progress, but it's not really my goal... it's just a necessity because of needing to not be homeless and destitute.

So, all I really have is a home, a job, and I'm making more money than I'm spending, which is digging me out of debt.

I love my friends dearly, and it does help that people are in contact via social media, email, text message. I have the offer of speaking to a few friends on the telephone, which I'm grateful for. I also make the effort to travel as much as I feel able to, in order to see people face to face, and I'm glad when I do it, even though it's expensive, exhausting and time consuming to zoom all over the country, if not the world.

I just don't have a group of buddies you know? People to go to the pub with. People to go out for a meal with. People to play frisbee with in the park. I'm lacking a social group.

I'm also lacking that significant other. Somebody to just hang out with. Have sex with. Make food with. Watch movies with. Play games with. Go sightseeing with.

I've stitched together a patchwork quilt of whatever I can get, in order to just about cling to life with my fingernails, but it's inadequate. That's not to say I'm not ungrateful for those occasional invites to hang out and do stuff. It's just not enough. I thrive on face to face social contact, and I'm not getting enough.

To further compound problems, the team I've been managing at work are all in the Far East, so I don't even get proper face-to-face social contact at work. I sit at my desk, lonely and bored. I've helped to create a great culture in my team, but I don't really benefit from it, because they are quite literally 6,666 miles away (I just looked that up - I love that fact!).

In desperation, I made compromises that are just not acceptable, sustainable. I took a job that pays well and is very easy, but doesn't provide anything other than the money that I need. I made other choices because of the desperate need for something rather than nothing. There's an opportunity cost. If I'm in a job that I hate and drains my energy, then I don't have the time and the motivation to get something better.

In a way, it's good that a couple of things are coming to an end, because it's prompting me to go after the things I want rather than the things that I took through desperation. Of course, I'm grateful to have the money, and the support that I've received, but you make different choices when you're in deep shit.

So, on Thursday 22nd September, 2016, I will have completed a year of blogging, 6 months 'clean' and my 6 month employment contract will be over.

On Thursday 22nd September, 2016, I will have 1 out of 7 of the things that I need, with the threat that I will quickly lose even that one single thing.

Without a job, I'll have more expenditure than income. I need to pay rent, bills, service debts. I need to replace worn out clothes and things that break. I need to buy food and toiletries. Life is not sustainable in Western society without income.

I don't have savings, but I do have creditworthiness. Yet again, I will have to borrow money in order to keep my head above water. I have no financial safety net. What I have instead are commercial lenders who are prepared to extract their pound of flesh so that I can avoid homelessness and destitution.

If you think I could have saved more money than I have done these past months, you are mistaken. Without a short holiday, I would never have lasted the extra months. Without alcohol, I would never have coped with the stress and anxiety. I could have penny pinched on my accommodation, but can you imagine how awful it is living in a hostel when you're working full time? I worked, slept and ate. How far has it got me? Well. Probably about 50% of the way towards financial security.

I need to take a break, because my nerves are frazzled and I'm exhausted.

I doubt any contract could be as bad as the job I'm about to finish on Wednesday. For my next contract, I'm going to look for something where I'll be working with a team in London. I need a much more interesting workload. Being bored to death is no way to die.

With money comes the opportunity to travel, socialise, make the investment in a new hobby. With a more tolerable day job comes energy and enthusiasm for each day. With a more liveable life comes the freedom from drink, drugs and medication, in order to simply get through the day.

It's a fucking nutty strategy, to go for the big win. What you just don't understand is just how close to irreparably broken my life is. You just don't understand what it's like to not have so many of the elements that prop up your life. Look again at the bullet pointed list above, and score yourself. How many of the things you need do you have?

Look back at the last 4 weeks of your life and ask yourself this:

• How many nights were you homeless? - zero, I presume
• How many days did you work? - I'm guessing somewhere around 12, on average
• How many times were you in contact with your family? - I'm guessing at least 4
• How many days did you see friends face to face? - I'm guessing at least 8
• Did you make more money than you spent? - I'm guessing at least breakeven
• How many times did you do something 'fun'? - I'm guessing at least 4
• How many times did you have sex or snuggles? - I'm guessing at least 8

Those would seem like adequate answers to me. If you're hitting those numbers, your life is probably just about OK. Less than that in one area, maybe you can make up for it in another. For example, you might have been out of work and losing money, but at least you were surrounded by your loving family a lot more of the time, because maybe you were staying at home looking after the kids.

I'm certainly not saying it's easy being a stay at home mom or a househusband, but suicidal depression can come about through death by a thousand cuts. All the little things that are wrong in your life add up to an unbearably horrible situation.

In some ways I'm relishing next Thursday, because I can sleep and recharge my batteries. With spare time that's completely free from artificial structure, such as having to be in a certain office at certain times of the day, then I can start to relax and decide what I want to do next.

The obvious thing to do is to get another lucrative contract, and work for at least another 4 months, so that I can get a cushion of savings to support me in pursuing a passion. Without being able to underwrite my own risk, I have zero faith in my family or government to support me if I fall on hard times. I have a friend who's offered me some financial support, but I think it's unethical to accept it because then I'm borrowing from their safety net.

In this individualistic society, nobody parachuted in to rescue me when I was homeless, destitute. Nobody came to rescue me. Nobody came to my aid. Help was not forthcoming. Even when I had letters from my doctor, my psychiatrist, my social worker... all begging for the government to support me as a vulnerable person with mental health problems, the people I dealt with were unhelpful, obstructive and ultimately just wasted my time and effort even asking for the support that I was entitled to, because of their legal and moral obligations. Those public servants' salaries are paid for with my goddamn taxes. I've paid a lot in, and when I needed it, I could get nothing out.  It's down to me to support myself. I might as well be living in some developing world country, where at least the cost of surviving is lower.

People who warn me to stay within easy reach of the National Health Service for mental health reasons, are just naïve. I've been round and round the system many times since becoming clinically depressed in 2008. The system is bullshit. There is no safety net if you're a single man.

And so, I must play russian roulette with my life in order to support myself. The upside is OK: I might become wealthy and comfortable again, in a relatively short timescale of just a few years. The downside is horrible though. Can you imagine how much time I've spent thinking about how I'm going to kill myself? Can you imagine what it's like to spend a significant proportion of your waking hours feeling so awful that you pretty much want to die?

I swear if one more person tells me to go to my doctor and get some magic beans I'm going to scream. STOP MEDICALISING NON-MEDICAL PROBLEMS. The problem is clearly outlined above. I don't have broken brain chemistry. My brain has correctly identified the problems in my life. There are no short cuts. There's no way to cheat the sytem.

Of course, there is a short cut.

Drugs will tell your brain you feel loved. Drugs will make you feel relaxed. Drugs will make you feel happy. Drugs will make you feel contented. Drugs will tell you that you don't need friends. Drugs will tell you that you don't even need to eat or drink. Drugs will tell you that everything is fine.

Everything is not fine, so I don't want drugs - and by that I mean medication too - to tell me that things are fine. Things are not fine. I almost need these awful feelings to prompt me to get a better job, find some new friends, get a girlfriend, get a hobby. It's just that financial circumstances have constrained me more than you can possibly imagine.

Imagine if I'd declared bankruptcy at the start of the year. That would have been a stupendously dumb decision, in hindsight, wouldn't it? I'm presently not bankrupt. Presently, I have enough money to clear my credit cards, my overdraft.

Of course, my position can't last. You have to run just to stand still. I'm losing my job, and that means I will quickly go into debt again.

"Get another job then"

Guess what, Einstein... that's what I'm going to do. Even though I'm suicidally depressed, overcome with anxiety, I'm going to go and get another motherfucking job you c**t. Even though I'm technically entitled to disability benefits and a council house because my mental health is so debilitating, I am able to do these crazy raiding missions to go and gather nuts before my brain explodes and it all comes crashing down again. I'm locked into this boom & bust cycle. No wonder my bipolar disorder is so exacerbated.

And so, round and round I go. Up & down. Boom & bust. Highs & lows. It's not a medical problem. Its the motherfucking dance I'm forced to do by this farcical society. This is what you get when you don't support people. This is what you get when you isolate people. This is what you get when you only look out for number one.

"The pills will help you stabilise"

No, they won't. Have you looked at the long term studies? Have you studied the data, the clinical outcomes? Have you done the research? No. Of course you haven't. You just have this bullshit belief in the power of medical science. If I had an infection, I'd go to my doctor for antibiotics to treat it. I don't have a fucking infection. I have an allergy to shitty unbearable unliveable life.

I've tried all the meds under the sun. I know what life on medication is like. I've had tons of doctors and psychiatrists. I've tried tons of therapies. It's all a crock of shit. The fundamental problem is the fucking shitty world. Look around you; do you like what you see?

I'm not going to change the world begging on the street with a cardboard sign. I'm not going to change the world by impoverishing myself. I'm not going to change the world by trying the same things that people have tried for hundreds of years, without success. Only an idiot tries the same things expecting different results.

So, I'm on this crazy journey. I'm hoping that by next Wednesday I might have managed to write 365 blog posts, and probably around 450,000 words. That might not make a difference to you, but it's surely making a difference to me. It's probably making a difference to somebody, somewhere. I have visitors from around the world, reading what I write. Even if it's absolute garbage, it's better than just being a helpless spectator. Even if you think I'm an irrelevant bleeding heart lefty liberal who doesn't amount to a hill of beans, at least I'm composing my thoughts. At least I have a belief system. At least I have values and things that I passionately believe in.

It's very hard for me to come up with a reason why I'm struggling along at the moment. Why am I putting myself through this awful shit? Why don't I just kill myself, and then the pain will be over? Why don't I just give up, and relapse back into drug addiction?

Actually the second one is fairly easy to answer: somebody who dies of drug addiction is easy to discredit as a 'dirty' junkie. Somebody who's 'clean' and has just completed an important project for a major corporation, in a valuable role, and has set their financial affairs in good order, is a rather more inconvenient and difficult problem to find a soundbite to toss them into the gutter.

I want to be a thorn in the side of every selfish c**t out there who wishes their fellow humans dead. I want to shame people into action, from their comfortable existence where they don't even lose sleep over every homeless, hungry struggling person in pain and suffering out there.

Where the fuck are people when those around them are in distress? Who the fuck do you think is going to sort problems out, if it's not you?

Even though I could have put my tax money to far better use supporting myself, rather than paying the salaries of people who tell me they're not going to help me, I'm still glad to give away a substantial proportion of my income. However, I'm not buying a clean conscience. It's not like I pay my taxes so I can watch my friends become homeless and mentally ill, and assume that the council and some doctors are going to wave their magic wands and make it all better.

What the fuck happened to the empathy? I think I would offer to let somebody sleep on my couch, lend somebody money or go and visit somebody in distress, before I even experienced horrible things first hand myself. I had quite a comfortable existence up to the age of 32 or thereabouts, but I didn't think it was big OR clever to sit on my fucking arse not doing anything when people were suffering.

Those who have been kindest are those who have suffered the most, which makes me detest the comfortably off for their lack of empathy, their lack of humanity.

If humanity is destined for a situation where we let even our own family members and friends flail and drown, then I'm pleased that climate change is going to wipe you miserable c**ts out of existence. You don't deserve to survive, if your "I'm alright Jack" attitude is the prevailing one. I hope you and your kids and grandkids die slowly and painfully if you spawned more mouths to feed with not a single concern for anybody else.

Believe me, I do observe how happy and fulfilled my friends who are parents are, even if they complain how hard it is being a parent. Did you forget that we live in the age of birth control and abortion? You chose to have kids, and no matter what you say, you do get immeasurable benefit from having them. You have happiness and security, knowing you procreated. You have a flood of oxytocin when your cute kids throw their arms gleefully around you.

Believe me, I do observe how happy my friends are to own a dog, even if they complain about having to pick up the poop and hoover up the hair and other mess. You chose to have another carnivore on the planet, eating meat that meant that food for livestock was grown, rather than having more food for those who are starving, and depriving the planet of those extra trees that remove carbon dioxide from the atmosphere. Having a pet dog is selfish as fuck, but I do see how nice it is to have your dog playfully jumping with joy to see you, and throwing sticks in the park for them to fetch.

I can see that there are choices that benefit me as an individual hugely, but I choose not to take them, because I'm responsible for more than just myself. I don't believe that collective responsibility is something that naturally follows from individual responsibility. In fact, I see that the two things are naturally opposing.

Can't you see the fucking trends? Of course you do, but you just don't want to believe it.

You don't want to give up eating meat. You don't want to adopt instead of having your own biological children. You don't want to stop driving your precious little darlings around in a gas-guzzling 4x4 "because it's safer for our family". You don't want to plant trees instead of having a pet dog. You don't want to do anything different at all, in fact, even though you're fucking everything up for your kids and your grandkids.

That's why I'm depressed. That's why I'm suicidal. That's why I'm stuck in a hole I can't get out of. That's why I'm desperate and driven crazy by all this bullshit. That's why I'm doing things that are atypical... because the typical is what got us into this fucked up mess in the first place.

I don't care whether you're religious or not, but imagine some future judgement day, when it's obvious that the planet and the future survival of the human race is clearly doomed: will you say that you went along with things, supported the status quo, or did you try and change things? Did you at least act differently? Did you at least try and help in a way that's less pathetic than recycling your bottles? Did you help anybody other than the fucking clones you spawned to replace yourself?

Note: I'm not anti-parents. I don't hate my friends. I'm not some "wake up sheeple" fucktard. Dismiss me if you like using some convenient label that you were taught to use by those who wish to perpetuate the status quo.

If you're not acting with your conscience, or at least kept awake at night worrying about this shit, that's unconscionable.

You probably should worry about me. No doctor in a white fucking coat is going to make everything OK. It's not a medical problem. It's not a government problem. It's everybody's problem, including mine, but it's more than I can handle on my own.

Tags: #suicide #depression #mentalhealth #climate #politics #capitalism #homeless

This is a story about the schizophrenic spectrum...

"Does my bum look big in this?" sounds like an innocent enough question. Do you not have an adequate grip on reality to objectively judge yourself whether you look fat? Is it possible that you're feeling paranoid about other people's perception of you?

When you think about it, paranoia is rife.

Why do you close your curtains? Who would want to peer in at you? What's so interesting about you that anybody would want to watch you?

Why do you confess your true feelings when you're inebriated? What's so shameful about your innermost thoughts and feelings that you can't reveal them when you're sober? Why are you worried what people will think?

In the workplace, we feel inadequate. We feel underqualified. We feel like we're an imposter. We feel like we're just blagging, bluffing. We feel that our ruse could be exposed at any moment. Why do you stay in that crappy job that you're hopelessly overqualified for and you've completely mastered... is it because it's comfortable and you don't like the feeling that you're not good enough to do something more challenging?

When you're purchasing stuff, is it because you like the things that you're buying, or is it because you're thinking about how other people are going to judge you? Imagine you are supermarket shopping with your young children. When you are loading all your food onto the conveyor belt to be scanned by the checkout clerk, don't you feel that they're judging every purchase you're making? If you're buying crisps, chips, ready meals, chocolate, ice cream, sweets... isn't that supermarket employee going to be thinking "jeez, this person's a really bad parent for feeding their kid all this junk"?

Every time you share something on social media, is it because you're Facebragging, or do the sum total of your posts represent an accurate picture of your real life? Why are you sharing anyway? Why do you worry what other people think of you?

When you're at home, you sit around with stained jogging pants and a grubby T-shirt, swigging a beer and watching trashy TV. When you're out in the park, you're immaculately dressed, reading a pretentious novel. Why is that?

You're doing all these things almost without thinking. They're all driven by paranoia. You're paranoid that you won't be liked, won't be respected, won't be sexually attractive, won't be loved. You're paranoid that you'll be seen as a fool, a bad person, a bad parent, a bad employee. You're paranoid that you might get caught looking at your own reflection. You're paranoid that you might be accused of being a pervert for masturbating. You're paranoid that you might be laughed at for wanting a girlfriend or a boyfriend, but finding yourself rejected. You're paranoid that you're a bigot, a racist, sexist, stupid, ignorant, narcissistic, self-absorbed, selfish.

In actual fact, we all share exactly the same flaws.

Any child will be confused the first time they see the dyed green mohawk hair of a punk. A child reared in an exclusively white or black community will be confused the first time they meet somebody of the opposite skin tone. Any child will be confused the first time they are told they have to use the 'correct' bathroom.

We're built to pair up sexually, and we're bombarded with images of the most attractive people on the planet. We can't avoid comparing ourselves with others. Of course we are going to feel inadequate in the face of glossy magazines, TV personalities and movie stars. Pornography amplifies things still further: people are worried about the attractiveness of every inch of their bodies.

We are sometimes mocked for thinking that people are talking about us.

It's true. People do gossip. People are talking about you behind your back, all the time, especially if you're unwell. It's a vicious circle. The more paranoid and erratic your behaviour becomes, the more people will whisper about it, and then go silent and 'act normal' when you're in earshot. It's not unfounded paranoia. People like to gossip about anybody whose life appears less than perfect.

We like to label people. Crazy uncle Fred had a nervous breakdown, painted his torso with blue paint, adopted 50 rescue dogs and wandered around butt naked. Even though that was years ago and now crazy uncle Fred is back running his accountancy practice, he's still "crazy" uncle Fred in his family. His family have loose lips, and everybody in Fred's town now calls him crazy Fred. Fred's friends have loose lips, and now his clients know that he's a bit "crazy" even though they would never mention it in his presence.

Your doctor may protect your confidentiality, but your friends and family certainly won't. Your friends and family will broadcast every slip-up. Your friends and family will attempt amateur psychoanalysis, with their foghorn voices.

People might not say to your face "I think you've gone mad and you should be locked up in an asylum" but they'll certainly say that to other people behind your back. It's sad but true. There's no sense in denying it. People just like to gossip and spread rumours, half-truths and conjecture.

The fact of the matter is that you are quite interesting. Most people are very private and most people hide their true selves.

We are relieved to discover that other people are just as flawed and fucked up as we are, when somebody's mask slips. We then take that relief a stage further, and spread the juicy gossip. Everybody loves to hear embarassing tales of misfortune.

The massive popularity of soap operas, fly-on-the-wall documentaries and reality TV proves that humans have an insatiable appetite for voyeurism, invasion of privacy, gossiping about people. Think about the millions of armchair psychologists, analysing the behaviour of the Big Brother contestants.

Also, your government is spying on you. Your government reads your emails. Your government listens to your phonecalls. This isn't a conspiracy theory. The revelations of Edward Snowden have proven beyond reasonable doubt that your government is snooping on every ordinary citizen.

For those who have a fragile grasp on sanity, there are plenty of things that will tip them into fully-blown paranoia. Paranoia can build and build, until you believe there are hidden cameras watching you. Some paranoid schizophrenics can believe that their thoughts are being read. Clearly, this is at the extreme end of the mental health spectrum, but right now I have 3 microphones and 3 cameras potentially recording me: my laptop, my smartphone and my smartwatch.

I was digging around in the data that Google had gathered on me without my knowledge, and I found that there was an accurate GPS record of my position for everywhere I've been, as well as hundreds of sound recordings. Of course, there is also my Internet search history and the vast digital paper trail that I have inadvertently created.

Although I expect all my friends and family know that I got sick, because of the aforementioned gossip, I want to make things crystal clear: I was briefly "crazy" uncle Nick. That moniker still follows me around even though I'm a highly paid and well respected IT consultant. I pay my rent, bills, taxes and generally conduct myself in a way that any outside observer would struggle to categorise as "crazy". By any measure or test that you could conduct, I'm just as sane as you are.

However, there was paranoia about who knows? How much do people know? What falsehoods had been perpetrated against me? It was driving me crazy. I decided to take action.

By documenting my inner monologue, my darkest moments, my most closely guarded secrets, I'm taking the power away from those who gossip and whisper behind my back. I'm getting rid of the grey area. If you want to know who I really am and what really happened, it's documented right here in exquisite unflinching uncensored detail.

I know that I'm being judged all the time anyway, so you might as well judge me on the truth, rather than on the bullshit that my persecutors would have you believe. I offer you all the facts, so that you can make an informed judgement. I would rather you reached your own conclusions, rather than the conclusions that those with an unpleasant agenda would prefer you to make.

It is a bit of a warzone. I spent my childhood with the pressure and expectation that I would lie about my parents' drug taking, alcoholism and unwillingness to act like mature adults, responsible parents, get jobs that would support the family. My parents' focus was on keeping up appearances, rather than acting with integrity, and I was expected to play along with their bullshit. They decided to throw me under the bus rather than admit any kind of wrongdoing. This blog documents the truth, rather than the false image that they present.

I doubt any of my friends or work colleagues have an unpleasant agenda. However, my ex-wife campaigned very actively to demonise me, compromise my confidentiality, undermine my good name, discredit me. This document tells the side of the story that never got told, because I acted with integrity and presumed that she would too. I was exhausted and sick - how could I defend myself? I doubt she's ever told anybody how she abused me, beat me. I know with absolute certainty that she's told friends and work colleagues that I've struggled with mental health problems and addiction.

Of course, I have plenty of stuff that I've done wrong. It's all documented here in gory detail. I've made mistakes, but people have broadcast them in order to hurt and damage me. I'm being brave enough to re-tell those mistakes that were already loudly trumpeted by my persecutors. It's true that I'm also telling the things that were wrongly perpetrated against me, in a way that appears to be tit-for-tat, but it's actually just presenting a full and accurate picture.

I'm well known for my honesty. To present some "whiter than white" image of myself, to try and offset this demonic image that my parents and ex-wife paint of me, would be yet another falsehood. It serves no purpose, to simply hit back and point out the awful things that my persecutors have perpetrated against me.

I'm moving from a bad place to a much better place, in that I'm now pleased that people know things about me that are correct, even if they don't paint me in a flattering light. I'm less horrified that people know things that mean my confidence has been horribly betrayed by people who are supposed to care about me.

By all means, go ahead and talk about me all you like now. It's immensely liberating living life as an open book. It's a fantastic feeling, to be judged on balanced facts, rather than half-truths, falsehoods and bullshit "holier than thou" images that my persecutors have painted of themselves.

If it sounds a little paranoid, you're wrong. True friends have told me what's been said behind my back, and my persecutors have even admitted betraying my confidence on particularly private and sensitive things, that they absolutely should have treated with confidentiality.

I'm quickly approaching a time when I will be satisfied that the tale is told. I've presented all the information. I stand by my sins. I'm ready for judgement.

It is a bit of an alarming situation. I'm preparing to die, because I'm exhausted by the bullying and the mistreatment at the hands of my family, my ex-wife.

If you've heard anything bad about me, consider this: don't be surprised if the dog that you beat turns around and bites you one day.

Tags: #mentalhealth #suicide

This is a story about coping strategies...

The jury is out: do I have a medical problem, or don't I? It's so hard to control the variables in somebody's life, that it's almost impossible to know how circumstances are affecting your mental health.

One thing's for certain: psychoactive medications are extremely hard to stop taking once you've been taking them for a few months or years.

There's a simplistic view of addiction that says that the easiest way to not become a drug addict is to not take drugs in the first place. The simplistic view of addiction says that the easiest way to quit drugs is to simply stop taking them.

By extension, the same is true of psychiatric medication. The easiest way to not become dependent on medication for your sense of wellbeing is to not start taking the medication in the first place. The easiest way to live a happy drug-free life is to stop taking all drugs, including psychoactive medication.

This simplistic view ignores three things:

1. How shitty was your life before you were driven to drugs or medication?
2. When you stop taking drugs or medication, how shitty is withdrawal?
3. How shitty will your life be when you're no longer taking drugs and medication?

If the answer to 1 & 3 is the same, then it's your life that's shit and nothing has changed. If your life is shit you're a dumbass for thinking about things as a medical problem. However, how many of us really has the opportunity to improve their life.

Many of us will feel duty-bound to stay near family members, because we are responsible for caregiving. It makes sense to stay near friends and in an area you're familiar with. Moving somewhere new, making new friends, being far away from family - these things are hard.

Huge numbers of people can barely miss more than one or two paycheques before they're in financial trouble. The need to work whatever shitty job we can get is the thing that dominates our shitty lives.

The welfare state is a myth. It can take months or even years before government support is forthcoming, and it's a one-way street. Once you're finally in the benefits system, it's hard to leave. If you work more than 16 hours a week, you can end up putting your home at risk, therefore there's no opportunity to work your way out of poverty.

Point 2 is extremely important.

Quitting benzodiazepines or alcohol can mean weeks of anxiety, insomnia, restlessness, indescribably horrible dread. However, it's doable, and I've done it. It's not easy, but it's not impossible.

Quitting opiates will leave you feeling sick and in pain. I've not had to go through junk sickness, but plenty of people do it 'cold turkey'. It's not life threatening at least, unlike benzos and alcohol.

Quitting stimulants will leave you tired, cloudy-minded, depressed, suicidal even. Quitting stimulants is hard because of the cravings, which some people might mistakenly mis-label 'psychological'. Is hunger psychological? If you reckon you could starve yourself for a month, and overcome those hunger pangs, by all means go ahead and belittle stimulant withdrawal as purely psychological.

From what I can tell, withdrawal from antidepressants and anxiety drugs is worst of all. Have you heard of "brain zaps"? Almost all antidepressant users who've been taking those medications for months or years will complain of absolutely intolerable withdrawal symptoms when they try to reduce their dose or stop taking the drugs altogether. Brain zaps are described as "imbalance, tremors, vertigo, dizziness, and electric-shock-like experiences" in what is being called antidepressant discontinuation syndrome.

You know what? I don't really like the sound of that. Antidepressant discontinuation syndrome sounds a lot worse than any drug withdrawal that I've ever been through, and you know what else? The easiest way to avoid withdrawal is to not take the drugs in the first place.

Sure, it's appealing the idea of taking drugs. "Take this... it'll make you feel good" is what the drug dealers and the doctors say. I desperately want to feel OK. Depression is a shitbag. Being suicidal is dangerous. However, I'm not prepared to have some medically sanctioned addiction to some drugs that are really hard to quit.

And so, I'm limping by on as little alcohol as I can get away with, but I'm still drinking too much and it's making me fat.

Alcohol is undoubtedly a terrible drug. I can see how much my health is suffering, just by the belly fat that's suddenly appeared in the last 4 months. I'm drinking myself to death.

However, I needed to put some money in the bank.

I work, I eat, I sleep, I drink, I moan about it on this blog. It's a financially successful formula. Even if I spent £20 a day on alcohol, just to struggle through, I'm going to finish this contract in a remarkably better financial position than when I started.

I've started to wean myself off the booze using a little diazepam. Tapering off the diazepam will be hard, but in less than a week my horrible contract will be over and I can allow my moods to self-regulate again. I'm imagining that I'm going to sleep for 12 to 14 hours a day. I'm imagining that I'm going to close the curtains and just hide under the duvet for a week or two... maybe even three.

If you think I'm over-sharing. If you think I'm whining about my job, my situation, too much... look at it this way: it's a healthy coping strategy, a cry for help and also a suicide note.

Anybody who says "get a therapist" or "go see your doctor" is just naïve. There aren't magic healers out there who can cure the fundamental problem: bullshit jobs.

In 2008 I quit one bullshit job, tried another, found it was exactly the same, so I became a technology entrepreneur. From 2008 through 2011, my depression was 'cured'. If I felt shitty, I just stayed in bed. Yes, my mood was up and down, but at least my life was liveable and I was healthy and happy overall. 2012 & 2013 were wrecked by divorce. 2014 & 2015 I was trapped back into the rat race. It wasn't even that bad at Barclays and HSBC, but they didn't let me reach escape velocity.

This year, I've suffered in silence, in the interests of maximising my earning potential and hopefully gaining freedom again, but I've damn well got a right to complain about it because it's killing me.

Therapy is a joke. What the hell is one hour a week going to achieve? Been there, done that.

Our antidepressant culture is fucked up. What? I'm supposed to dope myself up so that I can be an uncomplaining rodent in the rat race? Fuck that. I'm not depressed. I'm allergic to capitalism.

Yes, there are huge financial and societal pressures for me to medicate myself into blissed-out stupidity, so I can sit at my desk grinning. I'm not going to do that. It's morally outrageous that the only way to live in this society that we've built, is by drugging our workforce.

If I end up martyred in protest at the madness of the situation, it will have been worth it.

Tags: #depression #suicide #drugs #addiction #career #mentalhealth

This is a story about quicksand...

After being discharged from psychiatric hospital, what do you think you'd do next? Well, imagine that for months you have been travelling but you haven't been moving.

Things are not stable for me, no matter what my senses tell me. I go to the same office, looking at the same computer screen, surrounded by the same people, for months if not years on end. According to my senses I'm not moving anywhere.

However, my bank balance would tell a very different story. Just sitting mute in a chair, keeping my head down and being a perfect corporate drone who never rocks the boat, means that I am very rapidly travelling... financially. My body and mind don't really agree though.

My moods tell a very different story again. I don't necessarily notice seasonal effects and depression taking hold. I'm not fully able to tell when I'm getting hyped up and excessively involved in work or other projects. I'm not great at judging when it's time to take a break, either because I'm too down or too up.

It is unhealthy and unnatural that I work in the same place, doing the same thing, and working a job that moves at snail's pace. I just don't have the social life and hobbies at the moment to get any balance, let alone the financial means to travel, socialise and pursue pastimes with the usual gusto that I apply to everything.

What happens is that I become like a champagne cork. The pressure builds and builds, and then I explode with frustration.

My journey began with a two week stay in a psychiatric hospital, because I was so beaten down by the task of getting myself off the streets, back from the brink of bankruptcy, beating addiction, working on a massively important high-pressure project, renting an apartment, moving house for the zillionth time, and then realising that I was in an unsustainable situation: I needed to get rid of a 'friend' who thought he'd live with me rent free and get pocket money: for what reason he thought he deserved that, I'm not even sure. I also needed to quit a horrible contract that just wasn't worth the sleepless nights.

Next thing I knew, I was sleeping in a Mongolian yurt in Devon.

Then, I was surfing and hitch-hiking in Cornwall. Hitch-hiking is surprisingly hard, it turns out. Hitch-hiking is a bad way to get around if you have to be in a certain place at a certain time. I'd hitch-hiked once before, earlier in the year, in Ireland, but it turns out the Irish are a lot more friendly, helpful and trusting than the British, based on my anecdotal evidence.

Back in London after my Westcountry adventure, I still felt overwhelmed by depression and the feeling that I was trapped by my job. I had a lovely trip, but it had been very short and coming home was very anti-climactic. I knew I needed to quit my job, but I didn't quite have the guts to terminate a very lucrative contract.

I had made a plan a couple of months prior, to shame HSBC by sleeping rough in Canary Wharf, right by their headquarters. I found it deliciously ironic that they had inadvertently helped one of their customers to avoid bankruptcy, escape homelessness and generally improve their financial situation. I had no doubt that if they'd done their due diligence on me, then I would never have been employed to work on their number one project. I was planning on getting my contract terminated for no reason other than I cared about my job and was trying to do the right thing: acting with ethics and integrity.

But, I still had the contract like a millstone around my neck. I was desperately trapped and depressed about it.

I decided to fly to San Francisco and go to the Golden Gate Bridge. I wanted to illustrate how the desperation of my situation had driven me to contemplate suicide. I also wanted to go because I had planned to go 3 years earlier, but my parents had reneged on a promise and generally conspired to pull the rug out from under my feet at a time when I was terribly vulnerable. What they did was an awful thing, and I wanted to take that trip that I never got to make, because of their horrible behaviour.

I booked a flight for approximately 4 hours' time, packed a bag and left immediately. It's the most impulsive thing I've ever done in my life.

In San Francisco, a friend kindly picked me up and I dumped my bags at her house. I then borrowed a bike and rode to the Golden Gate Bridge. Less than 24 hours had elapsed since deciding to travel 5,351 miles. I stood in a jetlagged and travel weary state, peering over the edge, looking at the perilous drop to the sea below.

Travel, novelty, adventure, excitement, old friends, social contact, good weather... all of these things are the perfect antidote to depression. Who knew that the prospect of being chained to the same damn desk, in the same damn office, doing the same damn work you've done for 19 years, could lead to a tiny twinge of "Fuck My Life".

Obviously, the whole dumping your bags at your friends' place and then going off and killing yourself thing would be poor social etiquette. Plus I'd arranged to see an old schoolfriend while I was in San Francisco. The potential for positive experiences was massive. In the office, I had found myself hoping for a fire drill just because it would be slightly novel.

I'm no dumbass. I know it's important to stop and smell the roses. But, there isn't the time, energy or motivation to do so when you're trapped in the rat race.

In San Francisco I took delight in the simplest of things, like taking a selfie of myself by a road sign that matches my surname. I didn't even do any specific sightseeing or look at a map. I took a trolleycar because I saw one passing. I found myself by landmark buildings, just because I stumbled on them. I walked miles and miles.

My AirBnB host invited me out to a Halloween party. I dressed up. We drove to some house near Mountain View, where there were fascinating Silicon Valley tech people to meet from Google and Apple. That kind of shit generally doesn't happen when you're depressed working your desk job.

I got a tattoo to piss my parents off. My sister has several tattoos and my parents are always giving her a hard time about them. I thought that getting a tattoo would be some gesture of solidarity with my sister, and my parents would have to give both of us a hard time for having one. It was also a kind of souvenir from the trip, and a bit of reminder that I was going to try and stay in the land of the living for a little longer.

I caught up with a schoolfriend who I hadn't seen for years and years. He was supposed to be a mentor on a startup accelerator that I did in 2011, but he'd had to move back to California. It was great to see him, in the Mission district of San Francisco, even if we only had the briefest of time to catch up. Precious moments.

Meeting my friends' second child, and hanging out at their house reading stories to their eldest. Going with the kids to the science museum and playing with the interactive exhibits. Still etched in my mind.

Getting a glimpse into family life, valley startup life, California life... special.

Hanging out with some of the people who I have so much respect and love for... priceless.

I tried to provoke HSBC into terminating my contract immediately, by sending truthful emails, saying things that needed to be said, but were blatantly above my pay grade. Sadly, the mark of a corporate drone is somebody who's completely gutless and two-faced. They emailed me to say they just wanted to have a "routine chat" with me when I got back. No matter how hard I pushed, they wouldn't admit that my contract was effectively terminated, which is what I wanted so I could stay in the USA longer.

I came home. I went into the office and exploited the fact that nobody would be straight with me. I kinda got my goodbyes from everybody, even though they were "great to see you back in the office" but only those who were nice genuine people seemed to be unaware that the long knives were drawn. I loved the look of shock on the faces of those whose incompetence I had exposed.

I shaved my stupid beard and kept my moustache, because it was now November. There's no greater pleasure than having your contract terminated from a 'straight' job, when you're wearing a stupid moustache and you have a tattoo. This was all part of the plan in preparation for the sleeping rough by HSBC headquarters anyway.

Then, I was deflated again.

It'd been a helluva journey. Psychiatric hospital, Devon, Cornwall, Mongolian yurts, surfing, hitch-hiking, sleeping on the floor of New York's JFK airport, cycling over the Golden Gate Bridge, sightseeing in Silicon Valley, old friends, nice work colleagues, miserable office drones, contract termination... relax!

Bonfire night - November 5th - I was still pretty hyped up. For some reason I decided that I wanted to whizz around London giving out brightly coloured cardboard stars. I think I spent 90 minutes from conceiving the idea, to then whizzing round London sticking stickers on stuff, giving out stars, losing my luggage and generally careering out of control somewhat. That was classic hypomania. What gets held down must go up. It was such a relief to be released from my soul-destroying contract that the nervous energy almost demanded to be released by doing something crazy.

I decided I needed to see some neglected UK friends. I zoomed down to Bournemouth and stayed in the Royal Bath Hotel by the pier. I met up with one of my most loyal friends, and met his son, caught up with him and his wife, saw their house. I caught up with another friend. Friends who had offered to take me kitesurfing didn't materialise, but it didn't matter... I'd already had a very action-packed trip.

Then, finally, the night of the sleep out came. Lots of things got conflated in my mind: "Hacking" humanity, Techfugees, homelessness, bankruptcy, HSBC's unethical behaviour, soul-destroying bullshit jobs and the unbelievably erratic, exhausting, stressful path I had taken to reach that point.

I always knew that keeping moving is the answer to staying alive, but there's so much financial incentive to be trapped into a chair, chained to a desk, not moving anywhere, not doing anything, not talking to anybody.

As I burnt through my money on rent and bills over the winter months, I knew the day would come when I'd have to go back into the rat race, and it depressed the hell out of me. By Christmas Day I was in a pretty shitty state. By New Year's Eve I was cutting my arms with a razor blade.

For the last 4 months, I've sat at my desk, not saying anything. For the last 4 months, I haven't rocked the boat, I haven't tried to improve anything, I haven't tried to do a good job. For the last 4 months, I've kept a low profile. My bosses couldn't be more pleased. My bank balance is much improved. In theory, my mental health should have done something but it doesn't feel like my mood's done anything but sink.

How am I supposed to reconcile the drudgery of the rat race with the excitement of the crazy tale that led me here? When I look back 6 months, 12 months, 18 months, things were very different. Are things better? It doesn't feel like it.

I'm still not moving, I'm not travelling. I still don't have my needs met.

If I want to survive, I need to be moving. It's not sustainable for me to stagnate. I wasn't built to just sit and rot at a desk.

If I stop moving, I sink into the quicksand.

Tags: #depression #suicide #bipolar #career #startup #computing #homeless #addiction

This is a story about not reading enough...

Writers don't really want any more writers. Writers want more readers. You could write a brilliant book and find that hardly anybody wants to read it, let alone pay for it. I'm not writing a brilliant book. I'm churning out words into the ether. I'm not writing for self-aggrandisement. I'm writing because my self-esteem has collapsed and I'm suicidal.

If I wanted to get rich from writing, I would write a "How to be a Better Writer" book, or I would run a creative writing course. Far more people want to be writers than there are paying readers to support their ambitions.

We all want to be heard above the roaring waves in the sea of digital noise. This modern world is isolating, and it's also disheartening when everything you do is compared against a global benchmark. If you microblog on Twitter, why don't you have millions of followers? If you've written something, why isn't it a bestseller? If you founded a little tech startup, why isn't it valued at a billion dollars?

What's the difference between one blogger's Wordpress site and another's? Now that we're all competing on the same level playing field - the self-publishing revolution that is the Internet - isn't it clearer than ever that the differences between human beings are marginal? I find it just as interesting reading a mommyblog as I do reading whatever is flavour of the month. In fact, I find the mommyblogs far more interesting than the pretentious wank pedalled elsewhere in the interests of clickbait.

A clique of established writers tell me I don't have anything interesting or high value to say. Whenever I read articles about National Novel Writing Month or other writing festivals, the message is the same: your writing is boring, low quality, narcissistic and you shouldn't bother. In other words, clear off and make room for the established players.

Well, guess what? Tough titties.

I need writing and the community of people writing for non-commercial reasons. I don't need to support people who've already achieved the thing that we all dream about doing: a job that we love.

For sure, writing and the other creative arts are not a hobby. We need entertainers. We need people who are brave enough to share. To try and establish some pecking order and say that lesser mortals should keep their mouths shut and not share their content, is elitist in a way that I despise.

I was saddened to read about how much trouble The Guardian and The Observer are in, especially in light of the fact that they're newspapers that are supported by trust money, not by media moguls. The Guardian broke the Edward Snowden whistleblowing, and had GCHQ jumping all over them for their trouble. Press freedom is important, and the colonisation of journalism by advertising revenue hungry organisations, churning out human interest clickbait, is to the detriment of all of us.

I lament the death of the novel, as we increasingly consume what we read in bite-size chunks that we 'pay' for with our eyeballs, thanks to the rise and rise of the Facebook news feed as the vast consumer of our spare time. However, to attack budding writers, and to effectively picket them and call them 'scabs' for writing free content, is not going to fight the rising tide. It's inevitable that our reading habits will change forever. The idea of paying for a printed novel is all but dead except for those who have a paper fetish and like to advertise their pseudo-intellectualism by having large bookcases.

I note that I passed 400,000 words and 1 year of blogging without even noticing. The supposed discipline and difficulty of overcoming writer's block is largely overstated. It's true that my writing is very lightly edited, but actually if you go back and read what I've written a few days later, you will see that I have been making myriad edits, corrections, revisions, improvements. But, in this content-rich era, who has the time to read anything once, let alone twice?

Some friends derive a great deal of pleasure from reading their favourite books again and again. Those books must have been pored over by their authors, and certainly they are great works of fiction. However, just as we once bought a few high quality garments made by skilled clothes-makers, now we live in the era of fast fashion, where we now buy many cheap things to wear, that are quickly worn out and thrown away.

Whether it's wood pulp and ink, or cotton and dye, to waste those things is not sustainable on a planet of finite resources. However, the Internet is not running out of bytes. There's nothing wrong with churning out page upon page of writing, which may catch the eye of one of the billions of readers. Even if it's just some linguistics algorithm at Google that slightly improves its natural language parsing ability, by processing my words, then it hasn't been a fruitless exercise.

I don't think people are reading less. I just think they're reading fewer books. I certainly think that people are turned off by the endless intellectual masturbation of the elites.

If there's a shortage, it's not a shortage of readers. I think there's a shortage of candid tales written by people who are brave enough to actually write the things that nobody had dared to say, or had previously been allowed to publish.

No matter what government stats say, there are undoubtedly painful societal changes afoot. There is so much contradictory data. How can quality of life be increasing and the amount of people with clinical depression also be increasing? How can we be so amazingly interconnected by technology and we feel so lonely and isolated?

Writing has changed. Instead of writing a book, publishing it, and sitting back to enjoy praise and admiration, writing has now become a conversation. Interactions and discussions have replaced lectures and speeches.

Sure, I'd like to see micropayments succeed, to replace the ad-revenue driven model that's mostly hoovered up by Google & Facebook, so that my favourite writers can continue to pay their bills.

However, just as the 15-hour working week has been predicted for a long time, writing and other creative arts are going to feel the pinch first. There are a virtually unlimited number of people who would rather be writers than picking vegetables in the fields, or flipping burgers.

To call aspiring writers narcissistic, self-aggrandising spammers, is breathtakingly insulting. In a way, I'm an intellectual migrant, seeking asylum from the warzone of wage slavery. In a way, every 'successful' writer who tells me that I should stop writing, or mocks my work as low quality, is the same as somebody who says "bloody immigrants, coming over here, taking our jobs".

You're damn straight I want to be a penniless writer. I want to smoke a pipe and wear a tweed jacket with leather patches on the elbows. Have you tried the working world? It's fucking awful. I've worked harder than you, and that's why I'm prepared to work for 'nothing'... because it's a damnsight more rewarding than the crap I've been doing for my whole career.

You know what? People who have been having a tough time have reached out to me, and shared their stories. I would never betray their confidence, but people have confided their stories about depression, suicide, alcoholism, addiction and becoming jaded and disillusioned with wage slavery.

I read an article saying how hard it is being a struggling artist in London, and the only comments on social media were "get a proper job" and "art is just a hobby". While I disagree that art and entertainment are valueless, I do think that those who are upset about how their novelist ambitions are being thwarted should try writing something that is actually relatable.

Of course it's naïve as hell and a cliché to say "if my writing helps one person who is going through a tough time, it will have been worth it" but guess what? I think it already has. A number of private discussions have confirmed that there are plenty of people out there, lurking quietly, feeling like nobody understands what they're going through, feeling like they're the only one who's going through what they're going through.

When I was struggling with mental health issues, suicidal thoughts, addiction, alcoholism and a lack of employment opportunities that were in line with my values and needs, I found a few books and blogs that helped me immensely. I gratefully hoovered up the words that few brave people had shared, and I felt less alone.

I don't want to pat myself on the back. I'm not declaring what I've done to be a success. I'm not saying I've saved lives or anything else so self-congratulatory.

All I'm saying is that if you want the mommybloggers and every other wannabe writer out there to shut up, to make more room for your pretentious crap, then it's you who should shut up, because like you say... there are already more than enough good novels out there.

Tags: #writing