This is a story about the precariat...

Here I am, in psychiatric hospital with underpants on my head and pencils up my nose. I think you will agree that this makes me perfectly qualified to run the country.

Having a manifesto is something that we associate with nutters who commit mass murder. The end justifies the means, in the minds of people consumed by their political ideologies.

Admitting to having political ambitions is laughable for an ordinary British citizen. The route into politics is through namedropping, brown-nosing and suffering the bullying & infighting of the dominant political parties, as you rise through the ranks. Going into politics is not about campaigning on a manifesto which comprises your deeply held political beliefs. Going into politics is not about a commoner being elected to the House of Commons. There's no room for the riff raff in politics and you're going to need wealthy donors to back you. You'd have to be stark raving mad to think you could get into politics as a representative of the constituents in your local area.

Politics is a career; it's not about improving the lives of your fellow citizens. There's no room for anybody who hasn't made politics their specialism. An interest in government is a fetish for three-line whips.

Political office is granted in recognition of a complete lack of empathy for the proles that a prospective MP has spent their whole life exploiting. Our ministers should be selected from a pool of wealthy elites, who have no concept of life without a trust fund and the advantages of nepotism. The benches of parliament should reflect the people who helped win those seats: the wealthy donors.

Pretending that political parties are given an equal campaigning platform, and that we don't have a two party system, is a hilarious prank that's being played on the electorate. Who could possibly compete with the big two parties, who hoover up so much political donation money? If you're looking to buy yourself a peerage, are you going to waste your hard-earned cash on a party that stands no chance of winning a majority? What a joke!

The top three manifesto promises of the Tories are: plutocracy, plutocracy and plutocracy. Crush the proles. Smash their unions. Keep them insecure and divided. Oh, what a glorious thing, to see the landed gentry literally lording it over the riff raff.

Posh little girls and posh little boys grow up dreaming about the day when they'll get to destroy the welfare state and lower the living standards of ordinary people. "On yer bike!" the jumped up little twits shouted when they were youngsters, and now they're ushering in the Britain they always wanted: where the only fucking job you can get is being a Deliveroo takeaway food bicycle delivery rider.

We don't want anybody getting into politics, who has any idea what life's like for the vast majority of British citizens. We need people who live and breathe the Westminster bubble, to think about real issues, like where they're going skiing this year with their barrister chums.

- ALTERNATIVELY -

I know what it's like to claim benefits, be homeless, suffer mental illness and have to navigate an under-funded National Health Service. I know how digital transformation will affect every aspect of the world around us, and I've worked in education, retail, defence, financial services, security, transport, housing & construction and a host of other sectors too. 

I've studied the dismal science - economics - as well as starting several profitable businesses. I have in-depth knowledge of almost every tax we have: from income tax to capital gains tax; from Value-Added Tax (VAT) to corporation tax; from import duties to stamp duty. I understand trade deficits, fractional reserve banking, financial instruments and the national debt.

With a background in science and technology, I have a big-picture view that broadly encompasses every aspect of modern life. This is not stuff I've read about and only understand theoretically: I'm a practitioner and I have real-world hands-on experience. I have a worldview that starts in the subatomic realm of particle physics and finishes in the intergalactic universe of cosmology, with a geopolitical overview of terrestrial matters somewhere in-between those two extremes.

I'm not a specialist. I have no desire to study the minutiae of anything, like a stamp collector or a train spotter would, but instead I've gathered knowledge of how all the different component parts fit together. It's no co-incidence that I've been able to write game of life type software simulations: computer models.

Anybody involved in politics would benefit from being a generalist not a specialist. When all you've got is a hammer, everything looks like a nail. It's impossible to reconcile the competing views of thousands of specialists, because they all have a very narrow worldview. It's all very well being an expert in your field, but where's the balance?

If I was going to pick a bunch of people to run the country, they would be the fiction writers and the computer game designers. Without an enticing vision of the future, reactionary forces will drag us back into the dark ages. Without a working virtual world, how are you ever going to test your ideas, without your mistakes inflicting untold misery on real people?

As a prerequisite for becoming a minister, you should be able to build a thriving happy metropolis in Sim City and complete a game of Civilization through cultural influence, not war. If you're a failure in those virtual worlds how can you think you're even remotely qualified to wreak havoc on the lives of the electorate? We wouldn't turn you loose on the roads without a driving license.

All minsters and their children should attend state school and be treated by the National Health Service: you've gotta eat your own dog food. There should be a means test, that excludes wealthy families, trust fund babies and any nepotism: only a single generation of any family may enter into politics.

In fact, some of those who govern should be selected randomly, like jury service. Wanting to exercise any kind of power over your peers should be an automatic disqualification. The House of Commons should be balanced out with ordinary people, who have no interest in politics per se: it's the civic duty of every British citizen to muzzle the dangerous megalomaniacs.

Housing, transport, education, healthcare and a host of other essential services, are public services and as such, they should never be profitable. The state should have a monopoly on the things our citizens need. To allow a private firm to profit from our population's needs is a crime. The private sector is welcome to compete in the world of wants, but not needs. Simple economic theory will tell you that prices have upwardly inflationary pressure on things that you have to have: are you going to skip getting cured of that deadly disease, because it's too expensive?

Do you want to live in a world of zero-hours contract McJobs, insane house prices, stress, long hours, insecurity and indentured servitude, for the benefit of big business? That's what you're getting when you allow the country to be run by commercial interests.

We need to smash the plutocracy. We need to have dignity in labour. We need to be united, not divided by those who tell us that we're easily replaced and make us crawl over broken glass for a few mouldy crumbs. Inequality and the arrogance of the elites has reached unsustainable levels. We can't afford the rich any more.

If you think these are just the immature words of a bleeding-heart liberal who never grew up, and I don't understand the complexities of the world, I think you're being a mouthpiece of the elites when you say that it's not as simple as just dividing the wealth. It's easy to be an intellectual snob, because you believe you're destined for greatness. Just because it's not you, going with your cap in your hand to the mill owner to ask for a bowl of gruel, you could easily fall from grace at any moment. Just because you can't imagine what it's like to be poor and struggling, doesn't mean that it couldn't happen to the likes of you. Your fancy education and your expertise won't save you, when the working classes rise in anger and strike down the bourgeois rentier parasite class.

The irony of me writing this, while sipping champagne and looking out over the River Thames and the London skyline, from the balcony of my luxurious home, is not lost on me. The working-class heroes and self-made millionaires can be some of the most awful people. There's absolutely nothing humbling about rising up through the ranks and being successful; quite the opposite in fact.

I write as somebody who's been incredibly fortunate - getting propelled into a life of privilege and wealth - only to lose it all and have to rebuild from scratch. I write as somebody who knows that there's a fast track, as well as how hard it is to overcome prejudice and adversity. I write as somebody who can have delusions of grandeur as much as a sense of worthlessness. I know I'm flawed and I know I can fail, as much as I know how to succeed.

Worshipping power and status has led to layers of sycophantic courtiers, each one existing only to polish the egos of old men. Do you really want your whole country run, just so some exploitative megalomaniacs can be called Sir or Lord? Do you really think anybody deserves your respect, when they preside over the destruction of living standards in an epidemic of mental health issues, caused by the stressful modern life they created?

A central tenet of my desire for political influence, is my first-hand experience of depression, misery, exhaustion, stress and anxiety, which is an intolerable situation, created unnecessarily by unrestricted free-market capitalism. Are these the pillars that you want our working world built on? Should British citizens suffer as much as they do, just to have a crust of bread, a roof over their head and the hope of one day being able to pass on the suffering to the next generation? My answer is: no.

I don't necessarily believe that the state should own the means of production, but the workers should benefit most from the fruits of their labour. Wealth needs to be distributed, not concentrated in a few idle hands. Trickle down economics is a terrible lie.

I think that without social reform, eventually people will put down their tools and violently protest at their exploitation.

Obviously, I'm just a maniac up on my soapbox, shouting absolute nonsense, but who do you believe more: the wealthy elitist who tells you that everything's fine, or the person who's suffering at the hands of those elites?

Tags: #politics

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

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

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

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

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

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

Let's talk a little bit about drug addiction.

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

What about detox?

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

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

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

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

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

"Because drugs are fun" I hear you say.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

What about my routine?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Every saint has past and every sinner has a future.

Tags: #addiction #drugs #alcohol

This is a story about compatibility...

Very often, when you're acutely aware that there's something that you need to avoid crashing into, you'll end up staring at it, unable to tear your eyes away. When riding a board or a bike, flying, driving or otherwise in motion, you tend to go in the direction you're looking. If you want to avoid a crash, you should look at a spot away from danger.

Is this the reason why we don't talk about taboo subjects, because we're worried about tempting fate? We turn our back on the ugly truth and try to pretend like everything's OK.

My Christmas stocking included some bath salts.

Clearly, Santa has the same dark sense of humour as me. That's great. I think humour is a fantastic way to exorcise the demons of the past. First comes talking, then understanding and finally you can laugh and joke about a topic that was originally quite painful and difficult to remember. Repressing memories and walking on eggshells is no way to move forward.

If we don't have honest conversations where we can talk about how we really think and feel, then we build up a load of sensitive topics. Secrets and lies lead to paranoia and weak relationships. Keeping schtum about my parents' drug use - when I was a child - was too much of a burden. Writing openly has been liberating and has allowed me to move on from shame and regret, to regain my self-esteem and confidence.

I remember a desperate scramble to cover up my admission to The Priory. My psychiatrist had made a referral to a "private hospital" for treatment of an acute episode of bipolar disorder. All perfectly true, but there was a certain economic use of the truth. What would most people think, if they found out that I was spending weeks in the UK's most notorious treatment specialist for drug & alcohol abuse? They would leap to the wrong conclusions, surely?

It's so bloody exhausting keeping up appearances. One must be aware of how things can be [mis]interpreted and people aren't likely to share their true thoughts and feelings: "better keep him away from the kids if he's mentally ill" or "I bet he's a raging alcoholic behind closed doors if he's been in The Priory".

We're brought up to believe that our reputation is like a balloon: one little prick and it goes pop. We're scared to take time off work, because we'll have gaps on our CV that need to be explained. We're scared to share details of our private lives, lest our employers decide we're unreliable and judge us on preconceived notions. Who wants to work with a madman?

When it comes to dating, the same applies. Who wants to date somebody with flaws; defects? Who wants to take a risk on a ticking time bomb; an unsteady ship? And so, I should have found myself unemployable and undateable. "Take your pills, sit in the corner and shut up" says society.

However, if you ever meet me in a work or social context, you may gain the [false?] impression that I'm pleasant company: a healthy, happy and capable member of society, engaged in productive endeavours. Strangely, you might have the wool pulled over your eyes so much that you actually mistake me for a normal human being.

Surely this is thanks to the excellent medication that I take?

Well, no. I don't take any medication. I don't do therapy. I haven't had a course of electro-convulsive shock treatment. I don't even have a psychiatrist at the moment.

"But you're going to murder everybody if you don't take your pills."

Yes, that's right. I'm your worst nightmare. I'm out there, on the dating scene, luring unsuspecting vulnerable young women into my web. I'm a dangerous fantasist; a con-man. I'm so good at living a lie that I've constructed an elaborate fable that looks, smells, tastes and sounds very much like an authentic real life, but it's all fake. It can't be real. What about the secrets we now know?

If you take your secrets and turn them into jokes, you defuse that ticking time bomb... or at least that's my working hypothesis.

I certainly feel a lot happier knowing that I've met somebody with enough of a good sense of humour to make a joke on Christmas Day about my chequered past. I feel less sensitive, paranoid and insecure than ever before. I feel like I'm myself, and that's OK.

Maybe it's just a getting old thing: the realisation that we're all flawed in some way. We're all human. We all have weaknesses and strengths, and we all have history; baggage even. It seems better to wear my heart on my sleeve than present myself as some whiter than white, holier than thou saint who never put a foot wrong in their life.

I doubt I'll ever unify my professional and private identities, but I certainly don't regret jettisoning the traditional approach to dating. Honesty seems to have been the best policy in this case.

Tags: #dating #sex #bipolar #addiction

This is a story about data collection...

Here's a graph of my daily step count for the last 18 months, as recorded by my iPhone. I practically always have my iPhone in my pocket, so it should be fairly accurate.

As you can see, there are big gaps.

I've added a 14-day moving average to the graph too, which is the dotted line.

How do I interpret this?

The optimistic interpretation is that I was overdoing it last year and had a big crash. There's a little gap in the graph that you can hardly see at the end of October. I was in hospital then. This year got off to a shit start and then improved and stabilised, but I still had a hiccup at the start of October. The graph is much flatter on the right hand side - on average - than it is on the left hand side. Perhaps the volatility in my life has been reduced.

The pessimistic interpretation is that there's a strongly downward trend. There are also signs of repeated periods of inactivity: shit times. Perhaps there's a cycle that would be clearer to see with more years of data.

I could bring in my Android phone data which covers the period before this, and maybe some other data sources too, but it was a pain just to produce this. 

Interestingly, if you own a smartphone, you should be aware just how much it's tracking you all the time you carry it around!

Tags: #bipolar #mentalhealth #depression #computing

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

28. Anonymity

When Neil's work, the crisis team, the police and Colin first called Lara, she was shocked and worried. As time wore on, she became exhausted by the ups and downs of Neil's mental health. When Neil had disappeared, she compulsively checked her phone for any missed calls or messages, desperate for any news. Months later, the nervous energy dissipated and she became emotionally distant and withdrawn; numbed.

Lara had a voicemail and few missed calls on her mobile phone when she finished her shift. It was Neil's parents' home number. She listened to the message.

"Hi Lara, it's Colin here. I appreciate you're probably at work but phone me when you get a chance. Also, see if you can take the weekend off. You might want to come away on a trip."

Spying Anne going to her locker, Lara walked over to her.

"Can we swap shifts this weekend?" she asked, in a hushed tone.

"What the hell, Lara? You were supposed to be coming out with us on Saturday night."

"I know, but it sounds like something important's come up."

"Important how? Is this about Neil? You know how upset you were last time you got mixed up in trying to find him. You only had the memorial service a few weeks ago. Try to take your mind off everything for a while."

"It's not like that, Anne. Neil's dad sounded... different this time. I think he's made a big breakthrough."

"Well find out and let me know. It's going to take a lot to convince me though. I think it's a bad idea."

Sat in her car in the hospital car park, Lara phoned Neil's parents' house. His mum answered.

"Oh hello, dear. I expect you want to speak to Colin, don't you?"

"Yes. I'm returning his call. He left a message."

"The phone has been going crazy this week. Since the service, quite a few of Neil's old friends have been in contact. We met some of them at the service, but it seems there was something in the news and... well, I'll let Colin explain. Here he is."

"Hi, Lara?"

"Yes, Hi Colin."

"Great. Did you meet Neil's friend Anthony at the memorial service?"

"No, I don't remember meeting him, but there were a lot of people there."

"Well, he phoned us up a week later and said he'd seen something in a local newspaper. Said he didn't want to mention it because it was probably nothing."

"Umm, OK."

"Well, he posted us a newspaper clipping. It's a grainy black and white photograph of a man in a hospital bed, but I'll be damned if it isn't a dead ringer for Neil."

"But it isn't Neil?"

"Well, the newspaper says it's an Eastern European man who's lost his memory. He seems to have forgotten how to speak."

"How do they know he's from Eastern Europe?" Lara asked.

"He had an ID card in his wallet. He's from Estonia and he's called Romet Kukk. Did you speak to Matthew at the service?" Colin asked.

"No, why?"

"Well, Matthew knows Anthony. They were all at school together. Matthew phoned up and asked about Neil's disappearance. He reckons he knows somewhere Neil might have been staying."

"Staying?"

"Yeah, like a secret den from when they were kids."

"Where's this?"

"Well, the hospital is in Exeter in Devon. The den is in the same county."

"Sounds like we'd better go down there and see what we can find out."

"Good. That's exactly what I was thinking."

The memorial service had stirred up a lot of emotions and it had been very upsetting to finally let go of Neil. Friends, colleagues and family members had spoken about his life, which was moving. However, Lara had already been to the funeral of an ex-boyfriend. She was tough and she had emotionally shielded herself to some extent. Lara's parents and brothers had helped her move out when Neil was getting seriously unwell and she'd kept things at arms length as best as she could. She couldn't possibly imagine that this doppelganger would be her missing financée. She had no idea what use it would be, going to a place that Neil and Matthew used to visit years ago. It all seemed too co-incidental.

Leaving messages with the local newspaper and the hospital, nobody had been able to answer any of their queries. Lara left early on Saturday morning to pick Colin up, then the pair continued to Bristol to pick Matthew up. They drove straight to the hospital.

"Hi, we're here to see Romet Kukk. Can you tell us which ward he's on, please?" Lara asked.

"Friends or family?" the receptionist asked.

"We're family."

"Are you listed as next of kin."

"I don't think so."

"Does the patient know you're coming? Are they expecting a visit?"

"No."

The receptionist's expression was icy cold. Lara casually flashed her NHS security pass, pretending to rummage for something in her handbag.

"Let me just check where they are. Kukk was it? Mister or missus?"

"Mister." said Lara, relieved that the receptionist was going to help them.

"Oh. It says here they're not at the hospital anymore."

"Discharged? Transferred?"

"The system doesn't say."

"Which ward was he staying on?"

"The system doesn't say. I'm not allowed to see information like that. I'm sorry, that's all I know."

"That's alright. You've been really helpful, thanks." said Lara.

Spying an unmanned reception desk, Lara could see a phone number for the hospital's main switchboard on a piece of paper. She punched the number into her mobile phone but didn't dial it. Grabbing Colin, who was lingering nearby, they went back into the car park where Matthew was waiting with the car. Lara got inside and phoned the switchboard.

"Hi, can you page the bleep holder for psychiatric liaison, please?"

"Sure, no problem" the operator said.

After a few minutes wait, the operator came back.

"Connecting you now."

There was a click on the phone line.

"Psych liaison" a different voice said.

"Hi, my name's Doctor Sutton from UCLH. I was trying to find out who'd been dealing with a patient of ours at your hospital. Name of Romet Kukk" said Lara, lying.

"Yep, I was handling the case with a couple of my colleagues. Piers Cowley. How can I help?"

"Well, to be honest, we were wondering where he was. He doesn't seem to have been referred back to us."

"Yes, that's right. He wasn't discharged. He just disappeared."

"Disappeared? When?"

"About a week ago. Look, can I phone you back in about half an hour. What's your extension at the hospital?"

"Can I give you my mobile number?"

"I'd really rather phone you back on your extension if we're going to discuss the case notes in more detail. What was the number?"

"I'm in a bad signal area, we might get cut off. It's 1-3-5..." Lara hung up. "Shit."

"What's wrong?" Colin asked.

"I think he just rumbled me."

"Did you find anything out?"

"That patient isn't at the hospital anymore. Romet Kukk disappeared."

"OK, Matthew. You'd better show us where this den of yours is" Colin said.

"It's about an hour's drive from here" said Matthew.

Next chapter...

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

27. The Syringe

"FRL-V4" was an act of desperation. He had exhausted every prescription drug that he could buy from overseas. He then tried every research chemical that he could find. The Internet revealed a world of "psychonauts" conducting drug experimentation on themselves. He felt like a human guinea pig anyway, having had a cocktail of different medications prescribed to him by his doctors, all of which had terrible side effects. He was sick and tired of feeling sick and tired.

When he received his first delivery from Frog Eye Wares, he assumed they had accurately weighed out half a gram: 500 milligrams. He poured out the contents of a small plastic bag labelled "TOXIC: NOT FOR HUMAN CONSUMPTION" onto a dinner plate. Then he divided the pile of powder into two equal piles of 250 milligrams each. He divided one of those piles in two, which he assumed must approximately weigh 125 milligrams. Scooping up one small pile of powder, he transferred it to a second dinner plate. Then, he made five lines of powder, each of the same length and width. All of this was done by eye. By his estimation, a single line weighed 25 milligrams.

Taking a rolled up bank note, he snorted half a line up his right nostril. This was the first time he'd insufflated something since the one and only time he'd tried cocaine, at a house party 8 years earlier. The cocaine gave him a feeling of numbness in-between his eyes and down the back of his throat. He could taste a drip from his nasal cavity, but it was not unpleasant and the numbness spread around his mouth in his saliva a little. The "FRL-V4" powder made his eyes water with pain. There was an extremely bitter taste and the smell of solvents filled his nose.

His face flushed, his pulse raced, he needed a bowel movement. In the bathroom, dropping his trousers, he noticed his penis had shrunk as if it was freezing cold. Washing his hands, he looked at himself in the mirror. His pupils were gigantic and jet black; he was sweating. Panicking slightly that he had taken too much of the drug, he rinsed his nose out with some cold water and tried to spit out the residue that seemed to coat the back of his throat.

He'd spent the day feeling productive. He had cleaned the house and had then started playing a computer game until he noticed that it had got dark. Then, he started to feel a sense of panic. 9 hours had elapsed since he had taken the drug and he worried that the effects weren't wearing off. He looked at his watch; then he looked at his watch again. Time was passing incredibly slowly. He started to stare at the face of his watch; the second hand was barely moving. He could feel his heartbeat starting to race. He started to feel like he couldn't breathe; as if there wasn't enough oxygen in the air and he couldn't catch his breath.

That was when he decided to snort the other half of the line.

He'd done a lot of research on the Internet and he knew that some of the drugs he was likely to encounter were "fiendishly" addictive. Most of the negative things that he read seemed to be associated with people having long sleepless binges. It seemed logical to him that the thing to do was to avoid "re-dosing". He would limit himself to a fixed daily dose and that way he would avoid the dreadful binges and the path to addiction that he had read about. However, he hadn't been able to calm down and was feeling really awful. He half considered going to hospital, but instead, he decided to double down.

Snorting with his left nostril, the pain brought tears to his eyes again. Soon, he felt a lot better. The panic attack subsided.

He hadn't eaten all day and he thought he should try and force some food down. Making himself a sandwich, it seemed incredibly dry. He hardly had any saliva to swallow. Everything tasted really strange and unpalatable. He had absolutely no appetite. Realising he'd hardly drunk anything, he gulped down some orange juice, which was pleasant enough. His stomach hurt and he retched a little, but the nausea quickly passed.

The night passed with more computer games and he was surprised to see morning light. Trying to avoid looking at his watch for as long as possible, he knew that there was panic rising in him again. What was he going to do? He hadn't slept in 24 hours. This was quickly turning into a binge. He decided to snort another half a line, to get through the day and then sleep at his normal bedtime that night.

The passage of time was so much accelerated during the segments where he was under the influence of the drug that, whatever he was doing, he found that he was still doing it hours and hours later. He wasn't normally a big fan of computer games, but he had almost completed the one he had been playing. On the pretence of completing the game, he snorted another half a line.

Feeling a little sleepy in the small hours of the morning, he decided to doze. He slept and then suddenly awoke feeling hyper alert. He was acutely aware of the sound of his own breathing, his heart beating, every noise in and outside the house. He could hear the ticking of his watch and time had slowed almost to a crawl. His pulse raced and he was terrified that he was going to have a heart attack. He lay perfectly still on the sofa and tried to calm himself down, controlling his breathing. He fought rising panic for what felt like an agonisingly long period of time before deciding that he had to distract himself. He decided to go out for a walk.

It was a bright morning, still quiet before the commuter rush. He turned left out of his front door and walked 50 metres before deciding that there would be too many people on the main road. He headed the other way, past his house and got halfway down his road before he panicked that he was getting too far away from home if he needed to hide himself away or wait for an ambulance. He walked slowly back at first and then worried that his neighbours were probably watching his strange behaviour, so he hurried back home. Inside, he paced around downstairs, unable to settle himself.

Sitting down at the dining room table, he started to scribble a note explaining what he had done. Screwing up that piece of paper, he started to write down all the medications he had taken without a prescription: dates and dosages. Grabbing more sheets of paper, he wrote a whole set of notes, explaining every doctor's appointment, outpatient visit and inpatient admission that he could remember, along with diagnoses and medications he had been prescribed. On a final sheet of paper he explained that he had bought a research chemical called "FRL-V4" from the internet, but he didn't know what the active ingredient was. He wrote that he feared he had overdosed, damaged his heart or had some kind of allergic reaction. He wrote: "I've had an unplanned binge and I think I'm getting addicted."

Neil knew the idea that you could become addicted the first time you ever tried a drug was ridiculous. There was no such thing as something that was instantly addictive. However, he knew that he'd jettisoned his plan to only take a fixed known dosage and never to binge. He knew that he wanted to take more of the drug, but he also didn't want to take any more because it obviously caused him to have massive panic attacks.

At some point while he was writing, he had calmed down. He now felt quite good; he was flooded with a sense of relief. The feelings of dread and the near-certainty that he was going to die - or at the very least be rushed off to hospital - had dissipated and he spent the afternoon having a shower and eating a little. His appetite and tiredness returned that evening and he slept for nearly 14 uninterrupted hours. When he awoke he felt mostly normal, hungry and a little depressed. However, the drug played on his mind more than he was comfortable admitting to himself.

Having had such a scary experience with the panic attacks, he wanted to flush the remaining powder he had left. Strangely, the memories that stuck in his mind most clearly were how much relief he felt when the panic attacks were finally over, as well as the relief he felt from the panic when he snorted another half a line. Fatefully, he did not flush the powder.

He managed to delay almost a week before he took the drug again. Addiction did not become a daily habit. He seemed unable to snort half a line and then put up with the panic attacks. His binges would last two or three days, until the panic would be accompanied by enough sleep deprivation to bring sleep. As he got more and more tired, he would sleep through the worst of the comedown. In a way, he was functional, because he would eat and sleep to catch up in-between his binges. However, he knew that his life now revolved around taking drugs and addiction had taken hold.

Taking to the Internet to research the unknown chemical that had its hooks in him, he discovered a thread of discussion where people were speculating what the active ingredients in "FRL-V4" were. There seemed to be consensus that it had to contain one of the most feared and notorious 'designer' drugs. Searching online, there were no shortage of horror stories about this chemical, nicknamed "Peony". News stories reported one man had chewed off a tramp's face and a Dot Com billionaire had murdered his girlfriend, while under the influence.

Unwittingly, he was committing the names of these chemicals and where they came from - Chinese laboratories - to memory, while he struggled with addiction and also tried to find information about some less harmful substitute that would help him escape his predicament.

To obtain the pure chemical form of "Peony" would be incredibly dangerous, because it was so potent, but he could try to substitute it with similar drugs that were less addictive and caused fewer side effects. It would take a couple of weeks for deliveries from China to reach him. In the meantime, his addiction raged and he started to go on binges lasting four or five days.

When his weighing scales and the first of his Chinese orders were delivered, things did not improve. He was exhausted and sloppy with his measurements. He had become used to estimating his doses by eye. Snorting a big line of "FRL-V4" and a medium sized one did not make much difference. The difference between 5 milligrams and 10 milligrams of something that was 99% pure made a huge difference. His binges started to last for over a week, because he would be kept awake for days at a time when he snorted a single line of the potent chemicals.

Feeling his life was totally out of control and it would not be long before an overdose meant death or hospitalisation, Neil decided that he was a lost cause. The idea of running away to the caravan started to obsess him. He wanted to spare Lara and his family the distress of finding him dead from his addiction.

He had promised himself that he would never cross one line with his addiction: he would never inject drugs. It was a strange thing to have decided, but everything he'd read suggested that injecting drug users were generally in their death throes. However, he had taken a syringe with him to the caravan.

By dissolving chemicals in half a litre of water, he had an exactly one milligram of drug per millilitre of water. Sucking up the chemical solution into a syringe, he could measure a dose quite accurately without his weighing scales. He didn't even need a hypodermic needle: he could simply swallow the liquid. His stomach acid would destroy about 50% of the chemical, but half of it would reach his bloodstream.

Desperate for something to drink, Neil now reached for a glass bottle that he had dissolved drugs into. The water had reacted with the chemical and seemed to have destroyed it. He took a couple of big glugs from the bottle.

Without any means of measuring the weight of his doses accurately, Neil had been playing Russian Roulette with his life. A small dose could have no effect at all and a large dose would leave him with stimulant psychosis for days, as well as putting incredible strain on his heart. It was miraculous that he had survived so long.

In a state of drug-induced insanity, every bit of powder in the caravan had been consumed, accidentally spilled or destroyed. Neil had been clean for a few days, but he was in such a damaged state that he hadn't had the energy to limp to his van or to the country lane where he might be discovered by a passing driver.

Now, he felt a sharpness return to his mind. His injuries hurt less. His back and joints didn't seem to ache so badly. He felt his limbs start to get lighter. The water had reduced the potency of the drug, but it hadn't destroyed it altogether. Neil was able to sit up and move around. He felt like he could get to the van.

Next chapter...

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

26. Descent

She could hear the car crawl to a slow and follow her at walking pace. She had grown accustomed to the sensation of being stalked, stared at. She could feel a pair of eyes burning a hole in the back of her head. With the subtlest of movements she looked out of the corner of her eye at the road. She didn't recognise the vehicle or the driver. There seemed to be somebody in the passenger seat too. The car drew level with her and the passenger wound down their window. She glimpsed short hair full of styling gel, a white tracksuit and prepared herself for unwelcome sexual advances from a dimwitted numbskull.

"Hey!" came a surprisingly hushed call.

"Psst!"

This was not how things usually went. Normally lecherous creeps would lead with their best line, full of false flattery and often beer-induced bravado.

"Hey you!"

It was irritating, but a different and more measured approach from what she was used to. She was sure that as soon as she even acknowledged their existence, they would launch their full chat-up offensive. This was just the preamble.

"Hey!"

She was sure that their patience would quickly evaporate and she would be loudly cursed as a "stuck up bitch" and the car would roar off into the distance with its loud exhaust and bass-heavy music thumping out from their souped-up boy-racer chariot.

"Nah, she doesn't want to know" said the passenger. It looked as though he was addressing somebody in the back seat. Lara risked another glance backwards and sure enough, there was another passenger, slumped low with their coat pulled up high around their face as if they were trying to hide.

"He says he knows you" the passenger tried again.

"Who?" asked Lara, now looking in through the car window and surveying the scene, while keeping walking.

"Sam" said the passenger, pointing his thumb at the back seat. "He's sick. He needs some help getting into his flat."

"Why can't you do it?"

"We're just giving him a lift home. We've got to be somewhere else, pronto. We ain't got time."

"Some friends, you are." Lara mocked.

"Look, just help make sure he gets in OK, can you? We could just dump him nearby, but there's no telling if he'll get into his place on his own in the state he's in."

"What's wrong with him?"

"He's just had too much to drink."

"That's a really shitty thing to do to your friend. To just dump him like that."

"He's not exactly a friend. We hang out, but it's not like that. We're doing him a big favour driving him home."

"Yeah, BIG favour" said Lara sarcastically.

She couldn't help herself peering in the back windows at Sam. He was very dimly aware of what was going on. His head drooped and his eyes were closed, but he wasn't asleep. He didn't look boisterously drunk or like he was going to throw up. He was just intoxicated.

"Alright how far away is it?"

"Just down in the town centre. Jump in."

Sam was reasonably well co-ordinated and not slurring his words. He didn't even smell of alcohol. He could walk and talk without staggering, but he kept slipping into a catatonic state. His sentences would tail off and he would be half-asleep on his feet. As long as she kept repeatedly reminding him where they were and what they were doing, she could coax him towards his front door.

"Come on, Sam. Nearly home!"

"What? Eh? Oh" he said, as he seemed to remember what he was doing and take a few more steps, opening his eyes a fraction. He leant on the front door, dozing.

"Get your keys out, Sam. We're at your flat. This is where you live, right?"

"Yeah, uh. Right" he fumbled in his pockets and unsteadily directed his key at the lock.

With the door flung wide open, Sam made a bee line for his day bed and collapsed on it face down, before rolling into a slightly more comfortable position. Lara was still stood at the threshold, gazing into the large loft apartment, taking it all in.

"OK, I'm going to close this door and go home now."

"Don't go. I need you" Sam said, holding up a hand and beckoning her in.

Lara took a few steps towards the day bed.

"What do you need me here for? You're home now."

Sam patted the bed next to him. Lara didn't get the sense that he was trying to get her to sleep with him, but that he wanted her to sit. She sat awkwardly on the edge of the futon.

"You're home safe now. You can go to sleep. You'll feel better when you wake up."

Sam now opened his eyes much wider and tried to look at her. There was a kind of fear that played across his face.

"You can't let me sleep. I'll die" he said.

"What are you talking about."

"If I fall asleep, I'll stop breathing."

"If that's true it sounds like you need an ambulance."

"No!"

"Why not? What's wrong?"

"Overdose." he said, with the effort of his honest admission seemingly causing him to slump. He relaxed. His face was tranquil. Lara leant over him. He was breathing, but very shallow.

"I'm going to go phone 999. You need to go to hospital" Lara stood up and walked towards the door.

"Nooo! Stay with me" Sam called out, reaching towards her from where he lay. She hesitated at the door and looked back. "I'll be OK soon. Just stay with me a little while."

Babysitting him while he fought through a near-fatal overdose, Lara was torn. She could see his lips getting slightly purple as she fought to keep him conscious enough to keep breathing. In waves, he would get so relaxed and comatose that he would sleep peacefully and could barely be roused. She would be close to running for help. Then, he would come round a little, gasping for air and she would plead for him to stay alert and keep breathing. She knew instinctively that in the time it took her to go away, find a phone and give the address, he could very easily slip away. It took little more than an hour before he started to come round, but it felt far longer.

The experience shook them both and Sam said that he never wanted to risk dying like that again. At first, he was resolute that he needed to quit heroin and that the close call was the wake-up call he needed. He was so grateful to Lara for keeping him alive and for avoiding a hospitalisation. Then, he explained that his body would start to go into a painful withdrawal and he would feel like he "needed" his next fix. Quitting wasn't so easy and he'd need to wean himself off. Would she help him?

He genuinely meant everything he said.

In reality, Lara became his regular babysitter, so that Sam could shoot up big doses of heroin, knowing that there was somebody there to keep him safe if he overdosed. At first, Lara didn't know it. She felt that she was helping him to get cleaned up and off the dope, but after months going round to his apartment almost daily, it was clear he wasn't giving up any time soon.

She adored his tortured soul and his fascinating life. She loved their asexual relationship, which still had a kind of comfortable intimacy. Sam's first love was heroin, but Lara didn't mind being his mistress. She felt like she could make a difference.

Eventually they quarrelled. He had no intention of ever quitting, she said. He did, but it was hard, he explained. He said he'd try harder, but he started to be more secretive. He hid his habit and Lara knew it.

"You'll always keep using if I stay with you" were the last words she ever said to him. He didn't even reply. His eyes were filled with tears, but he knew the truth. Perhaps he would quit one day, but that wasn't the path that their relationship had followed. He used and she was there to keep him safe. That was the way it had been since day one and that was the way it was always going to stay.

She'd gone back to the apartment on the pretence of picking up some things she'd left there, but really she was checking up on him. Making sure that he was OK. He was so alone. His mum had left when he was little and his dad had died leaving him the inheritance that paid for his apartment and his drug habit, but he had no real friends: only drug dealers and addicts hoping to mooch off him. He was no fool, so he didn't indulge the parasites. He had nobody.

Lara knew right away that it was different from the other overdoses that she'd witnessed. There was no life left in his body. He'd been dead for some time.

Poor little rich boy. He had a kind of infamy amongst the local drug users, with many plotting to rob and cheat him out of money. He was even known to the police as a tragic addict: a dead man walking.

By the time she had left him, she was prepared for the worst. Or at least, she thought she was. Of course his death was more traumatic than she could ever have imagined, but she knew that the burden of his life was more responsibility than she should ever have been asked to shoulder. She could forgive herself, but always wondered if things could have turned out differently.

Neil's behaviour was completely different. He seemed in control, even though he was unhappy. It was Neil's desperate wish to be happy and productive again that made him so different from Sam. The addiction that she'd known had no end to it. Without a doubt, Sam would take heroin forever, given an unlimited supply and no consequences. Neil was different. He only ever took his pills begrudgingly and always talked about "recovery". His mental health problems were just a blip, in his eyes. Medication was a means to an end: like a plaster cast on a broken limb, helping it heal.

It seemed unthinkable to Lara, the idea that Neil had lost control and was slumped somewhere, dead from an overdose. She'd known so many years of him being steady and dependable. She'd seen him go through depression and psychotic episodes. However, he didn't seem to be hiding a drug habit and it seemed unimaginable that he could have been consumed by an addiction so quickly that she would never have seen it creeping up. The evidence suggested that somebody flicked a switch and her fiancée went insane. It was impossible to know somebody so well and for them to hide a whole other side of their personality. She knew what addicts were like when they hid their habits.

She confronted Colin.

"You're not telling me everything."

He sighed. "What you don't know can't hurt you."

"If there's stuff you've found out, I want to know."

"I think we just need to let Neil go and keep our best memories of him intact."

"What do you know?" asked Lara, now looking horrified.

"It's a lot worse than we thought" replied Colin with a grim expression.

"I really do want to know absolutely everything."

"He was taking some highly addictive drugs. I'm sure he's gone now. We should probably talk about some kind of memorial service."

"I guessed as much. I've been reading about those legal highs and they're nasty. Not many deaths though."

"Yes, but he was getting some really dangerous ones direct from China at 99% purity. I'm almost certain he overdosed."

"How do you know?"

"I found some traces at the house. I'm so sorry, Lara. I've been waiting and hoping that the body will be found, so we can grieve properly, you know?" said Colin, his eyes pricking with tears.

"You're a good man, Colin. I don't blame you for not telling me" replied Lara, hugging him.

Next chapter...

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

21. The Cell

"If you don't mind, please empty everything out of your pockets into this plastic tray."

Neil put his wallet, mobile phone, house keys, loose change, used tissue and a folded piece of paper into the grey plastic tray, which had a sticky label on it with "Neil - Room 8" written on it in red marker pen.

"Do you have anything sharp in any of your pockets that could hurt me? I'm afraid we have to check we've got everything."

"No."

The nurse patted Neil's clothes down and checked the waistband of his trousers and underpants.

"OK, would you mind taking off your belt and your shoes, please. Just pop your shoes down on the table here next to the tray."

Neil complied.

"We have to keep your belt, sorry. I saw you brought a dressing gown and we have to keep the cord from that too. We're also going to have to take the laces from your shoes. We'll go through your bag from home in a minute but you can't have necklaces, cables - such as mobile phone chargers - razors, scissors, keys or anything else sharp."

"OK."

"If it's alright with you, we'll hang on to your mobile phone and keep your wallet safe here at the nurse's station. If you need something for any reason, you can ask one of the staff to get it for you, but we'd really like you to try and relax and get used to the ward for the first few days, so we'll be keeping your phone right here."

The nurse was now coiling the dressing gown cord and putting it in the tray, as he went through rest of Neil's belongings.

"We have to keep aerosols here. If you need your razor you can have it while somebody supervises you shaving."

"I'm not feeling suicidal" Neil said.

"OK, that's great, but there are other patients here who might be. The bedroom doors aren't locked so we have to keep all these high risk items here for everybody's safety."

The nurse showed Neil to his room. The door had a window with a blind which could be opened and closed from the outside. There was a single bed with a foam mattress, a writing desk, a plastic chair, an open wardrobe with drawers at the bottom, a sink and a plastic mirror screwed to the wall. A big window was secured with a wire tether so it could only be opened a few inches. There were no curtains. Across the hallway there was a wet-room with a shower. There was no shower curtain. There were no locks on any of the doors.

"Get yourself settled and then come and sit in the lounge. We try to encourage patients to not spend time in their rooms during the day."

Neil sat on his bed with his bag next to him for a few minutes. He thought about unpacking but he really didn't want to give the impression that he was OK about being detained in hospital against his will. He'd been told to bring a few essential clothes and toiletries. Visitors could bring him anything else he needed once he'd settled in.

In the main part of the ward, there was a lounge at one end with several sofas arranged around a big TV which was hung on the wall. At the other end of the room were a number of tables and chairs. There was a nurses' office and two rooms with sofas in, which had big windows so you could see in and out. There was a doctors' office and an examination room which were private. There was a door leading to the male bedrooms and another one leading to the female bedrooms. A recreation room had a pool table, table tennis table and books in it, as well as a number of patients' artworks displayed on the walls. There was also a small kitchen for the patients to be able to make their own drinks and snacks.

A noticeboard displayed a timetable of the week's events, which had many of the same things that Neil was familiar with from day hospital: art therapy, music therapy, drama therapy and community meetings. A whiteboard had the first names of the 18 patients who were staying on the ward, with their allocated nurse's name written next to it in green marker pen. The ward was at its maximum capacity, with 9 men and 9 women.

There was a dispensary hatch where patients would queue up to get their medication several times a day. There was a door that led out to a small courtyard surrounded by high walls on all sides. That was both the smoking area and the only place that patients were allowed outside without staff supervision.

CCTV cameras were everywhere, except in the bedrooms and bathrooms. The ward was secure but the patients were considered low risk. There was only one locked door between the ward and the main corridor of the hospital that led to the other wards and facilities. For a few days, Neil had to stay on the ward, but then staff members were allowed to escort him to and from the drama studio, art studio and music room.

Some of the patients had obvious scarring on their arms where they had cut themselves. A girl's neck was bandaged. Other patients had problems that were more subtle. A man with a big beard smelt of pooh and always wore pyjamas. Many were quiet and withdrawn and a few would shout randomly, talk or sing to themselves.

"BBC one, BBC two, ITV" a man started. "Channel four" he said, raising his voice an octave higher. He repeated this same phrase over and over in a lyrical and rhythmic way, like he was chanting a mantra. It was quite catchy and Neil found it stuck in his head too.

"I just want to be dead."

This is what Michael said loudly every single morning before breakfast. Neil was a late riser, but he could hear his fellow patient shouting all the way down the corridor.

"OK, Michael. Time for your morning medication" a staff member would coo, coaxing him towards the dispensary hatch. Michael would shuffle along in his slippers. By the time Neil got up for breakfast, Michael would be sat quietly at a table with a vacant stare and a half-eaten bowl of cereal in front of him.

"NEIL! What are you having for breakfast?" Nicole shrieked with excitement.

Nicole was young but some developmental disorder meant that she was even more childlike. Her eyes were always half-closed with her bottom lip protruding. Saliva dripped liberally from her mouth. However, despite her tenuous grasp on almost all aspects of reality, she had latched onto Neil, much to his annoyance.

"I don't know. I might have toast."

"I was going to have toast."

"Actually, I might have corn flakes." he toyed with her.

Nicole hesitated for a moment, looking crestfallen. Then her face lit up.

"I'm going to have corn flakes."

Neil swiftly poured himself some rice crispies and dashed out of the kitchen to find a table with only one spare seat.

"Those aren't corn flakes, Neil." said Nicole, coming out of the kitchen and looking with dismay at her own bowl. "Sit here with me" she gestured, standing by an unoccupied table.

"How's it going?" Neil asked a patient who he didn't know, sat at the table next to him, ignoring Nicole's entreaties.

"Not great" the man replied.

Nicole huffed and sat down to eat her breakfast. A staff member rushed over to join her, fearing there would be an upset outburst if the poor girl felt too overlooked.

In his first three weeks in hospital, Neil saw the psychiatrist three times. He had a few meetings with mental health nurses and a physical health check-up, but his life was one of ordered institutional hospital routine: medication, mealtimes, planned activities and lots of time spent watching TV.

Suddenly losing his liberty had been terrifying and his natural instinct was to yell for lawyers, demand his human rights and to complain about the arbitration that had led to him now being held under lock and key. However, he also feared the power of the state institutions. The police, the National Health Service, the government, the law: he was no match for these massive entities and he knew that he would only make things worse for himself if he made a fuss.

He now deeply mistrusted the system and regretted seeking medical help at all. He felt betrayed by his doctors, he felt that the medications had made him sick, he felt that the crisis team and Lara had conspired to lock him up. He was angry that the police were used for his "welfare" when he really felt they simply provided the muscle to drag him away from his home if he tried to fight for his freedom.

Neil's faith in medicine had been completely shattered, but now, as he lay contemplating his wrecked body he knew he urgently needed medical help. He was dying.

The can of cola that he had found in the shopping bag he'd left outside the caravan had worked its way quickly through to his bladder and he needed the toilet. Grabbing a half-full glass from a nearby shelf, he urinated into it. His urine had been getting more and more cloudy and smelled terrible, but now there was a copious amount of blood present.

His organs were failing. His lungs were flooding with fluid that he couldn't cough up. His chest was tight and his breathing was laboured. His ankles were swelling up as his heart struggled to pump blood around his body. His dehydration and malnutrition had reached the point where his body had start to eat itself and his muscles were wasting away. He was so fatigued that he struggled to move and he blacked out from low blood pressure if he raised his head too quickly.

Death in the filth and darkness of the caravan was nearly upon him.

Next chapter...

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

20. Segmentation

When Lara was working her day shift, she would get home at around 7:30pm and have an hour where Neil was vaguely compos mentis. He would take his medication at around 8pm and by 8:30pm his eyelids were heavy and he would be slurring his words.

"Time for bed, Neil."

Uncomplaining and compliant Neil would be led to the bedroom where Lara would help him undress and get under the covers. It was as if he was blind drunk: barely able to comprehend where he was or navigate the short distance to the bedroom on his own. It was alarming to see how heavily medicated he was, but Lara trusted the judgement of the doctors and had confidence that his health would soon improve.

During her night shift, Lara became aware just how little of the day Neil was awake and active. Sleeping until nearly 11am, he pulled on some clothes and lolloped down the staircase where she heard him collapse on the sofa. The sound of daytime television could be softly heard from the bedroom, but she knew he was half-dozing with glazed eyes, not taking anything in. Before she left to go to work in the evening, his mind seemed a little less cloudy, but he had little more than an hour before he had to take his 8pm dose of medication.

The change from his depressed demeanour was unmistakable. When he was depressed he was present, but also cold, withdrawn and a little passive-aggressive. He was hostile towards the world, fatigued, but his mind was still sharp. Now, he was a shell of a man: he shuffled around, slept and ate, but there was no living spirit within him. He was dead behind his eyes, which seemed more sad than the expression he wore when he said he didn't want to live anymore.

It was pretty clear when Neil skipped his medication. He would be wired: wide awake with manic eyes and an electric energy, restless.

"Did you take your meds?" Lara asked.

"Whose prescription is it? Mine or yours?"

"It's yours."

"OK. Good. You worry about your medications, I'll worry about mine."

He wore a fierce expression. He was upset, defensive, offended that she would question whether he was taking his drugs. It was obvious when he hadn't, but she couldn't press him further on the matter without an explosive argument.

At first, he only skipped doses sporadically. It was as if he wanted to occasionally remind himself what it was like to be unmedicated.

Returning home one day, Neil was not in the snug or in the bedroom. Looking in the box room and the spare bedroom, Neil didn't appear to be in either. As she walked through the hallway towards the kitchen, she heard a sound come from the cupboard under the stairs.

"What the hell, Neil? What's wrong?"

He was in the cupboard completely naked with a bright red mop bucket on his head.

"Get away from me! Shut the door!"

"What's wrong, Neil?"

"Don't let those bloodsucking bastards get in here. Keep the fucking bats away from me" he shouted, with his hands flailing in the air.

"What's wrong with your arms? They're covered in scratches."

This seemed to stir some memory in him that he had forgotten. He started attacking his skin.

"Insects. Ants. Under my skin. Look at them crawling under there!" he picked at something unseen on his arm. A little blood appeared where his fingernail dug in.

"Neil you're seeing things. There aren't any bats. There aren't any insects."

"Fuck off. Fuck off. Fuck off." he shouted, cowering in the corner of the cupboard and pulling the bucket down over his head as if it could protect his whole body.

"Please come out from there. You're covered in scratches. You're hurting yourself."

"Leave me alone. You're a liar. You're a fucking liar."

"What am I lying about, Neil?"

"You know what it is."

"What is it?"

"You know. You all know. Fuck off and leave me alone."

The crisis team convened an assessment with Neil's doctor, a psychiatrist, a social worker and a mental health nurse. Two police officers stood in the hallway. Lara hovered in the doorway of the snug looking extremely anxious. Neil was sat at one end of the sofa in his dressing gown.

"We know you've stopped taking your medication, Neil. You should have refilled your prescription a week ago."

"I told you. The side effects were intolerable."

"Yes, but the medication was controlling your illness. You need the medication to stay well."

"I wasn't unwell before I started taking it."

"That's not true. Your notes say you were very unwell. The crisis team have been in contact for quite a while now."

"I wasn't hearing things. I wasn't seeing things."

"That was because the medication was working."

"The problems started when I stopped taking the quetiapine."

"There you go then, see! The medication was working. Why won't you start taking it again?"

"I told you. I'm OK. I can't stand the side effects. I don't need the quetiapine."

"But you had a psychotic episode. You got very sick without the medication. You need the medication to control your illness, Neil."

"What illness? I was depressed. That was all."

"Neil. You're very sick. You're exhibiting all the symptoms of paranoid schizophrenia. We're all very worried about you. You're not safe if you're not taking your medication."

The social worker from the crisis team got up and took Lara into the dining room.

"Look, we're going to have to take him into hospital to look after him and to assess him."

"OK, when? How long for?"

"I think we're going to recommend that he stays for 28 days. He's really sick and we need to get to the bottom of this. He's clearly not coping at home. You've been doing a great job, but he needs to be looked after in hospital."

"So, you're sectioning him?"

"We need to make our final decision, but it's likely that he's going to go to hospital under section two. He's not well and it's the best thing for him right now."

"What happens next?"

"We'll find a bed for him at a local facility and then he'll be admitted. Once he's settled in you'll be able to visit. He might not have to stay for the full 28 days, but we need to make sure he's in a safe place where the doctors can properly assess him and help him get better."

"He's angry with me. He was furious that I called you guys."

"You did the best possible thing you could. He was a danger to himself. It's really great that you called us and we can start to get Neil the help he needs."

Lara wasn't able to get to the ward during visiting hours until the weekend. Neil didn't want to see her and refused to come out of his bedroom.

"I'm sorry Lara, he doesn't want to see you right now" a nurse explained.

After 3 weeks, Neil appeared back at the house.

"I didn't know you were coming home."

"They let me have some leave. Time off for good behaviour" Neil chuckled darkly. He avoided eye contact and he scowled.

"Are you OK?"

"Would you be OK if you'd been forcibly removed from your own home, bitch?"

Lara drew her breath sharply, as if she had been physically struck.

"Neil!" she sharply rebuked at the harshness of his language, but she was more hurt and shocked than anything.

"It wasn't like that" she said with a concillatory tone. "You were really sick. Do you remember what you were like? Do you remember? You were under the stairs with a bucket on your head. What was I supposed to do?" Lara asked, reaching out to touch his arm. Neil pulled away from her baring his teeth, his eyes flashing with rage.

"Stay the fuck away from me."

She knew she sounded patronising and he felt betrayed. He had been brooding in hospital and the situation was highly charged, but she wanted him to know that she hadn't meant to hurt him. It was painful to see so much anger and mistrust directed towards her.

"Look. I love you. I care about you. I just want to see you get better."

"You got all those people ganging up on me. You turned my own doctor against me. What right do you have to do that?"

"You were having a crisis, Neil."

"Stop using my fucking name. It's just me and you here. There's nobody else here. Fuck."

Neil stormed off. Lara heard the sound of shattering glass and then a yell of pain. She hesitated and then started to walk upstairs. Neil crossed the landing and went into the bathroom. Tentatively, she poked her head in the doorway.

"Fuck off. Fuck off and leave me alone."

Neil was wrapping tissue paper around his hand. There were blood spots on the grey tiles all over the floor around his feet.

"Why the fuck are you still stood there? Fuck off. FUCK OFF" he screamed.

Lara went into the bedroom where a full-length mirror was shattered. The glass was mostly clean but large dark red blood spots were soaked into the carpet, trailing through the hallway and into the bathroom. Neil emerged and walked into the spare bedroom.

"Are you OK?" she asked.

He slammed the door closed.

"FUCK OFF!" she heard him yell, muffled inside.

On Sunday evening Neil left the house without saying a word. Lara waited until about 9pm and phoned the hospital.

"Is Neil back?"

"Yeah he came back a couple of hours ago."

Lara was relieved. She had been torn, not knowing whether to phone the crisis team again or not, knowing that Neil would feel even more betrayed. She sunk into the sofa and convulsive sobs hit her before she'd even put the phone down.

Next chapter...

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

19. The Hospitals

His first day in a psychiatric hospital had been spent as a day patient. The crisis team had arranged for Neil to get out of the house and see a different psychiatrist. They'd picked him up in a minibus from home and driven him to another local hospital that Lara had never heard of. It was surprising how many institutions there were in town, dealing with mental health patients.

A breakfast of toast and cereal was provided at the hospital in a large canteen with a huge bay window looking out onto a garden filled with mature shrubs and trees. The hospital itself was an imposing red brick Victorian building, originally built as a sanatorium. There were parquet floors and a grand staircase in the foyer. Otherwise, the hospital had been institutionalised, with fire doors painted glossy pale green, linoleum floors and lots of blue signs with white lettering.

After breakfast, the patients were corralled into a circle in the canteen. Tea and biscuits were served as a support worker went through the day's activities and asked who would like to do what. There was music therapy, art therapy and drama therapy. Neil said he would do all three.

There were long periods of time where nothing seemed to be happening and there was no sign of any staff members. Patients were hanging around in two rooms: the canteen and a lounge. The lounge had an array of different size and shape sofas around the edge of the room and a vending machine in one corner. A tall sash window offered a view out to the gardens on the opposite side of the building from the canteen. Nobody was talking to each other. Some patients sat completely still with glazed eyes, as if in a trance. Other patients paced around nervously, avoiding all eye contact and distancing themselves from others.

After a seemingly interminable wait - there were no clocks anywhere to be seen - a woman appeared asking for Neil.

"Are you joining us for music therapy?"

"Yes, I was going to."

"Well we're starting right now."

Neil followed the woman through a door. She seemed irritated as if he should know where to go and when. The music room was nearly full with about 20 patients holding instruments, sitting around a large square table. He didn't recognise anybody from breakfast. The room had a high ceiling and it was quite dark. The walls were covered with blue fabric covered cork-board and there were many crude paintings and drawings pinned up.

"Choose anything you want and we can start" said the music therapist, gesturing to a corner filled with an array of percussive musical instruments.

Neil picked up a tambourine and sat down in a free chair at the table. The music therapist sat at a piano and began to play a simple melody. Tentatively, a patient started to tap a bongo drum in a staccato rhythm that was not in time with the music. Another patient shook a pair of maracas at random intervals. Neil started to gently jangle the tambourine in time with the woman on the piano and she started to sing, presumably to amuse herself as nobody else knew the words or the tune. Everybody else in the room held their instruments motionless, except for sporadic flurries when they became emboldened enough to briefly make a noise.

Eventually, Neil got bored and started to beat time on the taut skin of the tambourine quite loudly. Following his lead, more and more patients started to join in with the rhythmic bashing of instruments. The sound built and built and the music therapist played louder and wailed badly out of tune. Finally, she stood up and gestured that everybody should calm down, gently shushing.

"We could wake the dead with that racket" she said, laughing at her own joke.

"OK that was a brilliant session. Please help me tidy away the instruments. Thanks everybody. I really enjoyed that."

The patients all disappeared in different directions and Neil made his way back to the canteen. Most of the people who he'd seen earlier were still there. Spotting the patient who had been shaking the maracas, walking through the foyer, Neil intercepted her.

"What happens now?"

"Well I'm just going outside for a cigarette. Get yourself a drink and have some cake. Then it'll be lunchtime."

A table in the canteen had been laid out with large plastic jugs of blackcurrant and orange squash. There was a chocolate cake and a victoria sponge that had been sliced into small portions on paper plates. Neil took a plastic beaker from a stack and was about to pour himself some squash when one of the catering staff rushed over.

"I'll pour that for you, dear."

"It's OK, I can do it" said Neil.

"No I have to pour it for you."

With his drink and a plate of cake, Neil sat down at a table with a girl who was fiddling with her phone. She looked up.

"Are you OK?" she asked.

"Yeah. Bit confused about what's going on. You alright?" he replied.

"No. I'm not good at all" she said, suddenly looking very worried. She studied the floor.

"Do you want to talk about it?" he asked.

She looked up momentarily, made a little half-giggle and then started fiddling with her phone again.

After about an hour of awkward milling around, a servery hatch was opened in the canteen and a trolley with knives and forks on it was wheeled out into the room. Patients started to line up at the hatch, where there was a hot plate and the catering staff were taking off the foil lids on a number of plastic containers. Neil took his place in the queue. There were a number of dishes to choose from including pasta and a meat pie. Neil chose meatballs in a tomato sauce, mashed potato and green beans, which were dolloped onto a large white plastic plate by a lady in a hairnet with a long serving spoon.

"Gravy?"

It seemed an unusual question, but the dish could certainly be improved with some kind of sauce. The lady poured thick brown liquid all over his food from a big aluminium jug. Lunch reminded him of school dinners, but not in an unpleasant way. There was a stodgy pudding with lashings of thick yellow custard to finish the meal and it was all washed down with tap water in tiny plastic tumblers, poured by one of the catering assistants.

As he was finishing his meal, Neil was approached by a camp man with a bright happy smile who almost danced into the canteen. Half lowering himself to table level but not sitting down, he laid his hand gently on the middle of Neil's back.

"You're joining us for drama today. Is that right?"

"Yep" said Neil, covering his mouth which was still half-full of food.

"OK perfect. There's only a few of us but we always have a lot of fun. We'll be in the drama studio in about 30 minutes, alright? Wonderful" he said, answering his own question.

Neil wanted to ask where the drama studio was but the man had skipped away before he could swallow his mouthful and call out to him.

"Oh good. You're here" the drama therapist said when Neil finally located the right room. There were four patients, arranged in a semicircle facing the therapist. Everybody was seated in the middle of a large polished wood floor. Around the edges of the room were chairs stacked up, boxes with hats, props and clothes rails with various costumes.

The session began with some icebreaker exercises where each patient had to say the name of another patient before throwing them a ball to catch. They then re-enacted the story of Goldilocks and the three bears several times, rotating the roles so that everybody played each character. The therapist prompted them with questions while they were doing this.

"How do you feel that your porridge has been eaten, baby bear?"

"Uh. Hungry?" Neil replied.

With more tea and biscuits there was a community meeting where everybody sat in the canteen and somebody asked a sequence of questions about whether anybody had any problems with the facilities or could think of any service improvements. The nurse and support worker who ran the meeting were met with stony silence.

Art therapy comprised colouring in with pencils or felt tip pens. Neil chose a picture of an orange tree and meticulously shaded every leaf. He had almost completed it when a man appeared at the door of the art room.

"Neil. Can I borrow you please?"

Led up two flights of stairs, the man knocked on a door.

"Come" came a voice from inside.

Opening the door, a young doctor held out his hand.

"Neil isn't it? Good to see you. Take a seat please" he gestured towards a plastic chair. "I'm Doctor Akinbole, a registrar psychiatrist here at the hospital. I'm hoping we can do something to help you today."

"Oh.. kay..."

"Now, I come across quite a lot of cases of young men. Fit and active. Productive and happy. Sometimes problems can materialise in your twenties. It's nothing to be ashamed of and I'm sure we can help you get back on your feet."

"Alright" Neil tentatively offered.

"So you've been working full time, you're engaged and you've been in a long term relationship with this lucky lady?"

"Yes, that's right"

"That's great. Great" the psychiatrist said, smiling.

"Well listen, there's a medication that's helped a lot of my patients in a similar situation to yours. It's an atypical antipsychotic, but it's very good with depression too and a whole host of mental health issues."

"Antipsychotic?"

"Atypical."

The psychiatrist reached for a book on his shelf and leafed through the pages.

"OK, what we're going to do is start you on 200 milligrams today, 400 tomorrow and 600 the day after. Then you'll be taking 600 milligrams every night. This medication is great because we can ramp up the dosage really quickly."

"What about all my other medications?" Neil asked.

"Well, we'd better keep you on those for now. We don't want you to have any nasty withdrawal effects. We can taper you off those gradually in future."

The psychiatrist was now scribbling in his prescription pad.

"Here you go" he said, standing up. "Any problems, just phone the hospital and leave a message for me."

"Thanks" said Neil, taking his outstretched hand and shaking it again.

"I'm sure you'll be feeling much better soon. All the best" the psychiatrist said, ushering Neil out of the door.

Descending the stairs and standing in the foyer, Neil felt very lost and shellshocked. After a slow and relaxing day, his consultation with the psychiatrist had been a whirlwind affair and he was shocked at how quickly he had now received a prescription for a third medication. There was also something scary and unpalatable about the word antipsychotic.

On the first day with his new medication he woke up with a very dry mouth and was very sleepy until late morning. On the second day, he struggled to brush his teeth and get into bed because he was fighting to stay awake. On the third day, he needed to go to the toilet during the night and found that he was confused and staggering like a drunk. The dry mouth was terrible, he felt tired all the time and his appetite for chocolate biscuits became insatiable.

After some weeks, the side effects had not abated. Neil's life consisted of taking his medication at 7 or 8pm at night so that he could be awake for a few daytime hours, where he sat semi-comatose watching trash TV. Phone-calls to the hospital and messages had not managed to raise any response from the psychiatrist but eventually he spoke to another doctor. He was told not to reduce the dose, but he could split it into two or three doses throughout the day. This meant that Neil was half-asleep the whole time and barely conscious of what was even happening from one day to the next.

Two months elapsed and Neil was comfortably numb but there was no change or improvement. There was no way he could ever work while so heavily medicated. He booked an appointment to see his GP and halved his dose the night before he was due to see the doctor.

"I want to come off the quetiapine."

"Ok, but you can't just stop taking it until I write to the psychiatrist and ask his opinion."

"I can't stand the side effects and I have no quality of life."

"I understand, but we have to be very careful when you stop taking medications like these."

"It's not helping me. The side effects are awful. I'm just drugged all the time. It's like a chemical straightjacket."

"Let me write to the psychiatrist. I'll get back to you as soon as I can."

Next chapter...