This is a story about warped perceptions...

The world in which I inhabit is vastly different, depending on the state of my broken brain. Mood fluctuations cause me to interpret things very differently than a supposedly 'normal' healthy individual would.

I've written a lot this year about drug abuse, but I'd like to talk about a time before drugs even entered the story and made the water muddy. I'd like to talk about what it was like from 2008 through to 2012, when my brain was just doing its own thing, without drugs or medication.

If you're a person of prejudice, it won't surprise you to learn that drugs mess you up, but you might be surprised to learn that my mental health problems predated any drug abuse. You might also be surprised to learn that people can recover too, and go back to ordinary life, with nobody any the wiser as to your dark past.

But this really isn't about drug abuse, remember? We're talking about a period of 4 years that predated any psychoactive substances making things all messy and confusing. We're talking about when I first went to my doctor, because I was struggling with my mental health.

I spent just over a minute of explaining to my doctor that I felt completely exhausted, overwhelmed and unable to face friends, family, work or anything... I had drawn the curtains and switched off my phone, and retreated under the duvet, and could barely make it to the doctor's surgery.

"Have you heard of Fluoxetine?" my doctor asked. I said that I had, and that I knew that the trademarked name that it was more commonly known as was Prozac. I said that I had read very bad things about emotional blunting and ruined sex lives of those people who were taking Prozac. I had read Elizabeth Wurtzel's biography, Prozac Nation, where she didn't exactly speak highly of the 25 year old medication.

How sad that the National Health Service (NHS) would be offering some cheap generic pills after only a minute of getting to understand a patient's problems. It takes 6 weeks before an anti-depressant SSRI medication like Prozac takes effect, and it's a fairly serious decision, to put somebody on long-term medication. I think it's a little ridiculous that we don't offer more talk therapy, as a first line of defence.

So, I was diagnosed as having Clinical Depression, within just a few minutes. Something I also knew, but didn't have the time to discuss with my doctor, was that SSRIs can be very bad for people with Bipolar Disorder. I knew my moods fluctuated up as well as down, so I had my suspicions that I was Bipolar, and that was another reason to avoid Prozac.

When you're depressed, everything seems hopeless. I had decided that I was useless at my job, that I hated working in offices, that I hated computers and software, and that I couldn't handle a career in IT anymore. I also lost interest in going out, sex, food... I pretty much just slept, or lay in my bed feeling anxious about the fact that I was off work sick.

After a couple of months feeling like this, I hit upon the idea that I was going to write a computer game for the first generation iPhone, to be ready in time for the launch of the App Store.

Although I had decided that my office-based IT career was over, the idea of programming on my laptop in my garden in the sunshine didn't sound too bad. I knew that the early limitations of the first iPhone meant that I could make a fairly basic game, and compete with other developers. I decided that if only a few people bought my game, it was still a fun experiment.

And so began a period of intense activity. I would work for 18 hours a day, 7 days a week, in order to capitalise on those precious early days of the App Store when there were hardly any apps on there. It seems incredible now, that there were only a few hundred or few thousand apps for the iPhone. There was no Android. There was no iPad. There was just one smartphone that created a billion dollar market, overnight.

When we look at that crazy period of my life, when I was churning out apps, it's pretty clear to see that my mood had swung to another extreme. I didn't have time to explain things to people. My thoughts were racing, speech seemed like a frustratingly slow way to communicate, eating and sleeping were an inconvenience, certainly I didn't want to do anything other than work on my apps. I was single-minded to the point of obsession.

In economic terms, things paid off. I got a couple of my apps to number one in the charts, briefly. One of my apps was downloaded 8,000 times in a day once, and another one racked up 500,000 downloads in a month. This was clearly a brilliant gold rush.

I knew that the quality of the apps being released was increasing steadily, and the opportunity for one fast burning out dude in his garden were rapidly diminishing. I started to really hate the work anyway. I had a whirlwind affair as an indie games developer, and it happened so fast that I started to hate it, just like you start to hate any job that you've mastered and has become easy.

Possibly this was a sign of my mood turning again. I had managed a period of several weeks, working at a ridiculous level, and what goes up inevitably must crash down. I hadn't been able to exert myself to such an extent since the school holidays in childhood. There's no way you'd ever be given 6 to 8 weeks to concentrate and just get on and hammer out a project, in a corporate environment.

My mood started to alternate between depression and hypomania (as described above) and I would turn each episode of frantic activity into a period of opportunism, to make money or produce something tangible.

Getting myself back into an office environment and doing some IT contracting re-stabilised me a little bit, and getting a boat so that me and my friends could go wakeboarding was something I was passionate about, and consumed my lunchtimes, after work in the summer, and weekends. My life got back to normal, for nearly 2 years.

During that first depression, I had set certain wheels in motion, however. One particular scheme was retraining as an electrician, while I was working as a programmer still. When I had finished my training, I quickly quit my job.

Going back to an unstructured form of making money, I started working too hard again. Building a business from nothing, to breakeven and hopefully to profitability is not quick and it's not easy. I managed to start getting good clients and increasing my turnover very quickly, through some shrewd partnerships and advertising choices. However, I was extremely inexperienced, and took on way more work than I could manage, sustainably.

I got my new business to the point where it was profitable, and had paid back the initial capital expenditure on training, van, tools etc. but I was burnt out again. I had lived and breathed my business, and only because it was hard physical work, had it lasted slightly longer before my brain was finally frazzled.

Depression reared its ugly head again in 2010, and I realised that I had made a mistake in cutting away from the easy money that a career in IT had to offer. I failed to recognise the importance of a stable working environment though: restricting your hours to 40 or 50 a week, giving yourself weekends off, having the occasional holiday, working with other people who share some of the responsibility and workload... those things are important.

My hypomania started to get a bit more extreme. After reading an enormous pile of books on Particle Physics and Quantum Mechanics and other theories & models of theoretical Physics, I started to read huge amounts of academic papers from Cornell University's online library.

Some of the academic papers that I read were extremely interesting to me, and I emailed the authors to ask them questions. To my surprise, most of them responded, and we started to correspond via email.

Spurred on by this, I started to believe I could author my own paper and get it published, and I developed a hare-brained idea of my own, around a thought experiment that was particularly hard to test in the real world. I eagerly sent my paper off to several academic journals. A couple of the journals even responded... unsurprisingly to say that they wouldn't publish something that hadn't been peer reviewed.

Obviously, it's on the border of a delusion of grandeur to imagine that you might have anything of merit to contribute to a field, after only a few months reading the literature and educating yourself about the deepest mysteries in the Universe.

These delusions are something that I've always been wary of, and I try to be self-aware, but it's fairly clear that there was a progression in the difficulties that I was having with Bipolar Disorder, and the regulation of my moods. I wasn't imagining that I was the next Einstein, but I was having to say to myself "be careful, you're not the next Einstein" and give myself regular reality checks.

I still cringe when I think about some of the emails I sent to very important academics, and how, even though they indulged me, it must have been with slight tongue-in-cheek, to respond to a complete layman such as myself.

After yet more time lost in a pit of despair and hopelessness, where I did very little except for mow the lawn and feed the cat, the iPhone App gold rush cropped up again. This time I decided to sell picks & shovels.

Depressions are very similar to one another. You sleep a lot, you don't do much, everything looks shitty and you hate yourself. My depressions were clearly getting worse, as I started to think about suicide more and more. I started to accumulate more and more paraphernalia with which I could kill myself: inert gas, razor blades, Barbiturates, Cyanide etc. etc.

Periods of hypomania are easier to tell apart, because I can tell you what I was obsessed about in each one: iPhone Apps, boat, megashed, electrical business, physics and then my picks and shovels for the iPhone App gold rush.

I formed another company - Roam Solutions - which was later to become MePublish.com and Hubflow.com. I talked a couple of friends into joining me on my mad escapade, and generally threw everything and the kitchen sink at this particular endeavour.

My new company put on an exhibition stand at London Olympia, Learning Technologies conference, only months after I first conceived the idea for the service we sold. Delivering eLearning was something I knew nothing about, but that wasn't going to stop me.

By the time the winter was over, I had managed to get the company involved with the TechStars network, and we relocated to Cambridge in order to do a 13-week technology accelerator program, where we would be introduced to billions of dollars worth of investors.

13 weeks is just longer than the sweet spot for one of my hypomanic periods, and I was really struggling by the end of the program. Suicidal thoughts were quite intrusive, and I was drinking like a fish. I hated myself, and what felt like lies that I was telling to potential investors. It was a struggle to keep going to the end of the program.

I feel bad that I let 2 co-founders and 11 investors down really badly, when I imploded in September 2011. I never got back on my feet, because of relationship problems and a number of things that eventually led to very bad life choices and a whole world of pain, destruction, devastation.

I don't feel too bad because I'm clearly unwell and because nobody risks their money and a stable job unless they want to try and get rich quick. I genuinely didn't pull the wool over anybody's eyes. There was a big opportunity there, and I'm only partly to blame for everything going tits up. The biggest part, perhaps, but still only partly.

Writing code for iPhone, iPad, Android and BlackBerry, as well as the back-end (serverside code in PHP, Linux administration, database etc. etc.) plus rebranding, raising money and everything that goes with a startup is a hell of a lot to fit into 13 weeks. A crash was inevitable for me: I was too close to the detail, too close to the coal face, too close to the customers, too honest with the potential investors.

At the end of the day, I got my arse handed to me. I was completely spent. I've never experienced such hard work and stress and pressure in my life, although there was a lot of fun too, and I had an incredible time meeting some of the most inspiring people I have ever had the good fortune to cross paths with.

The main lesson I learnt though, was that I really can't ignore my mental health. Even if I avoid clinical labels, like Bipolar Disorder, I definitely have a predisposition to mood instability if I make bad choices. I can't ignore the number of times I've swung between extreme depression and extreme 'highs' which are characterised by massive productivity, and increasingly delusional hopes of being rich and famous.

Things are obviously still very 'up and down' for me, but there is seemingly no end to things that spur on my hypomania. Most recently I ended up working on HSBC's number one project, and being made responsible for a really critical part of that project, by the CIO at the project townhall, in front of the entire team. The facts as they are presented to me, do little to discourage a kind of boom & bust lifestyle.

I guess I could reshape my life around working for 3 to 6 months, and then taking 3 to 6 months as a break to recover from my over-exertion, but I don't think it's very healthy. I'm now faced with the challenge of how to manage my own mental health in a more sustainable way, before I really run out of luck and tread on some toes that get me in super big trouble.

Wish me luck. I'm going to need it.

I really didn't sleep very much while I was at HSBC. Naturally, this started to be detrimental to my mental health. Eventually, I was very sick indeed, and it was hard to continue... I had to go into hospital

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

This is a story about going round in circles...

The mistakes of the past, the pitfalls, the traps, and the warning signs and the other things that can be learnt by experience, are not hidden from me. The 'right' way to live your life is not alien to me. There was a period of many years where I worked regular hours, paid my mortgage, bills and went about my daily routine with familiar normality.

Now, it's easy to point at many aspects of my life and say "that's not right" and "you need to fix that". I'm not blind and I'm not stupid. I can see what needs to be done. I know where I need to get to. However, there is no short-cut to moving from dysfunctional to productive regularity. There are no fast fixes for the myriad little things that break down and need attention.

The accumulation of this backlog of little broken things and time spent trapped into a dysfunctional existence, leaves very steep sides to a very deep trench that you get stuck in. There are limited opportunities to make your escape.

Please don't think this is a case of poor me, poor me, pour me another drink. I'll either get out of rut I'm stuck in, or else I know quite precisely where I'm going to end up.

It's true that at a certain point, it becomes attractive to just give up, to capitulate, to self-sabotage. When the task ahead just looks so daunting and you have none of the resources you need to complete it, why not use what little remaining life force you have in reserve, in a hedonistic exit from your miserable existence?

I'm certainly not in that position at the moment. I have a couple of excellent lifelines, and to throw in the towel now would be churlish. When I scratch the surface, things are so much worse than I could even imagine, but at the same time, I have some assistance and opportunities that I'm ridiculously lucky to have.

For those who have to imagine the many parts of the picture that remain obscured to anybody except the mind-reader, you will struggle to see much difference between your own functional life, and my dysfunctional one. It doesn't look like it would take much to restore normality.

However, it has been a long time since I was 'in the saddle' as it were, cycling along with good balance and steady pedalling rhythm. 3 meals a day, a hard day's work and a good night's sleep. Week after week, month after month, year after year. My life simply has 'episodes' now, where I switch between different modes.

I'm stuck in an episode of low mood, low energy, high anxiety, high stress, low productivity. Things that aren't exactly peachy for getting your life back on track. It's hard to imagine why I'm not up at first light, fixing everything up and pushing hard to get back into the swing of things. Hard to imagine if you've never hit a brick wall of depression or anxiety.

It's a bit of a waiting game. Moods fluctuate. The body and brain dictate the terms, and to artificially alter them with chemicals is partially how I ended up stuck in this rut, so it's not like I just need a few happy pills from the Doctor. Or that's certainly a route I'd like to avoid anyway, having already seen several iterations of that particular approach, with the same results every time.

It seems there's no cheating the system.

Doping in sport can lead to enlarged hearts that can suddenly stop beating, blood that's so thick that you can't fall asleep and have a drop in blood pressure, muscles that are swollen into vein covered monstrosities from steroid use, arthritic joints and inflamed tendons. Don't you think we're just pushing the human limits too far some times?

Using vast amounts of strong coffee to concentrate on work, and vast amounts of alcohol to switch off and de-stress after work, is perhaps the office worker's equivalent of being in the Tour de France, surrounded by other people who are using the performance enhancing substances, who are your peers and you need to keep pace with.

My body is screaming "where are the stimulants?" as I deny it caffeine. I could start drinking coffee and cola again, but I have no idea how far away from my true self I really am, I've been so out of touch with my chemically unaltered moods for so long.

I've started drinking alcohol again, and it's alarming how insidious it is, rushing back into my life, to tranquillise my jangling nerves and put me to sleep. There is some moderation, self-control there, but not much. There is sanctuary to be found at the bottom of a bottle. Intoxication is sweet relief from otherwise never-ending relentless exhausting stress and anxiety.

Without alcohol or some tranquillising medication, or even an herbal sleep remedy, I will just spend a night awake with my fears, my negative thoughts, my anxiety about the sheer volume of things that need to be fixed up, repaired, my stress about the workload ahead.

Things are getting worse before they get better.

Ok, so we have London, and we have bicycles. Some elements look consistent. However, we still have the seasons, and the dark and the rain and the cold are all fairly debilitating unless I'm in a well-established routine, or I can get away somewhere hot and sunny for a couple of weeks respite.

I know that Spring has sprung, and that we are on British Summer Time (BST) now, giving a whole extra hour of evening light. However, my body's not fooled, because I don't have a routine that is particularly dictated by clocks and calendars. I have moods that are dictated by sunlight and warmth.

Over the years I learnt what my body and brain needed, and when. It was important to establish an annual routine, as well as the daily workweek routine. How else could I lay down periods of up to 4 years in the same job, for the same company?

All that's been washed away in recent years. I've shown I know how to survive and get by, but not how to thrive and make things have any longevity anymore it seems.

I would say though, that I haven't forgotten the vast majority of what I learned in 20 years attempting full-time employment. It's only been since 2010 that everything went very much out of kilter. I guess it's like spinning helicopter blades. It only takes a little bit of damage to one of the blades, and the machine will shake itself to pieces.

Just popped round to see Liz and Phil for a spot of tea

Tags: #bipolar #depression #mentalhealth #london #career

This is a story about comebacks...

I have very little memory of the last couple of weeks, or maybe even the last couple of months. I've basically been backed into a corner, shaking with the stress and feeling of being totally overwhelmed by the task of having to deal with all the things that couldn't be put off any longer.

The 'pinnacle' or culmination of this breakdown period, was when bailiffs entered my flat in order to cut off my gas & electricity, for non-payment of bills. The bills, naturally, had remained in a pile of unopened post, with me none the wiser as to the growing threat of this debt collection. Of course, I knew that the bills had to be dealt with sooner or later, but the crisis point happened to be reached just as I was sleeping off the 'hangover' of the last three months silliness.

I've basically been asleep for about 2 weeks, because I started taking Mirtazepine, which is an atypical antidepressant which was prescribed to me years ago, and I thought was OK at the time, but addiction issues kinda derailed me from taking it on a proper regular basis. This time around, I found that it helped me to get to sleep, and then carry on sleeping as a stress avoidance tactic, for much of the following day, until there were only a few hours of evening to fill before I could take my next dose.

This medication was not prescribed to me for depression. It wasn't prescribed to me at all in fact. I prescribed it to myself to treat drug withdrawal symptoms, after a hefty period of abusing legal benzodiazepines and Supercrack. I'm not exactly sure when this crazy new UK law comes into place, pretty much banning anything that's psychoactive, but I don't want to be trapped into being dependent on something that's illegal.

As it stands at the moment, it has been over a year since I have accessed the Dark Web and I'd like it to stay that way. The Dark Web can end up being unhealthy window-shopping for a former junkie, and then eventually, in a moment of weakness, disguised envelopes containing all manner of disruptive troublemaking can be wending their merry way to you through the postal system. That's a situation I definitely want to avoid.

Withdrawing from Mirtazepine was extremely unpleasant. I was overwhelmed with anxiety and insomnia. I'm hoping tonight will be better, but today, at least I didn't have the daytime sleepiness and lethargy that allowed me to spend the best part of 2 weeks in bed. I even made the bailiffs come and collect a credit card from my grubby mitts, while I lay in my pit of despair.

You see that slight upswing at the end of March? Hopefully that delimits the end of months of depression and drug abuse, and the beginning of a period of productivity. I've tackled some of the most pressing stuff that had to be done today, and if I can steer clear of the medications/research-chemicals that seem to make all your troubles go away, then things can continue, provided I don't become totally overwhelmed by stress and anxiety.

It feels like the Government is testing us, risking our lives, to discover what happens when they pull the rug out from under our feet. The shoddy, hole-filled 'safety net' has finally been so undermined, that nobody could possibly consider it an option, no matter how dire their circumstances. Get better or die, is the Government's unspoken mantra.

Personally, it is long overdue, me pushing myself to find more contract work or even something permanent, provided it isn't going to grate and gnaw at my soul so intolerably, that there's little point as the outcome would be entirely predictable.

I say "long overdue" but that's a little unfair on myself. The winter, plus the timing of losing my contract were particularly hard on me, coupled with the fact I was completely exhausted from efforts expended on the doomed HSBC Customer Due Diligence project anyway. I did need some time to rest and recuperate. There were chances to get straight back on the horse, and I would have done if fortune had favoured those opportunities, but the optimism of November of last year quickly turned into resignation about the wasted 6 or so weeks of Xmas build up and early New Year 'dead spot' in the recruitment calendar.

I actually feel reasonably awake and alert, and not totally overwhelmed when my thoughts turn to my todo list. I know that my suit and shirts are dry cleaned and shoes are shone, ready for action, and even that doesn't worry me now that the clocks have sprung forward and the weather can surely only improve from this point (famous last words!).

I know that I'd dearly like to see my Sister & Mum, now that I'm a bit more well. Too many broken promises and wasted good intentions in the last few months, so I'm not going to rush at anything, especially as my sister was really cross at me recently, using my parents words. It's easy to discredit and undermine a person's character when they're keeping themselves a safe distance away from yourself.

I know my blog has been my refuge and something solid to grab onto during some pretty wild storms, and it upsets my sister that I have seemingly had so much time to blog, but I hope you'll be seeing a return to consistency and continuity that went awry during the turbulent first months of 2016. Let's see where it takes me next, and I hope it's informative and entertaining for those following at home.

So deep think. Much complicated. Very story to tell. Wow!

Tags: #recovery #depression #stress #anxiety #drugs #addiction

This is a story about being tired & depressed all the time...

As things start to get out of control with uppers and downers, you're going to come across legal highs and the black market sooner or later. Let me describe my life to you, after it was ravaged by depression: I never left my bed except to go to the toilet. I never answered my phone. I never answered the door. What does a depressed person want? They want a life.

For the summary of what I'd tried myself to date, you can read:

https://www.manicgrant.com/2015/self-medication-part-one

and:

https://www.manicgrant.com/2015/self-medication-part-two

I was completely disillusioned with medications. The common antidepressants take 6 weeks before they kick in, and they're a nightmare to stop taking: the withdrawal effects are horrible.

I went on a legal highs website, and I systematically worked though every chemical they had on offer:

• 5-IAI
• 6-APB
• MDAI
• Benzylpiperzine
• Ephenidine
• Ethylphendiate
• 3-Fluromethamphetamine
• 3-Flurophenmetrazine
• Methedrone
• Methiopropamine
• Methoxphenedine
• Methylenedioxypyrovalerone
• Mephedrone
• Methylone
• Pentedrone
• 4-MePPP

Those are just the ones I can remember. I have a spreadsheet somewhere that documents everything I bought, and all the dosages I took. I used a high accuracy measuring scale (down to 0.001 of a gram) which I calibrated before every use, and I was careful to do an 'allergy test' before taking anything approaching a psychoactive dose.

The short version of the story is... all these designer drugs were a pile of pants. Complete rubbish. Waste of time & money.

With one exception: Methylone. The chemical name of Ecstasy (MDMA) is 3,4-methylenedioxymethamphetamine. The chemical name of Methylone is 3,4-methylenedioxy-N-methylcathinone. Basically, the clever chemists swapped out the crystal meth and replaced it with Meow Meow. The novel compound is known as βk-MDMA, instead of just regular MDMA.

If you were to try and take Ecstasy every day, you probably wouldn't get much sleep, and people would think you were really weird. Your face would be gurning all over the place, and you'd keep telling strangers you loved them.

Methylone is not like that. It was as if I'd just gotten over a really bad sickness and I was back to my old self. I had energy and motivation. I could feel joy again. I was getting stuff done. I was functional.

I used to measure out my exact same dose every morning, and then I could feel the storm clouds part about 30 minutes later, and I could get on with a normal day, just like a normal person. I did my work. I did my chores. I socialised... I had re-entered the world.

This went on for the best part of 6 months, and then the government decided to make it illegal. I stockpiled as much as I could afford (about 2 months supply) but when that ran out I was screwed.

Prolintane and Pyrovalerone (sold as Jolly Green Granules) propped me up for a while, but I had pretty much lost my antidepressant. There was no more gas in the tank. The engine was spluttering to a stop. All the other stims I tried were just that: stimulants. They made me awake, alert and they stopped me sleeping. The best part of all about Methylone had been that I could sleep normally at the end of the day.

Out of a suicidal death-wish, I tried NRG-3, which sounded from anecdotal experience very much like MDPV (Supercrack). I was so terrified by this chemical that I diluted an entire gram in a litre of water so that I could measure a very precise 3ml (3mg) as a test dose, using an oral syringe. Turns out that water completely screws up the compound.

 Anyway, after the car-crash that was my ex's brother's wedding, I decided "fuck it" and measured out 15 milligrams of the powder on my scale.

"Binge" was not a term that I had first-hand experience with. Not until that point.

When 3 or 4 days go by, you haven't eaten, you haven't slept, you're just shovelling white powder up your nose... yeah I guess I had my baptism of fire.

When you wonder what day it is. When you wonder when the last time you checked the time or the date, or did any kind of reality check at all... you're pretty deep into a binge.

It's weird, how somebody who was always so self-disciplined, so self-controlled, even with coke and speed and pills... one day they find their drug of choice and they're like an instant junkie. I did kinda panic a bit when I'd had 800mg of a 1000mg bag, because I'd read about somebody who suffered heart damage after 800mg of this potent stimulant, but you find yourself saying "ok, well I'll make this the last one".... until it's all gone... and all you can think about is when can you get some more.

The reason it was so addictive, is because it broke my dependence on my girlfriend. We needed to break up, but I couldn't see an alternative. I couldn't imagine going backwards to go forwards. This stuff was powdered girlfriend. She no longer had any power over me anymore. I wasn't afraid of us breaking up.

She didn't like that very much.

Tags: #drugs #addiction #depression

This is a story about rehab...

What's the difference between detox, rehab and inpatient treatment for mental health disorders? Very little actually. Here's my little exposé into being a patient of the UK's most notorious private drug and alcohol abuse treatment provider.

As far as my medical records show, I was admitted to The Priory for treatment for Type II Bipolar Disorder, during an episode of acute illness. My private health insurance picked up the bill and JPMorgan gave me the time and the space to get better. They're a great employer actually.

I had found a local private psychiatrist, as I was running out of ideas for how to deal with my Dual Diagnosis (Bipolar & substance abuse) and I knew that the stats weren't good. Not many people recover from such a death sentence of a diagnosis.

I was very lucky to find the psychiatrist that I did. I had been trying to get in contact with a number of specialists directly, but things were very slow going during the Xmas/New Year period, when a lot of people suffer a big decline due to the bad weather and family pressure to put a jolly face on everything during the holiday season.

I contacted a general psychiatrist at the local private hospital, and he turned out to be one of the nicest, kindest people I could ever have hoped to meet. It was pure relief to meet somebody nonjudgemental who would hear my story without leaping to immediate conclusions. The first time I met him, he simply said "we can only play the cards we are dealt" which had me in floods of tears, as it was the first time that anybody had ever said something so kind to me.

I had been taking quite a kicking from my supposed loved ones - but I'm not going to go into that anymore - and been made to feel very guilty and a total failure for having gotten sick. It should be noted that I became clinically depressed and suicidal before any substance abuse entered the picture. Bipolar symptoms had always been present in my life, but it took a further 2 years to get diagnosed. Then, finally, substance abuse reared its ugly head and became the most pressing issue.

From my point of view, I had struggled for years and years with recurrent suicidal ideation, suicide plans. I have struggled all my life with mood instability. To be simply dumped in a bucket labelled 'lost cause addict' was a bit s**t to be honest, after 30 odd years of reliable good service, despite fairly debilitating mental health problems.

Perhaps I'm complaining too much, making too much of a big thing of my struggles? Yes, yes, yes, there are people who've had it so much harder than me, blah, blah, blah. Ok, unless you've sliced your forearms multiple times, lengthways along your veins, with a razor blade, do me a favour and shut up? Some of my friends are wonderfully supportive and have gone out of their way to learn about mental health problems. Perhaps you could follow their example?

So you think this is attention seeking? Save it for the funeral.

It's true that it's taking me a while to work up the bravery to take the Final Exit. Ending your life is a big deal, and you've got to do it right, otherwise you're just going to end up in hospital in pain.

I've had cans of inert gas to suffocate myself, 2 grams of Potassium Cyanide, enough barbiturates to slip into a coma and drown in my hot tub while unconscious, travelled to the top of tall buildings, cliffs and peered over the edge of high bridges. The most serious attempt I made was trying to open my veins with a razor blade. I must admit though, I was just testing the water. You want to make sure that you open some major veins, like the jugular, if you want to die quickly.

Stupidly, I still have hope and some faith in myself. I should write myself off for dead, like those-who-shall-not-be-named have done.

So it came to pass that I went into The Priory, with a referral to one of the country's leading experts on Bipolar Disorder and Dual Diagnosis. JPMorgan were told that I was experiencing mental health problems (true) but the main objective was for me to detox for 28 days, so that there was a clearer clinical picture, and the treatment of my Bipolar and depression could begin.

That makes me an addict right? Don't need to read the rest of the story. Skip to the end. Case closed.

Well, actually, The Priory and my psychiatrists were concerned with my mental health, and saving my life, not just labelling me as an addict and sticking me into the revolving doors of mistreatment and stigma that those suffering individuals endure. The Priory is actually a private hospital, and cares primarily for those suffering with various mental health disorders that are less controversial and stigmatised than substance abuse. There were ten times as many patients who were there because of depression, anxiety, schizophrenia, borderline personality disorder, eating disorders etc. etc.

It's actually all part and parcel of the same group of problems. One fellow patient had been admitted with mental health issues, but out of some drive to self-destruct, she started filling up a mug with alcohol-based hand sanitising gel and flavouring it with orange squash, and drinking it to get drunk.

One of my fellow patients tried to commit suicide by climbing a high wall and hurling herself off, while I was there. Does it matter if she was being treated for depression, or for substance abuse? The fact of the matter is that she was suicidal at that moment. Mental illness of some kind had driven her to try and take her own life.

There was a game we used to play, when a car used to roll up to the house, and out would step the worried looking family members, dragging some dishevelled son, daughter or partner out of the back seat and into a meeting about admission. We used to try and guess what they would be admitted for. Sometimes it was obvious - if they had red wine all spilt down their clothes for example - but often it was nearly impossible.

But what's it actually like, in private hospital? Are there rock stars and stuff? Well, my doctors had treated a number of high-profile sportsmen and women, but when I was there, there weren't any rock stars. Couple of millionaires but no rock stars.

Really, it's much like an NHS mental hospital, except a little more well appointed. Everything is bolted down and the windows don't open and the doors don't lock. The lights don't dangle down and there are no curtains. Mirror glass is made of plastic, and pictures are screwed to the wall, not hung. Yes, there is quite a lot of anti-hanging thought that has gone into things.

When you arrive, you will hand over your razor, scissors, tweezers, solvent containing toiletries, shoelaces, belt etc. to the nurses to keep at their station. If you want to have a shave you'll have to ask for permission, and you'll only get a short amount of time to attack your face with something sharp.

Plus, it's still a hospital, and people are very sick. One woman said to me "it's OK, your secret is safe with me" and tapped her nose with a knowing wink. It later emerged that she thought I was a royal prince, and that my presence in hospital was a state secret. She also came into my room and stole all my underwear and my books, before the nurses tracked down her hiding place.

The rooms are actually as good as any 3-star hotel, with a writing desk, nice view of the gardens, an OK single bed and an ensuite with no shower curtain or plug (drowning is frowned upon). Once you're off suicide watch, you might get to move to one of the double bedrooms that are further away from the nurse's station.

Other than the slight refinement of having a TV and a telephone in your bedroom, there is little different from NHS mental health treatment. The food was very good, I have to say, but your days are generally structured around morning and afternoon trips to the dispensary hatch for your medications, and being regularly checked on by nurses if you're not in some group activity.

Between art therapy, yoga, mindfulness, music therapy, table tennis, TV, movie night and generally socialising with the other patients, it all sounds like a thoroughly lovely spa break. There was a gym and quite big grounds that one could roam in, provided you told the nurses where you were going and how long you'd be gone for. Leaving the compound within my 28 days was forbidden.

Your partner can come and visit you, and you can give a knowing wink at the nurses station before you have sex, so that nobody barges in on you unannounced. Just don't take too long. Visiting is only on a Sunday, so you'll probably have a sack like Santa anyway. You have to hand over your mobile phone and laptop, and digitally detox, so pornography is hard to come by. Probably because sex addiction is also treated at the hospital.

We should remember that although people talk about 'rehab' we need to be quite clear about the treatment route of substance abuse. There is first a detox. It's necessary to break the body's dependence on substances, and treat the withdrawal. If you are an alcohol or a benzodiazepine abuser, there's a good chance that withdrawal could kill you, so the hospital will put you on tapered medication to get you off those substances. If you are an opiate abuser, you will get very sick from withdrawal symptoms, and these can be attenuated with substitute prescribing or by putting the patient into induced sleep. If you are a stimulant abuser, you will suffer cognitive impairment, exhaustion and suicidal depression.

After detox, which could take the whole 28 days, then comes rehabilitation. Depending on how dysfunctional a person has been, they could need 3 to 6 months of rebuilding their damaged life in a safe environment. Just breaking the cycle of chemical dependency is not enough. There's a reason why a person entered that cycle in the first place. There's a reason why that person stayed in that cycle.

We know that gambling addicts don't inject packs of cards into their veins, so addiction can't just be about chemical substances, can it?

So it was, as my time at The Priory drew to a close, the staff gave me the bad news that my treatment was incomplete. I would need another 3 months of rehab if I wanted to make the changes permanent. I flipped out. I discharged myself, went home for a day. Then I spoke to one of the staff on the phone and decided to go back for the remaining few days of treatment. She-who-shall-not-be-named decided that I had "failed" in my commitment to getting better. That's simply a lack of understanding about the commitment that is needed to support somebody in recovery.

Recovery is not about abstinence, it's about having people who love you trying to support you. Support does not mean hectoring, bullying, nitpicking and generally being obnoxious to a person. Your holier-than-thou drinking and smoking and generally behaving like it's OK to do whatever you want and laughing in the face of the abstainer is not helpful, OK?

Abstinence doesn't even work anyway. It's just a continual reminder of what people want to believe: that you're somehow a bad person, that you're faulty, defective. People want to treat you differently, want to label you. Teetotallers are ridiculed, treated with contempt. Why bother being teetotal?

Certainly, not being a smoker was a problem in hospital. There would be long periods where I was left all on my own, because everybody was outside smoking. There is no real abstinence in the world. I found the nurse's stash of caffeinated coffee in one of the more remote kitchens, and in some hospitals you are even allowed to have caffeinated drinks. 'Addicts' are encouraged to not give up smoking and tea/coffee, because they will need those things as a crutch, during those early days of abstinence.

If you look a little more closely at human behaviour, you will see that people are self medicating in one way or another. You'll see the hypocrites, dosing themselves up with stimulants in the form of caffeine. You'll hear the hypocrites, being hypocritical about addiction inbetween puffs on their cigarette. You'll suffer the hypocrites, swallowing their pills and liquids they have as government sanctioned, medically approved substitute addictions.

I could go to my doctor and get a prescription - called a script in addict parlance - for something to salve my addiction and turn it into something seemingly acceptable in society. It's OK if my pills come in boxes from the pharmacy, with my name printed on them and with a prescription from my GP or psychiatrist?

If I had to go to work at the moment I would probably need some Dexamphetamine, or at least a gallon of super strong black coffee. Because I've used so many stimulants, I can drink heaps of coffee without having the anxiety, palpitations and sweats that you would get, but it's a poor substitute for genuine amphetamines, even if the caffeine molecule is virtually identical.

There's no magic in treatment. There's no magic to recovery. It's just time & space and being treated nicely by people, being respected as a human being.

It's important to respect people.

Just respect people.

Tags: #addiction #alcohol #drugs #suicide #mentalhealth #nhs #bipolar #depression

This is a story about interpretation...

Anybody who has studied physics to an advanced level will tell you that at a certain point you have to suspend the search for the tangible, the intuitive, and start to make some leaps of faith. The Newtonian Universe, with action and reaction, starts to struggle to explain real-world observations.

I'm not in a survivable situation. I shouldn't have even been able to get this far, to climb this high. The odds are stacked against me in every way. There's not a chance that I could have been through what I've been through, and emerge relatively unscathed. People just don't recover from the trauma that I've put my mind and body through.

On examination, I have a facial tic and two hefty scars on my legs. My facial tic appears to have improved somewhat, since the summer. It's made worse by tiredness and stress, but I feel like it's not as pronounced as it was.

But what does this evidence tell us? Well, it's the tip of the iceberg. My mind and body have been to hell and back, quite a few times. For example, having functioning kidneys is a big surprise. You can't see the damage from the outside, but I suffered near-catastrophic levels of muscle loss, with accompanying damage to my kidneys, as the breakdown products from my body eating itself were going to ultimately prove fatal.

Would you believe that I have induced within my mind, all the symptoms of schizophrenia? I have, at times, believed that 'they' are out to get me (I have no idea who 'they' are... that's the point... it's mental illness) and been hearing and seeing things in a distorted way, misinterpreting what my senses have been telling me. These psychoses should be permanent. I should have been left permanently paranoid, psychotic.

The fact of the matter is that sanity is quite delicate. Anybody will start to have strange thoughts, if you skip enough nights of sleep and meals. Sleep deprivation and hypoglycaemia will mean that your brain will struggle to function. You can't really predict how badly each individual will react to these unusual stresses, but you can be sure that every human needs sleep & glucose.

I guess when you total up all the time that I've been in a psychotic state, it adds up to quite a worrying amount. Certainly enough to give me that facial tic. I used to have really bad full-body spasms, but I figured out which neurotransmitters needed topping up, as a form of prophylaxis to protect against early-onset parkinsons.

If you wonder why I eat so much protein, and take so many amino acids, it's because those things are providing my body with the building blocks to repair and protect itself. It's a thin line between temporary and permanent insanity.

If you were a psychiatrist or a psychologist, just looking at my clinical picture on paper, you would have to assume that I'd be a gibbering wreck. The path that has torturously wended its way through a few different counties NHS mental health services, through the private sector, and then back into NHS with rather a lot of chaos and the involvement of emergency services, across the midlands and several boroughs of London. Well, it's not a story that sits easily alongside a person who appears - to all outward observers - to have their s**t together.

The fact that I'm coping without medication, without the help of the mental health crisis team, without outpatient services, obviously not an inpatient... it's not something that very often crops up, given my case history.

I'm a bit of a statistical anomaly. I don't fit the data very neatly. If we're talking probabilities, I'm dead & buried several times over.

But what's going on inside my cranium? How much crazy am I just bottling up? Well, it's not pretty but it's not that bad either. I'm certainly not battling any psychosis. I don't hear voices, I don't see things, I don't think that I can read thoughts or control people with my mind. In fact, I have never experienced psychosis like that. My sanity has, thus far, been fairly solid in its foundations.

However, I have poked and prodded at questions, which are to all intents and purposes, unanswerable. I have plumbed the depths of what is knowable in an Earthly realm. I have considered things which are really not advisable to consider, lest you drive yourself insane.

Once you start to consider the full implications of something like the Many-Minds Interpretation of Quantum Mechanics you start to question the very meaning of what it is to be conscious. When you start to do some basic maths, regarding the chances that you are alive and conscious at this very moment in time, with 7 billion other souls on the planet, then you can get rather overwhelmed by the statistical significance of it.

These thoughts come back to haunt me time and time again. When I'm unwell, I can even believe that I can perhaps model some of the Universe from base principles. I can perhaps come up with some great unifying theory of everything. Clearly this is a delusion of grandeur.

However, I'm no less able than anybody else to conduct thought experiments. In fact, I'm blessed with a very rational, logical mind. I have even done 'game of life' simulations and models in the past, with some success. But the fact remains, we're talking about hard problems, where hard doesn't even come close to cutting the mustard as an adjective.

So what's all this rambling all about? Well, in one sense my fate is sealed. If we were to consider the evidence, the clinical picture, the pattern of behaviour... I'm doomed! Either insanity, suicide or slow suicide by addiction should surely claim my life soon. It's a miracle that those fates have not already consumed me, and I'm here, stringing a sentence together.

Indeed, many people in my life have chosen to act as if there is a known outcome, as if they have a working crystal ball. Perhaps they have simply computed the odds based on the raw statistical data, and are playing the numbers. According to the numbers, I don't actually exist. According to the numbers, I died a long time ago.

I used to be very upset that people were writing me off before I had even had a chance to make an attempt at life. I used to get very frustrated that I was always a few days or a week or two behind those who wished to frustrate and undermine me. However, the tide has turned now and I finally have a fair wind behind me, and the gradient of the ground in my favour.

It must be upsetting to have somebody who just refuses to die and conform to your prophecies. It must be frustrating when somebody won't fit in the pigeon hole that you have assigned to them. It must be frustrating when somebody refuses to act in the way that you preordained, based on a supposed character flaw or some gift for knowing the future that you believe you have been blessed with.

I'm quite a fly in the ointment, refusing to shuffle off my mortal coil, or be driven irreversibly insane. People are a lot easier to handle when they fit nicely somewhere on the curve.

But I'm an outlier. I'm a stubborn son of a gun who refuses to just lie down and be neatly categorised. I'm very hard to manipulate. I'm very hard to discredit. I'm very hard to marginalise. I'm very hard to silence.

People have tried various underhand techniques to tame me, such as bullying, shaming, assaulting and the gathering of 'evidence' that they believe will show a 'smoking gun' unequivocally pointing to some easy conclusion that can be drawn. I'm sorry, but I'm just not that simple.

If I had one bit of advice for you, it would be to stop jumping ahead. Stop thinking that you can extrapolate from the few data points that you have. Stop thinking that you can predict the future, my future. I'm writing my future, and it very much seems as though my fate is not yet sealed, from what I can see. The grand finalé is as yet unwritten, despite your impatience to flip to the last page of the book and see how it all ends.

People come and go from my life, and I'm very grateful to those who have loyally stuck by my side. You have hopefully been rewarded with seeing a few different aspects of my character, and you can see that understanding and knowing a person is not as simple as making a rash judgement based on what you see, the moment you walk in on a person's life.

People are full of surprises, and even if you've known somebody their entire life, you still don't know what makes them tick, or what they're going to do next.

Tags: #mentalhealth

This is a story about maintaining a degree of freedom...

Which one of these faces represents your mood? What if there was a pill, powder, liquid or a gas that could take you from a face on the right, to a face on the left? Would you use it?

Apparently 90% of adult Americans drink coffee. That's a pretty amazing statistic, isn't it? Officially, there are 350 million Chinese smokers. That's more than the entire population of the USA. Every weekend, town centres across the United Kingdom are turned into warzones, with huge numbers of binge drinkers, taking themselves to the brink of alcohol poisoning, and even beyond.

That's just the stuff you can buy in shops, over the counter. You can walk down the road, 7 days a week, and purchase coffee, cigarettes and alcohol.

Now let's talk about prescription medications. In Tower Hamlets, the borough of London where I currently live, Prozac (Fluoxetine) prescriptions are rising at 8% per year. London issued 5.21 million Prozac prescriptions last year. Over 20% more Londoners are taking antidepressants than 3 years ago.

So, in all probability, somebody somewhere has got their hooks into you. Either you drink coffee, you smoke, you drink alcoholic drinks, or you take mind-altering prescription medication. You are owned by somebody. A proportion of your wealth and tax dollars are going on mind-bending substances.

The picture above is of a blade that I have managed to remove from a Gillette Fusion razor, and crudely bend into a cutting implement. It's actually pretty tiny, hence why I never noticed that it was still lying on the bathroom floor. However, it's easily big and sharp enough to slice open veins and arteries.

Wouldn't I be better off taking antidepressants, so that my mood doesn't sink so low that I attempt suicide? Wouldn't I be better off in a chemical straightjacket?

Given that I have no fear of homelessness and destitution, why do I need something that artificially props up my mood and allows me to function, when my natural mood is telling me that something is wrong?

What goes up must come down, and for every desired effect of a medication, there are one or more side effects. Often times, people will take a medication for one ailment, and then have to take another medication to compensate for the side effects, and perhaps even some more for further side effects. It's much like the old lady who swallowed the fly, who ends up swallowing a horse.

Ok, so my mood episodes are pretty brutal, but at least I have a clear clinical picture, in medical parlance. It's fairly easy for me and any clinicians to see what my mood is doing, as the water is relatively unmuddied by mind-altering substances.

So what is my mood doing? Well, it's yo-yoing up and down like an insane elevator operator. However, it pretty much follows the instability of my life. 7 or 8 months ago I was homeless, then I was living in a hostel, then I was living with an alcoholic and his unfaithful wife, then I was sofa surfing with a friend, then I was living in hotels during a time when just about every London hotel was booked out for the Rugby World Cup, and then I got a flat.

Jobwise, I had a 9 month contract, and then a 6 month contract. I'm working about 6 months in 12, with the chance to push that up to 9 in 12 if I can get my arse back in gear. It's not a very stable work environment though.

I spent about 15 weeks receiving inpatient treatment in 2014. That really was an annus horribilis. I was in hospital for about 8 days (2 admissions) in 2015. That's quite a big improvement. 2016 remains hospitalisation free, despite some fairly sketchy stuff that probably should have seen me admitted.

But you can't see the other data that I have in front of me. My alcohol consumption, my coffee consumption, my abuse of drugs & medications... all of this is going through a radical transformation too. From regular and massive binges on wine & beer, coffee to prop me up in the mornings, drugs and medication to while away the time inbetween jobs: I've knocked almost all of that on the head. Life is a lot more straightforward when you're not peering through a haze of mind-altering substances.

However, it's a little too straightforward. In terms of stress levels right now, I'd rather give up the responsibility of having a flat, bills to pay, a man to kowtow to. It might be cold and wet and s**tty weather outside right now, but I'd still rather be living in a tent and not looking at a stack of 8 box files full of paperwork I need to deal with.

Seems bizarre, right, to choose to be homeless, destitute? Well, I don't think it's any more insane than working your arse off to pay for your rail season ticket and pay for the mortgage and bills on a house you never get to spend any time in.

Personally, I just feel as though modern life is making me unwell, so I reject as much of it as I can. I do the bare minimum to keep the wheels turning, and otherwise I turn my back on the madness. I try not to be swept along by the current.

I know my mood will change, and I will feel differently about things during a different kind of mood episode. I'm not going to poke and prod at my mind though, and try and coerce it into taking on an altered perception of reality.

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

This is a story about self prescribing...

If you know what medication you want, you can cut out the middlemen and just buy it yourself direct from a country that doesn't have a rigid system of prescriptions, provided it's not a controlled substance, and therefore illegal to import.

I wrote about self medication through non-pharmacological mechanisms in a previous blog post entitled Self Medication (Part One) if you wish to refresh your memory.

Going GP -> Psychiatrist -> Pharmacist is actually quite a slow process when you're trying to find a medication that works for you. Also, many medications are only licensed to treat certain illnesses, but there is sometimes a strong body of research that proves they are effective on other illnesses. Because of concerns about medical malpractice lawsuits, it's quite hard to get an 'off label' prescription, even if there is good data to support the use of a particular medication in your individual case.

So it was that I came to be experimenting with medications like Pramipexole (Mirapex), Bupropion (Wellbutrin), Cabergoline (Dostinex), Aripiprazole (Abilify) and even crazy ones like Piribedil (Trivastal). Results were a mixed bag.

The bottom line is this: you probably don't want to f**k with medication. Aripiprazole left me uncontrollably dribbling, and unable to speak without an unintended spray of saliva. Piribedil would cause me to fall asleep randomly, like a narcoleptic.

But, Bupropion works. It's a very effective, fast-acting antidepressant. However, it raises your anxiety levels, causes insomnia, panic attacks and exacerbates hypomania. It's not a good medication for somebody with Bipolar, unopposed by a mood stabiliser.

Messing around with medications was very dangerous, and I may have even put myself at risk of early-onset Parkinson's disease. Certainly, my later messing around with L-DOPA was on a trajectory leading to complete disaster.

It's about harm reduction though. Tea and coffee are on a stimulant continuum that leads to amphetamines and even stronger stimulants. Alcohol is on a depressant continuum that leads to benzodiazepines and even stronger 'downers'. If you have been using coffee & alcohol to self-medicate for your mood fluctuations, you will be driven to seek out stronger alternatives, when those substances no longer work anymore, or face a breakdown.

Eventually, you'll find that heroin is really great to help you sleep, and crystal meth is really great when you need to be awake and get stuff done. You don't want to end up there. Don't go there.

There are modern sleep aids like Zopiclone & Zolpidem, and newer wakefulness and concentration promoting agents like Methylphenidate (Ritalin) and Modafinil. Naturally, I experimented with these.

Ritalin, I found to be very much like cocaine. You want to take more but you're not sure why. You don't really feel like you're getting anything out of it, but you strangely find yourself taking loads of it. Dangerous. Elizabeth Wurtzel wrote a book called More, Now, Again which is amongst the literature that inspires my writing. However, it's simply not possible to snort 60 Ritalin pills, like she claims. That volume of powder will simply not fit into your nasal sinuses. She's right about one thing though: Ritalin is addictive.

Modafinil simply makes you awake, not happy. More time awake, unhappy, is really the very last thing that you want if you're depressed, so I discontinued its use and find no function for this wakefulness promoting agent, personally.

Zolpidem doesn't keep you asleep for long enough to be of any use. Sure, you fall asleep, but then you wake up again and spend the whole night with your usual insomnia. Useless.

Zopiclone works but it's a little too brilliant. Again, for somebody with Bipolar, waking up feeling totally refreshed simply stokes your hypomania to dangerous levels. It delays an inevitable crash, when the drug ceases to be effective at acceptable dosages, and insomnia leads to exhaustion, which leads to depression.

It's all available, out there on both the public internet and the Dark Web. It's a few clicks away for a middle class person with a computer and a postal address.

My parting advice is this: don't go there. Don't even look. Don't tempt yourself. Don't give yourself false hope. Don't experiment. I've done the experiments, and found nothing good there. The side effects just aren't worth it. The downsides outweigh the upsides.

There are no medicinal cures. There are no medications that 'fix' Unipolar Depression and Bipolar. It's an avenue not worth pursuing.

Sorry about that.

Tags: #bipolar #depression #mentalhealth

This is a story about trying to break the loop...

I reprogrammed my brain. Infinite loop. Game over.

It was really hard but I mostly programmed it back. But you know why code line numbers go 10, 20, 30 etc? It's so that you can add extra lines without having to renumber your whole program: e.g. 11 GOTO 20

I took my working fixed code, and added an old buggy instruction that I used to write. It's a screwup, but I know where the bug is and how to fix it.

It's not something the hospital, or mental health services, crisis team or some specialist private care, or social services, or the police, or my GP is going to fix. There's an art installation called The Pharmacy by Damian Hirst, about our faith in medicine, at the Tate Modern. You should think about what he wanted you to think about, when he made that artwork.

Please don't think there's somebody qualified or professional out there, unless they can show you the evidence and data that proves that they and/or medications are 'curing' people of Type 2 Bipolar & any substance abuse issues they might have (Dual Diagnosis).

I managed my symptoms down to just a single suicidal episode in 5 or 6 months with zero drugs, medication, alcohol & caffeine. Also managed 5ish months work. Long hours too. Also had to move house a bunch of times, nearly go bankrupt a bunch of times, travel 3 times further than necessary, carry my life in a few bags. I would say that I'm the qualified one around here.

However, somebody has activated 'professional help' so I may be disappearing into one system or another, or one via another. The bug will still be there if I ever get out of the damn revolving doors and it's so exhausting you never have enough energy left to finish the job of rebuilding your life and getting better.

Please wish me the very best of luck in being 'assessed' and whatever is going to happen instead of me trying to fix my life and get back to normal.

I know it's well intentioned, but please re-read this whole thing again. It explains why it hurts more than it helps.

By the way: Nurses, Porters, Phlebotomists, Doctors and all the people who have to do a very difficult job under difficult circumstances. I am grateful and I do think that what you do is very important and helps enormous numbers of peoples's lives. I'm sorry for the time & effort that is about to be wasted on me.

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

This is a story about one hundred and one days sober...

I did it, and I also managed to go cold turkey on caffeine, sleeping pills, medication (antidepressants, mood stabilisers, anxiety drugs) and legal highs (sorry, they're called 'research chemicals' now) & illegal drugs, plus get some control over sex and spending money.

For 6 fucking months I sucked up the pill/powder withdrawal effects and over 3 more months no alcohol. I had not a single chemical that I could turn to to salve the emotional wounds, to ease the turmoil in my brain, to anaesthetise the pain. To attenuate the distress. To take a holiday from the stress.

Pure fucking discipline went into turning down every beer after work, every glass of mulled wine, every cup of tea or coffee that was offered, and every pharmaceutical that I can get by feigning symptoms in order to get an official prescription or just buy on the black market, and every 'research chemical' or just whatever the hell you want that is just one click away on the Dark Web.

Easy enough for a happy fulfilled 2.4 children, 9-to-5 family unit who watches TV all week and goes on outings at the weekends, and has their time filled with mopping up excrement and vomit and doing the kids homework. I'm sure it's very fulfilling to be guardians of your cloned genes, working as hard as you can to give those genes a chance to clone again.

I reached a critical juncture in my life where I was earning six figures including my iPhone apps, and I had a flexible lifestyle, and my fiancé/ex/girlfriend was earning £15k and didn't have very much flexibility. She wanted to be a trainee teacher, so evenings and weekends were for lesson planning and marking. I could write an iPhone app in a day and it would earn £8k. But she had a grand plan because she was so clever.

In the end I gave her three choices: either I go on medication so I don't give a shit that what I'm doing is soul destroying, I switch careers to one that will be really much less psychologically damaging but our kids will see much less of me, or we get pregnant and then it gives a reason for me to do what my professional experience qualifies me to do.

We opted for the latter, but I pulled the plug because I wasn't sure if I was going to pass on Bipolar genes or get too stressed and turn to drugs & alcohol to cope. I love her, I love kids, I love doing family stuff. But it's not all swings and roundabouts and cotton candy and rainbows. I started to doubt my coping mechanisms. I started to believe I couldn't be a trusted father (based on no evidence, beyond the fact that other people's kids love to play with me).

So our relationship became about hedonism. We took loads of GBL (GHB) which makes women have amazing orgasms. I took Cabergoline so I could have multiple orgsasms. Better sex through chemistry (or psychopharmacology actually).

I started fucking about with legal highs that would give me the energy to fuck all night. I was systematic. I would buy shitty tabloid newspapers to read what the kids were taking. Usefully, they led me to the piperazines and the cathinones (e.g. BZP and M-CAT a.k.a. Meow Meow). Those drugs are utter shit, but they led me to Methylone (bk-MDMA). I tried all the others on sale except for NRG-3 which didn't have an ingredient declared.

I'd made a list for myself of drugs to never take: heroin, crack, crystal meth, MDPV. Hang on, wait, what, MDPV. Yeah, it's the stuff that crack addicts and crystal meth tweakers get addicted to and then end up killing themselves or eating a tramp's face off or buying a Caribbean island and fucking a 17 year old girl while holding a loaded gun to their head and putting it on YouTube. Kinda standard stuff for a billionaire technology entrepreneur, right?

So if you don't know what's in the 'legal' high called NRG-3 and there are loads of crack addicts and meth addicts online saying this shit is way more addictive and they're now more fucked than ever and crack and meth seem like a weak cup of tea by comparison, alarm bells should be ringing.

In September 2011 I needed to break up with my selfish bully of a girlfriend. I didn't have the guts. I Went home, bottled out from driving into a concrete pillar at 100mph with the airbag turned off. Got home, ordered NRG-3, it was there the next day. Recommended dosage: zero milligrams. Insane dosage: 5 to 15mg. My dosage: 1,000mg.

I played with fire, got hurt, my fault right? Don't come crying to me when your medication gives you an averse reaction or a deadly interaction. Don't come crying to me when your medication does very little for your symptoms, but an endless list of side effects.

Turns out your heart can beat at 200bpm and not explode if you'e reasonably fit & active. Turns out your brain won't even start hearing voices or seeing things if your reasonably sane. Stimulants are a terrible thing to O.D. on. Barbiturates, opiates, cyanide, ricin, botox, nicotine, inert gas, poison gas, set fire to yourself, chuck yourself off a tall building or a cliff, sever a femoral or radial artery if you know enough about anatomy. Jugular veins, and any other large visible veins will get you there in the end. Fall on a sword around rib number 3 and hit the aorta or vena cava. That's all going to be in the 30 second to 4 minute region. Remember, you need to lose 8 pints of blood or suffocate for 3 minutes approximately.

Electrocution is hard now we have RCD circuit protection devices now, but if you're an electrician you'll be able to rig a circuit without protection. Hold something earthed in the left hand, touch something live with your right hand. Current will flow right across your chest and put your heart into ventricular fibrillation and probably cause enough internal burning to make defibrillation impossible.

Breathing pure nitrogen 0r s0me other inert gas probably seems least scary. No hypercapnic alarm response. Just like falling asleep, forever. Suffocation and you don't even know it's happening.

Jumping in front of busses, trains and tubes is unethical. Those witnesses will be psychologically scarred.

O.D.s... well most home attempts just screw up your organs and you die a slow and painful death. It has to be a nerve toxin, breathing suppressant, or something to stop the heart. An over-the-counter remedy would be co-codamol/Solpadine (without caffeine). Dissolve everything in warm water, then chill to sub 5 degrees C. Now filter out the nasty liver destroying Paracetamol using lab grade paper. Chill the solution again to sub 5 degrees C and filter again. What you're left with is liquid death.

Stabbing yourself in the aorta or vena cava or a pumping chamber is quickest. Just hammer the blade into rib 3 to 5 on the left hand side, and don't let muscles and tendons pull you back to the solar plexus or onto other ribs. You just need to 'fall on your sword' as the Japanese say.

A friend has given me enough to survive, food & drink wise. My flatmate has given me the space and time. My psychosis has gone after sleep. I need to check my kidneys function but my bladder seems to still be filling.

Shame seems to be the next threat to life. I have a blade that's long enough to penetrate my chest muscles, ribs and reach the top of my heart where the blood is at its highest pressure and death would be quickest. Seems prudent when I feel nowhere near close or well equipped enough to turn my health around and get my room into a phase 1 cleanup state, with the eventual state being pristine condition.

If not allowed to live without soul-destroying shame, I'd like to be a fly, vomiting on food and sucking up digested contents, laying eggs in putrid meat. Bhuddism is for me. Humans have a neocortex - consciousness - so I'd rather be re-incarnated as non-human. Thinking is a pain, although I could write an academic paper and a couple of books in a tent or a cave, or a psych ward or a prison, but the easiest thing of all would be non-human, and not troubled by consciousness.

The irony is that I now have several cerebral and physical/social things I would like to do, but I'm paralysed by shame that only I can begin to resolve. Being in hospital/psych/custody now just leaves me impotent to do anything to resolve anything. The end of the story will be written by somebody else.

Tags: #suicide #addiction #alcohol