This is a story about making yourself look like an idiot...

I started this blog as a suicide survivor who was interested in suicide prevention. I started this blog because my head was buzzing with ideas for how technology could be used to help people at risk of suicide. I started this blog because trying to explain to colleagues, friends and family what was going on with me had nearly killed me - it was an unwinnable battle, because nearly everybody makes the same incorrect presumptions and carries near-identical prejudices.

Only a fool would try the same thing over and over again, expecting different results, but if I had a pound for every time somebody has suggested yoga, mindfulness, jogging, kale smoothies and all the rest of the "wow thanks I'm cured" quick fixes that a person with mental illness gets bombarded with, then I'd be a very rich man. Equally, explaining the same thing over and over again - "yes I've had mental health and substance abuse problems, but no I'm not going to stab you in your sleep or rob you" - was an exhausting madness.

I needed to move from the position where my work colleagues had no idea that I'd been a homeless drug addict when they hired me to work on the number one project for the biggest bank in Europe, to the position where my colleagues had seen me working very effectively in the office and been a valuable member of the team, yet they began to understand a little of the difficulties I'd faced in my personal life. I didn't want to have to hide my mental illness - bipolar disorder - and I didn't want to have to hide my problems of the past, which included homelessness and substance abuse.

Pretending to be Mr Boring Corporate Worker Bee was exhausting, and I already had been through enough, trying not to run out of money, trying to get off the streets and trying to get clean.

In June 2015 I was a homeless junkie, arranging interviews while sleeping in a park. I got an interview for a job, which I was nearly an hour late for because I fell back to sleep after the agent phoned me to wake me up, and then I had to get showered, changed and rush across London. In July 2015 I was living in a hostel in a 14-bed dormitory, trying to do my job, but I was still a junkie. In early September 2015 I started this blog. In late September 2015 I managed to get an apartment. By December 2015 I had 2,000 Twitter followers, so I decided to go fully public and write a blog post called "Cold Turkey" on Boxing Day, which was about my problems with substance abuse.

By accident or design, my blog has recorded every aspect of my illness: homelessness, depression, mania, self-harm, suicide attempts, hospitalisation, near-bankruptcy and destitution, eviction, relationship problems, family estrangement, poly-substance abuse and my attempts to get back on my feet, plus the relapses.

I've written down every single thing that you never wanted to know and that nobody would ever tell you because it'd be too likely to lead to prejudice, discrimination, reputational damage, shame, embarrassment, humiliation, loss of face, bullying, victimisation, taunts, jeers, social isolation, marginalisation, undesirable labels, being laughed at behind your back, becoming unemployable... a pariah.

Perhaps you think I'm stupid.

I did this because there are lots of people who try and fail to deal with debilitating mental illness and dreadful addictions. People try the same old things, which have terrible results. We know that the things we often try are spectacularly useless, because so many people are suffering and so few are recovering. Particularly in the field of addiction, the things that people try are not successful at all. For people who have the triple-whammy of mental health problems, substance abuse problems and money problems, they're screwed - they're almost definitely going to wind up destitute and dead.

There's nothing particularly interesting in yet another story about somebody who went to Alcoholics Anonymous and found God, only to then be caught up in a never-ending cycle of recovery and relapse that eventually destroys their health and takes them to an early grave, along with a lot of time and effort wasted thanking the sky monster and a lot of lying and deception... telling people they're clean and sober when they're really not at all.

I did this because it's hard and it's risky, but at least it's different.

Once or twice I've suffered prejudice and discrimination because of this public document which tells the world about my very worst faults and failings, but mostly it's served its purpose, which is to save me the time and energy that's wasted answering the same stupid questions, humouring people when they offer the same lame "quick fixes" and suffering the prejudice and discrimination because people guess, and they guess wrong, unless they can see the truth for themselves.

It annoys me that I can be a good co-worker, boss, friend, tenant, borrower, boyfriend, citizen... whatever... but only until people know my labels: homeless, junkie, bankrupt, mental health issues. As soon as people think those labels are attached to me, they treat me like a thief or a murderer. As soon as people hear those labels in connection with me, they think I'm going to steal their money for drugs, leave HIV infected needles in their baby's cot and murder them in their sleep because "the voices told me to do it".

The labels I attach to myself - currently only bipolar - I do so freely of my own choosing, because it's convenient shorthand for me.

I'm toying with the idea of switching out "bipolar" for "drug addict" because I think it's more provocative. I think that most mental health problems elicit sympathy, except for substance abuse disorder, which is seen as a bad choice made with free will - addicts are to blame for their own predicament. So, what about somebody who doesn't take drugs calling themself "drug addict" then? If addicts choose drugs, how's about I choose the label, even though I don't take drugs?

I'm defaming myself to see what happens. I'm defaming myself because I want to push boundaries. I'm defaming myself because I want to shake up your idea of what a homeless, bankrupt, junkie person with mental health problems looks like. I'm defaming myself, because I'm pissed off with the shame, the stigma and the prejudice.

I've done the hard work. I've earned the right to be myself. Go ahead... judge me.

I've provided everything you could ever possibly want to judge me. Knock yourselves out.

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

This is a story about changing the law...

In 1920 in the UK, heroin and cocaine were made illegal to possess - if you were alive when heroin and cocaine could legally be bought and sold, you're 98 years old, or older. Assuming that becoming a drug addict isn't generally possible until you're old enough to obtain money, score drugs and get high without your parents noticing, let's assume that you'd have to be a 12-year-old heroin addict back in 1920, in order to have been affected by this change in the law, which means that you'd be 110 years old today, assuming you're still alive.

Having tried various antidepressants and mood stabilisers which were prescribed by my doctor, I became frustrated with the fact that most of the medications available to those who are suffering with depression, are slow acting - taking some 6 to 8 weeks to become effective - and they cause weight gain, sexual dysfunction and somnolence. Given that I valued my appearance, my sex life and my job, the side effects of the medications on offer were intolerable.

Through extensive research, I found many medications which are not commonly prescribed, but which had shown considerably better efficacy in clinical trials than the SSRIs and other antidepressants which were on offer through the NHS. These medications were not controlled substances, so I was able to legally purchase them from overseas pharmacies and have them delivered to me in the post.

My self-experimentation led me to a medication called bupropion - marketed as Wellbutrin - which is actually France's most popular antidepressant, but doesn't have a license for use as an antidepressant in the UK. Bupropion was very effective and fast-acting - it alleviated my symptoms of depression, and appeared to have no intolerable side effects. However, at higher doses I suffered insomnia and panic attacks. I discontinued its use.

Growing more desperate to find something as effective as bupropion - which had given me welcome and much needed relief from my depression - I turned to a group of medications for treating Parkinson's disease. These had terrible side effects, including a period where I became narcoleptic. Clearly my self-experimentation had become risky and I even induced in myself pseudo-Parkinson's symptoms briefly, which mercifully went away soon after discontinuing my experiment with L-DOPA, without lasting damage.

You have to understand that it was my desperation to feel better after years of suffering with depression and low mood, which drove me to take these risks and use myself as a human guinea pig. Given how suicidal I had been, there was only upside for me - if I died, that was likely to happen anyway through suicide; if I felt better - even briefly - then I had succeeded.

Through a tabloid newspaper, I became aware of legal highs. The tabloid newspaper's sensationalistic coverage of the legal highs was a great advertisement for something I hadn't known about or tried before. I was ready and willing to experiment with legal highs, given that I had already exhaustively experimented with all the medications I could lay my hands on.

The very first legal high that I obtained was bk-MDMA, also known as methylone. This chemical cousin of MDMA - also known as ecstasy, Molly, Mandy, X etc. - had similar properties but lacked a lot of the telltale giveaway side effects of MDMA, such as jaw-clenching and other involuntary mouth movements known colloquially as "gurning". Its mildly stimulating effects restored the energy and enthusiasm for life that had been stolen from me by depression - it was instantly curative, which is everything I'd ever hoped for.

bk-MDMA was made illegal in the UK in April 2010, but thankfully I was not addicted to it. No plan had been made to help any of the people who had become addicted to the legal highs, which overnight became illegal highs. No detox and rehab places had been made available. No medical support was available. No addiction counselling had been made available. Nobody thought about what would happen to all the people who had become addicted to substances that were completely legal one day and illegal the next. I was one of the lucky ones - I was able to abruptly stop taking bk-MDMA, but of course my depression then returned with a vengeance.

After 2010 followed a period of cat-and-mouse where those people who were addicted, or like me were self-medicating using legally available substances, were then driven out of dependency - not through choice - to then seek an alternative, which global free-market capitalism was only too happy to provide. Out of desperation, I obtained and experimented with every legally available substance I could obtain, in order to treat my medication-resistant depression.

Sadly, during this time I experienced total burnout due to the demands of my business, the collapse of my marriage and subsequent divorce, and other factors which put me at risk of addiction. In this perfect storm, I was careless and ended up experimenting with a substance which all my research had told me was exceptionally risky and should be avoided. Out of desperation I tried a substance I said I never would. It turned out to be fiendishly addictive, even though it was legal.

The cat-and-mouse game of making substances illegal - criminalising the unfortunate addicts caught the trade war - had absolutely nothing to do with health and public safety... I was one of the victims finally caught me in the net and criminalised, through no fault of my own. I had an addiction to a substance that had become illegal overnight, with nothing put in place to help me escape addiction's vice-like grip. No detox, no rehab, no treatment, no legally prescribed substitute, no medical advice, no support, no guidance, no nothing - I just woke up one day, and I was a criminal. I was wilfully and knowingly criminalised by my own government.

My attempts to stay on the right side of the law are documented above. Pictured are legal high packets of substances that could be legally bought until as recently as 2016. These could be bought in shops or via the internet. I attempted to find a legal substitute, so that my addiction did not make me a criminal, but even this route became barred to me. Addictions do not respect the law, just as much as you cannot make a law that says "all people called fred must by law become dogs" and POOF! suddenly all Freds magically turn into a dog - that's wishful magical thinking. One cannot simply legislate to get rid of addiction - addiction is an illness and it needs to be treated.

I'm not pro-legalisation. I don't think that all drugs should be legal. I think that drugs are dangerous. However, it's clearly immoral to criminalise an addict.

If I was committing crime - such as theft - to fund my habit, then I agree that those crimes have been crimes for a very long time. However, what is my crime? What crime did I commit? How did it come to pass that I'd become a criminal, with no opportunity to avoid it given my dependence on the substances in question?

The police, using their discretion, saw fit to caution me on multiple occasions for the same offence - namely possession of a controlled substance. Normally this wouldn't happen and breaking the law for a second time would automatically lead to prosecution, but perhaps the Crown Prosecution Service saw that as a test case, it would have set a disastrous precedent for their new laws.

The New Psychoactive Substances act of 2016 hinges on the central word: psychoactive. In order to obtain a conviction, it must be proven beyond reasonable doubt that the substance deemed illegal is in fact psychoactive. However, as anybody who has read the mighty tomes Phenethylamines I Have Known and Loved and Tryptamines I Have Known and Loved by Alexander Shulgin, will know that it's impossible to predict which substances will be psychoactive and which will not, without experimenting on a human test subject. Ethically it is not conscionable to experiment on humans, purely for the purposes of obtaining criminal convictions, but it's the only way that a conviction could viably stand under the government's new law - otherwise the test of beyond reasonable doubt cannot possibly stand because the burden of proof has not been met to prove the psychoactivity of a new and novel substance.

Today I'm clean and substance-free, but I have police cautions which will remain on record for life, and will not be 'filtered' until 6 years have elapsed, which prevents me from working in jobs which require an enhanced level of background checks. I cannot, for example, use my outdoor pursuits instructor qualifications to teach children to rock climb, abseil, sail dinghies or walk in the mountains. I leave it to the reader to decide whether my punishment is commensurate with my crimes, and what danger I pose to the general public.

I take a huge risk writing about this so publicly, but I feel that it's more important to publish this information than it is to maintain my privacy and anonymity. I feel sorry for those who, like me, have been criminalised by a government that doesn't give a damn who's victimised by their legislation, and whose lives are consequently ruined. I'm very lucky that I don't have a criminal record. Others have not been so lucky, because they are not so well educated and informed as me - they're vulnerable.

Drug addicts will always be a convenient scapegoat, because they're weak and vulnerable. I hope that in telling my story, you can see that addicts aren't evil, immoral and lacking in willpower. Our circumstances dictate the outcome - we don't make our choices freely.

Tags: #addiction #drugs #legalhighs

This is a story about triggers...

Having money burning a hole in your pocket is thought to trigger relapses, but I think it's the period of poverty that precedes it that causes the problems. Flush with cash after such a long struggle trying to make ends meet and not go bankrupt, who wouldn't be flooded with relief and be significantly affected by such a rollercoaster ride? Our boom and bust, feast and famine world is highly destabilising to our mental health.

Back in September I found myself jobless, homeless and without enough cash to afford to rent a place to live and support myself for long enough to get to payday. Mercifully a friend managed to get me a job in Warsaw in the nick of time, and I was just barely able to afford to be able to live in AirBnBs until I got paid - I escaped bankruptcy with just £23 left in my bank account the day before my pay finally started to arrive.

Back in February I had to buy a car so that I could get to my new job, tax it and insure it. That nearly wiped me out.

Back in March I had to rent a place to live, and paying the first month's rent, deposit and letting agent fees again nearly wiped me out.

I've spent April praying that nothing goes wrong - that I don't lose my job and that my car doesn't break down. I couldn't afford any unexpected bills - I've been running on fumes, although it wasn't quite as bad as when I got down to my final £23.

My financial distress dates back to December 2016, when the Christmas and New Year period delayed me from getting back into work, and by the time January arrived I was very unwell - I spent 3 weeks in hospital on dialysis and promptly lost the job I'd just managed to get. Things got worse and worse, peaking in July when I had a very large tax bill to pay and I had to leave my apartment in London because I could no longer afford the rent. Out of desperation I took a job in Manchester, which turned out to be disastrous - I didn't know anybody in Manchester and my entire life was in the hands of a company which ended up treating me very badly indeed. I tried to commit suicide.

Working in Warsaw and London during December, January and February, meant I was incurring a lot of expenses, with flights, hotels, train travel, AirBnBs and the other costs of living out of a suitcase. I tried to live off pot noodles and other things that can be prepared without a kitchen, but economising can become impossible when you have to travel around from place to place - I had to re-buy all the things you generally keep in the kitchen cupboards, or carry food around with me without the contents of the open containers leaking and turning everything into a horrible mess.

Finally, I managed to rent an apartment but it didn't have a single saucepan, plate, glass, mug, utensil or cutlery item, let alone all the other myriad things which make a house a home, such as toilet brushes and a million other things you take for granted.

To go on the journey from having less than nothing, to re-entering civilised society and having enough money to keep the wolf from the door, has been extremely stressful and exhausting. I'm still in the process of setting up my standing orders and direct debits so that the council tax, TV license, gas, electric, water, sewerage, broadband and all the other various utilities can be paid regularly every month. I'm still in the process of re-stocking the cupboards with all the things that are needed for daily living.

Yes, my situation seems to be rapidly improving, but there's still so much work to do and I'm still a long way from being comfortable and having a financial cushion in case there are any unexpected problems - there are many more sleepless nights ahead.

I don't mean to moan, because I'm very lucky - things have gone my way and finally getting paid some of the money I'm owed today has a big positive impact on my life. I can loosen the purse strings a little, although I still have to be very careful.

There is of course an impulse to go mad now that I'm a bit more financially comfortable, but that's a reaction to the relief I'm feeling, after so many months of having the threat of bankruptcy, homelessness and destitution hanging over me. My main impulse is to draw the curtains and not get out of bed for a month, because I'm so exhausted and emotionally drained after such a horrible rollercoaster ride.

Because of the way I get paid, I'm not expecting another payday for another couple of months. If I can make it to the next payday it'll be a huge milestone and I'll very definitely be on the road to recovery, but I still have a very challenging time ahead of me.

I hope you don't think I'm moaning. It's always a good day when you get paid.

Tags: #homeless #debt #money #economics #capitalism

This is a story about primary care...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Tags: #nhs

This is a story about being functional...

In every supermarket, corner shop, convenience store, licensed café, restaurant and in vast numbers of bars, pubs, clubs and other establishments where people gather to spend money and socialise, there is always alcohol on sale. Alcohol is ubiquitous. It's always possible to get cheap booze quickly, wherever you are - you're never further than a short walk and a couple of quid away from intoxication.

The weather in the UK is pretty miserable. We get hardly any snow, and there's only a couple of mountains that have a ski lift - it's quicker and easier for me to fly to France, Austria, Switzerland or Italy, than it is for me to drive all the way to Scotland, where the mountains aren't very high and the snow's really poor. The pleasant months of weather in the UK are May through to September, and the rest of the time it's grey and overcast; drizzly and thoroughly miserable. Our summers are often plagued by rain, although the weather is at least pleasantly warm by British standards, but don't forget your brolly even in August. It's enough to drive anybody to drink.

Our little island is quite overcrowded. The industrial revolution led us to abandon our rural lifestyle and move to the cities, seeking our fortune. Our cramped towns and cities have rows and rows of terraced worker cottages, which are too small to comfortably accomodate a family. As our social fabric disintegrated in the 1960s and 1970s, we built brutalist concrete monstrosities, very similar to Soviet-era blocks, which could house vast numbers of people who serve no useful economic purpose in the age of robotics, technology, automation, IT and the boom of the service industries. The vast majority of Britons are struggling to just-about-manage on god-awful estates, some of which were built by councils as social housing, and others were built by a handful of massive property developers. Estates comprise huge numbers of cheap and nasty houses built on the outskirts of dismal towns, which were already struggling to provide the necessary infrastructure to educate, transport, entertain and look after the health of local residents. We have not scaled well.

Overcrowding has reached such problematic levels, that cities such as London, Bristol and Manchester have no-go areas, where drugs, guns, knives and prostitution are the backbone of their black-market economies. In those areas predominantly populated by people who are considered economically redundant, there is little hope of escaping poverty, except by selling drugs or selling your body. Gangs compete for their turf, and violence is rife.

Meanwhile, we have seen the rise and rise of the bullshit job. While the economically redundant are given a pitiful state handout and left to rot on their council estates, the 'cream of the crop' will be able to study at university and obtain the necessary academic credentials to get a job that's completely unrelated to their field of study, which will mostly involve pointless boring meetings, Excel spreadsheets and a ridiculous volume of emails about absolutely nothing. The service industries produce nothing - no real value to the economy, no productive output - but they account for 85% or more of the so-called economy. Paper gets shuffled around in increasingly elaborate ways of obfuscating the fact that nothing of any importance is being done. Our smartest people are very busy doing nothing... and the smarter ones quickly figure this out and become quite disillusioned with the whole sham.

All of these things contributes to a toxic environment which makes people depressed, demotivated, stressed, anxious, but horribly trapped by their mortgages, car loan repayments. Despite stress and exhaustion, there persists a futile and flawed belief that if we only work hard enough, we'll be able to elevate ourselves from our dismal situation and build a better life for us and our family. When the workers eventually realise that life in the UK is a massive con, and we're going to be stuck in our dead-end job that we hate until the day we die - and our children are going to struggle just as much, if not more - then we need vast quantities of antidepressants, anxiety pills, tranquillisers, sedatives - and alcohol - in order to allow us to ignore the horrible situation and carry on functioning. Our nation is packed full of functional addicts.

Alcohol is used because of its ubiquity. It's self-medication that's available on every street corner. The proportion of the average family budget that gets spent on alcohol, versus food, is quite staggering - alcohol is the glue between the pooh... the only thing that's allowing people to carry on being functional in such a toxic environment; under such a hostile conditions.

Alcohol is the cause of so much obesity, as well as the other health-damage that accompanies its chronic consumption. If we really cared about people's health, we wouldn't bully and hector them to give up their crutches, but we would instead improve the quality of people's lives. If we make the world a less depressing and stressful place, we'll see alcohol consumption levels naturally drop.

I hate that I have to drink, just to get through the working week. I hate that I'm using a really fattening and health-damaging drug to salve my stress, and to help me to cope, but it's freely and readily available without having to see a condescending, patronising and unhelpful doctor, who has no sympathy and compassion for the day-to-day struggles of the proletariat. Doctors enjoy a position of high social status and an income that is many times greater than the average wage - they have no idea what life's like in the real world, for ordinary people - and while my overall experience with doctors has been a mostly positive one, the elites completely fail to grasp the awfulness of life for ordinary people, and fail to sympathise with the plight of the just-about-managing struggling masses.

Our doctors are trained in acute medicine - disease and injury - and are not succeeding at treating the chronic conditions that arise from the current economic climate, which is so toxic to mental health. Instead of lecturing, hectoring and bullying people because they use alcohol, cigarettes, coffee and drugs to be able to cope, our medical community needs to recognise that people are driven to use substances because of their intolerable living conditions. The mental health epidemic and scandalous suicide rates are all the proof we need that the model of medicine which dished out bucketloads of antibiotics is not succeeding in saving lives, when it dishes out bucketloads of antidepressants - clearly it's not working and suicide and mental health problems are the number one public health issue we're facing.

Having access to a fast-acting drug which can help when the stress levels become unbearable - when life becomes unliveable - is vitally important for a society that wishes to treat its people with some degree of sympathy and compassion for their plight... people need something to ease their suffering.

I think alcohol is a terrible drug, and I pity those who have become addicted to it, but it's plain to see the reasons why people drink too much, and it's not that they've got 'addictive personalities' or they lack willpower - it's that their lives are fucking shit and they've got to find a way to cope.

I wish I could quit alcohol, but how would I cope without it?

Tags: #alcohol #addiction

This is a story about disguise...

Far sooner than I expected, I've reached a point where at least one work colleague has found my blog and I'm also facing the possibility that I might have to undergo further security vetting, which may reveal the double-life that I lead.

I don't really lead a double-life, because my name is plastered all over the pages of the internet and I make no attempt to hide my identity. Nobody asked me about my mental health. Nobody asked me any questions about my rather turbulent ride that brought me to this point. I haven't told any lies, or even been economical with the truth. The truth is that nobody's really cared about what's gone on in my personal life, because I always do a good job and deliver high quality work on time.

I am facing a bit of a difficult decision. I might have to go through a whole load more gatekeepers and submit myself to a load of horrible scrutiny, in order to keep progressing with my career, and to get a bit of security and stability in my life.

I'm loath to delete my Twitter and Facebook accounts and take down my blog, because then I lose one of the most important parts of my life - my digital identity and my personal brand, which I've cultivated for the purpose of what, I don't know... but it's extremely good for staying afloat when my mood has been unstable and my life has been smashed to bits; I've been through some very rough times. Who would I be without all the people who I can stay in contact with via my blog and social media? Who would I be if I just had my job and nothing else? I'd have nothing to fall back on if my day job wasn't going well, for whatever reason.

I work a full day in the office, and then I come home and write. I suppose you'd say that writing is my second job, but in fact I put far more effort and energy into my writing than I do in my day job. I'm not lazy or idle in the office, you have to understand, but it requires so little brain power and creativity. I think it'd drive me nuts to not have a creative outlet which I can plough all my excess effort into.

Things are going well at work. I've been well received by my colleagues and the bosses are pleased; the client is happy. The projects I'm working on are going well and I'm making a useful contribution - I'm an asset to the team.

It seems dumb to take a chance. Surely it's insanity to risk getting sacked, by writing candidly about my mental health problems, and about the difficulties I've had during the last few years. To risk my livelihood; my income - that's nuts, right?

It was too exhausting to live a lie. I tried to cover up the fact that my mood fluctuates up and down. To try to pretend like I'm a perfect corporate drone who can plod along and be a steady eddie was making me sick. Far too much effort was expended by me, trying to shoehorn myself into a job that was made for an unambitious mediocre plodder, who can get up early and go sit at a desk achieving precisely nothing for 45+ years, until they retire. Yes, it's arrogant and primadonna-esque to presume that I'm capable of doing and achieving anything noteworthy, but it doesn't suit my personality at all to get some dog-shit job and then cling onto it with my fingernails for over 4 decades, doing very little. It makes me sick, being held back and thwarted by the plodders. I'm not made for plodding.

Of course, boredom is profitable and it's healthy for me to pace myself. I've found a happy medium at the moment where I work hard in the office, but I leave early every day and I don't take things too seriously - I'm not getting too absorbed in my work. I work to live, not live to work, and that's healthier.

So, I could tear down my digital identity, because it's soon going to become career limiting. Sooner or later somebody's going to take me to one side and say "errr... about your blog...". I'm not going to back down though, because I'm not doing anything wrong - I'm not breaching my code of conduct, acting unprofessionally, talking about anything confidential, risking security, privacy or anything else. All I'm doing is writing truthfully, openly, honestly, transparently and candidly about who I really am about what makes me tick.

It'd be a shame if who I am became career limiting, because I really can do my job, and I can do it really well. I hate that we're asked to pretend to be somebody that we're not, just to conform and earn money and get ahead in our careers. I hate that organisations have that power over us.

Tags: #career #privacy #socialmedia #writing

This is a story about getting fat...

In December I started a lovely little self-contained project. I flew to Warsaw to gather the requirements from the client and then I flew back to London. I was living in AirBnBs and travelling home to Wales every weekend. I was living out of a suitcase, but it was OK because I was busy getting on with my project.

Then I finished the project.

The project was only supposed to take 6 weeks, but I finished it in 3. I spent another 3 weeks polishing the finished result and adding every bell and whistle I possibly could to create a completely spectacular Rolls-Royce solution, but then the project was well and truly finished and there was nothing left to do.

The team I was working with were based in Warsaw, and I was based in London. I had nobody to even chat to in the office, to while away the hours. I was bored out of my mind. The client was quite happy for me to sit around doing nothing, and he even wanted to extend my contract for a further 6 months beyond the original 3 months, but I was losing my mind with the boredom.

To cope with the boredom, I started to drink. I was drinking heavily. At one point I was drinking 2 bottles of wine a night, every night.

At the start of last September I had a benzo habit that had gotten out of control. I was taking several Valium and Xanax every day, and then a couple of zopiclone and zolpidem at night, plus a whole load of pregabalin. All those medications are GABA agonists, which is to say that they're hypnotic-sedative/tranquilliser type drugs that all act in the same way... very similarly to alcohol. I was physically addicted to those medications and if I stopped taking them then I would have a seizure that might kill me.

By the time I started that project back in December, I had managed to quit the Valium, Xanax and zolpidem. However, I had stopped but then started taking the pregabalin again because I was so stressed out by the travelling and the new job, and the fact I was homeless and rapidly running out of money. The pregabalin soothed my jangled nerves during the day, and the zopiclone helped me to sleep at night. With the combination of those two medications, I was able to limp through that 3-month contract in London.

I drank a lot when I was in London because I was bored and I was withdrawing from the benzos, and I hated the job because I was so isolated and lonely, and I hated the travel and the AirBnBs. I was suicidal A LOT of the time.

Along with the drinking, I got into bad eating habits. I would have fried chicken from KFC and burgers from McDonalds. I would have greasy curries and fatty kebabs. I lived on fast food and vast quantities of wine. I really let myself go, because I hated my life so much and it was so unbearable.

In January I decided that I needed an incentive to quit the London life and base myself in Wales full-time, so I started dating. I met a lovely girl who enjoys eating out, getting takeaways and drinking wine. We've had a great time, eating, drinking and being merry.

Now I'm feeling fat.

My girlfriend and I have stuffed our faces with fine food and wine for the last 3 months, and I'm feeling fat and unfit. I've had a brilliant time, but I've really let myself go. I've stuffed my face without a single ounce of restraint.

There's a canteen at my new workplace, and I stuff my face with chips, burgers, pizza, burritos, pies and numerous other incredibly unhealthy foods, every single lunchtime. Gone are the days of my relatively healthy lunches that I used to have in London. My lunches in Wales are nothing but carbs, carbs and more carbs.

All the money I've earned has so far been spent on living expenses. I'm running out of money, although I should get a much needed cash injection early next week, which can't come soon enough, because it's been really expensive getting myself back on my feet - renting an apartment and buying a car so I can get to work. It's been really stressful, having the threat of bankruptcy hanging over me for so long. It's been so stressful being so short of cash.

Because of the unbearable stress, and the dreadful withdrawal that I've been through from stopping all those highly addictive tranquillisers and sleeping pills, I've been compensating with comfort eating and alcohol. I've been drinking bucketloads and eating far too much. I've put on weight, and I'm depressed about that - it affects my self-esteem.

Hopefully, money will come flooding in next week, and I'm booking a holiday for mid-June, which can't come soon enough, because it's been a ridiculous 21-month slog without a holiday to get to this point, and I still have a month and a half more to go before I finally get a nice break.

I'm using alcohol and food as a crutch, because I'm not taking any medication and I'm not taking any time off work. I'm stressed and exhausted, and the thing that's suffering is my health; my weight; my appearance. It depresses me that I've let myself go, but I've been dealing with more than I can handle. Frankly, it's a miracle that I've made it this far.

So, as if I haven't worked hard enough, I'll need to cut down my drinking, exercise more and eat less. That sucks. At least there's a holiday and summertime on the not-too-distant horizon.

Tags: #medication #weight #eating #food #health #mentalhealth #addiction

This is a story about neuroplasticity...

Who even am I any more? Am I the same person my friends knew 5 years ago, 10 years ago, 15 years ago? Have I changed beyond all recognition?

I suppose change is not important if you're happy with who you are in the present day. I wonder about who I've become. I'm very isolated and I'm so fixated on earning enough money to dig myself out of the hole I got in, that I'm not really making a lot of time for socialising or reconnecting with old friends. I don't speak to anybody on the phone. I don't speak to anybody via email. I only speak to a tiny handful of people via text message. I've got no local social network. There's hardly anybody I'm in regular contact with.

I had a very clear plan for a long time - get out of an abusive relationship, move to London and resume my career in The City. Moving, selling the house and divorce were horribly sabotaged by my ex and made unbearably awful, which derailed me. I ended up stuck in a never-ending nightmare cycle of getting sick, ending up in hospital, recovering, starting to get my life together, and then it all falling to pieces over and over again. I had one good shot at escaping from her, but she ruined it; she ruined me; she ruined my chance.

I woke up in hospital all on my own far more times than I care to remember. I was cut adrift. Nobody came to see me.

Then, a little over a year ago, one of my lovely ex-girlfriends organised a load of support for me when I was in hospital. I had LOTS of visitors and brilliant messages of support. That was amazing. That made such a big difference. That was a turning point.

Recovery is non-linear, and getting my life back on track back in London was impossibly hard. I needed to leave London, which meant a breakup with the aforementioned lovely ex-girlfriend. Nothing about that breakup was done right by me. Nothing about the situation was good. It was a big fat mess. Things got worse before they got better. Things got A LOT worse.

Between the seizures and the coma, I think that my latest suicide attempt reset my brain. I think all those seizures were like a kind of intensive Electro-Convulsive Therapy (ECT) for me. My life certainly started to improve versus the destructive cycle I had been caught in while living in London. When I tried to kill myself, I was hopelessly trapped. My suicide attempt broke me free from something I could never have escaped otherwise.

It's strange: two breakups and a suicide attempt led me to a better life, inadvertently. Through that destruction has come new life and more prosperity; hope.

I'm completing my 21st consecutive month without a proper holiday, and I'm exhausted and stressed, but I get up every morning and I go to work. Whatever's going on with my mental health, I'm very functional. I'm in a healthy happy relationship. I'm getting on well with my colleagues. I'm staying on top of my adult responsibilities - paying my rent & bills, keeping my car road legal, washing, cleaning, laundry, shopping, cooking and all the other stuff that caused me unbearable anxiety and difficulties last year.

I might be somebody completely different, but I'm still somebody. My personality might have completely changed, but I'm still me... just not the me I was in the past. If my work colleagues like me and my girlfriend likes me, and I'm a functional member of society, then what's the problem with me?

I'm paranoid that mental health problems are going to rear their ugly head, but it's been almost 8 months without incident. I don't want to get complacent, but that's a long time to be unmedicated as well as dealing with the horrendous stress of losing your home, losing your job, almost going bankrupt, moving house, moving city, starting two new jobs and everything else to boot. Looking at the evidence, I'd say that I'm one of the most mentally strong and stable people you're ever likely to meet, as opposed to an emotionally unstable lunatic, which you might wrongly presume from some of the stuff that happened before.

I think the lesson is that the brain is a homeostatic organ that's evolved to rapidly adapt to the ever-changing environment. If you trap me in to dreadful circumstances, I'm going to have a dreadful reaction - that's logical and reasonable; that's rational... a sane reaction to an insane world.

I do have my PTSD flashbacks - described as "Tourette's-like" by a close friend - and I do have to be extremely careful with my sleep, diet, stress levels and myriad other things, but my mental health problems are a risk not my destiny.

If I can just keep plodding through life, things will improve. Time is the biggest healer, giving my brain time to adapt.

Tags: #mentalhealth #ptsd #suicide #homeless #career

This is a story about re-living a nightmare...

Setting aside the when, how, who, what, why and any presumption of blame, guilt, morality, karma... I've been through a load of awful shit in the last few years. For longer than I care to remember, I've regularly had some very harrowing stuff happen to me. I don't care to recite the details because there are so many things - these things pop into my head randomly and they stab me like a knife in the guts. These flashbacks make me gasp aloud because the memories are so difficult to handle.

Periods of time that I've written about - like the Finsbury Park Fun Run - contain multiple distressing and traumatic events. For far too long, my life was a series of similar stressful and awful calamitous episodes, which contained everything from the mildly shameful, embarrassing and a bit surreal and ridiculous, to experiences that could pretty much destroy a person.

Of course, mental health problems and drug addiction have featured heavily, but my memory has functioned perfectly well and I've been fully conscious almost the whole time, experiencing the awful events and being affected by the trauma of it all.

Some of my experiences I've managed to integrate and cope with by telling the story, like I did with Finsbury Park Fun Run, and other experiences are bundled up into a great big ball of trauma, which I can sometimes laugh about, sometimes forget about, but memories are constantly surfacing and causing me to wince with pain, as if I was being physically stabbed with a sharp object. I screw up my face and I make an involuntary exclamation. I exhale and I mutter stuff under my breath to make it go away, which it usually does.

When I get an invasive thought, which is a memory of a traumatic moment that I'm struggling to cope with, I write down a little 1-line summary of what it is. If the thoughts keep popping up, then I write about them: I use my notes as a writing prompt, so that I can work through whatever trauma is bothering me the most. I'm writing as fast as I can, trying to stay on top of these negative memories that could easily drive me insane, or cause me to collapse under the sheer weight of them. I could easily kill myself, trying to escape the torment of these invasive awful flashbacks.

If you imagine a heroin addict who's having to resort to a life of crime to fund their drug habit, they'll be forced to commit a lot of acquisitive crime: thefts, robberies, burglaries, muggings, stealing off friends and family. That addict will have their morals completely corrupted by the need to avoid getting junk-sick, which means they'll probably have a lot of stains on their conscience. Shoplifting could be seen as a relatively victimless crime, because shops have insurance against theft, but burglaries have a lasting impact on the victim, because of the violation of their home. It's not that the heroin addict doesn't care, because they're evil and immoral, it's that the need for their fix is a primal urge that's far greater than hunger, fear, pain, or anything else you've ever experienced in your sheltered little life.

I've never been a heroin addict.

I've never committed any crime to get money for drugs.

I haven't even particularly had my morality corrupted by addiction, but I came close. I understand what it's like when you're in the grips of addiction. I can see that morality is relative, not absolute.

My own traumatic experiences come from being desperately sick and vulnerable. When you're sick and vulnerable, broke and sleeping rough, trapped into a life of addiction and health problems... you're constantly traumatised. My life had so many episodes of trauma, because I was trapped into such a destructive cycle.

You'd think that if things were really bad, you'd do something about it - surely the trauma I was experiencing was there to bump me back onto the right track; to get me back on the straight and narrow. Well, no not really. When you're trapped and vulnerable, you're pretty fucked. It's very hard to escape from such a vicious cycle.

Getting yourself off the drugs and off the streets is only the tiniest part of any meaningful change. What about the pre-existing mental health problems? What about the trauma?

The longer I spend in a safe and stable environment, the more trauma seems to bubble up to the surface. When I was in the vicious horrible cycle, there was no time to stop and think about all the awful things that had happened. When I was right in the thick of things, and barely surviving, I was far too busy staying alive to be bothered by the traumatic flashbacks.

Which came first? The trauma or the unhealthy coping mechanisms?

Definitely the trauma came first.

But the unhealthy coping mechanisms led to more trauma.

I got out of the frying pan, but I ended up in the fire. I got out of a horrible abusive relationship, but the destruction to my life - at a time when I was already really vulnerable and traumatised - was too much to handle. Things got a lot worse before they started to improve.

Today, my life looks much improved. Today, my life looks sorted and peachy. Today, you might be mistaken for thinking that I'm hunky-dory and A-OK, but it's not true... I'm not out of the woods yet.

I have no idea how I'm going to deal with everything and come to terms with what I've been through, but my healthy coping mechanism is to write. I write down the particularly traumatic things that I keep getting flashbacks about, and then I write down these little stories, which attempt to explore my feelings. I'm attempting to deal with all the horrible traumatic stuff in a way that lays it to bed; gets rid of it out of my brain and down onto paper.

I feel like I should tell you about some of the stuff that I'm dealing with, so you can see that I really have been through some horribly traumatic experiences that would cause anybody significant psychological damage. I feel like I want to list off a whole load of experiences that were off-the-charts in terms of how awful they were. However, I only want to do that because I feel unworthy somehow. There are people out there who've been through unimaginable trauma - is it a competition? Should I shut up, because there's one person out there who's had it worse than every other human being on the entire planet?

I'm not even going to tell you what it is, because this process can't be rushed. I've written about plenty of traumatic stuff, and it doesn't fix it or make it all ok suddenly. Even stuff I've written about still bothers me, but every time I write I feel like I'm making some progress towards a time when I feel I can cope; a time when these PTSD flashbacks won't be so aggressively invasive and hit me so hard.

If you think I'm being hyperbolic and complaining about nothing, you probably haven't spent any time in relaxed company with me. These flashbacks regularly assault me. At work, I can barely conceal the fact that I'm hit with these awful memories, which cause me to gasp, groan and wince. At home, I can't conceal it... my close friends and girlfriend hear me yell like I'm in physical pain, and worriedly ask "what's wrong?".

The brain is a plastic organ and it will heal itself. It takes time though.

Tags: #ptsd

This is a story about April 20th...

Cannabis seems harmless enough, but you're not in full possession of your faculties when you're stoned. You're not intoxicated, but it has an effect, otherwise why would you even bother to get stoned? Your internal experience does not correlate with others' perceptions of reality - you might feel fine and unimpaired, but there's definitely an effect otherwise you wouldn't bother getting stoned.

When you're a little kid and your parents drink and take drugs, you never know what kind of state you're going to find them in. Are they going to tell you to piss off because they're irritable and aggressive, because they're high on cocaine? Are they going to be excessively sleepy and monged out because they've been taking heroin or other opiates? Are they going to be dribbling messes spouting gibberish, because they're stoned out of their trees? Then, there's the comedowns and hangovers. Are you going to get your head bitten off, because the drugs have worn off and they're feeling shitty? Are you going to get an unjust telling off, because they're like a bear with a sore head, blaming you for everything?

Then there's the emotional unavailability.

When your parents are druggies and alkies, they're emotionally unavailable most of the time, because your parents are seeking drugs and trying to get high and intoxicated, instead of getting on with normal family life. Instead of having cuddles, they're getting high. Instead of having hugs, they're getting high. Instead of having all those myriad little moments of love and affection, they're completely absent in the family home, because those druggie alkie parents have checked out - they've left reality.

I'm sure my parents thought - in their heads - that they did a wonderful job. Through the druggie alkie haze, their version of reality has been corrupted. Their imagination is what they remember, not the day-to-day reality. I was the one who was clean and sober. I was the one who bore witness to everything that went on, without having my brain addled by mind-altering substances. My memory is perfect. My perceptions are as close to reality as it's possible to get. I saw and I remember.

I understand addiction, because I saw it from a young age. I not only witnessed my parents' addictions but also had to breathe their second-hand smoke in confined spaces, which meant that I suffered repeated exposure to nicotine and drug smoke, at high concentrations. No effort was made to shield me from the effects of passive smoking. No consideration was paid to the health risks to me. If you smoke, your child smokes too.

My parents boasted about not being addicts. I very distinctly remember my mum boasting about not being addicted to heroin. It was the usual "we can quit anytime we want" bullshit. It was the usual denial in the face of overwhelming evidence.

It might be tempting to say that their drug abuse was relatively harmless - they had things under control; they were functional. I don't think that's really true though, when you're spending vast sums of money on drink and drugs, while there's no money for other things. I don't think it's true that it was harmless, when there is undeniably health damage from drink and drugs, and you're passively inflicting that on your children, who have no choice in the matter. I don't think that it's fair to say it's harmless, when you're normalising drug-taking behaviour and teaching your children that it's fun to take drugs; that drugs are cool.

Taking drugs is not a counter-cultural statement. Taking drugs is not a ticket to alternative society. Taking drugs is not a political protest. Taking drugs is not cool. If you think you're more of a cool person because of the kind of drugs you take, you're an idiot. If you take drugs and you let that affect your children, you're a disgusting person.

Cannabis seems mostly harmless, but it's been responsible for so many people having mental health problems, who otherwise would have been OK. Cannabis seems mostly harmless, but so many years of people's lives have been lost, sitting on the sofa dribbling and talking complete gibberish. Cannabis seems mostly harmless, but so much youthful energy has been sapped; so many revolutions averted; so much time wasted, sitting around doing absolutely nothing that's useful or productive, because of being stoned.

Smoke cannabis if you want, but I'll think of you as a bit stupid for doing it. It's up to you - make yourself deliberately lazy, unimaginative and dumb on purpose... see if I care.

Tags: #drugs