This is a story about making new friends...

How does one set about rebuilding the web of human relationships which are so integral to our lives; so important for our happiness and wellbeing? How do we arrive in a strange new city where we don't know anybody and set about making friends and filling up our "little black book" so that we can have sex when we need and want to?

We don't really talk about the grubby business of ensuring we have a steady supply of intimacy, but we all do it. Every man and every woman has their strategies and their relied-upon individuals, who can supply a "booty call" when required. We form relationships which serve as backups and others which serve as the main source of our need for cuddles and fucking. We might think of ourselves as loyal monogamous people, but we are all strategising. We are in relationships because we are getting something out if it.

I'm not so sex-obsessed that I think that sex is at the root of everything, but intimacy is a very important part of human needs, along with the ego rub that we get from being desired. Even if we're not actually having sex, we get kicks from knowing that somebody's interested. We need to feel acknowledged, even if it's something ostensibly platonic. We want somebody to pay attention to us; to crave our company.

Modern life has reached a point where I can arrive in a new city, move into a house, travel to work, shop for groceries and I can live in complete isolation. Nobody will knock on my door and introduce themselves as my neighbour. Nobody will stop me in the street and start talking to me. Nobody will notice that I arrived and nobody would notice if I was gone. I could live as a completely reclusive hermit in the centre of a busy city, surrounded by people.

It would be unusual for me to interject myself into anybody's life. If I started talking to strangers in my local supermarket, people would think I've gone insane. People would assume that I'm some sort of con artist or a would-be axe murderer. Random conversations with people in my local community is not the modern way to start making friends.

Book clubs, salsa dancing, sports teams and other such things are a safe way to meet people, but one must feign interest in the thing in question in order to make those acquaintances. I don't particularly feel like playing 5-a-side football or reading a book, in order to make friends. I'm not sure how else to set about the task of meeting anybody though, in a manner which is likely to lead to friendships.

Online, people just seem to find each other serendipitously. I have no idea how social networks form online, but I know that meaningful lifelong friendships sprout from online contact. However, despite the tentacles of the internet reaching globally, the chances of meeting somebody in the same town are quite small. From all my thousands of Twitter followers I've probably only met 4 people in person, and only 2 were ever in roughly the same geographical area as me.

I have friends who met the love of their life on Skype. I have friends who met the love of their life on websites you've probably never heard of, like faceparty or some other forerunner to the dominant tech giants of today. I know of people who've had affairs with people who they've met on Facebook.

It would be unusual if I didn't use technology to meet people.

I suppose I've been hesitant to dip into the world of tech, because I wanted to get a little bit settled in everyday life before I played my ace card.

The temptation to use dating apps is enormous. In a dense urban area there are a staggering number of lonely people looking to connect. Dating apps - whether you like them or loathe them - have become a ubiquitous part of modern life. It seems that a staggering number of people maintain a presence on a dating app for a very long period of their life, perhaps never even deleting their profile despite seemingly achieving the stated aim of the apps, which is to meet somebody and start a relationship. It seems like people struggle to cope without the dopamine hits of getting matches and receiving messages. How are we supposed to switch modes from having a dizzying array of faces at our disposal to swipe, and the possibility of multiple conversations and competing love interests, to then enter the stable and routine world of just dating one person in a monotonous monogamous heteronormative stable relationship?

Personally, I have my fill of online interactions every single day, so I find online dating to be a chore. I view online dating as a means to an end and I'm glad when the ordeal is over and I've met somebody. I'm glad to be in an exclusive committed relationship. I do not enjoy any part of the dating experience.

I flicked the switch.

I'm back in the game.

Because of my propensity to throw myself into any task with great gusto, I'm not wasting any time. I am treating the dating game as a campaign. I am waging war on womankind in single-minded pursuit of a new love interest. I am utilising every ounce of my skill and energy which is usually reserved for juggling multiple conversations with people around the world in different time zones, to maximise my chances of finding a special somebody and minimising the amount of time wasted on an unpleasant search.

It places colossal demands on me, having set myself an aggressive target like this and pursuing it so relentlessly, but the results that it yields are astounding. I can have more conversations with people in a 5 mile radius of my home in the space of 24 hours, than I could hope to have in a lifetime of waiting for cupid's arrow to work its magic. I have moved from a place of despair - feeling incredibly alone - to feeling as though I made a good decision in moving to the centre of a capital city. I can sense great potential in this place, and this technology - these apps - have put great power into my privileged hands.

I'm not a dick. I'm not looking to have one night stands or hookups or find a friend with benefits, or any of those other vulgar things. I'm simply a lonely new arrival in a city, single and looking for love. Perhaps not even expecting to find love... just glad to be making connections with local women. I've played my ace card and I have not been disappointed, although the battle rages on and no victory is in sight.

I am now off to meet two people in a pub, which is a considerable improvement on staying alone at home, which is what would have happened if I hadn't started using a dating app last night. This is a big deal in my life, which is so lacking in face-to-face social contact, lacking in local friends.

Tags: #sex #relationships

This is a story about flashbacks...

Once upon a time I was in love. Once upon a time I lived in a place where I knew lots of people. Once upon a time I lived somewhere familiar that I called home. Once upon a time I was in the Goldilocks zone: everything was just right.

It often looks as if I start worrying about things too far in advance. I remember I was very anxious about getting another job during the winter of 2016/7. I had money in the bank to pay my rent for many months. I had the financial support of my girlfriend. Really, there was nothing to worry about, but I didn't feel secure.

Nobody could have predicted that I'd get a blood clot in my leg, causing a lot of damage to nerves, blood vessels and muscle, which would trigger my kidneys to fail. Nobody could have predicted the consequent need for dialysis and pain medication.

For sure, I contributed to my own problems, but then the problems multiplied all on their own. It was my fault that I got more sick, didn't get a job and broke up with my girlfriend. Having to leave my home and move to another city was something I already predicted and worried about. Getting into financial difficulties was something I was already losing sleep over. My luck ran out in the end.

There was unimaginable stress and effort required to move from London to Manchester, Manchester to Swansea, Swansea to Cardiff, and stave off bankruptcy. There was an incomprehensible amount of trauma caused by breaking up with the love of my life - even though I instigated it in my madness - and leaving the city which held almost my entire social support network.

Mental health problems, alcoholism and drug abuse added to a toxic mix of moving house, moving city, moving jobs and never putting down any roots. I never felt settled anywhere.

The net result is that I've had to emotionally shut down. The person who I present to prospective employers, prospective landlords and other gatekeepers, is a calm, collected, well-dressed, polite and well-spoken individual, who appears to be handling everything quite well. Without this document, people would be very puzzled and surprised to find that I'd committed suicide. "He looked fine" people would say.

Nobody's really close enough to see the inner anguish and turmoil. Nobody's really close enough to see my mask slip. For sure, I write and publish every day, but my readers are scattered all over the country. At the weekend I saw two close friends, but the previous time I'd seen a close friend had been 5 months ago.

5 months!

Can you imagine that?

Picture yourself pretending like everything is A-OK for 5 straight consecutive months, without a shoulder to cry on and the comfort of opening up to a close friend. Picture yourself being surrounded exclusively by your work colleagues and other people who you need to put on a brave face for, for 5 long months.

My life is very odd. I saw old friends in Portugal, in the gastropub next door to the hotel I lived in, in Prague and near Bristol. I count four occasions when I saw old friends, in the space of a year. That's a staggeringly lonely and isolated existence.

My entire existence revolves around my attempts to avoid gaining a black mark against my name - bankruptcy - and being evicted from the privileged part of society which I'm fortunate enough to be part of. For 5 years I've attempted to muscle my way back into civilised society, while the demands of capitalism have wrestled me to the floor and punched me in the face repeatedly.

My approach to life is very simple: work hard and earn more money that I spend. On paper, it's easy to calculate how long it will take to get myself back in the black. Theoretically, it should be easy for me to restore health, wealth and prosperity to my life.

In reality, I've had to suspend almost everything 'human' about myself and become a robot.

I don't have the time or the money for feelings.

Everything feels very wrong, but conceptually it's right. My feelings tell me that things are painful and unbearable, but on paper I must bear these things, because on paper it's clear what the benefits are. I do not feel any benefits. I very much feel all the horrible unpleasant things. I force myself to live with the intolerable, because it seems logical in theory.

Look around: life seems to be about earning money, paying bills and then dying. I'm making a very passable imitation of those I see around me.

I would desperately like to switch off my feelings, switch off my brain, and just wake up in a year or so when this unpleasantness is over. I'm paid to sit in a chair not saying anything, so it would be very nice if I could be put into a kind of suspended animation, so that I'm unconscious while sitting in that chair. Wake me up when the sitting is finished.

Something unlocked some feelings for the first time in a very long time, and I found myself crying a little bit last night. I cried about breaking up with "the one who got away". It's strange that those tears are almost 2 years overdue. I didn't really cry very much. My feelings are kept very well subdued - the lid is kept on that jar very tight.

I think about the ease with which I could calmly get a sharp knife from the kitchen drawer, walk upstairs to my bathroom, draw a warm bath, immerse myself in the water and open some major blood vessels with the blade. I know how unhesitatingly I would act, once making the decision. I know how little doubt or anxiety would trouble me. I know I wouldn't call anybody or otherwise raise the alarm.

I suppose I could give up the other way. I could allow myself to be ejected from the privileged part of society. I could refuse to partake in the rat race anymore. I could allow my card to be marked and my name to be tarnished. I could let the circling vultures swoop in. I suppose it might actually be more pleasant than the sitting in the chair, quietly doing nothing, just waiting, while in agony.

Regret is the problem.

I cried because I lost the love of my life and it was clearly all my own fault. I cried because I was in the Goldilocks zone but I sabotaged it all. She was just right - not too hot, not too cold - and so were many other things in my life at that time, but I threw it all away.

I don't particularly feel regret, because I don't particularly feel anything. My feelings are all bottled up. There's no time or money for my feelings.

It's been a long time since I cried, but I did cry a little bit last night.

Tags: #relationships

This is a story about refusing help...

If you spend enough time with general practitioners, general psychiatrists, specialist consultant psychiatrists, registered mental nurses, specialty doctors and all the very many other mental health professionals who are part of inpatient and outpatient clinics, community mental health teams, crisis teams and all the other apparatus which is supposed to treat mental health problems, one begins to realise a rather unsettling truth: there aren't very many treatments and they don't work very well.

Psychiatry is a young branch of medicine and it doesn't have a lot to crow about. Since the days of asylums and lobotomies, psychiatry has been dogged by scandals, including the extrapyramidal side effects of medications which have left patients with lifelong irreversible unpleasant problems. The data do not show encouraging outcomes. In fact the outlook is dismal and appears to be worsening as the toxic conditions which create mental health problems, seem to be intensifying. Rates of depression, anxiety, eating disorders, OCD, autistic spectrum disorders, attention deficit and hyperactivity... these are all soaring. Treatments are not effective and vast numbers of people are condemned to suffer with their illnesses AND the side effects of the medications.

I've been lucky enough to have access to private medical care, at times, and even with the very best professionals and medications, there is not a vast difference between what's available from the public healthcare system. It's all pretty crap and it doesn't work very well.

This is not a damning indictment of those who dedicate their lives to trying to treat mental illness, but simply a cold hard rational analysis of the facts.

The conclusion I've reached has been that there's an over-medicalisation of non-medical problems. The bulk of my problems have stemmed from the collapse of my relationships. I got divorced. I am estranged from my family. I've been forced to move to cities where I have no friends - no social support network - in order to work jobs which have been unsuitable for my health. I have the enormous pressure of having to work full-time, to pay rent, bills and service enormous debts, which is unbearable for a person who's having a crisis.

My mental health would be vastly improved if I had a partner, a social support network of local friends, financial and housing security and a job with reduced hours, until this crisis is resolved. Healthy diet, sleep hygiene, exercise, sex, physical affection, sunlight, fresh air, social contact, hobbies and interests... these things are all essential for human wellbeing. None of those things can be prescribed by a doctor.

During the worst days of my addiction and rough sleeping, I noticed that my fellow homeless alcoholics and addicts were not without some routine and social lives. Romantic relationships are not the exclusive preserve of those who live in houses and have jobs. The life of a homeless drug addict might be chaotic to the outside observer, but a less prejudiced analysis reveals no less structure, no less need for comfort, no less humanity. Those who have fallen into habits of addiction and homelessness might find the community of drug addicts, alcoholics and homeless to provide the social support network and sense of community, which they'd struggle to find living anonymously behind a front door.

Does anybody really know I'm here... in this house... in this city? In many ways I have found my contact with hospitals and the police to be of great comfort. I have found the nonjudgemental members of the NHS and police force to be incredibly kind and compassionate people. It's nonsensical, but I've been happy to be hospitalised or arrested. I've been happy to be in a cell or on a hospital ward, with somebody checking on my welfare. Behind my own front door I could be hanging by the neck, dead, and nobody would discover me for days or maybe even weeks.

My problems are mainly attributable to unmet basic needs: hugs, face-to-face conversation and a sense of belonging.

Because of the obvious things which need to be fixed in my life, it seems wrong to seek medical help, when my mood could be radically different if all the broken things were fixed. It might sound like a fun adventure, going to new cities, but the reality is very miserable and lonely. The reality of my present life is that I don't pick up the phone to speak to anybody when I'm feeling dangerously depressed - who would I phone? What would they do? It's not like anybody can nip round to check I'm OK.

Humans are social creatures, but I live on the periphery. I live on the periphery of life itself, always in danger of death or medical emergency. The state of being suicidal should be considered a medical emergency, especially in men of age 20 to 40, where suicide is the biggest cause of death. My perception of the danger is not warped, given my history of suicide attempts and hospitalisations.

There isn't a pill or some psychological therapy which would be effective... especially not when so much of my life is broken. It's not a medical problem. Sure, I have an underlying mood disorder, but the highs and lows of bipolar don't make me as unhappy as my social isolation does.

How I set about fixing things, I have no idea. The task seems insurmountable.

Tags: #bipolar #medication #nhs #depression #suicide

This is a story about over-sharing...

I'm not really a self-conscious person or else I'd never write and publish anything, but I did have a moment of panic yesterday when I realised what a plonker I was going to look like, for writing about my most vulnerable insecurities, innermost sensitive thoughts and feelings, laying myself wide open for a moment of stunned silence, which would have been very embarrassing.

I thought about deleting my tweet which accompanied the blog post. It's been ages since I thought about deleting something. I very rarely self-censor.

Being single transports me back to my frustrated and unhappy teens. Despite modest success in the world of dating and relationships, I still carry a huge amount of insecurity. I've never felt like "God's gift" to women or that I have any particular attractiveness or charisma that means I don't have anything to worry about. I've been told on plenty of occasions that I don't have anything to worry about - that I'm good-looking - but I suppose whatever wounds were inflicted in childhood still haven't healed.

I'm basically one big twisted knot of overthinking and over-isolated overgrown man-child. Growing up without any siblings until the age of 10 was hell. Being stuck in the company of my parents as they dragged me through 8 different schools and all over the bloody world was hell on earth. I have plenty of reasons why I should struggle to form normal healthy relationships with my peers.

I guess I got into technology because it seemed like a perfect microcosm that I could control. However, reality has asserted itself so fully that I can see that life is messy, and my reaction is to collate and publish all that mess for everyone to see. I'm using technology to gather together everything that I'm embarrassed about and really don't want to be teased about.

What I write is an absolute goldmine for anybody who wants to poke and prod at my insecurities, to antagonise me.

The thing is, I write about this stuff as a pre-emptive step, so that it's less of a big red button that people can press to get a reaction.

I've been relatively successful at positioning myself so that I'm never on the back foot like I was when I was a child. I refuse to ever be somebody's plaything. If I'm going to act predictably, it's going to be in accordance with my own predictions, not anybody else's.

Pleasingly, the world has somewhat complied with my wishes. I've been able to enjoy social change, enabling me to be the passive one who has the enviable position of being able to reject, taunt, bully and tease, if I should so choose. It's every bit as pleasant and comforting as I thought it would be, to have the tables turned and be the one with the power.

Am I applauding the existence of the patriarchy? No.

Am I very weird geeky guy who had a particularly disrupted childhood, which held me back from having a number of formative experiences, such as girlfriends at school? Yes.

The net result is that things that are normal for you have a different level of importance in my life. My entire self-esteem is based on whether I'm getting laid or not. If I'm not getting laid, then I assume that I've been plunged back into my unhappy adolescence. I assume that I'm once again the awkward social outcast that I was during my schooldays. I assume that I've lost all of my adult development and I'm doomed to live out my days in lonely singledom.

The net result is dating some very unsuitable women and having a lot of unwanted sex. The sex is symbolic. I have as much sex as I can get now, today, as over-compensation for the lack of it in my teens... as if I can somehow alter the past.

It's strange psychology, but also very basic and simple.

Also, I shouldn't write about it, but I do.

I sometimes forget that I pour my heart out like this. The process of emptying my brain out onto the page has become normalised. The fear of embarrassing myself in front of the entire world has long-since been forgotten. The concept of a world that hasn't seen every flaw and downside of my character is long gone.

You'd think that my exposure would be problematic, but I find it easier to remain quiet and keep my mouth shut when I need to - such as in the office - by brain-dumping all of this stuff out publicly. I enjoy the open secret of it, although it does stress me out that one day I'm going to get into trouble.

Dating with this level of exposure is problematic. Dating is a thing that puts people in a very vulnerable position, and having a large resource of vulnerabilities published publicly makes me doubly vulnerable. I have no idea whether to offer up this blog as part of the package of information made available during the early stages of dating, along with photos and descriptions of what I do for money etc. which are usually expected.

Without too much digging, it's possible to see me in a very unflattering light, but I also know that it takes bravery and courage to make yourself vulnerable, and I know that it's rewarding to be brave and take risks.

For now, I'm just going to proceed as normal. I was very reassured to see that some people who I really like and respect had acknowledged what I'd written yesterday, but I must admit that I was seriously thinking about deleting it, because I felt like I'd made a fool of myself.

I find the world to be adversarial and hostile and I don't like it. My reaction is not to be defensive, but in fact to do the un-intuitive thing and to lower my guard - making myself extremely vulnerable. "Do your worst" I incant.

Tags: #relationships #sex #childhood #parents

This is a story about fulfilment...

I enjoy watching feature-length documentaries. I enjoy watching entire series in 20-hour-long Netflix marathons. I spend a great deal of time carefully choosing how I'm going to spend my waking hours. I refuse to watch a movie that's rated less than 7.0 on IMDB. Life's too short for compromises on such things.

On the other hand, I'm a realist. I mostly prefer a stable secure settled life to one where I'm constantly striving to trade up. I've ended up settling for relationships which have seemed at the time to be marginally better than being single. I've ended up putting up with pretty bad relationships, for the sake of security.

My relationships don't tend to end with a smooth parting of ways. Because I'm kind of a stubborn and frustratingly patient person, my relationships end when my mental health stability ends. It seems like only an episode of mental illness is enough for me to make necessary changes to my life - to break up and move on from relationships which are holding me back.

Of course, I admit that I'm 50% of the blame in any bad relationship scenario. I admit that if a relationship is unsuitable and it's going to end eventually, I'm holding back the other person as much as they're holding me back.

My dating process is not very refined.

I usually start from a position of panic. I usually start dating with somewhat of a campaign mentality. Singledom is something I see as a condition to be conquered and I will exhaust all avenues until my single status is subdued. I view the process of going from being single to being in a relationship as a journey which should be as short and direct as possible. I view the dating process as immensely stressful and unpleasant, and something that should last as little time as possible.

As a person with a mood disorder - bipolar - I can leverage my manic energy to achieve goals. Finding a girlfriend is just another goal with a number of prerequisite steps. It's a numbers game.

I'm not very sentimental about dating.

In fact, I'm probably a terrible human being.

There might be some underlying misogyny which drives my thoughts and behaviour. What can be said for certain is that I really don't like feeling insecure. I really don't enjoy any of the flirtation or "do they like me?" uncertainty. I view all of the preamble as thoroughly unpleasant. I want to travel from the uncertain to the certain as quickly as possible.

My life at the moment is pretty simple. Work the job, get the money, spend the money. I earn more than I spend and my job is pretty easy. I have everything I need.

I examine my thoughts regularly for any sign of entitlement or other worrying sentiments. I wonder how I really feel about the opposite sex. I wonder if I'm a bad person. I'm pretty sure I am a bad person, but I'm a product of my environment, and I'm under a lot of pressure. Pressure is a bad thing. Pressure brings out the worst in people.

I look at my friends as a reference point, and there's a mix of friends who would very much like to have a life partner, but haven't yet managed to meet that special somebody - perhaps somewhat involuntarily single - and some who have experienced a string of relationships. Nobody stands out as a fine example of somebody who's got their life perfectly right - every relationship, or absence of relationship, looks to contain a certain amount of unhappiness.

I look at my current situation: I have traded history, art, culture and food for being able to live in a big house and drive to work. I have swapped a city which made me feel at home, the more I wandered around it, for a city which makes me feel disorientated and bewildered, despite it being much smaller.

My life situation - being 39 years old and not having much to show for it - feels deeply shameful and as though I'm a failure, here in this place which places such import on owning a house and a new car. My ephemeral achievements count for nothing in this place of mortgages and car loans. I'm plunged back into the insecurity of my teens, when having a flash car was an obsession, because it seemed to be the route to getting the girl.

I can't tell whether I make things happen in my life, or whether things just fall into my lap. In fact, all of my experiences seem to suggest that things just fall into my lap more often than I make things happen. I always seem to get what I want.

Then I screw everything up.

Boom and bust. This is my life. This is bipolar.

Tags: #relationships #sex #bipolar

This is a story about impatience...

I've committed the cardinal sin of spending a substantial sum of money that I haven't earned yet. Compounding my error is the fact that I have been dreadfully unwell for the last week, and was not able to work. I've quickly moved myself from a precarious position - living in hotels - to one that appears to have more certainty about it. It would take considerable effort to eject me and my belongings, now that I have arrived, and I've got a load of furniture now too. However, I now find myself in the position which I tried to work very hard to avoid: Worrying about job security.

I'm not really that worried.

I waited a long time for my home and my income to come back into alignment. I suffered too many nights lived out of a suitcase. I suffered too many different hotel rooms, bed & breakfasts, AirBnBs and other ad-hoc sleeping arrangements. My favourite clothes were either on my body or in my luggage - never put away in a chest-of-drawers.

Of course, this isn't a self-pity piece. I just watched a feature-length documentary, eating popcorn, reclining on a brand new sofa, under a fluffy blanket and warmed by a log fire. My life is good.

At least, I presume my life is good.

The enormous pressure had broken me a week ago. I was losing my mind. I gambled with my professional reputation: I'm known for being ever-present, always available when somebody needs a question answered. Getting sick was not just unfortunate, but almost definitely an act of self-sabotage.

I had my ducks so nicely lined up, that I could only see two outcomes: I would get everything I wanted, or disaster would strike and I'd lose it all. Easier to prompt the latter outcome into existence, than to sit and patiently wait for things to be OK.

The intensity of what I had planned for a 4-day period was ferocious, and intended to limit my loss of earnings due to domestic errands in the course of house moving. What actually happened was that I put so much pressure on myself that I lost my mind, and began to do things which could have become a cascading, escalating, spiralling catastrophe.

My body 'let me down' in a way that it has often done, where my muscles start to disintegrate and my kidneys are damaged. My urine turns dark brown and it becomes very clear from the sight and smell that I'm beginning to have a medical emergency.

The sensible thing would have been to defer all my plans and go into hospital, but perversely, I decided that I would carry on until complete renal failure. Perversely, it was precisely this outcome - the beginning of the end - that I had superstitiously predicted, but had also prompted into existence.

To the untrained eye it looks as if I'm enjoying a very exciting life of travel and adventure, and my skills are in demand all over the world, but in reality I'm always skating on very thin ice indeed.

It is not advisable to move house, go to new cities, change jobs and have such an unsettled life, without any anchor. Given my estrangement from my family and move away from Dorset, Bournemouth and London, I've found myself in places where I've felt like there's nobody I could phone if I was having a crisis. I'm too distant from everyone who's ever really known me and cared about me. I've become a strange hermit-like reclusive creature, who's always accessible to anybody and everybody, but I've been too loosely anchored to have any meaningful relationship with.

Of the two friends I saw the most of last year, one lives in idyllic domestic bliss with his beautiful family - a very firmly anchored man - while the other one is dead: A man who found himself very alone and very far from the vast majority of people who knew him and cared about him.

I must be careful that I now proceed to live my life with the anchor of a city I call home, a house, relationships and things of some permanence, because I can see that all-too-easily I could wind up dead, like my friend. I've made some difficult decisions which make me far less resilient to life's unexpected changes - far less adaptable - but I'm going to make my 4th attempt at building the life I want.

I once had a beautiful girlfriend who was devoted and loyal and everything I ever wanted, and we both had riverside apartments, not far from each other, but on opposite banks of the Thames. There's a foot tunnel which was by far the quickest route between our two amazing homes. All I needed was a job. I got the job I needed, but the patience of waiting for it had somehow damaged me... I self-sabotaged and ended up with kidney failure, spending a long time on dialysis in a high-dependency hospital ward. Still, this was not enough to destroy my life. I kept going down the path which led only to catastrophe, until I got what I wanted: I lost it all.

Regrettable, but nothing can be salvaged except for the lesson learned: That if I really try hard enough, then I can screw up nearly but not quite all my opportunities in life.

The intervening 20+ months have been the harshest part of the lesson, because never once have I been so close to having what I had then. The hardest part has been when I've had clear sight of the route I need to take. When, at least on paper, I've had my future all mapped out and all I have to do is stick to the plan, that's been indescribably awful. It's been such a horrible waiting game.

If your only goal in life is to get things back to at least as good as they once were, it's a pretty miserable state of existence.

I'm not such a fool that I'd attempt any like-for-like replacement of my old life, and I'm also wary of romanticising the past too. Some might say that I tried - and failed - for too long in London, because I had such good memories, from when I first started my career. Friends would tell me that London is too much hard work - too expensive, too busy, too overcrowded and too fast-paced and competitive for anybody but a fit young person.

When my washing machine failed to be delivered today and I had no clean linen for the bed, I got in my car and drove through the city centre, bought what I needed and drove home. In London, such a thing would have been an ordeal, and nobody in their right mind would have attempted to drive through the city centre during rush hour. Of course, I know how to adapt to London - you live your life very differently there - but there is a great sense of relief that things are just easier out here in the provinces. Like, I find nothing very taxing or frustrating, because London is my benchmark. I spend a lot of time marvelling at how very civilised existence can be. All of the very many conveniences available only to London's mega-rich, are at my disposal here in this city, which is but 2 hours train ride away from the Big Smoke.

I felt a huge sense of calm and contentedness descend upon me, as soon as my bed was properly made and I knew I could snuggle under the duvet whenever I felt I wanted or needed to. I can't believe that it's only Saturday, and my lounge and bedroom both feel like they're my home and I belong here. In fact, I often get the sense that I'm not too far away from declaring my life to be as good as it once was.

I'll be going back to work with some trepidation and it will take me a while to feel as though I've undone any damage caused by my self-sabotage. I'll need to get a few more cheques in the bank before I start to relax and let my guard down - to allow myself to think of this life as 'mine'.

I wonder if people think that I demand the impossible and am ungrateful for what I have. I know I've done a lot of moaning and complaining about the discomfort and unpleasantness of living out of a suitcase, and perhaps with retrospect that seems very impatient of me, given that I must surely have known that my efforts woud bear fruit.

Is it very bad of me, that I walk around my beautiful home and I think "this is befitting of the effort expended and the struggle"... almost like I deserve this, which I know sounds despicable. There is no justice in the world, but I still want you to know that I'm sitting here thinking "this worked out the way I wanted it to".

There's still a scary time ahead, while I cement my victory in place, so it can never be unseated, but every day when disaster doesn't strike is another day I can look back on with incredible gratitude, just like I can do for all those days I was in love by the riverside. No regrets.

Tags: #house #home #love #relationships #moving #selfsabotage

This is a story about rushing things...

I never really fully recovered after getting sick, following my close friend's funeral, which required a huge round-trip across the country. That was a really terrible week, which started with me having to break up with my girlfriend, because she wasn't being very pleasant or supportive at a time when I needed to get me, my suit, my black tie and other funeral-suitable attire to a crematorium hundreds of miles away.

I had to break up with that girlfriend, because my attendance of my close friend's funeral was being jeopardised.

That was a few weeks ago.

I have something else that was being jeopardised: My shelter; my housing security.

I suppose I could have extended my rental contract, but the place was nowhere near my workplace and therefore completely impractical. I'm struggling to cope, even though I've made smart choices to ease the burden on myself, such as staying in a hotel close to my office. If I was to commute from the current home I'm renting, it would add a 3 hours of travelling onto my day, every single day weekday. That's exhausting and pointless.

So, I guess I knew that sooner or later I was going to have to move. The clock was ticking.

It made me very anxious, knowing that there was a day when my contract would simply expire and I would no longer have any legal right to continue to occupy the place I'd called home for a year. Squatters have lost most of their legal rights over the years, and I need to be a squeaky-clean citizen anyway, because of the nature of my work: I'm expected to comply with a much more stringent code of conduct and set of behavioural guidelines, than the vast majority of people - with great power comes great responsibility.

I had back-slid into that toxic relationship after I got sick. Once my friend's funeral was out of the way, I was back home, but I was vulnerable. She cyber-stalked me and found my address. She turned up and I let her in, because I was sick in so many ways. I was physically sick with diarrhoea and vomiting, and I was emotionally sick from the recent funeral of a close friend. I was weak, she turned up and I let her in.

Fast forward to Valentine's day and I had viewed a beautiful house that I wanted to rent and the landlord had agreed to accept my tenancy. I had a house to move to. I had housing security. I had some guarantee of shelter.

She wasn't very happy for me.

In fact, she told me to get out at 11pm, when I was trying to get enough sleep to go to work in the morning. I said it was unreasonable, and that I would leave in the morning. She escalated things. It was unpleasant and unnecessary, but I was not surprised: The relationship was toxic and I had resolved to try to make my escape as soon as I could. I spent the night in a hotel.

I boxed up my belongings and made my current place more presentable, so that it could be more easily rented out. I was getting my ducks in a row, so to speak, in order to keep working my full-time job AND move house. If I don't work I don't get paid, and moving house is expensive.

I thought I wasn't going be able to move for weeks and weeks.

I hate waiting.

Now, I have a date.

I will be leaving on specific date, to start my new life in a new city - a city where I've never lived before.

I bought some furniture today and arranged for it to be delivered soon after I get the keys to my new house. I still need to buy a washer/dryer and have my broadband moved, as well as renting a van or organising a removals firm to help me shift all my stuff from one city to another: Probably the best part of 2 hours drive away, in a fully-loaded truck.

I'm going on a date. That is to say, I'm going to start my new life on a specific date. I can start to look forward to that date. I can start to dream about what it's going to be like living in the beautiful house I've rented.

I've swept problems out of the way. I've refused to allow anyone or anything sabotage my plans to maintain a secure roof over my head. It was the right thing to do: To leave the girlfriend who was jeopardising the holiday I needed, jeopardising my attendance of my close friend's funeral, jeopardising my chances of finding a beautiful new home, jeopardising the stability I need - to keep working my job - while going through an incredibly tough stressful time.

Moving house is hell. Moving to an unfamiliar city is double hell. Moving with the clock ticking down, and nobody supporting me practically - actually packing, moving boxes and assembling flat-pack furniture - is triple hell.

I expect I'll probably start dating again once I'm settled in my new house, but it's low down on my list of priorities right now. Going on a date is the last thing I want to do, when all I can think about is the date when I'm going to get the keys to my new house.

I've brought the move date much sooner, because there's no point in me living in an expensive hotel when I'll soon have a whole massive house to live in. I'm so happy. It's such a relief to have secured a roof over my head. It gives me such an important sense of security, to know that I'm going to have a house that actually suits my needs, and I've managed to extricate myself from a toxic relationship that so often jeopardised the things that I need and I've worked so hard to get.

Already, friends have been getting in contact to arrange to come and visit me. I was overjoyed when a beloved Twitter follower - who I've never met in person - mentioned they might drop in on me for a cup of tea if they're in the area. I've got the opportunity to accomodate my friends and their children as my guests, because I've been lucky enough to rent a huge house.

I adore company and I love to entertain guests, but the place where I was living was a little too far away from London, where most of my friends are, and it was also even too far from places like Bristol, Somerset and Dorset, where I still have a lot of long-neglected friends.

Most of my friends now seem to have children, and I do think that little people are wonderful, even though I've been careful not to spawn any of my own with the wrong person... so I find myself in the enviable position of having the best of all worlds: I will have a large house, which will comfortably hold me and my guests, without it being any trouble at all... in fact, it'll be a joyful thing to have my house filled with life and the noises of habitation. I live a bit like a monastic monk and I wouldn't have any face-to-face interactions or 'normal' human experiences, if it wasn't for things like my day job. Nobody at work really knows the extent of my isolation; my vulnerability.

I moved to Manchester, and that was disastrous and very nearly killed me, quite literally. When my kidneys failed in 2017 and I was on a high-dependency ward, my wonderful then-girlfriend (the one who got away) arranged for me to have lots of visitors, and she was incredibly attentive and supportive. She was my rock. When my heart was broken and I was virtually bankrupt, in central Manchester, where I had no friends or family anywhere within a hundred miles, at least, it was an easy decision to kill myself. I very nearly succeeded, but for the incredible work of the resus and intensive care medical teams at Manchester Royal Infirmary, and the emergency services who got me to hospital so quickly, thanks to strangers on the internet raising the alarm.

I'm moving to Cardiff, which I shouldn't really mention because I risk being positively identified by my colleagues and people whose job it is to vet and monitor employees who have access to highly sensitive information, who might not think it's a wise idea to expose myself so publicly.

However, I'm rushing and I'm stressed and I'm tired and I'm sick and I'm terribly alone, except for the huge group of friends I have across the globe. My work colleagues are lovely, but for the sake of my career, I try to hide my mental illness and personal life struggles. I have a very serious psychiatric mood disorder, which has caused dreadful destruction to my life in the past, so I work very hard to protect my hard-won stability. Anybody who jeopardises my future happiness and security is given short shrift, hence my toxic ex got the boot on Valentine's day, which was only a day earlier than planned anyway... it just seemed heartless to break up with her on a day that has heaps of societal expectation pressure placed upon it.

So, I move to Cardiff on my own - single - which is sort of overwhelming, but at the same time it's such an unbelievably good opportunity to get all the things I need in my life, such as a secure home in a city where I can easily commute to a job which is going well, and maintain as much stability as I can.

As you can tell by the volume of text which I'm writing, and my flurry of social media activity, I've been triggered into a state of mania by the combined recent events and cluster-fuck of stresses placed upon me.

I'll be OK.

I'll just be nimble and quick.

I'll dodge my way around the people who would otherwise sabotage me and the things I work hard to make happen.

I'll cut toxic people out of my life without a second thought. I've fought too hard to get what I've got, so I'm not going to allow myself to be coerced, controlled or forced to live with oppressive insecurity and unnecessary aggravation, when I work so damn hard to ensure that stressful and difficult things happen, with smooth sailing.

I'm single, but no dates for me. I'd be rushing things too much.

Of course, I'm about to get the keys to a gorgeous huge house that I can fill with beautiful things that I hand-picked. Of course, it'd be wonderful to have the comfort and security of a partner to share that with, but if I have to do it on my own, I choose that every time even though it's difficult, because being a good partner means being supportive and making a better life together. If you threaten to sabotage the important things in my life, you'll be shown the door... sorry.

Perhaps I'm just a washed-up middle-aged nobody, with nothing to offer. Perhaps I should be feeling insecure, but I don't. I'm filled up with excitement about all the future possibilities, even though I'm a bit sick, very manic and I've got some awfully exhausting and stressful stuff to get through, which will be incredibly destabilising.

I'm planning on basing my stability on a few simple things: my daily routine, my job (which I'm really good at) and my excellent relationship with my colleagues, and a secure financial and housing situation. The safety net that allows me to do my high-wire act alone is my vast number of friends who I'm in contact with all over the world, who have my back, although I can reassure them that this move is not one of heartbreak and shameful defeat, like the time I had to leave my beloved London home, to take a shitty job in Manchester, and live in a shitty apartment.

I'm going on a date. I'm going from Swansea to Cardiff on a specific date. I know the exact date when I get my keys and I become a resident of a city that I chose to live in... this move is not driven by desperation, this time, and I get good vibes about the place. I still can't quite believe that I can afford to rent such a massive house in an amazing location... but that's Wales, it seems. Wales is my birthplace and the country seems pleased to have me back. Things have gone my way since I came back. Things have gone well, mostly.

Anyway, sorry for the manic rant, but that's what's happening in my world. I expect I'll be blathering on about it for a while, because it's part of the foundation of the stable happy new life I'm building for myself. It's incredibly satisfying to see real tangible progress towards the life I want, when I was so close to death so many times, and I was in every kind of trouble you can imagine: Debts, drugs and abandonment. For a while, my life revolved around hospitals, police stations, psych wards, hostels and sleeping rough.

If I pull this off and manage to get myself stable again, I really feel like I can hang onto things this time. Dating can wait. I feel like I've got so much to offer, so there's no rush.

Tags: #moving #homeless #apartment #rent #renting #housing #girlfriend #relationships #love #bipolar #mania

This is a story about overcompensation...

I wrote yesterday about having a sex problem. Not a sex addiction, or anything kinky, but that I have too much sex because my fragile self-esteem depends upon it. I use sex as a form of reassurance, that I've banished my unhappy adolescent and late teen years, as well as my early twenties, safely into the past. I use sex as a form of proof that those bad times are never going to come back to bite me. I can never go back to those unhappy times.

There's something I need to talk about.

There's something I need to mention.

I'm not a fool.

I'm not so stupid and gullible that I believe every boast and every lie that was told, at school and at college, about how much sex everyone was getting. I'm not swayed by the common misconception that everybody else was at it [fucking] like rabbits. I'm not convinced by the gossip and the bragging and the boasts of sexual conquests, which circulated widely in the pressure-cooker of the school and college environment.

What I know are the facts.

I only care about the facts.

I don't really give a shit how much sex, how many blowjobs and how many hand-jobs were being had by my peer group. I don't really care how many sexual acts were actually carried out. These are facts that I'll never truly know.

What I DO know, without a shadow of a doubt, is that the vast majority of people's adolescent schooldays included having boyfriends/girlfriends, and all the associated relationship learning and development that's associated with that. The vast majority had crushes, thought they'd fallen in love, sent love notes, asked each other out, declared themselves to be couples, were known to be couples, called each other boyfriend and girlfriend, and had at least kisses and cuddles... intimacy and a relationship status.

What I DO know for a fact is that the vast majority of my peers learned about jealousy, cheating, breakups, reconciliations, relationship arguments and all the other things which turned them all into well-rounded average people: One giant homogenous mass of people who've all had a more-or-less identical experience of teenage love.

What I DO know for a fact is that my parents blocked my opportunity to go to university, where I might then have had the opportunity to start playing catch up. At school, there were too many thick-skulled knuckle-draggers, but at university I would have been amongst my own kind: The academic high-achievers; the bookworms; the geeks and the ones who were bullied outcasts, because our brains were highly developed, but something about us painted a target on our backs, making our lives a living hell, when mixed in with a vast number of no-hopers, with no aspirations.

School was simply a holding pen, before prison for the guys, or pram-pushing for the girls. Those savages needed to be left behind, and university would have been my opportunity to heal some of the trauma, but my parents blocked and sabotaged my attempts to go, despite the ease with which I obtained generous offers from very highly regarded academic institutions.

I'm incredibly bitter that I was separated from my dear friends in Oxford - a hyper-intelligent bunch who have achieved great things - and I was dumped into a school in the middle of fucking nowhere, where the best career opportunity was some kind of unskilled minimum-wage seasonal employment. The place we moved to from Oxford was a backwater dead end, because my parents are selfish dead-end loser alcoholic junkies, who never gave a shit about the consequences they were inflicting on my life; the opportunities they were actively denying me.

The picture of me is of me aboard my yacht, age 21, with my girlfriend.

Yeah, that's right, I bought a yacht when I was 21 years old.

I worked for a bank in Canary Wharf, London, earning £470 a day. I was 21 years old and I was earning £2,350 a week, and I owned a yacht, and I had a girlfriend. I was earning over £10,000 a month and I had a red sports car, a yacht... and most importantly, I had a girlfriend.

Can you see how insecure I was?

Can you see how materialistic I was?

For Christmas presents I used to buy people Fortnum & Mason luxury hampers. I flew business class and stayed in 5-star hotels. I was 21 years old.

I was a massively insecure, damaged, insecure person. I overcompensated by spending vast amounts of money on status symbols and living a making vulgar demonstrations of my wealth, because I was still a bullied kid... I was still a lonely bullied kid. I was still the kid who didn't have those kisses behind the bike sheds at school. I was still the kid who didn't ever have a girlfriend at school. I never asked anyone out, got asked out, fell in love, cheated, broke up.... I never had any of that, unlike almost everybody else in the whole entire world.

I used my brain to get a good job. Then I used by brain to get a better job. Then I used my brain to get an even better job, until the point where I was earning six-figures annually and I got all the status symbols to pro-up my fragile self-esteem. I got a "penis extension" red sportscar. I got a yacht. I ate in fancy restaurants and went on luxury holidays. All of it was a massive "FUCK YOU" to those awful years when I felt so unlovable; so unwanted... so rejected.

I don't even care about the sex, but it's symbolic for me. I have sex when I'm not horny - not in the mood - because it's a test... I want to know I can always have it, because it proves that I'm sexually attractive. It proves that without the sportscar, the yacht, the luxury holidays and the other status symbols, that somebody loves me. I need proof beyond all reasonable doubt that I'm now a person who people want in their lives, as a lover, as a boyfriend... as a husband.

Becoming a homeless, bankrupt, alcoholic, drug addict with mental health problems was a bit of a problem, but do you know what happened? I had some great relationships. I was homeless and living in a 14-bed hotel dormitory when I got together with an extremely attractive Italian girl, and we had a passionate romance. I was sleeping rough in a park when a wealthy Parisian woman fell in love with me and took me back to her fancy home in Notting Hill and nursed me back to health, despite my chronic drug addiction and incredibly unstable mental health.

I present myself now as exactly what I am: a penniless, mentally ill, recovering alcoholic, recovering drug addict, who lives a very precarious existence. I'm never far away from becoming homeless again, or being consumed by drug or alcohol abuse. I have no wealth anymore. I have nothing to offer. I'm not a 'catch'.

Because I feel so insecure about being 39 years old and not owning a luxury home, full of expensive furniture, with a sportscar parked on the driveway and a speedboat moored in the marina, all I'm left with is some kind of physical proof that I'm loved: does somebody want to fuck me, even though I'm a loser. I'm not even young and hot anymore. My hair is going grey and I'm carrying a few extra pounds of weight. I feel like I'm every woman's idea of a worst nightmare date: No cash, no assets, no flash car, no house... nothing to show for my 39 years on this planet. Why would anybody fall in love with me?

Sex is the only thing that gives me any certainty at the moment. Sex is the only thing that props up my fragile self-esteem, because my life has fallen to pieces.

I don't care that I missed out on sex as a teenager. I care that I missed out on love.

Tags: #sex #childhood #bullying #career #insecurity

This is a story about feeling deprived...

I have a hangup about sex. My hangup is this: How do I know if I'm getting enough sex, unless I'm having more sex than I actually want?

The logic is actually fairly simple to explain. If I ever wanted sex and couldn't have it, then that would be proof that I'm not getting enough sex, right? Do you follow me? So, by making sure I always have more sex than I want, I guarantee that I'm not missing out. I guess it's a FOMO thing (Fear Of Missing Out).

Where my sex problem stems from is my adolescence, which was rather ruined by selfish and downright disgusting decisions made by my parents. My parents were fully aware that their wholly selfish decisions would have disastrous consequences on me and my life, but they just didn't give a fuck about me. They didn't have to suffer the consequences, so they didn't care.

Ultimately, I did not go through the learning and development phase that most adolescents do, where they start having boyfriends/girlfriends and figuring out how relationships work. I did not have the same experience as almost every teenager. My own teenaged years were quite ruined by my parents, and as such, I now have trauma: I have a hangup.

In order to know that I'm never again going to have to re-live those traumatic childhood years, I act in a way which is a reaction to the damage that was done to me.

Never again shall I feel so singled out, bullied, alone, isolated, shunned and a pariah. Never again shall I be the odd one out. Never again shall I be the one who misses out. Never again shall I be the only one who was deprived of large chunks of normal, healthy life, growing up.

Because of my hangup, I overcompensate.

My sex problem is not a kink. It's simply that I want more than I really want, just to reassure myself that I'm getting the maximum amount I can possibly get. I need to know I'm not going to feel as bad as I did, back in those dreadful years which traumatised me.

It's fairly simple really, and I suppose I could think my way around the problem. I suppose I could 'cure' myself of my trauma, now that I've identified the source of it. However, when I feel vulnerable and afraid, the damage is still there, and my compensatory behaviour is always the same.

I'm proud I outgrew my identity as the bullied outcast; the undesirable kid that nobody wanted to be anywhere near, lest they find themselves subject to the bullying too.

Of course, I had friends. A few of us outcasts were thrust together, to suffer our awful fate together: perhaps 3 or 4 of us outnumbered by 1,200 bullies, quite literally. I'm sure I'm writing with some hyperbole, given how traumatic the memories seem when I poke at them and re-live them, but the point still stands: It's fucking awful being the subject of so much bullying; so outnumbered... especially when your own parents have played a very big role in creating and maintaining that intolerable situation.

It's a strange sex problem to have, but at least it's not something totally weird, like wanting to get urine or faeces on me... not that I'm gonna judge you if that's your particular kink.

So, that's me.

Tags: #sex #bullying #school #friends

This is a story about tailored medicine...

It's a subject I've written about at length before, but I was writing about my experiences with different mood stabilisers earlier today and I thought I would re-purpose that content for my blog, because I'm tired and I'm stressed, and it seems like a logical thing to do: To take something I wrote earlier and re-use it.

What I've written is in the style of advice given to somebody who's perhaps newly diagnosed as bipolar, or perhaps suspects that they have bipolar disorder. What I've written is from my own personal experiences. What I've written is not meant to be completely authoritative and factually correct, but I'm aware that it's my general writing style to present my opinions in a persuasive manner.

So, without further ado, let's get onto the list of bipolar mood stabilising medications I have known and loved (or hated, more like).

Quetiapine (Seroquel)

Horrible side effects, including weight gain, daytime sleepiness, dry mouth and constipation. When it takes effect, it's so strong that it's very hard to get to bed, or use the toilet in the middle of the night. Cannot be mixed with alcohol - the alcohol makes you feel very unwell.

Overall, this medication feels like being "heavily sedated" and it would be very difficult to carry on a normal life at dosages above 200mg. At dosages of 300mg or more, you'll be sleepy and dopey all the time. At dosages over 400mg, you'll be a shuffling zombie, good for nothing except dribbling in front of daytime TV.

Not compatible with having a job.

Aripiprazole (Abilify)

This medication had a strange side effect, where I lost fine motor control of my lips and seemed to produce excessive amounts of saliva. It was impossible to have a conversation with somebody without spraying them with spit, which was a horribly degrading experience for me.

Aripiprazole is very long-lived in the body, so it can take a week or more to wear off and get back to normal, even after taking this medication for only a couple of days (i.e. if you try it and you get bad side effects immediately, you'll have those side effects for a whole week at least).

Because of its very long half-life, I would have serious reservations about trying this one, except as a last resort.

Lamotrigine (Lamactil)

No side effects at first, but the dosage has to be increased very slowly with this one. Migrane headaches are a very common side effect, which I got, so I decided to stop taking it. The headaches are tolerable, I guess, because this is the medication with the fewest side effects.

Some psychiatrists might not consider lamotrigine to be a mood stabiliser, but in fact more of an antidepressant which is safe for bipolar people to take. It improves sleep quality so I think it's a good choice from amongst the fairly bleak options.

Also a good choice if you plan on attempting to have a normal job and work.

Olanzapine (Zyprexa)

Side effects include weight gain, daytime sleepiness and a general feeling of being drugged, but nowhere near as bad as quetiapine.

Very good at quickly stopping a manic episode, so it could arguably be used only when entering a manic phase, and then stopped a short while later, but this would require discipline.

Not recommended to take on a long-term basis.

Not compatible with having a normal job.

Sodium valproate (Depakote)

Dreadful side effects. Will turn you into a total shuffling, dribbling zombie and eventually you will get an irreversible kind of brain damage, which will cause you to make involuntary facial movements (a bit like a tic).

This is an awful drug, given to paranoid schizophrenics who are very severely sick (paranoia, hearing voices, hallucinations etc).

If you're on this, it's probably forcibly injected into you in a psychiatric institution. The injections last for 3 months. Don't ever let yourself get so unwell that this becomes necessary. Exhaust all the other options first.

Lithium

Very hard to get the dose right, and requires regular blood testing, which is annoying and inconvenient. Very effective and side effects are tolerable if you can get the dose perfect but it might take many years to find exactly the right dose, and it will be very destabilising if you start going too low with your dose - i.e. you might end up triggering manic episodes when you're simply trying to avoid side effects.

Lithium causes irreversible health damage when used long term, and is therefore "life limiting" in a way - it might reduce your lifespan by 5 years or more, which is obviously a high price to pay.

General Comments

Psychiatrists will tell you that you need to commit to a medication for at least 3 months, in order to feel the therapeutic effects and for the side effects to wear off. I have tried all the medications listed above for 3 months or more, and the side effects never wore off. The side effects were intolerable for all the medications, except lamotrigine.

If you take these medications for longer than a few weeks (with the exception of lamotrigine) then you cannot stop taking them abruptly. If you suddenly stop taking these medications, you will have horrible rebound mania and possibly psychosis too (hearing voices etc). However, I have successfully 'weaned' (i.e. tapered) myself off all these medications, without too many problems.

The worst manic episodes I've had have been when stopping quetiapine and olanzapine abruptly. When I've tapered off the medications slowly, my mood has been fine and I've not had any problems. In fact, every time I've stopped taking a medication, I've felt much better, because the side effects are so awful.

I would advise you to consider olanzapine as a treatment for acute episodes of mania... i.e. you should have some ready to take, and when you start to go manic then start taking it to make sure your mania doesn't spiral out of control.

I would also advise you to consider lamotrigine as first or second choice. I believe many busy working professionals with bipolar disorder find lamotrigine to be a good medication, because it has few side effects.

Psychiatrists will probably pressure you to be on a stronger medication, which is likely to be an atypical antipsychotic (quetiapine, aripiprazole, olanzapine, sodium valproate, risperidone, clozapine) but all of these will have very profound side effects, most notably making you feel tired and sleepy, lethargic, foggy-headed, confused, increasing your appetite and reducing your sex drive. It's personal choice, but I find those side effects unacceptable.

Alternatives to Medication

Alternatively, you can use good lifestyle choices to manage bipolar: no alcohol, no caffeine, strict bedtimes, strict work:life balance, exercise, good diet. You will probably need some trusted people around you who can let you know when your speech is becoming more pressured, you're getting irritable, perhaps you're getting a little obsessive about projects, becoming more impulsive and taking more risks... essentially, when you're heading into a manic episode, which could escalate. I find that getting 8 to 10 hours sleep each night, no more and no less, helps me to keep my mood stable. I also find that my manic episodes are much less of a problem since I quit caffeine. Recreational drugs are a terrible terrible idea, and completely incompatible with bipolar, unfortunately, especially the stimulants: legal high powders, speed, coke, crystal meth, meow meow, M-CAT, mephedrone, monkey dust etc. etc.

Stressful life events can be very triggering for mania, as well as the temptation to work hard because of a job change, promotion or exciting project. It takes a lot of careful planning to ensure that stress is kept to a minimum and work:life balance is preserved. If you want to get obsessed with anything, make it exercise and the great outdoors.

In Conclusion

I'm living a functional and complete life, with a full-time job, managing to have good relationships, managing my money, not engaging in risky behaviours or otherwise suffering many problems with my bipolar disorder. I have depressions, which are sometimes bad enough to cause me to take some time off work, but only a few days here and there. I have hypomanic episodes, where I can spend a lot of money and make impulsive decisions. However, considering that I don't take any mood stabilising medications for my bipolar disorder, my mood is remarkably stable and almost everybody would consider me to be successfully managing my condition, without having any particularly adverse effects on my quality of life.

I can highly recommend trying to go medication free, or spending a lot of time trying different medications and tweaking the dosage, because life is so much better when you're not drugged up to the eyeballs with powerful psychiatric chemicals, which radically alter you and your personality, with horrible side effects.

I'm not antipsychiatry per se, but I would advise people to make very well informed decisions and remind your clinicians that it's your body, so it's your rules, and like with every profession, there are people who are brilliant at their jobs and there are people who are not so great. You need to educate yourself so that you know whether you're getting good advice or not. You can't just trust everybody who calls themselves a doctor.

Mental health is complex. Bipolar disorder is complex. People are complex. We are all individuals and we have individual needs and individual unique circumstances. Tailor your solution to meet your needs.

Tags: #bipolar #medication #mentalhealth