This is a story about second best...

This isn't a story about dating hot women at all. This is a story about all the reasons why you shouldn't date hot women. I suppose I'm no sex-starved involuntary celibate (InCel) man who has little success with the opposite sex, but neither would I like to stray into the revolting world of being a pick-up artist. Of course, I've derived an enormous boost to my confidence and self-esteem from sexual conquests - to fail to acknowledge that would be disingenuous - but I've relatively recently become secure and content in the knowledge that my sex-starved frustrated and miserable adolescence is not going to return to haunt me; I have always secured an adequate steady supply of sex with relative ease, so I don't need to constantly pursue women purely to prop up my fragile self-esteem.

Apparently it's a common phenomenon that men will try to get women who are "out of their league". I find the whole concept of "leagues" to be thoroughly appallingly awful and abominable, and I have deep disdain and contempt for those who consider themselves to be "high ranking" in this imaginary "league".

Perhaps the source of my objection to the ranking of physical attractiveness on some scale, is down to my own insecurity that I might be in the middle - scoring 5 out of 10 - or perhaps even worse when I'm feeling a little unfit and carrying some unwanted extra weight. However, my experiences have taught me that I never feel lacking in female admirers, so I must be on the desirable end of the attractiveness scale, if such a thing could ever exist, or should ever exist.

I've heard it suggested that a man should be glad when he gets a woman who is "out of his league" and should simply trust her judgement - she knows her own tastes and can choose as she pleases - but this essay is about why it might not necessarily be a good idea to live daily life with a partner who you consider to be substantially more attractive than you are.

I have noted in myself a considerable amount of time and emotional energy spent worrying about what a very attractive (in my opinion) woman would see in me. Instead of being pleased to receive the attention of women who I find devastatingly beautiful, it has felt like a dreadful trap: what if I fall in love, and then their momentary blindness is cured - the spell is broken - and they can see my true ugliness? How terrible would it be to believe that I'd snagged a woman well "out of my league" only to be dealt a cruel blow by reality?

Firstly, how does one retain a "hot woman"? This may sound horribly possessive in a sexist, misogynistic, male chauvinistic way, but it's a question we have to answer: if you possess a woman who many man want to have for themselves, how do you keep her?

Secondly, how do you cope with the continuous challenge of feeling somewhat unworthy? If your own self-esteem is not great and you're dating somebody who you are incredibly in love with, this presents a considerable psychological problem. It would be easy to be driven mad by the sense of inadequacy: insecurity creates jealousy, paranoia and a whole heap of undesirable behaviours, such as over-protectiveness. It seems probable that an ugly man dating a beautiful woman would want to - if he were allowed to - lock her up somewhere so that she wouldn't fall in love with any handsome men and leave the ugly man heartbroken.

Thirdly, can you even handle how hot this woman is? Will you be able to talk without fumbling your words? Will you be able to be witty and charming and cool, or will you turn into a gibbering idiot, simply because you are so overcome with the desire to impress her? What if you get her into bed? Will you be able to stop yourself from prematurely ejaculating when her beauty is so arousing?

Finally, how will you handle the continuous attention she gets? It might sometimes make you feel very good that every man who sees her is mentally undressing her and lusting after her - you'll be pleased that you're the lucky one who's dating her. However, there will be other times when you're aware that an unending stream of horny men are trying their luck with the girl you're dating. How are you going to handle that? She's spent her whole adult life being hit on by horny men, so she's used to constantly being told she's beautiful and having offers of sex, along with a lot of harassment too of course. How are you going to handle the fact that in public, at work, on the internet and just about anywhere, anytime, there will be a horny man trying to have sex with the hot woman you're dating?

I suppose the problem fundamentally lies with the idea of possession. We are very pleased to have institutions like marriage in our society, and we celebrate and encourage saying things like "my wife" and "my husband" and referring to each other using possessive language. If we believe that legal contracts and religious vows are enough to confer the answers to the above questions, because marriage implies fidelity - committed monogamy - then we might assume that marriage is the solution: find the hottest woman you can and marry her. However, human behaviour demonstrably does not obey legal contracts and solemn vows. In fact, we can see that people cheat all the time, and marriage is completely meaningless.

In Islamic countries, it's more socially acceptable to demand that your wife present herself modestly and keeps herself mostly away from men, perhaps under a kind of "house arrest" in the most extreme of examples. The very worst of Islamic culture sees women barred from working, barred from driving and insisting that women are not alone in the company of any man who might pose a threat, without a trusted chaperone. One might say that under Islam, men are able to achieve their fantasy of keeping their hot woman safely under lock and key, to address the problems I outlined above.

Clearly the demand for hot women outstrips supply, but we might counter that the pool of men who are "in their league" is probably approximately the same size, and thus we needn't worry about the scores of horny men who will continuously attempt to have sex with the hot woman you're dating, because she is used to fending off these unwanted advances. We could assume that coupling off is a relatively efficient process, where we hopefully fall in love with somebody who's equally in love with us. While we have an endless parade of models, actresses and porn artists projected into our eyes on every screen and magazine page, which warps our views on what is realistically attainable as a beauty standard, it's still quite possible to remain grounded in reality and not hold the unreasonable expectation that you're ever likely to date one of the world's most beautiful women.

Does this mean that we are settling for second best whenever we fall in love with somebody? While I'm deeply aware that relationships can bring out the very worst qualities in people, and that jealousy and insecurity are some of the most destructive and awful forces, ugly men get laid every day and some of them are not even extremely rich. Wealth and power are clearly the best route for a man to be able to date hot women, but there are numerous other ways in which men can make themselves more charismatic and desirable.

I've been accused of "downdating" in the past, which I suppose was either true, or it was an indication that women can suffer the same psychological problems, when they know that they're dating a hot man. I don't see any particular problem with "downdating" because we should date according to what we're psychologically comfortable with and able to cope with. Personally I find dating immensely more pleasurable when I'm untroubled by insecurity and other unpleasant feelings, so why would I choose to date somebody who made me feel inadequate, unattractive and insecure?

In conclusion, I view attention from "hot women" as dangerous: liable to tempt me to form an attachment where I'm likely to get my heart broken; liable to lead me into a situation where I'm having undesirable and unpleasant thoughts, feelings and behaviours. What does it say about me that I think: "yeah I'd love to date a hot woman, but she has to make the first move".

Tags: #dating #relationships

This is a story about making people better...

I remember the days when I thought that there were magic buildings full of magic people with magic potions who could make magical things happen. I remember the days when I was naïvely optimistic about the abilities of people, institutions and organisations who make highly alluring claims: we can cure you!

If I had ruptured a major blood vessel, or my body was losing its battle against a bacterial infection, you can be damn sure that I'd want somebody to stop the bleeding or give me some antibiotics. If I had an operable cancer, you can be sure that I'd want somebody to cut it out of my body.

Some areas of medicine are comparatively new. Some areas of medicine don't have a great deal of success - the data doesn't show significantly better outcomes for patients who are treated, versus those who are untreated. Medicine is actively losing its battle to save lives in some areas, such as suicide and opioid addiction. Mental health problems and addiction have been declared medical emergencies; epidemics.

Sometimes I wonder if it's useful to think of myself as having a chronic illness, and to expect that problems are just around the corner. I can have a good day, a good week, a good month... maybe even a good year. However, it's probably dangerous to start thinking of myself as "cured" or "recovered" and begin to consider myself "normal". Complacency will no doubt lead to repetition of past mistakes, which can result in an incredibly fast chain of disastrous events, destroying every semblance of a normal life, which was so convincing that I and other people were completely convinced that I'm just another ordinary bloke... not some ticking time bomb.

I fought very hard to get treatment. There was a great deal of reluctance to diagnose me as bipolar, and there was further reluctance to treat me. I seemed very functional. My problems seemed acute. Everybody hoped that I'd go away and get better without intervention.

I wanted treatment. I knew I was getting sicker. I knew that my situation was deteriorating. I could see the car crash that was about to happen.

I believed that treatment was effective.

I just had to find the right treatment.

I tried so many medicines. I also believed in the "magical healing powers" of hospitals and doctors. I was indoctrinated by the medical establishment's dogma: "we are the experts and we are the only ones who can cure you".

Of course, I'm not such a fool that I believe in alternative medicine. I critically examine all the claims of all charlatans, quacks, healers and others who promote themselves as miracle-workers. Desperate people are suckers. People are also lazy and gullible. Many of us will be scammed in our lifetimes, because we are so desperate to believe in the existence of things that are too good to be true.

It would have been good I could have avoided that period of my life when I was desperately searching to find the right specialist, hoping that a stay in hospital would be my salvation, or trying a heap of different medications in the hope that I would stumble upon the right one, but it was a necessary education. I needed to learn what was possible, and what was not possible. I needed to see with my own eyes and experience those things first-hand, to learn the limitations of psychiatric medicine.

Psychiatry is young. Mainstream psychiatry - the prescribing of psychiatric medications on a massive scale - is an experiment that's barely a few decades old, which is no time at all, when we consider that anatomical studies of the human body and surgery are parts of medicine which are hundreds of years old. The present-day situation, where at least half of us will take a pill for depression or anxiety at some point in our lives, and so many of us have been taking psychiatric medications for years and years... this would have been unthinkable before Prozac successfully normalised the practice of dispensing mind-altering drugs to tens of millions of people across the USA and Europe. Nobody really knew what the long-term consequences and long-term outcomes would be.

I've lost interest in having any contact with doctors now. I've lost interest in any new developments in the field of psychiatry. I've lost interest in the idea that there will ever be a miracle pill to cure depression, anxiety or to stabilise moods. The brain has proven a far more complex organ than the blunt instruments of psychoactive substances are able to have any precise effect on. Pills are useful for curing a bacterial infection, but they are of no use in an organ which has been evolved to specifically resist attempts to alter it - the brain's ability to maintain homeostasis is incredible, and all psychiatric medications are fundamentally flawed, because they affect a plastic organ, which can simply adapt itself and return to its original state.

Hospitals can offer welcome respite - sanctuary - from the unreasonable demands of the world. Hospitals have their place as a controlled, safe environment, full of caring people. However, psychiatric care has changed radically in the short time that we have been practicing it as a branch of medicine. Those who are ill-equipped to cope with life outside institutions cannot expect to live in an asylum forever, which might sound like a good thing for those who believe that people can be cured and rehabilitated. However, in my experience, it is the horror of the "real world" which is the very reason for the epidemic of mental health problems, and it's often infinitely preferable to protected with the safe confines of an institution than to be fending for oneself in the big wide world. The idea of losing your freedom might sound terrifying and unpleasant, but for those who are struggling to cope - struggling to be functional - freedom is a small price to pay, for the comforting reassurance of life inside an institution.

When you are a child and you hurt yourself, you run to your parents to "kiss it better" but often the injury remains painful for sometime and there is nothing that can be done to alleviate your discomfort. We learn that sticking plasters, stitches and plaster casts can help our bodies mend themselves, but there is nothing to be done to speed up the healing process. There is little that can be done to take away our pain. There is little that can be done when we are suffering mental anguish.

Although my life was very badly damaged, I'm now part of a large organisation where I'm known to a lot of people, and they'd be concerned if I went AWOL. My home city is still very new to me - and I know very few people locally - but I also think that somebody would ring my doorbell and check on me if I went AWOL. I have a routine. I have put things around myself that are structured and stable, even if that rebuilding process is very far from complete.

I've been here before... so very close to a fresh start; a complete life. About a year ago, in the blink of an eye I lost most of my new friends, my new girlfriend and my new job. The year before I nearly died, and I regained consciousness to find I'd lost my girlfriend, my home and my job. I'm aware that my life is very fragile. I'm aware that my existence is precarious.

I wrote positively yesterday about my life and how far I've come since the very deepest depths I sank to, but I know that I have a difficult job trying to stabilise myself and find a way of living my life that's sustainable, and tolerable... pleasant even, one hopes.

It's strange that I've been so much and ultimately reached the conclusion that I was doing a reasonably good job of looking after myself, but I simply had some very stressful life events to deal with. I thought that I could turn to doctors and hospitals to make me better - and indeed my life was certainly saved when my physical health was severely damaged - but now I feel much happier doing everything on my own: I prescribe my own medications, adjust my own dosages... but mainly I just try as best as I can to create a tolerable set of circumstances to allow myself to thrive; I've come to recognise that my family don't care about me and have abandoned me. I've been incredibly lucky to have very loyal, generous, kind, caring friends and wonderful girlfriends, who've believed in me, and looked after me, and stuck by me through the difficult times.

When you see the finished product - a functional man - then we might assume either that he never had any major difficulties in his life, or that treatment was a success. I'm grateful for the hard work, effort and dedication of those who work in psychiatry, but my ultimate conclusion is that it's a flawed branch of medicine. Things could have ended very badly, but those friends who bothered to come and visit me in hospital, check on me when I went AWOL, look after me when I was sick, believe in me, support me... that's the thing that was the key to giving me a chance at getting my life back. Those who've read my blog and are kind enough to reach out to me - to be in contact - have helped me to feel like I have some value, and to feel some self-esteem.

My colleagues don't know how sick I've been, and they don't know how much it means that I'm able to be treated like a normal person at work. My colleagues don't know how important it is that I have the structure and routine of office life. My colleagues don't know how great it is for my mental health to have the social interaction that we have, even if it's just office chit-chat.

We might conclude that the doctors I saw 11 years ago were right - I'm not really very sick and I'm quite capable of living a fully functional normal life - but they're also wrong, because everything had to get smashed to smithereens and rebuilt from nothing, before I could reach this point. I nearly died so many times. Was it avoidable though? Probably not.

That's my conclusion: I've learned a hell of a lot, but it would be wrong of me to start telling people that I have the answers, because what I discovered was that I had to learn everything first-hand. If I had a time machine and went back to tell myself everything I've learned up until now, I don't think I'd believe myself and I'd end up making exactly the same decisions, much like children have to make mistakes even though their parents warn them about everything and try to protect them.

Does this mean that I forgive my parents for abandoning me? Nope. If your kid is sick in hospital, you go and visit them. Period. No ifs. No buts. You don't abandon your children, no matter how old they are.

Tags: #hospital #mentalhealth #bipolar #medication #depression #anxiety

This is a story about overnight recovery...

One day you can't feel your leg. One day a leg is twice the size of the other one. One day your kidneys have stopped working. One day you're in agony from muscle and nerve damage caused by DVT. One day you're in hospital on dialysis and you're very sick. One day you're physically dependent on a medication which you've been buying on the black market, and you'll have seizures if you stop taking it. One day you're so addicted to a drug that you won't sleep, eat or drink, because you don't want to stop your binge for a single second. One day you're virtually bankrupt. One day you're homeless. One day you're jobless. One day your mental health is so bad that you're hearing voices, seeing things and you're paranoid about everybody and everything, to the point where you think even the person who loves you the most in the world is your enemy.

Then, overnight, you recover.

Overnight, all your physical health problems are cured.

Overnight, your mental health problems are cured.

Overnight, all your substance dependency - addiction - problems are solved.

Overnight, you have a house.

Overnight, you have a job.

Overnight, your debts are repaid.

Overnight, you have lots of money.

Nope.

Just nope.

I was rummaging in the boxes of stuff which managed to survive the chaotic years of my life and I found a pair of flip-flops with a piece of string tied to them. The string is there because I couldn't feel my foot and I couldn't control its movement - I couldn't walk properly. When I was walking in flip-flops, the left one would just fall off after ten or twenty steps, because I didn't have enough feeling in my toes to be able to 'grip' the flip-flop properly. The string was my improvised attempt to be able to wear my beloved flip-flops during some nice weather.

My attempt at using a piece of string to fix my inability to wear flip-flops was a lovely metaphor for the attempts I was making to solve all my problems, overnight.

That was two years ago.

Things got a lot worse before they got better.

Things were so bad that on the very worst day of my life, I woke up in an hospital intensive care ward, with a tube down my throat forcing air into my lungs, a tube up my nose and into my stomach, forcing activated charcoal and other things into me, 6 canulas all for pumping me full of various things, an arterial canula for measuring my blood pressure with incredible accuracy, plus I was attached to an 8-cable ECG machine, a clip on my finger measured my blood oxygen and I had been catheterised - I noticed that a tube coming out of my penis had been taped to the inside of my leg. The worst thing was that I was alive.

I did not want to be alive.

I had tried very hard not to be alive.

Physically I was alive, but I was still very sick - my kidneys and other organs had shut down and I had been in a coma - and I was also going through benzodiazepine withdrawal, which is both life-threatening and thoroughly unpleasant.

I was alive, but it turned out I didn't have a job or a home anymore.

I was single and without any friends. I was in a strange city where I didn't know anybody. I didn't have enough money to rent a place to live and support myself until I got my first paycheque. I was utterly screwed.

So, of course I still very much wanted to be dead.

Now, I have a nice house, full of nice things. I've made some friends and I've met some women. I go on dates. Sometimes those dates go really well. I have a job. I earn a lot of money. My finances are sorted out. I'm no longer addicted to drugs or physically dependent on medication. I hardly even drink - perhaps once a week, socially.

I can wear flip-flops.

Weirdly, the nerve damage repaired itself enough so that I have enough sensation in my foot to be able to wear flip-flops, run, go kitesurfing and do the other things I always used to do.

I don't know if I'm happy - there's still a lot of insecurity in my life; I live with an unacceptable amount of jeopardy for a person to have to suffer. I don't have enough friends in the local area. I don't have a girlfriend. I haven't established myself in my new home city. I've barely even started to unpack my stuff.

Compared with two years ago, my life does look like an overnight success. I'm good at my job and my colleagues are grateful for my contribution to the team and the project. The pieces of the puzzle are starting to fit together, and my life is beginning to look viable.

It's strange how people expect to be able to 'save' people who - on closer examination - have such a clusterf**k of issues that it's easy why some would think they're a "lost cause" and abandon them.

I'm grateful to that handful of people who didn't give up on me; who didn't write me off and abandon me.

Tags: #recovery #friends #addiction #debt #hospital #accident #homeless #drugs #moving #newhouse

This is a story about tapering off pills...

I'm not a stoner. Never have been. Never will be. However, it seems nigh-on impossible to endure modern life without something to 'take the edge off. Most people drink, smoke, have tea, coffee and/or indulge in recreational narcotics. Most people take antidepressants. Most people take things to help with anxiety. Most people take things to help with sleep. Life is pretty dreadful without mind-altering substances, prescribed or otherwise.

My office, which is filled with many thousands of people, functions on tea, coffee, cigarettes and vaping. There are probably numerous colleagues who are also secret alcoholics, swigging vodka from bottles hidden in their gym bag or perhaps kept in their car. I've worked for more than two decades in large organisations - I know what people are like.

At the peak of my stress and misery - just a few weeks ago - I was swallowing three times the recommended dosage of Xanax and zopiclone. I was heavily medication dependent. My sleep was greatly aided, but my alertness was drastically affected and my reaction times were probably impaired. I felt very strange: as if I was having an out-of-body experience. My anxiety levels soared as my working day wore on, and the afternoons and evenings were unbearably unpleasant.

I cut my dose by 33%.

It wasn't that bad.

Taking 4 pills instead of 6 is easy enough to do: two Xanax and two zopiclone.

To cut my dosage again was going to be more difficult, except I had the foresight to have obtained some half-dose tablets, so that I was able to cut my dosage by 25%: I swallowed one and a half Xanax and one and a half zopiclone.

It wasn't that bad.

Now I take one pill of each: one Xanax and one zopiclone. Cutting my dose by 33% again was aggressive, but I've managed to do it. My sleep was severely disturbed, but I soldiered through a difficult weekend and I've managed to just about manage to get enough sleep to not lose my job. My alertness has improved significantly and I'm very pleased that I've cut my dosage by 67% in the space of just 3 weeks, which is extremely rapid.

I have left myself enough of the half-dose zopiclone tablets to be able to cut my dosage by 50% at some point. The Xanax tablets break very conveniently into half and quarter doses. Xanax is evil - it's so short-acting that it's tempting to keep popping pills whenever the anxiety comes back, which it always does. I'm desperate to free myself from my dependency on Xanax.

The prospect of being released relatively soon from my chemical prison is incredibly pleasing. Although the pills served their function very effectively, allowing me to cope during some incredibly stressful times, it's a terrible habit to become dependent on pill-popping every time anxiety occurs. Anxiety is unbearable, but benzodiazepines are a terrible short-term solution, which ultimately leave the user worse off than they began. The low price of black market benzodiazepines and their ubiquity is shocking, but life is very unusual when it's structured around medications, and Xanax is probably one of the very worst medications to become dependent on.

Cutting my zopiclone dose by 50% is going to be the hardest, because it'll be the biggest drop that I've had so far. I will cut my Xanax from a whole 2mg tablet, to 1.5mg, then to 1mg, then to 0.5mg... and then I'll be free. However, zopiclone tablets are not particularly designed to be split so easily. Purchasing some half-dose zopiclone tablets was prescient, but I'm anxious about insomnia and struggling to get up in the morning to go to work.

My life is made so much more bearable by having the ability to alter my body clock to suit early-bird culture, when I'm naturally a night owl. My life is made tolerable by having the ability to medicate away the worst of my anxiety, when it becomes unbearable.

I have no idea how I'm going to function without my tablets, and I fear that I might be tempted to eat and drink more by way of compensation, which would adversely affect my physical health, but I do want to applaud my progress so far this year: I've been virtually teetotal, while also cutting down my meds by 67% so far, which is a big deal.

Kind of a boring story... but I wanted to report on some progress I feel proud of.

Tags: #medication

This is a story about hookups...

I'm not really experienced in the world of dating. I've had plenty of long-term relationships. I've been a serial monogamist for most of my adult life. Dating is not really I thing that I do. I don't enjoy it. I find it an unpleasant prelude to the ultimate aim, which is to be in a committed relationship with somebody.

Friends who have been married for decades tell me that I should enjoy myself and revel in the opportunity to go on dates with lots of different potential love interests. They tell me that I should see the whole process as a great chance to test the water with a whole bunch of different prospective girlfriends. They are somewhat jealous of what they perceive to be a pleasurable and fun exercise.

I don't struggle to cope with situations outside of my comfort zone. I don't struggle with new people and places. I don't struggle with having an unsettled, insecure life, where people come and go and I'm continuously in new and unfamiliar situations. In fact, I'm probably one of the more resilient folks you might come across - you can plonk me just about anywhere, and I'll cope.

However, I have a choice.

I don't really want to be dating. I don't really want to be single. I don't really want the things that people who've been married for decades think would be really fun and cool.

I want familiarity, comfort, security, routine, stability, normality... I want the ordinary and the everyday.

I want to wake up next to my long-term partner. I want to say "have a good day honey" and "hi honey I'm home". I want 95% of my conversations to be about what we're going to eat for dinner and watch on TV. I want that comfortable loveliness which comes from being in a secure monogamous regular relationship.

Dating as a long protracted affair, consuming a great deal of time and energy, is an exhausting and pointless exercise to me. Why would I take a torturously circuitous route to achieving the end result when there is clearly a straight-line from A to B? I see no value in the whole dating and courtship business.

"It's better to be single than in a bad relationship" is something that people in bad relationships tell me all the time. It's idiotic, because I've almost made an artform out of putting up with bad relationships; making things work. If anybody can tell you about whether it's better to be single, or better to try and make something work which is deeply flawed, it's me who is the goddam expert.

I'm exhausted by loneliness and isolation, in a way that most people cannot understand. Most people have their families, their friends, their partner, their children. Most people live lives which have a minimum amount of social contact, to make their existence tolerable. A quick glance at my mobile phone would confirm that my life is very different from that of ordinary people: who would I phone and discuss my day with? Who would I contact to tell my plans? Who would message me to ask me to run the most ordinary everyday errands? None of that is included in my life. My life is atypical in the extreme.

Who are the significant people in an ordinary person's life? If it's not their mum, their partner, their siblings, their best friends, then it's often their doctor or some other person who's otherwise involved in a caring/therapeutic profession. Humans are social animals and it's highly distressing for us find ourselves cut adrift from family ties and romantic bonds.

The demands of my job and my recent house move have consumed the lion's share of my energy, and I feel unable to apportion enough of my time to the task of binding myself back to humanity. If I lost my job I'd be done for. I'm lucky enough to have friends all over the world, but we need to interact with people face-to-face every day. We need hugs. We need tactile contact. We need the reassurance of knowing that there are people nearby who care about us.

My efforts to date local singles have not gone unrewarded, and I have more options than I'm able to actively pursue - life has been generous towards me as always - but ironically I deeply detest dating and the entire rigmarole, despite results being forthcoming with relative ease. To me, it seems as though I am still a million miles away from what I really want - a committed loving relationship - but I suppose the speed at which I live my life vastly exceeds what is considered ordinary and average.

Of the relationships I've had in the last 3 years, two of those girlfriends were unquestionably amazing people who I was very lucky to have had the opportunity to share a period of my life with. Even the 'worst' relationship during the period in question was what I wanted at the time, and it served its purpose - I'm no fool and I got exactly what I wanted out of it, which was to have a period of settled, secure, loving companionship. I can't share any of the details with you - it would be disrespectful and inexcusable given my current mental stability - but I can tell you that the worst moments were worth putting up with, at the time. Sadly, I can also see that a couple of very lovely girlfriends were unreasonably treated by me, as casualties of my dreadfully unstable life and unreliable mood.

What do I have to offer today? Perhaps I should be single and learn how to be perfect?

What a load of bullshit.

I'm not an inexperienced kid. I'm not an idiot. I know what's good about relationships and I know what's bad. I know red flags when I see them, and I know what my weaknesses and insecurities are. I know what I want.

I know that I'm happier being single, with the possibility of meeting somebody amazing, versus the situation I was in before where I was working very hard to make a relationship work, because it had marginal benefits at the time. The value of potentially meeting another love of my life is not something that should be underestimated, but neither should the misery of loneliness, especially considering my life circumstances: estranged from my family and without a group of local friends; dangerously isolated and alone.

Of course it's easy to say that I should be fixing my social life and getting back into my hobbies before I think about offering myself up as a prospective partner, but the people who suggest that are absolute fucking idiots who know nothing about how lucky they are to have their families, friends and every other part of the fabric of their lives. They know nothing about what it's like to live in such torturous isolation. They can fuck right off.

My life's stability and routine has been dangerously damaged by my need to form human attachment, so fundamental to liveable existence. I'm damned if I do and I'm damned if I don't, so of course I've ploughed time and energy into meeting somebody who might turn out to be a really great girlfriend. My life's experiences have taught me that having a partner has brought incredible joy in the past, and my behaviour is always driven by well-reasoned decisions which deliver the greatest possible return on investment.

I work hard, which brings me a great deal of financial income, and I am dating hard, which will hopefully bring me the emotional and otherwise intangible rewards of meeting a companion. It might sound like an all-or-nothing risky gamble, but you'd only think that if you enjoy the luxurious position of having a life filled with lots of things which I don't have. You are unable to empathise with the isolation of my situation.

It's late and I'm exhausted. My sleep routine is ruined. My stress levels are through the roof. The demands placed upon me are beyond sustainable limits, but I must plough onwards, because "if you're going through hell, keep going".

I have no idea how things are going to work out for me, given that I'm in a much more alien situation than I've been in previously, which undermines my confidence that "everything's going to work out just fine". I know that past experience has taught me that things always work out, but the unsettling and destabilising recent events, leaving me in strange and unfamiliar circumstances, cause me to redouble my efforts to seek the security I so desperately crave; the attachment that's so dangerously absent in my life.

It's a strange catch 22 situation. I need to invest energy to save myself, but by exhausting myself I put myself in great danger of reaching a limit which is not safe. I suppose I'm hoping for a well-timed lifeline, which life has often supplied, luckily.

I guess luck has always been in my favour, but I work very hard to manufacture that good luck.

Tags: #dating #relationships

This is a story about prescribed medications...

After 4 months of sobriety I'm grateful for the weight loss. My liver must be very grateful for the break. It was exactly 2 years ago that my addiction peaked, when I had managed to obtain a stockpile of my drug of choice that would last me 6 years. Having that stockpile was a pivotal moment, because I knew that I would not survive for more than 6 months with a virtually limitless supply of the drug I was hopelessly addicted to. I knew that I had tested the patience of a very supportive friend - my guardian angel - and I announced to her that I would be committed to overcoming my addiction, which I have done.

These two achievements are not to be underestimated, and are also set against a backdrop of great financial hardship and other averse circumstances. I've been forced to move around. I've been forced to work when I'm sick. I've been forced to go deeper into debt and to re-invest the money I receive, in order to escape from the horrible trap I found myself caught in.

It's not really possible to travel directly from the depths of drug addiction and alcoholism to clean and sober living. A person can't wake up one day and decide that they're going to stop taking drugs and drinking. There are consequences of such a decision.

My hospitalisation in 2017 represents the peak of the consequences of my decision to attempt to quit addictive substances. At that time, I was still physically addicted to one prescribed medication and four which I obtained on the black market. It seems obvious that I should have ended up on an intensive care ward, having seizures, in a coma, with a machine breathing for me. It seems obvious that the battle was too hard to win and I would capitulate.

Presently, I am physically addicted to one medication and psychologically dependent on another. In terms of progress, this is a vast improvement versus taking 5 medications every day - instead of three physical dependencies, I have one, and instead of two psychological dependencies, I have one.

I swallow one pill for anxiety. If I abruptly stop taking that medication, I risk having a fatal seizure.

I swallow one pill for sleep. If I abruptly stop taking that medication, I will have insomnia.

I don't drink, which is great news for my physical health.

I'm working, which is great news for my bank balance.

Everything seems to be under control.

However.

My dependence on the black market is problematic. I had attempted to stockpile enough medication to allow myself to taper my dosage down and free myself from the physical and psychological dependence on the tablets, but the disruption of a breakup and moving house was a huge setback. My stocks are running low and I'm having problems replenishing my supply.

Of course, my plan all along was to end up completely substance-free. I tried in 2018 but my drinking got out of control. Drinking alcohol as a way of compensating for the unpleasant withdrawal side-effects of stopping medications, is not something that's good for my health. I gained weight and became alcohol dependent. Having broken my alcohol dependency, I would like to remain mostly teetotal because it's better for my weight, fitness and general health.

If you talk to any doctor they will tell you that all their patients suffer significant discomfort when withdrawing from psychiatric medications which they have been taking for long periods. In fact, the doctors will tell you that it's virtually impossible to get their patients to quit the prescribed medications which they have become dependent on.

Why quit?

It seems to be in vogue to stop people taking medicines which humanity has used safely and effectively for a long time. It seems to be trendy to stop people from taking opiates, benzodiazepines, tranquillisers, sedatives, hypnotics, sleeping pills and a whole host of medicines which were greedily guzzled by many generations without any issues. It seems to be the way of modern medicine to offer 'safer' ineffective alternatives and refuse to prescribe effective medications.

I can attest to the great difficulty of getting off the addictive medications which doctors don't prescribe. I've been addicted to all of them, and I've successfully stopped taking all of them for lengthy periods, so I can describe in exquisite detail the very many agonies and unpleasantnesses associated with cessation of these medications. I can recall exactly what the withdrawal side-effects are like for the pills that your doctor won't give you.

I find it hard to find a good reason to quit and be completely 100% free from any mind-altering substances, but I'm certainly having difficulties in maintaining a reliable supply, which puts me at risk of a potentially fatal seizure. Quitting the medications which give my life enough stability to be able to hold down a well-paid job, is not desirable, but it seems necessary given the exhaustive efforts undertaken to thwart me - playing the stupid cat-and-mouse game with a bunch of people who don't care about the consequences, is a waste of energy and I would love to be free from the stress of dependency and uncertainty about the supply of something which I physically need.

Luckily, my physical dependency is something I have the capacity to alter - unlike type 1 diabetes - so I am following through with my plan to wean myself off the two remaining medications, hopefully slowly enough that it doesn't destabilise me so much that I lose everything.

My version of clean and sober might not seem very impressive to you, but I assure you that it is a considerable achievement to have beaten fully-blown addiction to every substance imaginable and restored some health and wealth to my shattered life.

Tags: #addiction #drugs #medication

This is a story about sex equality...

When thinking about sex, one must consider prostitution, pornography and sex tourism. I also think that one should consider InCels and men who are changing their bodies with hormones and surgery to emulate certain aspects of the female physical form.

I consider all these things, because my attempts at considering what it's like to be born in a female body would be nothing more than educated, well-reasoned, rational guesses based upon a lifetime of observation. When I've written about emotive topics in the past, my readers have defended my right to write freely on the topic and say unspeakable things in the name of being a free thinker, but I've been well aware that some of my most respected female friends have strongly rejected certain opinions which I volunteered.

I wrote about consent, which created considerable discussion, while not drawing anything other than loyalty from vocal Twitter followers who were obviously reluctant to do more than reserve judgement.

I think I was being deliberately provocative.

There wasn't really any need.

Why subject my female readers to provocation when I'm increasingly aware that every female friend has experienced some kind of unwanted sexual advances - in the best of cases - and in many cases has suffered a sexual assault and/or rape? It wasn't meant to be upsetting or even particularly insensitive to those survivors, but what I wrote was not particularly useful, given that my entire essay was based around the pleasant and charmed existence I live, where consent is often not given verbally but there's certainly no ambiguity: I was being disingenuous for the sake of poking holes in attempts to legislate with fuzzy imprecise language in a world which loves guessing games.

Let's talk about some subjects which I find difficult instead.

Firstly, an admission: I hate uncertainty. I hate ambiguity. This roughly translates as a combination of insecurity and some leftover unhappiness from adolescence, when I was more shy and awkward, and more of a social outcast; a creepy weirdo. My feelings towards the dating game are closer to the feelings which drive InCel thought patterns than I'm comfortable admitting. The words "guaranteed shag" are more attractive to me than repulsive. I know that the idea of a government-run girlfriend programme to ensure that every fat pimple-faced pale gamer who never leaves the house is paired up with a sexual partner, is clearly a somewhat terrifying idea, if we imagine that hordes of wimmin are going to have to be caught with nets or herded into pens to be then boxed up and delivered to the horny InCels.

I'm starting to feel a little old, approaching the age of 40, and I have little enthusiasm for going to the gym simply to make my superficial appearance more attractive. It would be a lie to say that I wasn't aware that sex tourism exists. It would be a lie to say that I wasn't aware that prostitution and escorting exist. The idea of travelling to a foreign country for sex is quite repulsive to me - I specifically reject it, because it seems like another form of colonialism and western exploitation to me; it seems like a form of economic modern slavery. The idea of paying for sex in the UK is not problematic for me, but it is not attractive - the act of coitus is not something which I can easily separate from my desire for intimacy and companionship. The most pleasurable part of lovemaking is spooning - the stroking, tickling and the warmth of each other's bodies in a bed - so paying for sex doesn't meet my needs. I would probably pay to support a wife or girlfriend, in order to guarantee my supply of love, but paying for sex seems like an extraordinary waste of money.

In many ways, I can agree that it's a great time to be a man. High quality pornography is available for free, with every extreme fetish imaginable catered for. Hookup apps provide free sex. Plastic surgery, makeup and the sexualisation of society provides constant titillation, and the media has sifted and sorted the world's women to find the very most beautiful to parade before my eyes. My greying hair and extra pounds of flesh pose no problems for me, despite my insecurities about my appearance.

But, in many ways I'm rich and successful and I've been told that I can have it all - I can have anything I want, whenever I want.

I do agree that I feel very entitled.

I'm privileged.

Probably the weirdest and least comfortable of my admissions is that I considered the merits of purchasing a sex doll. It seemed like a straightforward enough decision, given that it would undoubtedly be more pleasurable to penetrate an object which simulated a female body, than to stimulate myself with my hand. It seemed as though it posed no ethical quandary - nobody had to suffer for my pleasure; nobody was coerced into doing anything they didn't want to. Then, of course, I remembered that my primary needs are for intimacy and companionship. I have no difficulties in masturbating to temper my sex drive, without the aid of a sex toy. I can't think of a much worse feeling than having to clean and put away a sex doll after use, when the lust had been satiated and a more rational state of mind had returned. How awful to have the grim task of dealing with putting away a lifeless object, instead of the deliciousness of being wrapped in another person's arms postcoitally.

I considered that I live alone and there's perhaps no reason to even put away a sex doll, if I owned one. It would only be paranoia that somebody might be unexpectedly in my home and see the lifeless object in my bed, which would mean that I'd shamefully hide it away after use. What about having the sex doll in my bed to comfort myself when I'm alone at night, I wondered... what would it be like to put my arm around this object and cuddle it, like a child would cuddle a teddy bear, perhaps?

Is this the grim future which we inhabit: Where balding men with beer guts and grey pubic hair travel to Thailand and have sex with young women who are trying to financially support their families? Where the ugliest men have sex with the most attractive women, because of the coercion of capitalism? Where stripping and webcam work pay for university educations? Where sex work is normalised? Where computer games and the internet have left some of us lonely and isolated, while others hook up using apps and take their bedroom exploits to new extremes?

At the root of it all, I recognise something which I freely but uncomfortably admit to: that the certainty is exactly what I want. I want to be able to go to websites where I know there is a vast trove of free pornography. I want to be able to browse vast numbers of single women in my local area. On the matter of being able to buy sex, or to be able to travel to a country where the buying of it is more subtle, I suppose it disturbs me more than it comforts me. However, I would be more afraid of dying alone if sex tourism didn't exist. Perhaps I would have made a more serious attempt at securing myself a wife if there was no route open to me to leverage my wealth and privilege when I get desperate enough. There must be comfort in knowing that there are some guarantees in my privileged life.

On the topic of entitlement, I suppose I feel as though I should be able to get a girlfriend as easily as I would obtain any other thing that I want: I choose and I pay. I'm not such a monster that I objectify wimmin in the way my words seem to suggest. I'm very much looking for a life companion who I can shower with love and affection, but I must admit that I find the uncertainty of dating quite unpleasant, and I would much prefer to skip straight to the part where we're fully committed to each other and we figure things out from there. I instinctively reject things like arranged marriages, because they seem coercive and exploitative - mostly very young girls being married off to rich old men by their greedy selfish parents - but I watched a television program where people who'd never met each other got married as part of a very fascinating experiment.

I suppose these thoughts and these words are indicative of how dysfunctional I am and how incomplete my life is. It seems clear to me, writing this, that I am pinning my hopes on a relationship as a magic bullet to cure my unhappiness and distress, which is far more due to my lack of local friends than it is due to lack of a partner. Of course, having a lifelong companion is of great comfort and a source of much pleasure and happiness, but I do consider what I have to offer myself in return, and whether I would be a needy and clingy burden because my life is so empty.

The sex doll thing is a bit of a red herring. I wrote the title because I knew it would attract attention. Sex is of much lower importance than surrounding myself with people to talk to. Intimacy is important. Cuddles are important. Sex is just a fleeting itch to be scratched, and not worth being in a bad relationship for or sacrificing friendships for.

I write this somewhat aware that it makes it almost impossible for me to admit to any future object of my affections that I write this blog. I've been writing stuff which paints myself in a terribly unflattering light. I've been writing stuff which is very hard to read for even those who've gotten to know me over a considerable length of time, let alone those who are considering embarking upon a romantic relationship with me.

I wonder to myself if I should employ a cleaner to clean and tidy this gigantic house that I live in. I must admit that I have entertained - theoretically - the idea of financially supporting and housing a woman, in return for the guarantees which I feel entitled to as a member of the patriarchy.

Of course, you must understand that I feel repulsed by myself and I instinctively reject the idea of having servants - even if they're paid - so this has been somewhat of a hypothetical exercise, but I write with candid honesty, as I am wont to do.

Tags: #sex #relationships

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