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Self Medication (Part One)

5 min read

This is a story about psychoactive substances...

White Water

Here's an example of the kind of run-of the-mill parties I used to throw for all my friends. I once spent £700 on sparkling wine during one particularly lavish garden party. I think I was a bit of a 'lush'.

Drinking culture is sometimes celebrated. Certainly throughout the City, we thought it pretty normal to be slightly sloshed at our desks after lunch quite often. After work was carnage. A copious amount of alcohol was consumed by all involved.

I worked for HSBC for a little over 4 years, and JPMorgan for a further 3 and a bit, before my body really needed a break. At my leaving do I was downing shots at 4am with an alcoholic who later needed a liver transplant. The consumption was unchecked and rampaged out of control.

So, I've not been drinking for 52 days and I don't go to Alcoholics Anonymous meetings, so I can't be an alcoholic, can I? The definition of somebody who is an addict or an alcoholic is somebody who can't stop taking a substance, despite the detrimental effects on their life. Seeing as I don't drink or take drugs, I can't be an alcoholic or an addict. Quod erat demonstrandum.

In fact, I'm not somebody you normally meet. I don't drink tea, coffee or other caffeinated beverages, such as Coca-Cola and Red Bull. I don't smoke. I don't drink. I don't take any medication. I don't take any legal or illegal drugs. That makes me a real oddity.

People like to say "I can quit anytime I want" and are particularly adept at avoiding their most obvious addiction... caffeine. I've written about it before, but it's worth reminding people... you're probably addicted to caffeine but in denial. You need to give it up for over 3 days to really experience withdrawal, because you have reached steady blood-plasma concentration which means that it will take that long before you start feeling the withdrawal and cravings.

Ahoy Sailor

So, basically, don't lecture me on addiction until you reach the level of clean living that I have achieved. I'm not lecturing you. I'm just giving you the facts and telling you why I won't listen to a hypocritical word you say until you prove your 'willpower' to me.

On the topic of mood stability: I self-medicated successfully for years using caffeine to fight depression & somnolence, especially during winter. I used alcohol to calm my anxiety and racing thoughts, and treat my insomnia. I had a high-powered job and successful career throughout, so it's hardly like anybody can argue that I was not extremely adept at self-medicating.

Except that one day, my body decided it had enough. I was struck with extreme fatigue and depression that was completely debilitating. If you say "oh just get out of bed and stop complaining" after somebody has worked as many hours as I have done, don't be surprised if you get punched in the face.

It's not a competition. Except that it is. There's an arms race in the City. Who can stay later than their boss to try and impress and get that big bonus. And then when everyone has stayed later than the boss, the game is to stay later than each other. How late can you send an email to the boss, basically saying "just leaving the office now [you should know that I won the prize of working hardest]".

Sadly, that's pretty much how the bonuses and promotions get decided... who's worked the longest hours and raised awareness of just how hard they've been working, louder than anybody else. If you want to get to the top of the pyramid scheme you have to clamber over the other clawing bodies in the pit with you.

Getting ahead in your career is also dependent on how well you handle your ale. Yes, there is a lot of machismo in drinking culture. Going home and not going out drinking can damage your career. You need to be seen to be seen. You have to wait until everybody is so drunk that nobody remembers you leaving, before you slope off home.

So, between strong coffee and lots of beer & wine, that pretty much fuelled the first 11 years of my career. It certainly worked, in terms of pay & promotions, but it cost me a lot in terms of health. Not obvious health, like having to have a liver transplant luckily, but more subtle than that. My body & brain are just not very good at managing without stimulants and depressants to manage my mood... I've been drinking heavily with workmates since the age of 17.

So, if you think I'm less of a person for struggling with my moods and you are looking for an obvious thing to point the finger at, you are going to be disappointed if you want to point at drink & drugs, because I'm abstinent from both.

You might also want to consider your own relationship with alcohol and caffeine before you brand any labels on anybody. You would be surprised to learn about your own 'addictive personality'.

There's actually no such thing as an addictive personality. We are all programmed to like food, sex, gambling. Our brains are all affected by plant alkalis and alcohol and other substances that will cross the blood-brain barrier. You're no different from me.

That is all.

Pimms O'Clock

Cheers! (July 2009)

 

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Role Models

3 min read

This is a story about setting a good example...

Yogi Bear

If you take drugs in front of your children, you are a sh1t parent. Period. No ifs. No buts.

If you are high on drugs, drunk or otherwise intoxicated, stoned, coming down, craving drugs or generally in a f**ked up state because you are abusing drugs and alcohol, then you are an inconsistent parent, and this sends very mixed messages to your children, which affects the development of their personality.

Your children are like sponges. Little rabbits have big eyes and big ears. They can pick up on the variations in your mood. They can sense the instability caused by drink & drugs. It affects them.

If you smoke your drugs or cigarettes in a confined space with your children, even worse. Drugs are measured in the body using a unit called mg/kg. That's milligrams of drugs in the bloodstream per kilogram of body weight. I don't know if you've noticed this but children are a lot smaller than adults.

If two adults are smoking in a car, and there is a small child present, that child may be forced to smoke the equivalent of several boxes of cigarettes for even a short car ride. Nicotine is a horribly addictive drug. Imagine addicting that child and making them go through nicotine withdrawal over and over and over again, when the child doesn't have a clue what's happening to them or any ability to explain what they're going through.

My friend's parents used to call me Nicotine, as a nickname, because I used to stink like an ashtray. My parents were always driving somewhere, smoking. I was just part of the baggage being lugged around. I felt like a burden. My parents just wanted to get drunk and take drugs. I was an accident. Oops.

If you are a sh1t role model for your children, they will want to run away from home as soon as they can and never come back.

I don't know if this is coming across, but I don't think my parents are very responsible. I don't think they are very good role models.

It's unbelievable, but they actually think they are cool for taking drugs. That seems rather immature to me, but then I've always felt like I have to be more mature than them, because they're not very responsible.

Greenhouse

I left home as soon as I had a job and enough money for a flat, age 17. I couldn't wait to get away from such bad role models. They are liars and hypocrites and they are lazy and project their inadequacies onto their children, who are hard working and mature and responsible.

I don't know if this is coming across, but I'm very disappointed with their behaviour.

Parents must try harder. All my friends in my generation are very responsible parents. I think the baby boomers could try taking a leaf out of our book. Don't try and roll it up and smoke it though, like you usually do.

Did you know my own father refused to read anything I write? Pretty p1ssed off about that.

"La la la, I'm not listening" I imagine him saying while putting his fingers in his ears. How childish.

And parents wonder why their kids run away from home and never want to come back. Tsk!

That is all.

 

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Anatomy of an Epidemic

5 min read

This is a story about the rise and rise of mental illness...

Dib Dib Dib

I used to be a Sea Scout. The motto of the Scouts is "Be Prepared".

When I suspected that I was becoming mentally unwell, I read every book, website, academic paper and journal that I could find that I felt related to my mental health and its potential treatment. I educated myself.

I'm an educated patient. Because I'm an educated patient, I avoided being medicated with a Selective Serotonin Re-uptake Inhibitor (SSRI) which would have caused greater mood instability than I was already suffering with.

SSRIs are also linked to emotional blunting and the destruction of the sex lives and relationships of many couples. My relationship was already on the rocks, hence going to the doctor to see if there were some magic beans or a silver bullet, that could cure my ills.

Fundamentally, I believe that some mental health issues are risk not destiny. There don't seem to be any genes that are clearly faulty in individuals who suffer from Unipolar Depression and Bipolar Disorder. They are complex spectrum disorders. Some people are really dysfunctional when they are unwell, and others find ways of coping, sometimes to the point that people around them don't even know they are suffering.

However, out of desperation, I have tried the following medications, prescribed to me:

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Mirtazepine

This was well tolerated (no nasty side effects that made me want to stop taking it). It certainly seemed to reduce my stress levels and get some sleep. I think I might have rebounded though and started to go hypomanic fairly quickly.

Quetiapine

Unless you like weight gain, constipation, dry mouth and feeling like a drugged zombie for the few hours that you are awake, before your next dose knocks you out and you start the whole miserable 24 hour cycle all over again... I can't say this medication gives much quality of life beyond dribbling at daytime TV.

Aripiprazole

This is useful to see if your head is held straight. If your head is leaning to the left, then you will dribble out of the left side of your mouth. If your head is leaning to the right, then you will dribble out of the right side of your mouth. If you are holding your head perfectly straight, then you will dribble out of both sides of your mouth.

Lithium

This is hardcore. You need to have regular blood tests. It will shorten your life. Avoid if you can tolerate other meds or manage without.

Sodium Valproate & Depakote

Do you plan on working again? In an office? 9 to 5? Not really compatible with going back to work full time. If you're not completely manic (psychotic) then best avoided.

Lamotrogine

Just takes so damn long to get up to a therapeutic dose, you go through another hypomanic episode, decide that you're fine, and then stop taking your medication anyway. It's pretty subtle. Apparently it improves REM sleep. I dream a lot anyway. My sleep quality is more a function of good sleep hygiene.

Olanzapine

Fast acting. Good to calm you down if you're having an unmanageable moment. Makes you sleepy though... couldn't really work 9 to 5 on it.

Bupropion

Fast acting. Incredible antidepressant. It did give me a panic attack once though. Also stokes my hypomania pretty bad. Although it's a nicotinergic agonist, it actually shares many characteristics of stimulants like caffeine and amphetamine. Makes you pretty horny. Helps you quit smoking too (I don't smoke though).

Diazepam

Mother's little helpers (Valium). This powerful long-acting GABA agonist is an amazing anxiolytic. You could literally stand in the middle of a highway and not give a sh1t about the cars whizzing past you at 70mph. Super addictive. Horrible to taper off.

-----

Fundamentally, do any of these medications work? Well, I can vouch for Bupropion, Olanzapine, Mirtazepine and Diazepam for their short term efficacy. However, the body soon gets used to the effects and builds tolerance, which means you forever need to increase the dose to get the same therapeutic effect... welcome to homestasis, b1tches!

In my anecdotal experience, it's better to tough out the storm and not mess with the ridiculously complex organ that is a brain. When the psychopharmacologists imagined how Prozac (Fluoxetine) was having its antidepressant effect they expected to see higher serotonin levels in spinal fluids. They told the world that depressed people had "low serotonin". They just guessed and they guessed wrong.

Type I Bi-Polar Disorder was also known as Manic Depression. This is a serious illness that requires serious treatment. It's not my place to comment on whether medication plays a part in that. I'm no expert on Type I BPD.

Type II Bipolar means that you have hypomanic episodes, not fully blown mania. That means risk taking, spending money, hypersexuality, racing thoughts and pressured speech... amongst other symptoms, such as reduced need for sleep & food, and intolerance of slow-witted fools.

I'm Type II. I think it's a very important distinction. If I can control my mood disorder with good diet, good routine, good sleep and abstinence from alcohol & drugs (including prescribed drugs) then my brain has the best possible chance of finding homeostasis.

If I can remove unnecessary stress in my life, caused by complete ass-hats, and I'm empowered to just get the f**k on with my life, then my symptoms will abate. It's as simple as that.

What's the White Stuff?

This was the first time that Frankie had ever seen snow. His brain adapted to the change in environment (December 2010)

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Recovery: Hospital vs. Nature

6 min read

This is a story about observation...

Home Sweet Home

Frankie is a people cat. He needs company. When we went away to France for a couple of days, he was lonely and wouldn't leave our neighbour alone. He invited himself into her lounge and wouldn't leave. When we got home, he yawned, stretched and padded over to greet us. He let us all know how much he missed his humans.

It would be rather sinister to say that I had been observing my fellow patients in hospital, but it was kind unavoidable. I don't really watch TV and I find humans much more interesting than most other things. I also bonded with my companions, and the staff.

It was a locked ward, but I was there voluntairily so I guess I could have asked to be discharged whenever I wanted. But I went there to be safe, so it seemed crazy to ask to leave when it took me 13 hours to be admitted, and I was in a place of safety.

Your GP Cares

It's a bit of a strange compromise though: safety under lock & key. I wasn't sectioned but, scarily, the consultant did consider it, which was a little ridiculous considering I had been safe for 6 days by that point. A section can be 72 hours, 28 days or even 6 months... terrifying, considering all I did was go to my GP one afternoon.

Wrong Way

Anyway, hospital was brilliantly therepeutic. I managed to tackle a bunch of stressors in my life, with the help & support of the NHS team. My treatment was very holistic: drawing, sculpture, drama, cooking, socialising, plus non-judgemental chatting to mental health professionals, of course.

Medication plays a role too, but it's very unclear whether it helps or it hinders, in the long term. Sure, if I was having a psychotic episode - seeing and hearing things - and was a real danger to myself or others, pharmacological intervention might be unavoidable, but is it really necessary to medicate a functional, articulate, self-aware and coping individual?

When I presented to my GP, we had the briefest of chats imagineable. My GP only really needed to know one thing: I couldn't guarantee my own safety. I had tried to keep myself safe, but plans to kill myself had formed in my head. It was only a matter of time before I acted on them. Free will is an illusion. We are controlled by circumstances. Try choosing not to be in pain next time you stub your toe.

Door to Narnia

Wanting to be in hospital is a big deal. Psychiatric wards are not for the faint hearted. You will have somebody checking on you a couple of times an hour - especially at night - and people yell out randomly all night. People sing to themselves. People wash obsessively (or is it compulsively?). People shuffle. People mutter incomprehensibly. People steal your stuff. People ask you strange questions. People are aggressive. People are inappropriate. There is a lot of anger, crying, frustration, fear, boredom, confusion, despair... but there is also hope and optimism. Strangely, I find the environment to be calming. It's supposed to be. It worked for me.

Obviously, you can't have shoelaces, belts, razors, scissors, cables (e.g. for charging a mobile phone), curtains (including shower curtains), locks on doors, furniture that's too tall, windows that open more than the smallest possible crack, windows or mirrors that could be shattered... there's a fairly comprehensive list of safety considerations.

Here's a little picture of the space where you can get some fresh air:

So Natural

Nice, isn't it?

Well, yes it kinda is. The fact that the NHS has gone to all the expense of designing something that is - presumably - to discourage people from climbing the walls and jumping off. I guess that most people aren't such a good climber as me though, so it works for the majority of suicidal patients.

People also have unmet needs that are fairly obvious when you observe them for a little while. As a lifelong non-smoker, it was obvious to me just how important nicotine was in the lives of almost all the patients. The hospital has been smoke free for nearly 3 weeks, which is a huge burden on staff, who must accompany patients off the hospital premises every time they need a cigarette. Yes, that's right, need... these people are psychologically drug dependent. Nicotine is an extremely addictive drug.

Luckily I had already eliminated alcohol from my life too, 3 weeks prior to hospital admission. I actually have a working theory that that it's the reason why I became so deeply depressed. It happened to me in 2008 as well, when I quit drinking. It's so hard to avoid alcohol though - it's so socially engrained - that conducting an in-vivo study has been very hard, but I've gathered quite a bit of excellent quality data now (I've agressively managed to control other variables).

Frankly, I'm a bit of an oddity. I'm completely unmedicated, abstinent from caffeine and all drugs and alcohol. I have been for a long time. I'm about as clean living as they come. A perfect test subject for an unethical experiement into whether mental health issues come about due to environment, genetics, diet, social factors, stressors etc. etc.

Why unethical? Well... quite simply, if my mood sinks too low, I will take my own life. It's really not a choice. I don't want to die - at the moment - but when those dark times come, I feel quite differently. You feel differently too, and that's why you're thinking "why?" or some version of incomprehesion. You don't know how it feels until you've been there, and I really do discourage a trip to the edge of the abyss.

Look Mum No Hands

It's ironic. I have no fear of death, but yet I am able to rationalise that it would be foolish to make an irreversible decision. I ride my bike through handlebar-width gaps between double-decker busses, I climb the tallest trees, jump out of aeroplanes, have my photo taken on perilous ledges with no ropes attached to me, and drive at the limit of control.

One of the staff in hospital suggested to me the other day that I could keep 1% in reserve, just in case of emergency. It actually didn't sound too crazy.

God Bless The NHS

Please support the Junior Doctors if they strike, and any other NHS workers. They deserve better pay & conditions (October 2015)

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An Ode to the Matriarchs

11 min read

This is a story of the people behind the camera; the unsung heros....

Geeks on a Bus

As I was having a "brand interaction" with Shaun the Sheep, I observed that there was one gender that was statistically more probable to be behind a camera, photographing a little person.

Mums are our unsung heros, Grannies are the nonjudgemental free babysitters for mollycoddled mummies boys, Aunties are the eyes that see everything from afar, Cousins are the ones who are 'Goldilocks'... not too close but not too far. You shouldn't marry your cousin though. Not enough genetic diversity.

Men are arseholes. Powerful men are entitled, bullying, cruel and myopic arseholes. Men are warriors, but we are supposed to be civilised. There is nothing civilised about war. There is nothing civilised about bullying, pain, human suffering, hunger and feeling unloved.

Mums are the antidote to men's raging testosterone. When women give birth, maternal instincts are programmed into the mother, which are necessary for the survival of the species. However, human babies have very large heads (ouch!) and are totally unable to support themselves and their alien head until they have drunk lots of mother's milk from the mammary glands of their mother.

Oxytocin is released into the bloodstream of nursing mothers, as part of bonding, but there is a sympathetic reaction, which is not in the mother's body, but in the father (if he stuck around for the birth). The release of this hormone is critical, to change the mode of the male, from fight, fuck and flee, into a responsible adult who deserves to have his offspring survive for long enough to possibly pass on 50% of his genes.

This is not so much the 'selfish' gene, as the 'anti-freeloader' mechanism. I'm sorry buddy, but you don't get to sow your wild oats and expect to reap what you sow. That's called rape.

I'm sorry to say it, but there are far to many rapists in the world. Men who think that they can get away with taking what they want, and not sticking around to face the emotional and physical consequences. The price for your 3 seconds of copulation could well be a pink/brown/yellow/red, screaming, incontinent midget, which can't feed itself, but yet you find yourself doing a weird dance in worship of this blood and mucus covered alien that just exited the mothership.

The "summer of love" was merely a chemical blip that nature would inevitably find its way around. The powerful drugs that have been synthesised in Bayer, Roche, Lily, Pfizer, Myers-Squibb etc. etc. which were tested on animals, including many of society's undesirables is a holocaust that we have conveniently forgotten. Baby boomers should not be nostalgic for being doped up in a field having unprotected sex, because that's f**king up society.

Many well meaning Physicians have entered Psychiatry, believing that it was a new Science, motivated by the desire to improve lives. Nobody did the long-term studies to find out whether the outcomes were better or worse. Where data has existed - for example, with Heroin, Cocaine, Laudenum, Snuff, Cannabis - the long term outcomes only look OK for the extremely wealthy. Are you the Queen of England? No? Then perhaps Cannabis is not for you. Big Pharma gets very rich indeed of patent royalties, which is completely at odds with the needs of sick people.

Psychoactive substances have always been the means of controlling society. Whether it was the Coca leaves of Peru and Columbia, Betel nut of Africa, Paan of Southern Asia, Tea of North India and China, Coffee and Cocoa of South America... and of course, Tobacco of the Americas. Older than all of these, is of course, alcohol which was brewed by monks in order to addict people to something that would fill their congregation pews.

Slaughterhouse Five

As shamanism, witch-doctoring and magic declined in Europe, so organised religion rose to fill the void, as child mortality and and an early death were guaranteed to feature in the lives of Medieval people, along with hunger and bitterly cold winters. Life was short and sh1t.

Civilisation has advanced. We now have the resources to treat diseases, making them go away and people live instead of dying. In a hell of lot of cases that's a mosquito net and a sachet of salt & sugar, which will save the life of a person with runny pooh, provided they have access to clean drinking water. It's as simple as that.

Add food into the mixture and you're improving lives immeasurably in Sub-Saharan Africa. The Sahara is a bleak and desolate space that separates almost an entire continent from having access to civilisation. Do we travel there to distribute clean water, medicine, bicycles? No, we go there to steal gold, diamonds, uranium ore, dam their rivers, steal their resources and take what little crops the African people grow to feed themselves, paying barely enough for them to survive the winter. This is rape.

I don't know if this is coming across, but I'm quite angry about this. I have been for as long as I've been able to hold a complex thought and set of feelings in my young mind. I'm sorry I wasn't a right-on lefty liberal, born with a copy of The Guardian clutched in my hands, as I was ejected from my mother's womb. I'm sorry that you're too far up your Islington Blairite Hypocrite Champagne Swilling Holier-than-thou F**king A*se to see that the working classes care too... but they didn't have the benefit of your privileged education. But then you're so smart that you knew that? No?

Fatal Illness

Thankfully, Oxford is a think-tank, where burnt out Blairites decide to raise a family. It used to be an affordable commuter belt City with enough culture and academic interest to make the trip into Paddington on the train, worth jostling with other suits in the morning.

Oh yes, Oxford has its fair share of people who look down their noses at the great unwashed masses. Thankfully though, some of them couldn't avoid actually encountering some grubby street urchins, and having their perceptions shaken up.

There was a joke shop in the heart of Jericho, where you could buy water balloons, smoke bombs, whoopee cushions, firecrackers/bangers and other things that could shock a smug mummy's boy out of his self-obsessed preening, admiring themselves in their gowns in shop windows as they walked through the cobbled streets of Oxford's dreaming spires.

Up My Tree

My Parents never really reprimanded me for launching a "Swallows and Amazons" style attack on the punters, from the high boughs of trees and bridges in the University Parks. We were little monkeys, who tore around town on our BMXs and skateboards faster than any Park Ranger or officious old fuddy-duddy could chase after us. We used to ring doorbells, egg houses, put treacle on door knobs. We were working class kids thumbing our noses at the establishment and everybody loved it, except for the arrogant elite.

More Pension?

Luckily, all the 'warrior' men were all in London, hunting big game and beating their chests. We knew our mothers would tell us off and say "wait until your father gets home" but we also knew our fathers would be exhausted from full-on days of p1ssing contests in the Big Smoke, followed by horrendous rat-race train journeys from hell.

This kind of matriarchal society took the sting out of any beatings that the kids got, and us kids bonded a lot more with our mothers than would be ordinary at that time. Did it lead to a load of mummies boys? Actually, it might have led to a group of people who feel so loved and cared for that they feel invincible. Is this a bad thing? Well some of my friends have died young, making unwise decisions when fuelled by alcohol.

There was one friend who shone bright in all our lives, and the circumstances in which we lost him were close to my own childhood experiences, of playing on railway tracks unsupervised by adults. I could totally picture exactly how it happened. It was chilling, and still is today. I am not imagining myself doing that, I am actually able to perfectly empathise with the mindset that would have led to a tiny mistake, which cost my friend his life.

I hope that his Mother and family is OK, if they read this. I'm trying to write it as sensitively as I can. Our friend is still very much alive in our hearts, and I'm crying as I write this. Tears are rolling down my cheeks and splotching onto my keyboard. I can remember how he touched our lives, as clearly as if it were only yesterday.

The cruellest twist of all, was that we had reconnected just as we were leaving adolescence; and embarking on our journey into adulthood. It robbed us all of the chance to see just how great that young man was going to become. Life can cheat and short-change us still, even at the end of the second millennium.

The challenge that life set our group of friends, was how to cope, in the modern age that had scattered us to the winds. We couldn't really grieve properly as a group. Even though, by total coincidence, this young man had ended up in the same City in Hampshire as me. Most of our other friends had remained in Oxford, where we grew up in.

I used the Internet to try and reconnect with these friends, but it was still very early days, and I felt very damaged and bitter about having been taken away from this group of beloved people. My parents were always moving me away from my friends and schools I loved. I didn't undertand why this had to happen. It was heartbreaking.

We left Aberystwyth for Kidlington, we left Kidlington for Tackley, we left Tackley for Oxford, we then had an abortive attempt to leave Oxford for Cinais in France (thankfully my teachers stepped in and stood up for me, explaining that my life was getting f**ked up by this wanderlust) but we still left for Harcombe, and then the family left Harcombe for Charminster.

By this point I had gotten f**ked off and left home at age 17/18, for Dorchester and my first job. I had barely settled in when British Aerospace then had the lovely idea of moving me to the Portsmouth/Fareham/Gosport area. Eventually I got f**ked off with that company keeping me away from my friends (and being responsible for making weapons that were used to kill people) so I moved to Winchester, where unsurprisingly I didn't have the most developed set of social skills or any ability to relate to my peers... unintended consequences, but it certainly hit me right in the feels.

I had a very weird time in Winchester, but I made 2 key friends, one of whom has recently re-entered my life, which restabilised it temporarily. Friends are important. Continuity is important. Stability is important. Trust is important. Truth is important.

I'm still working through thorny feelings about being taken away from my peers. It left me feeling I had to be fiercely independent and do everything early, in a rush. I've always felt like I had to take care of my Parents. When we were in Ireland when I was a little boy, I remember staying awake all night so that I could go and fetch the coal in the morning. I got myself dressed at dawn, and was just heading out with the coal scuttle to fetch the coal, when my Dad woke up and asked what I was doing.

Yes, you can raise your kids in a Victorian way, and they will turn out OK to outward appearances, but they may have problems reconciling your nostalgia for a time that probably didn't exist and you are over-romanticising, with reality in the 20th and 21st century. The projection of your inadequacies will have unexpected consequences. "Children should be seen and not heard" is one of the most offensive things I have ever heard in my life. F**k you, you dinosaurs.

It's not your fault. You were the best Mum & Dad (I wasn't allowed to say "Mum" or "Dad" for some reason) that you knew how to be. I did have an interesting time in my not-really-allowed-to-be-child-hood, being your experiment in denying the infantilism of an infant. It's benefitted me in the long run... I've had a great head start in many aspects of my life. I'm just not what you might call, a rounded character. For every yin there is a yang.

I'd probably make a good butler. I like dressing up and I sound posh. I can be anything you want me to be. I aim to please, Sir.

WINNERS

 

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My Name's Nick and I'm a Workaholic

9 min read

This is a story of a growing problem in people's lives....

Nick in Pink

I can't get no sleep. That's a double negative. What I mean is, that I have a problem with insomnia, because I stare at backlit devices around-the-clock. The problem with backlit devices is that they output light that hits your retina, telling your body "it's daytime, get up".

When I'm awake, which is most of the time, I'm either at work on my laptop or working at a double or even triple monitor, looking at my phone, or looking at a TV, tablet or some other backlit device. I had even taken to reading books on my phone, which means that my body had absolutely no light-based clue as to what the f**king time is.

Unsurprisingly, this messes with your circadian rhythm, even if you eat your meals at regular intervals, and attempt to get in and out of bed at normal times. I generally keep at least 3 electronic devices within grabbing distance of my bed anyway (phone, laptop, smartwatch) and often times I fall asleep with either my laptop on my lap, or still wearing my smartwatch (which helpfully vibrates, so I can briefly wake up to check any alerts).

Photographing stuff on my phone and uploading it to Facebook, Twitter or Instagram, posting check-ins and status updates, and making snide or sarcastic Tweets - from 4 different accounts, at least - has grown and grown, leading to a kind of live-blogging of my life.

To say that I was obsessed with social media would be a massive understatement. It's actually an addiction that is affecting my health. That's the generally recognised definition of an addiction: when something you enjoy is negatively affecting your life, but you are struggling or unable to reduce your dependence on the thing you are addicted to (water, oxygen and sugar don't qualify, you see, because you die without those things).

Shaun the Sleep

The inscription around the woolly head of our sheepie friend reads: we are such stuff as dreams are made on; and our little life is rounded with a sleep. Shaun would be well advised to make sure he gets enough sleep, as our immune systems can get dangerously low if we aren't giving our brains and bodies the rest they were designed to have.

Modern life gives us surprisingly few environmental cues as to what we should be doing. Here in London we have artificial lighting 24 hours a day, and there is barely a wall that doesn't have some kind of flat screen attached to it now. We really are a City that doesn't sleep. When all the bankers, lawyers and accountants go home in their taxis, just before midnight, an army of cleaners and trash collectors sweep in behind, to collect all those discarded coffee cups and sandwich wrappers.

Most offices are now 24 x 7 x 364 (you get Christmas Day off - this is the only real Bank Holiday) which have cost-saving motion sensing lighting, so you only have to glance up at one of the tall office blocks at an unusual hour, to get a rough idea of just how many people are working on some unrealistic deadline for their client.

Delivering a deal, getting the Thank Yous from your bosses and clients. High-fiving your colleagues, and adding another tombstone to your impressive collection of deals or projects that you have delivered... that's addictive too. You get a little dopamine hit every time one of those things happens, and before you know it, you find yourself going into the office 7 days a week and answering the phone to your bosses whenever they call.

In a global business, we operate a follow-the-sun model, where Europe hands over to the Americas, and then onto Australasia, and then Asia-Pacific, and then Middle East and North Africa and all too soon it's dawn again. Where those business centres are unable to fully support themselves, some poor sod carries their phone and/or BlackBerry everywhere anytime. We used to call it Crackberry when we first got our BlackBerries, and you found yourself checking email at 4am, even when you officially weren't on call.

We can't actually help ourselves anymore. Whenever we hear that bleep and see that message notification light blinking, we have been habituated into reaching out and grabbing it, no matter what time of day it is, no matter how socially inappropriate it might be, no matter what else we are attempting to do at the time.

I find myself looking at my smartphone, one-handed, while cycling along in front of 3-lanes of red London busses and trucks... what could go wrong? I find myself finishing typing a message, one-handed, while descending steps and even a ladder that leads down onto the 'beach' outside my flat. That ladder is about 80ft high. It would hurt if I fell, or maybe even kill me.

It's a similar deal with selfies. People will go to extreme lengths to get the shot. They won't even let you skydive with a camera until you have done a certain amount of jumps, because of the sensible precaution that people should concentrate on the hard ground that is approaching at 125mph, and not the killer shot that will make their Facebook profile look super awesome.

Got to Catch 'em all

So I tried to photograph 64 painted sheep in Covent Garden yesterday. Should we be quite worried, in a pathetic hand-wringing Daily Mail reader way? Why? In the above image, some adults might have been accidentally been photographed obsessively taking photos of their children. The image is low enough resolution that you can't actually recognise people, but some idiot will still declare that their privacy has been invaded. Welcome to London, you muppets. We are one nation under CCTV.

(NOTE: I took particular care to avoid taking a photo of anybody's child, and no, that really is not your kid in the image... it's someone else who shops in Baby Gap or Mothercare or wherever, and has a blonde/mousey/dark-haired kid. Can you imagine how hard that is in Covent Garden?).

So, for my part, I am pretty much putting my entire life - not including anything I am under contractual and professional obligation to protect - into the public domain. Nothing to hide, nothing to fear.

Is this brave, or stupid? Will I come to regret doing this? Am I embarrassed? Yes, there is embarrassment at first, and then this grows into a feeling of being liberated. Nudity, sex etc. are still taboos, so I'm not going to take things that far, and I am mindful of other people's need for privacy so I won't be exposing anybody else to my public life laundry. Ask yourself though, why do you feel uneasy about something leaking out?

Greenhouse

So, I believe that Cannabis is a very dangerous drug that has been allowed to enter popular culture (some conservative estimates say that 1 in 10 people are regularly 'stoning' themselves). My biggest concern is that prodromal Schizophrenia is being turned into fully blown psychotic episodes in young people. The paranoia and disordered thinking that I have witnessed in friends and relatives is disturbing.

The strains of Cannabis that have been developed with very high Tetrahydrocannabinol (THC) content are ruining many lives. People just sit around, eating, playing computer games, and p1ssing their youth away. These are smart and enterprising people. We are losing a whole generation, and I'm pretty angry about that.

If you walk around Camden Town, you will realise how the Marajuana plant has become a ubiquitous emblem for a huge powerful narcotics industry. The revenue and turnover involved is many many billions, in the UK alone. The corruption involved, the bribery of government officials, is a multi-agency problem that spans Border Controls, Customs, Police, Local Government, and of course, Parliament. Professor David Nutt was run out of government for trying to bring some sanity to the issues which threaten to tear our society apart.

We can't have an entire generation, whose ideas and energy have been repressed by a chemical 'straight jacket'. These stoners are too intoxicated to see that they have been conned. They might think they are part of a counter-culture revolution. From my first-hand observations, they are actually spouting complete rubbish, gawping at the TV, surrounded by empty junk food wrappers, in the stained clothes they have been wearing for days.

It sounds like I'm having a go at young people. I really am not. This is a major sadness in my life, that brilliant, bright, intelligent, energetic, beautiful young people are selling themselves so short, because they have been trapped into a cycle of poverty and intoxication, addicted to strong narcotics. What other hopes do they have? Getting a job as a young person is almost impossible.

Can't get a job without the experience. Can't get the experience without the job. That's the spine-chilling Catch 22 that is destroying a whole generation. These are your children who are being frozen out from the employment market. Take a bloody look at yourself, stop looking at the profit and turnover for your company, and ask yourself how many apprentices have you trained? How many entry-level positions have you created in your company? What are you doing to help the next generation?

Give young people the break they need in life. It could be as little as a small business loan, of a few hundred or few thousand pounds. That kind of money is pocket change compared to the value of your savings and assets. If you don't give away more than 1% of your total personal wealth (value of your house + value of your salary + value of your savings + value of your pension) every year, for the lifetime of each child that you have spawned, then you are a pathetic spineless leech on society.

My parents, tried to be as supportive as they were capable of being, and I love them. They have made mistakes, just the same as all of us, and I do recognise that being a parent is hard, and everybody is just winging it.

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Squaring the Circle

5 min read

This is a story of a seemingly simple equation...

Weymouth

1 + 1 ≠ 1. I have been trying to make a single 'perfect' life by finding 'the one' but this has not led me or anybody to nirvana.

I was once so desperate for 'love' that I tried to make a relationship work with a girl I didn't fancy and a male boss, who was gay. You can't say I haven't tried everything!

I've had some lovely girlfriends, but it's been rather hard for them. I think I started 'clingy' and then progressed to 'intense' and then didn't really develop much from there. Not sure why it's taking me so long to realise that these things can't be rushed.

So, I got married, and we had our first test of in sickness and in health almost immediately, but we got married in Hawaii, so I'm not even sure if that was part of the vows. I certainly feel like it's a pretty crucial part of a loving committed relationship, but I don't know what the correct formula is.

Happy Hawaii

When I had to go into hospital, soon after getting married, my wife said I would have to choose between her and treatment. I was pretty sure I was going to die if I didn't get treatment, and it was the reccomendation of my doctor, so I was kind of caught between a rock and a hard place.

I had pretty much offered my wife my head on a platter, as some kind of crazy symbolic gesture of how much I loved her, but that I felt I needed to demonstrate my love in this way was most confusing and distressing to me. I can see that this was my problem, not hers.

I left London to live the dream of having a place near the beach and kitesurfing every day. While I was down at the beach one day, my then girlfriend went through my stuff and when I returned to my car to warm up, I saw that I had a message demanding that I return home immediately... I was being summoned to court. Not a real court, but I had been summarily judged to be various things. I had to scamper back as quickly as I could to face my charges.

I don't blame my ex. She had added up 2 + 2 and made 5. She only cared about me, and about our relationship. She was worried I was a drug addict, because she had been through my internet search history, and found that I had Google'd "Nutmeg" after our friend had said that it had psychoactive effects comparable with strong narcotics. Frankly and truthfully, I merely wanted to find evidence to repudiate these unlikely claims.

My ex had good reason to feel insecure though... our friend had kinda gotten my attention. Not to do with the drugs, but she was and still is a larger than life character who defies being ignored by any and all male attention. That does not mean I wanted to cheat on my ex. It means I can still look at a cheeseburger when I am eating a steak.

The company that my ex was working for at the time sent her away from my beach dream life quite often, and I was lonely in the flat that she had insisted that I rent to be close to the office that she never spent any time at, in Poole. I had offered to move to Oxford, where she was working most of the time, but she had promised me that her contract would not be extended. Having worked for the same client and received several extensions myself, I could see that this was unlikely.

So, my friends looked after me, when I was all lonely in our huge apartment that was nowhere near any of my friends. We went out and sang Karaoke. We got drunk together. My certain female friend in question even offered to try and help me with my lifelong dislike of blowjobs... I declined, because I was in love with my ex. It was a thoughtful gesture though.

My ex could see that there was a certain chemistry though, and I guess she grew insecure. She tried to break up with me, without an explaination, and I was confused as hell. I stuck with it and she could see that I cared about her very much and so she gave it another go, but I never really understood what that was all about, until I just wrote these words right now.

The thing that she never seemed to realise is that I only had eyes for her. She lit up a room when she was happy. I remember walking with friends down at Ringstead Bay, near Weymouth, and the girls were walking along together in a line, when I turned back and shot my ex a smouldering look, completely by accident. I was so in love with her, it was so visible to everyone else that the girls either side all went "aaahhhhh" simultanously.

I hope my ex is happy now. I hope she has moved on. I hope that I made enough space and gave her enough closure that she has been able to pick up the pieces of her life and carry on. I'm really sorry that things didn't work out, but I hope the breakup can somehow be for the best in the long run.

So, one of my best friends reminded me last night of the rule of thumb for getting over someone. Seeing as me and my ex were off-and-on from 2005 to 2013, I guess that means there will be a situation vacant in 2017, but until then women should steer clear of this particular emotional juggernaught.

One ring to rule them all

Show me the way to Mordor (October 2013)

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Living With Epigenetic Risk Of Acute Illness

8 min read

This is a story of exploitation...

Nick in Blue

Bipolar II is risk, not destiny, but I have unwittingly utilised my diagnosed illness in order to achieve things which many can only dream of. There has been a price to pay, which might aptly be summed up as Nick in blue.

For the uninitiated, a chronic illness is something that you will suffer from your whole life, with little hope of a cure or doing anything beyond masking the symptoms. An acute illness is one that presents itself - an episode of an acute illness - but can go away, for days, weeks, months, years or even the rest of your life.

As the Bipolar propaganda proudly purports, many famous 'sufferers' are not really suffering at all in their hypomanic phases, if we consider the following: very few would give up those highs in favour of a normal range of moods, despite the savage depressive episodes which inevitably follow the hugely productive and energy-sapping explosion of activity, which tends to punctuate the cycle.

Why should anyone who is so applauded and revered by bosses, parents, society, for their 'achievements' - measured only on abstract scales such as school and University grades, income and other work-related nonsense such as promotions and job titles - think that they are unwell and seek treatment?

It's very hard to spot a person with Bipolar II in your organisation, your team. When they are hypomanic, they are also productive, but they are disruptive and argumentative. Essentially, they are totally unmanageable and unable to play nicely with plodders. Companies like plodders. Managers like plodders. They make up the numbers nicely and don't give you any surprises.

When your Bipolar II team member becomes depressed, their productivity drops to zero and so do their hours. They will arrive late at work, leave early and generally do very little. However, as a manager, you will be flooded with relief that your team member is now no longer being so disruptive and argumentative, and you will finally see that a hell of a lot of work has been achieved, and happily let the burnt-out wreck turn up and be miserable at their desk.

As a plodder however, you are only waiting for the sleeping beast to re-awaken. It keeps you awake at night. It stresses you out. You only know how to do the thing that you're totally mediocre at, and you absolutely hate change and are unable to deal with it, so the idea of getting away from the source of this stress is unthinkable. You stay and accept round after round of unintended abuse.

Organisations like productivity, and stressed plodders are even less productive than normal plodders, so when they speak up and say that they are tired (from all the lost sleep) and stressed and they can't plod as averagely as they had been plodding before, the management don't tend to be very sympathetic. Often times, it's the poor plodder who gets the shove rather than the primadonna Bipolar II golden boy or girl.

Now, if this sounds Sociopathic, Narcissistic and arrogant, you are mistaken. Our entire pyramid-scheme structure is rather adversarial, and when we set targets for our employees in these fake hierarchies, we do so in the full knowledge that there are more people competing for the next rung on the ladder than there are fake job titles at the next tranche in the pyramid. We are deliberately asking people to squabble with each other over those precious promotions.

The Narcissist believes he or she is special, and deserves special treatment, deserves the status that they have (or better normally!). I personally, always wonder why people are listening to me, why I am the one who seems to be making the decisions or getting the promotion, because I don't do the work that's asked of me, play politics or jump through the hoops and clap like a trained sea lion in a circus, which is what we are told will get us to the top of the tottering tree.

Believe me, I try to fit in as best as I can. I have literally been crying every morning for weeks and months on end, when I am nearly dead with depression, but yet I have to try and comply with somebody else's idea of ideal office hours. Likewise, I try and do what is asked of me by my bosses, but unless you know how to do it at plod pace, you have normally finished your work by lunchtime on Tuesday, and your boss is rather annoyed that he or she now has to give you some more... so you have actually failed to please your boss.

So, there are a few things I have found, which help to give me a little more stability: to cap and floor the moods, so to speak, and not have absolutely bat sh1t crazy hypomania, and dangerously low depression:

  • Breakfast : this is absolutely crucial. The stomach is a key part of our circadian rhythm. Digesting that first meal tells your body clock that "this is the time to get up tomorrow". I never used to be a morning person until I started eating breakfast, and now I spring out of bed with no "snooze" button presses at 7am.
  • Lunch : I think you can probably see where this is going. Yes, lunch is important, because it breaks the tendency to just work without a break. When a person gets going in a hypomanic phase, they can work for days almost without sleep or breaks
  • Dinner : saying to yourself that you need to stop work so that you can eat and digest before winding down for the day is crucial. Eating before 9pm is mandatory, and eating before 8pm is preferred. Otherwise, you find yourself gorging on whatever you can find, just before collapsing after 18 straight hours with no food at all since waking up.
  • Wind-down : almost impossible if you don't start early enough, but essential preparation for the next part of being an animal.
  • Sleep : not something you always feel like doing. Your intuition can be totally wrong when you are hypomanic, and usually you are way more tired than you realise, even though you don't feel like sleeping and you most definitely can keep on working. You would not even believe how many nights of sleep I have skipped in a row. Sleep is essential for energy, mood and the immune system. You get really sick if you don't have 6 or 7 hours a night, at least. More than 9 is too many... you'll get lethargic, or perhaps you are exhausted and depressed and you don't even realise!

In addition to this, there are some other rules:

  • No caffeine : because it's a Dopaminergic and Noradrenalinergic stimulant in the same class of chemicals as amphetamine. It's a potent wakefulness agent in the brain, and will mess you up. "Do stupid sh1t faster and with more energy" is accurate.
  • No alcohol : because it's a GABA agonist, like Diazepam (Valium) and you will develop a physical dependency on it, requiring it to be able to sleep, especially if you have been drinking coffee. It's the same as mixing uppers & downers as any other kind of drug addict. Did you know you're a junkie? Think about that next time you're looking down your nose at somebody. Alcohol is also hydrophilic, which means that it draws water out of the cells in your body... you are actually less full of life-giving water, when you are full of booze.
  • No psychoactive medicines or drugs : the brain and body are homeostatic. That means, they are designed to stay in equilibrium. You don't need to add anything apart from glucose, water and a few vitamin, mineral and amino acid trace amounts, which you can get from proteins. Fatty proteins should give you everything you need (yes, animal fat is good for you in its natural form).

And finally:

  • Exercise the brain and the body equally : when the brain is tired and the body isn't, it doesn't have a frigging clue why you are not absolutely whacked out and ready for bed. In our modern sedentary society, where we do little more than scroll through emails and web pages, our brain is a lot more tired than our muscles. This is not natural, and leads to 'brain exhaustion' despite the rest of you being physically dormant.

Of course, this recipe for mood stability is what I aspire to perfect, but it takes practice. I'm still working on keeping the routine, and resisting the temptations of a cold beer or a glass of wine. Giving up tea and coffee was one of the hardest things I have ever done, and I still have my 'methadone' in the form of mint leaves in hot water.

By the way, anyone who tells you sugar is a drug is an idiot. What's next, Oxygen is a drug?

Milky Milky

Sex can be addictive, but it's not unhealthy. However, an unsatiated libido is most definitely unhealthy and unnatural (March 2015)

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An Étude on Narcissism

5 min read

This is a story of fear, lies and insecurity...

The Living Dead

I once used the DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, 4th Edition) to decompose, deconstruct, examine and criticise my ex's behaviour. I should have turned that spotlight on myself, instead. People in grass houses shouldn't stow thrones.

I have lived a lot of my life with fear, guilt, self-loathing and insecurity. It dominated every waking hour of my life, which was pretty unbearable. I was a pathalogical liar, manipulator, bully, cheat and child.

Yes, that's right, I was a child. Up until the age I could legally drink (18 in the UK) I was growing up. I'm not 'grown up' now, but there was a turning point around the time of my late teens, which began a process of change, from child to adult.

As a kid, I used to lie about having Sky TV, owning a Game Boy and even about the size of my hard disk drive (fnarr, fnarr). I used to feel unworthy of having friends, a girlfriend, and instead cultivated a self-protecting "if you don't need me, I don't need you" isolationism, where I used to spend long periods lost in my own thoughts. I was so lost in my own thoughts, my parents even had my hearing tested, as it would take me a few moments to return to reality from my daydreams.

I remember my Mum being horrified that I seemingly lacked empathy for my tormentors. Two boys who were particularly vicious and violent towards me, and made my life hell, were apparently thin, pale and emaciated, from an unpleasant home life. Unfortunately my unpleasant school life blinded me from these facts, at the time, and I failed to share my Mum's feelings of protectiveness for these bullies.

I think I would have developed into a cruel and bullying boss and CEO if it had not been for an unexpected event in my late teens, which was at once both life-changing, but also potentially life-destroying.

3,4-methylenedioxy-methamphetamine is something I can correctly type from memory, because it is intractably linked to a turning point in my life. It's a bitter medicine to swallow, literally and figuratively - plant alkaloids are extremely unpleasant tasting, and Leah Betts had recently died when I took this substance for the first time - but the "empathy pill" or "love drug" literally changed my life overnight.

Before I continue, you should know that I had never abused drugs before taking MDMA, and I more or less ceased taking Ecstasy only a year or so after my first experience with it. What is written about drugs and addiciton being dangerous and life-destroying is true, and I am very glad that I didn't graduate onto drugs like Ketamine, which has caused irreparable urological damage to the bladder of many clubbers and ravers, and harder drugs that have destroyed countless lives.

There are no words sufficient to express the veil that was lifted as I 'came up' 45 minutes after ingesting a Mitsubishi Turbo pill, in a dark nightclub under a railway arch near Vauxhall, London. Pounding Trance music and sweaty bodies filled a space, way beyond the legal capacity of the venue. I was terrified by the setting, before my friend John even produced an innocent looking tablet on the palm of his outstretched hand.

We should be mindful of the dangers. Leah Betts was killed by a lack of blood supply to her brain, when it swelled up and squashed the artery entering her cranium. She unbalanced the osmotic processes in her body by drinking ~6 litres of water in the space of only a couple of hours. I can understand why she did it. The drug is hyperthermic and diuretic, which means you get hot - so you want to drink more fluids - but you don't feel like you need to pee.

Addiction is also a huge danger. Look again at the chemical name. It has methamphetamine on the end of it. The drug is basically Crystal Meth with a Phenethylamine ring bolted on to it. How else can people dance for 12 hours nonstop to monotonous minimalist electronic music?

Luckily for me, the confidence, energy & lightness in my limbs, the euphoria, the nonsensical "liking" of a chemical substance is the hallmark of an addictive Dopaminergic agonist or reuptake-inhibitor... all these things were of secondary importance to the main event: I felt loved and secure and happy and I felt empathy towards every person, regardless of looks, age, colour, creed, political leanings or socioeconomic background, citizenship, perceived intellect or subcultural references in their clothes, piercings and tattoos - including myself - we are often unable to stop judging and accept our own selves.

PLUR: The Raver's Motto

As ravers, we used to say "PLUR": Peace Love Unity Respect. I think this is a good motto for life

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