This is a story about doing no harm...

Imagine that somebody says to you "you're so argumentative". What could you possibly say in return? You can't say "no I'm not" because then they'll say "yes you are and the fact that you're arguing proves it". There are lots of other quirks of the English language that allow you to box people in, such as asking questions like "so when did you stop raping children?" or some other kind of fallacy.

I'm not actually against psychiatrists and psychiatric medications. Every psychiatrist is different. Most psychiatrists who work in the NHS have to deal with society's very sickest and most dysfunctional cases. Every psychiatric bed in England is filled with somebody who is being detained against their will for 28 days, or more likely for 6 months. There aren't any spare psychiatric beds for people who are merely having a crisis and who are in danger of committing suicide - the NHS will call your bluff and leave you to die, as so many do, because mental health services are overstretched and underfunded.

The kinds of treatment on offer vary from snake-oil bullshit, such as CBT and other behavioural therapies, to chemical coshes that will put you into the drugged equivalent of a straightjacket. For sure, there are some very sick people who are psychotically disturbed, but powerful antipsychotics are not a panacea for all problems of the mind. In some countries, physical restraints are more commonplace. In the UK, we dope people up to the eyeballs.

If you've never lost your liberty you won't quite be able to comprehend how terrible it is. We're free-thinking individuals who move through the world according to our whims - the illusion of free will. When locked into an overcrowded psych ward, even if you asked to be hospitalised because you feared for your own safety, you might suddenly panic that you won't be able to get back out.

Ironically, you can't say "I'm not argumentative" when somebody wrongly accuses you of being argumentative, and it's equally impossible to say "I'm not mad" when you're trapped by psychiatry. The only strategy you can play is to be calm and patient and ignore the provocation, which is easier said than done. It's a very natural reaction to want to defend ourselves against unfounded allegations. To have our character criticised by somebody who doesn't know a damn thing about us, is incredibly insulting. When somebody who hardly knows us has the ability to detain us against our will, and even to have us forcibly medicated, then the situation is unbearable.

I don't doubt that psychiatrists believe they have their patients' best interests at heart, but there's no acknowledgement of the antagonisation, frustration, anger and upset that they provoke. Nobody should have godlike powers over any other human being. The line between sane and insane, sick and healthy, right and wrong thoughts... these are completely arbitrary. There can be no ultimate arbiter who decides who's normal and who's not - it's not right that anybody should sit in judgement.

Am I arguing that we should fling open the doors to our asylums and let the mental patients roam free? It's more complicated than that. A survey of the general public revealed that the vast majority of people wouldn't want to live next door to, work with or have their children play with a schizophrenic. It seems that those paranoid delusions are not so paranoid after all - no smoke without fire. Having had my case reviewed at mental health tribunal to decide whether to give me back my freedom or not, it appalled me how six people could sit and have a discussion about me as if I wasn't even present in the room. To button my lip and remain silent through proceedings; to maintain my polite and courteous façade - this was virtually impossible when my liberty was at stake.

Another thing that's deeply upsetting is the way that the patient is often mobbed. Ward rounds consist of sitting with a whole room full of people - usually a couple of psychiatrists and a couple of nurses - who sit stroking their chins while the patient explains the same thing for the millionth time: please stop ganging up on me and let me go. Of course, there are mental heath problems present, but the set-up is antagonising. Should we just let anorexics stop eating and die? Should we just let the psychotic do what the voices tell them to do? This isn't what I'm arguing for. I'm just pointing out that even the most sane amongst us would be driven mad by a jeering crowd, licensed to torment and keep their victims in captivity.

If you imagine that you might get to spend 10 minutes with the psychiatrist who has the power to set you free, once every week or every fortnight, all the decisions are more important than I can possibly express in words. If you're on a medication which is causing you intolerable side effects, in a psych ward setting which is causing you intolerable distress, you're going to have to wait a couple of weeks before you can have another go at trying to communicate your needs to the doctor... which you'll have to do through the foggy haze of powerful antipsychotic medication. "This man is making no sense" they'll say, because you've been drugged into a dribbling mess. What further proof could be necessary to show that you're an imbecile who could never survive outside the protective walls of an institution?

Experiments were conducted by investigative journalists, who deliberately got themselves committed to institutions, only to find they couldn't get out again - the system grabbed them. The harder you fight the system, the more you're giving the system the 'proof' that you really are mad. It's maddeningly self-perpetuating.

Very few of us have the ability to bring our racing pulse back under control, to lower our respiration rate, to relax our muscles. Very few of us possess the ability to react to incredible stress, by calming ourselves and being patient. The most antagonisingly provocative situation will elicit the most predictable response: people don't like having their freedom taken away, told what to do and being judged by strangers who pry into every aspect of their private life.

To have captive creatures to toy with as we please must make those men and women who wield godlike powers feel very full of themselves. "It's for your own good" is the well-worn defence for the indefensible. The very nature of the relationship is toxic to mental health. Mental health treatment cannot be imposed by those who know best, because they don't know best - psychiatry is such a young branch of medicine. Nobody really has a clue what they're doing. Long-term outcomes are abysmal and the mental health epidemic continues to grow apace. Clearly, evidence-based medicine is not being practiced.

Of course I don't think that psychiatrists and mental health nurses and all the other people who offer medical and complementary treatments for ailments of the mind, are bad people. Of course they're not bad people. I don't believe there's a Big Pharma conspiracy. The truth is though, people are sicker than ever before and the treatments aren't working. My objection is with those who talk authoritatively as if there are useful diagnoses and accompanying medications and therapies which are making a profound impact... it's just not the case at all. What's happening is abysmal, and nobody is admitting they've got it wrong - a lot of people aren't sick, they just hate capitalism and modern society.

Good science means controlling the variables. I've aggressively cut out all psychoactive substances. Tomorrow I shall tell my psychiatrist that I'm debt-laden and forced to work a job that conflicts with my values and needs. My malaise is a function of the conflict in my heart, knowing that banking is a morally bankrupt profession, loan-sharking and taking advantage of the most vulnerable. My prescription? The end of capitalism and the return to a society where we're intimately connected to our local communities... do you think they'll stock that in the chemist?

Getting my happiness and contentment back in the current economic climate looks to be an impossible task. However, to medicate myself because I'm having a sane reaction to an insane world is not a good course of action.

Of course, my psychiatrist doesn't have the ability to cure me of my intolerable situation. I've got to work. I've got to travel to where the jobs are. I've got to pay my bills and service my debts. But, I don't need medical solutions to a non-medical problem.

Why even go to see my psychiatrist, when I don't think they can help me? Well, it's obvious isn't it? If we keep sending people away with pills, then we keep proceeding with our delusion that they're working and things are going to improve one day. How many times a year do you suppose a psychiatrist meets somebody who's foresworn ALL psychoactive substances, including caffeine and nicotine, and is a functional high-achieving member of society, to all outward appearances? To say that a medical problem - suicidal depression and debilitating anxiety - doesn't have a medical solution is heresy, but somebody has to stand up to those who dogmatically decree that they have the solutions, when they demonstrably do not.

Being unmedicated is really horrible and I feel terrible, but I'm being a bit of a martyr because I've got a point to prove. One day I will escape from the burden of debt, the soul-destruction of bullshit jobs and the need to commute long distances, preventing me from forming social bonds and having a work:life balance. One day I'll get a girlfriend and a cat and a home of my own and all the other things that humans need to feel complete, and then we can re-examine the situation and ask if I need medication. Until such time as the major problems in my life still exist, then medication looks like a dangerous option, because medication is allowing our society to develop into a grotesquely unhealthy form. Just because medication allows you to do awful things, it doen't mean you should do awful things. If it feels wrong, it probably is wrong.

A certain proportion of society will always struggle to abide by its rules, its laws and its social contract. A certain proportion of society will be criminals and parasites - anti-social. However, when the vast majority of us are struggling and unhappy, then we've made a wrong turn somewhere; we've made a mistake and we need to retrace our steps.

I refuse to be labelled and drugged.

Tags: #mentalhealth #medication

This is a story about immigration...

My journey home this evening took me from the western side of the Square Mile, along London Wall and past Moorgate, past Liverpool Street and into the East End. Suit-clad city workers scurried with their briefcases and brollies, desperate to return home to their families after a long day at the office. Overcoats were all navy blue, black and grey, in conservative styles designed not to attract attention; sensible haircuts, no piercings or visible tattoos.

The crappy vegetable market that used to be virtually derelict now houses every designer brand and label that you could possibly imagine, from Barbour jackets to pairs of jeans which cost in excess of £200 a pair. Money is no object in the very place where a friend of mine used to sell knock-off copies of Calvin Klein underwear, three pairs for a fiver.

The council flats - social housing - have all been sold off as part of Thatcher's right-to-buy scheme, and all that money has flown off to the Spanish Costas, where the weather is better and the cost of living has remained lower.

The East End boozer that I used to love because it was cheap and virtually empty except for a few local alcoholics, is now brimming with hipsters and charges more than £6 for a pint of beer. Instead of looking closed and disused the pub has had an expensive makeover and its customers are spilling onto the streets - standing room only.

The pie and liquor shop, which sells jellied eels, is now a tourist attraction and there are people queuing out of the door, because it represents the very epitome of East London, despite the fact that East London is now epitomised by overpaid hipsters who do a bit of web development in trendy offices that used to be warehouses used by the cloth trade.

Everything that the the slum-dwellers and council tenants wished to escape has now become fashionable and extremely expensive. To live in an overcrowded city that's noisy and full of crime and pollution, seems like utter insanity. Why do people pay a premium to live in Central London?

A hundred languages are spoken in London, which is double the number spoken in the next most multicultural city: New York. Within a ten minute walk of where I'm staying, I can eat food from at least 30 different countries. Away from the homogeny of the City of London, traditional dress indicates that there are ghettos where people are living very much as they would have done in the countries where their families originated - entire communities have been lifted and shifted to the centre of the UK's capital.

The Crossrail engineering project - the new Elizabeth line - will be jam-packed with commuters as soon as it opens. London cannot keep pace with the demands of its residents and workers. Infrastructure is creaking at the seams. Tube stations regularly have to be closed because of overcrowding. The roads are virtually at gridlock. The congestion charge and T-charge are doing nothing to change anybody's habits. Deliveroo and Uber vehicles compete with black cabs and red double-decker buses, and more lorries than ever must deliver a relentless amount of ready meals and pre-prepared sandwiches for busy office workers who are too tired and stressed out of their minds to be able to cook for themselves.

In a desperate struggle for space, gone is the spare bedroom. Gone is the place of your own. Gone is your own kitchen and bathroom. Airbnb makes every inch of spare space pay its way. Hostels and hotels are no longer viable business models. Everybody has to pay big bucks for barely enough space to sleep - we're all living on top of each other; piled high.

The official statistics say that London's daytime population is ten or even twelve million. The truth is that nobody really knows. Every runaway goes to London. Every asylum seeker; every economic migrant. All roads lead to London, and London is where everybody ends up - the gravity is inescapable.

I was working on a project which needed to work out how many people the company employed. The company who employed me thought they had about 700,000 people working for them, but the truth is that nobody really knew. You'd think such a thing would be easy, but it wasn't. We had to use biometric data - fingerprints and facial recognition - just to stand a chance. Turns out, there are always more people on the payroll than you thought; more hands in the till.

I work 0.3 miles from the Bank of England. You can never work more than half a mile from the Bank of England in the Square Mile, because it's pretty much in the middle. It's the feeding trough. All of us little piggies come to the feeding trough, because that's where they make the money, and we get to gorge ourselves on it until we are fat.

I keep coming back the City of London because capitalism keeps clinging onto power, and that means I need money. Where do you get money? The Bank of England and the City of London, of course - go and fill your pockets at the source of all the wealth in the country. The streets are paved with gold.

One thing I notice when I keep leaving and coming back, is that there are always more and more people. There are huge skyscrapers springing up everywhere. I try to walk from one place to another via the same route I would have taken prior to the year 2000 and I find my way is barred. The shitty old office I worked in on Bevis Marks got replaced by a tower block that was supposed to accommodate 8,000 people, but has 12,000 working in it. There's an insatiable appetite for financial services workers. I remember going home after the 9/11 attacks in 2001 and I'm pretty sure I had a seat on the tube. Things were civilised. There weren't crowds of people. What I witnessed tonight - and every night - is far more harrowing in terms of sheer numbers of people competing with each other to get home; to get away from this place.

When those two planes struck those two towers, we were convinced there were more planes headed for London. We were convinced that capitalism had had its day and that the subsequent stock market collapse had marked a changed mood - our appetite for the unrestrained free market had reached its limit. It seemed like the insanity of house price inflation and the asset bubble was going to burst. It didn't.

Now, we're living in a strange type of dystopia. German bombs are not falling on London, but there's a kind of resigned expectation that at some point terrorists are going to attack us. We go about our daily business with posters that constantly remind us to stay vigilant in the face of inevitable violence that will be perpetrated against the capital and its people. We are no longer living in Victorian Britain, but the slums are just as bad. Air pollution and overcrowding are terrible, and high stress jobs with long working hours has been proven to be a toxic health combo as bad as smoking cigarettes.

For some, there will be a pot of gold at the end of the rainbow. London still holds the possibility of fame and fortune. Dreamers from all over the world beat a path to London, to attempt to make a name for themselves and line their pockets with money. If you can cope with the sensory overload, the invasion of your personal space, the danger and the stress, then you can get a real buzz out of pounding these mean streets. Fortune favours the bold.

I had to get a tube train this evening, but the first one that arrived was too crowded for me to board. People behind me were pressed into my back and I was teetering on the edge of the platform. I asked if I could move back away from the edge, and one of the men who were shoving at my back looked at me like I'd asked if I could take a shit in his mouth. We gave each other an impassive non-aggressive stare, of course. Grudgingly, people allowed me to take half a step back from the brink of certain death. Reluctantly, I was given a few inches to spare between myself and the speeding trains and electrified rails.

This is the world we live in. If you're not living on the edge, you're taking up too much space.

Tags: #london #career #banking #capitalism

This is a story about vicious cycles...

I think I'd prefer to be an artist or an academic. Working for a living sucks. I'd prefer to be a life coach or some other kind of person who doles out unwanted advice, pretending like I'm an authority on how life should be lived. I watched charity chuggers today, seized with self-righteous purpose; in love with themselves and foolishly believing their contribution to society is valuable in the face of overwhelmingly contradictory evidence. I'm bitter and twisted; resentful. My thoughts are chaotic. Disaster looms.

The absurdity of existence torments me. I see crowds of people and I see how similar they all are - they all have the same hopes & dreams; the same neuroses and weaknesses; the same vanities and flaws. I'm continuously reminded that we're all dying and we're destined to be forgotten. Every bead of sweat and drop of blood that's spilled will mean nothing. Entropy will destroy everything that's ordered and organised and structured and regular. Soon... nothing.

I'm aware that my mind is hunting for a change of mood; seeking out some relief from the relentless boredom, monotony and unbearable stress. Could there be anything worse than sitting and waiting to die, watching the onrushing freight train from many miles away. Inevitability is the worst. It's not difficult to extrapolate.

My thoughts seem jumbled and disorganised but friends tell me I'm becoming more lucid and expressing myself better than ever before. It's strange how my perception of myself contradicts others' observation. Some are desperate to declare me insane, while others are relieved that I seem cured. If there's any cognitive dissonance, it's external to me.

Either I'm about to make a breakthrough or I'm about to have a breakdown. I can't decide which, but I hear the familiar hysterical and frenzied voices, desperate to declare me mad & bad; desperate to say "told you so". The closer I get to some difficult to reach truth, the harder those who would thwart and frustrate me will fight. I'm spurred on by those who speak to me condescendingly, patronisingly; insult my intelligence and otherwise attempt to undermine my confidence and self-esteem. The attack is relentless, but I try to patiently bide my time.

If you want to win, you can't react to the bullies; you can't give anybody the satisfaction of allowing yourself to be distracted. The closer you get to escape velocity, the more people will try to shoot you down. Many people dislike seeing anybody getting ahead in life. Many people don't want to see you succeed. How can we imagine ourselves successful, without trampling on those underneath us?

The dam is bursting and I'm almost overwhelmed by the enormity of everything I've been through and the unpleasantness of the present and immediate future. I've reached the limit of what I can take.

Yes, this is cryptic, but I don't intend it to be.

I'm venting, of course.

Tags: #bipolar

This is a story about the hands of time...

I have a breadcrumb trail of images that allow me to retrace my steps and understand where I've come from and attempt to estimate whether I'm spiralling downwards or slowly recovering. If I look through my photo library at the images and videos that I captured exactly one year ago, there are three strange videos that I recorded, which clearly indicate that I'd had a major relapse. Three days later both my kidneys had failed, my left leg had ballooned to twice its normal size due to DVT and my blood was toxic enough to kill me at any moment.

Every year for the past four, I've had a Jinxed January. It's true that depression, hypomania and addiction have reared their ugly heads year-round, but January is a particularly awful time. I cured the November wobbles by writing novels. I cured the December wobbles by cutting my toxic parents out of my life. The next problem I've got is how to solve Jinxed January.

My present strategy is to shackle myself to my desk, doing a job that I absolutely hate and is completely incompatible with my mental health. If I can survive this January without doing anything stupid and self-sabotaging, I should have the wind behind me and a downhill stretch of road to help me coast into the spring. The odds will be increasingly in my favour as the days get longer and the weather improves.

I'm emerging from the fog of addiction, intoxicating medications and copious quantities of alcohol. It was impossible for me to really comprehend how bad things had gotten, while I had so much toxic crap in my body. I'd lost all perspective and ability to perceive reality. I struggle to relate to a lot of what I've written in the last few years, because that person who was under the influence of such vast quantities of drink and drugs feels like somebody else. I can read my own words, I can see the distress and I can remember the things that were driving my thoughts and emotions at the time, but not everything in my world was entirely real and grounded in reality. I'm not seeking to distance myself from the things that my body did - including saying and writing things - but it's a little bit hard to imagine that it was me. If you want to get obsessive about blame and responsibility, then f**k you, buddy... go read somebody else's blog you tiresome bore.

Of course, I feel very bad about the way I treated - for example - my lovely girlfriend who gave me a wonderful Christmas with her family, cared for me when I was in hospital, and was extremely nonjudgemental and understanding when addiction got its hooks back in me. I didn't treat her well in the end. I regret it and I'm sorry. I did that. I'm to blame. I'm responsible.

However, in the context of unpicking everything, I can see that there are repeating patterns and things that trigger other things - cause and effect are very complicated to understand. To fully understand the likely consequences and plan ahead, like playing a thousand simultaneous games of chess against grandmasters, is a completely unreasonable and unrealistic thing to expect of me.

Searching back through my photo archives, I can see that I obtained a prescription for an antidepressant - bupropion - shortly before one relapse. I can see that I obtained another - California rocket fuel - shortly before an episode of hypomania where I broke up with the aforementioned brilliant girlfriend. In fact, whenever I seek chemical relief from depression, that's usually an indication of a desire to feel better at any costs, having suffered weeks and months of suicidal thoughts. Am I to blame for seeking relief from my intolerable feelings of depression?

Scanning through my library of images, I can see how I become obsessive over sleeping tablets and tranquillisers, as I rely upon the pills in order to cope with dreadfully stressful situations, which would send even the least-anxiety prone amongst us running screaming in the opposite direction from the source of the stress.

This time last year I was about to start work doing yet more IT consultancy for yet another bank. I was not incredibly enamoured at the prospect, but I needed the money. Circumstances conspired to force me back into an unhealthy environment.

Sadly, I'm not rich enough to do whatever I want, and I'm not even financially comfortable enough to do something tolerable - I've got to do the thing which pays the bills, and that's IT consultancy for banks, unfortunately. It's a fact of life that sometimes we have to do things we don't like very much.

So, I've avoided the antidepressants this time, because they always seem to send me loopy. I'm white-knuckling it to the end of Jinxed January, because I just need to get through this god-awful month, come hell or high water. I'm constantly reminding myself that even to dabble with so-called recreational drugs or get mixed up with girls in a big way, is likely to be destabilising. I live like a monk - work, eat, sleep, repeat.

Because of the extraordinary quantity of benzodiazepines I was abusing, I have huge holes in my memory. It feels like such a short time ago that I was hooked up to my own dedicated dialysis machine, on a high dependency ward. It feels like only yesterday that I regained consciousness with a machine breathing for me in intensive care. I managed a spectacularly terrible sum total of just 11 weeks at work in 2017, and virtually all the rest was pure insanity. I spent about 7 weeks in hospital, so with that 11 versus 7 ratio, you can see that my year was pretty messed up.

This year is brutally drug-free and medication-free. My brain screams in agony at the unbearable levels of depression and anxiety, but I've seen that to reach for any kind of substance for relief is opening the flood gates to fully-blown addiction. I'll convince myself that whatever chemical I'm using to feel better is not effective, and I need to take more, more, MORE! Before I know it, I'll be back on the supercrack.

It might seem obvious to an outside observer that my cyclical life is due to bipolar disorder, and I should rush to my psychiatrist and beg to be given mood stabilisers immediately. However, those who superficially observe me would remark that I'm very stable: I get up, shower, get dressed, have breakfast, go to my job, spend my evening watching TV and writing and get eight hours sleep. To the casual observer, I seem like the most functional and stable person who you could possibly hope to ever meet.

The reality of my existence is one of continuous battle with depression, anxiety and a craving to spectacularly self-sabotage with addiction. Getting out of bed in the morning and overcoming debilitating anxiety are comparatively easy, having built up the mental strength to overcome the urge to take one of the most addictive substances known to man. I'm not meaning to compete with those who find their lifes to be completely unliveable due to depression and anxiety, but merely to say that I've found it easier to overcome things which would have kept me bed-bound, after having been through what I've been through. Every cell of my body screams in protest at the bullshit I'm putting myself through at the moment. Every bit of my brain yells in agony at the daily punishment I suffer, but what does an extra bit of suffering matter compared with the endless comedowns and drug withdrawals I've been through?

As I look back on the last year, I realise I've been through opiate withdrawal from tramadol, codeine and dihydrocodeine; through benzodiazepine withdrawal from diazepam and alprazolam; through stimulant withdrawal from crystal meth and supercrack; through withdrawal from pregabalin and alcohol; through withdrawal from sleeping tablets like zopiclone and zolpidem. In terms of detoxes, I've had the detox from hell. In terms of quitting addictive medications, I'm a Guinness World Record holder. I really do deserve a medal.

As I look back on the last year, I realise I've been through so many health issues, housing issues, financial issues, legal issues, employment issues, relationship issues and everything else that would wreck your head and rob you of your sense of stability, comfort, contentedness and happiness. I'm surprised I'm not sleeping in a cardboard box, just to escape the clutches of a society that wants its pound of flesh at any costs. I'm exhausted by the constant stress of it all.

If I make it through Jinxed January, I have little to look forward to. There's nothing jump for joy about. Anybody who tells you you'll feel better if you quit the booze and the drugs and the pills is a fucking idiot. Anybody who tells you that you'll have improved self-esteem and all the other good stuff, if you get yourself off the streets and into a job, is a fucking idiot. I'm an extremely rare example of a judge, policeman and a social worker's wet dream - a bankrupt homeless mentally ill junkie who's got themselves scrubbed down and gone back to civilised society, but I've got to tell you in no uncertain terms that it's awful and I hate it. My life is a living hell.

Perhaps this is the ultimate comedown. Perhaps all the chickens are eventually coming home to roost. Perhaps this is the payback, given that I somehow miraculously avoided prison, a criminal record, bankruptcy and permanent health damage. Perhaps I'm finally paying the price for all that partying.

But, I haven't been partying. It's not like I haven't paid the price every time I fucked up. It's not like I haven't tried hard to do the all the right things and contribute to society. It's not like I've robbed, and manipulated and been a parasite on society. I've already paid for my transgressions. Where's the reward for getting myself sorted out? Why did I bother?

As I look back, I have rose-tinted glasses. As I look forward, I see the world through a blue filter. The past wasn't so bad and the future looks bleak. Perhaps this is the final stage of recovery from addiction, when my memory of the horrors of the past is becoming faded and I fondly reminisce about the few moments that were OK in all that insanity. It was certainly an easier life, to be on a rocket-ride to hell.

I try to look back and remind myself just how bad things were, but I find myself smiling and laughing in a way that I just don't when I think about the eight hours I spent going through hell at my desk today. In my mind, I perceive the present unpleasantness as far greater than anything else I've been through in the last year. That's strange, isn't it? To have suffered multiple organ failure, loss of my home, loss of my job, a suicide attempt, incarceration, getting sectioned, psych wards, addiction, loss of my girlfriend and all the other atrocious things that I went through in the last year, and the very worst thing is my current working arrangements.

Obviously, I think that my perceptions must be warped by my state of semi-recovery from addiction and other mental health problems, but I don't think it explains everything. There is something awful about being all alone in an AirBnb, working a job I hate because it's boring, easy and doesn't bring me into contact with a single soul... it's so lonely and isolating.

I'm churning words out into the ether, because I'm in such discomfort and I'm so afraid.

It's strange that I'm not afraid of ending up back in hospital, isn't it?

Tags: #addiction #recovery #mentalhealth #depression #bipolar #medication #career

This is a story about being at the top of the bell curve...

The world has pushed you one of two directions. Either you feel like the smartest guy or girl in the room, or you feel distinctly average; part of the herd. For some of us, society conspires to make us feel like the top dog and that we can lord it over our fellow humans because we're oh-so smart and important; a big cheese. For others, we take our comfort in knowing that we're just the same as our peers - ordinary and unremarkable.

You might notice a habit of the perennial committee sitter to offer unwanted advice and solutions to solve problems you didn't even know you had. You may observe that the person who believes they have risen above the masses is rather keen to take you down a peg or two - they'll take every cheap shot they can to undermine your self-confidence, lest you start to believe in yourself.

Likewise, you might notice an excessive humbleness - bordering on the pathologically self-critical and self-doubting - that holds back those capable members of society who actually do the work, not seeking to idly sit in judgement over others. You'll hear people giving credit where credit's not due, to those who have cheated and sharply elbowed their way to the front of the queue. A kind of weak-kneed deference is given to the great and the good that is wholly undeserved.

We are all mediocre. Whether we have millions of adoring fans or apparently none, there is no human being who is thousands of times better than another. No man or woman deserves praise and adulation that is manyfold greater than given to their peers. Although we have a tendency to hero-worship, revere men of letters and fetishise those who hold coveted job titles or wear uniforms, we sometimes forget that these are just ordinary people who are role playing - abusing the human psychological weakness towards those in authority.

Any one of us might purchase a fluorescent jacket and start bossing our fellow citizens around, and people will be surprisingly compliant. Any one of us can buy our way into a position of fame and influence, and people will attach a surprising amount of gravitas to our words. "Oooh, what a great leader! How wise they are!" people coo with approval as they unthinkingly accept the artificial social status that was conferred by something bizarre and abstract, such as a metal badge pinned to somebody's chest.

There's a confidence trick that propels ordinary mediocre people into becoming little Hitlers who believe they have a god-given right to exercise dominion over their peers. Those who believe - mistakenly - that they have risen above mediocrity start to believe their own bullshit and fall in love with their own reflection. Buoyed by the unearned respect that's been shown, the pompous little twats start thinking that they can solve everyone's problems and do anything - they start to think they can do any job and know everything there is to know; they believe their opinion and contribution is always valuable, when demonstrably it is not.

In order to support the delusions of grandeur, the world has to be simplified so that trite and painfully obvious solutions to the oversimplified problems can be thrust upon the lower orders. "Have you tried not being poor? Maybe you should try having money like I do. I'm great!" say those who have become rich and powerful by fluke of birth and other circumstances beyond anybody's control. It's impossible to measure anybody's value as a person versus their peers, because sheer blind luck gifts us vastly different advantages in life.

Virtue signalling by those who are succeeding in life is something which turns my stomach. I abhor those who believe that the reason why they're fitter, healthier, happier, richer, more academically qualified and in jobs of higher social status, is somehow due to smarter choices and harder work, or worse, genetic superiority. We can only play the cards we're dealt.

If we consider our place in the universe we should be humbled. If we consider our net contribution we should not be so pleased with ourselves. Everybody is distinctly average and we live meaningless lives. We are all destined to be forgotten.

Of course, fame and positions of high social status lead some of us to believe we're not far from the top of the pyramid, but this is stupidity. You might only be 3 promotions away from becoming the president, prime minister, CEO or other apex member of society, but you haven't done the maths. If each person has 15 people who report to them - such as the prime minister's cabinet - then you'll be competing with at least 3,375 other eager little Hitlers vying to get onto the next rung of the ladder. You're not special, unique, different or in any way making a contribution other than your 1/7,600,000,000th as a distinctly average member of the human race, despite your job title, qualifications, underlings, followers and other vanities.

The indoctrination into a society where we must kowtow to the least qualified and capable begins at an early age - people who aren't able to do jobs or command the respect of their peers take charge of groups of infants and instruct them to believe every word they say. "Respect my authority!" demand teachers as they exploit humanity's predisposition towards filial obedience. What kind of a person is so insecure that they need to find a vulnerable group of young children in order to provide them with an unwilling audience?

Those who wish to judge, police, lead or instruct others are unqualified by reason of insanity, in my opinion. To crave authority and power disqualifies those who have the mental affliction of believing they're better than their peers. Power should never be given to those who want it.

Personally, I want to hear the opinion of the person who thinks their opinion is worthless. I want to find out how those who don't think they're qualified to make decisions want to run the country. I want to be led by somebody who doesn't want to be a leader. This is not anti-intellectualism or a tirade directed against experts, but in fact a desire to solve the real problems; the hard problems, and not just have a society that exists to massage the egos of the little Hitlers who are completely incompetent, incapable and lacking in enough humility to pipe down and listen; lacking enough intellect to even comprehend their own stupidity.

How much productivity and ingenuity is squandered because we have constructed a society which seeks to tell most people that they're stupid and useless, and they'll never amount to anything? What kind of educational system have we got, when it tells most people that they're shit and they should give up - studying is not for the likes of them. Why would we actively discourage people from furthering their education, by slapping a label on them that says "average"? What's an education for, anyway, if it's just a means of attaining a job of high social status... the right to sit in sneering judgement over your peers.

As we reach the inevitable endgame of late capitalism, where we were told that competition would give us the very best results, are we not now able to see that we've squandered all our most precious resources? We've ruined childhoods and lives in the pursuit of academic excellence, but all we've produced is a tiny handful of impractical fucktards who've had every ounce of free thinking thrashed out of them by the system, who rule over the rest - the vast majority of us have been told we have nothing of any value to contribute to society.

Of course, the ruling elite, the scientists, engineers, teachers, doctors, university lecturers and those who hold all the other positions of high social status, are not bad people, provided they haven't been irreversibly corrupted into believing that they truly are better than the rest. To kill, imprison and re-educate the sneeringly arrogant guardian class - as has happened in so many revolutions - would be to squander the expertise that this group undoubtably has. The trick is going to be to wrestle power away from this group; to humble them - they should be servants of society, and not believe themselves to be gods.

People don't like to be patronised. The masses don't mind doffing their hat, so long as the bread and circuses continue unabated, but in a world of austerity and economic depression, why the hell should anybody show any respect to a jumped-up self-important little twat who thinks they're a big deal? Why should those of lower social status continue to humour their superiors; continue to massage their egos?

We're seeing multiple groups who have been patronised and marginalised now becoming discontent in this depressingly fucked up world. Women are fighting the patriarchy. The young are fighting the baby boomers. The practical are fighting the impractical. The workers are fighting the idle. The competent are fighting the incompetent. The have-nots are fighting the haves. The many are fighting the few.

It seems inevitable that the systems of societal control would collapse under the sheer weight of human misery. If you want to oppress a group of people, you should select one of their member at random and give them an elevated social status (imaginary) and they will brutalise their peers, believing that they are suddenly better than the rest and have a preordained right to abuse their fellow men, women and children. It seems inevitable that the oppressed group - who vastly outnumber the oppressors - would strike back eventually. The beaten dog sometimes bites back.

Of course, doom-mongers have regularly foretold of revolution and riot; popular revolt, only to be repeatedly disappointed when the people haven't risen up in anger and corrected social injustices. I am extremely unoriginal in putting forth an opinion on the inequalities of society, and pointing at the classes who consider themselves to be superior as the cause of the problems. However, I'm not wrong.

As the internet democratises publishing and broadcasting, such that we can all be journalists, TV presenters, politicians and add our voices to the discussion, we see the traditional power bases shifting. Unqualified people who have no right to an opinion are having an opinion anyway and sharing it, and they are getting readers, viewers and followers. Information which was restricted to those who had been moulded into loyal gatekeepers, has now been given to everyone, such that we can all become experts - there's no longer a monopoly on knowledge and education. This must surely be the final coffin nail for those who have sought to cling to power.

The net result, if the plutocracy is to unwind itself without too much violence, is that the hero-worship of the CEOs and politicians and celebrities and professionals and academics and journalists and other powerful men and women, is going to falter. We'll start to realise that we can't kowtow to these people any more, because it's too costly for society. We can't accept enslavement to those who are supposed to serve society any more.

Three cheers for mediocrity.

Tags: #politics

This is a story about giving the audience what they want...

It should come as no surprise that Google mainly brings me readers who wish to find out how to kill themselves. My number one blog post is all about how to suppress the hypercapnic alarm response, in order to be able to asphyxiate yourself, or in other words suffocate to death. For writing candidly about suicide, I was once accused of being irresponsible by a psychiatrist, but frankly if somebody's intent on killing themseves then they're going to find a way. I'm not encouraging anybody to commit suicide, nor do I glamourise suicide - you must surely be convinced that my life is not an enviable one. How is it possible to envy the dead anyway? There have been 100 billion humans who have died since homo sapiens became a species, so it's hardly like I'm a unique role model.

Secondly, Google brings me readers who very dearly wish to know how to have better sex. I don't mean lovemaking techniques, I mean drugs and medications that significantly enhance sex. The main search term that seems to bring readers in their droves is "drugs that make you horny". Perhaps more interesting - although very few people search for this - is my research into medications that allow men to have multiple orgasms. There's information hidden in these pages that explain how to reach unimaginable heights of sexual ecstasy, so I don't really know why the Google searches seem so unimaginative and my sordid little guides on how to have masses of mind-blowing orgasms remain largely overlooked.

That I know what kind of Google searches bring readers to my website is not any kind of hacking or cybersnooping, but is a service that Google themselves provide called Google Webmaster Tools. In addition, there is Google Analytics, which somewhat less reliably tells me the keywords that people used to search and find this site. The idea is that I could better tailor my content to give people what they want. People seem to mainly want to kill themselves with nitrogen gas, or some other inert gas other than carbon dioxide.

It's sometimes said that we see a world that reflects our own feelings. So, if we're angry then we perceive the world as being an angry place. Because I'm depressed and suicidal, I therefore see depression and suicide everywhere I look. However, there are good data to support my feelings: suicide is the number one killer of men under the age of 45... far bigger than any diseases, car accidents, murder, drug addiction and all the other things you could think of that would prematurely kill a person. It seems I'm onto something doesn't it?

What do any of us want other than to fuck, eat, sleep, procreate and various other things that an organism would be expected to do? I could write about food and the pleasure of eating, but I've found that the pursuit of drug-enhanced sex has been more rewarding. I could write about extreme sports, and the adrenalin rush from doing dangerous things, but I've found that taking addiction to its most extreme has been far more exciting than any parachute jump or cliff face that I've climbed.

There are an incredible amount of people who want to read about getting high. There are very few people who seem to want to read about quitting drugs, although my blog posts about detox and rehab are often visited. There are heaps and heaps of people who want to get sober. In fact, it's quite depressing just how many people are looking for a cure for their alcoholism. There are heaps and heaps of alcoholics who would very dearly like to find a way out of the situation they're trapped in, and some of them find their way to this website looking for answers.

Another thing I can see is trends. I can see whether I'm getting more visitors, or fewer. I can see that live-publishing a draft manuscript of a novel on my blog was not a crowd pleaser. I can see that documenting the trials and tribulations of an IT consultant working for an investment bank is not a crowd pleaser. I can see that generally, there's an inverse correlation between how well I am, and how many visitors I get to my website. That would be expected... there are a lot of concerned people out there, and when things are going swimmingly there isn't so much of a need to keep an eye on somebody who's been actively suicidal at other times. However, there's a cynical part of me that wonders how much people are looking for drama, also. There's very little drama in a wealthy white educated middle-class guy complaining about his lot in life, because his job is a little underwhelming.

Of course, I'm writing now with my tongue in my cheek.

There's more drama than there's ever been, because this is make-or-break time. I'm fending off drug addiction, sex addiction, porn addiction, alcoholism, risk taking, money spending, near-bankruptcy, crushing levels of debt, homelessness, insomnia, anxiety and panic attacks, suicidal depression and complete melancholic malaise about my life and the state of the whole world and those who live upon this planet's surface. In terms of jeopardy, things are at their most precarious, because a slip-up now would send me crashing drastically. To relapse when I'm in the middle of on/off addiction and a mental health crisis is no drama because I'm living with daily highs and lows and I don't spend more than a few days or weeks without a major incident. To relapse now would be to throw away 6 or 7 months of arduous struggle against adversity. To relapse now would be a cruel blow, when I've overcome such insurmountable odds.

To deviate from my plan and my story would be foolish. To attempt to react to the stats and the data I have in my possession and write what the audience seem to want - to play to the crowd - would keep me in a perpetual state of sickness. If I was intent on having the most popular blog that I could write, it would conflict with my desire to recover and live a normal life. I've even been accused of wanting to stay sick to please my 20,000 Twitter followers. I'm regularly accused of being alarmist, attention seeking and melodramatic. I'm occasionally accused of being contrived, and even that I'm some kind of fake.

Where's the punchline, we wonder. When am I going to ask you to reach for your credit card? Am I selling T-shirts and mugs? Am I going to emblazon this site with advertising and harvest your personal data? Am I going to start a mailing list and spam you? How do I even make money out of this? Do I want fame or notoriety?

Of course I want to be noticed. Of course I want readers; followers. Of course I want what I write to be read. How ridiculous to suggest that there's some virtue in writing in obscurity. It's not noble to hide your thoughts and feelings and emotions and inner monologue... it's stupid. What people want to read more than anything else is authentic writing from real people. Public diaries; journals; blogs. If you like people and human stories, what could be better than the real-life soap opera of a person's life laid bare for all to see, warts and all.

I don't know where I'm going with this, but I don't want to go down the well-trodden path of clickbait and slavishly obeying the analytic data that seems to suggest that pictures of kittens and puppies go down very well on the internet. What kind of an artwork would I be creating, if I was to ask the audience what I should paint on my canvas?

Does life imitate art, or does art imitate life?

Tags: #socialmedia #writing

This is a story about lethal combinations...

Those who are familiar with the more extreme end of Grindr casual sex shenanigans will know that there's an unholy trinity of club drugs - crystal meth, GBL/GHB and viagra - which provide the sexual stamina for outrageously debaucherous f**kfests. To arrange drug-fuelled sex parties via the Grindr app is shockingly quick and easy. Under the influence of these drugs, one's sexual appetites are rarely satiated.

My own unholy trinity is far more prosaic - sleeping pills, tranquillisers and alcohol.

I never intended on becoming hooked on 'downers' and indeed I was very well aware of the physically addictive nature of the benzodiazepines. There is absolutely nothing that appeals to me about being intoxicated on CNS depressants. I do not enjoy feeling under the influence of the GABA agonists. For me, it was all about wanting the absence of something: the absence of panic attacks where I felt like I was going to die; the absence of interminable insomnia; the absence of the skin-crawling feeling of anxiety; an escape from a life that was unbearably awful.

Alcohol was a taste I had to acquire. Getting drunk was a necessary part of getting laid - Dutch courage. Booze was ubiquitous at work and it was necessary to be a drinker to get ahead in my career. I would have been a suspicious outsider if I'd been sober during the many drunken lunches, after-work beers and meals where wine flowed liberally. Alcohol lubricates the world of investment banking and I fully embraced the culture.

Valium crept into my life as I searched for something to help me manage the undesirable side effects of stimulant abuse. I thought I could swallow a couple of pills and sleep off the worst of my addiction without any consequences. I knew that I was playing with fire - to use one addictive drug to combat the effects of another - but that's the kind of addict logic that I applied at the time. I knew that if I abused benzodiazepines for more than a few months, I'd end up with a physical dependency that would cause me to have seizures if I abruptly stopped taking the pills. I did what I felt I had to do.

Sleeping pills never held any appeal. If there's one thing I'm really good at, it's sleeping. I quickly figured out that the best way to escape an oppressive and unpleasant world is to be unconscious. I can put myself into a zoned-out trancelike state and sit quietly for hours. I can spend all day dozing in bed, even after 12 hours of restful sleep. I'm a master of sleep. Why would I dabble with sleeping pills?

Some of the benzodiazepines have a very long half-life. If you take benzos - like Valium - for a long time, they never really leave your bloodstream. If you're addicted to Valium, you're just topping up when you take the pills. Strangely, it's possible to have insomnia when you're on tranquillisers - you just lie there awake, not caring at all that you're not asleep. It's restful, but it's not refreshing, if you know what I mean?

During one of the most difficult periods of my addiction to a powerful stimulant - a drug that sends me completely psychotically insane - I could hear helicopters hovering over my apartment. All the traffic on the road had stopped - I couldn't hear any motorbikes, cars, lorries, buses or trucks. Then, I heard a lot of yelling. To my paranoid drug-addled and sleep-deprived mind, this was the thing I'd been dreading: the police and the army were coming to get me and drag me in front of a crowd of people, to shame and ridicule me. The 'enemy' were coming to get me. Then, I heard a commentator announce that the first runners of the London Marathon were about to come past my apartment block. Of course! It was the marathon, the route of which travels right past where I was living.

I was still fairly traumatised by the whole marathon thing, even though I quite quickly figured out that the helicopter wasn't there to deliver a SWAT team clad in black uniforms in through my bedroom windows. I turned to diazepam to soothe my jangled nerves. I swallowed about 20 high-strength 10mg blue tablets. That's a HELL of a lot of diazepam. It didn't touch the sides. What I really wanted was to be unconscious. Sometimes, being tranquillised up to the eyeballs just isn't enough.

Zopiclone and zolpidem entered my life as medications to allow me to have a seemingly normal sleep/wake cycle. When I was abusing a powerful stimulant, it would not be uncommon for me to spend four or five nights without sleeping at all. The most nights I ever went without sleep was about ten, which sent me completely barmy, of course. As you reach the outer extremities of an impossibly bad stimulant addiction, strangely you yearn to have a normal appetite and normal sleep. The tranquillisers helped me to stay on top of stimulant psychosis, but I needed sleeping pills otherwise I was just going to die from a low immune system, or otherwise go completely and permanently insane.

I can't stress enough how important sleep is. Without regular refreshing sleep, nothing else is going to fall into place. There's no hope of improvement and recovery without sleep.

The sleeping pills - such as zopiclone and zolpidem - don't actually give you normal sleep. Sometimes you can 'wake up' and feel a little bit like you've been asleep, but you haven't been - you've been drugged. Your body and your brain kind of knows the difference between sleep and unconsciousness. When you suddenly jerk awake and you say "what! where am I?" then that's usually an indication that you've been drugged, rather than sleeping.

I used sleeping pills for most of 2017. I almost don't know how to sleep without them. When you get habituated into using sleeping pills, you can get very anxious about trying to sleep without them. The anxiety around getting enough sleep builds and builds. You spend horrible days at work where you're trying to keep your eyes open, and then horrible nights awake because you desperately want to get enough sleep to catch up, but you can never get enough. Bedtime becomes super charged with nervous energy and you have an incredible longing for a night of refreshing sleep. The more you want sleep, the harder it is to get it. Sleeping pills are addictive, because they take away that anxiety and deliver some kind of dependable nightly rest, even if it's not very refreshing.

I abused my little toxic trio of chemicals because they gave me back my life. My life used to revolve around the highly potent and addictive stimulant drug which I had unfortunately become incurably hooked on. My life was going to hell in a hand cart. I was on collision course with permanent psychosis. I was definitely going to end up locked up in a mental institution for the rest of my days. To fight fire with fire was madness, but it worked. Although it was very dangerous and I nearly died as a result of poly-substance abuse, somehow I popped out the other side intact.

I didn't drink alcohol since last Saturday. Once I start drinking, I don't seem to be able stop when I want to. I don't seem to be able to drink in moderation. When I get the taste of beer or wine, I glug it down and I don't stop until I think "oh dear, I've had too much to drink". Because of all the occasions when I've thought "I wish I hadn't drunk so much" recently, I've decided that not drinking is the safest course of action.

I've been taking sleeping pills all week. I need some sort of crutch dagnammit! How am I supposed to cope in such unfavourable conditions without something to help make life a little more manageable. To lose sleep would be bound to push me back towards strange strung-out thinking, and make me liable to say or do something stupid.

One week from today I will see a psychiatrist. It's been 8 weeks or so since I last saw a psychiatrist. I haven't been taking any medication - except for the aforementioned sleeping pills - and I'm wondering if I should cut my pills down to absolute zero. It would be really wonderful to say that I'm not a drinker, not a smoker, I don't have tea, coffee, cola or energy drinks, and I don't take ANY medication at all. It's so rare that a psychiatrist would encounter somebody who's completely free from ALL psychoactive substances. I think I would really love it, to have the psychiatrist ask me "so, how do you feel?" and be able to answer, knowing that it's me and only me, and not some version that's twisted by caffeine, nicotine, drink, drugs and medications. How precious would that be, to be my real authentic unadulterated self?

To get to this point where I might be able to be completely free from all mind-altering substances has been an almost impossibly unbearably awful experience that's put my life at great danger, as well as my livelihood. Why the hell would I put myself through so much suffering? Why wouldn't I go a little more easy on myself?

What I find with substances is that they're insidious. Every time you say "one cigarette won't hurt" or "one glass of wine will be OK" you could be setting off down a road that leads to a whole bottle of wine, two bottles of wine, a bottle of vodka. I'm never going to be some boring teetotaller, but at the moment my life is so unbearable that I'll keep pouring myself glass after glass of booze until the pain and the anxiety is blocked out and I'm blacked out.

My nightly sleeping pill habit is comparatively healthy. I don't increase the dose. The dose is measured. There aren't any fattening calories in a sleeping tablet. Sleeping tablets don't give me awful hangovers. There could be much worse things to be hooked on. However, wouldn't it be awesome to look the psychiatrist straight in the eye and say "I haven't taken a single mind-altering substance for a week now".

This week has been awful without my little chemical helpers, but maybe next week will be better, and the week after will be even better still. Wouldn't it be awesome if I break free from chemical dependencies?

Of course, I will have to admit that I had unbearable anxiety and suffered suicidal thoughts that very nearly killed me. I will have to admit that it would have been sensible to take the sertraline (Zoloft in the USA or Lustral in the UK) instead of trying to tough it out without, and abusing things which I really shouldn't have done. It's true that I could have developed a sertraline habit by now - the withdrawal syndrome is pretty awful, so I'd be trapped onto yet another addictive medication. Yes, it would have helped me to get through some super stressful awfulness, but I'm going to end up like the old lady who swallowed the spider to catch the fly etc. etc.

My friend who's a doctor is incredibly frustrated that "Nick knows best" as usual. They're mad as hell that I'm doing my own thing; marching to my own beat. It seems patently absurd to reject a medication that could be a tiny bit better than placebo, in as little as 8 weeks. So, why is it that I feel a little bit better today? Seems rather coincidental, doesn't it?

My week at work was awful. In fact, I was too unwell to work for 3 out of 5 days. My week was almost unbearable. In the interests of being fair and honest, I must admit that this last week has made me question my stubborn decision. I've wondered whether I made a mistake. Then, I remember that I'm closer than I've ever been to proving my point: that I can be stable, contented and happy without pills. I plan on rejecting all my diagnoses at some point. I plan on declaring myself sane. I plan on being 'normal'.

How does somebody become normal if the paternalistic guardian class can always say "that's only because you're on the right medication"? When it says "medication takes 6 to 8 weeks to become effective" what would happen if you didn't take the damn pills? That's what I'm finding out. It was super telling to me that people were so quick to say "told you so" when the game wasn't even finished - the results aren't in yet.

It's been awful, but I'm winning. Bi-winning.

Tags: #depression #medication #mentalhealth #addiction

This is a story about being on the sick...

I'm regularly asked how to obtain a sick note and/or prescription for high-strength addictive medications from a GP, so I thought I'd prepare a handy guide to answer these frequently asked questions. Above you'll find a copy of a sick note that you can print out and fill in with your own details, so that you can bunk off work because you're lazy and entitled.

Of course, your doctor wants to cure you, which would be a dreadful outcome. It takes a lot of time and effort to ensure that your doctor doesn't actually give you what you need. Your GP can instantly relieve your ailments any time they want so it's important to remember what YOU want: ineffective treatment. You must always remember that you want the wrong treatment and resist any and all attempts to be persuaded to receive the correct treatment. If you do that then you should be fine. I mean, not actually fine... I mean sick, which is obviously what you want.

Proper preparation is essential. Make sure you have extensively researched your chosen ailment and know what all the likely treatments are so that you can refuse or say that you've already tried the ones that work. This is important. Your doctor will try to fob you off with something which has an overwhelming body of evidence that conclusively proves that it will cure you instantly, so you should be fully prepared to absolutely flatly refuse any of those treatments. Be careful, because your doctor will obviously try to trick you into becoming well again, which isn't what you want at all.

When demanding dangerous addictive medications, it's a good idea to scream, yell and aggressively and insistently dictate that you must be given what you want immediately. Obviously your GP may be alerted to your blatant intention of doing yourself harm with the "fun stuff" and your desire to remain sick and incapacitated, so it's important that you get irate and use ill manners in order to better communicate your want for large quantities of deadly pills.

While you're spending time with your GP, it might be a good idea to ask if the pills you're getting are the kind that are easily crushed and snorted. Ask if the pills contain an excipient or other additive which would make intravenous injection less pleasurable, and demand brands which have no such so-called 'safety' formulations. Find out if you'll get a bigger rush by combining medications and make sure your GP knows you don't care about any so-called contraindications. Your GP is an expert in the most fun ways to abuse prescription drugs. Generally, the less willing your GP is to give you a particular medication, the more desirable it is.

GPs often talk about the "analgesic ladder". Say for example you are hoping to obtain a prescription for codeine, which you can extract from co-codamol tablets using water that has been cooled to 5 degrees celcius or lower - filter the chilled liquid to get rid of all that pesky paracetamol. If your GP refuses to give you co-codamol, then you should climb the analgesic ladder and demand tramadol. If your GP refuses to give you tramadol, then you should continue up the rungs of the ladder, demanding buprenorphine, then morphine, then diacetylmorphine. Do not leave the GP's consultation room until you have obtained your prescription for pure diacetylmorphine. It's your right to have pure heroin dispensed to you via the NHS, because you want it and it's nice.

When demanding your sick note, make sure your GP knows it's yours and they should return it to you immediately. Make your displeasure loudly known that you were inconvenienced by having to visit your GP to get it back.

It's a commonly held misconception that you would have to feign illness in order to get a sick note, but it's a well-known fact that sick notes are in fact a certificate of bone idleness and it would look very odd if a sick person were to ask to be signed off work. It's imperative that you demonstrate that you're quite capable of performing a range of work-related activities and you have absolutely no reason at all to not be hard at work down a f**king coal mine or something. Take some heavy weights and a computer keyboard with you and repeatedly lift the weight up and down while doing star jumps and typing at 100 words per minute, to absolutely convince your GP that you're capable of doing any physical or mental task that would take place in the workplace, such that you're obviously urgently in need of YOUR sick note.

Did I mention eating deep fried battered lard cakes, smoking a thousand fags and drinking flagons of mead? It's important to demonstrate all the unhealthiest lifestyle choices that you can, in order to show your commitment to being unwell, otherwise your GP might mistakenly believe that you want to be cured or helped in some way. Leave your GP under no illusion that you have not even the slightest glimmer of desire to in any way help yourself.

Remember, it's you versus them. Seeing your GP is an adversarial conflict, where you want completely opposing things and you absolutely should not never under any circumstances not never no way agree or co-operate in any way whatsoever, or listen, or heed any advice or in any way allow yourself to be corrupted by your GP's intentions, which are completely out of alignment with your own firm decision to be sick and die. If you even listen to your GP a teeny tiny bit, you could be accidentally cured beyond your worst possible nightmares, to the point of being healthy and happy - disaster!

It's important to remember at all times just how much you love being miserable, sick, anxious, depressed, overweight, unfit, in pain and on your way to a premature and painful death. It's important to hang on to your main objective - remaining unwell at all costs - if you want to avoid your GP's devious attempts to cure you of all your ills and send you on your merry way as a productive, healthy and content member of society. It will take all your wits and cunning to outsmart every attempt to make you better.

By following this prescriptive guide, I hope you're able to obtain YOUR sick note and a prescription for vast quantities of dangerously powerful, fiendishly addictive and deadly medications which can be mixed to make you sick, dying and dead in horrendously toxic combinations. It's a difficult challenge to obtain the wrong treatment, but given that the reward is pain, suffering and death, it's worth the effort.

Just remember: your GP is not on your side. You and your GP want different things, and you should stick resolutely to your desire to have the WRONG treatment and remain sick and dying. Every time you trick your GP into giving you the wrong treatment, or refuse the right treatment, you're winning.

Good luck and STAY SICK!

[P.S. apologies to my GP if they should read this for some reason]

Tags: #medication

This is a story about quick fixes...

January is traditionally jinxed for me. I haven't had a problem-free January for many years. I seem to be stuck in a never-ending cycle of recovery and disaster. So far, this January has not been a complete disaster but we're only just over halfway through.

The thing that's causing me most distress at the moment is my job. I'm very lonely and isolated. I don't have anybody to talk to or any real reason to interact with anybody in the company. I've got my list of deliverables and I just have to sit down and churn out the results - easy, huh?

I really don't think my job is my problem. Although my job doesn't give me much of what I need except for money, it's not a bad job. My job is not aligned with my values or my personality and it provides no distraction from my crisis, but it's an OK job. My job doesn't motivate me to get up and go to work, but whose does? When I've thought that my job is causing me problems in the past, I quit, only to find that I didn't realise how good I had it until after I left.

I think the problem lies elsewhere.

I'm certainly unfulfilled at the moment. I have very little scope to influence my day, my week, my month or my year - it all looks like a solid unrewarding slog to get nowhere. All I'm doing is my easy job that I can do with my eyes closed, in order to get money to pay off debts. That's hardly a reason to jump for joy, is it?

So, is it that my expectations are unrealistic? We can't all be bouncy castle testers or cake tasters. We can't all be puppy dog strokers and lifestyle bloggers. Somebody's got to scrub the toilets and empty the bins.

2017 might have been unhealthy but it was certainly action-packed. There are no surprises in my day-to-day existence. If this year is going to be considered healthy and productive then I need to turn down the dial from 11 to somewhere around 3 or 4. Last year was off the charts insane. However, how am I supposed to find any motivation when 2018 is going to be one of the dullest on record? I thrive on adrenalin.

I thought about the two things that would get me out of bed today. The first was the complete self-sabotage of my life with a drug binge that would be likely to kill me and destroy everything I hold dear. The second was the purchase of a deadly poison with the intention of killing myself. They're pretty much the same thing, aren't they?

I've been signalling my suicidal intent for a long time now. I've written this blog since 2015. I've been sending up distress flares. I've been sounding the alarm. I've been yelling at the top of my lungs. What the hell am I playing at? Why don't I crack on and do it already?

When I made my most serious suicide attempt I was probably at my most unstable. I was taking a potent mix of benzodiazepines and sleeping pills in combination with copious amounts of alcohol and prescription painkillers. I had destabilised myself with sleep deprivation, recreational drugs and a toxic relationship, living in a city I'd never been to before, with no friends or family nearby, and working an incredibly stressful high-pressure job. I'd just escaped from certain homelessness, bankruptcy and being sued into oblivion by my landlord and creditors. It was an unstable time.

Now, I'm possibly at my most stable. I have the support of friends. I don't have the pressure of high monthly rent and bills. I have a job. I've quit all the medications and drugs, and cut my drinking right down. It's been months since I did something utterly insane.

So, why do I keep having suicidal thoughts? Why am I so depressed that I can't go to work?

I definitely feel very trapped. I'm trapped into making the smart choice, which is to travel hours away from my home to stay in depressingly shit AirBnBs in crap parts of London, and go to a job that pays fabulously well but is incredibly stressful and isolating. It's heaps of pressure on me with not a lot of excitement. I know exactly what I need to do and how I'm going to do it, but I know that it's going to bring unbearable levels of anxiety. I'm just counting down the hours, minutes and seconds until I'm free.

I feel like I'm holding my breath. I feel like my lungs are burning and my eyes are bulging and my throat is gulping, but I can't suck air into my lungs. I know that it makes sense, rationally, to hold my breath like this, but life must go on even though my situation is thoroughly incompatible with my mental health.

I'd love to quit my job and think about what's next, but I know I'll regret it. I know that my life is in danger by putting myself in such a horrible situation, but I know that the longer that I do it, the more glad I will be in future. Pain now for future gain. Pay now, benefit later.

So I vent: I whine and I whinge and I complain. I try to get out all the negative stuff that's threatening to sink me. If I sound bitter and cynical and hate-filled, it's because I'm trying to dump out all the emotions that could destroy me. It isn't working though.

I've had three days off work and I feel incredibly guilty. What the hell am I doing turning down well-paid work? What the hell am I doing bunking off?

What the hell am I doing putting myself in a situation that's exacerbating my suicidal thoughts to dangerous levels?

It seems patently obvious that I should go back home, to where I have the love and support of my friends and I plan to make a long-term life for myself. It seems absurd to put myself through so much suffering. It's plain to see that I need to find some work that's compatible with a liveable life, doesn't it?

I'm aware, however, that the combination of the stress of a new job and Christmas, combined with the depression and superstition that Jinxed January always brings, would drive me to suicidal depths. Everything looks awful when you're at the bottom of a very deep hole. I could so easily throw away a perfectly decent opportunity, just because I'm so sick that I want to curl up in a ball and die. I really don't think the job's the problem - it's my mental health, although the two are somewhat related.

Yes, I'd love to retrain as a juggler or an ice sculpter, but that'll bring a whole raft of other problems. Better to concentrate on problems I know I can solve.

I remain resolutely committed to my chosen path. When you're going through hell, keep going etc. etc.

Tags: #depression #suicide

This is a story about being medicated...

It would substantially benefit my bank balance if I was to swallow substances that would remove my brain from my skull and place it into a jar - a chemical straightjacket. My doctors are falling over themselves to give me pills that will put me into a warped kind of reality - an altered state - where my perceptions are chemically changed.

If you put your hand in a fire and it's hurting because your hand is getting burnt, you have two choices. Firstly, you could remove your hand from the fire. Secondly, you could take a drug so that you don't feel the pain or care about your hand getting burnt.

I remain absolutely convinced that I'm in a state of depressive realism that's allowing me to perceive the madness of our late-capitalist society. I see suffering and injustice everywhere I look. I see the ridiculous situation where powerful incompetent men are paid millions of pounds, despite screwing everything up, while the people who do the most essential jobs in society are paid a pittance. The poor give every penny they earn back to the wealthy men for the privilege of being alive. It's a bitter pill to swallow.

Why have we defined "functional" to mean doing jobs that we hate? Why have we defined "functional" to mean not rocking the boat; not challenging the status quo? Why are our most "functional" members of society the ones who are causing the most human misery?

To decide not to take medication is a political statement. To decline to have my body violated - simply to conform with a political system that I don't agree with - makes me into a kind of political prisoner. I'm a victim of "fit in or f**k off" culture.

It seems to me like most people depend on substances - alcohol, tea, coffee, energy drinks, cigarettes, nicotine e-liquids, antidepressants, anxiolytics, tranquillisers, sleeping pills, painkillers - and very few of us are able to live life substance-free. What is it about modern life that pushes us onto these addictive substances and keeps us dependent on them? Why should it be mandated to use psychoactive substances, just to live my life?

It seems deeply immoral to have constructed a society that's unbearable except with something to 'take the edge off'. It seems like a complete car crash of a situation that we have to reach for chemicals just to be able to function and fit in. It seems like bullying and coercion to me. I have deep ethical objections to a world that forces me to put substances into my body against my will.

I fought hard to free myself from my dependence on caffeine. Quitting coffee was challenging. Quitting tea was relentlessly difficult. Avoiding caffeinated beverages is tricky.

I had the good fortune of never becoming addicted to nicotine, except when addiction was forced upon me by my parents breathing their second-hand smoke all over me in a confined space, which was wicked and immoral.

I deliberately spend lengthy periods without alcohol, to clear my mind of all substances. Alcohol is ubiquitous and hard to avoid. There's huge amounts of peer pressure to drink.

Finally, I find myself fending off prescription medications. Without prescribed pills, life is very hard. It's almost expected that modern life is going to induce anxiety and depression in most of us, and so it's us who must change rather than us changing the circumstances that produce the unbearable mental health problems - we consent to having mind-altering substances put into our bodies, because we have little choice in the matter.

If you want money - and I imagine that you probably need it - then you're going to have to slurp tea & coffee, suck on your e-cigarette, get drunk and pop pills. We've arrived at a state where life is so utterly depressing and shit that we need all these chemicals to pretend that it isn't.

In the face of so many obvious problems in the world, is the answer to take pills that allow us to be wilfully ignorant and carry on regardless? In the face of the whole shambolic mess threatening to crumble into dust at any moment, should we be so coerced and bullied into medicating ourselves?

We live with incredible insecurity. Our jobs are utter bullshit and we could lose them at any moment. Our wages barely cover our living expenses, and in many cases they don't. Payday lenders and other legal loan sharks put us into a constant state of debt-laden fear. Our livelihoods are under constant threat; our homes. Where's the security? Where's the comfort? Where's the contentment and relaxation and happiness going to come from, in this bullshit merry-go-round of horrible jobs and insufficient money to ever escape from the rat race?

Eventually, it's all too much and we capitulate. "Give me something to make me feel better, doc" we say. We swallow our antidepressants, anxiolytics, tranquillisers, sleeping pills and painkillers because we can't afford to take time off to get better. We can't afford to drop out of the rat race. We can't afford to show any weakness. We can't afford to catch our breath.

The capitalists have got us right where they want us - numb and dumb. We're so f**king doped up that we don't realise how awful we've let things get. We don't dare to imagine a better world. We just keep chasing that ever-elusive dream that one day we'll get to quit the rat race, but we never will because we're all doped up to the eyeballs with enough drugs to tranquillise an elephant.

That's why I don't take the damn pills. That's why I'm going through the shit I'm going through - I want to experience reality and I don't want to be yet another dull-eyed slave.

Tags: #capitalism #politics #depression #medication #alcohol #caffeine