This is a story about seeing red...

My dad had a fairly simple moral code for me, when I was a little boy: boys shouldn't hit girls or boys wearing glasses. That's about it. I remember guns were bad and I got in trouble (age 3.5) for looking like I enjoyed myself playing with a friend, who had brought his plastic guns with him. I eat anything and everything today, but I also remember being terrorised into eating rice pudding - which was slimy and disgusting in texture to me, before the age of 4 - so much so that I started throwing up with stress and anxiety, before every mealtime and lost so much weight I had to be hospitalised.

Perhaps it's clear, in retrospect, why I would turn to a hospital to protect me from bullies.

But, perhaps it's me who's evil, and needs to be locked away from the general public? Certainly, now that I've got chance to stop and catch my breath, I'm finding I've finally got time to examine the morality of the way I've acted in the past.

If you hit your kids or generally terrorise them to the point that they need to be hospitalised, trust me, they're not having a brilliant home life. At playgroup and school, I took this pacifism thing that my dad had been very angry about - a.k.a. playing with a friend with a plastic gun - very seriously and I got the crap kicked out of me by other kids... it wasn't until many years later that my dad suggested fighting back, which seemed somewhat odd given that I'd received these hippy lectures about being nonviolent. Anyway, I went down the path of pacifism and that's where I stayed. I was not having a brilliant school life - I was picked on every single day, to the point where, again, it would leave me collapsing in uncontrollable sobbing fits, while on the way to primary school.

Boo hoo! Get the violins out!

My first experience of domestic violence was me crying and being punched in the face, giving me two black eyes and a broken nose. I didn't even defend myself, let alone strike back... why would I need to? I didn't understand why I was being victimised like this, by somebody who was supposed to love me. I had to go into work with a bullshit story about having collided with a buoy while kitesurfing, to explain my two black eyes. It was the male extreme sports equivalent of "I walked into a door". I had to lie to her parents, when we went to see them for a planned visit soon after my face had taken that pommelling.

I'm 6ft tall (183cm), 13 stone (82kg) and I still retain some of my muscle bulk from rock climbing, kitesurfing and wakeboarding, although I'm obviously not in peak physical shape. I've got the mindset of a terrorised 3-year-old, ganged up on by two fully grown adults, but I'm in a body that can do some damage and defend itself now.

The problem - if there is one - is that if I feel bullied and attacked, and you managed to corner me, I'll smash my way out of the situation. I don't hit people - I'm still nonviolent. I don't get into fights. However, very occasionally I will trash something - more often than not it will be my own property - because the insanely horrible emotions just have to come out.

"Do you think that was the right thing to do?" a stern-faced looking policeman asks me. "Do you think there might have been a better way to handle that situation?" comes a second question, as if the first one - which I haven't had chance to answer yet - was not clear enough for me. Of course, I would have loved to handle things differently. Of course, I feel guilt and regret when I snap; when I can't take the onslaught anymore, and I've done something that I wish I hadn't - some property has been damaged.

She's asked me to travel out to the suburbs from the city centre; it's a considerable car ride away, including some travel on a dual-carriageway - the main road South, which turns into the motorway and would safely take me back to London, if we stayed on it. I get the cab to stop at a shop so I can buy some things for a romantic evening. I'm greeted with a hug, we lie on the bed kissing and cuddling... this is all how I hoped things would be; I'm relaxing and enjoying a pleasant evening; this is very nice. Then, she's hurling abuse at me, telling me I'm a terrible person... I'm sitting down while she's standing up, verbally attacking me and generally bullying the shit out of me. She suddenly asks me to leave... alright, no problem. I jump up, grab a rolling pin from the kitchen where it lies idle on the worktop and I smash her laptop to pieces, then I leave immediately. I regret it instantly and text her that I want to replace it, as I make my way to the nearest cab rank, to get a taxi to retrace the journey that I took hardly any time ago. Why had I been summoned to the suburbs for this abuse? Certainly, my loss of temper at the injustice of it all is in no way a justification for destroying her laptop - it was a disproportionate response.

I don't think people really see what's going on underneath the surface, even though I tell them.

Two police officers are interviewing me. It's 2am in the morning. I was just discharged from hospital after a suicide attempt, and my kidneys are still not fully functioning. My body is bruised as hell from where the emergency services had to kick in the bathroom door to get to me, slumped in the dark, dying. My muscles ache from the damage that was done to them by the massive overdose of opiates - prescription painkillers I had stockpiled. I answer the police questions. I admit smashing up that laptop - of course I did it and I want to replace it. The last messages I ever sent while still alive were attempts to get her bank details, so I could transfer her enough money to get a brand new replacement... although of course the destruction of her laptop must have been a shocking over-reaction in her eyes and upsetting for her, and I can never fix that.

Don't people see me as vulnerable? I feel like a 3 year old, being beaten up by grown-ups. I feel vulnerable; scared. People must see me as an easy target, because they certainly don't hold back when they're ripping into me. I find myself back in my trashed apartment at 3:30am on Wednesday morning. How did this happen? Why do people think I'm perfectly fine - OK to chuck out from hospital as soon as my kidneys are working a little bit? Why do people think I'm physically and psychologically indestructible? Why would the massive overdose that I took be seen as unimportant, and that I'm perfectly able to pick myself up and carry on with life?

I feel like I get a double-whammy. I feel that people take advantage of my good nature: my trusting and happy-go-lucky approach to life, where I try to be generous and loving. I take the risks - I make the first moves - and I put myself out there in the hope of getting something back. If I get nothing back, that's fine - let's just leave it there and move on. Why did I have to get dragged all the way out of the city centre and far from my home, simply to receive cruel and unpleasant treatment and be told to get out? My reaction was out of proportion though, so I also get the guilt. I'm guilty of smashing up that laptop. I'm guilty of seeing red, losing my temper, retaliating at the injustice of the situation, in a totally unjustifiable way. Now, I still carry that guilt and I always will - it stopped her hurling abuse at me, but that doesn't make it right. In fact, I can never make things right - I'm always going to feel terrible about her stunned silence, and the fact that it must have seemed like a crazy over-reaction to a bit of 'light-hearted' bullying and abuse in the place she'd dragged me out to, to do it - in the middle of fucking nowhere. If it sounds like I'm conflicted, I am. Where's the sympathy for the fact that I was taken advantage of, abused and left feeling totally abandoned in a strange city? Where's the consideration of the fact that it's obvious that I was on the edge: I very nearly succeeded in killing myself, as the very next thing that I did.

This whole traumatic episode has forced me to dredge up every 'bad' thing I've ever done, and reconsider whether I could have handled things better. What the fuck am I supposed to do? Turn down friends and girlfriends when they cross my path? Am I supposed to be negative and untrusting? Am I supposed to shut myself away, isolated behind closed doors and be anti-social, because I always end up just feeling like a mug... financially taken advantage of and cleaning up after my 'guests'. Should I not give people a chance? Should I be closed and negative, assuming everybody's out to get me? Certainly, everybody's come and picked my fucking pocket, quite gleefully.

I'm no angel. This is certainly not a piece that argues things in black & white. If you want to talk about black & white, then you have it in black & white: I smashed up her laptop with a rolling pin in a sudden fit of rage. My regret and remorse is meaningless - I did it, so that's that. I'm guilty of being an "angry man" right?

I wonder what percentage of my life I've been angry for. Certainly, most people who've known me for any length of time would not think "angry" as one of the first words that sprang to mind. Perhaps I just hide it very well. It's not really for me to judge anyway, what my personality is in the context of this tale and the wider issue of whether I'm some kind of crazed nutter, intent on smashing up the entire world.

I guess you could consider the nature of a dog, as an analogy. How much can you abuse the dog, before it bites you? Are the best dogs the ones that just whimper and maybe even shit themselves? Does a dog - even though it has sharp teeth and powerful jaws - only qualify as a good dog if it never turns on somebody who's abusing it? If you can answer that question, you might have gone some way to answering the question that fills me with doubt at the moment: am I a bad person; am I evil?

Frankly, I think we're all capable of saying and doing regrettable things, in the heat of the moment. The question is, how do you feel about what you did? Do you do horrible things on a regular basis? What's your predominant personality - are you a victim, victimiser or something in-between?

I don't want to fall into the trap of feeling too sorry for myself; feeling too victimised. I've said and done things I wish I hadn't. Also, why can't I stick up for myself? Why can't I avoid the people who think it's OK to pick my pocket? Why can't I tell those who would take advantage of me, to fuck off, before they bleed me dry?

I've seized upon this word "vulnerable" which neatly sums up me and my situation. I trust when I shouldn't; give when I shouldn't; take a chance when I shouldn't and generally end up fucked. Surely nobody would argue with the facts: I'm the one who ended up isolated and alone, dying of an overdose, losing all my property, losing a lucrative consultancy contract and an employment offer. I'm an example of the person that lawmakers had in mind, when they created laws that protect me from mental health discrimination and prejudice based on confidential matters.

There's a line in a song I've probably never heard, but I know the lyrics because my guardian angel told them to me. The song talks about how bullying a kid every day created a monster.

Am I a monster? I certainly seem to fight with monsters. Perhaps I would be wise to remember the words of Nietzsche, and be careful that I do not turn into a monster myself, if I continue to fight monsters.

It's not my instinct to fight. It's my instinct to be nonviolent. I only fight^* when I've got nothing left.

Tags: #bullying #relationships #suicide

* - I don't mean fight her. She's got the money to replace her laptop now, I hope, and I really hope we can move on with our lives as best as we can, although I do appreciate that it was traumatic and seemingly an over-reaction from me. I feel very bad about what I did.

This is a story about ganging up on people...

I was born in late July. If I was born in late August, I would have been the littlest kid in my school year, but I was born a month earlier and I was probably the second littlest kid in the school year, for a long time. I gravitated towards kids from the year above, who adopted me as a kid in need of protection, or kids from the year below who were grateful to have an older friend. As school wore on, some kids put on early growth spurts, and I gravitated towards the tallest kids. I suppose I felt safer scampering around in the towering shadow of these giant figures. It wasn't until I left Oxford - where I had the bulk of my schooling - that I finally put on a late growth spurt and finally had the physical assets with which to defend myself.

Fundamentally, I'm a lover not a fighter. I'm a pacifist and non-violent at heart.

In my time in hospital, I've encountered two tiny little old men that I want to tell you about. I shan't breach their confidentiality, but they dovetail into my story and I think it's ethically OK to share.

The first little man was at a treatment centre for dual-diagnosis - mental health problems AND substance abuse combined. This little chap only had one tooth in his head, and his circulation was dreadfully affected by a needle fixation that meant he'd inject anything he could get his hands on. Not wishing to cast negative aspersions on a vulnerable person - my fellow patient - but I'm sure this chap was never the brightest, and a life of drug abuse had certainly done nothing to enhance his intellect. This might sound like the pot calling the kettle black, which it is, but fundamentally I'm not going around trying to pick fights with people who are taller than me, heavier than me and in much better physical condition, regarding fitness, strength etc.

I feel now is probably an appropriate moment to tell you about prison.

I've never been to prison, but I think it's like a scaled-up version of all the shittest bits of school. Basically, school seemed to me to be like a holding pen for a lot of kids who were destined for a life that was going to be in and out of prison - you could see it on their feral little faces.

In prison, there's far too much testosterone and far too few women, plus it's jam-packed with children who weren't loved enough when they were little or whatever it is that makes a violent bullying child. It's not something I've put a lot of thought into - yet - so I shan't wander further up a dead-end alleyway of speculation without a working hypothesis based on a reasonable set of facts.

What I can tell you about prison is that it takes violent men who are struggling to play by society's rules, and turns them into violent men who believe that violence is the only iron rule: you can almost pick out a man who's been in prison, by the way that he will escalate any situation into one of violent confrontation as quickly as he can, in order - presumably - to ward off a beating from bigger inmates. "COME ON THEN! LET'S FUCKING 'AV' IT!" scream men who presumably, have had their faces pommeled into pulp one too many times. Like a Chihuahua dog, yapping "don't tread on me!" these little men must've had to use some kind of psychological trick, to avoid becoming victimised.

The second little man is in a hospital in the North of England, on the psych ward with me today. This determined little fellow is in far better physical shape than the other guy I described, but he's still a very small person. My diminutive fellow patient has retained far more of his mind than the other guy, or perhaps it's that he started with a very impressive brain indeed - this guy managed to start a chain of adventure sports shops that is well known today, with at least one branch in every UK city. To this end, he waits until I'm about to turn the corner, at least 50 feet away, before he starts yelling aggressively at me. I note, that he does not yell that he himself is going to rain down any physical blows on my head, but instead shouts about how big his nephew or his cousin's friend is or something like that - I smirk to myself when I'm safely out of his sight... yes, that's the smart thing to do: to get somebody else to do your fighting for you.

So, do I think I'm a right smartarse? No. I'm just fighting for my life, even though you can't see what's going on under the surface, 99% of the time.

Tags: #bullying

This is a story about twisting my mellow...

Here I am, in bed, wearing my convict pyjamas. I just woke up. Not looking too bad for 127 year old man. Mad for it.

Actually, I was woken up before 8am by the kerfuffle outside my bedroom door. On the opposite side of the corridor is the dispensary hatch, where the medications are dished out to everybody. It's quite lively at certain times of the day on this psych ward, which has some of the very sickest people in the North of England, receiving treatment for their mental health problems.

Have you ever thought to yourself "I can't go on" or maybe even "I wish I was dead"? Have you ever thought that you're going to have a breakdown and you need to be in hospital? In actual fact, you're tougher than you think. Very few of us will have an acute mental health crisis that is severe enough to require inpatient hospital treatment.

Am I admitting that I had a "nervous breakdown"? Don't be so ridiculous. I left the city where I have spent most of my working life and relocated to this Northern city, where I have no friends or family; I took on a very stressful new job; I tried to build a new group of friends and get a girlfriend... when that all came crashing down around my ears, doesn't it seem understandable that it would have destabilised my already fragile little life? I'm just an animal - like you - and I respond to the stimuli of my environment: if I'm being stressed by external things, then of course I'm going to have a reaction. Action -> reaction. Is that so hard to understand?

Of course, it might look like madness to have taken on so much stress all at once, but I did need to shake things up. I never quite reached the point where I was safe and stable, so it was sadly necessary to do something drastic. You might liken what I did to Electro-Convulsive Therapy (ECT) which is also known as "shock treatment". In fact, I had multiple seizures on Saturday and Sunday, and maybe even Monday. To be honest, I'm struggling to remember much about the time that I was unconscious for some reason.

It's pretty terrifying that there's this big hole in my life, where I was having fits and was in a medically induced coma. The memories around those 12+ hours that I was under a general anaesthetic and having a machine breathe for me, are pretty hazy. When I came out of the coma, there was an intensive care team there to greet me, who explained what was going on and knew all the right things to say to put my mind at rest. The team - every member of the huge NHS organisation - at the hospital was amazing. From arriving in A&E resus, starting to have seizures and being taken to intensive care, being moved to a high dependency ward to look after my struggling organs - which were being destroyed by the massive overdose of tramadol I had ingested - to finally being moved to a general ward... the whole journey through a National Health Service hospital is incredible and I'm crying as I write this, because it's the most amazing example of the advancement of our civilisation, that I can possibly think of.

Of course, I feel a great deal of guilt for the huge burden that I have placed on the NHS, which is UK taxpayer funded. I wonder to myself how much I must have cost, versus how much I have paid in. We can't all take out as much as we pay in. Obviously, we can't all take out more than we pay in either, but to spell that out is a bit patronising, no? Those who work in the NHS certainly wouldn't want me to feel guilty, but I do. I also feel grateful. Grateful to be a British citizen and resident of the United Kingdom, where world-class medical care is free at the point of use. Grateful, but indebted... guilty.

Another analysis might reveal that perhaps a stitch in time might have saved nine. I first approached a doctor about my mental health in 2008, and I was fobbed off within seconds of opening my mouth. Our general practitioners have very little time to understand their patients' problems and offer a diagnosis and treatment. Most of us would be unhappy to walk away from the doctor without a prescription for some pills. It has always been my stance, that I would decline any treatment that I didn't understand; couldn't see good evidence for the efficacy of;  I needed to see proof that the long-term outcomes were positive.

I remember writing passionately online, as early as 1998, about the analogy of putting a sticking plaster over a gaping wound. I wondered aloud, whether the psychiatric medications that are dispensed for mental health problems, are merely masking the symptoms and not treating any underlying problem. To this end, I applied to university to study psychology, and was granted unconditional offers for some of the best degree courses available in the United Kingdom. I decided not to go to university. I could see that clinical psychology was desperately underfunded. It's a helluva lot cheaper to give somebody some patent-expired pills, than it is to let somebody talk to a therapist.

Now, nearly 20 years later, I've seen enough evidence; I've done a meta-study of the literature. It's quite clear that long-term outcomes for the mentally ill are not at all improved by the medications that are commonly prescribed. It's also quite clear that we are in the midst of an epidemic of mental health issues. I use that word epidemic in its most precise sense - we are literally seeing explosive growth in the number of people suffering from mental health issues, and a dreadful decline in the prognosis for those unfortunate enough to be affected.

It's my firmly held belief that mental wellbeing is a function of our environment. In a world of Donald Trump, global warming, the threat of nuclear armageddon and a Conservative government who are determined to pass legislation that will allow them to hunt poor people, on horseback, doesn't it seem quite natural that we should all feel rather threatened and afraid?

One of my early childhood memories is of chatting to a U.S. Air Force base worker called Wayne, who drunkenly boasted that America could destroy all life on Earth with bombs that exploded with enough heat to vaporise a human being. Please, when you tuck your children into bed tonight, don't share this charming tale with them. I can almost remember the very moment that an 'irrational' fear of death sprang into existence in my head. If I had been born 30 years later, I might have been diagnosed with an anxiety disorder - I became afraid of everything, from horses to fairground rides, to electric sockets. I don't really agree with the 'irrational' part of the fear though - it does seem rather rational to fear things that can kill you.

Doing extreme 'adrenalin' sports and training to be an electrician is actually very logical - one needs to face one's fears, if we are ever going to conquer our anxieties. Children who have allergies so bad that they face deadly anaphylactic shock if they come into contact with things like peanuts or dogs, have had their allergies cured by simply introducing their body to tiny trace amounts of the allergens that could kill them. If there's one amazing thing about the human body, it's the ability to adapt itself - the plasticity, if you like.

Now, I've taken the 'trick' of putting myself in hostile and extreme environments, to a ridiculous level. Most people would be psychologically disturbed by having their liberty removed and being detained on a psychiatric ward with some very unwell people. Most people would crumble to dust under the kind of pressure that I've been under. This sounds very boastful and big-headed, perhaps even grandiose and delusional. Well, yes, if the facts were not in my favour then I would agree with you.

Here I am, writing to you quite calmly and happily from a psych ward. Do you think you would be doing the same, trapped inside an insane asylum with people who are too dangerous to be allowed out into the community? There's the constant sound of shouting, screaming, slamming doors and alarms going off. Staff members - perhaps as many as two or three per patient at a minimum - run from crisis to crisis. One itinerant patient can have their entourage of mental health professionals, trailing in their wake all day and all night long, as they make their "obvs" (observations). Sometimes a patient must be cornered, captured, and dragged off to solitary confinement, where they are thrown into a soundproof padded booth. "STRAP ME DOWN LIKE THEY DO IN PRISON" screams one particularly unwell patient. Is this treatment or is this punishment?

My working hypothesis is that we used to be able to remove the 'bad apples' in order to have a functioning society for the rest of us, but that was never the truth - basically, we've been leading up to the mother of all crises, because the vast majority of people are stressed as fuck and eventually the masses were always going to stumble to their knees, under such immense pressures. Society is very sick, but it's only just coming to light, now that we can no longer sweep the most conspicuous problems under the carpet.

I'm the eccentric mad uncle, carted off to the insane asylum to keep me out of sight and out of mind. However, it doesn't work so well when I'm able to continue to be connected to the world, through the internet and social media. Perhaps one might argue that mental health problems are contagious, and are spread through words - written or spoken. There's certainly good evidence that a suicide will spark a whole bunch of copycats.

So, I'm struggling to wrap my head around the fact that I nearly died, but I'm finally in a safe place in which to recover, where I don't need to worry about paying rent, buying food or even cooking and cleaning. All of the chores of daily existence have been removed from my long list of responsibilities. I pretty much just need to make sure I remember to take my next breath, while I'm in hospital.

Jeepers creepers, it's been a long hard road to get "sectioned". What a relief!

Tags: #mentalhealth #suicide

This is a story about being hounded to death...

One week ago, I was shovelling pills into my mouth, washed down with pints of white wine. The LD50 is the lethal dose that will kill 50% of the test subjects. Lethal doses are normally calculated in milligrams per kilogram of body weight. Tramadol is quite a reliable way to kill yourself, with plenty of examples of successful suicides in the literature, for anybody who wishes to trawl the medical journals.

Most opiates will cause respiratory arrest. Tramadol seems to kill more often through serotonin syndrome, according to what I read in advance of my suicide attempt. I can tell you exactly what it feels like, to reach your wits end, decide to end your life, and follow through with the necessary steps. I can tell you exactly what it feels like, during the periods of consciousness, as you die.

Once I had downed all the capsules and their gelatin shells had started to dissolve, I started to become quite intoxicated, thanks in no small part to the wine I used to wash my legally prescribed pain medication - tramadol - down my throat. Of course, I had stockpiled the capsules, which is not what my doctor had anticipated I would do, when they wrote the prescription, but I was getting a box each visit to the pharmacist, with each box containing plenty to end my life.

I decided to send out some final Tweets, when I believed I was beyond the point of no return. I have no idea whether I inadvertantly saved my own life or not, by alerting my social media contacts to the fact that I was on my way to meet my maker.

Discussion of what pushed me over the edge is not really warranted here, suffice to say that I simply had nothing in reserve when my fragile embryonic new life in this Northern city started to crumble. I had given 100% to my new job, my new girlfriend and my new friends. I had no safety net, when the slender threads that supported me, snapped suddenly.

Firstly, it should be noted that it takes quite a long time for your stomach and large intestine to process enough capsules for you to start to experience the onset of a fatal overdose. I had imagined that 40 minutes would be plenty for the first wave of powerful tramadol to hit me, and to make me unconscious or at least delerious and incoherent. I was wrong - I was able to send out several Tweets that actually seem to make sense now - one week later - as well as being gramatically OK and without spelling mistakes.

Secondly, it should be noted that the ideal scenario of falling asleep and not waking up, did not happen at all. I did get waves of soporific effect from both the alcohol and the tramadol, but I imagine that the adrenalin of knowing I was on my way to the grave kept me mostly conscious. My eyelids would get heavy and my head would drop, but my body fought to stay alive and I kept jerking awake.

Thirdly, I have horrible snatches of memory. I can remember exactly what it was like to fill my mouth with capsules, and gulp them down with wine from a pint glass. I remember how agonisingly long it took to empty out all the packets into the box, which I used as a kind of cup, from which to tip a load of tramadol into my mouth before swallowing it. I can remember the emergency services battering their way into the bathroom, where I had slumped in the dark, waiting to die. I can remember telling them where all the empty pill packets were.

I can remember telling somebody - was it somebody at the hospital? - who my doctor was and exactly what overdose I had taken. I can remember the very worst moment, when the hospital told me that death was likely to be slow and painful, not the unconscious affair I had imagined.

I can remember when I started to have seizures. I can remember begging the hospital not to treat me with activated charcoal; not to pump my stomach; not to resuscitate me if I went into cardiac arrest. I can remember coming round after 12+ hours under sedation, breathing with a ventilator. I had a tube coming out of my nose, one down my throat and one up my dick - I had been intubated, catheterised and had several canulas installed, including an arterial one that was measuring my blood pressure. It felt like I had snot running down my face, but it was just a tube that was being used to put stuff into my stomach to neutralise the deadly chemicals.

I can remember a nurse or a doctor came and asked me a question, and I tried to reply but I couldn't. Every time I tried to speak, my lungs pushed air against the ventilator, and I would be left momentairily be gasping for air until I allowed the machine to breathe for me again.

I can remember a different nurse or doctor reassured me that I would be able to speak once the tube had been pulled out of my throat, where it was impeding my vocal chords. I was so relieved, because it was deeply distressing to lose my ability to talk and have moments where I couldn't breathe.

I can remember being asked how I felt about the fact I had survived an overdose that should have been fatal. I felt terrible about telling the hard-working intensive-care nurse or doctor that nothing had changed... in fact things were worse than ever, as I imagined that the overdose would have caused horrific organ damage. I expressed in no uncertain terms that I still wanted to die.

I can remember drifting in and out of consciousness. From Saturday night to Tuesday morning, I had no idea whether I was in A&E resus, intensive care or the high dependency unit. I can vaguely recall being told, but the memories seem all out of sequence, and dreamlike - quite unreal.

I can remember being wheeled into a general hospital ward at some point on Tuesday, and then wheeled off to my own private room. I can remember slowly regaining some mental capacity. I can remember a visit from a psychiatrist, where I again expressed my distress with my situation and fear that I would not be able to guarantee my own safety - what had improved since I had tried to end my own life? Nothing. In fact, my situation had worstened: I had no idea what kind of state my apartment would be in when I got home - my wallet, keys, phone and other personal effects had gone missing. It seemed unthinkable that I would have to face potentially being locked out of my apartment, with no money or credit cards on me, and no means of contacting anybody.

When I did finally make it back home, things were worse than I had even imagined. My laptop and digital camera had been stolen. Every single prescribed medication had been stripped from my shelves and drawers and cupboards. There was one single solitary pregabalin capsule, almost left mockingly on my bedroom floor which lay in disgraceful mess. I need pregabalin for nerve damage in my left ankle/foot... as a non-opiod painkiller. I desperately needed some of the zopiclone that I had stockpiled, in order to sleep after such a horrific ordeal. These are not dangerous medications, ironically. I had moved myself off the tramadol, because it was not desirable to use it as a long-term painkiller. I had stockpiles of zopiclone, because it was useful for these very eventualities. The home treatment team had thrown bucketloads at me, because sleep is so important for good mental health. Where was all my prescription medication?

There was no sign of my mobile phone anywhere, and without my wallet and laptop, I was completely stuffed in terms of being able to get a message to anybody. From Saturday night until around 3 or 4am on Wednesday morning, I had been completely cut off from the world... mostly unconscious, and without access to telephone, email or social media.

Wednesday daytime, the way I was treated at the office - where I went to store the few valuables that had not been stolen - was extremely odd; if not downright rude and unpleasant. It was most unsettling indeed to be treated so oddly at my place of work, especially after surviving a suicide attempt and having suffered a burgulary. I was also fighting off panic attacks and pain, because my legally prescribed medications had been stolen too.

After a quite baffling experience at the office, where I was ushered out of the door as if I was an interloper, the CEO of the company I had been doing consultancy work for, spoke to me to say that he would be very happy to see me for a beer, but that I could spend the rest of the week sorting out everything that now dauntingly lay ahead of me: repairing the damage from the break-in and replacing the stolen items. Life is profoundly difficult without your credit and debit cards, mobile phone and laptop.

I managed to get an emergency prescription for 7 days of pregabalin and zopicline, so that I could restabilise my medication regimen. I managed to get enough cash out from the bank to replace my laptop, but not my smartphone or pay for repairs to my flat. I was starting to be overwhelmed with the enormity of the task that was expected of me: for a suicide survivor to carry on with their life as if nothing had happened. My home felt violated and insecure. There was something weird going on at work. It was deeply unsettling.

Gladly, I was re-admitted to hospital at Accident & Emergency, because I was driven into crisis by the horrendous near-death experience, only to then find that my two most valuable and prized possessions - my smartphone and laptop - had been stolen, and my flat had been ransacked; my front door and bathroom door were smashed up; the place had been turned upside down.

The fact that I was discharged from hospital and ended up back at my trashed apartment at 3 or 4am on Wednesday morning is something that should never have come to pass. What the fuck are you doing discharging a suicidal person in crisis, into a situation where they've got more on their plate than they can handle? How the fuck am I going to go back to life as normal, without my smartphone, laptop or a secure home to keep myself and my possessions in? How the fuck am I going to get through life without the pain medication for my nerve damage, and sleep medication for the horrendously stressful circumstances.

Being re-admitted to hospital - first the Accident & Emergency department, and then psychiatric hospital - was inevitable, and essential for my safety and wellbeing.

I could have bounced back, but the strange experience at the office and the amount of things I had to sort out due to theft or loss, was simply too much for somebody as sick as I was then.

I managed to get a replacement debit card for my business bank account, and make some cash withdrawals using my passport, but after replacing my mobile phone and laptop I had very little money left; I was exhausted stressed and in no mood to return to my home that not only felt violated, but also not a secure place to keep myself and my valuables.

My very worst fear was realised: that of finding myself completely alone in this Northern city with nobody to turn to for support. Without a smartphone, I felt completely cut off from social media. By some strange co-incidence, my work colleagues were both out of town. This was the perfect storm. This was exactly what I never wanted to ever happen - to be isolated and alone.

I thought about throwing myself off a high building, or under a bus. In the end, I finally made it back to where I should have been allowed to stay: the safety of hospital. Surviving a suicide attempt is a big deal, and then to have shit to deal with at work and home, was horrendous.

My memory about how I arrived back in hospital is just as fucked up as you'd expect of somebody who's been through a near-death experience and survived, but only barely. I'm not sure what's real and what's dream. I feel like I died all over again. I have these strange memories of trying to replace my mobile phone, laptop and get enough cash out of the bank to replace my iPhone too. I can remember waking up on a hospital trolley and re-orienting myself with reality... there were lots of things that I could vaguely remember, but they seemed to be from a different life. Had I died and had my heart restarted? Certainly, there was a period where I was sure I was dreaming. Perhaps I was still having seizures, because of the unbelievable disturbance to the stability of my life, including the regularity with which I was able to take my medications and soothe my jangled nerves with alcohol.

I write to you now, in stone cold sobriety. My alcohol consumption has been practically zero for a whole week... cut at a rate that would easily cause problems, especially considering that all the other medications that I have been prescribed have been very irregularly given to me too. Rebound insomnia from suddenly stopping zopiclone would be expected. Suddenly stopping pregabalin will have terrible consequences, as with any of the GABA agonists. I'm surprised I haven't had MORE seizures or perhaps even been killed by the sudden withdrawal of medications that I had become physically dependent on, as well as alcohol. You can't just suddenly stop drinking and taking the pills that I had been prescribed - you have to taper down gently.

In a way, I'm in a good situation now that I'm off all the alcohol and most of the meds that I had become dependent on. My sleep is terrible, I'm in a lot of pain, and I'm overwhelmed by anxiety and a general sense of unease, but it's good to not be drinking so much and having to take pills just to stay calm through some incredibly stressful events.

My housing, employment and general situation is dreadful. I'm being royally dicked over by everybody who has sensed that I'm in a vulnerable state. It's an abosoute disgrace, how people have tried to put the boot in and deal the final death blow to me, when I was already bruised and bloodied and at death's door.

I'm in psych hospital until Monday at least, which is a blessed relief. I have a room with a door that hasn't been kicked in and has a fairly sturdy lock, with which to protect my valuables. I get three hot meals a day and there's plenty of hot water. There are loads of mental health professionals on hand if I was feeling suicidal again.

Sadly, I am having to turn to the law to defend me from mental health discrimination, illegal eviction, and hopefully recover my valuables that were lost or stolen due to negligence. At least I am in a safe place from which to defend myself. Justice will prevail.

I think it's outrageous that I was ever declared fit and well enough to be let out of hospital, especially given the ransacked shithole I had to go back home to, and the mistreatment I received at work. However, I am also sympathetic towards the police, who have a difficult job to do, as well as to the fact that I have received a substantial amount of hospital care, to save my life.

There's a fairly simple ethical guiding principle here though: don't fuck with vulnerable people. I'm pretty mad that I'm the one with the stolen iPhone, MacBook, the battered and bruised body, the missing medications and having faced some terrible stress, on top of the situation that was already so horribly desperate that it drove me to try to end my own life. Nobody is coming to me and offering me compensation of any kind, despite my phone and laptop being supposedly covered under a company insurance policy.

I have a fully functioning conscience - a moral compass - and I am trying to set matters straight that I am responsible for. Even in the midst of what might have been the final hour or two that I walked upon this Earth, I still had concern for rectifying certain things, and I still do. I'm being treated like shit, but I don't feel that entitles me to treat others like shit. I'm in a horrible situation, but I'll do what I can from where I can... although I do expect to be treated fairly and in accordance with the contractual obligations, housing obligations and obligations to not be discriminated against because of my mental health crisis. The door swings both ways, and I take my ethical conduct very seriously.

Sadly, the law and solicitors of various flavours are being involved, which means I can do little until they're back at work again on Monday. I need to proceed through the official channels, seeing as I'm being beaten with a legal stick. I'm outraged that my housing and income is under threat, simply because the opportunistic shits that I've been doing some work for have sensed an opportunity to try and scam me.

I wish everybody would just do the right thing, or offer to rectify things when they have made a mistake.

Anyway, as you can tell, I'm feeling quite sorry for myself, given the shitshow of my life. My guardian angel has arrived in the nick of time to help me stay afloat, but I'm still battered, bruised, organ damaged, hospitalised, under threat of illegal eviction, my client is in breach of contract with unpaid invoices, my employment offer has been withdrawn due to mental health discrimination, and the dreadful ordeal on Tues/Weds with being released from hospital too early, has pretty much fucked any chance of recovering my delicate poise. Everything was so fucking fragile, and it burned down in the blink of an eye.

Fundamentally, where is my girlfriend, my friends - my support network - as well as my work colleagues, income, housing and all the other pieces of the puzzle that make a liveable life? All I can see are circling vultures, greedily eyeing me up as a piece of carrion.

At least we have a decent legal system here in the UK and justice will prevail eventually. Nobody can get away with acting unethically and abusing vulnerable people. I'm safe in hospital. I can defend myself from here.

Finally... I got my replacement laptop working and I'm back online.

Without the structure of being able to capture images and compose my thoughts on the pages of this blog, I've been rather cut adrift. Without my social media contacts, I've felt totally isolated and that nobody knows what I'm going through, although my guardian angel has bridged the gap very well, so I must give a great deal of thanks to her.

Nobody knows just how close to the edge you are until it's too late. What an absolute shitshow.

Tags: #mentalhealth #suicide

This is a story about irreversible decisions....

Nearly 400,000 people killed or injured themselves using a gun, in the United States in 2016. That's 1 one 1,000 Americans, who them will shoot themselves each year.

In the United Kingdom, the only way for me to get a gun is to buy one on the dark web. For me to possess a firearm without a license and keep such a weapon without a locked gun cabinet, contravenes many British laws. In short, deadly weapons are outlawed in the United Kingdom and to 'bear arms' could see me imprisoned.

For £8.40 I obtained 112 tramadol capsules, which are contained in the brightly coloured box pictured above. The aggregate weight of the deadly opiate within this box is 5.6 grams. An overdose of tramadol is considered to be anything above 0.4 grams. Therefore, this box contains 14 times the maximum 'safe' dose. Death would be a certainty, if I was to swallow little more than a couple of mouthfuls of this medication.

Perhaps, you are thinking, that I procured this deadly substance through the dark web. In fact, I had been prescribed this pain relief treatment by my doctor, and I had collected three of these boxes quite legally and within my rights as a British citizen.

For £25, I had stockpiled enough pills to end my own life several times over.

In a deal I struck with my psychiatrist, I surrendered two out of three of the boxes that I was entitled to possess. My general practitioner (GP) had authorised a pharmacist to dispense this controlled substance to me... little did they know that I had already weaned myself off these addictive opiates and had amassed a total of 336 capsules, which contained approximately 17 grams of tramadol in total.

For many citizens of the USA, they consider it an inalienable right to own guns. Equally, I reserve the right to end my own life peacefully, painlessly and without undue suffering.

In the UK, people throw themselves under trains or hang themselves. If you are kiled on the railway, the driver of that locomotive will have to live with the recollection of seeing you hurl yourself onto the tracks; somebody will have to collect your body parts, put them into a body bag and take them to a hospital morgue. If you hang yourself, somebody will find your lifeless body suspended by whatever cord you chose to make a noose out of... they will have to cut your lifeless corpse down, and there will be clear evidence that your final moments of life were not at all pleasant for your body: your bowels and bladder may well have been involuntarily emptied and the ligature to your neck will have caused significant trauma.

The smallest amount of blood, semen, faeces or urine, seems to spread out far more than any other substance. A person who has chosen to evacuate the contents of their veins and arteries will be as white as a sheet, and there will be a shocking contrast with the dark red life-giving substance - their blood - that has been deliberately emptied from their body. 

Does it not seem better that if one has to deal with a cadaver, that it should be less physically mutilated? Does it not seem humane that people should die with the most peaceful expression that's possible in the circumstances?

What should I say about the sudden darkness that descended on me yesterday? There's little point in offering fake reassurances that everything's OK. The truth of the matter is that I live life with daily precarity, and with only a few bare bones of a social skeleton around me - seemingly inconsequential events lead to a disproportionate response. "It's not the end end of the world" somebody might say, and they're right, but when you're already close to the tipping point, it doesn't take much for it to be the end of your life.

I've done a zillion things impulsively in my life. None of those rash decisions have led me up a dead-end alleyway, yet.

There's something tantalisingly alluring about swallowing a couple of handfuls of pills and then slipping peacefully into unconsciousness. Even if I was to have seizures before I finally gave up the ghost, I would be completely unaware of my body's struggle to keep itself alive. How wonderful, to have the option to end the suffering on a whim.

To think that I'm being flippant or making light of the final decision that I'd ever make is not true.

One of the reasons I quit drinking a couple of years ago - for 120 consecutive days - is that I was afraid of acting impulsively while intoxicated. It's one thing to wake up with a hangover, thinking "why the fuck did I say/do those things?" but it's quite something else to not wake up at all.

I live with a toxic combination of a high-stress job, financial pressures and limited social support. Beyond Facebook and Twitter. I've retreated into a world of technology. The few close friends that I have are hand-picked because they're loyal and sympathetic towards my circumstances, which - I assure you - are not a result of free-will choices or preplanning. To have a seemingly minor setback might cause irrational behaviour, but so fucking what? Please show me the contract that my brain has signed up to, saying that it will always think rational things.

This blog was supposed to be a short and sweet message of reassurance, after a 'cry for help' yesterday. It was not nice wandering around the city centre for a few hours, hoping that the awful imperative to hurt myself, would pass harmlessly.

Tags: #suicide

This is a story about mass consumption...

"I need to stop drinking so much" I think to myself ridiculously frequently. Alcoholic drinks are very fattening and I'm not doing enough exercise. A combination of a sedentary job, depression and a physical injury, have conspired to give me every possible excuse I need, to spend my spare time in a state of intoxication. Banks grease the wheels of commerce - so we are taught in economic theory - and alcohol is the oily lubricant for every kind of social situation imaginable: births, weddings, celebrations & commiserations. I doubt the United Kingdom would achieve a fraction of its productivity, without the motivation of knowing we can have a beer or a glass of wine, when the working day is done.

It should come as no surprise to you that having lived on the ragged edge my whole live - an adrenalin junkie and extreme sport enthusiast - I would turn every knob and dial up to "11", give it 110% and to take things TO THE MAX, yeah!

The UK's chief medical officer recommends that I drink no more than 140ml of alcohol per week, which is 20ml per day. A conservative estimate for my current alcohol consumption would be 100ml per day, which is 5 times the recommended healthy limit. Each week, instead of drinking 140ml, I am drinking 700ml at least.

I have 3 pints of 4.8% strength beer after work, with my colleagues. An imperial pint is 568ml, and 4.8% of 568ml is 27ml. My daily allowance is 20ml of alcohol, so a single pint of beer already exceeds my daily drinking allowance by 35%. By the time I've drunk all three pints, I've had 82ml out of my weekly allowance of 140ml - 59% gone in a single social outing, and just 41% left for the rest of the week.

I have a bottle of wine at the weekend - a two glasses on Saturday, and a glass with my Sunday lunch. Wine bottles contain 750ml, and wine is around 13% ABV, so therefore that adds up to 98ml more alcohol, on top of the the 82ml I already drank, making a total of 180ml for the week - an excess of 40ml versus my recommended weekly allowance, which is 29% more than I'm supposed to consume.

The reality is that I easily drink two pints of beer or ⅔ of a bottle of wine each day. 14 pints of beer contains 382ml of alcohol. 3.5 litres of wine contains 455ml of alcohol.

Does that make me an alcoholic, you must be wondering.

My psychiatrist accused me of being an alcoholic, to which I replied "pish and fibble; what flabbergasting nonsense". We can do some easy calculations, to work out if I am an alcoholic or not.

Let's take the worst-case scenario where I consume 100ml of alcohol per day. Ethanol is metabolised at a constant rate in the human body. That is to say, the quantity of blood in your alcohol-stream does not follow some kind of exponential decay calculation. Assuming I drink for 4 hours each evening, by around 6am in the morning, I'm completely sober. This means that I'm stone cold sober for 13 hours out of 24, which is 54% of the time. This simple mathematics shows that I'm not an alcoholic, quod erat demonstrandum.

My psychiatrist is clearly not capable of recalling her basic medical training, which would have taught her that alcohol is metabolised by the liver in a completely different way to more complex molecules. Very specific proteins and enzymes are required to chemically decompose inorganic (i.e. invented in a laboratory) medications. We can do a simple test, to again prove whether I'm an alcoholic or not.

Again, taking the worst-case scenario where I consume 100ml of alcohol per day, if I was to abruptly stop drinking alcoholic beverages, we should expect me to exhibit alcohol withdrawal syndrome within a few days of sobriety. Assuming that I suddenly ceased all alcohol consumption, I should - at the very bare minimum - get shaky hands and other physical symptoms that would prove that my body has become physically dependent on alcohol. The fact of the matter is that I can stop drinking for 2 or 3 days, and suffer no ill effects beyond a psychological craving for intoxicating liquor. This simple test, again shows that I'm not alcoholic, QED.

Despite the failings of my highly qualified physician - my psychiatrist - who has specialised in the alteration of brain function through the blunt instruments of psychoactive medications, she unarguably stumbled upon a truth in amidst her lazy and untrue accusations of alcoholism: I do drink too much.

Another definition of an alcoholic or an addict, is somebody whose life is adversely affected by drink or drugs, but who does not respond to the negative consequences in a rational manner. If you put your hand in a fire it hurts, right? So, why would you put your hand in the fire again? The perverse behavioural pattern of continuing to act in a way that is undeniably harmful, has also come to be recognised as another definition of alcoholism and addiction.

One only needs to consider the question "why do people smoke?" to see that there is grey between the lines. Smoking is expensive, makes you smell, stains your teeth and makes your mouth taste unpleasant to any non-smoker whom you kiss [with tongues and stuff] - these are the immediate consequences of smoking tobacco. In the medium term, smoking will give you a revolting phlegmy cough as well as literally burning enough cash to purchase a reasonable quality second-hand motor vehicle, or enjoy several foreign holidays. In the long-term, emphysema and lung cancer will bury smokers in an early grave.

It's oft-quoted that "the liver is the only organ in the human body that can repair itself" but this is patently untrue. Chronic cirrhosis - scarring of the liver - will not heal itself. Conversely, many drug addicts who have overdosed and been declared "brain dead" have gone on to make full recoveries, despite a consensus of medical opinion that life support should be withdrawn. The BBC commissioned Louis Theroux to make a series of documentaries about life in Los Angeles, and the episode entitled "Edge of Life" recorded the 'miraculous' recovery of a man whose brain was deprived of oxygen for at least 12 minutes, which is well beyond the limits of what we believe any human to be able to withstand.

Many of those who have been unfortunate enough to be a victim of a stroke, will go on to recover the ability to speak, walk and recover other functions that were lost as a result of brain injury - this is underpinned by the inherently plastic nature of the brain. Plasticity does not mean 'made of plastic' - it means adaptable to change, including the ability to recover from trauma.

An alcoholic may easily consume a litre of vodka per day - perhaps some 400ml of alcohol - which would equate to 2,800ml of alcohol per week. Given that the recommended weekly intake for a man or woman is just 140ml, alcoholics - of whom there are very many - consume at least 20 times as much alcohol as they should do, according to the UK's top doc.

It seems unsurprising that somebody who drinks to an incredible level of excess - where they are intoxicated from the moment they wake up to the moment they lay their head to rest - should sustain an injury to their liver, rendering the organ irreparably damaged.

This essay does not seek to argue that I would not benefit - in terms of my physical and mental health - by abstaining from alcohol consumption. However, one must be mindful that drinking is endemic in UK culture and to be a non-drinker would impose significant societal pressures and judgements upon me. I have, in the past, been falsely accused of being a "recovering alcoholic" merely for the reason that I chose to be teetotal for a period of over a hundred consecutive days. I decided to be alcohol abstinent for a competitive challenge - one of my best friends had completed a period of 100 days of sobriety. In the end, I beat his sober-streak by 20 days.

If you're concerned about your alcohol consumption, drug habit or the quantity of psychoactive medications that you guzzle into the cavernous hole in your face every day, then you should simply ask yourself this one question:

Are you shovelling more and more mind-altering substances into your body each day, or have you found a steady quantity that satiates your want and need for intoxication?

While you fret about eating a 'balanced' diet and being 'healthy' you forget that for 4,000,000,000 years, organisms - just like us - have had to cope with a world that's too hot, too cold, too acidic, too alkaline, too oxygen rich, too carbon-dioxide rich, too sulphurous, too contaminated with arsenic & other toxins, and generally fucking hostile to anything that we define as 'alive'. Humans inherit all of the many abilities to deal with everything from the icy wastes of the frozen poles to the dry & scorching sandy deserts.

The ubiquity of alcohol represents the antidote to the curse of becoming self-aware; the torment of perceiving our own mortality; the torture of realising that life is fucking bullshit, and we all die alone. If we don't go crazy we'll lose our minds.

I do not seek to dissuade alcoholics from seeking treatment, nor do I encourage anybody to recklessly endanger their health. I would hope that any reader who has been able to follow the thread of my thesis to this point, would be able to see that I'm mounting a robust attack on those who seek to perpetrate alarmist & sensationalistic nonsense, onto a populace who have been harmlessly intoxicating themselves since well before any form of any recorded history.

If you are teetotal, I applaud you and I advise you to maintain your alcohol-free existence, but you probably possesses some characteristics that predispose you towards abstinence, not shared by your brethren who imbibe intoxicating liquor. Please; do not smugly think of yourself as morally superior.

By happy accident, I never addicted myself to nicotine, so I look upon smokers with a detached sense of amazement that tiny quantities of a plant alkaloid - in the order of a grain of salt - can induce antisocial behaviours in those who are in the vice-like grip of nicotine: a chemical compound whose psychoactive properties are formidable. I apply a cool objective reasoning that I am able to enjoy, to other addictions that I do and do not partake in.

It's Friday, and in the time that it has taken me to compose this essay, I have consumed 35% of my weekly alcohol allowance.

Cheers!

Tags: #alcohol

This is a story about succession planning...

The British have always liked hot drinks.

Coffee shops were terribly trendy in the late 1600s, having been launched in Oxford before springing up across London, where ships that brought the crop of beans to English shores found many willing patrons for the roasted, ground and brewed end product.

Tea symbolises imperial Great Britain. The Indian town of Darjeeling - formerly part of the British Empire - is synonymous with the tender leaves that citizens of the United Kingdom douse with boiling water, infusing bitter plant alkaloids into the hot liquid. "Put the kettle on" are four words that will be said in millions of homes this evening, despite the stimulating effects of caffeine.

Cocoa beans have given rise to hot chocolate, also known as drinking chocolate. Even a small UK food & drink shop will offer all manner of flavourings for hot water. Nestled in amongst the other things that my fellow Brits would categorise as 'hot drinks' I found something that I think of as a powerfully concentrated and flavoured spread, ideally enjoyed on toasted slices of bread - a jar of Bovril beef extract.

The flavour of Bovril is closer to Marmite and Vegemite - or any other brand of yeast extract - than it is to beef, in my opinion. How exactly they "extract" Bovril from a cow is something that I don't really want to think about. I suppose it's a macroscopic version of what they do with microscopic yeast - microorganisms are just the same as cattle really... eating, shitting, reproducing and not doing much else.

In this Bovril-drinking Northern city, conspicuous by their absence are people with skin tones darker than my own and women wearing headscarves. I formerly lived in a region where the population is 46% Muslim. Surprisingly, the Bengali shopkeepers have no issue with selling pork and alcohol to those who are not forbidden - for religious reasons - from eating swine flesh and imbibing the intoxicating liquor created from fermented fruits and grains.

In this unfamiliar part of Northern England, there are innumerable drinking establishments in my local vicinity, as well a vast number of hot food outlets where a bacon or sausage "bap" can be procured as a traditional breakfast snack.

India - before she was partitioned in 1947 - was a nation where Muslims would respect the holiness of cows in the Hindu culture, and reciprocally the Hindus would respect the Muslim rejection of pigs as unclean animals, and alcohol as an addictive intoxicant that places a heavy burden on any society that permits its consumption.

Modern global society still holds strong religious views on the treatment of domesticated animals and the brewing and consumption of alcohol. When we examine the historical evidence using the scientific method, we can see that cows and pigs would not exist today as we know them, without human intervention spanning many more thousands of years than even the oldest religion. Furthermore, we can see that humanity has been intent on its own intoxication throughout the history of civilisation. The Mayans were chewing coca leaves at least 3,400 years before Islam had its golden age, and vastly predates Hinduism and Judaism. Ergo, we must conclude that excluding beef, pork, alcohol and other things from our diet and habits of consumption is a relatively recent 'fad'.

The Chinese are the biggest per capita consumers of pork, while America and the developed nations hoover up vast quantities of refined coca leaves in the form of white powder cocaine and rocks of freebase cocaine, known as crack. Opium, morphine and diamorphine (heroin) are endemic worldwide. Caffeinated beverages - hot or cold - are guzzled by the globe. Alcohol is cheaper than bottled mineral water from desirable brands like Evian or Perrier. Yet, only in the North of England - so far as I know - do people consume a hot drink made from Bovril.

I hate being spread thin. I'm adaptable and I can be sent all over the globe to work with people who observe different cultural traditions. I am relatively worldly-wise enough to not commit a faux-pas, such as eating food before sundown in front of those observing the Ramadan period of fasting. I can pretty much figure out whatever you want me to do, if you're paying me enough and you're not open to persuasion that your ideas are probably terrible in their original unmodified form.

Why have a dog and bark yourself?

Now I find myself juggling the essential task of finding a doctor who will keep me supplied with the medications that I have become physically dependent on, while also settling in a new home in an unfamiliar city. I must also meet the demands placed upon me in the pursuit of enough money to eat, service my debts and give myself more security and freedom of choice.

I'm withdrawing from Xanax (alprazolam), Valium (diazepam), Ambien (zolpidem), zopiclone and Lyrica (pregablin). All of these drugs work in a very similar way - mimicking the brain's own 'brakes' and calming neural activity. These medications cause a chemical called GABA to be released in the brain, block the brain from recycling any unused GABA, or imitate the 'signature' of GABA itself. The overall effect is tranquillising, stress relieving and aids sleep, but the withdrawal is quite the opposite. In fact, the abrupt withdrawal from any or all of the medications listed can cause life-threatening seizures.

I must juggle social drinking - alcohol is a mandatory social lubricant in most UK culture - with the need to use alcohol as a form of self-medication for the stress I'm under. I also use alcohol as a substitute for the powerful psychotropic medications that my body has become dependent on, like heroin addicts kick their habit using methadone. Alcoholics can break free from physical dependence using benzodiazepines such as Librium (chlordiazepoxide). I'm doing it the other way round, because I know I can stop drinking - I plan on doing so in October, when I will use the excuse that I'm going teetotal to raise money for charity (a.k.a. Stoptober) - as I have done successfully before.

How I ended up with so much on my plate is not really my intended subject of this lengthy diatribe, but in my dark and difficult moments, I am facing a clusterfuck of competing demands on my time and energy, while also dealing with panic attacks and a general feeling of uneasiness and discontent; a false perception of threat, danger and imminent disaster.

My perceptions are not completely warped. Earlier this year, both my kidneys completely failed. Very recently I narrowly escaped homelessness, bankruptcy, destitution and destruction. Unpleasant feelings are a harbinger of a genuine medical emergency - I am detoxing myself without the supervision of a doctor or nurse, while also working full time.

I've skippered yachts and kept my crew safe in stormy weather; I've led groups safely up and down dangerous mountains covered with snow and ice; I've become blasé about near-death experiences, because I've now had so many. I don't think I'm exaggerating or being hyperbolic when I say that I'm facing my life's toughest challenge so far.

The demands placed upon me in my day job seem unreasonable at the moment, but I was desperate for fast cash. I was drowning and I was thrown a lifeline - beggars can't be choosers.

Friends who have submitted themselves to the mercy of the state seem to have suffered greatly from the trials and tribulations of dealing with compassion fatigued bureaucrats. A great many nurses and doctors have told me that I'm 'entitled' to live at the expense of the government - i.e. my fellow citizens - because of the taxes I have paid in my life, and because my mental illness disqualifies me from being 'fit for work'. To put work as my priority, ahead of treatment is something that none of my doctors want, but equally there's a long queue of people who would prefer to sit at home smoking cannabis and playing on their Playstations, rather than flipping burgers or scrubbing toilets for the minimum wage.

Like concentrated beef extract, I'm intense; I'm focussed; I can achieve a lot very quickly. The terrifying truth is that the world applauds anybody who exhibits bipolar behaviours... what happened to all those 'overnight successes' and 'one-hit wonders'? They spent all their money on fast cars, beautiful women, drugs & alcohol, and the rest they just wasted, is the oft-repeated quote.

Once you've figured out a winning formula, all you can do is teach others to follow in your footsteps. If you can train an army of mini-mes to do the grunt work - the heavy lifting - then life becomes more sustainable. Only a fool repeats the same behaviour, expecting different results.

And so, I desperately need to find my successor - somebody to fill my shoes and shoulder some of the burden, allowing me to recover and stabilise, rather than being trapped in a cycle of just repeating things that I've done before a thousand times.

It's hard to find somebody who's willing to do a shitty job, and it's hard to find somebody who's able to navigate their way through the piles of shit and find the better way of doing things. I might be that diamond in the rough, but that doesn't mean it's a great idea to get me scrubbing toilets or flipping burgers, even though I will do if you ask me, pay me and I'm desperate enough.

Having a desperation-driven economy, with most of us spread thinly - stressed out and always on the brink of breakdown and ruin - is a terrible, terrible thing to do to people.

Hunger will drive ingenuity and industriousness, but it's not a sustainable strategy, no matter how much Bovril you have to eat and/or drink.

Tags: #career #addiction #drugs #mentalhealth #bipolar

This is a story about home treatment...

This is what the Conservative government's 1990's Care in the Community policy looks like, in practice. An extremely low-paid NHS worker, who isn't trained as a mental health nurse, is dispatched on public transport to travel across the London borough of Tower Hamlets, to bring me a bag of medication. They're supposed to check that the old packets are empty, which 'proves' I've been taking my medication. They're supposed to escalate any problems to nurses and doctors, back at base. If they can't find me or get in contact, they're supposed to ring the police.

It's that final point that's the important one: the police got co-opted into this half-baked scheme. Of the people the police deal with - the front-line officers - most of them will have mental health issues. The police are picking up the pieces of the mental health epidemic. When somebody is truly having a mental health crisis, the police will be the ones who get that sick person to the place where they should have been in the first place: a psychiatric institution.

There are nurses, psychiatrists, social workers and the like, who are involved in assessing whether you need to be detained under the Mental Health Act - what's known colloquially as a 'section'. If you're seriously mentally ill and out in the community, it's down to the police to find you, catch you, detain you and get you to that assessment where you get 'sectioned'.

Also, the police are out there, picking up body parts off the train tracks and underground railway. The police are there when somebody has jumped off a bridge and landed in a river or on some mud flats, or maybe gone splat into something harder below - perhaps a road. The police are there when somebody looks like they're about to jump under a train or off a bridge - CCTV operators are trained to look out for agitated members of the public, who look like they're about to top themselves.

Around the time of Care in the Community, there was an explosion in prescribing of psychiatric medication by our ordinary general practitioners (GPs) - our regular family doctors - there were 9 million prescriptions for Prozac in the UK in 1991. This is the principle behind Care in the Community: put people in a chemical straightjacket, and they can be safely released back into the general population. Ten years later, there were 24 million prescriptions for Prozac and another ten or so years later again, and London alone gets through over 60 million prescriptions for Prozac. These are almost all issued by a GP, not a psychiatrist.

When it comes to "serious" mental illness - anxiety disorders, bipolar disorder (a.k.a. manic depression), schizophrenia, personality disorders - the NHS kicks you out of the bit where you get various therapy options (e.g. CBT) and instead you're referred to a psychiatrist, who will prescribe some fairly brutal medication. In the case of schizophrenia, you could have a risperidone implant, injected underneath your skin, which will keep you in a chemical straightjacket for up to 6 months.

The other people who got co-opted into this Care in the Community policy were the general public. An average member of the public is fairly fearful of a schizophrenic, believing them to have multiple personalities and a propensity for violence. Several murders that received significant media attention, focussed on the fact that they were committed by formerly institutionalised schizophrenics. Depression is now such a common feature of people's lives, that any stigma has gone, but most people would be fearful of living near, working with, or having their children around a schizophrenic, surveys have found. Lock your doors - there might be a madman lurking nearby.

If I was in hospital, I'd have somebody checking on me every 30 minutes to an hour - making sure I hadn't found some way to harm myself. With the Crisis Team (a.k.a. Home Treatment Team) who are tasked with keeping me safe at home, I see them every other day. I could take a fatal overdose 2 hours before they were due to arrive, and by the time an ambulance got to me, I would be well and truly dead as a dodo.

I had stockpiled 336 tramadol tablets (16.8 grams) which is enough for two people to commit suicide, easily. As part of their responsibility to help keep me safe, they asked me for the tramadol back. I gave them 112 tablets (one box) which was a tick in their box. In hospital, I would never be able to hide the remaining 224 tablets from the nurses. If I took an overdose, I'd be fed activated charcoal, have my stomach pumped, be put on a respirator and given various medications to counteract the deadly effects of a tramadol overdose, in plenty of time to save my life.

I can't tell you what the cause and effect is. I can't tell you whether Care in the Community is the reason for the mental health epidemic, or whether it's something else, such as the collapse in living standards and precarious lives we live now, with our income and housing under constant threat.

Most people don't like to lose their liberty. In fact, it's distressing to be locked up somewhere, and not allowed to leave. There are crisis houses, where you can come and go as you please during the day, but you have to be back by nightfall and sleep there or else the police will be sent out to find you. This seems like a compromise that would suit most people who are having a mental health crisis, who pose no danger to the general public.

With the false security of Care in the Community, the number of beds available for those having a mental health crisis, has been slashed dramatically. You can attempt suicide and be hospitalised - in intensive care - and then discharged out onto the streets, simply because there isn't a free bed on a psych ward or in a crisis house, where you could more safely transition back to normal life. You can be suicidal, and the best the NHS can offer you is to come check that you're still alive once a day.

As a man, I'm many times more likely to commit suicide than a woman, but far less likely to seek help. This means that I have had the good fortune of being looked after once in a crisis house and once under a voluntary 'section' on a psych ward. Not many people receive lifesaving treatment like that - the resources just aren't there anymore.

So, what's the solution? Pharmaceutical companies tell us their medications are better than ever. More and more of us are taking powerful psychiatric medication. But, yet, the percentage of the population suffering from mental health issues is ever-growing; suicide rates keep climbing - there is, undoubtably, a mental health epidemic. My personal opinion is that it's not a medical problem: it's a problem created by insecurity: jobs and housing; it's a problem created by declining living standards and soaring levels of stress.

No amount of pills are going to fix the mental health epidemic, even if you bring them to my door.

Tags: #mentalhealth #suicide #depression #bipolar

This is a story about pulling the wool over somebody's eyes...

Every day, between 6pm and 8pm, I get a visit from a different stranger. They all belong to Tower Hamlets' Community Mental Health Team, and specifically to the home treatment Crisis Team, but it must be a big team because I almost never see the same person more than once. Everybody's reaction is the same when I let them in: "wow! look at the view!".

The fact is, I have enough money to last me 2 more weeks, but then I'm not just skint... I'm actually insolvent. I have a lease that doesn't expire until September and I have to service various debts that I ran up, just trying to stay alive.

"Oh, you probably spent all your money on drugs" I hear you say.

Recently, I was on the dark web, looking for something for a friend - something to relieve pain that wasn't on offer on the NHS. Having located some vape oil, containing medical cannabis, I then couldn't resist the urge to continue window shopping. To my alarm, the worldwide supply of supercrack had dried up, due to the Chinese very effectively banning the production and sale of it.

There was one supplier - in the whole world - selling his remaining stock of supercrack. 10 grams. That amount of good quality cocaine might cost you £900. For 10 grams of supercrack, I paid the princely sum of $134.

How long do you think 10 grams of supercrack lasts? Well, we can work it out. A severe addiction might consume as much at 15 milligrams per day - that would be enough to not sleep for a whole day and night. So, easy maths then.... 10,000 divided by 15 = 667 days. One year and ten months, of daily drug abuse for $134. No. I did not spend my money on drugs.

So, back to the strangers in my home each evening. I sit them down on the sofa, next to the patio doors that lead onto the balcony.

Still somewhat wowed by the view, they can also see a number of expensive electronic trinkets lying around. The conclusion that is instantly drawn is that I'm not really in crisis, but in fact I'm wealthy, successful and totally in control of my life. They couldn't be more wrong.

I wrote about this the other day, but lurking behind the door into the kitchen, are a load of bottles for recycling. In theory, I've stopped drinking, but that's just a technicality. If you're in the grips of a mental health crisis or drug-induced behaviour, then you don't tend to have a glass of wine in front of the TV. Remarkably, I've had a bottle of white wine in the fridge, unopened, for over a week.

"Why don't you just have one glass and stop?" a psychiatrist asked me. I replied that oxygen would make the wine go off, so I needed to finish the bottle once it was open. She suggested a vacuum pump wine preserver, to which I replied that I bet I'd never be able to find one. The penny dropped, and she realised I was taking the piss. The reason why I don't stop is because I don't want to. Alcohol is an effective way of getting intoxicated, so you don't give a fuck about your problems... except I do seem to give a fuck in a strange way, because whenever I get ridiculously drunk, I punch my bathroom door so hard that it makes a hole in it. Then I wake up and think "why did I do that?" and I'm filled with regret.

Strangers who come in my house don't see my bedrooms. My main bedroom with the ensuite has got blood spots all over the floor from some accidental injury or something. There's lots of evidence that I imprisoned myself in that room, for some reason. In fact, there's lots of evidence outside the communal areas, that I've absolutely lost my mind at times.

Recently, being in possession of quite a good set of tools, as well as a box of screws, I set about attempting to screw a desk to the door of my spare bedroom, or something like that. The plan wasn't even clear to me. Once you lose more than about 3 nights of sleep, your priorities are quite corrupted. Instead of hydration, food and sleep, my focus switched to barricading the bedroom door. If you have a dark sense of humour, you may chuckle at the fact that as soon as I had completed my task, I then needed to undo my work because I needed to use the lavatory.

These are the kinds of things that are quite important if you want to understand just how sick I am, but the 'window dressing' which is my lounge, balcony and view, rather distracts from the piles and piles of dirty dishes, and overbrimming laundry baskets. The home visit team members walk away thinking "I must tell my colleagues about that awesome view", rather than "I must tell the doctor that the patient looked like he hadn't slept for days, or eaten much".

Can I fix things? I've pretty much given up hope. There just isn't time.

10 grams of supercrack certainly doesn't help, and I knew that a relapse would be one problem too many, on top of a giant shit sandwich. However, the things I've tried that are a sensible and realistic approach, have brought in way too little cash for way too much effort. I'd rather have my MacBook Air and iPad Pro, than a few pennies, even if they're surplus to requirements most of the time.

I could keep up appearances for friends and family, but I lived in fear of my work colleagues discovering that I suffered from mental illness for so long, that the exhaustion became unbearable. It was an open secret that I would be late to work during periods of depression, or not turn up at all. Everybody knew that I liked a drink, but I surrounded myself with other heavy drinkers. The problems worsened, and I had to run twice as fast to just to stand still. I came to London, knowing I could burn a bunch of bridges, and never exhaust all the options open to me, but it's bullshit, having to interview for jobs when you've got a 20 year career behind you and countless people who know you're good at what you do. Also, why shouldn't my friends know what's going on in my life. If they're true friends, they'll see that I'm still me, but I'm in crisis - they won't suddenly change their opinion of me, because of prejudice, although one close friend did and it broke my heart.

Don't lift up the rugs or look under anything: I've swept so many things under the carpet. Out of sight out of mind. I don't bear close scrutiny, but nobody looks very carefully anyway. First impressions count for everything.

After the insanity comes a further insanity - a paranoia that my flat is trashed and I'll never be able to bodge it up good enough to escape hefty bills for repairs that are completely over-inflated by the unscrupulous letting agents.

Where am I going to go? What am I going to do? The fact that you're asking those questions is the clue as to why I might wish to escape into alcoholic oblivion, or take supercrack. There are no easy answers. I know I keep going on about it, but the whole hospital/dialysis/job loss fiasco has left me questioning what the f**k I'm doing, working IT contracts in London, except for the staggering amount of money that it brings in. It doesn't compensate for the up-front stress, followed by the abject boredom and misery.

You'll probably find me sidling up to you in a bar in 20 years time - the known local drunk - and saying to you "I remember the time I lived by the River Thames and worked for the world's biggest companies" and you'll think that I'm some delusional twat.

I hope I just die before I suffer that indignity.

Tags: #mentalhealth #depression #alcohol #drugs #addiction

This is a story about home visits...

I went to my GP. I forget why I went, but one of the main reasons was because I'd been depressed for so long that I wanted to try antidepressants again, but a really powerful combination called "California rocket fuel". One of the provisos of me getting the prescription at that visit, was that I would see a psychiatrist to review my case.

The first time I saw this new psychiatrist, the rocket fuel wasn't having much of an effect, and I offered to swap my stockpiled tramadol, in order to remain on the same antidepressants. She was really pretty worried about me though, and I was supposed to see somebody once a week.

I got a surprise text message from the Mental Health Crisis Team home visitors. That wasn't what I had agreed with the psychiatrist, and I felt let down by mental health services, again, so I ignored their requests to come visit.

By the time I went back to the psychiatrist for a second time, about a week after the first, I had become unwell, broken up with my girlfriend quite spectacularly and I had abruptly stopped the rocket fuel.

I didn't feel suicidal. I felt confused. I knew that the breakup had been done hastily, and that I didn't have the love and support that I needed. I knew that without her, my future was pretty bleak. I really had very few ideas about what to do next. My psychiatrist's concern - from the beginning - was to stabilise my mood. I'm not taking a therapeutic dose of anything at the moment, because it takes so long to safely start my new medication.

In some ways, the breakup prompted me to act with urgency - trying to sell high-value items and asking contacts for work. My energy has been low for as long as I can remember, and I still can't face the open jobs market. I've stopped even taking the recycling out or doing any washing. I started out well enough, but a couple of minor setbacks and I was discouraged

I was safe at her place. Safe from reminders of all the places where I cut myself, or put a knife to my throat and tried to find my jugular vein with the point of the blade. I was safe at hers, from self-sabotage and making an already long list of jobs even longer.

Back at my place I sank like a stone.

The thing about the Home Teeatment Team, is that you never see the same person twice. They all get distracted by the view and they have no idea if I'm deteriorating or not, which I most definitey am. If they saw me more than once, they'd notice the untidy beard, the dirty clothes, the weight loss, the extreme exhaustion.

My alternatives to home treatment are a crisis house or hospital. I'll be forced to leave my home, if I stop seeing the home treatment team. Come to think of it, I'll probably be forced to leave my home anyway.

I slept on the sofa last night, because my two bedrooms are in such a mess.

Ironically, the home treatment team will see a much better-presented version of me, this evening, because I had a shave. What they don't understand is that the reason I shaved was to make myself presentable for going to the shops. I don't really want my neighbours or my concierge to know that "unwell" is an understatement. I eat one meal a day, if I'm lucky. The only reason I'm showering is because of keeping up appearances for the home treatment team. I either don't sleep, or I pass out for a few hours. I wish I could sleep right now, but sleeping suddenly became really hard.

Tower Hamlets is at least well funded versus Camden, so I've got far more options. However, having a home visit from somebody different every day, really doesn't tell them that I'm sinking, fast. The pile of recycling is jut one of many clues that I'm in a bad way, and the downward spiral is getting beyond critical.

Bloody disaster.

Tags: #mentalhealth