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Two Weeks Ago I was Dead

9 min read

This is a story about the comeback kid...

Hospital property record

Here's quite an interesting document, to me anyway - it says that I was transferred to a Northern city hospital's intensive care unit (ITU) on Sunday 10th September and all I had were the clothes on my back. The date of my original admission to hospital - Saturday 9th September 2017 - is shown quite clearly in the top left, under my name.

The reason why this document is interesting to me, is that I started having seizures at some point after arriving in hospital. I was already well into a fatal tramadol and codeine overdose when the emergency services got to me. I'm pretty sure I remember the hospital telling me that they'd make me as comfortable as possible but I was probably going to die, or words to that effect.

I've been through all my paperwork and I can't find my hospital discharge summary. I suspect that it may have gone wayward during the insane events of the Wednesday & Thursday following my fatal overdose. I will be obtaining another copy as soon as I can. Any documents I can lay my hands on are useful for me, because seizures, coma and unconsciousness are not particularly conducive to remembering the events of my hospitalisation very well.

What must be self-evident is that I was very sick indeed, to have been in intensive care.

Anybody who's followed my story knows about my plans. One only needs to go back to a blog post on August 10th to see one of the actual boxes of legally prescribed medication that constituted part of my fatal overdose.

I use those words fatal overdose quite deliberately. I had calculated the dose that would be fatal, doubled it and then chucked in another shitload of prescription opiates for good measure. I wasn't messing around. This wasn't a cry for help. This wasn't some attention seeking bullshit. This was a very real, calculated, pre-planned and meticulously executed suicide - following the precise steps that I had outlined earlier in the day.

It might surprise you to learn that I set an alarm on my phone, so that I wouldn't tweet or otherwise let on that I was in the process of killing myself, before I was beyond the point of no return. Who does that? Certainly not somebody who has any intention of going on living, I would've thought. Would you be brave enough to take a fatal overdose and gamble that you might get saved by social media? Seems like a pretty dumb publicity stunt or way of getting attention - in all probability you'd just wind up dead.

I remember when I was in the Emergency Department of the hospital, trying desperately to get a drink of water - I was fully aware that having more fluids in me would allow more of the deadly medications to be absorbed into my bloodstream, accelerating my death. The hospital were wise to my suicidal intent and they knew that they could ignore my requests to not be treated, as soon as I fell unconscious or started having seizures. The anaesthetists must have stepped in at some point and put me into a medically induced coma.

Imagine waking up in a hospital gown, with a tube coming out of your piss hole, sellotaped to your leg. Imagine waking up and not being able to speak, because there's a tube down your throat. Imagine waking up and all you can see all around you are machines that are either pumping stuff into you or taking stuff out - loads of screens and loads of digital readouts. I had more input and output ports than a Personal Computer (PC) from the 1990s.

I've written about this before, but I need to write about it again, because I'm trying to process what happened to me with only the scant information that's available. Between the hospital and the police, they pretty much conspired to keep my friends, family and work colleagues completely in the dark about whether I'd lived or died and what the hell was going on. I wasn't really conscious until Tuesday 12th of September 2017 - that's quite a long time to be in limbo land. On the Tuesday, I was vaguely aware that my sister and my work colleagues wanted to speak to me, and I wanted to speak to them, but I wasn't allowed to. What utter bullshit.

The police have since phoned the company that I was working for, and told them in no uncertain terms that I was in hospital and not at all able to communicate with them to let them know I was going to be off work on the Monday & Tuesday. However, the company has severed all contact with me and has been avoiding the office since Wednesday 13th September 2017. What on earth could they be so afraid of, that they daren't answer the phone or go to the office? What on earth are they thinking? I have no idea, because they won't return my calls or reply to my emails.

Over that Wednesday & Thursday following my fatal overdose, everything collapsed around my ears. Without a phone, wallet, cash, laptop or any of the other things most of us take for granted every single day, I was lost in a city that was nearly completely alien to me, with not a single person to turn to. It was highly distressing. It was exhausting and stressful, to go from place to place, replacing whatever I could.

The Apple Store in the nearby shopping centre became the centre of my world, having been impolitely muscled out of my office with rather flimsy excuses. I dug my heels in, because something fishy was going on and I wanted people to come clean - what the fuck was going on? Why was I being treated so unprofessionally? It was a horrible experience, and not something I should have been put through, given my recent discharge from hospital.

I received a phonecall saying I had an email with some letters from a solicitor, from the company I was working for. How was I supposed to read this email, without my laptop or smartphone? Nobody from the company would speak to me properly. I did not receive even the bare minimum professional courtesy that should be extended to somebody who'd been a valued member of the team for some time.

Because the matter is now being handled by legal professionals, due to the complete refusal of the company to treat me with the common decency that any human being might expect - let alone adhere to contract and UK laws - I can't really go into any more detail. I'll be sure to share the details of any court proceedings so that this blasted company can't get away with their inexcusable misbehaviour.

Of course, the pages of this blog document my darkest secrets in unflinching detail, but this is therapy for me and I do not mix my professional and my social media identities in a way that might besmirch or sully the reputation of a company that is trading ethically and within the law. There are a lot of Nick Grants out there in the world, and I'm just one of many. In fact, this whole blog could have been created by somebody who maliciously intended to impersonate me, for nefarious purposes, couldn't it? Have you been careful to check who actually controls my Twitter, Facebook and blog? Is there anywhere that there is a direct reference to who and what I actually do for a day job, that could justify the mistreatment I've suffered?

One should remember that this blog has been the best thing I ever did, in terms of being able to stabilise my life and recover my poise after homelessness, addiction, alcoholism, financial problems and a whole world of pain, absolutely tore me to shreds. Should I hang my head in shame and hide in the shadows? Should I keep my mouth shut, and pretend that nothing bad ever happened to me?

There's absolutely no way you're gonna shut me up without killing me. I'm loud and I'm proud. It's more important that I write my story in unflinching detail, than cowering in fear and attempting to cover up what's happened to me. What have I got to be ashamed of? I've worked damn hard to get my shit together after it was blown to bits, so I'm damn well going to write about it.

Of course, culturally we only allow those who are already successful to share their stories of their life struggles, that challenge the status quo and our preconceptions. Paul Gascoigne and George Best have done a lot to bring the ethical debates surrounding alcohol abuse into the public consciousness, for example. Ronnie O'Sullivan and Stephen Fry have candidly shared their experiences of cocaine addiction, but yet we still revere them as great people... why is this? If you've been reading carefully, you'll know that I'm teetotal and I'm not on any drugs, except for pregabalin (for nerve damage) and zopiclone (because it's bloody hard to sleep on a noisy psychiatric ward of a hospital) which are both legally prescribed to me.

It seems I've taken a battering, because of foolish assumptions that have been made about me. Just about the only correct assumption that you could've made, is that I should probably be dead, after having ingested such a massive overdose and had plenty of time for it to take effect before the emergency services got me to hospital.

I really can't get myself into the mindset, where I would mistreat somebody who'd been hospitalised and was very sick. Please, somebody explain to me what have I done wrong, apart from what I've already very publicly admitted to? Is it right to crucify me; to punish me beyond the punishment that I've already suffered? Do you not think it was awful, what I've been through? Why would you put the boot in and kick me when I'm down? I don't understand why the shit continues to be rained down upon my head.

Does somebody want to explain to me how it's at all ethical, that I came to find myself homeless, unemployed and isolated in a city I'd never set foot in two months ago, after I took all the risks and put in so much effort to try and make a go of things?

Answers on a postcard to Nick Grant, Planet Earth.

 

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Happy Mondays

9 min read

This is a story about twisting my mellow...

Convict pyjamas

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!

 

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Prince of Wales

17 min read

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

Another hospital

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.

 

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Gawker

6 min read

This is a story about the gutter press...

Ordinary world

It was some time in 2009 or 2010... I forget exactly when. My life consisted of a mortgage, a house, a cat and an Apple Macbook laptop computer. Thanks to an alarmist sensationalistic tabloid newspaper, my attention was drawn to what were commonly referred to at the time as "legal highs".

In a game of cat & mouse, the government attempted to legislate against clever chemists, who could cook up concoctions that would evade the laws more quickly than they could be passed. "Meow meow" became an iconic drug of choice, for grown adults who have a right to choose what they put into their own bodies. We don't have policemen at the bottom of mountains and cliff faces, telling climbers that it's "too dangerous" for them to scale the treacherous heights.

The irony is, that I was a posterboy for a life of conformity that we are all supposed to aspire towards - I had the millstone of debt around my neck and a life of indentured servitude to look forward to. Despite my hefty income, I was destined to spend over 20 years - the prime of my life - servicing the unreasonable debts that I had been forced to incur, simply to have a secure place to live.

A decade earlier, there had been a nightclub - The Chunnel Club - which ran an event every Friday called Trinity which had two railway arches in London's Vauxhall. Under each arch, DJs played very distinctly different dance music. A drug dealer stood by the toilets and for £10 per tablet, one could purchase a 'Turbo Mitsubishi' which packed a powerful punch of 3,4-Methylenedioxymethamphetamine (MDMA)... more commonly known as ecstasy.

Had it not been for the tabloid newspaper printing articles about the legal drugs accessible for sale online, I would have been blissfully unaware of what treasures there were to be bought on internet. I quickly discovered that an analogue - a chemical cousin - of MDMA was readily available for next-day delivery via the Royal Mail.

By 2012, the long arm of the law had abolished the purchase and sale of most of the chemicals that posed little significant risk to my health and wellbeing. Thankfully, Gawker (a website) had published an article that pretty much provided a step-by-step guide on how to access the dark web, and the Silk Road drugs marketplace. I was in a position that no wealthy middle-class person would expect to find themselves: with an unlimited choice of illegal drugs available at my fingertips.

It should be noted at this point that I've never had a drug dealer. This should be re-iterated: although I purchased drugs off one reliable dealer in a club in London, I never knew his name nor have I ever scored drugs from a dealer in the conventional sense. For the uninitiated, this means having a bunch of phone numbers stored in your contact list, and ringing round to see if the narcotics that you desire can be supplied - to 'score' in the colloquial vernacular.

When one 'joins the club' of middle class guffawing overpaid twats, very often one is insulated from the seedy world of illegal narcotics the scruffy shitholes where drugs are sold from, by the most enterprising individuals who can't quite escape the life of poverty that seeks to forever keep them in their tracksuits and council estates.

God bless the internet - provider of drugs to people who would otherwise not have a fucking clue where to get them from.

It cannot be understated, the role that the media helpfully played, in drawing my attention to matters that I would otherwise have been blissfully unware of. I had no idea what "meow meow" was or that it could be bought online just like a product that one might purchase from Amazon dot com. I had no idea what Tor and the Silk Road were. I was familiar with Bitcoin, but only as a digital currency that happened to tickle my geek gland in around 2010. These terms might be gobbldegook to you and I applaud your ignorance, for it has protected you from an underworld that you never want to plumb the depths of.

From Tor and the Silk Road, arose the Black Market Road, Agora, Alphabay, Hansa and Dream Market, plus a million other wannabe imitators. Silk Road 2 - the sequel - was briefly the best place to purchase narcotics online.

Ronald Reagan - an actor - and his wife Nancy, started a completely insane moral crusade against human nature that spawned technological innovation, making it easier than ever before to access high-purity drugs at rock-bottom prices. I had no idea what "just say no" meant as a child, growing up, but by the time I reached adulthood I owed a great debt of gratitude to the Regans' legacy, of ensuring an unending supply of easily accessible powerful narcotics.

Necessity is the mother of invention, and many of the things that we take for granted today in our advanced industrialised society, were born as a result of the arms race and the space race. It seems so hilariously ironic that the attempts by the FBI, CIA, DEA and other US law-enforcement agencies, to destroy the drugs business, has resulted in a far more efficient system that can reliably deliver whatever I want, next day. God bless America, and her moral crusade to turn us all into debt-laden consuming automatons, who do not question authority and the need to relentlessly replace the shit we buy - designed to become obsolete within a year or so.

For every dark web marketplace that is shut down, another 10 will spring up in their place. The authorities' efforts should be applauded, because they are pushing the innovators to invent solutions and technologies that far outpace governments and their systems of societal control.

The founder of the Silk Road was a naïve young man who knew very little about technology - the ease with which he set up a site selling the best part of a quarter of a billion dollars of drugs per annum, is truly astounding. I mean, the guy was a fucking amateur - the trail he left is still all there for all to see, all over the internet... just Google "frosty" and "Dread Pirate Roberts".

God bless the gutter press, for keeping me informed of developments in the narcotics supply chain.

 

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Labour's Catch 22

8 min read

This is a story about not pleasing all the people all the time...

Party Rosette

The gutter press and Tory rags have done a staggeringly good job of convincing ordinary people that their security is under threat from the invisible spectre of international terrorism. Despite the complete lack of evidence of any communication with ISIS - commanding and controlling "sleeper cells" and suchlike - the newspapers have managed to convince a worrying number of people that there's an Islamic plot to kill and maim the people of the UK, even somehow dovetailing with immigration, asylum and - by loose association - our membership of the European Union.

Our very worst off members of society live in the most fear. They fear the loss of their low-skilled jobs to migrant workers who are prepared to accept terrible working conditions. They also fear for their security, having been turned into Islamophobes by an unrelenting media narrative about terrorism, radicalisation and Muslim extremism. A disappointing number of our fellow Brits would vote in favour of policies that deported Muslims, closed our borders to immigration and asylum and expanded our police state; even arming every police officer with a gun. These working class people should be staunch Labour voters, but the 'security' (jobs and terrorism) issue swung them into the Conservatives' open arms.

Meanwhile, the surprise success of Jeremy Corbyn - to political pundits, journalists and even his own party members - is easily attributable to the number of liberal lefties who were politically 'homeless' until Corbyn re-ignited those forgotten dreams of a socialist utopia. Many who voted Labour might not have been pro-Corbyn, but what educated humanist could ignore the simplistically appealing ideology of taking from the rich to give to the poor? At last, a left wing party to vote for again! Many who had been politically dormant were re-activated by the chance to make a vote to oppose the right-wing, and their cruel cuts and austerity.

To some, it seems obvious that if Labour were to adopt a policy of blocking and derailing Brexit, they would surely have voters turning to them in their droves. Sadly, this is where Labour is caught in a terrible paradox.

By opposing Brexit, Labour would seem soft on immigration, and therefore soft on national security, which are the paramount issues in the minds of the working class, who are Labour's core voting bloc. Conversely, the Islington champagne-socialist who reads the Observer or the Guardian is appalled that Labour offer no strong opposition to leaving the EU. Even to the most rabid Corbyn supporter, they are somewhat baffled as to why he's sitting on the fence when it comes to Brexit. The reason is simple: Brexit is bound up with fears of international terrorism as well as job insecurity. To oppose Brexit would be spectacularly unpopular with the working class. To oppose Brexit would make the Labour party into a party for the wealthy educated London leftie liberals, who are a substantial proportion of the much-resented gentrifiers - seen as no different from any of the other metropolitan elites, who are out of touch with the reality of life's daily struggles in an austere Britain.

After years of politics where people and politicians believed in nothing; where policies were chosen based on focus groups and surveys; where political ideologies had been abandoned... Jeremy Corbyn represents the antidote to politics dominated by unprincipled men and women who only want to wield power. Every policy; every position on the Corbynite agenda, is driven by his conscience and his desire to do the best for ordinary people. This is a radical sea-change, from the rush to the centre and the boom of the populists. We had the era where Tory and New Labour were indistinguishable. We are in an era where a populist party can capitalise upon the pain and fears of a nation reeling from an invisible recession and security threats that have been exaggerated beyond all reasonable proportions. Corbyn represents a return to an ideological politics and strong opinions on what's best for the ordinary people of Britain, instead of the weak insipid crap shaped by polls and focus groups, which pointed to vote-winning policies.

Now that Labour, led by Jeremy Corbyn, has proven itself to be a credible opposition and stands every chance of being in government, the next move is extremely unpalatable. As a party that ideologically stands for the working class, Labour must address that group's primary concerns, even if they're unfounded. It would be impossible to undo the damage of the Brexit campaign, UKIP, BNP, EDL and a nonstop media narrative that tells us that Islamic fundamentalist terror threatens to kill or maim us and our families, anytime, anywhere. The ongoing invisible recession caused by the financial crisis of 2007/8 and Tory cuts - austerity - has been blamed on econonic migrants, but the broad brush has tarred all immigrants, including those seeking asylum. As a principled man Corbyn has been able to do little more than sit on the fence.

Tax avoidance by the rich and large corporations costs the UK vast sums of money, wheras economic migrants actually bring a net benefit to the economy. Suicides caused by job losses and welfare cuts far outnumber deaths caused by terrorism.

It is as if, having been stressed and depressed for a long time, we discovered that we could function perfectly well with just two fingers and a thumb, and so we have decided to cut off four of our digits in the mistaken belief that it will solve our malaise.

To try to reason with those who are hell-bent on Brexit, would only be to further antagonise and patronise them; similarly with those who believe we might need to nuke Iran or North Korea before they nuke us. Those who have decided that all Muslims are potential terrorists are not open to persuasion that their beliefs are complete bullshit. Unfortunately, many traditional Labour voters hold these abhorrant views, and have a warped set of priorities, when it comes to politics, citing immigration - and national security, implicitly - as their number one issue.

The Tory party ties itself in knots, being led by a woman whose opinions can do a U-turn in the blink of an eye; a woman who believes in nothing; a woman who is the toothless, powerless figurehead of a party hell bent on creating a huge insecure labour pool, to be exploited by ruthless capitalists for obscene profits.

The best we can hope for is an awakening of class consciousness: where people realise that the Tory government does not seek to protect its people, but seeks to exploit them; where people realise that the Labour party of today bears no resemblence to New Labour or the Labour party of the 1970s; where people wake up to the injustice of the fact that the burden of Tory cuts and austerity has fallen disproportionately on the least wealthy.

Labour and Corbyn are trapped between a rock and a hard place, and can only patiently continue to stand by their manifesto and the underlying ideology - that the richest and the largest corporations should pay their fair share in society - until the electorate is finally sick and tired of Tory lies and hypocrisy.

As a champagne-sipping North London socialist, I obviously want to scream with frustration at the working class man or woman who votes against their self-interest. They've been turned into Islamophobes who blame immigration for their daily struggles in life, rather than remembering that it was the bank bailouts that started this whole mess, and the Tories who made the ordinary people pay for it. However, all my efforts have done is to label me as part of the London elite, living in a bubble... despised by the working class.

At the moment, politics depresses me, but the ever-present chance of a vote of no confidence in the government and another general election this year, would re-invigorate my interest and my enthusiasm to spread the 'gospel' of comrade Corbyn and a better life for everyone, under a left-wing socialist Labour government.

Politics is such a turn-off for most people, but I think that the referendum on our EU membership, the shock result of Donald Trump's victory and the credibility of a Corbyn-led Labour party, has engaged people who were previously disinterested and/or disillusioned.

Perhaps I'd better get ready to announce my Loony candidacy, should another election be suddenly thrust upon us.

 

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So Lonely

10 min read

This is a story about isolation...

One Shoe

I've had 3 attempts at living in domestic bliss in my lifetime.

The first attempt, I was way too young. At just 21 years old, what the hell did I think I was doing living in a Surrey commuter town? Taking the old slam-door train into Waterloo every day and having to ride "the drain" which is the packed tube that carries you directly into the heart of the City of London. I played golf on summer evenings and at weekends. I generally acted as if I was 50, not 21. Also, I was with the poor girl out of a desperate desire not to be alone, rather than because I was attracted to her, which is never a good reason to be with somebody. Our flat was nice enough, but somehow bland; faceless; soul-destroying. Leaving central London for that life, was a huge mistake.

The second attempt, I picked the wrong girl. I was certainly attracted to her, and she was smart - a science graduate from a good university - so she ticked almost every box. However, she was mean; just plain mean. There was a vicious aggressive streak to her and she managed to rub most people she met up the wrong way. My friends called her "the poison dwarf". We bought a suburban house and tried to make it work. Getting a kitten was the only thing that was successful - we bonded over looking after our cat. Perhaps - although reckless - there's something to be said for doing what my parents did, which is to have a child even though your relationship is a load of dog shit. I ended up marrying this girl. It did not last long. You can't pair a mean aggressive person with somebody who's a sensitive needy soul like myself: I'm fragile; I'm easily hurt, if you want to hurt me; I'm a pretty easy target - I'm open and unguarded.

The third attempt happened very naturally. Perhaps it's an age thing - we were both getting to the point where, how did she put it? "It's time to shit or get off the pot". She was very committed and I loved that - it made me feel so loved and secure; wrapped up in cotton wool. I'd look for her hand, and hers would be there, ready to hold mine. If I felt like I was going to fall, she'd reassure me that she was going to catch me. The thing is, I was broken and sick - there was so little left of me to love. I was ridiculously needy, but she seemed to take that in her stride and make incredible allowances and forgivenesses for all kinds of transgressions.

How it came to pass that my latest attempt at domestic bliss fell apart, I shan't go into the detail of out of respect for her, and an agreement to leave each other in peace. However, there are a couple of things that I need to write about, just because I need to clarify them in my own mind. There's a certain amount of lunacy that led to the downfall of that relationship, and I need to unpick it a bit... to untangle the mess.

We hadn't had an argument for months. We got along so well. We were best friends and we were mostly inseparable. She had social engagements, and I didn't suffer FOMO or jealousy. We got through a family Christmas and some other stressful times, without so much as a cross word. In a way, that made me feel uneasy. We were not well practiced at resolving conflict.

As my health failed and my career faltered, all of our optimistic dreams of the future were under threat. She was supportive, but I was losing what little identity and self esteem I had; I was becoming ever more dependent on her. It emerged that I was full of bitter regret that my path through life had led me away from interesting things, smart people, daily challenges: my career had become little more than stoically watching projects get bollocksed up by total morons, in return for obscene amounts of money - a bribe, if you like, to rubberstamp the wrongdoing I had to witness. Her career reminded me of everything I had ever aspired to do with my life - to make the world a better place.

I became deeply insecure. Not insecure because she left me with any doubt that she would be committed, loyal and supportive, no matter how bad things got. No... I was insecure about my worth; my value as a person; my contribution; my career choice; my ability to deliver on my end of the bargain of the domestic bliss dream. I was on a hair trigger.

She didn't know how to debate; how to argue, as it turned out. We still live in an age where sexism is working out its kinks, and our intellectual women have been excused from having to back their assertions with evidence or logic, or refute a point with a well constructed counter-argument. Contradiction was all she knew, and I had to walk away in frustration, the first few times we argued.

Because of my loneliness; my isolation, when we argued - over something that was deeply distressing to me - I turned to social media to arbitrate. I didn't know where else to turn. When you have the evidence in front of you, but somebody is arguing that black is white and refusing to back down, what do you do? To post up the transcript of an argument on Facebook, and let the crowd decide is not a great thing to do, but I was being tormented; driven mad.

I'm not really sure what happened afterwards. I was completely isolated and completely exposed. I had laid out my position: the irrefutable evidence. Maybe I needed the strength of the crowd behind me, to follow through and end a relationship with somebody who would put their intellectual vanity ahead of my feelings - be prepared to lie and twist the truth just to 'win' [in their mind, at least]. Maybe what I really wanted was this misbehaviour to end, and for the relationship to be repaired.

We finally reached a point of communication where the unjustified contradictions, the lies and the twisting of the truth was replaced by apologies and kind words, but I'm not sure whether I was just being humoured - this was the endgame. Having gut-wrenchingly lost my best friend, my lifelong companion, the love of my life - albeit a whirlwind romance - I briefly thought that these words of contrition showed a willingness to try and fix the relationship. Alas, no... I was mistaken. She swallowed her pride privately, for my benefit, but to do so publicly was unthinkable for her.

She might not understand that I resorted to social media, because I have no sycophantic courtiers to prop up whatever ill-founded notions I want to believe - I have no "yes" men who tell me I'm right, even when they only know half the story. I've lived most of my life feeling isolated and alone. I couldn't be much more alone than now: estranged from my family for over 2 years and all my contact with my friends is through social media. When I'm not working, I have almost zero face-to-face human contact. Social media is the only place where my side of the story gets told. Social media is the only place where my friends can give me support, making me feel a little less isolated, alone, and vulnerable. It's easy to beat up a person who has nobody sticking up for them.

She's not a bully, unlike my ex-wife. She's a nice person and we were best friends. It's just that I became very fragile when I lost everything - my family, my regular social contact with friends, my job, my financial security. Her inflated ego brutally squashed what little security and happiness I had, as she foolishly boasted about being a public figure; a minor celebrity; at the centre of the universe.

There were periods of humility, and I thought we would get through the problems we'd had, but instead, she has thrown herself back into her career with some gusto, and I must satisfy myself with the sole and unintended benefit of now being at liberty to consider opportunities outside London.

I write this, largely driven by fear. Fear of being alone, but also knowing that loneliness and isolation are deadly. It's more fear of death - through suicide, obviously - that's caused me to write this today. I feel alone and I'm mourning the loss of that all-to-brief period where I felt I'd met my lifelong companion. It's taking longer to come to terms with and comprehend how it all fell apart so quickly, than one might intuitively believe would be necessary: to grieve for the loss and move on. Isolation breeds isolation, and I've had almost nobody to talk to about the breakup; nobody supporting me; nobody on my side.

Having learned from my mistakes of the past, I don't want to be with somebody, just because I'm afraid of being alone, but I had to write this today, because my last relationship was as close to perfect as I've ever imagined it possible to achieve... but yet it still ended, and it ended badly. I guess the lesson I learned is that there are really great girls out there, but there's going to be irreconcilable conflict where their delusions of grandeur unfortunately collide with a collapse in my own self-esteem.

Feeling as alone and isolated as I do - connected to the world almost exclusively through social media - makes it frighteningly easy to seriously consider suicide as an option. I think about a handful of people who regularly ask how I am, on Twitter and Facebook, and a friend who has helped me immensely with a number of practical matters: these are the fragile little hooks on which I hang, suspended over the precipice. Many suicides will be a result of a failed relationship, but the effect of my latest breakup was counter-intuitive: now I feel safe to discuss the complete collapse in my self-esteem, without somehow laying blame at the feet of my ex. I don't want people to feel responsible. I wouldn't kill myself to spite a person. I don't even want to die angry with the world.

My ex's productive output is out there in public and it causes me great pangs of pain, as it reminds me what I loved about her, but also I am able to see that I was damaging her career... an unwelcome distraction at a time when big opportunities were presenting themselves for her to demonstrate her very best work. "If you love them, let them go" is an oft-quoted platitude, and I wish I were able to claim in all honesty that I was acting so selflessly. In truth, it's more like "I can see that she's better off without me".

This is the seed of the suicidal: "the world is better off without me".

 

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Care in the Community

7 min read

This is a story about home treatment...

Meds bag

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.

 

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Unwanted Intruder

4 min read

This is a story about squatters...

Riverside Boy

If you could find an empty house and get into it without damaging the windows or doors or anything, then you could legally live there until evicted - which was a lengthy legal process - and even get the gas and electricity reconnected to make the place more habitable. It was a kind of social justice: if rich people have more houses than they need, why shouldn't the homeless be able to take direct action and use that wasted real estate? Then the law was changed. Now, only commercial property can be squatted, and most empty buildings in big cities like London have people who are paid to live there, specifically to stop squatters.

UK law still favours those who are on the brink of homelessness, rather than the petit bourgeoisie; the rentier class. If I stop paying my rent, but refuse to leave the property voluntarily, it's a monumental pain in the arse for the landlord to force me out onto the streets, let alone recover their lost rent. The main threats wielded are bad references and county court judgements, which will ruin your credit rating and ability to rent another property or borrow money. Thankfully, only Her Majesty's Revenue Collectors have the power to force bankruptcy upon you, although debt collection agencies will add exorbitant fees and hound their poor victims to death - literally in many unfortunate cases.

Most people have a fallback option: a relative who has more property than exceeds their needs - spare bedroom(s) - and enough shared DNA that they feel some biological compulsion to not see some of their genes perish, freezing on the streets. I have no blood relatives on my mum's side, and my dad seems to have put in quite a lot of effort into my defamation, such that I've not got a fallback option. I've lived in parks, I've lived on heathland, I've lived in hostels. Most people have somewhere to go, so they don't get cold wet and risk being mugged or beaten up, sleeping rough. If you end up homeless, your family have let you down.

I'm now trying to figure out where I'm going to live on Saturday. I need to vacate this property. I'm occupying it, when there could be rent paying tenants here in my stead. I thought I had somewhere lined up - a kind offer from somebody on social media who could see that I needed a helping hand: a hand up not a handout - but it's entirely unclear whether that offer still stands or not. I have to assume it's not, otherwise I find myself with my bags and nowhere to go, on Saturday.

What do I do? Do I grab my tent and my sleeping bag and head for somewhere remote? Do I search nationwide for the cheapest hostels? Do I beg my friends for sofa space, although almost all of them have little kids who'll be up and about early, getting ready for school: I can't very well be lounging around when they want to eat their breakfast and get their packed lunches, can I?

It's not a problem beyond the wit of man. I've been homeless before. It's just... end of June... the homeless population explodes in city centres, as the good weather means sleeping rough isn't so bad, and the tourists make for better begging. I really don't want to be competing with other homeless people for the few safe places to sleep, and running the increased risk of the rampant homeless-on-homeless crimes that are committed.

There we go - that just about sets out my stall. It's a shit sandwich, innit?

 

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Political Participation

7 min read

This is a story about learning through doing...

Monster Raving Loony

Why would somebody try to enter politics? Because they think it's easy? Obviously, there are an immense amount of obstacles in the path of anybody who seeks to challenge the two-party status quo, where the electorate mistakenly believes that any vote cast for a smaller party is a wasted one. It's specifically because it's such a hard challenge - to learn the complexities of the UK political system and stand for a seat in parliament -  that one would wish to do it. I want to do it just to learn how it all works.

The Monster Raving Loony Party are quite helpful to would-be Members of Parliament who are lunatics. They've furnished me with a step-by-step guide, which I assumed would be quite useless for a long while. I thought I would have plenty of time to prepare for a local by-election or an early general election. Bloody Tories. I'm wrong-footed from the very beginning. They must have heard about my political ambitions.

I now need submit the names of 10 people on the electoral roll in my constituency, who are prepared to back me as a political candidate: Manic Grant of The Monster Raving Loony Party. Then, I can start campaigning for votes.

The Tories and Labour are membership-driven organisations, and as such, their MPs will have to campaign under their party's manifesto and be constrained by a national political agenda. Any Labour or Tory politician who offered to fight to reverse our exit from the EU, would be making false promises, given that both parties are committed to acting on the 1.9% majority, who wished for the UK to leave the European Union at the time of the last referendum.

Monster Raving Loonies are more akin to independent candidates, in that each prospective MP can have their own manifesto. Should the Loonies gain the majority of seats in the House of Commons, then the party would struggle to elect a leader and form a cabinet, let alone agree on anything and successfully govern. It's rumoured that the Loonies have only one election promise: to call another general election if they win a majority. However, that rumour is untrue.

There is a deposit that has to be paid and other electoral expenses, but most Loonies can enjoy a certain amount of free publicity, public goodwill and donations from bookmakers - many betting men and women like to have a flutter on the prospect that a Monster Raving Loony MP is elected, or even that the Loonies win the majority of seats.

Politics has moved towards the centre and money has flooded into Labour and the Conservative party, from wealthy donors hoping to buy themselves political favours or even a peerage. This money pays for national advertising campaigns, branding, PR, spin doctors and a whole host of other advantages not enjoyed by the smaller parties. The immense size, power and wealth of the entrenched top two parties, plus their bland centrist manifestos, has been a massive turn-off for many eligible voters, fuelling a general disinterest in politics.

So many - especially younger - people believe that politics has no bearing on their lives. This widely held view has proven to be a massive success for those in power, who have governed without the constraints of an electorate who connect their daily struggles in life with the failings of their government.

The EU referendum seemed to awaken politically dormant segments of the electorate and highlight a lot of ordinary people's frustrations with the political machinery. However, it was a binary vote on a single policy issue. It seems unlikely that many of the voters who otherwise considered themselves disinterested in politics, are now going to be active participants in the general election.

What is a general election anyway? A vote for a colour: red or blue? Certainly, a lot of money is spent telling you that there are only two horses worth backing and that a bet on any other is a waste of time & money. Nobody likes to be on the losing side, do they?

With UKIP's aim seemingly achieved, much of the populist vote will swing with the weather on the day. If it's nice and sunny, why not vote Tory? As the days grow longer and it starts to get warmer, things seem to be improving. The stats show that weather is the best predictor of whether the incumbent government retains power or not. June 8th ought to have a good chance of being a nice day.

Corbyn has successfully divided his party and Labour supporters, into true socialists who have principles and stand resolutely by their beliefs, and idiots who just want to seize power at any cost. "New Labour" is a synonym for "nothing to do with the labour movement or the working class". It's true that the working class haven't held much political power historically, so successful election campaigns have sought to appeal to middle class greed, fear and bourgeois aspirations.

Who could ever vote Liberal Democrat again, after they formed a coalition with the Tories? What a betrayal of trust! What an absolutely disastrous outcome! What unimaginable horror!

We desperately need political reform, with proportional representation and preferential voting. The current system actively discourages voting for a smaller party, lest they form a coalition with the Tories, like the Lib Dems did. Perhaps voting slips could just contain an "anybody except the Tories" box.

Through all this complexity and excessive media fixation on politics, we the people, feel overwhelmed and unable to participate in the democracy that supposedly serves our interests and concerns.

I write this with a broken wrist, while heavily medicated for the pain of torn muscle and ligaments in my leg. Trapped and damaged nerves are slowly repairing themselves, which is uncomfortable at the best of times, and agonising at others. My cash reserves dwindle rapidly and bankruptcy and destitution beckon. I desperately need to be working, but I might need to have an operation to repair damage in my leg. I can't imagine having to use a mouse and keyboard all day, five days a week, and commute to work on my damaged foot/ankle. I can't imagine having to concentrate on work, when I'm on so much medication.

I was looking forward to playing around in the UK's political system when the opportunity presented itself - which it now has - but I've not yet even been able to deal with the more pressing concern: getting back to work before I run out of money.

So, it looks like professional politicians win again. I'm too embroiled in the struggle of daily existence to participate in the political games. Only those privileged few - especially public schoolboys - are able to involve themselves in the matters that affect the lives of every UK citizen. It seems like a great injustice and a perversion of what democracy is supposed to be about.

Like many of our wealthy professional politicians, I have been away from the seat of power, enjoying an Easter holiday. Perhaps I will be sufficiently enthused by politics when I get back to London later this afternoon - closer to the Westminster bubble - to overcome my depressed hopelessness. It would certainly solve my lack of a job, if I was elected as a Member of Parliament.

 

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The Path of Least Resistance

5 min read

This is a story about living an easy life...

Level 39

Our behaviour is shaped by circumstances far more than free will and conscious decisions. I suddenly stopped using my smartphone, looking at Facebook and writing. Did I decide to stop wasting time, pointlessly reliving old memories and making myself look like a fool on social media? No. I broke my wrist.

My generation, and a few generations before me, found ourselves in the right place at the right time. No skill, hard work, good judgement or other factors are attributable to us other than being born in a rich country during a period of peace.

The Americans wasted a lot of time and talent on the Vietnam War, which allowed Britain to become a world leader in banking software and the global financial markets. Silicon Valley is on the opposite coast of the USA from Wall Street. London has everything you need all in one place.

British men have sheds, in which they tinker and invent things. There's a proud tradition of geekery in Britain, which includes trainspotting, stamp collecting and pipe smoking. I'm a member of the last generation who were able to turn their geeky hobby and wasted youth into cold hard cash.

Most parents have dismally similar plans for their offspring: to pressure them as much as possible to try hard at school, in the hope that they'll survive the onslaught and be able to go on to university and become an accountant or a dentist or something... take up a profession. Medicine, law, architecture, surveying.... basically anything with a Royal Institute. Something to give you letters after your name. Something respectable.

Barrowboys from Essex and the East End made a killing as stock market traders, because they already had an eye for a good deal and a head for numbers. Later, software became something that anybody could stumble into, if they had the aptitude.

All those years at school and college proved a waste of time, when the fast-paced world of technology demanded magicians, wizards, sorcerers: anybody who could conjure up working computer software, no matter what their academic credentials looked like. The curriculum vitae was overlooked in favour of technical tests and whether a candidate knew the latest jargon.

Briefly, the snobbery over Oxbridge graduates and the class of degree that one had attained, was overturned and the prized star employees in the multitude of software houses and consultancies that sprung up, were often self-taught and not considered academically gifted, in the traditional sense.

Filial obedience proved disastrous, when many parent-pleasing academic high-achievers entered corporate law firms, only to find that the remuneration in no way compensated them for the hours that they worked and the pressure they were under. The story was the same everywhere you looked: hard work didn't pay.

Private school fees, university tuition fees and loans for maintenance, would all be far better off simply invested in property. Buy your kid a house and let them sub-let rooms out. They'll be richer and happier in the long-run. House prices are an asset bubble that just refuses to burst: we all need somewhere to live.

Now I find myself in the position where I haven't been dismissed in disrepute from the professional body, to which I belong. I haven't been struck off the GMC's register, or expelled from the Law Society. I can still practice software and nobody gives a fuck, so long as I can make the magic happen.

When it comes to imposter syndrome, and the sense that you can't possibly be worth the money that the market is prepared to pay for your skills, there could be nothing worse than knowing that you took up your particular career, because it was a gift that was handed to you, requiring no effort: you just happened to have an aptitude and be in the right place at the right time. I can't point to a fancy diploma that took me many years to obtain. I can't rely on my membership of an exclusive professional body, to give me a sense that I'm somehow deserving of a certain salary or consultancy day rate.

Following the path of least resistance has allowed me to find my place: where I'm most qualified to work and the market pays the most for my skills. However, I'm full of self-doubt. Am I too old for this game? Have my skills gotten rusty? Have I missed the boat on a new development, and taken myself up a technology cul-de-sac?

I can point to exceptional things I've done as evidence that I'm no slouch, but it's often hard for a salaryman to understand just how hard it is to run your own business, for example. In fact, having run your own business is something that is often held against you.

I find myself somewhat trapped. Nobody will hire me as a permanent member of staff because I've been contract for so long. I can't use my highest achievements to their fullest advantage, because they're things that your 9 to 5 regular guy just won't wrap their head around. I can't even consider escaping and living a simple minimalist life, until I deleverage: I'm financially trapped.

It's strange that the path of least resistance would lead here, with me somewhat able to sit by the riverside, writing, but paying an extremely high price for the privilege.

It's almost the final straw, to break my wrist and be unable to even write.

 

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