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Comorbidity

10 min read

This is a story about a sick man...

Psychiatrist letter

I didn't drink last night or tonight. I've stopped taking sleeping pills. I've stopped taking anxiety medication. I've stopped taking tranquillisers. I've stopped taking sedatives. I don't take antidepressants. I feel very unwell.

I woke up and I thought about getting some rope and going to find a tree to hang myself from. I've not really thought about hanging much, but it's been on my mind. I think about a last minute change of heart, where I might try to take the weight off the noose, but it would be futile - I would try and I would fail. I think about the uncomfortable final couple of minutes, where I'd be panicking as the hypercapnic alarm response would make me thrash around, trying to get air into my lungs. Hanging would be a brutal way to die, because I imagine that I'd be conscious for quite a lot of it, then I'd lose control of my bowels and some poor sod would find me strung up with soiled underwear. Somebody would have to cut down my lifeless body. Anyway, that seemed like one of the options this morning.

This should be a happy period of my life. I'm not homeless, I have friends, a girlfriend, money and a car. I'm not a drug addict. I'm highly employable. I have my physical health, mostly. I've got a local job which is very well paid.

What's going on? Why am I so depressed?

I'm trapped. I can't go backwards. I can't stay still. I can't go forwards. I need to keep moving forwards, but I've run out of rope; I'm at my wits end.

I should have taken some time off in-between the last job and the new one, but that's not the way things worked out. Make hay while the sun shines, they say. Don't look a gift horse in the mouth, they say. Somebody opened a briefcase of money, tempting me with it, and it seemed like a good idea at the time. It is a good idea. It's a really good idea to have a really well paid job that's a short distance away from where you live. The problem is, I've got nothing left to give.

I can't fail. I can't falter. I have to succeed. I can't go back. I can't stand still.

I'm so desperate to feel better, but I know that the answer doesn't lie in pills. I know that to take antidepressants would send me manic. I know that pills aren't the answer. I'd love to feel a bit better though. My bank balance would love me to feel a bit better. It'd be nice if I didn't keep writing things that worry and upset my friends and girlfriend. Such is life. These are the cards I've been dealt.

What's important to me? It seems like it's all about work and money, but that's a good place to start. Without work and money there can be no future. Without a future there's nothing to hope for - I might as well just give up. This is the strange situation, where work is making me unwell, but without work I'll get unwell because I'll get into financial difficulties and I'll have nothing to look forward to except bankruptcy.

Just a little bit longer... if I can just work for a little bit longer...

How much money did I lose in January and February to ill health? Was it £10,000? What does it matter? I worked as hard as I could.

I've managed to buy a car. I've managed to get a local job. I've got a girlfriend. I've got some money in the bank. These are major milestones; major achievements. Things are looking up in my life.

I need to impress some new people; prove myself. I've got a new routine to get into. I've got a load of new stuff to learn, and not the fun kind of learning - this is stuff I'm expected to know already. I've got to give a good first impression - I can't turn up to work hours late every day; I can't let on that I'm not very well.

I'm sick but I can't afford to be. I'm sick but there's too much at stake. I'm sick but I don't want to lose the amazing opportunity that's fallen in my lap. I'm sick but my life looks perfect in a lot of ways - why am I sick?

I don't want to accept that I'm sick but the anxiety and depression are unbearable. It's enough to drive me to drink, drugs and/or suicide. I want to run away from the source of stress. I want to hide under the duvet for a couple of months. I need to recover but I can't - there's too much work to do. I need time off but I can't afford to lose everything.

I'm the epitome of functional. I'm getting up and doing the things I need to do, even though it's destroying me. Somehow I keep putting one foot in front of the other. Somehow the things that need to happen keep happening. I'm keeping the plates spinning even though I'm sick. At times, I'm quite happy and contented. At times I'm a picture of good health and carefree joy.

I've worked hard - even if you don't think I have - to give myself some easier times. I've put up with horrible situations because I knew they'd pay off in the end. There has to be some reward, otherwise it wouldn't have been worth the stress and aggravation at all. It would be a lie to say that my life is purely miserable. Misery kind of stalks me though - I know it lurks just around the corner at all times.

"Cheer up... it might never happen!" somebody might say, but I really wish it would happen, because I can't stand the constant anxiety. I can't stand the fact that it is happening, and I know exactly how long it's going to keep on happening for because it's not very difficult to work out such things. I know exactly what to expect. I know exactly the way things are going to go. I know exactly what has to be done. I know exactly how awful it's going to be.

My mood would be a lot better if I could abandon all responsibilities and follow my mood. I know that time passes incredibly slowly when I'm having to kill time and suffer horrible periods with nothing to do at work. I know that it's incredibly toxic to my mental health to be solving the same problems I've done a million times before, but with a load of constraints that artificially limit me from being able to work and occupy myself - to keep myself busy. I know that isolation - working alone - is really unbearable. The last place on earth I should be right now is twiddling my thumbs, bored but chained to a desk with nothing to do and nobody to talk to.

I'm going through a difficult transitionary period. I should have taken some time off. I'm emotionally exhausted. I'm trying to switch mindset, from the isolation of the last job to the possibilities of a new opportunity. I know that I need to give it a few days, or a couple of weeks, to get settled.

Everything's so stressful and unsettled. I've got a new commute to get used to. Somehow, I've got even less of a home than I did when I was living in AirBnBs. I can't get changed. I can't have a shower. I can't take a shit. I can't make myself something to eat. How did I end up like this, with a stressful job and no place to call my own... no bedroom; no privacy. It sounds ungrateful, but it's just a description of my current situation, at times. It could be worse, perhaps - I could be homeless; destitute. I could be additionally isolated and lonely, living alone. It could be worse... it could be worse... it could be worse. There is gratitude, but there is also a heap of stress and anxiety that's beyond what I can cope with. I am grateful, but I'm also struggling.

What do I want? Do I want everything to be perfect right now? Do I want easy solutions, like swallowing pills? Do I think somebody should gift me everything I need, all wrapped up with a bow? Do I expect somebody to just give me the keys to a place of my own and wave a magic wand to move all my stuff? What about friends? Should I just snap my fingers whenever I need them, and snap them again when I don't want them around?

I don't know about any of this stuff. All I know is that I woke up and I thought about finding some rope and a tree to hang myself. I thought about walking out of the perfect opportunity that's fallen in my lap. I thought about letting everything go to hell in a handcart, because I've reached the end of my tether. I don't know why I think this stuff. Maybe I'm a bad person. Maybe I'm an ungrateful little shit. Maybe I should just fuck off and die.

I don't know what I'm going to do. I'm going to have another alcohol and sleeping-pill free night and hope that these awful feelings subside. I'm going to hope for a better day tomorrow. I'm going to grab my black holdall and take the show on the road.

I'm sick, but do I have to be? I think I know where the problems are. I think I know the solutions. I know that nothing's going to be perfect. I know that life is full of compromises. All I can think to do is to keep trying to set things up so that the very least number of things are causing me distress. I keep reducing the number of things that are unpleasant and broken, in the hope that at some point things start becoming a bit easier, because at the moment there are too many times when life's unbearable.

Maybe I need to quit drinking. Maybe I need a drink. I don't know. Too much change and too much that's unsettling. I've lived out of a suitcase for far too long.

Yes, underlying mental health problems are the obvious thing to point to, but what's the solution? Of course the little bit of me that's got some survival instinct left thinks that being medicated up to the eyeballs, living in a council house, supported living or institution is preferable to death. Is being alive without dignity or hope preferable to this life that's a fate worse than death? Isn't it all the same anyway? If the rewards aren't there and the suffering is unbearable, why bother?

I managed half a day in my new local job, and I felt sick, sick, sick.

Maybe tomorrow will be better. If it's not, I don't know if I can carry on.

 

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Unconditional Love

7 min read

This is a story about being alone...

Pier balance

Who do I turn to if I need to confide in somebody? Who will be nonjudgemental, accepting and supportive? Who will fight my corner and defend me? Who will help me to feel better if I'm attacked; bullied? Who's got my back?

My life fell apart, so what I have now is this blog. Here's where I come when I'm feeling hard-done-by. Here's where I come when I need somebody to listen to me. Here's where I come when I need a shoulder to cry on. Here's where I come when I need some love. I don't trust anybody else to be there for me when I need them. I've found myself all alone far too many times, so this blog is my safety net... it's my connection to the world.

I can't even write about what I want to write about. There are strings attached in my life. I have unwittingly agreed to a kind of contract where I pay an intangible price. There are expectations placed upon me and a kind of intrusion into my life that most people don't have in their adult lives. There's a certain amount of arse-kissing and ego massaging that I have to perform, seemingly in repayment of a debt that I didn't know I'd incurred. I have to watch my step; watch my words.

My blog is where I come when I'm hurting. Writing is what I do when I'm frustrated and angry, or insecure and upset. Without this outlet I don't know what I'd do, because I doubt I could have healthy relationships without being able to vent. The fact that I'm venting publicly is good - read if you're interested and don't if you're not. Writing publicly is important, because it means scrutiny. If I'm being an arsehole then everybody sees that I'm being an arsehole. If I'm making a fool out of myself, everybody sees that I'm making a fool out of myself. If I'm a horrible person, I've got nowhere to hide.

Important friendships have fallen into disrepair. I don't have regular healthy social contact. I don't have a big enough circle of friends. My life was profoundly dysfunctional, and it still needs a lot of work. I don't have anybody much who I'd pick up the phone to... and less so than ever before due to an event that affected a couple of friends.

I write at length about my distress, but I'm treated like I'm unaffected by anything. My instinct is to withdraw from life completely; to cut myself off. If you've got problems, I'll leave you alone. I'm just trying to survive in my little corner. I don't come and bother you, so don't make out like I'm a problem in your life. I'm just trying to cope in my own way, which boils down to pretty much just my writing. I've got an incredibly small footprint, when you think about it. I live mostly in complete isolation, and I'll keep it that way if it's so problematic for me to exist.

I think a lot about suicide. I think a lot about extracting myself. I think a lot about disappearing. It's not my mission in life to ruin anybody's day. I'm already feeling insecure enough. Sorry for existing.

I'm tired; so tired. You can't even imagine what it's like to lose your support network and have the very fabric of existence crumble around you. I have friends who I'm occasionally in contact with via messaging apps. Once a week or so I speak to friends. Compare that with the vast numbers of people you speak to at work and otherwise in your rich and varied existence. Compare my isolated existence with your own. I can go for whole weeks at a time without speaking to another person. I've lived my life out of a black holdall for longer than I care to remember. I never unpack. I never get settled. I can't remember what it's like to feel like I'm home and I can just relax - I'm always a guest; an interloper.

Exhaustion leads me to warped thinking. I imagine that the best I can manage to do is kill myself without making too much mess. I think about all the different ways I could kill myself, and what I could do in preparation to make it easier on those who'd have to deal with it. It's exhaustion that drives me to this. No matter how hard I work, it isn't good enough. I might as well give up.

I wonder about how far I am away from being able to live independently and regain my pride and self-esteem. I wonder how much stress and effort and time and money and energy it's going to take. I wonder if I can do it, or if it would be my final act before I hit the wall - I'm right at the limit. If you think I'm rushing things, you're wrong. Things have been shit. I'm trying to get away from intolerable and unsustainable situations. I want to collapse and not feel guilty about it. I need to collapse. You might not see the effort that's been put in, but that's your problem not mine. I couldn't write about my distress any more clearly than I have been doing. I couldn't communicate any more clearly.

I take constant risks. What will my girlfriend think if she reads this? How will this affect other relationships? Am I jeopardising the charity I receive? Of course, I've crossed a line that I didn't want to with regards to writing non-corporate-friendly stuff too. I'm risking this being read by some corporate drone intent on fucking me over.

I can't even care about that stuff. I'm at my wits end. I'm so close to making some breakthroughs, but there's still so much hard work to do. I can't cope with having to filter and self-censor. I can't cope with being all alone. I have to write. I have to confide and cope in the only way I know how. I have to get these feelings out of my head and down onto paper.

I'm not in a routine. I've not got anything to fall back on. The consequence of failure is destitution and death.

I'm random and I'm disjointed and I'm hard to follow. My writing is purposeless, but yet it seems to be causing a few ruffled feathers. You know what? Fuck you. My writing was here first and it'll be here long after you're gone. My blog is reliable, dependable - it gives me a sense of security. Fuck off and whinge to one of the many members of your extensive support network. Fuck off and meddle with somebody else. Fuck off and leave me alone. My blog is my consistent reliable friend, when I need one most.

What I write here might seem a little passive-aggressive, but here's where I work stuff out that would get worked out with my extensive social support network, if my life was all sorted and perfect, which it's not. I'm not going to have some kind of overnight transformation, because it would be impossible to instantly get all the things I need. What you're looking at is a work in progress. What you're peering into is the muddy water that hasn't cleared yet. If you want to judge me on this stuff, why don't you fuck off?

I don't know where this stuff's coming from and I don't know where it's directed. If you don't like it, don't read it - simple.

 

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A Short History of Nothing

9 min read

This is a story about a boring and uninteresting life...

Concrete bunker

I hate writing with constraints. I hate having somebody looking over my shoulder while I write, commenting on my half-formed sentences - writing is not a spectator's sport. I hate rushing to finish a piece of writing; I hate trying to squeeze in the time to sit and write. I hate having to consider who's going to read what I write and to second-guess what they're going to think. I hate having to write with a filter and to write in anticipation of how people might interpret things if they were to take my words out of context.

The context is that writing has been my stable and secure companion - my trustworthy and reliable friend - during some very turbulent times. The context is that during the period which I have been writing almost every day, I've been on one hell of a journey. With writing as the only constant in my life, the progress that I've made becomes more apparent - if you read my earlier writing then you can dip into periods where my life was quite profoundly different, although the words on the page don't really give that away at first glance.

To me, sitting down in front of the keyboard feels the same today as it did at any time in the past. To me, I'm every bit as coherent and articulate and compos mentis as I ever was - I can't perceive any difference in myself between who I am today and who I was at any previous time when I was writing this blog. If there have been changes, they've been to subtle to perceive in myself, given I have to live inside my own head for 24 hours a day. "You're looking well" or "you sound well" my friends say to me - they have the benefit of dipping into my life periodically, so they can see the trends, but I can't do that.

I suppose there is a great deal of improvement in my life, even if a lot of it remains merely potential at the moment - there's still a lot of hard work to do. I suppose if I was to think back to where I was a year ago or so, things are a great deal better than they were.

I didn't write yesterday but it's rare that I skip a day. Two years ago I accidentally destroyed an iPhone and a Macbook, on this day. A year ago I didn't even write for a whole week and when I started writing again I told some random tale of historical events from my divorce, seemingly to nobody in particular. It looks as if I was wrestling with the feeling that I was letting my [ex-]girlfriend down. I know what was going wrong - every single winter for several years, I've struggled.

I can see from the archives that I was away skiing back in 2008. March used to be a great time to be kitesurfing in Venezuela. This would be the perfect time of year to spend a couple of weeks lying on a beach. I wonder how far I am from those better times, when the years fly by because my life has regular holidays to hot countries. I wonder how much more hard work it's gonna take before I get back into a sustainable pattern of work, which largely depends on being able to have nice holidays to look forward to. I've chosen a lifestyle that is mostly miserable during office hours, but does carry substantial rewards during leisure time.

I'm not sure what to write about. I'm pretty sure what not to write about, but it's hard. To not write anything that's personal and could make me identifiable is really hard. To not write any of the detail of recent years is difficult, when I'm still processing those events. To break the habits I've gotten into and to lose the catharsis of writing about what I went through, is a big change. I'm not sure I'll ever be able to be entirely forward-thinking and live in the future when it comes to this blog, because the future mostly holds anxiety for me. I'm anxious, for example, about the day when this blog is stumbled upon by somebody who I'd prefer not to read it.

This is a weird transitionary period. I presume I'm writing with reasonable clarity, except for the fact that I'm being cryptic and omitting any of the gory details that already exist in the archives. I presume that my life - which seems stable to all outward appearances - is now becoming something valuable that I don't want to damage. I'm getting the things I need quite quickly now - there has been a lot of very rapid change; improvement.

Potentially, I'm shifting from the intolerable and unsustainable, to a life that's liveable. Potentially, the destructive patterns of the past have been vanquished - I've overcome some pretty insurmountable obstacles and I'm beginning to get a whole load of things lined up in my favour. Life is getting easier.

Historically, I've done a lot of moaning. The archives contain a lot of complaining. I've whinged a great deal about how awful things have been, but now my luck appears to have changed. I'm terrified that something's going to go wrong, but at the moment things seem to be going right.

I could erase my written records. I could expunge my digital identity. When I think about what I've written, I'm glad that I have created some evidence that I existed; I'm proud that I've documented my struggles. If I re-read what I wrote in the past, it's difficult for me to re-live that experience... I struggle to relate. There's a lot of stuff in the past that wasn't exactly brilliant, but I don't think that the answer is to pretend it didn't happen. No good ever came of pretending that I've got a blemish-free past and I've not got any baggage.

I feel reasonably well-adjusted, because I've exhaustively documented what's been happening to me. I feel more secure knowing that I've attempted to capture a little bit of myself at regular intervals. I feel like I understand myself, and that I know who I am. I feel like I have an identity.

It's a difficult changeover period. I'm moving towards a more 'normal' life that you would recognise. I'm moving from a profoundly dysfunctional place to a functional one, even if it appears like I've been getting on with life just fine. I can still have a disproportionate reaction to the most ridiculously mundane stressors - having to buy a birthday present, have a haircut, get to work on time - but these things can leave me paralysed... without help I'd give up and refuse to leave the house.

I don't know what my life is now. My life is still taking shape in its new form; there are big changes that are happening. I need to learn my new routine. I need to prove myself all over again.

Suddenly, I have a girlfriend, a local job and a car. Suddenly, my life looks worth living, but it's also something that I could inadvertently damage. I have to be careful that I don't say anything that might prejudice my future. Before, I was writing urgently because I needed to get as much of myself down on paper before I died. Now, my big fear is how I'll react if something major goes wrong, but it might be me who precipitates my own downfall. I'm starting to have to pretend like I'm Mr Normal and my past is absolutely perfect, like everybody else does. I'm starting to feel the pressure to present a sanitised version of myself that's fit for corporate consumption. I'm starting to feel the pressure to put on the 'boyfriend material' mask that's suitable for introducing to parents and the like. My 'good' life carries with it a great deal of fear of failure.

There's a small part of me that wants to continue to make changes really rapidly, and to continue to fix up the broken things in my life. I want to rush out and rent myself a place of my own, and move out from my friends' place so that I'm living independently - standing on my own two feet. Part of me is in a big hurry to regain the self-esteem that's been lost due to my atypical living arrangements. Part of me is in a big hurry to encumber myself with societal obligations - such as paying rent and bills - that I've been lucky enough avoid for a while, because my life was so dysfunctional. There was no way that I could cope with much stress and responsibility, and my friends helped me... they continue to help me. It's embarrassing. I'm ashamed that I needed charity.

My past is not compatible with my present. My living arrangements are not compatible with forms that need to get filled in - I'm neither renting nor a homeowner - and middle-class dinner table chit-chat. There's a huge contradiction between the work I do and the difficult personal circumstances that I've been escaping from. Work colleagues, girlfriend, new people I meet... they're not going to understand. I don't fit neatly in a box. How can I be so successful in some areas, and have other parts of my life that are still undergoing repairs?

This is not a case of "fake it until you make it". I've already made it. I know the way - I've trodden this path before. However, there are undoubtably a whole load of things that got very messed up and I'm in the process of fixing. People don't really like the idea of recovery, improvement or otherwise escaping our fate - we're very keen to label and abandon so-called no-hopers; we're very keen to leap to the conclusion that somebody's of a certain 'type' and label them for life.

I'm changing. You've caught me on the hop. You're peeking behind the curtain. You're ruining the magic. This is the trick, you see: to fix the unfixable.

I can't write any more at the moment. I need to keep fumbling through this difficult transitionary period. I need to find a new voice, which acknowledges the past but doesn't drag me back there. I need to make sure that my identity doesn't depend on a certain amount of drama and destruction. I'm certain that my future depends on a return to more tranquil times.

 

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Going Underground

5 min read

This is a story about national security...

Flush broken

"I've decided to take my work back underground, to stop it falling into the wrong hands". I suppose any of our creations can take on a life of their own and have unintended consequences, and I'm certainly catching some flack as a result of my 3-year daily writing experiment at the moment, which is not entirely unjustified.

My daily writing habit is a useful exercise for me, so I'm sure I'll continue to write in some capacity, but I'm almost at the point where my blog has given me the therapeutic benefit of restoring me to stability, health, wealth and prosperity, and I have to tread carefully so that I don't undo any of the good work.

I started writing when I had my back to the wall. I started writing when I didn't feel like I had anything particularly to fall back on. I started writing when I didn't feel proud that I'd achieved anything - my life was incredibly fragile. Nobody could argue that this blog hasn't anchored me in the world, bringing me into contact with many lovely people and providing me with a creative outlet, a sense of accomplishment and some routine in my otherwise chaotic and stressful life.

I doubt very much that I'll be able to change my habits completely, but I do need to adapt to my present paradigm - I can't keep writing as if I've got nothing to lose, because it's not true at the moment.

Perhaps I'll have to start keeping a private journal, because I've been using writing as a mechanism to flush out all the bad and stressful thoughts that have threatened to overwhelm me, but a large part of my present worries revolve around imposter syndrome. I make no secret of anything, but I'd still prefer it if my colleagues and other important gatekeepers in my life didn't read what I write - with my defences down - and leap to the wrong conclusions. It's been hard enough to date girls when I'm so easily cyber-stalked.

Given the choice between a digital identity, or a healthy set of local relationships, I would have to choose the latter if I was forced, although having the former is very useful as a fallback option. Three times I've lost a lot of friends due to a break-up, with one of those times very nearly costing me my life, and the other two not exactly faring much better either. I've not been very successful at building robust local social networks in the last few years. I need a group of friends I see and speak to regularly, that wouldn't be affected by any breakups. I need that safety net. In the absence of the time, money, energy, transport and a number of other things, I've not progressed things very far yet, so I'm very grateful for my online social network and I always will be, but I do need healthy local face-to-face relationships too.

Getting a girlfriend can be a quick-fix when you're lonely, as it's so easy to be the +1 and tag along to all of her social events, and ingratiate yourself into her social circle, but it's a dangerous strategy. It's too much of a dependency on one person. It's a mistake. Thankfully, I have valuable and important local friendships that predate any of my dating shenanigans. I need to continue to make friends of my own, and establish a pattern of social engagements which are not couples-only events.

Work colleagues and a great team environment can make a huge difference, and sadly that's been lacking in my life recently. Hopefully that's going to be rectified really soon. There's a slight danger in mixing personal life with work too much, when you're in the position I'm in, where I'm trying to get myself back into the respectable world - some of the recent events in my turbulent life are not office-gossip friendly. I've not got anything to hide, particularly, but I'd rather not challenge anybody to be open minded, if it's at all avoidable.

I'm treading a fine line between trying to do what I have to for my own sanity and stability, balanced with the needs of those who I have relationships with and my responsibilities regarding confidentiality, secrecy, discretion, professional conduct, respect of privacy, not causing shock, alarm or distress. It's a fine line between keeping my support network informed of what's going on during a time when I'm very vulnerable, and saying things that're going to paradoxically make me more vulnerable. It's one thing to confide in friends behind closed doors, and quite another to write publicly on a website.

Me being me, I doubt I'll be able to make a sudden overnight change, and I don't want to lose this valuable therapeutic tool, but I do need to start changing my behaviour in light of my new circumstances.

I doubt I'm going to be writing about what I ate for breakfast and live-blogging about the fresh paint that's drying on the walls, but things might have to turn a little more pedestrian for a while... at least until things are more settled.

Presently stressed out of my mind with the transition from one life to another, but hopefully everything will work out and go smoothly.

 

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Habit

7 min read

This is a story about routine...

Hypodermic syringe

I used to write every day. Where did I go wrong?

It's been costly, not writing every day. I write because it allows me to keep more people informed about my fragile mental health, than would otherwise be possible through all conventional communication mechanisms. The phone is the worst: being tied up talking to just one person, and having to listen to what they had for lunch, just out of social etiquette. Email is not at all a good one for me: I tend to segue into angry rants about matters which I'm deeply unhappy about, but have managed to repress emotional wounds for the sake of everyday functioning. Texts/instant-messaging/direct-messages: these are so throwaway and only useful when both conversation participants are actively involved... do you know any greater frustration than seeing that your message has been read, but no response is forthcoming?

There are three things that are driving considerable self-censoring. 1) I live with friends who I love dearly, and it would not be acceptable for me to talk about that private life. 2) I'm working again and a friend helped me get the job - I can't risk losing the cash or letting my friend down. 3) I tried to write a 50,000 word novel in a month, while publishing the draft manuscript live... I haven't recovered from the exertion of the demanding feat yet.

On the subject of the novel, it was of considerable embarrassment to me to have failed. A mere 42,000 words in 30 days. Also, a sex scene crept into the first chapter and then the whole thing went totally berserk. Having told the world that I was going to write another novel in November, I had put considerable pressure on myself. It seems apt that I would have confused the homophones taut and taught, in the very first sentence - if ever there was to be a lesson in overhyping, I learned the hard way that it's so easy to turn your audience off. Those subtle mistakes that get picked up in the edit are glaring errors when somebody reads your quick-fire draft. One slip-up and your readers can decide that you're an illiterate idiot and move on.

Why didn't I write every day? When writing my blog, there have been considerable advantages to writing every day. A gap in my otherwise daily writing habit has tended to indicate periods when my life has become unmanageable. Writing daily has served usefully as a kind of 'heartbeat' for anybody to know whether I'm alive or dead. The gaps during my latest novel writing escapade were only due to genuine writer's block - I hadn't preplanned my novel carefully enough, and I was overwhelmed with the task ahead of me on the days I didn't write... there was no dreadful crisis that had consumed me.

Why haven't I resumed my daily writing routine? Well, the obvious answer is that I've been zooming all over the globe with a new job; life's been pretty stressful and disrupted. Also, I disturbed my shoot-from-the-hip stream of consciousness; I disrupted my natural habit of sitting down in front of a blank sheet of paper and pouring out all my thoughts and feelings on whatever eclectic topic I happened to feel most compelled to write about at the time. In short: I got into the habit of hesitating.

I have some of the old habits. I still make notes about things I want to write about in more detail, when circumstances allow. I still wake up and immediately think about what I'm going to write. However, between work and travel and speaking to my friends, I'm not finding the time to stop and pour my heart and soul into these little snapshots of my state of mind.

If I had written every day, I think you would have seen how circular my thinking patterns are at the moment. My thoughts revolve around the paradox of me working, which brings money, but that I'm also running out of money, which brings stress - working will fix the financial problems, but it also causes them, as well as being incompatible with good mental health. It's intractable.

A lot of what I want to write about is in response to banal criticism. However, my critics are so repetitive and their points so invalid that I've started and then erased a whole series of blogs which would have added nothing to the literature. Who really wants to read about homeless people who have tried and failed to elevate themselves from poverty by economising? What is there to learn from those who have unsuccessfully failed to tighten their belts? Why would we imitate failures, when we are trying to succeed?

I write to you now, having polished off a bottle of wine and completed a boring day in the office. It seems impossible to separate one habit from the other. My day job is immensely lucrative, but its soul-destroying nature seems to bring an insatiable appetite for intoxication: how else am I supposed to make sense of the absurdity of the incredibly well remunerated work that seems to improve precisely nobody's life.

My daily habits include sleeping tablets and an anti-anxiety medication which I became hooked upon because of damage to the nerves in my left leg. My daily habits include a dressing-up game where I go to the office wearing a fancy suit and with a poker face that does not betray the contempt I hold for banking and IT. My daily habit is to question the absurdity of existence, from the moment of waking to the moment I lose consciousness.

It upsets me that I've gotten out of the routine of writing every day. It upsets me that I had a hit-and-miss month where I was writing fiction of dubious quality. It upsets me that I have disrupted the relationship which I had with my readers, where I had become part of their daily routine - "I wonder what Nick's doing today". Every time I've turned my back on my blog, it's been a mistake.

If this is an addiction - writing - then it's a healthy one. There's no doubt that writing every day is a good habit, where supercrack is a bad one. [NOTE: you can't take supercrack every day, because you start to get psychotic after about 10 days without sleep]

The story of a man who puts on a grey suit and goes to an office every day is not an exciting one. Where are the pulse-racing tales of police chases, addiction, homelessness, destitution, destruction, psych wards, madness and otherwise going bat-shit insane? Of course, my mind inundates me with imagery of all the most inappropriate things I could do; all the most ridiculously unacceptable things play on a show-reel in my mind, and it sometimes takes concerted effort to not act on my self-sabotaging impulses.

To write today has caused me to override my instinct to bury my blog, as I thought I was going to do earlier this year when I had an employment contract. In fact, it was a mistake to hold back. To own my identity is the most important thing I've ever done. Not writing so much made it easier for me to be exploited - I had deliberately held back, believing it was the responsible thing to do, but I was mercilessly taken advantage of.

My parting thought is one about the effort required to create versus the effort required to consume. While it may take you but a few short minutes to hoover up the words on this page, you should consider that it might have taken me some hours to craft them - there's a considerable disparity. While we live in a society where art seems to be in no short supply, that does not mean that art is worthless. Although I've been driven to a point where it's been impossible to avoid expressing myself, that does not mean that these words are cheap. In fact, I've earned the right to pursue my creative endeavours. I delayed gratification; I waited.

So, I'm considering re-addicting myself to writing. I'm considering a resumption of my daily writing habit.

 

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Never Don't Not Give Up Not Never No Way

11 min read

This is a story about paralysis...

Suicide Button

I'm never really unsure of what to do. I generally have a very certain idea of what I want to do and how I'm going to do it. I have a really big problem when I can see all the way to the end, and life seems to be a bit of a paint-by-numbers exercise. I really struggle when life is predictable and routine.

I went to see a psychiatrist on Wednesday. I knew what I wanted from the psychiatrist: to see a clinical psychologist. I also knew what the likely outcomes were if I was honest: to have pills thrown at me and put myself at risk of being locked up on a psych ward. It was a situation that was so predictable, that I was able to forecast exactly which medication the psychiatrist would suggest.

Instead of allowing myself to be sectioned and swallowing the prescribed medication, I ran away. I'm currently 1,200 miles away from home and by the time I get back the system will have forgotten all about me. If I really wanted to get what I need - which is some talk therapy - then I'd have played a completely different strategy. Frankly, I can't really afford to be sitting on a therapist's couch - I've nearly run out of money.

So, I find myself away from my friends and my new home, in a strange city, in a new job. It's very stressful. I'm very anxious. However, it's also novel and therefore a little exciting. Even though I've done similar work a million times before, I'm still a little challenged by meeting new people and learning the particular nuances of the organisation I've just joined. There's a little novelty in the experience, even if ultimately I'll realise that it's the same old shit, and I'll be on cruise control until the end of the assignment.

I'm presently thinking about eating pasta from a plastic pot, having poured boiling water over it from a miniature kettle in my hotel room. I will need to stir and eat the pasta with a shoehorn, in the absence of any cutlery. This is the glamorous life I live.

You may wonder whether the stress of homelessness, near-bankruptcy, drug addiction, brushes with the law and general dysfunction in every area of my life, is something that I regret. No. No I don't regret it. Having been an adrenalin-junkie extreme-sports enthusiast all my life, you can't get more of a rush than playing "go for broke" in real life. It seems inevitable that I would push everything to the limit, including taking life-or-death chances.

It is a little hard to see where the reward is, when my life seems mostly miserable. I've had unbearable anxiety and depression for long periods during the last couple of years. However, I'm not rushing to the doctor and begging for a miracle cure. The deeply distressing feelings I'm having are doing very little to change my behaviour. I almost guarantee that I'll find the urge to self-destruct almost irresistible, if I pull through my latest episode of adversity.

Having lived in a bush in a park, it seems rather more preferable to be living in a hotel like I am now. Having nearly run out of money, it seems preferable to have a well-paid job, like I do now. However, I can't make any sense of life when I swing between impending doom and intolerable boredom. What's the point of living if it all ends in misery and disaster? I'm too busy moving from certain destitution to probable financial stability at the moment, to stop and have suicidal thoughts, but I know that the absurdity of the rat-race existence is already something that I'm not able to ignore - I'm completely unable to relax and enjoy trivial distractions.

Existential angst paralyses me. I wake up and I want to go back to sleep, but I can't because I have to go to work. I get to work and I want to walk out, but I can't because I can't lose this job. I should work but I want to scream "THIS IS ALL JUST UTTER BULLSHIT". Everywhere I look, I see needless complexity; makework. Existence itself is just killing time before our eventual death. Why go through the stressful and exhausting bit in the middle? Why not take the short-cut and just commit suicide?

It's strange to write like this, given that I've overcome the incredible stress of getting this job, travelling over a thousand miles and facing my first nervous couple of days in the office. Given that I'll avoid bankruptcy if I just keep turning up and keeping my mouth shut, why would I be writing about suicide? I'm not even suicidal at the moment. I've entered a strange kind of state, where I'm incredibly anxious, but I know that suicide doesn't make sense anymore. I know that I've gone to strange cities, started new jobs and rescued myself from financial ruin enough times. Why am I even writing about death and disaster?

January.

It's been a very, very long time since I had a stable January. Potentially, I'll still have well-paid work in the New Year. Potentially, I don't have to start job hunting and worrying about money during the absolute shittest time of year. Potentially, I start 2018 with prospects rather than worries.

On the flip side, you might say that I'm stuck in a cyclical pattern and that I keep trying the same thing but expecting different results, except you'd be wrong. I'm trying something that's been staggeringly successful, and the circumstances are different each time. One of these days, there's going to be a combination of favourable factors, as opposed to badly-timed clusterfucks.

Money is a 'trigger' for self-sabotage, one might say. Also, finding myself trapped on a rainy miserable island in the middle of winter is also a 'trigger'. My coping strategy in the past was to jet off to Venezuela or Brazil for a couple of weeks. I had a long successful career doing that.

In order to survive, I'm going to have to orchestrate friends, work, money, a place to live, a passion and a girlfriend. You might scream with frustration at your screen, because we're all trying to get that perfect balance, and there's always one area of our life that's not going as well as we'd like it to. Erm, well... you don't know how good you've got it, actually. Try living in a bush in a park with none of the things I listed, then get back to me. This is not a boo-hoo story - I'm just explaining how dysfunctional my life got. If it helps you to say it's all my fault for making bad life choices or whatever, then knock yourself out, but I'm far too busy figuring out whether there's some way I can rediscover a reason to live to worry about shit like that.

I'm just writing now. I'm brain dumping. I'm trying to write without a filter.

It's possible that I got caught in some thought loops before, and I needed to take a break from my usual blogging topics. It's possible that my blog wasn't helping me at all. It's possible that I'd lost perspective, because I'd been doing too much navel gazing. I took a break and now I've come back.

Now, I'm writing mindful of the fact that I have friends who I've been living with in Wales. I'm mindful of the fact that I've got a friend who helped me get this job. I'm mindful of the fact that I can't afford to put a foot wrong. I'm mindful of the precarity of my situation. I'm mindful of the fact that writing is actually pretty exhausting, and I need to devote quite a lot of my energies into doing a good job and impressing the people I'm working with. I'm mindful of the fact that I have repeated the pattern of boom and bust, and it looks pretty obviously cyclical to a casual observer. I'm mindful of the fact that my consistent perseverance in the face of a headwind might look a bloody-minded and stubborn refusal to acknowledge reality. That's not the case.

There's a prescription for an antidepressant waiting for me at my doctor's surgery back in Wales. Given the chance, I would be institutionalised by the mental health services. Instead, I'm pursuing a ridiculously optimistic and hopeful, yet extremely risky strategy, of attempting to avoid medication and the dead-end of financial ruin and the mire of pathetically paid jobs that're just as soul-destroying as the very well paid job I've got. I'm not happy about being unmedicated, but I wouldn't be happy popping pills either. I'm not happy about having to work a bullshit job, but I wouldn't be happy doing a so-called 'fulfilling' one either (there are none).

"What if you're still depressed and anxious in 6 weeks time?" the psychiatrist asked me. "Wouldn't you regret not having started taking medication sooner?" he asked. What happens if I don't give up though? Wouldn't I regret never finding out what happens if I stick to my guns and persevere? What am I going to find out, that nobody else ever would, because it's too hard?

I didn't mean to write so much, but I've uncorked some of the stuff I've been holding back. I've never regretted writing, despite the seemingly dreadful consequences. Writing has been financially disastrous for me, but yet it's got to be a healthier coping strategy than drink or drugs, or even going to the gym excessively, where I'll strain my heart and give myself arthritic joints.

I imagine that I'll meet a nice girl soon enough, and the pleasure of tactile affection will change my mood. I imagine that my lengthy abstinence from mind-altering substances will pay dividends soon. Already, some feeling has returned to my nerve-damaged foot/ankle. I must surely be somewhat more sharp-witted, now that I'm not taking heaps of pills every day. I must surely be on course to return to a more normal life, since kicking my addiction to stimulants.

I'm going to give myself a big pat on the back for reducing my alcohol consumption to a moderate level, breaking my physical benzodiazepine dependence, reducing my sleeping pill habit to almost nothing, getting off powerful prescription painkillers, staying 'clean' from supercrack for 6 months and otherwise living a pretty damn healthy life. It might not seem like I've done very much this year, apart from work three contracts, survive double kidney failure, survive a suicide attempt and survive a bunch of very traumatic events, but I'm damn well going to go ahead and congratulate myself on having spent a couple of days in my new job in what must be the very best mental health that I've enjoyed all year, even if I'm diabolically depressed and anxious.

Thinking about my achievements a little more, I'm going to give myself an imaginary medal for 30 days of not drinking, 30 days of writing a novel and spending more days clean and sober than I've spent intoxicated by medications, drugs and alcohol. Quitting a whole host of highly addictive drugs and medications, while in the throes of depression and anxiety, is something I'm going to go ahead and actually feel really proud of - sorry, not sorry. While I'm at it, I'm going to give myself another imaginary medal for not writing my blog for 30 days too. That was harder than you'd think.

My verbal diarrea is pretty bad, so I'm going to stop now, but I hope you can see that I'm not idle, even if you think I've been unproductive, lazy and self-sabotaging all year. It pisses me off that anybody might think I don't have a work ethic.

I'm not going to give up on my crazy experiment to see how my mental health is affected by my circumstances by just damn well being patient, consistent and relentless. I'm controlling the variables.

 

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The Flight I Never Took

7 min read

This is a story about missed connections...

San Francisco Flights

Like many people, I have a large collection of digital photos. My library starts in 2005, when a group of friends and I pooled our holiday snaps from a trip to Venezuela. Travel photography is the main thing that featured until my life started getting erratic. I have an increasingly random muddle of photos and screenshots, like a breadcrumb trail leading back to saner and more stable times.

2008 was the beginning of a much more exciting life than I had led before. I quit my investment banking career, developed some iPhone apps, retrained as an electrician, called off my wedding and went back to IT consultancy work. Having lived under the dark storm-cloud of an abusive relationship for far too long, I finally decided I'd had enough and broke up with my fiancée. I made a new group of friends and rebooted my life - as a prescription for depression, that shock treatment worked perfectly.

Fast-forward to 2011 and I knew that my relationship - back together with the girl who my friends call "the poison dwarf" - was destroying my world and ruining my happiness. I spent 3 amazing months in Cambridge and I'd fallen in love with somebody else, but I was too loyal; too faithful; too committed to give up on a failing relationship and go for what I really wanted.

In 2012 I capitulated and tried to follow doctor's orders - I started taking medication - and went back to the life I hated. I returned to the investment bank I'd previously worked for and tried to pretend like I was OK with that. I even got married to "the poison dwarf". I tried my very hardest to put on the boring grey suit and pretend like I was able to work doing the 9 to 5 office routine that I'd done for years and years, but my heart was broken.

I guess I never really got over the fact that I hadn't followed my dreams; followed my heart.

2013 brought the inevitable divorce, which necessitated selling my house and figuring out what to do with all my worldly possessions. In short, I didn't want anything to do with my toxic old life: the place and the things and the pain of everything getting ripped to shreds was just too much to bear. I wanted the whole lot to burn to the ground so I could start over. I wanted a fresh start.

I tried to court that girl from Cambridge who I'd fallen in love with - she liked me too and things were going well. It looked like I was going to break free from the gravity that tried to pull me back into a black hole. Despite me telling "the poison dwarf" that she could take as much as she wanted, she tried to destroy me. She just needed to leave me alone to get on with my new life, but she made the process of divorce into an unbelievably horrible disaster. Despite my attempts to make things quick and painless and give her a big cash settlement, she sabotaged my every effort.

In the midst of the acrimonious divorce, I tried to get away from the worsening British weather and get some rest and relaxation before Christmas. I was going to go to Florida and do some skydiving, and then I was going to go to San Francisco to see my friends in the Bay Area. The house should have been sold; the cash should have been in the bank - it wasn't, because "the poison dwarf" had screwed up the easy house sale that I'd worked so hard to make happen.

I was too sick to take my flight to America.

I think of 2014 as my annus horribilis given that I spent about 11 weeks receiving inpatient treatment, essentially for the problems caused by getting screwed over as a vulnerable person, by my ex-wife. She'd demanded a quick divorce and I'd said "take whatever you want" but then she made it unspeakably awful. After a rotten birthday where I found myself well and truly homeless, I repeated my magic trick of 2008: I got myself back into IT consultancy and made a load of new friends; I flew off to Tenerife with my new girlfriend and went kitesurfing. From the depths of despair and near destruction, I rose up and rebuilt myself.

What happened in 2015, 2016 and 2017, combined a winning formula of highly paid IT consultancy work and my ability to make new friends and rebuild my life, with the sensation-seeking desire to maintain a novel lifestyle: if nothing else, my life has been very exciting for the past few years.

Whereas most people live in fear of tarnishing their professional reputation and losing everything they own and hold dear, I found those things became incredibly cumbersome when I was unwell. To maintain appearances and pretend like everything is just fine, is immensely energy-draining. It's almost driven me insane, worrying about what former work colleagues and bosses think about me; what people know about my chequered past. Far, far, far more than the abuse my body has suffered, and the mental health problems I've been through, the biggest problem in my life has been worrying about people finding out the very things that I've catalogued on the pages of this blog, quite publicly.

We are now approaching a third San Francisco flight that has been booked, but there is a great deal of uncertainty regarding whether I will be going or not. I dearly wish to see an old schoolfriend who was pivotal in raising the alarm on social media, to the fact that I was in the process of killing myself - in essence, he was the last person I spoke to while still alive, telling him that I was sorry I wouldn't be seeing him in November [because I'd be dead].

Twitter conversation

It fucking horrifies me that the managing director of the company who I was working for at the time - who booked my flights out to San Francisco - was in the process of attempting to terminate my employment while I was on life support in intensive care... because he'd read this on Twitter!

Given that I've stubbornly refused to die, I feel like taking the trip to San Francisco in defiance of the arsehole who didn't care whether I lived or died. That gobsmackingly awful human being deserves to have to see me alive and well, taking a trans-Atlantic flight to go and see an old friend who actually cared about my life.

I feel like I might be calling on you - my social media friends - to help me raise Hell to show that vulnerable people shouldn't get screwed over by unscrupulous arseholes.

So, this is my call to action: I'd like to speak to you and I'd like your support in turning up the heat on people who put personal profit ahead of human lives. I've been wondering what to do with myself, and this feels like an important point; this feels like something symbolic.

Whether it's my ex-wife who literally said "I'd rather be a widow than a divorcee" or my ex-boss who literally fired me for being dead, I want to stand up to these fucking arseholes.

 

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Organic Growth

6 min read

This is a story about aide-memoires...

Pretty flowers

I've been blogging for 779 days, including a period of 120 consecutive sober days and the current stretch of 45 sober days, which totals 165 days. I worked for approximately 300 days (including weekends). I spent circa 60 days in hospital. I had two major periods of drug abuse, six girlfriends, wrote a novel and I attempted suicide seriously once. I've written 702,412 words on the pages of this website.

So, where's it gotten me?

Nowhere and everywhere.

I had no idea I had so much to say; so much stuff that I needed to write about. When I uncorked the bottle, all this stuff just came flooding out - bitterness, resentment, bad memories, as well as strong opinions on myriad subjects. Of course, there was a lot of toxic filth which spewed from my mouth - not everything I've written has been kind and eloquently put. Do I regret what I've written? Sometimes, yes, but on the whole I feel glad I spoke up. I feel ashamed that I wrote some absolute gibberish when I was messed up, but there it is: my soul laid bare for all to see.

To have poured time and effort into sharing stuff on Facebook or Twitter would have left me horribly invested in those walled gardens. To have ingratiated myself with another online community - a discussion forum - would have perhaps been a useful exercise, to give me social contact and a clear purpose, but in some ways I'm glad that I've learned how to work in isolation; to keep up the discipline and routine even when I don't know why I'm writing or what good will come of it.

If nothing else, I can proudly say I'm a writer, of a sort: I'm an eccentric hermit who's lost in his own thoughts. I've got 200 blog posts planned and my next novel to write in November - my mind buzzes with ideas. I'd write long rambling posts that jump around from topic to topic, running to many thousands of words, except that I feel like I've had enough practice of sentence construction and finding my natural voice. Now I'm starting to enjoy a kind of delicious frustration, knowing that I only allow myself to write once a day, and I aim to keep my daily word count to around 700.

As a barometer of my mood, there is nothing finer than writing. I can see all my insecurities, anxieties and my propensity to become obsessive or consumed by things, as clear as day. Of course I fear egocentricity, narcissism, navel gazing and other undesirable labels that might be hurled at me, but frankly the process of writing is an essential pressure-release. Not having this blog made me unspeakably frustrated, because I was grotesquely misunderstood. "Oh, bless you poppet... so full of teenaged angst!" you might patronise me. LOL says I.

My maturing process has been unorthodox, due to relentless bullying and a generally unpleasant start to life that robbed me of my self-esteem and opportunities to be a child, a teenager and a student. I now take my chances where I find them, and delight in acting like a great big kid. Being a late starter in life has its advantages, even if there is a general presumption that I should be better at handling life events, when I actually have not had the benefit of experience - how was I supposed to, for example, get any good at relationships if I didn't have stable friendships, childhood sweethearts or good role models in my parents?

Entering my third year of daily writing, this could be considered my "finals". I've had a few jobs which have stretched to the 4+ year mark, and enjoyed a little more stability with friends and homes in my adult life, than I did through the 8 different schools I had the misfortune of attending. This writing project has provided stability and structure, when my world was blown to bits by divorce.

While the backdrop to my story has changed from hostel to hotel room, to a few different apartments, hospital wards and psychiatric institutions, I've somehow managed to keep writing on a regular basis. I feel like the same person, when I sit down in front of the keyboard, even if there has been a huge variation in the state of my mental health. I know that I have written during periods stimulant & sleep-deprivation induced mania, causing me to pour out thousands upon thousands of words in a confused jumble. However, my mind still makes a surprising amount of sense, despite circumstances which should have tipped me into out-and-out insanity.

I am fearful that the pages of this blog might chart my final decline into a state where I'm rendered permanently useless to the world. I often wonder if I have caused so much trauma to my fragile brain, that it can never recover. If I'm at all paranoid, it's that I'm talking complete nonsense, and everybody is just humouring me while snickering behind my back. "Why didn't anybody tell me I'm writing utter crap?" I sometimes think.

Watching a friend or a stranger careen towards imminent disaster, in a slow-motion car-crash, is something that holds our gaze while also somehow stunning us into silence. I'm vaguely aware that many will be thinking "what can I do?" and be paralysed, without a clear cry for help or call to action. Not only is this the world's longest suicide note, but it's also the world's slowest ongoing crisis, for anybody following along in real-time. It took me a long time to find the guts to finally make a decent attempt at killing myself.

I'm aware now that the burden of responsibility shifts back to me, having received an outpouring of support from unexpected corners, in the wake of my suicide attempt. To resort to self-murder again, would be churlish.

As my mind begins to un-fog from the painkillers I had been taking for most of this year, I wonder whether I have learned anything from the events of the past. I hope I have developed and I'm in a better position than I was, when I was rather trapped in some most unpleasant circumstances, although I find myself in a never-ending cycle - rushing back to work before I'm fully recovered, in order to service debts and otherwise line the pockets of the rich.

Stress keeps me wired, and I wonder when the last time I cried was. Surely, there's a lot of tears that I'm holding back.

I'm tense; agitated; nervous; anxious; hypervigilant.

 

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#FoodPorn

5 min read

This is a story about peaks and troughs...

Bacon barm

I'm in the middle of a warzone. "I WANT TO GO HOME" yell multiple angry men, who are considered unsafe to be out in the community. It's all kicking off on the psych ward, because today is ward round with the doctors. Today is the culmination of a week of waiting and hoping; hoping that today will be the day that the consultant decides to grant some liberty to the men who are detained here - the top doctor is all powerful.

Ward round is supposed to be 10 minutes per patient, but I'm a psychiatric anomaly - completely unmedicated, yet compliant, articulate and reasonable. The staff - nurses and support workers - report that I have been polite and well mannered. It's rare that a middle class person winds up on an NHS psych ward - my fellow patients are all victims of poverty, and their mental health conditions make them most unmanageable indeed.

Having moved from an 8-bed Psychiatric Intensive Care Unit (PICU) to this ward that sleeps 20+ men, the intensity of what's going on around me is much greater, even if there isn't the sound of struggling patients being dragged down the corridor to a padded and soundproofed isolation booth. At least on the PICU I could lock my bedroom door and feel a little safe. Of course, the staff opened a little peep hole every 15 minutes to check I was still breathing, but it was a much less stressful environment.

The world's most terrible shower was one of my big disappointments, as I repeatedly pressed a push-button to get a pathetic dribble of water that could barely wash away the soap from my hair. At least the water was warm, I thought. Then, a nurse knocked on the door and offered to make me a bacon & egg barm (roll) and I was pleasantly surprised. Returning to my bedroom, I was greeted with the delicious sight of the lovely breakfast snack pictured above.

A lot of people have presupposed that the food is terrible on the psych ward, but it's actually very decent. Through my turbulent journey of the last few years, I've eaten a lot of hospital food. When you're on a general NHS ward, you actually get a spectacular choice of meals, plus kosher and halal options too, which I can highly recommend.

Beans on toast

Because my ward round time overran, I missed lunch. I asked if the staff were making any trips to the local shop - my permission to leave the ward has been cancelled due to the fact that I'm a suicide risk - and if they could get me a sandwich.

Despite the commotion, somehow a kind nurse managed to make me beans on toast with scrambled eggs. I was actually more disturbed by the disruption of the routine than I thought I would be. The amount of stuff that's happening all one one day is insane. The clamour for the doctor's attention is just as bad as you'd think it would be, given that everybody's been locked up all week and only this one guy has the power to allow anybody off the secure ward.

These two meals - breakfast roll and beans on toast - are unlikely to be in line with the NHS's ambitions to reduce salt, sugar, fat and other unhealthy things from patients' diet. Salt sachets are liberally sprinkled onto all the regular food we get, replacing the salt that would usually be added by the chef - the net salt consumption must surely be the same. There was something delicious about these beans, in their sweet tomato sauce on white bread. The carbohydrate content of this meal must have been huge, even though it was virtually fat-free except for a light coating of margarine on the toast.

The fluctuations in blood sugar and medications are very pronounced. From 10pm to 9am, no medications are dispensed, but they are dished out throughout the day. From midnight to 6am, the smokers are not allowed to cluster around the doorway that leads to the tiny outdoor area surrounded by high fences, in order to get their nicotine fix. Tea and coffee is decaffeinated, but I quit drinking hot drinks quite a few years ago. The fluctuation in the importance of days of the week, is all fixated around Tuesdays, when ward round happens. The tension in the air is palpable - patients want their freedom.

Being a non-smoker, the passing of time is marked by food and sleep for me. Masturbating in the world's shittest shower is not something I've even brought myself to do, yet, although the sexual needs of the 20+ men on this ward can't be magicked away with medication. There's clearly an undercurrent of sexual tension, which reveals itself in inappropriate ways... however, can we view the natural urges of these men - myself included - as wicked and wrong, when they are simply part of our biological make-up?

Three hot meals a day. None are particularly photogenic, but I devour every last bite. The pleasure of eating is one human thing that can't be denied to us, despite the dining not being haute cuisine. I'm grateful for the safety of this NHS psych ward, and the food I receive at taxpayers' expense.

My ensuite bathroom has no shower, but at least I don't have to share a toilet to dispose of the digested remains of what I shovel into the hole in my face. I barely chew, but mealtimes are the three happy moments in my day, which is otherwise just spent waiting... waiting.

 

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Perception and Reality

10 min read

This is a story about therapy...

Ward activities

Everybody's an expert on my mental health, it seems. I need to be exercising more, eating a balanced diet, abstaining from alcohol and mind-altering substances BUT not the ones the doctors want to give to me. But which doctors? Every doctor has a different idea of how I should be treated - which doctor should I listen to? Perhaps somebody else knows, because people have some very strong opinions on what I should be doing, considering that only a handful of individuals with whom I am still in contact, have known me for any length of time and have followed along. Only I know what I've tried before and what I haven't - what works and what doesn't.

Here, there's a student nurse whose dissertation investigated the benefits of exercise, in terms of potentiating - that is to say improving - the efficacy of medications. Not considered for a single second, was the control study which would have investigated the efficacy of exercise alone. This student nurse, who I find passionate and intelligent, was eager to suggest that I tried sodium valproate or lithium - both life-shortening medications prescribed to people who have regular episodes of mania where they believe they're Jesus reincarnated etc. Everybody thinks they've got a cure to a problem I might not even have - it was under a very dark cloud that I entered hospital, one must remember.

Externally, the perception of a psychiatric ward is that it must be a place of therapeutic activities and meetings with doctors to fine-tune my medications and cure me of my madness, making me safe to release back into the community again. Internally, my fellow patients perceive staff members as persecutors, jailers and masters of everything from food & drink, to bedtimes and bathtimes - a cross between a policeman, a teacher and a parent. Certainly, to have a blackboard on the wall is an incredibly dated nod to the classroom days of our youth. Note that the list of activities for the ward is completely blank, which I find quite accurate... not that I'm complaining.

The UK's stringent fire regulations for institutional buildings - hospitals, schools etc - mean that they look very similar. A company that manufactures and supplies the fixtures and fittings for a school will probably also supply those same items to a hospital. Everything needs to be built to last in this incredibly abrasive environment, where the footfall in the corridor would destroy even the most hard-wearing of floors, laid by a contractor who normally worked in regular houses. The finish is not just high standard, but the selection of the materials used has been honed over the years to create an interior that is easily mopped and wiped down, and very hard to damage.

As a patient, I find myself recalling my schooldays, as a dinner lady ladles goo onto plastic plates and I sip juice from containers that are identical to those that I had in my boyhood. Just like school, nothing much really happens except for crowd control. There is a little sifting and sorting, so the naughtiest boys end up in the shittest parts of the hospital, and the golden child will find themselves in the top class. However, it must be remembered that staffing a hospital is a job to quite a lot of people, and over the many years that they will work their job, any ill-founded notions of making a difference, will be thrashed out of them by the system. Nothing changes very much or very fast in massive organisations - you can't fight the system, or else you will drive yourself insane... that goes for both patients and staff.

It's very hard to not be driven mad by being hospitalised. It's a chicken and egg situation. For sure, nobody gets hospitalised without putting some effort into it. It's very hard to get a psych bed in the UK, unless somebody's gonna pay £5k/week for you to go into a private place. Of course, the patients here are here for a reason, but I have also experienced the terrifying moment where I realised that my liberty has been restricted. I just heard the jangling of a massive bunch of keys, carried by one of the staff members, as she passed my bedroom door. If I was to draw back my curtains, I would see bars on my window, to stop anybody climbing in or out. There are constant reminders that I'm here under lock & key, and to escape would require a little more social engineering (or climbing) than another secure ward that I was on in 2015, where I could have just walked out behind somebody who was leaving the ward, and then run away. To run away now, I would need to request an escort off hospital premises, and then I would simply get an Uber or perhaps I might have arranged a local cab company to have my getaway car waiting. I came into hospital with £1,150 in crisp £50 notes, so I have the financial means to grease whatever palms I need to.

Why would I want to escape though? Yes, you're right - to discharge myself prematurely would be a mistake. This isn't a very therapeutic environment, because staff spend so long spying - quite literally - on patients, which is absolutely dreadful for mental health: creating an us & them culture and exacerbating even the slightest hint of paranoia. If you value your dignity, privacy and liberty, psych hospital is not for you. There aren't any therapeutic activities. However, it is a safe place where my rent and bills are paid, I get 3 free hot meals a day, I get my own bedroom/office type thing which is quite generously proportioned and has an ensuite bathroom, and I don't need to cook, clean or otherwise worry about the responsibilities that burden nearly every other creature that was unfortunate enough to have been born.

Sounds nice, doesn't it? Perhaps you too would like a stay - mandated for up to 28 days on a section 2 - in the hotel "psych ward". Perhaps you imagine that it's a calm and restful place, where I get to sleep lots and read books. I think perhaps you're getting confused with that holiday you took to Tuscany last year. On a psych ward, you get woken up in the middle of the night by alarms going off, staff running in the corridors, yelling and screaming. On a psych ward, music blasts at top volume from patients' bedrooms, because headphones are not allowed lest we strangle ourselves with the cables. On a psych ward, one must evaluate the level that one's fellow patients are intoxicated by their cocktail of medications, and whether one has the energy to engage in their psychoses that are extremely repetitive - I've been here a week and I've learned a little of everybody's "thing"... their particular identity on the ward, which is characterised by an apparent madness, which is why we must remain here. I wonder what mine is? The staff tell me that I'm lazy - always just sitting with my laptop. Yes, that must be me right? Probably just watching mindless Netflix rubbish on it, right?

Ward rounds - when important decisions about "leave" are made - happen on Fridays and nothing else happens apart from waiting and hoping. Most patients here are hoping to get some leave. Some have not left the ward for nearly 6 months - considered too much at risk of running away, if they were allowed out of this super secure part of the hospital, accompanied by a staff member.

Gossip is rife, and everybody on the ward knows that I arrived with a wad of cash and was granted leave from the hospital almost immediately. I try to downplay these things, and now people have forgotten. When takeaways or shop orders are being placed, I feign not having any money, in the hope that I can alter my perception in the eyes of my fellow patients and the staff. I remember being called into the office, simply because some of the senior staff members wanted to have a look in my envelope, containing all those fifty pound notes. It's totally vulgar, and an accident of the illness that was stimulated into existence by the ridiculous sleep deprivation, stress and disruption to my medications and routine, over Tuesday / Wednesday / Thursday of last week, which followed my near-fatal suicide attempt... it should be expected that my behaviour would have gone a bit haywire, under the crushing pressures I faced.

Perhaps I will be "stepped down" to a less restrictive ward today. I had to pack my bags last night, because I thought I was being moved. I should have remembered that nothing happens very quickly in the National Health Service, but sometimes if you're quick, you can nip in before the system decides that actually you're getting ahead far too fast. I'm not really in a rush to go anywhere though - this ward is perfectly decent and I know the two spots where I can get 3G signal.

I'm here to recover, but I'm not here to feel completely isolated. Who do I know in the local area who can come visit me? Two months ago I'd never set foot in this city, and the company I've been working for has cut all contact and has been skulking around in a most unusual manner. I have nobody - it's a real ball-ache for any of my friends to travel, just for a 2 hour visiting slot. Even my fellow patients, who are locals, do not have visitors - the hospital environment is not exactly somewhere people would like to spend their free time.

Should I immerse myself in the daily rhythms and routines of the hospital? Should I hang around by the door to the kitchen, looking for food scraps to be tossed out? Should I hang around by the door to the yard, hoping to be let outside? I'm not a fucking dog. I find it immensely useful to maintain contact with those who are still in full possession of their marbles, while I'm in an environment where staff humour the patients - "is it Tuesday today?" one asks, and is told that yes it is, even though it isn't... is that useful, helpful, therapeutic?

was very sick when I was brought in, without a doubt. Some incredibly stressful things still hang over me, like Damocles' sword. I have little power to influence the speed of my recovery, nor the speed with which those who have wronged me are forced to offer recompense. At least I'm in a safe place to pursue what is rightfully mine: to get money that is owed to me and recover my possessions. I'm in a safe place to make arrangements for housing and income, so that I don't fall flat on my face, as soon as I leave.

I'm glad I'm here, at the moment.

 

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