Skip to main content
 

Poets Day

6 min read

This is a story about the gravy train...

Ikea meatballs

If you think that I'm in a cyclical pattern that I need to break out of, you might consider that we are all in a cyclical pattern - Monday to Friday, 9 to 5, weekdays and weekends, morning and evening, summer and winter. Round and round we go.

It occurred to me that I'm repeating so many things I've done in the past - buying a car, starting a new job, renting an apartment, getting through the working week. The paycheques will start to get queued up and one month will look very much like any other. I'll be well and truly back into the never-ending cycle, but the 'good' one.

Renting an apartment is going to be stressful, and the last time I did it I was left exhausted and financially exposed, which tipped me over the edge - I presented myself at my doctor's surgery and said that I was afraid that I couldn't keep myself safe. I was hospitalised after 13 hours of waiting. Could I be risking a repeat of that?

How many times have I managed to start a new job and get myself into a place of my own without having some kind of breakdown? 2014, 2015, 2016, 2017... every year I managed to keep a roof over my head and enough money to pay the bills, although I got into debt when I got sick. I don't think it's the wrong thing to do, to get a job and rent an apartment. One of these days things are going to go smoothly for me. One of these days I'm going to have a run of good luck.

Yes, there's a lot of repetition in my life. There's repetition in your life too - you eat three meals a day, sleep in the same bed every night, drive the same car, go to the same job, sleep with the same partner. It's not the repetition that makes my life have repeated crises. In fact it's the disintegration of good things - social groups, stable accommodation, secure employment, healthy finances - that prompts and gets intermingled with the problems... cause and effect are hard to unpick, but you need a whole host of things if you want to have a sustainable and liveable life. You should try living in a hostel, losing your job, losing your friends, running out of money... those things are horribly stressful and destructive to anybody's mental health. When you get a whole clusterfuck of issues all at once, that's more than anybody could ever cope with.

I tried to focus on money alone, knowing that other things would slot into place more easily with money behind me. It was three months of hell, but I built up enough of a financial cushion to make some big changes, like getting a girlfriend, buying a car and getting a local job. Next is getting a place of my own and building up some more cash reserves. Life is more tolerable, now that I'm no longer having to work in London, live in AirBnBs and be isolated and alone. Life is more tolerable now that I work with a nice team of people who I see every day.

My week was very relaxed, except for the early morning starts. The early mornings have their perks - it means I can leave early and beat the evening rush hour. I was home by about 4:30pm this afternoon, which is phenomenally good. I'm very lucky.

A couple of weeks ago I dreaded going to work, I dreaded going to London and I had hit the wall - I couldn't go on anymore. I'd reached the limit of what I could endure anymore. Now, I've actually finished the working week feeling really good about how things have gone. It was a rough start to the week, but things have steadily improved. I can't quite believe how quickly and easily the week has gone. I've managed to work 40 hours instead of the dismal 16 that I was managing in the previous job, and the time has flown by. It was such a struggle in the previous job and the time really dragged, but this week's been so great in comparison to my working weeks in London.

Things are so damn relaxed in the new job. Yes, people get to work early but they leave really early too. My colleague left the office at 2pm. I left the office at 4pm. I've really not been working very hard at all, but yet I've achieved plenty - I'm exceeding expectations. I'm quite comfortably able to meet the demands of my job without much effort, which is actually a good thing. I could do with coasting for a bit. I could do with some easy laid-back living for a while.

Round and round I go, stuck in my cyclical pattern, but hopefully I'm getting into good habits now. I'm going to bed early so I can get up early to get to work. I'm cutting down my drinking and I've stopped taking sleeping pills. I'm socialising. I'm shopping and going to the cinema and having meals out. My life is very rapidly becoming quite pleasant. Monday morning was shockingly awful, but Friday afternoon has been every bit as good as it should be - a good job well done and a load of money earned... another step closer to getting back on my feet.

As always, I'm a little paranoid that something's going to go wrong. I don't want to be completely crushed if something doesn't work out. I don't want to be psychologically destroyed if things don't go as planned. I'm trying to be cautiously optimistic, and not allow myself to get carried away. "Don't spend it until you've earned it" is a mantra I've always subscribed to, but you don't get to be financially prudent when your life and your health disintegrates. I've always kept rainy day money aside and not over-stretched myself. I had a life that could withstand a lot of shocks, but so much stuff got broken that I've ended up in pretty deep shit, but I'm on the mend. I'm not going to relax until I have a substantial financial cushion again, plus the friends, girlfriend, job, apartment etc. etc.

So, it's Friday evening and my work is done for the week. I'm not dreading Monday morning, which is great. Maybe I'll get that sinking feeling on Sunday. We shall see.

 

Tags:

 

 

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.

 

Tags:

 

Short & Sweet

11 min read

This is a story about burnout...

Graffitti

There's a lie which we're all guilty of perpetuating: Work hard and you can improve your life; if you work hard enough you can achieve anything. It's not true and it's wicked to repeat the lie, because we end up blaming ourselves for our appalling living conditions. "If only I'd tried harder in school" so many of us wail, but "if only I worked harder" is not something that a dying person ever says on their deathbed.

It's obvious that there's a grotesque disparity between hard work, dedication, passion, productivity and personal wealth. If you're going to try and argue that the owner of a large property portfolio works harder than a nurse, then you deserve a punch in the face. If you believe that the beneficiary of a trust fund, who doesn't have to work at all, is somehow more deserving than the person who cleans toilets for a living, then you must be suffering from psychosis.

I've heard it said that life is fair, because it's unfair to everybody. Human afflictions don't care whether you're rich or poor - a billionaire still needs an ambulance and a cardiac surgeon if they have a heart problem, and money can't buy them immortality. However, this does not seem to consider the great injustice of the world: that our efforts and actions will make virtually no difference at all. It doesn't matter how badly you want to study at Oxbridge and enter a lucrative profession - if you were born into the wrong socioeconomic circumstances, you're not going to be able to achieve your potential. It doesn't matter how badly you want to elevate yourself from poverty, and how hard you work - you're trapped and you'll never escape.

The media love to shove folklore heroes in our face. The media work very hard to assist our willing suspension of disbelief. Little girls think they're going to be like Kate Middleton and marry a prince - the tale that we're told is that she's an ordinary girl and that any one of us could be plucked out of poverty, but it's bullshit... she went to a very expensive private school. Little boys think they're going to become 'self-made' men, and there are plenty of examples of entrepreneurs who claim to have not received any assistance in building their business empires, except that close scrutiny reveals that they had their risk underwritten by friends and family; they have access to wealth and connections that ordinary people don't.

You show me the success story and I'll show you the unfair advantages that the person enjoyed. Nobody got to the top on merit. Nobody gets anywhere by working hard - it's a lie.

In fact, to work hard and assume that it's going to lead to pay rises and promotions is a kind of mental illness: it's called "Tiara Syndrome". It's a bit like the fantasy of a knight in shining armour coming to rescue us - a person who has Tiara Syndrome is expecting that somebody will come along and put a tiara on their head, just because they work really hard and they're good at their job. Sadly, it doesn't happen.

Behind every fortune is a great crime. The only way to get ahead in life is to lie, cheat and steal.

"The power of enclosing land and owning property was brought into the creation by your ancestors by the sword; which first did murder their fellow creatures, men, and after plunder or steal away their land, and left this land successively to you, their children. And therefore, though you did not kill or thieve, yet you hold that cursed thing in your hand by the power of the sword; and so you justify the wicked deeds of your fathers, and that sin of your fathers shall be visited upon the head of you and your children to the third and fourth generation, and longer too, till your bloody and thieving power be rooted out of the land"

A Declaration from the Poor Oppressed People of England (1649)

So, if we've been writing about this problem for the best part of 400 years, things must be alright, mustn't they? Don't fix what ain't broke and all that. Why rock the boat?

Life expectancies are starting to fall - people are dying younger. There's a mental health epidemic. There's an opioid epidemic. Living standards are declining. Billions of people live in poverty, and within our lifetime we'll witness a Malthusian catastrophe that will dwarf any other mass extinction event seen on planet earth. If you thought the Ethiopian famine was bad, wait until you see what the next few decades have got in store for us. With high-yield modern mechanised farming techniques, we have plenty of food, but we are staggeringly bad at sharing things fairly. If you believe that the present situation of wealth disparity is acceptable, then you're signing the death warrant for billions of people - a holocaust knowingly perpetrated on the human race, for no better reason than sheer unadulterated greed.

Remember that none of the Nazis were allowed to say "I was just following orders" as any kind of defence. To fail to act and to say that you're just doing what everyone else is doing, is immoral. To be passive and turn a blind eye, or to throw up your hands and say "there's nothing I can do" is not acceptable. Yes, it's our instinct to look after our own families, but the day is coming when that selfishness will backfire. Your kids are going to need a place to live. Your kids are going to end up in debt. Your kids are facing a shitty future, and your grandkids are going to inherit a completely hopelessly screwed situation - do you think they'll agree with you, that it was right that you sat back and did nothing?

If you think you're helping your kids by instilling some kind of 'work ethic' in them and getting them to study hard, you're making a mistake. Remember: nobody ever got anywhere by working hard. Hard work can be a useful thing, but we must consider what our labour is being used for - if it's making weapons and oppressing people, then hard work is immoral when it contributes to the war on humanity. Sometimes the best thing to do is to withhold labour - to deprive the tyrants of the manpower they need to conquer and achieve world domination. Sometimes the best thing to do is conscientiously object; to nonviolently protest.

I've thought long and hard about how I can make a difference. I thought about medicine. I thought about law. I thought about politics. I thought about science and engineering. I find myself in technology, and I'm desperately disappointed. No amount of smartphone apps and websites is going to address the problems at the root cause, which appears to be competition. Why must there be competition? Why do we have to measure and grade people, and declare that some of us are not worthy of consideration? Why do we have artificial scarcity and force people to fight over an artificially limited amount of so-called 'money'? Why do we put artificial limits on the numbers of people who can pursue a certain professional discipline? Why do we want to have elitism? Why do 99% have to be told they're shit and they don't matter and they're expendable, so that the 1% can feel special?

I was on the fast-track. I was made unconditional university offers and allowed to skip entire academic years. I got onto a graduate training program 3 years sooner than any of my peers. I got pay rises and promotions so quickly that I was earning six-figures by the age of 20. I'm an example of one of those success stories that you might read about, that are supposed to make you believe that with enough hard work anyone can reach the top of the pyramid - be a CEO or a prime minister or a president, or a king or queen. It's bullshit. Why would I turn on the system that's given me everything I've ever wanted? Why would I bite the hand that feeds me?

No amount of houses, sports cars, yachts, speed boats, luxury holidays and all the other trimmings of a wealthy life can ever make you quite feel like you're content with the way things are, because you can never fully insulate yourself from the suffering and poverty that surrounds us. The fact that you're reading this on a PC, laptop, tablet or smartphone, means that you're one of the lucky ones - you're somewhere that has electricity and the internet, which means there's probably clean drinking water too. If you think about those less fortunate than yourself, they're probably considerably well below your standard of living. Wherever you are in the pecking order, there's always some unfortunate who's desperately in need of help, because we've set up society to fail people - the very process of succeeding ourselves means trampling others underfoot to get ahead in life. It's a zero sum game - for somebody to win, there has to be a loser.

Life doesn't have to be like this - so adversarial. There's no limit on the number of "A" grades we can give out, or the amount of money we can print. There's no limit on the number of doctors we can have. We live in a world that's been artificially constrained to create winners and losers. There's no need to have competition so inbuilt to society. Yes, we might see that nature is full of competition - survival of the fittest - but we're not beasts. We've become super-intelligent and capable of producing vast surpluses of everything we need. With high-yield farming techniques and agricultural mechanisation, we can feed ourselves until we burst. With mass production and factories, we can have a virtually unlimited amount of goods - clothes and shoes and building materials, as well as pointless consumer crap that we arguably don't need.

Like the many utopians who I studied while doing the research for my second novel, I can see a world that's jam-packed with all the technology that we need to improve the human condition, and elevate half the planet out of poverty. I can see that we already possess everything we need - we don't need nuclear fusion or flying cars or any other sci-fi fantasies... we already have the means at our disposal, to improve our lives.

As a person who wants to make a positive difference - to effect meaningful change - I find it very distressing that those who are working very hard to improve the world are being thwarted. Imagine all the effort put in by doctors, nurses, politicians, charity workers and myriad others who do what they do because they want to make the world a better place... but it's not working, is it? The world is getting steadily more and more fucked up.

If you think I'm seeing the world through a 'blue filter' and my depression tinges my perceptions, we only need to look at the hard data - homelessness, depression, anxiety, alcoholism, drug addiction, poverty, crime and all the other indicators we have of the health of our society are telling the same story: Things are getting worse, not better. Your kids will have to get into heaps of debt to obtain their education, and then they won't be able to afford to buy a house. Your kids are going to struggle to find work. Your kids are going to struggle, full stop. Your grandkids are absolutely fucked. It doesn't take a genius to extrapolate from the data and see where we're headed. Things aren't just going to magically improve without anybody doing anything. Don't look to politicians to cure society's problems. Don't look to charity to cure society's problems. Don't look to the church to cure society's problems. If any of the existing status quo members were going to do something to fix things, they'd have done it at some point in the last 400 years, wouldn't they?

I haven't figured out what I'm going to do yet, but the best "not in my name" protest I can think of is to kill myself. The best way I can think of to register my objection with the status quo, is to end my life.

Maybe I have a lemming-like instinct to kill myself because of overpopulation. Perhaps my genes are telling me to kill myself for the good of the species. Certainly the self-preservation instinct feels much weaker than the powerful emotions that tear through me, thinking about the futility of the oft-tried ways of making a difference.

If there's no opportunity to make a meaningful contribution, why go on?

 

Tags:

 

Relativity

7 min read

This is a story about moral superiority...

Standard lengths

We are all well aware that there's no point comparing anything unless we are using the same unit of measurement. To say that my penis is 6 long is meaningless. If it's 6 centimetres then that's not very impressive. If it's 6 millimetres that's a downright micropenis. If it's 6 feet then that's just an impractical length - I'd have to coil it up or sling it over my shoulder. Clearly it's important to know what unit of measurement we're talking about.

Next comes the problem of standardisation. If you've ever bought cocaine then you'll know that your drug dealer's scales use a different set of weights and measures than those which would be officially approved. On a fully calibrated weighing scale, you may be disappointed to learn that you've been ripped off by at least 10%, not including whatever was added to bulk out the product when your precious powder was cut.

On the topic of comparing apples with apples, how should we compare 1g of cocaine cut with teething powder, with 1g of cocaine cut with powdered milk? Is it even meaningful to compare weight when we don't know the purity? You might not even be buying cocaine - there are many [cheaper] drugs that mimic its effects, and others that are added to give the classic numbness you feel when it's rubbed on your gums or snorted.

So, if we have measured length, weight and density (or purity) then what else is there that we could measure? Time. How do we measure time?

We had the movement of the sun, the flow of sand and water through primitive timing devices, and clockwork, but the devices are not very accurate. It wasn't until the miniaturisation of clockwork movements into pocket watches that we had a reliable device to keep time, but these are still quite inaccurate. It was discovered that quartz crystals had a mechanical resonance, and that an electronic device could 'count' the vibrations - 32,768 vibrations is 1 second. Temperature fluctuations will cause a quartz digital clock to gain or lose a second or two over the course of a year. It sounds accurate enough and for the purposes of this piece I won't delve any deeper into the strange workings of time.

Now, let's suppose you and I synchronise our watches and say to one another "let's meet back here at this time tomorrow" do you suppose we have both experienced exactly 24 hours, when we meet up again the following day? Do you suppose that each of our 24 hours passed at exactly the same rate?

I could explain some of the minutiae of special and general relativity, but I'm writing about the kind of relativity that we experience every day. Unless you're on a spaceship travelling at 97% of the speed of light, special relativity is not really going to apply in everyday life. Unless you're mucking about near a neutron star, general relativity is of no concern in this terrestrial tale.

So, you and your companion parted ways for 24 hours. So, when you compare your watches, they're still showing exactly the same time, right? But, did time flow at the same rate for both of you? Is it a useful comparison to say that both of you experienced the same 24 hours, as measured by your watches?

Let's imagine our two experimenters - call them Alice and Bob - went about their normal business. Alice is a scientist and she went back to her lab where she had some discussions with her colleagues about the fundamental nature of reality. Bob works in a pea factory, canning peas. Bob went back to the pea factory and did a 12-hour shift, pulling a lever that puts a pre-measured quantity of peas into a can. Alice isn't even sure how long she was at work, because she was so engrossed in her discussions with fascinating people. Bob knows exactly how long he was at work, because his whole time he was wishing the factory whistle would blow so he could go and punch his timecard. Was one hour of Alice's work the same as one hour of Bob's work?

Next, Alice and Bob go home. Alice has a husband she adores, 3 kids and a cat. She put the kids to bed and drank a glass of red wine with her husband, while updating him on the day's events. Bob lives on his own in a dismal flat. Bob sat drinking vodka because he hates his job, but he has to do another 12-hour shift tomorrow. Did Alice and Bob's evening pass at the same speed as each other's?

Alice slept for 7 hours before springing out of bed to get the kids up and prepare breakfast. She was buzzing with energy and full of enthusiasm about the day ahead. Bob slept for 12 hours and woke up with a sense of dread - he was disappointed that he hadn't died in his sleep. Clearly, there was a disparity in the amount of sleep each of them got, although their watches did not go to sleep. How can we compare two people's day, when we get different amounts of sleep?

We might agree that Alice and Bob's watches experienced the same 24 hours, insofar as can be measured using hours, minutes and seconds, but do you think that time passed at the same speed for them, in the way that they subjectively experienced it? Is time a meaningful unit at all, in this context?

Imagine if every hour we asked Alice and Bob to rate how fast the last hour had passed for them - either "quickly", "slowly" or "normal". We might see that Alice rates her hours as passing quickly, while Bob rates his hours as passing slowly. When we consider this, we see that their conscious hours are very different indeed, and the actual number of hours, minutes and seconds elapsed is not a very useful measure.

Thinking about this disparity in perceived hours, between different individuals in different jobs, it seems quite obvious that it's cruel and torturous to expect those who are suffering to tolerate the passage of time, when others find that their day flies by with ease.

What we see is that a number of people won't hold down a job, and will chop and change between different money-getting pursuits because they find most work to be unbearably shit. Some of us will find so little difference between one McJob and another, that we will be unable to work at all. Some of us know very clearly what kind of work we can't stand: working in offices and having to get up early in the morning, is very badly suited to a night-owl who has a brain and a personality, for example.

Relatively speaking, I'm one of the lucky ones. I'm extremely well remunerated and I pretty much do whatever I want - I'm not somebody you could ever 'manage' or boss around. If I don't feel like working, I don't go to work. If I want to quit, I can quit and find another job really easily. The problem with work is that it never pays enough for what's expected of you - the pay packet never fully compensates you for giving up your precious time, and the interminable tedium. Obviously, that's slightly insulting, considering I earn bucketloads, but I'll gladly switch with you and flip burgers for a while, because the monotony of my 20 year career is killing me.

The grass is greener etc. etc. Believe me I don't want to be mopping floors as my full-time occupation and getting paid minimum wage. However, it's completely bafflingly insane to be grateful for a job that's making you unwell and robbing you of your precious time. We only get one life so I don't understand why we spend so much of it bullying each other into working shitty jobs. I don't understand why those whose days are excruciatingly awful don't complain and demand a hundredfold pay increase. I don't understand why more people don't decide to go hungry and homeless, in the face of the oppressive tyranny of bullshit jobs.

Given the obvious health risks of being bored and stressed at work - as bad if not worse than smoking cigarettes - then I think we should be getting danger money. They're not paying us enough!

 

Tags:

 

High Availability

6 min read

This is a story about keeping the lights on...

Bright city lights

There used to be a time, not so long ago, when banks were closed at weekends and on bank holidays, and the only way to do financial transactions was with cash, or otherwise with cheques that used to take 3 working days to clear and could 'bounce'. Today, we can do credit and debit card transactions 24 hours a day, 7 days a week, 365 days a year. Today money flows across the globe in the blink of an eye - pay for some sunglasses in Singapore and your current account will be immediately debited back home here in the UK.

There used to be a time, not so long ago, when getting online meant phoning up another computer. We weren't online all the time - we'd connect once in a while to check our emails, but the rest of the time our telephone line had to be left free so that people could call us. Likewise, computers weren't always available to be connected to - the dial-up number might be engaged because somebody else was connected, or maybe the computer would be switched off or having maintenance done to it. Today, you can access websites 24 x 7 x 365 and you'll never see a message that says the service you're trying to access is offline because of maintenance or some kind of problem. That's what "high availability" means.

So, did we stop turning off the computers, or install some more phone lines or something? Did we get rid of the need to upgrade and do maintenance on the computers? Are the days of engineers having to take a service offline now gone? From a consumer's point of view, that's certainly the way it appears.

In a post 9/11 world, disaster recovery is seen as an essential requirement for business. A terrorist organisation could blow up the headquarters of your bank, but to you as the customer, the computer systems have been designed so that things should function just like normal - business as usual as far as you're concerned. Does that mean that computers are now bombproof? From a consumer's point of view, it certainly seems to be the case.

The reality is that behind the scenes there is a lot of redundancy and failover design so that if anything catastrophic happens, other parts of the system can take over from the parts that have failed. If a computer blows up, another one immediately takes over its work, seamlessly. If a hard disk fails, the data has been copied across a bunch of other ones so no information is ever lost. Software is designed so that it can be upgraded without the users even realising that it's happened - you get new features on the websites you use all the time, but you never notice any interruption in the service. That's high availability in action.

Behind the scenes, there's an army of developers, testers, devops, support analysts, network engineers, sysadmins, database administrators and other flavours of infrastructure engineers, who keep things running smoothly. To keep you plugged into the digital world 24 hours a day, allowing you to send and receive emails, text messages and naughty photos whenever you want, a huge stack of systems have been designed, built and maintained with the principle that they must be "always online". It's a bit like repairing a broken-down car while it's still driving down the road at 100mph.

The net result is that the main skill in IT is not creating the hardware and software anymore, but in keeping the lights on all the time - 100% uptime. Teams of people work in shifts around the clock just waiting for something to go wrong so that they can spring into action and fix it, even though faults are not fatal to the overall functioning of the system, and the users won't even notice that there's been a problem. Computers still fail and hardware still needs replacing. Things need upgrading; things need maintaining, but it all happens without anybody ever seeing a message that says "SERVICE NOT AVAILABLE".

Personally, I do not enjoy sitting waiting for something to go wrong. I'm currently working for a team whose role is to keep the lights on, and it got briefly exciting when the air conditioning failed and a whole datacentre shut itself down, but that was the briefest possible thrill. I'm like a firefighter in this modern world where modern fabrics, improved electrical safety and central heating systems mean that fire is an increasingly rare occurrence in the domestic home. I'm built to fight fires, but everything's built to be so resilient. There are no crises that demand heroics anymore.

I'm pretty much in the wrong job. I deal with machines all day long but I want to deal with people. I'm bored but banking is supposed to be boring - when it gets exciting it means stock market crashes and people not getting paid. I need variety but once you've grasped how to build a computer system, they're all the same - I've built everything from torpedo guidance on nuclear submarines, to bus ticket machines and iPhone apps, and it's all built exactly the same way. I am devastatingly depressed about my job. I think banking is 99% evil, with only 1% of it having anything to do with keeping people's wealth safe from robbers or facilitating transactions that are easier than barter. I need to be solving problems, but I've already solved the same ones a million times, and if I do a good job upfront then there aren't many to solve anyway. It's a dismal existence.

So, I sit at my desk and I get paid an obscene amount of money for doing nothing, just in case something goes wrong... which it very rarely does. I'm highly available, but like a disaster recovery site, hopefully I never have to spring into action, because things are really bad if I'm put to good use. It's really horrible, sitting and waiting for something terrible to happen, and really wanting a crisis to develop because I'm so bored and under-utilised.

I really need to find some kind of app which serves some kind of societal function, beyond stupid distractions from the point of living. Surely the point of living is to spend our brief time on this earth with our family and friends, eating, drinking and making merry, not chasing money and other made-up bullshit.

 

Tags:

 

California Rocket Fuel

4 min read

This is a story about wanting to feel better...

Venlafaxine and mirtazepine

My mood viciously see-saws between two poles at the moment. Thursday night and Friday night were delightful. Monday morning and Friday morning were abysmal. Sometimes I feel like I have boundless energy and enthusiasm, and other times I just want to curl up and die. I feel weirdly mixed up - both manically high and suicidally low at the same time. I think I'm experiencing what's known as a "mixed state".

Not wanting to get too bound up in navel gazing and examining every minute change in my mood, I'm not going to write too much today. It's the same old stuff that's bothering me - a job that's boring and isolating, and a lifestyle that's unsettled and exhausting. In a few hours I have to get on a train, travel to the other side of the country and then check into yet another AirBnb that I've never been to before: The bedroom will be different; the bathroom will be different; there will be different noises that go bump in the night, waking me up. My life has very little stability and consistency.

I desperately want to reach for substances that will make me feel better. I'd love to pop some pills - like the California Rocket Fuel pictured above - in order to feel more happiness than sadness, but it would be highly likely to push me into out-and-out mania. I really want to quit my job and hide under the duvet for a month or two, but I can't afford to do that.

By the end of February, I'll have run out of money again. I'm burning lots of money on expenses, and I only get paid 61 days after having done my work, because of a strange contractual arrangement. Big outlay and big risk - I'm spending money I don't have in the hope of recouping it in future, which leaves me with nothing but stress.

It seems worthwhile to continue to work through February, even though it's making me sick. If I can finish the month, then I'll have a big paycheque at the start of March and another at the end of March, which will make me solvent again. If I quit now, I'll almost be worse of than if I hadn't bothered. It feels like I've achieved nothing.

My mood is desperately low, but at least my thoughts have turned away from suicide, and instead I think about running away to a hot country, or just stopping work and refusing to get out of bed.

I'm carrying some extra weight from Christmas. I'm unfit. My skin is pale and pasty. I'm still having to carefully budget, lest I run out of money before I complete my contract - my finances are still in a pretty dire situation. I wonder where the reward is for not killing myself. I wonder when - if ever - I'm going to feel glad that I'm alive.

My life is not entirely bleak, and I have brief moments where I'm really happy. There are things I look forward to occasionally. However, it's pretty misery-making that the pressures on me - career and financial - are taking me away from the things I care about, and the things that are good for my mental health. Circumstances demand that I continue to suffer long train journeys, lonely hotel rooms and a bullshit job that's pure torture.

I'm trying to vent and whinge and complain and moan like crazy, in the hope that it'll help me to limp along until the end of the month. I keep telling myself "it's only another X weeks" and counting down the hours, minutes and seconds, but it's pretty unbearable.

I wonder to myself if I should start drinking coffee again. I wonder if there's some kind of pill or powder I can get my hands on that will give me some relief from the dreadful depression. I wonder if there's some way I can earn money and retain my sanity, because the present situation is killing me.

I'm going to stop writing now, because I'm just making myself more miserable. There's nothing more to say. There's nothing that can really be done. I know what I have to do, and I know how much I hate it and how sick it's making me, but I've got to do it.

 

Tags:

 

The Relentless Manipulation of my Moods Using Every Means at my Disposal

9 min read

This is a story about music...

Out clubbing

The only things that seem to be capable of making me cry at the moment are Disney movies and a 90-second passage from The Tempest, which is about dreams and sleep. I quote it now for your interest, and as I write this big salty tears are rolling down my cheeks:

Our revels now are ended. These our actors,
As I foretold you, were all spirits and
Are melted into air, into thin air: 
And, like the baseless fabric of this vision, 
The cloud-capp'd towers, the gorgeous palaces, 
The solemn temples, the great globe itself,
Ye all which it inherit, shall dissolve
And, like this insubstantial pageant faded, 
Leave not a rack behind. We are such stuff 
As dreams are made on, and our little life 
Is rounded with a sleep.

It seems remarkable to me that I'm not able to resist the mawkish and emotionally manipulative thrust of the Disney movies, and I blub in all the right places and even some of the wrong ones. To accuse me of being emotionally unstable or having a tendency towards inappropriate emotional responses to situations, is grossly inaccurate and untrue. I would agree that I'm unguarded; trusting... a little vulnerable and certainly quite naïve, although I would argue that I prefer to be naïve than cynical and guarded.

In terms of protecting myself from whimsically falling in love and getting hurt, I would say that I don't protect myself at all. My emotions go where they want to go and I let them. I use the "L" word very sparingly and tend to distrust strong emotions, viewing them as transient; fleeting. I favour loyalty above everything else. I've got no time for game playing and wimpy wusses who are afraid of getting hurt.

Under a railway arch in Vauxhall, I experienced what the children of doting parents must experience their whole lives - to be loved, cared for; adored. I felt a sense of contentment and security that had been absent throughout my bullied childhood. I felt the warm embrace - the hug, if you like - that had been absent in my life and had turned me into an insecure person who completely lacked self-confidence and a sense of identity. I'd been through 8 schools and lost countless friends due to my druggie alkie loser parents not giving a shit about the damage they were doing. The experience of clubbing under the railway arches was curative - this was the love that had been sorely absent in my life. The catalyst? MDMA.

Fifteen years later, my marriage was collapsing. I needed to go to hospital. I was admitted to The Priory thanks to my private health insurance.

It's actually unremarkable that I grew out of a brief period where I dabbled with recreational drugs - ecstasy - and went on to have a 15-year blemish-free career, before the stress of a toxic and abusive relationship tipped me back into the very state I was in when I was a child: in desperate need of some unconditional love. It seems obvious that depriving a person of their identity and security, and bullying them, would result in trauma and psychological damage. It seems obvious that the same negative stimuli would elicit the same negative response.

While I was in The Priory, I handed in my iPod after a couple of weeks. I had decided that I was using music as a way of manipulating my moods, in a similar manner to people drinking, smoking and using drugs, in response to stress and other negative situations. I decided that if I was going to take treatment seriously, I would have to avoid things which I could use and abuse to alter my mood.

Presently, we seem to think it's virtuous to deny ourselves all the things we enjoy. Cream cakes (too fatty), fizzy drinks (too much sugar), beer and wine (alcoholic), masturbation ("wanker", "tosser" etc.), spending money (too fun) and all the other things that make life mildly bearable are given up for January, while we run on a treadmill in a gym, or lash ourselves with a bunch of nettles or whatever the f**k it is that 'virtuous' people do these days.

When I was seized with the notion that pure devotion to a 'natural' life would lead to happier, healthier times, it became as obsessive as anything else that might be characterised as an addiction. I became addicted to making every single tiny health tweak in my life that I could. I cut out dairy and gluten. I washed out my sinuses with saline. I probably would have done colonic irrigation if I'd thought about it at the time. The whole thing was dumb - pure superstition and pseudoscience.

Today, I take dietary supplements - 5-HTP, tyrosine and magnesium - which are supposed to provide my brain with the building blocks it needs to restore normal mood and improve my sleep. However, I've also abused simple amino acids and even pure dopamine - in the form of L-DOPA - to put my brain into a completely unnatural state, with the intention of achieving an otherwise unattainable euphoria or level of performance.

I've abused stimulants to stay awake and give me the energy to dance all night. I've used prolactin-suppressing medications to allow me to have multiple orgasms. I've used erectile dysfunction medications to allow me to sustain an erection for priapic lengths of time. I've used drugs to move my mood up, down and sideways - attempting to 'play god' if you like.

How many drugs and medications have I tried? Two hundred? Three hundred? More? This is not hyperbole - I had the time, the money, the determination and the means.

If you think I'm an idiot who makes bad choices, I ask you to look again. Imagine what my upbringing was like before I discovered that there was this chemical - MDMA - that unlocked me from that miserable prison. Of course I was going to mistakenly believe that it was a trick that could be repeated. In my desperation to escape a toxic abusive relationship 15 years later, I tried heroin, crack and crystal meth - amongst innumerable others - and none of them grabbed me. I methodically worked my way through everything I could get my hands on - illegal drugs, legal highs and black-market prescription medications.

The net result was not a predictable one. Instead of being dead in a ditch due to poly-substance abuse, I'm now quite averse to any psychoactive substances. I'm one of the few people you know who doesn't drink caffeinated beverages. That I'm unmedicated for my mental health problems is not because I think I'm "well" but because I know that I prefer to suffer the symptoms - very few people you know are prepared to tolerate depression and anxiety, but I do so on a daily basis without medication to assist me.

There's a part of me that wants to quit carbs, quit booze and join a gym, but frankly I've got enough shit on my plate just trying to get up in the mornings and not kill myself.

I loosened the purse strings and bought a few new clothes at the weekend. I went on a couple of dates. I'm listening to euphoric dance music, eating what I want to eat and drinking quite a lot. Fuck it. Life's too short to be miserable.

Last night, a woman ran up behind me as I was crossing the road and started asking for money. I said "sorry". She launched into an escalating level of abuse, accusing me of saying "no" and for toying her when she was "begging [for my] help". She was too busy yelling and screaming horrible names at me to be interested in the fact that I would've helped her, absolutely. In fact I still would. Fuck it, even if she was just rattling for "B and white" (heroin and crack, also known as "dark and light") and she was short for the score, I'd have helped. You've got to acknowledge the complexities of life and human nature if you want to help anybody. Expecting everybody to be gym-going, kale-eating, alcohol and drug free totally fucking ridiculously 'virtuous' people is absurd. Most of us have a vice.

When I think about how long I lived without my cat to stroke, and without the pleasure of snuggling with a girl I'm really into, I'm surprised I made it this far. What's the point of life without a good healthy dose of oxytocin? Is life even liveable without the bonding hormone? I really don't think it is.

So, as we approach the end of Jinxed January, I'm throwing caution to the wind little by little. I'm buying myself new clothes and having a haircut, because it's great for my self-esteem. I'm dating and having sex because it's fucking awesome. I'm letting myself do a million little things that just make my day a little bit more bearable, because that's what life's all about if you don't want it to be suicidal misery.

There's a chance that all the little changes in my life will destabilise me. It's all quite stressful, even if it's also fun. I'm quite well aware that something as simple as a late night can throw my world into quite a lot of chaos, but sod it, life's too short and I've waited and been sensible for long enough.

I don't think I'm going to go clubbing and take any MDMA any time soon though.

 

Tags:

 

Lifestyle Choices

6 min read

This is a story about non-pharmacological interventions...

Clinical psychology

The word "choice" is a little unfair. To suggest that people could help themselves by making better lifestyle choices assumes that our choices are unbiased. It seems obvious that we'd choose low-fat, low-carb, low-salt options because they're better for our heath, but we're biased towards things that taste nice. It seems obvious that we'd cut alcohol, caffeine, drugs and medications out of our life, because they all have nasty side effects, but we're biased towards things which make us feel good. It seems obvious that we should work less, spend more time with our families and not commute so far, but sadly it's not easy to up sticks and move closer to our jobs and often we have to do jobs we hate because we need the money.

At my meeting with a psychiatrist today we essentially agreed that I can manage my disposition towards mood disorder using lifestyle choices, but it's going to take a lot of hard work. I need to exercise more, I need to change my job and I need to cut down or even quit my alcohol consumption. As well, I need to continue to have strict bedtimes, avoid caffeine, dim the lights after dusk, use a light box in the mornings and eat a balanced diet. I also need to resist the urge to spend money, take risks, be promiscuous and dabble with drugs. All fairly obvious stuff, but none of it is much fun.

Aside from some disagreement over whether I'm type 1 or type 2 bipolar, and the severity of my illness, I actually got on pretty well with the psychiatrist. To hear the words "you have a chronic condition that cannot be cured" is not very nice and my instinct was to argue that I don't have a condition at all - my symptoms have been a product of my environment; caused by the stress of my situations I've been in. In actual fact, I concede that I've had symptoms of bipolar for as long as I can remember... it's just that my bosses and work colleagues have always been very understanding of my highs and lows. A lot of people would get sacked for coming in to work two hours late every day, or shooting their mouth off and throwing a tantrum in the middle of the office, but there's a place in the workplace for somebody who can work for weeks without any sleep when there's a crazy deadline to meet. I agreed with the psychiatrist that I've got a lifelong condition, which will need careful management. It doesn't scare or upset me, because I managed my condition effectively for years before things got dangerously erratic.

To hear lithium and sodium valproate banded around as potential treatments is not what I wanted. I prefer to think that I've got a mild form of bipolar which can be managed with a medication like lamotrigine, or no medication at all. I consider that my 'high' periods have been hypomanic because I had no grandiosity, psychosis or paranoia. The psychiatrist considers me to be a fully blown manic depressive, because my manic phases have lasted more than a week. I think we'll have to agree to disagree, because my mania does not seem at all severe, except when exacerbated by drugs and sleep deprivation.

I asked about talk therapy. There's an 18 month waiting list. I'm being referred, but 18 months is a heck of a long time to wait for psychological therapy. Getting some kind of talk therapy has become a crusade to me, because I first sought treatment in 2008, so it's been 10 years since I asked and I still haven't received any therapy.

In short, I think I agree that I have a certain amount of risk towards becoming really unwell, but it's not destiny. I have a lot of hard work to do, and I have to continue to make so-called smart choices, when really my life's not a lot of fun and I still have to figure out how to pay the bills somehow. I do agree that there's something about me - call it an illness if you like - that means I have to pay a bit more attention to my lifestyle than others might, who don't share the same predisposition towards mood instability.

I went into the psych consultation feeling quite unique and special. I was feeling pretty proud of myself for being unmedicated and having dealt with a lot of things that were definitely wrecking my life. Then the psych helped me see that a lot of people who are bipolar have a similar story of reckless risk taking, money spending, hyper-sexuality, drug taking, getting into conflict with bosses, drinking too much and all the other things that lead to a point where lives get utterly screwed up. I suppose there comes a certain point where a person just can't continue to live their life a certain way - the end of the road. Where my inclination was previously to commit suicide, I'm perhaps slightly erring on the side of trying to mend my ways and crawl back into normal society over broken glass.

I can see the temptation of a chemical crutch to aid my 'recovery' but I'm still pretty adamant that I'm going to go medication free. Actually, the psychiatrist agreed with me that something like sertraline, or even lamotrigine, could push me into hypomania. Antidepressants have always had a mood destabilising effect on me in the past. There's something to be said for feeling miserable: it does somehow make you appreciate the better times, when they eventually arrive.

So, it seems like a rather well-behaved life beckons for me. I don't relish the prospect of having to always make sensible choices, but I guess I'm not a young man who can bounce back from anything anymore.

Hardly thrilling, but the saga continues. I'll keep you posted on how it goes, doing the boring mundane stuff.

 

Tags:

 

Unholy Trinity

11 min read

This is a story about lethal combinations...

Three empty cans

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

 

Tags:

 

Getting What you Want from Your GP

7 min read

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

Sick note

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

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

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

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

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

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

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

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

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

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

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

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

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

Good luck and STAY SICK!

 

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

 

Tags: