This is a story about performance enhancing drugs...

As is often the case for people in the New Year, I decided to try to cut down on unhealthy habits. I decided to drink less, stop taking sleeping pills and stop taking a medication which is sometimes prescribed for anxiety. The net result has been an enormous rebound in my insomnia and anxiety levels. I was not at all functional this morning. I didn't go to work.

If you think that depression, anxiety and other mental health problems are due to a moral failing, you're an imbecile. "We'd all like to take the day off. People in Africa don't lie in bed because they're depressed" etc. etc. If you think like that then I'd like to curse you with a panic attack. Anxiety is a terrible thing - it's not just a feeling that can be wished away or accepted. The whole point about anxiety is that it's invasive - if it could be ignored, it wouldn't be anxiety.

Having spent most of 2017 physically dependent on benzodiazepines, it seems inevitable that I would have lost my ability to cope with low to moderate anxiety without relying on pills. Also, there's a lengthy period where the withdrawal from substance dependency creates a gnawing miserable round-the-clock inescapable anxiety, that makes every passing second feel like a year. To quit benzodiazepines is the hardest thing you'll ever do.

I was lucky enough to be able to concentrate on getting through the nasty withdrawal process. I was in a lovely environment to go through the worst of the horrible withdrawal syndrome. Because I didn't have so much pressure and stress, I was able to quit diazepam, alprazolam and pregabalin. I reduced my zopiclone by half. To quit those 4 medications in the space of four months is unprecedented. Well done me.

I had to go back to work. I was running out of money. The fact that I went back to work doesn't show that I was well; that I was recovered. The fact that I went back to work shows just how desperate my financial situation is. Necessity, not good mental health.

My mood improved when I got back into work. My destiny seemed to be in my own hands - all I had to do was work and money would come flooding back into my depleted bank account. However, the stress and pressure created intolerable anxiety. It was inevitable that I would drink more alcohol, as an unhealthy coping mechanism.

For a while, I've been less suicidal. I've even entertained some thoughts about what I might do when my finances are looking healthier. Surely to be thinking about the future shows a remarkable improvement from where I was, when I was having endless suicidal thoughts.

In fact, without the crutches of medication I'm still a sick man. I couldn't function today. I couldn't face the day. You might make light of how bad things were, but it was enough to make me immediately want to end things - to kill myself. In the blink of an eye, the tiny amount of hope, optimism and opportunity could be snuffed out. Without something to help me deal with unbearable stress and anxiety, I was very sick; incapacitated.

So, I feel forced back onto the pills. I feel like I have to choose: my money or my life. I'm being ransomed. What choice do I have?

You might struggle to relate if you've never suffered from anxiety that's so bad that it's paralysing. It's worth remembering that I've climbed cliff faces, mountains and jumped out of planes. I know anxiety very well and how to cope with it. I'm quite familiar with techniques for managing my own anxiety levels. I've done things that you'd probably never dream of doing because you'd be too afraid. I'm a fucking expert on anxiety.

Perhaps you could replace "people in Africa don't complain" with "it must be bad if Nick says it is" because you know I jumped out of perfectly good aeroplanes. I don't mean tandem either, where somebody else jumps and I'm just a passenger attached to them. When I jumped out of those planes, it was all me... I had to decide whether to jump out or not. I made those leaps of faith. I know what anxiety is. I'm qualified. I'm qualified to judge, and I'm qualified to say what's a tolerable level of anxiety, and what isn't.

I'd rather not be on any pills, but I have to choose: pills or my job.

The sleeping tablets probably aren't too bad, but the anxiety-reducing painkillers are preventing the nerves in my left ankle from healing properly. There are very real negative consequences for continuing to take a medication that I'd be much better without... if only I didn't have to work while I'm recovering.

Recovery is not a quick process. When you're talking about a clusterfuck of substances, then it can't be rushed. How do you suppose you'd cope with stresses that are barely tolerable at the best of times, plus a whole load more unpleasant feelings that very few people can ever handle? Talk to anybody who's taken a psychoactive medication for any length of time and they'll tell you: those things are an utter shit to get off, and most people never manage. Medication changes are one thing that most patients won't tolerate. Most patients get anxious even thinking about medication changes, let alone stopping their medications altogether.

From January 2017 until now, I've stopped tramadol, codeine, dihydrocodeine, pregabalin, zopiclone, zolpidem, alprazolam and diazepam - all at the max dose. Tell that list to any doctor and there'll be shocked disbelief. Patients just don't quit all those addictive psychoactive medications so quickly. There are consequences to quitting every single one of them. Quit tramadol and you'll have sweating, nausea, diarrhoea, aches and pains, and cravings for tramadol. Quit zopiclone and you'll have insomnia, restlessness and anxiety. Quit all of them and you'll be completely dysfunctional; your life will be unliveable; unbearable.

Thus, I'm forced to keep going with some of the medications, just to be functional. I can't lose my job. I can't lose that money. I'm financially fucked.

It's a catch 22 situation.

Tags: #medication

This is a story about the past year...

As I searched for an image that aptly represented the last year, I realised that I would struggle to find one. Should I use a photo of fireworks over London taken from my balcony? Should I use one from one of my visits to hospital? Should I use a photo that represents something abstract: addiction, travel, work, recovery or something else? Should I use a photo that reminds me where I was a year ago versus where I am today?

I've selected this picture from a psych ward. The tree is supposed to be decorated with leaves which have a handwritten message from patients who have successfully recovered and left the ward. There aren't many leaves on the tree.

I'm regularly criticised for being deliberately glum. Perhaps my negativity is a choice. Perhaps I wouldn't be so stressed, anxious and depressed, if only I decided to be fit, healthy and happy instead. Perhaps I could also decide that I'm a millionaire too, while I'm at it.

I should be happy that I survived 2017. The odds certainly weren't in my favour. Whether it was kidney failure, addiction or suicide that claimed my life, there was sure to be something that was going to kill me. I should be happy to have made it through another year, shouldn't I?

What about prospects? I start 2018 with friends, living with a family, with a roof over my head, with a job. Looking at the hard numbers, things look rosy: I earn a lot and it'll take less than a year to replenish my finances. Most people would be chuffed to bits to have the opportunities that I have.

Tonight will be my 5th night without sleeping pills and my 3rd without painkillers, having partially relapsed because the pills were helping me with stress and anxiety. I enter the New Year relatively free from drugs, medications and other substance abuse problems. Of course, I will drink. I will probably drink for the whole of 2018. I have no intention of becoming teetotal, although I do need to reduce the amount I drink.

The list of New Year's resolutions that other people are begging to make for me is endless: join a gym, do some volunteering, eat more kale, do yoga, smile, pet a dog, kiss a baby, punch the sun etc. etc.

It might seem like I'm bloody minded - intent on being miserable - but really, I'm not. It might seem like I'm ungrateful, but again, I'm not.

2017 has been what it's been. It's been a hell of a ride. I'm content just to say that I've survived it and that I have no intention of a repeat, given the choice.

Tags: #addiction #hospital #depression

This is a story about sequels...

Two years ago, I was experimenting with my blog. I thought it would be profound to write a public suicide note, record a video and go jump off the Golden Gate Bridge. I thought I would get sacked from my job and illustrate how the stress would push me into acts of extremism. I decided to sleep rough close to the skyscraper I had been working in. I thought I was going to starve myself for 25 days and spend Christmas Day in a tent. I thought I was going to kill myself by going on hunger strike.

For 25 days I wrote an advent calendar type series of blog posts. The whole thing was leading up to the punchline: boxing day. Really, what I was doing was building up to the revelation of the truth: that I'd had problems with addiction. It was a big admission. It took a lot of courage to be honest.

Why did it take me so long to acknowledge my problems with addiction?

Generally, addicts don't get a very favourable hearing. Addicts are amongst the most stigmatised people on the planet. If you're looking for a sympathetic non-judgemental ear, it's probably best if you don't mention any addiction problems you've had until somebody's got to know you.

So, people had to get to know me.

My friends, family and work colleagues knew me. Those people who've gotten to know me have seen that I'm an OK person. I'm not a monster.

But am I a monster?

It's surprising how little it takes for us to question everything we ever knew about a person. Sometimes, there's a revelation about a person that can completely shake our perceptions of them. Suddenly, it's as if a person we knew well is a stranger to us, and not just any stranger: a horrible nasty stranger who's going to rob us and kill our children and eat them. Everybody knows that addicts leave a trail of HIV-infected needles lying around everywhere they go, especially in areas where children play. Everybody knows that addicts enjoy nothing more than random acts of killing. Also, if you discover that somebody's had problems with addiction, you can pretty much forget everything you ever knew about them.

Hang on a second though.

How quickly can you completely re-evaluate an entire person and decide that they're a completely worthless hopeless junkie, who'd rob you without a moment's hesitation in order to score their next fix? How long does it take to write somebody off completely and dismiss everything you ever knew about them? Why are junkies just so damn easy to hate and what happened to the person you used to know?

While there are some very unfortunate people whose morals will be corrupted by their addiction, that's not the case for most addicts. Not every addict is a liar, a cheat, a thief and somebody who would recklessly endanger the lives of your precious children. Not every addict is flakey, unreliable, untrustworthy, unscrupulous and immoral. Not every addict is worthless, hopeless and doomed to forever seek and take drugs. Not every addict is a menace to society, and should be treated like a leper: shunned from work, friends, family and all the other things that give us a functional life. Not every addict should be marginalised and demonised.

Of course, I write with a vested interest. I don't want to be mistreated. I don't want the stigma attached to me.

So, why don't I share my stories of addiction anonymously? Why don't I join Alcoholics Anonymous and Narcotics Anonymous and Cocaine Anonymous and Crystal Meth Anonymous, and while I'm at it Gambling Addicts Anonymous and Sex Addicts Anonymous? Why don't I keep quiet and just pretend like I'm normal? I don't even take drugs.

Nobody thinks that gambling addicts inject packs of cards, so why is it that when you think of me - an addict - you immediately imagine dirty needles? Where did the OK Nick that you used to know go? Why did you eject the pleasant memories you had of me, and replace them with an imagined version of me, where I was mugging grannies for their life savings?

It's necessary for me to concentrate on the prequel to my story, in order to receive a fair hearing. I need to explain that adverse childhood experiences, an abusive relationship, stress, burnout and mental health problems, all created a fertile environment in which to grow a substance abuse problem. I need to explain that my mood instability - bipolar - predisposed me to reckless sensation seeking, such as substance abuse. I need to explain that my motivation was self-medication, not getting high. I sought relief from symptoms, not enjoyment. I was trapped and I needed a way out. I chose the wrong one. I made a mistake.

We might take a quick glance at a situation and utter the words "why don't they just...?". Why don't they just what? Leave their abusive partner? Stop moping around and get out of bed? Stop taking drugs? Move somewhere else? Sort themselves out?

When you're secure and happy, everything looks pretty easy. All people have gotta do is get a house, a job, a sexual partner, friends, hobbies and interests, a loving family, a supportive environment, a healthy lifestyle, coping mechanisms, substantial financial resources and favourable socioeconomic conditions. That's it. That's all. Just get on and do it!

For some, remaining addicted is not about the ongoing want for drugs, it's actually slow suicide.

That last point is worth re-iterating. One of the reasons why some people won't stop taking drugs, is because they don't want to live anymore. They literally don't care if they die. I would say that most addicts are very well aware that their addictions are going to kill them, but they carry on anyway - they're committing suicide, slowly.

Looking at teens and twentysomethings who smoke, we might see that there's a general belief that "it'll never happen to me". In our youth, we tend to believe we're pretty indestructible. By that same token, we might assume that a drug addict believes that they'll be one of the lucky ones, who addiction will spare. I don't think that's the case.

As an addict, it quickly becomes apparent that control has been lost and you're on collision course with health problems and early death. Repeatedly, the addict will have extremely aversive experiences which scream loud and clear that the path of addiction is going to lead to death and destruction. Do you think every lecture about what an addict is doing to themselves falls on deaf ears?

Equally, do you think that addicts just don't care? Do they want to die?

Committing suicide - including addiction - is not about wanting to die. Suicide is driven by hopelessness and inescapable awful feelings. If life only has pain and misery to offer, why wouldn't a person choose early death? If building any kind of liveable tolerable life is an insurmountable task, what hope is there? Who'd want to spend the rest of their life miserable, depressed, anxious and in pain?

It's easy to say "keep putting one foot in front of the other" or "take things one day at a time" because you don't have to live through that misery. It's easy to ask somebody else to tolerate the intolerable, because it's not you who has to suffer: it's them. Eventually, a person can conclude that there aren't going to be any good days, or that the few pleasant times don't outweigh the multitudinous bad times. On balance, one might conclude, life's not worth living.

When you've made that decision that life's not worth living, it's pretty hard to find any reason to not have that next hit of drugs, even when the drugs are killing you.

I write to you today clean, sober and with no intention of obtaining and taking drugs.

However, I think it's highly likely that I will take drugs again, both recreationally and abusively. The number of protective factors - friends, family, work, money - have increased, but my life is still very badly broken. There are innumerable things that predispose me to relapsing onto drugs, and on the flip side there is a huge list of things I've got to fix or get in my life in order to have enough on the other side of the scales to balance things out. I look to the year ahead: what do I have look forward to other than hard work, living out of a suitcase, paying off debts and otherwise scrimping and saving? I'm sorry, but I'm not exactly thrilled by the prospect of living off sandwiches that I've made in a hotel room, spreading the mustard with a shoehorn.

But, perhaps also there's a desperate desire to self-sabotage because life was simpler as an addict. Even the synthetic cannabinoids have enough of an attractive intoxication for addicts to jettison the stress and strain of paying rent and bills, and having to hold down a job, in favour of homelessness. The bureaucratic burden of civilised society is wearisome and ridiculous. The form-filling and pointless makework of bullshit jobs is absurd. It's not just about the drugs - it's also about dropping out.

You'd think that dropping out would be a terrible thing. You'd think that the shame of the loss of status would be unbearable, but it's liberating. You know that you have to work hard to keep up your mortgage or rent payments. You live in constant fear of losing your job, which would quickly lead to eviction. When you become homeless, it's a relief - a thing you feared the most has happened, and it's not as bad as you thought it would be; somehow you manage to cope.

I'm averse to the idea of a miserable dead-end McJob. I'm averse to the idea of spending any more time stressed out of my mind, helping my boss get richer; helping my landlord get richer. I'm averse to the idea that the peanuts that most people get paid, in any way compensates them for giving up the prime years of their lives. I don't see that society is working well for most people. I see that stress, anxiety, depression and other mental health problems are rife. I see that suicide is the biggest killer of the group of people who are our most productive members of society. That's not fair.

So, I need to find a middle way. I need to find a way that's not suicide, not drug addiction, but it's not a miserable dead-end job either. I refuse to get a bullshit job that pays peanuts. I'd rather die.

At the moment, I'm clean from drugs and I'm working a very well paid job. I'm learning stuff. It's stressful, but it's not boring. I'm increasing my value - my employability - as well as doing a good job. It feels fair.

I'm starting 2018 at a considerable disadvantage. I'm deeply in debt. I don't have a girlfriend. I don't rent or own a home. Why bother?

It's been 6 months since I had an addiction. I'm clean. Why would I even write about addiction? I've won, haven't I?

In fact, addiction is always there: a dependable companion. Very little effort is involved in resuming an addiction. Addiction will always be everything you expected it to be. Addiction never disappoints. Conversely, a happy functional life with all the components necessary to make it work, is very very far out of reach; almost unattainable. You might think that because I'm only 6 months away from putting a lot of the pieces in place, that it'd be easy. 6 months is no time at all, right? In fact, 6 months without all the things you take for granted, might as well be a billion years. It's never going to happen. Try getting in a bath filled with ice cubes. Try holding your hand over a naked flame. What you perceive as quick and easy is not quick and easy when you're in pain.

My present situation might look infinitely preferable to my life as an addict, but it's not. Addiction could last me forever - until the day I die - but what I have today is only temporary; it's fake. I can't stay where I am forever. My contract will come to an end and I'll have to find another job. I'll need to rent or buy a place to live. I need to keep moving around: 3 and a half hours on the train, one-way, and moving from hotel to hotel, AirBnB to AirBnB... always moving on. I'm tired, even though it looks like I should be well rested. I'm stressed, even if it looks like things are going in the right direction.

Addiction's there as a one-stop-shop. Addiction means that I can stop pedalling so damn fast. Addiction means relief. Addiction means there's an end in sight. I'd be a liar if I didn't admit that when I'm alone with my thoughts, I don't immediately think that addiction is infinitely preferable to the mountainous task ahead, to merely build a mediocre life of disappointment and depression; boredom and bullshit.

Going cold turkey doesn't prove anything.

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

This is a story about losing my way...

I've kind of screwed everything up since my suicide attempt. Why did I tweet when I was really sick? Why did I piss my readers off by live-publishing the draft manuscript of my dreadful second novel? Why am I struggling to find my voice again, and reconnect with people?

It feels like there's a lot of pressure to write very profound and meaningful things, having cheated death. It feels like whatever I write should be a decent contribution to society. However, I'm missing the mark. I'm falling short of my own expectations. I feel like I'm letting everybody down.

I feel considerable embarrassment that my story does not have a nice linear progression. Why doesn't the tale read like a straightforward rags to riches fairytale? Why are there flies in the ointment? Why is there bad stuff in there, mixed in with what I dearly desired to be good? What's my message anyway? Where am I going with this?

Writing another novel took me down a peg or two. It was hard, and my arrogant belief that I'd be able to just sit down in front of the keyboard and crank out something decent, was a delusion that was shattered. I've had to face the very real conclusion that I've still got a long way to go if I want to produce anything decent. I'll need to pre-plan more. I can't just shoot from the hip and expect everything to go my way.

Writing these stream-of-consciousness blogs has become quite easy. If you do aspire to be a writer, writing needs to become a daily habit. I've developed the habit, but writing a journal, a diary or a stream-of-consciousness blog is probably the easiest option. Writing short stories is fun and not that hard. Dedicating even a mere 30 days to a single work of fiction, turned out to be very hard. I thought it would be easy, because my first novel came with little effort and I've managed to write this blog for two and a half years, but the construction of characters, plot, scenes... it's tough going when you get up to and beyond the 30,000 to 35,000 word point. It's not about the word count, of course. You have to write the right words, naturally. However, I can't understand why anybody would write the wrong ones. Just edit as you go.... except that's hard when you're doing creative writing.

I'm trying to recover my raw and uncensored voice. I'm trying to rediscover myself; my identity. I briefly thought I would own the moniker: novelist. I wrote "thinker" on my bio because I thought it would piss people off. Aren't we all thinkers? How dare I declare myself to be some kind of intellectual philosopher type chap. "Show me your certificate immediately!" people demanded. "Show me your credentials!" they screamed.

I'm backing down.

Although I hold a balanced set of opinions, have lived a varied life that's given me first-hand experience of almost every aspect of human society, and I can string a sentence together, I'm surely not entitled to write on whatever topic takes my whimsical fancy, and expect people to read it? Who the hell am I? What's my job title? What position of authority do I hold?

I think my readers are figuring out that I'm just a guy; just an ordinary person. These are not the words of a superstar celebrity CEO chairman chief lord god. These are merely words. Where are my citations? Why am I not quoting people you've heard of? Who the hell am I to hold my own reasonable opinions, and dare to express them as if I'm somebody of any import?

There isn't enough room in this world for the rich and famous, and the likes of us. Make room for the celebs. "SILENCE, PLEB!" scream those who are entitled to an opinion, because of their superior status.

It would be OK, but what the hell am I going on about anyway?

I feel like I missed my chance. The spotlight was on me briefly, but I choked. When I had the attention I craved, what did I do with it? I screwed up. I wasted my opportunity. When that chance came, I didn't have anything profound to say. It's time to shuffle red-faced back into the audience. It's time to shut up and let the stars of the show resume their performance, isn't it? Make room for the celebs!

I lost 2,000 Twitter followers in the weeks following my suicide attempt. I've lost 500 Twitter followers since getting a job. If I was cynical, I could argue that it's not very interesting to read about somebody who's succeeding; somebody who's safe and is probably going to be OK. Where's the drama? Where's the jeopardy? Where's the suspense? I'm not cynical though, so I take it personally: my message must be wrong. It must be something unlikeable about me. I must have changed. I failed to say anything profound and interesting when I was passed the microphone. I had my moment of fame and I've screwed it up. Next!

What frustrates me is that I know there is something profound to be found in my writing. I know that my story does contain an interesting and exceptional tale. I know that there's a message that can be teased out, and it might prove useful for other people who are going through hell. The odds were stacked against me - as they're stacked against so many - but what's different about me that's allowed me to pull through? Why am I alive when so many others would have died? I certainly don't want to piss anybody off by smugly declaring myself a success story - it's a different message from that... it's about what lessons can be learned, even if that's not an original thought or idea at all.

I've had to sit and listen to cult-leader type characters, while they talked about their spiritual awakenings in sweat lodges or in South American jungles, intoxicated with ayahuasca. I've had to listen to endless amounts of people who've wanted to share their stories of recovery. Nobody who's listened has been able to emulate them though. It's all well and good going on about your own success in recovery, but it's not helping anybody, is it?

There are a lot of very desperate people out there. My website is visited by the suicidal, alcoholics and drug addicts. There are millions of people out there who are looking for solutions to their problems. There's a temptation for me to start writing as if I've got the answers. I know that there's an eager audience for any kind of self-help material. I know that it would be incredibly popular, if I was to start writing a prescriptive guide for how to cure yourself of your depression, anxiety, drug and alcohol abuse. I know that people are desperate and they haven't found anything that works.

Nobody's a done deal. Nobody is a finished article. It would be dishonest and misleading for anybody to write as if they've got the answers; they've found the cure.

During my treatment for mental health problems and addiction, I discovered a world of non-judgemental people, and people who will listen to your story. Your story is interesting. You deserve the chance to recover - every saint has a past and every sinner has a future. It seems as if there's a monopoly on storytelling - only the celebs get to tell their stories, and the rest of us should silently cower in a dark corner, filled with shame and regret; convinced that we're worthless sinners; eternally damned. I wouldn't be surprised if we discover that the secret to recovery is to allow people to recover, by allowing them to no longer feel as if they must pay a lifelong price for their shortcomings; by allowing people to revel in their own identities and their actions, rather than apologising and thinking of themselves as useless and flawed.

You may notice that there's rather a different code of morality applied to celebrities, than is applied to the general populace. You will see a great outpouring of sympathy for celebrities who are affected by mental health, alcohol and drug addiction issues. You will see that celebrities are celebrated for their faults - it makes them more relatable. However, the ordinary likes of you and me will become black sheep - scapegoats for the ills of society - if we stumble and err. Nobody's going to forgive our sins because we're not celebrities. Nobody wants to hear your story.

However, you should write like you're already famous. You should own your story. You should tell your story, because nobody else is going to tell it correctly. Nobody but you should own your identity. You decide who you are; you decide how your story gets told.

I'm having a wobble. Why are people disengaging? Why are fewer people connecting with me and my story? Why am I losing Twitter followers? Why do all my graphs trend downwards?

I don't know what I'm doing. I don't know where the hell I'm going with this. If I was going to be a writer, why am I not punting my novel manuscripts to every literary agent I can find? If I was going to be a writer, why am I not relentlessly pursuing a writing job? If I was going to be a writer, why am I not promoting myself through every avenue? It must be clear to my audience that I'm confused; directionless.

Often times when we're consuming content on the internet, we wonder what the commercial angle is. All those lovely webcomics that you read have usually got associated merchandise - T-shirts, coffee mugs etc. - and all those silly Buzzfeed lists that you love, are paid for by the advertising that's plastered all over the website. The deal you've struck is pretty clear - your eyeballs are being traded. However, what's my angle? What do I want from you?

I guess I need attention to feel valued; worthwhile as a human being. Without an audience; with nobody listening, who the hell am I? Who really cares whether I live or die?

My social media success is inversely proportional to my real-world connections. As I've made new friends, reconnected with old ones and impressed my new work colleagues, my social media identity has suffered. As my health, wealth and prospects have improved, my digital footprint has declined. I suppose I should be happy, but this blog and my Twitter followers provide me with a comforting safety net. If all else fails, this blog is something that would be hard to take away from me. This website - and my writing - is something that's inexpensive and provides stability; support; self-esteem. I suppose I could dismiss my virtual life as unimportant, and concentrate on real face-to-face human relationships, but I'm loathe to do that when I'm fragile; delicate. Why would I cut off one of my biggest sources of security?

A blogger friend has recently completed a year of sobriety, got herself a regular spot as a guest blogger and now has a boyfriend. Writing has been staggeringly successful for her, as a healthy coping mechanism. Blogging has been her constant companion, and she's proud of what she's produced. She's buzzing with the excitement of getting noticed. She's thrilled that she's achieved so much.

I remember when I started writing this blog, I suffered the usual thing that most bloggers do, which is to believe that I was writing amazing stuff that needed to be shared. I was a blogospammer. I would share my content as far and wide as I could. I exhausted every avenue, trying to get exposure. I wanted readers, like a junkie wants drugs. I obsessed over my stats; my metrics. I quickly came to believe that I was a serious writer, and that I'd produced a significant contribution to the literature.

Now, I beaver away in relative obscurity. I put very little effort into self-promotion. I cringe a little when I think about how I spammed every social media site I could, trying to get readers. Now, I'm passive - read if you want to... you know where to find me.

I'm still a bit hooked on my stats though. It upsets me when I have fewer readers this week than last week; fewer followers.

I imagine that I'm going through an important developmental phase though. To write every day for a year is necessary to develop the writing habit. To write for a second year is to prove that the first wasn't just a fluke. To write for a third year is to discover why you're really writing. What is it that I'm getting out of this? Where am I going with this?

It's incredible that there are some people who've read everything I've written here. I've written 770,000 words, which is the same amount as in the King James Bible, more or less - it's my next milestone, to have written as much as is in the Bible. Then, I want to write a million words, just because it's a cool number. How cool would that be, to say you've written a million words?

So, I don't really know what I'm writing about. I don't really know why I want followers; readers. I don't really know what I've got to say that's profound and interesting and useful and entertaining and moving and helpful and original and all the other things that I vainly want my writing to be. Why am I doing this? I don't know yet.

I imagine that people reach the end of these sometimes lengthy brain-dumps, and they think "that's 10 minutes of my life I just wasted". What knowledge have I imparted? How have I improved anybody's life?

I am going to find out where this is going. There is a purpose, I promise. I just don't know what it is yet.

Tags: #writing #socialmedia

This is a story about my 2,500 mile round-trip...

Two weeks ago, the local Community Mental Health Team (CMHT) was phoning me to see if they could potentially admit me to hospital. I had revealed to a psychiatrist that I was having suicidal thoughts, opting to be fully honest - as advised by my doctor friend who was accompanying me - as opposed to saying what I needed to in order get what I wanted. Perhaps it's good that I was honest, because therapy's not quick, and the only pills that work have a tendency to send me a little hypomanic.

So, I'm still unmedicated. It's been 6 months.

The danger was that I'd become so depressed that I'd commit suicide. My hunch was that my suicidal thoughts were being driven by the fact that my life was disintegrating and I had absolutely no control over it. Doctors can't act on hunches. I can though, and I was right - as soon as I started earning money and there was hope that I wasn't facing financial ruin, a lot of my suicidal thoughts disappeared.

Another danger is that I'll start getting delusions of grandeur. However, we should examine quite closely just how delusional I really am. Am I really delusional?

The phone rang. I answered it. A man told me he had a project. Could I do it? I replied that I could. How much money did I want? I told him. Could I start on Monday? I said I could. I didn't speak to him again, until I met him for the very first time, 1,200 miles from home.

If you think that my mental illness is about some kind of lifelong condition that I need to take tablets for, you're wrong. Every single thing in my life - my environment - predisposes me towards mood instability. If you think about the kind of feast and famine stressfest that my boom and bust financial situation has given me, then perhaps you can start to see that I harbour no delusions. My days were numbered. Only bankruptcy and a life of poverty lay ahead, quietly pill popping and watching daytime television, while collecting my meagre benefit cheques. Then, suddenly: an investment banking IT contract lands in my lap.

"Yes, but you're resting on your laurels; relying on your reputation" I hear you cry.

It's true that if it wasn't for friends who've vouched for my good character, I would have been screwed long ago. However it's a non sequitur to say that I'm able to hide my mental illness by burning bridges. How did I build my reputation in the first place, if I'm no use to anybody?

If you were to read through the two and a half years that I've been writing my story, you'll see that I have burnt some bridges. However, you'll also see that my actions are always quite deliberate. I often burn bridges to stop me going back to places. If you look at my whole working life in its entirety, you'll see that the big wads of cash that I get offered to do work that's utterly incompatible with my mental health, is always too much of a temptation. Even places where I've spectacularly burnt bridges, my name isn't total mud. It's been very hard to completely destroy my reputation and good standing, and make myself un[re]employable.

Are you getting the idea at all? Are you understanding the theme?

Perhaps my most astonishing rags-to-riches feat was when I went from homeless and bankrupt, to working on the number one project for the biggest bank in Europe. The exertion of it cost me my sanity. The exhaustion of living in a 14-bed dormitory and working 120-hour weeks; trying to keep my suit and shirts clean and crisply pressed hanging up on my bunk; trying to save up enough money to get myself a place to live... it was too much. I burnt out and plummeted into suicidal depression when I ran out of energy to keep up appearances. However, can you imagine how I felt, when I upgraded from a hostel bunk bed to my own 2-bedroom apartment on the banks of the River Thames, with glorious panoramic views over London. Do you think you'd be mentally 'well' enough to cope with that kind of life turnaround?

Stress and sleep deprivation will have fairly predictable effects on most people. To deprive a person of sleep and then declare that they are mentally unwell seems disingenuous. What about taking a person who believes they're a complete failure and parachuting them into a life of opulent wealth? Do you think that it would have an effect on somebody, if they miraculously avoided certain financial ruin, destitution and homelessness? What happens when the mentally ill junkie homeless bankrupt loser reinvents themself overnight?

Of course, we don't normally let people sort themselves out.

Criminals, the mentally ill, addicts and alcoholics are very keen to club together with their own kind. Like crabs in a bucket, any crab that tries to escape will be pulled back down by the others. I shan't be adding a link to this website on my CV anytime soon. Joining any kind of community where I'm encouraged to wallow in my shame and define myself by my shortcomings, seems like a terrible idea.

In defiance of those who tell me I have delusions of grandeur for expecting more than a pot to piss in, I continue to pursue a two-part strategy: I'm doing incredibly well remunerated work and I'm candidly sharing my story publicly.

"Who are you to tell your story? You're nobody. You're not famous" I hear you grumble.

"Who are you to earn so much? You've failed. You should earn peanuts" I hear you protest.

Don't you understand? The whole system is set up to make you feel inadequate; unworthy. Every exam you ever sat; every job interview you've ever attended - the whole sham was concocted to make you feel grateful for the pittance you receive. The fact that you feel like you're not allowed to write your autobiography or otherwise blow your own trumpet, is by design - you're supposed to feel like a nobody. You've been indoctrinated to feel worthless.

On my travels - and I don't mean geographically - I've encountered a lot of people who've been less fortunate than the investment banking types who I'd usually come into contact with. The only difference between me and my fellow hostel mates, is that they never believed they'd even get within 100 feet of the front doors of a massive investment bank, let alone land a job there. The difference is attitude: act like you're supposed to be there. Life's all a confidence trick.

Over the past couple of weeks, I've faced the horrendous realisation that I'm unexceptional. I mean, I'm on the right side of the bell curve, but I'm not an outlier. What special achievements set me apart? What proof have I got of my intellect? Of course, the answer is that I'm distinctly average; perhaps even a little below average in some areas, thanks to excessive consumption of drugs and alcohol. I should have been swinging towards hypomania, but instead I've been suffering from an almighty self-doubt crisis.

Imposter syndrome has driven me to try harder; to concentrate. Anxiety and the sheer terror that I'm incapable of doing the job I've been doing for 20 years, is being slowly replaced by the welcome return of some belief in my own abilities.

Of course, now comes the threat of overconfidence. Perhaps now I'll swing hypomanic? Perhaps soon I'll declare myself Jesus Christ re-incarnated? Perhaps those doctors were right all along, and only pills can prevent the inevitable mood swing upwards?

I don't think so.

I worked on a long project last year and I was stable. The role was incredibly boring, and it was very hard to stay motivated, but money got me out of bed in the morning and money kept me at my desk until the end of the working day. Last year was a triumph of money's ability to restore mental health, through wealth. It's no accident that the countries with the biggest rich-poor gap also have the worst depression and anxiety. Anybody who tells you that rich people get depressed too, or that poor Africans are really happy is just perpetuating anecdotal nonsense - being poor in a rich country is incredibly toxic to mental wellbeing.

It's true that I've sorted myself out financially a few times now, only to throw it all away, but that's dual-diagnosis not mental illness. Bipolar has allowed me to have a lovely life. I don't want to change from feast and famine; highs and lows. However, undoubtably I'll be tempted to take drugs again once my bank balance is replenished.

If you're wondering what's going to stop me from relapsing into addiction, once I've dug myself out of the hole, then I'm afraid you're going to have to wait. Recovery from an acute episode of dual-diagnosis - depression, hypomania and substance dependency - is well beyond what I'd planned to write in this single essay. I'm going to have to revisit this topic, because it's fascinating to me: my life depends on it.

My train from London to Wales fast approaches Swansea, completing my 2,500 mile roundtrip. Of course, it's been a much, much longer journey than that.

Tags: #bipolar #addiction #career

This is a story about time...

It was Saturday the 9th. I was behind that door, dying. I assumed that nobody knew where I lived. I assumed nobody cared. I was wrong.

I'm still pretty unclear how exactly the emergency services got to me so quickly.

The thing about activated charcoal and gastric lavage is that they only work during the first hour or so of an overdose. I knew this, so I'd set a timer on my phone to stop myself from being tempted to send any "goodbye cruel world" type messages, which could have triggered efforts to save my life before I reached the point of no return.

Saturday nights are pretty hectic for the emergency services. I'm surprised they got to me so quickly. I'm surprised they got me to hospital so swiftly. If they hadn't I wouldn't be writing this.

Maybe social media is addictive, it "isn't real life" and it's causing the collapse of normal healthy face-to-face relationships, but I'm pretty sure I'd have sunk without a trace if it wasn't for my digital connection to the world. It was kinda inevitable that the author of "the world's longest suicide note" was going to do the deed at some point. My suicide attempt wasn't a cry for help; it wasn't attention-seeking. I don't believe that my suicide attempt was avoidable either - circumstances were too hostile to allow my mental health to improve.

Back on that Saturday the 9th - and today - I found myself in a strange city, far from friends and family. I was isolated and alone. Stress, anxiety and depression all conspired to make life feel totally unliveable.

Tonight, I'm in a hotel room near an airport 1,200 miles from home. Language and cultural differences make it additionally obvious that I'm out of place here. I'm doing a rewarding but stressful job. My mental health has been pretty bad. There are lots of similar features to that previous Saturday the 9th. However, there's unlikely to be a "straw that broke the camel's back" type trigger tonight.

I'm mindful that I wrote a blog post called The Closest I've Come to Suicide back on Saturday 9th September, merely hours before I actually tried to kill myself. Things can change. I'm a little superstitious and unwilling to tempt fate... I don't want to jinx anything.

I sometimes feel like I'm trolling my friends - giving them a lot of stress and worry about me. I sometimes feel like it's bad behaviour, to talk about my suicidal feelings. What's the alternative though? Should I just bottle it all up and leave everybody wondering what the fuck happened to me and wondering if there was anything they could have done to help, once I'm dead?

Having written this provocative blog for over two years, I hear from a lot of people who've lost loved ones to suicide. The impact on those who lose a relative or a friend is devastating. People are left wondering "what could I have done differently?" and beat themselves up about it.

There are quite a few well-worn platitudes that are trotted out whenever a suicidal person is brave enough to share how they're feeling. Generally, the suicidal person is guilt-tripped into thinking about the consequences of their suicide. I imagine this is the reason why more people don't speak up when they're feeling suicidal, because the presumption is that they're selfish, cowardly and don't care about the pain they're going to cause for other people. These accusations are unhelpful and untrue - suicidal people know that they're going to cause pain and suffering, but life is so horrible for them that it's not enough to keep them alive. Guilting people is not the way to keep them alive.

I sometimes wonder if there's a difference between me and those who've succeeded in killing themselves. I'm afraid that it's pure blind luck. Even with 20,000 Twitter followers, I'm still subject to the same human physiology as anybody else - the massive overdose I took should have been fatal. You can have all the fame and wealth in the world, but you're just as mortal as the next man or woman.

I talk about the inevitability of my suicide attempt, and the worry that I'm trolling my friends. In a way, I'm embarrassed to have survived, because it makes it look like it was some half-arsed botched attempt where I didn't really want to die anyway. I'm embarrassed that I put my friends through the horror of thinking I might've succeeded, but I also know that I told hospital staff not to resuscitate me - I refused treatment, because I wanted to die. I can say with my hand on my heart, that I wasn't trolling anybody. It wasn't a cry for help. It wasn't attention seeking or a publicity stunt. My suicide attempt was premeditated and my method was extensively researched in preparation.

So what about all those deaths from suicide? Suicide kills more men under the age of 45 than cancer and other diseases, road traffic accidents, drugs, alcohol and everything else. Suicide is the biggest killer of them all. What is it about suicide?

Well, there are a lot of greedy, selfish, horrible men in the world, who just want to get rich at any cost - they don't care who they trample on. I emerged from hospital to find out that the wannabe Labour MP who I was working for, was sacking me for not turning up at work for a couple of days - it should be noted that those two days I was in a coma on an intensive care ward, with a machine breathing for me. This wannabe politician was completely unconcerned with the fact that I'd nearly died. This guy professes to be a Labour politician, no less - in theory, his values are all about protecting workers from unscrupulous bosses. What a liar. What an awful, awful person.

The world is a desperately competitive place. People will commit suicide because of pressure to attain good exam grades, to get ahead in their careers and generally because life relentlessly batters us with horrible uncertainty about financial and housing security. Of course people are going to commit suicide when life's so stressful. I attempted suicide and immediately lost my job and my apartment - isn't that awful? If that's what a wannabe Labour MP is prepared to do to a fellow human being, the problems in society clearly come right from the top. If our politicians are arseholes who don't value human life, of course we're going to see vast numbers of people committing suicide.

What happened after my suicide attempt is that things got worse. Things got a lot worse.

Then things got a bit better.

Friends who I haven't spoken to in years got in contact.

I made new friends. I got a new place to live. I got a new job.

Writing this blog has caused me to lose my job and my home, and has made me an easy target for discrimination. Writing this blog leaves me exposed to cyber-stalkers who want to find out what my weaknesses are, and exploit me. Writing this blog leaves me open to criticism from those who say that my message about suicide, mental health and homelessness is contrived - that I somehow pre-planned everything that happened to me, and that my opinion is therefore invalid; that my story is unrepresentative.

If you prick me, do I not bleed? Do I not feel lonely like other people? Do I not find the burden of debt and financial worries to be unbearable? Do I not need a roof over my head?

My blog begins two years ago, with me living in a hotel and working for a bank. That's exactly the situation I find myself in today. Was it necessary to have been hospitalised three times? Was it necessary to have become homeless? Was it necessary to nearly be bankrupted? Was it necessary to lose my job? All of the hardship I've been through might look avoidable, to a casual observer. A BBC journalist even accused me of having planned the whole thing.

I genuinely believe that if I hadn't lived my life in the public eye, I wouldn't be alive to tell the tale. Of course, some concerned friends saw my final Tweets on that Saturday night - the 9th - and they raised the alarm along with a bunch of other followers. Somehow, the emergency services were swiftly delivered to my door. A friend told me that my phone had been traced, but that's improbable, given that I lived in a dense urban area - signal triangulation is highly unlikely to have been accurate enough. It's a bit of a mystery, who gave the emergency services my address in time for them to save me.

I've written about a lot of this before, so I'm aware that I'm repeating myself, but it seems apt because it's Saturday the 9th. So much has happened in the intervening time, including a 3-week stay on a psych ward and me emigrating from England to Wales. So much has happened, in terms of having space and time to digest the traumatic events and trying to figure out what I'm living for. So much has happened, in terms of friends who've been kind enough to get back in contact and even offer practical help. So much has happened, with new friends and a new home, and healthy human relationships.

I'm still stressed and single and broke. My job is 1,200 miles from home. There is still a whole load of shit to go through before I have everything I need for a liveable life. You might be screaming "OTHER PEOPLE HAVE IT SO MUCH HARDER THAN YOU" at the top of your lungs, but fuck you. As my guardian angel once said: there's only one person on the whole planet who has it harder than anybody else. Are they the only person in the whole wide entire world who's allowed to feel depressed, stressed and anxious? If the "think about the starving African children" platitude had any value, we could just blast that message through megaphones and all depression and suicide would be cured overnight.

If you think I'm self-centred, self-pitying, selfish, self-absorbed or any other criticism you want to level at me, then perhaps it's you who completely lacks any empathy. Do you not care that suicide is the biggest killer of men under 45? Do you not care about this very real problem, that's only getting worse and worse? Do you not care about the epidemic of mental health issues?

I will vociferously defend my decision to blog about my mental health problems and suicide attempt(s) because I believe that my social media presence has been a major reason why my life hasn't been claimed by suicide. For sure, there have been lots of high-profile suicides. Fame and notoriety are not protective factors. However, in the face of a mental health epidemic, it's clear that pressure, guilt, shame and stigma are not working in anybody's favour. It's only through an honest and candid examination of how we're really feeling, that we might be able to save those who are on the brink of killing themselves, in the nick of time.

I think that even my harshest critic would be hard-pressed to deny that my navel-gazing suicide note blog played a major part in saving my life. Without my blog, how would I have made a new friend who offered to let me live with her and her family? How would I have reconnected with an old friend who helped me get another job? How would I have coped, through homelessness, hospitalisation and without any money? My blog is the consistent thread throughout all the traumatic experiences of the last few years.

It might sound like I'm giving my blog credit, when really credit belongs to those who took practical steps to help me - those who phoned the emergency services, those who phoned me when I was in hospital, those who helped re-house me and those friends who have made a concerted effort to re-enter my life. Of course, I'm incredibly grateful to those who've gone to great lengths to assist me, to reassure me that I am loved and that my life does matter.

There's a lot of pressure now to sort myself out. I have a pretty good opportunity to get back on my feet. I have support. I often wonder if it's time to change the name of my blog from "the world's longest suicide note" to something else. However, it was back on Saturday the 9th that I wrote about how close I was to suicide, before then being tipped over the edge later that same day. If I'm reluctant to declare myself safe, then tough titties - I know how fragile things are, so it would be foolish to prematurely take myself off the endangered species list.

Perhaps you - dear reader - feel a little led-on by the whole thing. Perhaps you feel a little cheated that I didn't die. Who knows. All I know is that it doesn't feel like it was very long ago that I was dying on Saturday the 9th.

Tags: #suicide

This is a story about paralysis...

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.

Tags: #mentalhealth #suicide #medication

This is a story about life on the farm...

Yesterday, I was too depressed to get out of bed. Being awake was horrible - I tried to doze for as long as I could. I was irrationally afraid of having to get up for some reason; on edge that there might come a knock at the door. My friends make me feel incredibly welcome, and I would always have somebody to talk to if I was feeling lonely and desperate, but I also feel like I should demonstrate my willingness to help wherever I can.

Today, it's been sunny and mild; very good weather for the time of year. Hiding under the duvet doesn't feel so bad when it's grey skies and raining, but I feel guilty about wasting the day when it's nice outside. Nice weather can paradoxically make me feel even more depressed.

I'm naturally a restless, anxious and fidgety person. "Where am I going? What am I achieving?" I continuously ask myself when I'm not consumed by a task; fixated on a mission.

At the beginning of the week, I dragged myself out of bed to go to the seaside. It was a drizzly foggy day, so the picturesque beach wasn't going to yield any nice views, but still, it was an outing. Rain-drenched families trudged through puddles. "Why are all these children not in school?" I asked. Apparently, it's half-term school holiday time in England - not so in Wales.

This jarring disparity; this acute difference between what consumes my thoughts, and what most other people are concerned with, is being well highlighted in my current environ. I was cut off from the world in my London apartment. It was wonderful to have the space & time to think & write, but I was very far removed from the day-to-day reality that most of humanity experiences. In the past few weeks, I've been reminded about school-runs, commuting to work and long days in the office, car maintenance, housing, pets, children, cooking and cleaning, although I can claim absolutely zero personal involvement in the running of these affairs - I'm an idle observer; a tourist.

Of course I worry that I'm lazy; worry that I'm mooching; worry that I'm a leech; a parasite.

"Yes, we'd all like to be a thinker; a writer; an artist; an intellectual; a professional layabout" I imagine people saying. "Your art is just a hobby... get a job" is what I imagine people are thinking. I feel guilty for not producing anything more tangible than the words on this page.

I started to get a little stressed about November, when I plan to write my second novel. "How am I going to find the time to write?" I wondered to myself, which must sound a little ridiculous to you. Why am I even writing anyway, when I'm not overtly commercialising my creative output?

There's something more socially acceptable about saying "I'm sorry, I need to write my book" as opposed to just "I'm sorry, I need to lie in bed feeling incredibly anxious and depressed". I wonder if more people would have breakdowns and refuse to go to their stressful and boring jobs, if it wasn't so stigmatised. Wouldn't we all love to just spend all day with our children, and not get out of our pyjamas? Why can't we skip breakfast and have cereal instead of a cooked meal, and completely reject the demands of society?

I feel immense guilt for not having a proper job, spending hours of my life stuck in traffic, being bored to tears by a bullshit job. What's my contribution to society? Why am I allowed to pontificate, when I haven't done my 9 to 5 grind?

I'm not so naïve as to think that the good life doesn't have to be bought and paid for with human misery. For every beautiful countryside cottage set in manicured gardens, nestled in lush green countryside, there is also an immense amount of suffering that's gone into delivering that dream. The children who wait 5 minutes, staring at a single marshmallow on the table in front of them, will receive two marshmallows as a reward for their patience. Those same patient children will shed tears when they are packed off to boarding school, but it'll all be for a good reason one day.

Are we even supposed to be so patient; so tolerant of intolerable cruelty? Are we any happier for all that homework? Are we any happier when we get "A" grades and go on to get a fancy job, miles and miles away from our home and our family? Are two marshmallows sweeter than one?

I feel like the cuckoo in the nest: I'm no genetic relation of the lovely family who I'm living with. Why do I get to enjoy the comfort of a farmhouse straight from the pages of Country Living magazine? What's my contribution to the household? What's my contribution to humanity?

Extrapolating, I can easily imagine that I will have produced my second novel in a little over a month from now, but I will have very little else to show for my time, not to mention the food and energy that I will have consumed. To say that I have been working on restabilising my mental health and attempting to rediscover my reason(s) for living, feels a little untrue given the trajectory of my mood. To turn a blind eye to my very real concerns about the difficulty of obtaining paid employment during the Christmas & New Year period, seems short-sighted - November will be over in the blink of an eye.

Throwing a ball for the dog in the garden, sucking in lungfuls of clean fresh air that's blown inland straight from the Atlantic Ocean, my physical health is undoubtedly improving. I'm seeing an aspect of existence that I'd long forgotten, trapped in a polluted concrete jungle, and surrounded by the seething masses in densely overpopulated cities. This life is so much healthier and happier than the rat race, but I can't afford it - it feels as if I'm enjoying a retirement I haven't paid for.

Perhaps you imagine that my time is free for the pursuit of leisure. Perhaps it is. If so, why am I so damn stressed?

Tags: #family #depression #writing

This is a story about missed connections...

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].

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.

Tags: #career

This is a story about medical notes...

My ex-wife - a biochemist by way of undergraduate degree - once screamed at me in an incoherent rage because I had innocently asked her "how big is a protein?" having wondered how many nanometers across, the average protein molecule measured. The sheer audacity of me asking such a question enraged her, perhaps because free thinking is expressly forbidden in an academic world which promotes rote-learning of facts and examinations graded to a marking scheme, ahead of learning.

(The answer, by the way, is roughly 3 nanometres in radius).

When I attempt to answer a difficult question, I sometimes pause and chuckle. "What is consciousness?" came one question. Although I was desperate to talk about weakly interacting subatomic particles, General Relativity and nuclear fusion, I somehow managed to constrain myself to a meaningless analogy, while keeping quiet about my "mind's eye" which could picture every piece of information that captured my entire existence, smeared out in a infinitely thin sphere at the event horizon of a singularity, across all meaningful spacetime for the entire universe that I will ever perceive, which would have been rather a mouthful to express.

Just as one may cram for an exam the night before, I've attempted to only ever amass the prerequisite knowledge that may be considered the minimum viable to navigate whatever situations I have had to endure to reach my goals. Education has never seemed like an end in and of itself, given that our understanding of the fundmental nature of reality is evolving, and the Standard Model of particle physics is rather long in the tooth. Although I find it quite delightful that there are quarks named strange, charm and beauty in the particle zoo, I would find it rather frustrating to dedicate years of my life, obtaining a degree and writing a thesis using tools which may soon look as clunky and outdated as Newton's inverse-square law of gravity.

The mathematicians will mock physics as simply being applied mathematics. The physicists will mock chemistry as simply being applied physics. The chemists will mock biology as simply being applied chemistry, and so on.

Computers are now capable of solving equations and modelling real-world phenomena, potentially making algebra and calculus into dying arts, along with handwriting and long-division. The Fractal Geometry of Nature has revealed that cold rational calculating machines can produce simulations that imitate reality, through repeating patterns. Massive computational power does not only aid human discovery of hidden algebraic equations.

Amid much fanfare, computer software is touted as potentiating new drug discovery by simulating molecular binding, protein folding, rapid gene sequencing and personalised medicine. However, we seem to have forgotten that half the planet is impoverished & hungry, and vast numbers of those who are fortunate enough to live in advanced, wealthy & technologically advanced societies, are suffering from an epidemic of anxiety, depression and other mental health issues that is bad enough to drive vast numbers of men in the prime of their life to commit suicide: the biggest killer of males under the age of 45 in the UK - more than road traffic accidents, drug-related deaths, physical disease, murder, accidents and all the other causes of death.

One should consider that I took leave of my senses in 2008, but since that time I have only managed to attract two clinical diagnoses - convenient medical short-hand - although I have acquired a third which is perhaps the bluntest instrument of the three, and much more of a pejorative than a diagnosis.

"Substance abuse" is a catch-all term which serves me well when I haven't the time & energy to go into detail. Given humanity's long history of self-intoxication, some physicians would consider themselves to be well-versed in the matter. Even the most insulated amongst us, will have struggled to escape contact with a drunk in our lives. We quickly forget, of course, that psychiatry is an extremely young discipline. The isolation, refinement and synthesis of molecules which can short-circuit brain mechanisms, is something that dates back only 70 or 80 years, along with the branch of medicine chiefly concerned with treatment of matters of the mind.

The brain: the most complicated organ in the human body - estimated to have up to a quadrillion neuronal synapses - is often considered only in terms of its vital function as central nervous system, insofar as the same fatty grey matter helps other species to fuck, fight, flee and feed. This does not, however, tell us much about human consciousness, and even less still about pathological thought.

I once sat down and hand-wrote 12 pages of notes, from memory, of every General Practice doctor, psychiatrist and hospital, which I had attended during a 7 year period. Although I kept things as brief as I could, with names, dates and locations, as well as diagnoses and medications, there was a great deal to write. I'm not a complete hypochondriac - there were important notes about my episodes of depression and hypomania, where my mental health had caused me to become significantly dysfunctional.

Perhaps your mind is now skipping ahead - as mine often does - and you're attempting to finish my sentences. Presumably, you're trying to guess the punchline of the joke. I assume you've already got more than enough information to diagnose and treat me.

I'm second-guessing myself here, and I'm struck by the egotism and "navel gazing" of the very act of being sufficiently appraised of my own medical history that I should remember such a level of detail. Who the hell am I to take an interest in my own diagnosis and treatment? Where's my certificate, framed on the wall? Where's the photo of me wearing a mortar board & gown, and clutching a scroll of parchment with a red ribbon tied around it?

When I think about where I should spend my precious time and effort, I'm not motivated by the prospect of being an understudy to a failure. While psychiatry continues to produce dismal outcomes for humanity, in terms of the epidemic of mental health problems, addiction and general societal collapse under the weight of stress and burnout, I'm reluctant to follow in the path of those who are not succeeding in improving the human condition. It should however be noted that I do not for a single moment, criticise the well-meaning intent of those in the healthcare professions, nor do I mean to discredit the lifesaving work that takes place every single day.

The idea of using myself as a case study seems quite ridiculous, but one must consider that it would be unethical to - for example - risk a person's life when there is a treatment available that has been proven to be more effective than placebo.

With a sample size of one, perhaps nothing useful can be gleaned from my first-hand experiences, but I have attempted to corroborate my findings with other evidence wherever possible. I have deliberately avoided areas where another data point would make no difference: what use would it be if I too experienced anorgasmia as a result of SSRI medication, for example?

A great deal of our knowledge regarding the anatomy of the human brain has been gleaned from unethical experiments on unconsenting psychiatric patients - lobotomies, testing of medications and induced seizures. Animal studies have been gratuitously gruesome, with a great deal of unnecessary suffering inflicted upon primates. I'm not an anti-vivisection nutcase, but there must be very tangible goals to justify the means of obtaining the results.

To bathe a brain in psychoactive molecules that will cross the blood-brain barrier, is barbaric when we consider that the theoretical reasons why drugs have the effect that they do - the theories have so often been disproven. The 'chemical imbalance' theory that said that depressed brains had lower levels of serotonin, and that SSRIs would increase levels of synaptic serotonin, has been conclusively disproven, yet it is still a widely-circulated myth.

The much-vaunted sequencing of the human genome looks like a ridiculous white elephant of a project, when we consider that epigenetic gene expression had been discovered to allow genetically identical animals to exhibit completely different physical characteristics, depending on the environment that they have been exposed to.

In a collapsing global economy, education is one of the few sectors that's not feeling the pinch, and good solid science is getting drowned out in a sea of noise: pointless research. There are already excellent animal models which demonstrate that overpopulation and otherwise horrible living conditions, will produce a "behavioural sink" and addiction, in individuals who would otherwise lead happy healthy lives.

It has seemed fairly obvious to me from the start, that my mental health problems have stemmed from the ethical objections I had to the conduct of financial services organisations, and the role of global capitalism in ruining billions of human lives, in pursuit of unrestrained, unregulated and immoral profits, to the exclusion of any and all consideration of long-term consequences. In short: my problems should not be medicalised. I'm having a sane reaction to an insane world.

While this essay goes well beyond the "answer A, B or C" multiple-choice options on the prescriptive menu that is on offer, I feel that this does not invalidate the points I am making.

To have invested heavily in a mainstream education, would be to risk becoming incoherent with rage whenever somebody was so impertinent as to ask a thoughtful question - questions that spring into a mind that's unconstrained by the narrow status quo viewpoint, rote-learned while kowtowing to those with the necessary credentials to approve clones of themselves.

This is not "my ignorance is as good as your knowledge" anti-intellectualism, but instead a suggestion that we don't need so many people who've all read exactly the same books and sat more-or-less exactly the same tests. Moving towards intellectual homogeny is as dangerous as book burning, in my opinion.

In conclusion: this is a convoluted way of saying that you're unqualified to judge me, although you're possibly technically correct if you say that my problems are mostly of my own making.

Tags: #mentalhealth #suicide #addiction