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Suicide Saturday the 9th

12 min read

This is a story about time...

Anonymous Door

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.

 

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Never Don't Not Give Up Not Never No Way

11 min read

This is a story about paralysis...

Suicide Button

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

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

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

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

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

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

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

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

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

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

January.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

 

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Kevin Ghora with Vow-er

6 min read

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

Barbed Wire

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?

 

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The Flight I Never Took

7 min read

This is a story about missed connections...

San Francisco Flights

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

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

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

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

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

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

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

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

I was too sick to take my flight to America.

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

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

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

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

Twitter conversation

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

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

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

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

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

 

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Long Case

9 min read

This is a story about medical notes...

Hospital Note

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.

 

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Penultimate Day

4 min read

This is a story about relapse...

Booze

I've downed a whole pint of cold crisp refreshing lager before I've even realised I've done it. How I came to be in the bar in the first place is unclear, but I've greedily drained the contents of the pint glass and replaced it on the tabletop. A sense of "what have I done?" sweeps over me. Although I feel guilty - I have let people down; I have failed - I immediately decide to have another pint, and another, and another... until I wake up.

This morning was the first morning all year - more or less - that I didn't wake up and immediately think about reaching for a packet of pills.

"Addict!"

Hold your horses - things are a little bit more complicated. What would you do if you suffered from chronic pain? Would you just grin and bear it?

Perhaps the medication I have been taking for pain has inadvertently helped me to stay off the booze. Now that I only have one more day before I stop taking pain medication, a subconscious desire to get drunk has returned with a vengeance.

Every time I see beer & wine, I imagine that it would taste amazing and I get a mild craving to consume some. However, thankfully I can remember that alcohol didn't taste very nice after I stopped drinking for a period of over 4 months.

There's no reason why I'd stop taking my prescribed pain medication and become a teetotaller, except that I want to clear my head - I'm desperate to see what my brain is like, without the intoxicating chemicals I've been putting into my body.

My dream last night was very vivid, and the feeling that I had accidentally failed in my mission to temporarily abstain from mind-altering substances, was the strongest feeling: I was devastated. Then, in my dream I decided that if I was going to fail, I was going to fail spectacularly.

The fact of the matter is that I haven't failed at all. I'm spectacularly successful. Very few people are able to beat the demon drink, and especially not at the same time as quitting physically addictive medications and overcoming a heap of other shit too. I'm a motherfucking world-leading expert on sobriety and getting clean.

Skin-crawling anxiety, suicidal depression and a warped perception of time, means that the hands of the clock barely move as I wait for my brain to recover sufficiently, so that I can feel slightly better.

I wait. I wait and I wait and I wait.

To say that I'm white-knuckling the journey to being totally clean from all substances, is cruel and unkind. To accuse me of being some kind of "dry drunk" or to suggest that I'll always be an alcoholic and an addict is ridiculous. If labels and stigmas are going to follow me around forever, I'll be more than happy to return to substance abuse. I aim to confound prejudices - there's no point in suffering pointlessly.

Trust me - I'm suffering a million times worse than I ever did before, even when I was in the depths of stimulant psychosis. Even when I was in deep shit and completely messed up, that lasted for the blink-of-an-eye versus the round-the-clock awfulness I'm having to endure at the moment. I might've thought I was going to die at times, but now I really wish I had died.

Tomorrow I have 24 little hours to endure and then my recovery starts properly - every day after tomorrow takes me a little bit closer to normal brain chemistry. Every day that I manage to stay clean & sober after tomorrow will allow my body to restore itself to its natural state of homeostasis.

It's going to be like the world's shittest Christmas Eve.

 

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Help the Homeless

5 min read

This is a story about unintended consequences...

Trash strewn in the street

The UK's notorious tabloid rag, The Sun interviewed a grieving father & husband and quoted him as saying "I should never have let the bastard near my family" with reference to a homeless man who had been taken in by his wife. The British press variously reported that the woman - later murdered by the homeless man she'd tried to help - had given "her husband's dinner" to her killer, who also killed her son and badly injured her husband.

Quite unbeknownst to me, this news story had received widespread coverage at exactly the same time as I was taken in by a Good Samaritan - what risk, one wonders, to her children & husband if this is any kind of precedent?

Scanning the column inches for similarities between myself and the perpetrator of the double murder, the newspapers reported mental illness and drug abuse. My Good Samaritan collected me from a secure psychiatric institution on the day when the crescendo of media coverage reached its peak. During the car ride to the family home I explained that I had seen illegal drugs used by my parents on a daily basis, and we agreed that to do that in front of children is not normal, right or proper.

Perhaps my gracious hosts have been hoodwinked. Perhaps I have fabricated a story about my sweet innocence and a set of unfortunate circumstances that have come about through no fault of my own. Given the extraordinary amount that I have written, it seems like a rather elaborate ruse, to write extensively about my chequered past, even when it has clearly caused me more harm than good. Is it not true that I've left my readers in no uncertain doubt about my every misdemeanour?

Further digging through the archives of the internet, I found a newspaper which reported that the aforementioned homeless murderer had been diagnosed with borderline personality disorder (BPD). BPD was casually tossed into the mix by one psychiatrist that I met, as a possible additional diagnosis for my own mental health problems. The only official diagnoses I've received are clinical depression and bipolar disorder, but adjustment disorder also featured in some of my recent paperwork, although this did not appear on my hospital discharge summary.

I'm mindful that further comparison is not at all useful, and I find myself to be extremely stressed about what the kind family who has taken me in, might think about the fact that this matter has been on my mind. When I read the grieving husband's words "I wish my wife had never set eyes on him" I do worry that I never asked my own Good Samaritan "what does your husband think?" but then wouldn't the atmosphere now be a little strange if the reply had been "he's got some reservations"?

I would say that I have never searched my soul for any kind of malice, as extensively as I have done knowing that I would be residing under the same roof as a happy family with several kids. If I had the slightest suspicion that my behaviour could be erratic, then I would not find it conscionable to expose a family to any danger that I might pose.

That said, I'm aware that bonding with the family is taking place. I'm still deeply troubled by almost unbearable levels of anxiety, and suicidal thoughts intrude whenever I consider what the future holds. I'm hopeful that my state of mind will improve when my medication changes are done. I am however mindful that in the worst-case scenario, I do pose a risk to my own life, and although I would put some time & distance between myself and the family, it would be incorrect to say that it would have no effect on them if I were to end my life prematurely.

The question of whether to accept help is as difficult as that of whether to offer assistance to those who are in need. I'm incredibly lucky to not only receive aid, but also to be able to openly discuss the obstacles and difficulties involved.

You may be surprised to learn that these 700 or so words are some of the most carefully chosen I have written, out of over 700,000. I have been shown a great deal of love, care, respect and trust, and this is why the anger, bitterness, rejection and hurt of the past, that usually flows out from me onto these pages, has been replaced with a daunting sense of responsibility towards those who I am now close with.

I'm going to publish now, because it's been agonisingly difficult to write this.

 

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Shepherd's Delight

3 min read

This is a story about free will...

Red sky at night

Having spent the best part of a month in hospital, I am now convalescing in the Welsh countryside. It's remote, rural, peaceful and therapeutic, which is exactly what I need. Why on earth wouldn't I stay here, when this is the very best place I could be for my health and wellbeing?

If you believe in free will, then I'm afraid you're quite deluded. Every decision we make is heavily biased by circumstantial factors.

Having experienced the stress of moving to new places, getting jobs, making friends and otherwise climbing the greasy pole, I've got nothing to prove - I know exactly what to do and exactly what to expect. I have very little motivation to repeat the same well-worn moves that I learned a long time ago - I'm sick of playing the same old game. Rebuilding my life holds no surprises; only stress and misery.

Thus, I arrived at the decision to die, some time ago.

When you've decided to die, there isn't any fear of failure, shame, embarrassment or any of the other things which would usually predispose your behaviour towards more risk-averse choices.

If you look at my life choices through the prism of depression and defeatism - I have no desire to play by fucked up rules - things make a lot more sense than any stupid over-simplifications. Perhaps you think I'm infantile, immature and irresponsible? In actual fact, I'm not inflicting this shit on children who didn't ask to be born. I'm terminating the cycle of pain: somebody's gotta stand up to the relay-race of human misery, where fathers fuck up their sons.

I'm not critical of parenthood per se, but it would be irresponsible of me to spawn offspring of my own when my kid(s) might ask me one day "if you had a miserable life, then why did you bring me into the world?". Given that my children might ask about my own unhappy childhood, it seems unconscionable to take the chance that I could perpetuate that misery.

In a world of war, famine, climate change and spiralling problems, we are clearly on collision course with disaster. I don't want to add to the world's woes. To be yet another sharp-elbowed parent, concerned with the propagation of my genes at the expense of everything else, does not seem like a good idea when there's another option: to not do that.

I can end the male lineage and bury the surname "Grant" which I inherited from a heroin addict. I can do my bit and act in accordance with a conscience that encompasses more than my animal instinct to rut like a beast and impregnate willy-nilly.

Fucked up ungrateful entitled rich spoiled know-it-all brat says my shattered brain. I think about the people who've tried to help me; who care about me. I feel guilty that I feel so bad; still feel suicidal. Countless opportunities seem to be open to me - am I rejecting them? Am I throwing the 'gifts' that I have received back in the faces of the bearers? If I am ungrateful, so what?

My charmed existence has led me to a situation that's quite wonderful, but also exquisitely painful because of it - this isn't real life I think to myself. I can't stay here. The need to earn money to pay for debt and taxes will force me back onto the treadmill. The misery of the rat race is inescapable, except through suicide.

 

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Stroke

5 min read

This is a story about neurotoxicity...

Eye droop

What's happened to the left hand side of my face? My eyelid has drooped; my face is no longer symmetrical. Why do I have a facial tic? Why is my speech slow and slurred? Aren't these all symptoms of cognitive impairment; brain damage?

I decided to read back through some of my blog - I read from February through to June, when I was very unwell. I was surprised that a lot of it was gibberish - I thought that I had written with lucidity, but I had mis-remembered things.

As is so often the case with me, I dice with death and I dodge bullets. I'm still very sick, but I'm getting better. I'm going to make a full recovery. My speech is normal; my face doesn't tic and my eyelid no longer droops. The brain is a remarkable thing, but I do need to stop abusing my body.

A month ago I was livid; I was unbelievably angry. I was fighting for my income, my home and my liberty - I was fighting for my legal rights - and I was spitting venom; I was furious at being abused; mistreated; taken advantage of.

I re-read the lengthy blog post I wrote a month ago, which started OK, but then I got plunged into repetitive thoughts - you can tell that my brain was stuck on a loop and I repeated myself several times. It's surprising that I could express myself fairly well, given the circumstances. I imagine that it took me a long time to compose what I wrote, and I clearly struggled to remember what I'd written at the start, as I reached the end.

It's tempting to edit and airbrush history, but it's much more interesting to maintain a public record of exactly what I was thinking and feeling at a certain point in time. Inadvertently I also capture other details about my state of mind in the way in which I express myself.

I've now been writing for long enough to capture two periods of total abstinence from all mind-altering substances, including alcohol, caffeine and nicotine. I'm a lifelong non-smoker. I stopped drinking caffeinated beverages in 2013. During this particular period of abstinence, I've not drunk any alcohol for 35 consecutive days.

What's the net result of all this?

Me as a kid

Nah, I'm only kidding... that was me when I was twenty years old. However, I'm sure there's been a marked improvement now that all the crap is out of my system.

A few friends spoke to me soon after I arrived on the psych ward. Although I sounded like my old self and I was in good spirits, my recovery was only just beginning - friends who see me and speak to me on a regular basis report that I'm much improved from how I was a month ago.

My hair, my skin, my nails, my teeth, my breath, my sweat and most importantly, my brain - all of these things are completely different, now that I'm not glugging gallons of booze and popping loads of pills.

I cringe with shame a little bit, to think that I made myself very exposed and vulnerable at a time when I was very unwell - the public got a little bit of a behind-the-scenes peek at me when I was extremely poorly. You can go digging in the archives, if it pleases you, or you can take my word for it: there's no surprises and there should be no pleasure in gawping at somebody when they're sick.

If we've not spoken for a while, I highly recommend that you get in contact and we actually speak on the phone - my email is nick@manicgrant.com. You might be very surprised to learn that your friend is in possession of most of his marbles, and not the raving lunatic that you might have guessed I would be, after such a traumatic couple of years.

Recovery selfie

Here's another one for the photo album, taken only seconds ago. My left eye is not yet 100% and I'm still suffering a lot of brain fog and other recovery-related problems - it'll be a month or two before I'm fighting fit. My face still tics when I'm stressed, but it's less pronounced.

I'm struggling with horrible anxiety, depression and confusion; memory problems. None of this is a surprise to me - it's to be expected, given what I've been through and I'm still going through.

I've got no idea what I'm really writing about, or what my purpose is now. Is this still the world's longest suicide note, or am I now campaigning to end the stigmatisation and discrimination that our less fortunate members of society must face: the mentally ill, alcoholics, drug addicts and homeless people... the dregs that nobody wants to touch with a bargepole. I know that I want to be the voice of the voiceless, although I know how clichéd that sounds.

I'm swimming through a fog of confusion, but I know I'm slowly getting better.

 

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Notes on a Suicide - #WorldMentalHealthDay #WorldSuicidePreventionDay

8 min read

This is a story about slipping through the safety net...

Discharge summary

Exactly one month ago was World Suicide Prevention Day and exactly one month ago I was in a critical condition, on life support in intensive care. I was given a 50/50 chance of living or dying, following an overdose the night before. It seems sickeningly ironic that if the emergency services had reached me just a little bit later, I wouldn't be writing this. If I didn't live in the United Kingdom, where we have the best healthcare system in the world, I would probably not be writing this.

It was 9 years ago that I first sought help for my mental health. "Have you heard of fluoxetine?" asked my doctor, within 30 seconds of me explaining my symptoms: suicidal thoughts, low mood, low energy and an inability to get out of bed and go to work like normal. I was disappointed to be offered patent-expired generic medication, without a moment's hesitation. I walked away empty handed.

Clinical depression was where I started my mental health journey. Having the label "clinical" made a huge difference. To add that word - clinical - onto how I was feeling, was necessary to defend myself from anybody who might say "just snap out of it" or "pull yourself together". In my case, having a label was desirable - it wasn't an excuse; it was a diagnosis.

Every time I've gone to my doctor, I've been hoping to receive some counselling, but instead I got referred into psychiatric services as an outpatient in 2010. I was referred for Cognitive-Behavioural Therapy (CBT) treatment, but by the time I was assessed, my mood disorder had been diagnosed as type II bipolar disorder. The assessment concluded that my mood disorder was too severe to be treated with CBT. I was left with no psychological treatment. "What am I supposed to do?" I asked. "Go back to your doctor" came the reply. It was a devastating disappointment.

By 2011 I was so unwell that I was assessed under the Mental Health Act, to see if I needed to be detained in hospital - what is colloquially referred to as a "section". I begged to be hospitalised as I was suicidal. I repeatedly said the classic cliché that so many people will say when they are desperate for help: "I'm going to kill myself". Community Mental Health Teams (CMHTs), crisis teams and home treatment teams must hear those words so often.

With a shortage of psychiatric beds, there's a huge reluctance to "section" anybody. At the time of my first section assessment, my girlfriend and my dad were present, so the assessment concluded that I could be kept safe at home. In fact, I sawed a hole in the back of my shed, climbed over a neighbour's fence and ran away. The police were called to look for me because I was a danger to myself.

Soon after that, I was seen by a private psychiatrist, referred and admitted for 4 weeks of inpatient treatment at a private hospital. The cost was over £12,000.

There was some debate with my medical insurance company as to whether my bipolar disorder was acute or chronic. The insurance company said it was a chronic condition, and therefore not covered by the policy. The consultant whose care I was under, managed to argue - over the course of a couple of nail-biting weeks - that my presentation was acute.

Having to resort to the private sector; having disputes with an insurance company - none of this was conducive to getting better. In fact, having to find my own psychiatrist, get approval from the insurance company to even speak to the doctor and then having the stress of thinking that I might need to spend £12,000 of my dwindling savings, was an awful ordeal when I was clearly very unwell.

At the end of 2012 I got married and 8 months later I separated from my wife. She didn't care about the incredible stress that divorce and selling our house would put me under. I moved to London to live with supportive friends while my life was ripped to pieces. I lost my job.

By 2014, I completely slipped through the safety net. I took an overdose and lay dying of multiple organ failure on the floor. I managed to phone a friend who got me to hospital. After a week, the hospital discharged me to a hotel. I had two weeks to organise my own accommodation because no bed on a psychiatric ward could be found for me. My muscles were horribly damaged by the overdose and I was in agony. With a bundle of documents to prove that I was a priority case for emergency housing, I visited the local council housing department. The officer I saw promptly disappeared on holiday, abandoning my case. I became homeless.

After living in cheap backpackers' hostel, I reached my two week limit, which is a rule that most hostels have. I then started living in a bush in Kensington Palace Gardens. When it became apparent that living in a bush was not a long-term solution, I stumbled into nearby Paddington - St Mary's Hospital - and presented myself at Accident & Emergency. 12 hours later, I was given two weeks respite in a "crisis house". I tracked down the housing officer who I'd spoken to before. At the end of two weeks, I received a one-line email: I wasn't eligible for any help from the local council. Why? What now?

I was homeless on Hampstead Heath. It was very beautiful, but it was still summer. What was I supposed to do when the weather turned bad?

How had this situation come to be? I'd been a highly functional, productive and fine upstanding member of society: I'd had a successful career, paid taxes all my working life, bought a house, gotten married and done all the things we're supposed to do. What the heck was I doing homeless and abandoned by the state when I was obviously a vulnerable adult? My doctor had written a letter saying I was a vulnerable adult, and my psychiatrist had done the same. These letters had been presented to the local council housing officer, but yet it had made no difference. What have you got to do to get help in this country?

Eventually, I came to be living in the North of England, in an apartment which was a perk of a job I'd taken out of desperation. The apartment was miserable, dark and dingy, and I was terribly lonely. On the 9th of September 2017, I took a massive overdose, which I had researched on the internet to make sure it was likely to be fatal. I regained consciousness after having been in a coma, in hospital, on the 11th of September 2017 - I had completely missed World Suicide Prevention Day. A machine was breathing for me and I was put back to sleep. I didn't leave the intensive care and high dependency wards until the 12th of September 2017.

On the 13th of September 2017, I found myself discharged from hospital and left to flounder all on my own. I didn't want to go back to the apartment where I'd tried to kill myself. I've not been back there. I'll never go back there.

I was sectioned - a section 136 - after being taken to hospital by police. I had to make a massive public nuisance of myself in order to get help. The hospital upgraded me to a section 2, which meant I was going to be kept on a psychiatric ward for up to 28 days. Why now? I'd had two near-fatal overdoses, which had hospitalised me in a critically ill condition, but yet I hadn't been considered enough of a risk to myself to receive inpatient psychiatric treatment. Why did it take so long to finally get the treatment I'd been begging to get for 6 years?

The psychiatric ward discharged me from my section after 12 days, and another week later I was discharged from hospital - a good samaritan has taken me into their home. Again I wonder why no temporary housing was forthcoming, given the fact I am so vulnerable - I lost my job and my apartment due to mental health discrimination. I'm being victimised again & again.

I'm in a safe place now, but my food & accommodation comes from a charitable family who have taken pity on me, after reading my story on my blog - we clearly don't have a system that works for the whole of society. We can't all turn to Twitter every time we're having a mental health crisis.

My Twitter followers brought the emergency services to my door, saving my life. Through my blogging and social media presence, a stranger read about my desperate plight, and kindly offered to take me into the family home.

Today, I feel OK, but why have I been subjected to such a horrific ordeal? I very nearly succeeded in ending my own life, because no help was forthcoming when I really needed it - we're locking the stable door after the horse has bolted.

Using myself as a case study, the safeguards we have in place to prevent suicides are woefully inadequate. My first-hand experience of NHS mental health services, is that they're desperately underfunded and overstretched.

There will be so many tragic preventable deaths if we allow the current situation to persist.

 

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