This is a story about modesty...

It took 12 days to be "discharged" from my section - that is to say, to be allowed to leave the secure psychiatric ward whenever I wanted. However, it took 21 days before I was actually discharged from hospital: no vulnerable adult can leave hospital without a discharge plan, although I could have discharged myself against the advice of the healthcare professionals who were taking care of me, because I was a free man.

I'd been assessed to see whether I needed to be detained under the Mental Health Act at least 5 times. 6th time lucky.

When you find out for the first time in your adult life, that you're about to be detained against your will, I would've thought that everybody would have a similar reaction: "oh my god, I'm now trapped somewhere I might not want to be, and I don't have any say in the matter" which is distressing.

It's not so much that I didn't want to be in hospital; it's that I couldn't leave even if I wanted to. Although I wanted to be in hospital - because I knew I was very sick and in a dreadful situation - there was still a moment where I thought "oh shit what have I done?".

To calmly accept your plight is not something that would be anybody's natural reaction. Under such stress and shock, it's hard to recognise immediately that any attempt to fight against the system will lead to further difficulties. I was least surprised out of anybody that I got sectioned, having been the one who actually phoned the police to come and get me. Of course, escape is not hard if you're determined enough. I was conflicted - I was safe, but the price I paid was my detention: I lost my liberty.

Running away from a psych ward will result in the police being called to look for you. Britain's most dangerous psychiatric patients are kept in facilities which are far more secure than anything I experienced. I could have escaped easily and the police wouldn't have tried very hard to find me - I was a danger to myself but not others.

Our natural reaction to detention is to panic and start yelling for anyone who can possibly get you out - a solicitor, a social worker, a family member - and to start demanding your rights. There's a process that's got to chew you up before it can spit you out, and once you've just started the rollercoaster ride there's no getting off until the end - scream if you want to go faster.

Despite my messed up state, I knew that I had the right to appeal my 'section' with a tribunal supposed to happen within 7 days. I knew that my dad had the right to request my release, with a decision having to be made within 72 hours. I didn't have much hope that my dad would be helpful, so I requested an appeal.

It's so damn hard to get any treatment for mental health problems, beyond some cheap patent-expired generic medications or a computer-based Cognitive-Behavioural Therapy (CBT) thing. Inpatient hospital treatment, paid for by the NHS, is only given to very unwell people or exceptionally stubborn & determined people. However, when you have been admitted to hospital once as an inpatient under a section, you might struggle to ever escape the revolving doors.

Many of my fellow patients had the same story - they were released from hospital, stopped taking their medication, went mad and were brought back into hospital, where they were forced to start taking medication again... eventually being released and starting the whole process again.

Note, when I say "forced to start taking medication" I literally mean that they were held down by a whole gang of hospital staff members and forcibly injected against their will.

It would be stupid to argue that psychiatric medication is entirely unhelpful. However, one should be mindful that a perfectly sane person who had been taking powerful antipsychotic medication, would experience extremely powerful withdrawal symptoms if they stopped. Antipsychotic withdrawal symptoms are indistinguishable from the spontaneous psychosis that occurs in a person with a mental illness - how can one distinguish between a madman and somebody who's experiencing the perturbations of a brain that's readjusting to medication-free homeostasis?

As we move towards a world where the majority of us suffer near-debilitating levels of anxiety and depression, and psychiatric medications are dished out like candy from general doctors who have no specialist training in the treatment of mental health problems, are we diagnosing disease when we should be looking at what a person's life circumstances are like?

Ironically, I was diagnosed with adjustment disorder, which is to say that I simply couldn't cope with stressful life events - a clinical label for an intolerable clusterfuck of dreadful stuff which could happen to anybody. There isn't a pill for adjustment disorder, yet, although a bottle or two of wine each night is often chosen as self-medication.

The stress of living with 20+ mentally ill men in a locked psych ward is something that most people would not adjust to particularly easily. The 4 walls of my home were replaced with a curtain, which was opened every 15 minutes by a nurse or a support worker to observe what I was doing.

I think psych wards are necessary and I'd rather have the apparatus that treats mental health problems, than not have it at all. This is not an essay that criticises mental health treatment or the hardworking professionals who care for people with mental health problems. I write merely to reflect on my journey through the mental health system, which finally ejected me yesterday. I'm coming to terms with the fact that I was discharged from hospital, and today is the first time in weeks where I have woken up somewhere I can leave without having to ask permission.

Yes, I think that sums up yet another Earth-shattering overnight change to my life: I've gone from a flimsy curtain and a locked door, to 4 solid walls and I'm free.

Tags: #hospital #nhs #mentalhealth

This is a story about the comeback kid...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Answers on a postcard to Nick Grant, Planet Earth.

Tags: #suicide #depression #mentalhealth #bipolar #career

This is a story about therapy...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Tags: #mentalhealth #bipolar #suicide #depression #hospital

This is a story about the straw that broke the camel's back...

You'd think that the closest I ever came to finishing this suicide note - and ending my life - would have been the time both my kidneys failed and an old ankle injury made it almost impossible to work. I also lost one of the best IT contracts I've ever had and became hooked on legally prescribed pain medication, which pretty much scuppered my ability to get another contract. I was running out of money fast, but struck down with physical and psychological problems - depression - I could barely function.

My girlfriend at the time was exhausted after spending weeks in hospital with me, while the survival of my kidneys was in doubt. She came to all my outpatient appointments. She helped me hobble around and get my prescriptions for my pain. Then, I dumped her. She was exhausted and she'd just been to Cornwall - Land's End - to meet her new nephew. I had a crisis while she was away and in her state of tiredness, she couldn't think straight. In the state I was in, I needed her help, but to me she didn't seem to care - that was my warped perception, at least. I immediately broke up with her, because what seemed like life or death to me didn't seem to matter to her due to compassion fatigue and physical tiredness. To my messed up mind it seemed as if she didn't care about me, when I desperately needed her help.

Having no girlfriend, no job, no money, bad health and a ridiculously expensive riverside apartment to keep up the rent & bills payments on, losing a loan that had been promised to me by my girlfriend, further compounded a dreadful situation.

I sold a lot of my most precious things, even though I knew that the money would barely cover a month's rent. Being a high earner, most welfare benefits were inaccesible to me and to have a black mark on my credit score would preclude me from ever working in banking again.

I became hopeless, resigned to a fate of eviction, bailiffs, debt collection agencies and destitution. The best option was to spend 28 days in hospital, said my psychiatrist - at least I would be safer there.

My trigger finger was itchy, but I knew that if I could beg a sofa or spare bed to sleep on, I would at least avoid another period of homelessness. One of my Twitter followers offered her spare bedroom and things briefly looked up, but then she changed her mind. One old friend offered to put me up in a bed & breakfast for 2 weeks, which would have been welcome respite. An old schoolfriend said if I was desperate I could couch-surf in his 1-bedroom apartment, where he has a 4-year-old daughter. Three offers, which gave me a momentary boost, but at the same time, it's somewhat depressing that of all the people I know on Facebook and Twitter who have generously proportioned houses, nobody else even offered to let me pitch my tent in their back garden... my experience of dealing with the local council and government benefits system means that you're just plain wrong if you think all those taxes you pay mean you won't end up sleeping rough, if life doesn't treat you well.

I always had a plan - 336 tramadol tablets - that would virtually assure me a swift and painless death, but I always felt a few steps removed from actually following through with it.

I'm so exhausted and unwell at the moment, in a stressful (but rewarding) job that it took hardly anything to push me over the edge to the most suicidal I've ever been. Losing my new local girlfriend and the accompanying social group, would be too much to bear, when I haven't the energy to grieve the loss and to pick myself up again.

There was no doubt in my mind about what the plan was. I could visualise the steps. It took every ounce of effort and willpower to overcome the urge to simply empty the 336 capsules into a small glass, add some other opiates that would cause respiratory arrest, and them simply get drunk until I passed out... probably less than 60 minutes, and I'd have departed from this world.

It might seem rash; an overreaction, but the rollercoaster ride I've been on has left me without a single percent of spare capacity. Even something minorly inconvenient or unexpectedly going wrong, can cause a seemingly disproportionate reaction.

I wasn't scared. I wasn't hesitant. It would have been done, and that would have been that. Call it a strength if you like - I can take bold fearless actions, even if they would certainly cause my life to be ended.

The scary thing is just how quickly I would have acted, having started the process. Less than an hour, to be a cold white corpse with purple lips and rigor mortis setting in. "Will I feel differently in an hour?" I asked myself, hypothetically supposing that I delay my deadly potion in order to see if my mood changed.

Luckily, I acted positively and pursued a more favourable resolution to what was almost certainly going to be a breakup. She said she wasn't going to pick up the phone or reply to my messages, which would perversely have only accelerated the commencement of my death ritual.

While it looks like a sudden thing to do over a very trivial trigger, things have to be seen in the wider context. I know how depressed and lonely I was before I met this girl and her friends. I know that the effort involved in courting her almost cost me my sanity, stability and job. I know how hard things have been at times during the umpteen years I've been diagnosed with clinical depression. At some point, you're so sick of a miserable life, that you'll gladly welcome the end of the suffering.

I felt a little bad about leaving the project I was working on unfinished, but I'd done the hardest bits, so most of it that was left to do was copy & paste.

I didn't feel any sadness or guilt, for depriving friends and family of the living version of me. Less than 1% of the people I'm in contact with, offered any kind of assistance when I was in a crisis. Basically, I mean fuck all to anybody, no matter what they say.

I'm sleep deprived and my brain chemistry just isn't right at the moment, but still, I know when it's time to go - you get sick of all the bullshit of living, Being alive is over-rated. It's been mostly suffering for me (boo hoo! get the violins out).

So, that was the time I nearly killed myself, deliberately... a close shave.

Tags: #suicide #depression

This is a story about mass consumption...

"I need to stop drinking so much" I think to myself ridiculously frequently. Alcoholic drinks are very fattening and I'm not doing enough exercise. A combination of a sedentary job, depression and a physical injury, have conspired to give me every possible excuse I need, to spend my spare time in a state of intoxication. Banks grease the wheels of commerce - so we are taught in economic theory - and alcohol is the oily lubricant for every kind of social situation imaginable: births, weddings, celebrations & commiserations. I doubt the United Kingdom would achieve a fraction of its productivity, without the motivation of knowing we can have a beer or a glass of wine, when the working day is done.

It should come as no surprise to you that having lived on the ragged edge my whole live - an adrenalin junkie and extreme sport enthusiast - I would turn every knob and dial up to "11", give it 110% and to take things TO THE MAX, yeah!

The UK's chief medical officer recommends that I drink no more than 140ml of alcohol per week, which is 20ml per day. A conservative estimate for my current alcohol consumption would be 100ml per day, which is 5 times the recommended healthy limit. Each week, instead of drinking 140ml, I am drinking 700ml at least.

I have 3 pints of 4.8% strength beer after work, with my colleagues. An imperial pint is 568ml, and 4.8% of 568ml is 27ml. My daily allowance is 20ml of alcohol, so a single pint of beer already exceeds my daily drinking allowance by 35%. By the time I've drunk all three pints, I've had 82ml out of my weekly allowance of 140ml - 59% gone in a single social outing, and just 41% left for the rest of the week.

I have a bottle of wine at the weekend - a two glasses on Saturday, and a glass with my Sunday lunch. Wine bottles contain 750ml, and wine is around 13% ABV, so therefore that adds up to 98ml more alcohol, on top of the the 82ml I already drank, making a total of 180ml for the week - an excess of 40ml versus my recommended weekly allowance, which is 29% more than I'm supposed to consume.

The reality is that I easily drink two pints of beer or ⅔ of a bottle of wine each day. 14 pints of beer contains 382ml of alcohol. 3.5 litres of wine contains 455ml of alcohol.

Does that make me an alcoholic, you must be wondering.

My psychiatrist accused me of being an alcoholic, to which I replied "pish and fibble; what flabbergasting nonsense". We can do some easy calculations, to work out if I am an alcoholic or not.

Let's take the worst-case scenario where I consume 100ml of alcohol per day. Ethanol is metabolised at a constant rate in the human body. That is to say, the quantity of blood in your alcohol-stream does not follow some kind of exponential decay calculation. Assuming I drink for 4 hours each evening, by around 6am in the morning, I'm completely sober. This means that I'm stone cold sober for 13 hours out of 24, which is 54% of the time. This simple mathematics shows that I'm not an alcoholic, quod erat demonstrandum.

My psychiatrist is clearly not capable of recalling her basic medical training, which would have taught her that alcohol is metabolised by the liver in a completely different way to more complex molecules. Very specific proteins and enzymes are required to chemically decompose inorganic (i.e. invented in a laboratory) medications. We can do a simple test, to again prove whether I'm an alcoholic or not.

Again, taking the worst-case scenario where I consume 100ml of alcohol per day, if I was to abruptly stop drinking alcoholic beverages, we should expect me to exhibit alcohol withdrawal syndrome within a few days of sobriety. Assuming that I suddenly ceased all alcohol consumption, I should - at the very bare minimum - get shaky hands and other physical symptoms that would prove that my body has become physically dependent on alcohol. The fact of the matter is that I can stop drinking for 2 or 3 days, and suffer no ill effects beyond a psychological craving for intoxicating liquor. This simple test, again shows that I'm not alcoholic, QED.

Despite the failings of my highly qualified physician - my psychiatrist - who has specialised in the alteration of brain function through the blunt instruments of psychoactive medications, she unarguably stumbled upon a truth in amidst her lazy and untrue accusations of alcoholism: I do drink too much.

Another definition of an alcoholic or an addict, is somebody whose life is adversely affected by drink or drugs, but who does not respond to the negative consequences in a rational manner. If you put your hand in a fire it hurts, right? So, why would you put your hand in the fire again? The perverse behavioural pattern of continuing to act in a way that is undeniably harmful, has also come to be recognised as another definition of alcoholism and addiction.

One only needs to consider the question "why do people smoke?" to see that there is grey between the lines. Smoking is expensive, makes you smell, stains your teeth and makes your mouth taste unpleasant to any non-smoker whom you kiss [with tongues and stuff] - these are the immediate consequences of smoking tobacco. In the medium term, smoking will give you a revolting phlegmy cough as well as literally burning enough cash to purchase a reasonable quality second-hand motor vehicle, or enjoy several foreign holidays. In the long-term, emphysema and lung cancer will bury smokers in an early grave.

It's oft-quoted that "the liver is the only organ in the human body that can repair itself" but this is patently untrue. Chronic cirrhosis - scarring of the liver - will not heal itself. Conversely, many drug addicts who have overdosed and been declared "brain dead" have gone on to make full recoveries, despite a consensus of medical opinion that life support should be withdrawn. The BBC commissioned Louis Theroux to make a series of documentaries about life in Los Angeles, and the episode entitled "Edge of Life" recorded the 'miraculous' recovery of a man whose brain was deprived of oxygen for at least 12 minutes, which is well beyond the limits of what we believe any human to be able to withstand.

Many of those who have been unfortunate enough to be a victim of a stroke, will go on to recover the ability to speak, walk and recover other functions that were lost as a result of brain injury - this is underpinned by the inherently plastic nature of the brain. Plasticity does not mean 'made of plastic' - it means adaptable to change, including the ability to recover from trauma.

An alcoholic may easily consume a litre of vodka per day - perhaps some 400ml of alcohol - which would equate to 2,800ml of alcohol per week. Given that the recommended weekly intake for a man or woman is just 140ml, alcoholics - of whom there are very many - consume at least 20 times as much alcohol as they should do, according to the UK's top doc.

It seems unsurprising that somebody who drinks to an incredible level of excess - where they are intoxicated from the moment they wake up to the moment they lay their head to rest - should sustain an injury to their liver, rendering the organ irreparably damaged.

This essay does not seek to argue that I would not benefit - in terms of my physical and mental health - by abstaining from alcohol consumption. However, one must be mindful that drinking is endemic in UK culture and to be a non-drinker would impose significant societal pressures and judgements upon me. I have, in the past, been falsely accused of being a "recovering alcoholic" merely for the reason that I chose to be teetotal for a period of over a hundred consecutive days. I decided to be alcohol abstinent for a competitive challenge - one of my best friends had completed a period of 100 days of sobriety. In the end, I beat his sober-streak by 20 days.

If you're concerned about your alcohol consumption, drug habit or the quantity of psychoactive medications that you guzzle into the cavernous hole in your face every day, then you should simply ask yourself this one question:

Are you shovelling more and more mind-altering substances into your body each day, or have you found a steady quantity that satiates your want and need for intoxication?

While you fret about eating a 'balanced' diet and being 'healthy' you forget that for 4,000,000,000 years, organisms - just like us - have had to cope with a world that's too hot, too cold, too acidic, too alkaline, too oxygen rich, too carbon-dioxide rich, too sulphurous, too contaminated with arsenic & other toxins, and generally fucking hostile to anything that we define as 'alive'. Humans inherit all of the many abilities to deal with everything from the icy wastes of the frozen poles to the dry & scorching sandy deserts.

The ubiquity of alcohol represents the antidote to the curse of becoming self-aware; the torment of perceiving our own mortality; the torture of realising that life is fucking bullshit, and we all die alone. If we don't go crazy we'll lose our minds.

I do not seek to dissuade alcoholics from seeking treatment, nor do I encourage anybody to recklessly endanger their health. I would hope that any reader who has been able to follow the thread of my thesis to this point, would be able to see that I'm mounting a robust attack on those who seek to perpetrate alarmist & sensationalistic nonsense, onto a populace who have been harmlessly intoxicating themselves since well before any form of any recorded history.

If you are teetotal, I applaud you and I advise you to maintain your alcohol-free existence, but you probably possesses some characteristics that predispose you towards abstinence, not shared by your brethren who imbibe intoxicating liquor. Please; do not smugly think of yourself as morally superior.

By happy accident, I never addicted myself to nicotine, so I look upon smokers with a detached sense of amazement that tiny quantities of a plant alkaloid - in the order of a grain of salt - can induce antisocial behaviours in those who are in the vice-like grip of nicotine: a chemical compound whose psychoactive properties are formidable. I apply a cool objective reasoning that I am able to enjoy, to other addictions that I do and do not partake in.

It's Friday, and in the time that it has taken me to compose this essay, I have consumed 35% of my weekly alcohol allowance.

Cheers!

Tags: #alcohol

This is a story about depression and burnout...

If there's one thing I hate, it's a long drawn out journey to the grave. I really don't want to be on my deathbed, remembering the past, but unable to distinguish one day from any other. So many of us are in a routine of waking up, pressing the "snooze" button, having a shower, getting dressed, going to boring bullshit jobs, coming home, watching TV, preparing some food, loading the dishwasher, doing washing & ironing, and having joyless sex or masturbating to pornography - all purely to relieve the animal urges to copulate, eat, drink, piss, shit and sleep.

Life offers very few opportunities for memorable experiences, especially if you have made the ethical decision not to clone your genes through the impregnation of yourself or somebody else. This does not automatically mean that I consider myself morally superior or in a position to hand down judgements from my high horse. To write emotively on one topic does not logically confer that I hold negative views on those who have embarked up the one-way street that is motherhood or fatherhood. Please; do not send me your protestations that being a parent is both tough and rewarding. I KNOW that parenthood is something that I have no first-hand experience of. I DO respect everyone's unique set of life decisions - everyone's gotta live their own life as best as they see fit, and are able to do, playing the cards that have been randomly dealt to them.

My approach to life remains very much the same as it's always been: high risk, high reward.

I joked with a girl - mocking her - that I had fathered a string of illegitimate bastard children, and was being mercilessly pursued by the Child Support Agency (CSA) for money to pay for the upkeep of these offspring that I had carelessly brought into the world. She thought I was being serious.

So, where is all my wealth hidden? I've been a top-bracket taxpayer for most of my working life. Surely I can't have squandered so much disposable income on drink & drugs, and also been able to have a successful career. This is either unthinkable, or grossly unfair that I've had such a surplus, but yet still managed to snatch defeat out of the jaws of victory.

I've paid for convenience whenever I've been able to. Why would I clean my toilet, when I could pay somebody less than I earn per hour? While the cleaner has the close encounter with the porcelain throne, I could be working on a more glamourous project that pays very handsomely. It's a false economy to clean your own toilet, just as it is to do all of the many household chores, which can be done by a professional housekeeper.

When you apply this cost:benefit analysis to your entire life, you end up spending 37.5 hours a week reading news websites and planning your next holiday; enjoying a lifestyle that is approaching the much vaunted "age of leisure".

If you think I'm lazy, you're wrong. Only a crazy person would do the same repetitive tasks that they could easily automate, or train somebody who's prepared to do the work - subcontracted or outsourced - for less money, which leaves you with a net profit AND you don't have to do the shitty job. Repeat this process, because it is scalable, and you're on the right path... assuming you want to be rich and have lots of spare time. Perhaps you LIKE punching meaningless numbers into spreadsheets. Perhaps you WANT to clean toilets.

I looked at a list of the seven deadly sins, and realised that I could be a poster boy for Christian immorality.

If you've ever taken an interest in astrology and the signs of the zodiac, then you're easily fooled by writing that is deliberately ambiguous, leaving the interpretation to the reader, to apply to his or her own life. Religion has made a healthy living out of contrived platitudes that are completely meaningless in the context of the realities of human existence. The Bible, the Qu'ran, the Torah and all the other religious texts are so written as to be [mis]interepreted by the faithful flock.

One might as well say that if you breathe air, drink water, consume fats, proteins, carbohydrates, salts, amino acids and other vitamins and minerals, as well as trace amounts of every element & chemical compound, then you're a doomed sinner. If you urinate, defecate, ejaculate and perspirate, you're going straight to Hell. The demons that walk amongst us, corrupting our innocence and threatening to plunge society into chaos and destruction, are those who fornicate, copulate and enjoy fellatio or cunnilingus. The fact that all of these things are encoded into the very fabric of our corporeal vessels - the DNA of almost every cell in our body - is a fact that seems to have escaped the notice of those who are so easily conned by priests, vicars, preachers, witch doctors, shaman, tarot card readers, astrologers and other snake-oil salesmen and women.

I imagine I'd be pretty bummed if I found out I had an incurable terminal illness that was going to cut my life short, versus my expected lifespan. What would I do about it though? Which god should I pray to?

As a wise friend of mine said, you can be tricked by your genes into believing that love and hormonal bonding are real and tangible. If you think that parents, grandparents, great grandparents - and so on - are somehow going to end up 'less dead' than the people who didn't try to clone themselves, you're wrong. Even in the most anthropocentric & egocentric of interpretations of theoretical physics, you will have to witness the death of everybody you know, as well as the destruction of the planet, the solar system and the galaxies. Eventually entropy will be victorious over the entire universe, with time itself ceasing to be a meaningful concept and nowhere for you - or indeed anything - to exist.

If you believe in god(s) capable of making man and a world fit for human habitation, then you must also accept that this power is equally capable of destruction. He taketh away as much as He giveth - you can surely see this with your own eyes. This is the other side of the same coin that says that an infinitely small point, with infinite density and infinite energy, suddenly exploded into a universe. Following the same reasoning, either the universe will eventually collapse back into itself, by the force of its own gravitational pull, or it will expand until it is so uniformly cool and sparse that it is indistinguishable from the most perfect of vacuums - absolute nothingness.

I look at the world through a madman's eyes - I've read so much and delved so deep into the realm of the theoretical, proven in physical experiments as well as experiments that one can conduct through logical thought alone. I've seen, in my mind's eye, things that cannot be unseen. As Douglas Adams joked, if you see too much of the universe all at once it will destroy you - it's the ultimate torment; the ultimate death.

In an uncaring universe, I can see why people would seek comfort in the fairytale worlds of sky monsters and star signs, but it's pure childishness and immaturity. However, I envy the blissfully ignorant; I envy the blindly faithful, unshakable in their wilful stupidity.

I've worked very hard to master the machines of pure logic and reason - the computers - as well as spending most of my hard-earned wealth on lengthy periods, where I have absented myself from the demands of menial day-to-day existence. I told you that you were wrong about me having squandered my money on drink and drugs. The vast bulk of my conscious waking hours have been spent in startling sobriety; completely crystal clear thinking.

I carved three deep gashes the length of my forearm, with blood gushing out aplenty, before the arrival of two Metropolitan Police officers interrupted me. I can give you the long and exact chain of decisions that led me to do this, which were robustly defended by a logical thesis. That the police arrived was not a surprising outcome for me; in fact I had already anticipated everything that happened that day. The only thing that surprised me was that I was able to bandage my self-inflicted injuries using an actual first aid kit, which I discovered by chance, rather than having to resort to sanitary towels, kitchen roll and sellotape.

You would think that I would be completely insane, completely alcoholic, completely drug addicted or perfectly healthy, contented and conspicuously rich. Scratch the surface, and every saint has a past and every sinner has a future.

If you think the world's gonna end, why hasn't it already? If you think everything's held in stable equilibrium, you simply haven't looked outside your front door: it's fucking war out there and nothing is stable at all. Civilisations destroy themselves and species go extinct - there's evidence of it everywhere.

Thus, you discover me - a distilled and concentrated form of sinner; completely unrepentant and embodying everything you were told in church to fear and shun; the very epitome of evil. Yet, I'm made of the same stuff as you.

I invite you to judge me; to critiqué me. I invite this criticism, because how can good exist, without evil?

Tags: #career #depression #suicide #bipolar #physics #religion

This is a story about changing beyond recognition...

This 25 year old Londoner was hopelessly addicted to kitesurfing, and had secured a job in Bournemouth, where he would work mornings and evenings, leaving his afternoons free to go to the beach. Working for a huge international organisation, he had secured a ludicrously good deal - salary and relocation allowance - and the Human Resources (HR) people who he negotiated with had no idea that the real prize was to be able to kitesurf every day.

Despite being confident and outgoing, he was hiding crushing insecurities about his attractiveness to the opposite sex - a complete lack of self-esteem - and was struggling to find the girl of his dreams, who would be the cherry on top of a lovely cake. Being a hopeless romantic, and pretty inexperienced despite his 25 years on this Earth, he could fall in love at the drop of a hat and be heartbroken when a simple fling didn't turn into anything more serious.

Overcoming his ineptitude with women, he got together with a girl who looked perfect on paper and she was a pretty and petite blonde. He was smitten. She was a science graduate and a computer programmer. She even worked for a client that he'd worked for 6 years before, and he knew many of her colleagues.

In the words of one of his best friends, she was a "conversion project". He would teach her to kitesurf, and then they could travel the world together, chasing warm wind, soft sand and water that was mirror flat or had perfect waves. Brazil, Venezuela, Cape Verde, South Africa, The Canary Islands... there was an endless list of exciting countries to visit with this beautiful girl, and kitesurf together.

There she was, giving it a damn good go in Poole Harbour, under his tuition. Why she was wearing a buoyancy aid in water that's so shallow you can stand up in it, was anybody's guess, but I guess it made her feel more confident. Kitesurfing in those days was super dangerous - the emergency release mechanisms were just being developed, and if you let go of the bar, you'd be dragged along out of control, like being tied to the back of a speedboat being driven by a maniac, until you crashed into one of those harbourside houses.

After a year, he decided to propose. He asked her dad's permission. He did all the things that he thought he should do: buy a house, get married, get a pet, have kids. Thankfully - for the kids' sake - they stopped short of doing that last one. Just looking after their a cat had a very strong bonding effect. Their cat is probably the reason they stayed together as long as they did.

They got married in Hawaii, of course. He was allowed to wear flip flops, but not board shorts. In fact, he had a tough time from bridezilla for almost the whole trip until he put his foot down and said he just wanted to sit by the pool or on the beach, drinking ice cold beverages. She wanted to be sightseeing in a decrepit camper van that they weren't insured to drive. He checked them into a luxury hotel, which cost a small fortune - it was Christmas time after all - and finally, for a brief moment, he had a tiny bit of holiday relaxation.

Notably, they didn't take their kites or kiteboards. Travelling with a wedding dress and linen suit was a teeny bit difficult, but not as hard as lugging a 30kg bag that's nearly as tall as person. However, Hawaii has wind, waves. warm water and beautiful sandy beaches. Barely a few hundred metres from where Barack Obama was spending his holiday break, our missing young man was forced to try pole dancing (windsurfing) for the first time, in desperation to get his 'fix'. There was the shame and indignity of being a beginner windsurfer he was an experienced kitesurfer in a paradise location, who could have been having the time of his life.

After landing at London Heathrow, after over 20 hours of flight time, it turned out that his new wife had used an online booking website to arrange the taxi home, but had not accounted for the fact that they would be away over New Year's Eve. An innocent mistake, but it left them stranded, exhausted, in the middle of the night.

Within a month, he was in private hospital. It was all too much for him. She would rage and throw tantrums when things didn't go her way. He would bite his tongue and try to fix everything. The pressure to please her was unbearable... but it was never enough. He'd bought her a hot tub because she said she had loved having one in California. He'd shown her the world, staying in the best hotels and eating in the best restaurants. He'd married her in one of the most romantic destinations you could ever choose, and he'd even agreed not to wear board shorts. She was threatening divorce while he was sending her a different flower every day, from hospital, to show he still loved her. Despite him being a generous lover, she was on 'no strings attached' dating websites, looking for sex.

If crêpes Suzette, flambéed at your table, with the best views of any restaurant in Malta, is not enough to whisk a girl of her feet, he was left bamboozled as to how he could possibly please her. He was completely naïve, believing that if he treated her like a princess, she would love him as much as he loved her. He was wrong. It hurt and he was heartbroken.

It made no sense. People would come to their summer garden parties and be served home-made burgers and marinated chicken, plus endless varieties of sausages hot off the barbecue, while a range of delicious salads that she had prepared, were laid on for the vegetarians and to garnish the plates with. Fire pits and patio heaters kept people warm after the sun went down, and there was the hot tub kept at a toasty 38 degrees (100 degrees Fahrenheit).

It made no sense. People would come out for trips on his boat to see one of the largest natural harbours in the world. Him and his wife were a natural host and hostess. They were a great team when they were entertaining guests.

For her birthday one year, he took her in his boat up the Wareham River, moored up outside The Priory Hotel, and they ate lunch on the patio, which was some of the finest dining in Dorset - cooked by Michelin star standard chefs - with beautifully manicured lawns leading down to the river bank.

Why they quarrelled and grew apart is a mystery. She wanted to learn to sail and he was an RYA dinghy sailing instructor and experienced yacht skipper. She wanted to rock climb and he had the qualifications and experience to teach her. She wanted to climb mountains, and he had spent months in the high Alps and was a mountain leader (guide) experienced in dealing with emergencies, working with groups of varying ability, and acclimatising to altitude. He taught her how to snowboard and was grinning from ear to ear when she followed him off piste without a moment of hesitation.

However, he was baffled and slightly insulted that she spent a lot of money to go and learn from other people. He'd taken her sailing multiple times, and taught her a lot. He'd taken her rock climbing, and shown her the ropes; pardon the pun. He'd taken her into the mountains and shown her the basics of navigation, safety, route planning and even how to retreat when things don't go to plan. That's our missing man and his ex-wife, in every picture above except the mountain one. where he's the one taking taking the photo.

He was, undoubtably, looking for the love of his life, but married the wrong person. Friends warned him that him & her weren't a good match. "The poison dwarf" was too hot to handle, especially for a sensitive guy who was relatively inexperienced with women and still nurtured the Disney "happily ever after" idea of finding true love. He mounted a kindness offensive - an attempt to satisfy her every whim, her every ambition, but yet it still wasn't enough. He was delicate. She was aggressive.

It made him sick - mentally unwell - all this arguing and rejection. He wanted to just grab her and squeeze her tight until she felt safe and loved. Maybe that was the problem: she felt trapped and smothered. They met when she was only 23, which I guess is quite young, considering that he proposed when she was only 24. For their parents' generation, that would not have been unusual, and he did things the old fashioned way: buying a house to start a family. However, she complained she hadn't seen enough of the world; experienced enough of life's adventures. He set out to rectify this, but what she was really saying is "I'm not ready to be a one-dick woman just yet".

His best friend coined the phrase "conversion project", which is to take a girl and turn her into a kitesurfer; a sailor, a climber; a mountaineer. This friend literally asked "are you ready to be a one vagina man?". Soon after that, this friend went on a trip to sow his wild oats across Scandinavia, before coming home to marry the poor girl who'd had to tolerate this temporary break-up in the full knowledge that his motive was completely unreasonable. They're a happy couple with twins and a lovely house now, so maybe he was right. At the time, his wife wanted to punch his friend in the face or testicles, or probably both.

Before his petite blonde wife, the happy smiling 25 year old - pictured when our story began - had tried to make it work with a kitesurfer who lived 186 miles away, and nowhere near the sea. He'd tried to make it work with other kitesurfer girls too. An incredibly beautiful Burmese kitesurfer girl seemed to be flirting with him when she was on holiday with him in Sardinia, but he was so shy and inexperienced, he didn't dare try to kiss her.

Our missing man tried to make it work with his wife, again and agan and again and again, and eventually it broke him. He broke down and sank into depression, bipolar disorder, alcohol abuse and made a stupid mistake which was his ultimate demise: the abuse of legal highs. This was the beginning of the end.

In the chaos, confusion, stress and trauma of divorce, selling his house, saving his most precious possessions, leaving the town he'd called home for 8 years and all his friends... all mixed in with toxic additives like mental health problems, addiction and alcoholism, he was a little lost boy. He's been missing for nearly 11 years. There have been times when somebody who appeared to be him popped up briefly, but like an apparition, he melted away into nothingness again.

Is it any wonder that he disappeared? He gave so much of himself away - his love - trying to make relationships work; trying to make girls feel special and cherished and loved and like princesses; trying to please; loving unconditionally.

This blog contains the bitterness; the accusations of wrongdoing - the evidence of the inexcusable and terrible behaviour that was perpetrated against the author. This blog tells the story of why that young man went missing, and why he's still missing. Perhaps why he'll never be found. If he's missing, perhaps, you shouldn't search for him.

Perhaps there's no place in this world for a naïve little boy who has so much love to give, but nobody to give it to. So many times in life he was left reeling, hurt and wondering what he did wrong, when all he tried to do was to be as nice as he could possibly be. Perhaps that silly little boy got it all wrong, and life's not about being nice and kind to people; it's about using people and getting what you want at all costs. The boy was not made for this world - he was like an alien from another planet.

Look at this old man. Look at the sadness that he tries to hide, but something in his eyes betrays him. He knows he's nothing like that happy smiling 25 year old young man, photographed 12 years ago. He knows that all the kings horses and all the kings men couldn't put him back together again. He knows that whatever it was that happened, it damaged him badly. Unconditional love, infectious happiness, a sense of contentment and the enthusiastic exuberance that characterised our missing little lost boy, are qualities that this old man doesn't possess - they're completely different people.

It's a tragedy when we lose somebody who brought fun & excitement, adventure & exhilaration, thrills & spills, into people's lives. It's a tragedy when many lives are touched - improved - and then we lose that person.

I don't think we'll ever find him though. He's gone forever.

Tags: #relationships #depression #bipolar #mentalhealth #alcohol #drugs #suicide

This is a story about home treatment...

This is what the Conservative government's 1990's Care in the Community policy looks like, in practice. An extremely low-paid NHS worker, who isn't trained as a mental health nurse, is dispatched on public transport to travel across the London borough of Tower Hamlets, to bring me a bag of medication. They're supposed to check that the old packets are empty, which 'proves' I've been taking my medication. They're supposed to escalate any problems to nurses and doctors, back at base. If they can't find me or get in contact, they're supposed to ring the police.

It's that final point that's the important one: the police got co-opted into this half-baked scheme. Of the people the police deal with - the front-line officers - most of them will have mental health issues. The police are picking up the pieces of the mental health epidemic. When somebody is truly having a mental health crisis, the police will be the ones who get that sick person to the place where they should have been in the first place: a psychiatric institution.

There are nurses, psychiatrists, social workers and the like, who are involved in assessing whether you need to be detained under the Mental Health Act - what's known colloquially as a 'section'. If you're seriously mentally ill and out in the community, it's down to the police to find you, catch you, detain you and get you to that assessment where you get 'sectioned'.

Also, the police are out there, picking up body parts off the train tracks and underground railway. The police are there when somebody has jumped off a bridge and landed in a river or on some mud flats, or maybe gone splat into something harder below - perhaps a road. The police are there when somebody looks like they're about to jump under a train or off a bridge - CCTV operators are trained to look out for agitated members of the public, who look like they're about to top themselves.

Around the time of Care in the Community, there was an explosion in prescribing of psychiatric medication by our ordinary general practitioners (GPs) - our regular family doctors - there were 9 million prescriptions for Prozac in the UK in 1991. This is the principle behind Care in the Community: put people in a chemical straightjacket, and they can be safely released back into the general population. Ten years later, there were 24 million prescriptions for Prozac and another ten or so years later again, and London alone gets through over 60 million prescriptions for Prozac. These are almost all issued by a GP, not a psychiatrist.

When it comes to "serious" mental illness - anxiety disorders, bipolar disorder (a.k.a. manic depression), schizophrenia, personality disorders - the NHS kicks you out of the bit where you get various therapy options (e.g. CBT) and instead you're referred to a psychiatrist, who will prescribe some fairly brutal medication. In the case of schizophrenia, you could have a risperidone implant, injected underneath your skin, which will keep you in a chemical straightjacket for up to 6 months.

The other people who got co-opted into this Care in the Community policy were the general public. An average member of the public is fairly fearful of a schizophrenic, believing them to have multiple personalities and a propensity for violence. Several murders that received significant media attention, focussed on the fact that they were committed by formerly institutionalised schizophrenics. Depression is now such a common feature of people's lives, that any stigma has gone, but most people would be fearful of living near, working with, or having their children around a schizophrenic, surveys have found. Lock your doors - there might be a madman lurking nearby.

If I was in hospital, I'd have somebody checking on me every 30 minutes to an hour - making sure I hadn't found some way to harm myself. With the Crisis Team (a.k.a. Home Treatment Team) who are tasked with keeping me safe at home, I see them every other day. I could take a fatal overdose 2 hours before they were due to arrive, and by the time an ambulance got to me, I would be well and truly dead as a dodo.

I had stockpiled 336 tramadol tablets (16.8 grams) which is enough for two people to commit suicide, easily. As part of their responsibility to help keep me safe, they asked me for the tramadol back. I gave them 112 tablets (one box) which was a tick in their box. In hospital, I would never be able to hide the remaining 224 tablets from the nurses. If I took an overdose, I'd be fed activated charcoal, have my stomach pumped, be put on a respirator and given various medications to counteract the deadly effects of a tramadol overdose, in plenty of time to save my life.

I can't tell you what the cause and effect is. I can't tell you whether Care in the Community is the reason for the mental health epidemic, or whether it's something else, such as the collapse in living standards and precarious lives we live now, with our income and housing under constant threat.

Most people don't like to lose their liberty. In fact, it's distressing to be locked up somewhere, and not allowed to leave. There are crisis houses, where you can come and go as you please during the day, but you have to be back by nightfall and sleep there or else the police will be sent out to find you. This seems like a compromise that would suit most people who are having a mental health crisis, who pose no danger to the general public.

With the false security of Care in the Community, the number of beds available for those having a mental health crisis, has been slashed dramatically. You can attempt suicide and be hospitalised - in intensive care - and then discharged out onto the streets, simply because there isn't a free bed on a psych ward or in a crisis house, where you could more safely transition back to normal life. You can be suicidal, and the best the NHS can offer you is to come check that you're still alive once a day.

As a man, I'm many times more likely to commit suicide than a woman, but far less likely to seek help. This means that I have had the good fortune of being looked after once in a crisis house and once under a voluntary 'section' on a psych ward. Not many people receive lifesaving treatment like that - the resources just aren't there anymore.

So, what's the solution? Pharmaceutical companies tell us their medications are better than ever. More and more of us are taking powerful psychiatric medication. But, yet, the percentage of the population suffering from mental health issues is ever-growing; suicide rates keep climbing - there is, undoubtably, a mental health epidemic. My personal opinion is that it's not a medical problem: it's a problem created by insecurity: jobs and housing; it's a problem created by declining living standards and soaring levels of stress.

No amount of pills are going to fix the mental health epidemic, even if you bring them to my door.

Tags: #mentalhealth #suicide #depression #bipolar

This is a story about reasons for living...

When you find yourself checking your life insurance, to make sure that it's adequate to cover your debts and leave a small legacy for your only sibling, and you bought the policy specifically because it covers suicide, that's a whole new dimension on 'financial planning'.

I've led a charmed existence. The only things left that I want to do are to visit Tokyo and New York. Everything else I ever wanted to do, I've done. Some of those things, I just did on a crazy spur-of-the-moment whim, like going to San Francisco - booking a flight so soon there was barely enough time to get to the airport, let alone pack a bag.

I could use my remaining creditworthiness to tick those last two boxes, or try to die of a heart attack from a final, unrestrained, orgy of hedonism. The latter probably not exactly being that great for whoever's joining in the drug-fuelled sex, suddenly having to deal with ambulances, police and whatnot.

I've written about it at length, but I'm going to quite considerable effort to rectify a situation that has been steadily deteriorating for 6 months... and it started pretty bad. Acute kidney failure and a hospital's high-dependency renal unit. Dialysis and a 25cm tube in my groin. A foot and ankle, numb and immobile. That's how it started. Followed by losing my employment and then just a financial tailspin; a nosedive. Somewhere in the mess, there was a breakup and in what felt like the blink of an eye, it didn't even seem worth bothering to try and rescue things anymore... they were too fucked up.

That's pretty much where my thoughts keep ending up. I think about all the effort involved, and the stress, of repairing what's broken and starting afresh where necessary... there will be doors open to me, if only I can find the energy and the will to go through the necessary suffering to get... to get... to get... where exactly? I'm only getting older and my health can only get worse. I have friends in their sixties who are still very fit & active - doing extreme sports - but they also have kids, which seems to be one of the main reasons for living.

I've been a rich bachelor. Why would I work my little socks off just to get back to being that person? Depression has struck even at times when I've seemingly had it all - the girl, the house, the cars, the boats, the bling, the stack of cash in the bank, the great job... whatever. The main things I miss in the world are my sister (who I hardly ever see), my niece (who I hardly know and wouldn't even recognise me) and my cat (who, sadly, can't be expected to live for many more years). Of course, I miss my friends, but most have left london and started families; they're busy people with busy lives.

I know people would like to have me around, so they've got the option to see me... not that many do see me, as they're raising children and working all hours. It was very touching to have a bunch of visitors when I was in hospital. I'm pretty sure I could count the number of people who made that trip on one hand though. Not a criticism of my friends: hospitals are not happy places, and living in central London makes me pretty inaccessible unless you happen to be in the capital anyway. However, staying alive, just so that people have the option is not really enough of a reason to live.

My increasingly scarred left arm is more indicative of the emotional pain I'm in, rather than serious suicidal intent. It's not a cry for help. It's not attention seeking. It's a physical manifestation of the severity of the depression, stress and desperation I've been dealing with.

I've still got at least 5.6 grams of tramadol. 8 grams would virtually guarantee my death. I can't really see me surviving with 5.6 grams, especially if I augmented it with codeine, dihydrocodeine and half a bottle of vodka. A gutful of benzos and sleeping pills, and death would be painless. The expression on my dead face would probably be one of peaceful tranqulity, not that I would want friends or family to have to see it. Remember me like I am in the image above, on my birthday some years ago. I seem to look fairly happy with life then.

I'm crying now, and I don't know why. I don't feel like I want to live. I'm not afraid to die. There's no realistic future that I can imagine, where things are not just getting worse and worse and worse. I've gathered enough data - the trend is obvious.

"Don't do it" they say. "You'd be missed" they say. Well, I'm alive, in these 750,000+ words and in hundreds of photos and videos. There's enough of a digital version of me to satisfy anybody's desire to know me. All we ever want to do is hear a little of what's going on in other people's lives, and then talk about our own life anyway.

I think I'm crying because I know I'm at the end of the road. I'm crying for myself, like the conceited twat that I am. I'm crying at my own funeral, because I feel so certain that death is the only option now: I don't have the strength, the energy or the reason to go on living, under this dark storm-cloud.

There's obviously some planning and preparation necessary, so don't dial 999 just yet, but it's remarkable how you can reach a point where you know all the reasons why suicide is a final solution for a non-final problem, but yet you want the peace, the tranquility, the escape, the end... you want it anyway, even if people are going to call you selfish; even if there's some trauma involved for people you care about.

Call it dying with dignity, if you want an analogy.

Tags: #suicide #depression

This is a story about the never-ending story...

When I lost my house in my divorce, I did a smash and grab, boxing up things that I thought would have good resale value. I had money, even though my ex-wife had tried to bankrupt me, because I sank every penny I could borrow into Bitcoin at just the right time. I had a friend's guest bedroom. I had my health. I had hope; optimism.

"Why don't you sell some stuff?" my parents unhelpfully asked, when my ex-wife demanded a £7,000 bribe so that she would stop delaying the sale of the house and trying to bankrupt me. At that time, I didn't have £7,000. I had about £3,500. I sold my car, raising about £2,000, but I knew that to spend weeks and weeks getting £100 here and £200 there, just wasn't going to raise the remaining £1,500 without a couple of months of dedicated time-wasting. If you can earn £500 to £600 a day contracting, should you spend time selling a small TV for £100, or should you go and get an IT contract instead?

I hadn't 'lost everything' by any stretch of the imagination. Losing your home is unbelievably traumatic. Moving house is one of the most stressful things you could ever do. However, I was now living with two old friends and their three lodgers. What I lost materially, I also gained by getting out of a relationship where I was either being abused or in fear of being abused (yes: having to keep yourself behind a door, when somebody is punching and kicking it and screaming abuse at you is "abuse") and I gained some new friends and regular contact with some old ones.

That old life sat in boxes in storage for a couple of years, and I didn't miss any of it. I lived with my friends, then a miserable shared house that drove me to attempt suicide, then a bed & breakfast (Camden's alternative to a psychiatric hospital), then hostels, then the park, then a crisis house, then Hampstead Heath, then hostels again, then a kind man's spare room (who was horribly abused by his wife) and then the flat where I live now.

I've learned from my mistake, and I'll be storing the very minimum I can get away with. A lot of stuff is going to be thrown away. I know it sounds wasteful, but I've tried for over two weeks to sell some things for a price that makes it more like I'm being a charity than trying to get some money. Certainly, my time has been wasted more than you could possibly imagine, for an incredibly futile amount of money. I could make more money begging.

I now don't have enough money to pay for cheap accommodation long enough to get a job, start it, and get paid. There's also the Catch 22: in London, I can earn enough to dig myself out of the hole, but I can't afford the high cost of living. In some other town or city, I can earn enough to sustain my current shitty situation, but I'll never escape. Somebody's going to lose money they're owed (e.g. my landlord) and I'm going to pay reputational cost: credit rating wrecked, county court judgements... maybe even bankruptcy.

I could feel some relief to be off the treadmill, and be able to live "poor & happy" but poor is one thing, and having a black mark against your name is quite another. You can't even rent a place in this country without a credit check.

I'm not sleeping in a shop doorway that smells of piss, and having to beg enough money for food each day, but I've got a near impossible decision to make: is hope more important, or is it more important to have less pressure to keep a good credit score and avoid black marks against my name, They're both equally shit to be honest. As soon as I start defaulting on debts, the courts will fuck me over, and all hope of a simple life will simply evaporate - I'll be working shit jobs AND paying a disproportionate amount of my salary to leeches.

I've got a new pair of shoes, and they make me happy. My flip-flops, which were my summer footwear - very much part of my identity - I can't walk in because my left foot is numb. I tried cycling the other day, and it's really hard to bunnyhop with a numb foot. But, my summery shoes have been my lottery win, in the face of unrelenting worry.

How ironic, that the last time my life collapsed, I was trying to get away from somebody who was ruining my life, and this time, the collapse has almost been guaranteed by the fact that I left somebody who was improving my life, giving me hope, supporting me and underwriting some of my risks. I'll probably never meet somebody like that ever again, and that's the hardest thing... knowing that a moment of mental illness has cost me more than it ever has done in the past, and I've lost at least 3 well paid jobs because I went hypomanic.

I can't cope. I can't cope in the slightest. I can't even begin to face the first step down a road I've walked before. I've been cutting my arm again, but going slightly deeper and with a sharper knife; figuring out how hard I have to press to open my veins lengthways. I think about those 8 grams of tramadol - all you need for an overdose - and how easy and painless it would be. I think about the relief of it all being over.

The usual admonishment is about how selfish it is to leave so many problems for the living; that no matter how tidily you leave your affairs, somebody still has the awful task of going through the detritus of your life. What can I say? Sorry? It's not like anybody ever thought to themselves "oh, better not kill myself because it's a bit selfish".

Don't ring the police or panic or anything. If it's done and there's a body, you'll know and you'll be warned, so that unfortunately, some front-line worker will have to deal with it. At the moment, I'm just trying some food and some sleep, in the hope that this feeling will pass, because it's never been this strong and it terrifies me, to know I'm so close to the limit, but the need for some peace and relief from the stress and the misery and depression is totally overwhelming me.

"Try upping your medication" - oh go fuck yourself.

"There must be somebody who can help" - yeah, that's probably you, but because everybody thinks "there must be somebody" that means there's nobody.

"What about the government?" - yawn. Go watch "I, Daniel Blake" and then you'll understand what the Tories have done to the welfare state. Ken Loach didn't even use true stories he could have done, because he wanted to represent an average experience, rather than an extreme and sensationalistic one.

I'm going to try and sleep on it, but just getting through this evening seems like too much to cope with.

Tags: #suicide