Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

4. Prosaic

Senility seemed to reveal hidden racism inside some of the sweetest old men. Every Friday evening at the hospital, the last weekday shift would hand over to the first weekend shift. Weekend shifts were mostly covered by agency staff. Many of the agency nurses were of African descent, which was a fact that failed to escape the notice of otherwise unobservant geriatric patients.

"I am a nurse. I am a fully qualified, registered nurse" one of the agency nurses stated calmly to an irate patient. This was not an uncommon situation she had to deal with.

"How can you be a nurse? You're not even English" said a man, his voice raised.

Lara could hear the conversation between nurse and patient from down the corridor. She had her coat on and was carrying her handbag. She was now making her way out of the building to the car park. Her working week was over. She had a tough decision to make: did she continue taking the most direct route to the lifts, or did she turn around and take the back staircase down to the basement, and walk round the hospital to the staff car park? She decided to press on. Her uniform was mostly covered by a long coat.

"Nurse! Nurse!" shouted the old man, as Lara scurried past an open door, keeping her eyes fixed straight ahead. Glass windows either side of the door allowed anybody walking along the corridor to be easily be seen from the ward.

Lara knew that the old man was trying to get her attention, but she also knew that nothing could be achieved by involving herself in the altercation. The old man would never accept that not all nurses looked like Florence Nightingale and Britain had become a multicultural society during his long lifetime. Tragically, it was part of the job description, that agency nurses would have to deal with this kind of mistreatment over the weekend, when the familiar weekday staff were mostly not working.

Stepping out of view into the lift lobby, Lara felt a twinge of guilt for not taking the stairs, but this was outweighed by the sense of relief that the weekend was beginning and she could start to relax. A pair of metal doors slid open and Lara squeezed into the lift. Leaving the building at this time was always busy. Every lift going down would be packed full of people.

The hospital was a modern monolithic white cube, 5 storeys high. It was the largest hospital in the county. Built on the outskirts of town, the hospital was surrounded by a sprawling car park, divided into short stay, long stay, and far away from the main building, a car park for the general staff members. Near the staff car park was a second building in the same architectural style as the hospital, but much smaller. This was the accommodation block where many of the younger nurses lived.

As Lara reached her car, a group of young women spotted her and started calling her name and waving for her to join them. One of the group sprinted over to where Lara stood, frozen, car keys in hand.

"Will you join us for a drink?" asked Lara's friend, Anne.

"I'm sorry, Anne, I've really got to be getting home. Neil's not well" Lara replied.

"Still?" Anne asked, slightly shocked.

"Yeah. Don't know what's wrong with him. I hope he's been to see the doctor today"

"Oh dear. Well, maybe you'll come out another time?" Anne asked brightly, clearly not wanting to stress Lara out any more and slowly backing away to rejoin the group.

"Sure" said Lara, relieved that Anne could see she was keen to get going.

Anne skipped back to her other friends. Lara knew most of them. They were all a little younger than Lara and they had bonded through living together in the staff accommodation block. They had been very welcoming and friendly and Lara was grateful for the opportunity to socialise outside the group of familiar couples that she and Neil spent the majority of their time with.

Jumping in her car as quickly as she could to avoid any further attempts to pressurise her to go out for a quick drink, Lara gave an apologetic wave as she drove past the group on her way out of the car park. Young and carefree, full of energy, all her workmates waved back enthusiastically. Lara's heart sank a little, because she knew how much fun and refreshing it was to spend time with them.

Pleased to find a parking space quite near her house, Lara was also pleasantly surprised to see that there were lights on downstairs. This was the first time this week that she'd returned home to any signs of life.

Opening the front door and stepping into the hallway, Lara hung her coat on the coat rack and dumped her handbag on the floor. The door to the snug was open and Neil was sat on the large sofa, studying a large piece of paper covered with tiny print. The paper had many creases in it from having been folded up very small. On the coffee table sat a small white cardboard box with a printed prescription label on it. There was also a small white paper bag, emblazoned with the logo of their local chemist, open on the coffee table too.

Neil seemed engrossed in reading the tiny print on the piece of paper. It had also become their custom that week for Lara to have to initiate any conversation.

"So, I take it you went to the doctor?" she asked.

"What? Er, yeah. I got this" Neil distractedly replied, as if the rest of the story was implicitly clear.

Lara stifled a sigh and went upstairs to get changed out of her work clothes. Clearly she was going to have to drag the rest of the details out of him. Frustration replaced a sense of relief that Neil was up and about and had finally sought a doctor's opinion.

Unhurriedly making her way back downstairs, Lara sat down next to Neil on the sofa. She was close, deliberately invading his personal space in the hope of waking him from his trancelike state, studying the leaflet that must have accompanied the medication that he had been prescribed. Neil paused and looked her in the eye for a fraction of a second, but then feigned continuing to read his leaflet.

"So, what happened, at the doctor?" Lara patiently asked.

Neil went to answer but then held his words back. He opened his mouth as if to speak but then froze and it became clear he didn't know how to begin. After a moment, his face flushed and he started to blurt out words.

"They called my name. I sat down. Asked how she could help. Burst into tears. Couldn't stop crying" Neil haltingly said. He was emotional, but he didn't seem like he was on the verge of tears. He seemed somewhere between embarrassment and confusion.

After a moment, he seemed to calm himself down and he began again, more relaxed than before.

"The doctor said it was OK and I should take my time. I started to tell her that I couldn't get up in the mornings. I couldn't face going to work. I couldn't face the world. I was tired. So very tired"

He took a breath. He was blurting his words out very quickly.

"She asked how long it had been going on for and I told her a few weeks..."

"A few weeks?" Lara now interjected, even though she was clearly cutting Neil off mid-sentence. Her mouth hung partly open, further betraying her shock.

"I mean the tiredness. Not the getting up" Neil replied.

"Yes, but why didn't you say something before?" said Lara in a tone that was concerned, not angry. She was reacting reflexively, but she knew she had to try to control herself if she wanted to avoid upsetting Neil.

"The doctor. She said I sounded as though I was depressed and anxious" said Neil, ignoring the question. "She asked me if I had heard of flux-o-tin" he said.

"Fluoxetine?" asked Lara, enunciating the syllables - flew-ox-ah-teen - with a little emphasis, but not so much that she would sound patronising.

"Yeah, that one" replied Neil. "She said that many patients found that it helped them when they were feeling anxious about things, like work stress, as well as low mood. She said that my symptoms could be caused by an imbalance in my brain chemistry, and fluoxetine often helped to balance it out" Neil continued.

"Yes, I know fluoxetine. At work I have to help patients take their prescriptions that they bring from home. Quite a lot of them take fluoxetine. It's the same as Prozac" Lara said.

"Prozac? Well why doesn't it say that on the box or any of the leaflets?"

"Sometimes the pharmacy gives you a branded medication, sometimes they give you a generic version. At work we have to learn both the brand name of the medications as well as the active ingredient" Lara explained.

"But everybody's heard of Prozac" Neil stated, his voice now tinged with a degree of frustration.

Neil sat forward on the sofa and cast the leaflet he had been holding onto the coffee table with a dismissive flick of the wrist, before slumping back, looking away from Lara and staring up at the ceiling. Lara had seen this kind of reaction before at work when she saw doctors speaking to patients; normally young men. It was a kind of shock and disbelief; denial even. Lara couldn't understand why Neil was having this reaction now, with her, rather than earlier with the doctor.

"So I'm on Prozac. Great!" said Neil, his voice dripping with sarcasm.

"You know I've got to take this stuff for at least 6 weeks?" he said, now shaking the small white box at Lara, which rattled with the sound of the pills inside in their blister packaging. The question was rhetorical. He needed to vent.

"I felt relieved when the doctor signed me off sick for another two weeks, but now I don't know what to feel. Can you believe that the doctor even asked me what she should write on the sick note? Stress, anxiety, depression or just mental health problems. I didn't know what to say. She put me on the spot. I said she should write stress"

Lara reached for his hand and squeezed it. She made a sympathetic face.

"They're doing some blood tests too. Could be an under-active thyroid. Won't know until next week, but that's more what I was expecting, you know? Something physically wrong with me"

"I hate to bring this up, but we had planned to have dinner with Russ and Katie tonight. Do you want me to cancel? I'll ring them and come up with some excuse" Lara gently offered.

"I don't know. I don't know anything anymore. I'm confused. I'm upset. I'm frustrated" said Neil, standing up.

Looking down into Lara's eyes as she sat on the sofa, she sensed Neil's care for her and his awareness of her feelings too, but his thoughts were in turmoil. He turned and went upstairs. She heard him kick off his shoes and get into bed.

Neil was asleep, fully clothed, when she joined him in bed a little later. She guessed that it must have been an emotionally exhausting day for him. Perhaps it was side-effects from the medication.

Next chapter...

This is a story about a pill for every ill...

There was a young man who swallowed a lie, about how hard work and loyalty to his company would make him successful. It left him exhausted and with depression, that wiggled and jiggled inside his brain. I don't know why he swallowed the lie. Perhaps he'll die.

There was a young man who swallowed 150mg of Bupropion - a fast acting antidepressant - to cancel out the depression and exhaustion, that wiggled and jiggled inside his brain. Perhaps he'll die.

There was a young man who swallowed 5mg of Olanzapine - a mood stabiliser - to cancel out the hypomanic highs that were created by the Bupropion, that was supposed to fix the depression and exhaustion, that wiggled and jiggled inside his brain. Perhaps he'll die.

There was a young man who swallowed 15mg of Mirtazapine - another antidepressant - because the Bupropion wasn't working so well any more on its own, to fix the depression and exhaustion, that wiggled and jiggled inside his brain. Perhaps he'll die.

There was a young man who swallowed 25mg of Lamotrigine, to raise his seizure threshold so he could take more Bupropion, stabilise his mood more and as a third antidepressant, to fix the depression and exhaustion, that wiggled and jiggled inside his brain. Perhaps he'll die.

There was a young man who swallowed 10mg of Diazepam - an anti-anxiety drug - because by now he was pretty jittery from all the damn drugs, that were supposed to fix his depression and exhaustion, that wiggled and jiggled inside his brain. Perhaps he'll die.

There was a young man who was going to swallow 2,000mg of potassium cyanide, to end the depression and exhaustion, that wiggled and jiggled inside his brain. Of course he would die.

Top picture, from left to right: Mirtazepine, Olanzapine, Bupropion, Diazepam, Lamotrigine.

Tags: #depression #bipolar #medication #suicide #career

This is a story about liberal arrogance...

Ah, caps lock, my old friend. Also, exclamation marks: you can never use too many. Do you think if there was more caps lock typing and sentences ended with multiple exclamation marks, we could wake the sheeple from their coma? The sheeple are clearly sleepwalking [or is it shleepwalking?] towards disaster.

While this is self-deprecating humour, it's also mockery of the same old liberal lines that are trotted out instead of any kind of nuanced counter-argument.

During Brexit, I noticed that people on both sides would say "I can see you're far too intellectually inferior to be able to have a debate, therefore this argument is over and I won". I lament the loss of anybody who can actually be bothered to have a proper debate, without being so childish.

Your white-trash, redneck, poorly educated person is now incredibly bored with the tried and trusted liberal short-cuts that supposedly immediately discredit an opponent in a debate. "Bigot" is a particularly charged word, and guarantees instant disengagement by the disenfranchised members of the public, being browbeaten by a group of elites who consider themselves morally superior.

I'm as guilty of it as anybody.

But, I've also noticed a kind of pathetic infighting amongst the intelligentsia.

Firstly, one must overcome the snobbery of the grammar Nazis. For your argument to even be considered it must be deemed to have attained certain standards. The most innocent spelling mistake will become the focus of commentary, rather than the points raised by the original author, no matter how eloquently the central argument is presented.

Having established oneself as 'a cut above the rest' there is one kind of ad hominem attack that succeeds where all others might fail. All one has to do to win the argument is write "WAKE UP SHEEPLE!!!" in mockery of your opponent's attempt to make a reasoned argument and reach a sensible conclusion. Essentially, you're accusing somebody of being a nutjob; a raving madman. Case closed. End of debate.

Our asylums are stuffed full of 'visionary' people, and those seized by absolute conviction that the end of the world is nigh. However, do we not also laud that tiny handful of individuals who successfully predict recessions, stock market crashes, credit crunches, housing crises and other cataclysmic man-made events?

Why is it that a stock market trader or hedge fund manager, who might make a good living from short selling - betting against the market - is considered a highly intelligent person - cloaked in the mystery of mathematical models - while others who also forecast negative events, are dismissed as lunatics?

Humans always err on the positive side. There is a psychological test where participants bet money and win precisely as much as they lose. In this randomised gambling experiment, most test subjects will report that they think they're making a profit, even though they're breaking even. Even when the experiment is adjusted so that the participants are losing money, most will still think that the course of events is in their favour.

It's undeniable that we do see a herd mentality amongst groups of humans. The accusation of sheep-like behaviour is entirely valid and well supported by evidence. Stock market crashes are created by market sentiment not by external events. When investors collectively lose confidence, there's a rush for the door. The sheep line up for slaughter, even though by selling their stock, they're going to lose money.

Bank runs are another great example. The FCA underwrites deposits - your savings are safe - but we still saw long lines of people queuing up to withdraw cash from Northern Rock, during the credit crunch. That's a bank run, and it's driven by sheeplike behaviour. The panic is not rational. It's animalistic behaviour, not calculated and logical.

The well-educated middle classes have turned on one another, in this zero-growth second Great Depression. Research grants are at stake. Well paid middle-management jobs are at stake. The baby boomers are trying to collect excessively generous pensions. For God's sake don't even breathe, for the whole house of cards may come tumbling down at any moment. We are so highly leveraged - indebted - that one hiccup and we're all screwed. 

We should remember that the working-class are more numerous than the middle-class. While the working-class wail inarticulately about their poverty and lack of opportunities, the middle-class lock themselves into an echo-chamber of Facebragging and snobbery. Whenever somebody is critical of the status quo, we quickly shut them down by typing "WAKE UP SHEEPLE!!!" to bully them into submission.

Personally, having safely circumnavigated the City of London - and profited - during the dot com crash, 9/11, the commodity price boom (and bust), the credit crunch and Bitcoin's ups & downs, I feel rather like Cassandra.

Dismiss and ignore me at your peril.

Tags: #politics #capitalism #economy

This is a story about being objective...

If you want to compare two measurements you have to use the same yardstick. If you are comparing two subjective things then how can you possibly draw any concrete conclusions?

At times, I have kept a mood diary. I rate my mood from 1 for worst to 10 for best. Who's to say that if I rate myself as "1" during prolonged depression that's comparable to "1" on a bad day when otherwise I've been feeling mostly normal?

During a lengthy period of depression, where nothing seems to hold any pleasure or enjoyment: subjectively, life is terrible. I also have periods when I'm generally in a much better mood, but something really shitty will happen. The shitty thing might feel like the end of the world at the time, but I'm not going to kill myself over it: I'll quickly get over it and move on with my life... so can it really be a "1" even if it feels like it at the time?

If your mood slowly improves or declines, over the course of several weeks or months, can you spot the trend? If you're suffering a lengthy depression, does your yardstick change? You might have a day where you just feel normal, but now you rate that 10, because it's the best you've felt in as long as you can remember.

Do you even remember how you used to feel, before you got depressed?

This might be why I have a tendency to invite hypomania, because at least it's clearly some kind of polar opposite from depression, even if I don't exactly feel "happy".

Defining "happy" has started to get really hard.

Going in search of happiness has been a disappointing experience. Anhedonia means the loss of pleasure and enjoyment of things that you used to get a kick out of. Finding that you no longer love the things you've always loved to do, is terrifying, because it's further confirmation of the way that you feel: "everything is shit".

I ended up completely rebasing my whole idea about what made a happy day:

• "Got to work only an hour late"
• "Didn't quit my job"
• "Only drank one bottle of wine instead of two"
• "Survived another week without being sacked"
• "Got out of bed at the weekend before it went dark"
• "Went to the shops"

I know that I must be unwell, because I used to have happy days that were more like this:

• "Cooked a healthy dinner"
• "Went for a walk or a bike ride"
• "Took some cool photographs"
• "Went to an event"
• "Made a new friend"
• "Did some work I'm proud of"

Now, I could do those things, but I don't feel like it. Often when I try to force myself to do things, I get very stressed about it and I find it really exhausting. When I get home I feel wiped out and that I shouldn't have bothered. I find myself out taking a walk and nothing takes my interest enough to photograph it. That's weird. I used to live behind the lens.

So, I started to bring in more objective measurements: movement data, alcohol consumption, number of social engagements, number of words written.

When I analyse the data, I think the most reliable predictors of my subjective feelings of depression, are movement and alcohol. Looking at last year, I was averaging 12,000 steps a day, and although I had alcohol binges, my average consumption was reasonably low. This year, I'm averaging 7,000 steps a day and drinking excessively nearly every day.

Now, you might think "walk more, drink less" would be the solution, but this assumes a causal relationship. Perhaps I was more in the mood to walk more and drink less, last year. Perhaps the relationship is the other way around and my poor lifestyle 'choices' are actually due to depression.

We often tell people to eat healthier and exercise more, to improve their mood, but perhaps it's the people who have a happier mood who are the ones more likely to eat right and be active. In actual fact, healthy eating and being more energetic could be a good predictor of happier people.

The cause-effect relationship is not always clear. Psychologists had published a paper that appeared to show that smiling made you feel happier. However, when the experiments were repeated, the results could not be reproduced. If you can't reproduce the results of your experiment, it's not good science.

A friend made the following amusing observation:

"People who are dying of dehydration can't just mime drinking water to quench their thirst"

I think this hits the nail on the head perfectly. While depressed people can eat healthier and go to the gym, they're just going through the motions. They're not getting the benefits that their happy counterparts are getting, and in fact it could be pure torture for them.

There's an experiment where a pigeon is fed at a computer-controlled random interval. What the researchers found was that whatever the pigeons were doing the first time they got fed, they then decided they needed to do again, in order to get fed. Let's say the pigeon was cocking its head to the side when the food was released, the pigeon will then start repeatedly cocking its head, and believe that it is causing the food to be released, when in fact it's completely random. Essentially, the pigeons had become superstitious.

It seems relatively random - unpredictable - when a depression is going to lift. Let's say you were trying acupuncture or homeopathy at the time when your mood started to improve: you might assume a causal relationship between the alternative treatment and the lifting of your depression.

Even a double-blind placebo trial is not exactly fair. Psychiatric medications do make you feel noticeably different. I would be able to tell whether I was taking an inert placebo pill, or something psychoactive. I would know whether I was in the control group or not. Placebos don't work if you know you're taking a placebo, so this could explain some of the mood improvements seen with antidepressants. The antidepressant might look effective, when compared with the control group, but it's the placebo effect.

Antidepressant clinical trials generally only take place over 6 to 12 weeks. Many common antidepressants take 6 weeks before their effects can even be felt. There is no focus on long-term outcomes in these trials, only that the medication should perform better than placebo.

Many trials of longer duration have shown that being unmedicated might be more effective in the long-term, than taking antidepressants. Pharmaceutical companies are not concerned with long-term outcomes. In order for a medication to be sold to the public, it merely has to be safe and proven to be marginally better than placebo.

You would have thought that taking antidepressants would be a lot better than not taking them, right? In actual fact, there might only be a 15% chance of you feeling better, but there's a 15% chance of unpleasant side effects. The very process of going to your doctor, being listened to by somebody nonjudgemental, and then feeling something even if it's not actually better, might convince you that you're improving, when actually your depression could be lifting quite naturally anyway.

Culturally, we have developed a strong superstitious belief in the power of medicine. We believe there's a pill for every ill. We believe that a man in a white coat can wave a magic wand and we'll be cured of any ailment; discomfort.

You only have to go into any pharmacy during the winter, to see signs that say "we have no medication to treat your common cold". The fact that doctors and pharmacists have to tell people not to waste their time with an incurable virus that has unpleasant but non-life-threatening symptoms, shows how strongly we believe in the power of medical science to save us from even a runny nose.

There is a clear difference between "feeling a bit sad" and depression. Depression is life-threatening. Depression has a massive impact on people's quality of life. However, we are often medicalising a non-medical problem.

If somebody who's feeling down visits their doctor and receives some medication that's basically a placebo that makes them feel a bit different - drugged - then their pseudo-depression will lift, because it was going to anyway. The non-judgemental medical consultation will also have marginally assisted.

However, those who have prolonged severe depression - to the point of suicidal thoughts - may find that their quality of life is actually reduced by medication, because it gives no real mood improvement, but it does have unpleasant side effects. The longer-term studies seem to back this up.

Through extensive research, I found a number of medications that are very rarely prescribed, but have been used for treatment-resistent depression. These medications are dopaminergic not serotonergic.

There are a whole raft of medications used to treat Parkinson's disease, that have been shown to exhibit antidepressant effects and can successfully treat patients who had previously been treatment-resistent.

In the most severe cases of depression, deep-brain stimulation has been employed with remarkable efficacy. Deep-brain stimulation had previously only been used on patients suffering from Parkinson's disease, to stop their tremors.

The idea of having electrodes implanted into my brain does not sound immensely appealing. Rats who have had electrodes implanted in their lateral hypothalamus will starve themselves to death, in order to press a lever thousands of times an hour, to stimulate their brains. Do humans who have had the same procedure, just stay at home hitting the button as often as they can? We have wandered into the territory of the neurological basis for addiction.

This is how I arrived at my decision to use a medication that helps people to quit smoking.

My very first addiction was to nicotine. I had no choice in the matter. My parents forced me to breathe their second-hand smoke. Because I was a tiny child, the concentration of nicotine in my bloodstream would have been very high. Second-hand smoke was responsible for inflicting an addiction onto me in my infancy.

In the UK, nightclubs, bars and pubs used to be filled with smoke, until July 2007. My addiction was therefore maintained through passive smoking. The timing of the ban seems to correspond with my first episodes of depression.

The stop-smoking drug called Zyban is actually France's most popular antidepressant. The French have found that Bupropion - the active ingredient in Zyban - is also effective for treating alcoholism. The link between addiction and depression seems clear.

I have a theory that my brain is in mourning. I was subjected to second-hand smoke throughout my childhood, and I spent a lot of time in smoky clubs and pubs. Nicotine withdrawal was something I was used to experiencing again and again, but what I'd never been through was a prolonged period of withdrawal, because I would regularly get a hit of second-hand smoke. It wasn't until the age of 27 that I was finally able to escape nicotine, because of the smoking ban, even though I have never smoked in my life. You would expect that such a prolonged addiction would produce a profound psychological effect, when my brain realised it was never getting any nicotine ever again.

I then experienced a later period of addiction. Although there were periods of abstinence, these never exceeded 3 or 4 months, and the total amount of time that I struggled with addiction is close to 5 years. The addiction was extreme. The drugs I was using have a much more profound effect than cigarettes. Still today, after 6 months of total abstinence, I get shaky sweaty hands and feel sick with anticipation at even the merest thought that I might be able to obtain some drugs.

Although Bupropion is a poor substitute for the addiction I once had, it does at least slightly soothe the aching sense of loss... the mourning.

Thinking about this more now, it seems obvious that I should mourn the loss of the love of my life. My addiction was so obsessive, overwhelming, all-consuming. How on earth can you let something like that go, with just a 28-day detox, or a 13-week rehab, if it's been a huge part of your life for years?

It should be noted that my mental health problems, which predated my addiction, compound the problems. To give an official name to my ailment: it's called dual-diagnosis. That is to say, Bipolar II & substance abuse. Yes, substance abuse is a kind of mental illness. Take a look at the kind of self-harm that addicts are inflicting and tell me that's normal behaviour. That is why substance abuse is classified as a disease.

Bipolar II is a motherfucker, because it comprises both clinical depression and hypomania, which are both destructive. Therefore, I'm actually suffering with triple-diagnosis and trying to fix 3 illnesses... although the hypomania is something that most people with Bipolar II wouldn't give up, and substance abuse is hard to stop because of addiction.

I haven't had a hypomanic episode in almost a year, and I've been abstinent from drugs of abuse for 6 months, therefore the final nut to crack is this damn depression, which might turn out to simply be the fact that - subconsciously - I'm depressed that I can't take drugs anymore. It feels like the love of my life has died, hence why I'm describing it as mourning.

How long it will last, I have no idea, and I've lost patience... hence resorting to a mild form of substitute prescribing. I successfully beat addiction once before using Bupropion. I beat it using progressively weaker drugs, until I was weaned from my addiction.

You wouldn't ask a smoker to quit without nicotine patches. Why would you expect somebody with an addiction to harder drugs could quit with willpower alone? The only slightly unusual thing is that the stop-smoking drug seems to be just as effective for addictions to things other than nicotine.

Perhaps we will one day treat all addictions as compassionately as we treat nicotine addictions. Certainly, there doesn't seem to be a lot of appliance of science, when it comes to treating addiction to anything other than smoking.

Subjectively, cold-turkey & willpower is a fucking awful approach to beating addiction. We have the scientific data to show that smokers are 4 times as likely to successfully quit, with nicotine replacement therapy and smoking cessation medications like Zyban.

Of course, a relapse would be disastrous, but haven't I already relapsed back into depression?

I've been on medication for 5 days now, and Bupropion should start to be effective within a week, so perhaps I will feel an improvement in my mood any day now. Certainly, my suicidal thoughts seem to have stopped, but that could be psychosomatic and also because my horrible contract ended.

You see what I mean about how hard it is to control the variables? Human lives are messy and complex. It takes vast quantities of data to be gathered over many years, not a 6 to 12 week trial with 30 people.

Also, there's an argument to say that your subjective yardstick is altered by your experiences. Your perfect 10 can become unattainable, except through the use of powerful narcotics. Does that also mean that the best you can ever hope to feel is mildly depressed, now that the bar has been set so high? My only hope is that my brain "resets" itself over time. The brain can downregulate parts that are overactive, in order to maintain equilibrium, so it can also upregulate... eventually. The big concern is neurotoxicity: have I irreversibly "burnt out" the reward centres of my brain?

6 months isn't long though. I'm going to see what happens if I can make it to a year. Presumably, there might be marginal improvements that have happened already, but are too subtle for me to perceive. The data actually bodes well: instead of spiking back up into hypomania, things have plateaued during the last couple of months.

This unethical self-experimentation doesn't yield any results worth publishing but it does give clues as to what could be worth researching. A sample size of one is not statistically significant, but it's important to me, because my life depends on it.

Tags: #bipolar #depression #mentalhealth #addiction

 This is a story about drug dealers...

The top image shows an official UK prescription. A doctor registered with the GMC prescribed me the medication and a pharmacist registered with the GPHC filled my prescription. The bottom image shows black market prescription drugs for sale on the Dark Web. When you buy from the Dark Web an anonymous vendor will sell you whatever you want, no questions asked.

In order to receive my official prescription, I had to answer 14 yes/no questions. One of the questions was "do you have high blood pressure?". How the hell should I know? The last time I had my blood pressure checked was 11 months ago, and I've gained loads of weight and have been drinking far too much since then.

According to my order tracking, a doctor spent 7 minutes deliberating my 14 answers - 30 seconds per answer - before writing my prescription. I never met this doctor, we never spoke and they never saw my medical records.

Some years ago, with a great deal of arm-twisting from my private psychiatrist, my GP agreed to prescribe me Bupropion for the depressive episodes of my bipolar disorder. In the UK, Bupropion is not licensed for the treatment of depression or bipolar disorder. NICE guidelines do not recommend the use of Bupropion for anything other than as a smoking cessation treatment. Basically, my GP faced being struck off the GMC register if I suffered some horrible medical complications because of an adverse drug reaction.

I've been back in London for 3 years and I've had 2 different GPs since then: one in Camden and one just across the road from where I live. Neither of them has prescribed me a single medication, but the Camden GP took it upon himself to phone me on my mobile in his personal time to see if I was still alive. My GP went out of his way to try and help me.

The average face-to-face GP consultation time in the UK is just under 9 minutes. Imagine having just 9 minutes to establish that somebody is suicidally depressed and then select a psychiatric medication for your patient. The medication could either save them or reduce their quality of life even more. It's not much time, is it?

And so, I became an educated well-informed patient. A doctor I spoke to some years ago said that I would be better off finding a "prescription pad psychiatrist" who would write me a prescription for whatever I wanted. These doctors exist. They're available online, without even having to meet them or speak to them on the telephone, it would seem.

I have no criticism of the ethics of what the doctor and the pharmacist who I obtained my official UK prescription from are doing. It doesn't seem unethical to me.

Interestingly, it cost me £90 for 60x 150mg Bupropion tablets. I could easily buy the exact same medication for less than half that price on the Dark Web. If I was to buy the medication from India, it would cost me less than £6 (plus postage).

On the NHS, a prescription costs £8.40 if you're working and not entitled to welfare benefits.

Basically, you pay for convenience. With the online pharmacy I had a short form to fill in and I got my medication delivered next day. With the Dark Web, I would have had to faff around with Bitcoins, but my medication would also have been delivered next day. With my doctor, I would have had to make an appointment, and there's every chance that they wouldn't have been prepared to take the risk of writing an off-label prescription. With the Indian medication, their postal service is appalling and it takes weeks for a delivery to arrive.

One reason not to order from the Dark Web though, is that you can get anything you want. It's easy to start window shopping. Once you've loaded up your account with some Bitcoins, it's easy to fill up your 'shopping basket' with all kinds of things that you're curious about, or things that you know you really shouldn't be buying because they're bad for you. It's a slippery slope.

One of the reasons why I don't have any drug dealers phone numbers and I've never bought drugs from a drug dealer, is because it's so convenient. I don't believe in the idea of a 'pusher'. People want drugs, plain and simple. The drugs push themselves.

One of the reasons I'm not using internet banking at the moment, is because it makes it too easy for me to buy some Bitcoins, transfer them to a Dark Web marketplace, and have a little jiffy bag containing deadly white powder, hitting my doormat the very next day.

I don't believe prohibition works, but certainly making things a little more inconvenient does offer some protection from temptation. I wouldn't even know where to begin, trying to find a drug dealer, unless I wanted to buy low quality cannabis or terrible quality imitation cocaine from one of the many dealers who hang around by Camden Lock.

Prohibition created legal highs. Prohibition created the Dark Web. Because I'm an IT expert and a sensation seeker, when I read about legal highs in the news I was tempted to give them a go. The rest is history. All of that "moral panic" crap in the media had precisely the opposite effect than intended. A naïve middle-class IT professional working for an investment bank, suddenly became exposed to a world that I would never have become part of, if it wasn't for the fact that prohibition lowered the barrier to entry.

As the legal highs started to get banned, I then took to Internet forums to find out where people who had stockpiled - like me - were supposed to go after we ran out of drugs. That was how I found out about the Dark Web. Yet again, prohibition moved me from a world that was legal, taxed and regulated, towards the dark and murky world of illegal drugs.

One day, in a pit of despair at my spiralling addiction, I decided to order all the drugs. I bought crack, heroin and crystal meth. I didn't even know what to do with them. You can snort heroin and meth, but not crack, as it turns out. How does a middle class homeowner even smoke crack? I didn't even own a cigarette lighter.

A couple weeks later, I had nailed my door shut and put newspaper all over the windows. It's remarkable how quickly a respectable middle-class rich person can turn the house they own into a crack den.

What's also remarkable is how quickly you figure out that you've bought a one way express ticket to an early death, if you have vast sums of money and a reasonable intellect.

One day, I smoked a pipe - I had bought a meth pipe off the Dark Web by this point - that had been filled with heroin, crack and meth. I thought "is this as good as it gets?". The room was bathed with a yellow light, even though it was barely lit. There was a calm serenity. I thought "this ain't even that great" and decided that I'd better stop before I decided that it was great.

It's the strangest thing, flushing rocks of crack and a big bag of heroin down the loo, not because you're addicted and you want to quit, but because you can see how easily you could become addicted.

People think that drug addiction is all about wanting drugs and taking drugs, but it's not that at all. Drug addiction is about identity, routine, habituation, ceremony, lifestyle... things that I even struggle to explain. If you're just locked in a room with a virtually limitless supply of drugs, because the postman keeps bringing your supply and you have lots of money in the bank... you'd think you'd just take drugs and more drugs until you died or ran out of money.

In actual fact, addictions are self-limiting. Given a clean pure supply of drugs, eventually, addiction becomes kinda boring or the downsides start to outweigh the upsides.

I'm lucky, because I'm wealthy and I'm not a total dumbass. I tried so many drugs, and eventually found one that was far better than crack, heroin or crystal methamphetamine, but cost less than £1 a day.

I used to buy a packet of capsules off the Internet for £27. This was a legal high called "NRG-3", which turned out to be MDPV: I've nicknamed it supercrack. The packet contained 20 capsules, and each capsule had 100mg of MDPV in it. I would hide these capsules all over the house, so that I would never have to hunt for very long to get my fix, when the cravings became unbearable.

I would divide the 100mg contents of a capsule into 3 equal piles. Then, I would divide one of the piles into 2 lines. I would snort one of the lines, which would weigh approximately 17mg.

17mg of MDPV is a very strong dose. Basically, it's enough to be bat-shit insane for 24 hours. I would pretty much always end up going back for the second line... so that's 48 hours of insanity, with no sleep. I would go back to work for a rest.

120 days of bat-shit insanity for £27.

Cheap.

Deadly.

You spread 120 days over the weekends, and you've got 2 years worth of hiding a drug habit. If you do anything for 2 years, it becomes an integral part of your life. It's hard to change the habits of a lifetime. Again, you've gotta be smart and spot the changes in your behaviour.

I started cancelling plans, because a 1-day drug binge turned into a whole weekend drug binge.

I started not making any plans, because I was planning on taking drugs all weekend.

How the hell I held down a job during this time, I have no idea.

My psychiatrist and my GP thought I was self-medicating for depression. They thought I was in control. They actually told me "don't stop what you're doing... just try to cut down gradually". My GP signed me off work for 5 weeks, and I thought "great! I can take drugs for 4 weeks and then spend a week recovering".

It's true that my clinical depression and abusive relationship had led me to self medication, but when it became drug experimentation, I lost control over the course of a year. I started with a legal drug called Methylone, which I took every day and it worked to alleviate my depression. Then, when I found NRG-3 during a messy breakup, I was completely hooked.

Less than a month after becoming addicted to NRG-3, I started carrying a letter with me and a £20 note in an envelope. The letter said:

"I am a drug addict. If you have found me with breathing difficulties or unconscious, please put me in a taxi to A&E".

In actual fact, the letter was far more detailed and contained some information that would have been useful for any medical professionals who had the misfortune of trying to look after me... but you get the idea. The penny had dropped. I knew I was in trouble. Self-medication had turned into experimentation, which had unleashed addiction.

For others, there are 3 valuable lessons I learned:

1. Depression, stress, relationship difficulties, money worries, housing worries: these are the things that create a festering swamp. Addiction will take hold, not because of the drugs, but because somebody's life is already awful. If you want to prevent addiction, you need to improve people's lives, not ban drugs.
2. Even though it sounds disingenuous, it does make sense to shop around. Think about all those Oxycontin addicts who haven't yet figured out that heroin is stronger and cheaper. They're going to one day. How much money are they going to 'waste' in the meantime?
3. Addictions are naturally self-limiting. People need to quit on their own terms. There's an oft-quoted line about how addicts and alcoholics "can never get enough of their drug of choice". In actual fact, very few people can actually afford to take as many drugs as they want. Look at the mega wealthy: aren't you surprised that so few of them drop dead from drug abuse?

Alcohol is a dumb choice of drug, because it's so damaging to the liver. In a way, benzos are the smart alternative. GHB/GBL makes you 'drunk' but it doesn't have the same hangover, and it's not so damaging to the body. You can buy 10 litres of "alloy wheel cleaner" from BASF in Germany for about £500. That's equivalent to 7,000 shots of vodka, and it won't give you cirrhosis of the liver.

Cocaine is a dumb drug of choice, because it's so expensive and the adulterants are highly damaging to the mucous membrane in your sinuses, to the point where you might lose your nose. You can buy nitracaine from China in bulk for just a few dollars per gram, and it'll be 99% pure.

Heroin is damn cheap. It's the injecting that causes the problems: collapsed veins, abscesses and dirty needles leading to blood-borne diseases. With an adequate supply of medical grade diamorphine, a heroin addict can live a long, healthy happy life, and will probably "grow out" of their habit in their 40s or 50s.

Crystal meth is cheap anyway. Smoking meth is undoubtably incredibly destructive to teeth and lungs. It sounds crazy to say this, but given an adequate supply, at least crime will go down and the need for prostitution goes away. With higher self-esteem because people are not selling their body to get drugs, surely a large number of addicts are going to stop using eventually?

I'm not saying "legalise all drugs and have your local supermarket stocking crystal meth". Drugs are so widely available and so cheap, we're at the point where prohibition is like a bad joke. Shutting the original Silk Road marketplace on the Dark Web just caused dozens more imitators to spring up and fill its place. You can't legislate to control human nature. It doesn't work. Supply and demand are the only forces that you need to understand.

If you have a loved one who you think is at risk of addiction, or struggling with addiction, you can prevent that journey from even starting by making their life vastly better so that addiction never takes hold. Once an addiction has started, you're not going to be able to cut it short by cutting off their supply of money or forcing them into some rehab program. An addict will simply go around any obstacle. An addict needs to quit on their own terms, when they've had enough.

Perhaps I will never have had enough, because perhaps my life will never improve. Certainly, when you're depressed, stressed, bored shitless by your job, worried about money, isolated and lonely... those things are perfect breeding conditions for addiction to take hold. Why the hell are you being clean & sober, if your clean & sober life is utter bullshit?

This is how I've arrived at the decision to start using drugs again.

Except, I'm being smart... I think. I think I'm smart. Correct me if I'm wrong. Am I smart?

What am I doing differently? Well, nothing really. I'm combining my experience from far too many years of ups, downs and dangerous self-experimentation. However, I have meticulously gathered data. I have documented pages and pages of details on my drug and medication use, and cross-correlated that with my mood diary, earnings, movement data and every other data source that I could harvest.

My conclusion: I need a fast-acting antidepressant that gives me a mood improvement.

So, I decided to prescribe myself Bupropion.

It arrived today.

I took it.

The experiment continues. It's a big relief to finally change something, after 6 painful months of controlling the variables, even though it was causing me untold mental anguish.

Actually, two things changed today, which is a shame, in terms of conducting a decent trial.

Today, I'm unemployed.

Anyway, I need to get another job, and it might just be a little easier, now that I have relented and I'm taking happy pills... let's see, shall we?

Tags: #drugs #addiction #mentalhealth #medication #depression

This is a story about milestones...

There are so many people who either "don't smoke" or call themselves "social smokers". People say "I only smoke when I drink". There are so many people who claim that they are free from drink and drugs, but they're actually popping Xanax, antidepressants, Oxycontin, Solpadeine, Co-codamol (codeine), Vicodin and tranquillisers. There are so many people who sneer at substance abusers, but they drink, smoke and consume lots of tea, coffee and energy drinks, without realising they're dependent on alcohol, nicotine and caffeine, just to cope with normal everyday life.

In 6 months, I got through those 59 tablets - a combination of diazepam and nitrazepam - in an attempt to avoid a nervous breakdown and to survive an extremely stressful situation, where my whole career, solvency, home and life as a respectable member of society, hung in the balance.

If you take benzodiazepines continuously for over 3 months, you have probably become physically addicted. What that means is that you might have a seizure and die, if you were to abruptly stop taking the medication.

I've run out of benzodiazepines today.

I'm not worried about this.

59 tablets, of 2mg to 5mg strength, spread over 180 days, is a piss in the ocean. There's no way that I'm going to have withdrawal symptoms from stopping taking benzodiazepines. I might be a little anxious; I might have a little insomnia; I might feel a bit panicky. However, I'm not going to die.

A couple of years ago I took myself off to rehab. For over 3 months I had been swallowing a little cocktail: 6x 10mg diazepam tablets, 4x 2mg Xanax, 2x 10mg Ambien, 2x 15mg Zopiclone. Maybe it wasn't quite that much. I have no idea. Benzodiazepines cause amnesia. All I can remember is that I used to fill up the palm of my hand with various pills, and swallow them all in one go. Lights out. Wake up 2 days later.

You're in a hell of a mess when you're mixing uppers and downers; stimulants and tranquillisers; but that's what we do every day, when we have our morning coffee and a glass of wine when we get home from work. If you have a strong coffee after a boozy dinner, you're basically having the middle-class equivalent of a speedball (cocaine & heroin, injected).

Obviously, I'm irreverently mocking your self-delusion, when you tell yourself that you're not "hooked" on anything.

I've used alcohol and the occasional tranquilliser tablet, in order to limp through the last 6 months. I haven't been having tea, coffee or other caffeinated drinks.

I've actually tapered off the alcohol and the benzos, to the point where I only drank 2 days in the last 14. I didn't take any benzos all weekend.

The thing is, if you're smart and you're disciplined, addiction is something you can master. It is possible to give up anytime you want. It is possible to become really good at quitting drugs and booze. I'm a fucking expert in abstinence.

Almost like an alarm clock going off, my subconscious revealed that I had simply been waiting for 6 months.

School was absolute shit for me. Getting through the long school days of bullying was awful. Getting through the long terms of bullying was unbearable. Getting through year after year after year of bullying was absolutely dreadful. All I was doing was waiting for the end of school bell, the school holidays, and the day that I could finally leave school and get the fuck away from the bullies.

Family life was absolutely shit for me. I couldn't wait to move out of home, and get away from my arsehole parents. I've loved paying my own rent and bills. I've loved being independent. I do have all the fucking answers. I went out into the world, got a place to live, got a job, and never looked back. Up until then, I'd just been waiting for the day I could finally leave home, and it couldn't come a moment too soon.

So, I spent 17 years, just waiting. I was biding my time. I know how to suffer patiently. I'm an expert in suffering patiently.

Then, I applied my expertise in deferred gratification to the working world. I took shitty entry-level jobs and worked my way up. I stuck with shitty projects, and shitty companies, so that my CV would look good. I stuck with shitty bosses and put up with glass ceilings. I stuck with idiots who couldn't see my potential, and I just suffered because I had a game plan.

I can patiently wait anything out. I've had to spend about 16 weeks with very limited liberty, being treated as an inpatient. That's not including the time I've spent in hospital receiving emergency treatment. In theory, I could have discharged myself, but there would have been consequences. I spent 7 weeks with somebody who'd been in prison twice, and he acknowledges that I have a mindset that suggests I know how to do time.

I mean, Christ, I spent the best part of 5 years working for one damn company, in one damn building, with the same damn people. Day after day, month after month, year after year. I've done 19 bloody years on the IT gravy train, solving the same damn problems again and again and again, and seeing the same damn mistakes time after time.

And so, I wondered to myself, why didn't I have a packet of drugs to tear open, in celebration of the fact that I have so easily completed a 6-month period of abstinence?

What you'll find with many addicts, is that they're liars. When they say that they're abstinent, they're actually lying to themselves and others. I've done "6 months clean" before, but that hasn't counted "the occasional weekend" and one or two "lapses" (note: a lapse is a 'small' relapse). In actual fact, you're still addicted, but you're limping yourself along by hiding your habit, from yourself and others. You start to believe your own lies.

I've arrived at 6 months "clean" and it really is clean. As clean as anybody in the history of anything, ever.

Most people who quit smoking will drink more, have more coffee, eat more. Most people who quit anything, will find some way of compensating. It might be exercise; it might be work. Basically, humans need shit. We're not fucking robots. Humans have always had intoxicating substances. Wine was being made 6,000 years before Jesus Christ was even born... that's over 8,000 years ago!

Anyway, I started looking at websites of awful toxic Chinese "legal" highs. Then I had a look at the Dark Web. The amount of drugs that are available to order over the Internet is just staggering. Prohibition has spectacularly failed. The designer drug industry is enjoying such a boom time, thanks to ridiculous laws that force chemists to get creative. Technology's answer to the eternally insatiable human demand for mind-altering substances has created a whole swathe of online marketplaces stocking every drug under the sun.

There's something for everybody in the cornucopia that has been created by the war on drugs.

My finger hovered over the "Buy Now" button, because I've damn well proven my point. Pick some arbitrary milestone, and I'll hit it, easily. But, what do I have? My life is miserable. All I have ahead of me is stress and loneliness; insecurity and pain; suicidal thoughts and a sense of abandonment. Fairly easy to justify a relapse, isn't it, when you work so hard and you're not getting anywhere.

Then, I thought, what could I do that's slightly more sensible?

With a bit more searching around on the Internet, I found that you can consult a doctor online and have a prescription despatched next day. In the space of 7 minutes, a doctor agreed to prescribe me a fast-acting antidepressant called Wellbutrin. I needed something because I felt certain that I was either going to commit suicide quickly by cutting an artery, or commit suicide slowly by relapsing back into drug abuse.

Wellbutrin is a wonderful medication, because it's fast acting, it doesn't make you drowsy, and it doesn't ruin your sex life. Have you experienced the boredom of patiently fucking somebody who takes an SSRI antidepressant, waiting an absolute age before they possibly cum, but probably won't be able to? Who wants a sex life like that? I don't want my emotions blunted. I don't want 'brain zaps' and uncontrollable crying when I try and stop the damn medication.

Yeah, who knows what the fuck happens next. Tomorrow, I have a 2-month supply of a fast-acting antidepressant that you can't get on the NHS being delivered. Maybe life will look a bit less hopeless when I'm drugged out of my mind, like virtually everybody else I know.

It feels like selling out, but it's nearly killed me having to fight tooth and nail just to have a roof over my head and a job, while also being nearly stone cold sober. I don't have kids to remind me why I get up and go to work. I don't have pets to look after. I literally have no reason for living, except to achieve some arbitrary goals.

I thought, as an added bonus, that I would also be celebrating one year of blogging today, but it turns out that happened a couple of weeks ago. Today is my last day at work, and I've had a couple of leaving dos, which is nice, but I do of course have to go though all the stress and hassle of applying for new jobs, interviewing, making a good first impression etc. etc. How ironic that things seem to have conspired to happen today.

As luck would have it, a colleague has recommended me for another job, which I might end up interviewing for tomorrow and could even be asked to start a new contract as early as Monday. If I do that, I'm damnwell going to need a few happy pills to carry me through, because I had been thinking that I was going to have a minor nervous breakdown.

Anyway, a milestone of sorts. Nice to leave work with a few slaps on the back and "well done"s. Nice to know that I didn't 'cheat' with my 6 months of abstinence from addictive stimulants. Where's my fucking reward? Surely I should feel better than I do, but I'm depressed and anxious. I'm overwhelmed by the task of having to hustle again, to keep the momentum going.

But really, is there momentum, or did I just wait for 6 months, in order to have a well-earned breakdown?

Is that what life is? Just waiting to die, miserable as fuck?

Tags: #depression #suicide #addiction #drugs

This is a story about long journeys...

Tonight is the eve of my 6 month target. I wanted to keep everything nice and stable for 6 months. It's been painful, but I've nearly done it. No pain, no gain.

I've written and re-written a blog post for today 5 times now.

I think my feelings can be summed up like this:

So close but yet so far.

Frustrating, exhausting, depressing, stressful.

Tags: #depression

This is a story about unhealthy coping mechanisms...

I've been surviving on a combination of barely concealed loathing and contempt for my job, copious amounts of alcohol, occasional use of tranquillisers and a lot of passive-aggressive blogging. It seems to have worked, according to my bank balance and my CV.

In four months, I had one day off sick and a one-week holiday. That's not bad. Just 6 working days that I was unproductive. 1 out 82 working days unwell is only 1.2%.

It's been killing me in unusual ways though.

I've been comfort eating a lot. When I first started my contract, I was munching my way through loads of sweets and nuts at my desk. I was having a great big lunch. I was having cakes and pasties. I was having super-size meals at McDonalds. I was coming home and stuffing my face with crisps, ice cream and unhealthy meals.

I've been drinking far too much. To begin with, I was picking up a bottle of wine on my way home, every single day. I switched to beer because I could drink more of it, but there would be less alcohol in it. There's 94ml of alcohol in your average bottle of white wine. There's 75ml of alcohol in 3 cans of lager, even though the beer is double the volume. Then, things got out of control briefly. I was having two bottles of wine, or 6 cans of beer. The alcohol was a real problem, but then so was the job. Sobering up at my desk was a way of getting through the day.

Early on in my contract, I decided that I wasn't going to blog at work. I wanted to do my best to look busy. I didn't even want to surf the web and read the news websites that I like. I certainly didn't want to be looking at Facebook on my phone all day long. However, that just made things worse. Getting through the empty boring days was excruciating agony. By the time I got home, I was so relieved, but so stressed out, that I felt I needed alcohol to relax and face the next day.

Then, I started to read the news. I found myself constantly clicking refresh, willing something to happen. The summer months are fairly dreadful anyway. The politicians have gone off on holiday, the markets are quiet. Not a lot was going on. Brexit provided a very unhealthy obsession for a while, and I took great delight in trolling the closet racists and xenophobes. Post-Brexit was quite anti-climactic, and just tragic.

I decided that the only way that I was going to stay sane was to write 3 times a day. I was briefly mailing short stories that I was writing to a couple of friends. They helped to keep me sane by being the willing recipients of my bleak allegorical tales of wage slavery: read Alan the Alcoholic if you want to know what I mean.

Finally, I decided I would allow myself to blog at work. I had the additional problem of being told I could no longer use my personal MacBook and I would have to have some piece of shit PC "because data security" or whatever. Anyway, I then didn't have access to my photo library - I try to use images that I own the copyright for - and I didn't have Photoshop to be able to make high quality edits. There's also a slight worry about what kind of corporate spyware is watching what I'm doing.

Somehow, I've nearly limped through to the end of my contract, and I even managed to work my notice period, which is something I haven't done for 6 or 7 years. I'm even getting a couple of leaving dos, as opposed to being escorted off the premises by security (that's never actually happened, but things haven't been wrapped up 'neatly' in recent years).

Obviously, I'm on really dodgy ground, because I'm going to be looking for a new contract in a fortnight or so, and I suppose prospective new employers could stumble on my Twitter profile, Facebook page or this blog. So, to be sensible, I probably have to blog "nicey nicey" for a couple of weeks, so that all the juicy gossip is buried deeper than most miserable corporate drones would ever dig.

I'm not sure what the magic formula is for recovery from clinical depression / major depressive disorder, bipolar disorder, substance abuse (dual diagnosis), borderline personality disorder, functional alcoholism and all the other labels that get bandied around. However, I'm pretty sure that it looks like this:

• An absolute imperial fucktonne of cash. I mean LOADS.
• Rest & recuperation. I don't just mean a couple of weeks. We're talking months or years
• Surround yourself with addicts and people with mental health problems. Nobody else 'gets' it
• Cut horrible toxic people out of your life
• No compromise
• Force yourself to do things you don't like very much
• Do something that requires discipline and routine, and stick with it for months, if not years
• Set yourself some achievable goals, where you're in control

That last one is probably the most important. I absolutely love the fact that I've been blogging for over a year, and I'm on track to write 365 blog posts and 450,000 words in less than 13 months. I've blogged from psychiatric hospital. I've blogged from San Francisco. I've blogged from a desert island off the coast of North Africa. I've blogged through a couple of projects from hell. I've blogged through depression. I've blogged through addiction. I've blogged through isolation. I've blogged through loneliness. I've blogged through suicidal thoughts and self harm.

The only thing I haven't quite done yet is to blog through happiness and contentment, but either that's coming or blogging is keeping me trapped in a certain mindset and stopping me moving on with my life.

I don't think writing like this is keeping me stuck in a rut. I can't imagine my life without writing now. Writing has become such a part of me. I'm more a writer than anything else. There's nothing else I live for, as much as writing. There's nothing else that I put as much passion and energy into. There's nothing else I'm as enthusiastic about.

I guess for many people, work is what defines them. "What do you do?" is the classic middle-class party icebreaker question, when meeting new people. What do you even say if you hate what you do, or you're flailing around to find something new? What should I say, on Thursday, when I'm out of a job again?

If I tell people I'm an IT consultant, that's slightly misleading, because that's a thing that I do just to get money when I'm desperate, and I won't even be consulting for any clients on Thursday, or for at least a fortnight or so after that.

However, I'm not going to stop writing when I finish my contract. I can't see me ever stopping writing, now I've started. What would I do with myself? How would I structure my day, without writing?

Obviously, writing is not a panacea, and it's a dangerous strategy to turn yourself into an open book. So many people will gleefully abuse your honesty, in order to gain a competitive advantage over you, put you down. So many people are looking for an excuse not to hire you, or to sack you. I'm giving my enemies all the ammunition they could possibly want.

However, isn't there something poetically wonderful about loading the gun, handing it to your enemy and turning your back on them? If they choose to shoot you in the back, with the bullet that you loaded in the weapon that you gave to them, isn't that going to eat away at them for the rest of their life?

Isn't there something exciting about deciding to say things that you're not allowed to say because of the conspiracy of silence? People are so afraid about becoming unemployable, and tainting their professional reputations. I almost want to start linking to this blog from my LinkedIn. Of course, every time I write the word "LinkedIn" the higher up the Google search index I will climb when somebody types "nick grant linkedin" into the little search box.

I'm not sure how much the 9 to 5, Monday to Friday routine has given my life some useful structure. I think, on balance, it's been more damaging to my mental and physical health to have a shitty project and an offshore team, than any benefit that I have gained by forcing myself to get out of bed every morning. I have no difficulty getting up and getting on with being productive, when I'm working on something that isn't mind-numbingly boring and depressing anyway.

The suffering has been worth it, financially, and with money comes opportunity: the opportunity to find something better to do with my limited time on the planet. Life is short: too short to be working a job that's like death itself.

Who knows how I'm going to feel when I wake up on Thursday. Will I feel elated, depressed, motivated, anxious?

I'm not exactly in a rush to get my CV out into the marketplace and find myself in another shitty contract. I want some time out, and I want to be more picky about the project I choose next time, even if I am still in a precarious financial situation. It's unwise to become complacent about your employability. Catastrophic market events can happen at any moment, and work can dry up overnight.

Will I be able to cut down my drinking, eat less, exercise more, or will the task of job hunting loom large and make me unbearably anxious? I certainly lost a lot of sleep during the week that my contract was terminated early and my flatmate revealed that he didn't have any money to pay his rent & bills for the 4th month running. Life's never straightforward, is it?

Health vs. wealth. That seems to be the battle that is being fought. Is it possible to have it all? Watch this space.

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

This is a story about escape velocity...

A happy healthy life is a fairly simple prescription. It's not hard to look for slightly happier people and imitate their magic formula.

In essence, what I have distilled things down to is this:

• Home - so you can be warm and dry and your stuff isn't stolen
• Job - so you can pay your rent/mortgage, bills and buy food & clothes (yes, clothes wear out)
• Family - not blood relatives, but anybody who loves and cares about you
• Friends - social media doesn't count; you have to see friends face to face
• Disposible income - get deeper and deeper into debt and you'll lose your home
• Goal or passion - this can be work, this can be your kids, this can be a hobby; you need something.
• Girlfriend/boyfriend - everybody's gotta get laid, and it's important to have intimacy and companionship

At the moment I have 3 out of 7. Assuming that you need 50% or more to be OK, it's no wonder that I'm depressed as hell and have a lot of suicidal thoughts.

Yes, I have friends who I see less than once a week, so I do have friends. Yes, my sister and I do occasionally exchange text messages, even though we haven't seen each other for the best part of a year. Yes, my goal has been to get myself into a position of financial security, and I've been making great progress, but it's not really my goal... it's just a necessity because of needing to not be homeless and destitute.

So, all I really have is a home, a job, and I'm making more money than I'm spending, which is digging me out of debt.

I love my friends dearly, and it does help that people are in contact via social media, email, text message. I have the offer of speaking to a few friends on the telephone, which I'm grateful for. I also make the effort to travel as much as I feel able to, in order to see people face to face, and I'm glad when I do it, even though it's expensive, exhausting and time consuming to zoom all over the country, if not the world.

I just don't have a group of buddies you know? People to go to the pub with. People to go out for a meal with. People to play frisbee with in the park. I'm lacking a social group.

I'm also lacking that significant other. Somebody to just hang out with. Have sex with. Make food with. Watch movies with. Play games with. Go sightseeing with.

I've stitched together a patchwork quilt of whatever I can get, in order to just about cling to life with my fingernails, but it's inadequate. That's not to say I'm not ungrateful for those occasional invites to hang out and do stuff. It's just not enough. I thrive on face to face social contact, and I'm not getting enough.

To further compound problems, the team I've been managing at work are all in the Far East, so I don't even get proper face-to-face social contact at work. I sit at my desk, lonely and bored. I've helped to create a great culture in my team, but I don't really benefit from it, because they are quite literally 6,666 miles away (I just looked that up - I love that fact!).

In desperation, I made compromises that are just not acceptable, sustainable. I took a job that pays well and is very easy, but doesn't provide anything other than the money that I need. I made other choices because of the desperate need for something rather than nothing. There's an opportunity cost. If I'm in a job that I hate and drains my energy, then I don't have the time and the motivation to get something better.

In a way, it's good that a couple of things are coming to an end, because it's prompting me to go after the things I want rather than the things that I took through desperation. Of course, I'm grateful to have the money, and the support that I've received, but you make different choices when you're in deep shit.

So, on Thursday 22nd September, 2016, I will have completed a year of blogging, 6 months 'clean' and my 6 month employment contract will be over.

On Thursday 22nd September, 2016, I will have 1 out of 7 of the things that I need, with the threat that I will quickly lose even that one single thing.

Without a job, I'll have more expenditure than income. I need to pay rent, bills, service debts. I need to replace worn out clothes and things that break. I need to buy food and toiletries. Life is not sustainable in Western society without income.

I don't have savings, but I do have creditworthiness. Yet again, I will have to borrow money in order to keep my head above water. I have no financial safety net. What I have instead are commercial lenders who are prepared to extract their pound of flesh so that I can avoid homelessness and destitution.

If you think I could have saved more money than I have done these past months, you are mistaken. Without a short holiday, I would never have lasted the extra months. Without alcohol, I would never have coped with the stress and anxiety. I could have penny pinched on my accommodation, but can you imagine how awful it is living in a hostel when you're working full time? I worked, slept and ate. How far has it got me? Well. Probably about 50% of the way towards financial security.

I need to take a break, because my nerves are frazzled and I'm exhausted.

I doubt any contract could be as bad as the job I'm about to finish on Wednesday. For my next contract, I'm going to look for something where I'll be working with a team in London. I need a much more interesting workload. Being bored to death is no way to die.

With money comes the opportunity to travel, socialise, make the investment in a new hobby. With a more tolerable day job comes energy and enthusiasm for each day. With a more liveable life comes the freedom from drink, drugs and medication, in order to simply get through the day.

It's a fucking nutty strategy, to go for the big win. What you just don't understand is just how close to irreparably broken my life is. You just don't understand what it's like to not have so many of the elements that prop up your life. Look again at the bullet pointed list above, and score yourself. How many of the things you need do you have?

Look back at the last 4 weeks of your life and ask yourself this:

• How many nights were you homeless? - zero, I presume
• How many days did you work? - I'm guessing somewhere around 12, on average
• How many times were you in contact with your family? - I'm guessing at least 4
• How many days did you see friends face to face? - I'm guessing at least 8
• Did you make more money than you spent? - I'm guessing at least breakeven
• How many times did you do something 'fun'? - I'm guessing at least 4
• How many times did you have sex or snuggles? - I'm guessing at least 8

Those would seem like adequate answers to me. If you're hitting those numbers, your life is probably just about OK. Less than that in one area, maybe you can make up for it in another. For example, you might have been out of work and losing money, but at least you were surrounded by your loving family a lot more of the time, because maybe you were staying at home looking after the kids.

I'm certainly not saying it's easy being a stay at home mom or a househusband, but suicidal depression can come about through death by a thousand cuts. All the little things that are wrong in your life add up to an unbearably horrible situation.

In some ways I'm relishing next Thursday, because I can sleep and recharge my batteries. With spare time that's completely free from artificial structure, such as having to be in a certain office at certain times of the day, then I can start to relax and decide what I want to do next.

The obvious thing to do is to get another lucrative contract, and work for at least another 4 months, so that I can get a cushion of savings to support me in pursuing a passion. Without being able to underwrite my own risk, I have zero faith in my family or government to support me if I fall on hard times. I have a friend who's offered me some financial support, but I think it's unethical to accept it because then I'm borrowing from their safety net.

In this individualistic society, nobody parachuted in to rescue me when I was homeless, destitute. Nobody came to rescue me. Nobody came to my aid. Help was not forthcoming. Even when I had letters from my doctor, my psychiatrist, my social worker... all begging for the government to support me as a vulnerable person with mental health problems, the people I dealt with were unhelpful, obstructive and ultimately just wasted my time and effort even asking for the support that I was entitled to, because of their legal and moral obligations. Those public servants' salaries are paid for with my goddamn taxes. I've paid a lot in, and when I needed it, I could get nothing out.  It's down to me to support myself. I might as well be living in some developing world country, where at least the cost of surviving is lower.

People who warn me to stay within easy reach of the National Health Service for mental health reasons, are just naïve. I've been round and round the system many times since becoming clinically depressed in 2008. The system is bullshit. There is no safety net if you're a single man.

And so, I must play russian roulette with my life in order to support myself. The upside is OK: I might become wealthy and comfortable again, in a relatively short timescale of just a few years. The downside is horrible though. Can you imagine how much time I've spent thinking about how I'm going to kill myself? Can you imagine what it's like to spend a significant proportion of your waking hours feeling so awful that you pretty much want to die?

I swear if one more person tells me to go to my doctor and get some magic beans I'm going to scream. STOP MEDICALISING NON-MEDICAL PROBLEMS. The problem is clearly outlined above. I don't have broken brain chemistry. My brain has correctly identified the problems in my life. There are no short cuts. There's no way to cheat the sytem.

Of course, there is a short cut.

Drugs will tell your brain you feel loved. Drugs will make you feel relaxed. Drugs will make you feel happy. Drugs will make you feel contented. Drugs will tell you that you don't need friends. Drugs will tell you that you don't even need to eat or drink. Drugs will tell you that everything is fine.

Everything is not fine, so I don't want drugs - and by that I mean medication too - to tell me that things are fine. Things are not fine. I almost need these awful feelings to prompt me to get a better job, find some new friends, get a girlfriend, get a hobby. It's just that financial circumstances have constrained me more than you can possibly imagine.

Imagine if I'd declared bankruptcy at the start of the year. That would have been a stupendously dumb decision, in hindsight, wouldn't it? I'm presently not bankrupt. Presently, I have enough money to clear my credit cards, my overdraft.

Of course, my position can't last. You have to run just to stand still. I'm losing my job, and that means I will quickly go into debt again.

"Get another job then"

Guess what, Einstein... that's what I'm going to do. Even though I'm suicidally depressed, overcome with anxiety, I'm going to go and get another motherfucking job you c**t. Even though I'm technically entitled to disability benefits and a council house because my mental health is so debilitating, I am able to do these crazy raiding missions to go and gather nuts before my brain explodes and it all comes crashing down again. I'm locked into this boom & bust cycle. No wonder my bipolar disorder is so exacerbated.

And so, round and round I go. Up & down. Boom & bust. Highs & lows. It's not a medical problem. Its the motherfucking dance I'm forced to do by this farcical society. This is what you get when you don't support people. This is what you get when you isolate people. This is what you get when you only look out for number one.

"The pills will help you stabilise"

No, they won't. Have you looked at the long term studies? Have you studied the data, the clinical outcomes? Have you done the research? No. Of course you haven't. You just have this bullshit belief in the power of medical science. If I had an infection, I'd go to my doctor for antibiotics to treat it. I don't have a fucking infection. I have an allergy to shitty unbearable unliveable life.

I've tried all the meds under the sun. I know what life on medication is like. I've had tons of doctors and psychiatrists. I've tried tons of therapies. It's all a crock of shit. The fundamental problem is the fucking shitty world. Look around you; do you like what you see?

I'm not going to change the world begging on the street with a cardboard sign. I'm not going to change the world by impoverishing myself. I'm not going to change the world by trying the same things that people have tried for hundreds of years, without success. Only an idiot tries the same things expecting different results.

So, I'm on this crazy journey. I'm hoping that by next Wednesday I might have managed to write 365 blog posts, and probably around 450,000 words. That might not make a difference to you, but it's surely making a difference to me. It's probably making a difference to somebody, somewhere. I have visitors from around the world, reading what I write. Even if it's absolute garbage, it's better than just being a helpless spectator. Even if you think I'm an irrelevant bleeding heart lefty liberal who doesn't amount to a hill of beans, at least I'm composing my thoughts. At least I have a belief system. At least I have values and things that I passionately believe in.

It's very hard for me to come up with a reason why I'm struggling along at the moment. Why am I putting myself through this awful shit? Why don't I just kill myself, and then the pain will be over? Why don't I just give up, and relapse back into drug addiction?

Actually the second one is fairly easy to answer: somebody who dies of drug addiction is easy to discredit as a 'dirty' junkie. Somebody who's 'clean' and has just completed an important project for a major corporation, in a valuable role, and has set their financial affairs in good order, is a rather more inconvenient and difficult problem to find a soundbite to toss them into the gutter.

I want to be a thorn in the side of every selfish c**t out there who wishes their fellow humans dead. I want to shame people into action, from their comfortable existence where they don't even lose sleep over every homeless, hungry struggling person in pain and suffering out there.

Where the fuck are people when those around them are in distress? Who the fuck do you think is going to sort problems out, if it's not you?

Even though I could have put my tax money to far better use supporting myself, rather than paying the salaries of people who tell me they're not going to help me, I'm still glad to give away a substantial proportion of my income. However, I'm not buying a clean conscience. It's not like I pay my taxes so I can watch my friends become homeless and mentally ill, and assume that the council and some doctors are going to wave their magic wands and make it all better.

What the fuck happened to the empathy? I think I would offer to let somebody sleep on my couch, lend somebody money or go and visit somebody in distress, before I even experienced horrible things first hand myself. I had quite a comfortable existence up to the age of 32 or thereabouts, but I didn't think it was big OR clever to sit on my fucking arse not doing anything when people were suffering.

Those who have been kindest are those who have suffered the most, which makes me detest the comfortably off for their lack of empathy, their lack of humanity.

If humanity is destined for a situation where we let even our own family members and friends flail and drown, then I'm pleased that climate change is going to wipe you miserable c**ts out of existence. You don't deserve to survive, if your "I'm alright Jack" attitude is the prevailing one. I hope you and your kids and grandkids die slowly and painfully if you spawned more mouths to feed with not a single concern for anybody else.

Believe me, I do observe how happy and fulfilled my friends who are parents are, even if they complain how hard it is being a parent. Did you forget that we live in the age of birth control and abortion? You chose to have kids, and no matter what you say, you do get immeasurable benefit from having them. You have happiness and security, knowing you procreated. You have a flood of oxytocin when your cute kids throw their arms gleefully around you.

Believe me, I do observe how happy my friends are to own a dog, even if they complain about having to pick up the poop and hoover up the hair and other mess. You chose to have another carnivore on the planet, eating meat that meant that food for livestock was grown, rather than having more food for those who are starving, and depriving the planet of those extra trees that remove carbon dioxide from the atmosphere. Having a pet dog is selfish as fuck, but I do see how nice it is to have your dog playfully jumping with joy to see you, and throwing sticks in the park for them to fetch.

I can see that there are choices that benefit me as an individual hugely, but I choose not to take them, because I'm responsible for more than just myself. I don't believe that collective responsibility is something that naturally follows from individual responsibility. In fact, I see that the two things are naturally opposing.

Can't you see the fucking trends? Of course you do, but you just don't want to believe it.

You don't want to give up eating meat. You don't want to adopt instead of having your own biological children. You don't want to stop driving your precious little darlings around in a gas-guzzling 4x4 "because it's safer for our family". You don't want to plant trees instead of having a pet dog. You don't want to do anything different at all, in fact, even though you're fucking everything up for your kids and your grandkids.

That's why I'm depressed. That's why I'm suicidal. That's why I'm stuck in a hole I can't get out of. That's why I'm desperate and driven crazy by all this bullshit. That's why I'm doing things that are atypical... because the typical is what got us into this fucked up mess in the first place.

I don't care whether you're religious or not, but imagine some future judgement day, when it's obvious that the planet and the future survival of the human race is clearly doomed: will you say that you went along with things, supported the status quo, or did you try and change things? Did you at least act differently? Did you at least try and help in a way that's less pathetic than recycling your bottles? Did you help anybody other than the fucking clones you spawned to replace yourself?

Note: I'm not anti-parents. I don't hate my friends. I'm not some "wake up sheeple" fucktard. Dismiss me if you like using some convenient label that you were taught to use by those who wish to perpetuate the status quo.

If you're not acting with your conscience, or at least kept awake at night worrying about this shit, that's unconscionable.

You probably should worry about me. No doctor in a white fucking coat is going to make everything OK. It's not a medical problem. It's not a government problem. It's everybody's problem, including mine, but it's more than I can handle on my own.

Tags: #suicide #depression #mentalhealth #climate #politics #capitalism #homeless

This is a story about looking after yourself...

I'm an incredibly calculating person. When I take a risk, it's a calculated risk. If you want to be a sailor, a rock climber, a mountaineer, you've got to be able to weigh up multiple factors. You look at the difficulty of the route or passage. You look at the weather conditions. You look at your equipment. You think about your crew, your rope party. You consider your own abilities. Failure means falling to your death, or drowning.

Let me give you an example.

I was at a petrol station, and I was paying at the counter when a car that was on fire was driven up to the pumps and then abandoned by the driver and passengers. They fled for their lives. The car was there, going up in flames, right next to the petrol pumps.

What would you do?

There didn't seem much point in standing around waiting for the fire brigade. There certainly didn't seem like a moment to lose, as there were passengers sat in their cars, waiting for the drivers to pay for their petrol and come back to their vehicles.

Selfishly, the best thing to do would have been to stay where I was, at the counter where I was paying, or to flee out the fire exit at the back.

I didn't think "I want to be a hero". I thought "can I put that fire out?". I decided that I could.

I went out onto the forecourt and shouted for everybody to get out of their cars and get the fuck away from the petrol station.

Then I picked up a couple of fire extinguishers and went and put out the fire. It wasn't unbearably hot because the whole car wasn't yet on fire. The whole engine compartment was on fire, but with the wind behind me, it carried the smoke away from me, along with some of the heat. I managed to direct most of the foam from the extinguisher into the engine compartment, and the flames were quickly put out.

That was a calculated risk.

I'm currently working a job that is destroying my mental health. It was a 6 month contract, and I calculated that in that time I could reach financial security. Financial security is an important component in wellbeing, given how shockingly appalling the welfare state is. It's more important that I'm able to support myself financially, than it is that I suffer 6 months of depression, putting me at risk of suicide.

My assumption is that when I have reached the point of financial security, I can have a mini nervous breakdown, and then start to recover without sinking back into financial hardship. If I have financial security, I can recover without becoming homeless and destitute again.

If I have learnt anything about my mental health to date, it's that I can recover from almost anything, given enough time & money.

It's sad to see lives thrown away because we treat them so cheaply.

If I can do it, I will have proved that it's possible to plumb unimaginably awful depths and recover, if only we would take the chance and invest in people. If only we trusted people. If only we respected people.

So many people get written off as if they're as good as dead, and that's disgusting.

It should be a collective stain on our conscience that we prefer to prop up the ideas of the "lost cause" and to discriminate against people because of the mistakes of their past, rather than looking at their potential.

Instead of chucking me into some "care in the community" bucket as an incurable madman, or kicking me into the gutter as a hopeless addict, I'm looking forward to proving what an injust death sentence that is. My parents are reprehensibly disgusting people for abandoning their own son when I was vulnerable and alone. My parents had insisted that they would help, only to renege on their promises at the vital moment.

I've done nothing but try to improve the lives of others. I'm not a thief, a liar. I'm not a violent man. I'm not even a criminal.

My dad's a criminal. My dad has a criminal conviction for his drug offences. The police have seen fit to caution me 4 times for various things, but the police have seen that there is no criminal intent with me that would warrant prosecution. My dad has broken the law and he has a criminal record. Why would he treat me like a criminal? Why would he treat me as if I've committed crimes, when it's him who has the criminal record?

I suppose we judge people based on who we really are. If you're a bad person, you see bad in other people. I've always given people the benefit of the doubt. I've always helped people, and even forgiven them when they've screwed me over.

I don't think I'm necessarily a good person, but I try to be. I try to help people. I try to see the best in everybody. I try to invest in people's potential.

It's a calculated risk, being nice to people. Sure, I've lost loads of money as people have taken advantage of me. I doubt anybody thinks I'm a mug though. I doubt anybody feels proud or pleased that they profited at my expense.

One of the best ever moments I can remember was when a young addict couldn't believe that I'd forgiven him for - as he saw it - scamming me out of a load of money. In actual fact, my risk was hedged. It was a calculated gamble. I just hope that he benefitted in some way. My life certainly wasn't any the worse off.

Anybody who says "don't give money to an addict or an alcoholic because it'll do more harm than good" is simply wrong. If you're poor and you steal from the rich, you don't feel guilty about it. But if somebody is kind to you and trusts you, and you betray that trust, it eats you up inside like crazy.

By helping people to be solvent you can help restore their sanity. For many people who live lives of poverty, this can be surprisingly cheap. I could get my friend Frank a hostel bed so that he wasn't living on the street for £120/week. I could help get Frank a room in a shared house for £500. Nobody had taken that kind of chance on him before.

Fixing my situation has been more expensive, because I'm more leveraged. When my parents fucked me over, I borrowed what I could on credit cards, bought Bitcoins, and made 1,200% profit. That was a calculated gamble. When I was homeless living in the park, looking for a well paid IT consultancy contract, I was using my creditworthiness to stay alive and get back into lucrative work: that's leverage. The peaks and troughs of my debt and my solvency are erratic and stressful, but you'd be a fool to bet against me.

Obviously, the idea is to link two lucrative contracts back to back, or have one last long enough to give me a financial cushion to at last be safe from homelessness and destitution. I desperately need a break from these boom and bust cycles. I desperately need a run of good luck.

The luck is not forthcoming, as my 6 month contract has been terminated 2 months early, but I have a little time to rest before the stress and torment of having to find a new job.

If you put all this into the context of relentless depression, suicidal thoughts, threat of homelessness, bankruptcy, destitution, reputational destruction, and everything else that threatens to consume me, I'm surprised I'm still standing.

All I know is that I'm able to just about make a swap for my mental health and sense of wellbeing, for a chance at financial security. It's a calculated gamble.

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