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#NaNoWriMo2016 - Day Twenty-Seven

13 min read

Poste Restante

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

 

27. The Syringe

"FRL-V4" was an act of desperation. He had exhausted every prescription drug that he could buy from overseas. He then tried every research chemical that he could find. The Internet revealed a world of "psychonauts" conducting drug experimentation on themselves. He felt like a human guinea pig anyway, having had a cocktail of different medications prescribed to him by his doctors, all of which had terrible side effects. He was sick and tired of feeling sick and tired.

When he received his first delivery from Frog Eye Wares, he assumed they had accurately weighed out half a gram: 500 milligrams. He poured out the contents of a small plastic bag labelled "TOXIC: NOT FOR HUMAN CONSUMPTION" onto a dinner plate. Then he divided the pile of powder into two equal piles of 250 milligrams each. He divided one of those piles in two, which he assumed must approximately weigh 125 milligrams. Scooping up one small pile of powder, he transferred it to a second dinner plate. Then, he made five lines of powder, each of the same length and width. All of this was done by eye. By his estimation, a single line weighed 25 milligrams.

Taking a rolled up bank note, he snorted half a line up his right nostril. This was the first time he'd insufflated something since the one and only time he'd tried cocaine, at a house party 8 years earlier. The cocaine gave him a feeling of numbness in-between his eyes and down the back of his throat. He could taste a drip from his nasal cavity, but it was not unpleasant and the numbness spread around his mouth in his saliva a little. The "FRL-V4" powder made his eyes water with pain. There was an extremely bitter taste and the smell of solvents filled his nose.

His face flushed, his pulse raced, he needed a bowel movement. In the bathroom, dropping his trousers, he noticed his penis had shrunk as if it was freezing cold. Washing his hands, he looked at himself in the mirror. His pupils were gigantic and jet black; he was sweating. Panicking slightly that he had taken too much of the drug, he rinsed his nose out with some cold water and tried to spit out the residue that seemed to coat the back of his throat.

He'd spent the day feeling productive. He had cleaned the house and had then started playing a computer game until he noticed that it had got dark. Then, he started to feel a sense of panic. 9 hours had elapsed since he had taken the drug and he worried that the effects weren't wearing off. He looked at his watch; then he looked at his watch again. Time was passing incredibly slowly. He started to stare at the face of his watch; the second hand was barely moving. He could feel his heartbeat starting to race. He started to feel like he couldn't breathe; as if there wasn't enough oxygen in the air and he couldn't catch his breath.

That was when he decided to snort the other half of the line.

He'd done a lot of research on the Internet and he knew that some of the drugs he was likely to encounter were "fiendishly" addictive. Most of the negative things that he read seemed to be associated with people having long sleepless binges. It seemed logical to him that the thing to do was to avoid "re-dosing". He would limit himself to a fixed daily dose and that way he would avoid the dreadful binges and the path to addiction that he had read about. However, he hadn't been able to calm down and was feeling really awful. He half considered going to hospital, but instead, he decided to double down.

Snorting with his left nostril, the pain brought tears to his eyes again. Soon, he felt a lot better. The panic attack subsided.

He hadn't eaten all day and he thought he should try and force some food down. Making himself a sandwich, it seemed incredibly dry. He hardly had any saliva to swallow. Everything tasted really strange and unpalatable. He had absolutely no appetite. Realising he'd hardly drunk anything, he gulped down some orange juice, which was pleasant enough. His stomach hurt and he retched a little, but the nausea quickly passed.

The night passed with more computer games and he was surprised to see morning light. Trying to avoid looking at his watch for as long as possible, he knew that there was panic rising in him again. What was he going to do? He hadn't slept in 24 hours. This was quickly turning into a binge. He decided to snort another half a line, to get through the day and then sleep at his normal bedtime that night.

The passage of time was so much accelerated during the segments where he was under the influence of the drug that, whatever he was doing, he found that he was still doing it hours and hours later. He wasn't normally a big fan of computer games, but he had almost completed the one he had been playing. On the pretence of completing the game, he snorted another half a line.

Feeling a little sleepy in the small hours of the morning, he decided to doze. He slept and then suddenly awoke feeling hyper alert. He was acutely aware of the sound of his own breathing, his heart beating, every noise in and outside the house. He could hear the ticking of his watch and time had slowed almost to a crawl. His pulse raced and he was terrified that he was going to have a heart attack. He lay perfectly still on the sofa and tried to calm himself down, controlling his breathing. He fought rising panic for what felt like an agonisingly long period of time before deciding that he had to distract himself. He decided to go out for a walk.

It was a bright morning, still quiet before the commuter rush. He turned left out of his front door and walked 50 metres before deciding that there would be too many people on the main road. He headed the other way, past his house and got halfway down his road before he panicked that he was getting too far away from home if he needed to hide himself away or wait for an ambulance. He walked slowly back at first and then worried that his neighbours were probably watching his strange behaviour, so he hurried back home. Inside, he paced around downstairs, unable to settle himself.

Sitting down at the dining room table, he started to scribble a note explaining what he had done. Screwing up that piece of paper, he started to write down all the medications he had taken without a prescription: dates and dosages. Grabbing more sheets of paper, he wrote a whole set of notes, explaining every doctor's appointment, outpatient visit and inpatient admission that he could remember, along with diagnoses and medications he had been prescribed. On a final sheet of paper he explained that he had bought a research chemical called "FRL-V4" from the internet, but he didn't know what the active ingredient was. He wrote that he feared he had overdosed, damaged his heart or had some kind of allergic reaction. He wrote: "I've had an unplanned binge and I think I'm getting addicted."

Neil knew the idea that you could become addicted the first time you ever tried a drug was ridiculous. There was no such thing as something that was instantly addictive. However, he knew that he'd jettisoned his plan to only take a fixed known dosage and never to binge. He knew that he wanted to take more of the drug, but he also didn't want to take any more because it obviously caused him to have massive panic attacks.

At some point while he was writing, he had calmed down. He now felt quite good; he was flooded with a sense of relief. The feelings of dread and the near-certainty that he was going to die - or at the very least be rushed off to hospital - had dissipated and he spent the afternoon having a shower and eating a little. His appetite and tiredness returned that evening and he slept for nearly 14 uninterrupted hours. When he awoke he felt mostly normal, hungry and a little depressed. However, the drug played on his mind more than he was comfortable admitting to himself.

Having had such a scary experience with the panic attacks, he wanted to flush the remaining powder he had left. Strangely, the memories that stuck in his mind most clearly were how much relief he felt when the panic attacks were finally over, as well as the relief he felt from the panic when he snorted another half a line. Fatefully, he did not flush the powder.

He managed to delay almost a week before he took the drug again. Addiction did not become a daily habit. He seemed unable to snort half a line and then put up with the panic attacks. His binges would last two or three days, until the panic would be accompanied by enough sleep deprivation to bring sleep. As he got more and more tired, he would sleep through the worst of the comedown. In a way, he was functional, because he would eat and sleep to catch up in-between his binges. However, he knew that his life now revolved around taking drugs and addiction had taken hold.

Taking to the Internet to research the unknown chemical that had its hooks in him, he discovered a thread of discussion where people were speculating what the active ingredients in "FRL-V4" were. There seemed to be consensus that it had to contain one of the most feared and notorious 'designer' drugs. Searching online, there were no shortage of horror stories about this chemical, nicknamed "Peony". News stories reported one man had chewed off a tramp's face and a Dot Com billionaire had murdered his girlfriend, while under the influence.

Unwittingly, he was committing the names of these chemicals and where they came from - Chinese laboratories - to memory, while he struggled with addiction and also tried to find information about some less harmful substitute that would help him escape his predicament.

To obtain the pure chemical form of "Peony" would be incredibly dangerous, because it was so potent, but he could try to substitute it with similar drugs that were less addictive and caused fewer side effects. It would take a couple of weeks for deliveries from China to reach him. In the meantime, his addiction raged and he started to go on binges lasting four or five days.

When his weighing scales and the first of his Chinese orders were delivered, things did not improve. He was exhausted and sloppy with his measurements. He had become used to estimating his doses by eye. Snorting a big line of "FRL-V4" and a medium sized one did not make much difference. The difference between 5 milligrams and 10 milligrams of something that was 99% pure made a huge difference. His binges started to last for over a week, because he would be kept awake for days at a time when he snorted a single line of the potent chemicals.

Feeling his life was totally out of control and it would not be long before an overdose meant death or hospitalisation, Neil decided that he was a lost cause. The idea of running away to the caravan started to obsess him. He wanted to spare Lara and his family the distress of finding him dead from his addiction.

He had promised himself that he would never cross one line with his addiction: he would never inject drugs. It was a strange thing to have decided, but everything he'd read suggested that injecting drug users were generally in their death throes. However, he had taken a syringe with him to the caravan.

By dissolving chemicals in half a litre of water, he had an exactly one milligram of drug per millilitre of water. Sucking up the chemical solution into a syringe, he could measure a dose quite accurately without his weighing scales. He didn't even need a hypodermic needle: he could simply swallow the liquid. His stomach acid would destroy about 50% of the chemical, but half of it would reach his bloodstream.

Desperate for something to drink, Neil now reached for a glass bottle that he had dissolved drugs into. The water had reacted with the chemical and seemed to have destroyed it. He took a couple of big glugs from the bottle.

Without any means of measuring the weight of his doses accurately, Neil had been playing Russian Roulette with his life. A small dose could have no effect at all and a large dose would leave him with stimulant psychosis for days, as well as putting incredible strain on his heart. It was miraculous that he had survived so long.

In a state of drug-induced insanity, every bit of powder in the caravan had been consumed, accidentally spilled or destroyed. Neil had been clean for a few days, but he was in such a damaged state that he hadn't had the energy to limp to his van or to the country lane where he might be discovered by a passing driver.

Now, he felt a sharpness return to his mind. His injuries hurt less. His back and joints didn't seem to ache so badly. He felt his limbs start to get lighter. The water had reduced the potency of the drug, but it hadn't destroyed it altogether. Neil was able to sit up and move around. He felt like he could get to the van.

 

Next chapter...

 

#NaNoWriMo2016 - Day Nineteen

12 min read

Poste Restante

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

 

19. The Hospitals

His first day in a psychiatric hospital had been spent as a day patient. The crisis team had arranged for Neil to get out of the house and see a different psychiatrist. They'd picked him up in a minibus from home and driven him to another local hospital that Lara had never heard of. It was surprising how many institutions there were in town, dealing with mental health patients.

A breakfast of toast and cereal was provided at the hospital in a large canteen with a huge bay window looking out onto a garden filled with mature shrubs and trees. The hospital itself was an imposing red brick Victorian building, originally built as a sanatorium. There were parquet floors and a grand staircase in the foyer. Otherwise, the hospital had been institutionalised, with fire doors painted glossy pale green, linoleum floors and lots of blue signs with white lettering.

After breakfast, the patients were corralled into a circle in the canteen. Tea and biscuits were served as a support worker went through the day's activities and asked who would like to do what. There was music therapy, art therapy and drama therapy. Neil said he would do all three.

There were long periods of time where nothing seemed to be happening and there was no sign of any staff members. Patients were hanging around in two rooms: the canteen and a lounge. The lounge had an array of different size and shape sofas around the edge of the room and a vending machine in one corner. A tall sash window offered a view out to the gardens on the opposite side of the building from the canteen. Nobody was talking to each other. Some patients sat completely still with glazed eyes, as if in a trance. Other patients paced around nervously, avoiding all eye contact and distancing themselves from others.

After a seemingly interminable wait - there were no clocks anywhere to be seen - a woman appeared asking for Neil.

"Are you joining us for music therapy?"

"Yes, I was going to."

"Well we're starting right now."

Neil followed the woman through a door. She seemed irritated as if he should know where to go and when. The music room was nearly full with about 20 patients holding instruments, sitting around a large square table. He didn't recognise anybody from breakfast. The room had a high ceiling and it was quite dark. The walls were covered with blue fabric covered cork-board and there were many crude paintings and drawings pinned up.

"Choose anything you want and we can start" said the music therapist, gesturing to a corner filled with an array of percussive musical instruments.

Neil picked up a tambourine and sat down in a free chair at the table. The music therapist sat at a piano and began to play a simple melody. Tentatively, a patient started to tap a bongo drum in a staccato rhythm that was not in time with the music. Another patient shook a pair of maracas at random intervals. Neil started to gently jangle the tambourine in time with the woman on the piano and she started to sing, presumably to amuse herself as nobody else knew the words or the tune. Everybody else in the room held their instruments motionless, except for sporadic flurries when they became emboldened enough to briefly make a noise.

Eventually, Neil got bored and started to beat time on the taut skin of the tambourine quite loudly. Following his lead, more and more patients started to join in with the rhythmic bashing of instruments. The sound built and built and the music therapist played louder and wailed badly out of tune. Finally, she stood up and gestured that everybody should calm down, gently shushing.

"We could wake the dead with that racket" she said, laughing at her own joke.

"OK that was a brilliant session. Please help me tidy away the instruments. Thanks everybody. I really enjoyed that."

The patients all disappeared in different directions and Neil made his way back to the canteen. Most of the people who he'd seen earlier were still there. Spotting the patient who had been shaking the maracas, walking through the foyer, Neil intercepted her.

"What happens now?"

"Well I'm just going outside for a cigarette. Get yourself a drink and have some cake. Then it'll be lunchtime."

A table in the canteen had been laid out with large plastic jugs of blackcurrant and orange squash. There was a chocolate cake and a victoria sponge that had been sliced into small portions on paper plates. Neil took a plastic beaker from a stack and was about to pour himself some squash when one of the catering staff rushed over.

"I'll pour that for you, dear."

"It's OK, I can do it" said Neil.

"No I have to pour it for you."

With his drink and a plate of cake, Neil sat down at a table with a girl who was fiddling with her phone. She looked up.

"Are you OK?" she asked.

"Yeah. Bit confused about what's going on. You alright?" he replied.

"No. I'm not good at all" she said, suddenly looking very worried. She studied the floor.

"Do you want to talk about it?" he asked.

She looked up momentarily, made a little half-giggle and then started fiddling with her phone again.

After about an hour of awkward milling around, a servery hatch was opened in the canteen and a trolley with knives and forks on it was wheeled out into the room. Patients started to line up at the hatch, where there was a hot plate and the catering staff were taking off the foil lids on a number of plastic containers. Neil took his place in the queue. There were a number of dishes to choose from including pasta and a meat pie. Neil chose meatballs in a tomato sauce, mashed potato and green beans, which were dolloped onto a large white plastic plate by a lady in a hairnet with a long serving spoon.

"Gravy?"

It seemed an unusual question, but the dish could certainly be improved with some kind of sauce. The lady poured thick brown liquid all over his food from a big aluminium jug. Lunch reminded him of school dinners, but not in an unpleasant way. There was a stodgy pudding with lashings of thick yellow custard to finish the meal and it was all washed down with tap water in tiny plastic tumblers, poured by one of the catering assistants.

As he was finishing his meal, Neil was approached by a camp man with a bright happy smile who almost danced into the canteen. Half lowering himself to table level but not sitting down, he laid his hand gently on the middle of Neil's back.

"You're joining us for drama today. Is that right?"

"Yep" said Neil, covering his mouth which was still half-full of food.

"OK perfect. There's only a few of us but we always have a lot of fun. We'll be in the drama studio in about 30 minutes, alright? Wonderful" he said, answering his own question.

Neil wanted to ask where the drama studio was but the man had skipped away before he could swallow his mouthful and call out to him.

"Oh good. You're here" the drama therapist said when Neil finally located the right room. There were four patients, arranged in a semicircle facing the therapist. Everybody was seated in the middle of a large polished wood floor. Around the edges of the room were chairs stacked up, boxes with hats, props and clothes rails with various costumes.

The session began with some icebreaker exercises where each patient had to say the name of another patient before throwing them a ball to catch. They then re-enacted the story of Goldilocks and the three bears several times, rotating the roles so that everybody played each character. The therapist prompted them with questions while they were doing this.

"How do you feel that your porridge has been eaten, baby bear?"

"Uh. Hungry?" Neil replied.

With more tea and biscuits there was a community meeting where everybody sat in the canteen and somebody asked a sequence of questions about whether anybody had any problems with the facilities or could think of any service improvements. The nurse and support worker who ran the meeting were met with stony silence.

Art therapy comprised colouring in with pencils or felt tip pens. Neil chose a picture of an orange tree and meticulously shaded every leaf. He had almost completed it when a man appeared at the door of the art room.

"Neil. Can I borrow you please?"

Led up two flights of stairs, the man knocked on a door.

"Come" came a voice from inside.

Opening the door, a young doctor held out his hand.

"Neil isn't it? Good to see you. Take a seat please" he gestured towards a plastic chair. "I'm Doctor Akinbole, a registrar psychiatrist here at the hospital. I'm hoping we can do something to help you today."

"Oh.. kay..."

"Now, I come across quite a lot of cases of young men. Fit and active. Productive and happy. Sometimes problems can materialise in your twenties. It's nothing to be ashamed of and I'm sure we can help you get back on your feet."

"Alright" Neil tentatively offered.

"So you've been working full time, you're engaged and you've been in a long term relationship with this lucky lady?"

"Yes, that's right"

"That's great. Great" the psychiatrist said, smiling.

"Well listen, there's a medication that's helped a lot of my patients in a similar situation to yours. It's an atypical antipsychotic, but it's very good with depression too and a whole host of mental health issues."

"Antipsychotic?"

"Atypical."

The psychiatrist reached for a book on his shelf and leafed through the pages.

"OK, what we're going to do is start you on 200 milligrams today, 400 tomorrow and 600 the day after. Then you'll be taking 600 milligrams every night. This medication is great because we can ramp up the dosage really quickly."

"What about all my other medications?" Neil asked.

"Well, we'd better keep you on those for now. We don't want you to have any nasty withdrawal effects. We can taper you off those gradually in future."

The psychiatrist was now scribbling in his prescription pad.

"Here you go" he said, standing up. "Any problems, just phone the hospital and leave a message for me."

"Thanks" said Neil, taking his outstretched hand and shaking it again.

"I'm sure you'll be feeling much better soon. All the best" the psychiatrist said, ushering Neil out of the door.

Descending the stairs and standing in the foyer, Neil felt very lost and shellshocked. After a slow and relaxing day, his consultation with the psychiatrist had been a whirlwind affair and he was shocked at how quickly he had now received a prescription for a third medication. There was also something scary and unpalatable about the word antipsychotic.

On the first day with his new medication he woke up with a very dry mouth and was very sleepy until late morning. On the second day, he struggled to brush his teeth and get into bed because he was fighting to stay awake. On the third day, he needed to go to the toilet during the night and found that he was confused and staggering like a drunk. The dry mouth was terrible, he felt tired all the time and his appetite for chocolate biscuits became insatiable.

After some weeks, the side effects had not abated. Neil's life consisted of taking his medication at 7 or 8pm at night so that he could be awake for a few daytime hours, where he sat semi-comatose watching trash TV. Phone-calls to the hospital and messages had not managed to raise any response from the psychiatrist but eventually he spoke to another doctor. He was told not to reduce the dose, but he could split it into two or three doses throughout the day. This meant that Neil was half-asleep the whole time and barely conscious of what was even happening from one day to the next.

Two months elapsed and Neil was comfortably numb but there was no change or improvement. There was no way he could ever work while so heavily medicated. He booked an appointment to see his GP and halved his dose the night before he was due to see the doctor.

"I want to come off the quetiapine."

"Ok, but you can't just stop taking it until I write to the psychiatrist and ask his opinion."

"I can't stand the side effects and I have no quality of life."

"I understand, but we have to be very careful when you stop taking medications like these."

"It's not helping me. The side effects are awful. I'm just drugged all the time. It's like a chemical straightjacket."

"Let me write to the psychiatrist. I'll get back to you as soon as I can."

 

Next chapter...

 

#NaNoWriMo2016 - Day Thirteen

11 min read

Poste Restante

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

 

13. The Post Offices

In the United States, a letter for general delivery can be addressed to any town with a post office. The U.S. Postal Service will then hold the mail for the recipient to collect. In Europe as well as several other countries throughout the world, letters can be marked as poste restante and will be held at the post office that they are addressed to.

In the United Kingdom, Neil knew that post offices would hold mail for him sent from overseas for up to one month. Near the caravan, there were three local towns with post offices which could receive poste restante mail.

Having spent his first night in the forest in the back of the van, Neil awoke cold and uncomfortable. The van was small and the floor was bare corrugated metal. Even though his sleeping bag was good quality, lying on a cold hard surface meant that any warmth was quickly leached away. The small amount of moisture in his breath was enough to condense on the inside of the windscreen and on the walls, so that it was soon damp and unpleasant in the van.

Stretching his aching body in the chilly morning air, Neil then made his way quickly to check the condition of the caravan. Things were much how he'd left them many years before, when he had stayed there with Matthew. This was a relief, because he didn't want to spend time and money modifying the back of the van to make it more comfortable.

It was early and he wanted to avoid the school run and people travelling to work, but he was also impatient. Sleeping in the van and the coach station waiting room had been uncomfortable, but also his eager anticipation kept him awake during the night. There was a tension in his body that made him shudder as if he was cold. He felt a little bit nauseous, with butterflies in his tummy.

Driving to the nearest of the three local towns, Neil parked on the first side street he came to on the outskirts. The street had dark black newly laid tarmac. There was a row of identical red-brick starter homes on either side of the street, each with a driveway leading to a glossy white plastic garage door. Some of the houses had cars parked on the driveway and others had "For Sale" signs outside. This new housing development was only part-sold and building work was continuing at the far end of the street. Neil left his van outside an empty house and started the walk into town. It was over a mile to the town centre.

Ambling along at an unhurried pace, he knew that he had to kill some time before the post office opened. Very few cars were travelling in or out of the town on the back road because it was early, but he could hear buses on the main road as he made his way down a gently sloping hill.

The first shop that Neil came to was a TV repairman. The paint was flaking and the plate glass was dirty. It was unlikely that the proprietor ever opened the shop anymore. Then, he came to a large empty car park which had a sign saying that the next market day would be the following Wednesday. Opposite the car park was a large convenience store with a lorry parked outside delivering stock. Continuing towards the centre of town, he passed a launderette, a Chinese restaurant and a chip shop. Reaching a cross-roads, there was a pub on one corner and a hardware shop on the other.

In the middle of the town there was a green with a church, which was surrounded by shops and other amenities. There was a bank branch, a small department store, two delicatessens, a bakery, a grocer and the post office. Everything was closed except a large newsagents. Neil went inside and bought a local newspaper and a national daily broadsheet. Paper boys were making their way out to start their delivery rounds with bulging bags.

"Is there somewhere round here I can get some breakfast?" Neil asked the man behind the counter, as he paid for his newspapers.

"There's a greasy spoon out towards the station"

Neil continued downhill, leaving the centre. He passed another pub and a petrol station. There was a large supermarket and an agricultural supplies depot and the small train station was on the other side of a roundabout. A flat-roofed building next to the station advertised itself as a café and there were lights on inside.

Sitting down at a formica-topped table, there were already several other people eating, most of whom were wearing dirty work-boots or wellies. This was clearly a favourite haunt of builders and farmers who were on their way to work. Neil picked up a laminated plastic menu, even though he knew that the breakfast choices would be much the same as anywhere else like this in the country.

"What can I get you?" asked a rotund and friendly looking lady with a flushed face.

"Full english with a mug of tea please" replied Neil.

"White or brown bread?"

"White please."

With remarkable speed, a plate of fried eggs, bacon, sausage, baked beans, fried mushrooms and tomatoes arrived, along with a smaller plate with two slices of toast and a mug of milky tea. Neil ate slowly and read the newspapers, killing time. Finishing his food as it was almost stone cold, Neil ordered a second and then a third mug of tea, waiting until the post office was about to open before settling his bill and setting off back into the town centre.

At the post office, a flustered lady was filling the till with bags of coins from the safe.

"Hi, I'm here to collect a letter you've been holding for me. Poste restante" said Neil, offering his Estonian driving license.

"Poster what?" asked the lady.

"Poste restante. You're holding some mail for me to collect" Neil explained.

"Do you have a P.O. box?" she asked.

"No, the letter was sent here poste restante for me to collect" he said.

"You can't collect mail from here unless you have a P.O. box" she said.

"It was sent here poste restante. I don't need a P.O. box. I spoke to somebody before about this. Pete, maybe?" he said.

"Pete's not here. He's not working today"

It was clear that the lady now considered the conversation to be over. Neil simply stood where he was and waited patiently. She busied herself refilling the change in the till again, but she was unable to ignore Neil, who was silently stood by the counter. He caught her eye.

"What's this poster thing you said?" she asked.

"Poste restante" he replied.

"OK, I need to ring my manager and ask how to handle this. I've never dealt with it before. I can't phone him until ten thirty at the earliest"

"Alright, I'll come back later. Thanks for your help. Much appreciated" said Neil and then turned and left the post office with the nicest smile he could muster. Outside, he grimaced. This was so frustrating. He was now faced with a dilemma.

In anticipation of this problem, Neil knew there were letters waiting for him at another two post offices in the area. He could drive to one of the other towns and attempt to collect his mail, or else he could wait here and persevere. He decided to stay and wait until later, given that he wanted to be sure that at least one local post office knew how the obscure poste restante system was supposed to operate.

Returning to the newsagent and purchasing a glossy magazine about electronic gadgets, he then walked back to the café and got another mug of tea. After killing an hour or so, he went to the supermarket and bought cornish pasties, pork pies, sausage rolls, pre-made sandwiches, energy drinks, bottled water, fruit squash, chewy sweets and some cakes. He spent time browsing all the shelves even though he knew that he was only buying some very specific items.

He walked back into the post office at 10:35am. The lady was serving another customer and Neil waited in line.

"Hi" said the lady.

"Hi. I was here earlier" said Neil.

"Yes. I haven't phoned my manager yet" she said.

Again, Neil didn't reply or move. He just stood expectantly waiting. The post office was now empty.

"OK. Give me a second" she huffed.

Getting out her mobile, the lady tapped at the buttons and half-turned her back on Neil as she raised the phone to her ear. After a brief conversation she hung up and turned back to Neil.

"Alright. We've got something for you. I've just got to try and find it" she said.

Neil couldn't stifle a broad smile that spread across his face. A huge weight of tension was released from his body, but also a nauseous feeling twisted his stomach into a knot. His heart pounded, his face felt hot and his palms started to get sweaty.

The lady went into a store room in the back and spent a long while rummaging in various boxes and bags before eventually returning with an envelope. Neil's pulse raced and his breathing quickened as he saw her holding a white letter.

"Can I see your ID again, please?" she asked.

Neil fumbled for his pockets and got out his driving license, which he offered with a slightly trembling hand.

"Romet Kukk?"

"Yes. That's me" Neil replied.

The lady momentarily studied the photo. This didn't worry Neil. It was his photo, even though it wasn't his name, address or nationality. She handed over the envelope.

"Thanks" said Neil.

He walked so fast that he was very hot and sweaty when he reached the van. Tossing the bags of shopping into the passenger footwell, he carefully stowed his envelope in the glove compartment and started the engine with shaking hands.

It was hard for him not to drive back to the caravan excessively fast, but he had to be careful. A road accident would spell disaster. He was so close to reaping the rewards from his well-executed preparations. He knew that he needed a little more patience in the final leg of his long journey, even though it had been an agonising wait.

Back in the caravan, Neil dumped the shopping bags on the kitchenette worktop, which had nothing on it except a little dust and dirt. There was no rubbish in the caravan, nothing on the floor, the curtains were open and the windows were not obscured by anything except dirt. He sat down at the dining table, tore open the envelope and pulled out a leaflet with a picture of an oriental temple on the front. Unfolding the leaflet on the table, there was something sellotaped inside, which Neil tore off the glossy paper.

Although he had felt that the caravan was perfectly private, isolated, remote and hidden by the dense foliage of the trees on all sides, he still felt a momentary pang of paranoia - like he was being watched - which drove him into the bedroom, where he closed the curtains and shut the door behind himself.

 

Next chapter...

 

#NaNoWriMo2016 - Day Twelve

6 min read

Poste Restante

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

 

12. Enough Rope

"We could lose the house."

"You're getting hysterical. Calm down."

"You're jeopardising everything. Don't tell me to calm down. It's so patronising."

"I'm not well."

"Well, why don't you go back to the doctor and get another sick note then?"

"Now who's telling who what to do? Now who's being patronising?"

"Don't be so ridiculous. I've been so supportive of you while you've been unwell."

"Yes, and now you're acting like I'm doing it on purpose. Like it was deliberate."

"I know you didn't mean to get sick. I am sorry. I am sympathetic. But you have to be responsible too."

"I can't face it. I can't do it."

"You don't have to go back to work yet if you don't feel up to it, but at least see the doctor."

"What am I going to say? I feel the same as I did a couple of weeks ago."

"Say that. You need a sick note if you're going to keep your job."

"It's such utter bullshit."

"What is?"

"Everything. That job. This fucking treadmill. Our whole pointless existence. Working until we die."

"You know I can't pay the mortgage on my salary alone. How are we going to avoid reposession? How are we going to pay the bills?"

"I can't think about that stuff at the moment. I can't deal with it."

"All you need to do is go and get signed off work for another couple of weeks."

"I can't do it anymore. When's it going to end?"

"We can't do anything if you don't play by the rules. You'll get fired and you won't even be able to claim benefits."

"I don't want to be on benefits."

"I know, but how are we going to pay the bills if you're not working?"

"I don't know. Don't you think I worry about this stuff too?"

"It doesn't seem like it if you can't be bothered to go and see the doctor."

"It's not that I can't be bothered. I just can't face it. I can't face anything at the moment."

"Look, I'm sorry you're sick, but you're going to have to man up over this. It's already been two days since your sick note ran out and they're expecting you back at work."

"They shouldn't expect me back. I'm not well. I feel terrible."

"Well go and tell that to the doctor."

"How ridiculous. Expecting me to have to go to the doctor when I'm not well, to get these stupid pieces of paper to send to work. How can you expect that of a sick person?"

"That's the way the system works. Deal with it."

"I dealt with it for years. I kept this roof over our heads while you went off to university. I've been responsible. Now I'm sick. Somebody else needs to be the responsible one."

"I phoned in sick for you didn't I? I've had to answer all the questions your boss and your work colleagues keep firing at me. I'm sticking up for you. You just need to do this one thing."

"I can't do it."

"Fine" said Lara, storming out of the snug and up the stairs to the bedroom.

Neil slumped back down onto the sofa. They had both risen to their feet in the heated exchange. Neil thought about switching on the TV, but instead he just sat slowly stroking his eyebrows and staring blankly into space. His mind was locked on a single thought: "I can't".

Everything had ground to a halt at home. Neil barely washed, he never cooked, he never cleaned, he never left the house, he had switched his phone off and avoided all social contact. Lara didn't resent having to do everything on her own, because Neil was quite neat and tidy, but she couldn't understand why he wouldn't go and get another sick note from the doctor.

"He's driving me mad, mum" Neil overheard Lara say loudly from the bedroom above the snug.

"He's not well my love" Lara's mum said at the other end of the phone.

"I know, mum, but he's going to lose his job pretty soon" said Lara.

"Try to be supportive. It must be hard for him."

Lara made a noise of annoyance.

"I have been SO supportive" Lara replied through gritted teeth.

"Look dear, it's late. Let's speak another time" said Lara's mum, sensing that the conversation would soon descend into an unpleasant argument.

"OK mum. Bye."

Lara hung up her mobile phone and let her arm flop down to her side on the bed next to her. Her grip relaxed and the phone slipped from her hand and dropped onto the bedroom floor. Lara's eyes remained glazed and impassive, fixed on the ceiling with an unfocussed stare. She exhaled very slowly, letting the air noisily blow through her lips as if she was deflating.

It would be impossible to force Neil to do anything, but why would she have to? It was obvious what he had to do. The rational course of action was indisputable. The negative consequences of inaction were inevitable.

He hadn't come to bed by the time she fell asleep but when she woke up in the morning, he lay next to her fully clothed, asleep. She wanted to wake him up and resume the discussion but she couldn't; she had to get up and get ready for work.

Before she left, she looked back into the bedroom at his face. At that moment he seemed so untroubled, calm, relaxed. It was infuriating, enraging even, that he appeared unperturbed by a threat to their financial security, that he could easily solve.

What did he even do all day, when she was at work?

 

Next chapter...

 

#NaNoWriMo2016 - Day Eight

13 min read

Poste Restante

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

 

8. Infamy

The eldest brother could do no wrong in his mother's eyes. He was quiet and studious. The teachers at school said that he was destined for great things - provided he tried his best - which echoed his parents' long-held hopes for their first-born child. Despite being unpopular, bullied and having few friends, academic achievement was the only thing that seemed to matter in his life, or so he was told by the adults he came into contact with. Wanting to please those anxious faces that looked on, scrutinising every piece of schoolwork, exam grade and report from teachers, he had allowed himself to be moulded into the 'perfect' son. Dressed by his mother and developing no independent identity of his own, his impeccable manners and good behaviour had other parents clucking with jealousy, as their own children were defiant, argumentative and seemed intent on ruining their futures.

The youngest brother was infantalised; babied; mollycoddled. Adorably cute, he had a look in his eyes that could melt any heart and the entire family delighted in showering this child with physical affection and encouraging childish traits that were seen as funny and part of his delightful young character. The words he mispronounced were adopted, so that grandfather became "Gaduda" and a favourite uncle became "Cunigu". The babbling of a baby created an entire new and impenetrable lexicon that only the family knew and understood.

The middle sister held her place in the family as a gender-stereotyped girl. Dressed in pink and floral outfits, she had been showered with traditional toys like dolls, plastic ponies and role-playing sets for obedient housewives. She seemed to be developing normally, playing nicely with her soft toys - having make-believe tea parties for all her bears - as well as thriving socially at playgroup and school.

After puberty, the girl had grown into a young woman more quickly than any adult was able to comprehend or adjust to. When they looked at her they could not see beyond the image of a child that had cemented itself in their minds. Clearly, at the age of 13 or 14 she was still very much a child, but there was a kind of denial amongst family and teachers that this girl was maturing much more rapidly than her peers in a way that denied her a place as either adult or child.

At school, only the children could see what was happening to Lara.

Becoming quiet and withdrawn, Lara fell out of favour with her friends. She wasn't fun anymore. She didn't want to laugh and giggle and gossip and exchange misinformation. Talking about who had started their periods and what bra size they were having to buy, some confusing changes were slowly slotting into place, as the adult world careened into their carefree childhood existence.

The family were distracted. Lara's eldest brother was being coached for important exams and groomed for a top university place, even though his education had many more years until its completion. Lara's youngest brother had a streak of star-like quality now, and it was being considered whether the family would try to get him into a school with better drama and music facilities. A future in the performing arts seemed to beckon for Lara's little brother. The family indulged him as he sang, danced and generally entertained them, captivating every available bit of their attention.

Under the auspices of furthering her studies, Lara had started to travel into the city centre to visit the main public library. Without adult supervision, she had been free to peruse the shelves and select whichever books she wanted. Peeking at older girls and young women who she thought dressed nicely, she imagined that they could be the role models or peers that she seemed to be missing in her life. Listening in to snippets of conversation and looking at the books they chose, Lara came upon a cache of literature that was 'age inappropriate'. The elderly librarians didn't know much about the books that they stamped for Lara to take home.

Magazines provided a trickle-down of information through the girls in school. Well-thumbed copies of Just Seventeen were mostly read by giggling groups of 13 and 14 year olds, who pored over the agony aunt sections and articles about boyfriends. The children mostly came from reasonably wealthy and well-to-do families where they had led sheltered lives, but there were many who had been involved in fumbling trysts and could combine their first-hand knowledge with the information gleaned from the pages of teen magazines.

Lara drifted further from her original childhood friends who covered their bedroom walls with posters of boy bands and listened to saccharine-sweet pop music.

Print media slowly sexualised the schoolgirls, with magazines that were supposedly pitched at adults being more commonly read by 14, 15 and 16 year olds. These magazines - such as Cosmopolitan - featured sex positions and even blow-job techniques under titles like "How to Please Your Man". Fashion magazines were boring by comparison and Lara found Vogue pretentious.

There was a disjoint, a gap, between magazine articles that were light on any real detail, and what was shared between the braver and more adventurous girls who had experimented and fooled around with their first boyfriends. There was no romance in being roughly fingered by an overexcited 14 year old boy on a cold park bench, both tipsy from swigs of cheap cider straight from the bottle. The experiences were confusing, unpleasant even.

Lara had filled the gap with romantic and erotic novels, and the detail of not only the mechanics of the acts but also the feelings of love and lust filled out a much fuller picture of what boyfriends and sexual activities were all about. Lara started to feel contempt for the spotty horny boys at her school and the gaggle of catty girls who circulated vicious rumours about each other as well as boasting of experiences that were missing the caring caress and vital connection that Lara now desired in a boy who was as mature as she was.

By broadening her sphere of knowledge through reading, as well as careful observation of the mannerisms of young women rather than her peer group, Lara began to take on an aura of being quietly self-confident, knowing. As the school year wore on, she started to appear dark and brooding in a way that had a sultry kind of attractiveness. Lara wasn't becoming a goth but there was an intensity in her eyes that was extremely intimidating to other girls, as well as to her teachers. More and more boys started to take an interest in Lara. She was becoming more and more removed and aloof from day-to-day school life, making her seem unattainable. Rumours circulated that she had an older boyfriend who rode a motorbike.

The children elevated Lara to a status normally reserved for 'cool' adults. To treat Lara like an ordinary pupil brought anarchy to the classroom, as if the teachers had started calling each other names in front of the children. To her teachers, Lara was now untouchable, in the interests of preserving some authority. Lara wasn't interested in making trouble, so an uneasy truce came to pass. Lara would not show any disrespect for her teachers or contempt for her schoolwork, but no teacher dared to ridicule and belittle her for fear that they themselves would be laughed out of their class.

Nothing was especially wrong that warranted Lara's parents being contacted, but Lara was becoming feared and revered at school. The girls knew that their boyfriends' eyes were drawn to her and Lara could feel herself attracting an increasing number of staring faces. She started to become comfortable with male attention and would even delight in returning a boy's gaze in order to make him blush, caught looking. A kind of unspoken reputation made her unapproachable. No boy from her school was bold enough to try and speak to her anymore. The legend of the older boyfriend became cemented as fact, even though Lara by now had started to feel a little disappointed that the older boys seemed somehow immature. Refining her style, her sense of dress, in a subtle way that she copied from young women who seemed confident and happy, she started to draw attention from young men, some of it unwanted. These men were crass and crude, and harassed her. They had nothing cosmopolitan, cultured or urbane about them. They were likely lads who fancied themselves as a hit with the ladies. Lara was repelled by these ugly creatures who dressed in sportswear, had gold chains, earrings and wore far too much aftershave. These young men were only ever brave enough to make an approach when accompanied by a group of their friends, watching with a slack-jawed smile as the sullen Lara silently dismissed them with crushing indifference.

Lara imagined that when she left school for university she would find a completely different set of people. Young men who were more mature and romantic, she imagined a boyfriend who could be her equal; somebody she could respect. It wasn't that she was saving herself for true love, but more that she hadn't yet met anybody who measured up to her expectations. The more she read, the more she developed a better sense of the kind of guy she wanted to date, which included a kind of worldly-wiseness, experience and a self-assured manner that was lacking in schoolboys and men who hung around near schools trying to pick up teenage girls.

Age 15, with a mature body and the comportment of somebody older, Lara started to draw the attention of more predatory and silken-tongued men who attempted to woo her with more subtlety. Hanging around on the fringes of school social events and struggling to find a group where she belonged, several well dressed young men struck up casual conversations with her. At first, she felt as though she was beginning to make new friends and would perhaps soon have a new gang to hang out with. Brutally, she found that it was a ruse and these men would try and kiss and grope her after some perfunctory chat. Lara became despondent, beginning to lose hope that there was anybody out there for her who didn't want to just get in her knickers.

At weekends during a mild late September, she had taken to reading a book in the park on a favourite bench that was partly shaded, but still had enough sunlight that she was pleasantly dappled with warming rays. Today, there was a young man sat on one end of the bench who was ghostly pale, wearing a winter coat but still shivering. His coat was pulled up to cover the bottom half of his face, but his eyes were shining brightly, with dark rings underneath. He looked as though he was suffering with a fever and his forehead was a little sweaty.

Lara hesitated before sitting down, but she decided that the man's body language suggested he was trying to make himself as small and inconspicuous as possible. He seemed non-threatening and he was sat right at the other end of the bench. Lara took her usual seat and began reading, somewhat distractedly.

She imagined that the man would get himself up and off home to bed soon, but as the afternoon wore on, he was still sat there. Lara was hardly getting any reading done, but she had a stubborn temperament and was determined that she would attempt to read for as long as she normally would, even though her thoughts were filled with concern about the wellbeing of her companion on the bench.

Eventually, her patience ran out and Lara stood up to walk home.

"Are you OK?" she asked the young man.

The man lifted his eyes slowly to meet hers. There was pain behind them. Not physical pain, but something else. His expression of discomfort softened with her question, but he seemed shocked that anybody had addressed him or even acknowledged his existence. It was as though he thought he was invisible up to that point. There was something incredibly vulnerable and raw about this man; not just the sickness that he seemed to be suffering with. Lara felt a surprising protective instinct for this slim and pale young man who had a haunting gaze.

"I'll be alright" he said.

Lara started to leave and then she stopped.

"What's your name?" she asked.

"Sam"

"Do you have somewhere to go? You don't look well" Lara said.

"Yeah. I'm waiting for somebody. I had to get out of the flat. I was going crazy at home, waiting" Sam replied.

"Do you have a number for them? Do you want me to help you try and contact them?" Lara asked, confused and concerned.

"No. No. They'll turn up. Sometimes they just make me wait. Feels like forever" Sam said.

Lara didn't understand and she couldn't think of anything else to say or ask.

"Oh, OK. Bye then" she said.

"Bye. And thanks" said Sam.

"Thanks for what?" asked Lara.

"Thanks for asking"

When she got home, Lara could still vividly picture Sam's face. He was pale and sick but he was clearly a good looking young man. She was intrigued and also worried about what was going to happen to him. Was he going to be OK? He hadn't asked her name. She wanted to know what he'd meant; why he couldn't wait at home.

Lara wanted to go back out that evening and see if Sam was still on the bench. What would she say if he was? What would she find out if he wasn't? She resisted the urge to go back to the park.

 

Next chapter...

 

#NaNoWriMo2016 - Day Two

10 min read

Poste Restante

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

 

2. Invisible Illness

The sense of dread and impotence had followed Lara around for her entire shift. Neil had showed no signs of improvement when she left him at home in bed, earlier that morning, to leave for work. She felt sure that he would still be in bed when she got home. He had turned his mobile phone off and she knew that he would let the landline ring until the answerphone picked up. There was no way of knowing how he was doing, but she had the sinking feeling that he wasn't improving. This was the fourth day in a row that he hadn't gone to work, and now she was starting to worry on his behalf about his job.

Lara had made a career switch to nursing, having previously worked as an office administrator. She was naturally caring and liked helping people. The office politics and limited scope to make a tangible difference in anybody's life had ground her down in the medium-sized company she used to work for, with its bloated management structure, endless bureaucracy and red tape. The National Health Service was no picnic, but working directly with patients and other front-line staff made the job far more rewarding than her previous career, where she had never met any of the company's actual customers.

Neil was a well respected and valued employee at the company he had worked for since leaving college. He was a CCTV and intruder alarm engineer, who travelled throughout the country, installing new systems, doing maintenance and repairs. Over the years, he had built up a lot of technical expertise and was now considered one of the most senior members of the team. He'd had the option to move into staff training or management, but he'd always preferred to remain "on the tools".

Most of Neil and Lara's circle of friends had originated from Neil's job, with Lara befriending the 'significant others' of Neil's male-dominated engineering friends. There had been a spate of weddings recently amongst the couples they knew and on Valentine's Day, Neil had proposed to Lara. They were engaged to be married some time the following year, although they had not yet started to plan the wedding.

Lara had received text messages from her female friends asking if Neil was OK, because their other halves hadn't seen him at work for a couple of days. What could she say? She knew it was unusual for Neil to be sick, but it wasn't at all clear what was wrong with him. He just seemed very fatigued and hadn't been able to face getting up or even phoning in sick. Lara had phoned his boss for him, while he buried his head under the duvet and pretended to be asleep.

It was easy to be sympathetic with Neil, because he was evidently going through a hard time due to something but the frustrating thing was that it was neither identifiable, nor would Neil go to the doctor to ask for a diagnosis. Through her own medical training, Lara knew there was nothing obviously wrong with Neil: no fever, no pain or discomfort, no nausea. In fact, no symptoms beyond the fact he looked tired, drained, stressed and somewhat afraid, in his facial expressions. She knew that he wasn't the type to complain about a bout of man flu.

The first couple of days that Neil was off work, she had attributed to the kind of duvet days when she herself would phone in sick, if she really couldn't face another boring day in the office. By the third day, she could hear her parents' derisory words about "yuppie flu" ringing in her ears, from her childhood in the 1980's.

The burden of having to phone Neil's boss each day had now escalated. He had politely but firmly reminded Lara that Neil now needed to go to the doctor and get a sick note, because he'd been away from work for more than three days. Neil knew this too, but hadn't acknowledged it. In fact, he'd made it subtly clear to her that he just wanted to be left alone. He didn't want her to open the curtains for him; he didn't want her to bring him food; he didn't want her to arrange for anybody to visit to make sure he was OK during the day. Little changed in his withdrawn demeanour from when she left in the morning for her 12 hour shift, to the moment he barely acknowledged her when she returned from work, except to say he was OK and he didn't need anything. The most animated that she'd seen him in four days was when she offered to phone in sick for him, which he said he'd be really grateful for if she did. She didn't seem to be able to do anything else to help. It was frustrating.

The drive home from work was very unpleasant for her. She knew the house would seem lifeless: no lights on. She knew that she would go upstairs to the bedroom in order to get out of her work clothes and see the motionless shape of Neil's body under the duvet, in much the same position as she'd left him in the morning. She'd know from the rhythm of his breathing that he was awake, but she would have to speak first. He would be polite, pleasant even, but somehow clipped and formal. The subtle cue was for her to leave the bedroom, turn off the light, and leave him with whatever he was struggling with. It cut her up to feel shut out, unable to help.

All of their normal rhythm and routine had suddenly disappeared, leaving a gaping hole in Lara's life. Their usual discussions about evening meals, cooking and eating together, watching videotaped television programmes or films, exchanging stories about their working day, planning the next social event, or talking about an upcoming holiday: all of this was suddenly gone, and Lara found herself eating on the sofa, alone, watching whatever was on TV at the time, but not really paying any attention to it.

The hardest thing was having nobody to talk to. Her parents had made their views about "work shy" people vociferously known and she didn't want to get into an argument, where she felt defensive about Neil having to take some time off sick. Most of their group of friends all knew each other, and she knew that by talking to even one friend, word would soon get around that something was wrong with Neil that was out of the ordinary. She dreaded to think what would be concluded in the speculative gossip at the dinner parties at each others' houses.

Lara started mentally preparing herself for friends dropping by the house to see if they were OK and if there was anything they could do. If there was nothing she could do, what could they possibly do? It would be easiest just to make excuses and try to shoo them away from the doorstep without even inviting them in. What would she say? How could she be polite and maintain the impression that their usual relaxed open house policy was in full swing, but at the same time swiftly get rid of any would-be visitors?

Despite a salary drop for Lara, the couple had still managed to get a large enough mortgage to purchase a modestly sized terraced house near the town centre that had plenty of space for entertaining guests. Under normal circumstances, Lara and Neil had a gregarious and welcoming nature and were given to spur-of-the-moment gatherings in their home with their friends. Several couples lived within walking distance, and impromptu cheese and wine, cards or board game nights were a common occurence.

The house had an attractive Victorian façade with a modern interior. The brick archway above the front door stated that the house was built in the 1870s. The previous owners had extensively renovated, building a bright open-plan kitchen diner extension at the back, and preserving a cosy but surprisingly spacious snug at the front of the house, with a cast iron fireplace and wooden fire surround. Furnished with carefully chosen second hand furniture that mixed shabby chic with pieces that could be mistaken for iconic vintage design, the house was punching above its weight for the meagre budget of Lara and Neil's income.

Decorating and furnishing their home had been a labour of love for Lara and Neil, and they were extremely house-proud and meticulous in how they had planned each room to accentuate the available space, light and few remaining period features. This hiccup in Neil's health was certainly no part of a master plan which had seemed to be going perfectly for the couple, up to that point.

Entertaining guests held a certain amount of desire for their friends to see their home improvements, and to show off their excellent taste in interior design and home-making. It was showy without being unpleasantly in-your-face. It was hard to dislike Lara and Neil as they weren't a couple obsessed with status symbols and oneupmanship.

Behind closed doors, the relationship was far from perfect. Neil's reluctance to turn down overtime and work fewer hours had led to Lara's desire to find a more rewarding career of her own. Financial pressures and resentment over each other's strong desire to satisfy their own needs and find fulfilment at work, had overspilled into many unpleasant arguments. Most of their friends chose to accept the happy, smiling, front that Lara and Neil presented at face value. Those who were closest to the couple could see the mask occasionally slip. The occasional unpleasant jibe; the twist of the knife; the obvious hints at an unresolved argument. There were issues that were festering, unresolved.

Nobody could say that they weren't a fully committed couple. They had been together a long time and had managed to come through a rather tempestuous and fiery initial period, before reaching a kind of uneasy truce. When in the company of friends, they were in fine spirits - and this was no act - but too much time spent alone with each other and trouble would inevitably erupt.

Neil was not self-indulgent in his convalescence, but he was completely unaware how isolated this left Lara, given the interconnected web of friends and connections to Neil's work that existed. Neil had no idea how burdened Lara felt, defending Neil's spotless record as a dependable hard worker, and as a sunny upbeat happy-go-lucky likeable social character. The man under the duvet in the dark bedroom upstairs would not want anybody to see him like that, and Lara knew it.

Whatever regrettable words had been spoken before, it was water under the bridge. Lara would not betray Neil in his hour of need.

 

Next chapter...

 

#NaNoWriMo2016 - Day One

10 min read

Background Info

National Novel Writing Month (NaNoWriMo) takes place every November, when aspiring authors attempt to write a 50,000+ word novel within 30 days. This means averaging 1,667 words per day.

My 360 odd blog posts to date have averaged 1,246 words per day, so it shouldn't be too much of a stretch for me to write a bit more each day and achieve the goal. Plus, I have the support & encouragement of all the other authors who are taking part in this challenge.

Since leaving school, I have done very little creative writing, so a whole novel may be rather more difficult than I anticipate.

Hijacking my blog for the next 30 days seems unusual, but the general advice to authors is "write about what you know" so you may find that my novel is a natural extension of my blog, in actual fact.

Anyhoo, the working title of my novel is "Poste Restante" and without further ado, I shall begin .

 

Poste Restante

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

 

1. The Caravan

Neil's consciousness sparked back into existence. This was not like waking up, as if he had been dreaming. This was not like coming round after an operation in hospital, under general anaesthetic. It was much more akin to a sudden re-ignition of his brain activity, after head trauma, perhaps after being knocked out cold by a punch or a blow to the head with some other blunt object.

At first, Neil's mind was confused; everything was jumbled up. He could make no sense of what was going on. His thinking was cloudy; cognition impaired. Then, the blurry mess and unfamiliar shapes that had previously filled his field of vision now came into sharper focus. He started to see things in his surroundings that he could identify, even though he still didn't know where he was or why he was there.

Neil lay on a bed at one end of a caravan. The bed filled the width of the caravan and extended all the way to the bedroom door, which was wide open. At the opposite end of the caravan was a dining table, surrounded by a U-shaped bench of seating, with windows behind. The bench was upholstered with a pink floral pattern. The table had a wood veneer, although it was clearly made of chipboard, exposed around the edge. A small kitchenette was on one side and a toilet and shower cubicle on the other.

The interior of the caravan was not in good condition. Mildew stained everything. The ceiling had dark black patterns where the permanent dampness had allowed everything that was water permeable to fester in the moist atmosphere. The carpet, which seemed to have been some sort of dark maroon colour originally, was soggy and stained. Mud was trodden into the pile of the carpet around the entrance to the caravan. The carpet had started to rot and there were patches of blue furry mould growing in places. A lightly coloured textured wallpaper peeled away from the walls in places, revealing a layer of polystyrene insulation, as well as the glue behind, which had now turned an orangey-brown colour as it had aged and dried.

The bedroom windows were covered by navy blue curtains. These had been neatly stapled to the wall below and at the sides, so that little light could penetrate through each of the three windows at the bedroom end of the caravan. Where the curtains hung on the curtain rail, a small amount of light crept in and it was clear that it was daytime.

The other windows had been covered with self-adhesive opaque plastic, which allowed light into the caravan, but you could neither see in nor out. The plastic had been applied with little attention to detail: there were air bubbles and the edge had been cut rather raggedly, exposing some of the clear glass near the white plastic window frames. Paper masking tape had been applied around the edges of the windows, to cover the gaps between the plastic and the frame. The large window at the opposite end of the caravan from Neil had newspaper stapled above the curtain-less windows, draped down so that it covered two thirds of the window. On the left hand side, a bedsheet had been stapled above and at the side of the window. The staples were haphazardly placed and the sheet had folds and creases in it, hanging hopelessly from the wall, and no use as any kind of curtain. The staple-gun lay on the dining room table, abandoned.

In places, there had been small craters scraped crudely in the polystyrene insulation of the walls, so that the thin aluminium exterior skin of the caravan was exposed. In each of these craters in the wall, a hole had been punched through the aluminium. Beams of sunlight shone into the dingy interior of the caravan through the holes. These beams illuminated swirling mists of moisture within the caravan, almost like the silken threads of a spider's web, heavy with morning dew and shining in the sun.

Clothes were scattered throughout the caravan. Some were torn, others stretched or unusually knotted; all seemed ruined in some way. There was the debris of habitation: discarded food wrappers, dirty plates and cutlery on the floor. There were many other objects made of bits of broken plastic, rubber and string that seemed to be the twisted, mangled and knotted remains of other things that had been dismantled, torn, bent and otherwise manhandled to the point that they were no longer clearly identifiable as anything in particular. Things were strewn all over the floor, with no discernable pattern.

There were many containers distributed around the caravan: plastic bottles were filled with fluid in various hues of yellow and orange. Then there were mugs, saucepans, bowls and glasses that were filled with orangey-brown liquid. A glass on a shelf near Neil's bed had a layer of red at the bottom, then an opaque layer that was milky pale yellow and the topmost liquid - which filled the majority of the glass - was clear and brownish in colour.

After his sight, the second of Neil's senses that returned was his sense of smell. His nostrils were assaulted by a strongly pungent but not putrid smell. The smell was extremely unpleasant, but not so much so that it was causing Neil any feeling of nausea. The smell had a kind of nasty allure, like a strong ripe cheese. There was the smell of mould, damp and decay of soft furnishings, mingled with the smell of bodily odour, and distinctly a smell of urine. Sweat intermingled with the general dampness in the caravan and ran down the walls in droplets. The windows were completely misted up with condensed moisture. The cheap sponge of the upholstery and bed had soaked up a lot of this foulness. Clothing and bedding had also absorbed some of the humidity from the air.

Neil's memory of how he found himself in this position now slowly returned to him. Things made little sense to him. They had found him; they had surrounded him; they had been readying themselves to storm his little stronghold and they would tear him from the private surroundings which he had attempted to create for himself. They had antagonised him; they had spent an incredible amount of time making noises and assembling themselves for the onslaught; the invasion of Neil's privacy, now that they had found him. They had hidden in the shadows and attempted to remail unseen, but Neil had seen them: fleeting glimpses, as he looked out of the peepholes. Counter-espionage: they were spying on him, so he would spy back at them.

Neil had no idea what their motivation was. Why was he so relentlessly pursued? Why were they so voyeuristic, wanting to intrude on his private world? Why were they so childishly antagonising? Why did they tirelessly toy with him, so close, but waiting and waiting before they made their move? He was angry with them. Quite rightly too. He had gone to such incredible effort to create a bubble of privacy, far away from anybody he could possibly disturb, or who might happen upon him by accident. He was in such a remote hidden location. How could anybody have possibly taken offence at his presence?

His final memories before he blacked out were of a night filled with terror and blind panic as the people he had tried so hard to avoid and evade were now making their final advances. All the dim shapes he could make out in the surrounding gloom of the trees were of figures, coming towards the caravan. He could see the movement of people in the shadows that danced on the ceiling and walls of the caravan. He could hear twigs snapping underfoot as they were stepped on. He could hear the sound of bushes being brushed past and branches being bent to make way for the advancing horde.

He passed out. When he came round they were gone.

Tentatively, he started to try and sit up and make his way to one of his peep holes so he could look out, but he realised he had blacked out with his leg jammed awkwardly underneath himself. His foot had gone to sleep. Incredible pain swept through his leg as the blood started to flow again and the feeling came back into his numbed limb.

There was momentary relief as the pain in his leg subsided, but then he was flooded with pain from multiple parts of his body. His hips ached, many parts of his legs seemed bruised and swollen, his back and neck were very stiff and painful; his body was covered with cuts and grazes, especially his knees and elbows.

In agony, Neil managed to prop himself up by the nearest of the peep holes and pushed his face up against the wall so he could look out. He saw nothing. Just trees. Where had they gone?

How long had he been unconscious for? It had been night time when he had blacked out and now it was daytime, but there was no way of telling whether it was the next day, or the one after that. He had lost all sense of time: days and nights had blurred into one.

Neil had spent a long time, afraid to leave the caravan. How long, he couldn't be sure, but he knew that they had laid seige to him and now his situation was desperate. He was dying in that caravan. He was so thirsty. He was in a great deal of pain. It was clear that there was a lot of blood in his urine. He felt so weak. He really didn't want to confront his persecutors and he had hoped that they would act first so that he didn't have to make the decision. Now he was confronted with the dawning realisation that they had won. Surrender was his only option if he wanted to live.

He collapsed back onto the bed to contemplate his next move, not at all able or willing to fully comprehend the staggering unpleasantness of the situation he was in.

 

Next chapter...

 

The Doors of Self-Perception

14 min read

This is a story about being objective...

Yardsticks

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.

 

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An Essay on Paranoia

10 min read

This is a story about the schizophrenic spectrum...

Spy Cam

"Does my bum look big in this?" sounds like an innocent enough question. Do you not have an adequate grip on reality to objectively judge yourself whether you look fat? Is it possible that you're feeling paranoid about other people's perception of you?

When you think about it, paranoia is rife.

Why do you close your curtains? Who would want to peer in at you? What's so interesting about you that anybody would want to watch you?

Why do you confess your true feelings when you're inebriated? What's so shameful about your innermost thoughts and feelings that you can't reveal them when you're sober? Why are you worried what people will think?

In the workplace, we feel inadequate. We feel underqualified. We feel like we're an imposter. We feel like we're just blagging, bluffing. We feel that our ruse could be exposed at any moment. Why do you stay in that crappy job that you're hopelessly overqualified for and you've completely mastered... is it because it's comfortable and you don't like the feeling that you're not good enough to do something more challenging?

When you're purchasing stuff, is it because you like the things that you're buying, or is it because you're thinking about how other people are going to judge you? Imagine you are supermarket shopping with your young children. When you are loading all your food onto the conveyor belt to be scanned by the checkout clerk, don't you feel that they're judging every purchase you're making? If you're buying crisps, chips, ready meals, chocolate, ice cream, sweets... isn't that supermarket employee going to be thinking "jeez, this person's a really bad parent for feeding their kid all this junk"?

Every time you share something on social media, is it because you're Facebragging, or do the sum total of your posts represent an accurate picture of your real life? Why are you sharing anyway? Why do you worry what other people think of you?

When you're at home, you sit around with stained jogging pants and a grubby T-shirt, swigging a beer and watching trashy TV. When you're out in the park, you're immaculately dressed, reading a pretentious novel. Why is that?

You're doing all these things almost without thinking. They're all driven by paranoia. You're paranoid that you won't be liked, won't be respected, won't be sexually attractive, won't be loved. You're paranoid that you'll be seen as a fool, a bad person, a bad parent, a bad employee. You're paranoid that you might get caught looking at your own reflection. You're paranoid that you might be accused of being a pervert for masturbating. You're paranoid that you might be laughed at for wanting a girlfriend or a boyfriend, but finding yourself rejected. You're paranoid that you're a bigot, a racist, sexist, stupid, ignorant, narcissistic, self-absorbed, selfish.

In actual fact, we all share exactly the same flaws.

Any child will be confused the first time they see the dyed green mohawk hair of a punk. A child reared in an exclusively white or black community will be confused the first time they meet somebody of the opposite skin tone. Any child will be confused the first time they are told they have to use the 'correct' bathroom.

We're built to pair up sexually, and we're bombarded with images of the most attractive people on the planet. We can't avoid comparing ourselves with others. Of course we are going to feel inadequate in the face of glossy magazines, TV personalities and movie stars. Pornography amplifies things still further: people are worried about the attractiveness of every inch of their bodies.

We are sometimes mocked for thinking that people are talking about us.

It's true. People do gossip. People are talking about you behind your back, all the time, especially if you're unwell. It's a vicious circle. The more paranoid and erratic your behaviour becomes, the more people will whisper about it, and then go silent and 'act normal' when you're in earshot. It's not unfounded paranoia. People like to gossip about anybody whose life appears less than perfect.

We like to label people. Crazy uncle Fred had a nervous breakdown, painted his torso with blue paint, adopted 50 rescue dogs and wandered around butt naked. Even though that was years ago and now crazy uncle Fred is back running his accountancy practice, he's still "crazy" uncle Fred in his family. His family have loose lips, and everybody in Fred's town now calls him crazy Fred. Fred's friends have loose lips, and now his clients know that he's a bit "crazy" even though they would never mention it in his presence.

Your doctor may protect your confidentiality, but your friends and family certainly won't. Your friends and family will broadcast every slip-up. Your friends and family will attempt amateur psychoanalysis, with their foghorn voices.

People might not say to your face "I think you've gone mad and you should be locked up in an asylum" but they'll certainly say that to other people behind your back. It's sad but true. There's no sense in denying it. People just like to gossip and spread rumours, half-truths and conjecture.

The fact of the matter is that you are quite interesting. Most people are very private and most people hide their true selves.

We are relieved to discover that other people are just as flawed and fucked up as we are, when somebody's mask slips. We then take that relief a stage further, and spread the juicy gossip. Everybody loves to hear embarassing tales of misfortune.

The massive popularity of soap operas, fly-on-the-wall documentaries and reality TV proves that humans have an insatiable appetite for voyeurism, invasion of privacy, gossiping about people. Think about the millions of armchair psychologists, analysing the behaviour of the Big Brother contestants.

Also, your government is spying on you. Your government reads your emails. Your government listens to your phonecalls. This isn't a conspiracy theory. The revelations of Edward Snowden have proven beyond reasonable doubt that your government is snooping on every ordinary citizen.

For those who have a fragile grasp on sanity, there are plenty of things that will tip them into fully-blown paranoia. Paranoia can build and build, until you believe there are hidden cameras watching you. Some paranoid schizophrenics can believe that their thoughts are being read. Clearly, this is at the extreme end of the mental health spectrum, but right now I have 3 microphones and 3 cameras potentially recording me: my laptop, my smartphone and my smartwatch.

I was digging around in the data that Google had gathered on me without my knowledge, and I found that there was an accurate GPS record of my position for everywhere I've been, as well as hundreds of sound recordings. Of course, there is also my Internet search history and the vast digital paper trail that I have inadvertently created.

Although I expect all my friends and family know that I got sick, because of the aforementioned gossip, I want to make things crystal clear: I was briefly "crazy" uncle Nick. That moniker still follows me around even though I'm a highly paid and well respected IT consultant. I pay my rent, bills, taxes and generally conduct myself in a way that any outside observer would struggle to categorise as "crazy". By any measure or test that you could conduct, I'm just as sane as you are.

However, there was paranoia about who knows? How much do people know? What falsehoods had been perpetrated against me? It was driving me crazy. I decided to take action.

By documenting my inner monologue, my darkest moments, my most closely guarded secrets, I'm taking the power away from those who gossip and whisper behind my back. I'm getting rid of the grey area. If you want to know who I really am and what really happened, it's documented right here in exquisite unflinching uncensored detail.

I know that I'm being judged all the time anyway, so you might as well judge me on the truth, rather than on the bullshit that my persecutors would have you believe. I offer you all the facts, so that you can make an informed judgement. I would rather you reached your own conclusions, rather than the conclusions that those with an unpleasant agenda would prefer you to make.

It is a bit of a warzone. I spent my childhood with the pressure and expectation that I would lie about my parents' drug taking, alcoholism and unwillingness to act like mature adults, responsible parents, get jobs that would support the family. My parents' focus was on keeping up appearances, rather than acting with integrity, and I was expected to play along with their bullshit. They decided to throw me under the bus rather than admit any kind of wrongdoing. This blog documents the truth, rather than the false image that they present.

I doubt any of my friends or work colleagues have an unpleasant agenda. However, my ex-wife campaigned very actively to demonise me, compromise my confidentiality, undermine my good name, discredit me. This document tells the side of the story that never got told, because I acted with integrity and presumed that she would too. I was exhausted and sick - how could I defend myself? I doubt she's ever told anybody how she abused me, beat me. I know with absolute certainty that she's told friends and work colleagues that I've struggled with mental health problems and addiction.

Of course, I have plenty of stuff that I've done wrong. It's all documented here in gory detail. I've made mistakes, but people have broadcast them in order to hurt and damage me. I'm being brave enough to re-tell those mistakes that were already loudly trumpeted by my persecutors. It's true that I'm also telling the things that were wrongly perpetrated against me, in a way that appears to be tit-for-tat, but it's actually just presenting a full and accurate picture.

I'm well known for my honesty. To present some "whiter than white" image of myself, to try and offset this demonic image that my parents and ex-wife paint of me, would be yet another falsehood. It serves no purpose, to simply hit back and point out the awful things that my persecutors have perpetrated against me.

I'm moving from a bad place to a much better place, in that I'm now pleased that people know things about me that are correct, even if they don't paint me in a flattering light. I'm less horrified that people know things that mean my confidence has been horribly betrayed by people who are supposed to care about me.

By all means, go ahead and talk about me all you like now. It's immensely liberating living life as an open book. It's a fantastic feeling, to be judged on balanced facts, rather than half-truths, falsehoods and bullshit "holier than thou" images that my persecutors have painted of themselves.

If it sounds a little paranoid, you're wrong. True friends have told me what's been said behind my back, and my persecutors have even admitted betraying my confidence on particularly private and sensitive things, that they absolutely should have treated with confidentiality.

I'm quickly approaching a time when I will be satisfied that the tale is told. I've presented all the information. I stand by my sins. I'm ready for judgement.

It is a bit of an alarming situation. I'm preparing to die, because I'm exhausted by the bullying and the mistreatment at the hands of my family, my ex-wife.

If you've heard anything bad about me, consider this: don't be surprised if the dog that you beat turns around and bites you one day.

 

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#WorldSuicidePreventionDay

6 min read

This is a story about tiny fractions...

Crisis Call

Today is World Suicide Prevention Day. In theory, I'm 1/365th safer today than I am the rest of the year. By my calculations, 0.27% of the time, we are trying to prevent suicide. The other 99.73% of the time, we are not trying to prevent suicide.

There are various ways that we try and make suicidal people feel responsible, selfish and guilt tripped. "Nobody is responsible for your life except you" is something I often hear. This is plainly wrong.

Individualism has led to the collapse of local communities. Individualism has led to silent commuter trains, with everybody listening to their own music through their headphones. Individualism has led to unpleasant levels of competition, where we trample each other for the few jobs. We lie, cheat and steal, because we are all rodents in the rat race.

If we took collective responsibility for our suffering, then we could collectively bargain to improve our situation. With the power of the collective things can improve. As individuals, we are divided and ruled over by cruel elites who care nothing about the mental health epidemic and soaring suicide rates.

Suicide is everywhere.

Suicide is in our schools, where there is enormous pressure to achieve academically. Our exam grades will govern our future so we no longer have a childhood. Bullying is rampant, and it destroys the quality of life of children and drives them to self harm and suicide. Bullying is not getting better. Bullying is getting worse. Bullying was terrible when I was a kid, and unbearable. It must be unspeakably awful now. No wonder self harm, depression and anxiety affect so many children in school.

Suicide is in our workplace, where our jobs are insecure and hidden inflation means that our wages are shrinking in real terms. The steady increase in suicide rates, since the 2008 financial crisis, has now reached the point where it's the biggest killer of men under the age of 45 - 'breadwinners' in the prime of their life.

Suicide is in our homes, where thinking "at least I'm not a starving African" doesn't actually put food on the table and a roof over your head. Bills, debts, rent/mortgage and the many things that we need to live in Western society, are not going away with a few people saying "chin up" and "it can't be that bad... other people have it worse". We've been putting a brave face on everything for years, and some people reach breaking point.

To say that suicide is a selfish act is dumb. To say that suicide is running away from your responsibilities is dumb. To say that suicide is dumping a load of pain onto other people is dumb. In actual fact, a suicidal person has almost definitely been struggling with overwhelmingly awful and painfully intolerable feelings, for longer than you can even imagine. To ask them to continue to prop up the status quo any longer is selfish.

When a person reaches the point where they're attempting suicide, they've exhausted all avenues. When a person attempts suicide, they have taken responsibility for their own life. A person attempting suicide has tried everything that they have the means to change. They're out of ideas. They're out of energy. They've gone as far as they're able to go... on their own.

To make accusations that suicide is running away from problems, selfish, is why suicidal people feel so isolated and alone. Taking your own life is not something you do, surrounded by loving friends and family. Attempting suicide is done when you're all alone. Suicide is just you, and death.

You'd be surprised how people step back when you reach the point of considering the end of your own life. People don't want to be near you. People don't see you anymore. People shun you, like you're a leper, like you're a ticking time bomb.

You'd be surprised at how many days I've spent in hospital, all alone, no visitors. That hurts. That sends a message.

It's easy to put something on social media saying "you'd be missed if you died" but, seriously, how much does that really reconcile with that person's experiences? If you say you'd miss them, then when was the last time you actually took the time to see them? When was the last time you actually took advantage of the fact they're still alive?

It's a binary thing: people are either alive, or they're dead. There's no use saying "we didn't know what to do" when somebody's dead. There's a spectacular lack of discussion and action around improving the lives of people who are suicidal. Instead, there is an endless stream of trite platitudes, that you've heard over and over again.

Believe me, I've got plenty of perspective. All that "it isn't so bad" bullshit, and the "other people have it worse" bullying is the reason why we arrived at this state where suicide is the biggest killer of men under 45. Suicide kills 3 times as many men as it does women. Believe me when I say that I want to go to Africa and distribute food and clean water. Believe me when I say I want to pull Syrian children out of the rubble.

Aren't you all just being total dicks though, if you expect our most suicidally depressed people to be the ones acting charitably? Why should the mentally ill be doing good work, while everybody else just keeps making bombs to drop on Syria, and working jobs that economically enslave the developing world?

I've got plenty of perspective, and what I see is a selfish society. What I see is collective insanity, where we are working bullshit jobs. We're working jobs that actually destroy lives. What I see is a bunch of people whose mental health and will to live are being badly damaged, and a bunch more people who want things to stay the same or get even worse.

How bad does it have to get? Does it have to be your son or daughter who takes their own life before you get it?

 

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