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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

I don't think so.

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

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

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

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

Tags: #bipolar #addiction #career

This is a story about paralysis...

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

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

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

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

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

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

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

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

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

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

January.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Tags: #mentalhealth #suicide #medication

This is a story about medical notes...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Tags: #mentalhealth #suicide #addiction

This is a story about relapse...

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

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

"Addict!"

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

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

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

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

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

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

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

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

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

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

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

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

Tags: #addiction #alcohol #drugs

This is a story about unintended consequences...

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

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

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

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

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

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

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

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

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

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

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

Tags: #homeless #mentalhealth #addiction #depression #suicide #family

This is a story about breaking the cycle...

Two of these medications are addictive. Half of these tablets are dietary supplements that can be bought from a health food store. As I stop taking three prescribed medications, withdrawal side effects that I'm suffering from include: insomnia, anxiety and panic attacks. Why stop?

If you're doing something that seemingly provides no benefit to your life, but is hard to stop, then why are you doing it?

The list of things that I could be said to have enjoyed habitually has grown to an extensive list that includes sex, spending money, alcohol, stimulant drugs, benzodiazepines, sleeping pills, painkillers, pornography, computer games, reading, arguing with people, work, masturbation, driving fast, junk food, music and just about anything else that makes life liveable. Strangely, my current day-to-day life includes almost none of these things.

Given my natural tendency to binge on anything I enjoy, perhaps it is abstinence that I am now taking perverse pleasure in the over-indulgence of. I barely have the words to describe how truly dreadful it is to be withdrawing from the most addictive chemicals on the planet - abstaining from alcohol & benzodiazepines can be so hard on your body and mind, that you will die from seizures. Why on earth would I choose to go without the things that would salve the aching that my body has for anxiety & stress alleviating substances?

It was suggested to me that my choice to go without all the things that would help me feel better, is akin to a kind of self-harm. Writing this now, I'm inclined to agree. All the stress and anxiety that I have avoided for years is all hitting me like a sledgehammer. Everything I've ever enjoyed and seen as a reason for living, is barred from me for reasons of self-denial.

Perhaps this is a kind of meditation. Like a monk who takes a vow of celibacy, through this difficult period maybe I will learn something that I would not be able to whilst indulging in the terrestrial temptations.

There is a deliberate alteration of my behaviour, of course. I have decided to deny myself alcohol and my prescribed medications (yes, this is in agreement with my doctor, yawn). I could very easily continue to drink alcohol and take pregabalin, not to mention illegal narcotics and prescription drugs which I could obtain through the black market, but I choose not to. I do not stop because I have an incentive to do so; I stop because it is hard and it is interesting - I'd gotten a little bored of my wanton excesses.

I could write and write and write - perhaps the armchair psychologists amongst you will speculate that I have simply transferred all of my multiple addictions into an addiction to writing.

Tags: #addiction #socialmedia #alcohol #drugs #writing

This is a story about last regrets...

The first time I took an overdose it was half by accident. It was 2014 and I was living in Kentish Town, London, with 3 strangers in an apartment that I'd just moved into. One of my best friends revealed that he had been harbouring a bunch of stuff that he was really upset about, but he'd been keeping secret - he'd lied whenever I asked if everything was OK. He suddenly let rip as if he knew my whole story, when in fact he only had one side - from my dad. I'd never felt so alone in my whole life.

I didn't mean to take such a massive overdose. When I was in the process of committing my semi-accidental suicide, I realised I could either evacuate the poison from my body, or I could let it dissolve into my bloodstream and kill me. I remember taking the decision to relax and take no action. I remember deciding to die.

I took a piss and it was full of blood. My chest was 'wet' with fluid on my lungs; my breathing laboured. My sides and tummy hurt, where my kidneys and liver were badly damaged - I was suffering renal and hepatic injury: multiple organ failure.

I collapsed and I couldn't move. I thought "this is it - I'm going to die".

Then, I realised that my death might look accidental.

I was upset that somebody might think I died by accident. I was annoyed that a coroner might conclude that my death was "misadventure". It was frustrating to think that nobody would understand that I wanted to die.

I started to think "I need to leave a note".

When you're collapsed on the floor and you can't move, it's quite hard to leave a suicide note. I had collapsed onto a laptop power supply & cable that was really hot and burning my skin - it hurt a lot and I desperately wanted to move, but I couldn't. "Dammit this is frustrating" I thought.

As I became more convinced that I was going to die, I started to think about what I would tell somebody, if I could communicate a message from beyond the grave. I wanted my death to be useful to the advancement of human knowledge, as opposed to a senseless waste.

* * *

I went to my local doctor's surgery and told the receptionist that I wanted to kill myself. She made me an emergency appointment. I went back to my apartment, where I couldn't even talk to my sofa-surfer. I was going to talk to medical professionals, or I was going to kill myself: those were the choices.

The doctor wrote me a letter and I took it to the Royal London Hospital.

After 13 hours, I was admitted as an informal patient onto a psych ward at Mile End Hospital, London.

One week later, I suddenly decided to record a video called "Goodbye Cruel World" and flew to San Francisco.

Some people might think my behaviour is rash; impulsive. In fact, I had a whole trans-Atlantic flight, plus the flight from the East Coast of the United States to the West Coast, to contemplate what I was going to do. I'd booked flights leaving myself barely enough time to get to the airport. 12 hours later I was stood on the Golden Gate Bridge, peering over the edge, having borrowed a bike from my friend and cycled there.

My amazing friends in the Bay Area were so great that I decided to get a semicolon tattoo to commemorate my trip instead of jumping off the bridge to my death.

* * *

I swallowed enough tramadol, codeine and dihydocodeine to kill me several times over. I had plenty of time to make myself vomit up the pills and phone the emergency services. Instead, I patiently waited to die. If I was going to feel any regrets, I would have felt them in the hour or two before help arrived. I had assumed that none of my Twitter followers knew where I lived, and I would not be found in time to save my life.

"What did you think would happen?" a doctor asked me. "I thought I'd fall unconscious, start having seizures and never wake up" I replied. "You're going to die slowly and painfully" I was told. "Oh well, at least I'm going to die" I thought to myself.

"No activated charcoal!" I yelled. "Don't pump my stomach!" I shouted. "Don't resuscitate me if my heart stops!" I demanded. "I don't want to be treated!" I commanded.

When I was off life support and no longer in a critical condition, I felt no regret. I still wanted to die. My intention had been to die. I didn't feel like there was some higher power looking out for me. I never thought for a moment that there was some plan or purpose to my existence on the planet.

* * *

The response to my fully premeditated suicide attempt, with a proper suicide note - the world's longest - has been incredible, and now I'm filled with a mixture of shame, embarrassment and a feeling that I owe friends and strangers a great deal of gratitude, for the love and care that I've received.

I find myself being looked after by an amazing family - who read my story and contacted me out of the blue - in beautiful Welsh countryside.

Friends who I haven't spoken to in years have gotten back in contact, and there seems to be a glimmer of hope for the future.

I wonder if people think of me as attention seeking. I wonder if people think that this was all a cry for help.

There's no doubt that when I swallowed those pills I wanted to die. I should have died - there was little chance of surviving; I had done the calculations; I had done the research.

I'm hoping that my mood will improve and circumstances will continue to be kind to me. I need work - a job; I need money. I can't stand still. To sit back and do nothing will only plunge me deeper into a destructively stressful world of pain, which will scupper any slim hope I have of rebuilding my life.

I do regret the distress that I've caused to my sister, my friends and kind strangers who've followed my story. What now though? Do I attempt to go back to life as normal and pretend like nothing happened?

I've gone as far as it's possible to go to the edge of the abyss, without actually plunging to my death. I've learned everything there is to know about mental illness, hospitals, doctors, medications and psychiatry, without actually losing my mind and disappearing into an institution forever. I can tell you everything you never wanted to know about addiction and alcoholism. I can tell you about "hidden homeless" - hostels and sofa-surfing - as well as what it's like to lose everything and sleep on the streets. More importantly, I can tell you what it's like to fight back; to recover.

Fundamentally, this journey started when the odds seemed insurmountable.

The challenges ahead still look to be more than I can possibly tackle.

Tags: #suicide

This is a story about being inspected...

Today the psych ward is being inspected by the Care Quality Commission (CQC) and the staff are so nervous that some of them feel physically sick. I try to reassure one nurse that they're doing their best, despite staff shortages and rampant drug use - the synthetic cannabinoid called Spice is ubiquitous throughout prisons and psych wards.

There's always somebody peering over your shoulder, sneeringly judging you. Is it any wonder that paranoia takes hold in a mind, destroying it? The United Kingdom has an exceptional ability to track the movement of its citizens, using simple conventional CCTV - no spy satellites even needed.

In the free West, we deride the Stasi and the KGB. We talk about China's vast number of people employed to snoop on their own citizens, but we don't acknowledge the work of GCHQ and the NSA. Have we forgotten Edward Snowden's revelations so quickly? The Government read your fucking emails and the police - the regular ordinary police - have a backdoor into Facebook to read all your private messages.

Nothing to hide, nothing to fear. If you believe that, why do you feel stressed if a police car is following you when you're driving, and a sense of relief when the police overtake you and disappear over the horizon? You have insurance; you've had your car's roadworthiness tested; you've paid your road tax... nothing to worry about, right?

It was only a short time ago that I was deeply indoctrinated by my schooling, that had shaped me into a meek conformist - I was fearful of defying any of society's rules and regulations. A family friend wanted to go fishing with me, and I said we needed to obtain a permit. "Our prisons are full of people who got caught fishing without a license" this friend laughed. "What are you in here for? Murder. What are you in here for? Fishing without a license" he continued jovially.

The city centre is crammed with 50,000 protestors preparing to march. I walk past a police cordon and I can hear a police officer yelling at me that I can't go the way I'm going, but I know that he'll be busy dealing with my obedient friend who will have stopped per the instructions. I keep walking, pretending to be unable to hear the entreaties to return. The policeman lets my friend go and we walk to the head of the march.

I'm sure that anarchy would be a disaster for sick and vulnerable people. I have no desire to see civilised society crumble. We can't all do whatever the fuck we want, whenever the fuck we want. Perhaps if everybody acted like I did, it would be the end of the world as we know it.

"Don't walk" says the sign in the United States. I jaywalk with gay abandon. Even in Manchester people look at me like I'm mad and suicidal, for the way I cross the road. However, it's done with such confident aplomb that nobody challenges me. I notice that people who are surrounded by plenty of steel and glass and plastic, such that they would suffer no injury at all if they killed me to death with their motor vehicle, do not give a single fuck about whether I live or die. In London, a motorist will slow down or even brake, to avoid killing a pedestrian, but these provincial plebs treat human lives with no such sanctity.

To live in a crowded city is to be humbled by humanity. To be detained against your will on an underfunded psych ward is to humbled, also. In the city, you are forced to confront your pathetic meaningless existence, as an ant crawling in its nest would be, if it had the faculties to perceive itself and its surroundings. But an ant's nest is akin to a row of gleaming skyscrapers, insofar as being a testament to what can be achieved by a society working together. On the psych ward, you are forced to confront your powerlessness over forces greater than yourself - society will exclude its troublemakers.

Perhaps you think I would endorse heroin being sold in supermarkets and that babies' pacifiers should be replaced with crack pipes?

As six police officers pinned me to the ground and my bum was injected with lorazepam, in the Accident & Emergency department of a hospital, I noticed a cleaner and a security guard nearby - some of the lowest paid people in society are often completely unacknowledged for the role they play in maintaining the division between the peasants and the aristocracy. My face was inches from the floor, but the policeman's trousered knee on my head was clean and so was the linoleum. Circles of red and green blinked at me - the police bodycams, videotaping the whole gruesome specatcle. I'd fallen from grace, but I hadn't slipped anywhere near the bottom - it's a long way down.

A friend whose judgement I trust and respect, tells me that I should drop the bad boy image of "the guy who got fucked up in Manchester". She knows that people are watching and I'm misrepresenting myself. She knows that people are lazy and won't look any deeper than the superficial image that I present.

Is my life - and the way I document it - by accident or by design? Do you imagine that when I'm writing, I don't think at all about how things are going to be perceived? The joke's on you if you don't read what I write with the prerequisite pinch of salt.

If you just dip in at random - like a care quality inspector - then you will get a random impression. On a good day you'll get a good impression. On a bad day you'll get a bad impression.

Do you think the graph above shows that things are improving? No. No it does not. Things are getting worse. Much, much worse. The data above shows conclusively that during the period under examination, there was a fourfold increase in the very metric that was supposed to be cut by 80%.

Do you remember blue tablet man? Well, anyway, he assaulted a nurse for giving him a yellow tablet (5mg of diazepam) instead of a blue tablet (10mg of diazepam).

A drugs dog sweeps the ward. The patients believe the dog can sniff out cigarette lighters. I ask the handler if the dog can sniff Spice and he confirms that it can. There's Spice everywhere on the ward, despite its deleterious effect on the mental health of susceptible individuals - prodromal schizophrenia can turn into fully-blown psychosis under the influence of the powerful synthetic cannabis, making it all the more concerning that it's so widespread on an acute psychiatric ward.

The patients here are the lucky ones and they know it. Everybody agrees it's better to be here with a warm dry bed and three hot meals a day. Everybody agrees it's better to be here, where the chances of being beaten up and/or robbed are minimal. With winter on its way, months of unimaginable suffering lie ahead of Manchester's homeless population, which has increased 1,100% in just 7 years - and a huge number of them smoke Spice.

Abandon hope all ye who entered the world from the mid-1990s onwards. What are the prospects for the youth of today, and the glut of graduates who were promised that indebting themselves and spending three or four years at university would be a good move?

Does it not seem like an obvious reaction to a decline in living standards, to retreat into drugged-up oblivion?

We're sifted and sorted and dissected by tests. We're examined, inspected and measured in every conceivable way. We never have any respite from the world's desire to label us, grade us and monitor us. The pressure to meet the expectations placed upon us is relentless. Some of us will crumble and have nervous breakdowns or be paralysed by anxiety disorders. Some of us will rebel and kick back at the suffocating environment that's desperate to eject and marginalise anybody who doesn't neatly fit in a box. Lots of subcultures have sprung into existence, with members exchanging knowing looks - these people are so much happier now that they have rejected the stereotype they were supposed to embody.

It saddens me that the hard-working staff on the ward are anxious and on best behaviour, when the other 364 days a year I know that they try their very hardest. This is just one of many psych wards, where the macro problems are greater than anything that can be influenced in the microcosms.

If you're going to randomly dip in, be careful to not make a lazy judgement based on a small sample size.

Tags: #nhs #hospital #mentalhealth #addiction #politics

This is a story about being counter-productive...

95% of my fellow patients smoke cigarettes. There's nothing to do on the psych ward, so I can see why they would. Cigarettes are a way to pass the time; to deal with boredom; to relieve some of the stress of being locked up with a load of mentally ill people; to self-medicate for all manner of problems.

Nicotine is fiendishly addictive and a psych ward is not the right environment to kick the habit. As a non-smoker I'm well aware that I'm not involved in the activity that dominates the lives of my fellow patients - obtaining tobacco, rolling cigarettes and harassing the staff to be let outside to smoke.

There is a small outdoor area which can be accessed via some steps, enclosed in a cage so that nobody can jump and injure themselves, or attempt to escape. Every hour, the door to the steps is opened for 15 minutes, and the smokers all cluster around the top of the steps, getting their nicotine fix. Nobody goes down the steps into the outdoor area - they remain in the cage.

I challenge the staff - why don't they leave the door open the whole time? Nobody could escape from the outdoor area, because it's surrounded by high fences. The outdoor area is well covered by CCTV, and it's no harder to keep an eye on people than any other part of the ward.

The standard response from the staff is that it's "promoting health" to deny nicotine addicts access to the only place they're allowed to smoke. I call bullshit on this, because there's no data to support the hypothesis. "Look around - everybody smokes... nobody is smoking less because of this rule" I say. The staff argue that the NHS can't be seen to be "promoting" smoking. This is a completely ridiculous idea. The nurses and support workers hand out the cigarettes and cigarette lighters - the NHS is intimately involved in the whole process of smoking, far more than if the patients were given the choice as to how they dealt with their addiction.

I'm in a dorm with 3 other men. It's a lot quieter than the single room right next to the TV - the TV blasted out for 19 hours in every 24 at full volume. The noise was unbearable. My fellow patients in my dorm report that they're lulled off to sleep by the rhythmic tapping of my keyboard, as I pound out these words. I was concerned that I was being a noisy nuisance, but they reassure me that it's quite the opposite - it's a kind of white noise that's relaxing, like hearing raindrops falling on the roof or hitting the windows, driven by the wind.

A guy is coming out of my dorm, but he doesn't sleep in my dorm - he has his own room. What's he doing down at this end of the ward? Then, my nostrils are assaulted by the smell of smoke. I push the door to the bathroom open and it stinks - there isn't even a decent extractor fan to get rid of the smell. I write a note and secretly pass it to a nurse, pretending to pass her my laptop to be charged in the office. I scurry away down the corridor but she yells after me "tell XXXXX about the smoking in the toilet" waving the note, right in front of the guy I'm dobbing in. I cringe - does she not know that snitches get stitches?

Another nurse comes to our dorm and she starts accusing one of my dorm mates of smoking in the toilet. I leap to his defence. "Who was it?" she asks, and then bellows out his name when I whisper the answer. The fact that many of my fellow patients have a criminal past and have been in prison, does not seem to concern the staff members. Perhaps there aren't fights in here. Perhaps they never see any violence. Perhaps my fears are unfounded. Am I being paranoid?

The fire escape is padlocked shut, there are no fire extinguishers or sprinklers, the break-glass buttons are enclosed in plastic boxes that prevent the fire alarms from being set off - a fire in here would be catastrophic. Yet, I am certain that there are at least 2 cigarette lighters that are being used in my dorm. The patients smoke openly when the staff are doing their handover between shifts, when there's absolutely nobody around.

I make subtle enquiries with my fellow patients - how do they feel about the restrictions on smoking? Everybody agrees that the restriction on access to the outdoor area is more about control than it is about "promoting health" - they feel that the staff have created a system that allows them to exercise dominion over their inmates. "Smoke time!" demands one of the more aggressive patients, banging on the window of the office. "Calm down! Stop shouting!" yells back a staff member. This is an artificial and avoidable situation - why does it exist, when it's creating conflict between staff and patients, and making people stressed and unhappy?

When I was confined to the ward I would have made use of the outdoor area to walk around, get some fresh air and get some natural light. However, I couldn't get past the gaggle of smokers clustered around the top of the steps. To leave the door open all the time wouldn't create this ridiculous situation, where all the patients are fixated on this controlling aspect of their lives.

It's saddening, to see 19 men all hanging around waiting to be given a lighter and be let out, like they're animals; pets.

In defiance of the pointless draconian controlling bullshit, a handful of patients have smuggled cigarette lighters and tobacco into the ward - it's not hard when some patients are allowed unaccompanied leave from the ward. "Have you got any bottles or lighters on you?" a nurse asks me when I get back from an outing - I'm not breathalyzed or searched, even though I'm carrying a bulging bag.

I suppose the privilege of being allowed to leave the ward could be revoked, as a punishment for misbehaviour. The chance of being discharged early and allowed home is also under threat, for any patient who's troublesome. Most patients are here for a 6-month stay. It's up to 6 months, but it's more often longer, not shorter. The reaction to not being allowed to go home is rarely handled well - can you imagine that people who are unwell are able to remain calm and represent themselves clearly and articulately, when their liberty is at stake?

In terms of mental health, nothing could be more stressful, adversarial and paranoia-inducing, than having doctors and nurses discuss you behind your back, having been peeked at through the curtains every 15 minutes - patients are literally spied on and judged. Life, liberty and free-will are all interfered with in an institutional environment that's a cross between a prison and a school. Notices on the wall tell us they promote "independence and well-being" while also telling patients the very strict times that they need to be at the dispensary hatch to get their medications. At 8:54am I'm harassed by a nurse to go for my 9am meds... I'm well aware what the time is and also well aware that to be early is to be turned away empty handed. At 11:54am I'm harassed to go and stand in line for some food which is not even being served until 12 noon at the earliest, and is often delayed.

I'm aware that I'm lucky to have a sought-after psych bed - many people who are having a mental health crisis will have no access to inpatient care. To bite the hand that feeds me seems churlish, but I do feel sorry for my fellow patients who can't articulate their frustrations effectively.

The only patient I know to have attempted to file a complaint is the guy who's relentlessly trying to get 8mg more Subutex out of the doctors... unwilling to go along with the treatment that will wean him off his opiate addiction and quite determined to sabotage his recovery, perhaps.

Nobody's stopping smoking because of the "health promoting" rules around access to the outdoor area, but I'm certainly missing out on exercise and fresh air because of it.

It all looks rather counter-productive to me.

Tags: #addiction #hospital #mentalhealth #nhs

This is a story about customer service...

Amongst a small group of my friends, we have all found that a medication called pregabalin - marketed as Lyrica in the UK - has been useful to us, but also has adverse side effects and is difficult to stop taking. Pregabalin is quite good at combatting anxiety and improving sleep, which are obviously the desirable effects: most of us have stress in our lives, and struggle to get enough high-quality sleep. Personally, pregabalin is an effective treatment for the phantom limb pain I feel, due to damaged nerves - I can't feel my left foot. Pregabalin is far better than the opiate painkillers, which left me sweating and nauseous at times. However, stopping taking pregabalin leaves me feeling anxious and gives me insomnia - what goes up must come down.

Soon pregabalin - "the new Valium" - will be scheduled as a class C controlled substance, which makes it much harder to obtain a prescription, and possession without a prescription could be punished with a criminal conviction.

Here on the psych ward, a man screams for a "blue tablet". Perhaps more blatantly obvious as an addiction, another man attempts to wheedle more Subutex (buprenorphine) out of the staff - he's been droning on about having his dose restored from 8mg to 16mg, because he is being weaned off the synthetic opiate he is addicted to. I can hear this guy, who is obviously no stranger to our prison system, chopping and snorting drugs his room. The man who screams for a "blue tablet" is actually asking for a 10mg diazepam pill - blue in colour - which is Valium. Our screaming friend decides he wants to leave hospital, and the staff tell him he can't leave because he's going to take heroin. "It's my body! I do what I want!" he screams. Then, he starts getting abusive.

Early on in my hospital detention under section 2 of the Mental Health Act, I ask a nurse if she can nip to the shop to get me a 4-pack of beer. We lock eyes for what seems like an eternity. I maintain a completely straight face. Then, we both snigger and she regains her composure. She jokes that we should have a big piss-up on the ward. With a different nurse, I tell her with a straight face that they have forgotten my methadone and she immediately unlocks the cabinet containing the opiates that are so coveted by some patients here... I hastily tell her that I was joking, but she still continues to search my medication chart. Do I look like a junkie? I certainly don't have track marks on my arms or other identifying features of an injecting drugs user, such as abscess scars.

A doctor comes to take my blood. She doesn't shut my bedroom door. Three men, who I know were heroin users, peer into my room and I feel bad that I didn't ask the doctor to close the door or get up and close it myself - surely the sight of a needle going into a vein is going to be a terrible trigger. There's good evidence that addicts' brain reward pathways are activated when they see drugs and drug paraphernalia for just 33 milliseconds, which is less than the 40 milliseconds that a single frame of cinema film is shown for.

Having been detoxed from my physical dependency on benzodiazepines and alcohol, I find that I crave nothing more than a few drinks in the evening - some wine or some beer - to take the edge off the stress and anxiety of my situation and help me relax during what is a fairly dreadful clusterfuck of issues with employment, housing, accommodation and my health. However, I don't want to sabotage my treatment and recovery.

I'm incredibly grateful to the NHS, for accidentally detoxing me while they were treating my deadly deliberate overdose - my suicide attempt. Being physically dependent on a medication is to be shackled to it - to stop taking it would cause seizures and potentially death. There wasn't a 'buzz' that I was chasing with booze & benzos. I was using mind-altering substances to soothe my jangled nerves: self medication.

Am I glorifying drug taking, or making light of serious matters? Don't be so ridiculous.

An epidemic of illicit opiate use sweeps across the United States, with the number of overdose deaths and addicted babies born, skyrocketing in the past few years. An epidemic of mental health issues has pushed the services that are there to support those who become unwell, to breaking point. Only a wilfully ignorant person would turn a blind eye to what's happening all around us.

Carfentanil - a synthetic opioid - is so powerful that an aerosol of it could be sprayed in a packed metropolitan area and cause hundreds of people to die from respiratory arrest. This drug is being sold as an adulterant in bags of heroin, in the United States today. In the UK, carfentanil's less potent - but still deadly - chemical cousin, fentanyl, is quite common now in batches of street heroin. If you're worried about terrorism and weapons of mass destruction, these things have already arrived on the shores of the US and UK, in the form of incredibly deadly chemicals that are available for sale to anybody with the money.

My fellow patients are unrelenting. There's been a 2-day nonstop assault on the staff, as the patients attempt to get a tiny amount more synthetic opiate out of the doctor. There's not much else to do on the ward, and whatever medications the doctor has decided to write on their chart will remain fixed for a whole week. I guess they've got nothing to lose apart from their 30 minutes of escorted leave from the ward. One patient has done a runner, sensing that the doctor's decision has not gone the way he would prefer.

"You've not done anything wrong. You can come back and you won't be in any trouble" a stressed looking nurse is saying down the telephone, to the patient who has gone AWOL. Meanwhile, a patient takes breaks between harassing the staff for 8mg more Subutex, in order to chop and snort lines of white powder in his room - presumably he has a plentiful supply of his own drugs, which he wishes to supplement with a legal prescription.

I try to calmly await my section tribunal, despite the chaos outside my bedroom door.

It should be noted, that the quality of care does not vary with one's behaviour - the staff are supremely professional - but good manners are declared as the number one thing that every staff member wants, on a notice board that tells the patients a little more about the team of people who look after us.

Good manners cost nothing.

Tags: #hospital #mentalhealth #drugs #addiction