This is a story about primary care...

Primum non nocere is in and of itself a non sequitur because the use of Latin and other languages of classical antiquity is primarily intended to deter the hoi polloi from becoming educated. The number of doctors who are able to train, qualify and practice, is something that is tightly controlled in order to maintain high salaries - artificial scarcity - as opposed to allowing the unrestricted proliferation of medical knowledge which might improve the health of the nation.

Those who profess the Hippocratic Oath might be able to stay true to the vow they have sworn if they practice the treatment of acute illness in a hospital - dealing with curable disease and injury - but in the treatment of chronic illness in the community, as General Practitioners (GPs), can we say the same?

If we look at a few obvious statistics, we can see that medicine is failing. Average life expectancies have started to fall and chronic illness has seen a dramatic rise. There is an epidemic of mental health problems, and suicide is the biggest killer of men under the age of 45.

Of course, one might say that the root causes of these conditions are non-medical.

It occurred to me that a significant piece of the NHS has already been privatised, in that many general practice surgeries are owned and operated as private profit-making enterprises. This seemed to present a significant conflict of interest, so I decided to conduct an experiment.

I asked a GP a simple question: when you're treating a patient, do you think about their healthcare needs, or do you think about other things? The reply was shocking.

"It's not about [the patient] it's about everybody else"

I'd had my suspicions for a while - gathering plenty of evidence - that those who profess to do no harm might actually have been corrupted into serving other purposes; into betraying their profession and failing in their duty of care. This was the final confirmation that my worst fears were realised, and there are powerful actors within the healthcare system who place other things above the health of their patients.

By co-opting doctors into the capitalist profit-driven sector of the economy, and by co-opting them into the welfare system, we are asking doctors to choose between their luxury cars, the private school fees for their children, and other trimmings associated with their high social status, versus increased taxes to pay for the welfare state. By placing the most vulnerable people in society in front of the doctors, when seeking incapacity benefit, the government is pitting one group against another.

If the study of economics has taught us anything, it's that people respond to financial incentives. While a GP might argue that they're saving valuable taxpayer money, which might be spent on the NHS, by denying incapacity benefit to a vulnerable member of society, one must also admit that the GP acts in rational self-interest. Less money spent supporting society's most vulnerable means a lower tax burden and more money in the pockets of the profiteers, which include GPs who are partners in their practice.

The first principle of do no harm forbids a doctor from weeding out malingerers based on their best guess. To cut off somebody's incapacity benefit is definitely harmful, and there is no diagnostic test which could decide with a high degree of accuracy who is the malingerer and who is genuinely unable to work. If the doctor in question truly cares about their patients, they would have no option but to choose the option which gives most benefit and inflicts least harm.

We see so many suicides because patients are fobbed off with inferior treatment options, because it's a cheaper alternative to give somebody pills than to give them psychological therapy. While I understand that being cost-conscious might be seen as being pragmatic, it again violates the principle of do no harm. To fob a desperate and vulnerable person off with ineffective medication, when better treatment options are available, is tantamount to negligence. If a doctor has a consultation with a man under the age of 45, they must surely be well aware that suicide is the thing that is most likely to cause their death, and they should therefore treat it as a serious threat to their life. To call people's bluff and knowingly prescribe ineffective treatment is obviously the reason why suicide rates are so scandalously high.

I imagine that some doctors - although egotistical and in love with themselves - have a tiny piece of them that wants to make a difference and save lives. I think that exhaustion and the pressures that are felt by ordinary people are imposing themselves on doctors now, who are struggling to send their children to the best private schools (boo hoo) and are feeling compassion fatigued because of burnout. If we can relieve the pressure on GPs, they may become more willing and able to work in support of their patients' needs, as opposed to "everybody else" (read: being the government's job police).

I strongly believe that we have an urgent need to change primary care, so that it becomes not-for-profit, and patient healthcare can become the primary objective. Perhaps profits are not the primary motivator, but money has a corrupting influence which can be clearly seen when you speak to a GP who is/was a partner of a practice. Co-opting healthcare professionals into the job of coercing vulnerable people into bullshit McJobs, where they are exploited by the capitalists, has absolutely nothing to do with healthcare and is most certainly harmful.

I've witnessed first-hand how this care for "everybody else" - instead of patients - has become shorthand for the compassionless, sympathy-lacking, bullying, hectoring and suicide-inducing grotesquely twisted vision of so-called medicine, inflicted on society's most vulnerable people.

If you want to be the job police, and you think that suicides are an acceptable price to pay, so you can feel superior and send your kids to private school, perhaps medicine is not for you.

Tags: #nhs

This is a story about living on the edge...

Strangely, this broken blind is the only thing that's keeping me safe at the moment. I could replace the blind, but then I'd lose the safety that it gives me. I deliberately chose an apartment with a ground-floor bedroom with terrible blinds, because of the lack of privacy. It's strange, but this lack of privacy - this broken blind - is keeping me safe.

It's been 21 consecutive months since I had a proper holiday. For two consecutive Christmasses I've been with a family that's not my own, which has meant the exhaustion of being on best behaviour, and struggling to adjust to the unique way that those families observe the festive season. Other than that, I've had some long weekends, but not a proper break. A lot of the time in the last 21 months, I've had the threat of bankruptcy, eviction, destitution and homelessness hanging over me. A lot of the time in the last 21 months, I've been recovering from illness, which has seen me hospitalised. A lot of the time in the last 21 months, I've been very sick.

I'm exhausted.

I'm burnt out.

I'm sick and tired of working my bollocks off, being responsible and working hard when I'm too sick to shoulder that burden. I should really have declared bankruptcy and put myself at the mercy of the state, to house me and to give me a pitiful welfare payment so I could buy a few cans of baked beans, and otherwise live like a pauper - at least this torture would've been over.

I left work, I went to the supermarket, I drove home, I washed up, I put some laundry in the washing machine, I tidied up, I put the shopping away, I cleaned the kitchen, I hoovered the carpet. All in a day's work, but I've already done a day's work. I've done 21 consecutive months of work without a proper holiday.

You might not think it's work, being sick, but it's certainly not holiday. You might not think it's work, recovering from illness, but it's certainly not holiday... and it's certainly not restful when you're running out of money and you're worried you're going to be evicted. You might not think it's work, spending Christmas with people you only just met, but it's exhausting to be on best behaviour and minding your manners; making smalltalk with everybody and asking all the right questions that would be expected in polite middle-class company. You might think I've been on a jolly holiday for the last 21 months, but I haven't. I've moved house 4 times, been hospitalised 3 times, been sectioned, had various crisis visits from psychiatrists, doctors, social workers and the like, plus I've been dreadfully sick... both physically and mentally. I've not been having a jolly holiday.

I've had enough. I want to abandon my responsibilities. I want to give up.

I'm exhausted and I want to give up.

The only thing keeping me safe is that blind.

So long as I keep that blind deliberately broken, anybody can spy on me; peek into my world.

If I had perfect privacy I think I'd just give up; I'd relapse. If I thought that I could withdraw into a private world - close the curtains and pretend the world's not there - then I'd do it in a flash because I'm so exhausted and fed up with the relentless never-ending saga of month after month of work, work, work.

I've done well to get to this point, but I'm pretty much spent. Every penny I've earned has gone on rent, bills, interest and living expenses. I feel like I've got very little to show for my efforts, but I do have an apartment, a car, a job, a girlfriend and some new friends. I feel like I've made very little progress, but I've managed to get myself into a good position to start to dig myself out of the hole... but I'm exhausted and I've hit the wall. I'm burnt out; I'm frazzled. I'm a wreck.

That blind is broken and it means I have no privacy. It's a funny thing to keep me safe, but I knew it would. I'm really on a knife-edge though. I could so easily throw everything away and say "fuck it" because I'm just too damn tired to go on.

I'm really at my wits end. I really need a holiday.

Tags: #holiday #exhaustion #burnout

This is a story about burnout...

There's a lie which we're all guilty of perpetuating: Work hard and you can improve your life; if you work hard enough you can achieve anything. It's not true and it's wicked to repeat the lie, because we end up blaming ourselves for our appalling living conditions. "If only I'd tried harder in school" so many of us wail, but "if only I worked harder" is not something that a dying person ever says on their deathbed.

It's obvious that there's a grotesque disparity between hard work, dedication, passion, productivity and personal wealth. If you're going to try and argue that the owner of a large property portfolio works harder than a nurse, then you deserve a punch in the face. If you believe that the beneficiary of a trust fund, who doesn't have to work at all, is somehow more deserving than the person who cleans toilets for a living, then you must be suffering from psychosis.

I've heard it said that life is fair, because it's unfair to everybody. Human afflictions don't care whether you're rich or poor - a billionaire still needs an ambulance and a cardiac surgeon if they have a heart problem, and money can't buy them immortality. However, this does not seem to consider the great injustice of the world: that our efforts and actions will make virtually no difference at all. It doesn't matter how badly you want to study at Oxbridge and enter a lucrative profession - if you were born into the wrong socioeconomic circumstances, you're not going to be able to achieve your potential. It doesn't matter how badly you want to elevate yourself from poverty, and how hard you work - you're trapped and you'll never escape.

The media love to shove folklore heroes in our face. The media work very hard to assist our willing suspension of disbelief. Little girls think they're going to be like Kate Middleton and marry a prince - the tale that we're told is that she's an ordinary girl and that any one of us could be plucked out of poverty, but it's bullshit... she went to a very expensive private school. Little boys think they're going to become 'self-made' men, and there are plenty of examples of entrepreneurs who claim to have not received any assistance in building their business empires, except that close scrutiny reveals that they had their risk underwritten by friends and family; they have access to wealth and connections that ordinary people don't.

You show me the success story and I'll show you the unfair advantages that the person enjoyed. Nobody got to the top on merit. Nobody gets anywhere by working hard - it's a lie.

In fact, to work hard and assume that it's going to lead to pay rises and promotions is a kind of mental illness: it's called "Tiara Syndrome". It's a bit like the fantasy of a knight in shining armour coming to rescue us - a person who has Tiara Syndrome is expecting that somebody will come along and put a tiara on their head, just because they work really hard and they're good at their job. Sadly, it doesn't happen.

Behind every fortune is a great crime. The only way to get ahead in life is to lie, cheat and steal.

"The power of enclosing land and owning property was brought into the creation by your ancestors by the sword; which first did murder their fellow creatures, men, and after plunder or steal away their land, and left this land successively to you, their children. And therefore, though you did not kill or thieve, yet you hold that cursed thing in your hand by the power of the sword; and so you justify the wicked deeds of your fathers, and that sin of your fathers shall be visited upon the head of you and your children to the third and fourth generation, and longer too, till your bloody and thieving power be rooted out of the land"

A Declaration from the Poor Oppressed People of England (1649)

So, if we've been writing about this problem for the best part of 400 years, things must be alright, mustn't they? Don't fix what ain't broke and all that. Why rock the boat?

Life expectancies are starting to fall - people are dying younger. There's a mental health epidemic. There's an opioid epidemic. Living standards are declining. Billions of people live in poverty, and within our lifetime we'll witness a Malthusian catastrophe that will dwarf any other mass extinction event seen on planet earth. If you thought the Ethiopian famine was bad, wait until you see what the next few decades have got in store for us. With high-yield modern mechanised farming techniques, we have plenty of food, but we are staggeringly bad at sharing things fairly. If you believe that the present situation of wealth disparity is acceptable, then you're signing the death warrant for billions of people - a holocaust knowingly perpetrated on the human race, for no better reason than sheer unadulterated greed.

Remember that none of the Nazis were allowed to say "I was just following orders" as any kind of defence. To fail to act and to say that you're just doing what everyone else is doing, is immoral. To be passive and turn a blind eye, or to throw up your hands and say "there's nothing I can do" is not acceptable. Yes, it's our instinct to look after our own families, but the day is coming when that selfishness will backfire. Your kids are going to need a place to live. Your kids are going to end up in debt. Your kids are facing a shitty future, and your grandkids are going to inherit a completely hopelessly screwed situation - do you think they'll agree with you, that it was right that you sat back and did nothing?

If you think you're helping your kids by instilling some kind of 'work ethic' in them and getting them to study hard, you're making a mistake. Remember: nobody ever got anywhere by working hard. Hard work can be a useful thing, but we must consider what our labour is being used for - if it's making weapons and oppressing people, then hard work is immoral when it contributes to the war on humanity. Sometimes the best thing to do is to withhold labour - to deprive the tyrants of the manpower they need to conquer and achieve world domination. Sometimes the best thing to do is conscientiously object; to nonviolently protest.

I've thought long and hard about how I can make a difference. I thought about medicine. I thought about law. I thought about politics. I thought about science and engineering. I find myself in technology, and I'm desperately disappointed. No amount of smartphone apps and websites is going to address the problems at the root cause, which appears to be competition. Why must there be competition? Why do we have to measure and grade people, and declare that some of us are not worthy of consideration? Why do we have artificial scarcity and force people to fight over an artificially limited amount of so-called 'money'? Why do we put artificial limits on the numbers of people who can pursue a certain professional discipline? Why do we want to have elitism? Why do 99% have to be told they're shit and they don't matter and they're expendable, so that the 1% can feel special?

I was on the fast-track. I was made unconditional university offers and allowed to skip entire academic years. I got onto a graduate training program 3 years sooner than any of my peers. I got pay rises and promotions so quickly that I was earning six-figures by the age of 20. I'm an example of one of those success stories that you might read about, that are supposed to make you believe that with enough hard work anyone can reach the top of the pyramid - be a CEO or a prime minister or a president, or a king or queen. It's bullshit. Why would I turn on the system that's given me everything I've ever wanted? Why would I bite the hand that feeds me?

No amount of houses, sports cars, yachts, speed boats, luxury holidays and all the other trimmings of a wealthy life can ever make you quite feel like you're content with the way things are, because you can never fully insulate yourself from the suffering and poverty that surrounds us. The fact that you're reading this on a PC, laptop, tablet or smartphone, means that you're one of the lucky ones - you're somewhere that has electricity and the internet, which means there's probably clean drinking water too. If you think about those less fortunate than yourself, they're probably considerably well below your standard of living. Wherever you are in the pecking order, there's always some unfortunate who's desperately in need of help, because we've set up society to fail people - the very process of succeeding ourselves means trampling others underfoot to get ahead in life. It's a zero sum game - for somebody to win, there has to be a loser.

Life doesn't have to be like this - so adversarial. There's no limit on the number of "A" grades we can give out, or the amount of money we can print. There's no limit on the number of doctors we can have. We live in a world that's been artificially constrained to create winners and losers. There's no need to have competition so inbuilt to society. Yes, we might see that nature is full of competition - survival of the fittest - but we're not beasts. We've become super-intelligent and capable of producing vast surpluses of everything we need. With high-yield farming techniques and agricultural mechanisation, we can feed ourselves until we burst. With mass production and factories, we can have a virtually unlimited amount of goods - clothes and shoes and building materials, as well as pointless consumer crap that we arguably don't need.

Like the many utopians who I studied while doing the research for my second novel, I can see a world that's jam-packed with all the technology that we need to improve the human condition, and elevate half the planet out of poverty. I can see that we already possess everything we need - we don't need nuclear fusion or flying cars or any other sci-fi fantasies... we already have the means at our disposal, to improve our lives.

As a person who wants to make a positive difference - to effect meaningful change - I find it very distressing that those who are working very hard to improve the world are being thwarted. Imagine all the effort put in by doctors, nurses, politicians, charity workers and myriad others who do what they do because they want to make the world a better place... but it's not working, is it? The world is getting steadily more and more fucked up.

If you think I'm seeing the world through a 'blue filter' and my depression tinges my perceptions, we only need to look at the hard data - homelessness, depression, anxiety, alcoholism, drug addiction, poverty, crime and all the other indicators we have of the health of our society are telling the same story: Things are getting worse, not better. Your kids will have to get into heaps of debt to obtain their education, and then they won't be able to afford to buy a house. Your kids are going to struggle to find work. Your kids are going to struggle, full stop. Your grandkids are absolutely fucked. It doesn't take a genius to extrapolate from the data and see where we're headed. Things aren't just going to magically improve without anybody doing anything. Don't look to politicians to cure society's problems. Don't look to charity to cure society's problems. Don't look to the church to cure society's problems. If any of the existing status quo members were going to do something to fix things, they'd have done it at some point in the last 400 years, wouldn't they?

I haven't figured out what I'm going to do yet, but the best "not in my name" protest I can think of is to kill myself. The best way I can think of to register my objection with the status quo, is to end my life.

Maybe I have a lemming-like instinct to kill myself because of overpopulation. Perhaps my genes are telling me to kill myself for the good of the species. Certainly the self-preservation instinct feels much weaker than the powerful emotions that tear through me, thinking about the futility of the oft-tried ways of making a difference.

If there's no opportunity to make a meaningful contribution, why go on?

Tags: #career #banking #capitalism #politics

This is a story about arms races...

Being the only honest player in a game where everybody else is cheating is a fate worse than death. Where do you draw the line for cheating though?

When playing pool, it's a well known phenomenon that there's an optimal level of intoxication to be a better player. Alcohol relaxes you, which means your muscles are less tense and the action of your arm should be smoother, delivering a straighter strike to the cue ball. Is it cheating to have a cheeky couple of pints when you're playing pool down at the pub?

Computer programmers are machines that turn coffee into software. Stimulants like caffeine and the other amphetamines - caffeine being indistinguishable from amphetamines when given intravenously - are well known for improving concentration. If most programmers are gulping strong coffee all day long, how's anyone who's caffeine-free going to compete with the rest?

The combination of caffeine and glucose is proven to improve athletic performance by a remarkable amount. Given that energy drinks are not banned and can even be sold to children, how is anybody supposed to compete at sports unless they're guzzling Red Bull?

There's a great deal of pressure on me to perform at the moment. My entire future rides on me doing a good job at work. If I fail, I go bankrupt and I become a leper: unable to gain well paid employment or even have a mobile phone or broadband contract, let alone rent an apartment.

Therefore there's a temptation to use substances to help me perform at the top of my game. With a strong coffee in the morning, I'll be able to concentrate on writing code all day. With a few glasses of wine or a sleeping pill, I'll be able to unwind and relax after a day of hacking away at complex computer systems. Uppers and downers. Round and round. Highs and lows. This is the life that we should all lead, isn't it?

I'm staggeringly well paid for what I do. Why would I want a lower paid job? Why would I want to be on average Joe wages when I could earn five times as much doing the same job? Why would anybody deliberately impoverish themselves? However, my high-risk, high-reward strategy demands that I perform to the best of my abilities. Without substances, would I have been able to get my foot in the door and hang on to a highly sought-after job?

Thus, caffeine, alcohol, sleeping pills and tranquillisers circle like vultures. I need the effects of substances, in order to cope with the life that I'm built for - I've been in this career for over 20 years. How am I supposed to cope without the unhealthy coping tools that I used successfully... until I had a breakdown; a burnout.

What goes up must come down. The candle that burns twice as bright burns half as long.

It's better to burn out than fade away.

Even music has become performance enhancing. I listen to high-tempo dance music - blasting away at 130 beats per minute - in order to focus my mind and put myself into a trancelike state where I can concentrate on software code for hours and hours. What must the effect be, to be in such an unnatural state for so long?

What must it be like to have a job that brings you into the unpredictable chaotic world of people and human interactions? What must it be like to have a job that's full of intrigue and unexpected surprises? What must it be like to never have to fight your constant existential crises and suppress all invasive musings about the absurdity of existence, because you're just a rat waiting for the next food pellet: when's the next order going to arrive; the next email; the next patient; the next customer?

As I do battle with boolean algebra every single day, there is no comforting wiggle-room of the humanities - computer says yes or computer says no; true or false. There are no shades of grey in my world - there's a right answer and a wrong answer. I sit in front of three screens and I try to figure out the right answer. I can go for weeks without speaking to another person. It fills me with terror sometimes, thinking that the ultimate arbiter of whether I've succeeded or failed is a cold, rational and unthinking machine. It's like playing chess against myself.

Some would say I'm a success story. Isn't the whole reason for paying attention at school and trying hard during your exams so that you can land a good job and get promoted into a position of seniority? Aren't we all trying to climb the greasy pole and get a big fat wage packet at the end of the working week? Aren't we all trying to compete and win? I won... didn't I?

I wouldn't be so churlish as to say "it's tough at the top" and of course, I'm laughably far from the top, but I'm sure there would be a plenty long queue of people who'd swap their salary for mine, so let's not be too hasty. It's worth considering just how destabilising my career choices have been to my mental health: feast & famine, boom & bust and the ever-present pressure to perform. Alcohol and caffeine are ubiquitous - as they are everywhere - but you haven't seen alcoholism in the workplace to quite the extent I have, unless you've also worked in the City of London in investment banking.

They say that banking greases the wheels of capitalism. Alcohol greases the wheels of banking.

The most successful strategy that I could play right now would be to have have two or three strong cappuccinos every day at work, and at least a bottle of wine every night. I'm sure my career and my bank balance would benefit handsomely from such a strategy.

I do worry about my mental health, but in this capitalist society, who has the time & money to stop and think about such a trifling thing? I'm reminded of this time last year, when I had to discharge myself from hospital against medical advice, to go chasing a banking IT contract. Money, money, money. Find an edge. Do whatever it takes!

You understand, it's not greed that drives me. This is the world we live in. We all need a competitive edge. I have no idea how to function in a world where I'm not compelled to use uppers and downers to help me perform. What do people even do without their morning coffee and their evening wine?

I earned well over a thousand pounds for two days sitting in front of a computer screen thinking "what the f**k am I doing?". I'm winning aren't I? This is what winning looks like, isn't it?

I'm winning... aren't I?

Before I know it, I've had more than the magic two pints and I can't hit a ball to save my life. I've gone beyond the sweet spot. I've had too much to drink and I'm just drunk. There's a fine line between performance enhancing, and substance abusing. I wake up one morning and all I've got is a habit. A stimulant habit. An alcohol habit.

We can all reach for substances to give us an edge, but you're playing a high-stakes game. The bigger you are the harder you fall.

It's almost impossible to change the habits of a lifetime. Of course I'm going to reach for substances when I'm struggling. Of course I'm going to return to the same boom and bust lifestyle that's served me so well, and also threatened to destroy me.

Roll the dice.

Tags: #career #banking #computing #alcohol #caffeine

This is a story about sequels...

Two years ago, I was experimenting with my blog. I thought it would be profound to write a public suicide note, record a video and go jump off the Golden Gate Bridge. I thought I would get sacked from my job and illustrate how the stress would push me into acts of extremism. I decided to sleep rough close to the skyscraper I had been working in. I thought I was going to starve myself for 25 days and spend Christmas Day in a tent. I thought I was going to kill myself by going on hunger strike.

For 25 days I wrote an advent calendar type series of blog posts. The whole thing was leading up to the punchline: boxing day. Really, what I was doing was building up to the revelation of the truth: that I'd had problems with addiction. It was a big admission. It took a lot of courage to be honest.

Why did it take me so long to acknowledge my problems with addiction?

Generally, addicts don't get a very favourable hearing. Addicts are amongst the most stigmatised people on the planet. If you're looking for a sympathetic non-judgemental ear, it's probably best if you don't mention any addiction problems you've had until somebody's got to know you.

So, people had to get to know me.

My friends, family and work colleagues knew me. Those people who've gotten to know me have seen that I'm an OK person. I'm not a monster.

But am I a monster?

It's surprising how little it takes for us to question everything we ever knew about a person. Sometimes, there's a revelation about a person that can completely shake our perceptions of them. Suddenly, it's as if a person we knew well is a stranger to us, and not just any stranger: a horrible nasty stranger who's going to rob us and kill our children and eat them. Everybody knows that addicts leave a trail of HIV-infected needles lying around everywhere they go, especially in areas where children play. Everybody knows that addicts enjoy nothing more than random acts of killing. Also, if you discover that somebody's had problems with addiction, you can pretty much forget everything you ever knew about them.

Hang on a second though.

How quickly can you completely re-evaluate an entire person and decide that they're a completely worthless hopeless junkie, who'd rob you without a moment's hesitation in order to score their next fix? How long does it take to write somebody off completely and dismiss everything you ever knew about them? Why are junkies just so damn easy to hate and what happened to the person you used to know?

While there are some very unfortunate people whose morals will be corrupted by their addiction, that's not the case for most addicts. Not every addict is a liar, a cheat, a thief and somebody who would recklessly endanger the lives of your precious children. Not every addict is flakey, unreliable, untrustworthy, unscrupulous and immoral. Not every addict is worthless, hopeless and doomed to forever seek and take drugs. Not every addict is a menace to society, and should be treated like a leper: shunned from work, friends, family and all the other things that give us a functional life. Not every addict should be marginalised and demonised.

Of course, I write with a vested interest. I don't want to be mistreated. I don't want the stigma attached to me.

So, why don't I share my stories of addiction anonymously? Why don't I join Alcoholics Anonymous and Narcotics Anonymous and Cocaine Anonymous and Crystal Meth Anonymous, and while I'm at it Gambling Addicts Anonymous and Sex Addicts Anonymous? Why don't I keep quiet and just pretend like I'm normal? I don't even take drugs.

Nobody thinks that gambling addicts inject packs of cards, so why is it that when you think of me - an addict - you immediately imagine dirty needles? Where did the OK Nick that you used to know go? Why did you eject the pleasant memories you had of me, and replace them with an imagined version of me, where I was mugging grannies for their life savings?

It's necessary for me to concentrate on the prequel to my story, in order to receive a fair hearing. I need to explain that adverse childhood experiences, an abusive relationship, stress, burnout and mental health problems, all created a fertile environment in which to grow a substance abuse problem. I need to explain that my mood instability - bipolar - predisposed me to reckless sensation seeking, such as substance abuse. I need to explain that my motivation was self-medication, not getting high. I sought relief from symptoms, not enjoyment. I was trapped and I needed a way out. I chose the wrong one. I made a mistake.

We might take a quick glance at a situation and utter the words "why don't they just...?". Why don't they just what? Leave their abusive partner? Stop moping around and get out of bed? Stop taking drugs? Move somewhere else? Sort themselves out?

When you're secure and happy, everything looks pretty easy. All people have gotta do is get a house, a job, a sexual partner, friends, hobbies and interests, a loving family, a supportive environment, a healthy lifestyle, coping mechanisms, substantial financial resources and favourable socioeconomic conditions. That's it. That's all. Just get on and do it!

For some, remaining addicted is not about the ongoing want for drugs, it's actually slow suicide.

That last point is worth re-iterating. One of the reasons why some people won't stop taking drugs, is because they don't want to live anymore. They literally don't care if they die. I would say that most addicts are very well aware that their addictions are going to kill them, but they carry on anyway - they're committing suicide, slowly.

Looking at teens and twentysomethings who smoke, we might see that there's a general belief that "it'll never happen to me". In our youth, we tend to believe we're pretty indestructible. By that same token, we might assume that a drug addict believes that they'll be one of the lucky ones, who addiction will spare. I don't think that's the case.

As an addict, it quickly becomes apparent that control has been lost and you're on collision course with health problems and early death. Repeatedly, the addict will have extremely aversive experiences which scream loud and clear that the path of addiction is going to lead to death and destruction. Do you think every lecture about what an addict is doing to themselves falls on deaf ears?

Equally, do you think that addicts just don't care? Do they want to die?

Committing suicide - including addiction - is not about wanting to die. Suicide is driven by hopelessness and inescapable awful feelings. If life only has pain and misery to offer, why wouldn't a person choose early death? If building any kind of liveable tolerable life is an insurmountable task, what hope is there? Who'd want to spend the rest of their life miserable, depressed, anxious and in pain?

It's easy to say "keep putting one foot in front of the other" or "take things one day at a time" because you don't have to live through that misery. It's easy to ask somebody else to tolerate the intolerable, because it's not you who has to suffer: it's them. Eventually, a person can conclude that there aren't going to be any good days, or that the few pleasant times don't outweigh the multitudinous bad times. On balance, one might conclude, life's not worth living.

When you've made that decision that life's not worth living, it's pretty hard to find any reason to not have that next hit of drugs, even when the drugs are killing you.

I write to you today clean, sober and with no intention of obtaining and taking drugs.

However, I think it's highly likely that I will take drugs again, both recreationally and abusively. The number of protective factors - friends, family, work, money - have increased, but my life is still very badly broken. There are innumerable things that predispose me to relapsing onto drugs, and on the flip side there is a huge list of things I've got to fix or get in my life in order to have enough on the other side of the scales to balance things out. I look to the year ahead: what do I have look forward to other than hard work, living out of a suitcase, paying off debts and otherwise scrimping and saving? I'm sorry, but I'm not exactly thrilled by the prospect of living off sandwiches that I've made in a hotel room, spreading the mustard with a shoehorn.

But, perhaps also there's a desperate desire to self-sabotage because life was simpler as an addict. Even the synthetic cannabinoids have enough of an attractive intoxication for addicts to jettison the stress and strain of paying rent and bills, and having to hold down a job, in favour of homelessness. The bureaucratic burden of civilised society is wearisome and ridiculous. The form-filling and pointless makework of bullshit jobs is absurd. It's not just about the drugs - it's also about dropping out.

You'd think that dropping out would be a terrible thing. You'd think that the shame of the loss of status would be unbearable, but it's liberating. You know that you have to work hard to keep up your mortgage or rent payments. You live in constant fear of losing your job, which would quickly lead to eviction. When you become homeless, it's a relief - a thing you feared the most has happened, and it's not as bad as you thought it would be; somehow you manage to cope.

I'm averse to the idea of a miserable dead-end McJob. I'm averse to the idea of spending any more time stressed out of my mind, helping my boss get richer; helping my landlord get richer. I'm averse to the idea that the peanuts that most people get paid, in any way compensates them for giving up the prime years of their lives. I don't see that society is working well for most people. I see that stress, anxiety, depression and other mental health problems are rife. I see that suicide is the biggest killer of the group of people who are our most productive members of society. That's not fair.

So, I need to find a middle way. I need to find a way that's not suicide, not drug addiction, but it's not a miserable dead-end job either. I refuse to get a bullshit job that pays peanuts. I'd rather die.

At the moment, I'm clean from drugs and I'm working a very well paid job. I'm learning stuff. It's stressful, but it's not boring. I'm increasing my value - my employability - as well as doing a good job. It feels fair.

I'm starting 2018 at a considerable disadvantage. I'm deeply in debt. I don't have a girlfriend. I don't rent or own a home. Why bother?

It's been 6 months since I had an addiction. I'm clean. Why would I even write about addiction? I've won, haven't I?

In fact, addiction is always there: a dependable companion. Very little effort is involved in resuming an addiction. Addiction will always be everything you expected it to be. Addiction never disappoints. Conversely, a happy functional life with all the components necessary to make it work, is very very far out of reach; almost unattainable. You might think that because I'm only 6 months away from putting a lot of the pieces in place, that it'd be easy. 6 months is no time at all, right? In fact, 6 months without all the things you take for granted, might as well be a billion years. It's never going to happen. Try getting in a bath filled with ice cubes. Try holding your hand over a naked flame. What you perceive as quick and easy is not quick and easy when you're in pain.

My present situation might look infinitely preferable to my life as an addict, but it's not. Addiction could last me forever - until the day I die - but what I have today is only temporary; it's fake. I can't stay where I am forever. My contract will come to an end and I'll have to find another job. I'll need to rent or buy a place to live. I need to keep moving around: 3 and a half hours on the train, one-way, and moving from hotel to hotel, AirBnB to AirBnB... always moving on. I'm tired, even though it looks like I should be well rested. I'm stressed, even if it looks like things are going in the right direction.

Addiction's there as a one-stop-shop. Addiction means that I can stop pedalling so damn fast. Addiction means relief. Addiction means there's an end in sight. I'd be a liar if I didn't admit that when I'm alone with my thoughts, I don't immediately think that addiction is infinitely preferable to the mountainous task ahead, to merely build a mediocre life of disappointment and depression; boredom and bullshit.

Going cold turkey doesn't prove anything.

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

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 depression and burnout...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

This is a story about conspiracy theories...

Can a homeless person with a drug abuse problem get off the streets and make a better life for themself, or are they a lost cause? Are we right to discriminate? Are we right to only let the 'right sort' of people get ahead in life?

What would happen if we were entirely honest in our job applications? What would happen if we put our darkest secrets onto our CVs and were completely transparent about the chaos and turmoil in our private lives? Would employers be understanding? Would we find our opportunities to work, to earn money, and to restore our self esteem, were abruptly curtailed?

I was speaking to a film-maker friend about the high rates of burnout & alcoholism in the banking community. It was hard for me to be overtly critical, because my experience is that once you're 'in the club' banking does tend to look after its people.

Drinking culture used to be ubiquitous in banking. Having a hangover in the morning, being tipsy in the afternoon, getting absolutely smashed out of your mind with your boss... these things were quite normal, and indeed encouraged. Everything and anything would be celebrated with copious amounts of alcohol, and virtually all sins were forgiven.

My first proper job in the City was with HSBC, and while I was there, a colleague was so drunk that he collapsed in the revolving doors and passed out, blocking the entrance. While the story was well known to everybody, this colleague suffered no disciplinary action. The tale simply entered folklore, and would be recounted to tease our colleague.

I was once running a team for JPMorgan, and I was so often drunk myself that I was unable to smell the vodka on the breath of my team member who sat opposite me. It was well known that he was an alcoholic, which is a bit like giving out speeding tickets at a Formula One race. He did eventually lose his job, but it took many years before he had spiralled downwards enough to have become completely ineffectual at his job. There were many, many second chances.

I myself, benefitted from having most understanding employers, in the banks. I have been rescued from fairly dire situations, not once, not twice, but three times now by these generous institutions. It should be a case of 3 strikes and you're out, perhaps. Besides, I have been biting the hand that feeds me.

I'm conflicted over the banks. I had felt like they were acting with immorality, kind of like a big conspiracy. However, on reflection, I think they just employ the best people they can get, and because they pay well they get great people who are very efficient at making money. There's no conspiracy: people are simply incentivised to help their employers profit, and the companies do better if they help their employees to prosper.

The banks have helped me, despite mental health problems, homelessness and drug abuse. Without them, I would be dead and buried or swigging methylated spirits on a park bench.

Obviously, my former employers don't know how charitable they have been. What would be their reaction if they did know?

Tags: #homeless #alcohol #addiction #drugs #banking #career #london

This is a story about getting out of practice...

My friend Ben taught me how to program a computer when we were kids. I floundered on my own for a while when our family moved away from Oxford, to Dorset, but eventually I had managed to write a couple of computer games before I even had any proper lessons at school and college.

I've been a professional programmer for the best part of 20 years, but my recent ups and downs really hurt my confidence, and also meant that my skills got a bit rusty. It is a little bit like riding a bike, but the jargon changes and the syntax of what you have to type looks subtly different, but it's all still the same binary ones and zeros underneath the covers.

I nearly had a meltdown today, when I was set a programming test that's the sort of thing that you'd give to a first year Computer Science student. I feel a little insulted that I'm being asked to do things like that, when I've got such a strong CV. However, IT is riddled with managers, architects and other people who haven't touched code for years and years. I guess it's a test to see if you can roll your sleeves up and get hands on or not.

I'm getting really worried that there's a tech bubble that's going to burst, and bring down the whole economy. When I think that there are so many jobs that are centred around social media marketing, digital campaigns and mining the vast amounts of data that are gathered about website users and their browsing habits... it's all a lot of bullshit. At the end of the day, people have lost sight of the fundamental principle of creating products and services that add value to the real economy.

Why is it that a company can have a massive valuation and raise loads of money, just because the number of people using their website is growing exponentially? Why is it that a bank, or other financial services company, can be one of the most profitable enterprises in the world, when they don't actually produce anything of tangible value? The markets are just supposed to route money efficiently around the real economy, to grease the wheels of commerce.

I started to get panicky all of a sudden, and worry that I won't be able to get myself into a position to weather the storm before it hits. But then, when you think about it, it doesn't matter unless you're just coming up to retirement and hoping to cash in your casino chips and sit on your arse for the rest of your days until you die.

I don't begrudge people their retirement, but considering the huge population growth, the massively extended life expectancy, plus the low birth rates, retiring at the same age as the previous generation is just not feasible.

It is really sad when somebody retires, and they're so burnt out that they hardly get to enjoy it. It seems that life is very much lived backwards. When we are young, fit, healthy, energetic and full of life, we are also heavily indebted and have to work as many hours as we can just to pay the rent and try to keep a car on the road so we can get to work. Then, when we retire, we have heaps of time and money (hopefully) but our health is failing and death is stalking us.

But I'm only talking in abstract terms, because something different happened to me. I didn't quite catch the ultimate wave, but I caught the tail end of a pretty wild ride. For those lucky enough to get into IT at some point from the 1960s to the 1990s, we have enjoyed boom times that seem to have kept rolling.

Perversely, I was a little disappointed when the millenium bug didn't cause every computer in the entire world to explode, as the clock struck midnight and we rolled into Y2K. By the year 2000, I was already bored and disillusioned with programming, and I had even applied to University to retrain as a Clinical Psychologist.

It seems churlish, to be dissatisfied in my position. At the age of 20 I was an IT contractor, taking advantage of the fact that there was a huge brain drain, as most of the best programmers were working on fixing the millenium bug. I had a 20 minute phone interview, and then started work a few days later... doubling my salary in the blink of an eye.

In a way though, you have to consider the bigger picture. How many years of my life were spent locked away indoors, hunched over a keyboard, because I was unpopular and ostracised at school? The bullying I endured was pretty relentless until I finally got to college, so in a way, I have always felt some entitlement to the wealth that compensated those miserable years.

Money doesn't buy you maturity though, and it doesn't repair low self-esteem. It does, however, broaden your horizons. As the year 2000 rolled into 2001, I was taking 5-star luxury holidays around the world. I didn't rub people's noses in it, but I hadn't yet begun to feel that the debt of karma that the Universe owed me had started to balance out.

I bought a yacht and moored it in an expensive marina in Hampshire, age 21, but this still didn't seem exceptional to me. I still felt that I had somehow missed out on a lot of what other people had done: to feel popular, to feel fashionable, to feel loved, and have girlfriends that you really fancied. I still had crushing inadequacies and a poor self-image.

Getting into kitesurfing gave me work:life balance and brought me a social group that finally meant I started to feel like I had friends I'd chosen, rather than just the group of geeks, thrust together for strength in numbers, against a world hostile to us outcasts.

The dead time at work, when I had previously just been struggling with boredom, was now filled with planning kitesurfing trips and chatting with my friends on the kiteboarder forum. My bosses were still happy that the work was getting done, but I was spending 80% of my time and energy looking at wind and tide forecasts, reading and writing forum posts.

Moving to the coast meant access to the beach every day, and eliminated the need to experience kitesurfing vicariously midweek, through an internet discussion forum. However, it also meant I no longer had anything entertaining during the boredom.

Eventually, the boredom led to me obsessing about my job, and pushing hard for promotion, and then to burnout. Work:life balance is important.

I've been trying to piece everything back together again in a way that's not simply hopelessly nostalgic for bygone years. If I can get on an even keel again financially, of course I can start going on kitesurfing trips again, but the really important thing that I lost was the social aspect, and having another passion as well as work, that could keep me busy midweek.

A lot of my fear of getting back into the working routine is that I know that simply living to work is not healthy or sustainable, and I really have very little passion for IT anymore... it's just a job, and a job that I can do blindfolded with one arm tied behind my back.

I am sorry if I come across as ungrateful for my opportunities, but there's more to life than a well paid job, and I have so few of the other elements that make up a happy little life.

Would you believe that some of my happiest times in recent years have been when living in the park or the hostel? There was at least a group of other no-fixed-abode bums like me, and we formed strong social bonds. Having a group of friends turns out to be a lot more important than a healthy bank balance.

So, getting back to work is a necessary evil, but it won't stabilise me and give me any quality of life, you might be surprised to learn.

I overcame that fear, and did that technical test, and I impressed myself that I can still apply myself when I need to. However, it seems a shame that our modern lives drive us to live to work, rather than work to live. I feel certain that this must be behind the mental health epidemic that is sadly getting worse and worse.

I'm going to grow carrots, come the revolution

Tags: #computing #career #bullying #childhood

This is a story about breaking point...

I don't believe in 'rock bottom'. Instead, I feel that I have either run out of fuel or suffered some kind of mechanical failure. You can't drive yourself at the absolute limit forever without some kind of blowout. I have melted my tyres by cornering at high speed.

When I was younger, I pushed myself very hard because I was bored and not at all challenged by what was asked of me. I needed to work many many times harder than my colleagues to prove that my age was no limit to what I could achieve. I've been programming since I was a little boy, so why shouldn't I be better at it than somebody who's been doing it for less years than me?

I had a couple of brilliant teachers growing up, one of whom taught me boolean algebra. If you can master boolean algebra, then there's not much you can't do with a computer. Else if, you're not cut out to be a programmer. End program.

So, I've been doing more or less the same thing in my full-time career for 19 years, because it's a skilled job and is very highly paid. However, there are so many asshats that I must endure in order to get on with my job, which is rather trying. Eventually, the pen-pushers grind me down and I lose my patience with them.

What's really heartbreaking is that I have worked so hard for so long in order to have some time & space to do some things which I actually love and I'm passionate about. However, just when things were seemingly working out for me, people came and picked my pocket.

Now, it's my own fault for being so open and trusting and generous. I have always refused to stop treating others the way I would like to be treated myself. Just because other people are mean and selfish and steal from each other, doesn't mean that I'm going to be like them too.

I imagine that they must feel pretty rotten about themselves, knowing that they have profited from other people's hard labour. I know that we all think of ourselves as relatively hard working. Just remember to look at the evidence. Think about how many 100+ hour weeks you have racked up in your life.

So this isn't about boastfulness, or oneupmanship. It's just about an attitude adjustment. I know that many baby boomers who are in the process of thinking about retirement feel pretty tired and that they have worked pretty hard. Well, I would advise you to look at some hard numbers about just how hard your sons, daughters and grandchildren are working and will have to continue working in order to fund your retirement.

There is a "screw it let's just drown our sorrows" attitude amongst the young, who have no hope of job security, not enough money to buy a house, not enough money to support a family without state support. This is a rational response to a world that has few opportunities left for them.

Underpaying people below the age of 25 is obscene. I was working as a contractor for Research Machines and Lloyds TSB at the age of 20 and they paid me top dollar because my skills and youthful energy got shit done.

It really depresses me, just how many layers of idle and out-of-touch management there are sitting uselessly on top of the toiling youth, while they wait to collect a pension that they didn't contribute enough towards to justify what they are going to withdraw from the system.

The future of children and grandchildren has been mortgaged by profligate baby boomers who were too busy getting stoned and taking LSD to actually ban the bomb and prevent British industry from being asset stripped and having our competitive edge completely destroyed by myopic idiots. Nuclear arms proliferation is not my legacy... it's yours, old people. The lack of jobs for young people is not my fault... it's yours, old people.

Ok, so you might be feeling rotten in your old age, but maybe your body wouldn't feel so bad if it wasn't full of cancer from all the radioactive particles floating around from your nuclear testing? Maybe you'd feel a lot better if the nation hadn't been totally bankrupted by you and your cronies, so we didn't have to cut medical research budgets?

My suggestion? Well, Soylent Green seems a little unpalatable, so perhaps we could just make sure that the burden of austerity falls on those who are responsible. It wasn't a debt binge by young people that caused the current crisis. It was a complete lack of political and social responsibility from the baby boom generation, that meant that the landed gentry had their hands in the safe, helping themselves to all the loot, while you sneering arrogant wannabe pensioners were drinking and smoking and taking drugs.

So, we have a very cold bitter winter ahead of ourselves. Everything is going to hell in a hand cart. Please please please remember not to blame your children for the implosion of the world and the collapse of society. Your pension is a privilege you get for leaving the world a better place than you found it, and I'm afraid you have no right to take something you didn't pay for.

I'm really reluctant to do another round of propping up a broken system, for the benefit of a bunch of ungrateful twats who show no appreciation. I think I'm going to stand back and watch the whole thing burn down.

That is all.

This is my sister's cat, Calcifer. He was catnapped. Us young people are struggling to look after our loved ones, because we are under too much pressure to work 6 or 7 days a week on hardly any money... baby boomers have no idea how hard it is being young (September 2014)

Tags: #career #parents #childhood