This is a story about comfort zones...

Relax and put your feet up, I'm about to tell you the tale of two sedentary situations.

I'm institutionalised. Put me inside a hospital or a head office, and I'll feel right at home.

Most people don't like hospitals: they associate them with pain, death and stress. Most people don't find hospital relaxing; quite the opposite in fact. Hospitals are places of mysterious rhythms and routines that seem chaotic to most people. There are different sounds that all the machines make when they're working, and when they're making noises that indicate that something is going wrong. There are different NHS staff, in different roles, in different clothes, who appear at different times.

My week in hospital that I'm going to tell you about - although I spent the best part of two weeks in hospital  - sounds kinda nice, because I was never really afraid or outside my comfort zone. I find the functioning of complex organisations to be fascinating. I love observing the systems and the people, trying to second-guess what's going to happen next, and what's going on behind the scenes. I like asking loads of questions and adding whatever I can learn to my growing body of knowledge that allows me to feel more in control of my destiny and more able to know what to expect next, than the tense, anxious and extremely tedious waiting game that most patients face on the National Health Service.

Once one has resigned oneself to the maximum speed that a massive organisation can function at, the whole hospital experience becomes quite meditative. Sitting in Accident & Emergency, you can fill your time sneakily looking at the other patients in the waiting room, and trying to guess what symptoms they reported to the reception staff when they arrived. Shortness of breath, chest pains, numbness in one side, drooped face, earlier seizures, unconscious or otherwise delirious patients will normally arrive by ambulance, but any walk-in presentations will obviously jump to the front of the queue. Then, there are the people with minor injuries who have put up with their trivial ailments for days or even weeks. The reception staff aren't allowed to tell them to fuck off, so these idiots must sit for hours on end, only to be told off for wasting valuable NHS resources, quite rightly. In the middle, there are nasty workplace injuries, DIY accidents and total wildcards. You usually get seen by a triage nurse within an hour.

Having been admitted into Accident and Emergency, there is a brief flurry of activity while routine blood samples are taken, and perhaps you're hooked up to a drip. A barrage of questions is fired at you. Examinations seem to be probing and thorough. Surely these professionals are going to have this problem fixed in no time?

It's always a mistake to believe that important things are happening and it won't be long before the right diagnosis is reached and the right treatment is administered. One should be aware that the function of A&E is to rapidly assess whether you're about to die, whether you might need to be properly admitted to the hospital, or whether you can be discharged swiftly, suddenly and brutally.

Once on a ward, a certain amount of orientation and induction is necessary, but all wards function with great similarity. All nurses are grateful if you don't press the call button all the time, for trivial things, as well as being cantankerous and discourteous. Remembering one's Ps and Qs at all times is a pleasant distraction from boredom, pain and discomfort. There will be shifts, and it's important to be mindful of when these shift changes occur. The NHS staff see so many patients come and go, and many are lucky enough to only have a very short stay in hospital, so there will be a certain initial reluctance to absorb you into the system: the ward wants to spit you out undigested.

Having overcome some initial resistance, you can relax into hospital life. Your day begins with your vital signs being measured. Then blood samples are taken. Then there is the hullabaloo of breakfast, ridiculously early in the morning at 7am. Then, there is nothing. All of that disturbance keeps the night shift staff briefly busy before they hand over to the day shift. The day shift hope to be able to ease their way into the working day gradually. Consultants start to appear at around 10:30am, followed by a gaggle of registrars and junior doctors. The most important time of the day arrives: choosing your lunch and dinner for the next day. By the time that lunch is served, you can't remember what you're going to get because it wasn't long ago you had to choose what to eat tomorrow. The meals are pleasantly bland and easy enough to eat. Mealtimes are something to look forward to, even if the food is far from gourmet. Expecting much to happen during the day, in terms of treatment, is a mistake. Anticipation of treatment that has been promised can only lead to frustration and disappointment. The NHS does what the NHS does, and it does it at its own speed. Things cannot be rushed or expedited. Complaining or asking staff when things are going to happen or what's going on, will only piss them off and ruin their day. Dinner arrives surprisingly early. Treatment can be sprung upon you at the end of the day, just when you thought you were going to have a relaxing evening, or you can have a lengthy wait until you get your pain medication and anything to help you sleep. Dropping off to sleep is not easy, especially as the day shift will hand over to the night shift loudly at the end of your bed, and there will be more vital signs being measured before you'll be left in peace to try to get some rest.

And so, my week in hospital consisted of lying on a bed that had buttons that could make me sit up or lie down, with no effort required at all. I was able to elevate my bad leg, to reduce the swelling. I was brought paracetamol every 4 hours, tramadol every 6 hours, and 2 hot meals a day. There were few unexpected interruptions, and if I was well enough, I would have been able to read, listen to music, browse the internet and watch films & TV, pretty much all day, all evening and as late at night as I wanted. I could stake a piss without even having to get out of bed. Friends travelled to see me. Doctors came to my bedside, and I was wheeled to wherever I needed treatment, by hospital porters. I was under no obligation to do anything, except to get better, and all my basic needs were met. My lovely girlfriend augmented the hospital care, so I wanted for absolutely nothing. Blissful, right? I could have stayed for a month, and I would have even earned £676 (I pay myself minimum wage).

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Why then was I in such a hurry to discharge myself? Why would I leave the lap of luxury, and risk my health and even my life, by leaving the safe confines of hospital?

Well, that's a topic of discussion I've covered at length in prior blog posts, so I invite you to peruse the archives.

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People rarely change their bank. We open current accounts in our teens, and we keep them into adulthood. Some of us even opened special accounts when we were children, and we have a certain nostalgic brand loyalty for the bank that we've been a customer of since we were youths.

The 'big four' or 'big five' high-street banks have not changed for my entire lifetime. We have (in alphabetical order) Barclays, HSBC [Midland], Lloyds [TSB], Royal Bank of Scotland and Santander [Abbey National]. These banks hoover up 85% of all the current account banking customers in the UK.

Just like current account holders, people join these banks when they're young - often their first job - and tend to stay loyal. Many people who I deal with on a day-to-day basis have worked for 15, 20 or 25+ years for the same bank that's been so good to them that they've never felt compelled to leave. Everybody bitches about their job, but a bank employee knows that they're very well looked after and they'd be mad to go off in search of a better job.

I've worked for 3 of the big 5, and they're institutions that I feel very at home in. Some people might think that I work in a rather high-stress environment, where it's imperative that I'm up to date with the latest cutting-edge developments in my field, and I need to perform in an exceptionally demanding role. The truth is, once you're in the door, you're in for good. You get your feet under the desk, and adopt the right kind of jaded resignation, that everything is going to be slow, sloppy, shit and a massive festering pile of neglected crap that nobody gives two fucks about, and you'll fit in just fine. Moan as much as you want - everybody does - but for God's sake don't go on any crusades to change or improve anything. Just settle in, get comfortable and enjoy the masochistic experience of being in a world where not a lot gets done and the right answer is always "no".

A lot of people get into technology and engineering, because they like to fix things and make stuff that works. They like to build stuff. They like the feeling of completing a technical project, throwing the switch and seeing their hard work put into action. A bank is a terrible, terrible place to build anything that will ever see daylight.

Having come to terms with the fact that any ambitions you had of building useful things that people might actually use, will be forever thwarted by a bank, you can begin to enjoy the ridiculous game. You command millions of pounds of budget, and you will achieve nothing. When you estimate how long you think it will take you to do something, you double your original estimate, double it again, and then double it one final time for good luck, and it's still not long enough. When you are asked about the feasibility of doing something, or whether you have any spare bandwidth to perhaps do something extra, you instinctively say no; it can't be done; no chance. Nobody ever got fired for saying no. In fact, people start to love you and think you're great at your job, if you get really good at saying no.

Delivering pieces of important technology, 100% working and of high quality, in short timescales and with hardly any resources, is liable to cost you your sanity. "It can't be true" colleagues will proclaim, even as the results are staring them in the face. From denial, your colleagues will move to the belief that it's a one-off fluke, or they will hate you. Colleagues will mainly hate you for making them look like totally incompetent blundering slowcoach fools. Nobody ever made friends and got ahead in a bank, by doing a good job. Finding yourself burnt out from the exertions of persuading people of the merits of doing things properly, without pointless delays, you find yourself suddenly alone; isolated. You may create some kind of mythical; legendary; cult status around yourself and your achievements, but you have no future with the bank: the bank doesn't want your type, and it will unceremoniously eject you.

You can work for a bank for as long as you like, provided you just go along with things. Never challenge anything. Never push for change. Never go the extra mile. For sure, banking demands that you be seen to be going the extra mile, but it's all just for show; part of the act.

So, if you want to be really successful in your banking career, you learn the rhythm and routine of your department. You learn when your boss arrives at work, and you get to your desk before him or her, and leave with them in the evening, making pathetic small-talk. You learn who's got kids, what ages they are, and what stressful childcare arrangements are a pain in the arse for your colleagues. You learn how everybody gets to work. You learn whether they're morning people or night owls. You learn their interests: topics to get them talking; things that enthuse them. You learn who takes their job seriously; who's ambitious; who's jaded and demotivated. You learn who drinks heavily, smokes, gets stoned. You learn who's lived, and who's been insulated. You learn who's worked hard, and who's had advantages. You learn when to make yourself scarce and blend into the background, and when to promote yourself. You learn the things that need to regularly get done, and you discover many things that don't need doing. You learn how to do just enough to please the handful of important and influential people, and how to avoid having to do any pointless busywork.

You can't prepare yourself for boredom. There is nothing in the world worse than boredom.

My first week back in the office was 4 days of boredom. I've seen it all before, done it all before, and I'm the master of minimal effort. The only problem is that I need to look busy to make a good first impression. I forbade myself from reading the news on my laptop. I tried really hard to not look at my phone too much, and to pretend to be busy.

My boss and his boss, both sit right next to me. My boss is a nice guy who seems to have a paternal nature. The big boss talks too much and doesn't realise that I find him amusingly stupid. I listen, make the right noises and say some encouraging sounding things, but I'm completely failing to disguise my contempt for this fellow, but luckily he's the only one who fails to see my total lack of respect for him, except for my bosss. I endeavour to make my boss feel that my number one priority is in supporting him in making our team look good in the eyes of the big boss. I try to make the big boss feel in control, while diverting any respect he commanded away from him. There's a mutiny in progress, but nobody will realise until it's past the point of no return.

Virtually nothing can be achieved in 4 days in a bank, and I've achieved far more than anybody expects of me, even though I've spent a considerable amount of time in the toilets, browsing Facebook and writing amusing things for my friends to read. I invested as much time as I possibly could in developing a good relationship with my boss and my team, but I have nothing of value to contribute yet. Aside from dazzling my colleagues with my all-round technical knowledge, my main task is to stay the fuck out of their way and not disrupt things too much.

Regrettably, I've had to take Friday off work. Making a good first impression can only be done once, and the lasting image that my colleagues will have of me - the guy wearing the robocop ankle splint - will now be tainted with the fact that I had to take time off work, giving the impression that I'm unreliable and prone to sickness. Damage to your image like that can be irreparable.

Sometimes, it's desirable to be known for being unhelpful, regularly late to work and somebody who leaves on time in the evenings. Being somebody who walks out the office door, even when there's a major crisis, is the sign that you have become perfectly adjusted to bank culture. However, the clever ploy is to try hard at first, to develop an image of being a hard worker, but in actuality, you are avoiding work and responsibilities at all costs. In time, you will have the best of both worlds: being thought of as dedicated and useful, but actually adding no value at all.

My foot has been steadily getting more and more painful through the week, and I've been popping painkillers throughout the day. I've passed the week in a dreamlike state; heavily medicated. Having strong coffee in the morning to make me sharp and alert enough to make a good first impression, has meant that I've been able to stay awake in some horribly boring meetings, but it has made me a little hypomanic, causing me to be far too outspoken at times, but I think I've got away with it.

I've earned more in a single day in the office, than I would for almost a whole month of being in hospital. That kind of cash does motivate you to get out of bed in the morning, and to stay at your desk with your mouth shut, when really you can't stand being in the office.

You'd think it wouldn't be that hard, being a bit bored, going to a few meetings, talking to people, saying fairly standard things that are obvious. Having the exhaustion of being unwell, plus being in pain and discomfort, make things hard for sure, but in a way, it's been an excuse to be fucked up on drugs for 4 days and get paid an obscene amount of money for the privilege.

It seems fairly clear that if I can dial the intensity down to 4 or 5 from 11 - and the dial only goes to 10 - and ease my way into a gentle routine that I can just about cope with, then I'll be able to blend in for years. There's no reason why I wouldn't be liked and respected. There's no reason why I can't be perceived as doing a great job, even though I'm not doing anything useful. That's the main thing I need to remember: I'm specifically there to not do anything.

Saying the right thing at the right moment - being the smartest guy in the room (as someone I know once jibed) - comes easily to me, and it does unfortunately command a disproportionate amount of respect versus doing some real work instead.

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I'm not sure which week was more comfortable. Certainly hospital was more physically comfortable, but I was highly stressed about losing my lucrative hard-won contract and being too tired to be able to function when I started work. My job is extremely easy and I anticipate no problems, except coping with boredom and my propensity to blow a fuse with frustration at the snail-like pace that everything moves at.

Sleeping in my own bed has been far superior to the hospital bed, but getting up in the morning is never pleasant. However, my lie-ins were so ruined in hospital - by irritatingly early breakfast and the like - that I have actually been getting ready for work, relatively painlessly.

Commuting is hell, but because I know it's hell, I'm able to impassively observe the shit that I'm going through; detach. Commuting is the price that one must pay, if you wish for your gross income to exceed a year's average salary in the space of just 8 weeks.

How can anybody handle such contrast? It's insane. It's surreal.

How can I walk out of a hospital, against medical advice, and go straight into a brand new job where they're oblivious of just how sick I am and how messed up my brain is by strong medication? Can't they see that they have an imposter in their mix? Obviously not.

That, effectively, sums up the bipolarity of my life. The ups and the downs. The highs and the lows. What more extreme example could I come up with?

Tags: #bipolar #hospital #NHS

This is a story about the opium of the people...

God is dead. We killed him with our science and our medicine. We killed god when the healing power of doctors trumped the ridiculously unsuccessful power of prayer and divine miracle. We killed god when Thomas Edison invented the electric lightbulb and let there be light. We killed god when the Manhattan Project unleashed the energy bound up in the atomic nucleus, creating bombs powerful enough to destroy the world. We killed god when popes, bishops, vicars, priests, nuns, monks, rabbis, mullahs and other spokespeople for organised religion, were proven beyond all reasonable doubt, by the scientific method, to be snake-oil salesmen; charlatans; frauds... just like witch doctors, mystics, faith healers and anybody else who claims they can perform magic or speak to nonexistent entities.

With life stripped back to pure truth; pure reason, a life of suffering and decay seems rather pointless. There is joy in procreation: watching your own flesh and blood offspring fumble their way through a harsh and uncaring world. The bonding hormone - oxytocin - and vicarious enjoyment of your kids' childhood makes parenthood neurologically rewarding enough for you not to just fuck off as soon as the screaming incontinent midgets have been ejected painfully from your vaginas.

Life has been built to not give you much joy. You can fuck, but you'll need a rest in-between copulations, and over time your interest in sex with a single partner will wane, as life prompts you to go and fuck somebody new, who you may be a better fertility match with. We weren't designed to have so much sex with so few partners, and produce so few children. The French have a name for the post-orgasm feeling a man has: la petit mort. Lit: the little death. Every time you cum and you don't make a baby, you die a little.

In a world of push-up bras, gymnasiums, good diet, flattering garments and mostly indoor jobs, women look amazing for far longer than they would under less favourable conditions. We have a culture of strip bars, escorts, pornography and film, television & print media bombarding us with images of the world's most attractive women. Ordinary women have responded by making ever raunchier choices of clothing and make-up, as well as complying with men's desire for casual sex and promiscuity. The ease of finding a 'hook up' on a mobile phone app - which doesn't carry the stigma of paying for sex - has meant that many men are quite content to not have a monogamous relationship, further exacerbating the problem, as women struggle to find the 'nice guys' who are looking for a something serious, but must use sex to bait the hook.

When you've had your fill of contraception-protected sex, skydiving, water-skiing, deep-sea diving, hang gliding, windsurfing, motorcycle racing and everything else that gives you a little hit of something that tickles your brain 'naturally' where are you going to go from there?

We live in a world where you can have an instant face-to-face conversation with your pick of 3.2 billion people, as if they were there in the same room as you, without either of you leaving your house. We live in a world where you can get into a pressurised aluminium tube and 17 hours later you will be on the other side of the planet, where day and night are swapped around, as well as summer and winter. We live in a world where news and information is distributed globally at the speed of light. We live in a world where many of us have access to vehicles that can carry us almost anywhere we choose to go, on a whim, at speeds that are far greater than we were ever evolved to travel at. How are our bodies and brains supposed to cope with this modern world? There are so many unnatural stimuli, can you really say that anybody is truly living a natural life?

When you start asking around, it turns out that we can't really cope with the modern world, without modern innovations. We need tranquillisers to calm our nerves, after the overstimulation of the city lights that never switch off; the sirens; the car horns; the traffic; the congestion; the crowds; the towering phallic structures of concrete, steel and glass. We need stimulants to be able to concentrate and overcome the exhaustion of the daily assault on our senses, and the steadily rising demand for our attention at all times of the day: there is always something electronic somewhere, bleeping at us for our attention. We need things to intoxicate ourselves, to escape the madness of the world and briefly be set free. We need things to numb the pain and insulate us from the growing discomfort and inescapable truth of our inevitable decrepitude and death, which is followed by black nothingness. There is no afterlife. There is no heaven and hell. This life is all there is, and then it's over, forever.

Some mentally ill people have this thing called religion, which is where they find comfort in imaginary friends and they really believe the stories in the children's books they read, to be true stories. These mentally ill people suffer from delusions, where they believe that talking to nonexistent sky monsters will change the outcome of events. These mentally ill people suffer from terrible superstitions that make them act extremely weirdly, like not eating certain things, saying certain things, and they do really boring stuff like going and sitting in buildings with other people who suffer from the same mental illness, and performing rituals based on delusional beliefs. However, this madness somehow seems to ease the suffering of a few of the mentally ill people a little bit. When there is a death in the family, for no reason other than the random chaotic unpredictable nature of the universe, the mentally ill people have their delusions to fall back on, so they can mistakenly believe that there was some reason behind an otherwise totally meaningless event, which actually helps them not feel so afraid and alone in harsh and uncaring universe that's out to kill them in an infinite number of ways.

The universe quite literally does not give any fucks who you are.

Entropy will destroy your body, to the point that every single atom will be scattered throughout the universe and even those atoms will decay. It will be as if you never even existed. Entropy will tear down everything you ever built, in the blink of an eye. Entropy is an unstoppable force, that will take everything you think is ordered and understood and under control, and it will show you just how puny and pathetic you are in the face of its relentless power to smash everything up and reintroduce the chaos and disorder that reigns supreme in a universe of unimaginable magnitude.

In a way, I'm jealous of the religious. They must be so blissfully ignorant. They were too stupid or they were denied enough education to allow them to become able to question the obvious lies that they were told, setting them up for a life where they can ignorantly reject things that are plainly obvious to anybody with an inquiring mind. To believe that there is value in the study of ancient scrolls or parchment, instead of the discovery of new knowledge and the ability to make rational leaps of understanding, by joining up the dots and applying logic... much better to live with faith in gods and magic, than to know your unhappy fate in the world.

And so, with the spread of education, perhaps we have seen the spread of misery, anxiety, stress and the need for some salvation of our souls that would have otherwise have been provided by something spiritual. Instead of turning to our priests, bishops, vicars and the like, we turn to our doctors to heal us. Our doctors dish out the goodies, in the form of antidepressants, mood stabilisers, anti-anxiety drugs, tranquillisers, uppers & downers and chill-you-outers.

Can you imagine what would happen to the world if we woke up and there was no tea, coffee, betel leaf, areca nut, khat, coca leaf, opium poppy, hemp, tobacco and every other source of a tiny naturally occurring amount of bitter plant alkaloids that humans love so much, because they tickle our brains, just a teeny little bit.

You would have thought that if smoking one cigarette is nice, then smoking 100 at once would be incredibly nice. You would have thought that if one cup of coffee is nice, then drinking 2 litres of pure espresso would be amazing. In actual fact, you will find that humans have somehow evolved a dislike of too much of a good thing. Everything that's nice, is only nice in moderation.

Life functions perfectly well like this, until the sum of all these things tips you over the edge. Living in the centre of a huge city, with the International Space Station and a zillion satellites orbiting overhead, jets roaring across the sky, helicopters swooping down on you, tower blocks hemming you in on all sides, cutting off your view of the horizon, mobbed by a sea of people, with choking traffic fumes and the deafening roar of internal combustion engines, as trucks, cars and motorbikes zoom along all around you. You're bombarded with light from a million incandescent bulbs, fluorescent tubes and LEDs, as well as the other electromagnetic radiation from televisions, mobile phones, power cables, WiFi routers, bluetooth devices, walkie-talkies, microwave ovens and power transformers.

An ever-increasing number of us cannot function in a godless man-made world without being drugged-up. Alcohol aside, antidepressants are the number one choice for the masses to become better adjusted to a hostile universe. There's nothing wrong with those people needing those medications. There's nothing immoral about taking those medications. There's no shame in being sensitive and susceptible to the madness that surrounds us.

Slowly, we build up cocktails of medications that salve a particular ache or pain in our souls. Each medication has its side effects, so we add other medications to compensate for the other ones, until we rattle like a tube of smarties.

I don't believe in conspiracy theories like 'chemtrails' and other madness like that, but I sure as shit know that modern living has elements that the human body and mind just can't adjust to: the sum-total of the unnatural is beginning to overwhelm us. Our very sleep cycles are being changed - for the worse - by our addiction to social media, smartphones and communications apps like email and text chat. We used to joke about crackberry when we got our BlackBerry mobile email devices, at the turn of the new millennium. It seemed like a Brave New World but perhaps all that glitters is not gold.

Shiny shiny new tech.

I used to get so excited about new tehnological toys, but now I'm excited - relieved - to tear off the foil wrapper that protects the little pills in my daily ration of soma. I feel immediate psychosomatic relief when I swallow the little capsules, lozenges and pills, that contain magic ingredients to salve my aching soul.

Where would we be without these breadcrumbs that lead us deep into a dark forest? A dark forest that we would never enter, if we weren't chasing these tiny rewards... these little crumbs... these pathetic minuscule tickles that we can feel in our brain. We surely would never work these jobs, without our morning coffee and our cups of tea, our gin & tonic and our glass of red wine. We would surely never want our genitals to be torn apart by an alien bursting out of our groin, except for the tiny hit of pleasure from a brief exchange of bodily fluids in a sticky tryst of sweat, bad breath and a tangle of limbs and hair.

I've seen the future and it comes in pill form. A pill to feel loved. A pill to have the most amazing orgasm of your life. A pill to feel all wrapped up safe in cotton wool, without a care in the world. A pill to forget about your hunger and your thirst. A pill to be awake and a pill to be asleep. A pill to help you think and another pill to help you not think.

A pill for every ill; and yet none that quite hit the spot.

Tags: #drugs

This is a story about sick leave...

On my very first week at my very first full-time proper job after college - working for British Aerospace - my friends talked me into pulling a sickie so that we could go to Alton Towers for the day. This was 1997 and I didn't yet have a mobile phone. I had to call my boss from a payphone in the car park of Alton Towers. You could hear people screaming with terror, as a rollercoaster thundered by, not far away from where I was making this tense phonecall.

I didn't make a habit of throwing a sickie. I moved to the town where I worked, so I could wake up late and walk to work. My boss was quite relaxed about me turning up late, as long as the work was getting done.

No sooner had I moved to Dorchester, then BAe decided to send me off to the Defence Evaluation and Research Agency (DERA) on Portsdown Hill, near Portsmouth. A friend and colleague, who became my boss for this project, would come into my maisonette every morning and coax me out of bed. The early morning starts were agonising, especially if I had spent the weekend clubbing in London and was recovering from drug-fuelled all-night dancing. My body clock was sent haywire, but because I was only 18, I suppose I could just about cope.

I didn't have another sick day with BAe or DERA, or with the next company I moved to Winchester to work for. When I worked for Research Machines near Oxford, I even managed to get to work during the petrol crisis. I was allowed a day off when snow pretty much paralysed the country, and I went sledging in Haslemere, Surrey.

As an IT contractor by now, I realised I could use the time off between contracts to do cool stuff. I went on a week-long RYA Day Skipper course, to learn how to sail cruising yachts. I spent time with family in Devon, and did my interviews over the phone.

The dot com crash and 9/11 were rather unsettling events, so I decided to take a permanent job with HSBC, who are one of the more conservative banks. The interview process was exhaustive, testing my literacy, numeracy, reasoning and a bunch of other aptitude tests, and a grilling from various managers. "Why do you want a permanent job when you're earning good money contracting?" they asked. "Why do you want to work in banking, now that the bonuses aren't so good?" they puzzled.

HSBC Asset Management had a very familial feel to it. They had a policy of hiring a lot of former London Irish rugby players, and Surrey and Middlesex cricketers. If you were accepted, they would look after you. There was camaraderie. There was true team spirit. There was also copious amounts of drinking.

Somehow I got through some 4+ years at HSBC without pulling a fake sickie. One weekend, I ate far too many magic mushrooms, and then a team in Hong Kong phoned me up to ask why millions of pounds worth of equities settlement messages were stuck in a queue and were not being processed. The backs of my hands looked like playing cards, the walls were throbbing and swaying and everything was bathed in bright green light. I made my excuses and quickly phoned a trusted colleague, begging him to handle the support call for me, because I had accidentally gotten a bit too pissed. He laughed and I got away with it.

I had a persistent tickly cough that was annoying me. I had read somewhere that dextromethorphan - the cough suppressant - could make you have a psychedelic trip if you took enough, so I rang my boss, and said that my cough was so bad I couldn't come to work. I then downed 3 bottles of cough syrup, containing DXM. I got precisely zero thrills out of that particular mad caper.

Moving to JPMorgan, I had the perfect job. I used to work mornings and evenings, and go kitesurfing during the day. I say 'work' but what I really mean is that I used to turn the volume up really loud on my laptop, so if somebody sent me a message or an email, it would wake me up and I could see whether I needed to deal with it. JPMorgan were really cool with people working from home, especially if you were supporting their live systems, which was mainly my job at first.

I loved that job at JPMorgan, and never pulled any sickies. In fact, I would often work weekends and late nights. I was pissed a lot of the time, and there were plenty of Friday afternoons in the pub where we never went back to the office except to get our coats and laptops on our way home, but that was the culture. Work hard, play hard.

Switching to New Look - the high-street fast fashion clothing retailer - I had a long commute to Weymouth every day and they didn't really know what they wanted me to do. I spent a day working in a store, which was interesting. I spent a couple of days at their distribution centre, watching the boxes of clothes arrive from the sweatshops, and the stock being sent out to the stores. I spent some time trying to understand what the hell they wanted to do as a business, and what the hell I was supposed to do about enabling it. Eventually, I broke down and decided I couldn't face the commute. I couldn't face the job. I couldn't face anything.

Three days off... no problem... just fill in a self-certification of sickness absence form when you get back to the office.

Four or more days off... got to go to the doctor and get signed off: get a sick note.

It started with two weeks off. Then a couple more. Then I couldn't even face going to see the doctor any more.

I found out what happens if you just stop turning up for work, sending in your sick notes, answering your phone... anything. I just disappeared. The company gets scared that they're going to get taken to some tribunal and found guilty of making somebody so stressed and unwell that they can no longer work. The company is scared it's going to cost loads of money and be hard to get rid of you, so they offer you a cash payment to fuck off quietly, promising you a good reference if you just resign.

With my JPMorgan bonus, my payoff from New Look and my iPhone App income, I was having a pretty bloody good year financially, despite being laid low with depression for a couple of months. I would have continued to take time off, but my phone rang and it was an agent with a contract in Poole: about a 20 minute drive from my house. I interviewed and got the job. I was the highest paid contractor in the company, which was a joke because the company mainly did Microsoft work, and I'd specialised in completely different technology. I actually bumped into another contractor I knew - Bob - and I felt bad that I was earning more than he was, because he taught me so much and he was so much older and more experienced. Oh well, the arrogance of youth, eh?

Anyway, my boss was this cool French guy who liked the fact I could speak colloquial French quite well, so he used to send me over to their main office in Besançon very often. It was great in the winter, because I could go snowboarding in a little place just outside Geneva, before flying home. Me and a friend bought a boat and used to go wakeboarding during our lunch hour. I took my boss out on my boat. I took one of my colleagues out sea fishing. Life was pretty sweet. However, I got bored and started claiming I had illnesses like swine flu, so I could take some time off work. I took so much time off sick, that my boss asked if I really wanted the contract anymore. I admitted that I didn't, so we parted company amicably. I partly needed to get away from an annoying guy with a ginger beard who I had to work with, who irritated the shit out of me.

I then became a full-time electrician. At first, I let the customers choose when I would do the work, and filled my diary up with lots of random jobs. Then, I learned that I could block time out, to give myself a break whenever I wanted. I could tell customers that I was booked up in the mornings, so I didn't have to get up early. It should have been a dream job, which allowed me to go kitesurfing whenever I wanted, but by this stage my relationship was on the rocks and I was depressed and stressed as hell. I didn't do much of anything. I sold my share of the boat. I started to get out of my depth with the work that I was taking on.

After becoming too sick to work, I had a couple of months doing nothing, and then a tiny bit of holiday cover work for a friend turned into some iPhone development work, which then exploded into my idea for a startup: Roam Solutions. I decided to create a software house specialising in mobile apps for enterprise. I threw together a hunk of junk proof of concept and we exhibited at the Learning Technologies conference, at Olympia. Somehow, in the space of a couple of months, there was a working app on iPhone and Blackberry, a fancy website and some glossy brochures. A whole exhibition stand had to be designed and built, allowing people to play with the phones but not steal them. There was so much branding to do. So much design.

I wasn't actually that passionate about what Roam Solutions did, which turned out to be mostly digital agency work. Rebranding as mePublish, then Hubflow; rewriting all the software and creating an Android version - those were momentary distractions. Sales meetings were stressful. Supporting your software 24x7 with just you and a mate is stressful. Getting any money out of our customers was like getting blood out of a fucking stone.

We managed to get about £16k out of a couple of customers and raised another £10k by selling a few percent of the company's shares. In return, me and my mate got to go on a 13-week 'accelerator' program. The program was fantastic fun, but exhausting. By the end, I didn't turn up for a couple of days because I was 'sick'. The truth was, I was burnt out.

I should have swapped roles with my business partner. He made a great CEO in the end, when I stepped down. Anyway, I just disappeared for months, and my friend helped to tidy up the mess and calm the shareholders down. I was almost out of cash. I needed a job.

I went to work for a company that helped people who'd got into debt problems. Not one of those debt consolidation places - we actually wrote to the creditors and negotiated debt-write offs, freezing the interest and lower repayments. We helped people avoid bankruptcy or IVAs. It was a cool company, but they wanted me to be IT director without actually vesting me in or letting me sit on the board. I wrote them a brilliant IT roadmap. They ignored it. I had an argument with the CEO. I went off on a sickie. The private equity firm that owned the company liked me and sacked the CEO. But then I got paid off because I couldn't face going back. The following year, I was at a conference, and there was the bloody CEO of the parent company, who'd followed my fucking IT roadmap to the letter, telling the delegates how well it worked. I felt proud, vindicated, but also I know deep down that it would have taken a lot of hard work to implement, and I was no part of that, so I can't really claim credit.

After the London Olympics, I went back to JPMorgan. I was not a well man. I was limping along.

I managed to fix one of JPMorgan's major issues that was threatening to cause a major catastrophe - front page of the Financial Times stuff - and then I disappeared, never to be seen again. I got a phonecall from my boss, saying I'd received an extra bonus in recognition of the important work that I'd done. I felt like a fraud, thanking him for that, but knowing that I was so sick that I wouldn't be able to go back to work.

My GP signed me off for 5 weeks, and my first thought was literally this: "I can get fucked up on drugs for 4 weeks and have 1 week to recover enough to go back to work."

There was The Priory. There was the separation from my wife. There was the realisation that the rumours of my mental health and drug problems were well known to everybody I knew in Bournemouth and Poole. It's a small place. I used to ride a tiny folding bicycle invented by Sir Clive Sinclair, for the 10 minute trip to work, but yet this had not escaped the notice of all kinds of people whose path I crossed. I was becoming known as a rather odd and eccentric character - a nutty professor; a madman; a drunk; a junkie. It was time to go somewhere so big that those kind of labels couldn't follow me around: London.

I put my back out picking up my niece to put her on the swings at the playground, so I had a week working flat on my back at home, while I was working for Barclays. I started to slowly relapse into taking legal highs, and ended up taking another week off, where I rewrote the entire software system we were working on in a nonstop hackathon without sleep. It rather made a mockery of the whole project, as well as terrifying the hell out of the architects.

At HSBC, I had a full on meltdown after my first week, realising that it was impossible to work a demanding contract while living in a hostel. Somehow, I managed to get away with a week off work, thanks to my sister ringing my boss and making excuses for me. I did also have half a day off because I was so dreadfully hung over once. I wasn't going to bother at all, but my boss persistently phoned me. I reeked of booze, as I turned up at my desk at 2:30pm.

At a well-known leading consultancy, working for the world's biggest security firm, I didn't take any time off at all. I was a little late on a couple of occasions, and had to ask one of my team to run my morning meeting on my behalf, but I was mostly a reliable little worker bee. It helped that I had a whole week-long holiday: my first relaxing week-long break for over 3 years.

I was all set to start a new contract with a well known high-street bank, who I once worked for when I was 20 years old and Canary Wharf was mostly just a building site. However, I knackered my leg, which caused my foot to swell up and my kidneys to fail. I had to pull a sickie on the very first day. Thankfully, they've waited two weeks for me to get better; most of which I've spent on a high-dependency hospital ward, having dialysis. My leg is still fucked.

And so, I go back to work tomorrow, limping along with my robocop ankle brace and doped up on tramadol. I've got one reliable reference from the last couple of years. HSBC hate my guts. Most people at Barclays were shocked and appalled that my contract was terminated early, and my boss lost his job over his decision to fire me, but do you think I can get a good reference? Who knows.

I should have paid my rent 10 days ago. I just told the taxman that he's not getting any VAT off me for a whole quarter, and he fucking hates that. I have no idea what my bank balance is, but I'm sure that what little money I have is being frittered away at a frighteningly quick rate.

However.

I could possibly delay a few weeks and get another contract. I could have stayed in hospital, letting them do their blood tests and fretting over my kidneys - which have proven resilient so many times before - and waiting patiently for them to finally take a look at my original complaint: my fucked foot/ankle/leg. It feels like I've torn a bunch of ligaments and muscle. It feels like my old injury has suffered major complications.

But, two weeks work gives me the best part of 3 months rent. If I can limp through the contract, I go from zero to hero. I've been so depressed about having to watch the pennies and not being able to treat my girlfriend to romantic dinners and whisk us off to exotic locations, or at least make plans to have fun. My plans have all been focussed on stopping the ship from sinking.

You might think I'm mad to take such a risk with my health, but mental health is part of it. Stress is part of it. Money and the need to not run out of it, is something that has to be considered. I don't trust myself: that I'm able to knuckle down and get on with the job. I did a good job of keeping my mouth shut in my last contract and it sorted me out financially a bit. This is my chance to continue that streak of improvement, if I can hold my shit together despite my health being a bit iffy. This is my chance to get in front. This is my chance to reduce all that stress and those worries and that anxiety and that depression about having to be super careful with money.

Anyway, let's see what happens tomorrow, eh? Let's see how sympathetic people are, about the fact that I've just been discharged from a high-dependency hospital ward, where I narrowly avoided chronic kidney failure, which would have meant having to have a kidney transplant and all the rest of that kind of shit. My leg is fucked, but I've found some contraption that allows me to get around without crutches. Still though, it looks like I broke my ankle or something. Surely, I've got to get cut a bit of slack, given what I've been through.

But, it doesn't work like that with IT contracting. Nobody owes me anything. The contract is between my company and another company. It's not an employment contract. It's a contract that says my company will provide consultancy services to their company - I could send anybody I think is qualified. I could hire somebody on minimum wage, train them, and send them to go do the job in my place, and I'd earn just as much money. However, the client doesn't really want somebody like me. They want me and they want me tomorrow at the latest, otherwise they'll just find somebody else. London's not short of talent. It was an extremely kind personal favour, that they waited this long for me to get better.

It's going to be horrible, starting work in pain and so exhausted from the nights in hospital where you're repeatedly disturbed by patients yelling out in pain, nurses coming to measure your blood pressure and take your temperature, and phlebotomists coming to take blood samples. They wake you up at 7am for the crappy breakfast of dry bread and marmalade. It's going to be a struggle to stay awake at my desk, especially with all the pain medication I'm taking.

So, it might all go to shit anyway, but at least I tried. I could have taken my sweet time over everything, and let the hospital string me along, but eventually, I can't cope with the frustration anymore: the lack of control, when your destiny is in the hands of somebody who doesn't even know what they're looking at. Somebody who's hiring because there's a knowledge gap in their organisation: they're hiring somebody who knows what they don't know, so how can they know that the person they're hiring knows what they know? So many stupid interviews, where the interviewer just wants to talk about the lame crap that they have just about managed to memorise. So tedious. In the end, intolerable.

I'm falling asleep and it's 5 o'clock and I didn't wake up until after 10:30am. Tomorrow's going to be fucking awful. But, think of the money. Just think of the money.

Tags: #career

This is a story about social animals...

For solitary creatures, there are two drives that ensure they live long enough to reproduce: hunger and libido. If you didn't feel hungry, you'd be too busy fucking to stop and eat, so you'd die of starvation. In fact you'd probably die of starvation before you even reached sexual maturity. If you didn't have a sex drive, you'd be too busy gorging yourself on food to have sex.

There's a delicate balance between effort, pain and reward. In animal studies, laboratory tests have measured the amount of work - in calories - that an animal is prepared to do to get a food pellet. There's no point burning more calories than the reward, so animals will only work so hard for something to eat. Tests also showed that animals are prepared to suffer a certain amount of pain if they're hungry: lab rats will cross an electrified floor to get to a food pellet, even though it hurts their feet. The same goes for sex: the horny rats will work and put up with pain, in order to mate.

When we examine social animals, like us, the co-operative rewards are harder to understand. It's clear that individuals will die if they don't get enough food, and genes will die if individuals don't reproduce, but what's in it for us to be social? Well, the lone wolf is very unlikely to be able to hunt and kill prey on its own.

Dogs are the perfect animal to help us understand praise. A dog will fetch a stick for its owner, even though it gets no food or sex. Humans have figured out that if you can make a dog believe you're the alpha of the wolf pack, then the dog will go wild for your approval. Through body language cues, such as bared teeth or wagging tails, the message of social approval or disapproval can be sent. Dogs are evolved to seek praise, because it bonds their hunting pack together.

We can then start to see how different drugs affect our brains, through changes in our behaviour.

Let's start with amphetamines (speed, whizz, base, meth etc.)

Amphetamines suppress appetite. Because one side of the triangle has been suppressed, it leaves room for an increased sex drive and more pleasurable lovemaking. Addicts who inject crystal methamphetamine can masturbate or fuck (or both!) for 12 hours.

Heroin suppresses your sex drive. Heroin addicts can be perfectly functional people, who eat enough to stay healthy, but they're getting their kicks from the junk, so they don't need sex.

Cocaine removes your insecurity and need for praise. When you're high on coke, you know you're the best. Instead of nervously looking around to see who's approving and who's disapproving, you act as if you're the alpha of the pack; king of the hill; top dog.

Addictions are nothing more than a temporary perversion of our natural urges; survival instincts; drives. We simply retrain our brains to want drugs instead of food, sex and praise.

Last night, I couldn't sleep because I had cravings. I was lying awake, daydreaming about going to a dealer and buying the thing I was really craving. It was a craving like every craving I've ever had. The craving completely consumed me and I could hardly think about anything else. There was only one thing that my heart desired.

So, today I went to the [meat] dealer, and bought myself some [dried South African beef] product. I travelled across London with single-minded purpose: I was out to score and feed my addiction.

I can't emphasise enough how similar drug cravings are to feeling hungry or horny. The urges are identical. Drug cravings are indistinguishable from the natural urges that keep us alive. Saying "you've got no willpower" to somebody, while stuffing your face with a big pie, is ridiculous. How often have you given up food and how long have you fasted for? Try doing it for 28 days. Try doing it for 13 weeks. Try doing it for life.

Of course, if the brain can be trained to like something, it can also be untrained. Rabid animals get driven mad by hydrophobia: swallowing gives rabid animals painful spasms in their larynx, so they start to fear water even though they're desperately thirsty. There are several foods that are said to be an acquired taste: it takes some time for our brains to learn to associate the strange flavours with nourishment. Often, an upset stomach or a bout of food poisoning is enough to create a strong link in our brains that causes us to reject certain foods.

Alcoholics can break their addiction by taking medication that will make them throw up if they drink. This kind of negative conditioning can break the perverted programming of the brain. Instead of eagerly anticipating the reward of a 'buzz' every time you get drunk, you begin to associate alcoholic drinks with nausea.

Unfortunately, the programming can work in reverse. If you have lots of fantastic sex when you take drugs, you can then start to crave drugs every time you get horny. 'Normal' sex can start to feel uninteresting and not worth bothering with. Your libido becomes your enemy: driving you to seek drugs every time your nut-sack needs emptying.

I've been well aware for some time, that I need to stay on top of my libido or else it will work in harmony with residual drug cravings to overpower any freedom of choice that I supposedly have. "Willpower" and the feelings of guilt we have about all indulgences of our natural urges, are the attempts to impose morality on an entirely amoral thing: we have no control over our desires.

Yesterday was a new one on me: a hunger for food that was as strong as any drug craving I've ever experienced. Addiction works in strange and subtle ways, inhabiting your subconscious and trying to subvert your supposed freedom of choice. Lots of addicts will relapse 'by accident' because the levers being pulled in their brains are powerfully influenced by forces that we rarely acknowledge.

We rarely talk about showing off or trying to get a shag, but those things are far more influential on our world than almost anything except stuffing our faces with pies.

Tags: #addiction #drugs #alcohol

This is a story about compatibility...

Very often, when you're acutely aware that there's something that you need to avoid crashing into, you'll end up staring at it, unable to tear your eyes away. When riding a board or a bike, flying, driving or otherwise in motion, you tend to go in the direction you're looking. If you want to avoid a crash, you should look at a spot away from danger.

Is this the reason why we don't talk about taboo subjects, because we're worried about tempting fate? We turn our back on the ugly truth and try to pretend like everything's OK.

My Christmas stocking included some bath salts.

Clearly, Santa has the same dark sense of humour as me. That's great. I think humour is a fantastic way to exorcise the demons of the past. First comes talking, then understanding and finally you can laugh and joke about a topic that was originally quite painful and difficult to remember. Repressing memories and walking on eggshells is no way to move forward.

If we don't have honest conversations where we can talk about how we really think and feel, then we build up a load of sensitive topics. Secrets and lies lead to paranoia and weak relationships. Keeping schtum about my parents' drug use - when I was a child - was too much of a burden. Writing openly has been liberating and has allowed me to move on from shame and regret, to regain my self-esteem and confidence.

I remember a desperate scramble to cover up my admission to The Priory. My psychiatrist had made a referral to a "private hospital" for treatment of an acute episode of bipolar disorder. All perfectly true, but there was a certain economic use of the truth. What would most people think, if they found out that I was spending weeks in the UK's most notorious treatment specialist for drug & alcohol abuse? They would leap to the wrong conclusions, surely?

It's so bloody exhausting keeping up appearances. One must be aware of how things can be [mis]interpreted and people aren't likely to share their true thoughts and feelings: "better keep him away from the kids if he's mentally ill" or "I bet he's a raging alcoholic behind closed doors if he's been in The Priory".

We're brought up to believe that our reputation is like a balloon: one little prick and it goes pop. We're scared to take time off work, because we'll have gaps on our CV that need to be explained. We're scared to share details of our private lives, lest our employers decide we're unreliable and judge us on preconceived notions. Who wants to work with a madman?

When it comes to dating, the same applies. Who wants to date somebody with flaws; defects? Who wants to take a risk on a ticking time bomb; an unsteady ship? And so, I should have found myself unemployable and undateable. "Take your pills, sit in the corner and shut up" says society.

However, if you ever meet me in a work or social context, you may gain the [false?] impression that I'm pleasant company: a healthy, happy and capable member of society, engaged in productive endeavours. Strangely, you might have the wool pulled over your eyes so much that you actually mistake me for a normal human being.

Surely this is thanks to the excellent medication that I take?

Well, no. I don't take any medication. I don't do therapy. I haven't had a course of electro-convulsive shock treatment. I don't even have a psychiatrist at the moment.

"But you're going to murder everybody if you don't take your pills."

Yes, that's right. I'm your worst nightmare. I'm out there, on the dating scene, luring unsuspecting vulnerable young women into my web. I'm a dangerous fantasist; a con-man. I'm so good at living a lie that I've constructed an elaborate fable that looks, smells, tastes and sounds very much like an authentic real life, but it's all fake. It can't be real. What about the secrets we now know?

If you take your secrets and turn them into jokes, you defuse that ticking time bomb... or at least that's my working hypothesis.

I certainly feel a lot happier knowing that I've met somebody with enough of a good sense of humour to make a joke on Christmas Day about my chequered past. I feel less sensitive, paranoid and insecure than ever before. I feel like I'm myself, and that's OK.

Maybe it's just a getting old thing: the realisation that we're all flawed in some way. We're all human. We all have weaknesses and strengths, and we all have history; baggage even. It seems better to wear my heart on my sleeve than present myself as some whiter than white, holier than thou saint who never put a foot wrong in their life.

I doubt I'll ever unify my professional and private identities, but I certainly don't regret jettisoning the traditional approach to dating. Honesty seems to have been the best policy in this case.

Tags: #dating #sex #bipolar #addiction

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

26. Descent

She could hear the car crawl to a slow and follow her at walking pace. She had grown accustomed to the sensation of being stalked, stared at. She could feel a pair of eyes burning a hole in the back of her head. With the subtlest of movements she looked out of the corner of her eye at the road. She didn't recognise the vehicle or the driver. There seemed to be somebody in the passenger seat too. The car drew level with her and the passenger wound down their window. She glimpsed short hair full of styling gel, a white tracksuit and prepared herself for unwelcome sexual advances from a dimwitted numbskull.

"Hey!" came a surprisingly hushed call.

"Psst!"

This was not how things usually went. Normally lecherous creeps would lead with their best line, full of false flattery and often beer-induced bravado.

"Hey you!"

It was irritating, but a different and more measured approach from what she was used to. She was sure that as soon as she even acknowledged their existence, they would launch their full chat-up offensive. This was just the preamble.

"Hey!"

She was sure that their patience would quickly evaporate and she would be loudly cursed as a "stuck up bitch" and the car would roar off into the distance with its loud exhaust and bass-heavy music thumping out from their souped-up boy-racer chariot.

"Nah, she doesn't want to know" said the passenger. It looked as though he was addressing somebody in the back seat. Lara risked another glance backwards and sure enough, there was another passenger, slumped low with their coat pulled up high around their face as if they were trying to hide.

"He says he knows you" the passenger tried again.

"Who?" asked Lara, now looking in through the car window and surveying the scene, while keeping walking.

"Sam" said the passenger, pointing his thumb at the back seat. "He's sick. He needs some help getting into his flat."

"Why can't you do it?"

"We're just giving him a lift home. We've got to be somewhere else, pronto. We ain't got time."

"Some friends, you are." Lara mocked.

"Look, just help make sure he gets in OK, can you? We could just dump him nearby, but there's no telling if he'll get into his place on his own in the state he's in."

"What's wrong with him?"

"He's just had too much to drink."

"That's a really shitty thing to do to your friend. To just dump him like that."

"He's not exactly a friend. We hang out, but it's not like that. We're doing him a big favour driving him home."

"Yeah, BIG favour" said Lara sarcastically.

She couldn't help herself peering in the back windows at Sam. He was very dimly aware of what was going on. His head drooped and his eyes were closed, but he wasn't asleep. He didn't look boisterously drunk or like he was going to throw up. He was just intoxicated.

"Alright how far away is it?"

"Just down in the town centre. Jump in."

Sam was reasonably well co-ordinated and not slurring his words. He didn't even smell of alcohol. He could walk and talk without staggering, but he kept slipping into a catatonic state. His sentences would tail off and he would be half-asleep on his feet. As long as she kept repeatedly reminding him where they were and what they were doing, she could coax him towards his front door.

"Come on, Sam. Nearly home!"

"What? Eh? Oh" he said, as he seemed to remember what he was doing and take a few more steps, opening his eyes a fraction. He leant on the front door, dozing.

"Get your keys out, Sam. We're at your flat. This is where you live, right?"

"Yeah, uh. Right" he fumbled in his pockets and unsteadily directed his key at the lock.

With the door flung wide open, Sam made a bee line for his day bed and collapsed on it face down, before rolling into a slightly more comfortable position. Lara was still stood at the threshold, gazing into the large loft apartment, taking it all in.

"OK, I'm going to close this door and go home now."

"Don't go. I need you" Sam said, holding up a hand and beckoning her in.

Lara took a few steps towards the day bed.

"What do you need me here for? You're home now."

Sam patted the bed next to him. Lara didn't get the sense that he was trying to get her to sleep with him, but that he wanted her to sit. She sat awkwardly on the edge of the futon.

"You're home safe now. You can go to sleep. You'll feel better when you wake up."

Sam now opened his eyes much wider and tried to look at her. There was a kind of fear that played across his face.

"You can't let me sleep. I'll die" he said.

"What are you talking about."

"If I fall asleep, I'll stop breathing."

"If that's true it sounds like you need an ambulance."

"No!"

"Why not? What's wrong?"

"Overdose." he said, with the effort of his honest admission seemingly causing him to slump. He relaxed. His face was tranquil. Lara leant over him. He was breathing, but very shallow.

"I'm going to go phone 999. You need to go to hospital" Lara stood up and walked towards the door.

"Nooo! Stay with me" Sam called out, reaching towards her from where he lay. She hesitated at the door and looked back. "I'll be OK soon. Just stay with me a little while."

Babysitting him while he fought through a near-fatal overdose, Lara was torn. She could see his lips getting slightly purple as she fought to keep him conscious enough to keep breathing. In waves, he would get so relaxed and comatose that he would sleep peacefully and could barely be roused. She would be close to running for help. Then, he would come round a little, gasping for air and she would plead for him to stay alert and keep breathing. She knew instinctively that in the time it took her to go away, find a phone and give the address, he could very easily slip away. It took little more than an hour before he started to come round, but it felt far longer.

The experience shook them both and Sam said that he never wanted to risk dying like that again. At first, he was resolute that he needed to quit heroin and that the close call was the wake-up call he needed. He was so grateful to Lara for keeping him alive and for avoiding a hospitalisation. Then, he explained that his body would start to go into a painful withdrawal and he would feel like he "needed" his next fix. Quitting wasn't so easy and he'd need to wean himself off. Would she help him?

He genuinely meant everything he said.

In reality, Lara became his regular babysitter, so that Sam could shoot up big doses of heroin, knowing that there was somebody there to keep him safe if he overdosed. At first, Lara didn't know it. She felt that she was helping him to get cleaned up and off the dope, but after months going round to his apartment almost daily, it was clear he wasn't giving up any time soon.

She adored his tortured soul and his fascinating life. She loved their asexual relationship, which still had a kind of comfortable intimacy. Sam's first love was heroin, but Lara didn't mind being his mistress. She felt like she could make a difference.

Eventually they quarrelled. He had no intention of ever quitting, she said. He did, but it was hard, he explained. He said he'd try harder, but he started to be more secretive. He hid his habit and Lara knew it.

"You'll always keep using if I stay with you" were the last words she ever said to him. He didn't even reply. His eyes were filled with tears, but he knew the truth. Perhaps he would quit one day, but that wasn't the path that their relationship had followed. He used and she was there to keep him safe. That was the way it had been since day one and that was the way it was always going to stay.

She'd gone back to the apartment on the pretence of picking up some things she'd left there, but really she was checking up on him. Making sure that he was OK. He was so alone. His mum had left when he was little and his dad had died leaving him the inheritance that paid for his apartment and his drug habit, but he had no real friends: only drug dealers and addicts hoping to mooch off him. He was no fool, so he didn't indulge the parasites. He had nobody.

Lara knew right away that it was different from the other overdoses that she'd witnessed. There was no life left in his body. He'd been dead for some time.

Poor little rich boy. He had a kind of infamy amongst the local drug users, with many plotting to rob and cheat him out of money. He was even known to the police as a tragic addict: a dead man walking.

By the time she had left him, she was prepared for the worst. Or at least, she thought she was. Of course his death was more traumatic than she could ever have imagined, but she knew that the burden of his life was more responsibility than she should ever have been asked to shoulder. She could forgive herself, but always wondered if things could have turned out differently.

Neil's behaviour was completely different. He seemed in control, even though he was unhappy. It was Neil's desperate wish to be happy and productive again that made him so different from Sam. The addiction that she'd known had no end to it. Without a doubt, Sam would take heroin forever, given an unlimited supply and no consequences. Neil was different. He only ever took his pills begrudgingly and always talked about "recovery". His mental health problems were just a blip, in his eyes. Medication was a means to an end: like a plaster cast on a broken limb, helping it heal.

It seemed unthinkable to Lara, the idea that Neil had lost control and was slumped somewhere, dead from an overdose. She'd known so many years of him being steady and dependable. She'd seen him go through depression and psychotic episodes. However, he didn't seem to be hiding a drug habit and it seemed unimaginable that he could have been consumed by an addiction so quickly that she would never have seen it creeping up. The evidence suggested that somebody flicked a switch and her fiancée went insane. It was impossible to know somebody so well and for them to hide a whole other side of their personality. She knew what addicts were like when they hid their habits.

She confronted Colin.

"You're not telling me everything."

He sighed. "What you don't know can't hurt you."

"If there's stuff you've found out, I want to know."

"I think we just need to let Neil go and keep our best memories of him intact."

"What do you know?" asked Lara, now looking horrified.

"It's a lot worse than we thought" replied Colin with a grim expression.

"I really do want to know absolutely everything."

"He was taking some highly addictive drugs. I'm sure he's gone now. We should probably talk about some kind of memorial service."

"I guessed as much. I've been reading about those legal highs and they're nasty. Not many deaths though."

"Yes, but he was getting some really dangerous ones direct from China at 99% purity. I'm almost certain he overdosed."

"How do you know?"

"I found some traces at the house. I'm so sorry, Lara. I've been waiting and hoping that the body will be found, so we can grieve properly, you know?" said Colin, his eyes pricking with tears.

"You're a good man, Colin. I don't blame you for not telling me" replied Lara, hugging him.

Next chapter...

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

23. The Box

At the house, Neil's dad, Colin, was going through his son's stuff. There was a winter coat folded up at the bottom of the wardrobe on top of a pile of jumpers. Colin took the coat out, put it on a hanger and hung it up. He found some space in the chest of drawers and started to re-fold and put away the thick wooly jumpers. At the bottom of the pile, there was a shoebox shoved right to the back of the wardrobe. He took the shoebox downstairs and sat down with it at the dining room table.

The shoebox was nearly full to the brim with medication boxes. These were not plain white cardboard boxes that pharmacies gave out prescriptions in, but glossy retail boxes with logos of the pharmaceutical companies and drug brand names emblazoned on them in bright colours. The medications had smarmy names like Abilify and Effexor, suggesting they would confer abilities or be effective.

Some of the boxes had text that was predominantly in Arabic or Cyrillic script, and it was hard to tell exactly what the medication was.

As well as the boxed medications, there were also pills in blister strips that had their ingredients and dosage printed on the silver foil. Some of them had pharmacist's instructions printed in purple ink directly onto the unboxed strips, along with the price, in Indian Rupees.

Finally, there was a big plastic bag filled with mixed loose pills. Some pills were round, others were lozenge shaped, a few were in capsules and others were diamond or triangular shaped. All the pills and capsules had letters and numbers stamped or printed onto them. The pills were mainly white, blue, pale yellow, pink and aquamarine. The capsulses were half green and half yellow or half red and half white.

In a notebook Colin started to write down all the names and dosages of the boxed and blister packed medications. The boxed medications all had two names, but the pills in the strips mainly seemed to only have one ingredient printed on their foil. He then wrote down a description for each of the loose pills: "Round, light pink, GG925".

There were nearly 30 different medications in that shoebox, none of which looked likely to have been prescribed by Neil's doctors.

Going into the box room, Colin now located a small filing cabinet where Neil kept his old bank statements and credit card bills. He returned to the dining room table with a stack of paper that was dated within the last year. The bank statements mostly had recurring direct debit payments for things like mobile phone and Internet. A quick scan through the credit card bills found a few transactions in foreign currencies. It was wholly unclear what the payments were for from the various merchant names.

He went back to the filing cabinet and pulled out all the credit card bills for a two year period, ensuring he had every single one. Then, he found all the bank statements and credit card bills in a big pile of unopened mail. It was no surprise to find that there was no money spent on the credit card after Neil's disappearance.

Putting everything in chronological order, he marked any suspicious transactions on the statements. There were one or two foreign currency transactions on every statement for 6 consecutive months. Immediately after that, some payments to "Frog Eye Wares Ltd" caught Colin's eye. The transactions were all for the same amount - £27.90 - and there were 3 on one statement and 4 on the next: 7 in total.

The credit card transactions ended 6 weeks before Neil had disappeared. Going back to the bank statements, there were two payments to Western Union of circa £150 and daily spending that seemed to always be just over £55, as well as regular cash withdrawals for £50. In a little over a month, Neil appeared to have siphoned off nearly £2,500 from his current account, either getting cashback at local shops and pubs, or at an ATM.

Doing some quick calculations, Colin estimated that his son had spent about £1,300 in foreign currency transactions that he assumed must have been to buy medications from overseas. Neil also seemed to have diverted approximately £3,000 somewhere else, over a 6 week period. "Any problems with drugs or debts?" Lara and the family had all been asked by police officers and private investigators when he went missing. There was no way that this paltry sum of money suggested either. Neil's parents weren't rich, but they would have lent him a couple of thousand without a single question if he'd asked. Besides, Neil's bank account still had money in it and he only had a few hundred pounds of credit card debt.

When Colin was opening Neil's post, he'd made a pile for Lara, but he'd spotted another pile on a sideboard that Neil must have stacked up before he disappeared. Looking through the first few letters, they were all addressed to Lara, but he decided to go through the pile in case there was anything for Neil mixed in with it. He was questioning the futility of the exercise when he found a single piece of paper folded in half.

INVOICE

...

FRL-V4-0.5G £25.00

Postage £2.90

TOTAL: £27.90

Paid in full, with thanks.

...

A credit card card receipt for £27.90 was stapled to the invoice, with "customer not present" printed on it. There didn't seem to be a telephone number or an address anywhere on the invoice, just a website: For all enquiries go to www.frogeyewares.co.uk.

Back at the filing cabinet for a third visit, Colin pulled out Neil's mobile phone bills. Some really old ones were itemised with every number and how much the call cost, but the ones from recent years simply showed the amount for line rental and the total amount for call charges.

Unplugging Neil's laptop which was sat charging on a desk in the box room, he coiled the cables and took it downstairs. Returning the shoe box to the wardrobe upstairs, he turned off all the lights and left the house with the invoice tucked into his notebook, the laptop and its charger.

Back at the family home, Colin booted up the laptop and managed to log in using a password that Lara had suggested. She had suggested several of Neil's possible passwords, as well as some variations, but the first one on the list worked. Colin was no computer expert but his job in the civil service had required him to be reasonably IT proficient, so he was able to search for any documents on the computer, check Neil's email inbox and Internet browsing history. The laptop was completely blank, as if it had never been used from the day it was bought.

Using his own computer, Colin now started searching the Internet. The first thing he tried to do was to visit the website from the invoice.

"This website is now closed." was displayed in plain white text on a green background. Nothing more, nothing less.

Searching for "FRL-V4-0.5G" produced no results. Shortening the search terms to "FRL-V4" the Internet suggested a website about a seaport in France. This seemed unlikely to have been sold 7 times, and for less than £30. The acronym "FRL" turned out to have a multitude of uses, none of which offered any promising leads. It was a dead end.

Finally, searching for "frog eye wares" turned up two hits: one was a County Court website and the other was an article from a local newspaper from that area. The court website would not show the result when it was clicked on, displaying instead a "page not found" error message. The newspaper said that a local businesswoman and two of her associates had been arrested and were standing trial in connection with the frogeyewares.co.uk website. There were no details except the date of the article, which was 3 months old.

It was getting late and phoning the court or the newspaper would have to wait until Monday morning.

Now, searching for each of the names of the medications in his notebook, Colin found that the boxed ones were a mixture of antidepressants and atypical antipsychotics with antidepressant effects. The pills in the blister packs were medications more commonly prescribed for narcolepsy and attention-deficit disorders.

Finding out what the loose pills were was a much harder challenge, but there was a website with an excellent search facility that allowed the shape, colour and any markings on the pill to be input. For white round pills, the results were reliable, but for pills that were pinkish or greenish, or of more exotic shapes, there weren't any results. Searching for the markings alone found a lot of results, but Colin ploughed through the pages and narrowed it down to a likely set of candidates.

With a list of active ingredients from the pills, he then searched the Internet to find out what kind of medications they were. There were anxiety drugs, sleeping pills, painkillers, analgesics and more ADHD medication. There were also treatments for fatigue, lethargy and the promotion of weight loss through appetite suppression. A significant number of the active ingredients were listed as controlled substances.

Perhaps Neil did have a drug problem, but if so, why had he left these precious pills behind and how had he managed to hide and pay for an addiction so cheaply? Neil would have lied, cheated, stolen and gone into debt before he disappeared without a trace. Drug problems spiralled. The evidence was undeniable: Neil had been illegally in possession of a number of controlled medications with abuse potential. However, he didn't appear to have been buying them or taking them in great enough quantity to suggest drug abuse.

Not wanting to upset Lara and family with incomplete theories, conjecture and inconclusive evidence, Colin decided to keep quiet over the weekend and pick up his investigation again on Monday morning. He was frustrated and confused, but he was a patient and methodical man, calm and stoical in a crisis.

Next chapter...

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

21. The Cell

"If you don't mind, please empty everything out of your pockets into this plastic tray."

Neil put his wallet, mobile phone, house keys, loose change, used tissue and a folded piece of paper into the grey plastic tray, which had a sticky label on it with "Neil - Room 8" written on it in red marker pen.

"Do you have anything sharp in any of your pockets that could hurt me? I'm afraid we have to check we've got everything."

"No."

The nurse patted Neil's clothes down and checked the waistband of his trousers and underpants.

"OK, would you mind taking off your belt and your shoes, please. Just pop your shoes down on the table here next to the tray."

Neil complied.

"We have to keep your belt, sorry. I saw you brought a dressing gown and we have to keep the cord from that too. We're also going to have to take the laces from your shoes. We'll go through your bag from home in a minute but you can't have necklaces, cables - such as mobile phone chargers - razors, scissors, keys or anything else sharp."

"OK."

"If it's alright with you, we'll hang on to your mobile phone and keep your wallet safe here at the nurse's station. If you need something for any reason, you can ask one of the staff to get it for you, but we'd really like you to try and relax and get used to the ward for the first few days, so we'll be keeping your phone right here."

The nurse was now coiling the dressing gown cord and putting it in the tray, as he went through rest of Neil's belongings.

"We have to keep aerosols here. If you need your razor you can have it while somebody supervises you shaving."

"I'm not feeling suicidal" Neil said.

"OK, that's great, but there are other patients here who might be. The bedroom doors aren't locked so we have to keep all these high risk items here for everybody's safety."

The nurse showed Neil to his room. The door had a window with a blind which could be opened and closed from the outside. There was a single bed with a foam mattress, a writing desk, a plastic chair, an open wardrobe with drawers at the bottom, a sink and a plastic mirror screwed to the wall. A big window was secured with a wire tether so it could only be opened a few inches. There were no curtains. Across the hallway there was a wet-room with a shower. There was no shower curtain. There were no locks on any of the doors.

"Get yourself settled and then come and sit in the lounge. We try to encourage patients to not spend time in their rooms during the day."

Neil sat on his bed with his bag next to him for a few minutes. He thought about unpacking but he really didn't want to give the impression that he was OK about being detained in hospital against his will. He'd been told to bring a few essential clothes and toiletries. Visitors could bring him anything else he needed once he'd settled in.

In the main part of the ward, there was a lounge at one end with several sofas arranged around a big TV which was hung on the wall. At the other end of the room were a number of tables and chairs. There was a nurses' office and two rooms with sofas in, which had big windows so you could see in and out. There was a doctors' office and an examination room which were private. There was a door leading to the male bedrooms and another one leading to the female bedrooms. A recreation room had a pool table, table tennis table and books in it, as well as a number of patients' artworks displayed on the walls. There was also a small kitchen for the patients to be able to make their own drinks and snacks.

A noticeboard displayed a timetable of the week's events, which had many of the same things that Neil was familiar with from day hospital: art therapy, music therapy, drama therapy and community meetings. A whiteboard had the first names of the 18 patients who were staying on the ward, with their allocated nurse's name written next to it in green marker pen. The ward was at its maximum capacity, with 9 men and 9 women.

There was a dispensary hatch where patients would queue up to get their medication several times a day. There was a door that led out to a small courtyard surrounded by high walls on all sides. That was both the smoking area and the only place that patients were allowed outside without staff supervision.

CCTV cameras were everywhere, except in the bedrooms and bathrooms. The ward was secure but the patients were considered low risk. There was only one locked door between the ward and the main corridor of the hospital that led to the other wards and facilities. For a few days, Neil had to stay on the ward, but then staff members were allowed to escort him to and from the drama studio, art studio and music room.

Some of the patients had obvious scarring on their arms where they had cut themselves. A girl's neck was bandaged. Other patients had problems that were more subtle. A man with a big beard smelt of pooh and always wore pyjamas. Many were quiet and withdrawn and a few would shout randomly, talk or sing to themselves.

"BBC one, BBC two, ITV" a man started. "Channel four" he said, raising his voice an octave higher. He repeated this same phrase over and over in a lyrical and rhythmic way, like he was chanting a mantra. It was quite catchy and Neil found it stuck in his head too.

"I just want to be dead."

This is what Michael said loudly every single morning before breakfast. Neil was a late riser, but he could hear his fellow patient shouting all the way down the corridor.

"OK, Michael. Time for your morning medication" a staff member would coo, coaxing him towards the dispensary hatch. Michael would shuffle along in his slippers. By the time Neil got up for breakfast, Michael would be sat quietly at a table with a vacant stare and a half-eaten bowl of cereal in front of him.

"NEIL! What are you having for breakfast?" Nicole shrieked with excitement.

Nicole was young but some developmental disorder meant that she was even more childlike. Her eyes were always half-closed with her bottom lip protruding. Saliva dripped liberally from her mouth. However, despite her tenuous grasp on almost all aspects of reality, she had latched onto Neil, much to his annoyance.

"I don't know. I might have toast."

"I was going to have toast."

"Actually, I might have corn flakes." he toyed with her.

Nicole hesitated for a moment, looking crestfallen. Then her face lit up.

"I'm going to have corn flakes."

Neil swiftly poured himself some rice crispies and dashed out of the kitchen to find a table with only one spare seat.

"Those aren't corn flakes, Neil." said Nicole, coming out of the kitchen and looking with dismay at her own bowl. "Sit here with me" she gestured, standing by an unoccupied table.

"How's it going?" Neil asked a patient who he didn't know, sat at the table next to him, ignoring Nicole's entreaties.

"Not great" the man replied.

Nicole huffed and sat down to eat her breakfast. A staff member rushed over to join her, fearing there would be an upset outburst if the poor girl felt too overlooked.

In his first three weeks in hospital, Neil saw the psychiatrist three times. He had a few meetings with mental health nurses and a physical health check-up, but his life was one of ordered institutional hospital routine: medication, mealtimes, planned activities and lots of time spent watching TV.

Suddenly losing his liberty had been terrifying and his natural instinct was to yell for lawyers, demand his human rights and to complain about the arbitration that had led to him now being held under lock and key. However, he also feared the power of the state institutions. The police, the National Health Service, the government, the law: he was no match for these massive entities and he knew that he would only make things worse for himself if he made a fuss.

He now deeply mistrusted the system and regretted seeking medical help at all. He felt betrayed by his doctors, he felt that the medications had made him sick, he felt that the crisis team and Lara had conspired to lock him up. He was angry that the police were used for his "welfare" when he really felt they simply provided the muscle to drag him away from his home if he tried to fight for his freedom.

Neil's faith in medicine had been completely shattered, but now, as he lay contemplating his wrecked body he knew he urgently needed medical help. He was dying.

The can of cola that he had found in the shopping bag he'd left outside the caravan had worked its way quickly through to his bladder and he needed the toilet. Grabbing a half-full glass from a nearby shelf, he urinated into it. His urine had been getting more and more cloudy and smelled terrible, but now there was a copious amount of blood present.

His organs were failing. His lungs were flooding with fluid that he couldn't cough up. His chest was tight and his breathing was laboured. His ankles were swelling up as his heart struggled to pump blood around his body. His dehydration and malnutrition had reached the point where his body had start to eat itself and his muscles were wasting away. He was so fatigued that he struggled to move and he blacked out from low blood pressure if he raised his head too quickly.

Death in the filth and darkness of the caravan was nearly upon him.

Next chapter...

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

20. Segmentation

When Lara was working her day shift, she would get home at around 7:30pm and have an hour where Neil was vaguely compos mentis. He would take his medication at around 8pm and by 8:30pm his eyelids were heavy and he would be slurring his words.

"Time for bed, Neil."

Uncomplaining and compliant Neil would be led to the bedroom where Lara would help him undress and get under the covers. It was as if he was blind drunk: barely able to comprehend where he was or navigate the short distance to the bedroom on his own. It was alarming to see how heavily medicated he was, but Lara trusted the judgement of the doctors and had confidence that his health would soon improve.

During her night shift, Lara became aware just how little of the day Neil was awake and active. Sleeping until nearly 11am, he pulled on some clothes and lolloped down the staircase where she heard him collapse on the sofa. The sound of daytime television could be softly heard from the bedroom, but she knew he was half-dozing with glazed eyes, not taking anything in. Before she left to go to work in the evening, his mind seemed a little less cloudy, but he had little more than an hour before he had to take his 8pm dose of medication.

The change from his depressed demeanour was unmistakable. When he was depressed he was present, but also cold, withdrawn and a little passive-aggressive. He was hostile towards the world, fatigued, but his mind was still sharp. Now, he was a shell of a man: he shuffled around, slept and ate, but there was no living spirit within him. He was dead behind his eyes, which seemed more sad than the expression he wore when he said he didn't want to live anymore.

It was pretty clear when Neil skipped his medication. He would be wired: wide awake with manic eyes and an electric energy, restless.

"Did you take your meds?" Lara asked.

"Whose prescription is it? Mine or yours?"

"It's yours."

"OK. Good. You worry about your medications, I'll worry about mine."

He wore a fierce expression. He was upset, defensive, offended that she would question whether he was taking his drugs. It was obvious when he hadn't, but she couldn't press him further on the matter without an explosive argument.

At first, he only skipped doses sporadically. It was as if he wanted to occasionally remind himself what it was like to be unmedicated.

Returning home one day, Neil was not in the snug or in the bedroom. Looking in the box room and the spare bedroom, Neil didn't appear to be in either. As she walked through the hallway towards the kitchen, she heard a sound come from the cupboard under the stairs.

"What the hell, Neil? What's wrong?"

He was in the cupboard completely naked with a bright red mop bucket on his head.

"Get away from me! Shut the door!"

"What's wrong, Neil?"

"Don't let those bloodsucking bastards get in here. Keep the fucking bats away from me" he shouted, with his hands flailing in the air.

"What's wrong with your arms? They're covered in scratches."

This seemed to stir some memory in him that he had forgotten. He started attacking his skin.

"Insects. Ants. Under my skin. Look at them crawling under there!" he picked at something unseen on his arm. A little blood appeared where his fingernail dug in.

"Neil you're seeing things. There aren't any bats. There aren't any insects."

"Fuck off. Fuck off. Fuck off." he shouted, cowering in the corner of the cupboard and pulling the bucket down over his head as if it could protect his whole body.

"Please come out from there. You're covered in scratches. You're hurting yourself."

"Leave me alone. You're a liar. You're a fucking liar."

"What am I lying about, Neil?"

"You know what it is."

"What is it?"

"You know. You all know. Fuck off and leave me alone."

The crisis team convened an assessment with Neil's doctor, a psychiatrist, a social worker and a mental health nurse. Two police officers stood in the hallway. Lara hovered in the doorway of the snug looking extremely anxious. Neil was sat at one end of the sofa in his dressing gown.

"We know you've stopped taking your medication, Neil. You should have refilled your prescription a week ago."

"I told you. The side effects were intolerable."

"Yes, but the medication was controlling your illness. You need the medication to stay well."

"I wasn't unwell before I started taking it."

"That's not true. Your notes say you were very unwell. The crisis team have been in contact for quite a while now."

"I wasn't hearing things. I wasn't seeing things."

"That was because the medication was working."

"The problems started when I stopped taking the quetiapine."

"There you go then, see! The medication was working. Why won't you start taking it again?"

"I told you. I'm OK. I can't stand the side effects. I don't need the quetiapine."

"But you had a psychotic episode. You got very sick without the medication. You need the medication to control your illness, Neil."

"What illness? I was depressed. That was all."

"Neil. You're very sick. You're exhibiting all the symptoms of paranoid schizophrenia. We're all very worried about you. You're not safe if you're not taking your medication."

The social worker from the crisis team got up and took Lara into the dining room.

"Look, we're going to have to take him into hospital to look after him and to assess him."

"OK, when? How long for?"

"I think we're going to recommend that he stays for 28 days. He's really sick and we need to get to the bottom of this. He's clearly not coping at home. You've been doing a great job, but he needs to be looked after in hospital."

"So, you're sectioning him?"

"We need to make our final decision, but it's likely that he's going to go to hospital under section two. He's not well and it's the best thing for him right now."

"What happens next?"

"We'll find a bed for him at a local facility and then he'll be admitted. Once he's settled in you'll be able to visit. He might not have to stay for the full 28 days, but we need to make sure he's in a safe place where the doctors can properly assess him and help him get better."

"He's angry with me. He was furious that I called you guys."

"You did the best possible thing you could. He was a danger to himself. It's really great that you called us and we can start to get Neil the help he needs."

Lara wasn't able to get to the ward during visiting hours until the weekend. Neil didn't want to see her and refused to come out of his bedroom.

"I'm sorry Lara, he doesn't want to see you right now" a nurse explained.

After 3 weeks, Neil appeared back at the house.

"I didn't know you were coming home."

"They let me have some leave. Time off for good behaviour" Neil chuckled darkly. He avoided eye contact and he scowled.

"Are you OK?"

"Would you be OK if you'd been forcibly removed from your own home, bitch?"

Lara drew her breath sharply, as if she had been physically struck.

"Neil!" she sharply rebuked at the harshness of his language, but she was more hurt and shocked than anything.

"It wasn't like that" she said with a concillatory tone. "You were really sick. Do you remember what you were like? Do you remember? You were under the stairs with a bucket on your head. What was I supposed to do?" Lara asked, reaching out to touch his arm. Neil pulled away from her baring his teeth, his eyes flashing with rage.

"Stay the fuck away from me."

She knew she sounded patronising and he felt betrayed. He had been brooding in hospital and the situation was highly charged, but she wanted him to know that she hadn't meant to hurt him. It was painful to see so much anger and mistrust directed towards her.

"Look. I love you. I care about you. I just want to see you get better."

"You got all those people ganging up on me. You turned my own doctor against me. What right do you have to do that?"

"You were having a crisis, Neil."

"Stop using my fucking name. It's just me and you here. There's nobody else here. Fuck."

Neil stormed off. Lara heard the sound of shattering glass and then a yell of pain. She hesitated and then started to walk upstairs. Neil crossed the landing and went into the bathroom. Tentatively, she poked her head in the doorway.

"Fuck off. Fuck off and leave me alone."

Neil was wrapping tissue paper around his hand. There were blood spots on the grey tiles all over the floor around his feet.

"Why the fuck are you still stood there? Fuck off. FUCK OFF" he screamed.

Lara went into the bedroom where a full-length mirror was shattered. The glass was mostly clean but large dark red blood spots were soaked into the carpet, trailing through the hallway and into the bathroom. Neil emerged and walked into the spare bedroom.

"Are you OK?" she asked.

He slammed the door closed.

"FUCK OFF!" she heard him yell, muffled inside.

On Sunday evening Neil left the house without saying a word. Lara waited until about 9pm and phoned the hospital.

"Is Neil back?"

"Yeah he came back a couple of hours ago."

Lara was relieved. She had been torn, not knowing whether to phone the crisis team again or not, knowing that Neil would feel even more betrayed. She sunk into the sofa and convulsive sobs hit her before she'd even put the phone down.

Next chapter...

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

19. The Hospitals

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

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

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

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

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

"Are you joining us for music therapy?"

"Yes, I was going to."

"Well we're starting right now."

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

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

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

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

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

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

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

"What happens now?"

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

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

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

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

"No I have to pour it for you."

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

"Are you OK?" she asked.

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

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

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

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

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

"Gravy?"

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

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

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

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

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

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

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

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

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

"Uh. Hungry?" Neil replied.

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

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

"Neil. Can I borrow you please?"

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

"Come" came a voice from inside.

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

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

"Oh.. kay..."

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

"Alright" Neil tentatively offered.

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

"Yes, that's right"

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

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

"Antipsychotic?"

"Atypical."

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

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

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

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

The psychiatrist was now scribbling in his prescription pad.

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

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

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

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

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

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

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

"I want to come off the quetiapine."

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

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

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

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

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

Next chapter...