This is a story about being a martyr...

My wife said she would divorce me if I went to hospital. The alternative was death. Unsurprisingly, I didn't get the most out of the treatment that I received. I'm glad we're not together any more (we divorced last year). Perhaps we can finally start to move on with our lives. I really do wish her the very best of luck in life and love.

If people think I'm self-pitying, a martyr, they're wrong. I had a horrible time, but I'm making a clean break from that life and letting that stuff go. I was told - by my wife - that I was infringing her human rights, by barricading myself in a room for my own safety. When I decamped to living in mega shed she wouldn't even leave me alone in there. All I had was water from a hosepipe. She used siege tactics and I nearly starved to death.

Cause and effect. Life is all cause and effect. I don't believe it's entirely deterministic, but it's statistically probabale that certain actions will - in all likelihood - lead to certain reactions. If you prick us, do we not bleed?

So, I'm hoping to discharge myself from hospital today. I need to come back to hospital though, because my heart is literally broken. It should be OK, but I don't know for certain yet. I need to have an echocardiogram.

If anybody thinks I'm irresponsible, or self-indulgent, you should know this: even when my ribs were poking through and my trousers falling down, I still fed my cat. I love Frankie and I care about him. He doesn't know any better. He was there for me, as non-judgemental unconditional love.

That was all it took to save me from some very dark days.

The pink paint splatters are from 'the test': did she love me or did she love our house? (July 2013)

Tags: #divorce #mentalhealth #depression #suicide #NHS

This is a story about unquantifiable needs...

It takes a lot of effort to keep up with somebody in distress. If you're not going to go the distance, you are just guessing, and you will be wrong on every conclusion drawn from lazy presumptions.

Whenever my homeless friend Frank phoned me, I would get on my bike and travel from Kentish Town to King's Cross to meet him. This might have been rather inconvenient for me, but I had started so I was going to finish. That's the first thing you need to know about me & Frank: we are determined people who finish what we start.

I had decided to take a trip to Prague, Czech Republic, to see a friend from the Springboard Accelerator Program, Cambridge. In so doing, I wasn't there for Frank. The consequences for him were nearly disastrous.

Did you know you can't keep one single solitary crab in a bucket, because it will crawl out and escape? However, you can keep two or more crabs in a bucket, because as soon as a crab tries to escape the other(s) will pull it back down into the bucket. They keep each other imprisoned. Mutually assured destruction.

Frank is a happy-go-lucky kinda guy, like me. We trust people. We give people the benefit of the doubt. We ran into some of Frank's 'friends' just before I had to catch my flight to Prague. They tried to mug me. Luckily I was streetwise enough to see what was happening and I cycled off. There was nothing else I could do. They stole Frank's iPhone, so I couldn't contact him. I had no idea what had happened to him.

When I got back from my trip to Prague, I got a call from Frank's friend, Paul, saying he had just been discharged from hospital.

There was a significant disparity between Frank's story and his hospital discharge notes. He told me he had been discharged from St. Pancras Hospital, but his discharge notes were clearly from UCLH. He told me that he had sustained a head injury, but there was no mention of that in the notes.

However, what did check out was that Frank was an alcoholic and he had gone through untreated withdrawal that could have killed him. Delirium Tremens killed the famous singer Amy Winehouse and it nearly killed Frank. The notes didn't seem to draw much attention to the fact that he did not receive treatment for his withdrawal. I guess London hospitals see a lot of homeless alcoholics though... mainly in the morgue.

When I first met Frank, on Primrose Hill, the first thing I noticed was that he was clean shaven, well dressed, had a tidy haircut and spoke articulately. The second thing that I noticed was that he was drinking at 7am. When we went to get a cup of tea later, I noticed that he started shaking quite badly... it was time to skip the tea and get him an alcoholic drink.

Buying alcohol for an alcoholic? Had I lost my mind?

You are ignorant about the dangers of abrupt alcohol withdrawal syndrome for an alcoholic. It's not a perfect solution, to buy them a beer, but do you really want somebody having a Grand Mal seizure and dying right in front of your eyes, because you are too stubborn to educate yourself about the damned-if-you-do-damned-if-you don't trap that an alcoholic can't escape.

So, alcoholics are abandoned by society, begging enough money to self-medicate for their physical dependence with the threat of horrendous withdrawal syndrome and possible death, if their blood alcohol level drops too abruptly.

How do I know this? I've known alcoholics, I've seen people get treated, I've read books and papers and online resources. You can do it too, if you care. It's certainly a lot easier to be wilfully ignorant, though, and incorrectly say "why don't they just stop drinking and use some willpower?". It's certainly a lot easier to not know any facts and just be wrong about everything.

What if that person was your son, daughter, brother, sister, husband, wife, girlfriend, boyfriend, friend? Just let them die, right?

Well done.

First, do no harm (October 2013)

Tags: #frank #homeless #alcohol #addiction #NHS #friends

This is a story of a seemingly simple equation...

1 + 1 ≠ 1. I have been trying to make a single 'perfect' life by finding 'the one' but this has not led me or anybody to nirvana.

I was once so desperate for 'love' that I tried to make a relationship work with a girl I didn't fancy and a male boss, who was gay. You can't say I haven't tried everything!

I've had some lovely girlfriends, but it's been rather hard for them. I think I started 'clingy' and then progressed to 'intense' and then didn't really develop much from there. Not sure why it's taking me so long to realise that these things can't be rushed.

So, I got married, and we had our first test of in sickness and in health almost immediately, but we got married in Hawaii, so I'm not even sure if that was part of the vows. I certainly feel like it's a pretty crucial part of a loving committed relationship, but I don't know what the correct formula is.

When I had to go into hospital, soon after getting married, my wife said I would have to choose between her and treatment. I was pretty sure I was going to die if I didn't get treatment, and it was the reccomendation of my doctor, so I was kind of caught between a rock and a hard place.

I had pretty much offered my wife my head on a platter, as some kind of crazy symbolic gesture of how much I loved her, but that I felt I needed to demonstrate my love in this way was most confusing and distressing to me. I can see that this was my problem, not hers.

I left London to live the dream of having a place near the beach and kitesurfing every day. While I was down at the beach one day, my then girlfriend went through my stuff and when I returned to my car to warm up, I saw that I had a message demanding that I return home immediately... I was being summoned to court. Not a real court, but I had been summarily judged to be various things. I had to scamper back as quickly as I could to face my charges.

I don't blame my ex. She had added up 2 + 2 and made 5. She only cared about me, and about our relationship. She was worried I was a drug addict, because she had been through my internet search history, and found that I had Google'd "Nutmeg" after our friend had said that it had psychoactive effects comparable with strong narcotics. Frankly and truthfully, I merely wanted to find evidence to repudiate these unlikely claims.

My ex had good reason to feel insecure though... our friend had kinda gotten my attention. Not to do with the drugs, but she was and still is a larger than life character who defies being ignored by any and all male attention. That does not mean I wanted to cheat on my ex. It means I can still look at a cheeseburger when I am eating a steak.

The company that my ex was working for at the time sent her away from my beach dream life quite often, and I was lonely in the flat that she had insisted that I rent to be close to the office that she never spent any time at, in Poole. I had offered to move to Oxford, where she was working most of the time, but she had promised me that her contract would not be extended. Having worked for the same client and received several extensions myself, I could see that this was unlikely.

So, my friends looked after me, when I was all lonely in our huge apartment that was nowhere near any of my friends. We went out and sang Karaoke. We got drunk together. My certain female friend in question even offered to try and help me with my lifelong dislike of blowjobs... I declined, because I was in love with my ex. It was a thoughtful gesture though.

My ex could see that there was a certain chemistry though, and I guess she grew insecure. She tried to break up with me, without an explaination, and I was confused as hell. I stuck with it and she could see that I cared about her very much and so she gave it another go, but I never really understood what that was all about, until I just wrote these words right now.

The thing that she never seemed to realise is that I only had eyes for her. She lit up a room when she was happy. I remember walking with friends down at Ringstead Bay, near Weymouth, and the girls were walking along together in a line, when I turned back and shot my ex a smouldering look, completely by accident. I was so in love with her, it was so visible to everyone else that the girls either side all went "aaahhhhh" simultanously.

I hope my ex is happy now. I hope she has moved on. I hope that I made enough space and gave her enough closure that she has been able to pick up the pieces of her life and carry on. I'm really sorry that things didn't work out, but I hope the breakup can somehow be for the best in the long run.

So, one of my best friends reminded me last night of the rule of thumb for getting over someone. Seeing as me and my ex were off-and-on from 2005 to 2013, I guess that means there will be a situation vacant in 2017, but until then women should steer clear of this particular emotional juggernaught.

Show me the way to Mordor (October 2013)

Tags: #love #divorce #LGBT #friends

This is a story of exploitation...

Bipolar II is risk, not destiny, but I have unwittingly utilised my diagnosed illness in order to achieve things which many can only dream of. There has been a price to pay, which might aptly be summed up as Nick in blue.

For the uninitiated, a chronic illness is something that you will suffer from your whole life, with little hope of a cure or doing anything beyond masking the symptoms. An acute illness is one that presents itself - an episode of an acute illness - but can go away, for days, weeks, months, years or even the rest of your life.

As the Bipolar propaganda proudly purports, many famous 'sufferers' are not really suffering at all in their hypomanic phases, if we consider the following: very few would give up those highs in favour of a normal range of moods, despite the savage depressive episodes which inevitably follow the hugely productive and energy-sapping explosion of activity, which tends to punctuate the cycle.

Why should anyone who is so applauded and revered by bosses, parents, society, for their 'achievements' - measured only on abstract scales such as school and University grades, income and other work-related nonsense such as promotions and job titles - think that they are unwell and seek treatment?

It's very hard to spot a person with Bipolar II in your organisation, your team. When they are hypomanic, they are also productive, but they are disruptive and argumentative. Essentially, they are totally unmanageable and unable to play nicely with plodders. Companies like plodders. Managers like plodders. They make up the numbers nicely and don't give you any surprises.

When your Bipolar II team member becomes depressed, their productivity drops to zero and so do their hours. They will arrive late at work, leave early and generally do very little. However, as a manager, you will be flooded with relief that your team member is now no longer being so disruptive and argumentative, and you will finally see that a hell of a lot of work has been achieved, and happily let the burnt-out wreck turn up and be miserable at their desk.

As a plodder however, you are only waiting for the sleeping beast to re-awaken. It keeps you awake at night. It stresses you out. You only know how to do the thing that you're totally mediocre at, and you absolutely hate change and are unable to deal with it, so the idea of getting away from the source of this stress is unthinkable. You stay and accept round after round of unintended abuse.

Organisations like productivity, and stressed plodders are even less productive than normal plodders, so when they speak up and say that they are tired (from all the lost sleep) and stressed and they can't plod as averagely as they had been plodding before, the management don't tend to be very sympathetic. Often times, it's the poor plodder who gets the shove rather than the primadonna Bipolar II golden boy or girl.

Now, if this sounds Sociopathic, Narcissistic and arrogant, you are mistaken. Our entire pyramid-scheme structure is rather adversarial, and when we set targets for our employees in these fake hierarchies, we do so in the full knowledge that there are more people competing for the next rung on the ladder than there are fake job titles at the next tranche in the pyramid. We are deliberately asking people to squabble with each other over those precious promotions.

The Narcissist believes he or she is special, and deserves special treatment, deserves the status that they have (or better normally!). I personally, always wonder why people are listening to me, why I am the one who seems to be making the decisions or getting the promotion, because I don't do the work that's asked of me, play politics or jump through the hoops and clap like a trained sea lion in a circus, which is what we are told will get us to the top of the tottering tree.

Believe me, I try to fit in as best as I can. I have literally been crying every morning for weeks and months on end, when I am nearly dead with depression, but yet I have to try and comply with somebody else's idea of ideal office hours. Likewise, I try and do what is asked of me by my bosses, but unless you know how to do it at plod pace, you have normally finished your work by lunchtime on Tuesday, and your boss is rather annoyed that he or she now has to give you some more... so you have actually failed to please your boss.

So, there are a few things I have found, which help to give me a little more stability: to cap and floor the moods, so to speak, and not have absolutely bat sh1t crazy hypomania, and dangerously low depression:

• Breakfast : this is absolutely crucial. The stomach is a key part of our circadian rhythm. Digesting that first meal tells your body clock that "this is the time to get up tomorrow". I never used to be a morning person until I started eating breakfast, and now I spring out of bed with no "snooze" button presses at 7am.
• Lunch : I think you can probably see where this is going. Yes, lunch is important, because it breaks the tendency to just work without a break. When a person gets going in a hypomanic phase, they can work for days almost without sleep or breaks
• Dinner : saying to yourself that you need to stop work so that you can eat and digest before winding down for the day is crucial. Eating before 9pm is mandatory, and eating before 8pm is preferred. Otherwise, you find yourself gorging on whatever you can find, just before collapsing after 18 straight hours with no food at all since waking up.
• Wind-down : almost impossible if you don't start early enough, but essential preparation for the next part of being an animal.
• Sleep : not something you always feel like doing. Your intuition can be totally wrong when you are hypomanic, and usually you are way more tired than you realise, even though you don't feel like sleeping and you most definitely can keep on working. You would not even believe how many nights of sleep I have skipped in a row. Sleep is essential for energy, mood and the immune system. You get really sick if you don't have 6 or 7 hours a night, at least. More than 9 is too many... you'll get lethargic, or perhaps you are exhausted and depressed and you don't even realise!

In addition to this, there are some other rules:

• No caffeine : because it's a Dopaminergic and Noradrenalinergic stimulant in the same class of chemicals as amphetamine. It's a potent wakefulness agent in the brain, and will mess you up. "Do stupid sh1t faster and with more energy" is accurate.
  
• No alcohol : because it's a GABA agonist, like Diazepam (Valium) and you will develop a physical dependency on it, requiring it to be able to sleep, especially if you have been drinking coffee. It's the same as mixing uppers & downers as any other kind of drug addict. Did you know you're a junkie? Think about that next time you're looking down your nose at somebody. Alcohol is also hydrophilic, which means that it draws water out of the cells in your body... you are actually less full of life-giving water, when you are full of booze.
• No psychoactive medicines or drugs : the brain and body are homeostatic. That means, they are designed to stay in equilibrium. You don't need to add anything apart from glucose, water and a few vitamin, mineral and amino acid trace amounts, which you can get from proteins. Fatty proteins should give you everything you need (yes, animal fat is good for you in its natural form).

And finally:

• Exercise the brain and the body equally : when the brain is tired and the body isn't, it doesn't have a frigging clue why you are not absolutely whacked out and ready for bed. In our modern sedentary society, where we do little more than scroll through emails and web pages, our brain is a lot more tired than our muscles. This is not natural, and leads to 'brain exhaustion' despite the rest of you being physically dormant.

Of course, this recipe for mood stability is what I aspire to perfect, but it takes practice. I'm still working on keeping the routine, and resisting the temptations of a cold beer or a glass of wine. Giving up tea and coffee was one of the hardest things I have ever done, and I still have my 'methadone' in the form of mint leaves in hot water.

By the way, anyone who tells you sugar is a drug is an idiot. What's next, Oxygen is a drug?

Sex can be addictive, but it's not unhealthy. However, an unsatiated libido is most definitely unhealthy and unnatural (March 2015)

Tags: #career #mentalhealth #bipolar #sex