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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

I don't think so.

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

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

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

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

Tags: #bipolar #addiction #career

This is a story about paralysis...

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

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

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

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

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

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

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

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

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

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

January.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Tags: #mentalhealth #suicide #medication

3,390 words written today... I'm clawing my way back. 2,149 behind, but I might be able to make up some of that ground later on before I go to sleep, given that the next chapter should pretty much write itself.

https://medium.com/high-dependency/nanowrimo-2017-day-twenty-two-41f135d6f682

This is a story about being superfluous to requirements...

Three blank spaces have been deliberately left on this blister pack of pills, by the manufacturer. Instead of ten capsules per strip, there are seven. In a box which could contain 120 capsules, there are just 84.

As I sit or stand around like a spare prick at a wedding, eating food, taking up room and using energy, I'm mindful that it must look to some people like I'm having a jolly holiday. Wouldn't we all bunk off work if we could? Wouldn't we all like to sleep in late and not have to get up and out of bed for anything in particular?

It's quite excruciatingly painful, to not feel at all useful.

Tags: #career

This is a story about aide-memoires...

I've been blogging for 779 days, including a period of 120 consecutive sober days and the current stretch of 45 sober days, which totals 165 days. I worked for approximately 300 days (including weekends). I spent circa 60 days in hospital. I had two major periods of drug abuse, six girlfriends, wrote a novel and I attempted suicide seriously once. I've written 702,412 words on the pages of this website.

So, where's it gotten me?

Nowhere and everywhere.

I had no idea I had so much to say; so much stuff that I needed to write about. When I uncorked the bottle, all this stuff just came flooding out - bitterness, resentment, bad memories, as well as strong opinions on myriad subjects. Of course, there was a lot of toxic filth which spewed from my mouth - not everything I've written has been kind and eloquently put. Do I regret what I've written? Sometimes, yes, but on the whole I feel glad I spoke up. I feel ashamed that I wrote some absolute gibberish when I was messed up, but there it is: my soul laid bare for all to see.

To have poured time and effort into sharing stuff on Facebook or Twitter would have left me horribly invested in those walled gardens. To have ingratiated myself with another online community - a discussion forum - would have perhaps been a useful exercise, to give me social contact and a clear purpose, but in some ways I'm glad that I've learned how to work in isolation; to keep up the discipline and routine even when I don't know why I'm writing or what good will come of it.

If nothing else, I can proudly say I'm a writer, of a sort: I'm an eccentric hermit who's lost in his own thoughts. I've got 200 blog posts planned and my next novel to write in November - my mind buzzes with ideas. I'd write long rambling posts that jump around from topic to topic, running to many thousands of words, except that I feel like I've had enough practice of sentence construction and finding my natural voice. Now I'm starting to enjoy a kind of delicious frustration, knowing that I only allow myself to write once a day, and I aim to keep my daily word count to around 700.

As a barometer of my mood, there is nothing finer than writing. I can see all my insecurities, anxieties and my propensity to become obsessive or consumed by things, as clear as day. Of course I fear egocentricity, narcissism, navel gazing and other undesirable labels that might be hurled at me, but frankly the process of writing is an essential pressure-release. Not having this blog made me unspeakably frustrated, because I was grotesquely misunderstood. "Oh, bless you poppet... so full of teenaged angst!" you might patronise me. LOL says I.

My maturing process has been unorthodox, due to relentless bullying and a generally unpleasant start to life that robbed me of my self-esteem and opportunities to be a child, a teenager and a student. I now take my chances where I find them, and delight in acting like a great big kid. Being a late starter in life has its advantages, even if there is a general presumption that I should be better at handling life events, when I actually have not had the benefit of experience - how was I supposed to, for example, get any good at relationships if I didn't have stable friendships, childhood sweethearts or good role models in my parents?

Entering my third year of daily writing, this could be considered my "finals". I've had a few jobs which have stretched to the 4+ year mark, and enjoyed a little more stability with friends and homes in my adult life, than I did through the 8 different schools I had the misfortune of attending. This writing project has provided stability and structure, when my world was blown to bits by divorce.

While the backdrop to my story has changed from hostel to hotel room, to a few different apartments, hospital wards and psychiatric institutions, I've somehow managed to keep writing on a regular basis. I feel like the same person, when I sit down in front of the keyboard, even if there has been a huge variation in the state of my mental health. I know that I have written during periods stimulant & sleep-deprivation induced mania, causing me to pour out thousands upon thousands of words in a confused jumble. However, my mind still makes a surprising amount of sense, despite circumstances which should have tipped me into out-and-out insanity.

I am fearful that the pages of this blog might chart my final decline into a state where I'm rendered permanently useless to the world. I often wonder if I have caused so much trauma to my fragile brain, that it can never recover. If I'm at all paranoid, it's that I'm talking complete nonsense, and everybody is just humouring me while snickering behind my back. "Why didn't anybody tell me I'm writing utter crap?" I sometimes think.

Watching a friend or a stranger careen towards imminent disaster, in a slow-motion car-crash, is something that holds our gaze while also somehow stunning us into silence. I'm vaguely aware that many will be thinking "what can I do?" and be paralysed, without a clear cry for help or call to action. Not only is this the world's longest suicide note, but it's also the world's slowest ongoing crisis, for anybody following along in real-time. It took me a long time to find the guts to finally make a decent attempt at killing myself.

I'm aware now that the burden of responsibility shifts back to me, having received an outpouring of support from unexpected corners, in the wake of my suicide attempt. To resort to self-murder again, would be churlish.

As my mind begins to un-fog from the painkillers I had been taking for most of this year, I wonder whether I have learned anything from the events of the past. I hope I have developed and I'm in a better position than I was, when I was rather trapped in some most unpleasant circumstances, although I find myself in a never-ending cycle - rushing back to work before I'm fully recovered, in order to service debts and otherwise line the pockets of the rich.

Stress keeps me wired, and I wonder when the last time I cried was. Surely, there's a lot of tears that I'm holding back.

I'm tense; agitated; nervous; anxious; hypervigilant.

Tags: #writing #anxiety

This is a story about justification...

What do you suppose this stack of laundry baskets and boxes full of clothes is? Perhaps this is a new modern art installation at the Saachi Gallery?

200 days ago - April Fools' Day - I was so paranoid that I believed that somebody was going to break into my ensuite bathroom on the 4th floor, and invade my bedroom. I was also so unwell that I believed I could secure my bedroom by tying my dirty laundry baskets to the door handle.

Paranoia does not generally trouble me during my day-to-day life: nothing to hide, nothing to fear.

I'm about to make a factual declaration that might shock and disgust you.

Men's libido will drive them to relieve themselves - through sex or masturbation - on a relatively frequent basis, depending on each individual. You might consider a man who masturbates every day to be a twisted pervert. You might consider a monk who has taken a vow of celibacy having undesired nocturnal emissions - he ejaculates in his sleep - to be the finest example of a man that is biologically possible, without castration.

Let's just re-iterate this for emphasis: biologically, the human race has evolved a reproductive imperative that is as strong as breathing, sleeping, shitting, pissing, drinking and eating. If you can stop doing all of the latter for a few years, then you're welcome to then argue the point with me.

If you consider the unpleasant combination of being so horny that you need to masturbate, with the belief that you're being watched at all times, then you might understand that it's an impossible situation, assuming that you value your dignity and your privacy. At present there are at least 3 webcams watching me and 2 microphones listening to me. Of course, I presume that no ransomware is recording me without my permission, but such software exists in the wild. How much do you trust the manufacturer of your phone and your laptop, to not co-operate with your government, giving them the ability to spy on you?

Nothing to hide, nothing to fear?

I'm guessing that you wouldn't want your family, friends and work colleagues, or even complete strangers, to see you tugging your todger; yanking your chain; bashing your bishop, or whatever your preferred euphemism is for masturbating to orgasm. I'm guessing that you'd find such voyeurism to be unacceptably compromising and distressing enough to destroy your mental wellbeing.

Do you note that I'm leaving aside any discussion of anything 'kinky' or not otherwise in accordance with plain vanilla biological imperatives?

Of course, we could all just have sex, and then we've got a partner in crime - we have safety in numbers; at least there's somebody else who's looking ridiculous with us, as we make the beast with two backs. However, this is not always practicable. Natural urges do not always align with the competing demands of the world around us. Sometimes, we are horny and single.

If you're thinking "eeeewww" or otherwise troubled by an undesirable mental image, you understand perfectly that the vast majority of us wish to maintain some privacy around this particular activity. I cannot relate to men who take a thrill from masturbating at somebody, flashing their genitals or sending unsolicited dick pics. I am not writing about the exceptional cases, where men act in an antisocial or illegal way - these matters are excluded from the discussion, because they are unusual and those men do not think and behave like I do.

In short, the only way that my behaviour seems at all unusual, is the exceptional lengths that I will occasionally go to in order to not be spied upon while masturbating. If we consider our desire for privacy, it doesn't seem odd. If we think about the fear of the indignity and shame of having explicit images and videos of us masturbating, shown to other people, that fear is not irrational - it would be extremely distressing, for almost everybody.

Just over 6 months ago my mind was shattered. Today I'm barely troubled by paranoia.

My paranoia doesn't come from nowhere - of course it needs a seed. The internal source of my paranoia is sleep deprivation, hunger, thirst and mind-altering substances: I have a choice over whether I disturb my mind with these things or not. The external source of my paranoia could be explained simply in this way: do you imagine that men in psychiatric hospitals no longer need to masturbate?

Ask yourself where it would be appropriate to masturbate, when you're being checked on regularly by nurses and support workers. Ask yourself whether you think you could quietly do the deed in a dormitory with other men. Presumably, you'd go to the toilet or the shower, wouldn't you? If you're masturbating in an institutional environment, with the noise of staff and patients all around you, does that make you a twisted pervert?

This topic is the most sensitive that I could write about. Nothing could shame me more than you knowing these deeply troubling things, which is why I write about them - I'm grasping the nettle.

If you care to read back through what I've written, you'll see that I stop short of painting an explicit picture - the images in your head are entirely from your own imagination. I'm not attempting to upset anybody, nor am I discussing matters that have no place outside of a basic human biology lesson.

I believe that honesty is the best policy, and I'm taking that to its extreme conclusion, despite the detrimental effect it seems to be having on me and my life. I started the questionable experiment, to publish my inner monologue, and I'm compelled to continue, even though it causes me a great deal of anxiety.

Why do I need to live in fear of people learning who I am and how I feel? Why would I need to wear a mask? Why do I need privacy, when so many are determined to sneak a peek behind the curtain anyway?

What happens when a person lays themselves bare, instead of letting paranoia destroy them?

Tags: #paranoia #writing

This is a story about picking on an easy target...

Has anybody ever died of shame and embarrassment? I feel horribly exposed all of a sudden, having published my entire psyche into the public domain - all the inner-workings of my mind; every dark secret is out on display.

I'm acutely aware that I've kept writing and publishing throughout periods where I was incredibly unwell. I'm acutely aware that I've published unedited things, despite being exhausted, stressed and unable to make a sound and rational judgement call on whether or not to publicise private matters.

It's quite apparent that my rather strange and questionable mission - to submit my private journal to public scrutiny - has been incredibly costly.

Have I made a mistake?

Clearly, I've made a whole string of mistakes. Every day, I think about millions of mistakes I've made that I could write about. Even the process of exploring all my feelings and admitting my fault, is somewhat of a mistake.

Racked with self-doubt and feeling a mounting sense of vulnerability, I've thought about back-pedalling - haven't I made myself look like a buffoon in front of enough friends, family and strangers? Shouldn't I now clam up with shame and regret that I ever opened my mouth? Shouldn't I bury this blog and hope that nobody ever brings up the matters I've made public?

It would be so easy to press the "delete" button and destroy the digital identity which I've created. It would be so easy to deny all knowledge of ever sharing extremely personal matters. Don't believe everything you read online.

If I loaded a gun with bullets and handed it to you, I turned around and you shot me in the back, would you feel victorious?

I don't understand why anybody would take the ammunition which I give them and use it against me. I don't understand why anybody would take the opportunity to sucker-punch me, when I'm making myself so vulnerable; such an easy target. Is there really any pleasure in picking on somebody who's laid wide open to attack? Where's the sport?

I've started to wonder what happens to the people who pick my pocket, blame things on me or thump me in the face, knowing that I won't defend myself or retaliate. Do they feel pleased with themselves? Do they feel happy and are they able to sleep soundly at night?

If I'm starting to sound like I think of myself as sweet and innocent and free from all sin, that's not the case. There's more than enough admission of wrongdoing on these pages, if you want to go digging. I'm not some butter-wouldn't-melt, holier-than-thou, whiter-than-white person who claims to never have said boo to a goose. I admit that I'm a deeply flawed individual.

I'm struggling with a cloudy brain. I feel like my wits are dulled and my thoughts swim through treacle. I feel run-down; unwell. I feel like I'm not well enough to be writing. I regret things I wrote when I was sick, in the past.

As the truest version of myself - free from drink and drugs - emerges from under a dark storm-cloud, I struggle to reconcile the way I feel now with how I felt when I had the protective armour of intoxication. I'm full of stress, nervous tension and anxiety, while my brain is raw and damaged from abuse - I'll recover, but it's taking time.

I'm defensive, because I can't afford to lose any more opportunities. I can't afford to have my reputation tarnished anymore, even if it appears to be me who's doing the tarnishing. I can't afford to have influential people leaping to the wrong conclusions. Why continue to write so honestly? Why take the risk? Why not shut down this crazy experiment?

The fact you're reading this means that you're either going to use it against me - shooting me in the back with the weapon I handed to you - or you'll dig a little deeper; try a little harder. It's all too tempting to kick a man when he's down though, isn't it?

It's too obvious and easy to shut down; shut up. I've come this far, so why shouldn't I keep writing? What does it matter if I make myself unemployable? What does it matter if I can never return to the part of society that routinely lies and wears a mask of insincerity? Why the fuck do I want to live in a world full of absolute arseholes, who stab each other in the back?

Come; come and beat up on me; come and put the boot in; come and strike me with sticks and stones and whatever weapon you can grab, while I lay battered and bruised, unarmed on the floor, naked, afraid, defenceless, outnumbered and in pain.

I invite you to martyr me.

Tags: #writing

This is a story about last regrets...

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

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

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

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

Then, I realised that my death might look accidental.

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

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

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

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

* * *

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

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

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

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

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

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

* * *

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

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

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

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

* * *

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

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

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

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

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

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

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

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

Fundamentally, this journey started when the odds seemed insurmountable.

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

Tags: #suicide

This is a story about slipping through the safety net...

Exactly one month ago was World Suicide Prevention Day and exactly one month ago I was in a critical condition, on life support in intensive care. I was given a 50/50 chance of living or dying, following an overdose the night before. It seems sickeningly ironic that if the emergency services had reached me just a little bit later, I wouldn't be writing this. If I didn't live in the United Kingdom, where we have the best healthcare system in the world, I would probably not be writing this.

It was 9 years ago that I first sought help for my mental health. "Have you heard of fluoxetine?" asked my doctor, within 30 seconds of me explaining my symptoms: suicidal thoughts, low mood, low energy and an inability to get out of bed and go to work like normal. I was disappointed to be offered patent-expired generic medication, without a moment's hesitation. I walked away empty handed.

Clinical depression was where I started my mental health journey. Having the label "clinical" made a huge difference. To add that word - clinical - onto how I was feeling, was necessary to defend myself from anybody who might say "just snap out of it" or "pull yourself together". In my case, having a label was desirable - it wasn't an excuse; it was a diagnosis.

Every time I've gone to my doctor, I've been hoping to receive some counselling, but instead I got referred into psychiatric services as an outpatient in 2010. I was referred for Cognitive-Behavioural Therapy (CBT) treatment, but by the time I was assessed, my mood disorder had been diagnosed as type II bipolar disorder. The assessment concluded that my mood disorder was too severe to be treated with CBT. I was left with no psychological treatment. "What am I supposed to do?" I asked. "Go back to your doctor" came the reply. It was a devastating disappointment.

By 2011 I was so unwell that I was assessed under the Mental Health Act, to see if I needed to be detained in hospital - what is colloquially referred to as a "section". I begged to be hospitalised as I was suicidal. I repeatedly said the classic cliché that so many people will say when they are desperate for help: "I'm going to kill myself". Community Mental Health Teams (CMHTs), crisis teams and home treatment teams must hear those words so often.

With a shortage of psychiatric beds, there's a huge reluctance to "section" anybody. At the time of my first section assessment, my girlfriend and my dad were present, so the assessment concluded that I could be kept safe at home. In fact, I sawed a hole in the back of my shed, climbed over a neighbour's fence and ran away. The police were called to look for me because I was a danger to myself.

Soon after that, I was seen by a private psychiatrist, referred and admitted for 4 weeks of inpatient treatment at a private hospital. The cost was over £12,000.

There was some debate with my medical insurance company as to whether my bipolar disorder was acute or chronic. The insurance company said it was a chronic condition, and therefore not covered by the policy. The consultant whose care I was under, managed to argue - over the course of a couple of nail-biting weeks - that my presentation was acute.

Having to resort to the private sector; having disputes with an insurance company - none of this was conducive to getting better. In fact, having to find my own psychiatrist, get approval from the insurance company to even speak to the doctor and then having the stress of thinking that I might need to spend £12,000 of my dwindling savings, was an awful ordeal when I was clearly very unwell.

At the end of 2012 I got married and 8 months later I separated from my wife. She didn't care about the incredible stress that divorce and selling our house would put me under. I moved to London to live with supportive friends while my life was ripped to pieces. I lost my job.

By 2014, I completely slipped through the safety net. I took an overdose and lay dying of multiple organ failure on the floor. I managed to phone a friend who got me to hospital. After a week, the hospital discharged me to a hotel. I had two weeks to organise my own accommodation because no bed on a psychiatric ward could be found for me. My muscles were horribly damaged by the overdose and I was in agony. With a bundle of documents to prove that I was a priority case for emergency housing, I visited the local council housing department. The officer I saw promptly disappeared on holiday, abandoning my case. I became homeless.

After living in cheap backpackers' hostel, I reached my two week limit, which is a rule that most hostels have. I then started living in a bush in Kensington Palace Gardens. When it became apparent that living in a bush was not a long-term solution, I stumbled into nearby Paddington - St Mary's Hospital - and presented myself at Accident & Emergency. 12 hours later, I was given two weeks respite in a "crisis house". I tracked down the housing officer who I'd spoken to before. At the end of two weeks, I received a one-line email: I wasn't eligible for any help from the local council. Why? What now?

I was homeless on Hampstead Heath. It was very beautiful, but it was still summer. What was I supposed to do when the weather turned bad?

How had this situation come to be? I'd been a highly functional, productive and fine upstanding member of society: I'd had a successful career, paid taxes all my working life, bought a house, gotten married and done all the things we're supposed to do. What the heck was I doing homeless and abandoned by the state when I was obviously a vulnerable adult? My doctor had written a letter saying I was a vulnerable adult, and my psychiatrist had done the same. These letters had been presented to the local council housing officer, but yet it had made no difference. What have you got to do to get help in this country?

Eventually, I came to be living in the North of England, in an apartment which was a perk of a job I'd taken out of desperation. The apartment was miserable, dark and dingy, and I was terribly lonely. On the 9th of September 2017, I took a massive overdose, which I had researched on the internet to make sure it was likely to be fatal. I regained consciousness after having been in a coma, in hospital, on the 11th of September 2017 - I had completely missed World Suicide Prevention Day. A machine was breathing for me and I was put back to sleep. I didn't leave the intensive care and high dependency wards until the 12th of September 2017.

On the 13th of September 2017, I found myself discharged from hospital and left to flounder all on my own. I didn't want to go back to the apartment where I'd tried to kill myself. I've not been back there. I'll never go back there.

I was sectioned - a section 136 - after being taken to hospital by police. I had to make a massive public nuisance of myself in order to get help. The hospital upgraded me to a section 2, which meant I was going to be kept on a psychiatric ward for up to 28 days. Why now? I'd had two near-fatal overdoses, which had hospitalised me in a critically ill condition, but yet I hadn't been considered enough of a risk to myself to receive inpatient psychiatric treatment. Why did it take so long to finally get the treatment I'd been begging to get for 6 years?

The psychiatric ward discharged me from my section after 12 days, and another week later I was discharged from hospital - a good samaritan has taken me into their home. Again I wonder why no temporary housing was forthcoming, given the fact I am so vulnerable - I lost my job and my apartment due to mental health discrimination. I'm being victimised again & again.

I'm in a safe place now, but my food & accommodation comes from a charitable family who have taken pity on me, after reading my story on my blog - we clearly don't have a system that works for the whole of society. We can't all turn to Twitter every time we're having a mental health crisis.

My Twitter followers brought the emergency services to my door, saving my life. Through my blogging and social media presence, a stranger read about my desperate plight, and kindly offered to take me into the family home.

Today, I feel OK, but why have I been subjected to such a horrific ordeal? I very nearly succeeded in ending my own life, because no help was forthcoming when I really needed it - we're locking the stable door after the horse has bolted.

Using myself as a case study, the safeguards we have in place to prevent suicides are woefully inadequate. My first-hand experience of NHS mental health services, is that they're desperately underfunded and overstretched.

There will be so many tragic preventable deaths if we allow the current situation to persist.

Tags: #suicide #mentalhealth #bipolar #depression #nhs #hospital

This is a story about how nothing really mattress...

This is the last double bed I slept in, 27 days ago. That's my brand new bedding with brand new pillows and a brand new duvet. I moved to Manchester with nothing more than my laptop and a bag of clothes. New life - clean slate. This is the apartment where I tried to kill myself. It was a miserable place and I'm glad I never slept there again.

I woke up on Saturday 9th September, and I was miserable. I wrote a blog post in this bed, about how miserable I was and how close I was to committing suicide. It was prescient.

The next bed I lay upon was owned by a guy who I had become friends with through my girlfriend. My girlfriend at the time was of no fixed abode - sofa surfing with a guy who she met on a dating website. I'd travelled to this friend's apartment to see my girlfriend. We lay kissing and cuddling on our friend's bed. Then, we broke up.

Coming home to my miserable apartment, I didn't get into bed - I took a massive overdose and lay on the bathroom floor in the dark, waiting to die. The next bed I laid upon was in the Accident & Emergency department of the nearest hospital.

I'm presuming - because I was unconscious - that I stayed on the same hospital bed, as I was transferred from A&E resus to the Intensive Treatment Unit (ITU) and then to a High Dependency ward. I was on life support. I was having seizures. I don't remember any of this.

I vaguely remember having to scramble across onto a different bed, to move me out of the High Dependency ward and onto a general ward. I remember this because there was a bag of my piss sloshing around that had to be moved too, and there was a tube coming out of my penis, which I had to be careful not to entangle with anything. The tube that was going up my dick yanked my male member around - it wasn't a comfortable experience.

From hospital I was thrown in a police cell. There was a 'bed' made of concrete painted with light blue paint - the same glossy paint that adorned the floor and walls of the cell. To slightly soften the hard concrete, there was a thin blue foam mat, which was wipe-clean. I did not sleep.

Driven home by the two police who had interviewed me - at 2am in the morning - I finally got back home at 3:30am. My sleep medication was nowhere to be found and I'd had a traumatic day - sleep was impossible. I lay awake on my bed, waiting until the earliest possible moment I could go to the office and try to find a work colleague - I was in a desperate situation and I needed help from somebody friendly and sympathetic to my plight: alone in a strange city with no friends or family; no smartphone, laptop, debit card, credit cards, cash or driving license.

After a second dreadful day I was pretty fucked up, as one might expect of somebody abandoned in such shitty circumstances. As sleep deprivation reached the 40+ hour mark, I ended up back at the same hospital's Accident & Emergency department that I had been in 5 days earlier.

Another day, another hospital bed. This one I came round face down on, with my wrists handcuffed behind my back, after having received an intramuscular injection of 4mg of lorazepam. It was approximately 3am in the morning - now 6 days after my original hospital admission.

Sectioned first under a 136 (up to 72 hours) and then upgraded to a section 2 (up to 28 days) I was then taken to a secure psychiatric facility with airlock-type doors, to stop anybody escaping. I was given a private room that was quite nicely appointed, with a writing desk and an ensuite wet-room.

Having blearily come round in the early hours of the Tuesday morning, it was now Thursday night. I finally had a single bed in a comparatively peaceful environment in which to collapse and sleep, mercifully with the assistance of some zopiclone to calm my jangled nerves and soothe me into my slumbers.

Gone were the bleeps and hisses of the machines that were keeping people alive, on the Psychiatric Intensive Care Unit (PICU), replaced with the sound of alarms, slamming doors, shouting and running in corridors, as my fellow patients were restrained by staff. I found it somewhat comforting, to know that my crisis was no longer at its peak.

After 8 days on the PICU, I was transferred to an acute psych ward. It was terrifying.

With me in hospital I had two Apple iPhones, two Apple Macbooks, a Nintendo Switch and £1,150 in £50 notes. It's not really recommended to have that amount of valuables on your person, in amongst some very poor and deprived people. The wealth disparity was vulgar.

My guardian angel facilitated the return of my surplus iPhone and Macbook - Apple were excellent and refunded me with no quibbles.

I begun life on the new ward in a private bedroom, but I didn't have an ensuite shower and the TV blasted right next door for 19 hours a day, at full volume. At first, I was too tired to care and I could sleep through the dawn chorus of utter bullshit television a million decibels, but then it started to keep me awake, leaving me less than 5 hours of shut-eye per night.

Then, the dreaded dormitory. Dorms are a mixed bag - very dependent on the luck of the draw, in terms of your fellow occupants. Security is a massive concern, as nothing more than a privacy curtain separated my personal possessions from anybody who'd care to have a look through my bags. Snoring can be a pain in the arse, with one person able to keep everybody else awake listening to their noisy slumbers. Thankfully, my dorm buddies weren't too bad.

This morning I woke up to "second; minute; hour; power; shower" repeated over and over, as a poetic dorm buddy wrote a new rap. That was 5:15am. It was still dark. He was pretty loud. He's sleeping now - snoring.

Today, I'm bustin' out of the psych ward. Watch out, general public of the United Kingdom - I'm going to be moving among you again as a free man.

This is my current bed. I'm lying on it as I type this. I don't know what the bed or the room I'm sleeping in tonight looks like - I've never set foot in the house I'm going to travel to this afternoon. It's a leap in the dark, as is my wont.

Some of my few remaining worldly possessions are here with me in Manchester and some are in London. I'm surprised that I haven't lost more of my valuables. I can't quite bring myself to do the maths, to figure how much money I've lost on this crazy jaunt to the North of England. What does it matter? I'm alive and about to be accepted into the fold of a kind family who are taking me in - the IT consultant who lost his mind in a city where he didn't have any friends or family. It's unlikely that I'd have ended up homeless, but I wasn't relishing the prospect of being chucked off the psych ward and into a dreadful bed & breakfast, in some shitty suburb.

The very definition of "my" home and "my" bed has been smashed to smithereens. Tonight will be the tenth bed I've lain upon in less than 28 days, including several hospital beds and the concrete slab that passes for a bed in a police cell.

Distress flares were fired off and a good samaritan is coming to rescue me from a fairly dire situation.

Tonight, I sleep in a normal house for the first time in what feels like a very long time.

Tags: #hospital #mentalhealth #nhs