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I'm [Not] OK

6 min read

This is a story about keeping people updated...

Invert

It's been nearly 2 weeks since I wrote last. I know I've had gaps but this feels like a really long one. Gaps are usually a very bad sign. It's worth worrying about me if I'm not writing. Things are probably going badly if I'm not writing.

I was coping by using a combination of alcohol, sleeping pills, tranquillisers/sedatives and a heck of a lot of comfort eating. I've been teetotal and medication-free for a while now. I'm dieting too. I'm slimmer but I feel awful. Stopping taking all the pills has been brutal. Not having anything to 'take the edge off' has been horrible. The anxiety has been unbearable.

Some concerned friends have sent me messages, but I've felt too swamped to reply. Work is exhausting and there has been the looming holiday, which has caused added stress rather than being something to look forward to: How am I going to afford the loss of earnings as well as the expense of the holiday? My work situation is looking very uncertain for when I get back from holiday, which is a horrible situation to be in, worrying about money instead of enjoying some well-earned time off.

My relationship is good but it's caused some sleepless nights. I'm desperately trying to avoid worsening my exhaustion and sleep deficit, but it's almost impossible to catch up. Stopping the sleeping pills has caused my sleep quality to deteriorate. It's a miracle that I'm still reasonably productive and functional.

The last thing I want to think about is the travel and logistics of going abroad. Buying holiday clothes sounds like fun, but it's another item on a todo list which makes me very stressed out. I'm struggling to figure out when I can fit in all the things I need to do between now and my departure date from the UK. I suppose as long as I've got my passport and a buttload of cash then I can figure things out, but it's not pleasant to be so ill-prepared for a trip.

I'll be 40 years old in exactly one week. I decided to have a barbecue at my house when I was feeling somewhat more buoyant about the way my life was going. Now I feel like cancelling the gathering, because I'm stressed about the extra unnecessary hassle. Having guests over to my house reminds me that I've still barely moved in - I don't have much furniture and the place is a bit of a mess. I don't feel well placed to make my guests comfortable. I have a lot of anxiety about it being a really awkward occasion, with a handful of my long-suffering friends having made the long journey to the provinces, in order to make smalltalk with strangers... a real chore for them.

I'm working as hard as I can in order to feel proud about my contribution to the project I'm working on. I'm desperate that my contribution be remembered as something valuable and that my colleagues recognise the effort I've ploughed in. Work's become a bit of an unhealthy obsession and I'm significantly over-invested, emotionally. I can picture myself getting very depressed when I'm forced to leave the project because of contractual shenanigans, and through no fault of my own.

My life is deeply unbalanced; unhealthy. I'm not drinking alcohol and I'm dieting, so I've lost weight, and I've managed to get a bit of sun, so I look quite healthy, but inside I'm very sick. The stress of the past years seems to have ratcheted up as my life has become more 'normal' and 'stable' recently - things were easier when I was living out of a suitcase, in some ways, although I appreciate that I was very miserable and living much more unhealthily.

Readers who've followed me for any significant length of time will probably have a better idea than me as to whether I'm in a better place today than I was a few months ago, a year ago, several years ago. Things feel terrible but they probably aren't.

The stresses seem to be the same as ever, particularly concerning my security vetting. A colleague contacted me to say they were reading my blog. They seemed enthusiastic about the prospect of working with me, despite what they'd read, and the feedback seemed generally positive. It's the first time that a colleague has been brave enough to tell me that they've been reading my blog. Of course, the security vetting people have been reading too. I wonder if the security vetting people are as sympathetic to my stresses, and look favourably upon my ability to maintain an impeccably high standard of professionalism in the office, whilst undergoing some horrendous chaos in my personal life; struggling so much with my mental health. I wonder if all the talk about being sympathetic towards mental health issues is just hot air.

I wanted to write a short update, because I know people are worried about my uncharacteristic quietness. I've kinda failed. I'm doing OK, but I'm also really struggling too. Plenty of reasons to be concerned, but things are not completely ruined and on collision course with disaster... in fact I might even weather this storm and emerge in a reasonably good situation.

I'll try to write a little more regularly, but I don't want to be a stuck record, endlessly moaning about how unpleasant the effect of stopping medication is. I don't want to wallow in misery.

It's summer. I have money. I have employment for a little while longer. I have an awesome holiday booked. I have a very nice girlfriend. I have a cute kitten. I have a big house. Things are not terrible.

I'm not taking any medication, not drinking, dieting. I'm losing weight and my brain is getting back to a stable state without any alien chemicals. It's good to be free from the shackles of chemical dependency.

If I can push through this tricky period and keep the wheels turning, then I think my forties are going to be a much better period of life than parts of my thirties. It does feel good to be turning a corner as I reach an age when I should be growing old less disgracefully.

I've written more than I wanted to but I hope you'll forgive me. You're all up to date now.

 

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Beach Body

6 min read

This is a story about going on a diet...

Flip flops

571 days ago I decided that I was allowed to drink heavily and eat whatever I wanted. I had at least a bottle of wine every day and ate mostly fast food. I decided that this was my reward for working virtually non-stop: to guzzle gallons of alcohol and devour mountains of fatty food. My evenings were spent in McDonalds, KFC, curry houses and pizza places. My evenings were spent drinking glass after glass of red wine.

Unsurprisingly, I put on weight.

I was living in a hotel for a while, which was next door to a gastropub. I lived on calorific food, like lasagne & chips, washed down with large glasses of red wine. When I got back to my hotel room, I would continue drinking large glasses of wine. I decided that it was my reward for the miserable life of living in a hotel, to eat and drink with gay abandon.

I put on more weight.

Then, I noticed that I was putting on weight. I noticed that I had a tummy. I got out of the shower one day and I saw my own reflection in the mirror, and I realised that I had gained a belly. I've never really had any problems with my weight, so I was kinda shocked, although by this point I had been gaining weight steadily for roughly 9 months.

I didn't change my behaviour.

I did stop living in the hotel. However, I lived on takeaways and beer. I had a takeaway almost every night of the week, and I washed all that fatty food down with vast quantities of beer. I was going to the supermarket on an almost daily basis to re-stock the fridge with beer.

Then I stopped drinking.

My alcoholic friend killed himself. He drank himself to death. His alcoholism had raged out of control for a long time and hadn't claimed his life, but health complications quickly began to create a compounding problem and he knew that he was going to die; his quality of life was rapidly deteriorating. This event, coupled with my unhappiness about being a little overweight, was enough of a catalyst for me to quit drinking.

I was teetotal for nearly 5 months.

Then, I started drinking heavily, eating restaurant food and having takeaways on a regular basis. I drank loads of white wine and ate lots of very rich gourmet food. I had lost some weight by simply being teetotal. I had reached a point where my weight was under control and I felt better about my appearance, but then I quickly undid that by drinking and eating so much.

Now, I'm trying to lose weight again.

I'm not trying very hard to lose weight. All I've done is cut my daily calorie intake. I've stopped drinking - mostly - and I've stopped having takeaways and restaurant food - mostly - and I've stopped having large lunches. I've stopped eating breakfast. I've stopped snacking. On average, my weekly calorie intake has been cut pretty drastically.

I still don't do any exercise.

I joined a gym at one point, but I never actually went. The circumstances of my job changed and I found myself living in the hotel. It was hard to motivate myself to go to the gym when I had the miserable existence of living in a hotel. The highlight of my evening was my gastropub meal and red wine, so I can't imagine that there'd have been much point going to the gym.

I should do some exercise.

I'm making some very big changes to my medication at the moment. I'm tapering off high doses of tranquilisers and sleeping pills, in order to be medication-free by the time I go away on holiday, the day before my 40th birthday. I have less than a month to rid myself of physically addictive benzodiazepines and highly psychologically addictive sleeping pills. I have a horrible month ahead of me, filled with rebound anxiety and rebound insomnia. It's not easy to stop taking medication and it's extremely unpleasant to rapidly stop. Going cold turkey is not even an option - I could have seizures.

I'm making good progress.

Apart from last night, where I got extremely drunk and ate a gigantic burger and chips, Friday night where I drank two bottles of white wine, and Monday evening when I had a takeaway, I've not been drinking, eating takeaways or eating in restaurants. I've also managed to reduce my sleeping pills by 33% and my tranquilisers by 50%. I'm changing a lot of things all at once. It's very difficult to change so many things all at once, especially while I'm going through a very stressful high-pressure period at work, with some very demanding tight deadlines.

It'd be wonderful if I was superhuman and I could work full-time, have very little sleep, write every day, look after my kitten, keep my house clean, quit drinking, go on a diet, stop taking addictive medication AND do some exercise, but I'm afraid that it's too much to ask - the exercise will have to wait until life gets a little easier.

I know that I'll get more enjoyment out of my holiday if I'm fitter and in better shape, but the holiday is the respite I desperately need; the rest and recuperation; the reward for 571 days of almost continuous work, with the exception of a week-long jaunt to Turkey and two weeks in Mexico. My last holiday was nearly 7 months ago, and I've been through a house move and a breakup, as well as working exceptionally hard.

The beach body will have to wait, although my small lifestyle adjustments will help. The weight isn't just going to magically disappear, but I shall have to content myself with stopping the rot - I simply haven't got the bandwidth to be able to exercise on top of everything else on my plate.

 

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Intellectual Hunger

6 min read

This is a story about brain training...

Hotel food

I spent a week living in a Warsaw hotel, making sandwiches in my room, using a shoe-horn to spread mayonnaise and mustard on the long-life bread bought from a nearby convenience store which mainly sold alcohol and snacks. This would hardly be a great example of ingenuity - a sign of a brilliant mind at work - but it certainly addresses the first part of this short essay: hunger.

Hunger is not just about food, so I thought I would get the food part out of the way at the beginning.

We can be hungry for sex, love, companionship, social contact. We can be hungry for thrills; adrenalin. We can be hungry for substances of abuse, including alcohol, tobacco and caffeine. There are all kinds of hunger, not all of which can be satiated with food, although we can often try to use food to fill the gaping void inside ourselves. Comfort eating is something I find myself doing when tired, bored or otherwise hungry for something other than food.

I wanted to write about intellectual hunger.

There are some questions which don't require much brain-power to answer, such as: how am I going to feed myself cheaply for a week in a hotel that's nowhere near anything except a couple of shops which mainly sell alcohol? The answer to this question is not one requiring intellect, but instead the answer simply requires lowered standards and the willingness to suffer a little.

Another question might be: how am I going to increase my standard of living as much as possible, as quickly as possible?

Again, this second question is quite easy to answer and requires very little thought or effort of the mind. The answer to the question simply requires more lowering of standards and willingness to suffer. Ultimately, one can always sell a kidney or make bodily orifices available for sexual gratification of paying punters. Problems of this nature are not taxing or interesting, in an intellectual way.

With too much of life occupied answering trivial questions and doing the unpleasant obvious things - prostituting yourself and living in vile conditions - we arrive at a far more interesting question: why bother?

4 years ago it was obvious to me that I knew exactly what I needed to do, how I was going to do it and how long it was going to take, in order to restore myself to health, wealth and prosperity. The prospect of repeating tasks which had become so repulsively boring and easy to me, although somewhat stressful too, was doubly abhorrent because of the lack of novelty combined with the lack of intellectual challenge.

I think in many ways it would have been much easier to accept a fate imposed upon me by circumstances, and abandon the pursuit of an outcome which was almost too far out of reach; almost too unbearable to suffer while en-route.

When I say "easier" I mean intellectually nourishing.

What right do I have to spend my days talking to interesting intelligent people? What right do I have to spend my days reading interesting books? What right do I have to explore ideas, have discussions and write down my thoughts? What right do I have to publish what I write? What right do I have to be allowed readers? Why should I be entitled to have any of those things?

I suppose I accepted that a more interesting course through life was not available to the likes of me. Those who are fortunate enough to ask themselves "what kinds of things do I find interesting?" or "what would my perfect job be?" and to then use these answers to formulate a life which is compatible with capitalist society, are not in the same socioeconomic boat as me. This is not to say that I'm deprived and disadvantaged, but merely that I'm incredibly pragmatic and quite unwilling to risk a decline in my living standards, back to a time when I was sleeping rough and the most pressing question of each day was: where shall I sleep to stay dry and keep me safe from violence and robbery?

So, my 4-year writing project began. I scratched my itch as best as I could with the facilities at my disposal. I have written and published as if I am one of those entitled brats who gets to spend their time choosing from an almost unlimited menu of very pleasant options, because their socioeconomic circumstances protect them from the peril of destitution.

I'm still surprisingly far from ever being able to ask myself "what would I like to study?" or "what is my dream job?" but the vast majority of us will never be fortunate enough to be able to do anything other than suffer the coercion of capitalism, and to do unpleasant things in order to survive.

It seems churlish to complain, given that I have certainly been able to feather the nest recently, and I do my complaining in far more pleasant surroundings than a bush in a park, sleeping rough.

Although I'm time poor and nowhere near being financially comfortable enough to feel confident in risking any major alterations in my chosen life course, I am lucky enough to be emerging from an incredibly lengthy period of suffering, in order to shore up life's practical considerations: housing etc.

Theoretically, it's now a matter of months until some very real and tangible results arrive as a result of a very sustained campaign, which has been excruciatingly boring and predictable, with very little freedom of choice.

In conclusion, I appreciate that my situation is fast becoming an enviable one, and soon I will have the freedom to make choices which offer more intellectual nourishment, which has been so lacking during the 4 year period where I simply had to do whatever it took - to suffer - in order to preserve all future opportunities, and avoid any catastrophic life-changing disasters which would force me down another path.

 

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Seemingly Unimportant Decisions

7 min read

This is a story about success and failure...

Baked beans

There was a time, almost exactly a year ago, when I covered my windows with thick paper - so my bedroom was in complete darkness - and I ate baked beans out of a can with a business card as a makeshift spoon. There was nothing particularly wrong with my life at the time. I was earning a fabulous amount of money, my home had amazing panoramic sea views, I had a lovely girlfriend. What could possibly have brought about this rather dire turn of events?

It's important to me to feel like I'm succeeding. It's important to feel like I'm making progress. It's important for me to be able to picture a future that goes beyond the next week or the next month. I need to be able to see a clear pathway to a life that I will find happy and sustainable; fulfilling.

Of course, my path has never been blocked by any insurmountable obstacle. I never doubted for a single moment that my kidneys would start working again when they failed. I never doubt that I'll be able to find well paid work. I never doubt that at some point, eventually, I'll be able to quit the rat race.

The question is: how long will it take to achieve my modest and reasonable desire to feel secure in a happy, sustainable and fulfilling life? How many times will I have to move house, move city? How many times will I have to get a new job? How long until I own my own house again? How long until I have adequate cash reserves to pursue my dreams?

For many people, they already have their answer: they will never escape poverty. For the vast majority of people on the planet, they will be poor for their entire lives, and they will live a miserable, stressful, hand-to-mouth existence.

I'm not most people.

I'm not special or different.

I'm not entitled to any preferential treatment.

I don't deserve to be able to pursue rich-man's hobbies, such as writing, art and indulging academic fetishes.

However, I can tell you how long it will take to be able to free myself from the coercive tyranny of capitalism, and the answer is not "never". I'm fortunate, very fortunate that I do have a route to freedom; a route which most people do not have - they'll never escape the clutches of poverty.

Perhaps my decisions to black out my windows and eat cold beans from a can with an improvised spoon were part of a petulant tantrum; a result of impulsive impatience, in the face of a long and unpleasant waiting game. This is probably the closest approximation to the truth.

If I thought that my quality of life was going to remain below an acceptable minimum for any great length of time, and that the number of years of unpleasantness I was facing were too many for me to bear, I would make decisions... I would make decisions with drastic consequences.

It might seem illogical to you that I would make decisions with terrible consequences, when there are literally billions of people who would kill to trade places with me. However, it also seems illogical to me to make a decision with terrible consequences, such as continuing to tolerate an intolerable life, or worse still, inflicting that intolerable life onto some children knowingly brought into the world in awful circumstances. Surely we have to acknowledge that suicide is an option. Surely we have to acknowledge that contraception and abortions are preferable to miserable deprived hungry children, raised in filth and squalor.

Who am I to decide what the minimum viable quality of life is for somebody else, or the children they spawn? You're right: I can't make that decision for anybody except myself.

As things stand, the quality of my life is pretty exceptional, but there is still an unacceptable level of precarity. There is a greater risk of me falling below the minimum threshold for continued existence, than there is for my peers. I'm lacking vital things, such as a local support network, a supportive family and the willingness to re-endure suffering which I've already experienced beyond the amount I'm prepared to accept.

Of course, it would take a perfect storm, losing my girlfriend, my job, my money, my house and my health, for me to decide that I've had enough. However, I know how easily my flimsy, fragile life can collapse with alarming speed. This is not due to anything specifically weak about myself and my situation, but entirely due to my first-hand experience of calamitous life events.

It's probably true that if something bad happened in my life, I am now in a much more robust position and able to quickly remedy the situation before things collapsed. It's probably true that I'm better prepared than almost anybody to deal with adversity - I have the experience and I've dealt with dreadful things plenty of times. The question is, how much would it take for me to decide I couldn't be bothered to fight anymore?

As it stands, I work very hard to mitigate risks. I think the unthinkable. I anticipate theoretical problems and solve them before they even present themselves in reality. I know where my most vulnerable areas are, I've imagined my reaction, and I've imagined exactly what positive steps I would take in the event of disaster.

I'm quite insecure and anxious, but it's understandable. I don't have the luxury of anybody underwriting my risk. Ultimately, I know that I can fall very, very far. That's my life: a high-wire tightrope walk without a safety net.

Imagine the young trainee doctor I wrote about last year, who killed himself when he thought he was going to be declared unfit to practice medicine. He could have gotten a job at McDonalds. He could have been a beggar. Surely it can't be that bad to be alive, fit and healthy, can it? Surely he should have been happy that he wasn't a starving African child with mutilated genitals? That's not the way it works, I'm afraid. There are people who have terrible lives, but that doesn't mean that other people can't have terrible lives too, even if they are not absolutely terrible. Terribleness is relative to our lived experiences. Terribleness is a function of our very real and tangible hopes and dreams being dashed to pieces on the rocks.

My lived experiences encompass sleeping rough in Kensington Palace Gardens as well as dining nearby on a private terrace overlooking a lush green roof garden with flamingos, and London's skyline providing the backdrop for me proposing marriage with an exorbitantly expensive engagement ring, before clinking glasses with finest champagne. That is an example of the range of my life experiences, from utter failure and destitution to incredible wealth and success. It's impossible to un-experience those things, and to reset the "minimum viable quality of life" to a level of my own choosing.

Could I be poor and happy? Quite possibly, but I very much doubt that I would be happy flipping burgers, getting paid minimum wage on a zero hours contract McJob and giving all my hard-earned money to capitalist leeches for the privilege of being alive.

If you flip burgers and you are happy, then I'm pleased for you. If you're a starving African child with mutilated genitals and you're happy, then I'm pleased for you. Please also recognise that I cannot un-experience what I have experienced in my life and I cannot choose how to feel.

 

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Not a Real Person

7 min read

This is a story about living a lie...

Bengal kitten

I've been accused by a BBC journalist as being a fake - creating a contrived story - although she did come to visit me when I was held in a secure psychiatric ward, so I wonder whether she continued to suspect my authenticity after that. A recovering alcoholic from the South-West of England, who had recently started a blog, and a mutual friend of ours who had lost a child to suicide, decided that I was a journalist. Most recently, a person who I considered a friend who had once offered to accomodate me when I was facing homelessness, but then quite suddenly retracted that offer, said that they had considered my bipolar diagnosis "doubtful" and told me that they'd "lost faith in [me] as a real person". These are just some of the examples of people who have taken an interest in my story, only to later suggest that I'm a fictional character; a figment of my own imagination.

It would be quite nice to be a fictional character. Assuming that this blog is written by a human being and not an artificially intelligent Nickbot™ then it seems logical to further hypothesise that the author lives a pleasant life free from mental illness and the mood instability of bipolar disorder. It sounds really nice to be a fiction author or journalist, who has the time to create a character for the world to read about. It sounds like a super pleasant existence, being able to write a fake blog about a fake person and to inflict fictional unpleasantnesses upon that non-existent person, instead of a real human being having to experience terrible things. It sounds a lot better to me, that there should be a "real person" out there who is having a nice time, and that all the bad times never happened at all - they were all just stories.

Unfortunately, I feel pretty real. If I pinch my skin it hurts. If I slap my face it hurts. When things are going wrong, it hurts. When things are stressful, it's very unpleasant. When things go wrong, it's awful.

I really wish I wasn't a "real person".

It seems like a lot of effort to go to, spending 4 years of your life writing 1.2 million words, to create an artificial entity - a fictional person living in a fictional world - when it must be clear that I derive no monetary reward from this endeavour. Do you think I get paid a salary to write this blog? Do you see any adverts anywhere? Do you hear me promoting products? How does the "real person" make their money and why would anybody pay money to create a fictitious "Nick Grant" character?

The most disturbing and upsetting part of accusations that I'm not "real" is that I've been hospitalised 3 times with multiple organ failure as a result of trying to end my own life. I've spent months in secure psychiatric wards. I've spent years trying different medications and suffering their side effects. I've seen so many doctors, specialty doctors, mental health nurses, psychiatrists, social workers and various support workers who are part of community mental health teams and crisis teams. I nearly died a whole bunch of times... like, serious not messing around, major medical emergency, miracle I'm still alive kind of nearly died.

Am I supposed to be sorry that at the moment my job is going well, which has earned me a lot of money, such that I've been able to get a lovely big house, furnish it, get a gorgeous bengal kitten and meet a beautiful girlfriend? Am I supposed to be apologetic about that? Am I not supposed to have any of that?

Bipolar disorder has been destructive and destabilising and has caused me to have to start my life from scratch. Bipolar disorder has caused me years and years of dysfunctional behaviour, which stopped me from having a happy life and enjoying health, wealth and prosperity. Am I supposed to stay stuck eternally in that perpetual state of mood instability, which was so extreme that my life was ruined?

If I knew what the 'cure' was for bipolar, I'd gladly tell you what it is, but as I've written before, I don't think I'm cured at all. A lot of hard work goes into managing my mental health condition without medication. In fact, choosing to be unmedicated is one of very many difficult decisions I've made, along with choosing to work, when I would much prefer to abandon all responsibility and assume that there's a magic pill which will 'cure' me enough for me to be able to sit around watching TV collecting my government handouts.

I have episodes where I appear to be very functional. Am I supposed to be sorry about that? These episodes where I'm functional don't come for free: I work very hard to keep my mood as stable as I can.

You're right: I'm no longer sleeping rough. You're right: my circumstances have improved considerably. You're right: my life looks somewhat enviable. How many times have you slept rough? How many times have you been hospitalised with multiple organ failure? How many months have you spent under lock and key on a secure psych ward? How many different strong psychiatric medications have you tried? How many doctors have you had? How much have you lost? What's the lowest you've ever got - have you ever lost literally everything and had to start your life again from scratch?

If you think that somebody who's nearly died a bunch of times and who's slept rough, destitute, has no need or want for a nice house, a gorgeous kitten and a beautiful girlfriend, then you're a complete idiot. You think I'd settle for living in a tent? You think I'd settle for a few ragged dirty clothes? You think I'd settle for one meal a day from my local soup kitchen? Do you think somehow that I should have lowered my sights and curtailed my life ambitions, because I've experienced the very worst that life has to offer? Fool.

If I had the 'cure' for bipolar disorder then I'd share it for sure. In fact, maybe there are lessons to be learned. I've exhaustively documented every single gory detail of my life in the hope that it would be read, and that it might prove interesting and perhaps even useful to the general public. You're welcome.

As for those of you who think I should be sleeping on a piece of cardboard in a shop doorway, begging, because that seems more "real" then I'm sorry to disappoint you, but I like my life better, even if you think you have the right to tell me that I should be deliberately choosing to deprive myself of nice things. I like my nice house, I like my gorgeous kitten and I like my beautiful girlfriend, even if those things don't fit with the narrative which you invented. There's 4 years of my life and 1.2 million words if you want to go digging to find some of the really awful times from my past.

I continue, as ever, to write with unflinching candid honesty about the reality of my day-to-day existence.

 

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Radio Silence

5 min read

This is a story about being absent without leave...

Mast

Friends quite rightly worry about me when I stop writing regularly. Usually, a gap in my daily blogging routine indicates trouble. Often, the trouble can be very bad - the kind that would threaten my life, my job, my shelter, my money... everything could potentially go down the pan, surprisingly quickly.

It's very nice that concerned friends check in on me if I go quiet. It's very reassuring that people care about me. It's very touching that people would take time out of their day to try to contact me, to see if I'm OK.

I am OK.

I've been pretty damn exhausted and struggling to catch up on some much-needed sleep. I've been under a great deal of pressure at work. I've been feeling a bit jittery and anxious - insecure - as I'm in a new relationship and I'm really crazy about my girlfriend, and I'd hate for anything to go wrong. I have a whole new set of responsibilities now that I have a kitten.

One thing I've been doing regularly, at the expense of my blog, is washing duvets and duvet covers, because my kitten has a habit of peeing on them. My kitten is house trained and knows where her litter tray is, but she seems to want to pee on the bed, every single day. She's now banned from the bedrooms. Mercifully, she hasn't peed on my sofa, yet.

Last night I let my kitten roam free and she didn't pee. She didn't spend much time in my bedroom at all. She likes to sleep on a duvet, but I was sleeping under sheets because the duvet was drying. I guess she's taken to sleeping at the top of the house, where it's the warmest - probably next to the boiler. I always worry when I can't find her, but after a while calling her name I can hear her scamper down the stairs, from the very top floor.

Other than washing cat pee, I had a friend visiting from abroad, which was wonderful, and I spoke at length to two other friends. Also, I see my girlfriend a lot, which is amazing - we have very similar tastes in arts, culture and politics, and we can talk for hours. There are lots of good things going on in my life, which is also perhaps why I'm writing less: I tend to use writing therapeutically when life is very difficult.

I'm drinking too much, not exercising enough and I still need to catch up on sleep, but life is very good. I have some stresses - such as an invasive security vetting process, renegotiating my contract at work, and getting official permission to have a cat from my landlord - but on the whole my life is busy, entertaining, exciting and has some extremely pleasurable periods.

I'm in need of a week of rest and relaxation, to recharge my batteries, but the project I'm working on is very demanding and it's an important time to be in the office, making sure everything goes to plan and the project is a big success. I'm sure I can juggle the competing demands on my time, because I've worked hard to earn plenty of brownie points and build a good reputation with my colleagues.

It is a little tricky finding the time to write every day, and I know that it's a healthy habit to write and publish every day. I know that it's useful to keep the people who care about me informed of what's going on in my life. I know it's a worthwhile investment of time, continuing to write this blog.

I am spread a little thin and I am having a few problems with drinking too much, and skating on thin ice with so few energy reserves, leaving me somewhat prone to have a moment of impatient unkindness, either at work or at home. I feel resentful of colleagues who produce shoddy work at snail's pace. I feel jealous of friends who aren't working, who are much more time rich. However, it's my own stupid fault for taking on too much and not looking after myself.

Hopefully, I can start to write every day again. The tone of what I write will probably change. A lot of what I'm going to write about is how I spent a pleasant evening on the sofa, with my cute little kitten curled up sleeping on me, like she is now.

If you're looking for drama, it never seems to be very far away in my life. I have no idea what's going to shatter my pleasant existence, but there'll be some unpleasant surprise waiting for me, I'm sure.

For now, no news has been good news. I can deal with a bit of kitten pee. My life is very good at the moment. Being busy with my girlfriend, busy with my job, busy with visiting friends, and busy with my kitten - that's a nice state of affairs.

 

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Managing Bipolar Without Medication

11 min read

This is a story about personal responsibility...

Handful of pills

I often like to think that I'm 'cured' of bipolar, but the reality is that I can have incredibly functional periods, where it certainly appears to the outside observer as if I'm perfectly healthy. However, the stability of my life - and my mood - is not due to having received treatment, nor is it accident or pure good luck. There are a lot of choices, deliberately made, which keep me functional.

We must accept that whether I'm functional or not, I do experience a mood disorder: bipolar. I can be suicidally depressed but working productively at my desk, with my colleagues blissfully ignorant of my distress and the danger to my life. I can be fighting to control my hypomania with every fibre of my being, desperate to unleash the 'high' episode and experience a period of incredible creativity and productivity, but I know that my colleagues would bear the brunt of my irritability, and their suspicions would be raised by my fast speech and general intensity... I would be told to go home; I would be told I'm working too hard, and I would ignore them, only to subsequently crash.

I'm prone to taking huge risks. I'm prone to depressions that leave me unable to leave my bed or face the world for long periods. I'm prone to hypomanic episodes where I take on ridiculously huge projects, and somehow manage to complete them, but at great expense to my health and stability.

Nobody could say that I don't have to be aware of my bipolar disorder at all times, because it always threatens to plunge me into suicidal depression, or make my hypomanically high - neither state is compatible with a regular 9 to 5 Monday to Friday office job.

Luckily, nobody employs me because I'm a slow and steady guy; nobody employs me because I plod along doing nothing much in particular, keeping a low profile. The reason why I get employed is because I get stuff done. I get a lot of stuff done. I get things done that people say couldn't be done. Then, one day "I can't even" as the kids say. Yep. That's a complete sentence. I can't even finish a sentence properly when I'm having one of those episodes. I become dysfunctional if I don't manage my illness. There's no denying that I'm unwell when I get so sick I can't leave my bed, answer my phone or send an email: I go AWOL.

For years I struggled with the different episodes. I allowed too much of my hypomania to be conspicuously visible in the office. I allowed too much of my depression to overspill from my private life. I was in the office when I shouldn't have been and I wasn't in the office when I should have been. I allowed my mood to dictate my behaviour, as so many of us do, because it's virtually impossible to behave otherwise.

I tried being my own boss, so I could work as hard as I wanted when I was hypomanic, and sleep as much as I needed when I was depressed. Things got worse, not better. I tried tablets. I tried so many tablets. Things got worse. Things got so much worse and I became so dysfunctional that my life fell apart, but nobody believed me. I was sleeping rough in Kensington Palace Gardens - a complete mess - but because I sound posh and intelligent, and I've had a great career, nobody believed that I was losing my battle with my mental illness, and I was incredibly vulnerable. I desperately needed help, but to outside observers, I seemed to have some semblance of the self-reliance I'd always had... everyone assumed that I was as competent and capable as I'd ever been, and that I could take care of myself.

Things got very bad. I was hospitalised several times, both for medical emergencies due to physical health problems which threatened my life, and for the seemingly unending mental health crisis I was suffering. The fact I was alive was taken as evidence of my resourceful nature and self-preservation instincts - my ability to be responsible for myself - but it's pure blind luck that I'm not dead, along with a heck of a lot of skill, effort and energy by a vast number of medical professionals, who've saved my life during various organ failures, seizures and generally near-fatal awfulness which took place in high dependency hospital wards and intensive treatment units.

Today, my life gives few clues about the journey to this point. I have two large scars on my legs and a tattoo behind my ear. The tattoo is something that any observant person might see, as a tiny clue that I've been though some pretty appalling stuff, but the scars are usually hidden beneath my clothes.

The length of time that I've spent working closely with a close-knit group of colleagues, and what we've achieved together as a team, is the basis for the impression that people have of me, along with my general demeanour. I'm lucky enough to have retained my full faculties and suffer no impairment due to the horrors of the past. My colleagues see a competent and capable individual who they have come to depend upon - they trust me and the seek out my opinion. In this sense, you could be forgiven for thinking me 'cured' of bipolar.

I'm hoping that I will stay in my new home city for a long time, and I will build an ever-increasing circle of friends, neighbours and other acquaintances, who see me going about my daily business; who have pleasant normal interactions with me. My existence is clearly no longer full of crises; I'm obviously much more stable than I was, and that stability has proven reasonably reliable.

None of this is an accident. None of this is pure chance.

I don't have any caffeine. I know that alcohol is bad for me, and I avoided it for months, which was very beneficial to my health. I try to sleep as much as possible - 10 or 12 hours a night whenever I can. I keep to a routine... I keep to a REALLY STRICT routine if I can. Mealtimes, when I get up, what I wear, what I eat, writing every day, quiet time before bed, glasses to filter out blue light, dietary supplements... these are some of the things that are working well. I know I need to exercise more and I know I need to get more natural light too. It would be healthy to have regular social contact with people outside work. It would be good if I had a local support network.

My job often bores me, but I put up with it. I'm often too depressed and anxious to get out of bed and go to the office but I force myself. I often find there's not enough time to watch films and documentaries, or do anything other than write, eat and get ready for bed, after work, but I'm trying to do more.

I've gotten tired. Really tired.

Last week was incredibly exhausting. Work was immensely stressful and demanding. Some relationship difficulties cause me to lose a lot of sleep, as well as being very emotionally demanding and stressful. I got a kitten, which has been extremely rewarding and exciting, but also a disruption to my delicate routine and an additional set of responsibilities.

Adrenalin has carried me through the past few weeks and I've managed to skip almost entire nights of sleep on several occasions, seemingly without consequence, but it's all caught up with me.

I haven't been looking after myself.

I've broken my rules.

I've broken the rules which keep me safe, healthy, secure and stable. I've broken the rules which have kept me functional for a very long period of time. I've broken the rules which I invented to end the crises and the dangerous highs and lows. I've broken the rules and I've paid the price.

I'm not sick but I'm not well.

I underestimated the damage it would do to my health, drinking too much and staying up all night. I overestimated my ability to cope with extra stress and big changes. Suddenly I have a girlfriend and a kitten, where previously I had nothing but a big empty house. My life is immensely more pleasant and enjoyable, but it's also suddenly become incredibly fragile. I'm suffering bouts of insecurity and occasional outbursts of frustration that my comfortable stable security and safety margin of spare energy has been exhausted, leaving me irritable and impatient.

It's my responsibility to make sure that I'm getting enough sleep. There aren't enough hours in the day, but I can take some holiday. I've worked non-stop since I got home from Mexico at the start of January. Nobody can work so hard, move house, get a girlfriend, furnish a home and get a kitten, without having a holiday. I've been relentless. I've acted as if I've got limitless energy and a superhuman ability to achieve impossible feats at incredible speed. To all intents and purposes, I've pulled off almost everything, but the cracks are showing - I'm heading for disaster.

Whether I've already gone too far, allowing myself to become too tired and letting myself become unwell, remains to be seen. I was irritable and unpleasant last night, and there might be consequences. Who knows what damage I've done?

I'm going to sleep until lunchtime tomorrow. I'm going to recharge my batteries.

I know that a few extra hours sleep is not enough. I need a whole week of lie-ins. I need a whole week of afternoon naps. I need at least a whole week of being free from the relentless demands which I've faced this year. I desperately need another holiday. I've left it too long, as usual, but I hate going away on my own.

That's another part of the non-pharmaceutical treatment for my bipolar disorder: holidays. I genuinely need holidays for the sake of my health, but when my life was chaotic I would work as hard as I could for as long as I could when I was well, because I felt so much pressure to earn as much money as possible, to support me during episodes of illness. I've come to realise that it's incredibly unhealthy to have 6, 9, 12 and even 18 months without a proper holiday. I need a week away. I need a week of rest and relaxation, and ideally that would be with my girlfriend, if I haven't p*ssed her off and upset her with my unstable mood already.

I wonder if I'll make it - last long enough - to be able to go away on a nice holiday to recharge my batteries. I think that I need to start taking evasive action immediately. I need to be strict with my bedtime. I need to be strict with alcohol. I need to take some mornings off work to catch up on sleep. It might be advisable to take a whole week off and just do nothing for the sake of my health. I know that I've let my health get into a precarious state.

I haven't looked after myself and I need to act.

I could spend a week pottering around my lovely house, with my kitten to keep me company. I think my health would benefit significantly. I need to loosen my grip on my work. I need to relax. I need to rest and recuperate.

Burnout is not good. I'm so sick of burning out. I'm so sick of episodes of mood disorder. I can regain stability, but I need to recognise that I'm not well and I need to act immediately. Yes, I could cling on until the end of July for a holiday with my girlfriend, but there's a huge chance I could get really sick if I try to wait that long. I'm going to have to take some time off work, for health reasons, and it's not the end of the world.

I hope I write again soon that I did the sensible thing, and that I'm getting on top of managing my health. I hope to write that I'm regaining some safety margin, so that I can remain cool, calm and patient, and not be irritable and unpleasant. I hope to write that I'm treating my girlfriend nicely, not being an exhausted wreck, full of insecurity and instability.

I feel super bad that I've mismanaged my illness, but all I can do now is to try to look after myself.

 

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Domestic Bliss

9 min read

This is a story about basic human needs...

Tiny kitten

For a very long time I've been complaining about how slowly life has been progressing. It has been a source of immense boredom, frustration, annoyance, irritation, loneliness, unhappiness, dissatisfaction, exasperation, exhaustion and a general waste of my limited mortal lifespan, to have to sit around waiting for the hands of the clock to move; for the grains of sand in the hourglass to fall one-by-one through the narrow opening, at an agonisingly slow rate.

I've viewed life's core problems as fourfold: work, money, love and home. I can survive without a job, but I'm on borrowed time - eventually my savings and credit will be exhausted and I'll become destitute. I can survive without money, provided some good Samaritan is kind enough to offer food and lodgings for free. I can survive without love, but without it life seems pointless and unpleasant; not worth living for. I can survive with quite primitive shelter, but it's immensely damaging for my sense of wellbeing and self-esteem to be sleeping rough in Kensington Palace Gardens, for example.

Getting a job is probably the easiest of all the problems to solve. I've always been very employable and I command a high rate of remuneration wherever I am. My skills can be put to good use almost anywhere, mercifully.

Getting money follows as a natural consequence of getting a job. So long as I'm well enough to work, money will quickly follow. Mercifully, money flows in at a rapid rate, which can relatively quickly replenish my depleted savings and enable me to spend money on other things which are very cash-hungry, such as housing.

Getting a nice house is a little bit trickier sometimes as I'm occasionally classified as "self employed" and expected to prove to an unreasonable degree that my earning potential is far in excess of my financial obligations. I've previously been asked to pay an entire year's rent in advance, which is particularly unreasonable. To tie-up an entire year's rent in a single lump-sum payment poses significant cashflow problem, even for a high earner, especially if there is furniture to purchase and other moving-related expenses. To furnish my house with just the basics has been expensive and exhausting, and my bedroom still lacks a wardrobe and a chest-of-drawers. There is a long way still to go with furnishing my house.

Getting love seems like the final hurdle. I have very low self-esteem if I'm not working, earning, able to spend money and living somewhere lovely. So many people will ask "what have [I] got to offer anybody?" and tell me that I should be single, but those people are wrong. Sure, it might be a mistake to be in a bad relationship purely because of being too afraid of being alone, but it's so often those who have been happily married for years, who have forgotten how truly awful it is to be lonely, who offer the unsolicited advice that being single must be brilliant fun. It's not. I hate dating.

There are two important things I need to write about.

Firstly, I can settle for temporary relationships of convenience and turn a blind eye to red flags. I can make things work with a person who ultimately I can see I have no long-term future with. However, I never take my eyes off the prize. I know when I meet somebody very special - an incredibly rare event - and I know the difference between love, lust, temporary infatuation, and comfortable relationships which are only marginally better than being single. I'm quite capable of having a lovely time with somebody - something casual - but I have always maintained the hope of meeting somebody I'm really well matched with, who hopefully I can have a much more serious, loving relationship with. I have only been in love twice in my life, with a third time which was very promising but was never able to come to fruition - we'll never know what might have been. I use the word "love" very carefully and sparingly. When I say "I love you" or suchlike, a lot of thought has gone into what I'm saying, and there are deep feelings behind those words; those words are not said cheaply or easily, without a great deal of thought and scrutiny of my emotions.

Secondly, breakups do cause me a lot of distress, but I am not the kind of person who's unable to handle a breakup without it threatening my safety. Indeed, I very actively avoid the situation where I feel as though my world would be destroyed, leaving me suicidal, if I lost the love of my life. It's extremely unwise to over-invest in something so fragile as a human relationship, even if it appears to be fully reciprocated. I've been through divorce, so I know that even the most solemn of vows and binding of legal contracts, with the lengthy preceding relationship, is not enough to give any guarantees of security. I don't like unpleasant sudden surprises which will cause my life quality to be massively adversely affected, hence why I was so shaken by the events of last week, but even somebody who I'm totally in love with is not duty-bound to stay with me, for fear of me committing suicide. I would never say "if you leave me I'll kill myself" or commit suicide in direct response to a breakup.

Last week, my job was going incredibly well, my finances were in great shape, my house was looking amazing and my romantic relationship was awesome. I had a long weekend planned, which was going to begin with getting a kitten, and be spent in a state of domestic bliss, with the girl of my dreams, in an amazing home, loads of money in the bank, brilliant job and with a cute little fur baby scampering around.

Then, things looked like they were going to get ruined.

It's not that I was going to lose the relationship which was the sole reason why I went from on-top-of-the-world to suicidally depressed, but that the accompanying awfulness was too much to bear, as a sudden shock. Of course, I wouldn't have lost my money, my house or my job, but the approaching weekend - which I had been looking forward to so much - had a completely different complexion, as a suddenly single man.

What actually happened was that my girlfriend and I drove to pick up my little kitten, full of excitement and anticipation, drove the delightful little furball back to my amazing house, had delicious wine and Chinese takeaway and spend an amazing evening with my playful affectionate new pet. We woke up with a purring fur baby in bed with us. We spent the weekend on the sofa, eating delectable food, sharing our passion for similar cultural entertainment, and making a fuss over the cute little kitten... the most perfect weekend imaginable.

The difference between what actually happened and what could have happened might not seem great enough to have prompted the decision to not get a kitten and to hang myself, but we must be aware that it has been a very long hard journey from sleeping in a bush in Kensington Palace Gardens - utterly destitute - to get to this point.

Breakups have caused me a great deal of trauma in the past, with my divorce being the most extreme example, which tore through my life destroying nearly everything, myself included. However, I know what love is and I know what kind of life I want. I know the core elements that will make my life pleasant, liveable, sustainable and full of joy. I'm no fool: I know what I've got to do, and I've been patiently rebuilding my life, choosing very carefully.

As I write this, I have my little kitten peacefully napping on my chest, as I'm lying on my chaise-longue in a parquet-floored period home, with huge high ceilings and massive bay windows. I've had a great day at work and I've earned a lot of money. I have a beautiful girlfriend who I think is amazing, who will be coming to see me later. My life is exceptionally awesome.

How will I react if the relationship ends? Who can say? What I can say with certainty though, is that I've dealt with exceptional adversity in my life and survived, and of course I am incredibly unlikely to hurt myself while I still have the energy to keep fighting and patiently battling to achieve a decent quality of life.

Given some medical emergencies which have nearly claimed my life, and becoming totally destroyed by my divorce, perhaps I should be happy to live in a dumpster, in rags, with no love at all; perhaps I should just be happy that I'm not dead. No. I'm not content to merely be alive. I want it all: love, money, job and house... and a little kitten.

I hope that things work out with my girlfriend and I. I think she's amazing and I think we're really well matched, but who knows how things are going to pan out in future. Of course, I hope that she's "the one" but it's early days. If things don't work out, that's life - I still get to keep my great job, my great house and I still have the love of my little kitten.

This might sound quite different from how I sounded last week, but you have to understand the massive disappointment that I was facing. I would be disappointed if things didn't pan out with my girlfriend, but it doesn't have to be so devastating and shocking and sudden. Life is usually a little more stable and predictable.

Anyway, I had a great weekend of domestic bliss.

 

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How To Date Hot Women

8 min read

This is a story about second best...

Dancers

This isn't a story about dating hot women at all. This is a story about all the reasons why you shouldn't date hot women. I suppose I'm no sex-starved involuntary celibate (InCel) man who has little success with the opposite sex, but neither would I like to stray into the revolting world of being a pick-up artist. Of course, I've derived an enormous boost to my confidence and self-esteem from sexual conquests - to fail to acknowledge that would be disingenuous - but I've relatively recently become secure and content in the knowledge that my sex-starved frustrated and miserable adolescence is not going to return to haunt me; I have always secured an adequate steady supply of sex with relative ease, so I don't need to constantly pursue women purely to prop up my fragile self-esteem.

Apparently it's a common phenomenon that men will try to get women who are "out of their league". I find the whole concept of "leagues" to be thoroughly appallingly awful and abominable, and I have deep disdain and contempt for those who consider themselves to be "high ranking" in this imaginary "league".

Perhaps the source of my objection to the ranking of physical attractiveness on some scale, is down to my own insecurity that I might be in the middle - scoring 5 out of 10 - or perhaps even worse when I'm feeling a little unfit and carrying some unwanted extra weight. However, my experiences have taught me that I never feel lacking in female admirers, so I must be on the desirable end of the attractiveness scale, if such a thing could ever exist, or should ever exist.

I've heard it suggested that a man should be glad when he gets a woman who is "out of his league" and should simply trust her judgement - she knows her own tastes and can choose as she pleases - but this essay is about why it might not necessarily be a good idea to live daily life with a partner who you consider to be substantially more attractive than you are.

I have noted in myself a considerable amount of time and emotional energy spent worrying about what a very attractive (in my opinion) woman would see in me. Instead of being pleased to receive the attention of women who I find devastatingly beautiful, it has felt like a dreadful trap: what if I fall in love, and then their momentary blindness is cured - the spell is broken - and they can see my true ugliness? How terrible would it be to believe that I'd snagged a woman well "out of my league" only to be dealt a cruel blow by reality?

Firstly, how does one retain a "hot woman"? This may sound horribly possessive in a sexist, misogynistic, male chauvinistic way, but it's a question we have to answer: if you possess a woman who many man want to have for themselves, how do you keep her?

Secondly, how do you cope with the continuous challenge of feeling somewhat unworthy? If your own self-esteem is not great and you're dating somebody who you are incredibly in love with, this presents a considerable psychological problem. It would be easy to be driven mad by the sense of inadequacy: insecurity creates jealousy, paranoia and a whole heap of undesirable behaviours, such as over-protectiveness. It seems probable that an ugly man dating a beautiful woman would want to - if he were allowed to - lock her up somewhere so that she wouldn't fall in love with any handsome men and leave the ugly man heartbroken.

Thirdly, can you even handle how hot this woman is? Will you be able to talk without fumbling your words? Will you be able to be witty and charming and cool, or will you turn into a gibbering idiot, simply because you are so overcome with the desire to impress her? What if you get her into bed? Will you be able to stop yourself from prematurely ejaculating when her beauty is so arousing?

Finally, how will you handle the continuous attention she gets? It might sometimes make you feel very good that every man who sees her is mentally undressing her and lusting after her - you'll be pleased that you're the lucky one who's dating her. However, there will be other times when you're aware that an unending stream of horny men are trying their luck with the girl you're dating. How are you going to handle that? She's spent her whole adult life being hit on by horny men, so she's used to constantly being told she's beautiful and having offers of sex, along with a lot of harassment too of course. How are you going to handle the fact that in public, at work, on the internet and just about anywhere, anytime, there will be a horny man trying to have sex with the hot woman you're dating?

I suppose the problem fundamentally lies with the idea of possession. We are very pleased to have institutions like marriage in our society, and we celebrate and encourage saying things like "my wife" and "my husband" and referring to each other using possessive language. If we believe that legal contracts and religious vows are enough to confer the answers to the above questions, because marriage implies fidelity - committed monogamy - then we might assume that marriage is the solution: find the hottest woman you can and marry her. However, human behaviour demonstrably does not obey legal contracts and solemn vows. In fact, we can see that people cheat all the time, and marriage is completely meaningless.

In Islamic countries, it's more socially acceptable to demand that your wife present herself modestly and keeps herself mostly away from men, perhaps under a kind of "house arrest" in the most extreme of examples. The very worst of Islamic culture sees women barred from working, barred from driving and insisting that women are not alone in the company of any man who might pose a threat, without a trusted chaperone. One might say that under Islam, men are able to achieve their fantasy of keeping their hot woman safely under lock and key, to address the problems I outlined above.

Clearly the demand for hot women outstrips supply, but we might counter that the pool of men who are "in their league" is probably approximately the same size, and thus we needn't worry about the scores of horny men who will continuously attempt to have sex with the hot woman you're dating, because she is used to fending off these unwanted advances. We could assume that coupling off is a relatively efficient process, where we hopefully fall in love with somebody who's equally in love with us. While we have an endless parade of models, actresses and porn artists projected into our eyes on every screen and magazine page, which warps our views on what is realistically attainable as a beauty standard, it's still quite possible to remain grounded in reality and not hold the unreasonable expectation that you're ever likely to date one of the world's most beautiful women.

Does this mean that we are settling for second best whenever we fall in love with somebody? While I'm deeply aware that relationships can bring out the very worst qualities in people, and that jealousy and insecurity are some of the most destructive and awful forces, ugly men get laid every day and some of them are not even extremely rich. Wealth and power are clearly the best route for a man to be able to date hot women, but there are numerous other ways in which men can make themselves more charismatic and desirable.

I've been accused of "downdating" in the past, which I suppose was either true, or it was an indication that women can suffer the same psychological problems, when they know that they're dating a hot man. I don't see any particular problem with "downdating" because we should date according to what we're psychologically comfortable with and able to cope with. Personally I find dating immensely more pleasurable when I'm untroubled by insecurity and other unpleasant feelings, so why would I choose to date somebody who made me feel inadequate, unattractive and insecure?

In conclusion, I view attention from "hot women" as dangerous: liable to tempt me to form an attachment where I'm likely to get my heart broken; liable to lead me into a situation where I'm having undesirable and unpleasant thoughts, feelings and behaviours. What does it say about me that I think: "yeah I'd love to date a hot woman, but she has to make the first move".

 

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Treatment

10 min read

This is a story about making people better...

Ward

I remember the days when I thought that there were magic buildings full of magic people with magic potions who could make magical things happen. I remember the days when I was naïvely optimistic about the abilities of people, institutions and organisations who make highly alluring claims: we can cure you!

If I had ruptured a major blood vessel, or my body was losing its battle against a bacterial infection, you can be damn sure that I'd want somebody to stop the bleeding or give me some antibiotics. If I had an operable cancer, you can be sure that I'd want somebody to cut it out of my body.

Some areas of medicine are comparatively new. Some areas of medicine don't have a great deal of success - the data doesn't show significantly better outcomes for patients who are treated, versus those who are untreated. Medicine is actively losing its battle to save lives in some areas, such as suicide and opioid addiction. Mental health problems and addiction have been declared medical emergencies; epidemics.

Sometimes I wonder if it's useful to think of myself as having a chronic illness, and to expect that problems are just around the corner. I can have a good day, a good week, a good month... maybe even a good year. However, it's probably dangerous to start thinking of myself as "cured" or "recovered" and begin to consider myself "normal". Complacency will no doubt lead to repetition of past mistakes, which can result in an incredibly fast chain of disastrous events, destroying every semblance of a normal life, which was so convincing that I and other people were completely convinced that I'm just another ordinary bloke... not some ticking time bomb.

I fought very hard to get treatment. There was a great deal of reluctance to diagnose me as bipolar, and there was further reluctance to treat me. I seemed very functional. My problems seemed acute. Everybody hoped that I'd go away and get better without intervention.

wanted treatment. I knew I was getting sicker. I knew that my situation was deteriorating. I could see the car crash that was about to happen.

I believed that treatment was effective.

I just had to find the right treatment.

I tried so many medicines. I also believed in the "magical healing powers" of hospitals and doctors. I was indoctrinated by the medical establishment's dogma: "we are the experts and we are the only ones who can cure you".

Of course, I'm not such a fool that I believe in alternative medicine. I critically examine all the claims of all charlatans, quacks, healers and others who promote themselves as miracle-workers. Desperate people are suckers. People are also lazy and gullible. Many of us will be scammed in our lifetimes, because we are so desperate to believe in the existence of things that are too good to be true.

It would have been good I could have avoided that period of my life when I was desperately searching to find the right specialist, hoping that a stay in hospital would be my salvation, or trying a heap of different medications in the hope that I would stumble upon the right one, but it was a necessary education. I needed to learn what was possible, and what was not possible. I needed to see with my own eyes and experience those things first-hand, to learn the limitations of psychiatric medicine.

Psychiatry is young. Mainstream psychiatry - the prescribing of psychiatric medications on a massive scale - is an experiment that's barely a few decades old, which is no time at all, when we consider that anatomical studies of the human body and surgery are parts of medicine which are hundreds of years old. The present-day situation, where at least half of us will take a pill for depression or anxiety at some point in our lives, and so many of us have been taking psychiatric medications for years and years... this would have been unthinkable before Prozac successfully normalised the practice of dispensing mind-altering drugs to tens of millions of people across the USA and Europe. Nobody really knew what the long-term consequences and long-term outcomes would be.

I've lost interest in having any contact with doctors now. I've lost interest in any new developments in the field of psychiatry. I've lost interest in the idea that there will ever be a miracle pill to cure depression, anxiety or to stabilise moods. The brain has proven a far more complex organ than the blunt instruments of psychoactive substances are able to have any precise effect on. Pills are useful for curing a bacterial infection, but they are of no use in an organ which has been evolved to specifically resist attempts to alter it - the brain's ability to maintain homeostasis is incredible, and all psychiatric medications are fundamentally flawed, because they affect a plastic organ, which can simply adapt itself and return to its original state.

Hospitals can offer welcome respite - sanctuary - from the unreasonable demands of the world. Hospitals have their place as a controlled, safe environment, full of caring people. However, psychiatric care has changed radically in the short time that we have been practicing it as a branch of medicine. Those who are ill-equipped to cope with life outside institutions cannot expect to live in an asylum forever, which might sound like a good thing for those who believe that people can be cured and rehabilitated. However, in my experience, it is the horror of the "real world" which is the very reason for the epidemic of mental health problems, and it's often infinitely preferable to protected with the safe confines of an institution than to be fending for oneself in the big wide world. The idea of losing your freedom might sound terrifying and unpleasant, but for those who are struggling to cope - struggling to be functional - freedom is a small price to pay, for the comforting reassurance of life inside an institution.

When you are a child and you hurt yourself, you run to your parents to "kiss it better" but often the injury remains painful for sometime and there is nothing that can be done to alleviate your discomfort. We learn that sticking plasters, stitches and plaster casts can help our bodies mend themselves, but there is nothing to be done to speed up the healing process. There is little that can be done to take away our pain. There is little that can be done when we are suffering mental anguish.

Although my life was very badly damaged, I'm now part of a large organisation where I'm known to a lot of people, and they'd be concerned if I went AWOL. My home city is still very new to me - and I know very few people locally - but I also think that somebody would ring my doorbell and check on me if I went AWOL. I have a routine. I have put things around myself that are structured and stable, even if that rebuilding process is very far from complete.

I've been here before... so very close to a fresh start; a complete life. About a year ago, in the blink of an eye I lost most of my new friends, my new girlfriend and my new job. The year before I nearly died, and I regained consciousness to find I'd lost my girlfriend, my home and my job. I'm aware that my life is very fragile. I'm aware that my existence is precarious.

I wrote positively yesterday about my life and how far I've come since the very deepest depths I sank to, but I know that I have a difficult job trying to stabilise myself and find a way of living my life that's sustainable, and tolerable... pleasant even, one hopes.

It's strange that I've been so much and ultimately reached the conclusion that I was doing a reasonably good job of looking after myself, but I simply had some very stressful life events to deal with. I thought that I could turn to doctors and hospitals to make me better - and indeed my life was certainly saved when my physical health was severely damaged - but now I feel much happier doing everything on my own: I prescribe my own medications, adjust my own dosages... but mainly I just try as best as I can to create a tolerable set of circumstances to allow myself to thrive; I've come to recognise that my family don't care about me and have abandoned me. I've been incredibly lucky to have very loyal, generous, kind, caring friends and wonderful girlfriends, who've believed in me, and looked after me, and stuck by me through the difficult times.

When you see the finished product - a functional man - then we might assume either that he never had any major difficulties in his life, or that treatment was a success. I'm grateful for the hard work, effort and dedication of those who work in psychiatry, but my ultimate conclusion is that it's a flawed branch of medicine. Things could have ended very badly, but those friends who bothered to come and visit me in hospital, check on me when I went AWOL, look after me when I was sick, believe in me, support me... that's the thing that was the key to giving me a chance at getting my life back. Those who've read my blog and are kind enough to reach out to me - to be in contact - have helped me to feel like I have some value, and to feel some self-esteem.

My colleagues don't know how sick I've been, and they don't know how much it means that I'm able to be treated like a normal person at work. My colleagues don't know how important it is that I have the structure and routine of office life. My colleagues don't know how great it is for my mental health to have the social interaction that we have, even if it's just office chit-chat.

We might conclude that the doctors I saw 11 years ago were right - I'm not really very sick and I'm quite capable of living a fully functional normal life - but they're also wrong, because everything had to get smashed to smithereens and rebuilt from nothing, before I could reach this point. I nearly died so many times. Was it avoidable though? Probably not.

That's my conclusion: I've learned a hell of a lot, but it would be wrong of me to start telling people that I have the answers, because what I discovered was that I had to learn everything first-hand. If I had a time machine and went back to tell myself everything I've learned up until now, I don't think I'd believe myself and I'd end up making exactly the same decisions, much like children have to make mistakes even though their parents warn them about everything and try to protect them.

Does this mean that I forgive my parents for abandoning me? Nope. If your kid is sick in hospital, you go and visit them. Period. No ifs. No buts. You don't abandon your children, no matter how old they are.

 

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