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Stroke

5 min read

This is a story about neurotoxicity...

Eye droop

What's happened to the left hand side of my face? My eyelid has drooped; my face is no longer symmetrical. Why do I have a facial tic? Why is my speech slow and slurred? Aren't these all symptoms of cognitive impairment; brain damage?

I decided to read back through some of my blog - I read from February through to June, when I was very unwell. I was surprised that a lot of it was gibberish - I thought that I had written with lucidity, but I had mis-remembered things.

As is so often the case with me, I dice with death and I dodge bullets. I'm still very sick, but I'm getting better. I'm going to make a full recovery. My speech is normal; my face doesn't tic and my eyelid no longer droops. The brain is a remarkable thing, but I do need to stop abusing my body.

A month ago I was livid; I was unbelievably angry. I was fighting for my income, my home and my liberty - I was fighting for my legal rights - and I was spitting venom; I was furious at being abused; mistreated; taken advantage of.

I re-read the lengthy blog post I wrote a month ago, which started OK, but then I got plunged into repetitive thoughts - you can tell that my brain was stuck on a loop and I repeated myself several times. It's surprising that I could express myself fairly well, given the circumstances. I imagine that it took me a long time to compose what I wrote, and I clearly struggled to remember what I'd written at the start, as I reached the end.

It's tempting to edit and airbrush history, but it's much more interesting to maintain a public record of exactly what I was thinking and feeling at a certain point in time. Inadvertently I also capture other details about my state of mind in the way in which I express myself.

I've now been writing for long enough to capture two periods of total abstinence from all mind-altering substances, including alcohol, caffeine and nicotine. I'm a lifelong non-smoker. I stopped drinking caffeinated beverages in 2013. During this particular period of abstinence, I've not drunk any alcohol for 35 consecutive days.

What's the net result of all this?

Me as a kid

Nah, I'm only kidding... that was me when I was twenty years old. However, I'm sure there's been a marked improvement now that all the crap is out of my system.

A few friends spoke to me soon after I arrived on the psych ward. Although I sounded like my old self and I was in good spirits, my recovery was only just beginning - friends who see me and speak to me on a regular basis report that I'm much improved from how I was a month ago.

My hair, my skin, my nails, my teeth, my breath, my sweat and most importantly, my brain - all of these things are completely different, now that I'm not glugging gallons of booze and popping loads of pills.

I cringe with shame a little bit, to think that I made myself very exposed and vulnerable at a time when I was very unwell - the public got a little bit of a behind-the-scenes peek at me when I was extremely poorly. You can go digging in the archives, if it pleases you, or you can take my word for it: there's no surprises and there should be no pleasure in gawping at somebody when they're sick.

If we've not spoken for a while, I highly recommend that you get in contact and we actually speak on the phone - my email is nick@manicgrant.com. You might be very surprised to learn that your friend is in possession of most of his marbles, and not the raving lunatic that you might have guessed I would be, after such a traumatic couple of years.

Recovery selfie

Here's another one for the photo album, taken only seconds ago. My left eye is not yet 100% and I'm still suffering a lot of brain fog and other recovery-related problems - it'll be a month or two before I'm fighting fit. My face still tics when I'm stressed, but it's less pronounced.

I'm struggling with horrible anxiety, depression and confusion; memory problems. None of this is a surprise to me - it's to be expected, given what I've been through and I'm still going through.

I've got no idea what I'm really writing about, or what my purpose is now. Is this still the world's longest suicide note, or am I now campaigning to end the stigmatisation and discrimination that our less fortunate members of society must face: the mentally ill, alcoholics, drug addicts and homeless people... the dregs that nobody wants to touch with a bargepole. I know that I want to be the voice of the voiceless, although I know how clichéd that sounds.

I'm swimming through a fog of confusion, but I know I'm slowly getting better.

 

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Notes on a Suicide - #WorldMentalHealthDay #WorldSuicidePreventionDay

8 min read

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

Discharge summary

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.

 

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The White Wolf and the Black Sheep

4 min read

This is a story about storytelling...

Meat

I'm stood in a sunny garden, sheltered from the wind by mature shrubs. Beyond the confines of the walls and fences are lush green fields; rolling hills leading down to the sea. The air is fresh and clean, blowing in off the Atlantic. There's a smell of mown grass, which has been cut for the last time before winter - the trimmed blades clump on the lawn. Gravel crunches under my feet - I'm stood on the driveway where the cars are parked. There's a sound of a 2-stroke engine which powers a hedge trimmer, being used to tame the runaway growth in the hedgerows; the exhaust fumes blown away by the prevailing wind.

I'm throwing a ball for the white wolf. Eyes on the front of his head, not the side - that's how you know he's an apex predator; he's not worried about anybody creeping up behind him, although his ears are pricked up, listening intently. He's a smart wolf - anticipating me throwing the ball but not so eager to run and collect it that he would be fooled by a dummy. Besides, why would I want to trick a wolf? What satisfaction would I get by proving I'm smarter than an animal with a much smaller brain?

The wolf pants and drops his ball some distance away from me. The game is over. I fetch a water bowl for the wolf and he laps up the cool liquid with his long pink tongue. He brings his ball to me again, ready to play - the game starts over.

My throwing gets erratic and the ball lands on a rockery. I'm fearful that the wolf will injure himself. I stop throwing the ball.

A running sheep; a chasing wolf - he's found a new game.

Clambering over fences, the farmer holds the wolf while he strains to get at the flock which has retreated into a corner of the field, unable to flee further because the sheep are enclosed by a fence. The wolf has to learn that this is not a game.

I feel guilty. Did I get the wolf over-excited by throwing the ball for him? Was I the immature adult who gets the children over-excited before bedtime? Was I irresponsible; inconsiderate of the consequences?

I want to tell stories but not everybody wants to feature. I want to tell stories but invariably people will wonder if it's about them. I want to tell stories, but I have to be careful that I respect the need for peaceful private family life.

I'm lying on a bed with sunlight in my eyes, telling a story. It's warm and quiet and I'm very comfy and calm. My brain buzzes with thoughts; ideas - I've written a list of 49 stories that I want to tell, and I have another list with 70 more, some of which I've already told. There are more words than there are waking hours in the day to type them. Now that there is some calm around me, the dam has burst and I'm struggling to not be swamped by the deluge.

I think about tenses - why is this told in the present tense if it's a story?

So much has happened in the past and it's hard to not relive and refine the story. I do not embellish or exaggerate, but stories improve with retelling. With each iteration, a more accurate and engrossing account emerges. I have a mountain of material, and the temptation is to weave it all into a captivating patchwork quilt of tales; adventures.

Here in the present there's plenty going on but I'm a guest in somebody else's story, and it's not my place to tell it. It's strange for me to observe quietly and not pass comment. In all honesty, I swing between "where did it all go wrong [in my life]?" and gawping in awe at what's been built; forged - the achievements of the loving, kind, generous and humble family who've taken me in are breathtaking.

Outside, there's a well. It's blocked, but it's obvious what's down there - a dark cavern filled with cold water. To fall into the well would be deadly: you could never climb out. Why unblock it? Why go down there?

Obviously, the well is a metaphor for my past. I have an aquifer of hair-raising tales that I could never drain, even with a million buckets. I can draw upon my dark murky past, but perhaps I shouldn't - perhaps to plumb those depths will lead nowhere new. Haven't I written enough already, about the past?

I'm planning on writing another novel in November.

 

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A Tale of Ten Beds

7 min read

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

Double bed

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.

Psychiatric intensive care

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.

Psych ward TV torture chamber

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.

Psych ward dorm

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.

 

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Care Quality

8 min read

This is a story about being inspected...

A tivities

Today the psych ward is being inspected by the Care Quality Commission (CQC) and the staff are so nervous that some of them feel physically sick. I try to reassure one nurse that they're doing their best, despite staff shortages and rampant drug use - the synthetic cannabinoid called Spice is ubiquitous throughout prisons and psych wards.

There's always somebody peering over your shoulder, sneeringly judging you. Is it any wonder that paranoia takes hold in a mind, destroying it? The United Kingdom has an exceptional ability to track the movement of its citizens, using simple conventional CCTV - no spy satellites even needed.

In the free West, we deride the Stasi and the KGB. We talk about China's vast number of people employed to snoop on their own citizens, but we don't acknowledge the work of GCHQ and the NSA. Have we forgotten Edward Snowden's revelations so quickly? The Government read your fucking emails and the police - the regular ordinary police - have a backdoor into Facebook to read all your private messages.

Nothing to hide, nothing to fear. If you believe that, why do you feel stressed if a police car is following you when you're driving, and a sense of relief when the police overtake you and disappear over the horizon? You have insurance; you've had your car's roadworthiness tested; you've paid your road tax... nothing to worry about, right?

It was only a short time ago that I was deeply indoctrinated by my schooling, that had shaped me into a meek conformist - I was fearful of defying any of society's rules and regulations. A family friend wanted to go fishing with me, and I said we needed to obtain a permit. "Our prisons are full of people who got caught fishing without a license" this friend laughed. "What are you in here for? Murder. What are you in here for? Fishing without a license" he continued jovially.

The city centre is crammed with 50,000 protestors preparing to march. I walk past a police cordon and I can hear a police officer yelling at me that I can't go the way I'm going, but I know that he'll be busy dealing with my obedient friend who will have stopped per the instructions. I keep walking, pretending to be unable to hear the entreaties to return. The policeman lets my friend go and we walk to the head of the march.

Police car

I'm sure that anarchy would be a disaster for sick and vulnerable people. I have no desire to see civilised society crumble. We can't all do whatever the fuck we want, whenever the fuck we want. Perhaps if everybody acted like I did, it would be the end of the world as we know it.

"Don't walk" says the sign in the United States. I jaywalk with gay abandon. Even in Manchester people look at me like I'm mad and suicidal, for the way I cross the road. However, it's done with such confident aplomb that nobody challenges me. I notice that people who are surrounded by plenty of steel and glass and plastic, such that they would suffer no injury at all if they killed me to death with their motor vehicle, do not give a single fuck about whether I live or die. In London, a motorist will slow down or even brake, to avoid killing a pedestrian, but these provincial plebs treat human lives with no such sanctity.

To live in a crowded city is to be humbled by humanity. To be detained against your will on an underfunded psych ward is to humbled, also. In the city, you are forced to confront your pathetic meaningless existence, as an ant crawling in its nest would be, if it had the faculties to perceive itself and its surroundings. But an ant's nest is akin to a row of gleaming skyscrapers, insofar as being a testament to what can be achieved by a society working together. On the psych ward, you are forced to confront your powerlessness over forces greater than yourself - society will exclude its troublemakers.

Perhaps you think I would endorse heroin being sold in supermarkets and that babies' pacifiers should be replaced with crack pipes?

As six police officers pinned me to the ground and my bum was injected with lorazepam, in the Accident & Emergency department of a hospital, I noticed a cleaner and a security guard nearby - some of the lowest paid people in society are often completely unacknowledged for the role they play in maintaining the division between the peasants and the aristocracy. My face was inches from the floor, but the policeman's trousered knee on my head was clean and so was the linoleum. Circles of red and green blinked at me - the police bodycams, videotaping the whole gruesome specatcle. I'd fallen from grace, but I hadn't slipped anywhere near the bottom - it's a long way down.

A friend whose judgement I trust and respect, tells me that I should drop the bad boy image of "the guy who got fucked up in Manchester". She knows that people are watching and I'm misrepresenting myself. She knows that people are lazy and won't look any deeper than the superficial image that I present.

Is my life - and the way I document it - by accident or by design? Do you imagine that when I'm writing, I don't think at all about how things are going to be perceived? The joke's on you if you don't read what I write with the prerequisite pinch of salt.

If you just dip in at random - like a care quality inspector - then you will get a random impression. On a good day you'll get a good impression. On a bad day you'll get a bad impression.

Violent restraints

Do you think the graph above shows that things are improving? No. No it does not. Things are getting worse. Much, much worse. The data above shows conclusively that during the period under examination, there was a fourfold increase in the very metric that was supposed to be cut by 80%.

Do you remember blue tablet man? Well, anyway, he assaulted a nurse for giving him a yellow tablet (5mg of diazepam) instead of a blue tablet (10mg of diazepam).

A drugs dog sweeps the ward. The patients believe the dog can sniff out cigarette lighters. I ask the handler if the dog can sniff Spice and he confirms that it can. There's Spice everywhere on the ward, despite its deleterious effect on the mental health of susceptible individuals - prodromal schizophrenia can turn into fully-blown psychosis under the influence of the powerful synthetic cannabis, making it all the more concerning that it's so widespread on an acute psychiatric ward.

The patients here are the lucky ones and they know it. Everybody agrees it's better to be here with a warm dry bed and three hot meals a day. Everybody agrees it's better to be here, where the chances of being beaten up and/or robbed are minimal. With winter on its way, months of unimaginable suffering lie ahead of Manchester's homeless population, which has increased 1,100% in just 7 years - and a huge number of them smoke Spice.

Abandon hope all ye who entered the world from the mid-1990s onwards. What are the prospects for the youth of today, and the glut of graduates who were promised that indebting themselves and spending three or four years at university would be a good move?

Does it not seem like an obvious reaction to a decline in living standards, to retreat into drugged-up oblivion?

We're sifted and sorted and dissected by tests. We're examined, inspected and measured in every conceivable way. We never have any respite from the world's desire to label us, grade us and monitor us. The pressure to meet the expectations placed upon us is relentless. Some of us will crumble and have nervous breakdowns or be paralysed by anxiety disorders. Some of us will rebel and kick back at the suffocating environment that's desperate to eject and marginalise anybody who doesn't neatly fit in a box. Lots of subcultures have sprung into existence, with members exchanging knowing looks - these people are so much happier now that they have rejected the stereotype they were supposed to embody.

It saddens me that the hard-working staff on the ward are anxious and on best behaviour, when the other 364 days a year I know that they try their very hardest. This is just one of many psych wards, where the macro problems are greater than anything that can be influenced in the microcosms.

If you're going to randomly dip in, be careful to not make a lazy judgement based on a small sample size.

 

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Why do I Still Want to Die?

7 min read

This is a story about subservience...

Back alley

It's grim up North. I didn't think it would be but it is. Here's Coronation Street. Beautiful, isn't it? Presently, that discarded sofa would be where I'd sleep if I discharged myself from hospital.

Without the crutches of alcohol, benzodiazepines and sleeping pills, I feel overwhelmed by stress and anxiety, because of the precarity of my position. Without a home; without a job; without financial security - there's plenty of rational reasons to be distressed.

People implore me to sit back and relax, but they don't realise that I've got loan payments to make; credit card payments to make; overdraft interest to be paid. To have to spell this out multiple times is frustrating.

"Why don't you just go bankrupt?"

Yeah, nice one, Einstein. Did you know that I do a lot of consultancy for financial services organisations? It's imperative that I have a clean credit record - prospective employers will do credit checks on me. You might as well suggest that I go out and commit a crime and add a criminal record to my list of woes.

"It's too soon to be thinking about going back to work"

Well, unless I'm accepting that I'm abandoning all hope of ever repaying my creditors and suffering a life of poverty at the mercy of the state, then no, it's not too soon. There's a concept called runway that I talked about at length during the first half of this year. I was unwell, but during my convalescence I was running out of runway. What happens when a plane runs out of runway?

In short, I'm driven to seek income, to prop up my depleted finances and keep servicing my debts.

If you're really wanting to poke your nose into the darkest recesses of my life, then you should know that I can easily earn enough to replenish my savings and get onto an even keel, with just 5 or 6 months of contract work in London. That I ever left London seems like a mistake, but I had few options - what I did was the right thing in the circumstances.

Today, I'm detoxed from alcohol and benzodiazepines - the physical dependency has been treated - but it quite literally nearly killed me. In addition to the massive deliberate tramadol overdose, my hospitalisation meant I abruptly stopped drinking and taking benzos, which caused me to have loads of seizures - in short, you should never suddenly stop heavy drinking or taking large doses of benzos, because you could die.

So, one might argue that I'm in a better place than when I attempted suicide. Yeah, I guess the biggest threat to my life has gone - my physical dependency on medications and alcohol.

Now, the biggest threat to my life is me - the desire to be dead is an insistent nagging thought that won't go away. It makes so much sense to commit suicide: all I have ahead of me is stress.

The rebound anxiety - having ceased taking medications and drinking alcohol - is causing me to suffer an intolerable amount of unpleasant feelings. It feels like I'm going to feel awful forever, and who would want that?

Of course, my perceptions are probably warped - nothing lasts forever. However, should I really be living my life just hoping to die of natural causes?

I could be writing about how pleased and happy I am to have a second chance - I survived a very large overdose and other medical complications that really should have killed me: the team at the Intensive Care Unit (ICU) were very surprised that I survived. Shouldn't I embody every trite contrived platitude you've ever heard? Shouldn't I be carpe diem'ing? Shouldn't I be counting my blessings? Shouldn't I be thanking my lucky stars?

Without stopping to consider all the reasons I tried to kill myself, my problems are not going to go away on their own, are they?

If my suicide attempt was an impulsive thing that I had any regrets about, then perhaps surviving would give me some long-lost appreciation for life. However, I'm spine-chillingly cold and rational about the biggest decision that anybody can ever make: the decision to die. Having been stuck in a never-ending cycle of attempts to get my life back together again, I was exhausted and unable to face rebuilding everything again. I'm still exhausted.

There was a fleeting chance that my suicide attempt could have been a minor setback, but I was completely shafted by the company I was working for. The mistreatment I suffered was inhumane; monstrous. I'm almost speechless that I could have been treated so badly.

I'm stuck between three things:

  1. To act positively, and go and earn some more money
  2. To act negatively, and pursue my legal rights
  3. To simply attempt to kill myself again

To follow the first option is to repeat the behaviours I mastered a very long time ago. It was 20 years ago I got my first full-time job; rented my first apartment. It was 20 years ago that I learned about office politics and how to get ahead in life - a life of corporate conformity.

Instinctively, I reject the bullshit that made me unwell. For 20 years I've observed the rats in the rat race, and for 20 years I've observed the world become a shitter place - an exploding population is on collision course with mass starvation; unrestrained fossil fuel burning has led to runaway climate change, which is causing parts of the world to become uninhabitable, killing and displacing billions of people; deregulated free-market capitalism has raped the globe's finite resources and created a culture of wealth-worship where nobody gives a fuck about anything.

To be a principled, ethical man, is a kind of disadvantage - my political philosophies about social justice and a more fair and equal world, are exploited. I find myself screwed over by people who are willing to trample on anybody and everybody, in a desperate and disgusting scramble up the slippery sides of a mountain of dead bodies.

I've proven that I can play by the rules, but the whole game is bullshit and most people are cheating. I don't have anything to prove to anybody anymore; I've shown that I can wear the corporate mask and fit in with the herd; I've shown that I can live a life of subservient conformity, but it drove me to point of taking my own life.

I don't wanna play anymore, and the only way I can see to call time on this bullshit is to kill myself.

I think to myself that I've suffered and that I must turn that suffering into a piece of art - a monument to the stupidity of humanity. It's grandiose and ridiculous to think that a piece of writing could have any useful effect on the world, but this is my only legacy. Do you deny me the facts? To think that I would no longer live & breathe was a shock to many who've stuck with me and followed my story.

Of course, I'm sick and I've got "insight" into my illness - that is to say that I can consider an objective point of view. It's natural that I'd be feeling terrible, only 24 days after I very nearly managed to kill myself. It's natural that I'd be feeling terrible, given the clusterfuck of issues I've got to sort out if I want to go on living. I can see that I may very well be feeling unnaturally anxious, because my brain is re-adjusting to life without booze and benzos to soothe the stresses that are ever-present in the world.

A doctor suggests that I avoid the news, political protests and other things that I might get worked up about. Is this akin to a lobotomy? I think I would very much like a lobotomy... that's how I arrived at the brain-numbing chemical lobotomy that I swallowed every single day. Unfortunately, my brain is very much intact.

Why am I still so painfully conscious?

 

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Therapy¿

6 min read

This is a story about being overwhelmed...

Park bench

I sit sunning myself in the park. It all looks very idyllic, doesn't it? How enviable my life is - I have not a worry in the world. Wouldn't you too, love to be as footloose and fancy free as I am? Wouldn't it be great if you were unburdened from all your responsibilities and worries, and could just cavort around doing whatever the fuck you wanted, just like me?

A friend phones me. He tells me that all my problems are all my own fault. I can't disagree with him. He tells me that I'm self-centred. I can't disagree with him. He tells me some stories about some problems in his own life. I can't say that my woes are worse than anything he's been through. He tells me about how tough things are in the developing world. I can't disagree.

My head buzzes with thoughts. My thoughts aren't racing; they're quite rational, reasonable, structured and logical. My thoughts aren't warped by a broken ability to correctly perceive reality - I corroborate how I'm feeling with people who are considered to be sane, to validate that I'm not thinking what I'm thinking because I'm unwell.

I've been seriously unwell before. I sat in ice-cold bathwater for hours with a sharp knife at my throat, keeping my elbow on the bathroom door so that if it was opened it would drive the blade into my jugular vein and carotid artery - that was unwell.

I've been seriously unwell before. I've imagined people abseiling down the side of my apartment block who were going to smash in my windows and come into my bedroom. I've imagined that I'm being spied upon. I'll leave it to the reader to conclude what psychiatric label is usually attached to such thoughts.

I've been seriously unwell before. I spent 12 or even 18 hours at a time, trying to make something out of cardboard, string, plastic, rubber, metal, wicker, cloth or whatever else was lying around. I was once convinced I was building a house around myself, but when I had a moment of lucidity, I realised I had simply been moving the same cushion around in a small circle, in a trancelike state.

Of course, I'm not claiming to be well at the moment.

It's been suggested to me by a few people that I could be malingering - that I took an overdose that was very likely to kill me in circumstances where I was very unlikely to be saved, fully knowing that I would survive... somehow; that I managed to fake mental illness so well that I was brought to hospital under a section 136 by the police, and that I continued to fake mental illness so well with the team who assessed me, that I was detained in hospital under section 2 of the Mental Health Act. It's either the greatest ruse - a masterful piece of deception and death-defiance - or maybe it's really easy to abuse the few brain cells I still have left, for nefarious purposes.

Anyway, I'm not supposed to be writing about myself. Think about the starving African children.

Where do you think I live? How do you think I eat?

I'm dependent on charity.

Park bench.

Yeah, damn straight I'm glad I was born in Northern Europe, in a wealthy country where we have a welfare state. Damn straight I'm glad I don't live in some hot dusty shithole, where hunger and disease are rife.

"I want to go home"

My home is this park bench. It's true, I have received kind offers to live with a couple of very charitable people. It's a big deal, to invite a mentally ill, recovering alcoholic, recovering addict, into your home. I bet you wouldn't do it, would you? I probably eat newborn babies and stomp on kittens' heads, just for my own sick amusement.

"I want to go home"

I hear people asking to go home a lot. Every day I hear people shouting that they want to go home. I don't ask to go home. I wonder why?

I chat to somebody about living in a caravan and hiding from debt collectors. My heart leaps. I yearn to escape the relentless pressure I feel to get back to work and start turning the pedals again, but I'm conflicted - I'm a principled man and I want to service my debts; I want to play by society's rules.

Nobody plays by society's rules, except those at the bottom who are trapped into poverty - they have no choice. I've played by the rules for long enough, and it's made me so miserable that I tried to kill myself. People urge me to take a break from the rat race, but they don't understand that the house of cards is going to collapse - there's a lot of money riding on me being able to get back on my feet.

Like a sportsman who chokes at the critical moment, I feel immense pressure to perform and it affects me.

It sounds like I'm pointing the finger of blame everywhere other than myself. Is that your signature on a contract that says you would accept Payment Protection Insurance (PPI) on that loan? Why didn't you read the contract? Did you take out that endowment mortgage or didn't you? How come you didn't understand something that was completely straightforward? Why won't you take responsibility for your obligations?

My friend is right. My life is a problem of my own making.

This whole fucked up mess is a problem of our own making. We are joint and severally liable - do you understand what that fucking means? Do you own up to your part that you've played in all of this?

I'm trying to do my bit and it's making me unwell. So unwell in fact that I tried to kill myself. I mean proper kill myself - dead, forever, gone, finito, sayōnara, the end.

Either I'm the most devious bastard that ever disgraced the surface of the Earth, or circumstances are somewhat out of my control - I'm not fully responsible for the gigantic mess I'm in. Of course, I'm a very convenient scapegoat though.

Although it seems very disjointed and jumbled, this blog does not write itself effortlessly. This blog is not unimportant. This blog is important to me, so that's at least one reason why it's important - I don't need any more than that. Call me selfish and self-centred all you like but I've tried to remove myself from the picture, and I failed. Am I supposed to be sorry that I'm not dead, and I'm still wasting your precious oxygen? Am I supposed to apologise for writing something that you could choose not to read, if you wanted to?

Think about the starving African children. Wow I'm cured!

 

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Happy Mondays

9 min read

This is a story about twisting my mellow...

Convict pyjamas

Here I am, in bed, wearing my convict pyjamas. I just woke up. Not looking too bad for 127 year old man. Mad for it.

Actually, I was woken up before 8am by the kerfuffle outside my bedroom door. On the opposite side of the corridor is the dispensary hatch, where the medications are dished out to everybody. It's quite lively at certain times of the day on this psych ward, which has some of the very sickest people in the North of England, receiving treatment for their mental health problems.

Have you ever thought to yourself "I can't go on" or maybe even "I wish I was dead"? Have you ever thought that you're going to have a breakdown and you need to be in hospital? In actual fact, you're tougher than you think. Very few of us will have an acute mental health crisis that is severe enough to require inpatient hospital treatment.

Am I admitting that I had a "nervous breakdown"? Don't be so ridiculous. I left the city where I have spent most of my working life and relocated to this Northern city, where I have no friends or family; I took on a very stressful new job; I tried to build a new group of friends and get a girlfriend... when that all came crashing down around my ears, doesn't it seem understandable that it would have destabilised my already fragile little life? I'm just an animal - like you - and I respond to the stimuli of my environment: if I'm being stressed by external things, then of course I'm going to have a reaction. Action -> reaction. Is that so hard to understand?

Of course, it might look like madness to have taken on so much stress all at once, but I did need to shake things up. I never quite reached the point where I was safe and stable, so it was sadly necessary to do something drastic. You might liken what I did to Electro-Convulsive Therapy (ECT) which is also known as "shock treatment". In fact, I had multiple seizures on Saturday and Sunday, and maybe even Monday. To be honest, I'm struggling to remember much about the time that I was unconscious for some reason.

It's pretty terrifying that there's this big hole in my life, where I was having fits and was in a medically induced coma. The memories around those 12+ hours that I was under a general anaesthetic and having a machine breathe for me, are pretty hazy. When I came out of the coma, there was an intensive care team there to greet me, who explained what was going on and knew all the right things to say to put my mind at rest. The team - every member of the huge NHS organisation - at the hospital was amazing. From arriving in A&E resus, starting to have seizures and being taken to intensive care, being moved to a high dependency ward to look after my struggling organs - which were being destroyed by the massive overdose of tramadol I had ingested - to finally being moved to a general ward... the whole journey through a National Health Service hospital is incredible and I'm crying as I write this, because it's the most amazing example of the advancement of our civilisation, that I can possibly think of.

Of course, I feel a great deal of guilt for the huge burden that I have placed on the NHS, which is UK taxpayer funded. I wonder to myself how much I must have cost, versus how much I have paid in. We can't all take out as much as we pay in. Obviously, we can't all take out more than we pay in either, but to spell that out is a bit patronising, no? Those who work in the NHS certainly wouldn't want me to feel guilty, but I do. I also feel grateful. Grateful to be a British citizen and resident of the United Kingdom, where world-class medical care is free at the point of use. Grateful, but indebted... guilty.

Another analysis might reveal that perhaps a stitch in time might have saved nine. I first approached a doctor about my mental health in 2008, and I was fobbed off within seconds of opening my mouth. Our general practitioners have very little time to understand their patients' problems and offer a diagnosis and treatment. Most of us would be unhappy to walk away from the doctor without a prescription for some pills. It has always been my stance, that I would decline any treatment that I didn't understand; couldn't see good evidence for the efficacy of;  I needed to see proof that the long-term outcomes were positive.

I remember writing passionately online, as early as 1998, about the analogy of putting a sticking plaster over a gaping wound. I wondered aloud, whether the psychiatric medications that are dispensed for mental health problems, are merely masking the symptoms and not treating any underlying problem. To this end, I applied to university to study psychology, and was granted unconditional offers for some of the best degree courses available in the United Kingdom. I decided not to go to university. I could see that clinical psychology was desperately underfunded. It's a helluva lot cheaper to give somebody some patent-expired pills, than it is to let somebody talk to a therapist.

Now, nearly 20 years later, I've seen enough evidence; I've done a meta-study of the literature. It's quite clear that long-term outcomes for the mentally ill are not at all improved by the medications that are commonly prescribed. It's also quite clear that we are in the midst of an epidemic of mental health issues. I use that word epidemic in its most precise sense - we are literally seeing explosive growth in the number of people suffering from mental health issues, and a dreadful decline in the prognosis for those unfortunate enough to be affected.

It's my firmly held belief that mental wellbeing is a function of our environment. In a world of Donald Trump, global warming, the threat of nuclear armageddon and a Conservative government who are determined to pass legislation that will allow them to hunt poor people, on horseback, doesn't it seem quite natural that we should all feel rather threatened and afraid?

One of my early childhood memories is of chatting to a U.S. Air Force base worker called Wayne, who drunkenly boasted that America could destroy all life on Earth with bombs that exploded with enough heat to vaporise a human being. Please, when you tuck your children into bed tonight, don't share this charming tale with them. I can almost remember the very moment that an 'irrational' fear of death sprang into existence in my head. If I had been born 30 years later, I might have been diagnosed with an anxiety disorder - I became afraid of everything, from horses to fairground rides, to electric sockets. I don't really agree with the 'irrational' part of the fear though - it does seem rather rational to fear things that can kill you.

Doing extreme 'adrenalin' sports and training to be an electrician is actually very logical - one needs to face one's fears, if we are ever going to conquer our anxieties. Children who have allergies so bad that they face deadly anaphylactic shock if they come into contact with things like peanuts or dogs, have had their allergies cured by simply introducing their body to tiny trace amounts of the allergens that could kill them. If there's one amazing thing about the human body, it's the ability to adapt itself - the plasticity, if you like.

Now, I've taken the 'trick' of putting myself in hostile and extreme environments, to a ridiculous level. Most people would be psychologically disturbed by having their liberty removed and being detained on a psychiatric ward with some very unwell people. Most people would crumble to dust under the kind of pressure that I've been under. This sounds very boastful and big-headed, perhaps even grandiose and delusional. Well, yes, if the facts were not in my favour then I would agree with you.

Here I am, writing to you quite calmly and happily from a psych ward. Do you think you would be doing the same, trapped inside an insane asylum with people who are too dangerous to be allowed out into the community? There's the constant sound of shouting, screaming, slamming doors and alarms going off. Staff members - perhaps as many as two or three per patient at a minimum - run from crisis to crisis. One itinerant patient can have their entourage of mental health professionals, trailing in their wake all day and all night long, as they make their "obvs" (observations). Sometimes a patient must be cornered, captured, and dragged off to solitary confinement, where they are thrown into a soundproof padded booth. "STRAP ME DOWN LIKE THEY DO IN PRISON" screams one particularly unwell patient. Is this treatment or is this punishment?

My working hypothesis is that we used to be able to remove the 'bad apples' in order to have a functioning society for the rest of us, but that was never the truth - basically, we've been leading up to the mother of all crises, because the vast majority of people are stressed as fuck and eventually the masses were always going to stumble to their knees, under such immense pressures. Society is very sick, but it's only just coming to light, now that we can no longer sweep the most conspicuous problems under the carpet.

I'm the eccentric mad uncle, carted off to the insane asylum to keep me out of sight and out of mind. However, it doesn't work so well when I'm able to continue to be connected to the world, through the internet and social media. Perhaps one might argue that mental health problems are contagious, and are spread through words - written or spoken. There's certainly good evidence that a suicide will spark a whole bunch of copycats.

So, I'm struggling to wrap my head around the fact that I nearly died, but I'm finally in a safe place in which to recover, where I don't need to worry about paying rent, buying food or even cooking and cleaning. All of the chores of daily existence have been removed from my long list of responsibilities. I pretty much just need to make sure I remember to take my next breath, while I'm in hospital.

Jeepers creepers, it's been a long hard road to get "sectioned". What a relief!

 

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Pay my own fun oh and I pay my own bills

9 min read

This is a story about inconvenience...

Candlelit dinner

Being an independent man is not all it's cracked up to be. The trash that is strewn throughout my apartment is there to greet me when I get home, exactly where I left it all. Despite my best efforts to streamline my life and create an efficient existence, the daily demands of basic living outpace my ability to stay ahead.

Upon my coffee table are empty beer and cider cans, a used fork, mug and wine glass, half a pint of lime cordial, €50, a cigarette lighter and two candles, baby wipes, two rechargeable batteries, a rubber band, the plastic wrapper from a piece of cheese, a red ribbon and a roll of kitchen towel.

On the floor lies the plastic that held a 4-pack of cans together; the cans having since been separated from each other; no doubt their contents now consumed.

This is - in the English vernacular - my 'living' room. If I was going to do any withdrawing it would be to my bedroom, not my drawing room. I am not lucky enough to be blessed with a drawing room. My minuscule city centre apartment only has one reception room, which must double as both a place to sit and a place to eat - a 'lounge-diner' in the parlance of an estate agent (also known as a realtor, for my North American readers).

Washer dryer

As well as clearing away the trash and doing my recycling, I also have the glamorous job of putting away my dried laundry. As you can see, my kitchen is not capacious enough to accomodate my trashcan, recycling AND leave me able to open the door to access my washer/dryer. Everything serves at least a dual purpose in this microcosm.

Gone is the luxury of the Nick Grant patent Floordrobe™ which allowed me to dump clean clothes into a number of boxes in a pseudorandom manner. Underpants and socks would be slowly sorted towards the rightmost boxes. Jeans and hoodies would be slowly sorted leftwards. Other garments would find themselves in whichever box they could fit in. Getting dressed would be a kind of rummaging exercise.

Now, I must carefully pair my socks and put my undergarments away in one of the three drawers that I store my clothing, bedding and towels within.

My life is pretty much indistinguishable from that of a successful multimillionaire pop star, as you can see.

System failure

Somebody has not been following the Operating Procedure Manual correctly. Used orange juice cartons should be discarded, as the waxed paper is not recyclable. The beer can should be in the recycling bin, ready to be emptied into the communal store. The plate and other cutlery should go into the sink, in the absence of any other space in which to temporarily queue these used implements, in preparation to be washed by hand.

Dirty dishes

The backlog of washing up is slowly accumulating. In order to fill this sink with hot soapy water, it may become necessary to remove the dirty items beforehand. I admit, this is an inefficiency, but I have not yet managed to find a convenient gathering place for the things that I will need to clean at some future time.

Living alone, I feel slightly better that I don't have to fill my dishwasher before I run it, in order to make energy-efficient usage of the household appliance. It's no hardship to wash a few plates, glasses, cutlery and utensils, but a dishwasher serves as a place to neatly stack the dirty dishes while one waits for the critical mass to be reached to justify the electricity, water and detergent that will be used.

Man fridge

I'm pleased that my refrigerator is not overbrimming with things that I am unlikely to consume before they are rendered inedible through mould and bacteria. It might be a sad sight, to see a fridge that belies such a pitiful existence, but at least there is nothing rotting or smelling bad in here.

If there appears to be a system, you are mistaken. By accident, all the alcohol has been concentrated on the top shelf, while the door contains the milk and orange juice as one might expect. However, the discrepancy between the position of the ketchup and the mayonaise shows that this is perhaps the most randomised of all areas which might be covered under my Operating Procedure Manual.

Larder shelves

Now, we may look upon the systematic and rigorous thinking of an engineer and marvel. Upon the top shelf is bicarbonate of soda, which is useful for baking as well as making crack cocaine. The middle shelf is where my favourite crisps and biscuits are stored. The bottom shelf contains freeze-dried meals for breakfast, lunch and dinner - oats, pasta and noodles - which can be prepared with the simple addition of boiling water and only require stirring once or twice, to prepare a modest quantity of food within just 5 minutes.

Although the food in this larder has extremely high salt and carbohydrate content, there are actually some nutrients contained in these convenient packages.

I prefer to look to my fridge for a meal which can be microwaved, containing a mixture of meat and vegetables. The 'ready meals for one person' that I purchase - two for £5 - are the mainstay of my evening diet, excepting alcohol and crisps. I am supposed to consume 2,500 calories on a daily basis, as an average adult man - my breakfast starts healthily with orange juice, strawberry compote, a banana and porridge; my lunch marks the beginning of a downward spiral, as I devour a heated buttery flakey pastry with rich meaty filling; my dinner is largely a liquid diet of either beer or wine - I'm not fussy as long as alcohol makes up the bulk of the remaining calories that are the source of my sustenance. I imagine that I am consuming more calories than I need, given that my flat stomach now lurks somewhere beneath a modest covering of fat.

Finished dinner

With my belly now full of wine and cottage pie - eaten directly from the plastic container in which I microwaved it - I eagerly anticipate spending the remainder of my waking hours restoring my tiny oasis of calm to a state of good order. Actually, I'm being sarcastic as fuck. I'm appalled by the idea that I now have to make several trips to the trashcan and recycling box, put away my clean laundry, wash my dishes and clean down the surfaces.

The more astute reader will have picked up on references to objects that seem out of character with a life of singledom. What, pray tell, would I be doing with a red ribbon and candles? On closer inspection of photographs, one can see strange objects like a hairbrush which looks like a penguin, were it to be turned over. It's not uncommon for hair straighteners, hairdryers, women's shoes and handbags, as well as other feminine accessories, to be seemingly randomly distributed throughout my apartment. In the course of courtship, visits seem to bring a shower of objects that would have no place or purpose in my normal day-to-day existence.

What should I do with the talcum powder on my dining table and hairbrush that I found buried deep in my couch?

My own life is barely manageable. I'm upset that I haven't found the time, energy or space to write for over a week. Some of my most beloved friends in the Twittersphere have written to me with concern that I have disappeared, fearful that perhaps I have relapsed and disappeared into some kind of institution, or perished.

When I set out to write a blog two years ago, I said to myself that I would try to write every single day; to be disciplined and give my life some purpose, even if I didn't understand what that purpose was at the time.

Now, as I slowly approach the million word mark, I'm pleased that I have written so much and so regularly, but the thing that I always wanted to avoid - mundane writing about my day-to-day life - has imposed itself upon me to such a great extent that I share with you, my beloved reader, the intimate details of a somewhat lonely and desperate existence. Of course, my blog charts the ups and downs of bipolar disorder, substance abuse and functional alcoholism, along with the journey from homelessness to somewhat more stable living arrangements.

The most perceptive amongst you will have detected the subtle undertones of a cry for help. How is it that a grown man can collapse under the trivial weight of some unopened mail and the other detritus of daily life? I don't know, but I can tell you with certainty that the effect on my sense of wellbeing is nontrivial, when I arrive home to an apartment in some state of minor disarray.

I'm happier than when my life was unencumbered by dating and women - as well as meeting new friends - but I'm also disproportionately freaked out by my delicate system being disturbed by tiny things that have seismic impact, psychologically. Is this hyperbole? Yes, it seems like it when I have tackled the list of easy tasks to put things back in good order. But my priorities are somewhat perverse: work, sleep, eat... and write. To say that the domestic duties are beneath me is wrong. I clean as I go. I tidy, wash and organise as an integral part of my movements. The left hand washes the right.

The minimalism with which I live my life - everything I own that's important to me fits in one large suitcase - is encroached upon by other lives which are messy and hard to integrate with my own systemic approach. Why would you leave that THERE? I wonder to myself, attempting to reverse-engineer the thought processes that probably don't exist.

A place for everything and everything in its place.

 

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Concentration

9 min read

This is a story about depression and burnout...

Lime cordial

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

 

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