This is a story about making people better...

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.

I 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.

Tags: #hospital #mentalhealth #bipolar #medication #depression #anxiety

This is a story about doing a rushed job...

Here is a picture of my cat flap. I've been thinking about getting a cat because I miss having a furry friend and I think it would improve my life to have a pet in my life. Undoubtedly, having contact with pets is something which is beneficial to my mental health - I find it really stress relieving to stroke a cat, and I enjoy sharing my life with other living creatures. I think I would find it greatly comforting to have an animal to nurture.

I'm working very hard and my colleagues are super pleased with what I'm doing, but I can't let my job totally define and consume me.

I'm trying very hard to find a girlfriend, but such things can't be rushed. I have very limited control over when and where fate is going to match me up with somebody who's got mutual feelings for me, worth embarking upon a relationship.

I'm trying somewhat less hard to make friends outside of work, because I'm simply flat-out.

My house is filled with mountains of boxes of unassembled flat-pack Ikea furniture and all of my stuff which still remains mostly in the cardboard boxes I used when moving. Some of the boxes have been opened and rummaged through for long-forgotten treasures, but some boxes are still sealed up with tape.

My clothes are mostly organised using the floordrobe system, where dirty clothes are piled up in one part of my bedroom, and clean ones in another.

I have more Ikea furniture arriving soon and I need to at least assemble a guest bed before I have my first visitor.

I'm hurriedly writing this, well aware that my sleep patterns have gotten out of sync with the corporate demands of capitalist society. It's late. I'm tired.

I'm not saying a whole lot that's very interesting or insightful, but these are my thoughts after a pretty punishing - although productive - week at the office. I veer violently from suicidal despair to arrogant delusions of grandeur, depending on whether I'm doing some really cool piece of work at the office, or whether I'm struggling to secure myself a romantic companion via the local dating scene.

I'm spending money like crazy, but it seems unavoidable given my need for a furnished home, plus I need to phone all the utility companies and tell them that it's just me living here in this giant house all on my own, so they stop charging me zillions of pounds for supplying energy, water and other services which I barely use. I'm spending money on dating. I'm spending money on replacing some of my threadbare worn-out clothes.

It seems crazy to get a kitten, but it also seems like something which would bring a flood of much-needed oxytocin, given my rather isolated existence. It seems like something I could be in control of: I just need to find a kitten for sale locally and adopt it, and then I can immediately enjoy my new pet. Having a little kitten to lavish attention on, and to brighten my day, sounds so lovely. I think I would be really overjoyed to come home from work every day and be greeted by a tiny furry friend. I think my life is sorely missing an outlet for my nurturing side.

I'm producing great work at the office and I'm not doing too badly in the dating game, but both things are unhealthy to do obsessively, and neither can be rushed.

Sometimes the sun shines, like it did this evening, and I feel like life is going really well. Most of the time I feel overwhelmed by the enormity of the task of meeting new friends and getting a girlfriend, which are going to be essential pieces of the puzzle if I'm going to have a happy life here in this new city.

My writing is suffering, but I'm trying my best to juggle everything. It's pretty impressive that I've done so much in such a short space of time, but it's still unfortunately not quite enough to have yielded a life which meets my basic ordinary and realistic needs, such as secure relationships, financial security, stability and suchlike.

It's well past my bedtime. I'm struggling to catch up. The extra demands placed upon me have tipped the balance unfortunately to the point where I'm not quite managing to stay on top of everything. I'm balancing on a knife edge.

Tags: #pet #cat #kitten #frankie #moving #friends

This is a story about tapering off pills...

I'm not a stoner. Never have been. Never will be. However, it seems nigh-on impossible to endure modern life without something to 'take the edge off. Most people drink, smoke, have tea, coffee and/or indulge in recreational narcotics. Most people take antidepressants. Most people take things to help with anxiety. Most people take things to help with sleep. Life is pretty dreadful without mind-altering substances, prescribed or otherwise.

My office, which is filled with many thousands of people, functions on tea, coffee, cigarettes and vaping. There are probably numerous colleagues who are also secret alcoholics, swigging vodka from bottles hidden in their gym bag or perhaps kept in their car. I've worked for more than two decades in large organisations - I know what people are like.

At the peak of my stress and misery - just a few weeks ago - I was swallowing three times the recommended dosage of Xanax and zopiclone. I was heavily medication dependent. My sleep was greatly aided, but my alertness was drastically affected and my reaction times were probably impaired. I felt very strange: as if I was having an out-of-body experience. My anxiety levels soared as my working day wore on, and the afternoons and evenings were unbearably unpleasant.

I cut my dose by 33%.

It wasn't that bad.

Taking 4 pills instead of 6 is easy enough to do: two Xanax and two zopiclone.

To cut my dosage again was going to be more difficult, except I had the foresight to have obtained some half-dose tablets, so that I was able to cut my dosage by 25%: I swallowed one and a half Xanax and one and a half zopiclone.

It wasn't that bad.

Now I take one pill of each: one Xanax and one zopiclone. Cutting my dose by 33% again was aggressive, but I've managed to do it. My sleep was severely disturbed, but I soldiered through a difficult weekend and I've managed to just about manage to get enough sleep to not lose my job. My alertness has improved significantly and I'm very pleased that I've cut my dosage by 67% in the space of just 3 weeks, which is extremely rapid.

I have left myself enough of the half-dose zopiclone tablets to be able to cut my dosage by 50% at some point. The Xanax tablets break very conveniently into half and quarter doses. Xanax is evil - it's so short-acting that it's tempting to keep popping pills whenever the anxiety comes back, which it always does. I'm desperate to free myself from my dependency on Xanax.

The prospect of being released relatively soon from my chemical prison is incredibly pleasing. Although the pills served their function very effectively, allowing me to cope during some incredibly stressful times, it's a terrible habit to become dependent on pill-popping every time anxiety occurs. Anxiety is unbearable, but benzodiazepines are a terrible short-term solution, which ultimately leave the user worse off than they began. The low price of black market benzodiazepines and their ubiquity is shocking, but life is very unusual when it's structured around medications, and Xanax is probably one of the very worst medications to become dependent on.

Cutting my zopiclone dose by 50% is going to be the hardest, because it'll be the biggest drop that I've had so far. I will cut my Xanax from a whole 2mg tablet, to 1.5mg, then to 1mg, then to 0.5mg... and then I'll be free. However, zopiclone tablets are not particularly designed to be split so easily. Purchasing some half-dose zopiclone tablets was prescient, but I'm anxious about insomnia and struggling to get up in the morning to go to work.

My life is made so much more bearable by having the ability to alter my body clock to suit early-bird culture, when I'm naturally a night owl. My life is made tolerable by having the ability to medicate away the worst of my anxiety, when it becomes unbearable.

I have no idea how I'm going to function without my tablets, and I fear that I might be tempted to eat and drink more by way of compensation, which would adversely affect my physical health, but I do want to applaud my progress so far this year: I've been virtually teetotal, while also cutting down my meds by 67% so far, which is a big deal.

Kind of a boring story... but I wanted to report on some progress I feel proud of.

Tags: #medication

This is a story about the tyranny of alarm clocks...

Before the clocks sprang forwards I had bludgeoned my body clock into co-operating with the social jetlag imposed upon me by society. Society is run in favour of "early birds" not "night owls" despite there being a 50/50 split between each different genetic variant. If you want to earn decent money for doing easy work, then you have to suffer the torture and torment of complying with hours of business which are incompatible with your body clock - it sucks.

Because I am unafraid to prescribe myself whatever medications I need, I have access to sleeping pills, which are a fantastic invention for "night owls" like myself, who are coerced into working office hours which are fundamentally incompatible with my DNA. It's as if I was a coeliac forced to eat exclusively gluten-containing foods, when there are plenty of other foods available but they're all prohibitively expensive. I could get a job which would better suit my body clock, but I would have to take an 80% pay cut, or maybe even more than that. Sleep medication has provided me with a solution to end the torture which I had to endure for the best part of 20 years.

The clock change - to British Summer Time - has been shockingly disruptive to my routine. Before the clocks changed I was waking up before my alarm clock and getting into work early, with great ease. Now my alarm clock jolts me out of my peaceful slumbers and I am immediately filled with dread at the prospect of having to leave my bed. One hour does not sound like a huge amount, but an extra hour in bed is hugely beneficial to my health, given that my body clock is not compatible with "early bird" office hours, at a fundamental physical genetic level.

To live in a perpetually jet-lagged state is torturous, and I am angry about capitalism's tyranny, in forcing me to comply with its schedule, rather than my own body's schedule. I'm handsomely financially rewarded for the suffering, but it often seems like inadequate recompense for the unpleasantness of every single morning, which I have to endure.

Further disruption to my schedule has been seen in my writing, where I completely forgot to write a blog post one day - it feels like I have less time in the evenings to do everything I need and want to do, after work. It feels like I have nowhere near enough time to deal with essential admin, do chores, write my blog, catch up with friends and get to bed early enough to avoid sleep deprivation.

I'm attempting to shift my body clock to the new schedule, but it's not a quick process.

I'm also attempting to reduce my dosage of sleeping tablets, which means it takes longer for me to fall asleep, and my sleep quality is much reduced. I was very late to work on Monday, Tuesday was a struggle, and today was OK but still not wonderful. I hope that by the beginning of next week my body clock will begin to comply with the new regime.

As far as having an "extra hour" of daylight after work, it is very nice to be driving home earlier, but it's still pretty chilly and the weather is changeable, so I don't yet feel enthusiastic about being outdoors in the evenings. It's going to be a while before the temperatures lift enough for me to think about making use of the local parks, or perhaps cycling somewhere. Given how little time I have for the essentials - such as meal preparation - I can't see that I'll be doing much with my evenings, while the start to my day is so painful: the alarm clock is such a rude intrusion on my sleep.

It might seem inconceivable that a single man with no children should complain about having no spare time, but my primary concern is getting enough sleep to make my 9 to 5 office job bearable enough that I don't lose my mind. It's essential that I keep in the routine of my job, because it provides the money which is digging me out of a hole, and it provides the stability which is useful for my health and wellbeing.

Ultimately, I still want to find a way to make life work for me, and no longer be tyrannised and coerced into the unpleasantness and boredom of the bullshit world of an office job, but a great deal of compromise is necessary for the foreseeable future, so I shall have to put up with it.

Tags: #career #sleep #capitalism

This is a story about the consequences of a mood disorder...

Having had a mood disorder - bipolar - all my life, with its symptoms perhaps becoming indisputably obvious from adolescence onwards, I've had a lot of time to reflect upon the regrettable consequences of things that I said and did when I was experiencing hypomania or mania.

As a child I had little opportunity to do anything which had any particularly negative consequences. I took risks I suppose and I established a pattern of frenzied activity followed by melancholic lethargy. The intensity of my early hypomania was triggered by the rare event of being able to spend time with friends, when so much of my childhood was spent bored while my parents took drugs and got drunk. The excitement of escaping the boredom and oppression of being trapped in a house or a car with drugged-up or drunk dribbling morons, was so great that I would talk rapidly, be unable to sleep and I exuded so much energy that my friends and their parents were alarmed by this behaviour, which was uncharacteristic of how I acted at school, for example.

School terms were long and they were unbearable. For whatever reason, I was bullied constantly. School was something to be endured and I treated it in very much the same way that I treated my parents' negligence - I lived inside my own head, bored but attempting to entertain myself with my own imagination. I was incredibly patient, given the unpleasantness of my school days and the time I was forced to spend with my parents, who were so incredibly selfish that they destroyed most chances I would've had to form meaningful long-lasting friendships. Every school holiday, and indeed many weeks and months of term-time, my parents would remove me from the company of my peers, because they wanted to get drunk and take drugs in an isolated rural location, where they thought they would be safe from the criticism which they would draw for the neglect they were showing me; they attempted to hide their disgusting disgraceful behaviour.

My parents' folie-a-deux, which I see now was a toxic co-dependency, motivated by their addiction to alcohol and drugs, was clearly very formative and shaped my character. I became a patient plotter, who could put myself into a trancelike disconnected state to endure the interminable boredom of being trapped with a pair of dribbling moronic drug addict drunks, with no friends to play with - deliberately isolated from my peers.

This is why I do not celebrate mothers' day - because my mother is nothing more than an alcoholic drug addict with bad taste in men, and I wish I had never been born.

Luckily, modern society reveres those who have bipolar tendencies. How would anybody be expected to pass their school examinations, university finals or write a dissertation, unless they were able to cram and work hard in short and intense periods, having the academic holidays to then collapse on the brink of a nervous breakdown, to recover? How would anybody be expected to undergo the the awfulness of attempting to get a foot on the first rung of the career ladder, and the dreadfulness of the 9 to 5 office grind, unless they could muster the manic energy to be enthusiastic in numerous interviews where you're expected to lie about how excited you'd be to join Acme Corporation and their widget manufacturing business? How can you get ahead in your career, when you are so thwarted by your colleagues and the dreadful bureaucratic nature of organisations - with their "can don't" attitude - except by having periods of intense focus and effort, which no stable level-headed person would ever undertake in their right mind? How could you quit your job, start a company and make it successful, unless you had some kind of screw loose, which drives you to work 100+ hours a week and not give up on something until the results are delivered?

Nobody much cares about the periods of depression that regularly occur in the life of a person with bipolar disorder, because we celebrate achievements and we hide our failures. We pretend that we never screwed up. We pretend that we never got sick. According to our CVs and our LinkedIn pages, we are perfect infallible human beings, who are completely flawless. Because people with bipolar disorder regularly have episodes of hypomania or mania which are full of boundless creative energy, they have an impressive list of achievements under their belt. Nobody ever lists their depressions on their CV or LinkedIn.

Moving house and breaking up with my last girlfriend has left me exhausted and all alone in a new city. I have a work colleague who is reasonably friendly, but a very busy family man, and I have met one new friend, although they don't live very nearby. It's hard to describe how lonely and isolated I am - physically - because few people ever reach this point in their life without taking some kind of evasive action. It's very unnatural for humans to go to strange places and leave themselves totally cut off from social contact, beyond the minimum necessary to get money and buy food.

The flurry of activity which pre-dated me moving house was prompted by stress, and it contributed to the exhaustion and depression I'm feeling now. Also, I feel embarrassed that my grand plans to work on projects presently lie abandoned and the people who I was in contact with have been neglected for quite some time. It's very damaging to my self-esteem to know that my behaviour is so conspicuously unpredictable and unreliable, which leads people to believe that there's little value in the investment of a deeper and more meaningful friendship. When I crash, I cannot face the pressure of maintaining contact, so I disappear and I'm overwhelmed with guilt over the people and projects which are being neglected.

Sometimes, mania prompts me to say regrettable things. I particularly use Facebook as a 'safe space' to rant when I'm struggling with my mental health, because at least it keeps my regrettable words contained in a place where they're not publicly accessible. My friends can respond and calm me down, and I'm not left scrabbling to delete things which were inadvisable to write and publish publicly. My friends - if they're real friends - would take my words with a pinch of salt and not unduly categorise me as a madman and a lost cause.

It's deeply worrisome, knowing that my mental health can collapse and I can act regrettably. It's an unsettling and insecure state of affairs, knowing that I could easily destroy the good reputation I have and the respect of my colleagues, if I was to show a little bit too much of my illness. I keep things relatively neatly partitioned: my blog is where I write honestly, but always mindful that my words are subject to public scrutiny. Facebook is where I write things which are almost always a cry for help, or in some way symptomatic of the very bad mental health problems I'm dealing with. Work is where I spend a great deal of effort "acting normal" and attempting to show a reliable consistent side of myself, despite dreadful inner turmoil and very difficult events in my personal life.

One might say that this entire blog is regrettable, given that it's easily discoverable by my work colleagues, but I do not speak ill of anybody or the organisations I'm involved with, and I do not bring my profession into disrepute - I think that my conduct is perfectly acceptable, and I'm prepared to defend it on the grounds that I find it immensely therapeutic to have this outlet, and the support of people who are kind enough to read my words and send me kind messages.

I have a lot of regret. I admit that I could have made much better choices in a lot of situations. I don't hide behind my mental illness as an excuse. I'm perfectly capable of accepting that my behaviour has been regrettable and that I should have handled things differently.

Why then continue to write like this? The answer is complicated: I have no idea what would happen if I didn't have this single thread of consistency in my life. Rightly or wrongly, I credit this blog with bringing me things which have saved my life: my guardian angel, the people who got the emergency services to save my life during my most recent suicide attempt, the family who looked after me when I was jobless and homeless, and some of the friends who I speak to on a regular basis, who all only know me because I put myself out into the public domain - they reached out to me and rescued me, in their own ways.

Tags: #writing #socialmedia #bipolar

This is a story about correlation and causation...

I read with interest that the number of prescriptions for antidepressants had skyrocketed to an all-time high in the United Kingdom. 70 million prescriptions were written for 65 million people, meaning that for the first time, there were more packets of pills dished out than there are men, women and children in the entire nation. Unlike Sweden where national records are held, which allow statisticians to understand what percentage of the population are taking medications for anxiety and depression, the UK has to guess based on the number of prescriptions, but it would appear that it is undoubtably normal to be swallowing pills to correct for serious psychiatric conditions.

I read with dismay that doctors believe that the surge in prescriptions is believed to be due to bad things in the news. This is faulty thinking, because we are the news. It's impossible to separate ourselves from the events of the world - the media simply holds up a mirror. The media reflects what we can see around us with our own eyes: the destruction of the natural world, overcrowding and poverty. We know that we live in a very different world than the Baby Boomers grew up in. The many cushy things that previous generations took for granted - free university education, affordable housing, secure jobs - are now so hard to obtain that tiny children are coerced into studying hard from the moment that they can form words, in the hope that their sharp-elbowed parents can barge them to the front of the long queue.

If we look at suicide statistics, we can see that the "it's the news' fault" argument doesn't hold water. The number one cause of death of men age 20 to 40 is suicide, and those deaths are preventable, yet medicine's answer is to blame the newspapers. This is a scandalous situation, that those who are tasked with responsibility for public health would shrug their shoulders and point to the symptoms, not the cause of the disease.

To use myself as a case study, it seems unethical to start a family when the prospects for those children are so dire. What a dreadful thing to do - to bequeath a child a planet which has been irreparably wrecked; to so knowingly and wickedly create new life when the existing life is already having such a miserable existence and is so doomed to meet a horrible end. Life seems very pointless and purposeless, when there is very little hope of living a life which doesn't compound the errors of generations, and hasten the demise of the human race.

For many generations, they were content to build houses, grow crops, keep livestock and have food in their bellies. For many generations, it was a lifetime's work to meet your own basic human needs, and the needs of the children who were born in the absence of contraception and abortion. Today we have a virtually unlimited supply of high-calorie foods and almost none of us build our own homes, grow our own food, or have any dealings with farm animals. We do not know hunger, but we do know boredom, purposelessness, apathy, angst and learned helplessness.

I see people who become obsessed with fitness and toughening themselves up to seemingly cope with a disaster which never comes. Nobody is ever going to need to outrun a wild animal. Nobody is ever going to need to carry rocks or toil in the fields or forest to get enough food for their family. There are a huge number of people who are "prepping" for doomsday scenarios, even though their efforts are futile in the face of the enormously violent events which smite us.

It seems obvious that anxiety and depression are natural reactions to a world that is devoid of any opportunity to use our enormous brain for the ingenious problem-solving which would have been very useful 100,000 years ago, when humans had to continuously adapt to the ever-changing seasons.

I can think back to a time when I was obsessed with the wind and the waves, not in any negative way, but in fact I would relish the arrival of a large North Atlantic depression. I studied the weather forecast on an almost hourly basis and I would drive to parts of the country specifically to seek out storms which would cause trees to topple and buildings to be damaged. I had no control over these violent events of nature, but being part of the storm made me happy. I harnessed the wind - quite literally - and I revelled in the awesome power of nature.

Today, I have a ghoulish morbid obsession with the news, half-hoping that some catastrophe strikes and civilisation is plunged into chaos. I find the waiting to be quite intolerable. I find that my anxiety and depression levels are highly correlated to my boredom and lack of stimulation. My life is very stable and secure, but it's also unbearable. I yearn to be freed from the crowds of people who trudge co-operatively from place to place - why do they not scream and throw their briefcases away, and run off to live in the woods? Why does nobody flee from the concrete jungles and seek out a life which has more uncertainty, hunger and threat to life, but also provides some challenges and obstacles for the brain to tackle?

It strikes me that the source of my anxiety and depression is rooted in the restrictive nature of modern society, where I am unable to build anything or do anything, without considerable restrictions. My forebears were able to build their own houses, fence off some territory, cultivate their crops and rear their livestock - all of these things required a combination of physical and mental effort. For me to get a house and some food, I don't have to do anything - I'm just required to sit in a comfortable seat for a certain amount of hours every day, keeping my mouth shut.

Of course it's seemingly childish to romanticise simpler times, when disease and hunger were rife, but as anybody who's suffered anxiety and depression will tell you: these things are so bad that you want to kill yourself.

Living a life where you want to kill yourself is not great, and I don't think that refusing to read newspapers or watch TV is the answer, just as much as I think that pills are not the answer either. The solution lies in living a different kind of life altogether.

You tell me that I wouldn't be happy if I was cold and hungry, but you're wrong. I've been plenty cold and hungry, and I can tell you that I was vastly happier than I am today in a warm house with plenty of food in the fridge and cupboards. I was happy because I was free to do something about my situation. If I was cold, I could shelter. If I was hungry I could seek food. As I am presently, I can do nothing except sit at my desk, mute, waiting to die. I have no available options to improve my situation. I have nothing to challenge my brain and body. I have no purpose, except as a decorative lump of flesh and bone sat in an office chair.

Of course I follow the news avidly, but the news does not depress me or make me anxious. My lack of participation makes me depressed and anxious. Why am I just a spectator? Why am I passive in everything? If I was caught in a rainstorm I would look for some object to shelter beneath, but as a member of modern society I am expected to let everything lash down upon my head without flinching. The food and the housing which I enjoy are a byproduct of my inaction not my actions. If I was to act instinctively, I would only make things worse for myself and end up sleeping rough on the streets, hungry and cold. The situation is absurd.

Not taking antidepressants is a political statement, as much as anything. It's not me who needs to be adjusted to fit into society, but instead it is society which is unbearable to live within - there's not enough space for me to do anything other than keep my mouth shut in an attempt to fit in. I refuse to be medicated into a state of glassy-eyed passivity, like a cow chewing mindlessly on the cud.

Of course, if I spawned an infant by accident, then I woud surely be glad of every amenity available in modern society. I'd be cramming high-calorie foods into my child's face and indoctrinating them in the ways and means of staying in the top-half of humanity. However, as a thoughtful, considerate and ethical person who's considered the prospects for any theoretical child, I have decided that it would be cruel to the child and wickedly selfish to not avail myself of reproductive choices, choosing to avoid creating any more miserable mortal souls.

The stability and security of modern life are at the root of our unhappiness, not the state of utopia that we thought it would be. We are hard-wired for adverse conditions, and without that adversity we are nervous and twitchy. Without any route to gaining contentedness that is not morally wrong, we are depressed. The logical conclusion is that we should kill ourselves.

Tags: #suicide #depression #anxiety

This is a story about shouting...

I find myself in the thick of the action at work and I'm failing to keep my head down and my mouth shut. It would be better if I gave my opinion quietly and infrequently, after much careful consideration, but instead I shoot from the hip and engage my mouth before my brain. Most of what I say has a solid basis and imparts some useful expertise, but it would be better if my voice wasn't so often ringing out loudly across the open-plan office.

I'm not sure how received I am. I'm loud, outspoken, quick to respond, decisive, but I'm also like a flame sucking all the oxygen out of the room. I wonder how little room I'm leaving for other people.

I know that I'm not a bad manager - I'm not prone to micromanaging people or being too fussy about the details, such that there's no room for my underlings to think for themselves - but I wonder if I'm a bad team member at times. I know that I'm patient and forgiving with junior members of the team and I invest a huge amount of time in knowledge sharing and training, to help them, but I'm pretty scathing with my words when I see bad quality work done by people who call themselves fully trained and experience professionals. I sometimes wonder what my colleagues do with all their time - how do they entertain themselves if they're not busy?

I often wonder who has the right approach: my colleagues who don't do much so that their projects are never completed, or me finishing projects early? My colleagues would argue that you can make yourself redundant if you do a good job and finish your project to a high standard, such that it doesn't need much more ongoing work to maintain it. I would argue that you're not a good engineer if you never finish a project.

I went home yesterday feeling as though I'd been too outspoken and that I should apologise to one of my colleagues. My brain was badly affected by anxiety and flooded with thoughts about myriad things which needed considering. I bombarded my colleagues with a whole host of things to consider, which probably overwhelmed them and I certainly didn't make a single clear and concise point - I simply couldn't stop words from spilling out of my mouth.

This week, some ideas that I've been nursing for 6 months are coming together. A piece of work that I did in a flurry of manic activity is taking shape as something tangible, just the way I had planned it would. It seems unusual that I should have done all the hard work so long ago and then rested on my laurels, but I needed to have a holiday and move house, which were a huge distraction. The festive season is a bad time to try and do anything important. As it happens, the timing has worked out perfectly, although I have been very bored at times this year.

Having sat quietly at my desk for a very long time, thinking, I now find that I struggle to regulate the volume of my voice. I struggle to hold back in meetings. I struggle to remain quiet for the benefit of the whole team. I'm struggling not to be loud and overbearing.

I would be well advised to put my headphones in and confine myself to my own thoughts for a few days, to give my colleagues a break from the sound of my voice. It would be a good idea to make a promise to myself to say nothing in meetings, except the very bare minimum required, to make a bit more space for my colleagues. I'm like a liquid poured into a mould, filling every square inch of space and leaving no air pockets.

Having unmedicated bipolar disorder in an office environment is problematic. I trample on toes and speak too much, too loudly. I must be very annoying.

I'm aware that I can get carried away with my productivity and ability to solve hard problems, and I can start to see other people as deadweight, which can lead me to saying unkind things and being very rude and dismissive. I forget that people take pride in their work - even if it's rubbish - and can be offended when I bulldoze my way straight through it inconsiderately, in pursuit of my goals. I'm aware that my future employment depends on playing nice with others, and I should calm myself down during these periods of mania-like frenetic activity.

I forget that I'm no longer managing huge teams all across the world. I forget that I'm no longer CEO of a startup that I founded. I forget that I'm no longer the boss, but in fact I'm a consultant who's been hired for my expertise and opinions, which need to be tactfully given to the client. I forget I'm not in charge of the project. Often, my loud authoritative voice can lead to people getting into the habit of looking to me for leadership, when I'm not in charge of anything, which is a mistake on my part, because my strength is in my knowledge and experience, and my ability to solve hard problems - it's not my job to lead the team, but I always find myself naturally providing some degree of leadership, although I don't actively seek to gain power and control.

It's strange. Sometimes people are very relieved to have me working on their project, because I always have a clear sense of direction and I provide a reassuring level of seniority - people trust that I know what I'm doing - but I continuously jeopardise my job by doing things which could very badly backfire if they didn't work.

I have a colleague who's close to retirement who's been hired to do pretty much the same job as me. We couldn't be more different. He spends his days listening to the radio and reading the news. I think there's a lot I could learn from him about plodding along as slow as possible, without getting sacked. Sometimes I find the attitude to be loathsome, but what's the real harm in it - isn't he getting a lot better deal out of life than I am? What use is all my hard work? What good will it do?

I need to calm down. Arrogance will flare up and I'll start being disrespectful to people, and that will be the beginning of the end.

Tags: #career

This is a story about safeguards...

There is an oft-quoted statistic about 93% of communication being non-verbal. When I write, you cannot hear my tone of voice and you cannot see my body language or facial expressions. When I write, I do so in advance of your reaction, so I am unable to tell whether what I am saying is being well received or whether it is causing people to recoil in horror and disgust.

It's damn hard being live-wired into the fabric of the internet. It's not easy using public writing as a coping mechanism.

I get home and my anxiety levels are sky-high having spent a whole day in an office trying to act normal and keep my mouth shut. I get home and I've usually spent the bulk of the day trapped in my own skull with my thoughts bouncing around inside my head. I get home and I'm suddenly very alone, but I'm in an environment where I can somewhat relax and be myself. The net result is an outpouring of jumbled thoughts and feelings, which get typed and published onto this website, for the entire world to see.

Because of the incredible disruption of moving house and things which have greatly disturbed my brain chemistry, I have an ever-increasing amount to say, in a desperate attempt to occupy my mind and bring some structure to my life. My routines are sacrosanct to me but I have little control in my work environment, where I must conform to bland office mediocrity and keep my head below the parapet, so my writing is the part of my routine where I blow off some steam. Unfortunately, there's a great deal of pressure to be released.

I'm aware that my daily word count has been creeping up little by little, to the point where I'm easily blasting out 1,500 or 2,000 words at a sitting. Nobody wants to read that much. Instead of writing short sweet little blog posts, I churn out disturbing half-formed thoughts from the depths of my subconscious, which reveal a side of me that nobody ever directly acknowledges in themselves, let alone writes about at length.

Instead of finding a dark corner of the internet to lurk in and turning my insecurities into hate-filled invective directed at a common chosen target, replete with the jargon of a particular online community, instead I have developed a reflex where if I think it, I remember it and I write it down. My daily writing reflects all the unspeakable things which any person might think but never say. I say the things because of my increasing isolation.

I'm lucky enough to have a great number of friends online who I could chat to, but I feel as though I'm poisoned and that I must cut off the limb which the venomous snake bit. I feel as though I have to purge myself of toxicity. I feel as though I must try to vent all the terrible things I'm feeling, in order to feel better.

I write out of sheer desperation.

I doesn't seem to matter how much I write - it doesn't make things better, but sometimes it makes things worse. I write because it's a well-established habit and pattern of behaviour. I write because it helps me to get my thoughts in order. I write because it helps me feel in control of my life. I write because I'm proud that I'm creating something. I write because it gets a reaction. I write because it gives me a connection to people. I write because people respond. Sometimes, however, people don't respond and the lack of reaction is distressing.

I push very hard. I push myself. I push others.

I'm not sure if I'm pushing people away, but I certainly stopped engaging properly with people.

I feel so overwhelmed with the enormity of the task of getting my life back in good order - financially for example - that I've whittled away everything which doesn't fit to a very austere and minimalistic routine. I eat, sleep, work and write. Most other people have their families, friends, kids, pets and other such things in their lives, but my life has been reduced to a crude cartoon.

I reached 700 words and I promised myself I wouldn't write any more.

Please, tell me if you're still listening; still reading.

Tags: #writing #socialmedia #friends

This is a story about biding your time...

One of my favourite things to make and eat is beef jerky or biltong. Mixing a marinade, lovingly covering the meat and then slowly drying it is something which can take 30 hours or more. The smell is quite tantalising throughout the process, but there's no short-cut to the end. If the beef is marinated for less time, it will be less flavoursome. If the beef is dried too quickly it will be cooked instead of dehydrated, and it will be brittle, not chewy.

My life has become a game of waiting. I'm paid for my attendance, not my contribution. I'm paid to be present, but also paid to be quiet. The more I'm present and the quieter I am, the greater my financial reward, but it's pretty unbearable. I literally just have to watch the clock and think of the money. If I tried to make myself useful, people wouldn't like it and it would cause problems.

The situation is ridiculous, because even a small child could see that I don't have to do anything and I will be handsomely rewarded with desirable things, such as cash, houses, cars, holidays, clothes, gadgets and suchlike. It's very easy to extrapolate and say that it's almost inevitable that I'm going to earn a staggering amount of money, for doing almost absolutely nothing.

The situation is hard to handle. I can see every single step in-between here and the 'finishing line'. It's as if there's a well-lit staircase that leads to the top of Mount Everest, and I know exactly how many steps there are, and also that theoretically my body is capable of climbing that many steps, but it's psychologically distressing to know exactly how many steps there are between me and the summit. Sometimes it's not a good thing to know the way. Sometimes it's not a good thing to be so aware of the journey ahead.

I'm aware that human bodies only last a finite amount of time before they fail. I can comprehend the number of sleeps that I have left before I expire from old age. A friend pointed out that 9 years is 108 months, which seemed like an interesting way to break down a decade - making it more bite-size - but the idea of living for another decade is not inviting to me. Getting to the end of this month will be an achievement.

My perception of time is warped. My sense of boredom is heightened. My attention span is ruined. I feel anxious all the time. I have terrible anhedonia.

Life's not very liveable but life must go on. I have to choose between the rat race and the endless exertion to keep my head above water, or else I will be turfed out onto the streets and will have to live a pitiful life of begging and sleeping rough.

My thoughts turn to suicide often.

Suicide is the obvious choice, because it ends the struggle completely. No more anxious waiting. No more slow plodding towards the inevitable. No more unpleasantness.

I'm aware that I'm frustratingly close to a major breakthrough. I'm aware that I've rebuilt myself fairly miraculously and I'm a completely different person from the junkie I was 2 years ago. It seems brutal that I would lose the love of my life, lose my amazing apartment, be forced out of the city I called home and end up attempting suicide, only to end up surviving and clawing my way back from almost-certain bankruptcy, only to give up at the point I was at break-even. It seems ludicrous that I'd claw my way back from so-called "rock bottom" and then decide that it wasn't worth it, except to die with a bit more pride and dignity.

I was chatting to a friend and we wondered whether we had screwed up our brains and our bodies too badly to ever recover. We both reported feeling a lot of physical discomfort and health problems, as well as terrible depression and anxiety. Ironically, he has all the things that I think I want: a girlfriend, hot weather and freedom from the rat race. The thing we have in common is bipolar disorder and substance abuse, so perhaps the evidence is pretty clear - drugs will mess you up and leave you in a miserable state.

The annoying thing is that my life isn't filled with drug abuse. My life is filled with 9 to 5 Monday to Friday commuting and office routine. My life is filled with paying rent and bills. My life is filled with supermarket shopping and doing laundry. My life is filled with mountains of paperwork. I've been well-behaved and I've made healthy choices, but it hasn't made any difference - I'm still depressed.

I suppose my depression can be explained away by events such as a breakup and a lot of stress - moving house - as well as the sustained problems I've faced in the past years, as I've attempted to restore my health and my wealth. It's hard not to lose patience though. It's hard not to give up, given the sustained effort that has been required to get where I am, and the way I feel at the end of it all.

After all the effort and the uncertainty and the horrible things I've had to endure, when I think "was it worth it?" I'm not sure that it was. In fact, I'm pretty certain that I wish I hadn't bothered. I'm pretty certain that I'd like for the pain and suffering to end sooner, rather than later. I cannot see any reason to carry on, when the reward is only more pain and suffering.

I'm kinda worried about keeping myself safe. I started thinking about places in my house where I could hang myself. I started thinking about cutting some major blood vessels in the bath. I started thinking about obtaining highly toxic poisons from the internet. I started thinking about practical considerations, such as the effect on my sister.

It's not good when a considerable part of your waking day is spent thinking about ending your own life.

I'm aware that I've probably unbalanced my delicate brain chemistry, through stressful events as well as medications. I binged on some pills. I self-medicate with other pills. The demands placed upon me by moving house and working a stressful job have driven me to feel suicidal before. I don't have any friends in the city where I live. These things are not conducive to good mental health.

I know that if I keep forcing myself to go to the office, my bank balance will continue to improve, which opens up a whole world of possibilities and reduces the amount of stress and pressure in my life. I know that as long as I stay alive, the days are getting longer, the nights are getting shorter and the weather is improving. I know that depression doesn't last forever. I know that anxiety has only ever come into my life as a result of abusing alcohol and benzodiazepines. I know these things, but it doesn't make the present day any more bearable.

There's no way to hurry things along. I either have to wait, or kill myself.

Tags: #suicide #anxiety #depression #bipolar

This is a story about empathy...

I sometimes wonder whether I caused myself some long-term health damage by taking ecstasy tablets - MDMA - every weekend for approximately 18 months, when I was in my late teens. I think that whether it did or didn't affect my neurological development, it certainly affected my personality and outlook; my approach to dealing with other people. I've adopted my attitude towards openness and honesty as a response to the empathy and trust I felt, due to the effect of mind-altering substances. I liked connecting with people at a very profoundly open and unguarded level. I liked putting my faith in humans and assuming that nobody wanted to hurt me.

The net result in later adulthood has been a rather extreme set of values, by which I live my life. I've always favoured trust and a kind of blind faith that nobody's going to screw me over. Throughout my twenties and thirties, I've always had a belief that I don't need to bother protecting myself.

It seems as if I made a decision about what's important and what isn't important. Like, I spend very little time deliberating over how to save a few pennies buying a particular food item. I spend very little time doing my taxes and other administrative tasks. I spend very little time on anything which doesn't have a significant purpose. I don't understand why people spend such an extraordinary amount of time doing things which are unpaid, unprofitable and are simply busywork.

I flit between two modes: hyper-focussed, or incredibly bored and distracted. When I'm in the latter mode I feel hyper-receptive to current affairs. I feel as though world events are far more important than any of the daily nonsense in my life. I struggle to reconcile the absurdity of capitalism, rent, money, jobs and other trifling things, with climate change and the billions of people who are hungry. Entire days or weeks disappear and I seem to have done nothing more than become engrossed in the news, angered and saddened.

The circumstances of my adult life have mostly sidelined me, with me helplessly spectating from my comfortable office. However, I'm acutely aware that my position in some very large organisations means that I'm complicit in the suffering that I see. I know exactly how close I've been to the epicentre of seismic world events, which have been catastrophic for humanity.

I suppose that the physical damage that I've wrought, through pollution and war, is hard to connect with my day job, but it's not hard to see that I've been very close to the money, which has greased the wheels of capitalism. The nature of my crimes against humanity are so hard to explain and esoteric that it would be easy for me to let myself off the hook, but if ever there was a case of a global conspiracy, it would be my participation in the brain-drain which is global technology, and its abuse as a mechanism of enslaving everyone.

It seems harmless enough, all this geek stuff, but then I see the dreadful things which the internet has inspired people to do. I read the dreadful things people write and share with each other. I read the dreadful ideologies and manifestos of dreadful people. I see how the internet has connected dreadful people together, amplifying their dreadfulness.

"Guns don't kill people, people do" goes a popular slogan, but it's not true... the people who make guns are just as culpable as the people who use them. The same has got to be said of social media influencers and the platforms they use. What started as a network for academics to share research has been invaded by the masses, and they're not interested in improving their minds: they're vile hateful people who gang together with like-minded dreadful shits.

The internet has become highly efficient at refining both the best and the worst ideas. The most depraved and disgusting things exist and thrive on the internet in frighteningly huge numbers. The internet has turned one person's subconscious bad thought, which lived safely in their brain, into a collective thought which is broadcast across the globe. It's strange saying this as a libertarian left-leaning engineer, but I kinda feel like humanity is not mature enough to have the internet.

I'm very well aware that my sanity has been very questionable during the last 6 years and my grip on reality is probably tenuous at best. I'm very well aware that my mental illness means I must surely think more like a terrorist or some other enemy of society, than I do like a regular person. I read about the world's worst monsters and I check myself for similarities: delusions of grandeur, paranoia and irrational hatred of certain groups of people.

I groan and hold my face in my hands when I remember things I've said and done. I know that I've been through some periods when I was ranting and raving about things. I know that my thoughts were an incoherent jumbled mess at times. I know that during very bad episodes of mental health problems, I've struggled with delusions of grandeur and paranoia. I can remember it all very clearly and I'm very embarrassed by my own behaviour.

Today, I blend it fairly well with ordinary society. My colleagues at the office seem to have readily accepted me as 'normal'. A substantial number of people deal with me and find my behaviour to be normal.

Internally, I find it hard to process everything. My brain mostly screams that I should be doing something - anything - in reaction to the world I observe all around me, but I deliberately subdue my instincts because I've learned that if I keep still and keep my mouth shut, vast wealth floods into my pockets. I'm essentially bribed into knowingly participating in the maintenance of the status quo.

It's quite hard to sit and read the news and not react.

Tags: #economics #politics #bipolar