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 law and order...

My neighbour's burglar alarm has been going off continuously for over 24 hours. I spoke to my neighbour late last night who told me that she wasn't able to drive because she had drunk a bottle of wine. I said I would gladly pay her cab fare, but she refused to do anything about it last night. The alarm was still going off this evening, and I have been making attempts to contact my neighbour all day.

I phoned the police.

God bless the police.

They turned up less than an hour after I got off the phone to them. The police are very nice people. One policeman came in my house to hear how loud the alarm was and he said that he'd have broken into my neighbour's house and taken a hammer to the alarm, if it was him - he wasn't even joking.

In all seriousness, the police were pretty clear that I can't break into my neighbour's house - I would be arrested for breaking and entering. I can't afford to be arrested when my government security clearance is at stake, which is vital for the job I do - I can't afford to be on the wrong side of the law. My conduct has to be beyond reproach.

The police tried to contact my neighbour. Another neighbour tried to contact my neighbour. We managed to find my neighbour on Facebook, and the police managed to find an email address. We tried to figure out where she might be. My neighbours were out on the street, chatting to the police. It was all a bit embarrassing, but it's pretty awful being in my house with the burgular alarm blasting for over 24 hours.

I contacted the local council's noise pollution team and they told me that unfortunately the law changed, literally in the last week, such that the courts won't grant a warrant to break into a house and cut off the burglar alarm during "unsociable hours". Literally, if this had happened last week, the warrant could have been issued and the police could have gone in and cut the dratted alarm off. The lady I spoke to at the council was incredibly helpful and nice, and very apologetic about the fact that the law has changed so recently, so nothing can be done. Perhaps tomorrow I will have more luck with either my neighbour or the noise pollution team.

Meanwhile I found a better pair of earplugs which have rescued me from similar situations in the past, although they're so good that I could easily sleep through my own alarm clock and be late for work, if the alarm keeps ringing on Sunday night.

My neighbour's attitude sucks, but the response of the police and the local council has been great, and my other neighbours have been really great too.

It's really distressing to have this constant noise nuisance in my home, stopping me from peacefully enjoying my weekend, but I feel really glad that certain parts of civilised society are functioning so effectively. I would never have expected that dealing with the police and the local council would bring such swift action, and my admiration for the work of the police has only grown greater. I already held the police in very high esteem, given the difficult job that they do, and I felt bad to involve them in a matter which should have been quite easily resolved without their assistance, but I did try my best to handle the matter directly with my neighbour and the police agreed that the situation was intolerable, with the alarm going off for so long.

This whole episode has been rather tame and dull compared with other more colourful moments of police involvement in my life, but still, it's put rather a dampener on my weekend.

My new life in this new city is not taking shape as quickly as I hoped it would. My Saturday night has been a relatively dismal and disappointing affair. I was supposed to be going on a date with somebody who I really hit it off with last week, but she cancelled on me. I thought I would make the best of the weekend anyway, but instead I have been plunged into a terrible mood by this alarm situation and I was very nearly tempted to act in a very rash way which could have had dire consequences. I'm pleased I managed to remain patient and polite with my neighbour and I haven't let this relatively minor incident trigger me into doing something regrettable.

Not the most exciting story, but perhaps it's interesting in terms of how far I've come, dealing with things in an adult, mature, law-abiding and good-neighbourly way, when so often in the past I would have smashed things to pieces in moment of rage.

Tags: #house #moving #newcity #neighbours #police

This is a story about prescribed medications...

After 4 months of sobriety I'm grateful for the weight loss. My liver must be very grateful for the break. It was exactly 2 years ago that my addiction peaked, when I had managed to obtain a stockpile of my drug of choice that would last me 6 years. Having that stockpile was a pivotal moment, because I knew that I would not survive for more than 6 months with a virtually limitless supply of the drug I was hopelessly addicted to. I knew that I had tested the patience of a very supportive friend - my guardian angel - and I announced to her that I would be committed to overcoming my addiction, which I have done.

These two achievements are not to be underestimated, and are also set against a backdrop of great financial hardship and other averse circumstances. I've been forced to move around. I've been forced to work when I'm sick. I've been forced to go deeper into debt and to re-invest the money I receive, in order to escape from the horrible trap I found myself caught in.

It's not really possible to travel directly from the depths of drug addiction and alcoholism to clean and sober living. A person can't wake up one day and decide that they're going to stop taking drugs and drinking. There are consequences of such a decision.

My hospitalisation in 2017 represents the peak of the consequences of my decision to attempt to quit addictive substances. At that time, I was still physically addicted to one prescribed medication and four which I obtained on the black market. It seems obvious that I should have ended up on an intensive care ward, having seizures, in a coma, with a machine breathing for me. It seems obvious that the battle was too hard to win and I would capitulate.

Presently, I am physically addicted to one medication and psychologically dependent on another. In terms of progress, this is a vast improvement versus taking 5 medications every day - instead of three physical dependencies, I have one, and instead of two psychological dependencies, I have one.

I swallow one pill for anxiety. If I abruptly stop taking that medication, I risk having a fatal seizure.

I swallow one pill for sleep. If I abruptly stop taking that medication, I will have insomnia.

I don't drink, which is great news for my physical health.

I'm working, which is great news for my bank balance.

Everything seems to be under control.

However.

My dependence on the black market is problematic. I had attempted to stockpile enough medication to allow myself to taper my dosage down and free myself from the physical and psychological dependence on the tablets, but the disruption of a breakup and moving house was a huge setback. My stocks are running low and I'm having problems replenishing my supply.

Of course, my plan all along was to end up completely substance-free. I tried in 2018 but my drinking got out of control. Drinking alcohol as a way of compensating for the unpleasant withdrawal side-effects of stopping medications, is not something that's good for my health. I gained weight and became alcohol dependent. Having broken my alcohol dependency, I would like to remain mostly teetotal because it's better for my weight, fitness and general health.

If you talk to any doctor they will tell you that all their patients suffer significant discomfort when withdrawing from psychiatric medications which they have been taking for long periods. In fact, the doctors will tell you that it's virtually impossible to get their patients to quit the prescribed medications which they have become dependent on.

Why quit?

It seems to be in vogue to stop people taking medicines which humanity has used safely and effectively for a long time. It seems to be trendy to stop people from taking opiates, benzodiazepines, tranquillisers, sedatives, hypnotics, sleeping pills and a whole host of medicines which were greedily guzzled by many generations without any issues. It seems to be the way of modern medicine to offer 'safer' ineffective alternatives and refuse to prescribe effective medications.

I can attest to the great difficulty of getting off the addictive medications which doctors don't prescribe. I've been addicted to all of them, and I've successfully stopped taking all of them for lengthy periods, so I can describe in exquisite detail the very many agonies and unpleasantnesses associated with cessation of these medications. I can recall exactly what the withdrawal side-effects are like for the pills that your doctor won't give you.

I find it hard to find a good reason to quit and be completely 100% free from any mind-altering substances, but I'm certainly having difficulties in maintaining a reliable supply, which puts me at risk of a potentially fatal seizure. Quitting the medications which give my life enough stability to be able to hold down a well-paid job, is not desirable, but it seems necessary given the exhaustive efforts undertaken to thwart me - playing the stupid cat-and-mouse game with a bunch of people who don't care about the consequences, is a waste of energy and I would love to be free from the stress of dependency and uncertainty about the supply of something which I physically need.

Luckily, my physical dependency is something I have the capacity to alter - unlike type 1 diabetes - so I am following through with my plan to wean myself off the two remaining medications, hopefully slowly enough that it doesn't destabilise me so much that I lose everything.

My version of clean and sober might not seem very impressive to you, but I assure you that it is a considerable achievement to have beaten fully-blown addiction to every substance imaginable and restored some health and wealth to my shattered life.

Tags: #addiction #drugs #medication

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 predictions...

Bookmakers and actuaries are extremely good at predicting the future. The profits of these well-established enterprises depend upon accurate predictions, based upon a vast amount of historical data. Better statistics lead to better predictions, which lead to accurate odds and sustained profitability. If it wasn't possible to predict the future in this way, there wouldn't be a business model for life insurance or gambling.

Unfortunately for individuals, generalised predictions are fairly accurate while individual predictions are not. It is no use asking an actuary when you will die, so that you can plan your life accordingly. The actuary will not be able to tell you whether you'll die of a heart attack age 45, or whether you'll die in your sleep age 95. Those extra 50 years present a considerable problem for the individual, but the actuary does not care, because they spread the risk of having to pay out on life insurance across a large group. On average, the insurer will win. However, none of us can know whether we're going to die prematurely or live unusually long.

It might seem prudent to avoid smoking, drinking and consumption of excessive calories. It might seem prudent to go to the gym every day. It might seem prudent to eat a balanced diet, containing a mixture of fruit and vegetables, full of amino acids, vitamins, minerals, trace elements and other chemical compounds your body needs to repair itself and stay healthy. However, while we can say for certain that smoking and obesity will lead to health complications, none of us can make choices to assure ourselves of a long life.

One day you might just drop dead.

The temptation to use statistical analysis to make predictions for an individual is overwhelming in a world where we have discovered the classical laws of physics. We presume that we are able to predict the future as easily as we can predict the trajectory of a missile. Unfortunately, individuals do not follow simple parabolic curves. While there are statistically significant correlations - good predictors - this does not mean that we can know the future life of a human, after gathering a few crummy data points.

All we have managed to unearth so far about the mysteries of human life is that we can understand risk not destiny. You might have genes which appear to doom you to a certain fate, but those genes are not always expressed in the way which we expect. The sequencing of the human genome has failed to provide the crystal ball that it was promised to deliver, but instead revealed the unimaginable complexity of epigenetics. No clear genes have been found for things such as diabetes and depression. There is no gene which hard-wires our life expectancy into every cell.

Who could have predicted that smoking would be banned in public buildings and the workplace, drinking culture would become diminished, supermarkets would import food from all over the globe, such that strawberries would be on their shelves all year round, and the workplace would become so safe and so sedentary? Who could have predicted that mental health problems would reach such epidemic proportions that the leading cause of death amongst 20 to 40 year old men would be suicide?

Ultimately, the biggest thing affecting my life expectancy appears to be a choice which I'm free to make.

I've never smoked and I quit drinking 4 months ago. I eat a balanced diet and I'm a healthy weight. These things are happy accidents. Every afternoon my anxiety builds to an increasingly intolerable level and every evening I feel suicidal. I live alone and have no friends or family nearby. I have no children, pets or partner.

My life is on a knife-edge.

If you were going to bet on the statistically probable outcome of my life, you'd have lost a lot of money already. I'm afraid to say that I'm an outlier and I have refused to conform to the predictions. I'm a single data point and as such I'm not statistically significant on my own, but the significance of my own life and its outcome is, unsurprisingly, important to me.

It's a hard life being an outlier. Literally, almost everyone is betting against you. It will be harder to get an education, get a job, get a home, borrow money, find a partner, get life insurance, get a pension... all of these things are thwarted by people who believe that they are able to predict my destiny. I'm continuously confronting people who believe I'm a lost cause, and therefore not worth taking a risk on.

We can see that this attempt at prediction becomes a self-fulfilling prophecy. When racial stereotypes become pervasive - for example - then we see that minorities are harshly and unfairly prejudiced, which harms their chance of success and reinforces the correlation between uncorrelated factors. Skin colour should not be a good predictor of socioeconomic outcome, but the data overwhelmingly shows that it is.

From the moment you enter the vast educational system, you are being sifted and sorted in a way which tests you and gathers data on you, in order to attempt to predict your future. Something as random as getting an illness will affect your school attendance data, which will be used against you as a predictor of supposed future failure. You are constantly at risk of flagging yourself as a "disaster waiting to happen" and suffering lifelong prejudice due to the systemic attempts to analyse individuals statistically.

I suppose I now revel in the fact that I'm a living contradiction. My problems with mental health, addiction, alcohol, hospitalisations, psych ward stays, trouble with the police and refusal to be sifted and sorted by the mainstream education system, are not in agreement with the predictions that I should end up bankrupt, in jail and/or dead, having lived a life with no useful contribution to society, and in fact having been a burden. I'm the guy your mother warned you about. I'm the one who isn't supposed to be allowed to freely roam the streets. I'm the one who all the gatekeepers have in mind - I'm the one they want to keep out, but yet I'm very much on the inside.

If those who think they can gaze into the future by studying my data had their way, I wouldn't have a job, a house, any money. The system has tried very hard to railroad me into certain outcomes, because it's what was expected and predicted.

I genuinely don't know whether I'm going to kill myself or if my depression is going to lift and life's going to become pleasant and bearable. I've lived with depression for long enough to know that my choices will have little effect on the outcome. No amount of prescription medication, therapy, yoga and other such things will have the intended effect. It has always been the least expected things in my life which have wrought the most important changes.

If I was betting on myself, I suppose I would bet that I'll die at my own hands. If I was betting on myself, I suppose I would bet that I won't be able to escape the debt trap. If I was betting on myself, I suppose I would bet that I will crumble and break, because that seems like the obvious thing I would do, from looking at the black marks against my name. If I was going to bet according to statistics, I would definitely bet against myself.

However, we know that fundamentally the universe does not obey classical physics, when we study the underlying laws, but instead there is inherent uncertainty. Outcomes are nondeterministic. Knowing my past does not allow anybody to know my future. There is a nonzero probability of every possible outcome, no matter how unlikely it may seem.

My day-to-day life is dominated by a single question - am I going to kill myself? - but despite being the best placed person to answer that, I do not know the answer. Events unfolding are as much a surprise to me as they are to you.

Tags: #suicide #depression

This is a story about flashbacks...

Once upon a time I was in love. Once upon a time I lived in a place where I knew lots of people. Once upon a time I lived somewhere familiar that I called home. Once upon a time I was in the Goldilocks zone: everything was just right.

It often looks as if I start worrying about things too far in advance. I remember I was very anxious about getting another job during the winter of 2016/7. I had money in the bank to pay my rent for many months. I had the financial support of my girlfriend. Really, there was nothing to worry about, but I didn't feel secure.

Nobody could have predicted that I'd get a blood clot in my leg, causing a lot of damage to nerves, blood vessels and muscle, which would trigger my kidneys to fail. Nobody could have predicted the consequent need for dialysis and pain medication.

For sure, I contributed to my own problems, but then the problems multiplied all on their own. It was my fault that I got more sick, didn't get a job and broke up with my girlfriend. Having to leave my home and move to another city was something I already predicted and worried about. Getting into financial difficulties was something I was already losing sleep over. My luck ran out in the end.

There was unimaginable stress and effort required to move from London to Manchester, Manchester to Swansea, Swansea to Cardiff, and stave off bankruptcy. There was an incomprehensible amount of trauma caused by breaking up with the love of my life - even though I instigated it in my madness - and leaving the city which held almost my entire social support network.

Mental health problems, alcoholism and drug abuse added to a toxic mix of moving house, moving city, moving jobs and never putting down any roots. I never felt settled anywhere.

The net result is that I've had to emotionally shut down. The person who I present to prospective employers, prospective landlords and other gatekeepers, is a calm, collected, well-dressed, polite and well-spoken individual, who appears to be handling everything quite well. Without this document, people would be very puzzled and surprised to find that I'd committed suicide. "He looked fine" people would say.

Nobody's really close enough to see the inner anguish and turmoil. Nobody's really close enough to see my mask slip. For sure, I write and publish every day, but my readers are scattered all over the country. At the weekend I saw two close friends, but the previous time I'd seen a close friend had been 5 months ago.

5 months!

Can you imagine that?

Picture yourself pretending like everything is A-OK for 5 straight consecutive months, without a shoulder to cry on and the comfort of opening up to a close friend. Picture yourself being surrounded exclusively by your work colleagues and other people who you need to put on a brave face for, for 5 long months.

My life is very odd. I saw old friends in Portugal, in the gastropub next door to the hotel I lived in, in Prague and near Bristol. I count four occasions when I saw old friends, in the space of a year. That's a staggeringly lonely and isolated existence.

My entire existence revolves around my attempts to avoid gaining a black mark against my name - bankruptcy - and being evicted from the privileged part of society which I'm fortunate enough to be part of. For 5 years I've attempted to muscle my way back into civilised society, while the demands of capitalism have wrestled me to the floor and punched me in the face repeatedly.

My approach to life is very simple: work hard and earn more money that I spend. On paper, it's easy to calculate how long it will take to get myself back in the black. Theoretically, it should be easy for me to restore health, wealth and prosperity to my life.

In reality, I've had to suspend almost everything 'human' about myself and become a robot.

I don't have the time or the money for feelings.

Everything feels very wrong, but conceptually it's right. My feelings tell me that things are painful and unbearable, but on paper I must bear these things, because on paper it's clear what the benefits are. I do not feel any benefits. I very much feel all the horrible unpleasant things. I force myself to live with the intolerable, because it seems logical in theory.

Look around: life seems to be about earning money, paying bills and then dying. I'm making a very passable imitation of those I see around me.

I would desperately like to switch off my feelings, switch off my brain, and just wake up in a year or so when this unpleasantness is over. I'm paid to sit in a chair not saying anything, so it would be very nice if I could be put into a kind of suspended animation, so that I'm unconscious while sitting in that chair. Wake me up when the sitting is finished.

Something unlocked some feelings for the first time in a very long time, and I found myself crying a little bit last night. I cried about breaking up with "the one who got away". It's strange that those tears are almost 2 years overdue. I didn't really cry very much. My feelings are kept very well subdued - the lid is kept on that jar very tight.

I think about the ease with which I could calmly get a sharp knife from the kitchen drawer, walk upstairs to my bathroom, draw a warm bath, immerse myself in the water and open some major blood vessels with the blade. I know how unhesitatingly I would act, once making the decision. I know how little doubt or anxiety would trouble me. I know I wouldn't call anybody or otherwise raise the alarm.

I suppose I could give up the other way. I could allow myself to be ejected from the privileged part of society. I could refuse to partake in the rat race anymore. I could allow my card to be marked and my name to be tarnished. I could let the circling vultures swoop in. I suppose it might actually be more pleasant than the sitting in the chair, quietly doing nothing, just waiting, while in agony.

Regret is the problem.

I cried because I lost the love of my life and it was clearly all my own fault. I cried because I was in the Goldilocks zone but I sabotaged it all. She was just right - not too hot, not too cold - and so were many other things in my life at that time, but I threw it all away.

I don't particularly feel regret, because I don't particularly feel anything. My feelings are all bottled up. There's no time or money for my feelings.

It's been a long time since I cried, but I did cry a little bit last night.

Tags: #relationships

This is a story about refusing help...

If you spend enough time with general practitioners, general psychiatrists, specialist consultant psychiatrists, registered mental nurses, specialty doctors and all the very many other mental health professionals who are part of inpatient and outpatient clinics, community mental health teams, crisis teams and all the other apparatus which is supposed to treat mental health problems, one begins to realise a rather unsettling truth: there aren't very many treatments and they don't work very well.

Psychiatry is a young branch of medicine and it doesn't have a lot to crow about. Since the days of asylums and lobotomies, psychiatry has been dogged by scandals, including the extrapyramidal side effects of medications which have left patients with lifelong irreversible unpleasant problems. The data do not show encouraging outcomes. In fact the outlook is dismal and appears to be worsening as the toxic conditions which create mental health problems, seem to be intensifying. Rates of depression, anxiety, eating disorders, OCD, autistic spectrum disorders, attention deficit and hyperactivity... these are all soaring. Treatments are not effective and vast numbers of people are condemned to suffer with their illnesses AND the side effects of the medications.

I've been lucky enough to have access to private medical care, at times, and even with the very best professionals and medications, there is not a vast difference between what's available from the public healthcare system. It's all pretty crap and it doesn't work very well.

This is not a damning indictment of those who dedicate their lives to trying to treat mental illness, but simply a cold hard rational analysis of the facts.

The conclusion I've reached has been that there's an over-medicalisation of non-medical problems. The bulk of my problems have stemmed from the collapse of my relationships. I got divorced. I am estranged from my family. I've been forced to move to cities where I have no friends - no social support network - in order to work jobs which have been unsuitable for my health. I have the enormous pressure of having to work full-time, to pay rent, bills and service enormous debts, which is unbearable for a person who's having a crisis.

My mental health would be vastly improved if I had a partner, a social support network of local friends, financial and housing security and a job with reduced hours, until this crisis is resolved. Healthy diet, sleep hygiene, exercise, sex, physical affection, sunlight, fresh air, social contact, hobbies and interests... these things are all essential for human wellbeing. None of those things can be prescribed by a doctor.

During the worst days of my addiction and rough sleeping, I noticed that my fellow homeless alcoholics and addicts were not without some routine and social lives. Romantic relationships are not the exclusive preserve of those who live in houses and have jobs. The life of a homeless drug addict might be chaotic to the outside observer, but a less prejudiced analysis reveals no less structure, no less need for comfort, no less humanity. Those who have fallen into habits of addiction and homelessness might find the community of drug addicts, alcoholics and homeless to provide the social support network and sense of community, which they'd struggle to find living anonymously behind a front door.

Does anybody really know I'm here... in this house... in this city? In many ways I have found my contact with hospitals and the police to be of great comfort. I have found the nonjudgemental members of the NHS and police force to be incredibly kind and compassionate people. It's nonsensical, but I've been happy to be hospitalised or arrested. I've been happy to be in a cell or on a hospital ward, with somebody checking on my welfare. Behind my own front door I could be hanging by the neck, dead, and nobody would discover me for days or maybe even weeks.

My problems are mainly attributable to unmet basic needs: hugs, face-to-face conversation and a sense of belonging.

Because of the obvious things which need to be fixed in my life, it seems wrong to seek medical help, when my mood could be radically different if all the broken things were fixed. It might sound like a fun adventure, going to new cities, but the reality is very miserable and lonely. The reality of my present life is that I don't pick up the phone to speak to anybody when I'm feeling dangerously depressed - who would I phone? What would they do? It's not like anybody can nip round to check I'm OK.

Humans are social creatures, but I live on the periphery. I live on the periphery of life itself, always in danger of death or medical emergency. The state of being suicidal should be considered a medical emergency, especially in men of age 20 to 40, where suicide is the biggest cause of death. My perception of the danger is not warped, given my history of suicide attempts and hospitalisations.

There isn't a pill or some psychological therapy which would be effective... especially not when so much of my life is broken. It's not a medical problem. Sure, I have an underlying mood disorder, but the highs and lows of bipolar don't make me as unhappy as my social isolation does.

How I set about fixing things, I have no idea. The task seems insurmountable.

Tags: #bipolar #medication #nhs #depression #suicide

This is a story about hurting myself...

There's an insufferable noise inside my head. It's a bit like a hissing, whining, wailing, screaming roar. I can't actually hear anything per se, but there's something that's far noisier than everything else that I can perceive. The world seems very loud and invasive to me - every tiny sound is amplified to neve-jolting volume - but the noise inside my head is louder, even though it's silent.

I know this doesn't make any sense.

At its most basic, the noise is like the shrill notes of a horror movie, which indicate that something bad is about to happen. The noise is deeply unsettling; disturbing. I feel on edge.

Then, after a while, because the noise doesn't go away, it seems to become more urgent: Pain, injury and death feel as if they're about to happen. I'm in a constant state of 'flinching' from the anticipated blows to my body.

The feared pain never seems to quite arrive, but instead there's a dread that this feeling will never go away. This is my life now: Living in a constant state of anxiety; living with perpetual sustained threat.

How can I go on living like this?

How can I live with this noise?

There is no noise.

My rational brain knows that there isn't any noise. My rational brain knows there isn't any threat. My rational brain knows there isn't anything to be anxious about.

Further, I know why this anxiety is so bad: Because I've been through an incredibly stressful life event, and I'm not using my usual coping mechanisms, such as drinking alcohol.

In fact, I'm effectively putting myself through alcohol detox, tranquilliser withdrawal and sleeping tablet comedown, whilst simultaneously doing one of the most stressful things that ever happens in our lives - moving house.

If I don't learn to cope without alcohol then it will destroy my health and send me to an early grave. If I don't learn to cope without tablets, then I will be forever trapped by addiction.

The unfortunate short-term consequence is very unpleasant to live through.

In fact, it's so unpleasant I've started to think I would very much like to not be alive.

That's the noise.

The noise continuously tells me to hurt myself; to end the pain.

If there was a sound that existed which told you you're better off dead, then it rings at full volume in my ears. Its sustained pitch and relentlessness tells my brain it's never going to go away, things are never going to get better, and this unbearableness is a permanent state of affairs... and the only escape is death.

I've been through enough anxiety and depression to know that things don't get any worse than this, and eventually things do get better. I have unfortunately experienced enough prolonged panic attacks to know that this is just another one, and although seemingly interminable, it will eventually pass.

Given a little more freedom - a few more options - I would stay at home in bed, and sleep. To make matters worse, however, I feel compelled to be in the office, which is just about the worst place in the world, because I have to pretend like everything's OK when it's not. I have to sit in my office chair for 7 or 8 hours, when every single bit of my body and mind screams to be doing something distracting or relaxing.

Driving in heavy traffic is a mild improvement over sitting at my desk. In fact, sticking sharp objects into myself would be a mild improvement over sitting at my desk. Jumping out of my office window and falling to my death seems like a vast improvement over sitting at my desk.

It's a pretty disturbing state of affairs and I'd be yelling for help, except that I know there's no comfort that anyone's going to offer me. Nobody's going to pay for me to be sick in bed. Nobody has anything they can say or do to ease the situation. I'm just going to have to suck it up.

It's not like I've run out of pills or the shops have run out of alcohol. It's not like I couldn't go into debt while I get better. There are temporary solutions, but they all delay the inevitable.

I suppose I'm ripping off the sticking plaster, as opposed to peeling it off gently little by little. This is a short sharp shock. This is the fastest route between two points, but also the rockiest road, with thorny bushes, biting insects, choking dust and a whole host of other things that don't mean it's necessarily the easiest path.

Now... I need to go and find distractions until it's time for bed. Today has been an incredibly long day, and I wish I hadn't woken up.

Tags: #anxiety #depression #suicide #stress #moving

This is a story about feeling overwhelmed...

Four days is not enough time to rebuild an entire life from scratch. Four days is not enough time to get all the little pieces that make a complete life into place. Four days is not enough time to cope with the stress and upheaval and not have a nervous breakdown.

In my kitchen sits a washer/dryer which needs unpacking, plumbing in and sliding into place. It's heavy. I'm not sure if I can move it on my own without scratching the kitchen tiles. I don't feel well enough to tackle this job today.

Also in my kitchen sits an enormous pile of cardboard, which needs to be taken to the recycling centre. There's too much here to leave outside my house, getting soggy and wet in the rain. I don't even know on which days the bins get collected anyway.

In my hallway sits a load of Ikea flat-pack furniture which requires assembly. In my haste to order the basic things that I need, I chose a chest-of-drawers that does not fit in my bedroom very well, so this will have to be returned. There's nothing here that I urgently need... I just wanted to try and get this part of the moving in process done and dusted, but I rushed it and screwed up. Now I have created more problems for myself.

In my dining room are the assorted boxes and bags in which I moved my possessions I've managed to hang onto over the years. I've rummaged in the boxes to pull things out which I needed - like saucepans, plates etc. - and otherwise just left this room as a total bombsite, because I don't have any furniture in which to store any of my things yet.

In the space of four days, I've had the heating fixed, the electrics fixed and the telephone and broadband installed. I've had two Ikea deliveries, two deliveries of white goods for the kitchen, plus some other visits that I've probably forgotten in the melee.

Theoretically, I go back to the office tomorrow and act as if nothing has happened. Tomorrow I have to carry on as if everything is normal and under control in my life.

Things do not feel under control.

I want to hide under the duvet for a month.

But I can't afford the time off.

Theoretically now I can begin to find a bit of rhythm and routine. As soon as my washing machine is hooked up, I'm pretty much self-sufficient - I'll be able to cook, clean, sleep and somewhat relax. I have a comfy couch and a comfy bed. I have figured out how to operate the central heating and I've had a couple of log fires.

I am not at all happy about going back to work. I feel very unwell. I feel certain that I'm going to have a panic attack and have to leave, shortly after arriving at the office.

My stable settled secure little world has been rocked by mighty forces and I'm quite disturbed by it. I feel sick.

My feelings are perhaps illustrative of why people don't move house very often and prefer to stay in their comfort zone. It might sound like an enviable ambitious exciting adventure, but the reality has been that most of the time I've felt extremely stressed and anxious.

I guess I hoped to have two settled sorted things in my life - my home and my job - which would allow other things to fall into place, like my mental health, my social life, my physical health and my love life. In reality, I have nothing settled and secure at the moment, but perhaps going back to the office tomorrow will instantly restore a bit of normality to my shattered life.

There are many enviable things about my situation at the moment, so please don't think I'm churlishly complaining... I just bit off a lot more than I could chew.

Tags: #moving #house

This is a story about mind over matter...

It doesn't seem to matter how many sleeping pills, tranquillisers and sedatives I swallow, if my brain wants to be awake, it wants me to be awake.

Several times during those 110 hours, I took my night-time pills and got into bed, but my brain was in no mood for sleep. The pathetic pharmaceuticals were brushed off effortlessly, and carried on writing and chatting to people online, all night long.

Eventually, I started to hallucinate. I couldn't see straight. I couldn't type well. I became clumsy. Tasks were slower and harder to accomplish.

The strangest thing though, is that I never became incoherent. I never started spouting gibberish.

I must now try to go to bed and get some sleep.

No doctor is likely to be sympathetic to my plight. They'll batter me with baseball bats and club me with batons. They'll throw bricks at my head and smash planks of wood over me, until I'm so broken I can't get up. In other words, they'll prescribe me dreadful medications, which are the modern equivalent of a straight-jacket.

While chemists' store-rooms are filled with medications which are precisely suitable for my symptoms - insomnia and extreme agitation - those are never allowed to be dispensed. I must suffer the pills that make me fat and unable to have an orgasm. I must suffer the pills that leave me dribbling and shuffling.

For now, I have some of the forbidden pills - the ones that work - and I shall use them until my supply is exhausted. I anticipate a peaceful night of delicious refreshing sleep, with no 'hangover'.

Good night.

Tags: #mania