This is a story about keeping the lights on...

There used to be a time, not so long ago, when banks were closed at weekends and on bank holidays, and the only way to do financial transactions was with cash, or otherwise with cheques that used to take 3 working days to clear and could 'bounce'. Today, we can do credit and debit card transactions 24 hours a day, 7 days a week, 365 days a year. Today money flows across the globe in the blink of an eye - pay for some sunglasses in Singapore and your current account will be immediately debited back home here in the UK.

There used to be a time, not so long ago, when getting online meant phoning up another computer. We weren't online all the time - we'd connect once in a while to check our emails, but the rest of the time our telephone line had to be left free so that people could call us. Likewise, computers weren't always available to be connected to - the dial-up number might be engaged because somebody else was connected, or maybe the computer would be switched off or having maintenance done to it. Today, you can access websites 24 x 7 x 365 and you'll never see a message that says the service you're trying to access is offline because of maintenance or some kind of problem. That's what "high availability" means.

So, did we stop turning off the computers, or install some more phone lines or something? Did we get rid of the need to upgrade and do maintenance on the computers? Are the days of engineers having to take a service offline now gone? From a consumer's point of view, that's certainly the way it appears.

In a post 9/11 world, disaster recovery is seen as an essential requirement for business. A terrorist organisation could blow up the headquarters of your bank, but to you as the customer, the computer systems have been designed so that things should function just like normal - business as usual as far as you're concerned. Does that mean that computers are now bombproof? From a consumer's point of view, it certainly seems to be the case.

The reality is that behind the scenes there is a lot of redundancy and failover design so that if anything catastrophic happens, other parts of the system can take over from the parts that have failed. If a computer blows up, another one immediately takes over its work, seamlessly. If a hard disk fails, the data has been copied across a bunch of other ones so no information is ever lost. Software is designed so that it can be upgraded without the users even realising that it's happened - you get new features on the websites you use all the time, but you never notice any interruption in the service. That's high availability in action.

Behind the scenes, there's an army of developers, testers, devops, support analysts, network engineers, sysadmins, database administrators and other flavours of infrastructure engineers, who keep things running smoothly. To keep you plugged into the digital world 24 hours a day, allowing you to send and receive emails, text messages and naughty photos whenever you want, a huge stack of systems have been designed, built and maintained with the principle that they must be "always online". It's a bit like repairing a broken-down car while it's still driving down the road at 100mph.

The net result is that the main skill in IT is not creating the hardware and software anymore, but in keeping the lights on all the time - 100% uptime. Teams of people work in shifts around the clock just waiting for something to go wrong so that they can spring into action and fix it, even though faults are not fatal to the overall functioning of the system, and the users won't even notice that there's been a problem. Computers still fail and hardware still needs replacing. Things need upgrading; things need maintaining, but it all happens without anybody ever seeing a message that says "SERVICE NOT AVAILABLE".

Personally, I do not enjoy sitting waiting for something to go wrong. I'm currently working for a team whose role is to keep the lights on, and it got briefly exciting when the air conditioning failed and a whole datacentre shut itself down, but that was the briefest possible thrill. I'm like a firefighter in this modern world where modern fabrics, improved electrical safety and central heating systems mean that fire is an increasingly rare occurrence in the domestic home. I'm built to fight fires, but everything's built to be so resilient. There are no crises that demand heroics anymore.

I'm pretty much in the wrong job. I deal with machines all day long but I want to deal with people. I'm bored but banking is supposed to be boring - when it gets exciting it means stock market crashes and people not getting paid. I need variety but once you've grasped how to build a computer system, they're all the same - I've built everything from torpedo guidance on nuclear submarines, to bus ticket machines and iPhone apps, and it's all built exactly the same way. I am devastatingly depressed about my job. I think banking is 99% evil, with only 1% of it having anything to do with keeping people's wealth safe from robbers or facilitating transactions that are easier than barter. I need to be solving problems, but I've already solved the same ones a million times, and if I do a good job upfront then there aren't many to solve anyway. It's a dismal existence.

So, I sit at my desk and I get paid an obscene amount of money for doing nothing, just in case something goes wrong... which it very rarely does. I'm highly available, but like a disaster recovery site, hopefully I never have to spring into action, because things are really bad if I'm put to good use. It's really horrible, sitting and waiting for something terrible to happen, and really wanting a crisis to develop because I'm so bored and under-utilised.

I really need to find some kind of app which serves some kind of societal function, beyond stupid distractions from the point of living. Surely the point of living is to spend our brief time on this earth with our family and friends, eating, drinking and making merry, not chasing money and other made-up bullshit.

Tags: #career #computing #banking

This is a story about music...

The only things that seem to be capable of making me cry at the moment are Disney movies and a 90-second passage from The Tempest, which is about dreams and sleep. I quote it now for your interest, and as I write this big salty tears are rolling down my cheeks:

Our revels now are ended. These our actors,
As I foretold you, were all spirits and
Are melted into air, into thin air: 
And, like the baseless fabric of this vision, 
The cloud-capp'd towers, the gorgeous palaces, 
The solemn temples, the great globe itself,
Ye all which it inherit, shall dissolve
And, like this insubstantial pageant faded, 
Leave not a rack behind. We are such stuff 
As dreams are made on, and our little life 
Is rounded with a sleep.

It seems remarkable to me that I'm not able to resist the mawkish and emotionally manipulative thrust of the Disney movies, and I blub in all the right places and even some of the wrong ones. To accuse me of being emotionally unstable or having a tendency towards inappropriate emotional responses to situations, is grossly inaccurate and untrue. I would agree that I'm unguarded; trusting... a little vulnerable and certainly quite naïve, although I would argue that I prefer to be naïve than cynical and guarded.

In terms of protecting myself from whimsically falling in love and getting hurt, I would say that I don't protect myself at all. My emotions go where they want to go and I let them. I use the "L" word very sparingly and tend to distrust strong emotions, viewing them as transient; fleeting. I favour loyalty above everything else. I've got no time for game playing and wimpy wusses who are afraid of getting hurt.

Under a railway arch in Vauxhall, I experienced what the children of doting parents must experience their whole lives - to be loved, cared for; adored. I felt a sense of contentment and security that had been absent throughout my bullied childhood. I felt the warm embrace - the hug, if you like - that had been absent in my life and had turned me into an insecure person who completely lacked self-confidence and a sense of identity. I'd been through 8 schools and lost countless friends due to my druggie alkie loser parents not giving a shit about the damage they were doing. The experience of clubbing under the railway arches was curative - this was the love that had been sorely absent in my life. The catalyst? MDMA.

Fifteen years later, my marriage was collapsing. I needed to go to hospital. I was admitted to The Priory thanks to my private health insurance.

It's actually unremarkable that I grew out of a brief period where I dabbled with recreational drugs - ecstasy - and went on to have a 15-year blemish-free career, before the stress of a toxic and abusive relationship tipped me back into the very state I was in when I was a child: in desperate need of some unconditional love. It seems obvious that depriving a person of their identity and security, and bullying them, would result in trauma and psychological damage. It seems obvious that the same negative stimuli would elicit the same negative response.

While I was in The Priory, I handed in my iPod after a couple of weeks. I had decided that I was using music as a way of manipulating my moods, in a similar manner to people drinking, smoking and using drugs, in response to stress and other negative situations. I decided that if I was going to take treatment seriously, I would have to avoid things which I could use and abuse to alter my mood.

Presently, we seem to think it's virtuous to deny ourselves all the things we enjoy. Cream cakes (too fatty), fizzy drinks (too much sugar), beer and wine (alcoholic), masturbation ("wanker", "tosser" etc.), spending money (too fun) and all the other things that make life mildly bearable are given up for January, while we run on a treadmill in a gym, or lash ourselves with a bunch of nettles or whatever the f**k it is that 'virtuous' people do these days.

When I was seized with the notion that pure devotion to a 'natural' life would lead to happier, healthier times, it became as obsessive as anything else that might be characterised as an addiction. I became addicted to making every single tiny health tweak in my life that I could. I cut out dairy and gluten. I washed out my sinuses with saline. I probably would have done colonic irrigation if I'd thought about it at the time. The whole thing was dumb - pure superstition and pseudoscience.

Today, I take dietary supplements - 5-HTP, tyrosine and magnesium - which are supposed to provide my brain with the building blocks it needs to restore normal mood and improve my sleep. However, I've also abused simple amino acids and even pure dopamine - in the form of L-DOPA - to put my brain into a completely unnatural state, with the intention of achieving an otherwise unattainable euphoria or level of performance.

I've abused stimulants to stay awake and give me the energy to dance all night. I've used prolactin-suppressing medications to allow me to have multiple orgasms. I've used erectile dysfunction medications to allow me to sustain an erection for priapic lengths of time. I've used drugs to move my mood up, down and sideways - attempting to 'play god' if you like.

How many drugs and medications have I tried? Two hundred? Three hundred? More? This is not hyperbole - I had the time, the money, the determination and the means.

If you think I'm an idiot who makes bad choices, I ask you to look again. Imagine what my upbringing was like before I discovered that there was this chemical - MDMA - that unlocked me from that miserable prison. Of course I was going to mistakenly believe that it was a trick that could be repeated. In my desperation to escape a toxic abusive relationship 15 years later, I tried heroin, crack and crystal meth - amongst innumerable others - and none of them grabbed me. I methodically worked my way through everything I could get my hands on - illegal drugs, legal highs and black-market prescription medications.

The net result was not a predictable one. Instead of being dead in a ditch due to poly-substance abuse, I'm now quite averse to any psychoactive substances. I'm one of the few people you know who doesn't drink caffeinated beverages. That I'm unmedicated for my mental health problems is not because I think I'm "well" but because I know that I prefer to suffer the symptoms - very few people you know are prepared to tolerate depression and anxiety, but I do so on a daily basis without medication to assist me.

There's a part of me that wants to quit carbs, quit booze and join a gym, but frankly I've got enough shit on my plate just trying to get up in the mornings and not kill myself.

I loosened the purse strings and bought a few new clothes at the weekend. I went on a couple of dates. I'm listening to euphoric dance music, eating what I want to eat and drinking quite a lot. Fuck it. Life's too short to be miserable.

Last night, a woman ran up behind me as I was crossing the road and started asking for money. I said "sorry". She launched into an escalating level of abuse, accusing me of saying "no" and for toying her when she was "begging [for my] help". She was too busy yelling and screaming horrible names at me to be interested in the fact that I would've helped her, absolutely. In fact I still would. Fuck it, even if she was just rattling for "B and white" (heroin and crack, also known as "dark and light") and she was short for the score, I'd have helped. You've got to acknowledge the complexities of life and human nature if you want to help anybody. Expecting everybody to be gym-going, kale-eating, alcohol and drug free totally fucking ridiculously 'virtuous' people is absurd. Most of us have a vice.

When I think about how long I lived without my cat to stroke, and without the pleasure of snuggling with a girl I'm really into, I'm surprised I made it this far. What's the point of life without a good healthy dose of oxytocin? Is life even liveable without the bonding hormone? I really don't think it is.

So, as we approach the end of Jinxed January, I'm throwing caution to the wind little by little. I'm buying myself new clothes and having a haircut, because it's great for my self-esteem. I'm dating and having sex because it's fucking awesome. I'm letting myself do a million little things that just make my day a little bit more bearable, because that's what life's all about if you don't want it to be suicidal misery.

There's a chance that all the little changes in my life will destabilise me. It's all quite stressful, even if it's also fun. I'm quite well aware that something as simple as a late night can throw my world into quite a lot of chaos, but sod it, life's too short and I've waited and been sensible for long enough.

I don't think I'm going to go clubbing and take any MDMA any time soon though.

Tags: #relationships #sex #bipolar

This is a story about doing no harm...

Imagine that somebody says to you "you're so argumentative". What could you possibly say in return? You can't say "no I'm not" because then they'll say "yes you are and the fact that you're arguing proves it". There are lots of other quirks of the English language that allow you to box people in, such as asking questions like "so when did you stop raping children?" or some other kind of fallacy.

I'm not actually against psychiatrists and psychiatric medications. Every psychiatrist is different. Most psychiatrists who work in the NHS have to deal with society's very sickest and most dysfunctional cases. Every psychiatric bed in England is filled with somebody who is being detained against their will for 28 days, or more likely for 6 months. There aren't any spare psychiatric beds for people who are merely having a crisis and who are in danger of committing suicide - the NHS will call your bluff and leave you to die, as so many do, because mental health services are overstretched and underfunded.

The kinds of treatment on offer vary from snake-oil bullshit, such as CBT and other behavioural therapies, to chemical coshes that will put you into the drugged equivalent of a straightjacket. For sure, there are some very sick people who are psychotically disturbed, but powerful antipsychotics are not a panacea for all problems of the mind. In some countries, physical restraints are more commonplace. In the UK, we dope people up to the eyeballs.

If you've never lost your liberty you won't quite be able to comprehend how terrible it is. We're free-thinking individuals who move through the world according to our whims - the illusion of free will. When locked into an overcrowded psych ward, even if you asked to be hospitalised because you feared for your own safety, you might suddenly panic that you won't be able to get back out.

Ironically, you can't say "I'm not argumentative" when somebody wrongly accuses you of being argumentative, and it's equally impossible to say "I'm not mad" when you're trapped by psychiatry. The only strategy you can play is to be calm and patient and ignore the provocation, which is easier said than done. It's a very natural reaction to want to defend ourselves against unfounded allegations. To have our character criticised by somebody who doesn't know a damn thing about us, is incredibly insulting. When somebody who hardly knows us has the ability to detain us against our will, and even to have us forcibly medicated, then the situation is unbearable.

I don't doubt that psychiatrists believe they have their patients' best interests at heart, but there's no acknowledgement of the antagonisation, frustration, anger and upset that they provoke. Nobody should have godlike powers over any other human being. The line between sane and insane, sick and healthy, right and wrong thoughts... these are completely arbitrary. There can be no ultimate arbiter who decides who's normal and who's not - it's not right that anybody should sit in judgement.

Am I arguing that we should fling open the doors to our asylums and let the mental patients roam free? It's more complicated than that. A survey of the general public revealed that the vast majority of people wouldn't want to live next door to, work with or have their children play with a schizophrenic. It seems that those paranoid delusions are not so paranoid after all - no smoke without fire. Having had my case reviewed at mental health tribunal to decide whether to give me back my freedom or not, it appalled me how six people could sit and have a discussion about me as if I wasn't even present in the room. To button my lip and remain silent through proceedings; to maintain my polite and courteous façade - this was virtually impossible when my liberty was at stake.

Another thing that's deeply upsetting is the way that the patient is often mobbed. Ward rounds consist of sitting with a whole room full of people - usually a couple of psychiatrists and a couple of nurses - who sit stroking their chins while the patient explains the same thing for the millionth time: please stop ganging up on me and let me go. Of course, there are mental heath problems present, but the set-up is antagonising. Should we just let anorexics stop eating and die? Should we just let the psychotic do what the voices tell them to do? This isn't what I'm arguing for. I'm just pointing out that even the most sane amongst us would be driven mad by a jeering crowd, licensed to torment and keep their victims in captivity.

If you imagine that you might get to spend 10 minutes with the psychiatrist who has the power to set you free, once every week or every fortnight, all the decisions are more important than I can possibly express in words. If you're on a medication which is causing you intolerable side effects, in a psych ward setting which is causing you intolerable distress, you're going to have to wait a couple of weeks before you can have another go at trying to communicate your needs to the doctor... which you'll have to do through the foggy haze of powerful antipsychotic medication. "This man is making no sense" they'll say, because you've been drugged into a dribbling mess. What further proof could be necessary to show that you're an imbecile who could never survive outside the protective walls of an institution?

Experiments were conducted by investigative journalists, who deliberately got themselves committed to institutions, only to find they couldn't get out again - the system grabbed them. The harder you fight the system, the more you're giving the system the 'proof' that you really are mad. It's maddeningly self-perpetuating.

Very few of us have the ability to bring our racing pulse back under control, to lower our respiration rate, to relax our muscles. Very few of us possess the ability to react to incredible stress, by calming ourselves and being patient. The most antagonisingly provocative situation will elicit the most predictable response: people don't like having their freedom taken away, told what to do and being judged by strangers who pry into every aspect of their private life.

To have captive creatures to toy with as we please must make those men and women who wield godlike powers feel very full of themselves. "It's for your own good" is the well-worn defence for the indefensible. The very nature of the relationship is toxic to mental health. Mental health treatment cannot be imposed by those who know best, because they don't know best - psychiatry is such a young branch of medicine. Nobody really has a clue what they're doing. Long-term outcomes are abysmal and the mental health epidemic continues to grow apace. Clearly, evidence-based medicine is not being practiced.

Of course I don't think that psychiatrists and mental health nurses and all the other people who offer medical and complementary treatments for ailments of the mind, are bad people. Of course they're not bad people. I don't believe there's a Big Pharma conspiracy. The truth is though, people are sicker than ever before and the treatments aren't working. My objection is with those who talk authoritatively as if there are useful diagnoses and accompanying medications and therapies which are making a profound impact... it's just not the case at all. What's happening is abysmal, and nobody is admitting they've got it wrong - a lot of people aren't sick, they just hate capitalism and modern society.

Good science means controlling the variables. I've aggressively cut out all psychoactive substances. Tomorrow I shall tell my psychiatrist that I'm debt-laden and forced to work a job that conflicts with my values and needs. My malaise is a function of the conflict in my heart, knowing that banking is a morally bankrupt profession, loan-sharking and taking advantage of the most vulnerable. My prescription? The end of capitalism and the return to a society where we're intimately connected to our local communities... do you think they'll stock that in the chemist?

Getting my happiness and contentment back in the current economic climate looks to be an impossible task. However, to medicate myself because I'm having a sane reaction to an insane world is not a good course of action.

Of course, my psychiatrist doesn't have the ability to cure me of my intolerable situation. I've got to work. I've got to travel to where the jobs are. I've got to pay my bills and service my debts. But, I don't need medical solutions to a non-medical problem.

Why even go to see my psychiatrist, when I don't think they can help me? Well, it's obvious isn't it? If we keep sending people away with pills, then we keep proceeding with our delusion that they're working and things are going to improve one day. How many times a year do you suppose a psychiatrist meets somebody who's foresworn ALL psychoactive substances, including caffeine and nicotine, and is a functional high-achieving member of society, to all outward appearances? To say that a medical problem - suicidal depression and debilitating anxiety - doesn't have a medical solution is heresy, but somebody has to stand up to those who dogmatically decree that they have the solutions, when they demonstrably do not.

Being unmedicated is really horrible and I feel terrible, but I'm being a bit of a martyr because I've got a point to prove. One day I will escape from the burden of debt, the soul-destruction of bullshit jobs and the need to commute long distances, preventing me from forming social bonds and having a work:life balance. One day I'll get a girlfriend and a cat and a home of my own and all the other things that humans need to feel complete, and then we can re-examine the situation and ask if I need medication. Until such time as the major problems in my life still exist, then medication looks like a dangerous option, because medication is allowing our society to develop into a grotesquely unhealthy form. Just because medication allows you to do awful things, it doen't mean you should do awful things. If it feels wrong, it probably is wrong.

A certain proportion of society will always struggle to abide by its rules, its laws and its social contract. A certain proportion of society will be criminals and parasites - anti-social. However, when the vast majority of us are struggling and unhappy, then we've made a wrong turn somewhere; we've made a mistake and we need to retrace our steps.

I refuse to be labelled and drugged.

Tags: #mentalhealth #medication

This is a story about giving the audience what they want...

It should come as no surprise that Google mainly brings me readers who wish to find out how to kill themselves. My number one blog post is all about how to suppress the hypercapnic alarm response, in order to be able to asphyxiate yourself, or in other words suffocate to death. For writing candidly about suicide, I was once accused of being irresponsible by a psychiatrist, but frankly if somebody's intent on killing themseves then they're going to find a way. I'm not encouraging anybody to commit suicide, nor do I glamourise suicide - you must surely be convinced that my life is not an enviable one. How is it possible to envy the dead anyway? There have been 100 billion humans who have died since homo sapiens became a species, so it's hardly like I'm a unique role model.

Secondly, Google brings me readers who very dearly wish to know how to have better sex. I don't mean lovemaking techniques, I mean drugs and medications that significantly enhance sex. The main search term that seems to bring readers in their droves is "drugs that make you horny". Perhaps more interesting - although very few people search for this - is my research into medications that allow men to have multiple orgasms. There's information hidden in these pages that explain how to reach unimaginable heights of sexual ecstasy, so I don't really know why the Google searches seem so unimaginative and my sordid little guides on how to have masses of mind-blowing orgasms remain largely overlooked.

That I know what kind of Google searches bring readers to my website is not any kind of hacking or cybersnooping, but is a service that Google themselves provide called Google Webmaster Tools. In addition, there is Google Analytics, which somewhat less reliably tells me the keywords that people used to search and find this site. The idea is that I could better tailor my content to give people what they want. People seem to mainly want to kill themselves with nitrogen gas, or some other inert gas other than carbon dioxide.

It's sometimes said that we see a world that reflects our own feelings. So, if we're angry then we perceive the world as being an angry place. Because I'm depressed and suicidal, I therefore see depression and suicide everywhere I look. However, there are good data to support my feelings: suicide is the number one killer of men under the age of 45... far bigger than any diseases, car accidents, murder, drug addiction and all the other things you could think of that would prematurely kill a person. It seems I'm onto something doesn't it?

What do any of us want other than to fuck, eat, sleep, procreate and various other things that an organism would be expected to do? I could write about food and the pleasure of eating, but I've found that the pursuit of drug-enhanced sex has been more rewarding. I could write about extreme sports, and the adrenalin rush from doing dangerous things, but I've found that taking addiction to its most extreme has been far more exciting than any parachute jump or cliff face that I've climbed.

There are an incredible amount of people who want to read about getting high. There are very few people who seem to want to read about quitting drugs, although my blog posts about detox and rehab are often visited. There are heaps and heaps of people who want to get sober. In fact, it's quite depressing just how many people are looking for a cure for their alcoholism. There are heaps and heaps of alcoholics who would very dearly like to find a way out of the situation they're trapped in, and some of them find their way to this website looking for answers.

Another thing I can see is trends. I can see whether I'm getting more visitors, or fewer. I can see that live-publishing a draft manuscript of a novel on my blog was not a crowd pleaser. I can see that documenting the trials and tribulations of an IT consultant working for an investment bank is not a crowd pleaser. I can see that generally, there's an inverse correlation between how well I am, and how many visitors I get to my website. That would be expected... there are a lot of concerned people out there, and when things are going swimmingly there isn't so much of a need to keep an eye on somebody who's been actively suicidal at other times. However, there's a cynical part of me that wonders how much people are looking for drama, also. There's very little drama in a wealthy white educated middle-class guy complaining about his lot in life, because his job is a little underwhelming.

Of course, I'm writing now with my tongue in my cheek.

There's more drama than there's ever been, because this is make-or-break time. I'm fending off drug addiction, sex addiction, porn addiction, alcoholism, risk taking, money spending, near-bankruptcy, crushing levels of debt, homelessness, insomnia, anxiety and panic attacks, suicidal depression and complete melancholic malaise about my life and the state of the whole world and those who live upon this planet's surface. In terms of jeopardy, things are at their most precarious, because a slip-up now would send me crashing drastically. To relapse when I'm in the middle of on/off addiction and a mental health crisis is no drama because I'm living with daily highs and lows and I don't spend more than a few days or weeks without a major incident. To relapse now would be to throw away 6 or 7 months of arduous struggle against adversity. To relapse now would be a cruel blow, when I've overcome such insurmountable odds.

To deviate from my plan and my story would be foolish. To attempt to react to the stats and the data I have in my possession and write what the audience seem to want - to play to the crowd - would keep me in a perpetual state of sickness. If I was intent on having the most popular blog that I could write, it would conflict with my desire to recover and live a normal life. I've even been accused of wanting to stay sick to please my 20,000 Twitter followers. I'm regularly accused of being alarmist, attention seeking and melodramatic. I'm occasionally accused of being contrived, and even that I'm some kind of fake.

Where's the punchline, we wonder. When am I going to ask you to reach for your credit card? Am I selling T-shirts and mugs? Am I going to emblazon this site with advertising and harvest your personal data? Am I going to start a mailing list and spam you? How do I even make money out of this? Do I want fame or notoriety?

Of course I want to be noticed. Of course I want readers; followers. Of course I want what I write to be read. How ridiculous to suggest that there's some virtue in writing in obscurity. It's not noble to hide your thoughts and feelings and emotions and inner monologue... it's stupid. What people want to read more than anything else is authentic writing from real people. Public diaries; journals; blogs. If you like people and human stories, what could be better than the real-life soap opera of a person's life laid bare for all to see, warts and all.

I don't know where I'm going with this, but I don't want to go down the well-trodden path of clickbait and slavishly obeying the analytic data that seems to suggest that pictures of kittens and puppies go down very well on the internet. What kind of an artwork would I be creating, if I was to ask the audience what I should paint on my canvas?

Does life imitate art, or does art imitate life?

Tags: #socialmedia #writing

This is a story about being on the sick...

I'm regularly asked how to obtain a sick note and/or prescription for high-strength addictive medications from a GP, so I thought I'd prepare a handy guide to answer these frequently asked questions. Above you'll find a copy of a sick note that you can print out and fill in with your own details, so that you can bunk off work because you're lazy and entitled.

Of course, your doctor wants to cure you, which would be a dreadful outcome. It takes a lot of time and effort to ensure that your doctor doesn't actually give you what you need. Your GP can instantly relieve your ailments any time they want so it's important to remember what YOU want: ineffective treatment. You must always remember that you want the wrong treatment and resist any and all attempts to be persuaded to receive the correct treatment. If you do that then you should be fine. I mean, not actually fine... I mean sick, which is obviously what you want.

Proper preparation is essential. Make sure you have extensively researched your chosen ailment and know what all the likely treatments are so that you can refuse or say that you've already tried the ones that work. This is important. Your doctor will try to fob you off with something which has an overwhelming body of evidence that conclusively proves that it will cure you instantly, so you should be fully prepared to absolutely flatly refuse any of those treatments. Be careful, because your doctor will obviously try to trick you into becoming well again, which isn't what you want at all.

When demanding dangerous addictive medications, it's a good idea to scream, yell and aggressively and insistently dictate that you must be given what you want immediately. Obviously your GP may be alerted to your blatant intention of doing yourself harm with the "fun stuff" and your desire to remain sick and incapacitated, so it's important that you get irate and use ill manners in order to better communicate your want for large quantities of deadly pills.

While you're spending time with your GP, it might be a good idea to ask if the pills you're getting are the kind that are easily crushed and snorted. Ask if the pills contain an excipient or other additive which would make intravenous injection less pleasurable, and demand brands which have no such so-called 'safety' formulations. Find out if you'll get a bigger rush by combining medications and make sure your GP knows you don't care about any so-called contraindications. Your GP is an expert in the most fun ways to abuse prescription drugs. Generally, the less willing your GP is to give you a particular medication, the more desirable it is.

GPs often talk about the "analgesic ladder". Say for example you are hoping to obtain a prescription for codeine, which you can extract from co-codamol tablets using water that has been cooled to 5 degrees celcius or lower - filter the chilled liquid to get rid of all that pesky paracetamol. If your GP refuses to give you co-codamol, then you should climb the analgesic ladder and demand tramadol. If your GP refuses to give you tramadol, then you should continue up the rungs of the ladder, demanding buprenorphine, then morphine, then diacetylmorphine. Do not leave the GP's consultation room until you have obtained your prescription for pure diacetylmorphine. It's your right to have pure heroin dispensed to you via the NHS, because you want it and it's nice.

When demanding your sick note, make sure your GP knows it's yours and they should return it to you immediately. Make your displeasure loudly known that you were inconvenienced by having to visit your GP to get it back.

It's a commonly held misconception that you would have to feign illness in order to get a sick note, but it's a well-known fact that sick notes are in fact a certificate of bone idleness and it would look very odd if a sick person were to ask to be signed off work. It's imperative that you demonstrate that you're quite capable of performing a range of work-related activities and you have absolutely no reason at all to not be hard at work down a f**king coal mine or something. Take some heavy weights and a computer keyboard with you and repeatedly lift the weight up and down while doing star jumps and typing at 100 words per minute, to absolutely convince your GP that you're capable of doing any physical or mental task that would take place in the workplace, such that you're obviously urgently in need of YOUR sick note.

Did I mention eating deep fried battered lard cakes, smoking a thousand fags and drinking flagons of mead? It's important to demonstrate all the unhealthiest lifestyle choices that you can, in order to show your commitment to being unwell, otherwise your GP might mistakenly believe that you want to be cured or helped in some way. Leave your GP under no illusion that you have not even the slightest glimmer of desire to in any way help yourself.

Remember, it's you versus them. Seeing your GP is an adversarial conflict, where you want completely opposing things and you absolutely should not never under any circumstances not never no way agree or co-operate in any way whatsoever, or listen, or heed any advice or in any way allow yourself to be corrupted by your GP's intentions, which are completely out of alignment with your own firm decision to be sick and die. If you even listen to your GP a teeny tiny bit, you could be accidentally cured beyond your worst possible nightmares, to the point of being healthy and happy - disaster!

It's important to remember at all times just how much you love being miserable, sick, anxious, depressed, overweight, unfit, in pain and on your way to a premature and painful death. It's important to hang on to your main objective - remaining unwell at all costs - if you want to avoid your GP's devious attempts to cure you of all your ills and send you on your merry way as a productive, healthy and content member of society. It will take all your wits and cunning to outsmart every attempt to make you better.

By following this prescriptive guide, I hope you're able to obtain YOUR sick note and a prescription for vast quantities of dangerously powerful, fiendishly addictive and deadly medications which can be mixed to make you sick, dying and dead in horrendously toxic combinations. It's a difficult challenge to obtain the wrong treatment, but given that the reward is pain, suffering and death, it's worth the effort.

Just remember: your GP is not on your side. You and your GP want different things, and you should stick resolutely to your desire to have the WRONG treatment and remain sick and dying. Every time you trick your GP into giving you the wrong treatment, or refuse the right treatment, you're winning.

Good luck and STAY SICK!

[P.S. apologies to my GP if they should read this for some reason]

Tags: #medication

This is a story about paralysis...

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

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

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

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

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

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

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

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

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

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

January.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Tags: #mentalhealth #suicide #medication

This is a story about the generation who want to die...

So you mean to say that I've inherited a dying body on a dying planet, over-populated by dying coffin-dodgers who are squatting in all the big houses and hoarding all the money? So you mean to say that all those times I didn't get to eat jelly and ice-cream; all those times when I had to stop playing with my toys and go to bed even though I wasn't tired; all those times I couldn't see my friends because I was being dragged around the place by grown-ups... you mean there's no payoff for all of that?

What's so infantile about acting like a spoiled child? What can we learn from children?

It strikes me that even though we went to school and ate our vegetables and had lots of tears and tantrums as children, everything went to Hell in a handcart anyway. When the survivors of the nuclear apocalypse crawl out from under the rubble, aren't they going to wish that their kids weren't raised by strangers in institutions? Aren't you going to wish that you didn't act more childishly when we're all going to die anyway?

How precisely has all of our discipline and self-denial benefitted us? Half the planet lives in dire poverty; those in the middle live in conflict zones, afflicted by war and refugee crises; the top couple of per cent have wealth, technology and education, which they use to write angst-filled books, share suicide memes and otherwise complain about the agony of existence.

Even tiny tots get given homework. Exhausted looking parents complete after-school projects for their kids, the night before the deadline. Extracurricular activities demand every spare second of time - every waking hour of the day is seen as an educational opportunity.

Pinching our noses and shovelling in disgusting-tasting food, because it's good for us, is something that we have become habituated into doing as adults. What can children tell us about the madness afflicting the planet? Why do I want to be healthy and live a long miserable life?

"Are you smarter than a five-year-old?" is the title of a gameshow. A chess grandmaster is not smart per se - they are probably a thoroughly impractical person if they've dedicated so much of their life to playing a board game. Better chess players are simply better at spotting patterns they've seen before, as opposed to brute-force reasoning - to become good at chess requires a lot of experience. To be an adult is simply to have gained more experience of how to play the game of life - I often think that children are the smarter ones.

Stood in the supermarket today, I wondered why I didn't just take a doughnut off the shelf and eat it; I wondered why I didn't lie on the floor and kick and scream that I wanted something until it was brought to me; I wondered why I was walking when I could be carried or wheeled around in a trolley or pushchair; I wondered, in fact, why I would adhere to any of society's expectations at all - none of us are getting out of this alive, so why shouldn't we put down our tools and just run around like a bunch of kids?

Of course, when we get cold and hungry, we're immensely grateful to have a fire and some food, but those things don't require me to sit in a classroom, lecture theatre or an office. I don't need to wear a suit and take a crowded commuter train to put food on the table and keep my house warm - the work of the service industries is not farming, fishing, producing energy or building homes. I wonder if our advanced society should feel as smug as it does, given the vast numbers of us who are stressed, anxious and depressed. When our bright, energetic and enthusiastic young people are faced with such grim prospects, have we led them astray?

For those "I'm alright, Jack" few, who are content to mortgage their grandchildren for the sake of their desire to be idle in opulent luxury, they will mock socialist movements as immature and naïve. Conceited media commentators deride supporters of the Labour party & left-wing as being mainly students and bleeding-heart liberals.

Literature is littered with examples of the youth being to blame for everything. Parents are afraid of their own children. It seems acceptable to laugh at the angst-ridden teenagers, as if us adults have got things all figured out. It seems OK that millennials won't get to buy a house and have a job that pays enough for them to raise a family, because they've got smartphones and social media - as if that's some kind of fair trade.

I find myself somewhat sandwiched in-between a generation who feel entitled to do nothing, as their reward for fucking up the whole world, and a generation who get no reward for giving up their childhood, despite eating their vegetables and doing their homework. Why?

For every 'good' reason I can come up with for why it's better to act in an adult way, I have to admit that I can fully empathise with the childish stance. Furthermore I can see that inside even the most po-faced and responsible adult, there's still a part of them that would like to have a big tantrum and not do any of their chores. Under the veneer of maturity, we are still children. It struck me that the only difference between me and a child is that I look like a grown-up, and my play-acting has gotten a lot better - I can keep a straight face.

If we're not careful, then childish ideas will take hold. The us-versus-them mentality that has brought Donald Trump to power and threatens the unity of Europe, is lifted straight from the playground. If we wish to be po-faced about the behaviour of children, shouldn't we discipline ourselves first? What kind of world have we created for our children to inherit, that makes us so damn smart and justifies feeling so smug with ourselves?

Personally, I'm turning to children to remind me not to be so dazzled by the brilliance of my own mind. Whatever I've read; whatever I've learned - it's clearly becoming less & less relevant in the modern world. There were 4.3 billion people crawling around like ants on the planet, when I was born, and now there are 7.6 billion humans alive today. In a little over a decade, there will be twice as many people competing for the same scarce resources, than when I started my life. What relevance do attitudes of the 1970s - when I was conceived - have in the 2020s and beyond? What could I possibly tell a young person about the world, when it's changed so much in my lifetime?

The old strategy of studying at school, working hard and complying with the rules of the game, seems deeply flawed when we're telling people that no matter how hard they work they won't get a job, get a house and be able to afford the things that seem like a human right: to be able to raise a family of our own. Are we supposed to be happy that at the end of it all, we will be living with our parents, like overgrown adult-sized children? Why not just remain infantile and childish for life?

Although I can see that to spawn my own progeny might change my attitude, I also see that I might begin to impose my own "I know best" attitude onto my children, which perpetuates the cycle. While I do occasionally cringe when I look at myself, talking like an angst-ridden adolescent, I would prefer to be accused of immaturity than associate myself with the sneering po-faced group who got us into this mess - those who refuse to accept that society and civilisation is crumbling all around us; refuse to acknowledge the untold human misery.

To critique parents has become rather boring, so instead, I write this essay in support of anybody who wants to have a tantrum, eat crisps & chocolate instead of vegetables, bunk off school/work and otherwise run around having fun instead of living a life of intolerable suffering.

Tags: #childhood #parents

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

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

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

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

Tags: #career

This is a story about justification...

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

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

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

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

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

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

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

Nothing to hide, nothing to fear?

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

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

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

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

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

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

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

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

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

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

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

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

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

Tags: #paranoia #writing

This is a story about peaks and troughs...

I'm in the middle of a warzone. "I WANT TO GO HOME" yell multiple angry men, who are considered unsafe to be out in the community. It's all kicking off on the psych ward, because today is ward round with the doctors. Today is the culmination of a week of waiting and hoping; hoping that today will be the day that the consultant decides to grant some liberty to the men who are detained here - the top doctor is all powerful.

Ward round is supposed to be 10 minutes per patient, but I'm a psychiatric anomaly - completely unmedicated, yet compliant, articulate and reasonable. The staff - nurses and support workers - report that I have been polite and well mannered. It's rare that a middle class person winds up on an NHS psych ward - my fellow patients are all victims of poverty, and their mental health conditions make them most unmanageable indeed.

Having moved from an 8-bed Psychiatric Intensive Care Unit (PICU) to this ward that sleeps 20+ men, the intensity of what's going on around me is much greater, even if there isn't the sound of struggling patients being dragged down the corridor to a padded and soundproofed isolation booth. At least on the PICU I could lock my bedroom door and feel a little safe. Of course, the staff opened a little peep hole every 15 minutes to check I was still breathing, but it was a much less stressful environment.

The world's most terrible shower was one of my big disappointments, as I repeatedly pressed a push-button to get a pathetic dribble of water that could barely wash away the soap from my hair. At least the water was warm, I thought. Then, a nurse knocked on the door and offered to make me a bacon & egg barm (roll) and I was pleasantly surprised. Returning to my bedroom, I was greeted with the delicious sight of the lovely breakfast snack pictured above.

A lot of people have presupposed that the food is terrible on the psych ward, but it's actually very decent. Through my turbulent journey of the last few years, I've eaten a lot of hospital food. When you're on a general NHS ward, you actually get a spectacular choice of meals, plus kosher and halal options too, which I can highly recommend.

Because my ward round time overran, I missed lunch. I asked if the staff were making any trips to the local shop - my permission to leave the ward has been cancelled due to the fact that I'm a suicide risk - and if they could get me a sandwich.

Despite the commotion, somehow a kind nurse managed to make me beans on toast with scrambled eggs. I was actually more disturbed by the disruption of the routine than I thought I would be. The amount of stuff that's happening all one one day is insane. The clamour for the doctor's attention is just as bad as you'd think it would be, given that everybody's been locked up all week and only this one guy has the power to allow anybody off the secure ward.

These two meals - breakfast roll and beans on toast - are unlikely to be in line with the NHS's ambitions to reduce salt, sugar, fat and other unhealthy things from patients' diet. Salt sachets are liberally sprinkled onto all the regular food we get, replacing the salt that would usually be added by the chef - the net salt consumption must surely be the same. There was something delicious about these beans, in their sweet tomato sauce on white bread. The carbohydrate content of this meal must have been huge, even though it was virtually fat-free except for a light coating of margarine on the toast.

The fluctuations in blood sugar and medications are very pronounced. From 10pm to 9am, no medications are dispensed, but they are dished out throughout the day. From midnight to 6am, the smokers are not allowed to cluster around the doorway that leads to the tiny outdoor area surrounded by high fences, in order to get their nicotine fix. Tea and coffee is decaffeinated, but I quit drinking hot drinks quite a few years ago. The fluctuation in the importance of days of the week, is all fixated around Tuesdays, when ward round happens. The tension in the air is palpable - patients want their freedom.

Being a non-smoker, the passing of time is marked by food and sleep for me. Masturbating in the world's shittest shower is not something I've even brought myself to do, yet, although the sexual needs of the 20+ men on this ward can't be magicked away with medication. There's clearly an undercurrent of sexual tension, which reveals itself in inappropriate ways... however, can we view the natural urges of these men - myself included - as wicked and wrong, when they are simply part of our biological make-up?

Three hot meals a day. None are particularly photogenic, but I devour every last bite. The pleasure of eating is one human thing that can't be denied to us, despite the dining not being haute cuisine. I'm grateful for the safety of this NHS psych ward, and the food I receive at taxpayers' expense.

My ensuite bathroom has no shower, but at least I don't have to share a toilet to dispose of the digested remains of what I shovel into the hole in my face. I barely chew, but mealtimes are the three happy moments in my day, which is otherwise just spent waiting... waiting.

Tags: #food #mentalhealth #hospital