This is a story about leading an insulated life...

Just in case you think I've been sniffing solvent-based glue, I'm not advocating giving booze or fags to newborn babies. I am - however - suggesting that our academically gifted, with their busy lives of music practice, homework, extracurricular studies, cultural, museum & historical sight visits, mock exams pretending to give a shit about charity & community service and being dragged off to France or Germany in the interests of practising for their exams: all in the interests of an immaculate university application... this has created vast numbers of insulated children who know little about narcotics except one lesson they did where they wrote names of drugs on a blackboard, when they were 13.

Let me disabuse you of a myth. There has not yet been a drug invented that is instantly addictive. If a doctor was to give a child an intravenous injection of diamorphine (heroin) - as many paediatrics will do in hospital - then it's certain to be an experience that the child will vividly remember with reverence. Ok, so the dose is selected carefully, but this is mainly so that the child doesn't vomit, experience unpleasant itching or suffer a respiratory arrest.

Now, let's disabuse you of another myth. Cannabis is harmless. The most insulated child's first opportunity to try drugs will be at university. I was so insulated that I thought "spliff" was a drug. It's spliffs - cannabis cigarettes - that are so dangerous, because they are often mixed with tobacco, leading to nicotine addiction and death through smoking-related diseases. Nicotine addiction is widely regarded as more addictive than heroin addiction.

Now, let's study two drugs, and compare why their chemical similarity is the polar opposite of their potential for addiction. Crystal meth, known more correctly as methamphetamine, should be well known to you as a highly (but not instantly) addictive drug. Ecstasy, known more correctly as 3,4-Methylinedioxymethamphetamine (a.k.a. Molly, Mandy, Adam) is taken by millions of party-going young people throughout the UK, especially at university where a night of drinking could cost £20 to £40 and upwards, but a dose of Ecstasy will cost around £3. You would have thought that the drug's low cost would create an addiction epidemic, but taking a drug with friends on a Friday or Saturday night, to attend a nightclub for little more than the price of the entry fee, is a far more enjoyable experience than living homeless smoking a meth pipe. There is also a peer group at school and university, who identity problem drug users and try to help them in a peer-to-peer manner.

The most dangerous group of drugs in the world are prescribed medications: benzodiazepines. Prescribed for acute stress or anxiety disorders, within 3 months, the body is physically dependent on the medication and stopping taking it will cause seizures and even death. If we're educating our children properly, we need to teach them that medicines are just as dangerous - if not more so - than street drugs.

While we're on the subject of prescribed medications, Adderall and Ritalin are prescribed to children for ADHD. Ritalin is more addictive than cocaine. Adderall is amphetamines.

Furthermore, Oxycontin and Oxycodone are prescribed for pain management, but these are powerful opiate medications - like heroin, morphine and opium - and the National Institute for Clinical Excellence (NICE) has not given a license for these medications to be prescribed on the NHS. NICE's decision saved the UK from a widespread disaster. Just because you get nicely packaged pills from your pharmacy, doesn't mean they're safe to eat like candies. Americans who became hooked on Oxy quickly figured out that heroin is far cheaper, which has given rise to the tragic opiate epidemic in the USA, which knows no class boundaries. Honour roll students are dying in similar proportions to suburban hoodlums.

What about cocaine? There's a reason why dealers market cocaine as "social" or "sociable". Cocaine tickles the reward centre of your brain, but it still needs external stimulus. On a night out on cocaine, every attractive girl/guy is looking at you, everybody thinks you're witty and funny, you're controlling the room with pure charisma. In fact, in a room full of people on cocaine, everybody is talking over each other but they only hear what they want. That drug-induced self-confidence might sweep somebody off their feet, or it could even stray into the realm of sexual harassment because your brain converts "no" into "yes". Taking cocaine in isolation is insanity... it's not a solo drug.

But what about crack cocaine? School kids should definitely learn about crack so they don't at least waste it. Cocaine is water soluble, so it can be drunk, swallowed, snorted, plugged (look it up) or injected. Crack can only be smoked and doing any of the aforementioned will have no effect. But seriously though, crack is one of only a handful of drugs that can lead to isolated drug-taking, which I explain the dangers of later on.

Of the mind-altering trippy drugs, ketamine is the main one to avoid, given that it's addictive and gives you bladder ulcers. LSD, mushrooms (psilocybin), DMT, Salvia and Peyote (mescaline) have very limited addictive potential.

The drugs that kids should be quite rightly scared of are the ones that can be quickly habit forming and are enjoyable in a non-social context. These are:

• Nicotine (inc. cannabis as gateway drug in spliffs)
• Heroin (inc. Oxycodone/Oxycontin as gateway drugs)
• Crystal meth (inc. Adderall & amphetamines as gateway drug)
• Benzodiazepines (when procured on the black market in large quantities)
• Ketamine
• Crack cocaine
• Supercrack

That's not a very big list, is it? You would have thought that drug addiction would be much less of a problem if that list was correct, but the story goes like this:

Good little Oscar went to a top university, fluent in French, Grade 8 piano and having given up every Saturday to helping little old ladies cross the road. Being able to name any piece of chamber music within 2 notes, and having memorised every placard of every museum, National Trust and English Heritage sight, plus recite the kings & queens of England backwards while holding his breath, he failed to make Oxford or Cambridge who don't want rote-learned fact regurgitators with mild speech impediments where their natural accent has been beaten out of them by a home environment so sterile that it could be used as an operating theatre. With 30 GCSEs (all A-stars) and 10 A-levels (all As) Oscar went through clearing in order to study underwater basket weaving at Luton former polytechnic, where he nearly choked on his own vomit when he saw a fellow student with tattoos, piercings, an ironic T-shirt and smoking a cigarette. She was female, and he later realised he had ejaculated in his underwear, having been forbidden from talking to girls, watching TV or unsupervised Internet browsing.

Finding his shyness and good manners endearing, and slightly out of pity, Oscar received an invitation to a party that evening.

Providing much merriment for the partygoers as he spluttered on a spliff. He then started giving everyone hugs in his deeply unfashionable clothes, when he was seduced into taking Ecstasy by a girl. The ejaculation retarding effect of the drug helped him to lose his virginity in an not-unrespectable time of 80 seconds, having penetrated the girl who he felt certain - at that moment in time - was the most beautiful in the world, and he would marry at the first opportunity. When the drugs wore off, he was surprised to discover she was 18 stone and missing several teeth.

By the end of his 3-year degree course, Oscar no longer had a healthy respect for drugs and died young, because of blood-borne diseases, transmitted through shared needles. His family did not attend his funeral, feeling they had given him the best possible start in life.

"Drugs are bad", "just say no" and other messages that suggest that sudden death or addiction may occur from drug experimentation, are pedalled in our 'better' schools, which has created generation upon generation of politicians who perpetuate the "punishment, not treatment or education" policies. Now with the advent of the Dark Web, a curious person like myself can find themselves with an addiction that never would have happened, had I been allowed to experiment with drugs in a peer group who were not equally insulated.

If we really wanted to curtail the tragedy of young lives cut short by drugs, we would end the two-tier strategy, where some children are streetwise while others receive an education that has limited use except to further an insulated academic career.

My [then] closest male friend who I've known since 2001, been on holiday with 3 times and even rubbed sun cream on his back, treated me like a completely different person - as if we had never even met and I'd spat in his soup & tipped his drink on his head - when I admitted I had a drug problem. This is what the private/independent/public/grammar schools and the league tables are producing: dangerously insulated and prejudiced children.

It's a pipe dream, to introduce schoolkids to the first-hand effect of drugs in a controlled environment - but the rate of psychoactive medications and drugs we consume shows no sign of abating.

Who do you trust? The doctors dishing out the pills that have created a heroin epidemic in the USA, the guy who's 10 years older than your 15 year old daughter who says "this won't hurt a bit" as he injects her with heroin, or the education system that can empower your children to make their own informed decisions?

Tags: #drugs

This is a story about decisive weapons....

Would I rather have the pilot of my plane, the driver of my bus, taxi or train, as a completely drug-free 'clean' individual, or would I rather that they had taken 5mg of dextroamphetamine before our journey? The answer is the latter, obviously, because they will be more alert, have improved ability to concentrate and faster reaction times.

US fighter jet pilots routinely use 'go' pills before a mission, which confer the abilities above, as well as allowing them to fly longer missions with less risk of dangerous sleepiness. Many road accidents are caused by people falling asleep at the wheel. Coffee will only give you a tiny fraction of the benefits of a 'go' pill.

Do you find that after a really important day at work, where you had to be at the top of your game, and you were firing on all cylinders; perhaps you had a bunch of coffee to keep you sharp.... do you find that you're still buzzing when you get home, and you have trouble switching off and going to sleep?

Coffee - especially the super-strong stuff we seem to drink in London and New York - can contain up to 300 to 400mg of caffeine, in for example a Pret-a-Manger strong cappuccino.

The problem with caffeine is that it's a bit of a crude stimulant with lots of extrapyramidal side effects. That is to say, as you increase the dose of caffeine, most people can't tolerate the way it makes them feel. Interestingly, intravenously, amphetamine addicts can't tell the difference between amphetamine and caffeine. Also, most intravenous amphetamine users believe they are being chased by 'them' - the police, men in black, shadow people, ninjas, whatever - but these side effects are just part of the fun.

So, the beauty of the 'go' pill is that it seems that I get all those desirable effects, with no side effects. You would be completely unable to tell that I was under the influence of 5mg of dextroamphetamine. Recreational use of amphetamines is normally quite obvious to spot: talking too fast, sweating, dilated pupils, restlessness, jerky unnatural movement. No side effects? Well, not quite.

US fighter jet pilots use 'no-go' pills at the end of a mission. Having been kept awake and alert for hours, it's now time to go to sleep or at least chill the fuck out. Sleep can be difficult without a 'no-go' pill.

My personal 'no-go' cocktail allegedly contains Xanax (alprazolam) and zopiclone, which have hypnotic, sedative, muscle relaxant and anxiolytic properties. To be honest, you could probably get to sleep naturally if you took your 'go' pill as soon as you got up, but it's pretty exhausting spending a full day in a highly alert state.

Isn't it madness, me taking all these pills? Shouldn't I just go 'clean'? Isn't it best that I'm completely drug-free?

Do you remember when you quit smoking? You chewed a lot of gum, ate a lot more, drank more tea and coffee. Do you remember when the kids were little and life was really stressful? You drank a lot more gin. Do you remember when there was that project with a really tight deadline and you were working really hard; drinking lots of coffee? You were drinking lots of wine in the evenings to relax. Basically, humans will compensate to make sure things remain balanced. If you hurt your foot, you might find your back is aching, because you've shifted your body weight to one side, to put less pressure on your injury.

My injury's a brain injury and the best thing you can do for the brain is to allow it to find its own equilibrium. However, life must go on. My brain's telling me to go to sleep in a dark room for a month or two, but I need to attend hospital appointments, do the administration for my company, line up my next IT contract, find a new flatmate, move money around and make sure the cash keeps flowing and doesn't run out.

A bit of dextroamphetamine is an effective antidepressant and helps fight any supercrack cravings. It's like methadone for a supercrack addict.

I'm on a mission to get back to coffee and wine as my 'go' and 'no-go' substances. I actually worked really hard to break my caffeine addiction, and now I only drink caffeinated drinks on extremely rare occasions. I'm certainly not habituated into having my morning coffee or cups of tea throughout the day, like the majority of adults are. This is how addiction works: you don't cure the addiction, you just replace it with something else. There was a time when I loved playing with toy cars. I had hundreds of them, and I played with them all the time. Then, I got a computer, and I loved playing computer games... and the process of swapping one addiction for another continued. I'll be just fine and dandy with some tasty food, wine to wash it down with, TV and film to distract me and a girl to put my arm around and take to bed for some rumpy-pumpy later on. That ought to just about tick all my boxes.

In the last two weeks, I broke my addiction to two opiates - tramadol & codeine - and I've obviously been off the supercrack for the best part of a week now. That's fairly impressive. Please forgive me for having the occasional G&T, glass of wine and my little 'go' and 'no-go' pills, just to keep the pedals turning.

I've got a torn muscle and ligament, damaged nerve and fractured ulna (bone in my arm) but I spend most of the day with no pain relief at all. It's only at night that for some reason all these injuries start feeling super painful and I might take a couple of co-codamol.

Interestingly, amongst the opiates, heroin was named because it was thought it would have military applications, making soldiers more heroic. Heroin addicts certainly do seem to be prepared to do almost anything to get their fix and not get junk sick. I guess the idea was perhaps to addict the soldiers, and then deny them their heroin until they had done their mission. I can't really imagine it'd be a great idea to have a platoon of men who are pretty much just dribbling and half-asleep. The Nazis had the better idea, giving their soldiers crystal meth. The nickname "marching powder" for cocaine is literally what it sounds like: cocaine was given to soldiers so that they could go on longer marches. You might think of the pharmaceutical industry as concerned only with the treatment of disease, but they have profited handsomely from military concoctions.

Adding fluoride to the water supply has made a major impact on the rates of tooth decay. Drug evangelists have touted LSD and MDMA as other candidate chemicals to be added to our drinking water. The idea being that criminal and aggressive behaviour might be replaced with love and empathy, or the 'sheeple' might have their consciousness expanded. For clarity: I do not endorse such ideas.

"Go to the doctor" is now a synonym for "go get some pills". People are extremely disappointed if they don't come away from a doctor's appointment with a prescription for some lotion or potion. The reflexive response of people if you ever say you are in pain, is to offer you aspirin, paracetamol, ibuprofen or preparations containing codeine (e.g. co-codamol and Solpadeine). People have looked at me in shock and horror, when I tell them that I don't take any medication for the incurable mutative virus: the common cold. What part of incurable didn't you understand?

Many people with mental health issues are asked "did you take your pills today?" or told "maybe you should up your dose" by people with no medical training or expertise, who they simply encounter in their day to day life, such as family members, friends and work colleagues.

We should be mindful that psychopharmacology is only 60 or 70 years old at most, as a fairly advanced field with the accompanying branch of medicine: psychiatry. Before psychiatry, chemists could offer preparations containing opium, cocaine, cannabis; all of which treat symptoms, not underlying issues. We will look back 50 or 100 years from now, and laugh at how primitive our medicine was... especially when it comes to addiction, mental health and the psychoactive compounds.

One final thought: if the majority of us are taking medication for depression, stress and anxiety, are we sick or are we actually victims of a sick society?

Tags: #drugs #addiction #medication #mentalhealth

This is a story about whether it's right to stay with an alcoholic and/or an addict...

Poor me, poor me, pour me another drink. Like every alcoholic and/or addict I have a million and one reasons why I had one too many bottles of wine, or why I lapsed or relapsed into drug addiction.

I mentioned on Facebook earlier today that I rearranged the furniture in a hotel room in Bournemouth, right at the very worst most moment of my divorce. If you think that "worst moment of my divorce" caveat is me getting my excuses in early, then you're wrong. Let's get this straight: I didn't break anything or chuck a telly out of the window, but I made a lot of extra work for housekeeping.

I was actually so concerned that I was in such a bad frame of mind that I was actually going to throw a telly out of the window, so I phoned the duty solicitor. The duty solicitor gets phoned after you've been arrested, if you don't have your own solicitor.  I had not been arrested, but I didn't like the way things were going.

The duty solicitor was rather bemused by a person ringing up to chat about things before they're arrested.... in anticipation. He said that he didn't think the police would arrest me, and I should probably just ring friends and family. I was loathe to involve friends & family in a mess that I had made.

Eventually, having tried several other local solicitors, I rang the family solicitor, who phoned my Mum, who told my Dad to phone me. He was exceedingly unhappy that one of his longest friends had suggested that I might be in the need of a bit of support during a messy divorce.

I rang my friend Tim, who texted an ex police constable, who confirmed that the police would not press charges given the circumstances. Tim came to the hotel, and said it wasn't bad at all and we could fix it up in 5 or 10 minutes, but I just wanted to get home.

Despite a couple of offers of financial compensation for any inconvenience or damage the hotel manager laughed, being rather experiences with the wrecked hotel rooms due to the large amount of stag dos who visit Bournemouth. His housekeeping staff had not even commented. However, I still feel guilty about that today.

That was December 2013.

Let's make one thing really clear before we go on. My ex wife did not addict me to drugs. She's not responsible for any of my addiction: then or now.

My startup company fell to bits because I was under unbearable pressure to deliver Investment Banker lifestyle on startup wages, and base my company in Bournemouth, where there are no angel investors, no venture capitalists, no startup scene, no customers, it was over 2 hours away from my co-founder and his new baby girl. It was an irreconcilable problem, with my ex-wife being least willing to compromise despite having a job she could work anywhere in the country. But, that's not her fault. It's my fault. It's my fault that I made myself CEO instead of my co-founder. It's my fault I couldn't handle the pressure. It's my fault I wasn't strong enough to leave a toxic unsupportive relationship.

Drugs - legal highs - appeared on the scene in the autumn, as I sat at home, desperately depressed about the situation. I had already tried about 5 different antidepressants by this point, and had even moved on to trying over 10 extremely rare antidepressants that are extremely rarely prescribed, even in treatment-resistant depression cases.

It's not like I didn't recognise the problem. I accessed local drug & alcohol drop in centres, where I sat listening to teenaged alcoholic prostitutes talking about their children being taken into care, knowing that I owned my own home, cars, boats, hot tub, summer houses and had tens of thousands of pounds in the bank. I left, because it feel like sheer selfishness to deprive the time that could be given to somebody more needy.

I spent a day in a residential rehab as a day patient. By the end of the day, I had brushed up all the leaves, done all the washing up, hoovered, mopped and done just about everybody's weekly chores. The people's lives were fascinating, but most of the day was drinking tea & coffee and sitting around.

I don't know if I was successfully hiding my habit, but I gave a talk to a bunch of startup founders in London, and a few came over and said they'd heard me speak in Cambridge, and they thought my public speaking had improved a lot. Go figure.

The only real problem for hiding my habit was school holidays - my ex being an educator - when I wouldn't have the daytime to take drugs. Christmas holiday was unspeakably awful, with me sneaking off in the middle of the night to take drugs.

Getting clean and staying clean is my sole responsibility, but I found it telling that the only book on addiction my ex read parts of was called "Nag your loved one sober".

After Christmas, my ex demanded that my parents take me away. Naturally, they resisted and I resisted. My dad came down, and my ex had been nagging our mutual GP about how hard it was on her to deal with my addiction. Deal with my addiction? She didn't even know about it until a week earlier, when I struggled to hide it during the school holidays.

I was completely spooked by the sudden appearance of my dad and my GP, through no request of my own. The idea of leaving my home, my friends and everything else I'd spent years building around myself, to go live in a house I'd never lived in, trapped in a village where I didn't know anybody. That's fucking offensive.

Anyway, the psychiatrist I saw just before I left Bournemouth told me to taper off the legal highs gradually - over the course of 6 to 8 weeks - because nobody knew what withdrawal would be like.

Having gotten rid of me to my parents' house, my ex then refused to take my phone-calls and generally treated me like dog dirt.

I would say, that if it turns out you're dating an addict and/or alcoholic, you should make a decision - based on how long you've been together - as to whether they're the type who's going to bleed you dry and move onto the next unwitting victim, whether you're prepared to help them - and trust me, it's really fucking hard - or whether it's your moral duty to help them because they became unwell while they were your husband, wife or long term partner.

Anyway, my ex continued to be a right ***** until someone who isn't me hacked her email account and found out that no sooner had I left MY house, she had been dating other people. I confronted her with her infidelity, and she started treating me like a human again. Unfortunately, I thought a leopard could change its spots, so I spent £4,000 on flights to Hawaii to get married and £3,000 on an engagement ring. As you can tell, I'm the kind of junkie who spends all their money on themselves.

I struggled with sobriety, but held down a couple of good jobs and continued to be a good provider. My ex could have called off the wedding at any point.

The wedding, which was supposed to be stress-free with no guests, somehow became one of the most stressful things I've ever had to deal with. The whole holiday was ruined by my bridezilla. In the end, I threw a tantrum and said I could no longer deal with teepees and camper vans that break down and other eclectic but stressful shit that I had to organise, and booked us into the $800 a night Hilton. I had cocktails by the pool and it was bliss, but there were two days until we had to go home.

I relapsed as soon as we got home. It didn't help that my then-wife had booked a taxi online, specifying the wrong year. We could have stayed at Heathrow and waited for 4 hours, but having been on a plane for most of a day, I wanted to get home: unexpected £180 taxi ride in a black cab that I managed to negotiate.

My then-wife must have ordered my parents to come and 'deal' with me, because my dad marched into my house and said "you're an addict. you're an addict. Can't you see you're a dirty addict?" which was rich coming from a man with a history of drug use. That's not the kind of treatment you should ever receive in your own home, nor did it take account of the fact that I'd been in a lot of correspondence with several specialist psychiatrists who could deal with my specific condition: dual diagnosis. I was bipolar before I was a junkie, and the two do not complement each other well.

My mum had decided that she could 'smell' drugs on me. Unless she has a gas chromatograph mass spectrometer for a nose, she is wrong. You can smell smoke and cannabis on somebody's clothes, but drugs that you snort, swallow and inject are excreted through kidneys and faeces. It's a completely disproven hypothesis. Anyway, My then-wife did nothing to vouch for my sobriety when my mum had a go at me on my sister's wedding day (I was clean).

I'd gone back to working at JPMorgan, and they coughed up £12k for me to go to The Priory for 28 days, without a single qualm. My general psychiatrist had said I needed treatment in a therapeutic environment, which clearly my home was not. My then-wife said that she'd divorce me if I followed his advice and got treatment, and that she'd rather be a widow than a divorcee.

On my first day at The Priory, I phoned the local florist near our home, and asked them to leave a different flower each day under the windscreen wiper of my then-wife's car, before she left for work. She however, joined the dating sites again and decided not to visit or phone me.

During my stay at The Priory, we established that I was not well supported at home, and indeed, perhaps my relationship did not contain the prerequisite levels of respect, love, care, compassion etc. etc.

I panicked on day 27 of rehab, realising I had to divorce my wife, sell our house and decide what I was going to do next with my life. I spent the day talking to a few friends about different ideas, and returned for my final day a lot happier.

Straight after that was the birth of my niece. My loving then-wife did not attend. In fact. I remember her once being extremely put out that my grandmother had the temerity to die at an inconvenient moment. I think my friends had been right all along: she really was "the poison dwarf".

Anyway, after being under virtual house arrest, where I must admit I abused a lot of drugs as I tried to grapple with the magnitude of selling a house and downsizing. Probably moving to London. The friends who would take sides. Having to get a new job. I got fed up with my then-wife making me feel absolutely terrified by her unjustified rage and abuse, so I took to cocooning myself into a single room of our ample 3-bedroomed house, and even built myself a man cave in our summer house. She was never content to leave me be, and would hammer and scream all the time at whichever door I cowered behind.

Then, I sent an SOS email to our parents, to come and force our separation. I was starving. I had no toilet, no shower. Do you think that's the way that people get clean & sober?

My friend Posh Will kindly offered his spare bedroom to get back into London life. I was clean & sober, riding my bike all over London, incorporating a new company and touting for consultancy work. I was entrepreneur-in-residence at PlayFair capital and I was loving the London startup scene. I was making new friends and I quickly got a beautiful new girlfriend. I know I wasn't the first to commit adultery, because someone who isn't me hacked my then-wife's email and found out she was fucking a married man with kids.

Then, divorce turned nasty. A six week house sale turned into a six month sale, simply because my then wife wanted to drag it out, knowing I had no income yet in London. She kept making me do the 4 hour round trip to Bournemouth to do trivial things she could do herself, like get estate agent valuations. Finally, we arrive in December 2013, where I went to a hotel because our house was sold but I was so angry and frustrated by my wife dragging out the sale to the point I almost ran out of money, I was going to trash the place.

Sure, I then did a 5 days of a 10 day detox, at a place where they didn't know what a detox was, or how to deal with somebody with a benzo habit. I then did 7 weeks at a proper residential rehab. My parents were on my no-contact banned list, but my mum still wrote to me with Louise's divorce demands. I told her from the start I wanted to rent out the house, defer the divorce and deal with it all when I had my health. When she refused, I said take whatever you want, but just don't drag it out. If I wasn't the kind of person who assumes that everybody's OK deep down, I'd say that it was all because she's a vindictive, abusive, greedy, *****.

Anyway, after a mix-up at my parents about what day of the week it was, my dad demanded that I get dressed in front of him and leave immediately. I agreed to leaving immediately, but I refused to get dressed in front of him, on the grounds that it would be one of the most degrading things you could ever ask a person to do. He manhandled me and a mirror got knocked off the wall, slicing my shin muscle in half along with 4 tendons and 2 nerves. Only then did he allow me to get dressed in privacy.

After my operation, I was taking fentanyl and tramadol - both strong opiate painkillers - for the pain, and yet I managed to avoid becoming addicted to these drugs. Having to wear a plaster cast kinda means you're going to have to destroy a nice business suit, and who wants to hire somebody who's sick?

My friends said it was time for me to get a place of my own, although I was still on crutches. I rented a room nearby. I went for dinner with Posh Will, and I was honest with him about my addiction struggles, and his attitude towards me changed visibly immediately. Our friendship was almost ruined, because he had such strong preconceived notions about what drug addiction is. He virtually accused me of being at risk of coming round to his house to steal stuff to feed my habit. I had the money from the sale of my house and some successful Bitcoin investments. I didn't need to steal from my friends. I cried myself to sleep and then tried to commit suicide.

Hospital discharged me, but I'd lost my flat, so I was homeless. I lived in hostels and Kensington Gardens. I guarantee you that not many people get clean from drugs when they're homeless.

Anyway, I finally got a great group of friends at a hostel in Camden, and a beautiful girlfriend. Those were some of the happiest months of my life. I also got an IT contract for Barclays and a room in a student house in Swiss Cottage.

I did have a couple of 'lapses' on mild drugs, but I was clean and I was happy. Then Barclays terminated my contract and I was evicted (the landlord was selling the apartment).

I tried to put a brave face on things and have a happy family Christmas, but I'd broken up with my girlfriend, lost half my friends, lost my contract, was homeless again. A lovely family in Ireland saved my life, looking after me at one of the most depressing and vulnerable times of my life.

At the suggestion of Posh Will - ironically - I stayed in a hostel in Shoreditch. Initially I had a whole dorm to myself, but when they realised I had an OK personality and was a long-term resident, they moved me to the infamous 'Ward P'. The drink and the drugs were off the scale in that place. I had to leave because I was off my face around the clock, but it seemed normal because everybody was.

I started staying in AirBnB places, because they were homely and I could do short [but expensive] lets. I'd recently reconnected with an old friend, so it was nice to live near him, in the East End.

I was running out of money again, so I stayed in a really awful hotel that's covered quite extensively in the blog post called Finsbury Park Fun Run.

That got me back to the Camden Hostel, but I was still hopelessly re-addicted to drugs. Trust me, it's hard to hide a drug habit in a 'regular' tourist hostel, and the tourists don't really love it if you're acting all weird because you're so strung out you can't even see straight.

Somehow, I managed to land the HSBC contract.

I ran out of money. Working for HSBC while living in a hostel is just not possible either. More drugs - whole week AWOL from work. Got away with it.

Stayed clean all the way to Christmas pretty much. I was a wreck on Christmas Day. I hadn't eaten for days. My Kiwi sofa surfer had kindly cooked the turkey but he'd pretty much cremated it, and it'd taken him hours to coax me out of my bedroom. Still, it was super kind of him to cook the world's most depressing Christmas lunch.

Then drugs, drugs, drugs to March 21st. I had a bag that could quite easily have kept me supplied for 3 years. That's the problem with being rich and choosing a cheap and powerful drug - you're never going to run out.

Are you spotting a theme yet?

January, February and March are my nightmare months. If I'm off kitesurfing at some exotic location, no problem. If I'm working a contract, no problem.

This year, I've had acute kidney failure and severe and ongoing leg/foot trauma AND the loss of my contract at Lloyds to deal with. However, I had the best Christmas ever and I'm also dating the world's most amazing girlfriend, so perhaps these things should cancel each other out?

I have to think about drugs at the moment, because my leg is so damaged that I need a cocktail of strong opiate painkilllers, nerve blockers and a sleep aid, just to be able to partially function. I wake up every 4 hours in the night in excruciating agony.

Through the urgent need to re-stock on painkillers, I found myself back on the Dark Web. It was a stupid move. I kinda knew I'd never be able to resist the urge to go window shopping. I tried to order weaker drugs that might satisfy the craving that was instigated by nothing more than buying other products, but lapse and relapse were inevitable.

My most amazing girlfriend in the whole wide world is somebody I could spend 100% of my time with, and never get tired of her company. We like the same trashy TV. We enjoy the same high-brow movies. We both have an insatiable appetite for feature-length documentaries. We love London. We love the same things and we love each other.

Why then would I relapse onto incredibly dangerous and destructive drugs?

The watchword you need to look for here is trigger. When I was with my ex-wife, if she ever went on holiday on her own - which is something she did regularly during the death throes of our relationship - it built a Pavlovian association with an opportunity to take drugs without having an aggressive abusive ***** attempting to kick my prison door in and screaming horrible things at me.

I found a black market seller who would supply just enough for me to have a moment of fun, but not enough for me to end up in a destructive binge. Then that supplier disappeared, and I ended up buying the next smallest bag I could find: 100 to 200 mild to medium strength doses.

The net result is that I spent all yesterday evening and all last night trying to jam my locked bathroom door closed with a pair of nail tweezers, because I was convinced that angry neighbours had phoned the police, and even a mob had formed outside my apartment, ready to heckle me when the police led me from the building, cuffed in shame.

That's a net result of two things:

1. Having more than you need of a highly addictive drug is bound to lead to a binge
2. It's impossible to measure milligram doses of drugs without excellent scales. The difference between no effect, and psychotic overdose, can not be seen by the human eye

I sold my scales because I've successfully been having long periods of abstinence, and it makes sense to get rid of drug paraphernalia that could 'trigger' a craving.

Of course, I should have controlled my craving. Of course, I knew what the worst-case scenario would be. Of course, it seems to suggest that the love of my beautiful girlfriend is not enough.

All I can say in my defence is that my life is pretty depressing right now. I'm on such strong pain relief that I can barely even concentrate on writing. I'm not well enough to go back to work. I've been stressed about running out of money and being evicted.

Life is also awesome right now, because me and my incredibly fetching and intelligent and knowledgeable girlfriend both have riverside apartments, and we take turns to spend nights watching sunrises and sunsets.

She has a really difficult decision to make right now. My longest period of abstinence from drugs is what? 9 months, since becoming addicted. My longest period of sobriety was 121 days. All my money has been frittered away on private healthcare, periods where I was too unwell to work, and yes - perhaps as much a 5% - has been spent on drugs. Would you choose somebody like that for your boyfriend?

Alright, so my drug habit isn't going to lead me to a life of crime. I've been cautioned by the police 4 times, but there's not much point in wrecking my career because I'm an addict is there, when I'm not shoplifting, dealing drugs, robbing, doing fraud or committing any other crime.

However, this weekend has shown that I still have the capacity to get myself in a life threatening mess. I was ready to stab myself in the carotid artery this morning, rather than have my life ruined by a criminal record and have all that shame on top of what has already been a pretty awful February and March.

Of course, nobody can deny that I brought this on myself and that the behaviour is just the same as it was over the last few years. Is my addiction getting better? It's certainly not cured.

If you want to know if my addiction is getting better, you could look at my medical records for 2014. I was an inpatient for 14 weeks. You could consider the fact that the longest period I had without my drug of choice was 2 weeks, for the first couple of years. You could consider the fact that I'm in a meaningful relationship with a kind, caring and compassionate girlfriend who's sympathetic and well informed. I'm not lying to her to have a drug habit behind her back. I've lied to her twice when she went away on holiday, both times shortly after I had lost a contract and was a bit depressed.

Ask yourself, am I worth knowing as a friend? I could drop a dirty HIV or hepatitis infected syringe in your kid's playpen. I might replace your salt with cocaine for a prank. I'll probably take money out of the purse and wallet of everybody in your house. I'll nick anything that isn't nailed down. All I want to talk about is drugs drugs drugs and my life story's not interesting because it just goes addiction addiction addiction. I'll bring shame on your family and you'll get in trouble just because you're friends with me. Not worth it, is it?

What about dating a junkie? Well, everything they say is a lie, and you won't like having sex with them all the time because you know they're probably thinking about a syringe of heroin while they're doing it to you. They'll take all your money and ask for more. Nobody ever got cured of drink & drugs. Death's too good for 'em.

I do feel terrible about the lies [two] and the betrayal of trust. Also, she knows that a binge could easily hospitalise or kill me. She's also trying to have a relaxing holiday break, but she knows I'm sick, haven't had any sleep and haven't had anything to eat.

She can't watch me like a hawk all the time. She can't spy on me using webcams when she's on holiday. She doesn't know what I get up to at home when she's at work.

Why take a risk on a loser with such a poor track record?

I've told her if she wants to break up with me, I'll fight to save the relationship, but I won't just say anything to talk her out of it. I actually advised her to break up with me, because I'm a month or two away from earning money again, I've got depression, bipolar and maybe even borderline personality disorder, along with the death sentence of dual diagnosis. Would you want your kids to have those faulty genes? Would you want your family to find out one day that you've been dating a loser?

Anyway, that's where I am right now.

No amount of stick will stop anybody from taking drink or drugs. I need to find a social group to regularly attend. I need to get out of the house more. Through socialising will come enjoyment of even more people's company, as well as routine. There will be new opportunities. Maybe a new hobby? I'll get a new contract and throw myself into work. Once the money starts rolling in, me and her can have holidays and plan adventures.

Could I replace everything and everybody in my life with supercrack? Almost. It is pretty fucking good. Still, how much money would you need? Even if you lived in a tent, I still reckon food & drink would cost you £150-200k over your shortened lifespan. I do however think you get sick of it after a while, but the bastard thing is so fucking good when you go back to it after a little break.

What can I tell you? That's the truth?

So am I honestly comparing a night with the love of my life, with a sniff of supercrack? No. The comparison is facile. If you choose the tent dwelling supercrack life, there's no coming back from that. Also, I've never been in such a good relationship in my life: it just keeps getting better and better.

One final question to ask yourself? Even if you think you have the perfect partner, perfect friends, perfect job and generally perfect life... do you still occasionally do something that looks totally insane in the context of your amazing life, like get too drunk, or take a recreational drug even though you never do drugs? Do you think the fact that you do that, means you love your partner any less?

Tags: #drugs #addiction

This is a story about what happens when the slender thread that holds Damocles' sword dangling above, is severed...

I live a highly leveraged life. When things go well, I can find my savings replenished, debts repaid and the threat of destitution lifted. When things go badly, I can quickly find myself in distress.

Something went 'twang!' in my leg. I'm not sure whether it was muscle tearing, tendon snapping, or something else, but I stood up from where I had been seated on the floor for a couple of hours, and my foot and calf were partially numb and I had lost some range of movement.

That injury - or perhaps damage to an old injury - happened two days before I was due to start a new contract. I needed that new contract. I needed the income from that new contract to pay the rent, bills, service debts, pay friends back who lent me money and generally get on top of a deteriorating financial situation. I was very close to running out of money.

Unfortunately, my leg and foot got worse, not better. There was lots of swelling and I stopped urinating. It was pretty clear that my kidneys had shut down. I had to go to hospital.

The company that hired me said they'd delay my start date by one week. I thought that would be adequate, if I could be quickly discharged. Then, I realised that it was going to take more than a week of treatment to get my kidneys going again. I delayed my start date by another 3 days, and then 2 more days. In the end, there was a total delay of just two weeks, which doesn't sound too bad to me, considering just how sick I'd been in hospital.

I had to discharge myself against medical advice on the weekend before I started my new job. My foot was still swollen and I was taking a lot of painkillers. My kidneys still weren't working efficiently, and the hospital wanted to keep me on dialysis.

I clomped into that new job, wearing an ankle splint that held my floppy foot in place, and expanded enough to not put pressure on the swelling. I worked a couple of days with the ankle splint, and then switched over to a slipper and a crutch. A slipper was the only footwear I could find that would stretch enough to accomodate the swelling.

I worked 4 days and made a good first impression. I put in a lot of effort into hitting the ground running. Unfortunately, I had to go back to hospital for blood tests and potentially more dialysis. I got the all clear from the hospital, which was a big relief. However, nobody had done anything to fix my leg/foot and I hadn't even been able to get my painkiller prescription refilled.

The following Monday morning, I was taking a cocktail of whatever medication I'd managed to get my hands on. We had a meeting where we all stood up. I was unsteady on my feet. My mind was cloudy. It was fairly obvious that I was unduly affected by medication, right at that unfortunate moment. My boss suggested I take another week off work, to recover properly. I was incredibly grateful for that.

I spent a week in bed, popping painkillers. My foot improved to the point where I could wear a normal shoe and I didn't need a crutch, although my walking was rather ungainly. On the Monday I went back again, the adrenalin of the situation carried me through that all important first meeting and everything seemed to be going OK.

Then, nausea surged up inside me. I spent the whole morning, feeling like I was about to throw up at any minute. I had all kinds of meetings to attend and I had to sit there, feeling sick, just keeping my mouth shut about it and pretending to be OK.

At lunchtime, I forced down a can of cola, knowing it contained some anti-emetic chemicals that might calm my nausea.

Things were not improving and a colleague asked how things were going. I said that the day had started OK, but I'd been struggling a bit. I said I'd be OK.

My boss called an informal meeting with me and asked if everything was OK. I explained that I felt everything was fine in the morning, but then I'd been having waves of nausea. I said that I really didn't need to go home or anything and that everything would probably be OK. I really didn't feel fine. I felt sick and I wanted to lie down. My boss suggested I take some more time off, and come back when I was feeling better. I had secretly wanted to go home and lie down that afternoon. I was grateful to not have to sit bolt upright at a desk, feeling so sick. I said I'd be back the next day, or the day after at the latest. Colleagues cheerily waved goodbye.

When I got outside the office, I didn't feel relieved. I felt like I might have been tricked into taking the bait. I felt like I had fallen at the final hurdle. I felt like I had failed a final test. I should have toughed it out. It felt like I gave up too easily. It felt wrong.

I got home and collapsed into bed. By this point I was sweating hot & cold as well as overcome by nausea. It was a slight relief to be able to lie down in a quiet darkened bedroom. Then, I noticed a bunch of missed calls from my agent. I immediately knew what that would be about.

I wanted to put it off but I decided to face speaking to the agent right away. Using the layers of complexity of end-client, consultancy and agency arrangements, they cooked up some cock-and-bull story that was basically: "Whatever your boss said about going back to work when you're feeling better, that's not the case. You're not going back to work. Your contract is terminated".

I earned 4 days money. That was enough to pay for a month's rent & bills.

There's no way I can apply & interview for another another contract, get the legal and accountancy things set up, start working, submit my invoices and get paid, before I run out of cash.

My foot's still busted and I'm still taking painkillers - albeit at a much lower dose now - and I'm not exactly in much of a fit state to start work, let alone face another gruelling battle to find and win a new contract.

There's just no way the numbers add up. There's just no way I can be lucky enough to pay this month's rent - which is due in 4 days time - and get my cashflow moving again fast enough to not run out of money entirely.

I need to move all my stuff into storage and leave my apartment. I need to try and get the lettings agent to find somebody to take over the apartment from me, or else lose my deposit.

I need to box up all my stuff, and get the hell out of my home. I just can't afford it. I've run out of runway.

Where I'm going to live, I don't know. What I'm going to do next, I don't know.

My confidence has taken a huge dent, and I can't see myself facing gruelling interview panels anymore. I can't see myself suffering the highs and lows of the job market, after such a horrific recent ordeal. I can't see any kind of way that things are going to get sorted out, without total collapse and destruction.

Suffice to say, depression and suicidal thoughts stalk me at every turn. Of course I just want to die. Of course I don't want to lose my home and suffer the indignity of being destitute. I can't face the stress of fighting back from nothing again. I've been to the bottom and back, and I know I can do it, but do I want to repeat that? No way. I'm exhausted. I'd rather just lay down and die.

I was touched by the outpouring of support on Facebook, during my acute kidney failure. I'm aware that there's someone in my life who's grown very close to me. I have a sister, a niece. However, I can't picture any kind of recovery from this point. I just can't see a route forward, to any kind of position that I'll be able to tolerate. Things are going to get wrecked, and things are going to be almost impossible to repair and replace. That kind of devastating blow is a hard one to take and come back from.

Right now, I'm just avoiding dealing with reality. I'm sleeping, watching feature length documentaries and generally trying to bury my head in the sand.

Everything is far too overwhelming, and I know that my thoughts will automatically leap to the conclusion that suicide is the best option.

She was amazing while I was in hospital. In fact she's been amazing full stop. But, it's been exhausting and stressful for her, and it's negatively impacted her life, her health and her great career. I'm dragging her down. I'm bad news. She's genuinely going to be better off without me, now that I lost that contract and all hope is sunk.

I'm not going to make the argument anymore today, but that's what I'm going to make my next few blog posts about: an attempt to persuade you that the humane thing to do is to let me escape any further pointless suffering, and to spare the drawn-out pain that those who care about me will witness, as my life gets ripped to pieces by the vultures.

Fine margins. Things can come down to the finest of margins. One little thread goes snap, and a whole life comes crashing down.

It's the beginning of the end.

Tags: #suicide

This is a story about dance, trance and magic plants...

On the left hand side of the picture above, we see drugs that are considered to be medications. That is to say, they are considered to have some useful function in the practice of medicine. On the right hand side of the picture, we see drugs of abuse. Drugs of abuse are considered to have no useful function at all, and have been made outright illegal in all contexts.

In the middle of the picture are pills that are sometimes considered medicine and sometimes considered drugs. Probably the best example I can give you of such a dichotomy is ketamine (not pictured) which is well known as a horse tranquilliser. In fact, ketamine should be better known as a general anaesthetic, and the drug of choice for paramedics to treat pain in victims of traumatic injuries, for example in the aftermath of a road traffic accident.

Dihydrocodeine is an opiate, and opiates are analgesic. Analgesics don't cause numbness, but they do increase pain tolerance. With enough analgesic, you could saw off your own leg and feel everything, but you wouldn't care about the pain. Anelgesics are painkillers. Dihydrocodeine is a painkiller.

Tramadol is an opiate, therefore also an analgesic.

Zopiclone, Xanax, diazepam and etizolam are in the hypnotic/sedative/anxiolytic category. Zopiclone will help you have a good night of uninterrupted sleep and wake up without a drug hangover: it's an excellent sleep aid. Xanax is a fast-acting, short-lived tranquilliser: it's great for stopping panic attacks, and might be useful if you're suffering a bout of unbearable stress and anxiety or struggling to drop off to sleep. Diazepam is a long-lived tranquilliser that's good for longer term management of stress and anxiety. Etizolam is a result of prohibition: it's an imitation of diazepam that used to be legal to sell and possess as a 'research chemical'.

MDMA is the abbreviation for 3,4-Methylenedioxymethamphetamine (and yes, I did just write that without having to look it up) which is more commonly known as Ecstasy, molly, mandy or generally as 'pills' in a clubbing/rave context. It's a stimulant and empathogen: it stimulates empathy. Its peak effects last 6 to 8 hours, but takes about 12 hours to wear off completely. The experiences can be very profound and long lasting. MDMA is extremely draining on the serotonin system of the brain, which can lead to a form of delayed comedown, coming days after taking the drug.

Crystal Meth is the commonly known name - thanks to the TV series Breaking Bad - of methamphetamine. It's a very powerful stimulant with effects lasting 12+ hours, and it disrupts sleep long after its desired effects have worn off. The more astute reader may notice that the final part of the chemical name of MDMA is the same as the chemical name of meth. As you might expect, there are similar effects: loss of appetite, increased energy and decreased need for sleep. However, while MDMA stimulates empathetic behaviour - hugging etc - meth tends to stimulate rather more hedonistic behaviours, such as fucking and masturbating to pornography. However, both drugs - being amphetamines - cause a man's dick to shrink to a little nubbin that's no use to anybody. Polydrug abusers might use sildenafil (Viagra) or other erectile dysfunction medications in conjunction with meth, in order to sustain a decent hard-on.

Spread out on the kitchen counter top, there's probably about £300 worth of drugs.

MDMA is extremely cheap, coming in at circa £10 per gram, which is enough for 5 very strong doses. Far cheaper than getting drunk in a pub or a bar. Pound for pound, MDMA represents excellent value.

Crystal Meth is the most expensive, coming in at about £100 per gram. Because of the crystalline form of the drug, it's far harder (although not impossible) to cut it with other things. Cocaine has an average street purity of less than 20%, because it's so tempting for every person who handles the coke in the chain, to cut it a bit and increase their profits. All white powders look the same, and numbing agents - like baby teething powder - will give the numbing effect that cocaine has. Crystal meth is generally pretty pure. It's usually smoked or injected. You do not want to mess with this stuff.

Diazepam is frighteningly cheap. 100 pills containing 10mg of diazepam each, will set you back £30 or maybe even less. The price has fallen drastically, from £1 a pill, to now 30 pence. It's important to remember that diazepam is a benzodiazepine, and the benzodiazepines are physically addictive. You can die if you take a load of diazepam and then stop taking it. It's not something you should mess with.

Xanax, by comparison, is very expensive. Because it's convenient to be able to take it and not be spaced out the next day, it's become America's favourite tranquilliser. The Rolling Stones might have sung about Mother's Little Helpers - referring to Valium - but now the housewife's choice is Xanax. Physically addictive, blah blah blah.

Zopiclone is nice and cheap and works really well without nasty side effects. The only problem is, becoming too reliant on it for sleep. At some point, you have to stop relying on pills and alcohol to get to sleep, and learn natural ways of making sure you can drop off and get your precious 8 hours. Try blue-light filtering glasses, not having any screen time after 10pm and sleeping with your smartphone and other electronics in another room, so there's no temptation to pick them up and start looking at Facebook or whatever.

Tramadol and Dihydrocodeine will take you on the journey to opium, morphine, fentanyl and diacetylmorphine (heroin). The cheapest opiate of all is heroin, because of the simple economic law of supply and demand. People fucking love heroin. I've smoked heroin on a few occasions and I enjoyed the feeling of carefree sleepiness, but I never got a rush of euphoria like I imagine you must get when you inject. I've never injected drugs. One should be mindful that the vast majority of new heroin addicts in America started their journey with opiates prescribed by their doctor - oxycontin, for example - and then moved to heroin because oxy is prohibitively expensive. Tramadol and codeine are pretty cheap, but they're also very weak compared with morphine and heroin.

There's no need to be afraid of any of these drugs in the sense that they're not going to leap down your throat and cause you to instantly become an addict who's prepared to murder your entire family for 50 pence, so you can have one more tiny little hit. These drugs are not like Venomous Agent X, which can kill you almost instantly if you absorb even the tiniest amount through your skin. You do not want to touch a pin head sized amount of VX nerve agent, but you can safely handle Ecstasy pills, shards of ice (crystal meth) and all of the other drugs pictured, and you will come to no harm at all.

Taking these drugs once, or even twice or three times, is very unlikely to result in addiction. You may enjoy the sensations; the experience, but it's quite possible that you might find the effects of the drug to be extremely unpleasant. Certainly, MDMA can be very intense and the intoxication of tramadol can be alarming. Interestingly, the calming effect of the benzodiazepines is often the best treatment for a 'bad trip' that you very much want to end. Sadly, there's no 'off' switch for most drugs. It's like when you've had too much to drink and you're throwing up: you wish that you could stop feeling so sick and that the room would stop spinning, but there's no instant fix.

To have this vast array of drugs just lying around, seems to invite disaster and is a risk in terms of the illegality of possessing so many controlled substances. Are you going to ring the police? Do you think I should go to jail? Is it right to ruin my life, because we should follow the law to the letter, even though the law is an ass?

To address the second concern: doesn't this invite disaster? I've had enough disasters in my life. I've reached a point where I'm rather sick of the drama and the near-death experiences. I'm rather sick of the paranoia and the comedowns. The drugs don't even work any more, because my brain has become so used to powerful narcotics. My brain is literally saying "you've been doing this shit for far too long". I'm almost at the point where drugs bore me.

Right now, I need tramadol, because I'm in a lot of pain because of my leg injury. The zopiclone will be handy when I run out of pregablin, which I'm using to sleep through my pain and discomfort. Having Xanax and diazepam lying around is never a terrible thing. At least benzos are a lot cheaper than a bottle of wine or two, a lot less fattening and a lot less liver damaging. It is a slippery slope though, and it is easier to get hooked on benzos than it is to become an alcoholic, because there isn't really a hangover per se, with the benzos.

The MDMA and the meth should probably get flushed down the loo. I'm too old to go clubbing/raving, and the crystal meth tips me straight into a hypomanic episode and turns me into a total sex maniac.

The dihydrocodeine will gather dust in the medicine cabinet, as a strong painkiller, in case I ever have a nasty injury again and the doctors are dicks about giving me prescription drugs to relieve pain. I do think that doctors in America have been foolishly over-prescribing opiate painkillers, because they believed the marketing of the pharmaceutical companies.

I'm sure you think that this cornucopia of chemicals is crazy. I'm sure you think this deluge of drugs is deranged. I'm sure you think this mass of medications is madness.

However, it's fucking hassle having to get a doctor's appointment, wait for the allotted date and time, and then persuade the doctor to give you what you want and need. There's every chance that the doctor may end up sending you away empty handed. Far better to have your own well-stocked pharmacy cupboard, and have whatever you need whenever you need it.

Of course, the nanny state is there to protect us from ourselves, which is why we arrest people who are about to climb mountains, don't we?

Prohibition has failed spectacularly, because it has created highly efficient black markets. Prohibition has failed spectacularly, because it has needlessly ruined lives of otherwise law-abiding citizens. Prohibition has failed, because the middle classes take just as many drugs as poor people, but the rich middle-class people are very rarely prosecuted. Prohibition has failed, because drugs are just as widely available as ever, and the main beneficiaries are corrupt customs, corrupt police and organised crime gangs. Prohibition has failed, because it fails to acknowledge the inescapable fact that people are always going to make, sell, buy and take drugs, no matter what the law says. Prohibition has failed, because it makes people paranoid and exacerbates mental health problems. Prohibition has failed because it directs money that could be used to help the tiny proportion of people who struggle with addiction, instead of using vast amounts of resources to persecute ordinary law-abiding citizens, who just want to smoke a bit of dope or take a pill when they go clubbing on a Saturday night.

You know prohibition has failed spectacularly, when the government makes mushrooms - which grow naturally in the ground all over the UK - a Class A drug, in the same category as crack cocaine and heroin. Are you fucking nuts? Are you fucking telling me that we should stuff our prisons full of people who picked a fucking mushroom in a fucking field?

Imagine this conversation:

Prisoner A: What you been nicked for?

Prisoner B: Murder. What about you?

Prisoner A: I picked a mushroom

That is quite genuinely the situation that the government introduced into UK law. I'm being quite serious here. Mushrooms are considered just as bad as crack cocaine. I wonder what the government were smoking when they made that insane decision.

As we know, when a government bans a drug, then clever chemists create another one that's almost identical. In America, they have a law that makes analogues illegal, so only whole new classes of drugs can get around their laws. All kinds of obscure chemicals - legal highs - burst onto the scene thanks to America's attempts to get clever with prohibition.

The UK government has gone a stage further and attempted to ban anything that has a psychoactive effect. That means that we're all 'in possession' of illegal drugs, because our bodies are stuffed full of chemicals that are psychoactive. It also means that drugs will simply get sold in 'kit' form: mix the ingredients at home and hey presto! There's your drug of choice. People will always find a way around the stupidity of prohibition.

The fear that has been stoked up by these terrible prohibition policies, has created a squeamishness about being able to have honest open conversations about drug taking. We should be well informed, not ignorant. We shouldn't be paranoid about being persecuted by the authorities. You have to be fairly brave to stick your head above the parapet. A lot of corrupt officials make a lot of money, through the ongoing boom times of the black market. There is an insatiable demand for drugs - and there always will be - which is why there is so much resistance to making drug taking into something that's safer, regulated, quality controlled and a well understood problem, rather than something cloaked in secrecy and hampered by stigma.

I've had problems with addiction in the past, but it makes me a stronger more well-rounded person, to have been through that ordeal and to know what difficulties are faced by people who become ensnared in the traps that have been set for them: draining their bank balance, destroying their health, and driving them to criminality. Why can't I talk openly about my experiences? Why do I have to be anonymous, hiding away with other 'dirty' junkies, in church halls where we self-flagellate for our 'sins' and hang our heads in shame.

Obviously I've had enough of prohibition, but I've had enough of being stigmatised and shamed into silence and anonymity too. I've had enough of people's wilful ignorance, when it comes to drugs and the lives of drug users. I've had enough of ridiculous horror stories and misinformation.

Perhaps you didn't even read this far, if you're the kind of person whose mind I'm trying to open, but perhaps you did, because on the face of it I'm an educated middle-class white professional man, working for prestigious companies in seemingly important roles. You can't quite imagine me smoking heroin, can you?

I'm challenging your preconceived ideas. I'm making you question what you thought you knew, and what you thought was obvious and without exception.

Tags: #drugs

This is a story about comfort zones...

Relax and put your feet up, I'm about to tell you the tale of two sedentary situations.

I'm institutionalised. Put me inside a hospital or a head office, and I'll feel right at home.

Most people don't like hospitals: they associate them with pain, death and stress. Most people don't find hospital relaxing; quite the opposite in fact. Hospitals are places of mysterious rhythms and routines that seem chaotic to most people. There are different sounds that all the machines make when they're working, and when they're making noises that indicate that something is going wrong. There are different NHS staff, in different roles, in different clothes, who appear at different times.

My week in hospital that I'm going to tell you about - although I spent the best part of two weeks in hospital  - sounds kinda nice, because I was never really afraid or outside my comfort zone. I find the functioning of complex organisations to be fascinating. I love observing the systems and the people, trying to second-guess what's going to happen next, and what's going on behind the scenes. I like asking loads of questions and adding whatever I can learn to my growing body of knowledge that allows me to feel more in control of my destiny and more able to know what to expect next, than the tense, anxious and extremely tedious waiting game that most patients face on the National Health Service.

Once one has resigned oneself to the maximum speed that a massive organisation can function at, the whole hospital experience becomes quite meditative. Sitting in Accident & Emergency, you can fill your time sneakily looking at the other patients in the waiting room, and trying to guess what symptoms they reported to the reception staff when they arrived. Shortness of breath, chest pains, numbness in one side, drooped face, earlier seizures, unconscious or otherwise delirious patients will normally arrive by ambulance, but any walk-in presentations will obviously jump to the front of the queue. Then, there are the people with minor injuries who have put up with their trivial ailments for days or even weeks. The reception staff aren't allowed to tell them to fuck off, so these idiots must sit for hours on end, only to be told off for wasting valuable NHS resources, quite rightly. In the middle, there are nasty workplace injuries, DIY accidents and total wildcards. You usually get seen by a triage nurse within an hour.

Having been admitted into Accident and Emergency, there is a brief flurry of activity while routine blood samples are taken, and perhaps you're hooked up to a drip. A barrage of questions is fired at you. Examinations seem to be probing and thorough. Surely these professionals are going to have this problem fixed in no time?

It's always a mistake to believe that important things are happening and it won't be long before the right diagnosis is reached and the right treatment is administered. One should be aware that the function of A&E is to rapidly assess whether you're about to die, whether you might need to be properly admitted to the hospital, or whether you can be discharged swiftly, suddenly and brutally.

Once on a ward, a certain amount of orientation and induction is necessary, but all wards function with great similarity. All nurses are grateful if you don't press the call button all the time, for trivial things, as well as being cantankerous and discourteous. Remembering one's Ps and Qs at all times is a pleasant distraction from boredom, pain and discomfort. There will be shifts, and it's important to be mindful of when these shift changes occur. The NHS staff see so many patients come and go, and many are lucky enough to only have a very short stay in hospital, so there will be a certain initial reluctance to absorb you into the system: the ward wants to spit you out undigested.

Having overcome some initial resistance, you can relax into hospital life. Your day begins with your vital signs being measured. Then blood samples are taken. Then there is the hullabaloo of breakfast, ridiculously early in the morning at 7am. Then, there is nothing. All of that disturbance keeps the night shift staff briefly busy before they hand over to the day shift. The day shift hope to be able to ease their way into the working day gradually. Consultants start to appear at around 10:30am, followed by a gaggle of registrars and junior doctors. The most important time of the day arrives: choosing your lunch and dinner for the next day. By the time that lunch is served, you can't remember what you're going to get because it wasn't long ago you had to choose what to eat tomorrow. The meals are pleasantly bland and easy enough to eat. Mealtimes are something to look forward to, even if the food is far from gourmet. Expecting much to happen during the day, in terms of treatment, is a mistake. Anticipation of treatment that has been promised can only lead to frustration and disappointment. The NHS does what the NHS does, and it does it at its own speed. Things cannot be rushed or expedited. Complaining or asking staff when things are going to happen or what's going on, will only piss them off and ruin their day. Dinner arrives surprisingly early. Treatment can be sprung upon you at the end of the day, just when you thought you were going to have a relaxing evening, or you can have a lengthy wait until you get your pain medication and anything to help you sleep. Dropping off to sleep is not easy, especially as the day shift will hand over to the night shift loudly at the end of your bed, and there will be more vital signs being measured before you'll be left in peace to try to get some rest.

And so, my week in hospital consisted of lying on a bed that had buttons that could make me sit up or lie down, with no effort required at all. I was able to elevate my bad leg, to reduce the swelling. I was brought paracetamol every 4 hours, tramadol every 6 hours, and 2 hot meals a day. There were few unexpected interruptions, and if I was well enough, I would have been able to read, listen to music, browse the internet and watch films & TV, pretty much all day, all evening and as late at night as I wanted. I could stake a piss without even having to get out of bed. Friends travelled to see me. Doctors came to my bedside, and I was wheeled to wherever I needed treatment, by hospital porters. I was under no obligation to do anything, except to get better, and all my basic needs were met. My lovely girlfriend augmented the hospital care, so I wanted for absolutely nothing. Blissful, right? I could have stayed for a month, and I would have even earned £676 (I pay myself minimum wage).

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Why then was I in such a hurry to discharge myself? Why would I leave the lap of luxury, and risk my health and even my life, by leaving the safe confines of hospital?

Well, that's a topic of discussion I've covered at length in prior blog posts, so I invite you to peruse the archives.

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People rarely change their bank. We open current accounts in our teens, and we keep them into adulthood. Some of us even opened special accounts when we were children, and we have a certain nostalgic brand loyalty for the bank that we've been a customer of since we were youths.

The 'big four' or 'big five' high-street banks have not changed for my entire lifetime. We have (in alphabetical order) Barclays, HSBC [Midland], Lloyds [TSB], Royal Bank of Scotland and Santander [Abbey National]. These banks hoover up 85% of all the current account banking customers in the UK.

Just like current account holders, people join these banks when they're young - often their first job - and tend to stay loyal. Many people who I deal with on a day-to-day basis have worked for 15, 20 or 25+ years for the same bank that's been so good to them that they've never felt compelled to leave. Everybody bitches about their job, but a bank employee knows that they're very well looked after and they'd be mad to go off in search of a better job.

I've worked for 3 of the big 5, and they're institutions that I feel very at home in. Some people might think that I work in a rather high-stress environment, where it's imperative that I'm up to date with the latest cutting-edge developments in my field, and I need to perform in an exceptionally demanding role. The truth is, once you're in the door, you're in for good. You get your feet under the desk, and adopt the right kind of jaded resignation, that everything is going to be slow, sloppy, shit and a massive festering pile of neglected crap that nobody gives two fucks about, and you'll fit in just fine. Moan as much as you want - everybody does - but for God's sake don't go on any crusades to change or improve anything. Just settle in, get comfortable and enjoy the masochistic experience of being in a world where not a lot gets done and the right answer is always "no".

A lot of people get into technology and engineering, because they like to fix things and make stuff that works. They like to build stuff. They like the feeling of completing a technical project, throwing the switch and seeing their hard work put into action. A bank is a terrible, terrible place to build anything that will ever see daylight.

Having come to terms with the fact that any ambitions you had of building useful things that people might actually use, will be forever thwarted by a bank, you can begin to enjoy the ridiculous game. You command millions of pounds of budget, and you will achieve nothing. When you estimate how long you think it will take you to do something, you double your original estimate, double it again, and then double it one final time for good luck, and it's still not long enough. When you are asked about the feasibility of doing something, or whether you have any spare bandwidth to perhaps do something extra, you instinctively say no; it can't be done; no chance. Nobody ever got fired for saying no. In fact, people start to love you and think you're great at your job, if you get really good at saying no.

Delivering pieces of important technology, 100% working and of high quality, in short timescales and with hardly any resources, is liable to cost you your sanity. "It can't be true" colleagues will proclaim, even as the results are staring them in the face. From denial, your colleagues will move to the belief that it's a one-off fluke, or they will hate you. Colleagues will mainly hate you for making them look like totally incompetent blundering slowcoach fools. Nobody ever made friends and got ahead in a bank, by doing a good job. Finding yourself burnt out from the exertions of persuading people of the merits of doing things properly, without pointless delays, you find yourself suddenly alone; isolated. You may create some kind of mythical; legendary; cult status around yourself and your achievements, but you have no future with the bank: the bank doesn't want your type, and it will unceremoniously eject you.

You can work for a bank for as long as you like, provided you just go along with things. Never challenge anything. Never push for change. Never go the extra mile. For sure, banking demands that you be seen to be going the extra mile, but it's all just for show; part of the act.

So, if you want to be really successful in your banking career, you learn the rhythm and routine of your department. You learn when your boss arrives at work, and you get to your desk before him or her, and leave with them in the evening, making pathetic small-talk. You learn who's got kids, what ages they are, and what stressful childcare arrangements are a pain in the arse for your colleagues. You learn how everybody gets to work. You learn whether they're morning people or night owls. You learn their interests: topics to get them talking; things that enthuse them. You learn who takes their job seriously; who's ambitious; who's jaded and demotivated. You learn who drinks heavily, smokes, gets stoned. You learn who's lived, and who's been insulated. You learn who's worked hard, and who's had advantages. You learn when to make yourself scarce and blend into the background, and when to promote yourself. You learn the things that need to regularly get done, and you discover many things that don't need doing. You learn how to do just enough to please the handful of important and influential people, and how to avoid having to do any pointless busywork.

You can't prepare yourself for boredom. There is nothing in the world worse than boredom.

My first week back in the office was 4 days of boredom. I've seen it all before, done it all before, and I'm the master of minimal effort. The only problem is that I need to look busy to make a good first impression. I forbade myself from reading the news on my laptop. I tried really hard to not look at my phone too much, and to pretend to be busy.

My boss and his boss, both sit right next to me. My boss is a nice guy who seems to have a paternal nature. The big boss talks too much and doesn't realise that I find him amusingly stupid. I listen, make the right noises and say some encouraging sounding things, but I'm completely failing to disguise my contempt for this fellow, but luckily he's the only one who fails to see my total lack of respect for him, except for my bosss. I endeavour to make my boss feel that my number one priority is in supporting him in making our team look good in the eyes of the big boss. I try to make the big boss feel in control, while diverting any respect he commanded away from him. There's a mutiny in progress, but nobody will realise until it's past the point of no return.

Virtually nothing can be achieved in 4 days in a bank, and I've achieved far more than anybody expects of me, even though I've spent a considerable amount of time in the toilets, browsing Facebook and writing amusing things for my friends to read. I invested as much time as I possibly could in developing a good relationship with my boss and my team, but I have nothing of value to contribute yet. Aside from dazzling my colleagues with my all-round technical knowledge, my main task is to stay the fuck out of their way and not disrupt things too much.

Regrettably, I've had to take Friday off work. Making a good first impression can only be done once, and the lasting image that my colleagues will have of me - the guy wearing the robocop ankle splint - will now be tainted with the fact that I had to take time off work, giving the impression that I'm unreliable and prone to sickness. Damage to your image like that can be irreparable.

Sometimes, it's desirable to be known for being unhelpful, regularly late to work and somebody who leaves on time in the evenings. Being somebody who walks out the office door, even when there's a major crisis, is the sign that you have become perfectly adjusted to bank culture. However, the clever ploy is to try hard at first, to develop an image of being a hard worker, but in actuality, you are avoiding work and responsibilities at all costs. In time, you will have the best of both worlds: being thought of as dedicated and useful, but actually adding no value at all.

My foot has been steadily getting more and more painful through the week, and I've been popping painkillers throughout the day. I've passed the week in a dreamlike state; heavily medicated. Having strong coffee in the morning to make me sharp and alert enough to make a good first impression, has meant that I've been able to stay awake in some horribly boring meetings, but it has made me a little hypomanic, causing me to be far too outspoken at times, but I think I've got away with it.

I've earned more in a single day in the office, than I would for almost a whole month of being in hospital. That kind of cash does motivate you to get out of bed in the morning, and to stay at your desk with your mouth shut, when really you can't stand being in the office.

You'd think it wouldn't be that hard, being a bit bored, going to a few meetings, talking to people, saying fairly standard things that are obvious. Having the exhaustion of being unwell, plus being in pain and discomfort, make things hard for sure, but in a way, it's been an excuse to be fucked up on drugs for 4 days and get paid an obscene amount of money for the privilege.

It seems fairly clear that if I can dial the intensity down to 4 or 5 from 11 - and the dial only goes to 10 - and ease my way into a gentle routine that I can just about cope with, then I'll be able to blend in for years. There's no reason why I wouldn't be liked and respected. There's no reason why I can't be perceived as doing a great job, even though I'm not doing anything useful. That's the main thing I need to remember: I'm specifically there to not do anything.

Saying the right thing at the right moment - being the smartest guy in the room (as someone I know once jibed) - comes easily to me, and it does unfortunately command a disproportionate amount of respect versus doing some real work instead.

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I'm not sure which week was more comfortable. Certainly hospital was more physically comfortable, but I was highly stressed about losing my lucrative hard-won contract and being too tired to be able to function when I started work. My job is extremely easy and I anticipate no problems, except coping with boredom and my propensity to blow a fuse with frustration at the snail-like pace that everything moves at.

Sleeping in my own bed has been far superior to the hospital bed, but getting up in the morning is never pleasant. However, my lie-ins were so ruined in hospital - by irritatingly early breakfast and the like - that I have actually been getting ready for work, relatively painlessly.

Commuting is hell, but because I know it's hell, I'm able to impassively observe the shit that I'm going through; detach. Commuting is the price that one must pay, if you wish for your gross income to exceed a year's average salary in the space of just 8 weeks.

How can anybody handle such contrast? It's insane. It's surreal.

How can I walk out of a hospital, against medical advice, and go straight into a brand new job where they're oblivious of just how sick I am and how messed up my brain is by strong medication? Can't they see that they have an imposter in their mix? Obviously not.

That, effectively, sums up the bipolarity of my life. The ups and the downs. The highs and the lows. What more extreme example could I come up with?

Tags: #bipolar #hospital #NHS

This is a story about paying bills and suffering...

How do you explain to a doctor who's just met you, that you need to go to work because you've got rent and bills to pay - your ex-flatmate owes you thousands of pounds and left you having to pay for everything on your own - and you've got debts to service, friends who lent you money who need to be repaid and a looming tax bill that will be a whopping great big lump of cash that you've got to magic into existence before July.

How do you explain that depression and the Xmas and New Year break meant I couldn't work for months on end, and when my bipolar disorder causes an episode of hypomania, I'm liable to march into boardrooms and call all the executives a bunch of cunts... which you can get away with once or twice, but eventually you're politely asked to fuck the fuck off and never come back. How do you explain that I'm good for about 5 or 6 months of hyper-productivity each year, and the rest is a fucked up mess.

How do you explain that the whole process of speaking to a zillion agents, doing a zillion technical tests, having a zillion phone screening interviews and then going to a bunch of face to face interviews, with the associated highs and lows of contract offers and disappointments, being totally unpredictable and completely out of my control. How do you explain that it fucks with my mental health and makes me want to fucking kill myself, to have to go through that shit when I know I can do the job blindfolded with my hands tied behind my back.

How do you explain that the medical advice to not take any chances - belt and braces; assume the worst - would mean losing a contract that I was relieved to get and looking forward to starting. How do you explain that to lose that job would decimate my already dangerously suicidal mental health. How do you explain that I don't need much of an excuse to press the "FUCK IT" button and chuck in the towel. How do you explain that I've got a gun to my head and an itchy trigger finger.

How do you explain that I'm quite comfortable with a certain amount of death risk. How do you explain that I'm quite happy to balance risks against each other; weigh the pros and cons; make an informed decision, rather than just choosing the least risk option.

How do you explain that my life is not about least risk.

If I was about least risk, I'd have a permanent job where they'd give me as much time off as I need to get my health sorted. If I was about least risk, I wouldn't be living my life the way I live it: on the edge. I'd be living some life of boring mediocrity, safely within the white lines. I'd be kind of dead. Sure I'd be technically alive, but I would be dead inside. Boring mediocrity is the worst kind of death imaginable.

Be brave. Take some risks. Hold out for what you want. Don't blink first. Never back down.

It's fucking insane that I had my first day at work today and it went well, when a couple of weeks ago, I was convinced that everything was fucked and I was totally doomed. The only thing that didn't get fixed was my original injury - whatever mysterious shit happened to my dodgy left leg.

I've done my hearts & minds bit; I've done my shock & awe; I've made my good first impressions. Now I'm some way of the way to being able to say "erm, sorry, I might need a day off to get XYZ fixed up in hospital". Before today, I was an unknown quantity. The longer I'm in work doing a good job, the more goodwill I build up, and the more likely people are to be cool about me having to duck out for personal reasons, especially medical shit.

Anyway... my leg hurts like fuck even though I'm drugged out of my mind on tramadol, but working helped take my mind off the pain. I'm going to work and work and work. I need the money and it helps my mental health. Fuck boring risk-free life. Fuck compromise and going for the safe option. Fuck getting dicked over, because the whole working world is designed to break your will and make you feel valueless and replaceable, and get you to accept shit money and having to work for 48 weeks of the year. Screw that.

Do I want different special treatment? Nope. Things are just the way they are and there's nothing I can do about it. I can't pretend I don't have depression and hypomania and a real intolerance of getting an unfair share of the cash, versus the value I create for my employer. I can't pretend like my health doesn't need a bunch of time off work that doesn't fit in the 20 or 25 days holiday allowance wage slave bullshit. I can't pretend like earning my money in bursts, rather than some dreadful slow drip drip drip of relentless never-ending bullshit full-time employment. Work is a four-letter swearword. I'm allergic to boring work.

So arrogant, I know. So insane. So needlessly risky, right? Sorry.

Tags: #career

This is a story about artistic integrity...

He who pays the piper calls the tune. Does the piper ever get to play, for their own amusement and freedom of expression?

If you look at my life strategy, it's pretty insane. I've picked a career that uses skills that I mastered as a child, and I now find the job mind-numbingly boring, easy and soul-destroying. I've picked an industry which is essentially just keeping a running total of who owes who what: simple addition and subtraction. I've chosen maximum income, for minimum effort. My life is constrained - certain rules have to be adhered to - but I have set things up so that I can jump through the pointless hoops as effortlessly as possible.

My theory is, that if I were to mix work and pleasure, then it would break my heart whenever I had to compromise. Let's imagine my passion in life is painting. I'd like to paint 1970's sci-fi inspired futuristic cityscapes, clinging to the rocky surface of distant planets. Those paintings are very intricate; detailed. The attraction of that art, for me, is the sense of scale that's given when you paint thousands of tiny windows on the buildings, and lots of tiny people in space suits, wandering around in their futuristic world. However, there's probably only a niché market for such paintings, and they'd take hundreds of hours to paint. Commercially, I'd be far better off splattering a canvas with bright primary colours and calling it abstract modern art - it would take far less effort and would have a much broader appeal. In order to pay my rent, I'd be economically incentivised to produce crap that I hated, because it would be much more profitable.

My strategy is to earn a lot and not work very hard, so I have lots of money and spare time to pursue whatever passions I have, without compromise.

Of course, there is always compromise.

Luckily, there is a Nick Grant who is a rapper, a Nick Grant who is a photographer, a Nick Grant who is an expert in sewerage processing, a Nick Grant who is a lecturer in American Studies at the University of East Anglia, a Nick Grant who's a toastmaster, a Nick Grant who's an expert in credit risk management, a Nick Grant who's a researcher in the Elementary Particle Physics department at the University of Warwick, a Nick Grant who's the CEO of Severn Trent, a Nick Grant who's a Labour Party candidate, barrister and head of legal services for Sainsbury's, a Nick Grant who's the concertmaster of the San Diego Symphony Orchestra, a Nick Grant who's the strategy director for Cancer Research UK, and there's even a series of fictional Nick Grant Adventure books by Jamie Dodson.

This means that I can pretty much write whatever I want on the public Internet, under my real name, without the fear that most salary earning wage slaves would have, that our employers will discover our deepest darkest secrets, prejudicing our career progression and perhaps even jeopardising our employment.

However, ex-colleagues from places like JPMorgan and HSBC occasionally visit this site, and pick up juicy tidbits about the implosion of my life and see the thrashing of my legs, beneath the surface of the water, when I'm swanning about trying to look as serene as possible in my professional capacity. I have old bosses as friends on Facebook and following me on Twitter.

I took an insane gamble. Instead of locking down my social media to only friends who can be trusted to not gossip with anybody connected with my former employers; instead of editing and censoring myself; instead of setting up a pseudonym - a pen name - I write under my real name, with real details that leave me no plausible deniability, to say "it isn't me" and "it must be another Nick Grant".

I guess there aren't that many people who leave the privileged and highly paid world of financial services and IT, in pursuit of the risky dream of doing something more rewarding in an intangible way. Earning bucketloads of cash is all the reward you'd want, right? Why would you want to earn less money being an electrician? Why would you want to have all that stress and risk your life savings, trying to start your own company? Why would somebody who's been a steady dependable 9 to 5 worker, with decades of dedicated service under their belt, suddenly lose their mind and end up in psychiatric hospitals, drug rehab and homeless?

So many of us dream of making a big change in our lives, but when we face up to the reality of the risks, sacrifices and effort involved, we decide that maybe the timing's just not quite right... maybe we'll do it next year, or the year after. We end up boring our friends and family with our grand plans that will never be implemented: forever on the drawing board.

When somebody is mad enough to unshackle themselves from the golden handcuffs and give something a proper go, it's big news. There are hundreds, if not thousands of bored office-working drones, who are fascinated to know the details of the trials and tribulations of anybody who had the guts to follow through on a plan to retrain in a completely different field, or start a business. When you quit your soul-destroying job, you're the underdog; David taking on Goliath - your former colleagues want to live your exciting life, vicariously. Former colleagues are rooting for you to succeed. Former colleagues want to know if you fail spectacularly, to re-affirm that they made the right decision, staying in their nice safe boring jobs.

Bootstrapping means taking on projects where you're not beholden to somebody for the funding. The whole point of me doing a job I hate, is that it's provided the dosh to do whatever I want without having to kiss ass, kowtow and do things in a way that they approve of. The whole point of founding my businesses with my own money, was so that I could run things exactly how I wanted, without investors and lenders breathing down my neck and making stupid suggestions about my business plan.

When it comes to a personal memoir type project, where I'm pouring my guts out, I'm somewhat burning the bridge back to the straight-laced world of boring jobs for boring people with boring lives. I have a CV that says I've worked for various companies and I have various qualifications. People who get salaried jobs by sending off their CV and going for interviews, are not allowed to have exciting lives where they do things that don't neatly fit into boxes. The world that provides my income has a strict rule: fit in or fuck off.

So, I made a decision. I decided FUCK IT. I decided that I would just write whatever I wanted, whenever I wanted. I would be myself, I wouldn't censor, I wouldn't edit and waste time considering what the drones of the corporate world of wage slavery would think about my unorthodox life.

And so, with practice, my passion and - dare I say - my skill, is to document my innermost thoughts and feelings, publicly. It might not be art and it might not be commercial, but it sure as hell isn't compromised. I have moments of fear, where I think that I need to hide my blog, put a sticking plaster over the semicolon tattoo behind my ear, find out just precisely what my former colleagues are prepared to say about me: put them on the spot and say "look, do you judge me on the good work that you saw, or on the secret life that I chose to reveal to you?"

It drove me paranoid and crazy, trying to maintain a squeaky clean perfect professional image, whilst also dealing with all sorts of awful things in my private life. It exhausted me to the point where I lost my mind, covering up the fact that life outside the office was chaotic and unstable, and I didn't want anybody to know that I was just about surviving in grotty student flats, hostels, hotels and friends' sofas. I didn't want anybody to know that my engine had run out of petrol and was running on fumes. I didn't want anybody to know that I had no margin for error, no safety buffer: my finances were on the brink of total disaster.

Why should anybody know these things? If I get stuff fixed up and pick up where I left off, then who would be any the wiser? What people don't know can't hurt them, can it?

However, it hurt me. It hurt me every time a friend thought it was hilarious to tell my ex JPMorgan colleagues things that considerably damaged my reputation. It hurt me every time the grape vine managed to spread gossip about my attempts to find job satisfaction. "I heard you're an electrician now!" a colleague from HSBC who I hadn't spoken to for 6 years, said to me when we connected on LinkedIn. How the fuck do people find this stuff out?

"Oh you were in The Priory... like some kind of rock star. So cool!"

Not cool. That kind of stuff colours people's opinion of you. They make assumptions and whisper behind your back. "Shall we invite Nick to the pub at lunchtime?" somebody says. "No, better not... he's a recovering alcoholic, isn't he?" [I'm not, by the way]

What I write is repetitive. I have no idea what chapter of my life you're going to walk in on. I have no idea what I'm going to be writing about when you dip into my private world. So, I cover the same theme over and over again: I am me.

I'm no longer the straight-laced perfect employee with the immaculate CV. What are those gaps in my employment history? Well, in the context of me being your wage slave, that's none of your fucking business. You don't pay me enough to bribe me to act a certain way and to gag me. You don't pay me enough for me to compromise my integrity, my identity.

I've suffered enough boredom and I've been patient for long enough to have earned the right to be myself; the right to be creative; the right to express myself without hesitation; the right to not have to wear a mask; the right to not live in fear of negative judgement.

What happens if and when the worlds collide? Well, I've set the challenge: it's up to other people to decide whether to judge me on what they see in the office versus what they discover through my candour, in a totally unrelated context.

I'd love to make it into print. I have a penchant for debate, and strong views about government and society. At some point, my ambitions to be an author and to get involved in politics are going to be realised. Every word I write on the public Internet makes me more discoverable to somebody, somewhere, on some topic or other. If I simply wanted a book deal or to raise my profile, I could compromise and conform; I could channel my energy into being commercial and popular.

What does it mean to be authentic? You think it's some fucking option that we all have? You think it's a fucking lifestyle choice?

To be authentic is a risk and it's a privilege. You could lose friends and fall out with your family. You could lose your job. How are you going to find your true voice? The voice that speaks with childlike honesty; fearlessness; tapping into your live stream of thoughts, rather than the lines you've memorised; the act you've learned to play. It takes practice, to be able to express what you feel, rather than say what you think people want to hear. Many of us are disciplined to engage our brains before our mouths: to hesitate, withhold and communicate in a manner that conforms to social norms. We are coached and bullied into hiding our unique outlook and personality.

If I make myself unemployable, I'll be forced to try and monetise the things that I have a natural aptitude for. At the moment, writing is effortless, but I could push myself to write with more purpose, spend time editing and reconnect with some literary agents I started conversations with last year.

If I find myself barred from the land of boring jobs and immaculate CVs, then my energy - my creative output - will have to be expressed in ways that come naturally to me, not just easily. In a way, I'll be unbounded; unleashed; unchained. Of course, it invites hypomania to come and destabilise everything, but at least my crazy projects usually result in cold hard cash in my pocket and something else to add to my portfolio.

I'm scared. I can't play the game any more. I have a contract - ink dried on paper - and I can do the job with my eyes closed. I've been in hospital enough times with kidney problems to know when I'm in trouble, and to know when I can look after myself. I can't humour everybody with this "my health comes first" bullshit anymore. I'm the guy who's pissed copious amounts of blood on more than one occasion, and done the calculations: how long have I got before total organ failure will kill me? I'm the guy who knows when I'm in deep shit, and when I can take a calculated risk.

What scares me more than anything is going through all the same old shit I've been doing since I was a teenager. What scares me more than anything is playing the same fucking games, wearing the stupid fucking mask, and acting and speaking the lines I've learnt and spoken a zillion times before.

I've got a fairly simple plan: conform and comply just enough to get what I want out of some rich fucking banks who I don't give two shits about. The last thing I want to be doing in the world is help some dinosaur of a bank run a simple software project at snail's pace, but they're going to pay me a king's ransom to do it, and it gives me a tiny taste of freedom... I put up, shut up, suffer the boredom, and the reward for my patience is that I keep a bit of integrity; a bit of dignity; a bit of identity.

Maybe I should do this job or that job, people suggest. Wouldn't I be great as a carpet salesman, or a tyre fitter? Isn't my natural calling in life to be a supply chain analyst or a fork lift truck driver?

Maybe it's the mission of the company that I need to get right. Selling people financial products they don't need or want, and profiting on the margin between the borrowing rate and the lending rate, using fractional reserve banking, is hardly going to give you a warm fuzzy feeling, is it? Perhaps I should work for a charity that's managed to help a handful of individuals and a large number of donors to feel better about how disgustingly wealthy they are and ignore the fact that the gap between the rich and poor is growing. Perhaps I should simply find my place in the whole fucked up mess, where I can delude myself into thinking I'm making a positive difference.

But, I've seen too much. I know too much. I know that things are rotten to the core and it sickens me to emotionally involve myself, when everybody wants you to just STFU, keep your head down, do what you're told, not rock the boat and don't for god's sake solve any problems at the root cause.

Writing's the only time I can let rip and not get bogged down by the wilful ignorance and DGAF attitude of those around me. I'm not saying I'm superior and I've got all the answers, but I'm saying that when I get a hunch and I set out to prove my point, I've got plenty of examples of things I've done that have worked, when I'm free from constraints and naysayers.

I love this quote:

"People who say it can't be done should not interrupt those who are doing it"

Somebody's gotta be positive. Somebody's gotta do the math, calculate the risks and take a chance. Somebody has to be brave and stick to their guns. Somebody has to persevere through the setbacks. Somebody has to keep going when the way ahead looks blocked, to figure out how to overcome the obstacles.

I also love this quote:

"It is not the critic who counts; not the man who points out how the strong man stumbles, or where the doer of deeds could have done them better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who errs, who comes up short again and again, because there is no effort without error and shortcoming; but who does actually strive to do the deeds; who knows great enthusiasms, the great devotions; who spends himself in a worthy cause; who at the best knows in the end the triumph of high achievement, and who at the worst, if he fails, at least fails while daring greatly, so that his place shall never be with those cold and timid souls who neither know victory nor defeat" -- Theodore Roosevelt

I feel gagged. I feel cheated out of the opportunity to demonstrate the best of my abilities; to tap into my creativity and problem solving skills. I feel jealous of those people with inherited wealth, trust funds and other advantages that allow them to dispense with the wearisome world of bullshit jobs, and instead they can flounce around reading interesting things, writing, debating & discussing, composing, painting, drawing, sculpting and generally expressing themselves.

To have those prizes just out of reach, because of the demands of societal conformity, is agonising to the point where it makes me want to give up. I've worked hard enough for long enough that I should be in a different position. I'm left miming the same actions that I've done a thousand times before, in order to keep the money flowing, the rent paid and the food on the table, which is like some kind of psychological torture.

I know it sounds ridiculous, but I knew I would get a contract fairly quickly, and I know that I will be able to run the project really well, very easily. I've seen it all before; done it all before. I can see all the way to the end: no surprises. Because it's all just a means to an end, it makes it that much harder. I've got nothing to prove, and the fact that I'm employed to solve the same old problems in the same old way, time & time again, simply proves that they might as well just give me the money and not bother with the project, if they're not going to listen to the experts who know how to build better systems than these follies; these white elephants.

I've got this easy money contract all lined up. I know what the hell is going on with my kidneys. I've been in hospital enough times with rhabdomyolysis to know when the numbers say I'm fucked, and when the numbers say I've dodged another bullet and I'm fine & dandy. I know when I'm in big trouble and in desperate need of assistance, and I know when my tough little body is patched up and working again.

It's been agonising, to string this client; this consultancy; this agent along, while I've been in limbo: who could have predicted that it'd take nearly 15 hours of dialysis before my kidneys rebooted? Was I ever worried about my life, my health? You're asking the wrong question. You'd have thought that if you pissed absolute jet black liquid and you couldn't feel your foot or your calf, you'd be straight over to A&E, but it doesn't work like that if you're already at the limit of what you can take.

I phoned my client and said I wasn't going to make the 30 minute induction and I was too sick to start work that week. Chances are, that was the end of that: they'd just cancel the contract.

Things in my life are either there to be endured, they're an adventure, something good that's happening, or I've had enough and I'm going to self destruct.

Being in hospital again has been part adventure - I've never had dialysis before - partly something good, in terms of her seeing first hand the shit that I've been through a bunch of times. But there's the actual boring work that has to be endured if I still have a contract by the time I get discharged. There's the self destruct threat, because I've solved all these problems before. Everything's been overcome, so far as I can see. My client will wait until Monday for me to start work, my blood tests are stable and my kidneys are definitely working.

I had no control over whether the client would wait for me to get well. I had no control over when my kidneys would reboot. To discharge myself would have been suicide, so it didn't matter whether I lost the contract or not.

Nobody can see that the recent acute kidney failure is not the root cause of the problem here. Why did I let the problem get so bad? Why am I not afraid of a catastrophic chain of life-changing or life-ending events? My kidneys are working AND the client says I can start work on Monday, but why would I trust my knowledge, experience and the blood test data, and discharge myself, when I could just get another job in a few weeks or months? Why don't I avoid all risk, act like a sensible normal person, and just do everything I'm told?

There's a delicate chain here: I was lucky that my client has waited this long for me to get well, I was lucky that my kidneys recovered quickly, I'm lucky that I have a job that's easy money, I'm lucky that I don't have to suffer more agents and interviews, I'm lucky that I've got a financial lifeline that fixes my cashflow, I'm lucky that this contract keeps me within touching distance of the day when things are stable again, and I have the opportunity to think about doing something rewarding, challenging, creative and everything else I need as the antidote to 20 years of office boredom.

The ticking time bomb exploded, but it was unseen. I couldn't hang on any longer. I couldn't take any more delays and setbacks. My patience for being depressed, stressed and running out of runway, without success at securing a job (that I didn't really want anyway) had expired. I'd been strung along too long. Christmas and New Year slowed everything down and stopped progress, so the agony was drawn out longer than I could take.

Somebody's going to end up not getting what they want.

The doctors want to discharge me with blood tests that show my kidneys are clearing the remaining backlog of toxic crap out of my blood on their own. They want me to have an operation to have a dialysis line put in my jugular vein. They want to do more observation, without dialysis, to know how my kidneys are doing without any assistance.

Her and our friends want me to follow the doctor's advice, and treat my health as if my life hangs by a thread. They care about me. They don't care about my client. They know that there will be other jobs.

I want good quality sleep in my own bed for a couple of nights. I want to try on my ankle splint and get used to getting around on crutches. I want to make a plan for how I'm going to get to work during the tube strike. I want to figure out my medications so I'm not fuzzy-headed and sleepy during the day. I need to not have to start all over again. I need to balance the small risk that my kidneys might take a long time to clear the backlog of creatinine, against the big risk that I can't be out of work any longer, and I can't face starting the job hunt all over again, without depression and stress destroying me.

Yeah, I'm going to feel shit. I was always going to feel shit. I'm going to wish I was more well rested. I'm going to wish things worked out differently. I'm going to wish I could just press the fast forward button and be 6 months further through the year, and everything's gone exactly how I know it's going to go, but I don't have to suffer the boredom, the monotony and the ridiculous deja-vu of solving the same problems in the same way, over and over again.

What's the alternative? I can't cut & run. I can't switch career. I can't chase some stupid pipe dream.

Some people think I'm a know-it-all. Some people think I'm reckless and stupid. Some people think the answer to all my problems is to do the things I've tried before: regular salaried jobs, doctor's advice, safe & sensible behaviour, conformity to the norm.

All I can tell you is, I can make dumb decisions and get myself into deadly situations, but I'm also a bit of an expert in recovering from some very harrowing shit.

It's a bit unfair to ask people who care about me - both loved ones and professionals - to allow me to take what they see as an unnecessary risk, but the flip side is a complex web of psychological risks and consequences that are almost too hard to explain.

If I seem impatient, foolish, arrogant, entitled or somehow like I deserve different treatment and life opportunities to everybody else, all I can say is this: at some point you can't keep trying anymore, you give up and you slip away. At some point, it doesn't seem worth the struggle and the stress, just to line somebody else's pockets and allow them the freedom to pursue their artistic creative ambitions and generally waft around having a lovely time.

If I get what I want, start my job tired and in pain, work for at least 6 months, bored out of my mind and upset that I wasn't well rested and properly prepared; but at least the cashflow hole is plugged, my stress starts to go down, I start to relax about the purse strings, I can show my love and appreciation for the people who I care about and who care about me, I can start to improve my work:life balance and I can start to dream about longer-term ambitions, without torturing myself because things are so far out of reach.

If you think I expect this to happen overnight, you're wrong. I'm forecasting 6 months to stabilise, 6 more months to build up a healthy safety cushion, and another year before I can even dare to dream and start to think about a less soul-destroying life.

As I wrote before, I've got some amazing pieces of the puzzle in place - more love and support than I've ever had in my adult life - but I still can't afford to have other important things slip away for the sake of an acceptably small risk and some short-term pain, discomfort, exhaustion and a bit of extra stress. There is no perfect solution.

There is one thing that nobody can take away from me right at the moment: I'm a penniless writer.

Tags: #writing #art #hospital #career

This is a story about affordable care...

I've been able to roll the dice a few times - following my dreams and chasing my ambitions - because of progressive liberal socialist policies put in place by the Labour government of 1945: most notably, the creation of the National Health Service.

I chose to leave an extremely well remunerated job with an American investment bank, with amazing private medical insurance and a brilliant team of occupational health doctors. That US-style of healthcare certainly gave me access to the very best treatment, whenever I needed it, but it was part of a "golden handcuffs" deal: a job that was so much better than anything I could get anywhere else, that I had to be insane to quit.

Life is a balancing act. You can have loads of money, but no time to spend it. You can have loads of time, but no money. You can have job security, but you'll be bored and constrained. You can have freedom and be your own boss, but you will carry all the risks and responsibilities. You have to choose what works for you.

While one friend has parked his tech startup dreams and has taken a salaried job, another couple of friends have just sold their tech startup. In the space of 6 years, I made myself sick with stress, trying to run my own tech startup; I went back to my old job at the American investment bank and stayed sick until I started rebuilding my life in London as an IT consultant. In the space of those 6 years, my friends had countless sleepless nights and worked relentlessly to build their startups to the point where they were worthy of investment or acquisition. In the space of those 6 years, my friend who originally introduced me to the tech startup ecosystem, built a bunch of cool tech and very gracefully pivoted into a job that really suits him, working for a company he really admires. In the space of those 6 years, my friends from the technology accelerator program we attended in Cambridge, raised millions of pounds of investment and sold their company to a tech giant.

Friends went to Silicon Valley to follow their tech dreams. One friend had to break up with his girlfriend. Another had to move his young children away from the family support network, and live with the risk that the USA would reject him and his family's request for residency. Imagine if I had moved to America. How would I ever afford the medical bills, when things have gone badly wrong? I would have been bankrupted many many times over!

Nobody's keeping a seat warm for me in a cushy job because I went to a posh school and a prestigious university. I have no trust fund or family money behind me. Running out of money has meant homelessness. Starting a business had to be profitable from day one.

There's just no way that I would have been able to pursue the opportunities that I have, without the National Health Service. In theory the UK and US are lands of opportunity, where anybody can start a business and become rich and successful. In practice, it's almost impossible unless you're already quite wealthy. The consequences of failure are just too much to bear, for most people.

My current business is consultancy. If I'm sick, I don't get paid. If I don't have a client, I don't get paid. However, I've calculated that I only need to work a few months of the year to earn the same as as the 'secure' job I gave up. It's a calculated risk. I might end up not being able to pay my tax bill. I might end up not being able to pay my rent. But, when things go well, they go really well. The odds are in my favour: if I can just get two or three contracts in a row, not get sick, maybe have some projects that run longer than expected, then I'll suddenly be way way way ahead of where I would be if I'd just plodded along with the golden handcuffs on.

I sat awkwardly on my leg and it went numb. My foot became swollen. My leg swelled up all the way above my knee. My kidneys shut down. I was admitted to hospital and put on dialysis. I haven't had any income since September. Surely this is why it's best to have a nice 'secure' job?

I've been stressed and depressed about losing a lucrative consultancy contract. I was literally about to start working again when I got sick. Contractually, I have no rights: the company could just award the contract to somebody else. I was going to have to start the search for a client all over again, meaning yet more loss of earnings.

Here I am in hospital. I've been here for a week.

I was seen by a doctor within an hour of arriving at Accident & Emergency. I've had two private rooms with amazing views over central London. I've been seen by top consultants, surgeons, registrars, nurses, phlebotomists, physiotherapists. I've been wheeled around by porters and served meals by catering staff. My bedding has been changed and I've been given clean gowns and towels. Numerous medications have been dispensed. I've had ultrasound scans and my blood has been scrubbed clean and drained of dangerous toxins by dialysis machines. My blood pressure, blood oxygen, pulse and body temperature has been monitored around the clock. Even the amount I drink and piss is meticulously recorded by the staff on the ward.

Nobody has ever asked me for my medical insurance details, credit card or discussed how I plan to pay for all this world-class treatment. Nobody is going to send me a bill when this is over.

As luck would have it, my client has decided they will wait for me to get better, so I can start my contract. Imagine if I wasn't able to take that contract in the first place, because of the risk of getting sick. Imagine if all the profit from my contract got wiped out by a humongous medical bill. How is anybody supposedly 'free' to become rich and successful, if they can't predict when they're going to get sick and how much it's going to cost?

This story is really a re-telling of three stories. The story of the friend who inspired me to follow my startup dreams and who inspired me to write about the importance of the National Health Service for social mobility; the story of the friend who succeeded, after 6 years of sacrifice, blood, sweat and tears, with countless sleepless nights and untold stress; and the story of me, who couldn't handle the chafing of the golden handcuffs, and got unwell because of the combined stress of running a tech startup with an unsupportive partner and unsupportive family.

I'm now lucky enough to have reconnected with old London friends, repaired friendships that were damaged or neglected when I got unwell, made new friends who are incredibly loyal and caring, and I have found an amazing lady who makes me feel loved to bits and completely accepted for who I am. Her family have welcomed me with open arms and most of the get well cards I've been getting have been from her family, along with offers of help to get me back on my feet.

While the welfare state is deeply flawed and it's an impossible task to get the social support that you need, as a single man whose life is imploding, the National Health Service has been the glue between the pooh, holding my shit together and just about keeping me alive. When you add in an amazing girlfriend, her family, loyal and caring friends and the rest of the social fabric that a person needs, you finally stand a chance of getting your life back.

I read with great dismay that the US Affordable Care Act (a.k.a. Obamacare) is being repealed. What the actual fuck, America?

If you wanted a case study for a society that's as close to perfect as you're going to get in an imperfect world, we should look to London. 300 different languages are spoken in London schools. The tower blocks of Canary Wharf sit in a London borough that's 46% Muslim. There are cycle superhighways, driverless trains, an underground railway that moves 5 million people every day. The Metropolitan Police are humble public servants, who protect the vulnerable and take people to hospital, involve social services and mental health crisis teams, rather than flashing their badges and drawing their weapons. The whole city exudes tolerance, inclusion and diversity: it's in London's DNA.

You might mistakenly believe that London is a city for the rich, but it's not: because of the National Health Service. The NHS employs 1.7 million people, and funded properly - like it is in London - it shows that socialism and multiculturalism can be made to work. The last piece of Britain's nationalised socialist infrastructure, not to be wrecked by the greed of capitalism; the NHS is a fly in the ointment for the Tories who want to sell everything off for private profits and damn the lives of British citizens.

I want the railways re-nationalised. I want the energy companies re-nationalised. Most of what comes out of Westminster is good for London but bad for the rest of the UK. What we're seeing is one rule for Londoners and another for everybody else. London gets state-owned public transport where 100% of the profits are re-invested in infrastructure. London has a remarkable set of public services that create jobs as well as keeping the residents well looked after. Socialism for London and capitalism for the rest of the UK... that sucks.

In my week in hospital, I've realised that London truly offers an enticing vision of a near-utopian society, so unlike the ugly one pictured in the dark minds of the populists. London is a European city, connected by train to Paris and Brussels. London is a mercantile centre, where East literally meets West at the Greenwich meridian line: the perfect time zone to deal with both Japan and San Francisco in the same business day. The peaceful co-existence of so many cultures in one crowded city is a modern miracle. I live here because of the immigrants, not in spite of the immigrants. London simply wouldn't function without its chaotic diversity.

Getting used to living in London is hard. The congestion is hard. The clash of cultures is hard. Seeing people who look and act differently is hard. Processing the humbling fact that the world is huge and complex is hard. Realising that you're in the racial minority is hard. Living a small, neat, efficient, considerate, reserved life, where you quietly observe and ask questions, as you discover your fellow Londoners have had incredible journeys, arriving here and building their lives, is hard. It's hard damn work, letting all this chaos and complexity assault your senses.

I don't want private hospitals, private health insurance, medical bills, policemen carrying guns, offensive foreign policy and an economy that offers no hope of escape from the socio-economic background you're born into, except for a tiny handful of sports stars, lottery winners, rappers and criminals. I don't want private prisons stuffed full of black people being used as slaves. I don't want a world of "us" and "them" with torture, pre-emptive strikes, invasion of sovereign nations, regime change and covert ops to destabilise other nations.

In a week in hospital, I've benefitted from everything that's great about Great Britain in the European Union and London's huge immigrant population. Only a tiny handful of the staff who've saved my life were born in Britain. Only a tiny fraction of the medical supplies and equipment were designed, tested and manufactured in the UK. I'm a stone's throw away from mosques where alleged firebrand hate preachers are supposedly plotting against the British people. Whitechapel Market is crowded with women wearing full-face veils, but I'm just another Londoner to them. If there's an exemplary organisation to demonstrate multicultural society working perfectly, doing life-saving work, it's the National Health Service.

Affordable care not only saved my life, but it's keeping my hopes and dreams alive, so I don't have to take a zero-hours contract McJob flipping burgers, just in case I get sick.

Tags: #NHS #hospital

This is a story about treatment for drug addiction...

Having been to four different rehabs, I feel fairly qualified to give a few insights into what happens behind closed doors. Residential rehabs often hide away in leafy suburbs, where there are large houses that can accommodate human trash: dirty junkies and nasty alcoholics.

"Death's too good for 'em! String 'em up!" I hear you say.

Yes, yes, don't worry. We'll get to the idea that an addict will always be an addict, and that we should just write them off as a lost cause.

Boscombe in Dorset - an area of Bournemouth - is where many councils choose to send their difficult members of society, from all over the country. Supposedly, being by the seaside will be good for recovering alcoholics and former drug addicts. There are certainly plenty of rehabs in the area. Even Paul Gascoigne has found himself shuffling around Boscombe's streets, buying bottles of gin from the local off-license.

Ironically, many years after moving to Bournemouth, I became addicted to drugs and found myself in the perfect place to get treatment for my addiction.

Let's talk a little bit about drug addiction.

Having a 'drug habit' is not the same as drug addiction. 'Experimentation' is not the same as addiction. Partying is not the same as addiction. Addiction will rapidly destroy your health, wealth and prospects. Hospitals, police cells and prisons are the institutional stomping grounds of the addict, on their rapid descent into the fires of Hell. If you're successfully hiding your habit from your friends, partner and boss, then addiction hasn't fully taken hold. Addiction is destructive.

What about detox?

You can't really rehabilitate while the drugs and alcohol have got their hooks in you. If you abruptly stop drinking, you might get the shakes, become delirious, have a fit and maybe even die. If you stop taking heroin, you're going to feel sick and in pain. If you stop taking cocaine or amphetamines, you're going to be unbelievably exhausted and depressed, to the point where you're in real danger of killing yourself.

"You should kill yourself if you're a junkie" I hear you say.

What you haven't understood is that drug addiction is slow suicide. Do you think the addict or the alcoholic isn't aware that their body is getting utterly fucked up, and they're going to go to an early grave?

Detox is about breaking the physical addiction that the body has to drugs and/or alcohol. Detox is about suffering the worst of withdrawal, in an environment where substitute drugs can be administered to make the process safe, humane and tolerable. An alcoholic literally risks death if they stopping drinking without Librium. Is it ethical to ask people to die just because you're hung up on ideas like "willpower"?

There's the term "psychological addiction" that needs to stop being used. It's better to think about addiction like this: why did somebody get addicted in the first place?

"Because drugs are fun" I hear you say.

There are shitloads of people who take drugs all the time but they aren't addicts. Every weekend, raves and nightclubs are packed full of people taking Ecstasy (MDMA). Vast quantities of cocaine gets hoovered up by the eager nostrils of young professionals in cities around the world. Every day, a huge proportion of humanity smokes cannabis or drinks alcohol. Why aren't all these people raging addicts and alcoholics?

If you ever feel like quitting, remember why you started.

Most addicts' lives were truly appalling before their addiction took hold. For sure, addiction doesn't improve anybody's life, but it's not like there's any hope of a better life just because an addict quits drugs. The cycle of petty crime, scoring drugs, getting sick, being hospitalised and being locked up... it doesn't look great, does it? But what's the alternative? Flipping burgers and still not having enough money to make ends meet?

So, it's obvious that the rehabilitation process will only be successful if it can return a person to a better life than the one they were trying to escape from with drugs and drink.

The first rehab I attended was in Bournemouth, situated in a grand house at the end of a sweeping driveway, surrounded by mature pine trees, on a road of millionaires' mansions. The place was full of people from Greater London and the surrounding counties, ejected by their councils to make room for more rich middle-class people.

The biggest issue amongst my fellow rehab residents was housing. Boscombe has vast numbers of crappy bedsits that can just about be afforded with housing benefits. London and the South-East has no cheap housing for undesirable members of society. My fellow rehabbers were gleefully pushed away from where they were born and bred - and their families - because they were written off.

A typical day at the Bournemouth rehab would consist of a breakfast of baked beans, white toast and cheap sausages, followed by many rounds of tea, coffee and biscuits, until the 'therapeutic' day began. There were two or three sessions a day, where everybody sat in a big room, slouching on comfy sofas, vaping on e-cigarettes and slurping drinks. It was supposed to be group therapy, but it was basically just listening to heartbreaking tales of people's children being taken into foster care.

Most of the day in Bournemouth rehab was given over to matters of court appearances, housing office appointments, social worker visits and attempts to obtain various forms of welfare benefits. Almost everybody in rehab was in poor physical health, due to a life of drug abuse. Almost everybody in rehab had some underlying mental health disorder.

Those were the dregs of society, but they were warm and welcoming and they accepted me as one of their own. I was warned by staff to leave my iPhone at home and watch my wallet, but I never felt for a single moment as if my peers were going to rob or take advantage of me. I was somewhat appalled by the staff members' low opinion of their service users, but I suppose there's an element of the gamekeepers and the poachers: anybody who's keeping you under lock and key is kind of fair game, because resentment is going to build about the power that staff exercise over people in treatment.

Over the course of the 28-day program, my fellow rehabbers and I would build up special privileges for good behaviour, such as being allowed to go to Alcoholics Anonymous, Narcotics Anonymous or Cocaine Anonymous meetings. Being allowed to go into town, accompanied by a staff member, was the next privilege that accrued. Then, trips to town were permitted when accompanied by a peer who had attained 3 weeks of good behaviour. Finally, you might prove yourself to be trustworthy enough to go into town alone or as a chaperone.

Transgressions could include: not getting up in the morning, not doing your assigned chores, not attending group therapy, being caught with contraband, failing a drugs test and - most serious of all - going somewhere without permission.

Being expelled from rehab for going into town on your own might not sound like a terrible consequence, but almost everybody was there because treatment was mandated by the courts, as part of parole or an attempt to retain contact with children. Being chucked out of rehab could result in going back to prison, or never seeing your children again. The line between treatment and punishment was rather blurry.

My next rehab was 5-star luxury by comparison. You might have heard of it. It was The Priory.

If you're paying £12,000 for a 28 day stay in the countryside, you'd expect it to be pretty nice, wouldn't you? The Priory certainly delivered on making me feel special and cared after... for a high price. Therapists outnumbered patients, the bedrooms were very well appointed and comfortable, the food wasn't bad and there were luxuries like a gym and grounds to take a stroll around. Nobody was made to feel like a prisoner under house arrest.

Unsurprisingly, my fellow Priory rehabbers were rich compared to the Bournemouth lot. There were six-figure salary earning executives and heirs to multimillion-pound fortunes. Alcohol was also the predominant poison, as opposed to heroin.

One girl was so desperate for a drink, that she filled a mug with hand sanitising gel - which contained alcohol - and sweetened it with orange squash.

Therapeutic days were packed full of yoga, mindfulness, art therapy, educational videos, as well as group therapy. Supposedly following the 12-step program we only had enough time to complete the first two steps. AA and 'aftercare' meetings were held in the evenings at The Priory, which we were encouraged to attend, but most of us just watched DVDs in our bedrooms.

In my final week at The Priory, I asked "what next?"

Turns out that 28 days just isn't long enough to turn your life around. 28 days is just about long enough to get over the worst of the drug withdrawal and start thinking about how awesome the drugs are going to feel after a little break and three square meals a day. Aftercare programs are almost as expensive as rehab and last 3+ months: who's got that kind of money and can afford to take that long off work?

Having been through an acrimonious divorce, sold my house, rescued a tiny fraction of my most treasured possessions, boxed my life up, put everything into storage and suffered a horrible family Christmas, I was pretty fucked up by the whole ordeal. I needed to get cleaned up and straightened out again.

The next rehab I booked, I asked for a detox. I didn't want to have to get up in the morning and go to stupid group therapy. I hadn't slept or eaten properly for weeks. I'd been taking benzodiazepines for months and it was possible that I'd developed a physical dependency that could be life-threatening. I needed professional medical care.

The rehab I ended up in was like an alternative therapy spa break. There was a hot tub - called the sex pond - and a vibrating massage table, with whale music playing in the pitch black room. The main thing I was there for was sleep, food and a doctor on hand in case I had a seizure. Reluctantly, I consented to have acupuncture and to do some mindfulness: both of which I fell asleep during.

Most of the staff were kind and caring, but the guy who owned and ran the rehab was a complete egomaniac who clearly wanted his own cult. This idiot tried to force me to attend 'group' therapy, which was basically him giving interminable boring monologues about the time when he went into a Native Indian sweat tent. Believe me, the last thing you want when you're recovering from a near-fatal toxic combo of drugs, is to be a captive audience for some total moron.

While I was at that third rehab, a man was brought in, smashed out of his mind and covered in red wine. He'd been transferred up from the first rehab I'd been in down in Bournemouth. He'd walked out and gone into town to get pissed. Revolving doors.

I had to get away from that place. It wasn't therapy. Fuck knows what it was. Probably just a bit of respite for both family and addict alike.

Finally, I achieved what I wanted: I got back to London. Bullshit family Christmas was over. Divorce and house sale was over. I was free from horrible destructive relationships and nasty people, but I had picked up an addiction and failed to deal with it. My life to that point had been dictated by people who didn't care about my welfare.

I got myself into my fourth and final rehab: a 13 week residential treatment program in Kensington, West London.

Immediately, the place felt right. Rehabs are supposed to be run by former addicts and alcoholics. The guy who I met on my initial assessment had gold teeth and mean tattoos. The guy who ran the place had a massive scar across his face. These were people whose opinion an addict could respect, because they'd been all the way to rock bottom and back again: they'd seen friends die from overdoses and a lot of other rough shit too.

My most important lesson in rehab was how to do time. I had already been heavily institutionalised by working my whole career for massive corporations - with the limits that full-time work and education imposes on your freedom - but I still had lessons to learn about liberty. It helped a great deal that one of my fellow rehabbers was a young lad who'd been in prison twice by the age of 21.

Rehab is literally a kind of house arrest. You can leave anytime you want, but there will be consequences. It was fun to walk up to the gate (pictured above) and put a foot out over the pavement... just stopping short of taking a single step off the property.

It's not too hard to white-knuckle 3 or 4 weeks of abstinence. The first couple of weeks you'll feel awful, but your body is so abused that it's grateful for the sleep and the food. The next week or two are hard, but you know there's light at the end of the tunnel: you'll soon get your fix. You just have to count down the hours, minutes and seconds.

I don't believe you can rehabilitate somebody in just 3 months. So many things get fucked up when you're an addict. You need to get a job and go back to work, pay your bills and any debts that got racked up, repair and replace broken stuff and get a place to live. Everything got fucked up by my addiction: my shoes and clothes were wrecked and everything in my life was in total disarray.

Imagine being a company director through a period of addiction. My accounts and taxes were all messed up, and important paperwork was lost or misplaced.

What about my CV? How could I explain those periods of absence from work?

What about my routine?

Do you realise how much of your life runs itself on autopilot? You pay your rent/mortgage, council tax, electric, gas, water, sewerage, broadband, mobile phone, home insurance, life insurance, car insurance, road tax, MOT, TV license and a zillion other things. You get up every day, have breakfast and go to work. People know and respect you at work and you know how to do your job. You see your friends and socialise. You have your hobbies and you exercise. Do you think you can put all that stuff back together, running smoothly, overnight?

When you're an addict, everybody distances themselves from you. It's obvious that if you even so much as speak to an addict, they're going to steal your newborn baby and sell it to buy crack cocaine. It's obvious that anybody who injects marijuana or sniffs glue is a worthless selfish nasty person who's out to kill you.

Rehabs are necessary because family and friends are judgemental gossips who offer you useless advice like: "have you tried not taking drugs?" or "maybe you should just stop".

Rehab was a holiday from being judged to be an evil failure, morally weak and simply lacking in willpower.

Rehab showed me that I do have the willpower to stop taking drugs whenever I want. Rehab showed me that I'm not weak and I'm not powerless.

By the time I finished my four stays in rehab, I still hadn't run out of money, I had never been arrested, locked up, hospitalised or homeless. I had been nowhere near rock bottom.

I never actually reached rock bottom though. I experienced things that were awful at the time, but I needed to have those experiences.

Stopping drugs is the least of anybody's concerns. Drugs actually help when your life is unbearably shit. Just ask anybody who suffers from depression or anxiety if they'd like to give up their antidepressants or tranquillisers.

Obviously, I'm glad I never got a criminal record or sustained any life-changing injuries, but maybe I needed to come close. Being locked up in a police cell a couple of times and spending weeks in hospital, were not things on my bucket list, but I think they were necessary experiences to complete my adventure.

When the time was right, I got a place to live, a girlfriend and a job. Without those things, life isn't worth living, but equally, those things don't create recovery.

Bullying was relentless and intolerable at school for 11+ consecutive years. Nothing I did was ever right or good enough for my parents. My parents' relationship was appalling - full of verbal abuse and hostility - and I got involved with a girl who physically and mentally abused me, who I stayed with for many years. I got so used to broken, abusive relationships. Do you think that kind of stuff can get healed by 28 days in rehab? Do you think that all my problems came about just because I sniffed a bit of white powder?

You might think I act normally and sound perfectly reasonable, rational and able to string a sentence together, but it's the opinion of the medical professionals who've treated me, that I'm dealing with depression, bipolar and even borderline personality disorder. Clearly, I've had many episodes of mental health issues... including a period of many years before drugs even entered the picture.

This is called dual-diagnosis: the clusterfuck that is both addiction and mental health issues combined. The tail that wags the dog.

I've cherry-picked the best treatment and the most humane and compassionate approach to fixing my addiction and now I've arrived at the situation where - joy of joys - I'm 'just' dealing with depression and anxiety.

I'm itching to press the 'fuck-it button' because life is intolerably stressful, unrewarding and my depression is refusing to lift. What's the solution? Drugs? Been there, done that.

Rehab taught me how to quit drugs cold turkey. Rehab taught me that I'm in control, so long as my life seems worth living.

Addicts and alcoholics are taught on the 12-step program that they're powerless. I'm certainly powerless, but it's over things like whether I get offered a decent job that pays enough money to be able to live. Being powerless to influence the things that really matter to me in life, such as whether I can live with dignity or not, creates incredible stress and anxiety.

I can choose to stop drinking or taking drugs, but why would I, if the alternative is ESA assessments and having my inadequate welfare benefits cut off by somebody who's not even a qualified doctor? Why would I quit, if I have to prostitute my mind and body, to go and work some pointless bullshit job for somebody promoted into a position of incompetence, if I'm 'lucky' enough to be offered a pittance to do the job?

It's so hard to escape the things that drove us to drink & drugs in the first place.

Rehab was important for me to forgive myself for things that weren't even my fault. I didn't make a mistake, getting addicted to drugs: it was a deliberate act and I'd live my life exactly the same if I got to start over from scratch. Rehab was respite from those who wish to scapegoat sick people.

Fundamentally, rehab connected the 'clean' and the 'dirty' world and allowed me to see that they're two sides of the same coin.

Every saint has past and every sinner has a future.

Tags: #addiction #drugs #alcohol