This is a story about compatibility...

Very often, when you're acutely aware that there's something that you need to avoid crashing into, you'll end up staring at it, unable to tear your eyes away. When riding a board or a bike, flying, driving or otherwise in motion, you tend to go in the direction you're looking. If you want to avoid a crash, you should look at a spot away from danger.

Is this the reason why we don't talk about taboo subjects, because we're worried about tempting fate? We turn our back on the ugly truth and try to pretend like everything's OK.

My Christmas stocking included some bath salts.

Clearly, Santa has the same dark sense of humour as me. That's great. I think humour is a fantastic way to exorcise the demons of the past. First comes talking, then understanding and finally you can laugh and joke about a topic that was originally quite painful and difficult to remember. Repressing memories and walking on eggshells is no way to move forward.

If we don't have honest conversations where we can talk about how we really think and feel, then we build up a load of sensitive topics. Secrets and lies lead to paranoia and weak relationships. Keeping schtum about my parents' drug use - when I was a child - was too much of a burden. Writing openly has been liberating and has allowed me to move on from shame and regret, to regain my self-esteem and confidence.

I remember a desperate scramble to cover up my admission to The Priory. My psychiatrist had made a referral to a "private hospital" for treatment of an acute episode of bipolar disorder. All perfectly true, but there was a certain economic use of the truth. What would most people think, if they found out that I was spending weeks in the UK's most notorious treatment specialist for drug & alcohol abuse? They would leap to the wrong conclusions, surely?

It's so bloody exhausting keeping up appearances. One must be aware of how things can be [mis]interpreted and people aren't likely to share their true thoughts and feelings: "better keep him away from the kids if he's mentally ill" or "I bet he's a raging alcoholic behind closed doors if he's been in The Priory".

We're brought up to believe that our reputation is like a balloon: one little prick and it goes pop. We're scared to take time off work, because we'll have gaps on our CV that need to be explained. We're scared to share details of our private lives, lest our employers decide we're unreliable and judge us on preconceived notions. Who wants to work with a madman?

When it comes to dating, the same applies. Who wants to date somebody with flaws; defects? Who wants to take a risk on a ticking time bomb; an unsteady ship? And so, I should have found myself unemployable and undateable. "Take your pills, sit in the corner and shut up" says society.

However, if you ever meet me in a work or social context, you may gain the [false?] impression that I'm pleasant company: a healthy, happy and capable member of society, engaged in productive endeavours. Strangely, you might have the wool pulled over your eyes so much that you actually mistake me for a normal human being.

Surely this is thanks to the excellent medication that I take?

Well, no. I don't take any medication. I don't do therapy. I haven't had a course of electro-convulsive shock treatment. I don't even have a psychiatrist at the moment.

"But you're going to murder everybody if you don't take your pills."

Yes, that's right. I'm your worst nightmare. I'm out there, on the dating scene, luring unsuspecting vulnerable young women into my web. I'm a dangerous fantasist; a con-man. I'm so good at living a lie that I've constructed an elaborate fable that looks, smells, tastes and sounds very much like an authentic real life, but it's all fake. It can't be real. What about the secrets we now know?

If you take your secrets and turn them into jokes, you defuse that ticking time bomb... or at least that's my working hypothesis.

I certainly feel a lot happier knowing that I've met somebody with enough of a good sense of humour to make a joke on Christmas Day about my chequered past. I feel less sensitive, paranoid and insecure than ever before. I feel like I'm myself, and that's OK.

Maybe it's just a getting old thing: the realisation that we're all flawed in some way. We're all human. We all have weaknesses and strengths, and we all have history; baggage even. It seems better to wear my heart on my sleeve than present myself as some whiter than white, holier than thou saint who never put a foot wrong in their life.

I doubt I'll ever unify my professional and private identities, but I certainly don't regret jettisoning the traditional approach to dating. Honesty seems to have been the best policy in this case.

Tags: #dating #sex #bipolar #addiction

This is a story about rambling...

I'm self-censoring. I've written entirely without a filter for well over a year, but now I'm holding back. I'm watching my words. As a wise friend advised me, I'm writing as if my girlfriend's mother was reading this... almost. I'm certainly writing with a certain amount of self-consciousness that I haven't had for the best part of a year.

When I wrote my book, it was easy. I was in the land of fiction, so I could therefore always say "I made that up" if something didn't go down too well. However, my blog has always been a mad blend of 'stream of consciousness' stuff, unflinchingly honest biographical accounts of mental illness, homelessness, addiction, sex, masturbation and all the other gory details that we repress as deeply as we can possibly can. I'm struggling to switch modes.

I'm starting to build up a list of things that I want to write about again, but I'm a bit bored of it to be honest. I've wound myself up and stressed myself out. I've wailed at the moon and yelled at the top of my lungs... and then the world fractured anyway. The bleeding-heart liberals -- who care about social justice, equality, fairness and preventing the regression of the human species into some kind of disgusting bestial form -- have been beaten by the populists, the racists, the bigots, the xenophobes, the sexists, the chauvinists. Basically, the hand-wringing appeals to human decency have reached a cul-de-sac. I'm bored of being reasonable, rational, measured, fair and even-handed.

The other thing that's fun to write about is the stuff that challenges assumptions and prejudice. I like being polite, well-mannered and well spoken enough to lull people into a false sense of security. "It's OK, he's one of us" they say, and then I unleash the punchline: "Ha! Ha! I'm actually a mentally ill homeless bum benefits-scrounger junkie addict unemployed loser". To be honest, it's the kind of joke you can only do once, and then it's not funny anymore.

I know what I've written to date has been horrifically repetitive. I've laboured some of the same points over and over again. I had open wounds. I was hurting. My self esteem, confidence, self-worth: they were all destroyed. I was caught up with ethical conflicts and I wanted to burn bridges that led back to anywhere I shouldn't go. I was bitter and angry. I found a platform to vocalise my side of the story, and put some balance back into the world. I was like a little yapping dog, barking "don't tread on me" as people who sat in idle comfort and security ganged up on me when I was sick and vulnerable. Writing was my megaphone, to shout down a mob of bullies.

I've ended up with a few things worth preserving, by good luck or good judgement. Most of the former rather than the latter, I think. I don't want to screw up a relationship that's going really well. I've started to reconnect with friends and have some stability. I've got a lovely apartment and I've managed to offload a third scrounger twat who thought they were going to live on my dime, not paying rent and bills. I'm well positioned to be able to get another couple of contracts that should bring me the financial security that I deserve.

Deserve??!? So entitled!

Where do you want to draw the line? Am I entitled to oxygen, water, food? What about shelter, warmth? If you think that kids should be grateful to their parents for having sex, you're a special kind of stupid, aren't you?

Oh God, I've really taken this "rambling" thing to heart, haven't I?

I think I understand why people write fiction now. Having a fictional outlet allowed me to deal with a load of shit that was bothering me, while also demanding that I fit it to a narrative. I was able to write with structure and express concepts that I'd written about at length, but it was much more cohesive and coherent than trying to write these [supposedly] single-topic blog posts that often go off-piste.

Anyway, I don't know why I'm yapping on. My writing serves me well as a kind of heartbeat to let my friends know I'm still alive and kicking, but I need to think about why else I'm writing. Am I a social justice crusader? Am I lifting the lid on mental health and addiction treatment? Am I campaigning for housing reform? Am I a fiction writer?

I guess if I get another job I'll be writing because I'm bored as fuck.

Tags: #writing

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

18. Psychosis, Madness, Insanity and Lunacy

"How did it go at the hospital?" Lara asked.

"Dr Asref has written me a prescription for two medications and he's made the referral to the crisis team" Neil replied.

It was the third time he'd visited the small community hospital as an outpatient and the second time he'd met the psychiatrist. Lara had never even heard of the hospital, even though it wasn't far from their home. The hospital mainly dealt with mental health patients.

The first appointment Neil had as an outpatient was for an assessment with a mental health nurse, 8 weeks after his doctor had made the referral to psychiatric services. He'd spoken to the nurse for about 90 minutes, while a trainee listened in and furiously scribbled notes. The nurse was kind and easy to talk to. He seemed to know exactly what kinds of things Neil was going through and was able to second guess what Neil was about to say, which made Neil relaxed and chatty for the first time in months.

The second appointment was with the consultant psychiatrist. He was not particularly conversational and seemed to be almost rambling to himself about various diagnoses and treatment regimens. He had presented Neil with a stack of photocopies of information on various medications and the consultation was suddenly over. Neil was confused and a little cut adrift. Asking what happened next, he was told to wait for another appointment where he could say which medication he'd like to try.

"Did you get the mirtazepine?" asked Lara.

"Yeah, but the consultant said I should take venlafaxine with it"

"Two medications?"

"That's right" said Neil, rattling two boxes of pills at Lara with a grin.

He seemed happier but his behaviour was worryingly erratic and childish. He would say and do regrettable things with no care for the consequences, or he would burst into tears and leave things in a mess if anything didn't go well.

One day, Neil had suddenly decided to demolish the garden shed with the supposed intention of building another one, but he hadn't purchased any materials to construct a replacement. Lara found him in bed when she got home, dreadfully upset and stressed about what he had done. That evening, she had to move the contents of the shed that could be damaged by rain and store them in the spare bedroom, while Neil cowered under the duvet.

His energy levels had improved, but often he would stay awake all night on the Internet. When Lara came home he would want to tell her about all the things he'd found out about UFOs, conspiracy theories, quantum physics, stock market trading and chaos theory. Neil's eyes would be flashing wide with wonder and excitement, but his thoughts were jumbled up and he was talking so fast she could only pick up every third word. He would get frustrated that she wasn't understanding and storm off in a huff.

"Did you get a new diagnosis?"

"He can't make up his mind. He said he's still convinced that it's major depressive disorder, but he also mentioned borderline personality disorder and bipolar disorder. He wants to treat me as if it's treatment resistant depression" Neil replied.

"Who are the crisis team?"

"Well, it's a number to phone if I'm thinking about hurting myself"

"Are you still having suicidal thoughts?"

"Not really. I'm too busy with my project"

Since losing his job Neil had been obsessed with the idea of creating an out-of-the-box security system bundle that would include wireless CCTV and motion sensors. The house had become increasingly full of equipment from Far-East manufacturers that Neil was tinkering with. Lara worried about how much it was all costing. How did he intend to sell this system if he could even make it work?

"Can I have the crisis team number?"

"Yeah. I'm supposed to give it to you and family so they can phone if they're worried about me" he replied. "And to any employer, but I don't want work sending round their goons to spy on me" he spat.

Neil's employer had become concerned that he hadn't turned up for work and had called his emergency contact - Lara - to see if he was OK. Lara was working and hadn't been able to answer her mobile, so the police had been phoned out of concern for Neil's welfare.

Neil had ignored the knocking on the front door, hoping that the police would just go away. A neighbour let the police into the back garden and they jumped over the fence. Neil heard the officers shouting at the back of the house and knocking on the back door. Yelling from the back windows, the police had insisted he come to the door so they could see he was OK. Neil had begrudgingly complied.

Lara was weary from constant worry about how Neil. She was very much relieved that there was now somebody else to contact in an emergency.

"People care about you, Neil." said Lara.

"Why are you using my name?"

"What do you mean?"

"Is there anybody else here? Why have you got to refer to me by name?"

"I don't know what you mean"

"You're so fucking patronising" said Neil, storming off.

Lara could hear him go into the box room upstairs. She knew he would be pretending to fiddle with stuff, brooding angrily. He would probably sleep in the guest bedroom again, even though it was packed with junk and the bed was covered with stuff from his project. Perhaps he would be awake all night surfing the Internet, following some thread that captivated his interest. They were definitely not going to have any further cordial discussion tonight.

Picking up the tablet on the coffee table - an impulse purchase that Neil had made - Lara searched the Internet. Typing "borderline personality disorder" she wondered what borderline meant. Did it mean that it was a milder form of the illness? As she read the symptoms she decided that it didn't really seem like Neil at all. They'd been together for so many years and they were engaged to be married. The part about unstable relationships didn't seem to fit at all.

Searching for "bipolar disorder" she came across a number of symptoms that sounded much more like Neil's recent behaviour. Rapid speech and disordered thinking, irritability, spending money and risk taking. She read the word "hypersexuality" and felt a knot in her stomach. He'd shown relatively little interest in her recently, but she knew he was watching more and more pornography. With a kind of shamelessness she heard him masturbating at night and found discarded tissues littering the floor. He made little effort to hide his Internet browsing history.

"Delusions of grandeur" and "psychosis" were things that were a little hard to place. Lara had worked a night shift and she heard him on a phone conference call during the day with his boss and human resources. Neil had ended up yelling about how he knew more than "all of you put together" and how he would create a competitor company that would "crush you like a bug". She knew that he had become frustrated and enraged by the conversation which had been ostensibly about sacking Neil, but his crazed response was completely out of character. She put it down to the extreme stress of the situation.

He was withdrawn and distant. It seemed inconceivable that he would be hearing voices or suffering with hallucinations. In her eyes, Neil was still strong, rational, intelligent and in control. She trusted him. They had always been open with each other about household finances and shared the burden of balancing the books. Even though she was cross that he'd thrown away his job, she thought that it was necessary for Neil's health and that he'd easily get more paid employment when he was ready to go back to work. They had enough savings to cushion their loss of earnings in the short term.

Two days later, Neil had disappeared.

"What do you think I should do?" Lara asked on the telephone.

"Have you rung the crisis team?"

"No. I don't know what the best thing to do is"

"Well, he didn't like it when the police got involved" Neil's dad replied.

Neil's dad was a practical man and had become a useful person to phone when she didn't know who else to speak to. Lara's parents were very sympathetic towards Neil, but it meant that they tended to share and exacerbate her worries rather than offering simple clear-cut advice.

The crisis team had promised to arrive within an hour. That was early on a Saturday morning. Neil had returned home in the afternoon, but had barricaded himself in the box room and refused to talk to Lara. Some eight hours after she had originally got in contact, there was a knock at the door.

"Hello, Lara?" asked a balding man, slightly overweight and wearing rimless spectacles. A mousey woman waited nervously behind him in the darkness, clutching a bulging ring binder.

"Yes, Hi"

"I'm Dan. This is my colleague Sue. Can we come in?"

"Please. Please do. I've been waiting all day" said Lara, ushering the two visitors into the hallway. "Neil, there are some people here to see you" she called upstairs.

Dan and Sue stood awkwardly and Lara gestured towards the snug, where they entered and sat down.

"Sorry... Lara was it?" Dan said.

"Yes, Lara"

"We had a number of urgent calls come in."

"That's fine."

"I'm a social worker and my colleague Sue is a nurse. We're here to make an initial assessment and see how we can help. Can you tell me what's been going on? It's Neil isn't it?"

"Yes, it's Neil I phoned about."

Lara noticed that Neil was hovering by the door.

"Ah Neil. These people are from the crisis team. They're here to see if you're OK."

"I'm not" said Neil, half entering the room but not sitting down, surveying the scene with distrust.

"Hi, Neil. I'm Dan. This is Sue" said the social worker, leaping to his feet and offering his hand. Neil took it and shook it. Sue half stood up, but remained quietly in the background. "Can you tell us what's been happening with you?"

"I can't cope anymore. I feel desperate. Suicidal"

"I'm sorry to hear that, Neil. How long has this been going on for?"

"On and off for months. It got really bad this week."

"OK, I need to ask you some basic questions." said Dan, now looking at Sue. Sue opened her binder and readied her pen.

"Do you know what day it is today?"

"Yes. It's Saturday the 20th of August, 2016."

"Do you know who the Prime Minister is?"

"David Cameron. No, er, I mean Theresa May"

"OK, and where are we?"

"We're in my house"

"Are you hearing or seeing anything unusual. Any voices?"

"No"

"Are you receiving any instructions, do you believe you are able to make people say or do things you want?"

"No"

"Is there anything you're anxious or concerned about right now?"

"I'm worried I'm going to kill myself"

"OK. Thanks, Neil" said Dan, glancing at his colleague. "It says in my notes that you've never been in hospital, because of your illness. Is that right?"

"Yeah, that's right. I've never been in hospital in my life except as an outpatient."

"Well, I think the safest place for you right now is at home. Where your partner and family can keep an eye on you. The crisis team can come and check on you, to make sure you're OK. How does that sound?"

"I want to die"

"OK well psychiatric hospitals are pretty crazy places. You wouldn't get a lot of rest there. The staff don't have a lot of time to help everybody. You'll be much better looked after at home. Do you have anything to help you sleep?"

"I've got mirtazepine. That makes me really sleepy"

"That's great. Do you know where it is?"

"It's on my bedside table."

"Lara, do you want to get it for Neil? And a glass of water" Dan prompted.

While Lara was gone, Dan and Sue sat quietly smiling and then Sue's mobile phone rang. She stepped out of the room and let herself out of the house while taking the call.

Lara returned with the medication and a drink.

"OK, Neil. What you're going to do is take your usual medication and then we're going to come and see you tomorrow and the day after. We're going to come and visit you here at home every day until you're feeling better."

Sue now let herself back into the house and popped her head around the door.

"Dan, we've got to go."

"Alright, sorry it was such a flying visit, but we have to attend to an emergency situation" said Dan, standing up and smiling. Pausing for a moment and taking on a more serious expression he said "everything's going to be OK. Hang tight. We'll be back tomorrow."

"OK, thanks" said Lara, following Dan to the door. Sue was already outside, eagerly wanting to get away. Neil was sat on the sofa, a little dumbstruck by the whole experience.

The front door closed, Lara returned to the snug.

"That went OK. There'll be somebody coming to check on you every day. That's reassuring isn't it?"

Neil simply looked at her blankly and then went upstairs to bed.

Next chapter...

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

6. Into the Unknown

Going to university as a mature student had been hard work but a lot of fun. Lara was only a few years older than most of the other student nurses and their training wasn't like a normal degree course. 50% of the time the nurses did their university work in a building that was a long way from the main university campus. The other 50% of the time was spent in the clinical environment of the local hospital. Lara's university days weren't spent partying and skipping lectures - the workload was relentless and she was soon doing long shifts to gain all the necessary hands-on experience she needed to qualify.

With Neil's salary, savings, some money from her parents and a bursary, Lara and Neil managed to keep their home life relatively unchanged after Lara quit her office job to retrain. A little bit of belt tightening was necessary, but the couple managed to struggle through 3 years without Lara's salary.

Although she avoided living in a dirty and messy student house, Lara didn't miss out on any of the social bonding with the rest of her course-mates. During those three years at university, she made a lot of good friends.

After qualifying Lara's friends had been scattered all over the country. Some of them wanted to specialise. Some of them wanted to get jobs in particular cities or closer to family. There were a lot of jobs in London, which attracted many friends to move there, but Lara wanted to stay in the local area. For a lot of her friends, they were bored of the unremarkable university town they had spent three years in.

Working at a big hospital as a general nurse, there was a lot of variety in the day-to-day challenges. There were a lot of staff. There were a lot of departments. There were a lot of different procedures that could all happen within that large hospital building. The NHS had been closing smaller local hospitals, in preference for larger facilities, so that fewer items of expensive equipment had to be purchased nationally.

One of the few things separated from the general hospitals was mental health care. While the hospital had a handful of mental health specialists, they were in a psychiatric liaison role. Any physical health issues would be treated at Lara's hospital and then the patient would be transferred if they required inpatient care for mental health issues. There was a clear demarkation between general medicine and mental health and the few people Lara knew who had specialised in that area had followed a very different career track from her.

As a medical professional, Lara felt frustrated that she didn't know more about mental health issues and there was little opportunity at work to have a casual conversation with any of the doctors. The doctors in the hospital had specialised in the treatment of physical ailments, disease, surgery. She only knew a few doctors who she should speak to if a patient was behaving strangely. In Accident & Emergency the hospital would treat drug overdoses, alcoholics and people who had physically injured themselves while in a crazed state, quite often accompanied by police officers. The police normally had a better idea of what psychiatric issues the patient suffered from than the hospital staff. It seemed as though the police were at the front line of mental health issues.

Although she had bandaged lacerated wrists and dealt with patients who had swallowed handfuls of pills or poison by treating them with activated charcoal, Lara never really knew the story behind what had brought them to the brink of suicide in the first place, or what happened to them after they were physically healthy enough to be moved to a psychiatric facility. The patient notes for the nurses contained details such as blood pressure and medications. Very few details about the psychological problems that troubled these people were in the notes she saw.

When the weekend arrived, Lara found herself turning to the Internet to find out more about depression and how it was diagnosed and treated. It seemed strange that despite her training and experience, she should have to turn to websites for information, but she didn't know who to speak to. She knew friends had suffered bouts of depression, but it felt insensitive to phone them and say "Hey! You've been down before. What can you tell me?" Those friends who had become depressed never discussed the details of their prescribed treatment openly.

Lara knew her mum had become depressed after giving birth to her little brother. Her mum had sought help from the family doctor. Lara's mum said that a little time talking to the doctor about her feelings had been exactly what she needed. That was over 20 years ago. GPs didn't have much time to talk to their patients anymore. At the local doctor's surgery, Lara seemed to see a different doctor every time she visited.

Therapy conjured up images of whiney New Yorkers, self-indulgently talking about how their daddies didn't love them enough, on a psychotherapist's couch, spending hundreds or even thousands of dollars. Lara thought that to suggest counselling might make Neil more upset. Many people derided therapists as "quacks".

Having spent the week without socialising amongst their usual circle of friends, Lara now faced further isolation all weekend, as the couple cancelled their plans. There was little that Lara could do to help at home. Even asking Neil "are you OK?" could be a barbed question, when clearly he was not. It was very British to say "I'm fine thanks" as an automatic response whenever anybody asked how you were, no matter how dreadful life was feeling at that moment. Neil and Lara's parents had been raised in an environment of post-war austerity, where stiff upper lip and concealment of any inner emotions was considered the preferred way to conduct yourself. The touchy-feely stuff was not dealt with well by either family.

By Monday morning, Lara was relieved to be able to immerse herself back in her work. Throughout her shift she barely had a moment to herself to dwell on personal issues. For the sake of the patients and her team, it was imperative that she was positive and upbeat, concentrating, not distracted. She was expected to be a pillar of strength and exude confidence when patients were scared, in pain and discomfort. Context switching was surprisingly exhausting, but it didn't hit Lara until she left the hospital.

As the week wore on, Lara found that she was less and less able to carry the caring face she wore all day at work into her home. She felt like she had lost the support of both her partner and her social group and she could barely keep her own head above water. By Friday, some tiny slip of the mask must have betrayed how truly drained she felt, because the Ward Manager called Lara into her office at the end of her shift.

"Is everything OK, Lara?"

"My fiancée hasn't been very well for a couple of weeks, but I really didn't want to bring my problems with me to work, Judy, sorry" replied Lara.

"It's OK. You just look a little under the weather. I hoped you weren't coming down with something. Your work has been fine this week. No complaints from me" said Judy.

"Yeah, I'm fine. I'm just going to sleep all weekend and let my batteries fully recharge" said Lara.

"Well, look after yourself. Are you getting the support you need at home?" asked Judy.

"Yeah. We're getting by. I'm sure Neil's going to be feeling better and back to work soon" replied Lara.

"Neil. That was it. I remember you saying you'd got engaged, but I must admit I'd forgotten your fiancée's name. Any news on the wedding?" asked Judy, turning the conversation more light and casual.

"No, we haven't even started planning yet" replied Lara.

"Oh well. No rush" said Judy, glancing down at some paperwork on her desk.

"See you Monday. Have a good weekend" said Lara.

"You too" replied Judy, busily scribbling notes onto a yellow form she had been filling in when Lara had entered the office.

Lara fetched her coat and bag with some sense of relief, but also the nagging feeling that she had somehow trapped herself. Next week at work, she would have to work hard to keep a brave face on things. It would be harder now to admit that she wasn't coping well. All she could hope for was that things would be getting back to normal sooner rather than later.

Anne was hurriedly pulling on her coat as she jogged along the corridor to catch up with Lara, who was making her way to the lifts.

"What was that all about?" Anne asked.

"Oh, she was just asking if I was OK" Lara replied.

"And are you?" Anne asked.

"Not really" said Lara.

Next chapter...

This is a story about being objective...

If you want to compare two measurements you have to use the same yardstick. If you are comparing two subjective things then how can you possibly draw any concrete conclusions?

At times, I have kept a mood diary. I rate my mood from 1 for worst to 10 for best. Who's to say that if I rate myself as "1" during prolonged depression that's comparable to "1" on a bad day when otherwise I've been feeling mostly normal?

During a lengthy period of depression, where nothing seems to hold any pleasure or enjoyment: subjectively, life is terrible. I also have periods when I'm generally in a much better mood, but something really shitty will happen. The shitty thing might feel like the end of the world at the time, but I'm not going to kill myself over it: I'll quickly get over it and move on with my life... so can it really be a "1" even if it feels like it at the time?

If your mood slowly improves or declines, over the course of several weeks or months, can you spot the trend? If you're suffering a lengthy depression, does your yardstick change? You might have a day where you just feel normal, but now you rate that 10, because it's the best you've felt in as long as you can remember.

Do you even remember how you used to feel, before you got depressed?

This might be why I have a tendency to invite hypomania, because at least it's clearly some kind of polar opposite from depression, even if I don't exactly feel "happy".

Defining "happy" has started to get really hard.

Going in search of happiness has been a disappointing experience. Anhedonia means the loss of pleasure and enjoyment of things that you used to get a kick out of. Finding that you no longer love the things you've always loved to do, is terrifying, because it's further confirmation of the way that you feel: "everything is shit".

I ended up completely rebasing my whole idea about what made a happy day:

• "Got to work only an hour late"
• "Didn't quit my job"
• "Only drank one bottle of wine instead of two"
• "Survived another week without being sacked"
• "Got out of bed at the weekend before it went dark"
• "Went to the shops"

I know that I must be unwell, because I used to have happy days that were more like this:

• "Cooked a healthy dinner"
• "Went for a walk or a bike ride"
• "Took some cool photographs"
• "Went to an event"
• "Made a new friend"
• "Did some work I'm proud of"

Now, I could do those things, but I don't feel like it. Often when I try to force myself to do things, I get very stressed about it and I find it really exhausting. When I get home I feel wiped out and that I shouldn't have bothered. I find myself out taking a walk and nothing takes my interest enough to photograph it. That's weird. I used to live behind the lens.

So, I started to bring in more objective measurements: movement data, alcohol consumption, number of social engagements, number of words written.

When I analyse the data, I think the most reliable predictors of my subjective feelings of depression, are movement and alcohol. Looking at last year, I was averaging 12,000 steps a day, and although I had alcohol binges, my average consumption was reasonably low. This year, I'm averaging 7,000 steps a day and drinking excessively nearly every day.

Now, you might think "walk more, drink less" would be the solution, but this assumes a causal relationship. Perhaps I was more in the mood to walk more and drink less, last year. Perhaps the relationship is the other way around and my poor lifestyle 'choices' are actually due to depression.

We often tell people to eat healthier and exercise more, to improve their mood, but perhaps it's the people who have a happier mood who are the ones more likely to eat right and be active. In actual fact, healthy eating and being more energetic could be a good predictor of happier people.

The cause-effect relationship is not always clear. Psychologists had published a paper that appeared to show that smiling made you feel happier. However, when the experiments were repeated, the results could not be reproduced. If you can't reproduce the results of your experiment, it's not good science.

A friend made the following amusing observation:

"People who are dying of dehydration can't just mime drinking water to quench their thirst"

I think this hits the nail on the head perfectly. While depressed people can eat healthier and go to the gym, they're just going through the motions. They're not getting the benefits that their happy counterparts are getting, and in fact it could be pure torture for them.

There's an experiment where a pigeon is fed at a computer-controlled random interval. What the researchers found was that whatever the pigeons were doing the first time they got fed, they then decided they needed to do again, in order to get fed. Let's say the pigeon was cocking its head to the side when the food was released, the pigeon will then start repeatedly cocking its head, and believe that it is causing the food to be released, when in fact it's completely random. Essentially, the pigeons had become superstitious.

It seems relatively random - unpredictable - when a depression is going to lift. Let's say you were trying acupuncture or homeopathy at the time when your mood started to improve: you might assume a causal relationship between the alternative treatment and the lifting of your depression.

Even a double-blind placebo trial is not exactly fair. Psychiatric medications do make you feel noticeably different. I would be able to tell whether I was taking an inert placebo pill, or something psychoactive. I would know whether I was in the control group or not. Placebos don't work if you know you're taking a placebo, so this could explain some of the mood improvements seen with antidepressants. The antidepressant might look effective, when compared with the control group, but it's the placebo effect.

Antidepressant clinical trials generally only take place over 6 to 12 weeks. Many common antidepressants take 6 weeks before their effects can even be felt. There is no focus on long-term outcomes in these trials, only that the medication should perform better than placebo.

Many trials of longer duration have shown that being unmedicated might be more effective in the long-term, than taking antidepressants. Pharmaceutical companies are not concerned with long-term outcomes. In order for a medication to be sold to the public, it merely has to be safe and proven to be marginally better than placebo.

You would have thought that taking antidepressants would be a lot better than not taking them, right? In actual fact, there might only be a 15% chance of you feeling better, but there's a 15% chance of unpleasant side effects. The very process of going to your doctor, being listened to by somebody nonjudgemental, and then feeling something even if it's not actually better, might convince you that you're improving, when actually your depression could be lifting quite naturally anyway.

Culturally, we have developed a strong superstitious belief in the power of medicine. We believe there's a pill for every ill. We believe that a man in a white coat can wave a magic wand and we'll be cured of any ailment; discomfort.

You only have to go into any pharmacy during the winter, to see signs that say "we have no medication to treat your common cold". The fact that doctors and pharmacists have to tell people not to waste their time with an incurable virus that has unpleasant but non-life-threatening symptoms, shows how strongly we believe in the power of medical science to save us from even a runny nose.

There is a clear difference between "feeling a bit sad" and depression. Depression is life-threatening. Depression has a massive impact on people's quality of life. However, we are often medicalising a non-medical problem.

If somebody who's feeling down visits their doctor and receives some medication that's basically a placebo that makes them feel a bit different - drugged - then their pseudo-depression will lift, because it was going to anyway. The non-judgemental medical consultation will also have marginally assisted.

However, those who have prolonged severe depression - to the point of suicidal thoughts - may find that their quality of life is actually reduced by medication, because it gives no real mood improvement, but it does have unpleasant side effects. The longer-term studies seem to back this up.

Through extensive research, I found a number of medications that are very rarely prescribed, but have been used for treatment-resistent depression. These medications are dopaminergic not serotonergic.

There are a whole raft of medications used to treat Parkinson's disease, that have been shown to exhibit antidepressant effects and can successfully treat patients who had previously been treatment-resistent.

In the most severe cases of depression, deep-brain stimulation has been employed with remarkable efficacy. Deep-brain stimulation had previously only been used on patients suffering from Parkinson's disease, to stop their tremors.

The idea of having electrodes implanted into my brain does not sound immensely appealing. Rats who have had electrodes implanted in their lateral hypothalamus will starve themselves to death, in order to press a lever thousands of times an hour, to stimulate their brains. Do humans who have had the same procedure, just stay at home hitting the button as often as they can? We have wandered into the territory of the neurological basis for addiction.

This is how I arrived at my decision to use a medication that helps people to quit smoking.

My very first addiction was to nicotine. I had no choice in the matter. My parents forced me to breathe their second-hand smoke. Because I was a tiny child, the concentration of nicotine in my bloodstream would have been very high. Second-hand smoke was responsible for inflicting an addiction onto me in my infancy.

In the UK, nightclubs, bars and pubs used to be filled with smoke, until July 2007. My addiction was therefore maintained through passive smoking. The timing of the ban seems to correspond with my first episodes of depression.

The stop-smoking drug called Zyban is actually France's most popular antidepressant. The French have found that Bupropion - the active ingredient in Zyban - is also effective for treating alcoholism. The link between addiction and depression seems clear.

I have a theory that my brain is in mourning. I was subjected to second-hand smoke throughout my childhood, and I spent a lot of time in smoky clubs and pubs. Nicotine withdrawal was something I was used to experiencing again and again, but what I'd never been through was a prolonged period of withdrawal, because I would regularly get a hit of second-hand smoke. It wasn't until the age of 27 that I was finally able to escape nicotine, because of the smoking ban, even though I have never smoked in my life. You would expect that such a prolonged addiction would produce a profound psychological effect, when my brain realised it was never getting any nicotine ever again.

I then experienced a later period of addiction. Although there were periods of abstinence, these never exceeded 3 or 4 months, and the total amount of time that I struggled with addiction is close to 5 years. The addiction was extreme. The drugs I was using have a much more profound effect than cigarettes. Still today, after 6 months of total abstinence, I get shaky sweaty hands and feel sick with anticipation at even the merest thought that I might be able to obtain some drugs.

Although Bupropion is a poor substitute for the addiction I once had, it does at least slightly soothe the aching sense of loss... the mourning.

Thinking about this more now, it seems obvious that I should mourn the loss of the love of my life. My addiction was so obsessive, overwhelming, all-consuming. How on earth can you let something like that go, with just a 28-day detox, or a 13-week rehab, if it's been a huge part of your life for years?

It should be noted that my mental health problems, which predated my addiction, compound the problems. To give an official name to my ailment: it's called dual-diagnosis. That is to say, Bipolar II & substance abuse. Yes, substance abuse is a kind of mental illness. Take a look at the kind of self-harm that addicts are inflicting and tell me that's normal behaviour. That is why substance abuse is classified as a disease.

Bipolar II is a motherfucker, because it comprises both clinical depression and hypomania, which are both destructive. Therefore, I'm actually suffering with triple-diagnosis and trying to fix 3 illnesses... although the hypomania is something that most people with Bipolar II wouldn't give up, and substance abuse is hard to stop because of addiction.

I haven't had a hypomanic episode in almost a year, and I've been abstinent from drugs of abuse for 6 months, therefore the final nut to crack is this damn depression, which might turn out to simply be the fact that - subconsciously - I'm depressed that I can't take drugs anymore. It feels like the love of my life has died, hence why I'm describing it as mourning.

How long it will last, I have no idea, and I've lost patience... hence resorting to a mild form of substitute prescribing. I successfully beat addiction once before using Bupropion. I beat it using progressively weaker drugs, until I was weaned from my addiction.

You wouldn't ask a smoker to quit without nicotine patches. Why would you expect somebody with an addiction to harder drugs could quit with willpower alone? The only slightly unusual thing is that the stop-smoking drug seems to be just as effective for addictions to things other than nicotine.

Perhaps we will one day treat all addictions as compassionately as we treat nicotine addictions. Certainly, there doesn't seem to be a lot of appliance of science, when it comes to treating addiction to anything other than smoking.

Subjectively, cold-turkey & willpower is a fucking awful approach to beating addiction. We have the scientific data to show that smokers are 4 times as likely to successfully quit, with nicotine replacement therapy and smoking cessation medications like Zyban.

Of course, a relapse would be disastrous, but haven't I already relapsed back into depression?

I've been on medication for 5 days now, and Bupropion should start to be effective within a week, so perhaps I will feel an improvement in my mood any day now. Certainly, my suicidal thoughts seem to have stopped, but that could be psychosomatic and also because my horrible contract ended.

You see what I mean about how hard it is to control the variables? Human lives are messy and complex. It takes vast quantities of data to be gathered over many years, not a 6 to 12 week trial with 30 people.

Also, there's an argument to say that your subjective yardstick is altered by your experiences. Your perfect 10 can become unattainable, except through the use of powerful narcotics. Does that also mean that the best you can ever hope to feel is mildly depressed, now that the bar has been set so high? My only hope is that my brain "resets" itself over time. The brain can downregulate parts that are overactive, in order to maintain equilibrium, so it can also upregulate... eventually. The big concern is neurotoxicity: have I irreversibly "burnt out" the reward centres of my brain?

6 months isn't long though. I'm going to see what happens if I can make it to a year. Presumably, there might be marginal improvements that have happened already, but are too subtle for me to perceive. The data actually bodes well: instead of spiking back up into hypomania, things have plateaued during the last couple of months.

This unethical self-experimentation doesn't yield any results worth publishing but it does give clues as to what could be worth researching. A sample size of one is not statistically significant, but it's important to me, because my life depends on it.

Tags: #bipolar #depression #mentalhealth #addiction

 This is a story about drug dealers...

The top image shows an official UK prescription. A doctor registered with the GMC prescribed me the medication and a pharmacist registered with the GPHC filled my prescription. The bottom image shows black market prescription drugs for sale on the Dark Web. When you buy from the Dark Web an anonymous vendor will sell you whatever you want, no questions asked.

In order to receive my official prescription, I had to answer 14 yes/no questions. One of the questions was "do you have high blood pressure?". How the hell should I know? The last time I had my blood pressure checked was 11 months ago, and I've gained loads of weight and have been drinking far too much since then.

According to my order tracking, a doctor spent 7 minutes deliberating my 14 answers - 30 seconds per answer - before writing my prescription. I never met this doctor, we never spoke and they never saw my medical records.

Some years ago, with a great deal of arm-twisting from my private psychiatrist, my GP agreed to prescribe me Bupropion for the depressive episodes of my bipolar disorder. In the UK, Bupropion is not licensed for the treatment of depression or bipolar disorder. NICE guidelines do not recommend the use of Bupropion for anything other than as a smoking cessation treatment. Basically, my GP faced being struck off the GMC register if I suffered some horrible medical complications because of an adverse drug reaction.

I've been back in London for 3 years and I've had 2 different GPs since then: one in Camden and one just across the road from where I live. Neither of them has prescribed me a single medication, but the Camden GP took it upon himself to phone me on my mobile in his personal time to see if I was still alive. My GP went out of his way to try and help me.

The average face-to-face GP consultation time in the UK is just under 9 minutes. Imagine having just 9 minutes to establish that somebody is suicidally depressed and then select a psychiatric medication for your patient. The medication could either save them or reduce their quality of life even more. It's not much time, is it?

And so, I became an educated well-informed patient. A doctor I spoke to some years ago said that I would be better off finding a "prescription pad psychiatrist" who would write me a prescription for whatever I wanted. These doctors exist. They're available online, without even having to meet them or speak to them on the telephone, it would seem.

I have no criticism of the ethics of what the doctor and the pharmacist who I obtained my official UK prescription from are doing. It doesn't seem unethical to me.

Interestingly, it cost me £90 for 60x 150mg Bupropion tablets. I could easily buy the exact same medication for less than half that price on the Dark Web. If I was to buy the medication from India, it would cost me less than £6 (plus postage).

On the NHS, a prescription costs £8.40 if you're working and not entitled to welfare benefits.

Basically, you pay for convenience. With the online pharmacy I had a short form to fill in and I got my medication delivered next day. With the Dark Web, I would have had to faff around with Bitcoins, but my medication would also have been delivered next day. With my doctor, I would have had to make an appointment, and there's every chance that they wouldn't have been prepared to take the risk of writing an off-label prescription. With the Indian medication, their postal service is appalling and it takes weeks for a delivery to arrive.

One reason not to order from the Dark Web though, is that you can get anything you want. It's easy to start window shopping. Once you've loaded up your account with some Bitcoins, it's easy to fill up your 'shopping basket' with all kinds of things that you're curious about, or things that you know you really shouldn't be buying because they're bad for you. It's a slippery slope.

One of the reasons why I don't have any drug dealers phone numbers and I've never bought drugs from a drug dealer, is because it's so convenient. I don't believe in the idea of a 'pusher'. People want drugs, plain and simple. The drugs push themselves.

One of the reasons I'm not using internet banking at the moment, is because it makes it too easy for me to buy some Bitcoins, transfer them to a Dark Web marketplace, and have a little jiffy bag containing deadly white powder, hitting my doormat the very next day.

I don't believe prohibition works, but certainly making things a little more inconvenient does offer some protection from temptation. I wouldn't even know where to begin, trying to find a drug dealer, unless I wanted to buy low quality cannabis or terrible quality imitation cocaine from one of the many dealers who hang around by Camden Lock.

Prohibition created legal highs. Prohibition created the Dark Web. Because I'm an IT expert and a sensation seeker, when I read about legal highs in the news I was tempted to give them a go. The rest is history. All of that "moral panic" crap in the media had precisely the opposite effect than intended. A naïve middle-class IT professional working for an investment bank, suddenly became exposed to a world that I would never have become part of, if it wasn't for the fact that prohibition lowered the barrier to entry.

As the legal highs started to get banned, I then took to Internet forums to find out where people who had stockpiled - like me - were supposed to go after we ran out of drugs. That was how I found out about the Dark Web. Yet again, prohibition moved me from a world that was legal, taxed and regulated, towards the dark and murky world of illegal drugs.

One day, in a pit of despair at my spiralling addiction, I decided to order all the drugs. I bought crack, heroin and crystal meth. I didn't even know what to do with them. You can snort heroin and meth, but not crack, as it turns out. How does a middle class homeowner even smoke crack? I didn't even own a cigarette lighter.

A couple weeks later, I had nailed my door shut and put newspaper all over the windows. It's remarkable how quickly a respectable middle-class rich person can turn the house they own into a crack den.

What's also remarkable is how quickly you figure out that you've bought a one way express ticket to an early death, if you have vast sums of money and a reasonable intellect.

One day, I smoked a pipe - I had bought a meth pipe off the Dark Web by this point - that had been filled with heroin, crack and meth. I thought "is this as good as it gets?". The room was bathed with a yellow light, even though it was barely lit. There was a calm serenity. I thought "this ain't even that great" and decided that I'd better stop before I decided that it was great.

It's the strangest thing, flushing rocks of crack and a big bag of heroin down the loo, not because you're addicted and you want to quit, but because you can see how easily you could become addicted.

People think that drug addiction is all about wanting drugs and taking drugs, but it's not that at all. Drug addiction is about identity, routine, habituation, ceremony, lifestyle... things that I even struggle to explain. If you're just locked in a room with a virtually limitless supply of drugs, because the postman keeps bringing your supply and you have lots of money in the bank... you'd think you'd just take drugs and more drugs until you died or ran out of money.

In actual fact, addictions are self-limiting. Given a clean pure supply of drugs, eventually, addiction becomes kinda boring or the downsides start to outweigh the upsides.

I'm lucky, because I'm wealthy and I'm not a total dumbass. I tried so many drugs, and eventually found one that was far better than crack, heroin or crystal methamphetamine, but cost less than £1 a day.

I used to buy a packet of capsules off the Internet for £27. This was a legal high called "NRG-3", which turned out to be MDPV: I've nicknamed it supercrack. The packet contained 20 capsules, and each capsule had 100mg of MDPV in it. I would hide these capsules all over the house, so that I would never have to hunt for very long to get my fix, when the cravings became unbearable.

I would divide the 100mg contents of a capsule into 3 equal piles. Then, I would divide one of the piles into 2 lines. I would snort one of the lines, which would weigh approximately 17mg.

17mg of MDPV is a very strong dose. Basically, it's enough to be bat-shit insane for 24 hours. I would pretty much always end up going back for the second line... so that's 48 hours of insanity, with no sleep. I would go back to work for a rest.

120 days of bat-shit insanity for £27.

Cheap.

Deadly.

You spread 120 days over the weekends, and you've got 2 years worth of hiding a drug habit. If you do anything for 2 years, it becomes an integral part of your life. It's hard to change the habits of a lifetime. Again, you've gotta be smart and spot the changes in your behaviour.

I started cancelling plans, because a 1-day drug binge turned into a whole weekend drug binge.

I started not making any plans, because I was planning on taking drugs all weekend.

How the hell I held down a job during this time, I have no idea.

My psychiatrist and my GP thought I was self-medicating for depression. They thought I was in control. They actually told me "don't stop what you're doing... just try to cut down gradually". My GP signed me off work for 5 weeks, and I thought "great! I can take drugs for 4 weeks and then spend a week recovering".

It's true that my clinical depression and abusive relationship had led me to self medication, but when it became drug experimentation, I lost control over the course of a year. I started with a legal drug called Methylone, which I took every day and it worked to alleviate my depression. Then, when I found NRG-3 during a messy breakup, I was completely hooked.

Less than a month after becoming addicted to NRG-3, I started carrying a letter with me and a £20 note in an envelope. The letter said:

"I am a drug addict. If you have found me with breathing difficulties or unconscious, please put me in a taxi to A&E".

In actual fact, the letter was far more detailed and contained some information that would have been useful for any medical professionals who had the misfortune of trying to look after me... but you get the idea. The penny had dropped. I knew I was in trouble. Self-medication had turned into experimentation, which had unleashed addiction.

For others, there are 3 valuable lessons I learned:

1. Depression, stress, relationship difficulties, money worries, housing worries: these are the things that create a festering swamp. Addiction will take hold, not because of the drugs, but because somebody's life is already awful. If you want to prevent addiction, you need to improve people's lives, not ban drugs.
2. Even though it sounds disingenuous, it does make sense to shop around. Think about all those Oxycontin addicts who haven't yet figured out that heroin is stronger and cheaper. They're going to one day. How much money are they going to 'waste' in the meantime?
3. Addictions are naturally self-limiting. People need to quit on their own terms. There's an oft-quoted line about how addicts and alcoholics "can never get enough of their drug of choice". In actual fact, very few people can actually afford to take as many drugs as they want. Look at the mega wealthy: aren't you surprised that so few of them drop dead from drug abuse?

Alcohol is a dumb choice of drug, because it's so damaging to the liver. In a way, benzos are the smart alternative. GHB/GBL makes you 'drunk' but it doesn't have the same hangover, and it's not so damaging to the body. You can buy 10 litres of "alloy wheel cleaner" from BASF in Germany for about £500. That's equivalent to 7,000 shots of vodka, and it won't give you cirrhosis of the liver.

Cocaine is a dumb drug of choice, because it's so expensive and the adulterants are highly damaging to the mucous membrane in your sinuses, to the point where you might lose your nose. You can buy nitracaine from China in bulk for just a few dollars per gram, and it'll be 99% pure.

Heroin is damn cheap. It's the injecting that causes the problems: collapsed veins, abscesses and dirty needles leading to blood-borne diseases. With an adequate supply of medical grade diamorphine, a heroin addict can live a long, healthy happy life, and will probably "grow out" of their habit in their 40s or 50s.

Crystal meth is cheap anyway. Smoking meth is undoubtably incredibly destructive to teeth and lungs. It sounds crazy to say this, but given an adequate supply, at least crime will go down and the need for prostitution goes away. With higher self-esteem because people are not selling their body to get drugs, surely a large number of addicts are going to stop using eventually?

I'm not saying "legalise all drugs and have your local supermarket stocking crystal meth". Drugs are so widely available and so cheap, we're at the point where prohibition is like a bad joke. Shutting the original Silk Road marketplace on the Dark Web just caused dozens more imitators to spring up and fill its place. You can't legislate to control human nature. It doesn't work. Supply and demand are the only forces that you need to understand.

If you have a loved one who you think is at risk of addiction, or struggling with addiction, you can prevent that journey from even starting by making their life vastly better so that addiction never takes hold. Once an addiction has started, you're not going to be able to cut it short by cutting off their supply of money or forcing them into some rehab program. An addict will simply go around any obstacle. An addict needs to quit on their own terms, when they've had enough.

Perhaps I will never have had enough, because perhaps my life will never improve. Certainly, when you're depressed, stressed, bored shitless by your job, worried about money, isolated and lonely... those things are perfect breeding conditions for addiction to take hold. Why the hell are you being clean & sober, if your clean & sober life is utter bullshit?

This is how I've arrived at the decision to start using drugs again.

Except, I'm being smart... I think. I think I'm smart. Correct me if I'm wrong. Am I smart?

What am I doing differently? Well, nothing really. I'm combining my experience from far too many years of ups, downs and dangerous self-experimentation. However, I have meticulously gathered data. I have documented pages and pages of details on my drug and medication use, and cross-correlated that with my mood diary, earnings, movement data and every other data source that I could harvest.

My conclusion: I need a fast-acting antidepressant that gives me a mood improvement.

So, I decided to prescribe myself Bupropion.

It arrived today.

I took it.

The experiment continues. It's a big relief to finally change something, after 6 painful months of controlling the variables, even though it was causing me untold mental anguish.

Actually, two things changed today, which is a shame, in terms of conducting a decent trial.

Today, I'm unemployed.

Anyway, I need to get another job, and it might just be a little easier, now that I have relented and I'm taking happy pills... let's see, shall we?

Tags: #drugs #addiction #mentalhealth #medication #depression

This is a story about milestones...

There are so many people who either "don't smoke" or call themselves "social smokers". People say "I only smoke when I drink". There are so many people who claim that they are free from drink and drugs, but they're actually popping Xanax, antidepressants, Oxycontin, Solpadeine, Co-codamol (codeine), Vicodin and tranquillisers. There are so many people who sneer at substance abusers, but they drink, smoke and consume lots of tea, coffee and energy drinks, without realising they're dependent on alcohol, nicotine and caffeine, just to cope with normal everyday life.

In 6 months, I got through those 59 tablets - a combination of diazepam and nitrazepam - in an attempt to avoid a nervous breakdown and to survive an extremely stressful situation, where my whole career, solvency, home and life as a respectable member of society, hung in the balance.

If you take benzodiazepines continuously for over 3 months, you have probably become physically addicted. What that means is that you might have a seizure and die, if you were to abruptly stop taking the medication.

I've run out of benzodiazepines today.

I'm not worried about this.

59 tablets, of 2mg to 5mg strength, spread over 180 days, is a piss in the ocean. There's no way that I'm going to have withdrawal symptoms from stopping taking benzodiazepines. I might be a little anxious; I might have a little insomnia; I might feel a bit panicky. However, I'm not going to die.

A couple of years ago I took myself off to rehab. For over 3 months I had been swallowing a little cocktail: 6x 10mg diazepam tablets, 4x 2mg Xanax, 2x 10mg Ambien, 2x 15mg Zopiclone. Maybe it wasn't quite that much. I have no idea. Benzodiazepines cause amnesia. All I can remember is that I used to fill up the palm of my hand with various pills, and swallow them all in one go. Lights out. Wake up 2 days later.

You're in a hell of a mess when you're mixing uppers and downers; stimulants and tranquillisers; but that's what we do every day, when we have our morning coffee and a glass of wine when we get home from work. If you have a strong coffee after a boozy dinner, you're basically having the middle-class equivalent of a speedball (cocaine & heroin, injected).

Obviously, I'm irreverently mocking your self-delusion, when you tell yourself that you're not "hooked" on anything.

I've used alcohol and the occasional tranquilliser tablet, in order to limp through the last 6 months. I haven't been having tea, coffee or other caffeinated drinks.

I've actually tapered off the alcohol and the benzos, to the point where I only drank 2 days in the last 14. I didn't take any benzos all weekend.

The thing is, if you're smart and you're disciplined, addiction is something you can master. It is possible to give up anytime you want. It is possible to become really good at quitting drugs and booze. I'm a fucking expert in abstinence.

Almost like an alarm clock going off, my subconscious revealed that I had simply been waiting for 6 months.

School was absolute shit for me. Getting through the long school days of bullying was awful. Getting through the long terms of bullying was unbearable. Getting through year after year after year of bullying was absolutely dreadful. All I was doing was waiting for the end of school bell, the school holidays, and the day that I could finally leave school and get the fuck away from the bullies.

Family life was absolutely shit for me. I couldn't wait to move out of home, and get away from my arsehole parents. I've loved paying my own rent and bills. I've loved being independent. I do have all the fucking answers. I went out into the world, got a place to live, got a job, and never looked back. Up until then, I'd just been waiting for the day I could finally leave home, and it couldn't come a moment too soon.

So, I spent 17 years, just waiting. I was biding my time. I know how to suffer patiently. I'm an expert in suffering patiently.

Then, I applied my expertise in deferred gratification to the working world. I took shitty entry-level jobs and worked my way up. I stuck with shitty projects, and shitty companies, so that my CV would look good. I stuck with shitty bosses and put up with glass ceilings. I stuck with idiots who couldn't see my potential, and I just suffered because I had a game plan.

I can patiently wait anything out. I've had to spend about 16 weeks with very limited liberty, being treated as an inpatient. That's not including the time I've spent in hospital receiving emergency treatment. In theory, I could have discharged myself, but there would have been consequences. I spent 7 weeks with somebody who'd been in prison twice, and he acknowledges that I have a mindset that suggests I know how to do time.

I mean, Christ, I spent the best part of 5 years working for one damn company, in one damn building, with the same damn people. Day after day, month after month, year after year. I've done 19 bloody years on the IT gravy train, solving the same damn problems again and again and again, and seeing the same damn mistakes time after time.

And so, I wondered to myself, why didn't I have a packet of drugs to tear open, in celebration of the fact that I have so easily completed a 6-month period of abstinence?

What you'll find with many addicts, is that they're liars. When they say that they're abstinent, they're actually lying to themselves and others. I've done "6 months clean" before, but that hasn't counted "the occasional weekend" and one or two "lapses" (note: a lapse is a 'small' relapse). In actual fact, you're still addicted, but you're limping yourself along by hiding your habit, from yourself and others. You start to believe your own lies.

I've arrived at 6 months "clean" and it really is clean. As clean as anybody in the history of anything, ever.

Most people who quit smoking will drink more, have more coffee, eat more. Most people who quit anything, will find some way of compensating. It might be exercise; it might be work. Basically, humans need shit. We're not fucking robots. Humans have always had intoxicating substances. Wine was being made 6,000 years before Jesus Christ was even born... that's over 8,000 years ago!

Anyway, I started looking at websites of awful toxic Chinese "legal" highs. Then I had a look at the Dark Web. The amount of drugs that are available to order over the Internet is just staggering. Prohibition has spectacularly failed. The designer drug industry is enjoying such a boom time, thanks to ridiculous laws that force chemists to get creative. Technology's answer to the eternally insatiable human demand for mind-altering substances has created a whole swathe of online marketplaces stocking every drug under the sun.

There's something for everybody in the cornucopia that has been created by the war on drugs.

My finger hovered over the "Buy Now" button, because I've damn well proven my point. Pick some arbitrary milestone, and I'll hit it, easily. But, what do I have? My life is miserable. All I have ahead of me is stress and loneliness; insecurity and pain; suicidal thoughts and a sense of abandonment. Fairly easy to justify a relapse, isn't it, when you work so hard and you're not getting anywhere.

Then, I thought, what could I do that's slightly more sensible?

With a bit more searching around on the Internet, I found that you can consult a doctor online and have a prescription despatched next day. In the space of 7 minutes, a doctor agreed to prescribe me a fast-acting antidepressant called Wellbutrin. I needed something because I felt certain that I was either going to commit suicide quickly by cutting an artery, or commit suicide slowly by relapsing back into drug abuse.

Wellbutrin is a wonderful medication, because it's fast acting, it doesn't make you drowsy, and it doesn't ruin your sex life. Have you experienced the boredom of patiently fucking somebody who takes an SSRI antidepressant, waiting an absolute age before they possibly cum, but probably won't be able to? Who wants a sex life like that? I don't want my emotions blunted. I don't want 'brain zaps' and uncontrollable crying when I try and stop the damn medication.

Yeah, who knows what the fuck happens next. Tomorrow, I have a 2-month supply of a fast-acting antidepressant that you can't get on the NHS being delivered. Maybe life will look a bit less hopeless when I'm drugged out of my mind, like virtually everybody else I know.

It feels like selling out, but it's nearly killed me having to fight tooth and nail just to have a roof over my head and a job, while also being nearly stone cold sober. I don't have kids to remind me why I get up and go to work. I don't have pets to look after. I literally have no reason for living, except to achieve some arbitrary goals.

I thought, as an added bonus, that I would also be celebrating one year of blogging today, but it turns out that happened a couple of weeks ago. Today is my last day at work, and I've had a couple of leaving dos, which is nice, but I do of course have to go though all the stress and hassle of applying for new jobs, interviewing, making a good first impression etc. etc. How ironic that things seem to have conspired to happen today.

As luck would have it, a colleague has recommended me for another job, which I might end up interviewing for tomorrow and could even be asked to start a new contract as early as Monday. If I do that, I'm damnwell going to need a few happy pills to carry me through, because I had been thinking that I was going to have a minor nervous breakdown.

Anyway, a milestone of sorts. Nice to leave work with a few slaps on the back and "well done"s. Nice to know that I didn't 'cheat' with my 6 months of abstinence from addictive stimulants. Where's my fucking reward? Surely I should feel better than I do, but I'm depressed and anxious. I'm overwhelmed by the task of having to hustle again, to keep the momentum going.

But really, is there momentum, or did I just wait for 6 months, in order to have a well-earned breakdown?

Is that what life is? Just waiting to die, miserable as fuck?

Tags: #depression #suicide #addiction #drugs

This is a story about fear of death...

I had 3 major admissions to the Royal Free Hospital on the hills of Hampstead, overlooking central London. I snapped this shot after waking up with canulas in both my arms, 10 cables attaching me to an ECG machine, a motorised drip pump shoving fluid into me as fast as it could go. I was a pincushion from all the blood samples that had been taken.

Doing a quick body scan, my right leg was horrifically swollen. My right knee was damaged. The operation to reunite the two halves of my calf muscle, repair 4 severed tendons and reconnect 2 nerves, was still healing. I had a big burn on my lower abdomen. There was throbbing dull pain just under my ribcage at the front, and either side of my back, where my liver was torn and my kidneys were failing. There was fluid on my lungs. My chest was tight and constricted.

Was I scared? Did I call out for a loved one? Did it bother me that my prognosis was pretty grim? Do you think it even crossed my mind that I might die alone, except for one or two strangers in the mostly empty ward?

The photo captures the sun low in the sky, not long after dawn.

As long as I die in London, I know I tried my best to find my way back to the land of the living. I have no fear of death in London. Nobody dies of shame in London. If you can't find your will to live in London, you can slip away peacefully. You're never truly alone in London.

I had a 4 hour operation under general anaesthetic to fix the injury inflicted upon me by my parents. I travelled home on the bus on my own after a few days recovering in hospital. My leg was in plaster cast, held in severe dorsiflexion and was not weight bearing. I was as weak as a kitten. I let myself back into my friend's house, hopped up the stairs to the guest bedroom and collapsed in bed.

I had already spent several days in Oxford John Radcliffe Hospital in their high-dependency care unit, while they tried to stabilise my muscle damage and save me from kidney failure. I'd made my way back to London with a blood sodden bandage that was little better than the field dressing that I had improvised with sanitary towels and a dressing gown cord, before paramedics arrived. I had assumed that despite the wound being down to the bone, it was nothing that a couple of stitches at a minor injury clinic couldn't fix. It wasn't me who called 999. I was just trying to get back to London.

Back in London and finding myself with a spare evening before my operation, I had gone to a adventure sports film festival, hobbling along with my lame leg. The severed tendons meant that I was not even able to raise my foot any more, and it dragged and caught on kerbs and steps, causing great pain.

Having never experienced a general anaesthetic, I felt the same trepidation that I felt before my first skydive or another extreme leap into the unknown. However, there was never any doubt that it was something I couldn't face on my own. Just go along with it. Trust to fate, skilled professionals and technical equipment. Blind faith.

You should see the way I ride my bike. One slip and you're a goner, when you thread your way in-between the massive heavy goods vehicles, transporting steel beams for the construction of Crossrail. The double-decker bus drivers are amazingly skilled and seem to manage to not squash too many cyclists. However, when you mix together the debutanté Über drivers in their Toyota Priuses, hard-up black cab drivers, various small delivery vehicles, plus the unpredictable mix of abilities of people driving around central London, it's no wonder that paramedics call bike riders "organ donors".

When I hear that yet another of my fellow commuters has hurled themselves under a tube train, I burst into tears. It's too much to bear, thinking that some of my fellow Londoners have reached the end of their rope too. Perhaps those less personally affected by suicidal thoughts are the ones who tut about how selfish it is that a huge underground station has to be evacuated so that the human remains can be bagged and carted off to the coroner. The disruption to the capital's transportation network seem huge, but there are so many other veins and arteries in the heart of the nation, that people find alternative routes quite easily, with minor delays.

I'm not emotional when it comes to my own death.

I have fantasised about going on a scouting mission to a nearby tower block that has an open-air balcony with a 40 floor drop. My only concern would be landing on some poor unfortunate on the pavement below - hence the need to check the drop zone in advance.

I would never throw myself in front of a train. It would be too traumatic for the driver and the people on the platform. Even people on the train would feel a bump and judder as the wheels crushed bone and flesh. I know they would. People have described to me exactly what it's like for a tube train to run over a passenger, and I've had to run out of the office crying. Strangely, I don't cry for myself.

Jumping off a bridge in London would be pointless. None of the bridges are high enough, unless you were able to scale Tower Bridge.

Killing yourself in a public place is a bit selfish though. It's bound to leave a big mess to clean up and cause distress for an unpredictable number of people.

I didn't want to commit suicide while I was staying with friends. I felt that it might have been seen as some negative reflection on their hospitality, and would leave bad memories in the guest bedroom where I had been staying, which would tarnish their home.

I'm mindful that whoever I'm living with is burdened already with the uncertainty over whether my resolve to keep myself alive and well is not slipping.

When I am seized by the sudden urge to take myself and a sharp knife to the bathroom and open my radial arteries into the bath, I worry if I would cry out in pain as I dug into the joint on the inside of the joint of my arm, searching for the blood vessels with the sharp point of the blade. Then I worry whether I would be able to contain the mess within the bath, as my heart pumped my circulatory system dry.

Before I have gone any further with these thoughts, I realise that it would be grossly unfair to leave the discovery of my body and handling the police to a friend who doesn't deserve such a responsibility.

I think about setting myself aflame with petrol, in political protest at capitalism, inequality and social injustice, right in the centre of Canada Square. I think about how desperately agonising it would be to be burnt alive. I think about how suffocation would be as deadly as the heat, as the flames consumed all the available oxygen. Gasping for breath, and in unimaginable agony, death would be neither swift nor immediately assured. Dying of the burns over the course of the coming days would not be a great way to contemplate any last regrets.

It's the halfway situation that's the problem. A failed drug overdose so often results in organ failure and a much slower and more painful death than originally intended. Being knocked off your bike while wearing a helmet could mean paralysis rather than death. I know what it's like to score my arms with a razor blade. I know what it's like to wonder what the scars are going to look like when they heal. I know what it's like to experiment to see how deep you have to cut to reach the veins. However, so many cuts will stem the bleeding enough to preserve life, despite leaking profusely at first.

If you spend any time in psychiatric instituions, you meet suicide survivors. Most have had their stomachs pumped or filled with activated charcoal. Many will have their wrists bandaged. Scars from previous half-hearted failed attempts and self-harm, indicate a certain revolving doors nature to our treatment approach. Some of my fellow patients confide in me that they are saving up the very pills that were prescribed to them to prevent their suicide, so that they can have another go. One guy saved his tablets for 8 months and had things well planned except for an unexpected visitor. He was in intensive care for several weeks. He now faces a life of dialysis because his kidneys failed due to the toxic load. He was planning on attempting suicide again at his earliest opportunity.

I met a beautiful young Australian paramedic in hospital. You would have thought that she would value life higher than anybody, but the lesions to her neck indicate that she'd used her medical training to attack her jugular veins.

I read that media coverage of suicide can trigger a spate of copycat suicides. Newspapers are discouraged from reporting on the suicide method used. It's said that jails are like universities for criminals to swap tips and make connections. Could it be that mental health institutions are the same for the suicidally depressed, with more people being likely to end their lives using ideas gleaned while in hospital?

Frankly, there isn't much stopping a resourceful person from finding a way to kill themself. I've considered everything from inert gas to the application of an electrical current across my chest to send me into ventricular fibrillation. The one that is most appealing is drifting off to sleep and not waking up.

There's a famous quote by one of the few people who survived jumping off the Golden Gate Bridge, where they said they regretted it as soon as they had let go.

When I once took a drug overdose, there was a momentary twinge of regret that could have lasted about as long as it would have taken me to fall and hit the water, having jumped off a high bridge. There was a period where I would have been able to eject the toxins from my body, if I was suddenly determined enough to save myself. Instead, I then found myself accepting my fate, and a strange calm came over me before the chemicals hit my bloodstream. I was resigned and relaxed about whatever happened next. Death or organ failure. I didn't care.

It was only after a couple of days when my paralysis temporarily lifted and it was clear that the only way I was going to die was very slowly through the accumulated damage to my body, malnutrition and dehydration. I was pissing copious amounts of blood, and I knew I had to make a choice: an agonising slow death where I could be discovered, but it would definitely be the end of my kidneys, or a trip to the hospital and re-evaluate the situation.

I tidied my room. Took a shower. Packed my bags. Called a taxi. Sat in Accident and Emergency for hours.

When I was examined I was immediately admitted and I spent nearly 3 weeks in hospital.

It wasn't the right time to die. This was before I had worked my contracts at Barclays, HSBC and my current client. This was before I had somewhere nice to call a home of my own again. This was before I put together a 370,000 word document that explained who I was and how I arrived at the decision to take my own life.

I lay on the floor, semi-paralysed, and I thought about what kind of message I could scrawl in my incapacitated state, that would make it clear that I knew what I was doing. The circumstances leading up to that moment were a mess. It was too ambiguous. Even a suicide note would be seen in the context of great misfortune and stressful events in my life leading up to that point.

I had planned on starving myself to death or in some way doing myself in on the 1st of January, as some kind of protest at the way that we surmise a suicide with a neat soundbite that's supposed to explain all the reasons why somebody took their own life:

• "depression"
• "financial worries"
• "drug problems"
• "broken heart"
• "loss of status"

Take your fucking pick.

Without a conversation, we desecrate the memory of a dead person, by trying to oversimplify the complex problem of what could drive a person to arrive at the decision to kill themself.

In Japan, suicide is an honourable thing. The act of seppuku might be a protest over a decision or a preferable fate to torture. Preparation for the act includes writing a death poem.

Do you really want to be that crazy old homeless guy, yelling "I used to be somebody" as the world pays no attention and the streets finally swallow you into anonymity?

All glory is fleeting, but obscurity is forever.

Tags: #hospital #nhs #suicide #injury

This is a story about fact vs. fiction...

It's hard to defend yourself when you're sick. It's easy for people to take advantage of a soft target, and invent their own version of events. It's easy to discredit somebody, when you've left them dead and buried. The dead can no longer speak up for themselves.

I needed to break up with my abusive ex-wife and rebuild my life in London. London is where all the good IT contracts and jobs are. London is where I have a good chance of reconnecting with significant numbers of friends and business contacts. London is where good stuff happens.

I had an excellent credit rating. I was going to arrange for a bridging loan to cover the expenditure of relocating back to London from Bournemouth. The loan was risk free, because I had such a large amount of equity in my house. The credit risk was underwritten by the fact that as soon as the house was sold, the loan could be repaid.

I was going to arrange credit with a commercial lender, so that I had the security of knowing that I had the funds to cover me until I got a new job back in London. However, my parents insisted that I could count on them. My parents told me that I didn't need the extra stress and hassle of arranging credit, and worrying about money and administrative affairs, when I had the extremely upsetting task of leaving my home and setting up life again in London.

However, when I then said that I needed to borrow the money - secured against the large lump sum of equity tied up in my house that was being sold - they then reneged on their promise. They left me high and dry. They dumped me in the shit. With no excuse, they fucked me over. Unacceptable.

Don't make promises you have no intention of keeping.

Don't offer to support vulnerable people, and then screw them over.

It's not a fucking joke.

It's not fucking funny.

It has consequences.

Far reaching consequences.

I never got an apology or an explanation from my parents for fucking me over like that. I can only assume that they liked the idea of sounding like real parents, but actually they don't have a single shred of decency. They don't have an ounce of honesty. They are untrustworthy. They are liars. They are utter c**ts.

It wasn't like I'd asked them for support. I was putting my own commercial borrowing arrangements in place to cover my relocation. My parents insisted that I could count on them to bridge the gap. It made sense... there was no risk, because the debt was underwritten with the equity in my house, which was vacant and being sold. It made sense that they should profit instead of a commercial lender. I was doing them a favour, because they would earn a better rate of interest off me than they would from any savings interest.

But.

Let's assume that they decided I was going to blow all the money on drugs.

My drug of choice - the one I got mixed up with by accident during the agonising destruction of my relationship and my business - is something that I've jokingly nicknamed "supercrack". As the name suggests, it's highly addictive. It used to be legal, not so long ago.

A strong dose of supercrack is 15mg. That's 0.015 grams.

The length of time that a dose of supercrack will last is about 18 hours. It's an incredibly potent stimulant.

On the dark web, you used to be able to buy 5 grams of supercrack for $150, including postage. That's enough to last 333 days, assuming you sleep 6 hours a night.

If you take supercrack around-the-clock you will not sleep, and therefore your immune system will get very low and you will soon die. The longest I ever took supercrack in a round-the-clock binge was 10 days. That's 10 days without sleep or food. I don't think you could go much longer without dying.

When I moved back to London, I was no longer using supercrack.

If I was using supercrack, from the day I moved back to London to today, I would have spent the princely sum of $450.

In fact, to use supercrack for 50 more years - long past my natural life expectancy - would only require 274 grams of the dangerous drug, which would easily cost me less than $10,000. In fact, I could probably have bought 1kg in bulk for $5,000, which would have been enough for 200 years of drug abuse.

So what did happen to all my money?

Well, I made it to my first Christmas back in London by buying Bitcoins on my credit cards and with my overdraft, which then increased 1,200% in value. I hadn't been able to work, because the stress of not having any money, and having your parents and ex-wife completely dicking you over, while also having to move the contents of a 3 bedroom house into storage and rebuild your life again, was rather too much to ask.

My parents expected me to go to their house for a jolly fucking family Christmas, when they had royally fucked me over. What a joke.

December was all too much, and by the 27th I was in full-blown relapse (which only cost a few dollars in drugs).

However, rehab doesn't come cheap... and guess who was going to pay? ME!

I've paid around £30,000 for private treatment. Guess what? It doesn't work.

Unless you have a supportive environment, treatment doesn't work. Don't bother going into rehab, unless you're going to get rid of toxic people, toxic places and toxic jobs from your life.

My first stay in rehab (The Priory) was long enough for me to see that I was being abused by my ex-wife and we needed to break up. My next stay in rehab was long enough for me to get over being dicked over by my parents. My last stay in rehab gave me just about enough strength to make a plan to cut my toxic parents out of my life altogether.

Since then, I now know the knack of quitting drugs.

Amino acids such as 5-HTP, L-Tyrosine and Phenylalanine replace the depleted neurotransmitters in your brain. Bupropion and amphetamines (like dexedrine) can cushion the cravings and depression, lack of energy and cognitive impairment.

Benzos and Z-drugs are a great way to amplify an addiction. Sleeping off the comedown by taking 'downers' to take the vicious edge off the 'uppers' means that you start to believe you are able to get all the upsides without any of the downsides. However, all you're doing is storing up the mother of all comedowns for a later day.

Coming off benzodiazepines is the single most awful thing you are likely to ever experience in your life. I'm not sure if you've ever had a panic attack or insomnia. Certainly, you must have experienced stress and anxiety. Imagine having a round-the-clock sense of horrible unease, fear, dread. If benzos calm you down, the payback is in rebound anxiety. What goes up must come down, and living with anxiety is terrible.

Something like diazepam is very long acting, so you find it's in your bloodstream for ages even after you stop taking it. The withdrawal from it lasts weeks: insomnia & anxiety.

Coming off stimulants isn't that bad. You're exhausted, suicidally depressed, physically weak, uncoordinated, slow witted, and cognitively impaired. You might be in terrible physical shape from lack of food, lack of sleep and over-exertion. It's nothing that a month in bed can't fix.

Obviously, coming off all drugs at the same time is a clusterfuck, because you'll have anxiety and insomnia, keeping you awake through your exhausted suicidal depression. But, this is the payback for polydrug abuse. What goes up must come down.

In September 2013 I escaped addiction by swapping from supercrack to dexedrine and then tapering my dose down. I further cushioned the blow by using zopiclone to get my sleep back on track. It was relatively easy and painless, especially as I also completely changed my whole environment by moving to London and reconnecting with old friends. I got a new girlfriend and started helping my homeless friend, Frank.

Drug addiction is a teeny tiny bit about the brain chemistry, and it's a whole lot more about toxic environments. Believe me, the more stress, disruption, isolation and mistreatment is perpetrated against me, the more I'm itching to pull the "fuck it" trigger.

Drug addiction is both an easy and a difficult existence. If you haven't got the guts to actually end your life quickly and cleanly, it will get you to your grave faster than you think. I think every addict knows where they're headed, but they don't give a fuck because everybody else is pushing them down that road too.

You would have thought that addicts would be our most cared for and nurtured members of society, because they're pretty much walking around with a noose around their neck, advertising their intention to kill themself. However, my experience was that my own parents and ex-wife couldn't wait to see me dead and buried.

When I eventually accepted that experimentation had become addiction and I needed professional help, I said to my ex-wife that I needed a 28-day detox. She said she would rather that I died. She actually categorically said that she would rather be a widow. These were her words. This was not a general comment. This was her saying that she would prefer it if I didn't have 28 days treatment and get better. This was her saying that what she wanted was for me to die, not get better.

When I got clean and moved back to London, my parents essentially made the same choice. Rather than honour their unsolicited offer to profit from my need for a bridging loan, they saw the opportunity to pull the rug out from under my feet and plunge me back into chaos, stress and destruction.

When things are going wrong now, I assume that I'm totally alone, and that everybody is totally hostile. I assume that doors are going to be kicked in by an abusive and violent ex or parent. I assume that treatment is going to be withheld. I assume that people would rather that I was dead.

Abuse leaves psychological scars. Calling somebody a liar, and treating them disrespectfully denies them any self esteem. Pulling away a person's means of supporting themself, and generally attacking their opportunities to escape and recover is not proof that the person is a failure and vindication of your decision to fuck them over. Let's take a look at cause and effect.

Drug addiction is a place that a person turns to when their life is unliveable. The more you mistreat a person and deny them any opportunity to recover, the more they're going to say "fuck it" and go back to killing themself slowly.

Recovery can be quick and painless if action is swift, decisive and early intervention is taken. Addiction is like a house on fire. The sooner you put out the fire, the more of the house you save. There's no point sitting around to see if the fire goes out, and then putting out half the fire. "The fire is mostly out" or "we'll just put a bit of water on the fire and see if things improve" is just utter bullshit. You're looking for an excuse to fail that person if you act like that.

I'm angry.

I don't know if this is coming across. I'm really fucking angry.

I'm spinning everything like I'm a victim. Well, that's because I'm sick of victim blaming. I know that taking the position of the victim is not a good place to start, but it's maddening because the facts are clear: the strong have exploited the weak, and tried to kick a vulnerable person into an early grave. Secrets die with a person, and it's a lot easier if a victim is dead.

I made plans for my business and my future based on the idea that I had a loving, supportive partner. I made plans based on a "for richer, for poorer" and "in sickness and in health" marriage vow that we made to each other. I made divorce and recovery plans based on an unsolicited offer of support from my parents. Parents are supposed to support their children. People are supposed to honour their word. Plans are based on agreements.

How can you make any plans or do anything if nobody keeps their word? How can anything function without people acting with a shred of integrity.

I paid for nonjudgemental reliable support, at great personal expense. The rest I did on my fucking own. Who the fuck got me out of the park and into a hostel? Who the fuck got me out of the hostel into a contract and a hotel? Who the fuck got me out of the hotel and into a flat? Who the fuck got me more contracts when the previous ones didn't work out for long enough for me to get ahead?

Recovering from depression, bipolar disorder, the destruction of your business, ruining of your career reputation, divorce, the selling off of your home and the giveaway of many of your precious possessions, having to relocate across the country, having to re-establish your life again. You think that comes easily? You think that comes cheaply? You think that can be done all on your own? You think that can be done while people jeer and take the piss from the sidelines, calling you horrible names and creating additional obstacles for you?

Now, sprinkle in substance abuse.

Drug addiction is the easy part. I should be getting a fucking ticker-tape parade for what I've been through. I should get a fucking gold medal. I should get my picture in the motherfucking paper, with lots of quotes from all my adoring fans.

Some drug addicts are driven to lie, cheat and steal. We are told that addicts leave dirty needles in children's playgrounds and try to sell drugs to your kids to get them hooked.

What exactly could anybody's problem be with me? I've paid for all my own treatment. I've never stolen any money to buy drugs. I never even bought drugs from anybody who could conceivably be accused of putting money into crime and terrorism. All I've ever wanted to do is get back to London, and restabilise myself.

What does stability look like?

Like this:

• Place to live
• Income to pay for food & accommodation
• Social contact
• Free from debt and financial stress

And I've come to realise it also means:

• No more toxic people in my life: especially my parents
• No more klingons: I can't carry any dead wood
• No more arbitrary measures: being teetotal is unnecessary. I'm going to do whatever works.
• No more shame: I've got nothing to be ashamed of

The compromises, sacrifices and things that I put up with to keep hope alive are not inconsiderable. My adherence to integrity and personal standards means that I am taking on additional challenges that I could easily circumvent by simply declaring bankruptcy and depositing myself in the care of the welfare state.

I've paid an absolute fucktonne of tax in my life, so I should feel entitled to a handout, but I don't. I don't want a life that's dependent on the state giving me a small amount of the money back that I've paid into the national purse. I'm proud and I've worked hard all my life. I've worked hard to dig myself out of a very deep hole, and I deserve a fucking break.

I'm writing this now, completely free from any drugs. My mind is my own. I have let my brain recover, and now I have nothing but pure rational thought.

Where's my money gone? It's been spent on surviving. It's been spent on keeping the possibility of recovery alive.

Recovery from drugs?

No.

Recovery from the shit that drove me into the arms of addiction.

Will I be able to recreate the past, and get back the things I lost? No, never. Of course not!

So, am I bitter and full of regret?

Actually, I'm working my bollocks off just as hard as I've always done throughout my life FOR THE FUTURE. In 4 or 5 months I could be back in the same financial position that I was in before everything imploded, except I will be in pole position to continue at a much accelerated pace. I have a much greater chance of building a happy new life, now that I am rid of the toxic people who sabotaged everything I had worked so hard to build.

Every day in the rat race is an unpleasant reminder of the fact that I got screwed over, and this is the source of my bitter rants. I am tired. It has been exhausting to rescue things.

But, it's in my nature to build and repair. It's in my nature to look to the future, not look to the past. The only reason I do look to the past, is that I'm saddled with the consequences of being dumped in the shit by people who let me down and broke their promises.

In the world of startups we talk about a pivot. Take your lessons learned from going in one direction, and take them in another to find your sustainable competitive advantage.

Through this fucked up world of pain that I've been through, I've found several important stories that need to be told.

There is the story of the people who are disadvantaged. Those who are discriminated against because they have mental health problems or who have struggled with addiction. There are society's undesirable members. There is the issue of homelessness, and the harsh and uncaring world that waits for single people who fall on hard times. There is the arms race in the war on drugs, with legal highs and the cat and mouse game between chemists and governments. There is the battle that rages inside our heads: mania and depression. There are the differences in perception: who is mad and who is sane.

A rich white middle class investment bank employee, IT consultant, software engineer, homeowner, husband and neatly presented boy with good manners, well educated and well behaved. Young, fit and active. Adventurous, outgoing and gregarious.

If it can happen to me, it can happen to anybody.

The stories have got to be told.

Tags: #addiction #drugs #divorce #parents #legalhighs #mentalhealth #homeless

This is a story about arrogance...

It occurs to me that many people might be offended by the vulgarity of me discussing - with candid honesty - the good fortune that has come my way, and decide that I feel entitled in some way to those things bestowed upon me by pure blind luck.

In the UK, it's considered to be in bad taste to talk about money. However, we are given to flamboyant displays of wealth, which are obviously our way of screaming "LOOK AT ME!! LOOK HOW SUCCESSFUL AND AMAZING I AM!!" at the top of our reserved British lungs.

I once shared on social media a document that I had discovered that had the rates that a bunch of us banking IT consultants charge our clients for a day's labour. The amounts are obscene.

When I first started as an IT contractor at the tender age of 19, I was paid twice as much as I had been in my previous job, and it totally went to my head. I bought Harrods hampers as Christmas gifts and whisked my girlfriend and I off to New Zealand on a business class flight, chartered a yacht and stayed 5-star all the way. Take the bullied kid from school, treat him like shit his whole life and then shower him with wealth and he might just end up rubbing your nose in it, because it's sweet relief after 12 years of playground and classroom hell.

That first contract paid just under £40 an hour, by the way. I was living in Winchester and working in Didcot, near Oxford. It was good money for a non-banking project outside of London, even by today's standards. I offer you the precise number, because I want you to judge me.

Imagine the whole time you're at school is made pure hell by endless bullying. Imagine being a social outcast. Imagine not even being able to cultivate a teenage romance until you left school at age 17, because you carry too much of a reputation of being an unpopular geek. Imagine all those beatings and lonely times where you're singled out because you're quiet, sensitive and then simply labelled as a soft target. Once you become the bullied kid, you stay the bullied kid and nobody's going to want to know you because they don't want to risk becoming bullied too.

What do you do instead, if you're denied friends, popularity, girls, a social life? You stay home and tinker with computers.

So, if it appears boastful when I talk about landing a well paid contract for a major UK corporation when I was just 19 years of age, it's because I fucking paid a lot to get it. Remember your first kiss with your first girlfriend? Remember hanging out with your friends? Remember how fun your school days were? Well, imagine swapping all that out for 35 hours a week of being bullied around the clock, for 12 straight years.

I'm exaggerating slightly, because I got to do my final 2 years at a 6th form college, which gave me a bit of a chance to re-invent myself away from the image that my dad had destroyed by expecting me to cycle to school from fucking miles away on a stolen girl's bike, every fucking day, past all the other kids arriving at the school entrance. Kids don't forget shit like that.

Did I have friends? Yes, I was very grateful to have a small handful of other geeky bullied kids who I count as my friends. We stuck together, as the hated soft targets. We tried to take a stand. It only made us hated by teachers and headmasters/mistresses, because we made the bullying problem more conspicuous.

So, I became a young adult with hideous insecurities. My parents were c**ts. Almost everybody at school had been a c**t. Naturally, this mistreatment denied me any self-confidence that would have allowed me to get a girlfriend. Somehow, I fell into a couple of trysts with girls from other schools, and even managed to lose my virginity at 15, but this was through the artificial confidence that drugs gave me, the one time I used amphetamines in my teens.

I found my way into sailing, rock climbing and mountaineering, and those things gave me a bit of an identity beyond that of a geek, but there was so much damage to be repaired. It was only in the final couple of years at school that I was a member of Lyme Regis Sailing Club, Dorset. It was only during my couple of years at 6th form college that I learned how to rock climb, and went on a couple of expeditions to the Alps and the Dolomites.

Having money was the first vindication that I had value as a person. I bought a flash sportscar, and I'm ashamed to admit that it improved my confidence. I found it easier to talk to girls with the crutch of a fast motor vehicle. The status symbol worked as it was supposed to: a fanny magnet.

Of course, the more money I got paid, the more I felt that I was worth. I did become arrogant. I did think that I was 'worth' the money. Again, I ask you to consider the context: I was a young insecure geek, who suddenly had a cash windfall. Of course I was going to use money to prop up my fragile self esteem.

Today, if I tell you about the lovely apartment I live in, how I earn obscene amounts of money, or that I'm working on important projects, then you can infer this: something has wrecked my world to the point where I am slipping back into old insecurities. It's not boastfulness. What it is, is pure terrified protection of the last dregs of my self esteem.

Some pseudo-psychologist will tell you that it smacks of egotism. Not true. Over time, I have developed humility and come to recognise the complete disconnect between what I'm paid, what I do, and how much value I really have. I consider myself overpaid, what I do as trivial and unimportant, unnecessary even, and I've been humbled to see that I contribute very little of value to the world.

Every time I talk about this or that thing that I did... it's because I'm really suicidally depressed and I desperately want people to sit up and pay attention, and say "hey! He isn't just some expendable worthless piece of shit. Maybe it would be a bad thing if he died".

I'm desperately trying to see the value in myself, even though in pure pounds, shillings and pence, I can see that I'm very much 'valued' by my employers. However, I now no longer associate salary or contract income with value, because I can see no link between what I do and how much I get paid. It maddens me that I'm so much better paid than, say, your average artist who gets paid £10,000 per annum.

In-between my first contract and my second contract, I did my yacht skipper qualifications with the Royal Yachting Association. After my second contract, which paid £470 per day, I was able to purchase a yacht. Did I buy the yacht because I loved sailing? Partly. But the real reason I bought it was because I felt insecure. Owning a yacht is quite a big status symbol. It's also a massive waste of money. Just keeping a yacht in a marina costs thousands of pounds every year.

As each year passed after school, I maintained the advantage of the head-start in computing I gained at the expense of an enjoyable childhood. The bullies from school struggled, while the geeks inherited the Earth. It was hard not to become cruel towards those who I perceived as having persecuted me, and rub their noses in it.

The Square Mile has a certain macho culture, as well as encouraging vulgar displays of wealth. For a while, I was eating out in expensive restaurants, taking taxis and drinking in wine bars. Did I do it because I enjoyed it, or did I do it because I could at such a young age, and I knew that it was sticking two fingers up at the bullies?

What happened next is that I had a couple of nice girlfriends, and I started to feel less insecure. Everything was going my way, and I started to feel less like I needed to flaunt my financial success, just to prove that I wasn't scared of the bullies anymore. I started to feel less like I had to pack as much fun in as possible, to make up for lost time.

For a brief time, I was reasonably secure and happy in myself. I had developed my own identity. I had grown my self confidence. I actually felt popular for the first time in my life. My life was no longer about money and status symbols.

However, I was still desperate for love. I felt like I had missed out on having a childhood sweetheart and a university romance. Then an abusive partner and a messy divorce deprived me of my comfort and confidence I took from owning a house and having beautiful hand-picked things. By this stage, having a speedboat and a hot tub was about having wild fun with my friends, not about shoving my wealth and good fortune in anybody's face. I had a fast car because I enjoyed driving, not because I needed it for my fragile male ego.

Everything got smashed to shit during my divorce, and I found myself sleeping in my friend's guest bedroom, trying to rebuild my life, but having nowhere near the capital reserves to re-enter London society. My ex-wife made everything as stressful and destructive as she possibly could, and dragged out proceedings using every conceivably unpleasant and spiteful tactic she could, depriving me of even the collateral that was locked up in my home.

With nothing but a rapidly dwindling stack of money, I was in no position to start another business. I had to go back to IT consultancy. Some may say that it was hardly a bad option, but I had worked hard for 16 years so that I didn't have to do the bullshit rat race anymore. It was heartbreaking.

I let everything burn to the ground, and I got very sick indeed. 2014 saw me spend some 14 weeks in hospital and other kinds of inpatient treatment - I was dreadfully sick. That truly was an annus horribilis, even though I did manage 3 months of consultancy for Barclays at the end of the year.

2015 was pretty shit. I still had not managed to reach the escape velocity and launch myself into a stable orbit. It was a rough year, but I still managed to do 4 months of consultancy for HSBC in the summer/autumn.

2016 got off to a really shit start, but I should be able to do 5 months of consultancy for an undisclosed client before I absolutely lose my mind with the fucking rat race.

I have to be in some total shite part of Greater London for an 8:30am breakfast meeting tomorrow (Wednesday) and I already just want to jack in the job because it's predictable bullshit that's doomed to failure and is being hopelessly botched. However, it's easy money and in the context of the shitty situation I'm in I need the cash.

For context, I earn 28% more than I did when I was 20, which means I've been getting an annual pay rise of 1.75%, so excuse me if I'm not exactly thrilled to be getting out of bed in the morning. Especially considering the day job is even more boring than it was back then when I was young, fresh faced and inexperienced.

Of course, I'm able to see that I'm well off. I know that some people are getting pay cuts in real terms, and still others are out of a job despite their eagerness to work. I'm aware that in absolute terms, I get paid an eye-watering sum of money.

However, all my money is just going towards paying back the debts I ran up keeping myself alive. I actually paid for a great deal of private treatment, because it didn't seem right to burden the NHS with the costs in light of my potential earning power.

I am limping towards the day when I basically reach zero, so I can die with dignity knowing that my life insurance policy can be left as an estate for my sister and niece, and not be squandered on trivial debts run up simply because my own family and the welfare state offered me no assistance. Camden Council didn't offer me so much as a cardboard box to sleep in, let alone a hostel bed.

I simply don't have the energy to keep turning the pedals in such thankless pursuit of nothing. It will have been an exhausting marathon to simply reach zero again. Of course, with further months and years of IT consultancy for big corporations, I could in theory become rich again, but I'm at the limit of what I can stand. I've had enough. I'm ground down. I'm through. I'm done. Stick a fork in me, I'm cooked.

The pointless toil... for what?!?!

And so, if you think I'm entitled, arrogant and boastful, I hope you can see that it's simply because I'm exhausted and scared and insecure. Of course I see the value in the garbage collector and the nurse. I just don't see the value in myself, now that I am spent.

Tags: #bullying #suicide #career #childhood #computing