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Comorbidity

10 min read

This is a story about a sick man...

Psychiatrist letter

I didn't drink last night or tonight. I've stopped taking sleeping pills. I've stopped taking anxiety medication. I've stopped taking tranquillisers. I've stopped taking sedatives. I don't take antidepressants. I feel very unwell.

I woke up and I thought about getting some rope and going to find a tree to hang myself from. I've not really thought about hanging much, but it's been on my mind. I think about a last minute change of heart, where I might try to take the weight off the noose, but it would be futile - I would try and I would fail. I think about the uncomfortable final couple of minutes, where I'd be panicking as the hypercapnic alarm response would make me thrash around, trying to get air into my lungs. Hanging would be a brutal way to die, because I imagine that I'd be conscious for quite a lot of it, then I'd lose control of my bowels and some poor sod would find me strung up with soiled underwear. Somebody would have to cut down my lifeless body. Anyway, that seemed like one of the options this morning.

This should be a happy period of my life. I'm not homeless, I have friends, a girlfriend, money and a car. I'm not a drug addict. I'm highly employable. I have my physical health, mostly. I've got a local job which is very well paid.

What's going on? Why am I so depressed?

I'm trapped. I can't go backwards. I can't stay still. I can't go forwards. I need to keep moving forwards, but I've run out of rope; I'm at my wits end.

I should have taken some time off in-between the last job and the new one, but that's not the way things worked out. Make hay while the sun shines, they say. Don't look a gift horse in the mouth, they say. Somebody opened a briefcase of money, tempting me with it, and it seemed like a good idea at the time. It is a good idea. It's a really good idea to have a really well paid job that's a short distance away from where you live. The problem is, I've got nothing left to give.

I can't fail. I can't falter. I have to succeed. I can't go back. I can't stand still.

I'm so desperate to feel better, but I know that the answer doesn't lie in pills. I know that to take antidepressants would send me manic. I know that pills aren't the answer. I'd love to feel a bit better though. My bank balance would love me to feel a bit better. It'd be nice if I didn't keep writing things that worry and upset my friends and girlfriend. Such is life. These are the cards I've been dealt.

What's important to me? It seems like it's all about work and money, but that's a good place to start. Without work and money there can be no future. Without a future there's nothing to hope for - I might as well just give up. This is the strange situation, where work is making me unwell, but without work I'll get unwell because I'll get into financial difficulties and I'll have nothing to look forward to except bankruptcy.

Just a little bit longer... if I can just work for a little bit longer...

How much money did I lose in January and February to ill health? Was it £10,000? What does it matter? I worked as hard as I could.

I've managed to buy a car. I've managed to get a local job. I've got a girlfriend. I've got some money in the bank. These are major milestones; major achievements. Things are looking up in my life.

I need to impress some new people; prove myself. I've got a new routine to get into. I've got a load of new stuff to learn, and not the fun kind of learning - this is stuff I'm expected to know already. I've got to give a good first impression - I can't turn up to work hours late every day; I can't let on that I'm not very well.

I'm sick but I can't afford to be. I'm sick but there's too much at stake. I'm sick but I don't want to lose the amazing opportunity that's fallen in my lap. I'm sick but my life looks perfect in a lot of ways - why am I sick?

I don't want to accept that I'm sick but the anxiety and depression are unbearable. It's enough to drive me to drink, drugs and/or suicide. I want to run away from the source of stress. I want to hide under the duvet for a couple of months. I need to recover but I can't - there's too much work to do. I need time off but I can't afford to lose everything.

I'm the epitome of functional. I'm getting up and doing the things I need to do, even though it's destroying me. Somehow I keep putting one foot in front of the other. Somehow the things that need to happen keep happening. I'm keeping the plates spinning even though I'm sick. At times, I'm quite happy and contented. At times I'm a picture of good health and carefree joy.

I've worked hard - even if you don't think I have - to give myself some easier times. I've put up with horrible situations because I knew they'd pay off in the end. There has to be some reward, otherwise it wouldn't have been worth the stress and aggravation at all. It would be a lie to say that my life is purely miserable. Misery kind of stalks me though - I know it lurks just around the corner at all times.

"Cheer up... it might never happen!" somebody might say, but I really wish it would happen, because I can't stand the constant anxiety. I can't stand the fact that it is happening, and I know exactly how long it's going to keep on happening for because it's not very difficult to work out such things. I know exactly what to expect. I know exactly the way things are going to go. I know exactly what has to be done. I know exactly how awful it's going to be.

My mood would be a lot better if I could abandon all responsibilities and follow my mood. I know that time passes incredibly slowly when I'm having to kill time and suffer horrible periods with nothing to do at work. I know that it's incredibly toxic to my mental health to be solving the same problems I've done a million times before, but with a load of constraints that artificially limit me from being able to work and occupy myself - to keep myself busy. I know that isolation - working alone - is really unbearable. The last place on earth I should be right now is twiddling my thumbs, bored but chained to a desk with nothing to do and nobody to talk to.

I'm going through a difficult transitionary period. I should have taken some time off. I'm emotionally exhausted. I'm trying to switch mindset, from the isolation of the last job to the possibilities of a new opportunity. I know that I need to give it a few days, or a couple of weeks, to get settled.

Everything's so stressful and unsettled. I've got a new commute to get used to. Somehow, I've got even less of a home than I did when I was living in AirBnBs. I can't get changed. I can't have a shower. I can't take a shit. I can't make myself something to eat. How did I end up like this, with a stressful job and no place to call my own... no bedroom; no privacy. It sounds ungrateful, but it's just a description of my current situation, at times. It could be worse, perhaps - I could be homeless; destitute. I could be additionally isolated and lonely, living alone. It could be worse... it could be worse... it could be worse. There is gratitude, but there is also a heap of stress and anxiety that's beyond what I can cope with. I am grateful, but I'm also struggling.

What do I want? Do I want everything to be perfect right now? Do I want easy solutions, like swallowing pills? Do I think somebody should gift me everything I need, all wrapped up with a bow? Do I expect somebody to just give me the keys to a place of my own and wave a magic wand to move all my stuff? What about friends? Should I just snap my fingers whenever I need them, and snap them again when I don't want them around?

I don't know about any of this stuff. All I know is that I woke up and I thought about finding some rope and a tree to hang myself. I thought about walking out of the perfect opportunity that's fallen in my lap. I thought about letting everything go to hell in a handcart, because I've reached the end of my tether. I don't know why I think this stuff. Maybe I'm a bad person. Maybe I'm an ungrateful little shit. Maybe I should just fuck off and die.

I don't know what I'm going to do. I'm going to have another alcohol and sleeping-pill free night and hope that these awful feelings subside. I'm going to hope for a better day tomorrow. I'm going to grab my black holdall and take the show on the road.

I'm sick, but do I have to be? I think I know where the problems are. I think I know the solutions. I know that nothing's going to be perfect. I know that life is full of compromises. All I can think to do is to keep trying to set things up so that the very least number of things are causing me distress. I keep reducing the number of things that are unpleasant and broken, in the hope that at some point things start becoming a bit easier, because at the moment there are too many times when life's unbearable.

Maybe I need to quit drinking. Maybe I need a drink. I don't know. Too much change and too much that's unsettling. I've lived out of a suitcase for far too long.

Yes, underlying mental health problems are the obvious thing to point to, but what's the solution? Of course the little bit of me that's got some survival instinct left thinks that being medicated up to the eyeballs, living in a council house, supported living or institution is preferable to death. Is being alive without dignity or hope preferable to this life that's a fate worse than death? Isn't it all the same anyway? If the rewards aren't there and the suffering is unbearable, why bother?

I managed half a day in my new local job, and I felt sick, sick, sick.

Maybe tomorrow will be better. If it's not, I don't know if I can carry on.

 

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A Short History of Nothing

9 min read

This is a story about a boring and uninteresting life...

Concrete bunker

I hate writing with constraints. I hate having somebody looking over my shoulder while I write, commenting on my half-formed sentences - writing is not a spectator's sport. I hate rushing to finish a piece of writing; I hate trying to squeeze in the time to sit and write. I hate having to consider who's going to read what I write and to second-guess what they're going to think. I hate having to write with a filter and to write in anticipation of how people might interpret things if they were to take my words out of context.

The context is that writing has been my stable and secure companion - my trustworthy and reliable friend - during some very turbulent times. The context is that during the period which I have been writing almost every day, I've been on one hell of a journey. With writing as the only constant in my life, the progress that I've made becomes more apparent - if you read my earlier writing then you can dip into periods where my life was quite profoundly different, although the words on the page don't really give that away at first glance.

To me, sitting down in front of the keyboard feels the same today as it did at any time in the past. To me, I'm every bit as coherent and articulate and compos mentis as I ever was - I can't perceive any difference in myself between who I am today and who I was at any previous time when I was writing this blog. If there have been changes, they've been to subtle to perceive in myself, given I have to live inside my own head for 24 hours a day. "You're looking well" or "you sound well" my friends say to me - they have the benefit of dipping into my life periodically, so they can see the trends, but I can't do that.

I suppose there is a great deal of improvement in my life, even if a lot of it remains merely potential at the moment - there's still a lot of hard work to do. I suppose if I was to think back to where I was a year ago or so, things are a great deal better than they were.

I didn't write yesterday but it's rare that I skip a day. Two years ago I accidentally destroyed an iPhone and a Macbook, on this day. A year ago I didn't even write for a whole week and when I started writing again I told some random tale of historical events from my divorce, seemingly to nobody in particular. It looks as if I was wrestling with the feeling that I was letting my [ex-]girlfriend down. I know what was going wrong - every single winter for several years, I've struggled.

I can see from the archives that I was away skiing back in 2008. March used to be a great time to be kitesurfing in Venezuela. This would be the perfect time of year to spend a couple of weeks lying on a beach. I wonder how far I am from those better times, when the years fly by because my life has regular holidays to hot countries. I wonder how much more hard work it's gonna take before I get back into a sustainable pattern of work, which largely depends on being able to have nice holidays to look forward to. I've chosen a lifestyle that is mostly miserable during office hours, but does carry substantial rewards during leisure time.

I'm not sure what to write about. I'm pretty sure what not to write about, but it's hard. To not write anything that's personal and could make me identifiable is really hard. To not write any of the detail of recent years is difficult, when I'm still processing those events. To break the habits I've gotten into and to lose the catharsis of writing about what I went through, is a big change. I'm not sure I'll ever be able to be entirely forward-thinking and live in the future when it comes to this blog, because the future mostly holds anxiety for me. I'm anxious, for example, about the day when this blog is stumbled upon by somebody who I'd prefer not to read it.

This is a weird transitionary period. I presume I'm writing with reasonable clarity, except for the fact that I'm being cryptic and omitting any of the gory details that already exist in the archives. I presume that my life - which seems stable to all outward appearances - is now becoming something valuable that I don't want to damage. I'm getting the things I need quite quickly now - there has been a lot of very rapid change; improvement.

Potentially, I'm shifting from the intolerable and unsustainable, to a life that's liveable. Potentially, the destructive patterns of the past have been vanquished - I've overcome some pretty insurmountable obstacles and I'm beginning to get a whole load of things lined up in my favour. Life is getting easier.

Historically, I've done a lot of moaning. The archives contain a lot of complaining. I've whinged a great deal about how awful things have been, but now my luck appears to have changed. I'm terrified that something's going to go wrong, but at the moment things seem to be going right.

I could erase my written records. I could expunge my digital identity. When I think about what I've written, I'm glad that I have created some evidence that I existed; I'm proud that I've documented my struggles. If I re-read what I wrote in the past, it's difficult for me to re-live that experience... I struggle to relate. There's a lot of stuff in the past that wasn't exactly brilliant, but I don't think that the answer is to pretend it didn't happen. No good ever came of pretending that I've got a blemish-free past and I've not got any baggage.

I feel reasonably well-adjusted, because I've exhaustively documented what's been happening to me. I feel more secure knowing that I've attempted to capture a little bit of myself at regular intervals. I feel like I understand myself, and that I know who I am. I feel like I have an identity.

It's a difficult changeover period. I'm moving towards a more 'normal' life that you would recognise. I'm moving from a profoundly dysfunctional place to a functional one, even if it appears like I've been getting on with life just fine. I can still have a disproportionate reaction to the most ridiculously mundane stressors - having to buy a birthday present, have a haircut, get to work on time - but these things can leave me paralysed... without help I'd give up and refuse to leave the house.

I don't know what my life is now. My life is still taking shape in its new form; there are big changes that are happening. I need to learn my new routine. I need to prove myself all over again.

Suddenly, I have a girlfriend, a local job and a car. Suddenly, my life looks worth living, but it's also something that I could inadvertently damage. I have to be careful that I don't say anything that might prejudice my future. Before, I was writing urgently because I needed to get as much of myself down on paper before I died. Now, my big fear is how I'll react if something major goes wrong, but it might be me who precipitates my own downfall. I'm starting to have to pretend like I'm Mr Normal and my past is absolutely perfect, like everybody else does. I'm starting to feel the pressure to present a sanitised version of myself that's fit for corporate consumption. I'm starting to feel the pressure to put on the 'boyfriend material' mask that's suitable for introducing to parents and the like. My 'good' life carries with it a great deal of fear of failure.

There's a small part of me that wants to continue to make changes really rapidly, and to continue to fix up the broken things in my life. I want to rush out and rent myself a place of my own, and move out from my friends' place so that I'm living independently - standing on my own two feet. Part of me is in a big hurry to regain the self-esteem that's been lost due to my atypical living arrangements. Part of me is in a big hurry to encumber myself with societal obligations - such as paying rent and bills - that I've been lucky enough avoid for a while, because my life was so dysfunctional. There was no way that I could cope with much stress and responsibility, and my friends helped me... they continue to help me. It's embarrassing. I'm ashamed that I needed charity.

My past is not compatible with my present. My living arrangements are not compatible with forms that need to get filled in - I'm neither renting nor a homeowner - and middle-class dinner table chit-chat. There's a huge contradiction between the work I do and the difficult personal circumstances that I've been escaping from. Work colleagues, girlfriend, new people I meet... they're not going to understand. I don't fit neatly in a box. How can I be so successful in some areas, and have other parts of my life that are still undergoing repairs?

This is not a case of "fake it until you make it". I've already made it. I know the way - I've trodden this path before. However, there are undoubtably a whole load of things that got very messed up and I'm in the process of fixing. People don't really like the idea of recovery, improvement or otherwise escaping our fate - we're very keen to label and abandon so-called no-hopers; we're very keen to leap to the conclusion that somebody's of a certain 'type' and label them for life.

I'm changing. You've caught me on the hop. You're peeking behind the curtain. You're ruining the magic. This is the trick, you see: to fix the unfixable.

I can't write any more at the moment. I need to keep fumbling through this difficult transitionary period. I need to find a new voice, which acknowledges the past but doesn't drag me back there. I need to make sure that my identity doesn't depend on a certain amount of drama and destruction. I'm certain that my future depends on a return to more tranquil times.

 

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Can't Stop Crying

5 min read

This is a story about the limits of human endurance...

Rainy day

It'd be easy to believe that everything comes very easily to me when I need it; that I get everything I want. It'd be easy to believe that I live a charmed existence and that my life is all puppy dogs, rainbows and candy floss. It seems churlish to write about my struggles, when on paper my life seems quite straightforward - when I need money, I go and get a really well paid job; when I need a place to live, something miraculously falls in my lap; when it looks like everything's screwed and I'll never be able to recover from a setback, things somehow seem to work out for me in the end.

There's a toll that this rollercoaster ride exacts upon me - it's exhausting; emotionally draining. I really would like to just give up and to prostrate myself at the mercy of the state. It would be so much less energy-sapping to stop striving... to abandon my ambitions of getting back to health, wealth and prosperity. For all the hard work, there doesn't seem to be the commensurate rewards. Why did I bother? I often ask myself.

I have a banging headache, a chesty cough, cold sweats and shivering, aching legs, runny nose. It's just a cold, but it's the final straw. All I seem to be able to do is sleep and cry at the moment. I find myself on the verge of tears all the time, or actually crying. I cried through the whole of a rugby match I watched on the TV, but I don't know why. I cried while taking my shoes off. I'm crying for no reason at all, seemingly.

The pieces of the puzzle that make a liveable life - a home, some money, a job, a girlfriend, a car - are tantalisingly within reach. There are some things that I can compromise on, such as living with my friends, but there are some things that I can't, such as continuing to work in London without any work colleagues to talk to or a project to do. Why do I need a car? When you live and work outside of London, a car is essential for getting to your job, and generally getting around. It's been exhausting using public transport. Yes, there are lots of people who get around on the buses and trains, but they've chosen a different life strategy - I need to be at my desk from 9 to 5, Monday to Friday. I can't deal with unreliable, expensive and slow public transport on top of everything else. What's the point in working if it's going to cause intolerable levels of stress and misery?

In theory, I'm just a few months away from financial security and having my life back in good order. In theory, if the job I've been offered works out OK, then I'll be feeling quite secure and wealthy, within a couple of months. In theory, my life's going to be a lot easier when I can drive to work, instead of travelling for hours across the country, and living out of a suitcase. In theory, my working week is going to be a lot better when I'm working with a team of interesting people, and I have the social interaction that's completely absent in my current job.

In theory, everything's just peachy.

In practice, I'm exhausted. In practice, I've suffered too much and for far too long, and it's broken me. In practice, I've got nothing left to give. In practice, I can't suffer any more setbacks, because it'd destroy me.

Yes, fine, I concede that some fantastic opportunities have fallen in my lap, but things are by no means a done deal. There's still so much hard work and stress ahead. There are still so many obstacles to tackle. Yes, fine, I can see that there's a slim chance that things might work out, but the anxiety of the situation is unbearable.

I have *just* enough money to buy a car and insurance. I have *just* enough money to last me until my invoices hopefully get paid. I have *just* enough time to get all the ducks lined up. There's the slimmest of chances that everything might go to plan, but there are an infinite number of ways that things could go wrong.

I've had enough. The pressure and the stress has been too relentless for too long. Yes, I've caught some 'lucky' breaks, but you really don't know just how hard I've worked, and just how psychologically torturous it's been. You think it's been easy to get to this point? You think it'll be easy to carry on; to keep up the good work?

If anything, the stress is getting worse, not better, because I know I'm really close to getting a bunch of things that will really improve my life. I'm struggling with insomnia because I'm so stressed out about all the possible reasons why I might lose the things that are within my grasp. I'm itching to throw everything away and give up, because the anxiety is unbearable.

Yes, it looks like I've got nice problems to have, but it's not like that at all.

 

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Rock Bottom

7 min read

This is a story about quality of life...

Warchalking

You would have thought that rock bottom would come when you're sleeping rough, arrested by the police, thrown into a cell, you've spent all your money on drugs, you've got a physical dependency, you end up hospitalised or locked on a psych ward. You would have thought that losing your job, your apartment and tarnishing your otherwise squeaky clean CV, credit score and other things that are important to give you access to well-paid respectable work, would be the most crushing blow. In fact it's the lead-up to the point where you lose everything that's far worse. Once you're cut adrift and tossed by the wind and the waves, then you might as well just relax and go with the flow.

I woke up this morning, having been awake since 3am, worrying about the tricky transition between two contracts that are worth six figures, annually. It's a nice problem to have, right, to have two companies offering to pay you big fat wads of cash for your time and expertise, but the reality is somewhat more complicated.

I've drained my business bank account, because I've needed to buy plane tickets, book hotel rooms, train tickets and AirBnB rooms. I've been working for three months, but I'm still waiting to be paid - these are the commercial challenges I face. You've got to speculate to accumulate.

I have borrowing facilities available to me, but a substantial portion of my income is wasted on interest, paying for the money which I've needed for cashflow. Cashflow is tight when you're only managing to work 12 weeks a year, because you've been so unwell. I was hospitalised with DVT and both my kidneys had failed. I was hospitalised after a massive overdose - a suicide attempt. I was hospitalised and sectioned for mental health reasons, for my own protection. These are considerable obstacles to earning money, despite the fact that I discharged myself from hospital against medical advice, so that I could struggle into the office and not lose my job... but I lost it anyway. After my suicide attempt I struggled into the office, but I lost my job anyway.

I'm struggling into the office every day. I'm working Tuesday to Friday, for 4 hours each afternoon. My colleagues look at me like I'm taking the piss, as I saunter in at lunchtime and leave soon after 5pm. I travel across the country on a Tuesday morning, and I travel back the other way on a Friday evening - over 3 hours each way, which some people might scoff at. I know that there are many people who do long commutes, but I doubt many of them do them in the same year they were hospitalised as many times as I've been, due to medical emergencies.

This is my rock bottom - I'm only able to work about 16 hours a week, but it's killing me. I woke up this morning and I'm properly physically sick. If it hadn't been for the fact that I had to check out of my AirBnB, I would have stayed in bed. You'd have stayed in bed too, if you felt like I do. This is rock bottom - struggling along and barely managing to survive, even if you think that my situation is not very desperate.

I'm quite qualified to tell you what's desperate and what's not, because I've slept rough on the streets; I've lived in 14-bed hostel dorms and psych ward dorms. It's not a competition. Either you accept that I know what rock bottom looks like, or you don't.

What you can't see - because you only look at the good bits - is how quickly my life could unravel. I've got no safety net; I've got no cushion. My life hangs by a few slender threads. Of course I accept that I've had a run of good luck, such that I haven't ended up bankrupt and sleeping rough again. Of course I accept that I've had a run of good luck that there are still opportunities available to me; there's still a slim chance that I might rescue myself from my desperate situation.

There's an infantile attitude that I have to constantly suffer, like life is simple and all I need to do is get a job stacking shelves in a supermarket. You don't understand how real life works. You're not acknowledging reality. In reality we can't just abandon all responsibility and pretend like it's not psychologically destructive to lose hope; to have our dreams shattered. Loss of status and having a black mark against your name is a big deal. Being chased by debt collectors and bailiffs is a big deal. Having court summonses and court judgements and being sued into oblivion is a big deal. Getting fines and charges and all the other things that get slapped onto a poor person whose life is imploding, is a big deal. Real life... REAL LIFE involves earning as much money as you can, so that you don't have to take a calculator with you to the supermarket and ration out the value-price beans. Your infantile fantasies that we can just abandon everything that society holds dear - bank accounts and credit checks - and instantly switch our lives to be free and easy... this is complete and utter horse shit.

The reality of life is that there's a great deal of precarity. It might not look like it, but I've worked very hard to get myself back on my feet and I'm still a long way off. It might not look like it, but I couldn't have put in any more effort; I couldn't have handled any more stress - it's enough to give the most stable and secure person that you know a massive nervous breakdown. Eventually, we all reach our breaking point. We can't tolerate mental torture forever.

I've got my 3+ hour train journey, then a night in one place, a night in another, a night somewhere else, then it's back on the train, back to my job, time to check into yet another AirBnB I've never set foot in before. I need to buy two birthday presents, get a haircut. I need to do some washing. None of this is beyond the wit of man, but I'm so mentally and physically sick that I need to spend at least a week in bed, but I can't. I've got to keep the plates spinning.

Yes there are parents out there who are stressed out of their minds. Yes there are starving Africans. Fuck the fuck off. You think I've only got nice problems to have? You think my life is rainbows and puppy dogs and candy floss? Fuck the fuck off.

This is my rock bottom, because I want to throw everything away. It's too much effort. It's too much stress. It's causing too much anxiety. It's too exhausting. You think what I do is easy? If it's so fucking easy why isn't everyone doing it? If it's so easy, why aren't more people bouncing back from divorce, losing their home, drug addiction, alcoholism, bankruptcy, trouble with the police, mental health problems, suicide attempts, physical health problems and all the other things that bury people? Why aren't more people pulling themselves up by their bootstraps and getting themselves back on their feet?

It feels like I'm really close to a breakthrough, and that's what makes it so hard. All the time I'm thinking "it's only another 6 weeks, 3 months, 6 months... until I'm all fixed up and back to health, wealth and prosperity". It seems like it's no time at all, but that's because you're an idiot. You just don't understand how the shortest possible time can feel like an eternity, when you're in agony; when you're in such distress.

So close but yet so far.

 

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Emotional Exhaustion

8 min read

This is a story about a functional nervous breakdown...

Collapsed bed

I'm sleeping 12 to 14 hours a day, yet I don't feel refreshed. I'm commuting and I'm working, but I'm spending less than half as much time in the office as I'm supposed to, and when I'm there I'm not productive. I reach the weekend and all I want to do is collapse in a heap. I get stressed out about seemingly trivial things - buying a train ticket, booking a hotel, buying some birthday presents, social engagements, the pressure to be a good friend, the need to stay in contact with people. I feel like I'm going to burst into tears when I'm in the shower, or just before I walk into the office. I'm a complete wreck, but to an outside observer I'm a picture of good health and a productive member of society. My colleagues seem to have been duped - they compliment me on the work I've done and they want me to stay longer; they want to give me another project to do.

I had prepared myself psychologically for 6 weeks work in London, but it's been 3 months. I had prepared myself psychologically to get to the end of the contract, but not a single day longer. I'm barely managing to cover up the fact I'm very sick - I arrive in the office at 1pm most days, and leave just after 5pm. I don't turn up for whole days. I sit at my desk endlessly skipping through music, trying to find a song that will lift my mood, but I can't. Life's pretty torturous, even if there doesn't seem any reason why it should be.

Everything feels like it's going to require the expenditure of more effort and energy than I could possibly muster. I get exhausted at the thought of speaking to agents, or challenging myself to do something "new and interesting". What sounds like fun to you, is something that makes me feel even more anxious and depressed. I just want to curl up in a ball.

Those who are happy and healthy say things like "you're only one gym workout away from a good mood" or they suggest things I could do with my spare time. It doesn't look like much of a life, working and sleeping... oh I do quite a lot of moaning and complaining too, but surely I must want to learn to weave baskets or dance salsa, mustn't I? The truth is that I'm 99% shut down - I'm in survival mode, clinging on by my fingernails as I attempt to earn as much money as I can, as quickly as I can, so that I can afford to have a nervous breakdown.

"Nervous breakdown" sounds really shocking and alarming, but I'm actually quietly having a breakdown. I've had persistent paralysing depression for more months than I care to remember, but I'm somehow forcing myself to keep going. "You can't be depressed if you're getting up and going to work" you might say, but you seem to have forgotten that I'm bunking off loads of days, and going in to work 4 hours late on the few days when I do make it. I'm working the very bare minimum I need to, in order not to lose my contract. If I just collapse in a heap and refuse to leave my pit of despair, I lose everything. If there was any way in the world I could just draw the curtains and convalesce, then I'd do it, but I'm trapped by circumstances beyond my control.

I have a week and a half left to go, and then I've finished my contract in London. I have to do 4 more 3.5 hour train journeys. I have to stay in two more AirBnbs. I have to suffer two more Mondays (although I'm planning on bunking off at least one of them). It might not sound like very long - just 3 months - to have been travelling all over the place and doing a job that's been mostly isolating and lonely, and has left me twiddling my thumbs a lot of the time, but the time has really dragged... the time continues to drag.

When you're not feeling good, it really takes an emotional toll. It's really not nice to spend weeks and months, hating your life; hating your circumstances. Yes, I'm very well paid and there's no such thing as a perfect job, but the money really has not been great compensation for the psychological suffering it's caused. I'm perfectly capable of making a mercenary decision to earn a lot of money doing things I don't like doing very much, but it's damaging to my mental health. I really am at my wits end with the London contract.

Who knows what'll happen next. Maybe I'll have been made too unwell by the present contract to even think about the next one, until I've had some rest and recuperation time. You might think that I should be very well rested, because I've been having 3-day weekends and only working half days, but those things are a symptom of just how exhausted I am. It's very hard to explain how I'm emotionally exhausted, even though I seem to be physically rested. It's hard to explain just how draining things have been this year. Seasonal affective disorder, depression and a bit of residual rebound anxiety from medication withdrawal, have conspired to create a viciously awful low mood and sense of despair, which has been hugely exacerbated by being bored at work, with no colleagues to talk to or project to keep me busy.

Finding a new client locally is going to be stressful. I need to meet a whole load of new work colleagues and impress them. It's going to be exhausting. It's going to be destabilising. At the moment, I just want the current contract to be over, so I can curl up in a ball and not leave the house. I want to draw the curtains and turn off my phone. I want to collapse in a heap and yell "ENOUGH!"

It sounds to me like it's some kind of breakdown, but I don't understand why I'm still apparently quite functional. I don't understand why I'm not stripping naked and running through the streets, before smearing jam all over myself in the supermarket and talking in tongues, or whatever other image "nervous breakdown" conjures up in your mind. Perhaps you think of me uncontrollably sobbing, or going mute. Instead, I'm just kind of hollow and empty - I've got nothing left to give; the petrol tank has run dry.

The challenge, of course, is what I do next. Do I collapse and become so dysfunctional that there was no point in exerting myself? Do I lose all the gains that I've managed to achieve, because it was so costly to my mental health to push myself so hard? Have I stored up some kind of almighty breakdown, by limping along for so long?

I've been offered a contract extension. There's no way on earth I can do it, of course. Don't you understand? The money might be incredible, but I don't get paid if I'm not in the office, and I'm already almost at breaking point. Money's not going to get me out of bed. Almost no amount of money is worth the emotional damage that's being done; the emotional exhaustion of the situation.

Of course, there's an argument that I should have just taken medication to prop myself up artificially - to allow myself to be doped up and carry on with a job and a situation that's intolerable. There's an argument to say that it's me that's faulty, for not enjoying living out of a suitcase, working a project that I finished ages ago and just having to look busy, in an office all on my own with nobody to talk to. There's an argument that says it's me being a silly billy, and I should just pop pills and shut the f**k up and get on with life. That's life, right? Life absolutely sucks and it makes us want to kill ourselves. Life destroys every single ounce of happiness and wellbeing, and the only way to put it back is with powerful psychoactive medications.

On the flip side, I've been glad that I've kept my mouth shut and limped along to the end of contracts before, without making too much of a fuss. I'm going to get a good reference and I've earned quite a lot of money. This is the strategy: short-term pain for medium-term gain. I've left jobs on good terms before, and then found it's immensely improved my mood to free... free to do what I want; free from the oppression of a horrible job. I very much expect that my mood will improve massively when this contract is over.

There it is: I need to keep venting and complaining and whinging, because I've got another week and a half of hell to get through. It sucks, and I bet you wouldn't put up with it if you were in my situation.

 

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Short & Sweet

11 min read

This is a story about burnout...

Graffitti

There's a lie which we're all guilty of perpetuating: Work hard and you can improve your life; if you work hard enough you can achieve anything. It's not true and it's wicked to repeat the lie, because we end up blaming ourselves for our appalling living conditions. "If only I'd tried harder in school" so many of us wail, but "if only I worked harder" is not something that a dying person ever says on their deathbed.

It's obvious that there's a grotesque disparity between hard work, dedication, passion, productivity and personal wealth. If you're going to try and argue that the owner of a large property portfolio works harder than a nurse, then you deserve a punch in the face. If you believe that the beneficiary of a trust fund, who doesn't have to work at all, is somehow more deserving than the person who cleans toilets for a living, then you must be suffering from psychosis.

I've heard it said that life is fair, because it's unfair to everybody. Human afflictions don't care whether you're rich or poor - a billionaire still needs an ambulance and a cardiac surgeon if they have a heart problem, and money can't buy them immortality. However, this does not seem to consider the great injustice of the world: that our efforts and actions will make virtually no difference at all. It doesn't matter how badly you want to study at Oxbridge and enter a lucrative profession - if you were born into the wrong socioeconomic circumstances, you're not going to be able to achieve your potential. It doesn't matter how badly you want to elevate yourself from poverty, and how hard you work - you're trapped and you'll never escape.

The media love to shove folklore heroes in our face. The media work very hard to assist our willing suspension of disbelief. Little girls think they're going to be like Kate Middleton and marry a prince - the tale that we're told is that she's an ordinary girl and that any one of us could be plucked out of poverty, but it's bullshit... she went to a very expensive private school. Little boys think they're going to become 'self-made' men, and there are plenty of examples of entrepreneurs who claim to have not received any assistance in building their business empires, except that close scrutiny reveals that they had their risk underwritten by friends and family; they have access to wealth and connections that ordinary people don't.

You show me the success story and I'll show you the unfair advantages that the person enjoyed. Nobody got to the top on merit. Nobody gets anywhere by working hard - it's a lie.

In fact, to work hard and assume that it's going to lead to pay rises and promotions is a kind of mental illness: it's called "Tiara Syndrome". It's a bit like the fantasy of a knight in shining armour coming to rescue us - a person who has Tiara Syndrome is expecting that somebody will come along and put a tiara on their head, just because they work really hard and they're good at their job. Sadly, it doesn't happen.

Behind every fortune is a great crime. The only way to get ahead in life is to lie, cheat and steal.

"The power of enclosing land and owning property was brought into the creation by your ancestors by the sword; which first did murder their fellow creatures, men, and after plunder or steal away their land, and left this land successively to you, their children. And therefore, though you did not kill or thieve, yet you hold that cursed thing in your hand by the power of the sword; and so you justify the wicked deeds of your fathers, and that sin of your fathers shall be visited upon the head of you and your children to the third and fourth generation, and longer too, till your bloody and thieving power be rooted out of the land"

A Declaration from the Poor Oppressed People of England (1649)

So, if we've been writing about this problem for the best part of 400 years, things must be alright, mustn't they? Don't fix what ain't broke and all that. Why rock the boat?

Life expectancies are starting to fall - people are dying younger. There's a mental health epidemic. There's an opioid epidemic. Living standards are declining. Billions of people live in poverty, and within our lifetime we'll witness a Malthusian catastrophe that will dwarf any other mass extinction event seen on planet earth. If you thought the Ethiopian famine was bad, wait until you see what the next few decades have got in store for us. With high-yield modern mechanised farming techniques, we have plenty of food, but we are staggeringly bad at sharing things fairly. If you believe that the present situation of wealth disparity is acceptable, then you're signing the death warrant for billions of people - a holocaust knowingly perpetrated on the human race, for no better reason than sheer unadulterated greed.

Remember that none of the Nazis were allowed to say "I was just following orders" as any kind of defence. To fail to act and to say that you're just doing what everyone else is doing, is immoral. To be passive and turn a blind eye, or to throw up your hands and say "there's nothing I can do" is not acceptable. Yes, it's our instinct to look after our own families, but the day is coming when that selfishness will backfire. Your kids are going to need a place to live. Your kids are going to end up in debt. Your kids are facing a shitty future, and your grandkids are going to inherit a completely hopelessly screwed situation - do you think they'll agree with you, that it was right that you sat back and did nothing?

If you think you're helping your kids by instilling some kind of 'work ethic' in them and getting them to study hard, you're making a mistake. Remember: nobody ever got anywhere by working hard. Hard work can be a useful thing, but we must consider what our labour is being used for - if it's making weapons and oppressing people, then hard work is immoral when it contributes to the war on humanity. Sometimes the best thing to do is to withhold labour - to deprive the tyrants of the manpower they need to conquer and achieve world domination. Sometimes the best thing to do is conscientiously object; to nonviolently protest.

I've thought long and hard about how I can make a difference. I thought about medicine. I thought about law. I thought about politics. I thought about science and engineering. I find myself in technology, and I'm desperately disappointed. No amount of smartphone apps and websites is going to address the problems at the root cause, which appears to be competition. Why must there be competition? Why do we have to measure and grade people, and declare that some of us are not worthy of consideration? Why do we have artificial scarcity and force people to fight over an artificially limited amount of so-called 'money'? Why do we put artificial limits on the numbers of people who can pursue a certain professional discipline? Why do we want to have elitism? Why do 99% have to be told they're shit and they don't matter and they're expendable, so that the 1% can feel special?

I was on the fast-track. I was made unconditional university offers and allowed to skip entire academic years. I got onto a graduate training program 3 years sooner than any of my peers. I got pay rises and promotions so quickly that I was earning six-figures by the age of 20. I'm an example of one of those success stories that you might read about, that are supposed to make you believe that with enough hard work anyone can reach the top of the pyramid - be a CEO or a prime minister or a president, or a king or queen. It's bullshit. Why would I turn on the system that's given me everything I've ever wanted? Why would I bite the hand that feeds me?

No amount of houses, sports cars, yachts, speed boats, luxury holidays and all the other trimmings of a wealthy life can ever make you quite feel like you're content with the way things are, because you can never fully insulate yourself from the suffering and poverty that surrounds us. The fact that you're reading this on a PC, laptop, tablet or smartphone, means that you're one of the lucky ones - you're somewhere that has electricity and the internet, which means there's probably clean drinking water too. If you think about those less fortunate than yourself, they're probably considerably well below your standard of living. Wherever you are in the pecking order, there's always some unfortunate who's desperately in need of help, because we've set up society to fail people - the very process of succeeding ourselves means trampling others underfoot to get ahead in life. It's a zero sum game - for somebody to win, there has to be a loser.

Life doesn't have to be like this - so adversarial. There's no limit on the number of "A" grades we can give out, or the amount of money we can print. There's no limit on the number of doctors we can have. We live in a world that's been artificially constrained to create winners and losers. There's no need to have competition so inbuilt to society. Yes, we might see that nature is full of competition - survival of the fittest - but we're not beasts. We've become super-intelligent and capable of producing vast surpluses of everything we need. With high-yield farming techniques and agricultural mechanisation, we can feed ourselves until we burst. With mass production and factories, we can have a virtually unlimited amount of goods - clothes and shoes and building materials, as well as pointless consumer crap that we arguably don't need.

Like the many utopians who I studied while doing the research for my second novel, I can see a world that's jam-packed with all the technology that we need to improve the human condition, and elevate half the planet out of poverty. I can see that we already possess everything we need - we don't need nuclear fusion or flying cars or any other sci-fi fantasies... we already have the means at our disposal, to improve our lives.

As a person who wants to make a positive difference - to effect meaningful change - I find it very distressing that those who are working very hard to improve the world are being thwarted. Imagine all the effort put in by doctors, nurses, politicians, charity workers and myriad others who do what they do because they want to make the world a better place... but it's not working, is it? The world is getting steadily more and more fucked up.

If you think I'm seeing the world through a 'blue filter' and my depression tinges my perceptions, we only need to look at the hard data - homelessness, depression, anxiety, alcoholism, drug addiction, poverty, crime and all the other indicators we have of the health of our society are telling the same story: Things are getting worse, not better. Your kids will have to get into heaps of debt to obtain their education, and then they won't be able to afford to buy a house. Your kids are going to struggle to find work. Your kids are going to struggle, full stop. Your grandkids are absolutely fucked. It doesn't take a genius to extrapolate from the data and see where we're headed. Things aren't just going to magically improve without anybody doing anything. Don't look to politicians to cure society's problems. Don't look to charity to cure society's problems. Don't look to the church to cure society's problems. If any of the existing status quo members were going to do something to fix things, they'd have done it at some point in the last 400 years, wouldn't they?

I haven't figured out what I'm going to do yet, but the best "not in my name" protest I can think of is to kill myself. The best way I can think of to register my objection with the status quo, is to end my life.

Maybe I have a lemming-like instinct to kill myself because of overpopulation. Perhaps my genes are telling me to kill myself for the good of the species. Certainly the self-preservation instinct feels much weaker than the powerful emotions that tear through me, thinking about the futility of the oft-tried ways of making a difference.

If there's no opportunity to make a meaningful contribution, why go on?

 

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Cry for Help

5 min read

This is a story about compassion fatigue...

Man on the edge

I imagine that the boy who cried wolf was probably telling the truth every time he raised the alarm, but the villagers just wanted him to shut up - they wanted him to quietly deal with the wolf on his own and to leave them alone. I mean, what kind of monsters would leave a little boy to protect sheep from wolves? The moral of the story is "don't complain" and "fuck off and die".

I'm sick and tired of explaining that my depression and suicidal thoughts aren't going to be cured by yoga, kale smoothies, exercise, mindfulness, whale song recordings or other quack cures. I'm sick and tired of explaining that I've had enough of swallowing a heap of different pills to try to level out my moods - one to counteract another, and so on ad nauseam. I'm sick and tired of explaining that my job is making me unwell, but I can't quit because I need the money. I'm sick and tired of explaining that my living and travel arrangements are toxic to my mental health, destroying any sense of wellbeing. I'm sick and tired of hearing simple solutions to an oversimplified version of my complicated problems. I'm sick and tired, and I want to die, because that's the only easy solution.

I was pleased to reach the end of Jinxed January. I was pleased to start dating again. I was pleased that money has started to flow again. However, it's all too little too late - the demands which have been placed on me are too great. The things I've had to battle through and overcome have exhausted me, and I've got nothing left to give - I'm spent.

In the last year I lost two girlfriends, two apartments, two jobs. In the last year I spent 7 weeks in hospital. In the last year I quit stimulants, opiates, benzodiazepines, neuropathic painkillers, sleeping tablets and a host of other pills, powders and potions. I moved between several cities and slept in so many different beds that I can't possibly count them all. You'd think that all the hard work would pay off, but it hasn't. For all the agony and anxiety, there's no reward at the end of it. For all the stress and strain, it hasn't got me anywhere. For all the self-denial and good behaviour, there's been no benefit.

I emerged from work this evening and the sky wasn't completely dark. Longer days are coming. Better weather is on its way. However, sustaining myself until the first warm days of this year is going to be impossible - I'll never make it to mid-spring, because I'm fucked right now. "One day at a time" is the problem - the days are unbearable.

I thought my suicidal thoughts had subsided, but this evening I had the strongest urge to end my life that I've had in quite a long time. My suicidal thoughts had turned into hopes and plans for the future, but this evening those hopes seemed too far out of reach. I've done the maths and the figures just don't add up. There's no way that I can carry on. The money's not coming in fast enough to stop the rot. I can't keep myself afloat like this any longer.

I found some Bitcoins I'd forgotten about. They're sitting there ready to be spent on the dark web. I'm not going to relapse, because that would be slow suicide. If I'm going to kill myself, I'm going to do it quickly and suddenly, not in the drawn-out and degrading way that happens with drug addiction. If I'm going to kill myself, it's going to be with pride and dignity, knowing that I tried as hard as humanly possible to rescue myself, but it wasn't enough. If I'm going to commit suicide, I'm going to be clean, sober and sane.

Life's not worth the aggravation. Life's not worth the effort. The rewards just don't match up with the stress, exhaustion, loneliness, isolation, boredom, trauma, suffering, grief and inevitable death.

Why bother?

I've worked a million jobs and delivered a zillion projects. I've moved house so many times, built fortunes, created companies and invented products. I've travelled. I've lived and loved. I've taken everything to the extreme. I've had enough. I'm sick of this shit.

Don't try to persuade me to live and don't be sad when I'm gone. I've lived a thousand lifetimes. I just can't stand having to live one more, when it's just repeating the same old bullshit I've done a million times before.

Don't ring the police or whatever. I'm not going to kill myself immediately. I just really want to die and I'm planning when and how I'm going to do it.

 

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The Relentless Manipulation of my Moods Using Every Means at my Disposal

9 min read

This is a story about music...

Out clubbing

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

 

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Antipsychiatry

9 min read

This is a story about doing no harm...

Pile of pills

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

I refuse to be labelled and drugged.

 

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This Time Last Year I was F**ked

11 min read

This is a story about the hands of time...

View from the loft

I have a breadcrumb trail of images that allow me to retrace my steps and understand where I've come from and attempt to estimate whether I'm spiralling downwards or slowly recovering. If I look through my photo library at the images and videos that I captured exactly one year ago, there are three strange videos that I recorded, which clearly indicate that I'd had a major relapse. Three days later both my kidneys had failed, my left leg had ballooned to twice its normal size due to DVT and my blood was toxic enough to kill me at any moment.

Every year for the past four, I've had a Jinxed January. It's true that depression, hypomania and addiction have reared their ugly heads year-round, but January is a particularly awful time. I cured the November wobbles by writing novels. I cured the December wobbles by cutting my toxic parents out of my life. The next problem I've got is how to solve Jinxed January.

My present strategy is to shackle myself to my desk, doing a job that I absolutely hate and is completely incompatible with my mental health. If I can survive this January without doing anything stupid and self-sabotaging, I should have the wind behind me and a downhill stretch of road to help me coast into the spring. The odds will be increasingly in my favour as the days get longer and the weather improves.

I'm emerging from the fog of addiction, intoxicating medications and copious quantities of alcohol. It was impossible for me to really comprehend how bad things had gotten, while I had so much toxic crap in my body. I'd lost all perspective and ability to perceive reality. I struggle to relate to a lot of what I've written in the last few years, because that person who was under the influence of such vast quantities of drink and drugs feels like somebody else. I can read my own words, I can see the distress and I can remember the things that were driving my thoughts and emotions at the time, but not everything in my world was entirely real and grounded in reality. I'm not seeking to distance myself from the things that my body did - including saying and writing things - but it's a little bit hard to imagine that it was me. If you want to get obsessive about blame and responsibility, then f**k you, buddy... go read somebody else's blog you tiresome bore.

Of course, I feel very bad about the way I treated - for example - my lovely girlfriend who gave me a wonderful Christmas with her family, cared for me when I was in hospital, and was extremely nonjudgemental and understanding when addiction got its hooks back in me. I didn't treat her well in the end. I regret it and I'm sorry. I did that. I'm to blame. I'm responsible.

However, in the context of unpicking everything, I can see that there are repeating patterns and things that trigger other things - cause and effect are very complicated to understand. To fully understand the likely consequences and plan ahead, like playing a thousand simultaneous games of chess against grandmasters, is a completely unreasonable and unrealistic thing to expect of me.

Searching back through my photo archives, I can see that I obtained a prescription for an antidepressant - bupropion - shortly before one relapse. I can see that I obtained another - California rocket fuel - shortly before an episode of hypomania where I broke up with the aforementioned brilliant girlfriend. In fact, whenever I seek chemical relief from depression, that's usually an indication of a desire to feel better at any costs, having suffered weeks and months of suicidal thoughts. Am I to blame for seeking relief from my intolerable feelings of depression?

Scanning through my library of images, I can see how I become obsessive over sleeping tablets and tranquillisers, as I rely upon the pills in order to cope with dreadfully stressful situations, which would send even the least-anxiety prone amongst us running screaming in the opposite direction from the source of the stress.

This time last year I was about to start work doing yet more IT consultancy for yet another bank. I was not incredibly enamoured at the prospect, but I needed the money. Circumstances conspired to force me back into an unhealthy environment.

Sadly, I'm not rich enough to do whatever I want, and I'm not even financially comfortable enough to do something tolerable - I've got to do the thing which pays the bills, and that's IT consultancy for banks, unfortunately. It's a fact of life that sometimes we have to do things we don't like very much.

So, I've avoided the antidepressants this time, because they always seem to send me loopy. I'm white-knuckling it to the end of Jinxed January, because I just need to get through this god-awful month, come hell or high water. I'm constantly reminding myself that even to dabble with so-called recreational drugs or get mixed up with girls in a big way, is likely to be destabilising. I live like a monk - work, eat, sleep, repeat.

Because of the extraordinary quantity of benzodiazepines I was abusing, I have huge holes in my memory. It feels like such a short time ago that I was hooked up to my own dedicated dialysis machine, on a high dependency ward. It feels like only yesterday that I regained consciousness with a machine breathing for me in intensive care. I managed a spectacularly terrible sum total of just 11 weeks at work in 2017, and virtually all the rest was pure insanity. I spent about 7 weeks in hospital, so with that 11 versus 7 ratio, you can see that my year was pretty messed up.

This year is brutally drug-free and medication-free. My brain screams in agony at the unbearable levels of depression and anxiety, but I've seen that to reach for any kind of substance for relief is opening the flood gates to fully-blown addiction. I'll convince myself that whatever chemical I'm using to feel better is not effective, and I need to take more, more, MORE! Before I know it, I'll be back on the supercrack.

It might seem obvious to an outside observer that my cyclical life is due to bipolar disorder, and I should rush to my psychiatrist and beg to be given mood stabilisers immediately. However, those who superficially observe me would remark that I'm very stable: I get up, shower, get dressed, have breakfast, go to my job, spend my evening watching TV and writing and get eight hours sleep. To the casual observer, I seem like the most functional and stable person who you could possibly hope to ever meet.

The reality of my existence is one of continuous battle with depression, anxiety and a craving to spectacularly self-sabotage with addiction. Getting out of bed in the morning and overcoming debilitating anxiety are comparatively easy, having built up the mental strength to overcome the urge to take one of the most addictive substances known to man. I'm not meaning to compete with those who find their lifes to be completely unliveable due to depression and anxiety, but merely to say that I've found it easier to overcome things which would have kept me bed-bound, after having been through what I've been through. Every cell of my body screams in protest at the bullshit I'm putting myself through at the moment. Every bit of my brain yells in agony at the daily punishment I suffer, but what does an extra bit of suffering matter compared with the endless comedowns and drug withdrawals I've been through?

As I look back on the last year, I realise I've been through opiate withdrawal from tramadol, codeine and dihydrocodeine; through benzodiazepine withdrawal from diazepam and alprazolam; through stimulant withdrawal from crystal meth and supercrack; through withdrawal from pregabalin and alcohol; through withdrawal from sleeping tablets like zopiclone and zolpidem. In terms of detoxes, I've had the detox from hell. In terms of quitting addictive medications, I'm a Guinness World Record holder. I really do deserve a medal.

As I look back on the last year, I realise I've been through so many health issues, housing issues, financial issues, legal issues, employment issues, relationship issues and everything else that would wreck your head and rob you of your sense of stability, comfort, contentedness and happiness. I'm surprised I'm not sleeping in a cardboard box, just to escape the clutches of a society that wants its pound of flesh at any costs. I'm exhausted by the constant stress of it all.

If I make it through Jinxed January, I have little to look forward to. There's nothing jump for joy about. Anybody who tells you you'll feel better if you quit the booze and the drugs and the pills is a fucking idiot. Anybody who tells you that you'll have improved self-esteem and all the other good stuff, if you get yourself off the streets and into a job, is a fucking idiot. I'm an extremely rare example of a judge, policeman and a social worker's wet dream - a bankrupt homeless mentally ill junkie who's got themselves scrubbed down and gone back to civilised society, but I've got to tell you in no uncertain terms that it's awful and I hate it. My life is a living hell.

Perhaps this is the ultimate comedown. Perhaps all the chickens are eventually coming home to roost. Perhaps this is the payback, given that I somehow miraculously avoided prison, a criminal record, bankruptcy and permanent health damage. Perhaps I'm finally paying the price for all that partying.

But, I haven't been partying. It's not like I haven't paid the price every time I fucked up. It's not like I haven't tried hard to do the all the right things and contribute to society. It's not like I've robbed, and manipulated and been a parasite on society. I've already paid for my transgressions. Where's the reward for getting myself sorted out? Why did I bother?

As I look back, I have rose-tinted glasses. As I look forward, I see the world through a blue filter. The past wasn't so bad and the future looks bleak. Perhaps this is the final stage of recovery from addiction, when my memory of the horrors of the past is becoming faded and I fondly reminisce about the few moments that were OK in all that insanity. It was certainly an easier life, to be on a rocket-ride to hell.

I try to look back and remind myself just how bad things were, but I find myself smiling and laughing in a way that I just don't when I think about the eight hours I spent going through hell at my desk today. In my mind, I perceive the present unpleasantness as far greater than anything else I've been through in the last year. That's strange, isn't it? To have suffered multiple organ failure, loss of my home, loss of my job, a suicide attempt, incarceration, getting sectioned, psych wards, addiction, loss of my girlfriend and all the other atrocious things that I went through in the last year, and the very worst thing is my current working arrangements.

Obviously, I think that my perceptions must be warped by my state of semi-recovery from addiction and other mental health problems, but I don't think it explains everything. There is something awful about being all alone in an AirBnb, working a job I hate because it's boring, easy and doesn't bring me into contact with a single soul... it's so lonely and isolating.

I'm churning words out into the ether, because I'm in such discomfort and I'm so afraid.

It's strange that I'm not afraid of ending up back in hospital, isn't it?

 

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