This is a story about subservience...

It's grim up North. I didn't think it would be but it is. Here's Coronation Street. Beautiful, isn't it? Presently, that discarded sofa would be where I'd sleep if I discharged myself from hospital.

Without the crutches of alcohol, benzodiazepines and sleeping pills, I feel overwhelmed by stress and anxiety, because of the precarity of my position. Without a home; without a job; without financial security - there's plenty of rational reasons to be distressed.

People implore me to sit back and relax, but they don't realise that I've got loan payments to make; credit card payments to make; overdraft interest to be paid. To have to spell this out multiple times is frustrating.

"Why don't you just go bankrupt?"

Yeah, nice one, Einstein. Did you know that I do a lot of consultancy for financial services organisations? It's imperative that I have a clean credit record - prospective employers will do credit checks on me. You might as well suggest that I go out and commit a crime and add a criminal record to my list of woes.

"It's too soon to be thinking about going back to work"

Well, unless I'm accepting that I'm abandoning all hope of ever repaying my creditors and suffering a life of poverty at the mercy of the state, then no, it's not too soon. There's a concept called runway that I talked about at length during the first half of this year. I was unwell, but during my convalescence I was running out of runway. What happens when a plane runs out of runway?

In short, I'm driven to seek income, to prop up my depleted finances and keep servicing my debts.

If you're really wanting to poke your nose into the darkest recesses of my life, then you should know that I can easily earn enough to replenish my savings and get onto an even keel, with just 5 or 6 months of contract work in London. That I ever left London seems like a mistake, but I had few options - what I did was the right thing in the circumstances.

Today, I'm detoxed from alcohol and benzodiazepines - the physical dependency has been treated - but it quite literally nearly killed me. In addition to the massive deliberate tramadol overdose, my hospitalisation meant I abruptly stopped drinking and taking benzos, which caused me to have loads of seizures - in short, you should never suddenly stop heavy drinking or taking large doses of benzos, because you could die.

So, one might argue that I'm in a better place than when I attempted suicide. Yeah, I guess the biggest threat to my life has gone - my physical dependency on medications and alcohol.

Now, the biggest threat to my life is me - the desire to be dead is an insistent nagging thought that won't go away. It makes so much sense to commit suicide: all I have ahead of me is stress.

The rebound anxiety - having ceased taking medications and drinking alcohol - is causing me to suffer an intolerable amount of unpleasant feelings. It feels like I'm going to feel awful forever, and who would want that?

Of course, my perceptions are probably warped - nothing lasts forever. However, should I really be living my life just hoping to die of natural causes?

I could be writing about how pleased and happy I am to have a second chance - I survived a very large overdose and other medical complications that really should have killed me: the team at the Intensive Care Unit (ICU) were very surprised that I survived. Shouldn't I embody every trite contrived platitude you've ever heard? Shouldn't I be carpe diem'ing? Shouldn't I be counting my blessings? Shouldn't I be thanking my lucky stars?

Without stopping to consider all the reasons I tried to kill myself, my problems are not going to go away on their own, are they?

If my suicide attempt was an impulsive thing that I had any regrets about, then perhaps surviving would give me some long-lost appreciation for life. However, I'm spine-chillingly cold and rational about the biggest decision that anybody can ever make: the decision to die. Having been stuck in a never-ending cycle of attempts to get my life back together again, I was exhausted and unable to face rebuilding everything again. I'm still exhausted.

There was a fleeting chance that my suicide attempt could have been a minor setback, but I was completely shafted by the company I was working for. The mistreatment I suffered was inhumane; monstrous. I'm almost speechless that I could have been treated so badly.

I'm stuck between three things:

1. To act positively, and go and earn some more money
2. To act negatively, and pursue my legal rights
3. To simply attempt to kill myself again

To follow the first option is to repeat the behaviours I mastered a very long time ago. It was 20 years ago I got my first full-time job; rented my first apartment. It was 20 years ago that I learned about office politics and how to get ahead in life - a life of corporate conformity.

Instinctively, I reject the bullshit that made me unwell. For 20 years I've observed the rats in the rat race, and for 20 years I've observed the world become a shitter place - an exploding population is on collision course with mass starvation; unrestrained fossil fuel burning has led to runaway climate change, which is causing parts of the world to become uninhabitable, killing and displacing billions of people; deregulated free-market capitalism has raped the globe's finite resources and created a culture of wealth-worship where nobody gives a fuck about anything.

To be a principled, ethical man, is a kind of disadvantage - my political philosophies about social justice and a more fair and equal world, are exploited. I find myself screwed over by people who are willing to trample on anybody and everybody, in a desperate and disgusting scramble up the slippery sides of a mountain of dead bodies.

I've proven that I can play by the rules, but the whole game is bullshit and most people are cheating. I don't have anything to prove to anybody anymore; I've shown that I can wear the corporate mask and fit in with the herd; I've shown that I can live a life of subservient conformity, but it drove me to point of taking my own life.

I don't wanna play anymore, and the only way I can see to call time on this bullshit is to kill myself.

I think to myself that I've suffered and that I must turn that suffering into a piece of art - a monument to the stupidity of humanity. It's grandiose and ridiculous to think that a piece of writing could have any useful effect on the world, but this is my only legacy. Do you deny me the facts? To think that I would no longer live & breathe was a shock to many who've stuck with me and followed my story.

Of course, I'm sick and I've got "insight" into my illness - that is to say that I can consider an objective point of view. It's natural that I'd be feeling terrible, only 24 days after I very nearly managed to kill myself. It's natural that I'd be feeling terrible, given the clusterfuck of issues I've got to sort out if I want to go on living. I can see that I may very well be feeling unnaturally anxious, because my brain is re-adjusting to life without booze and benzos to soothe the stresses that are ever-present in the world.

A doctor suggests that I avoid the news, political protests and other things that I might get worked up about. Is this akin to a lobotomy? I think I would very much like a lobotomy... that's how I arrived at the brain-numbing chemical lobotomy that I swallowed every single day. Unfortunately, my brain is very much intact.

Why am I still so painfully conscious?

Tags: #suicide

This is a story about customer service...

Amongst a small group of my friends, we have all found that a medication called pregabalin - marketed as Lyrica in the UK - has been useful to us, but also has adverse side effects and is difficult to stop taking. Pregabalin is quite good at combatting anxiety and improving sleep, which are obviously the desirable effects: most of us have stress in our lives, and struggle to get enough high-quality sleep. Personally, pregabalin is an effective treatment for the phantom limb pain I feel, due to damaged nerves - I can't feel my left foot. Pregabalin is far better than the opiate painkillers, which left me sweating and nauseous at times. However, stopping taking pregabalin leaves me feeling anxious and gives me insomnia - what goes up must come down.

Soon pregabalin - "the new Valium" - will be scheduled as a class C controlled substance, which makes it much harder to obtain a prescription, and possession without a prescription could be punished with a criminal conviction.

Here on the psych ward, a man screams for a "blue tablet". Perhaps more blatantly obvious as an addiction, another man attempts to wheedle more Subutex (buprenorphine) out of the staff - he's been droning on about having his dose restored from 8mg to 16mg, because he is being weaned off the synthetic opiate he is addicted to. I can hear this guy, who is obviously no stranger to our prison system, chopping and snorting drugs his room. The man who screams for a "blue tablet" is actually asking for a 10mg diazepam pill - blue in colour - which is Valium. Our screaming friend decides he wants to leave hospital, and the staff tell him he can't leave because he's going to take heroin. "It's my body! I do what I want!" he screams. Then, he starts getting abusive.

Early on in my hospital detention under section 2 of the Mental Health Act, I ask a nurse if she can nip to the shop to get me a 4-pack of beer. We lock eyes for what seems like an eternity. I maintain a completely straight face. Then, we both snigger and she regains her composure. She jokes that we should have a big piss-up on the ward. With a different nurse, I tell her with a straight face that they have forgotten my methadone and she immediately unlocks the cabinet containing the opiates that are so coveted by some patients here... I hastily tell her that I was joking, but she still continues to search my medication chart. Do I look like a junkie? I certainly don't have track marks on my arms or other identifying features of an injecting drugs user, such as abscess scars.

A doctor comes to take my blood. She doesn't shut my bedroom door. Three men, who I know were heroin users, peer into my room and I feel bad that I didn't ask the doctor to close the door or get up and close it myself - surely the sight of a needle going into a vein is going to be a terrible trigger. There's good evidence that addicts' brain reward pathways are activated when they see drugs and drug paraphernalia for just 33 milliseconds, which is less than the 40 milliseconds that a single frame of cinema film is shown for.

Having been detoxed from my physical dependency on benzodiazepines and alcohol, I find that I crave nothing more than a few drinks in the evening - some wine or some beer - to take the edge off the stress and anxiety of my situation and help me relax during what is a fairly dreadful clusterfuck of issues with employment, housing, accommodation and my health. However, I don't want to sabotage my treatment and recovery.

I'm incredibly grateful to the NHS, for accidentally detoxing me while they were treating my deadly deliberate overdose - my suicide attempt. Being physically dependent on a medication is to be shackled to it - to stop taking it would cause seizures and potentially death. There wasn't a 'buzz' that I was chasing with booze & benzos. I was using mind-altering substances to soothe my jangled nerves: self medication.

Am I glorifying drug taking, or making light of serious matters? Don't be so ridiculous.

An epidemic of illicit opiate use sweeps across the United States, with the number of overdose deaths and addicted babies born, skyrocketing in the past few years. An epidemic of mental health issues has pushed the services that are there to support those who become unwell, to breaking point. Only a wilfully ignorant person would turn a blind eye to what's happening all around us.

Carfentanil - a synthetic opioid - is so powerful that an aerosol of it could be sprayed in a packed metropolitan area and cause hundreds of people to die from respiratory arrest. This drug is being sold as an adulterant in bags of heroin, in the United States today. In the UK, carfentanil's less potent - but still deadly - chemical cousin, fentanyl, is quite common now in batches of street heroin. If you're worried about terrorism and weapons of mass destruction, these things have already arrived on the shores of the US and UK, in the form of incredibly deadly chemicals that are available for sale to anybody with the money.

My fellow patients are unrelenting. There's been a 2-day nonstop assault on the staff, as the patients attempt to get a tiny amount more synthetic opiate out of the doctor. There's not much else to do on the ward, and whatever medications the doctor has decided to write on their chart will remain fixed for a whole week. I guess they've got nothing to lose apart from their 30 minutes of escorted leave from the ward. One patient has done a runner, sensing that the doctor's decision has not gone the way he would prefer.

"You've not done anything wrong. You can come back and you won't be in any trouble" a stressed looking nurse is saying down the telephone, to the patient who has gone AWOL. Meanwhile, a patient takes breaks between harassing the staff for 8mg more Subutex, in order to chop and snort lines of white powder in his room - presumably he has a plentiful supply of his own drugs, which he wishes to supplement with a legal prescription.

I try to calmly await my section tribunal, despite the chaos outside my bedroom door.

It should be noted, that the quality of care does not vary with one's behaviour - the staff are supremely professional - but good manners are declared as the number one thing that every staff member wants, on a notice board that tells the patients a little more about the team of people who look after us.

Good manners cost nothing.

Tags: #hospital #mentalhealth #drugs #addiction

This is a story about seeing red...

My dad had a fairly simple moral code for me, when I was a little boy: boys shouldn't hit girls or boys wearing glasses. That's about it. I remember guns were bad and I got in trouble (age 3.5) for looking like I enjoyed myself playing with a friend, who had brought his plastic guns with him. I eat anything and everything today, but I also remember being terrorised into eating rice pudding - which was slimy and disgusting in texture to me, before the age of 4 - so much so that I started throwing up with stress and anxiety, before every mealtime and lost so much weight I had to be hospitalised.

Perhaps it's clear, in retrospect, why I would turn to a hospital to protect me from bullies.

But, perhaps it's me who's evil, and needs to be locked away from the general public? Certainly, now that I've got chance to stop and catch my breath, I'm finding I've finally got time to examine the morality of the way I've acted in the past.

If you hit your kids or generally terrorise them to the point that they need to be hospitalised, trust me, they're not having a brilliant home life. At playgroup and school, I took this pacifism thing that my dad had been very angry about - a.k.a. playing with a friend with a plastic gun - very seriously and I got the crap kicked out of me by other kids... it wasn't until many years later that my dad suggested fighting back, which seemed somewhat odd given that I'd received these hippy lectures about being nonviolent. Anyway, I went down the path of pacifism and that's where I stayed. I was not having a brilliant school life - I was picked on every single day, to the point where, again, it would leave me collapsing in uncontrollable sobbing fits, while on the way to primary school.

Boo hoo! Get the violins out!

My first experience of domestic violence was me crying and being punched in the face, giving me two black eyes and a broken nose. I didn't even defend myself, let alone strike back... why would I need to? I didn't understand why I was being victimised like this, by somebody who was supposed to love me. I had to go into work with a bullshit story about having collided with a buoy while kitesurfing, to explain my two black eyes. It was the male extreme sports equivalent of "I walked into a door". I had to lie to her parents, when we went to see them for a planned visit soon after my face had taken that pommelling.

I'm 6ft tall (183cm), 13 stone (82kg) and I still retain some of my muscle bulk from rock climbing, kitesurfing and wakeboarding, although I'm obviously not in peak physical shape. I've got the mindset of a terrorised 3-year-old, ganged up on by two fully grown adults, but I'm in a body that can do some damage and defend itself now.

The problem - if there is one - is that if I feel bullied and attacked, and you managed to corner me, I'll smash my way out of the situation. I don't hit people - I'm still nonviolent. I don't get into fights. However, very occasionally I will trash something - more often than not it will be my own property - because the insanely horrible emotions just have to come out.

"Do you think that was the right thing to do?" a stern-faced looking policeman asks me. "Do you think there might have been a better way to handle that situation?" comes a second question, as if the first one - which I haven't had chance to answer yet - was not clear enough for me. Of course, I would have loved to handle things differently. Of course, I feel guilt and regret when I snap; when I can't take the onslaught anymore, and I've done something that I wish I hadn't - some property has been damaged.

She's asked me to travel out to the suburbs from the city centre; it's a considerable car ride away, including some travel on a dual-carriageway - the main road South, which turns into the motorway and would safely take me back to London, if we stayed on it. I get the cab to stop at a shop so I can buy some things for a romantic evening. I'm greeted with a hug, we lie on the bed kissing and cuddling... this is all how I hoped things would be; I'm relaxing and enjoying a pleasant evening; this is very nice. Then, she's hurling abuse at me, telling me I'm a terrible person... I'm sitting down while she's standing up, verbally attacking me and generally bullying the shit out of me. She suddenly asks me to leave... alright, no problem. I jump up, grab a rolling pin from the kitchen where it lies idle on the worktop and I smash her laptop to pieces, then I leave immediately. I regret it instantly and text her that I want to replace it, as I make my way to the nearest cab rank, to get a taxi to retrace the journey that I took hardly any time ago. Why had I been summoned to the suburbs for this abuse? Certainly, my loss of temper at the injustice of it all is in no way a justification for destroying her laptop - it was a disproportionate response.

I don't think people really see what's going on underneath the surface, even though I tell them.

Two police officers are interviewing me. It's 2am in the morning. I was just discharged from hospital after a suicide attempt, and my kidneys are still not fully functioning. My body is bruised as hell from where the emergency services had to kick in the bathroom door to get to me, slumped in the dark, dying. My muscles ache from the damage that was done to them by the massive overdose of opiates - prescription painkillers I had stockpiled. I answer the police questions. I admit smashing up that laptop - of course I did it and I want to replace it. The last messages I ever sent while still alive were attempts to get her bank details, so I could transfer her enough money to get a brand new replacement... although of course the destruction of her laptop must have been a shocking over-reaction in her eyes and upsetting for her, and I can never fix that.

Don't people see me as vulnerable? I feel like a 3 year old, being beaten up by grown-ups. I feel vulnerable; scared. People must see me as an easy target, because they certainly don't hold back when they're ripping into me. I find myself back in my trashed apartment at 3:30am on Wednesday morning. How did this happen? Why do people think I'm perfectly fine - OK to chuck out from hospital as soon as my kidneys are working a little bit? Why do people think I'm physically and psychologically indestructible? Why would the massive overdose that I took be seen as unimportant, and that I'm perfectly able to pick myself up and carry on with life?

I feel like I get a double-whammy. I feel that people take advantage of my good nature: my trusting and happy-go-lucky approach to life, where I try to be generous and loving. I take the risks - I make the first moves - and I put myself out there in the hope of getting something back. If I get nothing back, that's fine - let's just leave it there and move on. Why did I have to get dragged all the way out of the city centre and far from my home, simply to receive cruel and unpleasant treatment and be told to get out? My reaction was out of proportion though, so I also get the guilt. I'm guilty of smashing up that laptop. I'm guilty of seeing red, losing my temper, retaliating at the injustice of the situation, in a totally unjustifiable way. Now, I still carry that guilt and I always will - it stopped her hurling abuse at me, but that doesn't make it right. In fact, I can never make things right - I'm always going to feel terrible about her stunned silence, and the fact that it must have seemed like a crazy over-reaction to a bit of 'light-hearted' bullying and abuse in the place she'd dragged me out to, to do it - in the middle of fucking nowhere. If it sounds like I'm conflicted, I am. Where's the sympathy for the fact that I was taken advantage of, abused and left feeling totally abandoned in a strange city? Where's the consideration of the fact that it's obvious that I was on the edge: I very nearly succeeded in killing myself, as the very next thing that I did.

This whole traumatic episode has forced me to dredge up every 'bad' thing I've ever done, and reconsider whether I could have handled things better. What the fuck am I supposed to do? Turn down friends and girlfriends when they cross my path? Am I supposed to be negative and untrusting? Am I supposed to shut myself away, isolated behind closed doors and be anti-social, because I always end up just feeling like a mug... financially taken advantage of and cleaning up after my 'guests'. Should I not give people a chance? Should I be closed and negative, assuming everybody's out to get me? Certainly, everybody's come and picked my fucking pocket, quite gleefully.

I'm no angel. This is certainly not a piece that argues things in black & white. If you want to talk about black & white, then you have it in black & white: I smashed up her laptop with a rolling pin in a sudden fit of rage. My regret and remorse is meaningless - I did it, so that's that. I'm guilty of being an "angry man" right?

I wonder what percentage of my life I've been angry for. Certainly, most people who've known me for any length of time would not think "angry" as one of the first words that sprang to mind. Perhaps I just hide it very well. It's not really for me to judge anyway, what my personality is in the context of this tale and the wider issue of whether I'm some kind of crazed nutter, intent on smashing up the entire world.

I guess you could consider the nature of a dog, as an analogy. How much can you abuse the dog, before it bites you? Are the best dogs the ones that just whimper and maybe even shit themselves? Does a dog - even though it has sharp teeth and powerful jaws - only qualify as a good dog if it never turns on somebody who's abusing it? If you can answer that question, you might have gone some way to answering the question that fills me with doubt at the moment: am I a bad person; am I evil?

Frankly, I think we're all capable of saying and doing regrettable things, in the heat of the moment. The question is, how do you feel about what you did? Do you do horrible things on a regular basis? What's your predominant personality - are you a victim, victimiser or something in-between?

I don't want to fall into the trap of feeling too sorry for myself; feeling too victimised. I've said and done things I wish I hadn't. Also, why can't I stick up for myself? Why can't I avoid the people who think it's OK to pick my pocket? Why can't I tell those who would take advantage of me, to fuck off, before they bleed me dry?

I've seized upon this word "vulnerable" which neatly sums up me and my situation. I trust when I shouldn't; give when I shouldn't; take a chance when I shouldn't and generally end up fucked. Surely nobody would argue with the facts: I'm the one who ended up isolated and alone, dying of an overdose, losing all my property, losing a lucrative consultancy contract and an employment offer. I'm an example of the person that lawmakers had in mind, when they created laws that protect me from mental health discrimination and prejudice based on confidential matters.

There's a line in a song I've probably never heard, but I know the lyrics because my guardian angel told them to me. The song talks about how bullying a kid every day created a monster.

Am I a monster? I certainly seem to fight with monsters. Perhaps I would be wise to remember the words of Nietzsche, and be careful that I do not turn into a monster myself, if I continue to fight monsters.

It's not my instinct to fight. It's my instinct to be nonviolent. I only fight^* when I've got nothing left.

Tags: #bullying #relationships #suicide

* - I don't mean fight her. She's got the money to replace her laptop now, I hope, and I really hope we can move on with our lives as best as we can, although I do appreciate that it was traumatic and seemingly an over-reaction from me. I feel very bad about what I did.

This is a story about twisting my mellow...

Here I am, in bed, wearing my convict pyjamas. I just woke up. Not looking too bad for 127 year old man. Mad for it.

Actually, I was woken up before 8am by the kerfuffle outside my bedroom door. On the opposite side of the corridor is the dispensary hatch, where the medications are dished out to everybody. It's quite lively at certain times of the day on this psych ward, which has some of the very sickest people in the North of England, receiving treatment for their mental health problems.

Have you ever thought to yourself "I can't go on" or maybe even "I wish I was dead"? Have you ever thought that you're going to have a breakdown and you need to be in hospital? In actual fact, you're tougher than you think. Very few of us will have an acute mental health crisis that is severe enough to require inpatient hospital treatment.

Am I admitting that I had a "nervous breakdown"? Don't be so ridiculous. I left the city where I have spent most of my working life and relocated to this Northern city, where I have no friends or family; I took on a very stressful new job; I tried to build a new group of friends and get a girlfriend... when that all came crashing down around my ears, doesn't it seem understandable that it would have destabilised my already fragile little life? I'm just an animal - like you - and I respond to the stimuli of my environment: if I'm being stressed by external things, then of course I'm going to have a reaction. Action -> reaction. Is that so hard to understand?

Of course, it might look like madness to have taken on so much stress all at once, but I did need to shake things up. I never quite reached the point where I was safe and stable, so it was sadly necessary to do something drastic. You might liken what I did to Electro-Convulsive Therapy (ECT) which is also known as "shock treatment". In fact, I had multiple seizures on Saturday and Sunday, and maybe even Monday. To be honest, I'm struggling to remember much about the time that I was unconscious for some reason.

It's pretty terrifying that there's this big hole in my life, where I was having fits and was in a medically induced coma. The memories around those 12+ hours that I was under a general anaesthetic and having a machine breathe for me, are pretty hazy. When I came out of the coma, there was an intensive care team there to greet me, who explained what was going on and knew all the right things to say to put my mind at rest. The team - every member of the huge NHS organisation - at the hospital was amazing. From arriving in A&E resus, starting to have seizures and being taken to intensive care, being moved to a high dependency ward to look after my struggling organs - which were being destroyed by the massive overdose of tramadol I had ingested - to finally being moved to a general ward... the whole journey through a National Health Service hospital is incredible and I'm crying as I write this, because it's the most amazing example of the advancement of our civilisation, that I can possibly think of.

Of course, I feel a great deal of guilt for the huge burden that I have placed on the NHS, which is UK taxpayer funded. I wonder to myself how much I must have cost, versus how much I have paid in. We can't all take out as much as we pay in. Obviously, we can't all take out more than we pay in either, but to spell that out is a bit patronising, no? Those who work in the NHS certainly wouldn't want me to feel guilty, but I do. I also feel grateful. Grateful to be a British citizen and resident of the United Kingdom, where world-class medical care is free at the point of use. Grateful, but indebted... guilty.

Another analysis might reveal that perhaps a stitch in time might have saved nine. I first approached a doctor about my mental health in 2008, and I was fobbed off within seconds of opening my mouth. Our general practitioners have very little time to understand their patients' problems and offer a diagnosis and treatment. Most of us would be unhappy to walk away from the doctor without a prescription for some pills. It has always been my stance, that I would decline any treatment that I didn't understand; couldn't see good evidence for the efficacy of;  I needed to see proof that the long-term outcomes were positive.

I remember writing passionately online, as early as 1998, about the analogy of putting a sticking plaster over a gaping wound. I wondered aloud, whether the psychiatric medications that are dispensed for mental health problems, are merely masking the symptoms and not treating any underlying problem. To this end, I applied to university to study psychology, and was granted unconditional offers for some of the best degree courses available in the United Kingdom. I decided not to go to university. I could see that clinical psychology was desperately underfunded. It's a helluva lot cheaper to give somebody some patent-expired pills, than it is to let somebody talk to a therapist.

Now, nearly 20 years later, I've seen enough evidence; I've done a meta-study of the literature. It's quite clear that long-term outcomes for the mentally ill are not at all improved by the medications that are commonly prescribed. It's also quite clear that we are in the midst of an epidemic of mental health issues. I use that word epidemic in its most precise sense - we are literally seeing explosive growth in the number of people suffering from mental health issues, and a dreadful decline in the prognosis for those unfortunate enough to be affected.

It's my firmly held belief that mental wellbeing is a function of our environment. In a world of Donald Trump, global warming, the threat of nuclear armageddon and a Conservative government who are determined to pass legislation that will allow them to hunt poor people, on horseback, doesn't it seem quite natural that we should all feel rather threatened and afraid?

One of my early childhood memories is of chatting to a U.S. Air Force base worker called Wayne, who drunkenly boasted that America could destroy all life on Earth with bombs that exploded with enough heat to vaporise a human being. Please, when you tuck your children into bed tonight, don't share this charming tale with them. I can almost remember the very moment that an 'irrational' fear of death sprang into existence in my head. If I had been born 30 years later, I might have been diagnosed with an anxiety disorder - I became afraid of everything, from horses to fairground rides, to electric sockets. I don't really agree with the 'irrational' part of the fear though - it does seem rather rational to fear things that can kill you.

Doing extreme 'adrenalin' sports and training to be an electrician is actually very logical - one needs to face one's fears, if we are ever going to conquer our anxieties. Children who have allergies so bad that they face deadly anaphylactic shock if they come into contact with things like peanuts or dogs, have had their allergies cured by simply introducing their body to tiny trace amounts of the allergens that could kill them. If there's one amazing thing about the human body, it's the ability to adapt itself - the plasticity, if you like.

Now, I've taken the 'trick' of putting myself in hostile and extreme environments, to a ridiculous level. Most people would be psychologically disturbed by having their liberty removed and being detained on a psychiatric ward with some very unwell people. Most people would crumble to dust under the kind of pressure that I've been under. This sounds very boastful and big-headed, perhaps even grandiose and delusional. Well, yes, if the facts were not in my favour then I would agree with you.

Here I am, writing to you quite calmly and happily from a psych ward. Do you think you would be doing the same, trapped inside an insane asylum with people who are too dangerous to be allowed out into the community? There's the constant sound of shouting, screaming, slamming doors and alarms going off. Staff members - perhaps as many as two or three per patient at a minimum - run from crisis to crisis. One itinerant patient can have their entourage of mental health professionals, trailing in their wake all day and all night long, as they make their "obvs" (observations). Sometimes a patient must be cornered, captured, and dragged off to solitary confinement, where they are thrown into a soundproof padded booth. "STRAP ME DOWN LIKE THEY DO IN PRISON" screams one particularly unwell patient. Is this treatment or is this punishment?

My working hypothesis is that we used to be able to remove the 'bad apples' in order to have a functioning society for the rest of us, but that was never the truth - basically, we've been leading up to the mother of all crises, because the vast majority of people are stressed as fuck and eventually the masses were always going to stumble to their knees, under such immense pressures. Society is very sick, but it's only just coming to light, now that we can no longer sweep the most conspicuous problems under the carpet.

I'm the eccentric mad uncle, carted off to the insane asylum to keep me out of sight and out of mind. However, it doesn't work so well when I'm able to continue to be connected to the world, through the internet and social media. Perhaps one might argue that mental health problems are contagious, and are spread through words - written or spoken. There's certainly good evidence that a suicide will spark a whole bunch of copycats.

So, I'm struggling to wrap my head around the fact that I nearly died, but I'm finally in a safe place in which to recover, where I don't need to worry about paying rent, buying food or even cooking and cleaning. All of the chores of daily existence have been removed from my long list of responsibilities. I pretty much just need to make sure I remember to take my next breath, while I'm in hospital.

Jeepers creepers, it's been a long hard road to get "sectioned". What a relief!

Tags: #mentalhealth #suicide

This is a story about being hounded to death...

One week ago, I was shovelling pills into my mouth, washed down with pints of white wine. The LD50 is the lethal dose that will kill 50% of the test subjects. Lethal doses are normally calculated in milligrams per kilogram of body weight. Tramadol is quite a reliable way to kill yourself, with plenty of examples of successful suicides in the literature, for anybody who wishes to trawl the medical journals.

Most opiates will cause respiratory arrest. Tramadol seems to kill more often through serotonin syndrome, according to what I read in advance of my suicide attempt. I can tell you exactly what it feels like, to reach your wits end, decide to end your life, and follow through with the necessary steps. I can tell you exactly what it feels like, during the periods of consciousness, as you die.

Once I had downed all the capsules and their gelatin shells had started to dissolve, I started to become quite intoxicated, thanks in no small part to the wine I used to wash my legally prescribed pain medication - tramadol - down my throat. Of course, I had stockpiled the capsules, which is not what my doctor had anticipated I would do, when they wrote the prescription, but I was getting a box each visit to the pharmacist, with each box containing plenty to end my life.

I decided to send out some final Tweets, when I believed I was beyond the point of no return. I have no idea whether I inadvertantly saved my own life or not, by alerting my social media contacts to the fact that I was on my way to meet my maker.

Discussion of what pushed me over the edge is not really warranted here, suffice to say that I simply had nothing in reserve when my fragile embryonic new life in this Northern city started to crumble. I had given 100% to my new job, my new girlfriend and my new friends. I had no safety net, when the slender threads that supported me, snapped suddenly.

Firstly, it should be noted that it takes quite a long time for your stomach and large intestine to process enough capsules for you to start to experience the onset of a fatal overdose. I had imagined that 40 minutes would be plenty for the first wave of powerful tramadol to hit me, and to make me unconscious or at least delerious and incoherent. I was wrong - I was able to send out several Tweets that actually seem to make sense now - one week later - as well as being gramatically OK and without spelling mistakes.

Secondly, it should be noted that the ideal scenario of falling asleep and not waking up, did not happen at all. I did get waves of soporific effect from both the alcohol and the tramadol, but I imagine that the adrenalin of knowing I was on my way to the grave kept me mostly conscious. My eyelids would get heavy and my head would drop, but my body fought to stay alive and I kept jerking awake.

Thirdly, I have horrible snatches of memory. I can remember exactly what it was like to fill my mouth with capsules, and gulp them down with wine from a pint glass. I remember how agonisingly long it took to empty out all the packets into the box, which I used as a kind of cup, from which to tip a load of tramadol into my mouth before swallowing it. I can remember the emergency services battering their way into the bathroom, where I had slumped in the dark, waiting to die. I can remember telling them where all the empty pill packets were.

I can remember telling somebody - was it somebody at the hospital? - who my doctor was and exactly what overdose I had taken. I can remember the very worst moment, when the hospital told me that death was likely to be slow and painful, not the unconscious affair I had imagined.

I can remember when I started to have seizures. I can remember begging the hospital not to treat me with activated charcoal; not to pump my stomach; not to resuscitate me if I went into cardiac arrest. I can remember coming round after 12+ hours under sedation, breathing with a ventilator. I had a tube coming out of my nose, one down my throat and one up my dick - I had been intubated, catheterised and had several canulas installed, including an arterial one that was measuring my blood pressure. It felt like I had snot running down my face, but it was just a tube that was being used to put stuff into my stomach to neutralise the deadly chemicals.

I can remember a nurse or a doctor came and asked me a question, and I tried to reply but I couldn't. Every time I tried to speak, my lungs pushed air against the ventilator, and I would be left momentairily be gasping for air until I allowed the machine to breathe for me again.

I can remember a different nurse or doctor reassured me that I would be able to speak once the tube had been pulled out of my throat, where it was impeding my vocal chords. I was so relieved, because it was deeply distressing to lose my ability to talk and have moments where I couldn't breathe.

I can remember being asked how I felt about the fact I had survived an overdose that should have been fatal. I felt terrible about telling the hard-working intensive-care nurse or doctor that nothing had changed... in fact things were worse than ever, as I imagined that the overdose would have caused horrific organ damage. I expressed in no uncertain terms that I still wanted to die.

I can remember drifting in and out of consciousness. From Saturday night to Tuesday morning, I had no idea whether I was in A&E resus, intensive care or the high dependency unit. I can vaguely recall being told, but the memories seem all out of sequence, and dreamlike - quite unreal.

I can remember being wheeled into a general hospital ward at some point on Tuesday, and then wheeled off to my own private room. I can remember slowly regaining some mental capacity. I can remember a visit from a psychiatrist, where I again expressed my distress with my situation and fear that I would not be able to guarantee my own safety - what had improved since I had tried to end my own life? Nothing. In fact, my situation had worstened: I had no idea what kind of state my apartment would be in when I got home - my wallet, keys, phone and other personal effects had gone missing. It seemed unthinkable that I would have to face potentially being locked out of my apartment, with no money or credit cards on me, and no means of contacting anybody.

When I did finally make it back home, things were worse than I had even imagined. My laptop and digital camera had been stolen. Every single prescribed medication had been stripped from my shelves and drawers and cupboards. There was one single solitary pregabalin capsule, almost left mockingly on my bedroom floor which lay in disgraceful mess. I need pregabalin for nerve damage in my left ankle/foot... as a non-opiod painkiller. I desperately needed some of the zopiclone that I had stockpiled, in order to sleep after such a horrific ordeal. These are not dangerous medications, ironically. I had moved myself off the tramadol, because it was not desirable to use it as a long-term painkiller. I had stockpiles of zopiclone, because it was useful for these very eventualities. The home treatment team had thrown bucketloads at me, because sleep is so important for good mental health. Where was all my prescription medication?

There was no sign of my mobile phone anywhere, and without my wallet and laptop, I was completely stuffed in terms of being able to get a message to anybody. From Saturday night until around 3 or 4am on Wednesday morning, I had been completely cut off from the world... mostly unconscious, and without access to telephone, email or social media.

Wednesday daytime, the way I was treated at the office - where I went to store the few valuables that had not been stolen - was extremely odd; if not downright rude and unpleasant. It was most unsettling indeed to be treated so oddly at my place of work, especially after surviving a suicide attempt and having suffered a burgulary. I was also fighting off panic attacks and pain, because my legally prescribed medications had been stolen too.

After a quite baffling experience at the office, where I was ushered out of the door as if I was an interloper, the CEO of the company I had been doing consultancy work for, spoke to me to say that he would be very happy to see me for a beer, but that I could spend the rest of the week sorting out everything that now dauntingly lay ahead of me: repairing the damage from the break-in and replacing the stolen items. Life is profoundly difficult without your credit and debit cards, mobile phone and laptop.

I managed to get an emergency prescription for 7 days of pregabalin and zopicline, so that I could restabilise my medication regimen. I managed to get enough cash out from the bank to replace my laptop, but not my smartphone or pay for repairs to my flat. I was starting to be overwhelmed with the enormity of the task that was expected of me: for a suicide survivor to carry on with their life as if nothing had happened. My home felt violated and insecure. There was something weird going on at work. It was deeply unsettling.

Gladly, I was re-admitted to hospital at Accident & Emergency, because I was driven into crisis by the horrendous near-death experience, only to then find that my two most valuable and prized possessions - my smartphone and laptop - had been stolen, and my flat had been ransacked; my front door and bathroom door were smashed up; the place had been turned upside down.

The fact that I was discharged from hospital and ended up back at my trashed apartment at 3 or 4am on Wednesday morning is something that should never have come to pass. What the fuck are you doing discharging a suicidal person in crisis, into a situation where they've got more on their plate than they can handle? How the fuck am I going to go back to life as normal, without my smartphone, laptop or a secure home to keep myself and my possessions in? How the fuck am I going to get through life without the pain medication for my nerve damage, and sleep medication for the horrendously stressful circumstances.

Being re-admitted to hospital - first the Accident & Emergency department, and then psychiatric hospital - was inevitable, and essential for my safety and wellbeing.

I could have bounced back, but the strange experience at the office and the amount of things I had to sort out due to theft or loss, was simply too much for somebody as sick as I was then.

I managed to get a replacement debit card for my business bank account, and make some cash withdrawals using my passport, but after replacing my mobile phone and laptop I had very little money left; I was exhausted stressed and in no mood to return to my home that not only felt violated, but also not a secure place to keep myself and my valuables.

My very worst fear was realised: that of finding myself completely alone in this Northern city with nobody to turn to for support. Without a smartphone, I felt completely cut off from social media. By some strange co-incidence, my work colleagues were both out of town. This was the perfect storm. This was exactly what I never wanted to ever happen - to be isolated and alone.

I thought about throwing myself off a high building, or under a bus. In the end, I finally made it back to where I should have been allowed to stay: the safety of hospital. Surviving a suicide attempt is a big deal, and then to have shit to deal with at work and home, was horrendous.

My memory about how I arrived back in hospital is just as fucked up as you'd expect of somebody who's been through a near-death experience and survived, but only barely. I'm not sure what's real and what's dream. I feel like I died all over again. I have these strange memories of trying to replace my mobile phone, laptop and get enough cash out of the bank to replace my iPhone too. I can remember waking up on a hospital trolley and re-orienting myself with reality... there were lots of things that I could vaguely remember, but they seemed to be from a different life. Had I died and had my heart restarted? Certainly, there was a period where I was sure I was dreaming. Perhaps I was still having seizures, because of the unbelievable disturbance to the stability of my life, including the regularity with which I was able to take my medications and soothe my jangled nerves with alcohol.

I write to you now, in stone cold sobriety. My alcohol consumption has been practically zero for a whole week... cut at a rate that would easily cause problems, especially considering that all the other medications that I have been prescribed have been very irregularly given to me too. Rebound insomnia from suddenly stopping zopiclone would be expected. Suddenly stopping pregabalin will have terrible consequences, as with any of the GABA agonists. I'm surprised I haven't had MORE seizures or perhaps even been killed by the sudden withdrawal of medications that I had become physically dependent on, as well as alcohol. You can't just suddenly stop drinking and taking the pills that I had been prescribed - you have to taper down gently.

In a way, I'm in a good situation now that I'm off all the alcohol and most of the meds that I had become dependent on. My sleep is terrible, I'm in a lot of pain, and I'm overwhelmed by anxiety and a general sense of unease, but it's good to not be drinking so much and having to take pills just to stay calm through some incredibly stressful events.

My housing, employment and general situation is dreadful. I'm being royally dicked over by everybody who has sensed that I'm in a vulnerable state. It's an abosoute disgrace, how people have tried to put the boot in and deal the final death blow to me, when I was already bruised and bloodied and at death's door.

I'm in psych hospital until Monday at least, which is a blessed relief. I have a room with a door that hasn't been kicked in and has a fairly sturdy lock, with which to protect my valuables. I get three hot meals a day and there's plenty of hot water. There are loads of mental health professionals on hand if I was feeling suicidal again.

Sadly, I am having to turn to the law to defend me from mental health discrimination, illegal eviction, and hopefully recover my valuables that were lost or stolen due to negligence. At least I am in a safe place from which to defend myself. Justice will prevail.

I think it's outrageous that I was ever declared fit and well enough to be let out of hospital, especially given the ransacked shithole I had to go back home to, and the mistreatment I received at work. However, I am also sympathetic towards the police, who have a difficult job to do, as well as to the fact that I have received a substantial amount of hospital care, to save my life.

There's a fairly simple ethical guiding principle here though: don't fuck with vulnerable people. I'm pretty mad that I'm the one with the stolen iPhone, MacBook, the battered and bruised body, the missing medications and having faced some terrible stress, on top of the situation that was already so horribly desperate that it drove me to try to end my own life. Nobody is coming to me and offering me compensation of any kind, despite my phone and laptop being supposedly covered under a company insurance policy.

I have a fully functioning conscience - a moral compass - and I am trying to set matters straight that I am responsible for. Even in the midst of what might have been the final hour or two that I walked upon this Earth, I still had concern for rectifying certain things, and I still do. I'm being treated like shit, but I don't feel that entitles me to treat others like shit. I'm in a horrible situation, but I'll do what I can from where I can... although I do expect to be treated fairly and in accordance with the contractual obligations, housing obligations and obligations to not be discriminated against because of my mental health crisis. The door swings both ways, and I take my ethical conduct very seriously.

Sadly, the law and solicitors of various flavours are being involved, which means I can do little until they're back at work again on Monday. I need to proceed through the official channels, seeing as I'm being beaten with a legal stick. I'm outraged that my housing and income is under threat, simply because the opportunistic shits that I've been doing some work for have sensed an opportunity to try and scam me.

I wish everybody would just do the right thing, or offer to rectify things when they have made a mistake.

Anyway, as you can tell, I'm feeling quite sorry for myself, given the shitshow of my life. My guardian angel has arrived in the nick of time to help me stay afloat, but I'm still battered, bruised, organ damaged, hospitalised, under threat of illegal eviction, my client is in breach of contract with unpaid invoices, my employment offer has been withdrawn due to mental health discrimination, and the dreadful ordeal on Tues/Weds with being released from hospital too early, has pretty much fucked any chance of recovering my delicate poise. Everything was so fucking fragile, and it burned down in the blink of an eye.

Fundamentally, where is my girlfriend, my friends - my support network - as well as my work colleagues, income, housing and all the other pieces of the puzzle that make a liveable life? All I can see are circling vultures, greedily eyeing me up as a piece of carrion.

At least we have a decent legal system here in the UK and justice will prevail eventually. Nobody can get away with acting unethically and abusing vulnerable people. I'm safe in hospital. I can defend myself from here.

Finally... I got my replacement laptop working and I'm back online.

Without the structure of being able to capture images and compose my thoughts on the pages of this blog, I've been rather cut adrift. Without my social media contacts, I've felt totally isolated and that nobody knows what I'm going through, although my guardian angel has bridged the gap very well, so I must give a great deal of thanks to her.

Nobody knows just how close to the edge you are until it's too late. What an absolute shitshow.

Tags: #mentalhealth #suicide

This is a story about trying too hard...

"You've got to meet my friend..." she enthuses. "Can [my friend] stay at your place on Saturday?" she asks, well in advance of the weekend. "You two were separated at birth - you share the same spirit animal" she tells me. The pressure to get along with this new person - talked about in reverential terms - is immense.

She's planning a meal out. At the restaurant, I'm told that I'm going to be sat specifically next to this over-hyped friend, because it's assumed that we are going to get along like a house on fire. That's an arson joke, but we'll get to that later.

Friday - the night of the meal - all my new friends-to-be had signed a card to welcome me into their lives. There was a helium balloon on the table, like at a 5-year-old's birthday party. Nobody ever went to such elaborate lengths to make me feel a sense of belonging; acceptance. I was almost moved to tears, but I had a job to do that night: to meet & greet and make a good first impression.

We were eating dinner - Brazilian barbecue meats - and my 'spirit animal' was sat in the corner of our booth, not eating. It was announced - against her wishes - that she had been on a 4-day drug binge, taking what is colloquially known as "meow meow". Unsurprisingly, an exclusive diet of powerful stimulant drugs does not give you an appetite for anything of nutritional value. Sitting in a restaurant is probably the last place on earth I'd ever want to be after a binge like that. I decided to temporarily park any "getting to know you" chit-chat with her until a time that my spirit animal was in a better place, physically & mentally.

After dinner, the group began to fracture. There were some who wanted to go to a packed noisy pub selling lousy overpriced drinks, and others who preferred to come back to my nearby apartment, where we could all have a comfortable seat on my big couches, and converse without having to shout - a bona fide middle-class thirty-something cliché: the house party.

One reason for the success of the house party is that it's a far better environment for the consumption of recreational drugs. I'm not foresworn from drug use, but to me, addiction is not a social activity. My general personality and attitude - no fear & everything to excess - had led me to drug overdoses of supercrack that put me in hospital with multiple organ failure. My drug taking was not recreational - it was abusive, reckless and akin to playing Russian roulette with a 6-bullet revolver loaded with 5 bullets.

If you have successfully made yourself a comfortable wealthy middle-class life, it's your mortgage repayments and other household bills that keep you awake all night, not powerful Class-A narcotics. To lose just one night of sleep and have the mentally destabilising effects of recreational drugs, has a profoundly negative effect on the week that follows. I never noticed that my weekend partying had a negative knock-on effect on me when I was young, but now my age has now become a factor.

One of my new friends - who's the same age as me - did the sensible thing and headed home at a reasonable hour. He had his sister's wedding on the Saturday and he appointed me as the responsible adult, in charge of putting the girl who was going to drive him to the wedding, into a cab, in time for her to then drive a gazillion miles across the country. "How are you going to stay awake and concentrate on the road after partying all night?" I asked her. "Amphetamines" was her answer. I can't fault her logic - if it works for fighter pilots, then why wouldn't it work for an ordinary car driver.

Fighter pilots have "go pills" and "no-go pills" which are taken respectively at the beginning and end of a mission. I offered to make her one of my special "no-go" preparations, so that she wasn't wired as hell at the wedding and clearly off her nut on speed, but she declined.

At the first ever party I've thrown in my new apartment, it was snowing. When the "good stuff" started to run out, Billy Whizz came out for a run. The white dusting on a makeup mirror started to become a hybrid mix of different substances. Molly came for a visit too.

Predictably, like any party that Charles is invited to, the whole room was talking over the top of each other and making boastful claims. For some reason, my reaction to this was to admit that I'm a grower not a show-er. This prompted one of the guys to claim that he was both a grower AND a show-er. Having been dared to get my dick out and show him I duly obliged in front of my guests. This guy then took me in the kitchen to prove one part of his aforementioned claim: he did have a substantially proportioned soft penis.

I then asked the room for their opinion on a classic ethical philosophical dilemma thought experiment, knowing that it would provoke lively and entertaining debate. Soon, this prompted a couple to leave the party, almost without saying goodbye because they were still arguing about the 'right' answer to a question that divides legal, moral and scientific opinion. "Bullseye" I thought to myself.

With Charles still having a strong influence on the room, oneupmanship raged out of control. We ended up comparing scars. While the girls were not exactly thrilled to show off any evidence of self-harm, me and the guy with the big [soft] dick debated who had the better scar from an operation. This segued into "who's spent more weeks in hospital?" as I steered the competition towards "who's the most insane?" knowing that I would easily be the undisputed champion.

At this point I was getting a bit bored with the war of words, so I just rolled up my sleeve and slashed 3 or 4 cuts into my arm with a kitchen knife. I then became immediately aware that I was so desperate to impress my new friends that I had just mutilated my body in a sudden act of self-harm.

With the theme returning to dares again, my 'spirit animal' dared me to suck my own penis. I explained that without an erection, it would be a difficult act to fulfil, but in the spirit of the dare, I asked if she would be content to see me lick my own foreskin. She confirmed that it would satisfy the conditions of the dare. Without hesitation, I dropped my trousers and got my soft penis as close to my mouth as I could, and then pulled my foreskin until I could touch it with my tongue - it was actually easier than I thought it would be. Obviously, there are not that many people - especially growers not show-ers - who would drop their trousers and suck their own dick for the amusement of their guests. This was a far more impressive feat of courage than cutting my arm with a kitchen knife.

After that, the number of crazy anecdotes that I could tell were stories that all revolved around a similar theme: being hospitalised or locked up in police cells. The stories that drug addicts tell are not that varied or interesting.

I decided to demonstrate my culinary skills in the kitchen. With an unspecified secret ingredient - some of the snow that was falling earlier in the evening - I gave a practical demonstration of a chemistry experiment. Namely the conversion of a salt to a "free base" where water, carbon dioxide and sodium chloride are isolated as 'useless' byproducts. This chemical reaction allows a salt with a high melting point - which would combust in the presence of a naked flame - to be altered into a crystal with a low melting point, allowing it to be vaporised without burning.

With sodium bicarbonate mixed with the mystery ingredient, in a spoon, a few droplets of water were added. The carbon dioxide fizzed away in a delightful effervescent chemical reaction. A few pinches of sodium bicarb later and we reached the point where the fizzing stopped. Then, I heated the spoon and boiled away the salty water, leaving only the "free base" crystals.

What would you do with this crystalline substance, one might ask?

Well, first, you need to take an empty beer or soda can and make an indentation at the opposite end from the bit you drink out of. Then, perforating the thin aluminium of the can with a pin, you can create an area where air may enter the can, when you to suck on the end you'd normally drink out of. Another option - if you can find such an object - is to take a hollow glass tube and put wire wool (Brillo pads work well for this) into one end.

Having allegedly made this concoction and strange contraption - which was all part of me showing off what a badass I am - I had allegedly demonstrated how to make crack cocaine and a pipe to smoke it. There couldn't have been a more "fuck you - I'm fucking hardcore" demonstration of how 'streetwise' I am, unless I'd whipped out some rubber tubing, a thin aluminium spoon, clean pins (hypodermic syringes), a small ball of cotton wool and proceeded to 'cook' a batch of heroin and prepare it for injection. I've never injected heroin by the way, although I did have fentanyl - which is 1,000 times more powerful - injected into me in hospital. Most people are afraid of needles and associate needle use with people whose drug addiction has led them to a completely dysfunctional life that consists of a miserable merry-go-round of theft/robbery/prostitution, 'fencing' stolen property, scoring herion and then getting high until there's no drugs left and there's only 4 hours until you get "junk sick" and have to repeat the whole exercise again.

Before I put the last of my party guests into a taxi - my friend who was driving to the wedding - at about 6:30am, three of us insufflated a few final lines of white powder, allegedly.

My spirit animal had a nice time until the drugs started to wear off, and then cognitive impairment, a drug-induced panic attack and akathisia (inability to stop twitching/tic'ing and/or jiggling of legs) left her in a rather sorry state where it was pretty clear that she was suffering from an unpleasant ordeal. I tried laughing at her. I tried telling her to stop being such a wuss, given the relatively 'mild' binge that she'd been on - just 4 or 5 sleepless nights, and relatively low doses of very impure drugs. In the end, I took pity on her and made her a little shot glass with things to cure her anxiety, replace lost dopamine and serotonin, and basically put her to sleep - there's no 'magic bullet' for insomnia and sleep deprivation, but sleeping pills damn well help. I threw all manner of things into my special 'comedown cure' that would ease her suffering. She was talking gibberish; she couldn't understand what I was saying, and I had to spend 20 minutes trying to maintain her concentration and eye contact for long enough that she could swallow what I'd prepared for her. Then, finally she fell asleep with a look of calm on her face. I don't mind babysitting the occasional person who's going through the consequences of 'self-inflicted' shit, but it would have been inhumane to let her suffer unnecessarily.

Saturday night, I made her another concoction that would prevent "the Sunday from Hell" where the consequences of an outrageous drug binge were brought into sharp focus by the need to start work again on Monday. "I want to order a pizza" she announced at about 11:30pm, having swallowed the curative remedy only 10 minutes earlier. "You have 10 minutes to get into bed, otherwise you're going to pass out on the floor" I warned her. My earlier good work had moved her out of binge mode and into a state where her appetite had returned, but 8 more hours of quality sleep was vital for both of us. The die was cast.

10 minutes later, I pulled her mobile phone out of her hand - the pizza company's number half-dialled - picked her up from the floor where she had collapsed in a most unladylike position, and carried her to bed. I was so tired that I could barely see straight to send a couple of texts before I passed out too.

After 9 hours sleep, we both awoke feeling pretty damn refreshed, considering the way we'd abused our bodies. I'd improved her average daily sleep time for the week, from 2.5 hours to 5.3 - more than 100% better. Ideally, we would all have perfect sleep hygiene and get 8 hours a night. I needed to end her drug binge, save her from many hours of unnecessary suffering and let her catch up on desperately needed sleep. I was giving her a fighting chance of not losing her job, thus spiralling even further downwards. This is about the best you can ever hope to do for an addict until they're ready to acknowledge that their addiction is rampaging out of control. Addiction always leads to complete & indiscriminate destruction of your entire life, health and will prematurely kill you.

I incurred the wrath of my 'spirit animal's' best friend for not condemning her addictive behaviour. Do I have the moral authority to lecture anyone on their lifestyle? I know better than anybody else I've ever met, how you can go from riches to rags. Supercrack was the paving stones of the road to Hell - hospitals, police cells, hostels and sleeping rough. I overcame my addiction to one of the most powerful drugs on the planet, as well as dealing with the total destruction of my life - divorcing my wife, selling my house, losing my job. So it would seem that if anybody's got an opinion that's worth respecting, it'd be mine. However, humans' relationship with drugs & alcohol is way more complex than "this is bad for me so I'm going to stop"... otherwise nobody would take drugs, get drunk, smoke cigarettes, drink coffee or energy drinks.

We live in a world where we try to find somebody with anatomically opposite genitals to us, squirt some love snot into them, and then spend the next 18+ years looking after our blood and mucous covered alien-like midget progeny, that was painfully ejected from the girl's sex hole. Human behaviour does not follow purely rational rules.

Human use of intoxicating beverages and preparations of plants that contain bitter alkaloids - with the intention of seeking psychoactive effects - is behaviour that's almost as old as cave painting, making fire and sharpening pieces of flint to make spears.

My kidneys are over 50% recovered from my last hospital visit. The facial tic that was caused - quite literally - by brain damage, has now repaired itself. The people and places that are no longer in my life because of supercrack addiction, have been replaced by a new city, new home, new job and new friends. Yes, it could've been worse, but believe me... nobody needs or wants to be told the bleedin' obvious. If it was just a case of saying "fire is hot and will burn you" and "knives are sharp and will cut you" then we'd see a 100% reduction in those injuries, by the bullshit logic that we need to nag and shame addicts into fixing their dirty little habits.

Often an addict is conveniently labelled as a black sheep, and becomes entertainment for the group that surrounds them. Lots of concerned hand-wringing and "we need to do something" empty talk goes on, but all that really happens is that the addict becomes a pariah, with nobody nonjudgemental left to turn to - it's the loneliest thing... lonelier even than being a homeless person injecting heroin under a bridge. Trust me: to spend time in the company of addicts and alcoholics who make no secret of their loss of control and the destruction of their lives, is to gain a nonjudgemental social support network that can make the difference between life & death. Fuck any condescending prick who thinks they're a moral authority who can sit in judgement and save you from yourself. Even with my stories of drug-induced insanity, hospitals, police cells and psych wards being by the far the most extreme you've ever heard, I can't tell an addict or alcoholic what to do with their life.

To hear the same hectoring, lecturing bollocks from people who [do or don't] know what it's like to realise you've overdosed and you've got 30 seconds to dial 999, or just let yourself die... it's not working, is it? I don't know if you've seen the stats, but only Portugal is winning "the war on drugs" and the way they're doing that is to destigmatise and decriminalise drugs, despite immense pressure from the United States to stop saving lives and improving the wellbeing of the Portuguese people.

So, that was the weekend that was full of drug-fuelled insanity that would supposedly trigger me to relapse back onto supercrack. Bullshit.

Tags: #addiction #friends #drugs

This is a story about key performance indicators...

Most of us have salaried jobs and most of us have line managers. We sit down once or twice a year with our manager - the boss - and we agree some performance objectives for us to try and meet. When we have an appraisal of how well things have been going at work, we look at whether or not we managed to achieve what we were supposed to do.

I hate to have to break it to you, but what you're doing is complete and utter bollocks.

In hierarchical organisations, your pay rise and promotion prospects are decided by somebody who's been promoted into a position of total incompetence. Intrinsic to their very existence, organisations have a pyramid structure, where there are vast numbers of people trying to reach the next rung on the ladder; the next layer of middle-management.

You would hope that hard work and rhetoric about meritocratic culture would help you get ahead in life, but you've been playing the game by the wrong rules.

Work is a popularity contest. If you want to get the best pay rise and the best promotion, you have to be liked by people who are more senior than you are, and you have to make your boss look good: those are the only two rules.

If you are not liked by your boss and you didn't do any of the things that you were supposed to do, it doesn't matter at all, so long as you did things that make your boss look like he or she is 'managing' you effectively. If you are liked by multiple senior people, then your boss will not be able to block any ambitions you have for promotion, which is pretty much all your boss is trying to do - bosses are promoted until they can no longer be promoted, and then they block their subordinates from progressing in their careers.

Being liked by your peers and/or your subordinates is completely unimportant. Nobody gives a shit about the underlings' opinions. Nobody is ever going to ask your peer group what they think about you. Therefore, to be popular amongst people at the same level as you - or below - is only to waste precious time that you could spend impressing more senior people.

It is notable, that at no point have I mentioned doing any work. This is because doing work is a complete waste of time. Nobody ever got a pay rise or a promotion for doing actual work. If you're busy doing work, then how are you going to have any time to make yourself popular or do things that make your boss look good? If you do the things that you agreed with your boss, how can your boss take any credit for doing anything other than just doing their basic job?

Thus, organisations have disincentivised work and incentivised spending time kissing asses and yelling loudly about how great we are, while we attempt to get promoted into positions of incompetence.

Seriously, if you think you're good at your job, you're stuck at a dead-end - you're going nowhere.

Pictured above is a plastic crate full of empty wine bottles, beer bottles and beer cans. When the plastic crate is full, I can count the empty containers, read the ABV (Alcohol By Volume) off each one, and total up the aggregate amount of alcohol that I have consumed in a given time period. This gives me a data point, which I can record in a spreadsheet.

You might assume that there would be an inverse correlation between my alcohol consumption and my monthly take-home pay, but in fact, the very opposite is true - the more I drink, the more I earn.

I'm not going to argue with the data. The facts are the facts. My consumption of alcohol is the best predictor of my income. I can't tell you what the causality is, but I can tell you for certain that there is a correlation. However, I will tell you what my hypothesis is though.

Drinking is a social lubricant. I'm prone to saying and doing regrettable things while under the affluence of incahol, but the lunchtime 'sesh' or the after-work beers are not subject to any organisational hierarchies - we are all equals when inebriated. Being drinking buddies with the bosses never did any harm to anybody's career, provided you are not sick on anybody's shoes.

Being hungover compromises your ability to function, forcing you to find creative excuses for your lack of productivity. Hanging around the water-cooler or coffee machine - nursing a sore head - you often encounter your partners in crime from the previous night's drinking escapades, many of whom will be senior managers. When later questioned "what the f**k have you been doing all day?" you have a absolute watertight excuse that you have been talking to some highly respected member(s) of your organisation.

Over time, the objective of achieving tangible productive output is replaced by the skill of being drunk or hungover for most of the time that you're at work, while also looking busy and making influential friends.

If we consider a hypothetical scenario. Subject A works hard and drinks very little, but subject B works very little and drinks very hard. We then plot the salaries and alcohol consumption onto a comparative graph. When we do this, we can see that subject A is badly paid, whereas subject B's wages are significantly higher and climb steadily - well above the rate of inflation.

Furthermore, if we measure our hourly wage, based on the amount of sober and productive time that we give to our employers, we can see that the heavy drinkers - at least in my own case - are paid an astonishing amount of money for their work.

One caveat: drinking a bottle of vodka every night alone at home, is out of proportion with the amount of alcohol being consumed with members of your organisation. When social drinking metamorphosises into pure alcoholism, your hourly sober wage becomes infinite. You are swigging from a bottle hidden in your desk or your gym bag, in order to maintain your state of intoxication throughout the working day... you are not making your boss look good or increasing your popularity with senior managers. In short, your days are numbered.

Great companies are built on the foundations of alcohol & coffee. Some of the most amazing people I've ever met are 'functional alcoholics' but the pejorative term seems to be an oxymoron. It's impossible to decide whether alcohol gives us the 'Dutch courage' to tackle horribly stressful things, or whether people who shoulder great responsibility, are reaching for the bottle to salve their anxiety.

Of course, I am not encouraging you to drink intoxicating liquor, but it would be dishonest of me to deny the facts contained in the data and perpetuate the myth that sobriety and productivity are virtuous, in the amoral world of business.

One must question one's motives for continuing existence. Are you here to pass on your genes - to rear your progeny - and if so then why are you not having unprotected sex at every opportunity? Are you here to maximise the amount of time that you are drunk or high, and if so then why are you not drinking morning, noon and night?

Some of the more conceited individuals who walk amongst us - including myself - talk about leaving their "mark" on the world. I imagine leaving a fucking great big smoking crater, like the one from that huge asteroid that struck the Earth, wiping out the dinosaurs. That's not to say I want to commit mass murder, but simply that I'm on a trajectory travelling at high speed, and I have absolutely no idea what I'm going to smash into and what damage I'm going to cause.

To avoid the difficult questions and the certainty that you will die and leave a hole in people's lives, is folly.

Why is it that I gravitate towards brilliant individuals, who are never teetotal vegans who abstain from sex, masturbation and everything else that might be vaguely enjoyable? Why is it that when you scratch the surface of anything that glitters like gold, there's a strangely alluring stench of debauchery?

If I wanted to die in obscurity, written off as an addict and an alcoholic, would I not have just allowed society to label me and blame me for everything that's fucked up and has no other convenient scapegoat? How can we hold William S. Burroughs and Ernest Hemingway in such high regard, when they epitomise alcoholism, heroin addiction and suicide?

To say I'll die a meaningless death is apparently untrue ("you'd be missed") but to say that my death will have repercussions - like ripples in a pond - is conceited and a dreadful cliché... many suicides are motivated by the idea that it's the grandest of gestures.

We must all confront our own mortality, and every day that you spend 'doing your job' is just a waste of fucking time.

Tags: #alcohol #career #suicide

This is a story about panic attacks...

Am I thirsty or do I just want to get pissed? I feel like my world is falling apart, but maybe I just want to numb myself with medication. I feel like I can't cope, or is it that I crave soothing chemicals? I feel like the tasks ahead are impossible but my perceptions are clearly warped - I don't know which way is up and which way is down.

If somebody was to burgle my home, I'm not sure whether they'd be more pleased with the expensive consumer electronics that they could resell, the wad of Euros that they could convert into pounds or the massive bag of opiates, benzodiazepines, sleeping pills and other highly coveted medications, which would probably be the reason for their criminal trespass in the first place.

I stopped taking opiate painkillers earlier in the year. It was hard, but it wasn't that hard. Sweating and nausea and pain; constipation and loose bowel movements; sleepiness and blunted emotions - withdrawal was over eventually and I don't even remember it being that bad, in hindsight.

How long have I been drinking a bottle of wine every day for? Tonight I've had a tiny bottle of beer and that's it, but my drinking has raged out of control, as I've sought to calm my nerves and self-medicate for incredible stress and emotional pain in my life.

How long have I been taking tablets for? Certainly long enough that if I abruptly stopped, I would have a seizure. It's a miracle that I haven't had a fit, but the gaps I've had in-between handfuls of pills - lasting two or three days - could have killed me in a multitude of other ways anyway.

Almost every day, I wonder why my optimism and hope has turned to fear, doubt and despair - I become convinced that I'm unable to function; unable to face the future.

Like many addicts any alcoholics, I'm overwhelmed by negative feelings and I become convinced that the only way to ease my suffering would be to kill myself - quickly by suicide, or slowly with drink & drugs.

Without structure & routine - social contact and the prospect of a happy & contented life - it's a miracle that I've not plunged into the deep depths of fully blown alcoholism and an ever worsening drug problem. Today was a sink or swim day, but I made it through.

No bottle of wine today. No Xanax. My situation is improving. My unhealthy consumption patterns of alcohol, drugs & medication, continue to abate, despite the protestations of my brain. I was in two minds about committing suicide tonight. I was tempted by alcohol - of course - but the urge to drink was relatively easily resisted.

If you wished to categorise me as an alcoholic and/or a drug addict, I'm afraid your attempt would be thwarted by the facts. Alcoholics can't stop drinking and drug addicts can't stop taking drugs. Guess again, sucker.

I'm suffering unspeakable discomfort at the moment, but I'm forcing my body - including my brain - down a path that it's reluctant to take, but it's for its own good. It will be weeks, maybe even months before I feel the benefits of what I'm putting myself through, but I know that if I don't do it, the alternative outcomes are very undesirable, to say the least.

Eventually, I will sleep without sleeping pills, feel free from panic & anxiety without tranquillisers, be able to cope with my neuropathic pain without painkillers... perhaps my body will even repair its damaged nerves, without the interference of artificial compounds not found in nature. Two and a half million years of human evolution, and you think we got everything right in the last 70 years?

Would I take antibiotics for an infection? Yes. Would I edit my genes if I could get rid of any faulty ones? Yes. However, psychiatry doesn't have a lot of triumphs to crow about - if superbugs don't kill you, then mental illness will probably ruin what little quality of life you had anyway.

My brain tells me I'm about to die or that I should kill myself. I know - rationally - that my brain is feeding me unreliable information, and that I should ride out the storm, however, knowing this doesn't make me feel any different at all.

Eventually, it's too much.

Tags: #suicide #alcohol #addiction

This is a story about home treatment...

This is what the Conservative government's 1990's Care in the Community policy looks like, in practice. An extremely low-paid NHS worker, who isn't trained as a mental health nurse, is dispatched on public transport to travel across the London borough of Tower Hamlets, to bring me a bag of medication. They're supposed to check that the old packets are empty, which 'proves' I've been taking my medication. They're supposed to escalate any problems to nurses and doctors, back at base. If they can't find me or get in contact, they're supposed to ring the police.

It's that final point that's the important one: the police got co-opted into this half-baked scheme. Of the people the police deal with - the front-line officers - most of them will have mental health issues. The police are picking up the pieces of the mental health epidemic. When somebody is truly having a mental health crisis, the police will be the ones who get that sick person to the place where they should have been in the first place: a psychiatric institution.

There are nurses, psychiatrists, social workers and the like, who are involved in assessing whether you need to be detained under the Mental Health Act - what's known colloquially as a 'section'. If you're seriously mentally ill and out in the community, it's down to the police to find you, catch you, detain you and get you to that assessment where you get 'sectioned'.

Also, the police are out there, picking up body parts off the train tracks and underground railway. The police are there when somebody has jumped off a bridge and landed in a river or on some mud flats, or maybe gone splat into something harder below - perhaps a road. The police are there when somebody looks like they're about to jump under a train or off a bridge - CCTV operators are trained to look out for agitated members of the public, who look like they're about to top themselves.

Around the time of Care in the Community, there was an explosion in prescribing of psychiatric medication by our ordinary general practitioners (GPs) - our regular family doctors - there were 9 million prescriptions for Prozac in the UK in 1991. This is the principle behind Care in the Community: put people in a chemical straightjacket, and they can be safely released back into the general population. Ten years later, there were 24 million prescriptions for Prozac and another ten or so years later again, and London alone gets through over 60 million prescriptions for Prozac. These are almost all issued by a GP, not a psychiatrist.

When it comes to "serious" mental illness - anxiety disorders, bipolar disorder (a.k.a. manic depression), schizophrenia, personality disorders - the NHS kicks you out of the bit where you get various therapy options (e.g. CBT) and instead you're referred to a psychiatrist, who will prescribe some fairly brutal medication. In the case of schizophrenia, you could have a risperidone implant, injected underneath your skin, which will keep you in a chemical straightjacket for up to 6 months.

The other people who got co-opted into this Care in the Community policy were the general public. An average member of the public is fairly fearful of a schizophrenic, believing them to have multiple personalities and a propensity for violence. Several murders that received significant media attention, focussed on the fact that they were committed by formerly institutionalised schizophrenics. Depression is now such a common feature of people's lives, that any stigma has gone, but most people would be fearful of living near, working with, or having their children around a schizophrenic, surveys have found. Lock your doors - there might be a madman lurking nearby.

If I was in hospital, I'd have somebody checking on me every 30 minutes to an hour - making sure I hadn't found some way to harm myself. With the Crisis Team (a.k.a. Home Treatment Team) who are tasked with keeping me safe at home, I see them every other day. I could take a fatal overdose 2 hours before they were due to arrive, and by the time an ambulance got to me, I would be well and truly dead as a dodo.

I had stockpiled 336 tramadol tablets (16.8 grams) which is enough for two people to commit suicide, easily. As part of their responsibility to help keep me safe, they asked me for the tramadol back. I gave them 112 tablets (one box) which was a tick in their box. In hospital, I would never be able to hide the remaining 224 tablets from the nurses. If I took an overdose, I'd be fed activated charcoal, have my stomach pumped, be put on a respirator and given various medications to counteract the deadly effects of a tramadol overdose, in plenty of time to save my life.

I can't tell you what the cause and effect is. I can't tell you whether Care in the Community is the reason for the mental health epidemic, or whether it's something else, such as the collapse in living standards and precarious lives we live now, with our income and housing under constant threat.

Most people don't like to lose their liberty. In fact, it's distressing to be locked up somewhere, and not allowed to leave. There are crisis houses, where you can come and go as you please during the day, but you have to be back by nightfall and sleep there or else the police will be sent out to find you. This seems like a compromise that would suit most people who are having a mental health crisis, who pose no danger to the general public.

With the false security of Care in the Community, the number of beds available for those having a mental health crisis, has been slashed dramatically. You can attempt suicide and be hospitalised - in intensive care - and then discharged out onto the streets, simply because there isn't a free bed on a psych ward or in a crisis house, where you could more safely transition back to normal life. You can be suicidal, and the best the NHS can offer you is to come check that you're still alive once a day.

As a man, I'm many times more likely to commit suicide than a woman, but far less likely to seek help. This means that I have had the good fortune of being looked after once in a crisis house and once under a voluntary 'section' on a psych ward. Not many people receive lifesaving treatment like that - the resources just aren't there anymore.

So, what's the solution? Pharmaceutical companies tell us their medications are better than ever. More and more of us are taking powerful psychiatric medication. But, yet, the percentage of the population suffering from mental health issues is ever-growing; suicide rates keep climbing - there is, undoubtably, a mental health epidemic. My personal opinion is that it's not a medical problem: it's a problem created by insecurity: jobs and housing; it's a problem created by declining living standards and soaring levels of stress.

No amount of pills are going to fix the mental health epidemic, even if you bring them to my door.

Tags: #mentalhealth #suicide #depression #bipolar

This is a story about infidelity...

Yo ho ho and a bottle of Xanax. We're off to take a sailing trip across the Atlantic to New York. I'm nervous, but she's with me - she's also an experienced sailor - so I'm excited and I'm sure that between us we can manage the voyage. At first we are heading towards Dover. Why are we travelling East when we need to be sailing West? Then, we are becalmed and a fog descends. The water is glassy and flat and the sails flap uselessly. A road sign appears and it becomes apparent that we are in London, on a road. We are towing the yacht on a trailer. I rack my brains, trying to think of the best marina with a hoist to lift our yacht into the sea. I can't think straight.

This is a dream, obviously.

Next, I'm approaching a nightclub, skipping the queue outside and heading straight for the entrance. I present my left hand to the bouncer, who shines a torch on it. I brush past him so confidently, and he's not really paying attention, so he doesn't notice that I don't have an ink stamp that says I'm allowed in. Nobody challenges me. I go past the dance-floor and into another room. I notice somebody sucking on a glass tube with what looks like shards of gold, or maybe honeycomb, being ignited with a lighter. Then, an old schoolfriend wants to show me something he's making. He's pouring chemicals into a large jam jar. He's making shake-and-bake methamphetamine. The crystals aren't perfect shards of ice, but instead they're a milky mess. I know the drug will be potent, but the solvents and other chemicals used are deadly. I'm afraid, but also drawn to it, like a moth to a flame. Somebody has prepared some lines of a white powder; it's being passed around. I wake up.

My doctor warned me that my new depression treatment - California rocket fuel - would lead to vivid dreams, but I've always had a lot of dreams.

In a way, my new dreams are better than the old ones. When I used to dream before, they were basically all the same: I have some supercrack and I'm trying to find a private place to take it, but every time I think I'm safe from intrusion, and I'm about to snort a line, somebody interrupts me. Then begins a stressful game of hide-and-seek where I'm trying to escape the voyeurs who wish to intrude on my private drug use. I never actually manage to get any drugs up my nose before I wake up.

Of course, drugs are still my mistress. I've got a virtually unlimited supply of opiates, in the form of tramadol and codeine. I've got stacks of benzodiazepines, in the form of diazepam and Xanax. I've got loads of Z-drugs in the form of zopiclone and zolpidem. I've got pregablin, venlafaxine and mirtazepine. I've got Viagra and Cialis. None of these chemicals seem to make the blindest bit of difference to my depression, and they're certainly not my drug of choice: supercrack.

I go to the chemist, and I have to give two signatures, because they're giving me medications that are controlled substances - they're illegal to possess without a prescription. I'm handed a carrier bag that's bulging with boxes packed full of blister strips containing capsules full of chemicals, or pills that have been pressed into certain shapes and sizes, with numbers and letters imprinted on them. Everything is so colourful. If I lose a pill on the floor by accident, I can identify exactly what it is.

I get confused at night, as I swallow 6 pregablin capsules (white with black lettering), 2 venlafaxine tablets (round and dark orange), 2 mirtazepine tablets (small lozenge shaped, light orange), 2 zolpidem tablets (tiny white lozenges) and a Xanax (an oblong with "XANAX" imprinted on one side). Sometimes I also take a zopiclone if I can't sleep (round white tablet). When my leg was in pain, I would also take 2 co-codamol with 30mg of codeine in each tablet (large white lozenges) and 2 tramadol capsules (green and yellow). Trying to remember if I took everything, and make sure I don't take anything twice, is quite difficult. I'm almost at the point where I should prepare all my tablets and check I've got everything before I greedily gulp them down. I can now swallow 6 tablets at once, easily.

My real mistress, and the beast that's out to kill me - supercrack - is tamed at the moment. I know that a lapse would be disastrous in my financially precarious situation, but I'm also so doped up that my libido and craving for supercrack is under control... for now. I'm not a superstitious person, but I feel like I'm tempting fate just writing these words.

I don't bother keeping a tally of how long I've been 'clean'. It's a ridiculous idea. If a person quits one thing, they start doing something else. A former gambling addict might become obsessed with fitness and go to the gym 7 days a week. A smoker who quits will probably start eating more, to compensate for the loss.

It might seem logical that the longer you're addicted to something, the harder it will be to quit and stay 'clean' but nobody seems to realise that the more times you quit and have periods of abstinence, the better you get at quitting and resisting temptation. Medically, the binge & quit cycle of drug taking is the most damaging, because the binges are so extreme: days and days without sleep or food, and huge doses of really harmful drugs, when your poor body has just about recovered and was starting to get back to normality.

Of course, the really harmful stuff is to relationships. She doesn't mention it very often, but she's worried about the next time I just disappear off the face of the Earth, and reappear skinny, sleep-deprived and suffering from all the nasty side effects of supercrack: paranoia, obsessive-compulsive behaviour and panic attacks; not to mention tachycardia, malignant hyperthermia and rhabdomyolysis. I'm no stranger to hospitals and psych wards.

If you meet me in person, I seem polite, well presented, somewhat smart and certainly confident and self-assured. I can make smalltalk and feign interest in other people's lives. I remember the tiny details that people tell me, which I can see are important to them, so that I can bring them up if ever there's a lull in conversation; an uncomfortable silence. There's no chance you'd peg me as a 'druggie' or a 'stoner' or a 'junkie'. I take perverse pleasure in contradicting and confounding the stereotypes.

Despite my ability to confidently bullshit my way through life, I do wonder if I'm as seriously sick as my doctors tell me I am. They can't make their mind up whether I have treatment-resistant major depressive disorder, bipolar disorder, borderline personality disorder or some dual or triple diagnosis of all of them, plus the substance abuse, of course.

On top of the chemical cocktails, there's a bottle of wine every night, just like every other middle-class professional. Lots of people would say that alcohol is part of the problem, but the last time I quit I quickly went hypomanic and lost my contract. Seems to be the story of my life: losing my contracts through ill-health. All the evidence points to chronic illness that makes me unfit to work, but my confident and upbeat attitude - plus my employability - has got me stuck in a groundhog day loop, where I work enough to pay the bills for a year, but then implode spectacularly and find myself without gainful employment, yet again.

Undoubtedly, my affair with supercrack wreaks havoc across every area of my life, but what about the depression? What about the hypomania? What about the fact I see everything in black and white, and I either love you or hate you? Even when I'm 'well' and functioning, I've still gotta be right: intellectual pride and arrogance.

I've committed to a new regimen of antidepressants, for the first time in years, so maybe my mood will improve if I can keep taking the pills regularly for 4 to 6 weeks... then we'll see if these blunt instruments of brain manipulation actually fucking work for once.

Meanwhile, money pours out of my bank account and the end of the runway gets ever closer, but the wheels of the aeroplane are still on the tarmac. If I can't psych myself up to overcome the depression, stress and anxiety enough to hide my problems and tackle the arduous task of getting another contract, I'm fucked. The house of cards will collapse quicker than you can say "fuck my life".

It's remarkable how much time I spend thinking about setting my affairs in order: making sure my life insurance pays out to my sister, making sure I've left instructions so that friends who've helped me out get repaid, making sure I've thrown away everything that's of no value, making sure that I've listed the details of all my bank accounts and creditors, making sure I've left enough money in my company so that my accountant can wind up the business and he gets paid, and also making sure that at least a teeny bit of my legacy is preserved: I've written a novel and this blog has about 600,000 words, plus photos. I always said I wanted to leave a smoking gun, in case anybody wanted to investigate how stress - mainly financial worries - can destroy a person and drive them to suicide. My biggest fear is being written off with a simple throwaway label: "mentally ill" or "substance abuse" or whatever... things are never as simple as that.

While most people are planning summer holidays and extended weekend breaks over the bank holiday weekend, I'm paralysed by the ever-approaching end of the runway, combined with debilitating stress and depression. Things look straightforward, because I've made life look like a walk in the park so far, but in fact I'm just very good at hiding the deteriorating situation, when my back's against the wall. Just because I can rescue myself in the nick of time, doesn't mean I can always do it, forever. I feel physically sick at the thought of the effort involved in doing what I do, all over again, even though it's a well-practiced tried-and-trusted formula.

Time just gets frittered away, which is fine when you're getting your regular salary and you spend most of your time at your desk just counting down to the weekend or your next holiday, but when you're in my situation, in a way, I'm dying. How do you think you'd feel if you were left penniless, homeless and with a bunch of vultures trying to take the clothes off your back? How do you think you'd feel if you know you can make everything alright again, if only you were well enough to work, but you feel sick and the thought of going back to the office caused you severe stress, anxiety and paralysed you; unable to cope or deal with the situation?

Tick tock goes the clock, and it doesn't stop. You have to run just to stand still. This is why it's so attractive to run away with my mistress and pretend my problems don't exist: escapism.

I want to escape this invisible prison.

Tags: #drugs #depression #suicide #mentalhealth #career