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Lööps

9 min read

This is a story about having a pity party...

Minitel

My memory and perception of time are very badly affected by strong medication. Every day ends the same for me - swallowing 6 pills and falling unconscious - and every afternoon and evening the fog clears and I'm overwhelmed with anxiety, due to the medication effects wearing off. The routine is useful because it helps me stay functional and earning a lot of money, but I'm stuck in a loop which only contains working, sleeping and eating. Days are indistinguishable and time passes incredibly slowly.

I write repeatedly about suicidal thoughts because I'm very trapped. I've become physically dependent on medication and the withdrawal effects are intolerable. I struggle to recognise the pattern in my moods, because my memory is impaired. I function perfectly effectively at work because of the monotony of what I do, and the fact I'm using skills I grasped as a child, long since mastered and turned into muscle memory and reflex. Everything in my life is something I've done a million times before. There are no new and novel challenges in my life. There is nothing which I could embark upon as a voyage into the unknown, except for death I suppose.

I think about getting a girlfriend, making friends, finding a new hobby. I think about buying more furniture and generally making my home more comfortable. I think about getting on top of my mountain of administrative bureaucratic tasks. None of these things are new or interesting to me - they're simply chores.

I'm blessed with a large amount of people who I'm in contact with via the internet. I'm never short of somebody to talk to via message or email. Some friends have stayed in contact and I've even made some new friends quite by accident. Perhaps I take all this for granted, but I'm just stating the facts.

I see my situation as unavoidable. I see my choices as so limited that I actually have no choices at all. The claim might sound unlikely, but my analysis is invariably correct. I'm in the process of creating choices for myself, while the world works exceptionally hard to thwart, frustrate, delay and annoy me. I'm not so paranoid that I believe that anybody's "out to get me" but in my lifelong experience there are always setbacks which far exceed a person's capacity to insulate and protect themselves. We live with the constant peril of our car breaking down or some other unexpected financial disaster wrecking our carefully laid out plans.

In other ways, my life is frighteningly random. I was almost bankrupt when a friend recommended me for a job, which rescued me from certain ruin. One year later, that friend killed himself. Another friend recommended me for another job, which has led me indirectly to where I am today. My improving financial situation is entirely a fluke and it's likely to end up in financial disaster at any moment. I've been maximally leveraged for far more years than I care to remember. My avoidance of homelessness and destitution is thanks to blog readers who have offered assistance. These rescuers have appeared in my hour of need, not through any coherent cries for help which I've communicated, but instead through the randomness of life.

Similarly, I expected to die in September 2017. I had planned and premeditated my suicide attempt. I had been systematic. I had done my research and I was sticking to the script. Again, random people off the internet intervened in collaboration with old friends and I was saved... just.

I feel sorry for myself but I can't decide how much of my situation is of my own making and how much was preordained. It certainly seems that whatever I try to do, my life appears to be running on invisible rails. If I try to ruin my life, I cannot, and if I try to improve my life, I cannot expedite or hurry things along.

Every day at work earns considerably more money than I spend. Every month my financial situation improves. However, my risk and exposure are steadily constant. I live with zero security. I live with very real and tangible threats to my home and my income, which also threaten to then cause a catastrophic chain of events that would see me cast from my profession and barred from accessing everything which middle-class people take for granted: bank accounts, mortgages, car loans, house rentals and other things requiring a credit check. Even most jobs with big companies are barred to bankrupts nowadays.

Money ebbs and flows through my accounts. Vast amounts of my wealth is hoovered up by the idle and lazy, who arrogantly expect to be paid money because they already have money. The turnover of money is beyond my capacity to track it. To monitor my accounts would be an exhausting waste of time and energy. Instead I see the vast wastage as preferable to the miserly task of bean counting. At least I know that some of my money ends up in the pockets of people who need it - it flows to me and it flows outwardly again, but at least it is flowing. I have no time or respect for people who cling to money, denying it to the economy.

I've lost count how many times I've lost everything but earned it all back again plus interest. I must have spent several lifetimes' fortunes. The aggregate value of my productivity must be a very big number. I certainly haven't been idle.

My life is very straightforward. Get the money, spend the money.

The straightforward nature of my life is the root cause of my unhappiness. I feel like a rat who has had electrodes implanted deep into its brain, so that it can stimulate the reward pathways by depressing a lever. It's very easy to press the button and get the thing which I'm supposedly living for. Don't have sex, press the lever. Don't have children, press the lever. Don't eat, press the lever. Don't drink, press the lever. I can press the right buttons and get the things which everyone covets - money, houses, cars, boats... whatever.

When you've been in the situation where you can buy whatever you want, including a lifetime's unlimited supply of drugs, then you have become the rat who presses the lever until it dies, because it doesn't eat or drink - it just presses the lever, because the lever is the best that life can possibly be. If you've ever thought "I could die right now because I'm so happy" that's what the rat is thinking when it presses the lever. Nobody should ever experience that... it's too much to handle.

Ultimately, I have reduced life to its most fundamental and primitive components. I understand mortality. I understand the lever. Life has boiled down to a choice between three things for me: pressing the lever, killing myself, or seemingly interminable boredom and suffering; repetition.

I had to make the choice to stop pressing the lever. I did so because of guilt about not repaying a debt to a friend. I could see that I was going to die of thirst, like the rat pressing the lever, and that I would die with a considerable lack of dignity. I turn 40 this year and it's pure pride that drives me towards confounding all expectations that I should end up a dead homeless bankrupt junkie.

I repeat myself so endlessly, but this is how I keep myself on-track. The speed limit of the universe is maddening, because I can see where I want to end up and I can see the route I need to take, but there's no way I can make the journey pass any quicker. I'm very much wishing my life away because I can picture so clearly where I want to be. I see everything that's not on the critical path as superflous. I've jettisoned girlfriends, friends, hobbies and interests, intellectually stimulating work, social contact and - strangely - drugs and alcohol. My life is austere. My life is brutal simplicity personified.

I wonder if perhaps I am on the autistic spectrum. I have rigid and fixed routines. I wear certain clothes on certain days at work, from a pre-planned wardrobe. I eat the same things. I have a place for everything and everything must be in its place. I follow a sequence for everything. I have routes that I always follow. I have a single unwavering approach to life; a single way of getting money and getting what I want. My life is designed to fit a designated path; everything is controlled down to the level of minute details. I have memorised unusual things, such that my words and actions seem to flow out of me automatically, despite the complexity of a task or seeming impossibility of memorising a sequence of keystrokes.

I blend in well enough now in adulthood. It's been a while since anybody called me a weirdo. In fact, I portray a convincing facsimile of a normal person, outwardly.

For a person with a mood disorder, I appear to be remarkably stable, and all the more so considering that I'm not taking any mood stabilisers. I stabilise myself with self-medication and strict routine. It's hell, but it's an internal hell which I manage to hide from my work colleagues.

It pleases me that I've been able to blend in. It pleases me that I've been able to pretend to be normal for lengthy periods of time, and to prove that I can hold down a job, pay my bills and otherwise conform like a regular guy, for sustained periods. It pleases me that I stop and start drugs and alcohol whenever I want - I can be clean and sober whenever I choose, without difficulty.

Everything is a loop. Round and round I go.

The present loop is one of the most boring and most suicide-inspiring.

 

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Lost Cause

7 min read

This is a story about predictions...

Recycling

Bookmakers and actuaries are extremely good at predicting the future. The profits of these well-established enterprises depend upon accurate predictions, based upon a vast amount of historical data. Better statistics lead to better predictions, which lead to accurate odds and sustained profitability. If it wasn't possible to predict the future in this way, there wouldn't be a business model for life insurance or gambling.

Unfortunately for individuals, generalised predictions are fairly accurate while individual predictions are not. It is no use asking an actuary when you will die, so that you can plan your life accordingly. The actuary will not be able to tell you whether you'll die of a heart attack age 45, or whether you'll die in your sleep age 95. Those extra 50 years present a considerable problem for the individual, but the actuary does not care, because they spread the risk of having to pay out on life insurance across a large group. On average, the insurer will win. However, none of us can know whether we're going to die prematurely or live unusually long.

It might seem prudent to avoid smoking, drinking and consumption of excessive calories. It might seem prudent to go to the gym every day. It might seem prudent to eat a balanced diet, containing a mixture of fruit and vegetables, full of amino acids, vitamins, minerals, trace elements and other chemical compounds your body needs to repair itself and stay healthy. However, while we can say for certain that smoking and obesity will lead to health complications, none of us can make choices to assure ourselves of a long life.

One day you might just drop dead.

The temptation to use statistical analysis to make predictions for an individual is overwhelming in a world where we have discovered the classical laws of physics. We presume that we are able to predict the future as easily as we can predict the trajectory of a missile. Unfortunately, individuals do not follow simple parabolic curves. While there are statistically significant correlations - good predictors - this does not mean that we can know the future life of a human, after gathering a few crummy data points.

All we have managed to unearth so far about the mysteries of human life is that we can understand risk not destiny. You might have genes which appear to doom you to a certain fate, but those genes are not always expressed in the way which we expect. The sequencing of the human genome has failed to provide the crystal ball that it was promised to deliver, but instead revealed the unimaginable complexity of epigenetics. No clear genes have been found for things such as diabetes and depression. There is no gene which hard-wires our life expectancy into every cell.

Who could have predicted that smoking would be banned in public buildings and the workplace, drinking culture would become diminished, supermarkets would import food from all over the globe, such that strawberries would be on their shelves all year round, and the workplace would become so safe and so sedentary? Who could have predicted that mental health problems would reach such epidemic proportions that the leading cause of death amongst 20 to 40 year old men would be suicide?

Ultimately, the biggest thing affecting my life expectancy appears to be a choice which I'm free to make.

I've never smoked and I quit drinking 4 months ago. I eat a balanced diet and I'm a healthy weight. These things are happy accidents. Every afternoon my anxiety builds to an increasingly intolerable level and every evening I feel suicidal. I live alone and have no friends or family nearby. I have no children, pets or partner.

My life is on a knife-edge.

If you were going to bet on the statistically probable outcome of my life, you'd have lost a lot of money already. I'm afraid to say that I'm an outlier and I have refused to conform to the predictions. I'm a single data point and as such I'm not statistically significant on my own, but the significance of my own life and its outcome is, unsurprisingly, important to me.

It's a hard life being an outlier. Literally, almost everyone is betting against you. It will be harder to get an education, get a job, get a home, borrow money, find a partner, get life insurance, get a pension... all of these things are thwarted by people who believe that they are able to predict my destiny. I'm continuously confronting people who believe I'm a lost cause, and therefore not worth taking a risk on.

We can see that this attempt at prediction becomes a self-fulfilling prophecy. When racial stereotypes become pervasive - for example - then we see that minorities are harshly and unfairly prejudiced, which harms their chance of success and reinforces the correlation between uncorrelated factors. Skin colour should not be a good predictor of socioeconomic outcome, but the data overwhelmingly shows that it is.

From the moment you enter the vast educational system, you are being sifted and sorted in a way which tests you and gathers data on you, in order to attempt to predict your future. Something as random as getting an illness will affect your school attendance data, which will be used against you as a predictor of supposed future failure. You are constantly at risk of flagging yourself as a "disaster waiting to happen" and suffering lifelong prejudice due to the systemic attempts to analyse individuals statistically.

I suppose I now revel in the fact that I'm a living contradiction. My problems with mental health, addiction, alcohol, hospitalisations, psych ward stays, trouble with the police and refusal to be sifted and sorted by the mainstream education system, are not in agreement with the predictions that I should end up bankrupt, in jail and/or dead, having lived a life with no useful contribution to society, and in fact having been a burden. I'm the guy your mother warned you about. I'm the one who isn't supposed to be allowed to freely roam the streets. I'm the one who all the gatekeepers have in mind - I'm the one they want to keep out, but yet I'm very much on the inside.

If those who think they can gaze into the future by studying my data had their way, I wouldn't have a job, a house, any money. The system has tried very hard to railroad me into certain outcomes, because it's what was expected and predicted.

I genuinely don't know whether I'm going to kill myself or if my depression is going to lift and life's going to become pleasant and bearable. I've lived with depression for long enough to know that my choices will have little effect on the outcome. No amount of prescription medication, therapy, yoga and other such things will have the intended effect. It has always been the least expected things in my life which have wrought the most important changes.

If I was betting on myself, I suppose I would bet that I'll die at my own hands. If I was betting on myself, I suppose I would bet that I won't be able to escape the debt trap. If I was betting on myself, I suppose I would bet that I will crumble and break, because that seems like the obvious thing I would do, from looking at the black marks against my name. If I was going to bet according to statistics, I would definitely bet against myself.

However, we know that fundamentally the universe does not obey classical physics, when we study the underlying laws, but instead there is inherent uncertainty. Outcomes are nondeterministic. Knowing my past does not allow anybody to know my future. There is a nonzero probability of every possible outcome, no matter how unlikely it may seem.

My day-to-day life is dominated by a single question - am I going to kill myself? - but despite being the best placed person to answer that, I do not know the answer. Events unfolding are as much a surprise to me as they are to you.

 

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I Felt Something

6 min read

This is a story about flashbacks...

Abandoned shoes

Once upon a time I was in love. Once upon a time I lived in a place where I knew lots of people. Once upon a time I lived somewhere familiar that I called home. Once upon a time I was in the Goldilocks zone: everything was just right.

It often looks as if I start worrying about things too far in advance. I remember I was very anxious about getting another job during the winter of 2016/7. I had money in the bank to pay my rent for many months. I had the financial support of my girlfriend. Really, there was nothing to worry about, but I didn't feel secure.

Nobody could have predicted that I'd get a blood clot in my leg, causing a lot of damage to nerves, blood vessels and muscle, which would trigger my kidneys to fail. Nobody could have predicted the consequent need for dialysis and pain medication.

For sure, I contributed to my own problems, but then the problems multiplied all on their own. It was my fault that I got more sick, didn't get a job and broke up with my girlfriend. Having to leave my home and move to another city was something I already predicted and worried about. Getting into financial difficulties was something I was already losing sleep over. My luck ran out in the end.

There was unimaginable stress and effort required to move from London to Manchester, Manchester to Swansea, Swansea to Cardiff, and stave off bankruptcy. There was an incomprehensible amount of trauma caused by breaking up with the love of my life - even though I instigated it in my madness - and leaving the city which held almost my entire social support network.

Mental health problems, alcoholism and drug abuse added to a toxic mix of moving house, moving city, moving jobs and never putting down any roots. I never felt settled anywhere.

The net result is that I've had to emotionally shut down. The person who I present to prospective employers, prospective landlords and other gatekeepers, is a calm, collected, well-dressed, polite and well-spoken individual, who appears to be handling everything quite well. Without this document, people would be very puzzled and surprised to find that I'd committed suicide. "He looked fine" people would say.

Nobody's really close enough to see the inner anguish and turmoil. Nobody's really close enough to see my mask slip. For sure, I write and publish every day, but my readers are scattered all over the country. At the weekend I saw two close friends, but the previous time I'd seen a close friend had been 5 months ago.

5 months!

Can you imagine that?

Picture yourself pretending like everything is A-OK for 5 straight consecutive months, without a shoulder to cry on and the comfort of opening up to a close friend. Picture yourself being surrounded exclusively by your work colleagues and other people who you need to put on a brave face for, for 5 long months.

My life is very odd. I saw old friends in Portugal, in the gastropub next door to the hotel I lived in, in Prague and near Bristol. I count four occasions when I saw old friends, in the space of a year. That's a staggeringly lonely and isolated existence.

My entire existence revolves around my attempts to avoid gaining a black mark against my name - bankruptcy - and being evicted from the privileged part of society which I'm fortunate enough to be part of. For 5 years I've attempted to muscle my way back into civilised society, while the demands of capitalism have wrestled me to the floor and punched me in the face repeatedly.

My approach to life is very simple: work hard and earn more money that I spend. On paper, it's easy to calculate how long it will take to get myself back in the black. Theoretically, it should be easy for me to restore health, wealth and prosperity to my life.

In reality, I've had to suspend almost everything 'human' about myself and become a robot.

I don't have the time or the money for feelings.

Everything feels very wrong, but conceptually it's right. My feelings tell me that things are painful and unbearable, but on paper I must bear these things, because on paper it's clear what the benefits are. I do not feel any benefits. I very much feel all the horrible unpleasant things. I force myself to live with the intolerable, because it seems logical in theory.

Look around: life seems to be about earning money, paying bills and then dying. I'm making a very passable imitation of those I see around me.

I would desperately like to switch off my feelings, switch off my brain, and just wake up in a year or so when this unpleasantness is over. I'm paid to sit in a chair not saying anything, so it would be very nice if I could be put into a kind of suspended animation, so that I'm unconscious while sitting in that chair. Wake me up when the sitting is finished.

Something unlocked some feelings for the first time in a very long time, and I found myself crying a little bit last night. I cried about breaking up with "the one who got away". It's strange that those tears are almost 2 years overdue. I didn't really cry very much. My feelings are kept very well subdued - the lid is kept on that jar very tight.

I think about the ease with which I could calmly get a sharp knife from the kitchen drawer, walk upstairs to my bathroom, draw a warm bath, immerse myself in the water and open some major blood vessels with the blade. I know how unhesitatingly I would act, once making the decision. I know how little doubt or anxiety would trouble me. I know I wouldn't call anybody or otherwise raise the alarm.

I suppose I could give up the other way. I could allow myself to be ejected from the privileged part of society. I could refuse to partake in the rat race anymore. I could allow my card to be marked and my name to be tarnished. I could let the circling vultures swoop in. I suppose it might actually be more pleasant than the sitting in the chair, quietly doing nothing, just waiting, while in agony.

Regret is the problem.

I cried because I lost the love of my life and it was clearly all my own fault. I cried because I was in the Goldilocks zone but I sabotaged it all. She was just right - not too hot, not too cold - and so were many other things in my life at that time, but I threw it all away.

I don't particularly feel regret, because I don't particularly feel anything. My feelings are all bottled up. There's no time or money for my feelings.

It's been a long time since I cried, but I did cry a little bit last night.

 

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Antipsychiatry

5 min read

This is a story about refusing help...

Pharmacy

If you spend enough time with general practitioners, general psychiatrists, specialist consultant psychiatrists, registered mental nurses, specialty doctors and all the very many other mental health professionals who are part of inpatient and outpatient clinics, community mental health teams, crisis teams and all the other apparatus which is supposed to treat mental health problems, one begins to realise a rather unsettling truth: there aren't very many treatments and they don't work very well.

Psychiatry is a young branch of medicine and it doesn't have a lot to crow about. Since the days of asylums and lobotomies, psychiatry has been dogged by scandals, including the extrapyramidal side effects of medications which have left patients with lifelong irreversible unpleasant problems. The data do not show encouraging outcomes. In fact the outlook is dismal and appears to be worsening as the toxic conditions which create mental health problems, seem to be intensifying. Rates of depression, anxiety, eating disorders, OCD, autistic spectrum disorders, attention deficit and hyperactivity... these are all soaring. Treatments are not effective and vast numbers of people are condemned to suffer with their illnesses AND the side effects of the medications.

I've been lucky enough to have access to private medical care, at times, and even with the very best professionals and medications, there is not a vast difference between what's available from the public healthcare system. It's all pretty crap and it doesn't work very well.

This is not a damning indictment of those who dedicate their lives to trying to treat mental illness, but simply a cold hard rational analysis of the facts.

The conclusion I've reached has been that there's an over-medicalisation of non-medical problems. The bulk of my problems have stemmed from the collapse of my relationships. I got divorced. I am estranged from my family. I've been forced to move to cities where I have no friends - no social support network - in order to work jobs which have been unsuitable for my health. I have the enormous pressure of having to work full-time, to pay rent, bills and service enormous debts, which is unbearable for a person who's having a crisis.

My mental health would be vastly improved if I had a partner, a social support network of local friends, financial and housing security and a job with reduced hours, until this crisis is resolved. Healthy diet, sleep hygiene, exercise, sex, physical affection, sunlight, fresh air, social contact, hobbies and interests... these things are all essential for human wellbeing. None of those things can be prescribed by a doctor.

During the worst days of my addiction and rough sleeping, I noticed that my fellow homeless alcoholics and addicts were not without some routine and social lives. Romantic relationships are not the exclusive preserve of those who live in houses and have jobs. The life of a homeless drug addict might be chaotic to the outside observer, but a less prejudiced analysis reveals no less structure, no less need for comfort, no less humanity. Those who have fallen into habits of addiction and homelessness might find the community of drug addicts, alcoholics and homeless to provide the social support network and sense of community, which they'd struggle to find living anonymously behind a front door.

Does anybody really know I'm here... in this house... in this city? In many ways I have found my contact with hospitals and the police to be of great comfort. I have found the nonjudgemental members of the NHS and police force to be incredibly kind and compassionate people. It's nonsensical, but I've been happy to be hospitalised or arrested. I've been happy to be in a cell or on a hospital ward, with somebody checking on my welfare. Behind my own front door I could be hanging by the neck, dead, and nobody would discover me for days or maybe even weeks.

My problems are mainly attributable to unmet basic needs: hugs, face-to-face conversation and a sense of belonging.

Because of the obvious things which need to be fixed in my life, it seems wrong to seek medical help, when my mood could be radically different if all the broken things were fixed. It might sound like a fun adventure, going to new cities, but the reality is very miserable and lonely. The reality of my present life is that I don't pick up the phone to speak to anybody when I'm feeling dangerously depressed - who would I phone? What would they do? It's not like anybody can nip round to check I'm OK.

Humans are social creatures, but I live on the periphery. I live on the periphery of life itself, always in danger of death or medical emergency. The state of being suicidal should be considered a medical emergency, especially in men of age 20 to 40, where suicide is the biggest cause of death. My perception of the danger is not warped, given my history of suicide attempts and hospitalisations.

There isn't a pill or some psychological therapy which would be effective... especially not when so much of my life is broken. It's not a medical problem. Sure, I have an underlying mood disorder, but the highs and lows of bipolar don't make me as unhappy as my social isolation does.

How I set about fixing things, I have no idea. The task seems insurmountable.

 

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Waiting Game

7 min read

This is a story about biding your time...

Dehydrator

One of my favourite things to make and eat is beef jerky or biltong. Mixing a marinade, lovingly covering the meat and then slowly drying it is something which can take 30 hours or more. The smell is quite tantalising throughout the process, but there's no short-cut to the end. If the beef is marinated for less time, it will be less flavoursome. If the beef is dried too quickly it will be cooked instead of dehydrated, and it will be brittle, not chewy.

My life has become a game of waiting. I'm paid for my attendance, not my contribution. I'm paid to be present, but also paid to be quiet. The more I'm present and the quieter I am, the greater my financial reward, but it's pretty unbearable. I literally just have to watch the clock and think of the money. If I tried to make myself useful, people wouldn't like it and it would cause problems.

The situation is ridiculous, because even a small child could see that I don't have to do anything and I will be handsomely rewarded with desirable things, such as cash, houses, cars, holidays, clothes, gadgets and suchlike. It's very easy to extrapolate and say that it's almost inevitable that I'm going to earn a staggering amount of money, for doing almost absolutely nothing.

The situation is hard to handle. I can see every single step in-between here and the 'finishing line'. It's as if there's a well-lit staircase that leads to the top of Mount Everest, and I know exactly how many steps there are, and also that theoretically my body is capable of climbing that many steps, but it's psychologically distressing to know exactly how many steps there are between me and the summit. Sometimes it's not a good thing to know the way. Sometimes it's not a good thing to be so aware of the journey ahead.

I'm aware that human bodies only last a finite amount of time before they fail. I can comprehend the number of sleeps that I have left before I expire from old age. A friend pointed out that 9 years is 108 months, which seemed like an interesting way to break down a decade - making it more bite-size - but the idea of living for another decade is not inviting to me. Getting to the end of this month will be an achievement.

My perception of time is warped. My sense of boredom is heightened. My attention span is ruined. I feel anxious all the time. I have terrible anhedonia.

Life's not very liveable but life must go on. I have to choose between the rat race and the endless exertion to keep my head above water, or else I will be turfed out onto the streets and will have to live a pitiful life of begging and sleeping rough.

My thoughts turn to suicide often.

Suicide is the obvious choice, because it ends the struggle completely. No more anxious waiting. No more slow plodding towards the inevitable. No more unpleasantness.

I'm aware that I'm frustratingly close to a major breakthrough. I'm aware that I've rebuilt myself fairly miraculously and I'm a completely different person from the junkie I was 2 years ago. It seems brutal that I would lose the love of my life, lose my amazing apartment, be forced out of the city I called home and end up attempting suicide, only to end up surviving and clawing my way back from almost-certain bankruptcy, only to give up at the point I was at break-even. It seems ludicrous that I'd claw my way back from so-called "rock bottom" and then decide that it wasn't worth it, except to die with a bit more pride and dignity.

I was chatting to a friend and we wondered whether we had screwed up our brains and our bodies too badly to ever recover. We both reported feeling a lot of physical discomfort and health problems, as well as terrible depression and anxiety. Ironically, he has all the things that I think I want: a girlfriend, hot weather and freedom from the rat race. The thing we have in common is bipolar disorder and substance abuse, so perhaps the evidence is pretty clear - drugs will mess you up and leave you in a miserable state.

The annoying thing is that my life isn't filled with drug abuse. My life is filled with 9 to 5 Monday to Friday commuting and office routine. My life is filled with paying rent and bills. My life is filled with supermarket shopping and doing laundry. My life is filled with mountains of paperwork. I've been well-behaved and I've made healthy choices, but it hasn't made any difference - I'm still depressed.

I suppose my depression can be explained away by events such as a breakup and a lot of stress - moving house - as well as the sustained problems I've faced in the past years, as I've attempted to restore my health and my wealth. It's hard not to lose patience though. It's hard not to give up, given the sustained effort that has been required to get where I am, and the way I feel at the end of it all.

After all the effort and the uncertainty and the horrible things I've had to endure, when I think "was it worth it?" I'm not sure that it was. In fact, I'm pretty certain that I wish I hadn't bothered. I'm pretty certain that I'd like for the pain and suffering to end sooner, rather than later. I cannot see any reason to carry on, when the reward is only more pain and suffering.

I'm kinda worried about keeping myself safe. I started thinking about places in my house where I could hang myself. I started thinking about cutting some major blood vessels in the bath. I started thinking about obtaining highly toxic poisons from the internet. I started thinking about practical considerations, such as the effect on my sister.

It's not good when a considerable part of your waking day is spent thinking about ending your own life.

I'm aware that I've probably unbalanced my delicate brain chemistry, through stressful events as well as medications. I binged on some pills. I self-medicate with other pills. The demands placed upon me by moving house and working a stressful job have driven me to feel suicidal before. I don't have any friends in the city where I live. These things are not conducive to good mental health.

I know that if I keep forcing myself to go to the office, my bank balance will continue to improve, which opens up a whole world of possibilities and reduces the amount of stress and pressure in my life. I know that as long as I stay alive, the days are getting longer, the nights are getting shorter and the weather is improving. I know that depression doesn't last forever. I know that anxiety has only ever come into my life as a result of abusing alcohol and benzodiazepines. I know these things, but it doesn't make the present day any more bearable.

There's no way to hurry things along. I either have to wait, or kill myself.

 

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Asleep On My Feet

5 min read

This is a story about sleeping pills...

Attic

The existence of this photo is something quite remarkable, even though it's hard to understand if you're not me. This photo captures the end of my attempt to smoothly extricate myself from an acrimonious divorce and pick up my life in London again with little damage. This photo captures the beginning of an astonishingly difficult period of my life - the part that contains all the homelessness and hospitalisations.

I try to compartmentalise everything, and to compare present experiences with past ones to see if I'm repeating patterns of behaviour which are flawed.

One experience which is oddly haunting is that of walking around in a somewhat out-of-body state; tunnel vision. I can hear my mouth talking - I can hear my voice - but it doesn't feel like I'm saying the words... I just hear them. It feels like I'm dreaming.

My brain is recovering from an avalanche of pills I've shoved down my throat in the past fortnight. I'm surprised I haven't suffered seizures or kidney failure, given the cocktail of chemicals I've swallowed.

I forget that I messed up my brain chemistry.

I wonder why I can't concentrate and my anxiety has gone through the roof. I wonder why my perception of time is so warped: The seconds and minutes are dragging along, taking hours and days to pass. My days in the office have been difficult, but my days at home have been no easier. There's no respite from the problems of my mind, my mood, my perceptions - I can't escape my brain.

I forget that I stopped drinking.

I wonder why the days are so long and I seem to have so much more time to do stuff. I wonder why I'm more able to cope. I wonder why I'm not so overwhelmed by things. Then I remember that I'm not shackled to alcohol anymore. I get to Friday and I start thinking that I should get drunk, but then I remember that it doesn't help, but it definitely hinders.

I think about all the detoxes and rehabs and I try to tell myself that £12,000 and 28 days in The Priory - the UK's Betty Ford - isn't enough to 'cure' me then I should go easy on myself. I think that I should allow at least four weeks since any major incident, before deciding that things are broken and won't get better. I think that 6 weeks is better, as a period of recuperation. I think that perhaps 3 months is best of all - 3 months stability and routine is the minimum, before making any big changes.

I always tried to rush things. I got very impatient and I tried to hurry things along. It ended badly.

I got very agitated. I got very angry. Nobody seemed to understand the urgency. Everybody seemed to be getting in my way.

The universe doesn't like to be hurried, it seems.

I think about how many different things I wanted in a short space of time. I wanted to work with my hands. I wanted to not work in an office. I wanted to be my own boss. I wanted to be the CEO of a tech startup. I wanted investors. I wanted to win. Then, I wanted rapid promotions and progression. I wanted to make a notable contribution. I wanted to have a say in everything.

I thought I was going somewhere.

I can look back and laugh at myself, but I must've carried some of that same person from the past into the present, which means I'm laughable today too.

I did learn to keep my mouth shut though, a little bit.

I think it's an interesting story, but I'm biased. I find it interesting that I was held back for years, which was frustrating, but then I squandered many years as an addict, which made absolutely bugger all difference. Instead of screwing up my whole career and future earning potential, my profession just patiently waited to accept me back once I'd got a lot of nonsense out of my system.

What terrifies me is how many years it's been and how similar this feeling is - of being asleep on my feet - to that feeling I had when I thought I was managing to escape my screwed up life and start over again, back in London. It's terrifying to think I haven't progressed at all, except I'm older and I've damaged my body and brain quite a lot.

I thought "OK time to stop now" a long time ago, and then found that I couldn't. The things that I didn't want to happen - like losing all my money and sleeping rough - happened and I landed up having major medical emergencies. I'm smart enough that I made it this far and my story is kinda remarkable, but anything that's vaguely similar to the past gives me a lot of superstitious heebie-jeebies.

This weekend is tougher than I thought it'd be. I'm not as far progressed with my finances as I thought I'd be. I'm not as clean and sober as I'd hoped I would be. There have been setbacks. My journey has been nonlinear.

What's surprising is that the universe has just handed me some major life components. Whether I'm intent on screwing up my entire life or whether I'm trying to achieve something great, pretty much the same outcomes seem to happen. I'm pretty convinced that free-will is an illusion. I don't feel like I'm just observing, but the evidence seems to be that I don't have any control.

Of course, I have too few 'normal' experiences to really benchmark where I'm at. I have too few 'normal' human interactions to gauge whether I've lost my mind or whether I'm OK. I'm completely free from any oversight. I'm untethered.

I don't know what's going on and I'm starting to ramble. I feel very peculiar.

 

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The Achievements of One Week

6 min read

This is a story about post-traumatic stress...

Fire

Tuesday was a very bad day. Tuesday was a constant panic attack. Tuesday held nothing for me but relentless anxiety. Tuesday passed very slowly.

Tuesday is past.

Today is Friday.

Today is almost OK.

When I look back on today at some point in the future, I'll probably realise that today was pretty bad, in the grand scheme of things, but compared to Tuesday, today has been a doddle.

It might seem like I was making a lot of fuss about nothing, earlier in the week, but I assure you that I was suffering a very real medical emergency, which would have seen most people hospitalised.

The brain can render us very sick and needy, when it malfunctions. My brain was badly on the blink and even in a hospital I would have been very uncomfortable. Doctors could have eased my suffering with powerful tranquillisers administered intravenously, which would have been the ethically correct thing to do, but on Tuesday I went to the office, which was torturous beyond my capability to describe.

There simply are no words for the things which are at the limit of human survivability. Torture can make us lose our sanity. Trauma can lead to loss of life.

It might look on the face of it as if I'm an ordinary person doing ordinary people stuff, but the fact is that few of us live in perpetually precarious situation. We either fail and fall, or else we stabilise. We tend towards stable outcomes: Stable failure and stable success. I'm relatively unique in having not yet failed sufficiently to block my path from achieving desirable outcomes. Despite drug addiction, alcoholism, near-bankruptcy, homelessness, brushes with the police and debilitating mental health problems, I remain persistently employable and able to access goods and services which are normally denied to a whole swathe of society, to which I belong.

Nobody has realised I'm not supposed to be here.

Nobody has realised that all their vetting procedures and gatekeepers have failed to send me packing, back to the hell hole I crawled out of. Nobody has realised that I'm one of the ones that we're supposed to spurn and turn our backs on. Nobody has realised that I look, sound and smell like I'm one of the "OK" ones, when in fact I'm very much one of the "not OK" ones.

The longer I'm allowed to stay and warm myself by the fire, the stronger I get and the more chance is there is of me achieving stable success.

That's not supposed to happen.

Every societal system has in-built measures to toss people to the wolves. I'm not supposed to be in a big house with a wood fire and a fridge full of food. I'm not supposed to work in a fancy office doing brain-work. I'm not supposed to have any financial security, housing security or prospects. Society would like to see me dead in a ditch.

Society does however worry selfishly a lot about its own sons and daughters. Because I suppose I exude somewhat of a heady mix of intellectual poshness, combined with whatever youthful vulnerability still remains in a 39-year-old man with grey hair at his temples, I guess I confound expectations of what a junkie looks like. I'm not what anybody expects a homeless bankrupt to look like. I do not embody what anybody thinks of when they think of a psych ward patient. I do not look, sound or smell like the thing which I so obviously am, if we scratch beneath the surface.

Of course, my ruse is premeditated. I know that if I keep my mouth shut and my head down, nobody will pay me much notice, and I'll slowly be able to recover from the horrors of my past. I know that if I can go unnoticed and unfettered for long enough then I'll be able to have regained firm footing, to better enable me to flourish.

I'm aware that any period I look back upon as a period when I considered myself to be doing OK, with retrospect has turned out to be a false summit. Everything I've ever achieved has crumbled. It would be foolish to imagine that I'm doing OK at the moment, simply because I'm doing better than I was a week ago, a year ago or 5 years ago.

That's the really terrifying thing for me: 5 years ago I was very much beginning the descent. I attempted to dab the brakes, but then found that the brakes weren't working. I knew that I had to avoid long-term irreversible health damage, criminal convictions, damage to my credit rating, bankruptcy and damage to my professional reputation, but I still managed to find myself looking down the gun barrel of a heap of problems that were going to see me destitute on the street.

I'm not sure how I've managed to face down the threats to my life and livelihood and emerge from the thicket relatively unscathed, at least on the surface. I suppose it's all down to a handful of people who've conspired to assist me, in ways which run contrary to the conduct we consider ordinary and normal. A handful of people have taken risks with their lives and their money, to see me live with continued opportunities, as opposed to lasting and disastrous consequences.

I suppose in the popular parlance, I've been "enabled".

I hate that negative phraseology, to stigmatise those who help addicts and alcoholics. I hate the idea that an act of kindness is actually something bad; something foolish. I find the whole concept detestable.

I feel bad about how unwell I have been feeling this week, which should have been a celebration of how much the help I've received was a worthwhile investment. I feel bad about feeling bad.

The reality is that through the awful panic attacks, I still have a lovely house and a well-paid job, so I just need to stick to the plan - "home stretch" as my guardian angel said to me today.

My life follows a very nonlinear path. Of course I remember how bitterly I complained about living out of a suitcase, how pleased I was with a new relationship, how much invested I was in my Christmas and New Year holiday, how quickly my opinion changed about the relationship and how anxious I was to secure my housing situation. Of course I remember the highs and lows. I remember the devastation and the jubilation at many points along the way, with crystal clarity.

This is my very weird life. Suicidal depressed anxious thoughts, then white sand beaches and blue skies, luxuriating on holiday, then darkest blackness, then roaring log fires in a large period home, then more blackness. Why should this not be the case? Why would we expect any different?

Things were dire earlier in the week. Things are dire now, but dramatically less so.

 

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Tinnitus

5 min read

This is a story about hurting myself...

Ear

There's an insufferable noise inside my head. It's a bit like a hissing, whining, wailing, screaming roar. I can't actually hear anything per se, but there's something that's far noisier than everything else that I can perceive. The world seems very loud and invasive to me - every tiny sound is amplified to neve-jolting volume - but the noise inside my head is louder, even though it's silent.

I know this doesn't make any sense.

At its most basic, the noise is like the shrill notes of a horror movie, which indicate that something bad is about to happen. The noise is deeply unsettling; disturbing. I feel on edge.

Then, after a while, because the noise doesn't go away, it seems to become more urgent: Pain, injury and death feel as if they're about to happen. I'm in a constant state of 'flinching' from the anticipated blows to my body.

The feared pain never seems to quite arrive, but instead there's a dread that this feeling will never go away. This is my life now: Living in a constant state of anxiety; living with perpetual sustained threat.

How can I go on living like this?

How can I live with this noise?

There is no noise.

My rational brain knows that there isn't any noise. My rational brain knows there isn't any threat. My rational brain knows there isn't anything to be anxious about.

Further, I know why this anxiety is so bad: Because I've been through an incredibly stressful life event, and I'm not using my usual coping mechanisms, such as drinking alcohol.

In fact, I'm effectively putting myself through alcohol detox, tranquilliser withdrawal and sleeping tablet comedown, whilst simultaneously doing one of the most stressful things that ever happens in our lives - moving house.

If I don't learn to cope without alcohol then it will destroy my health and send me to an early grave. If I don't learn to cope without tablets, then I will be forever trapped by addiction.

The unfortunate short-term consequence is very unpleasant to live through.

In fact, it's so unpleasant I've started to think I would very much like to not be alive.

That's the noise.

The noise continuously tells me to hurt myself; to end the pain.

If there was a sound that existed which told you you're better off dead, then it rings at full volume in my ears. Its sustained pitch and relentlessness tells my brain it's never going to go away, things are never going to get better, and this unbearableness is a permanent state of affairs... and the only escape is death.

I've been through enough anxiety and depression to know that things don't get any worse than this, and eventually things do get better. I have unfortunately experienced enough prolonged panic attacks to know that this is just another one, and although seemingly interminable, it will eventually pass.

Given a little more freedom - a few more options - I would stay at home in bed, and sleep. To make matters worse, however, I feel compelled to be in the office, which is just about the worst place in the world, because I have to pretend like everything's OK when it's not. I have to sit in my office chair for 7 or 8 hours, when every single bit of my body and mind screams to be doing something distracting or relaxing.

Driving in heavy traffic is a mild improvement over sitting at my desk. In fact, sticking sharp objects into myself would be a mild improvement over sitting at my desk. Jumping out of my office window and falling to my death seems like a vast improvement over sitting at my desk.

It's a pretty disturbing state of affairs and I'd be yelling for help, except that I know there's no comfort that anyone's going to offer me. Nobody's going to pay for me to be sick in bed. Nobody has anything they can say or do to ease the situation. I'm just going to have to suck it up.

It's not like I've run out of pills or the shops have run out of alcohol. It's not like I couldn't go into debt while I get better. There are temporary solutions, but they all delay the inevitable.

I suppose I'm ripping off the sticking plaster, as opposed to peeling it off gently little by little. This is a short sharp shock. This is the fastest route between two points, but also the rockiest road, with thorny bushes, biting insects, choking dust and a whole host of other things that don't mean it's necessarily the easiest path.

Now... I need to go and find distractions until it's time for bed. Today has been an incredibly long day, and I wish I hadn't woken up.

 

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Misuse of Drugs

21 min read

This is a story about fit for purpose...

Prescription medications

Here are a range of prescription medications. Three of them are illegal to possess without a prescription under the Misuse of Drugs Act, because they are scheduled as "class B" and "class C", respectively carrying a 5 year prison sentence, a 2 year prison sentence and an unlimited fine.

So, 3/5ths of the medicines pictured here could see me locked up for somewhere between 2 and 5 years, if I didn't have a prescription.

The medication at the top of the picture is lamotrigine, which treats bipolar depression, as well as epilepsy. It has no abuse potential, but it does carry a high risk of causing a fatal skin rash.

The medication in the middle of the picture is bupropion, which treats addiction to nicotine. It has no abuse potential, but it also carries a high risk of causing seizures, which might be fatal.

The medication in the bottom-left of the picture is pregabalin, which treats neuropathic pain. It is addictive and can be abused. Pregabalin is a "class C" controlled substance, and anybody caught in possession without a prescription, will receive 2 years imprisonment and an unlimited fine.

The medication in the top-right of the picture is methlyphenidate, more commonly known as Ritalin®, which treats Attention-Deficit-Hyperactivity Disorder (ADHD) and Attention-Deficit Disorder (ADD). It is addictive and can be abused. Methlyphenidate is a "class B" controlled substance, and anybody caught in possession without a prescription will be imprisoned for 5 years and receive an unlimited fine.

The medication in the bottom-right of the picture is zopiclone, which treats insomnia and other sleep disorders. It is addictive and can be abused. Zopiclone is a "class C" controlled substance, and anybody caught in possession without a prescription, will receive 2 years imprisonment and an unlimited fine.

So, if I didn't have a prescription for all the medications on this table, I could be facing 9 years in prison and an unlimited fine, should the judge decide that my sentences should run consecutively, not concurrently, due to the gravity of my crime.

Yet, millions of UK citizens receive the medicinal benefits of pregabalin, methylphenidate and zopiclone, and the quality of their lives is greatly improved. These tablets were developed as medicines by pharmaceutical companies, to treat medical problems. Substantial empirical evidence was gathered in many controlled trials, to prove that these medicines were safe and effective at treating the medical problems they have been licensed for.

Indeed, these medicines have unexpected benefits beyond the purpose they were licensed for. Lamotrigine improves sleep quality. Bupropion is a fast-acting non-drowsy antidepressant, which also increase libido and enjoyment of sex. Pregabalin reduces anxiety and aids sleep. Methylphenidate improves concentration, allowing students to study harder and for longer periods. Zopiclone can prophylactically prevent psychosis and mania, by preventing sleep deprivation.

It is very hard to argue that the Misuse of Drugs Act and the Psychoactive Substances Act are successful laws, because the evidence shows that the use of mind-altering substances remains entirely unaltered by legislation which seeks to discourage that behaviour, and harshly penalises those who break the law.

If I approached my GP and asked for zopiclone to help me sleep, methylphenidate to help me concentrate at work, pregabalin (or any benzodiazepine) to treat my anxiety and zopiclone to treat my depression, they would flatly refuse all my requests.

My GP would tell me that zopiclone is too addictive, despite my insomnia ruining my life. My GP would tell me that methyphenidate is too addictive, despite my inability to concentrate impairing my ability to be productive at work. My GP would tell me that pregabalin is not licensed to treat anxiety, and it's too addictive, despite my poor quality of life due to anxiety. My GP would tell me that benzodiazepines are too addictive, despite my life-ruining anxiety. My GP would tell me that bupropion is not licensed to treat depression.

Instead, I would be offered sertraline, which would allegedly treat my depression and reduce my anxiety. Sertraline is very slow to take effect and it has an emotionally-blunting effect, as well as affecting sex drive and ability to orgasm. Sertraline is not an effective treatment for anxiety. Sertraline is not an effective sleep aid. Anybody who has ever tried to quit sertraline will tell you that it is very addictive and the withdrawal side effects are intolerable.

In short, doctors would offer me nothing.

In short, doctors would tell me to go away, even though their medicine cabinets are stuffed full of medicines which have been extensively proven to treat the ailments which ruin my quality of life. The medications exist, but I would be denied a prescription to access those medications.

This much like a man who is dying from a bacterial infection being told that he's not allowed any penicillin, because a small number of people have a penicillin allergy.

Then, there are medications such as diacetylmorphine and ketamine, which are considered essential medicines. Diacetylmorphine, more commonly known as heroin, is scheduled as "class A" which carries a 7 year prison term and an unlimited fine, if possessed without a prescription.

How can we have a Misuse of Drugs Act which puts diacetylmorphine - a medicine routinely prescribed - into the same category as crack cocaine. Crack cocaine is fiendishly addictive and has zero medicinal use. Crack cocaine is so addictive, that it might even be considered to be "instantly addictive" and the vast majority of its users commit acquisitive crimes - muggings, thefts, burglaries - to raise money to pay for their drug addiction. Addiction is a medical condition, not a crime.

How can we have a Misuse of Drugs Act which puts mushrooms into the same category as crack cocaine? In fact the law states that it's magic mushrooms which are a "class A" controlled substance, which implies that the government believes in magic. Is that not utterly terrifying? Is it not utterly terrifying that our lawmakers are so mentally impaired that they would make specific reference in law to a certain type of mushroom which is "magic". Like, are you for real? We actually have laws criminalising magic, in the 21st century.

What would be a fitting punishment for anybody possessing a "magic" mushroom? Perhaps they should be made to climb a beanstalk grown from "magic" beans. Perhaps they should be lashed to a dunking seat and immersed underwater until they drown. Perhaps they should be burnt at the stake. These are the punishments that are most ususal for involvement in "magic".

We also know that behaviours such as sex and gambling can be addictive, but nobody imagines that gambling addicts inject decks of playing cards into their veins. In fact, gambling is widely permitted, advertised and promoted throughout society, despite its addiction potential. We are allowed to have sex, even though there is a risk of contracting sexually-transmitted diseases, and there is addiction potential.

Terrifyingly, the government has now passed an Act of Parliament which criminalises:

Things that cause hallucinations, drowsiness or changes in alertness, perception of time and space, mood or empathy with others

Obviously, eating a big meal might cause you to feel drowsy. Being tired will make you drowsy and less alert. Being tired will affect your mood and make you more 'snappy' with others. It seems pretty obvious that children are a thing that causes drowsiness, changes in alertness, mood and empathy with others. Many mothers get post-natal depression (mood change) and many parents feel a great deal of empathy towards their children. Is the production of children going to carry the 7 year prison sentence, as the law states?

The law helpfully tells us that:

Food [doesn't] count as psychoactive substances.

But, hang on a second... aren't mushrooms food? If I'm a mushroom producer or supplier, am I exempt from the 7 year jail sentence?

Let us imagine that I cross-breed a "magic" mushroom with a regular mushroom, not thought of as "magic" by government lawmakers, I must surely be able to produce a non-magic mushroom, which I can supply as food, even though it might cause hallucinations, changes in perception of time and space and mood. Clearly if I used gene editing, I could produce a mushroom that was not "magic" at all - no witchcraft or wizardry necessary - and this could be bought and sold in the supermarkets as food.

Fundamentally, the Misuse of Drugs Act and the Psychoactive Substances Act are flawed pieces of legislation, which are not protecting citizens of the United Kingdom, reducing crime, reducing antisocial behaviour, saving lives or reducing the burden on public services. In fact, it is categorically clear that the UK's approach to mind-altering substances is a gigantic waste of money, which is also ruining countless lives, by criminalising people with medical conditions.

The fact that we have the word "magic" in our statute books, criminalising mushrooms that are alleged to have "magical" properties, in the 21st century, is quite absurdly ridiculous. The fact that we have put "magic" mushrooms, diacetylmorpine and crack cocaine into the same "class A" schedule, carrying the harshest punishments. Diacetylmorhine is an essential medicine, administed every day by up to 130,000 doctors and countless nurses. Picking "magic" mushrooms to share with my friends is punishable by life imprisonment.

I can understand that crack cocaine is an instantly addictive drug that drives most of its users to commit a very great deal of crime, because they are suffering from an illness. Therefore those who supply crack cocaine are committing a terrible crime, because crack cocaine exists for no other purpose than its abuse, and it's abuse is so devastating that it ruins the life of the sick person and creates very many victims of crime. I can understand why supply of crack cocaine is punishable by life imprisonment.

I cannot understand that "magic" mushrooms, which are not addictive, and its users commit no antisocial nuisance nor cause any burden on the state, and are an incredibly safe thing to eat with no fatalities attributed to their consumption, are seen as the same as crack cocaine in the eyes of the law. Those who supply magic mushrooms are no more guilty than a person who obtains a crate of beer, with which to share with their friends. 

The antisocial behaviour of people intoxicated by alcohol, the addictiveness of alcohol and its adverse health effects, makes suppliers and producers of alcohol culpable for a very serious crime, which deserves harsh punishment, if we follow the logic applied to other mind-altering substances.

To sell packs of cigarettes is possession with intent to supply an addictive harmful substance. The health damage caused by cigarette smoking and the antisocial nature of it, because of the harm caused to passive smokers by second-hand smoke, as well as the unpleasant smell of cigarette smoke, which also harms items of clothing and other property. Cigarette smoking places considerable burden on the state, who must invest significant sums of money into smoking cessation treatments, smoking prevention programs and treat the many smoking-related diseases. Smoking-related diseases shorten lives, cause early death and reduce the productive capacity of those who suffer from cigarette addiction. Cigarettes have a high economic cost to society. Suppliers and producers of cigarettes, cigars and loose tobacco are culpable for a very serious crime, which deserves harsh punishment.

When the esteemed neuropsychopharmacologist Professor David Nutt was adviser to the government on its drug policy, he suggested - based on overwhelming empirical evidence - reclassifying all drugs based upon the health risks they posed, the harms they cause to society, and the economic cost of their use and abuse. He was forced to resign. Drugs are a politcal pawn and the government has no interest in the wellbeing of its citizens, with respect to drug use.

We only need to look at Portugal, which took a scientific data-driven approach to its drug policy and has achieved:

  • 60% increase in uptake of addiction treatment programs
  • 90% drop in the rate of drug-injection related HIV infection
  • 45% decrease in the murder rate
  • Drug-related deaths dropped to 3 per million (in comparison to the EU average of 17.3 per million)

The most [un]surprising thing of all is that drug use remained the same. People like to take drugs. LOTS of people like to take drugs. Alterations to the law do not affect people's desire to take drugs. Drug laws are not a disincentive to drug taking, because drug taking has been a feature of human life since pre-historic times. People want to take drugs, hence why alcohol, cigarette and coffee consumption is ubiquitous and legal.

2.5 million Xanax tablets were purchased on the black market in the UK. At least half a million people in the UK are using MDMA (ecstasy) on regularly, and on a single weekend, a million tablets could be consumed. Almost one million UK citizens are using powder cocaine, and most of them are affluent professionals.

What we can learn from Portugal is that punitive drug laws have no affect on citizen's behaviour. The criminalisation and harsh punishments are not a disincentive to illicit drug purchase and consumption.

Legislation to criminalise the sale of alcohol - prohibition - was tried in the USA from 1920 to 1933, and it was an abysmal failure. Industrial alcohol was deliberately made extremely poisonous in 1927, causing innumerable deaths and making people blind. But people drank it anyway, getting literally "blind drunk". Moonshine was responsible for vast numbers of speakeasy customers being poisoned: 33 people in Manhattan, NY died in just three days, for example.

We can see from all historical evidence, worldwide, that every culture has used mind-altering substances extensively. Coca leaf chewing is common in South America. Tobacco smoking and chewing originated in North America. Betel nuts and areca leaves are chewed all over Asia. Khat leaves are chewed in Africa. Tea leaves a brewed in hot water in China and India. Coffee beans are roasted, ground and brewed in South America. Cannabis has been drunk as Bhang in India for more than 3,000 years, and the Egyptians were smoking cannabis 3,600 years ago. Opium was being consumed 5,400 years ago, by the Mesopotamians. Alcohol wins the top prize though, because it's been brewed for at least 13,000 years - since the goddam stone age.

The invention of distillation apparatus is a relatively recent phenomenon, but we should accept that human desire for intoxicating alcoholic beverages has been unwavering since the discovery of the fermentation process, and the invention of brewing methods. The body of archeological evidence overwhelmingly proves that beer and wine were present in human lives, continuously. Mass production of cheap distilled spirits pose new challenges, but we must remember that society does not adapt to scientific and technological advances with sufficient speed to avoid difficult periods of re-adjustment.

The isolation of psychoactive molecules responsible for psychoactive effects, and the laboratory synthesis of those naturally occurring compounds, has resulted in highly refined and pure chemicals. The investment in high-volume chemical production for industrial and agricultural uses, makes the precursor ingredients for synthesised compounds extremely cheap, and therefore, drug supply can inexpensively meet drug demand, through mass-production. The very poorest people in the world are often able to afford to buy very potent and pure drugs.

In 1804 Friedrich Sertürner isolated the morphine molecule from opium. In 1804 the world's population was 1 billion and the average global income was $3 a day (adjusted for inflation). Today, 3.4 billion people live on approximately $3 a day, which means that there are 340% more people living in poverty on an increasingly overcrowded planet.

We know from animal studies that stress and overcrowding affects behaviour adversely - "the behavioural sink" - and experiments have produced compelling evidence. Animals whose living conditions are intolerable, will prefer water laced with alcohol, cocaine, heroin and other addictive drugs. When the experiment is repeated with better living conditions, such as having other animals to socialise and have sex with, more comfortable bedding, exercise wheels and toys to interact with, then the rats prefer to drink the water without any mind-altering substances.

Findings from experiments with overcrowding in rat colonies found the following disturbing results:

Many female rats were unable to carry pregnancy to full term or to survive delivery of their litters if they did. An even greater number, after successfully giving birth, fell short in their maternal functions. Among the males the behavior disturbances ranged from sexual deviation to cannibalism and from frenetic overactivity to a pathological withdrawal from which individuals would emerge to eat, drink and move about only when other members of the community were asleep.

The animals would crowd together in greatest number in one of the four interconnecting pens in which the colony was maintained. As many as 60 of the 80 rats in each experimental population would assemble in one pen during periods of feeding. Individual rats would rarely eat except in the company of other rats. As a result extreme population densities developed in the pen adopted for eating, leaving the others with sparse populations.

Infant mortality ran as high as 96 percent among the most disoriented groups in the population.

Translated into human terms, we see that the majority of the world's population live in overcrowded cities. We see neglected and abused children taken into foster care. We see high infant mortality rates in the developing world. We see sexual deviancy. We see widespread manic-depressive symptoms and other psychiatric illnesses. We see men living lives of quiet, desperate isolation, withdrawn from the world and spending most of their time in their bedrooms, emerging only to grab a microwave pizza or use the toilet.

One must remember that in the rat overcrowding experiments, there were no drugs or alcohol. The behaviour of the rats was a spontaneous response to their living conditions.

Thus, we must conclude that the problems we see in society are not caused by drugs and alcohol, but the abuse of drugs and alcohol is caused by intolerable living conditions.

In the west, the social problems we have are due to industrialisation and mass-production, which required high-density housing in close proximity to the factories, mills, textile manufacturers and steel works. The social problems were compounded by the service industries building tall office blocks in the business districts of major metropolitan areas. Property developers built high-rise housing blocks in cities which were already densely populated.

Manhatten had a population of 60,000 people in 1800. Today it has a population of 1.7 million people who each earn $378,000 per annum, on average.

Hong Kong Island had a population of about 3,000 people in 1842. Today it has 1.3 million people and a 2-bedroom city centre apartment would cost about $2 million to buy.

Those are the affluent places.

In the developing world, the social problems are due to the purchasing power of "soft" currencies. Only the US dollar, Japanese yen, European euro, Swiss franc, Canadian dollar, Australian dollar, New Zealand dollar and British pound, are considered to be "hard" currencies.

Developing world nations need to build factories, mills, mines, railways, ports, power stations, which can only be paid for in hard currency, along with hospital and a university, fully equipped, staffed. The university needs a library full of books. Almost everthing has to be imported, and the suppliers want to be paid in hard currency.

The developing world nations take out loans from the World Bank, issued in hard currency to buy what they need. The crop harvest, manufactured products and natural resources are exported to buyers who pay with soft currency. Labour is also sold using soft currency .

$1 can purchase 8.3 minutes of labour in the USA. $1 can purchase 36 hours of labour in Ethiopia. The poorest and hungriest Ethiopians get paid 10 Ethiopian birr for 12 hours labour. A day's wage is the same as the cost of the day's food.

$1 is exchanged for 30 Ethiopian birr. The dollar seller can pay 3 Ethiopians their daily wage, after they complete 12 hours labour. The Ethiopian birr seller can purchase $1 of specialist goods, specialist services, or hire a highly-qualified and experienced expert, from the richest nations. $1 could purchase 1 minute of time from a prospecting geologist to survey Ethiopia's stone, ores, minerals, metals and gemstones. When the data is gathered, Ethiopia can then calculate the capital expenditure to purchase land, build processing facilities, buy equipment, and build supply infrastructure. Then they consider the cost the cost of paying for supply chain services. They calculate how soon they can be ready to start exporting. They calculate a sustainable export capacity and work out the anticipated lead time from initial purchase order, legally binding supply contract, agreed.  The operating costs are deducted from the expected income from the exports. It's pretty easy maths:

(Capital expenditure + operational costs + transport costs) - (average raw material market price x quantity of raw material available)

This equation gives three numbers,

1. How much money do we need spend before we see a single dollar

2. How much money will be earned until all the natural resource is gone

3. Proft (if any)

Wheat to make flour with is $0.46 in the US commodities exchange. Coffee beans are $0.94/kg. Orange juice is $1.17/litre. Cotton is $0.71/kg. Raw sugar from sugar cane has by far the lowest market price, of $0.13/kg.

Processing makes little difference: Alcohol made from cane sugar trades at $1.34/litre and refined white sugar trades at $348.

So we can forget growing crops. The US and EU subsidise their farmers by purchasing their harvest, then dumping it in huge silos, or otherwise paying farmers a subsidy for not growing their crop, which is greater than the amount the farmer could expect to earn by selling the harvest. That's economic warfare by the wealthy west on the impoverished developing world nations. The game is rigged.

Then stone, ores, metal, precious metal and gemstones are worth considering.

Iron ore trades at $89/kg. If you invested in heavy machinery and a processing plant: Copper trades at £3/lb, Aluminium at $1/lb. Nickel at $6/lb and Zinc is at $1/kg.

This is because $1 can purchase at least 1kg of flour, which will feed a mother and child for a day. The hungriest poorest people will exchange 12 hours labour . Therefore $1 buys 87 times more labour in the poorest parts of the developing world, than it does in the USA. So $1 is offered in exchange for enough local currency to buy 1kg of flour. It costs 30 Ethiopian birr to buy 1kg of flour,

The densest population on the planet is Tondo - a district in Manila - where you are never more than 2 metres away from another person. I'm 1.83 metres tall, so if I lay down to sleep, I would have 17 centimetres between me and the nearest person That's disturbing.

The developing world population has increased dramatically in the last 200 years, which is a lot of hungry mouths to feed, in countries which might not have clean drinking water, medicine, sanitation systems, and people live with a lot of hunger. See below:

World pop growth

Can you see the trend? Poor nations are getting more populated, which drives down the value of their labour drives down the value of the crops they produce, and drives down the price of the the other commodities they can produce. In a system of global free-market capitalism: A hungry person will work harder for longer, than a well-fed one. A person who lives in a country with high infant mortality rates will have more children that a person with great well-equipped hospitals and doctors, in every city.

It's ludicrous to be criminalising things which would never exist if we paid more for our edible crops. For example, 1kg of opium resin is worth $2,506 if you buy it wholesale directly from the farmers in Afghanistan. That heroin has a market value of $6,600 in the USA.

The drug problem is the inevitable conclusion of exploiting the developing world's labour, crops and raw materials.

I should really have written this as a series of blog posts, but I might is this in a non-fiction book I plan to write if I can convince somebody I like to co-author it with me. Or at least get a literary agent to find me a publisher and give me an editor.

Side note: I started writing this on Saturday and it's now Monday (well, Tuesday, technically) and I've hardly slept. I must publish this now, and proof-read and edit tomorrow.

I hope you find these 4,000 words entertaining.

 

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Adjustment Disorder

7 min read

This is a story about provocation...

Pathway

I suppose the reason why my episodes of mania synchronise perfectly with periods of high stress and exhaustion, is some kind of defence mechanism - perhaps an evolutionary adaptation; something deliberately left in my genes, because it's served a useful purpose during unsettled times throughout the history of humanity.

It's problematic for me to work in an open-plan office at the moment. It's problematic for me to be surrounded by so many mild-mannered and quiet individuals, who seem happy to spend all day looking at their email inbox, waiting for something interesting to appear.

How my colleagues manage to cope in an environment that's pretty stale and ultra-conservative, I don't know. Big personalities and loudmouths are not the kinds of people who become long-serving members of my organisation. In fact, a girl I dated from my office said she cried when she got her security pass, because its expiry date was 10 years in the future. "Nobody would choose to work here" she said.

It's not that bad.

I like it.

I'm just not so sure that everyone who's within earshot of me is my greatest fan. I have a foghorn-like voice in two situations: 1) when I'm scared and insecure, and 2) when I'm manic, like I am now.

I suppose I knew that mania was cropping up - rearing its ugly head - but it served a purpose. I needed to find a place to live and make all the necessary moving preparations. I needed to continue to work hard at my job, while also finding the extra energy and the motivation to do something I hate: Moving.

The mania has propelled me to move very fast, but it also causes my brain to speed up dangerously. A colleague told a joke about friction coefficients - a classical physics joke - and I said I could come up with a better one about quantum mechanics, in only a few seconds. According to my colleague, it took me no more than 15 seconds to invent a "XXX walks into a bar..." type joke, which was actually pretty good considering I thought of it on the spot AND it involved two really fundamental things about quantum mechanics. Nothing to do with Schrödinger and his cats, but actually to do with Planck and his constant... but I digress... both jokes have a very small audience who'd appreciate them.

I'm fizzing and crackling with so much energy at the moment that I'm physically uncomfortable to be around. I think I'm literally giving people near me headaches.

One of the first things I said this morning was "do chairs really exist?" which was supposed to be funny, but my colleagues reaction was to tell me it was too early to start talking about philosophy.

I didn't get to sleep until 3:30am or maybe even 4am.

Does the lack of sleep cause the mania, or is the insomnia a symptom of the mania? It's impossible to know.

It's not like I couldn't sleep, but I can't see how else I can fit everything into the 24 hours of the day, without some late nights. I know that I need regular bedtimes. I know I need lots of sleep. But, there's so much to do.

The busier I am, the more productive I am, strangely. Today I did all kinds of horrible jobs that I wasn't looking forward to, like buying a washing machine, booking a van to move my stuff, arranging to have broadband internet installed, arranging to have my post redirected and a zillion other admin jobs, but I also managed to do a piece of work that I'd been putting off for days and days.

Where I'm finding the energy from to maintain my daily writing, as well as the development of NickBot™ and the migration of my website from one hosting provider to another, I have no idea, considering that I also have a demanding full-time job and I waste at least 50% of my time saying stupid things out loud and distracting people.

I guess I was wasting a lot of time and energy on a bad relationship, so escaping that has released me from a lot of pointlessly exhausting nonsense. I was very trapped. I was very miserable.

I'm very stressed now and I felt momentarily like I was very alone, but perhaps that's what prompted me into a frenzy of activity, sending out lots of messages to people I care about, trying to surround myself with people who care about me. There's a horrible period of stress approaching rapidly - moving day, and subsequent days - but I'm pretty well prepared for it, which I'm surprised about, because I can often become too overwhelmed by anxiety to even leave my bed. I'm surprised that depression hasn't laid me low.

All of my psychiatric problems can be considered acute: i.e. they have been spontaneously provoked into existence by the extreme set of life circumstances that I'm simultaneously dealing with. This is adjustment disorder which is just another way of saying "your life is hell right now" and that quite rightly, my brain and body are compensating for the extreme demands placed upon me.

I'm pretty terrified right now, of screwing up the good relationship I have with my colleagues and my workplace. People have been patient with me, but that patience is wearing thin. It's unusual for a manic episode to last so long, but I've managed to keep myself sustained for periods of 6, 8 and even 13 weeks before... but it always led to a horrible crash. There have always been disastrous consequences for allowing too much of my mania to overspill into the open-plan offices which I work in.

I try to rein myself in. I try to put my headphones in and keep my head down. But, then somebody wants to ask me something. Then I overhear something and my red-hot brain which is travelling at a million miles an hour immediately sparks off and I'm talking - interjecting - with something which I think is profound, but nobody can keep up with me... I'm just acting a bit weird and annoying, from the point of view of my colleagues.

I'm working from home for a couple of days. I'm going to try to pace myself and remind myself that I've got a nice long overlap of my tenancies, so I don't have to move everything all at once. If I forget anything, I can always make more trips. There's no need for me to put so much pressure on myself.

I'm pushing hard in every area of my life, simultaneously. I want my colleagues to think I'm a brilliant genius who can do anything. I want my perfect house, fully furnished and looking beautiful. I want to feel instantly at home in a city which I've barely visited. I want my side project - this website - to make a giant leap forward, in terms of technology.

It's too much, and there will be a price to be paid.

I need to be super careful.

I can't afford to lose my job, for example.

I can't afford to lose anything, in fact.

Everything teeters dangerously on a cliff edge.

But, I've kind of gotten used to living on the edge.

If nothing else, at least this period is quite life-affirming and I'm coping remarkably well. Even when I got in trouble with the big boss the other day, I managed to rescue things very rapidly and get back on good terms. Even when I wasted days and days procrastinating, I caught up very rapidly. Even when I felt that there was too much to do in too little time, to move house without dying of stress and anxiety, everything seems to be falling into place.

I've written twice as much as I meant to, of course, because I can't quite rein myself in; I can't quite pump the brakes and slow myself down.

So long as I keep doing what my colleagues are doing, which is mostly killing time looking busy, then I'll probably get through this difficult period without doing too much damage. Less is more.

 

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