Tag: bipolar

Stick & Carrot

This is a story about how people respond to incentives…

The last time I was in the Accident & Emergency department of a general hospital, I got a ticking off from the consultant. It was almost as if he didn’t understand that the threat of kidney failure and early death was no disincentive to the path through life I was taking. It shouldn’t have been a surprise to him: I hadn’t gone to the hospital through choice, but instead the police had taken me there.

This was my life for a while: being passed from pillar to post by people who didn’t understand what I was going through or how to deal with me. One thing that everybody seemed to agree on though, was that tough love was probably the best option. I should be ridiculed, shamed, talked down to and ostracised until I “saw sense” and decided to change the course of my life. Why would anybody choose the life that I had?

Actually, the police were excellent, seeing as they deal with society’s dregs day in and day out. The well-to-do Royal Free hospital on the hills of London’s exclusive Hampstead, was perhaps less used to dealing with those who have lost their way in life. Certainly, those who were struggling with drink and addiction, that I met, were sent to more central hospitals, like UCLH on the Euston Road.

I certainly don’t see hospital as the first port of call, to rectify issues, and I bandaged my own massive leg wound and would have tried to avoid hospital, had paramedics not insisted that I was admitted, on another occasion.

It is only with regret that I have consumed NHS resources, but I certainly don’t feel that there was any choice in the matter. When I injured my leg one night on London’s streets, alone, I pulled out the broken glass and let it heal as I lay in agony in a bush for several days, with the blood-soaked wound sticking to my torn trousers. It needed stitches and I needed antibiotics to avoid infection, but I was lucky. I saved the NHS some money and I’ve got the scars to prove it.

Passing the buck, and driving somebody away from their home, family and friendship groups… making somebody feel ashamed, turning them into an outcast, demonising and villainising somebody… that’s ridiculous!

I picked the wrong life partner: somebody judgemental, violent, abusive. That’s my fault. I wasn’t equipped with the life experience to know that I should walk away. My own parents relationship was full of verbal abuse and psychological warfare, but they stayed together: commitment to a partner was all I knew. I was naïvely optimistic that things would finally work, if only I tried hard enough.

When depression worsened and became bipolar disorder, when bipolar was overshadowed by addiction… things were chaotic, and consumed my sanity, temporarily. I was heavily dependent, trusting, of my partner and my Dad, and my GP. They acted with ignorance and without consideration of my wishes. Later, my partner would act with spite and selfishness.

It’s hard to recover if your partner is working against you, and has your Dad in co-operation too. But, I’m going over heavily trodden ground. I don’t mean to re-iterate this. I mean instead to talk about another approach: carrot, not stick.

I was dealing with something, in technical terms, called a clusterfuck. A combination of mental health problems, an unsupportive partner, unsupportive and even obstructive family, sex addiction, drug addiction, having to find a new home, new friends, new job… it’s too much to ask of somebody. A breakdown, a major relapse, becoming completely dysfunctional: this was made inevitable by the circumstances around me.

Only the police acted with any restraint. The police see lives ruined, and people enter into the revolving-doors of criminal justice. The police know that slapping a criminal conviction onto somebody makes their life harder, rather than improving their chances of rehabilitation into society, so they are reluctant to condemn somebody to that fate. However, many in the rest of society are keen to label and ostracise and destroy their fellow human beings.

We are living in an increasingly isolated society, where we are mistrustful of each other. We avoid listening to anybody’s personal story, lest it instil some sense of sympathy within ourselves. To view every stranger as a potential murderer, rapist, paedophile, thief and dirty junkie, is easier than just seeing other human beings, and feeling compelled to hesitate in the rat race for a second and give somebody a hand up.

We are all competing with one another so fiercely, that we believe that it is only with intensely selfish and self-centred actions, to the detriment of society as a whole, that we can get ahead, that we can succeed. We believe that we are helping our family, by turning a blind eye to the beggars, the homeless, the poor and the addicts and alcoholics.

The welfare state is being dismantled. The sympathy of society and the basic human instinct for care and compassion is being eroded. Instead we have a culture of “every man for himself” and we’ll allow incredible human suffering to be perpetrated in our names, because we are sold good vs. evil fairytales by a wealthy elite, intent on turning us into scared, isolated consumers.

I feel with certainty that the depression that I feel – the dissatisfaction with what I see in the world – stems directly from an unpleasant attitude that’s prevalent everywhere I look: the collapse of social bonds, and the mistrust of strangers, neighbours, fellow human beings.

I’ve paid over £30,000 just to be treated like a human being, by some kind and compassionate, non-judgemental people. That’s all it takes to help somebody on the road to recovery: just don’t be an arsehole to them. Be consistently nice to each other, and the world won’t be such a shit place that people get depressed in, want to get intoxicated and want to kill themselves.

Yes, it’s true that when my life is absolutely appalling, I will probably run to drink & drugs. What’s the alternative? The razor blade and the noose.

They feed you in hospital. You could try starving people, to punish them for getting sick, but seeing as that’s how I ended up in hospital I can’t see why that would work. Carrot works. Stick doesn’t

Tags: #depression #suicide #bipolar #mentalhealth #nhs #addiction #drugs

4 May 2016
Car Wreck

This is a story about an inevitable crash…

If you’re under too much pressure for too long, eventually you’ll crack, you’ll crash & burn. Making hay while the sun shines is all well and good, but when you enter a cycle of boom & bust, it’s very hard to restabilise things.

My school year was one of the first to do the dreaded SATs exams. These exams turned out to be incredibly important for the next set of exams that followed hot on their heels: my GCSEs. My SAT results pretty much decided which stream I would be in for Maths, English & Science. Being in the ‘top set‘ was important, to not get dragged down by those who didn’t want to learn.

Education and a corporate career is just unrelenting. The mindset of continually challenging people with arbitrary measurements never goes away. Whether it’s A-level exams, University or your performance reviews at work, life is one continuous game of sorting and sifting, presided over by little hitlers who want to confine everybody into neat little boxes.

I never felt particularly stressed about exams and getting good grades, at the time, but there was a heavy culture I was being indoctrinated into, which I didn’t realise until it was too late, and I hit a brick wall and could no longer continue on the same bullshit path.

We tell our kids that they need to work hard at school and get good exam results so that they can continue into further education, get a better job, have a better lifestyle. It turns out that’s simply wrong. Society certainly benefits if we are all unthinking slaves, simply parroting the same identical bullcrap, and unquestioningly following our allotted route: KNOW YOUR PLACE is what’s drummed into us, for 40 or 50 hours a week.

Playing the game, playing by the rules, believing in the value of pieces of paper above talent and experience, believing that there’s a place for everybody, and that if you try your best, you can do better than your peers, and it’ll give you and your family a better life. At some point, the bubble bursts, you become disillusioned, you see that it’s all a lie.

I felt cheated out of my childhood, with such an unhealthy fixation on academic achievement placed ahead of playtime and social activities. Nobody would ever tell me off for reading too many books, completely isolated in my room, but playing games with my friends was not a good use of time, apparently.

My parents pulled me away from my peers at every opportunity. Whether that was visiting their friends all over the country, or spending weeks at a time in a dilapidated house in a tiny French village. I did make a friend in this village eventually, but he was younger than me, and I was criticised for being “immature” and the effect this friend had on me.

Some of my parents friends had children too, and I tried to be friends with them, and indeed I felt closer to these children than I did with a lot of my schoolfriends. I was kept away from schoolfriends so often during weekends and holidays, when there was less emphasis on homework, but I could never get close to any group of friends before I was dragged away.

I started to value material possessions above social bonds, because I had been taught that social bonds were not something I would ever be allowed to cultivate. I changed schools 6 times, instead of just once, because of my parents’ lack of care about how my social development was being affected. In the end, I gave up, and saw friendships as totally transient, meaningless.

It’s a real tragedy, when somebody is taught not to get attached to anybody, not to make meaningful bonds, not to value friendships. I fixated on career achievements and money, believing that there was no value in staying with my peer group, having a group of friends, being socially bonded.

It was quite by accident that I ended up with a group of kitesurfer friends. For me, the appeal of kitesurfing was that it was a loner sport. Most people who have been socially normalised enjoy team sports. It’s the camaraderie of the sport that is most of the fun, rather than the sport itself. That brotherhood (or sisterhood) between team members is something I never experienced growing up.

Given that I was socially under-developed, and even cynical about friendship and human relationships, it was easier to develop relationships through technology, the internet. I started to read and contribute to an online discussion forum, about kitesurfing, and from this I got to know the online nicknames of a lot of people, as if they were people who I knew intimately.

As my confidence with kitesurfing grew, I started to get more outspoken on the online discussion forums, and this developed into arranging to meet up with people at the weekends, to go kitesurfing where the wind and the tides were best. There was a social meet up every Tuesday night, at a pub in central London, which was popular, and cemented a lot of real friendships.

Having access to a group of friends, a peer group that I felt bonded to, was something that was very new and alien to me at first, but it completed me: I felt secure and happy for the first time in my life. For the first time in my life, I was living for more than just exam grades and good feedback from my bosses at work. It was healthy, it was stable, it was sustainable and it was happy.

Sadly, my underlying mindset was still one that placed ambitious career goals and risk-taking ahead of valuing the social group that I loved and who gave me great joy and security, a deep-seated sense of wellbeing, of connection to the world. I didn’t miss it until it was gone.

I was driven to find a girl, to fall in love… having been so socially insecure, awkward, such a late starter, I hadn’t had the opportunity to meet that special lady, and I felt like that was the most important thing I had to do, since I had become happy in the rest of my life. I put all my energies and efforts into trying to make it work with every girl who I thought I was madly in love with.

There are few words to describe just how immature I was, in some very vital and ‘normal‘ areas of life. You can’t bully and pressure and cajole your kid into being an academic bookworm without damaging them as a rounded person. Who gives a shit if they’re grade 8 on the violin if they had a miserable childhood and can’t relate to their peers or find any happiness in the world? Who gives a shit if they’ve got a first-class degree from Oxbridge, if they’re shy and awkward and depressed?

It seems inevitable that I would go astray, with no peer group, no group of friends to compare notes with, to keep each other safe.

I cannot possibly express to you just how isolated and alone I am.

I walked the tightrope for a long time, believing that good qualifications and work experience would lead to a stable life, but as soon as I looked down I realised that there was no safety net

Tags: #bipolar #childhood #parents

3 May 2016
Misplaced Marbles
This is a story about brain damage…

Look at me, eating brains for breakfast. Actually, it’s obviously porridge, but I’ve clearly lost the plot. I’m a few sandwiches short of a picnic. I’m a few cards short of a deck. I’m not the sharpest knife in the drawer, at the moment.

I’ve been job hunting again this week, after a lengthy hiatus, and it’s remarkable how badly affected by stress I have been. In the grand scheme of things, 4 or 5 months out of action is really nothing at all, but having to jump through the recruitment hoops is my idea of hell.

It was only a little over a month ago that I was completely bat shit insane and life was headed down the tubes, so I guess it’s natural that this first week back in the swing of things should come with some trepidation.

I wonder how I will answer that question, in an interview: “what have you been doing with yourself since Christmas?“. I wonder how well it would go down if I told them I had mainly been locked in my en-suite bathroom, suffering extreme paranoid psychosis, out of my head on bath salts, or in a slurring semi-comatose state induced by legal benzodiazepines, that meant that it took me 15 minutes to explain to a friend that I was eating a slice of toast. Another friend thought I had suffered a stroke.

Oh, I’m making my family very proud, eh? But what can you do? There was really very little hope for me after my brief efforts to keep the wheels of the machine turning, ended up being blocked by the holiday season. Faced with a cashflow crisis and the slow January job market, I backslid, I relapsed, I self-sabotaged.

How much damage does it do, to get so messed up for 3 months? I mean seriously messed up. At one point I believed that window cleaners were spying on me at 11pm at night, on a bank holiday, with horrible winter weather lashing the building.

You only have to look back to some of my blog posts from around that period to see that the whole bath salts & pink/blue pills from the internet combo wasn’t the greatest thing for my mental health. You can see the disjointed thinking, but yet my mind had failed to stop whirring away, so instead the complete garbage running around in the hamster wheel of my brain was just spewing forth onto the pages of this website.

In a way, I’m tempted to go back and edit what I wrote, or even erase it from history. However, it’s an interesting record of everything that happened to me, in 8 months and counting. Here’s a brief recap:
- I was living in a hotel
- I was working a contract for HSBC
- I was really enjoying my work
- I was well liked and respected at HSBC, and a valued member of the team
- I wasn’t drinking any caffeinated drinks
- I wasn’t taking any drugs (i.e. bath salts) and hadn’t taken any since June
- I decided to quit alcohol for 100 days
- I got a flat, and said my friend John could live with me rent free if he did some work for me
- After 30 days without any alcohol, I became suicidal, unable to cope with extreme stress
- I went into a secure psychiatric unit of a hospital, voluntarily, for my own safety, for a week
- My friend Klaus and me did a Man on a Mission scouting mission to Devon/Cornwall
- I then went to San Francisco and caught up with one of my oldest schoolfriends and some of my startup friends
- I then threatened to whistleblow on HSBC because their Customer Due Diligence project was being completely mismanaged
- Naturally, HSBC then terminated my contract
- I then travelled round London, doing my #notanonymous thing
- I went on a load of political demonstrations
- I started doing my advent calendar, leading up to the deliberatly ironically named Cold Turkey on Boxing Day
- I sliced both forearms open with a razor blade, along the length of multiple veins
- I did 101 days without alcohol, then relapsed heavily onto bath salts and benzos (sleeping pills) and pretty much destroyed my bed and generally made a right mess of myself and my bedroom/en-suite
- I got better (or did I?)
Perhaps I should put this website on my CV and link to it from LinkedIn. I’ve obviously given a great deal of consideration to who is likely to read this. I expect that at some point, some people from JPMorgan, HSBC and my startup days have read things that must be quite eye opening for them.

I remember on the first Friday at my most recent contract at HSBC, a couple of the guys took me out for a beer and the conversation was steered onto the topic of drugs. I had my game head on, so I didn’t go into exquisite detail about my colourful past, but I did later fall asleep at the bar and get told by security staff that I couldn’t take a nap on my stool. I wasn’t on any drugs at the time, but my alcohol tolerance was quite low.

It should be remembered that I wasn’t abusing drugs for that whole time I was working at HSBC, and I was actually sober for the whole of October, as the first 31 days of my 101 day sober challenge to myself, which I achieved.

Well, that’s not strictly true. After a week at HSBC, I realised that my cashflow was completely screwed and living in a hostel whilst working on the number one project was not going to work, but I didn’t have any money. I mean no money at all. I wasn’t going to be able to travel to work, eat, or even afford to pay for my hostel bed anymore.

What a ridiculous situation. I was earning many many times more than the average wage, but yet my cashflow was in bits. I was employed doing some very very important work, but I couldn’t afford to get the tube to work or buy a sandwich. The money was there, but it was trapped in the system: waiting for my invoices to be paid.

Can you imagine that? You were living in the park, then you were living in a hostel bed, you start work with your one suit and your one pair of shoes, and you don’t have any money, but you’re working on the number one project for the biggest bank in Europe, and the CIO names you in front of the entire team, at the townhall meeting, as the guy responsible for a certain important piece of work… but you haven’t got two pennies to rub together.

So, I ask you, where do you think some of my ‘madness‘ comes from? Is it all due to genetics, to a disease… or do you think some of it comes from the extreme stress and pressure, and the lack of a proper safety net? How hard do you think it is, to fall between the cracks, and try to rescue yourself from destitution? How much of a toll does it take on your body and mind to have to fight your way back from the brink of death and dereliction?

I pretty much slept at the office, because there was nothing for me to go home to

Tags: #career #banking #bipolar #addiction #depression #suicide #homeless
28 April 2016
Too Long; Didn’t Read
This is a story about tl;dr…

Creativity loves constraints, although I have gotten rather carried away recently, with my average post length stretching out from under 1,000 words, to now pushing 3,000 words. If you write 3,000 words a day, you’re churning out nearly 2 novels every month. It’s NaNoWriMo (National Novel Writing Month) on steroids.

There are lies, damn lies and statistics, but I must admit that I have been gathering browsing data from my website since January. I know, for example, that the average amount of time per day, that a person spends reading my website is 4 minutes and 25 seconds.

On a more interesting note, I can also see the kind of things that people search Google for, and end up finding my website. Here is one wonderful poetic example:

“i want to go to london soon dont worry i dont want to do anything stupid no big hand outs just want to book into re hab strait away or as soon as poss get my teeth sorted and be human again please dont block me might got replys when i am sorted want to leave this funiv life for good want to see my favourite wife i always think of her i went back in hotel but she was gone i wish i had of spoke” — anonymous

That is, word for word, what somebody typed into Google, and found my website.

Here are some other delightful highlights:
- “methylone made me think wife was cheating”
- “london people fucking on sister”
- “legal highs that make you randy”
- “i do not argue with imbecile i respect myself and my profession”
- “i bully my granny to have sex with me story”
- “fucked my sister wjen (sic.) she was hospitalised”
- “sugar mummy fucking themself”
I think that the person who was searching for a story about bullying a granny to have sex with them is my personal favourite, for some sick reason. I don’t like the idea of the story or that kind of perversion, but I like that something so corrupt and awful brought that person to my website. Sucker.

I can see from the statistics that most of my traffic comes from Facebook and Twitter. You would have thought that 6,000 Twitter followers would bring you a lot of readers, but it’s only 35% of the total.

Direct means people who have bookmarked or typed in manicgrant dot com. I love you guys & girls… you’re my regular readers, who remember my website and keep coming back ♥︎

Organic search is all the screwed up weird stuff that people type into Google… with some of the most precious examples listed above, for your amusement.

Referral is links from other sites, like Reddit. I haven’t done much link building, because I like writing, not promoting my website. I write it for me, mainly, to keep friends and family informed secondly, and thirdly, I write because I’m developing a body of work that I hope will at some point become useful for people suffering from Bipolar Disorder, depression and substance abuse.

I like writing on my own website (although it’s powered by Known, created by my friend Ben) rather than one of those free blogs that you get from WordPress or Blogger.com. I like and respect bloggers, but they make up the bulk of your readers when you blog on one of those mainstream websites. I have no idea where my regular readers found me, or why they choose to read my stuff, but it sure as hell isn’t one of those “choose random blog” buttons you get on the free blogging sites.

Writing on the public internet feels a little bit like shouting, not whispering your secrets into the hollow of an ancient tree, in a very crowded park. You have no idea who’s listening, and how they’re reacting to a complete stranger’s private life, being brain dumped onto these webpages.

It’s only because some individuals have been kind enough to comment and email, that I have any feedback at all, and I know that people beyond my immediate circle of family and friends are getting something out of it.

For all of us, we face off to parents, brothers & sisters, friends, work colleagues, more distant family members and even the public to some extent. We are in the eyes and ears of all these different people, who each perceive something different, and have a different recollection of events.

The reconciliation of the version of your life, imagined by everybody and anybody you ever come into contact with, is a rather impossible thing, when people come and go at different times, and they only know snippets of your story.

Of course it’s totally self-absorbed to be a normal regular Joe, who isn’t famous for anything, to write something that is so biographical. We think of autobiographies as things that are ghostwritten so that they can be bought as a Christmas present for somebody when you can’t think of anything else better to get for them. How completely absurd that a nobody like me should document parts of my life like this!

In a very large way, this is my anti-Facebook. Instead of trying to appear as successful, happy and having my shit together as possible, with lots of photos of me smiling and doing nice things like going out for meals with friends and going on holiday with pretty girls… this is my answer to the fake world of the perfect social media identity.

Of course, I’m playing with fire, using my real identity to write about real events in the most honest and unflinching way that I dare. Naturally, I have had my fears about employers and work colleagues reading this stuff, but the experiment continues.

Frankly, I’m through having to wear a mask, and hide my true colours in order to be considered grey, bland, boring and corporate enough to be allowed into the inner sanctum of bankerland. I’m glad that I lost my last contract, because I was too outspoken about a moral and professional duty to the shareholders.

Now, as I look for a new contract, I do so with less fear than ever before.

The last year in a single graph

Tags: #bipolar #career #mentalhealth #depression #addiction
25 April 2016
Back to Work

This is a story about returning to normality…

One week from today I’m going to start circulating my CV and generally getting back in touch with my network to try and find some work. It’s been a surprisingly long road, getting back on my feet.

I’ve picked an arbitrary date to try and get back into the swing of the working world. I certainly don’t feel very well. I’m tired all the time. I still need help and support to deal with things, which are otherwise overwhelming to me.

However, I seem to have an on/off switch inside me. When I’m powered down in the ‘off‘ position, you would barely believe how dysfunctional I am. Just getting out of bed and getting some food is considered a highly productive day. Pathetic, I know.

Something triggers me to switch gears from neutral, to top speed. The ‘on’ switch gets thrown and then the only problem is slowing me down enough to try and stop me from burning out. Next week is going to be a blur of activity, and if things go right, then there will be at least 3 or 4 months of frenetic activity before the circuitboards melt.

There are lots of bits of data that are graphable to see these two poles in my behaviour. Whether it’s my bank balance or my activity data, collected by the movement sensors in my watch & phone, they all show the same thing: peaks and troughs.

Sadly, I would say that the peaks and troughs are getting more and more extreme though. I was certainly having some very odd thoughts and ideas when I was getting really tired last year, but I was in the middle of a highly productive phase. I had great difficulty biting my tongue, and thinking about the medium to long term benefits that would selfishly suit me best.

It’s quite possible that I’ve totally busted my brain by just asking way too much of it. I’ve tried to be really kind to it for long periods, to see what difference that makes, but it’s a bit like a tube of toothpaste that’s open at both ends… you can put the cap on one end, but the toothpaste still oozes out of the other end when you squeeze it.

There’s so much pressure in modern life. There’s no opportunity to stop and catch your breath. Just as soon as I’m physically able to drag myself into an office for 8 hours a day, and not fall asleep in every meeting, I have to get back in the saddle and earn another load of cash, knowing that my episodes of stability are increasingly rare.

It’s really strange, but I think that I used to know what was best for my health, and be really strict with employers, way before I got sick. The idea of working weekends was really offensive to me, and having to do on-call work, or late nights was something I’d only do very occasionally, and there had to be the bait of a big bonus or promotion on the table if I was going to do it.

I used to be really good at managing my long-term health. I made sure I took all my holiday allowance every year, and I made sure I always had something to look forward to. I was also really strict about maintaining a good work:life balance. I was fit and active, spending most weekends at the beach, kitesurfing. I was sociable and had all the right elements to create a fulfilling healthy life.

Nowadays, if I can work, I work. I live for work. When I’m not working, I’m just eating and sleeping. My existence is isolated, unhealthy. I dare not spend any money. I dare not take a holiday. I don’t feel like a whole, functional person… and I don’t see my friends. I feel worthless.

Frankly, when I am working, I’m way too intense at the moment. It doesn’t take me very long to get a handle on an organisation and its objectives, and to understand the team and technology. From there, I seem to fall into my old pitfalls of becoming cynical and overly outspoken. Plus, I’m always in such a rush to get everything done… there isn’t an IT project in the world that isn’t late or overbudget.

It’s hard when you’ve worked at a particularly demanding level, managing your own team or department, or even running your own company… and then you’ve got to slot into a massive corporate environment. It’s hard to get back into the mindset of the wage-slave. It’s hard to remember how to achieve the difficult balance between getting stuff done, and just terrifying the hell out of senior management, because things are happening at breakneck pace.

There was one particular piece of work that I was doing, and I knew there was a really important deadline to hit. There was a TV screen setup, which would light up green when we had succeeded and hit our deadline. I was working away in one of the meeting rooms, away from distractions on the open office floor. I knew that there was going to be a really tricky period to navigate with some of the senior management, who didn’t understand what I was doing.

My very worst fears were confirmed when the senior management came rushing into the meeting room to say that there had been cheering in the office, because I’d made the screen go green. I then had to tell them that it was only because I had done some contingency work in preparation for the proper work. The pained and stressed look on their faces was unbearable, but I knew I only had 10 or 15 minutes to wait until the real ‘green light‘ popped up, hopefully.

There then followed a very strained 10 minutes where I attempted to explain that I had done something to give us a retreat route, in case there were problems further down the line. The senior managers felt that I had done something cavalier, they felt misled, they were confused, they were disappointed, they didn’t understand… this continued for 12 or so minutes.

Then the screens went green again, much to my relief. There we go. Job done, that was the event that they should be cheering. I had just been killing time explaining what I’d done, because I had a great deal of confidence that everything was going to be OK.

Such is the way with IT. The explaining takes the time. The work is normally trivial.

It takes time to get used to working with me. I tend to work on the principle that it’s easier to ask forgiveness than ask for permission. I just put a great deal of pressure on myself to make sure that I get things right when I’m sticking my neck out.

I’m pretty unencumbered by fear, especially now I’ve been to hell and back a few times. This could be part of the general broken brain problem I’ve got. I have absolutely no fear of being reprimanded… I stick to my guns when I know I’m right, and my hunches are normally right too. There are so many times when there is enormous pressure to say or do the wrong thing, and the middle ground is to simply button your lip, say nothing, go along with some madness.

I’m not very good at going along with amateur hour.

I was working such long hours that I was staying in a hotel just minutes away from the office. I even had to take my washing to work with me

Tags: #career #banking #computing #london #bipolar

18 April 2016
Virtually Reality

This is a story about warped perceptions…

The world in which I inhabit is vastly different, depending on the state of my broken brain. Mood fluctuations cause me to interpret things very differently than a supposedly ‘normal‘ healthy individual would.

I’ve written a lot this year about drug abuse, but I’d like to talk about a time before drugs even entered the story and made the water muddy. I’d like to talk about what it was like from 2008 through to 2012, when my brain was just doing its own thing, without drugs or medication.

If you’re a person of prejudice, it won’t surprise you to learn that drugs mess you up, but you might be surprised to learn that my mental health problems predated any drug abuse. You might also be surprised to learn that people can recover too, and go back to ordinary life, with nobody any the wiser as to your dark past.

But this really isn’t about drug abuse, remember? We’re talking about a period of 4 years that predated any psychoactive substances making things all messy and confusing. We’re talking about when I first went to my doctor, because I was struggling with my mental health.

I spent just over a minute of explaining to my doctor that I felt completely exhausted, overwhelmed and unable to face friends, family, work or anything… I had drawn the curtains and switched off my phone, and retreated under the duvet, and could barely make it to the doctor’s surgery.

“Have you heard of Fluoxetine?” my doctor asked. I said that I had, and that I knew that the trademarked name that it was more commonly known as was Prozac. I said that I had read very bad things about emotional blunting and ruined sex lives of those people who were taking Prozac. I had read Elizabeth Wurtzel’s biography, Prozac Nation, where she didn’t exactly speak highly of the 25 year old medication.

How sad that the National Health Service (NHS) would be offering some cheap generic pills after only a minute of getting to understand a patient’s problems. It takes 6 weeks before an anti-depressant SSRI medication like Prozac takes effect, and it’s a fairly serious decision, to put somebody on long-term medication. I think it’s a little ridiculous that we don’t offer more talk therapy, as a first line of defence.

So, I was diagnosed as having Clinical Depression, within just a few minutes. Something I also knew, but didn’t have the time to discuss with my doctor, was that SSRIs can be very bad for people with Bipolar Disorder. I knew my moods fluctuated up as well as down, so I had my suspicions that I was Bipolar, and that was another reason to avoid Prozac.

When you’re depressed, everything seems hopeless. I had decided that I was useless at my job, that I hated working in offices, that I hated computers and software, and that I couldn’t handle a career in IT anymore. I also lost interest in going out, sex, food… I pretty much just slept, or lay in my bed feeling anxious about the fact that I was off work sick.

After a couple of months feeling like this, I hit upon the idea that I was going to write a computer game for the first generation iPhone, to be ready in time for the launch of the App Store.

Although I had decided that my office-based IT career was over, the idea of programming on my laptop in my garden in the sunshine didn’t sound too bad. I knew that the early limitations of the first iPhone meant that I could make a fairly basic game, and compete with other developers. I decided that if only a few people bought my game, it was still a fun experiment.

And so began a period of intense activity. I would work for 18 hours a day, 7 days a week, in order to capitalise on those precious early days of the App Store when there were hardly any apps on there. It seems incredible now, that there were only a few hundred or few thousand apps for the iPhone. There was no Android. There was no iPad. There was just one smartphone that created a billion dollar market, overnight.

When we look at that crazy period of my life, when I was churning out apps, it’s pretty clear to see that my mood had swung to another extreme. I didn’t have time to explain things to people. My thoughts were racing, speech seemed like a frustratingly slow way to communicate, eating and sleeping were an inconvenience, certainly I didn’t want to do anything other than work on my apps. I was single-minded to the point of obsession.

In economic terms, things paid off. I got a couple of my apps to number one in the charts, briefly. One of my apps was downloaded 8,000 times in a day once, and another one racked up 500,000 downloads in a month. This was clearly a brilliant gold rush.

I knew that the quality of the apps being released was increasing steadily, and the opportunity for one fast burning out dude in his garden were rapidly diminishing. I started to really hate the work anyway. I had a whirlwind affair as an indie games developer, and it happened so fast that I started to hate it, just like you start to hate any job that you’ve mastered and has become easy.

Possibly this was a sign of my mood turning again. I had managed a period of several weeks, working at a ridiculous level, and what goes up inevitably must crash down. I hadn’t been able to exert myself to such an extent since the school holidays in childhood. There’s no way you’d ever be given 6 to 8 weeks to concentrate and just get on and hammer out a project, in a corporate environment.

My mood started to alternate between depression and hypomania (as described above) and I would turn each episode of frantic activity into a period of opportunism, to make money or produce something tangible.

Getting myself back into an office environment and doing some IT contracting re-stabilised me a little bit, and getting a boat so that me and my friends could go wakeboarding was something I was passionate about, and consumed my lunchtimes, after work in the summer, and weekends. My life got back to normal, for nearly 2 years.

During that first depression, I had set certain wheels in motion, however. One particular scheme was retraining as an electrician, while I was working as a programmer still. When I had finished my training, I quickly quit my job.

Going back to an unstructured form of making money, I started working too hard again. Building a business from nothing, to breakeven and hopefully to profitability is not quick and it’s not easy. I managed to start getting good clients and increasing my turnover very quickly, through some shrewd partnerships and advertising choices. However, I was extremely inexperienced, and took on way more work than I could manage, sustainably.

I got my new business to the point where it was profitable, and had paid back the initial capital expenditure on training, van, tools etc. but I was burnt out again. I had lived and breathed my business, and only because it was hard physical work, had it lasted slightly longer before my brain was finally frazzled.

Depression reared its ugly head again in 2010, and I realised that I had made a mistake in cutting away from the easy money that a career in IT had to offer. I failed to recognise the importance of a stable working environment though: restricting your hours to 40 or 50 a week, giving yourself weekends off, having the occasional holiday, working with other people who share some of the responsibility and workload… those things are important.

My hypomania started to get a bit more extreme. After reading an enormous pile of books on Particle Physics and Quantum Mechanics and other theories & models of theoretical Physics, I started to read huge amounts of academic papers from Cornell University’s online library.

Some of the academic papers that I read were extremely interesting to me, and I emailed the authors to ask them questions. To my surprise, most of them responded, and we started to correspond via email.

Spurred on by this, I started to believe I could author my own paper and get it published, and I developed a hare-brained idea of my own, around a thought experiment that was particularly hard to test in the real world. I eagerly sent my paper off to several academic journals. A couple of the journals even responded… unsurprisingly to say that they wouldn’t publish something that hadn’t been peer reviewed.

Obviously, it’s on the border of a delusion of grandeur to imagine that you might have anything of merit to contribute to a field, after only a few months reading the literature and educating yourself about the deepest mysteries in the Universe.

These delusions are something that I’ve always been wary of, and I try to be self-aware, but it’s fairly clear that there was a progression in the difficulties that I was having with Bipolar Disorder, and the regulation of my moods. I wasn’t imagining that I was the next Einstein, but I was having to say to myself “be careful, you’re not the next Einstein” and give myself regular reality checks.

I still cringe when I think about some of the emails I sent to very important academics, and how, even though they indulged me, it must have been with slight tongue-in-cheek, to respond to a complete layman such as myself.

After yet more time lost in a pit of despair and hopelessness, where I did very little except for mow the lawn and feed the cat, the iPhone App gold rush cropped up again. This time I decided to sell picks & shovels.

Depressions are very similar to one another. You sleep a lot, you don’t do much, everything looks shitty and you hate yourself. My depressions were clearly getting worse, as I started to think about suicide more and more. I started to accumulate more and more paraphernalia with which I could kill myself: inert gas, razor blades, Barbiturates, Cyanide etc. etc.

Periods of hypomania are easier to tell apart, because I can tell you what I was obsessed about in each one: iPhone Apps, boat, megashed, electrical business, physics and then my picks and shovels for the iPhone App gold rush.

I formed another company – Roam Solutions – which was later to become MePublish.com and Hubflow.com. I talked a couple of friends into joining me on my mad escapade, and generally threw everything and the kitchen sink at this particular endeavour.

My new company put on an exhibition stand at London Olympia, Learning Technologies conference, only months after I first conceived the idea for the service we sold. Delivering eLearning was something I knew nothing about, but that wasn’t going to stop me.

By the time the winter was over, I had managed to get the company involved with the TechStars network, and we relocated to Cambridge in order to do a 13-week technology accelerator program, where we would be introduced to billions of dollars worth of investors.

13 weeks is just longer than the sweet spot for one of my hypomanic periods, and I was really struggling by the end of the program. Suicidal thoughts were quite intrusive, and I was drinking like a fish. I hated myself, and what felt like lies that I was telling to potential investors. It was a struggle to keep going to the end of the program.

I feel bad that I let 2 co-founders and 11 investors down really badly, when I imploded in September 2011. I never got back on my feet, because of relationship problems and a number of things that eventually led to very bad life choices and a whole world of pain, destruction, devastation.

I don’t feel too bad because I’m clearly unwell and because nobody risks their money and a stable job unless they want to try and get rich quick. I genuinely didn’t pull the wool over anybody’s eyes. There was a big opportunity there, and I’m only partly to blame for everything going tits up. The biggest part, perhaps, but still only partly.

Writing code for iPhone, iPad, Android and BlackBerry, as well as the back-end (serverside code in PHP, Linux administration, database etc. etc.) plus rebranding, raising money and everything that goes with a startup is a hell of a lot to fit into 13 weeks. A crash was inevitable for me: I was too close to the detail, too close to the coal face, too close to the customers, too honest with the potential investors.

At the end of the day, I got my arse handed to me. I was completely spent. I’ve never experienced such hard work and stress and pressure in my life, although there was a lot of fun too, and I had an incredible time meeting some of the most inspiring people I have ever had the good fortune to cross paths with.

The main lesson I learnt though, was that I really can’t ignore my mental health. Even if I avoid clinical labels, like Bipolar Disorder, I definitely have a predisposition to mood instability if I make bad choices. I can’t ignore the number of times I’ve swung between extreme depression and extreme ‘highs’ which are characterised by massive productivity, and increasingly delusional hopes of being rich and famous.

Things are obviously still very ‘up and down‘ for me, but there is seemingly no end to things that spur on my hypomania. Most recently I ended up working on HSBC‘s number one project, and being made responsible for a really critical part of that project, by the CIO at the project townhall, in front of the entire team. The facts as they are presented to me, do little to discourage a kind of boom & bust lifestyle.

I guess I could reshape my life around working for 3 to 6 months, and then taking 3 to 6 months as a break to recover from my over-exertion, but I don’t think it’s very healthy. I’m now faced with the challenge of how to manage my own mental health in a more sustainable way, before I really run out of luck and tread on some toes that get me in super big trouble.

Wish me luck. I’m going to need it.

I really didn’t sleep very much while I was at HSBC. Naturally, this started to be detrimental to my mental health. Eventually, I was very sick indeed, and it was hard to continue… I had to go into hospital

Tags: #bipolar #depression #suicide #mentalhealth #career #banking

11 April 2016
Vicious Cycle

This is a story about going round in circles…

The mistakes of the past, the pitfalls, the traps, and the warning signs and the other things that can be learnt by experience, are not hidden from me. The ‘right‘ way to live your life is not alien to me. There was a period of many years where I worked regular hours, paid my mortgage, bills and went about my daily routine with familiar normality.

Now, it’s easy to point at many aspects of my life and say “that’s not right” and “you need to fix that“. I’m not blind and I’m not stupid. I can see what needs to be done. I know where I need to get to. However, there is no short-cut to moving from dysfunctional to productive regularity. There are no fast fixes for the myriad little things that break down and need attention.

The accumulation of this backlog of little broken things and time spent trapped into a dysfunctional existence, leaves very steep sides to a very deep trench that you get stuck in. There are limited opportunities to make your escape.

Please don’t think this is a case of poor me, poor me, pour me another drink. I’ll either get out of rut I’m stuck in, or else I know quite precisely where I’m going to end up.

It’s true that at a certain point, it becomes attractive to just give up, to capitulate, to self-sabotage. When the task ahead just looks so daunting and you have none of the resources you need to complete it, why not use what little remaining life force you have in reserve, in a hedonistic exit from your miserable existence?

I’m certainly not in that position at the moment. I have a couple of excellent lifelines, and to throw in the towel now would be churlish. When I scratch the surface, things are so much worse than I could even imagine, but at the same time, I have some assistance and opportunities that I’m ridiculously lucky to have.

For those who have to imagine the many parts of the picture that remain obscured to anybody except the mind-reader, you will struggle to see much difference between your own functional life, and my dysfunctional one. It doesn’t look like it would take much to restore normality.

However, it has been a long time since I was ‘in the saddle‘ as it were, cycling along with good balance and steady pedalling rhythm. 3 meals a day, a hard day’s work and a good night’s sleep. Week after week, month after month, year after year. My life simply has ‘episodes‘ now, where I switch between different modes.

I’m stuck in an episode of low mood, low energy, high anxiety, high stress, low productivity. Things that aren’t exactly peachy for getting your life back on track. It’s hard to imagine why I’m not up at first light, fixing everything up and pushing hard to get back into the swing of things. Hard to imagine if you’ve never hit a brick wall of depression or anxiety.

It’s a bit of a waiting game. Moods fluctuate. The body and brain dictate the terms, and to artificially alter them with chemicals is partially how I ended up stuck in this rut, so it’s not like I just need a few happy pills from the Doctor. Or that’s certainly a route I’d like to avoid anyway, having already seen several iterations of that particular approach, with the same results every time.

It seems there’s no cheating the system.

Doping in sport can lead to enlarged hearts that can suddenly stop beating, blood that’s so thick that you can’t fall asleep and have a drop in blood pressure, muscles that are swollen into vein covered monstrosities from steroid use, arthritic joints and inflamed tendons. Don’t you think we’re just pushing the human limits too far some times?

Using vast amounts of strong coffee to concentrate on work, and vast amounts of alcohol to switch off and de-stress after work, is perhaps the office worker’s equivalent of being in the Tour de France, surrounded by other people who are using the performance enhancing substances, who are your peers and you need to keep pace with.

My body is screaming “where are the stimulants?” as I deny it caffeine. I could start drinking coffee and cola again, but I have no idea how far away from my true self I really am, I’ve been so out of touch with my chemically unaltered moods for so long.

I’ve started drinking alcohol again, and it’s alarming how insidious it is, rushing back into my life, to tranquillise my jangling nerves and put me to sleep. There is some moderation, self-control there, but not much. There is sanctuary to be found at the bottom of a bottle. Intoxication is sweet relief from otherwise never-ending relentless exhausting stress and anxiety.

Without alcohol or some tranquillising medication, or even an herbal sleep remedy, I will just spend a night awake with my fears, my negative thoughts, my anxiety about the sheer volume of things that need to be fixed up, repaired, my stress about the workload ahead.

Things are getting worse before they get better.

Ok, so we have London, and we have bicycles. Some elements look consistent. However, we still have the seasons, and the dark and the rain and the cold are all fairly debilitating unless I’m in a well-established routine, or I can get away somewhere hot and sunny for a couple of weeks respite.

I know that Spring has sprung, and that we are on British Summer Time (BST) now, giving a whole extra hour of evening light. However, my body’s not fooled, because I don’t have a routine that is particularly dictated by clocks and calendars. I have moods that are dictated by sunlight and warmth.

Over the years I learnt what my body and brain needed, and when. It was important to establish an annual routine, as well as the daily workweek routine. How else could I lay down periods of up to 4 years in the same job, for the same company?

All that’s been washed away in recent years. I’ve shown I know how to survive and get by, but not how to thrive and make things have any longevity anymore it seems.

I would say though, that I haven’t forgotten the vast majority of what I learned in 20 years attempting full-time employment. It’s only been since 2010 that everything went very much out of kilter. I guess it’s like spinning helicopter blades. It only takes a little bit of damage to one of the blades, and the machine will shake itself to pieces.

Just popped round to see Liz and Phil for a spot of tea

Tags: #bipolar #depression #mentalhealth #london #career

4 April 2016
From Pole to Pole

This is a story about living with a mood disorder…

Type II Bipolar Disorder took a long time to diagnose, despite a fairly obvious pattern of moods that can be easily traced back to adolescence. Of course, we all have mood fluctuations, but it’s the extremity of those moods that qualifies something as a disorder.

I would say that hypomania was the more obvious one of of my pathological moods. Being able to concentrate and work with great intensity, with little sleep & food and a refusal to be diverted from my task, an irritability for distractions, hypersexuality, spending loads of money, risk-taking. Talking seems too slow to express your thoughts… the speed that you’re thinking is too fast to explain to anybody else, to put into words. You’re just a blur of activity.

It felt like driving with the hand-brake engaged for a lot of my life. I was always waiting for the next slim window of opportunity to work on something that I loved. Whether that was the Design & Technology at school, where there was never enough time to finish what I was working on before the end-of-class bell, or the lego model I was making, before it was mealtime and playtime was over.

Of course, we all have to work within a timetable, and we all have to eat & sleep, but these things always made me feel like I had to rush at everything I did as fast as I possibly could, in the hope that one day, I would complete one of my projects. I also grew incredibly frustrated with the limitations of timetables, mealtimes, bedtimes.

Switching to the world of work, there wasn’t actually very much to do. Most people did very little. I ended up searching around for extra things to do.

The computer network at my first full time job ran like an absolute dog. That was because AppleTalk traffic from the office Macs and their printers was polluting the Ethernet traffic from the Sun SparcStations. I managed to talk my friend Lucas into helping me to rewire all the cables one evening.

I wish I could show you the actual images, but we weren’t even supposed to be in the server room. This was a Ministry of Defence prime defence contractor with a high level of security clearance. The two junior programmers aren’t supposed to go and fix all the networking problems in the office without any authorisation.

The next morning, everybody was commenting how amazingly well the network was running. Lucas & I obviously couldn’t claim any credit, because we had acted without authority, but nobody was going to do a witch-hunt when everybody was so pleased that the most major problem affecting everybody in the office had been solved overnight.

That’s pretty much how a person with Bipolar Disorder hides out in a corporation. You bumble along, bored, depressed, coming in late, demotivated… and then you suddenly pull something out of the bag that nobody else would risk their career to do, let alone the lack of sleep and unsociable hours.

Bosses seemed to just accept my erratic working patterns, knowing that when there was something that needed doing with an impossible deadline, that’s normally around the time I’d wake up and start hacking something together.

It all kind of hung together until I started at a new company in 2008 and the project they were asking me to do was so huge, I didn’t know where to begin. I was just entering a depression, which was bad timing. There was also a cultural problem, where their in-house IT staff built everything using Microsoft Excel, and any ‘proper’ software was built by Oracle consultants or bought off the shelf… but nobody liked those big expensive systems.

My depression got so bad I couldn’t even get out of bed or stop crying randomly. I knew I wasn’t going to bounce back quickly from that one. After a couple of months I quit that job and started making iPhone games in my back garden. 18 hours a day, 7 days a week. I couldn’t go fast enough.

And so began a completely unstructured phase of my life. I would take on a project or interest, completely immerse myself in it for as many hours as I could stay awake, and stay obsessed with that single task until I burnt out. Then I would be depressed, and with no reason to even drag myself out of bed and go and be miserable at work, I would just be depressed all day in bed. I stopped answering my phone. I stopped answering the door. I never opened the curtains.

Being self-employed after 11 or so years of 9 to 5, Monday to Friday structure and routine, is kind of a red rag to a bull, if you have a tendency towards mood instability.

I relished those periods of hypomania. I wrote a series of iPhone games. I built a wooden summer house. I read a huge pile of books on Theoretical Physics and had lengthy email conversations with professors around the world, I wrote a mobile eLearning system and launched it at Learning Technologies conference, I decided that I wanted to be a startup founder and applied for TechStars, I learnt all about Bitcoin, bought Bitcoin miners and started mining in my summer house, I traded Bitcoin for profit, I wrote my own virtual CPU so I could attack algorithms like SHA-256, I started investigating security loopholes in things like internationalised domain names and the Google and Facebook developer platforms.

It’s not long before you stray into legal grey areas though, so a lot of my projects have been shelved and I’ve had to go on raiding missions back to the corporate world, to stay afloat financially. These are normally timed with my hypomania, so a company gets 3 months of incredible productivity, and then a month or two of me being depressed, and then we normally go our separate ways.

My depressions have gotten worse and worse. They seem to last longer, and I’ve actually started to harm myself more & more. It’s strange, when you emerge from a depression and enter a period of hypomania though… you can’t remember just how dark those previous days were. There’s no rational voice that says “hey! slow down, or else you’re going to crash again!“. Instead, the voice says “better go as quick as you can, because we know a crash is coming again soon“.

So how do we know that depression is the pathological mood at the other pole from my hypomania? Well, I sleep. A lot. Sometimes 16 hours a day. When I’m awake I have very low energy, low motivation. I have no interest in things I’d normally find enjoyable. I don’t want to see or speak to anybody. I generally think that everything is pointless, broken, useless, hopeless. Lots of negative memories keep coming into my head, and make me think “I can’t believe I said/did that” with extreme regret, embarrassment, shame. I think the world would be better off without me. I start to do pros & cons of living lists, either in my head or written down. I start to think of ways to kill myself, and what affairs I would need to set in order before I committed suicide. This goes on for weeks, months.

I’ve written before about trying mood stabilisers and antidepressants. The side effects just aren’t compatible with good quality of life. You might think that risk to life outweighs quality of life, but it doesn’t, especially when you have the waves of hypomania to surf, before crashing onto the rocks of depression.

My body and my mind seems to have decided to adapt itself to this world, to this society, to this environment. We applaud the kid who busts their balls to study for their exams, and can then collapse in a heap during the school holidays. We applaud the employee who pulls the all-nighters and comes in at weekends when work is behind schedule. We applaud the ‘overnight success‘ stories, when an impressive project is unveiled, seemingly created out of thin air, as if by magic. There is no magic. It’s just an unsustainable burst of energy, focus, determination, single-mindedness and a touch of madness.

I’d like to go back to the routine I once had, pre-2009. Only I don’t seem to be able to retrace my steps, yet. I know the formula that used to work, and a very dear and trusted friend urges me to take a permanent job, and he’s probably right to some extent. However, if it all goes horribly wrong again, I would have earned a fraction of what I would have done in a contract.

I’m hoping I can find my little niché. Somewhere I can deliver more value than keeping a seat warm from Monday to Friday. Somewhere where the bosses are more interested in results than headcount in their empire. Pretentious? Moi?

I don’t really care whether you think I should cheer the fuck up or calm the fuck down… my moods seem pretty intent on doing whatever they want to do. I’ve been fully aware of the calamitous consequences of not keeping my mouth shut at the right time, or not getting out of bed and doing some urgent crap. It doesn’t really feel like I’m choosing even if it does look like a choice to you, as an outside observer.

This looks like a load of angst-filled teenaged immature self-centred selfish drivel. It probably is. I call it my life.

I’m probably more self-aware than you give me credit for. If you’re thinking “oh my God, can you even hear what you’re saying? Can you even hear yourself?” the answer is yes, yes I can. I spend a lot of time cringing and wishing things weren’t so, and indeed wondering why I’m like a moth to a flame so often. I can see the train wrecks before they happen. I’ve plotted my mood and activity data, and the patterns are as clear as day. So what?

I’m sure there are days when you’d really like to be a bird, just soaring on the air currents above the ground, looking down on people & buildings. It doesn’t matter how badly you want to be a bird. It doesn’t matter how rational it seems, to become a bird and just fly right over that traffic jam that’s getting in your way, it’s not actually possible. That’s a bit like those days when I would really like to feel normal. I can want it, but it’s not actually possible. Anybody who tells you that you can stop worrying or be happy just by choosing is full of shit. You have my permission to punch them in their smug mouth.

So, I’d say my experiment with abstinence was a failed one. We need a little alcohol to calm our nerves. We need a little caffeine to perk us up. We know when we need it, and most of us know our limits. We’re pretty adept creatures at tweaking our own moods. We probably need a pet for a bit of soothing oxytocin. We probably need a girl/boyfriend for a bit of serotonin and a squirt of dopamine. Other than that, we just need something to keep our minds occupied as a distraction from the inevitability of death and decay. Not God though. God is for crazy people.

Anyway, that’s my two cents, on my two poles: Type II Bi-polar Disorder.

Tags: #bipolar #mentalhealth #depression #suicide #nhs

8 February 2016
Inside The Priory

This is a story about rehab…

What’s the difference between detox, rehab and inpatient treatment for mental health disorders? Very little actually. Here’s my little exposé into being a patient of the UK’s most notorious private drug and alcohol abuse treatment provider.

As far as my medical records show, I was admitted to The Priory for treatment for Type II Bipolar Disorder, during an episode of acute illness. My private health insurance picked up the bill and JPMorgan gave me the time and the space to get better. They’re a great employer actually.

I had found a local private psychiatrist, as I was running out of ideas for how to deal with my Dual Diagnosis (Bipolar & substance abuse) and I knew that the stats weren’t good. Not many people recover from such a death sentence of a diagnosis.

I was very lucky to find the psychiatrist that I did. I had been trying to get in contact with a number of specialists directly, but things were very slow going during the Xmas/New Year period, when a lot of people suffer a big decline due to the bad weather and family pressure to put a jolly face on everything during the holiday season.

I contacted a general psychiatrist at the local private hospital, and he turned out to be one of the nicest, kindest people I could ever have hoped to meet. It was pure relief to meet somebody nonjudgemental who would hear my story without leaping to immediate conclusions. The first time I met him, he simply said “we can only play the cards we are dealt” which had me in floods of tears, as it was the first time that anybody had ever said something so kind to me.

I had been taking quite a kicking from my supposed loved ones – but I’m not going to go into that anymore – and been made to feel very guilty and a total failure for having gotten sick. It should be noted that I became clinically depressed and suicidal before any substance abuse entered the picture. Bipolar symptoms had always been present in my life, but it took a further 2 years to get diagnosed. Then, finally, substance abuse reared its ugly head and became the most pressing issue.

From my point of view, I had struggled for years and years with recurrent suicidal ideation, suicide plans. I have struggled all my life with mood instability. To be simply dumped in a bucket labelled ‘lost cause addict‘ was a bit s**t to be honest, after 30 odd years of reliable good service, despite fairly debilitating mental health problems.

Perhaps I’m complaining too much, making too much of a big thing of my struggles? Yes, yes, yes, there are people who’ve had it so much harder than me, blah, blah, blah. Ok, unless you’ve sliced your forearms multiple times, lengthways along your veins, with a razor blade, do me a favour and shut up? Some of my friends are wonderfully supportive and have gone out of their way to learn about mental health problems. Perhaps you could follow their example?

So you think this is attention seeking? Save it for the funeral.

It’s true that it’s taking me a while to work up the bravery to take the Final Exit. Ending your life is a big deal, and you’ve got to do it right, otherwise you’re just going to end up in hospital in pain.

I’ve had cans of inert gas to suffocate myself, 2 grams of Potassium Cyanide, enough barbiturates to slip into a coma and drown in my hot tub while unconscious, travelled to the top of tall buildings, cliffs and peered over the edge of high bridges. The most serious attempt I made was trying to open my veins with a razor blade. I must admit though, I was just testing the water. You want to make sure that you open some major veins, like the jugular, if you want to die quickly.

Stupidly, I still have hope and some faith in myself. I should write myself off for dead, like those-who-shall-not-be-named have done.

So it came to pass that I went into The Priory, with a referral to one of the country’s leading experts on Bipolar Disorder and Dual Diagnosis. JPMorgan were told that I was experiencing mental health problems (true) but the main objective was for me to detox for 28 days, so that there was a clearer clinical picture, and the treatment of my Bipolar and depression could begin.

That makes me an addict right? Don’t need to read the rest of the story. Skip to the end. Case closed.

Well, actually, The Priory and my psychiatrists were concerned with my mental health, and saving my life, not just labelling me as an addict and sticking me into the revolving doors of mistreatment and stigma that those suffering individuals endure. The Priory is actually a private hospital, and cares primarily for those suffering with various mental health disorders that are less controversial and stigmatised than substance abuse. There were ten times as many patients who were there because of depression, anxiety, schizophrenia, borderline personality disorder, eating disorders etc. etc.

It’s actually all part and parcel of the same group of problems. One fellow patient had been admitted with mental health issues, but out of some drive to self-destruct, she started filling up a mug with alcohol-based hand sanitising gel and flavouring it with orange squash, and drinking it to get drunk.

One of my fellow patients tried to commit suicide by climbing a high wall and hurling herself off, while I was there. Does it matter if she was being treated for depression, or for substance abuse? The fact of the matter is that she was suicidal at that moment. Mental illness of some kind had driven her to try and take her own life.

There was a game we used to play, when a car used to roll up to the house, and out would step the worried looking family members, dragging some dishevelled son, daughter or partner out of the back seat and into a meeting about admission. We used to try and guess what they would be admitted for. Sometimes it was obvious – if they had red wine all spilt down their clothes for example – but often it was nearly impossible.

But what’s it actually like, in private hospital? Are there rock stars and stuff? Well, my doctors had treated a number of high-profile sportsmen and women, but when I was there, there weren’t any rock stars. Couple of millionaires but no rock stars.

Really, it’s much like an NHS mental hospital, except a little more well appointed. Everything is bolted down and the windows don’t open and the doors don’t lock. The lights don’t dangle down and there are no curtains. Mirror glass is made of plastic, and pictures are screwed to the wall, not hung. Yes, there is quite a lot of anti-hanging thought that has gone into things.

When you arrive, you will hand over your razor, scissors, tweezers, solvent containing toiletries, shoelaces, belt etc. to the nurses to keep at their station. If you want to have a shave you’ll have to ask for permission, and you’ll only get a short amount of time to attack your face with something sharp.

Plus, it’s still a hospital, and people are very sick. One woman said to me “it’s OK, your secret is safe with me” and tapped her nose with a knowing wink. It later emerged that she thought I was a royal prince, and that my presence in hospital was a state secret. She also came into my room and stole all my underwear and my books, before the nurses tracked down her hiding place.

The rooms are actually as good as any 3-star hotel, with a writing desk, nice view of the gardens, an OK single bed and an ensuite with no shower curtain or plug (drowning is frowned upon). Once you’re off suicide watch, you might get to move to one of the double bedrooms that are further away from the nurse’s station.

Other than the slight refinement of having a TV and a telephone in your bedroom, there is little different from NHS mental health treatment. The food was very good, I have to say, but your days are generally structured around morning and afternoon trips to the dispensary hatch for your medications, and being regularly checked on by nurses if you’re not in some group activity.

Between art therapy, yoga, mindfulness, music therapy, table tennis, TV, movie night and generally socialising with the other patients, it all sounds like a thoroughly lovely spa break. There was a gym and quite big grounds that one could roam in, provided you told the nurses where you were going and how long you’d be gone for. Leaving the compound within my 28 days was forbidden.

Your partner can come and visit you, and you can give a knowing wink at the nurses station before you have sex, so that nobody barges in on you unannounced. Just don’t take too long. Visiting is only on a Sunday, so you’ll probably have a sack like Santa anyway. You have to hand over your mobile phone and laptop, and digitally detox, so pornography is hard to come by. Probably because sex addiction is also treated at the hospital.

We should remember that although people talk about ‘rehab‘ we need to be quite clear about the treatment route of substance abuse. There is first a detox. It’s necessary to break the body’s dependence on substances, and treat the withdrawal. If you are an alcohol or a benzodiazepine abuser, there’s a good chance that withdrawal could kill you, so the hospital will put you on tapered medication to get you off those substances. If you are an opiate abuser, you will get very sick from withdrawal symptoms, and these can be attenuated with substitute prescribing or by putting the patient into induced sleep. If you are a stimulant abuser, you will suffer cognitive impairment, exhaustion and suicidal depression.

After detox, which could take the whole 28 days, then comes rehabilitation. Depending on how dysfunctional a person has been, they could need 3 to 6 months of rebuilding their damaged life in a safe environment. Just breaking the cycle of chemical dependency is not enough. There’s a reason why a person entered that cycle in the first place. There’s a reason why that person stayed in that cycle.

We know that gambling addicts don’t inject packs of cards into their veins, so addiction can’t just be about chemical substances, can it?

So it was, as my time at The Priory drew to a close, the staff gave me the bad news that my treatment was incomplete. I would need another 3 months of rehab if I wanted to make the changes permanent. I flipped out. I discharged myself, went home for a day. Then I spoke to one of the staff on the phone and decided to go back for the remaining few days of treatment. She-who-shall-not-be-named decided that I had “failed” in my commitment to getting better. That’s simply a lack of understanding about the commitment that is needed to support somebody in recovery.

Recovery is not about abstinence, it’s about having people who love you trying to support you. Support does not mean hectoring, bullying, nitpicking and generally being obnoxious to a person. Your holier-than-thou drinking and smoking and generally behaving like it’s OK to do whatever you want and laughing in the face of the abstainer is not helpful, OK?

Abstinence doesn’t even work anyway. It’s just a continual reminder of what people want to believe: that you’re somehow a bad person, that you’re faulty, defective. People want to treat you differently, want to label you. Teetotallers are ridiculed, treated with contempt. Why bother being teetotal?

Certainly, not being a smoker was a problem in hospital. There would be long periods where I was left all on my own, because everybody was outside smoking. There is no real abstinence in the world. I found the nurse’s stash of caffeinated coffee in one of the more remote kitchens, and in some hospitals you are even allowed to have caffeinated drinks. ‘Addicts‘ are encouraged to not give up smoking and tea/coffee, because they will need those things as a crutch, during those early days of abstinence.

If you look a little more closely at human behaviour, you will see that people are self medicating in one way or another. You’ll see the hypocrites, dosing themselves up with stimulants in the form of caffeine. You’ll hear the hypocrites, being hypocritical about addiction inbetween puffs on their cigarette. You’ll suffer the hypocrites, swallowing their pills and liquids they have as government sanctioned, medically approved substitute addictions.

I could go to my doctor and get a prescription – called a script in addict parlance – for something to salve my addiction and turn it into something seemingly acceptable in society. It’s OK if my pills come in boxes from the pharmacy, with my name printed on them and with a prescription from my GP or psychiatrist?

If I had to go to work at the moment I would probably need some Dexamphetamine, or at least a gallon of super strong black coffee. Because I’ve used so many stimulants, I can drink heaps of coffee without having the anxiety, palpitations and sweats that you would get, but it’s a poor substitute for genuine amphetamines, even if the caffeine molecule is virtually identical.

There’s no magic in treatment. There’s no magic to recovery. It’s just time & space and being treated nicely by people, being respected as a human being.

It’s important to respect people.

Just respect people.

Tags: #addiction #alcohol #drugs #suicide #mentalhealth #nhs #bipolar #depression

22 January 2016
Anti-Anti-Depressants

This is a story about maintaining a degree of freedom…

Which one of these faces represents your mood? What if there was a pill, powder, liquid or a gas that could take you from a face on the right, to a face on the left? Would you use it?

Apparently 90% of adult Americans drink coffee. That’s a pretty amazing statistic, isn’t it? Officially, there are 350 million Chinese smokers. That’s more than the entire population of the USA. Every weekend, town centres across the United Kingdom are turned into warzones, with huge numbers of binge drinkers, taking themselves to the brink of alcohol poisoning, and even beyond.

That’s just the stuff you can buy in shops, over the counter. You can walk down the road, 7 days a week, and purchase coffee, cigarettes and alcohol.

Now let’s talk about prescription medications. In Tower Hamlets, the borough of London where I currently live, Prozac (Fluoxetine) prescriptions are rising at 8% per year. London issued 5.21 million Prozac prescriptions last year. Over 20% more Londoners are taking antidepressants than 3 years ago.

So, in all probability, somebody somewhere has got their hooks into you. Either you drink coffee, you smoke, you drink alcoholic drinks, or you take mind-altering prescription medication. You are owned by somebody. A proportion of your wealth and tax dollars are going on mind-bending substances.

The picture above is of a blade that I have managed to remove from a Gillette Fusion razor, and crudely bend into a cutting implement. It’s actually pretty tiny, hence why I never noticed that it was still lying on the bathroom floor. However, it’s easily big and sharp enough to slice open veins and arteries.

Wouldn’t I be better off taking antidepressants, so that my mood doesn’t sink so low that I attempt suicide? Wouldn’t I be better off in a chemical straightjacket?

Given that I have no fear of homelessness and destitution, why do I need something that artificially props up my mood and allows me to function, when my natural mood is telling me that something is wrong?

What goes up must come down, and for every desired effect of a medication, there are one or more side effects. Often times, people will take a medication for one ailment, and then have to take another medication to compensate for the side effects, and perhaps even some more for further side effects. It’s much like the old lady who swallowed the fly, who ends up swallowing a horse.

Ok, so my mood episodes are pretty brutal, but at least I have a clear clinical picture, in medical parlance. It’s fairly easy for me and any clinicians to see what my mood is doing, as the water is relatively unmuddied by mind-altering substances.

So what is my mood doing? Well, it’s yo-yoing up and down like an insane elevator operator. However, it pretty much follows the instability of my life. 7 or 8 months ago I was homeless, then I was living in a hostel, then I was living with an alcoholic and his unfaithful wife, then I was sofa surfing with a friend, then I was living in hotels during a time when just about every London hotel was booked out for the Rugby World Cup, and then I got a flat.

Jobwise, I had a 9 month contract, and then a 6 month contract. I’m working about 6 months in 12, with the chance to push that up to 9 in 12 if I can get my arse back in gear. It’s not a very stable work environment though.

I spent about 15 weeks receiving inpatient treatment in 2014. That really was an annus horribilis. I was in hospital for about 8 days (2 admissions) in 2015. That’s quite a big improvement. 2016 remains hospitalisation free, despite some fairly sketchy stuff that probably should have seen me admitted.

But you can’t see the other data that I have in front of me. My alcohol consumption, my coffee consumption, my abuse of drugs & medications… all of this is going through a radical transformation too. From regular and massive binges on wine & beer, coffee to prop me up in the mornings, drugs and medication to while away the time inbetween jobs: I’ve knocked almost all of that on the head. Life is a lot more straightforward when you’re not peering through a haze of mind-altering substances.

However, it’s a little too straightforward. In terms of stress levels right now, I’d rather give up the responsibility of having a flat, bills to pay, a man to kowtow to. It might be cold and wet and s**tty weather outside right now, but I’d still rather be living in a tent and not looking at a stack of 8 box files full of paperwork I need to deal with.

Seems bizarre, right, to choose to be homeless, destitute? Well, I don’t think it’s any more insane than working your arse off to pay for your rail season ticket and pay for the mortgage and bills on a house you never get to spend any time in.

Personally, I just feel as though modern life is making me unwell, so I reject as much of it as I can. I do the bare minimum to keep the wheels turning, and otherwise I turn my back on the madness. I try not to be swept along by the current.

I know my mood will change, and I will feel differently about things during a different kind of mood episode. I’m not going to poke and prod at my mind though, and try and coerce it into taking on an altered perception of reality.

Tags: #bipolar #depression #suicide #mentalhealth #nhs

12 January 2016