Tag: bipolar

Self Medication (Part Two)

This is a story about self prescribing…

If you know what medication you want, you can cut out the middlemen and just buy it yourself direct from a country that doesn’t have a rigid system of prescriptions, provided it’s not a controlled substance, and therefore illegal to import.

I wrote about self medication through non-pharmacological mechanisms in a previous blog post entitled Self Medication (Part One) if you wish to refresh your memory.

Going GP -> Psychiatrist -> Pharmacist is actually quite a slow process when you’re trying to find a medication that works for you. Also, many medications are only licensed to treat certain illnesses, but there is sometimes a strong body of research that proves they are effective on other illnesses. Because of concerns about medical malpractice lawsuits, it’s quite hard to get an ‘off label‘ prescription, even if there is good data to support the use of a particular medication in your individual case.

So it was that I came to be experimenting with medications like Pramipexole (Mirapex), Bupropion (Wellbutrin), Cabergoline (Dostinex), Aripiprazole (Abilify) and even crazy ones like Piribedil (Trivastal). Results were a mixed bag.

The bottom line is this: you probably don’t want to f**k with medication. Aripiprazole left me uncontrollably dribbling, and unable to speak without an unintended spray of saliva. Piribedil would cause me to fall asleep randomly, like a narcoleptic.

But, Bupropion works. It’s a very effective, fast-acting antidepressant. However, it raises your anxiety levels, causes insomnia, panic attacks and exacerbates hypomania. It’s not a good medication for somebody with Bipolar, unopposed by a mood stabiliser.

Messing around with medications was very dangerous, and I may have even put myself at risk of early-onset Parkinson’s disease. Certainly, my later messing around with L-DOPA was on a trajectory leading to complete disaster.

It’s about harm reduction though. Tea and coffee are on a stimulant continuum that leads to amphetamines and even stronger stimulants. Alcohol is on a depressant continuum that leads to benzodiazepines and even stronger ‘downers‘. If you have been using coffee & alcohol to self-medicate for your mood fluctuations, you will be driven to seek out stronger alternatives, when those substances no longer work anymore, or face a breakdown.

Eventually, you’ll find that heroin is really great to help you sleep, and crystal meth is really great when you need to be awake and get stuff done. You don’t want to end up there. Don’t go there.

There are modern sleep aids like Zopiclone & Zolpidem, and newer wakefulness and concentration promoting agents like Methylphenidate (Ritalin) and Modafinil. Naturally, I experimented with these.

Ritalin, I found to be very much like cocaine. You want to take more but you’re not sure why. You don’t really feel like you’re getting anything out of it, but you strangely find yourself taking loads of it. Dangerous. Elizabeth Wurtzel wrote a book called More, Now, Again which is amongst the literature that inspires my writing. However, it’s simply not possible to snort 60 Ritalin pills, like she claims. That volume of powder will simply not fit into your nasal sinuses. She’s right about one thing though: Ritalin is addictive.

Modafinil simply makes you awake, not happy. More time awake, unhappy, is really the very last thing that you want if you’re depressed, so I discontinued its use and find no function for this wakefulness promoting agent, personally.

Zolpidem doesn’t keep you asleep for long enough to be of any use. Sure, you fall asleep, but then you wake up again and spend the whole night with your usual insomnia. Useless.

Zopiclone works but it’s a little too brilliant. Again, for somebody with Bipolar, waking up feeling totally refreshed simply stokes your hypomania to dangerous levels. It delays an inevitable crash, when the drug ceases to be effective at acceptable dosages, and insomnia leads to exhaustion, which leads to depression.

It’s all available, out there on both the public internet and the Dark Web. It’s a few clicks away for a middle class person with a computer and a postal address.

My parting advice is this: don’t go there. Don’t even look. Don’t tempt yourself. Don’t give yourself false hope. Don’t experiment. I’ve done the experiments, and found nothing good there. The side effects just aren’t worth it. The downsides outweigh the upsides.

There are no medicinal cures. There are no medications that ‘fix‘ Unipolar Depression and Bipolar. It’s an avenue not worth pursuing.

Sorry about that.

Tags: #bipolar #depression #mentalhealth

9 January 2016
Advent Calendar (Day Fifteen)
This is a story about three types of people…

There are only 3 types of people in the world. That’s it. The whole of humanity can be divided into just 3 buckets. If you want to label people, you can use one of these 3 handy labels, to judge people.

But 3 doesn’t sound like very many? Aren’t people way more complicated than that? Aren’t there 12 buckets that people are put in, like signs of the zodiac? Yes, isn’t your star sign all you need to know about a person to figure out everything you need to know about a person? If you know somebody’s star sign, you just have to look at their horoscope for the day, and you can predict their future, right?

Well, maybe all that horoscope stuff is bunkum. Maybe it’s New Age hippy crap that doesn’t mean anything. I mean, it’s not very scientific, is it? Everybody knows that horoscope writers just put generic stuff that could apply to anybody. That’s the skill in writing horoscopes: writing statements that are ambiguous enough that they could apply to anybody.

So what about Myers-Briggs? Isn’t 16 types of people rather than 12 the solution? Having 16 buckets to put 7 billion people into is surely the solution to the madness of believing in horoscopes. Yes, those extra 4 buckets make all the difference.

I do take some pride from the fact that I come out as an ENTJ – Field Marshal – personality type, when I’m tested, which is only 1 to 3% of the population. However, I have a way of simplifying things and making them very black & white. I’m a computer programmer, so I like binary. There are 10 types of people in the world. Those who understand binary and those who don’t.

So, the best I can do is to categorise people into 3 buckets, so that they can be judged and mistreated accordingly. We seem to love prejudice and presumption, and bullying people, so I’ve developed a really simple test and a form of categorising people into just 3 categories.

Here it is…

Type I – Potential Addicts

The potential addict is somebody who has not yet tried addictive substances. An addictive substance is anything psychoactive that alters your perception of reality, with examples being:
- Alcohol
- Caffeine (as found in tea, coffee and cola)
- Nicotine (as found in cigarettes, cigars, shisha and vape)
- Medication for depression & anxiety
- Pain medication
- Legal highs
- Narcotics (illegal drugs)
The potential addict has not yet tried any of these things, so we do not yet know if this person is an addict. These people are normally children, because most adults have been exposed to one of the above substances.

Only if you have never tried any of the above substances, can you be considered to be a potential addict.

You need to be really honest when you are answering the single question that identifies you as a potential addict.

Here’s the only question you need to answer:

Have you ever taken any of the substances listed above?

The next part is really easy. If the answer is no, then you are a potential addict and your capacity for addiction is as yet unknown. You should be regarded with fear and mistrust. You are a ticking time bomb of addiction. You are a potential monster. You are a menace to society.

Type II – Addicts

The addict is somebody who, at least once every 3 to 6 months, takes an addictive substance. An addictive substance is anything psychoactive that alters your perception of reality, with examples being:
- Alcohol
- Caffeine (as found in tea, coffee and cola)
- Nicotine (as found in cigarettes, cigars, shisha and vape)
- Medication for depression & anxiety
- Pain medication
- Legal highs
- Narcotics (illegal drugs)
The addict takes these substances on a regular basis. Whether that’s every 3 to 6 months, or daily dosages of the demonic plant alkaloid known as caffeine. Addicts who drink steaming hot cups of addiction are littered throughout society, flagrantly parading their lack of willpower and devil-may-care attitude to the damage they’re doing to themselves and others.

Addicts who smoke or vape are smelly and are setting fire to money on a regular basis and inhaling toxic combustion products, and toxic chemicals. This insanity is further evidence that they have been possessed by a demon. That demon is addiction. These people are monsters. They should be shot at dawn. Their heads should be put on a spike.

Medically sanctioned addiction is no better. Just because your doctor (a.k.a. drug dealer) gave you medication for pain, that’s no different from scoring heroin on a street corner. There is zero difference between obtaining medication for depression, or injecting heroin to treat your crushing emotional damage. Zero. Nada. Exactly the same thing.

You need to be really honest when you are answering the single question that identifies you as an addict.

Here’s the only question you need to answer:

Do you take any of the substances listed above (every 3 to 6 months or more regularly)?

The next part is really easy. If the answer is yes, then you are an addict and you need help. Why are you wasting money and damaging your health taking substances? There’s no excuse.

Because you can’t stop taking these substances, you have proven to the world that you have no self-control. You have proven to the world that you have no willpower. You have proven to the world that you’re weak. You selfish monster. I hate you. Pooh you! You shitting pooh-pooh head! Stinky bum head!

You lose, addict.

Type III – Non-Addicts

The non-addict is somebody who has tried addictive substances but has not become addicted. The definition of not being addicted is having tried something, but choosing not to take addictive substance. The very process of not taking an addictive substance is what defines a non-addict.

The non-addict is aware of the effects of addictive substances, but chooses not to use them. The non-addict is somebody who demonstrates willpower and self-control. The non-addict, is by their very omission, proving that they are not addicted. They have tried, and they resist the temptations of the addictive substances.

Not taking addictive substances, having tried them, is the only way to prove that you’re not a potential addict. If you haven’t tried addictive substances, you simply don’t know whether you’re an addict or not. A non-addict can conclusively show that they are not an addict. Quod erat demonstrandum.

Non-addicts are completely abstinent from all of the following substances:
- Alcohol
- Caffeine (as found in tea, coffee and cola)
- Nicotine (as found in cigarettes, cigars, shisha and vape)
- Medication for depression & anxiety
- Pain medication
- Legal highs
- Narcotics (illegal drugs)
The non-addict has tried one or more of these substances, and proven that they are not an addict, by not taking them. If you take any of the above substances, you are an addict, not a non-addict.

It’s a really easy test to see if you’re an addict or not. If you drink tea, coffee or cola, you’re probably an addict who is in denial. Denial is not a river in Africa. Denial is when you deliberately ignore the evidence.

Non-addicts have collected evidence that they are not addicts. Non-addicts are laughing at you when you accuse them of being addicts, in between sips from your coffee cup.

There’s a simple test to see if you’re a non-addict or not. You have to go for more than 6 months without having any of the addictive substances you’ve tried. Yes that’s right: any of the substances. Because addictions can be transferred, you can’t just stop taking heroin and take up drinking coffee. You can’t just stop smoking cigarettes and start having cups of tea. That’s just transferring your addiction.

Here’s the only question you need to answer:

Do you take any of the substances listed above (every 3 to 6 months or more regularly)?

The next part is really easy. If the answer is no, then you are a non-addict and you can laugh at anybody who talks to you about addiction in between cups of coffee and puffs on cigarettes, while swallowing loads of medications etc. etc.

If you break your abstinence by taking any of the listed substances, then you are an addict. There’s no cheating. There are no excuses. You are self-medicating for your untreated addiction if you take anything from the list above. You might be in denial if you’re saying things like “yes, but” or fooling yourself about how regularly you are taking addictive substances.

Only a non-addict is able to go for over 6 months without any of the substances listed above. And only a non-addict can stick two fingers up at you and laugh and call you a c**t. Yes, non-addicts are allowed to be all high and mighty, and look down their nose sneeringly at you. Only a non-addict is allowed to be pious and critical of your lifestyle. Only a non-addict is allowed to act all holier-than-thou and pretend they’re whiter than white.

It’s an established fact that non-addicts are allowed to be as horrible as they like to Type I and Type II people, because they’re inferior. The Type I and Type II people are weak and worthless, and can be treated with disdain, contempt and disrespect. Type I and Type II people are literally pieces of s**t that shouldn’t be p**sed on if they’re on fire.

I think you’ll find that this logic is completely watertight. I think you will find that there is not a single flaw in this reasoning. I’m sure that you’ll agree wholeheartedly with this new system of classification, given that it is reasoned from unquestionable base principles.

My own mother used to take heroin, but then stopped. She believes that this proves she isn’t a heroin addict. Her reasoning is pretty sound. Seems to make sense to me, at least. Well done her.

Only my Mum still smokes and she’s a total alcoholic. Oh, and she drinks loads of tea and coffee. So I guess she’s still an addict. Oh, oops. So her stopping taking heroin really didn’t prove anything, did it? No. Especially as she was still taking other illegal drugs. Yes, there seems to be a flaw in her logic.

I like my Mum, even if she’s a total alcoholic junkie. She decided to have a baby (me) with another alcoholic junkie, which is a shame, but at least they never judged me, because they’re aware of their own addictions.

Oh no, hang on a second. There was that time when they walked into my house and stopped me from emailing psychiatrists about a hospital admission to treat my Bipolar Disorder, and instead accused me of being a drug addict and dragged me outside where some work colleagues saw me and wondered why I wasn’t at work.

Yes, it seems rather odd that a couple of drug addicts would enter the private home of a person with a mental illness, and drag him through the streets, accusing him of having a drug addiction. That would seem to be rather hypocritical to me.

I wonder what the psychological effects of such action would be. To shame your son for the guilt that you yourself carry. To blame your son for your own lack of willpower and addiction. That would be pretty shitty, wouldn’t it?

Yes, my parents kinda like to pass the buck. They think they’re so smart, but they’re just out to cover their own guilt. They’re pretty paranoid and psychotic after so many years of extensive drug and alcohol abuse. Years and years and years. It takes its toll on the body and the mind. They have lost the plot. They’re fucking senile.

Oh, what about me?

Well, I’ve not been drinking for 82 days, but I’ve been abstinent from all the other substances for 6 months. I’m well on my way to non-addict status. I’m a lot more of a non-addict than anybody else I know. That’s why I find it so insulting and offensive when people want to talk to me about alcohol, drugs etc.

If you want to know about being a non-addict you should be asking me, not telling me things. I can tell you about how hard it is to flush all psychoactive substances from your life. They are ubiquitous. They put caffeine in all sorts of things, so that you get hooked on those products.

I have started to hear people saying “sugar is a drug” and that’s given me an idea.

When you eat food, your body will break it down and convert the carbohydrates into glucose, because glucose is what powers every cell in your body. Your human body runs on glucose and oxygen. Your body runs on sugar.

However, I accept the challenge.

I’ve decided that as my final challenge I will go without sugar. Given that sugar is glucose, and all food is converted to glucose, I will have to go without food. Yes, if I’m going to quit sugar, I will have to quit food.

So, I’ve decided to go on hunger strike. Yes, when you’re all stuffing yourselves with your Christmas dinner, I think I will go and stay in a tent (houses are a drug?) and just live on fresh air. I’m going to quit food for Xmas. How’s about that?

I’m just taking things to their logical conclusion. The only way to prove that you’re a non-addict is to give up on food.

If you give up on food, pretty soon you give up on oxygen. Oxygen is a drug. You keep taking breath after breath, you oxygen addict!

I’m going to quit food, because food contains sugar, and sugar is a drug. By quitting food, I get to quit oxygen too.

Yes, when I’m dead from starvation, suffocation, you will be able to see just how brilliant not being addicted to anything is. Make sure you have a warm cup of tea or coffee with some sugar in it to sip at my funeral. The glucose from the sugar will help to keep you warm, and the caffeine will help you concentrate on whatever bullshit the preacher is spouting.

Hurrah for me. I’m a fucking genius. I’ve figured out how to not be addicted to ANYTHING.

Yes, I’m going to sit in my tent, with no food, no sex, no internet, no gambling and certainly no tea or coffee. I’ve never smoked and I don’t take drugs, so it should be fairly easy. I just need to beat a few hunger pangs and then the pain will be over.

I’m looking forward to an eternity as a non-addict. The dead aren’t addicted to anything. Hurrah for the dead. I aspire to be dead. I’m mostly there.

Have a little think about what type of person you are. Be honest. How long have you honestly done, without a single drop of any of the substances I listed? You’re going to have to be super duper honest because addiction makes you lie to yourself and others

Tags: #addiction #alcohol #drugs #bipolar #mentalhealth #childhood #parents #notanonymous
15 December 2015
Advent Calendar (Day Five)

This is a story about my cyclical nature…

When my tale is finally told, I hope you will understand why people enter a mood disorder cycle. It’s not about broken brains. It’s about abused children.

Does abuse have to mean being kiddy fiddled by your uncle? Does abuse have to mean being touched in private places? Does abuse have to mean sexual abuse? Well, everything links back to sex in some way, but the web of life is incomprehensibly complex, so I suggest you just listen for now.

I went to playgroup from the age of 3, went to school at the age of 4, and stayed in school until the age of 17. It was horrific. Every single year, my Dad did something to f**k up my chances of having any self esteem and avoiding relentless daily bullying.

Yes, I’m singling out my Dad, because he’s a total cunt. My mum is loving, and has tried very hard to make her children feel loved, but she’s got the shittest taste in men imaginable. My surname – Grant – comes from her ex-husband, who was a heroin addict. That’s lovely. Instead of being Nick Newton – perhaps a descendent of a famous physicist – I’m Nick Grant, named after a heroin addict. Brilliant.

Keith – as I very clearly remember him telling me – does not want to be called “Dad“… “who’s Dad?” he would say to me, when I was only about 3 years old and learning to talk. “I’m not Dad, I’m Keith” that’s a lovely thing to say to the little boy you’re looking after isn’t it? That’s definitely going to make them feel loved and secure. What a cunt.

I think the main problem is that my parents were never outnumbered, until my sister gave birth to my niece. The penny hadn’t dropped until then, that my parents lives and disgusting lifestyle needed to change, because children had arrived. Keith was so lazy, that he sat around in a house that my Mum’s Mum bought for them, drinking and smoking, and sending my Mum out to work full time in order to pay for his lifestyle. What a cunt.

Yes, my mum was the breadwinner, while my Dad was at home, telling me how resentful he was at having to rear a child. He thought he had solved the riddle of life the universe and everything, and got to take drugs, get drunk and have sex with my mum. Sadly, sex leads to children. Denying that you’re a Dad isn’t going to get you anywhere, except making little children very sad.

My Mum and my Granny were lovely, and I do have lots of happy memories of time spent with them. Sadly, if you’re a full time working mother to pay for your lazy drug addict partner, you don’t spend as much time with your child as they’d really like, especially if the main childcare is hungover or on a comedown, and saying “who’s Dad?“.

I wasn’t really prepared for social interaction with other children. I didn’t used to go on playdates or have friends over. My parents had their friends over instead. And they sat around taking Cocaine and doing jigsaws. Yes, drug taking and getting drunk were my parents passtimes, not doing things with their kid. By their own admission, they used to stick my carrycot on top of the jukebox when they were down at the pub. They definitely weren’t going to let a little accident like a child get in the way of their big ambitions to be drunks and drug addicts.

What happens next is you go to school, and you don’t have a frigging clue how to relate to other children. All you know is how to interact with adults who tell you to fuck off because they don’t want you to interfere with their high, or they’re cranky because they’re hung over or on a comedown. You know how to speak relatively articulately, because you’ve been trying to make yourself heard and understood in an adult way – because all you know is fucked up adults – but you don’t know the rules of the jungle.

If you’re going to be a drunk and a drug addict, at least have a bunch of kids, so that they can play with each other when you’re getting high and drunk. Being outnumbered might also make the penny drop a little earlier, that your life is now fucked, and you’re going to have to make some lifestyle adjustments unless you want to fuck up innocent lives too. Is that too much to ask?

Playing on your own is no fun, and you’re not learning how to socially interact with your peers. It’s not normal, for the development of a child, to have no other children of similar age. Humans are social creatures. We weren’t evolved to sit around getting drunk and taking drugs, which is why people’s lives are destroyed by those things. We were evolved to be part of a clan or a tribe that was socially cohesive. Drugs and alcohol don’t glue things together, they make things fall apart.

So when I went to playgroup and school, I really wasn’t properly prepared for social interaction with other children. I remember whichever toy I picked up, somebody would indicate they wanted to play with it, and I would hand it over of course, because I could understand English and adult interactions very well. After a while it became very confusing. I didn’t understand that the other children enjoyed taking toys away from me more than they enjoyed playing with them. They wanted to fight with me, to test boundaries, but I was used to the adult world of co-operation. I lost, they won, and I didn’t understand why.

Yes, I ‘played nice‘ from the very outset. I just couldn’t understand why other children didn’t. I expected them to be little adults like me. They’d call me names, and I’d say “why are you calling me that?” and get upset rather than calling them names back. I took things right in the feels, because I never learnt tit for tat. I never learnt retaliation. I was raised to be a liberal adult pacifist hippy, by spending all my time in the company of adults.

My Dad very much discouraged friendships. I wasn’t allowed to be friends with Andrew, because he was a picky eater. I wasn’t allowed to be friends with the little boy a couple of houses down the road, because he was too immature. Too immature? Are you totally fucked in the head? HE WAS A FUCKING CHILD, OF COURSE HE WAS IMMATURE.

Throughout my childhood, I was reprimanded for anything approaching childish behaviour. Yes, it’s good to teach your kids good manners, but they really don’t understand the subtle nuances of adult society, and things get very confusing indeed for them when you’re abusing drugs and alcohol, because those things are forbidden to the child and you have surrounded these revered substances with mystery and lies.

Children are naturally inquisitive, and ask questions. When I asked my parents questions about their drugs, they lied to me, and they told me to lie to teachers and other children about their drug taking. Being the keeper of your parents secrets is very confusing as a child. It’s not a responsibility that you should put on a child.

You think that photo’s cool? Grow the fuck up. Drug dealers go to prison, and my Dad already had a criminal record for drug possession, so the courts were not going to go easy on him. The children of criminals often go into foster care. Being such a drug addict that you’re prepared to go to prison and have your children taken into care is fucked up.

Am I building up a clear enough picture of what my parents life priorities were? Am I spelling it out in plain enough English for you to understand what the consequences of fucking with your child’s life are? Am I laying out my case for where a big chunk of responsibility lies, where the proverbial buck stops?

Yes, I’m shaming my parents, but why the fuck shouldn’t I. I had to guard their secrets and lies throughout my miserable childhood. Why so miserable? Well, you try being bullied every day for 12 or 13 years and see how you like it. You try having your friendships destroyed and self esteem taken away, by a total cunt of a Dad. You try dealing with selfish self-centred drunks and drug addicts instead of sisters, brothers and friends of a similar age.

I changed schools 6 times. That’s 5 times more than is supposed to happen. You just can’t disrupt a child’s life that much without fucking up their life. Especially if you do extra stuff to fuck them up too.

Lots of kids have to wear glasses, but do all their own fathers bully them about it? How many Dads out there think it’s a good idea to call your kid “4-eyes” and “brains” and take the piss and laugh at your son? Let’s have a show of hands. Hands up if you think it’s a good idea to bully your own children, in the same childish way that they’re going to get bullied at school. Nope, wrong answer, Dad. Get to the back of the class, in the corner, wearing the dunce hat. See the headmaster after school. Very disappointed with your behaviour.

All kids get bullied to some extent, or at some time or other. When it’s relentless, at home and at school, around the clock… yes, life is fucking shit. I can’t express to you just how shit life is when you’re being bullied. I used to look forward to getting sick. I used to be overjoyed when I was throwing up such vast quantities of projectile vomit that it was pretty clear that I wouldn’t be able to be in school without getting chunks of half-digested carrot all over the classroom.

I used to cry and cry and cry, when I got well. I remember breaking down crying on my way to school, after a day or two off. I was so upset that my parents actually decided to let me have another day off, which I clearly remember with crystal clarity as one of the moments of my childhood where I felt pure relief flood my entire body. I felt a 100 tonne weight of anxiety be lifted from my entire body.

One thing that my Dad used to do, was to price everything in terms of bags of drugs, rather than pound notes or the abstract measure of child happiness. Yes, child happiness is hard to measure, especially using bags of drugs. Let me give you an example. At primary school, it was close enough to cycle there as a little boy. My Dad is very clever, and he figured out that girls bikes are cheaper than boys bikes, because lots of Dads want their little girls to be like little boys, and they buy them bikes that they never ride. This oversupply of girls bikes creates a great opportunity to save the price of a bag of drugs, for merely the immeasurable cost of childhood happiness.

Yes, my Dad has done that a few times. Don’t give your kids enough pocket money to be able to buy a bike, because pocket money is the same money as should be used to buy bags of drugs. Instead, you can save the money and buy more bags of drugs by simply buying the cheaper girls bike, or stealing bikes. Yes, stealing bikes is the cheapest way to get a bike of all, and it leaves the most money for bags of drugs. Drugs come first. Childhood happiness can’t even be measured on the all-important drug bag scale.

Do you know what happens when you send your kid to school riding a stolen girls bike? One of them even had a FUCKING BASKET ON IT FOR FUCK’S SAKE. What a cheapskate drug addict cunt. It’s a reasonable presumption that mature adults might think it a little eccentric, or even consider it to be a conversation starter. For children IT’S THE END OF YOUR FUCKING LIFE. Do you think kids forget that kind of shit? The bullies at school certainly didn’t FOR THE ENTIRE FUCKING TIME I WAS AT SCHOOL YOU CUNT.

If a trick’s worth pulling, it’s worth pulling a couple of times. Yes, my Dad managed to pull this stunt a few times and RUIN MY ENTIRE FUCKING CHILDHOOD.

It’s a Catch 22. Without a bike you can’t go and see your friends and get to school independently. But then the FUCKING CUNT hasn’t even thought about how you need to get to school anyway. Did I tell you that the FUCKING CUNT bought a house at the top of a massive hill nowhere near any fucking busses, in the middle of fucking nowhere?

But it’s OK, because I’m not upset about having had to go through living hell. It’s not affected me at all. On the surface, everything seems absolutely cunting fine. I look, to the untrained eye, like I’m well adjusted, successful, happy and content in life. Cunt.

Hmmmm. Could edit this. Not going to.

There’s the smug prick. I would only piss on him if he was on fire because he seems to be an OK granddad to my niece. What a piece of shit. He only finally sorted his fucking life out once and for all when my niece was born (photo circa 1995)

Tags: #parents #bullying #childhood #bipolar #depression #mentalhealth

5 December 2015
Advent Calendar (Day Four)

This is a story about life support…

I was in a metaphorical coma for 4 years. I was virtually on life support for the first 2 years, and then I woke up to find my wife and parents trying to turn off the ‘machines‘ that were keeping me alive. Shame on them. I gave up on life and spent the next 2 years at death’s door, in and out of hospital.

The first 2 years, there was nothing anybody could do. Having suffered 6 years at the hands of somebody so unfaithful, cruel and abusive, my body & mind finally gave out on me. I cracked, collapsed, capitulated. The crash was inevitable. You just can’t abuse somebody for so long and expect them to just suck it up.

Two years might sound like a long amount of time to ‘care‘ for somebody, but if all you’re doing is going on dating websites and taking holidays using my money then it’s not all bad. I don’t even care about the money. I’m open hearted. I pay it forwards. If you take and you don’t give back, then I know that you pay a debt of guilt. I know that if you have a moral bone in your body, you know what the true balance of karma is.

Actually, not a lot of caring went on. During my first hospital admission, my ex-wife didn’t even ask about visiting hours, the phone number to contact me or bother making any plans to come visit. The moment I was admitted to hospital, she jumped right on those websites and started arranging to meet people. What a c**t.

Oh, sorry… I’m not supposed to be bitter about stuff. Yes, I’m supposed to be the punchbag. I’m not supposed to have feelings. I’m supposed to be a pincushion. If you prick me, I’m not supposed to bleed. I’m supposed to be inhuman. But insofar as I can tell, I’m very much human. Sorry about that.

I suppose she’s human too, although it’s hard to imagine when she treated me so inhumanely. I suppose she was probably a sex addict or something. Definitely some psychological problems, but who am I to judge? I’m just the guy who was nearly killed by her narcissism and selfishness.

I wonder how you can move on like that. Destroying somebody, putting them in hospital, and then just immediately thinking about the next victim. I wonder what kind of callousness, lack of empathy, psychopathy, allows you to expend a human life and move on as if it was nothing.

I suppose if you’ve decided that you want another boyfriend or husband because you don’t like the one you’ve got, the best thing to do is probably abuse them until they kill themself. It’s a lot quicker and easier than just breaking up with them. I guess she had moved on, which is why she thought it was OK to go on dating websites while I was fighting for my life.

What difference does having a supportive partner make anyway? What difference does having supportive parents make? It can’t be very much. The parents should just support the partner who’s going to be bereaved and help to finish off the sick and weakened person. Yup the sick person is a lost cause, so it’s a good idea to hurry death along a bit.

My parents initially refused to help at all. They refused to help either of us. Then they started abusing me too, but I can see that it was probably an ill-advised attempt at ‘tough love‘. Well guess what? I’d had my fill of tough love having my face smashed in by my partner.

Then my parents did what she wanted, which was to get me out of the way so she could go on dating websites as if she was single and had managed to buy a house on her pathetic salary. Yes, she quite liked the house that I paid for. She did let me have the deposit back when we divorced, but only because my solicitor fought for it. I just wanted my life. I told her to take as much as she wanted, and horrifyingly she wanted it all, including my life!

Perhaps this horrible treatment had something to do with prolonging the first terrible 2 years. I was a bit like a car running on 3 cylinders, spluttering and coughing, kangarooing down the road. There were opportunities for recovery. There were periods of improvement. However, the toxic atmosphere still persisted. You just can’t recover when your partner wants you dead and your parents are co-operating with them.

I’m pretty canny. I know how to choose my battles wisely. I knew that it would drive me insane if I tried to battle the abusive shits head-on. You just can’t win a battle where you’re outnumbered and weakened. If you want to live, you need to curl up in a ball and protect your vital organs, and wait for the blows to stop being rained down on your head. You need to play dead.

So my ex-wife took her loot and ran for the hills, leaving me bruised and bloody in the gutter. I don’t begrudge her taking her share. She paid into our joint finances, and took far more than that, but it’s not her fault that she’s so sick that she can’t do the basic maths. She felt entitled, to damages perhaps? But it was me who was damaged. It was me who was left fighting for my life. It was me who was nearly dead.

I just wanted her out of my life after she said she’d rather I was dead and marked my suicide note in red pen, with loads of abuse all over it (she’s a teacher, you see… so that’s OK, right?). She was homocidal. I’m not saying she’s a murderer (that I know about) but it’s pretty worrying behaviour. Certainly a breach of the “in sickness and in health” marriage vows we made to each other. What a c**t.

Oh sorry, almost a bit of bitterness there. Except it’s passing now. Now that I know that I’m free, and I’m alive, and I’m somewhat recovered from where I was 2 years ago, when we finally separated. It was a very close call. Apparently probate is a lot easier than divorce. That was her preference anyway, to be widowed rather than divorced. That’s what she said to me. What a c… oh, hang on, I’m now starting to feel pity for her, rather than bitterness.

Yes, I’m wondering what could drive a person to have such careless disregard for a human life. It’s rather worrying. She must have had some pretty horrible stuff happen to her as a kid. Yes, I really pity her. What a sad messed up person. What a shame. She is very smart and I found her very attractive, although a lot of people wouldn’t fancy her. I was totally in love with her, even though she was very hard to love.

I really hope she learnt some stuff from our relationship. I know that I did. When a recent ex-girlfriend started throwing abuse and plates and knives at my head, I dumped her immediately. She was a feisty Italian lovable little thing, but there’s no future for me with somebody who thinks that kind of abuse is acceptable. When another girlfriend started using abusive language towards me, I told her I didn’t like it and asked her politely to stop, and she did. That seems more normal to me, more healthy.

I think alcohol and drugs can be dangerously disinhibiting. I don’t think my Italian ex was drunk at the time but she was probably high on drugs or on a comedown. I have no idea. It’s just an excuse anyway. Those things are not changing your character, they are just revealing what lurks beneath the surface. They are showing you what that person is really like, under the surface.

When you get drunk or you get high, you are testing yourself to the limits. You are effectively putting yourself into an extreme situation that would never occur in normal life, except during exceptional circumstances. You are switching the mode in your brain to a state that it would normally only enter because of a response to something very unusual.

By taking drink or drugs, you are going to trigger fight or flight responses in yourself. When I got very upset with my ex-wife, I used to get in a taxi, or drive to an airport. I’m a lover not a fighter, so it’s the flight response, not the fight response, that gets triggered in me. I left our joint birthday party in 2006 because she was having a tantrum and saying she was having a horrible time.

I called the cab for both of us, but she was having such a horrible time that she wanted to stay, so that everybody could see how horrible it was for her, having a massive party. What was horrible for me was seeing the girl I loved very upset. I was trying to take her away from a situation that she was telling me was horrible for her.

Another time, she was having such a horrible time, sitting on a sofa with my friends, with me excluded for some reason. It was so horrible for her, having all these friends around her, caring about her. It must be so horrible to be loved by somebody who cares and wants to make you happy and protect you from horrible things. That must be horrible. I drove to Gatwick Airport, because I didn’t know what to do. The flight response.

Yes, I fly, I don’t fight. I can fight, but I won’t. I will take flight. Fighting doesn’t achieve anything. Flying gets you out of the situation of conflict and stops anybody from getting injured. It’s the more evolved response to a stressful situation.

I flew us around the world many times. That was my solution. I paid for tens of thousands of pounds worth of flights, to keep her happy, to keep us happy. She was very hard work, and had very expensive tastes, but she was worth it and I don’t regret it. I loved her to bits.

It kind of works, having 5 star holidays all over the globe. I remember her having an absolute meltdown every time something would go wrong with our travel arrangements, and I would just have to quietly move her a safe distance away, and then go and use a charm offensive to repair the damage caused by her sour face and tantrum, before negotiating what she wanted.

Holidays were very stressful. She wanted a camper van when we went to Hawaii. The poor people who ran the camper van company just wanted to have a relaxed Christmas break, and when their camper van broke down, there wasn’t a mechanic on the island of Oahu who fancied fixing it during the holiday season. I had to bust my balls, and theirs, just to keep her from throwing her toys out of the pram. It was hard work.

That’s just one example. Every holiday, she was very demanding, and I was her personal tourguide, smoothing things over with the locals. Yes, she was very organised, officious, but that’s not the way the world works. Things go wrong, and things don’t run like clockwork. I remember getting wound up when taxi drivers would stop in the middle of the road and talk to each other in remote windswept locations that hardly any Europeans ever visit, but then I realised that it’s important to embrace local culture. It’s important to go with the flow. I learnt some patience, some humility.

Yes, you can go to a place and splurge your cash and expect to be chauffeur driven around by a man-servant. However, when I asked her, she said she wanted the authentic experience. As her personal tour guide, I delivered what my client asked for, always. I think she really liked the local bus we caught in Egypt, packed full of farmyard animals and cargo, with the passengers who just wanted to discuss English Premier League football with us.

Travelling is hard work, and it’s stressful, when you’re the one who has to figure stuff out on the ground and actually deal with the language and cultural barriers. Getting stroppy and telling people that you’re disappointed and “it’s not good enough” really doesn’t get you anywhere. Tact and diplomacy are the order of the day.

I hope my exes enjoyed their holidays. I really poured my heart & soul into making sure they had a lovely lovely time.

13,796ft high, at the summit of Mauna Kea. Trip of a lifetime. Was she grateful? The fact she wanted me dead would suggest not (December 2012)

Tags: #divorce #suicide #depression #mentalhealth #bipolar #frankie

4 December 2015
Existential Crisis

This is a story about intrusive thoughts…

I’ve never been able to find the ‘off‘ button for my brain or my mouth. That’s a problem.

I also have a rather photographic memory, and can construct well reasoned arguments based on evidence. Most people just tend to go with their gut feeling, and are happy to be wrong about things, because what they want to be true feels more natural to them. Being wrong is also great if you want to carry on living your decadent hedonistic life in ignorant bliss of the suffering that it causes to other people.

Sadly, if you have a rational, logical brain, good memory and you have collected a lot of varied experiences from around the world, so that you can compare and contrast everything that you see and integrate it into a ‘big picture‘ then you have a limited tolerance for small minded people.

Yes, this is extremely condescending. Sorry about that.

So, fundamentally, I lost my job went homeless and wailed at the moon because of an existential crisis. The first thing I did when I got back to London was to sign up for a Philosophy course. I feel that I have died a thousand deaths, and I fear not one more. My priorities in life are a little different from yours.

The bottom line is this: all this talk of ending war & poverty is hot air. Many years have passed since the so-called ‘enlightenment‘ and we are still allowing evil deeds to be committed in our name. You cannot fight for peace, just like you cannot fuck for virginity.

The war on terror is terrorism. Look at the faces of refugees fleeing the illegal wars in the Middle East. They are terrified.

That is all.

Tags: #homeless #terrorism #notanonymous #politics #career #london #bipolar #politics

12 November 2015
Anatomy of an Epidemic

This is a story about the rise and rise of mental illness…

I used to be a Sea Scout. The motto of the Scouts is “Be Prepared“.

When I suspected that I was becoming mentally unwell, I read every book, website, academic paper and journal that I could find that I felt related to my mental health and its potential treatment. I educated myself.

I’m an educated patient. Because I’m an educated patient, I avoided being medicated with a Selective Serotonin Re-uptake Inhibitor (SSRI) which would have caused greater mood instability than I was already suffering with.

SSRIs are also linked to emotional blunting and the destruction of the sex lives and relationships of many couples. My relationship was already on the rocks, hence going to the doctor to see if there were some magic beans or a silver bullet, that could cure my ills.

Fundamentally, I believe that some mental health issues are risk not destiny. There don’t seem to be any genes that are clearly faulty in individuals who suffer from Unipolar Depression and Bipolar Disorder. They are complex spectrum disorders. Some people are really dysfunctional when they are unwell, and others find ways of coping, sometimes to the point that people around them don’t even know they are suffering.

However, out of desperation, I have tried the following medications, prescribed to me:

—–

Mirtazepine

This was well tolerated (no nasty side effects that made me want to stop taking it). It certainly seemed to reduce my stress levels and get some sleep. I think I might have rebounded though and started to go hypomanic fairly quickly.

Quetiapine

Unless you like weight gain, constipation, dry mouth and feeling like a drugged zombie for the few hours that you are awake, before your next dose knocks you out and you start the whole miserable 24 hour cycle all over again… I can’t say this medication gives much quality of life beyond dribbling at daytime TV.

Aripiprazole

This is useful to see if your head is held straight. If your head is leaning to the left, then you will dribble out of the left side of your mouth. If your head is leaning to the right, then you will dribble out of the right side of your mouth. If you are holding your head perfectly straight, then you will dribble out of both sides of your mouth.

Lithium

This is hardcore. You need to have regular blood tests. It will shorten your life. Avoid if you can tolerate other meds or manage without.

Sodium Valproate & Depakote

Do you plan on working again? In an office? 9 to 5? Not really compatible with going back to work full time. If you’re not completely manic (psychotic) then best avoided.

Lamotrogine

Just takes so damn long to get up to a therapeutic dose, you go through another hypomanic episode, decide that you’re fine, and then stop taking your medication anyway. It’s pretty subtle. Apparently it improves REM sleep. I dream a lot anyway. My sleep quality is more a function of good sleep hygiene.

Olanzapine

Fast acting. Good to calm you down if you’re having an unmanageable moment. Makes you sleepy though… couldn’t really work 9 to 5 on it.

Bupropion

Fast acting. Incredible antidepressant. It did give me a panic attack once though. Also stokes my hypomania pretty bad. Although it’s a nicotinergic agonist, it actually shares many characteristics of stimulants like caffeine and amphetamine. Makes you pretty horny. Helps you quit smoking too (I don’t smoke though).

Diazepam

Mother’s little helpers (Valium). This powerful long-acting GABA agonist is an amazing anxiolytic. You could literally stand in the middle of a highway and not give a sh1t about the cars whizzing past you at 70mph. Super addictive. Horrible to taper off.

—–

Fundamentally, do any of these medications work? Well, I can vouch for Bupropion, Olanzapine, Mirtazepine and Diazepam for their short term efficacy. However, the body soon gets used to the effects and builds tolerance, which means you forever need to increase the dose to get the same therapeutic effect… welcome to homestasis, b1tches!

In my anecdotal experience, it’s better to tough out the storm and not mess with the ridiculously complex organ that is a brain. When the psychopharmacologists imagined how Prozac (Fluoxetine) was having its antidepressant effect they expected to see higher serotonin levels in spinal fluids. They told the world that depressed people had “low serotonin“. They just guessed and they guessed wrong.

Type I Bi-Polar Disorder was also known as Manic Depression. This is a serious illness that requires serious treatment. It’s not my place to comment on whether medication plays a part in that. I’m no expert on Type I BPD.

Type II Bipolar means that you have hypomanic episodes, not fully blown mania. That means risk taking, spending money, hypersexuality, racing thoughts and pressured speech… amongst other symptoms, such as reduced need for sleep & food, and intolerance of slow-witted fools.

I’m Type II. I think it’s a very important distinction. If I can control my mood disorder with good diet, good routine, good sleep and abstinence from alcohol & drugs (including prescribed drugs) then my brain has the best possible chance of finding homeostasis.

If I can remove unnecessary stress in my life, caused by complete ass-hats, and I’m empowered to just get the f**k on with my life, then my symptoms will abate. It’s as simple as that.

This was the first time that Frankie had ever seen snow. His brain adapted to the change in environment (December 2010)

Tags: #bipolar #mentalhealth #depression #suicide #sex #drugs #frankie

30 October 2015
Recovery: Hospital vs. Nature

This is a story about observation…

Frankie is a people cat. He needs company. When we went away to France for a couple of days, he was lonely and wouldn’t leave our neighbour alone. He invited himself into her lounge and wouldn’t leave. When we got home, he yawned, stretched and padded over to greet us. He let us all know how much he missed his humans.

It would be rather sinister to say that I had been observing my fellow patients in hospital, but it was kind unavoidable. I don’t really watch TV and I find humans much more interesting than most other things. I also bonded with my companions, and the staff.

It was a locked ward, but I was there voluntairily so I guess I could have asked to be discharged whenever I wanted. But I went there to be safe, so it seemed crazy to ask to leave when it took me 13 hours to be admitted, and I was in a place of safety.

It’s a bit of a strange compromise though: safety under lock & key. I wasn’t sectioned but, scarily, the consultant did consider it, which was a little ridiculous considering I had been safe for 6 days by that point. A section can be 72 hours, 28 days or even 6 months… terrifying, considering all I did was go to my GP one afternoon.

Anyway, hospital was brilliantly therepeutic. I managed to tackle a bunch of stressors in my life, with the help & support of the NHS team. My treatment was very holistic: drawing, sculpture, drama, cooking, socialising, plus non-judgemental chatting to mental health professionals, of course.

Medication plays a role too, but it’s very unclear whether it helps or it hinders, in the long term. Sure, if I was having a psychotic episode – seeing and hearing things – and was a real danger to myself or others, pharmacological intervention might be unavoidable, but is it really necessary to medicate a functional, articulate, self-aware and coping individual?

When I presented to my GP, we had the briefest of chats imagineable. My GP only really needed to know one thing: I couldn’t guarantee my own safety. I had tried to keep myself safe, but plans to kill myself had formed in my head. It was only a matter of time before I acted on them. Free will is an illusion. We are controlled by circumstances. Try choosing not to be in pain next time you stub your toe.

Wanting to be in hospital is a big deal. Psychiatric wards are not for the faint hearted. You will have somebody checking on you a couple of times an hour – especially at night – and people yell out randomly all night. People sing to themselves. People wash obsessively (or is it compulsively?). People shuffle. People mutter incomprehensibly. People steal your stuff. People ask you strange questions. People are aggressive. People are inappropriate. There is a lot of anger, crying, frustration, fear, boredom, confusion, despair… but there is also hope and optimism. Strangely, I find the environment to be calming. It’s supposed to be. It worked for me.

Obviously, you can’t have shoelaces, belts, razors, scissors, cables (e.g. for charging a mobile phone), curtains (including shower curtains), locks on doors, furniture that’s too tall, windows that open more than the smallest possible crack, windows or mirrors that could be shattered… there’s a fairly comprehensive list of safety considerations.

Here’s a little picture of the space where you can get some fresh air:

Nice, isn’t it?

Well, yes it kinda is. The fact that the NHS has gone to all the expense of designing something that is – presumably – to discourage people from climbing the walls and jumping off. I guess that most people aren’t such a good climber as me though, so it works for the majority of suicidal patients.

People also have unmet needs that are fairly obvious when you observe them for a little while. As a lifelong non-smoker, it was obvious to me just how important nicotine was in the lives of almost all the patients. The hospital has been smoke free for nearly 3 weeks, which is a huge burden on staff, who must accompany patients off the hospital premises every time they need a cigarette. Yes, that’s right, need… these people are psychologically drug dependent. Nicotine is an extremely addictive drug.

Luckily I had already eliminated alcohol from my life too, 3 weeks prior to hospital admission. I actually have a working theory that that it’s the reason why I became so deeply depressed. It happened to me in 2008 as well, when I quit drinking. It’s so hard to avoid alcohol though – it’s so socially engrained – that conducting an in-vivo study has been very hard, but I’ve gathered quite a bit of excellent quality data now (I’ve agressively managed to control other variables).

Frankly, I’m a bit of an oddity. I’m completely unmedicated, abstinent from caffeine and all drugs and alcohol. I have been for a long time. I’m about as clean living as they come. A perfect test subject for an unethical experiement into whether mental health issues come about due to environment, genetics, diet, social factors, stressors etc. etc.

Why unethical? Well… quite simply, if my mood sinks too low, I will take my own life. It’s really not a choice. I don’t want to die – at the moment – but when those dark times come, I feel quite differently. You feel differently too, and that’s why you’re thinking “why?” or some version of incomprehesion. You don’t know how it feels until you’ve been there, and I really do discourage a trip to the edge of the abyss.

It’s ironic. I have no fear of death, but yet I am able to rationalise that it would be foolish to make an irreversible decision. I ride my bike through handlebar-width gaps between double-decker busses, I climb the tallest trees, jump out of aeroplanes, have my photo taken on perilous ledges with no ropes attached to me, and drive at the limit of control.

One of the staff in hospital suggested to me the other day that I could keep 1% in reserve, just in case of emergency. It actually didn’t sound too crazy.

Please support the Junior Doctors if they strike, and any other NHS workers. They deserve better pay & conditions (October 2015)

Tags: #suicide #depression #bipolar #NHS #mentalhealth #drugs #alcohol #caffeine #nicotine #frankie

25 October 2015