This is a story about a year in review...

Are you sitting comfortably? Good. Then I'll begin.

For anybody following along at home, there are a few highlights buried in the 600,000+ words I've written to date. There's some required reading for anybody making a study of my psyche.

I decided I wanted to write something more popular and so I drew some graphs explaining mood disorders, like bipolar. It was my most read blog post of 2016.

Along the same lines, I wrote about the onset of depression and attempts to treat it.

I wrote a letter to myself.

I was an inpatient on a secure psychiatric ward, so naturally I came up with a bizarre thought experiment. I even did a drawing of my quantum suicide experiment.

When I was bored out of my mind at work one day, I wrote a short story called The Factory.

If you ever wondered why I have a semicolon tattooed behind my ear, this is half the story.

Everything you never wanted to know about addiction.

But, is it art? This is a good example of me rambling while strung-out. I'm surprised I could even see the keyboard. I just like the title and it's a bit of a private joke, sorry.

There's a 3-part account of the time I lost my mind and started hearing voices.

That'll probably do. There's a lot to get through there.

Of course, there's also the first draft of my novel if you have time to read 53,000 words. I'm going to start editing it tomorrow, so any feedback would be gratefully received.

I've slightly bent the rules, because I have a bit of a warped sense of time, but these are all significant pieces of writing for me, that I associate with the events of 2016.

Happy New Year's Eve.

Tags: #writing #bipolar #depression #suicide #physics #addiction #mentalhealth

This is a story about compatibility...

Very often, when you're acutely aware that there's something that you need to avoid crashing into, you'll end up staring at it, unable to tear your eyes away. When riding a board or a bike, flying, driving or otherwise in motion, you tend to go in the direction you're looking. If you want to avoid a crash, you should look at a spot away from danger.

Is this the reason why we don't talk about taboo subjects, because we're worried about tempting fate? We turn our back on the ugly truth and try to pretend like everything's OK.

My Christmas stocking included some bath salts.

Clearly, Santa has the same dark sense of humour as me. That's great. I think humour is a fantastic way to exorcise the demons of the past. First comes talking, then understanding and finally you can laugh and joke about a topic that was originally quite painful and difficult to remember. Repressing memories and walking on eggshells is no way to move forward.

If we don't have honest conversations where we can talk about how we really think and feel, then we build up a load of sensitive topics. Secrets and lies lead to paranoia and weak relationships. Keeping schtum about my parents' drug use - when I was a child - was too much of a burden. Writing openly has been liberating and has allowed me to move on from shame and regret, to regain my self-esteem and confidence.

I remember a desperate scramble to cover up my admission to The Priory. My psychiatrist had made a referral to a "private hospital" for treatment of an acute episode of bipolar disorder. All perfectly true, but there was a certain economic use of the truth. What would most people think, if they found out that I was spending weeks in the UK's most notorious treatment specialist for drug & alcohol abuse? They would leap to the wrong conclusions, surely?

It's so bloody exhausting keeping up appearances. One must be aware of how things can be [mis]interpreted and people aren't likely to share their true thoughts and feelings: "better keep him away from the kids if he's mentally ill" or "I bet he's a raging alcoholic behind closed doors if he's been in The Priory".

We're brought up to believe that our reputation is like a balloon: one little prick and it goes pop. We're scared to take time off work, because we'll have gaps on our CV that need to be explained. We're scared to share details of our private lives, lest our employers decide we're unreliable and judge us on preconceived notions. Who wants to work with a madman?

When it comes to dating, the same applies. Who wants to date somebody with flaws; defects? Who wants to take a risk on a ticking time bomb; an unsteady ship? And so, I should have found myself unemployable and undateable. "Take your pills, sit in the corner and shut up" says society.

However, if you ever meet me in a work or social context, you may gain the [false?] impression that I'm pleasant company: a healthy, happy and capable member of society, engaged in productive endeavours. Strangely, you might have the wool pulled over your eyes so much that you actually mistake me for a normal human being.

Surely this is thanks to the excellent medication that I take?

Well, no. I don't take any medication. I don't do therapy. I haven't had a course of electro-convulsive shock treatment. I don't even have a psychiatrist at the moment.

"But you're going to murder everybody if you don't take your pills."

Yes, that's right. I'm your worst nightmare. I'm out there, on the dating scene, luring unsuspecting vulnerable young women into my web. I'm a dangerous fantasist; a con-man. I'm so good at living a lie that I've constructed an elaborate fable that looks, smells, tastes and sounds very much like an authentic real life, but it's all fake. It can't be real. What about the secrets we now know?

If you take your secrets and turn them into jokes, you defuse that ticking time bomb... or at least that's my working hypothesis.

I certainly feel a lot happier knowing that I've met somebody with enough of a good sense of humour to make a joke on Christmas Day about my chequered past. I feel less sensitive, paranoid and insecure than ever before. I feel like I'm myself, and that's OK.

Maybe it's just a getting old thing: the realisation that we're all flawed in some way. We're all human. We all have weaknesses and strengths, and we all have history; baggage even. It seems better to wear my heart on my sleeve than present myself as some whiter than white, holier than thou saint who never put a foot wrong in their life.

I doubt I'll ever unify my professional and private identities, but I certainly don't regret jettisoning the traditional approach to dating. Honesty seems to have been the best policy in this case.

Tags: #dating #sex #bipolar #addiction

This is a story about data collection...

Here's a graph of my daily step count for the last 18 months, as recorded by my iPhone. I practically always have my iPhone in my pocket, so it should be fairly accurate.

As you can see, there are big gaps.

I've added a 14-day moving average to the graph too, which is the dotted line.

How do I interpret this?

The optimistic interpretation is that I was overdoing it last year and had a big crash. There's a little gap in the graph that you can hardly see at the end of October. I was in hospital then. This year got off to a shit start and then improved and stabilised, but I still had a hiccup at the start of October. The graph is much flatter on the right hand side - on average - than it is on the left hand side. Perhaps the volatility in my life has been reduced.

The pessimistic interpretation is that there's a strongly downward trend. There are also signs of repeated periods of inactivity: shit times. Perhaps there's a cycle that would be clearer to see with more years of data.

I could bring in my Android phone data which covers the period before this, and maybe some other data sources too, but it was a pain just to produce this. 

Interestingly, if you own a smartphone, you should be aware just how much it's tracking you all the time you carry it around!

Tags: #bipolar #mentalhealth #depression #computing

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

18. Psychosis, Madness, Insanity and Lunacy

"How did it go at the hospital?" Lara asked.

"Dr Asref has written me a prescription for two medications and he's made the referral to the crisis team" Neil replied.

It was the third time he'd visited the small community hospital as an outpatient and the second time he'd met the psychiatrist. Lara had never even heard of the hospital, even though it wasn't far from their home. The hospital mainly dealt with mental health patients.

The first appointment Neil had as an outpatient was for an assessment with a mental health nurse, 8 weeks after his doctor had made the referral to psychiatric services. He'd spoken to the nurse for about 90 minutes, while a trainee listened in and furiously scribbled notes. The nurse was kind and easy to talk to. He seemed to know exactly what kinds of things Neil was going through and was able to second guess what Neil was about to say, which made Neil relaxed and chatty for the first time in months.

The second appointment was with the consultant psychiatrist. He was not particularly conversational and seemed to be almost rambling to himself about various diagnoses and treatment regimens. He had presented Neil with a stack of photocopies of information on various medications and the consultation was suddenly over. Neil was confused and a little cut adrift. Asking what happened next, he was told to wait for another appointment where he could say which medication he'd like to try.

"Did you get the mirtazepine?" asked Lara.

"Yeah, but the consultant said I should take venlafaxine with it"

"Two medications?"

"That's right" said Neil, rattling two boxes of pills at Lara with a grin.

He seemed happier but his behaviour was worryingly erratic and childish. He would say and do regrettable things with no care for the consequences, or he would burst into tears and leave things in a mess if anything didn't go well.

One day, Neil had suddenly decided to demolish the garden shed with the supposed intention of building another one, but he hadn't purchased any materials to construct a replacement. Lara found him in bed when she got home, dreadfully upset and stressed about what he had done. That evening, she had to move the contents of the shed that could be damaged by rain and store them in the spare bedroom, while Neil cowered under the duvet.

His energy levels had improved, but often he would stay awake all night on the Internet. When Lara came home he would want to tell her about all the things he'd found out about UFOs, conspiracy theories, quantum physics, stock market trading and chaos theory. Neil's eyes would be flashing wide with wonder and excitement, but his thoughts were jumbled up and he was talking so fast she could only pick up every third word. He would get frustrated that she wasn't understanding and storm off in a huff.

"Did you get a new diagnosis?"

"He can't make up his mind. He said he's still convinced that it's major depressive disorder, but he also mentioned borderline personality disorder and bipolar disorder. He wants to treat me as if it's treatment resistant depression" Neil replied.

"Who are the crisis team?"

"Well, it's a number to phone if I'm thinking about hurting myself"

"Are you still having suicidal thoughts?"

"Not really. I'm too busy with my project"

Since losing his job Neil had been obsessed with the idea of creating an out-of-the-box security system bundle that would include wireless CCTV and motion sensors. The house had become increasingly full of equipment from Far-East manufacturers that Neil was tinkering with. Lara worried about how much it was all costing. How did he intend to sell this system if he could even make it work?

"Can I have the crisis team number?"

"Yeah. I'm supposed to give it to you and family so they can phone if they're worried about me" he replied. "And to any employer, but I don't want work sending round their goons to spy on me" he spat.

Neil's employer had become concerned that he hadn't turned up for work and had called his emergency contact - Lara - to see if he was OK. Lara was working and hadn't been able to answer her mobile, so the police had been phoned out of concern for Neil's welfare.

Neil had ignored the knocking on the front door, hoping that the police would just go away. A neighbour let the police into the back garden and they jumped over the fence. Neil heard the officers shouting at the back of the house and knocking on the back door. Yelling from the back windows, the police had insisted he come to the door so they could see he was OK. Neil had begrudgingly complied.

Lara was weary from constant worry about how Neil. She was very much relieved that there was now somebody else to contact in an emergency.

"People care about you, Neil." said Lara.

"Why are you using my name?"

"What do you mean?"

"Is there anybody else here? Why have you got to refer to me by name?"

"I don't know what you mean"

"You're so fucking patronising" said Neil, storming off.

Lara could hear him go into the box room upstairs. She knew he would be pretending to fiddle with stuff, brooding angrily. He would probably sleep in the guest bedroom again, even though it was packed with junk and the bed was covered with stuff from his project. Perhaps he would be awake all night surfing the Internet, following some thread that captivated his interest. They were definitely not going to have any further cordial discussion tonight.

Picking up the tablet on the coffee table - an impulse purchase that Neil had made - Lara searched the Internet. Typing "borderline personality disorder" she wondered what borderline meant. Did it mean that it was a milder form of the illness? As she read the symptoms she decided that it didn't really seem like Neil at all. They'd been together for so many years and they were engaged to be married. The part about unstable relationships didn't seem to fit at all.

Searching for "bipolar disorder" she came across a number of symptoms that sounded much more like Neil's recent behaviour. Rapid speech and disordered thinking, irritability, spending money and risk taking. She read the word "hypersexuality" and felt a knot in her stomach. He'd shown relatively little interest in her recently, but she knew he was watching more and more pornography. With a kind of shamelessness she heard him masturbating at night and found discarded tissues littering the floor. He made little effort to hide his Internet browsing history.

"Delusions of grandeur" and "psychosis" were things that were a little hard to place. Lara had worked a night shift and she heard him on a phone conference call during the day with his boss and human resources. Neil had ended up yelling about how he knew more than "all of you put together" and how he would create a competitor company that would "crush you like a bug". She knew that he had become frustrated and enraged by the conversation which had been ostensibly about sacking Neil, but his crazed response was completely out of character. She put it down to the extreme stress of the situation.

He was withdrawn and distant. It seemed inconceivable that he would be hearing voices or suffering with hallucinations. In her eyes, Neil was still strong, rational, intelligent and in control. She trusted him. They had always been open with each other about household finances and shared the burden of balancing the books. Even though she was cross that he'd thrown away his job, she thought that it was necessary for Neil's health and that he'd easily get more paid employment when he was ready to go back to work. They had enough savings to cushion their loss of earnings in the short term.

Two days later, Neil had disappeared.

"What do you think I should do?" Lara asked on the telephone.

"Have you rung the crisis team?"

"No. I don't know what the best thing to do is"

"Well, he didn't like it when the police got involved" Neil's dad replied.

Neil's dad was a practical man and had become a useful person to phone when she didn't know who else to speak to. Lara's parents were very sympathetic towards Neil, but it meant that they tended to share and exacerbate her worries rather than offering simple clear-cut advice.

The crisis team had promised to arrive within an hour. That was early on a Saturday morning. Neil had returned home in the afternoon, but had barricaded himself in the box room and refused to talk to Lara. Some eight hours after she had originally got in contact, there was a knock at the door.

"Hello, Lara?" asked a balding man, slightly overweight and wearing rimless spectacles. A mousey woman waited nervously behind him in the darkness, clutching a bulging ring binder.

"Yes, Hi"

"I'm Dan. This is my colleague Sue. Can we come in?"

"Please. Please do. I've been waiting all day" said Lara, ushering the two visitors into the hallway. "Neil, there are some people here to see you" she called upstairs.

Dan and Sue stood awkwardly and Lara gestured towards the snug, where they entered and sat down.

"Sorry... Lara was it?" Dan said.

"Yes, Lara"

"We had a number of urgent calls come in."

"That's fine."

"I'm a social worker and my colleague Sue is a nurse. We're here to make an initial assessment and see how we can help. Can you tell me what's been going on? It's Neil isn't it?"

"Yes, it's Neil I phoned about."

Lara noticed that Neil was hovering by the door.

"Ah Neil. These people are from the crisis team. They're here to see if you're OK."

"I'm not" said Neil, half entering the room but not sitting down, surveying the scene with distrust.

"Hi, Neil. I'm Dan. This is Sue" said the social worker, leaping to his feet and offering his hand. Neil took it and shook it. Sue half stood up, but remained quietly in the background. "Can you tell us what's been happening with you?"

"I can't cope anymore. I feel desperate. Suicidal"

"I'm sorry to hear that, Neil. How long has this been going on for?"

"On and off for months. It got really bad this week."

"OK, I need to ask you some basic questions." said Dan, now looking at Sue. Sue opened her binder and readied her pen.

"Do you know what day it is today?"

"Yes. It's Saturday the 20th of August, 2016."

"Do you know who the Prime Minister is?"

"David Cameron. No, er, I mean Theresa May"

"OK, and where are we?"

"We're in my house"

"Are you hearing or seeing anything unusual. Any voices?"

"No"

"Are you receiving any instructions, do you believe you are able to make people say or do things you want?"

"No"

"Is there anything you're anxious or concerned about right now?"

"I'm worried I'm going to kill myself"

"OK. Thanks, Neil" said Dan, glancing at his colleague. "It says in my notes that you've never been in hospital, because of your illness. Is that right?"

"Yeah, that's right. I've never been in hospital in my life except as an outpatient."

"Well, I think the safest place for you right now is at home. Where your partner and family can keep an eye on you. The crisis team can come and check on you, to make sure you're OK. How does that sound?"

"I want to die"

"OK well psychiatric hospitals are pretty crazy places. You wouldn't get a lot of rest there. The staff don't have a lot of time to help everybody. You'll be much better looked after at home. Do you have anything to help you sleep?"

"I've got mirtazepine. That makes me really sleepy"

"That's great. Do you know where it is?"

"It's on my bedside table."

"Lara, do you want to get it for Neil? And a glass of water" Dan prompted.

While Lara was gone, Dan and Sue sat quietly smiling and then Sue's mobile phone rang. She stepped out of the room and let herself out of the house while taking the call.

Lara returned with the medication and a drink.

"OK, Neil. What you're going to do is take your usual medication and then we're going to come and see you tomorrow and the day after. We're going to come and visit you here at home every day until you're feeling better."

Sue now let herself back into the house and popped her head around the door.

"Dan, we've got to go."

"Alright, sorry it was such a flying visit, but we have to attend to an emergency situation" said Dan, standing up and smiling. Pausing for a moment and taking on a more serious expression he said "everything's going to be OK. Hang tight. We'll be back tomorrow."

"OK, thanks" said Lara, following Dan to the door. Sue was already outside, eagerly wanting to get away. Neil was sat on the sofa, a little dumbstruck by the whole experience.

The front door closed, Lara returned to the snug.

"That went OK. There'll be somebody coming to check on you every day. That's reassuring isn't it?"

Neil simply looked at her blankly and then went upstairs to bed.

Next chapter...

This is a story about a pill for every ill...

There was a young man who swallowed a lie, about how hard work and loyalty to his company would make him successful. It left him exhausted and with depression, that wiggled and jiggled inside his brain. I don't know why he swallowed the lie. Perhaps he'll die.

There was a young man who swallowed 150mg of Bupropion - a fast acting antidepressant - to cancel out the depression and exhaustion, that wiggled and jiggled inside his brain. Perhaps he'll die.

There was a young man who swallowed 5mg of Olanzapine - a mood stabiliser - to cancel out the hypomanic highs that were created by the Bupropion, that was supposed to fix the depression and exhaustion, that wiggled and jiggled inside his brain. Perhaps he'll die.

There was a young man who swallowed 15mg of Mirtazapine - another antidepressant - because the Bupropion wasn't working so well any more on its own, to fix the depression and exhaustion, that wiggled and jiggled inside his brain. Perhaps he'll die.

There was a young man who swallowed 25mg of Lamotrigine, to raise his seizure threshold so he could take more Bupropion, stabilise his mood more and as a third antidepressant, to fix the depression and exhaustion, that wiggled and jiggled inside his brain. Perhaps he'll die.

There was a young man who swallowed 10mg of Diazepam - an anti-anxiety drug - because by now he was pretty jittery from all the damn drugs, that were supposed to fix his depression and exhaustion, that wiggled and jiggled inside his brain. Perhaps he'll die.

There was a young man who was going to swallow 2,000mg of potassium cyanide, to end the depression and exhaustion, that wiggled and jiggled inside his brain. Of course he would die.

Top picture, from left to right: Mirtazepine, Olanzapine, Bupropion, Diazepam, Lamotrigine.

Tags: #depression #bipolar #medication #suicide #career

This is a story about being objective...

If you want to compare two measurements you have to use the same yardstick. If you are comparing two subjective things then how can you possibly draw any concrete conclusions?

At times, I have kept a mood diary. I rate my mood from 1 for worst to 10 for best. Who's to say that if I rate myself as "1" during prolonged depression that's comparable to "1" on a bad day when otherwise I've been feeling mostly normal?

During a lengthy period of depression, where nothing seems to hold any pleasure or enjoyment: subjectively, life is terrible. I also have periods when I'm generally in a much better mood, but something really shitty will happen. The shitty thing might feel like the end of the world at the time, but I'm not going to kill myself over it: I'll quickly get over it and move on with my life... so can it really be a "1" even if it feels like it at the time?

If your mood slowly improves or declines, over the course of several weeks or months, can you spot the trend? If you're suffering a lengthy depression, does your yardstick change? You might have a day where you just feel normal, but now you rate that 10, because it's the best you've felt in as long as you can remember.

Do you even remember how you used to feel, before you got depressed?

This might be why I have a tendency to invite hypomania, because at least it's clearly some kind of polar opposite from depression, even if I don't exactly feel "happy".

Defining "happy" has started to get really hard.

Going in search of happiness has been a disappointing experience. Anhedonia means the loss of pleasure and enjoyment of things that you used to get a kick out of. Finding that you no longer love the things you've always loved to do, is terrifying, because it's further confirmation of the way that you feel: "everything is shit".

I ended up completely rebasing my whole idea about what made a happy day:

• "Got to work only an hour late"
• "Didn't quit my job"
• "Only drank one bottle of wine instead of two"
• "Survived another week without being sacked"
• "Got out of bed at the weekend before it went dark"
• "Went to the shops"

I know that I must be unwell, because I used to have happy days that were more like this:

• "Cooked a healthy dinner"
• "Went for a walk or a bike ride"
• "Took some cool photographs"
• "Went to an event"
• "Made a new friend"
• "Did some work I'm proud of"

Now, I could do those things, but I don't feel like it. Often when I try to force myself to do things, I get very stressed about it and I find it really exhausting. When I get home I feel wiped out and that I shouldn't have bothered. I find myself out taking a walk and nothing takes my interest enough to photograph it. That's weird. I used to live behind the lens.

So, I started to bring in more objective measurements: movement data, alcohol consumption, number of social engagements, number of words written.

When I analyse the data, I think the most reliable predictors of my subjective feelings of depression, are movement and alcohol. Looking at last year, I was averaging 12,000 steps a day, and although I had alcohol binges, my average consumption was reasonably low. This year, I'm averaging 7,000 steps a day and drinking excessively nearly every day.

Now, you might think "walk more, drink less" would be the solution, but this assumes a causal relationship. Perhaps I was more in the mood to walk more and drink less, last year. Perhaps the relationship is the other way around and my poor lifestyle 'choices' are actually due to depression.

We often tell people to eat healthier and exercise more, to improve their mood, but perhaps it's the people who have a happier mood who are the ones more likely to eat right and be active. In actual fact, healthy eating and being more energetic could be a good predictor of happier people.

The cause-effect relationship is not always clear. Psychologists had published a paper that appeared to show that smiling made you feel happier. However, when the experiments were repeated, the results could not be reproduced. If you can't reproduce the results of your experiment, it's not good science.

A friend made the following amusing observation:

"People who are dying of dehydration can't just mime drinking water to quench their thirst"

I think this hits the nail on the head perfectly. While depressed people can eat healthier and go to the gym, they're just going through the motions. They're not getting the benefits that their happy counterparts are getting, and in fact it could be pure torture for them.

There's an experiment where a pigeon is fed at a computer-controlled random interval. What the researchers found was that whatever the pigeons were doing the first time they got fed, they then decided they needed to do again, in order to get fed. Let's say the pigeon was cocking its head to the side when the food was released, the pigeon will then start repeatedly cocking its head, and believe that it is causing the food to be released, when in fact it's completely random. Essentially, the pigeons had become superstitious.

It seems relatively random - unpredictable - when a depression is going to lift. Let's say you were trying acupuncture or homeopathy at the time when your mood started to improve: you might assume a causal relationship between the alternative treatment and the lifting of your depression.

Even a double-blind placebo trial is not exactly fair. Psychiatric medications do make you feel noticeably different. I would be able to tell whether I was taking an inert placebo pill, or something psychoactive. I would know whether I was in the control group or not. Placebos don't work if you know you're taking a placebo, so this could explain some of the mood improvements seen with antidepressants. The antidepressant might look effective, when compared with the control group, but it's the placebo effect.

Antidepressant clinical trials generally only take place over 6 to 12 weeks. Many common antidepressants take 6 weeks before their effects can even be felt. There is no focus on long-term outcomes in these trials, only that the medication should perform better than placebo.

Many trials of longer duration have shown that being unmedicated might be more effective in the long-term, than taking antidepressants. Pharmaceutical companies are not concerned with long-term outcomes. In order for a medication to be sold to the public, it merely has to be safe and proven to be marginally better than placebo.

You would have thought that taking antidepressants would be a lot better than not taking them, right? In actual fact, there might only be a 15% chance of you feeling better, but there's a 15% chance of unpleasant side effects. The very process of going to your doctor, being listened to by somebody nonjudgemental, and then feeling something even if it's not actually better, might convince you that you're improving, when actually your depression could be lifting quite naturally anyway.

Culturally, we have developed a strong superstitious belief in the power of medicine. We believe there's a pill for every ill. We believe that a man in a white coat can wave a magic wand and we'll be cured of any ailment; discomfort.

You only have to go into any pharmacy during the winter, to see signs that say "we have no medication to treat your common cold". The fact that doctors and pharmacists have to tell people not to waste their time with an incurable virus that has unpleasant but non-life-threatening symptoms, shows how strongly we believe in the power of medical science to save us from even a runny nose.

There is a clear difference between "feeling a bit sad" and depression. Depression is life-threatening. Depression has a massive impact on people's quality of life. However, we are often medicalising a non-medical problem.

If somebody who's feeling down visits their doctor and receives some medication that's basically a placebo that makes them feel a bit different - drugged - then their pseudo-depression will lift, because it was going to anyway. The non-judgemental medical consultation will also have marginally assisted.

However, those who have prolonged severe depression - to the point of suicidal thoughts - may find that their quality of life is actually reduced by medication, because it gives no real mood improvement, but it does have unpleasant side effects. The longer-term studies seem to back this up.

Through extensive research, I found a number of medications that are very rarely prescribed, but have been used for treatment-resistent depression. These medications are dopaminergic not serotonergic.

There are a whole raft of medications used to treat Parkinson's disease, that have been shown to exhibit antidepressant effects and can successfully treat patients who had previously been treatment-resistent.

In the most severe cases of depression, deep-brain stimulation has been employed with remarkable efficacy. Deep-brain stimulation had previously only been used on patients suffering from Parkinson's disease, to stop their tremors.

The idea of having electrodes implanted into my brain does not sound immensely appealing. Rats who have had electrodes implanted in their lateral hypothalamus will starve themselves to death, in order to press a lever thousands of times an hour, to stimulate their brains. Do humans who have had the same procedure, just stay at home hitting the button as often as they can? We have wandered into the territory of the neurological basis for addiction.

This is how I arrived at my decision to use a medication that helps people to quit smoking.

My very first addiction was to nicotine. I had no choice in the matter. My parents forced me to breathe their second-hand smoke. Because I was a tiny child, the concentration of nicotine in my bloodstream would have been very high. Second-hand smoke was responsible for inflicting an addiction onto me in my infancy.

In the UK, nightclubs, bars and pubs used to be filled with smoke, until July 2007. My addiction was therefore maintained through passive smoking. The timing of the ban seems to correspond with my first episodes of depression.

The stop-smoking drug called Zyban is actually France's most popular antidepressant. The French have found that Bupropion - the active ingredient in Zyban - is also effective for treating alcoholism. The link between addiction and depression seems clear.

I have a theory that my brain is in mourning. I was subjected to second-hand smoke throughout my childhood, and I spent a lot of time in smoky clubs and pubs. Nicotine withdrawal was something I was used to experiencing again and again, but what I'd never been through was a prolonged period of withdrawal, because I would regularly get a hit of second-hand smoke. It wasn't until the age of 27 that I was finally able to escape nicotine, because of the smoking ban, even though I have never smoked in my life. You would expect that such a prolonged addiction would produce a profound psychological effect, when my brain realised it was never getting any nicotine ever again.

I then experienced a later period of addiction. Although there were periods of abstinence, these never exceeded 3 or 4 months, and the total amount of time that I struggled with addiction is close to 5 years. The addiction was extreme. The drugs I was using have a much more profound effect than cigarettes. Still today, after 6 months of total abstinence, I get shaky sweaty hands and feel sick with anticipation at even the merest thought that I might be able to obtain some drugs.

Although Bupropion is a poor substitute for the addiction I once had, it does at least slightly soothe the aching sense of loss... the mourning.

Thinking about this more now, it seems obvious that I should mourn the loss of the love of my life. My addiction was so obsessive, overwhelming, all-consuming. How on earth can you let something like that go, with just a 28-day detox, or a 13-week rehab, if it's been a huge part of your life for years?

It should be noted that my mental health problems, which predated my addiction, compound the problems. To give an official name to my ailment: it's called dual-diagnosis. That is to say, Bipolar II & substance abuse. Yes, substance abuse is a kind of mental illness. Take a look at the kind of self-harm that addicts are inflicting and tell me that's normal behaviour. That is why substance abuse is classified as a disease.

Bipolar II is a motherfucker, because it comprises both clinical depression and hypomania, which are both destructive. Therefore, I'm actually suffering with triple-diagnosis and trying to fix 3 illnesses... although the hypomania is something that most people with Bipolar II wouldn't give up, and substance abuse is hard to stop because of addiction.

I haven't had a hypomanic episode in almost a year, and I've been abstinent from drugs of abuse for 6 months, therefore the final nut to crack is this damn depression, which might turn out to simply be the fact that - subconsciously - I'm depressed that I can't take drugs anymore. It feels like the love of my life has died, hence why I'm describing it as mourning.

How long it will last, I have no idea, and I've lost patience... hence resorting to a mild form of substitute prescribing. I successfully beat addiction once before using Bupropion. I beat it using progressively weaker drugs, until I was weaned from my addiction.

You wouldn't ask a smoker to quit without nicotine patches. Why would you expect somebody with an addiction to harder drugs could quit with willpower alone? The only slightly unusual thing is that the stop-smoking drug seems to be just as effective for addictions to things other than nicotine.

Perhaps we will one day treat all addictions as compassionately as we treat nicotine addictions. Certainly, there doesn't seem to be a lot of appliance of science, when it comes to treating addiction to anything other than smoking.

Subjectively, cold-turkey & willpower is a fucking awful approach to beating addiction. We have the scientific data to show that smokers are 4 times as likely to successfully quit, with nicotine replacement therapy and smoking cessation medications like Zyban.

Of course, a relapse would be disastrous, but haven't I already relapsed back into depression?

I've been on medication for 5 days now, and Bupropion should start to be effective within a week, so perhaps I will feel an improvement in my mood any day now. Certainly, my suicidal thoughts seem to have stopped, but that could be psychosomatic and also because my horrible contract ended.

You see what I mean about how hard it is to control the variables? Human lives are messy and complex. It takes vast quantities of data to be gathered over many years, not a 6 to 12 week trial with 30 people.

Also, there's an argument to say that your subjective yardstick is altered by your experiences. Your perfect 10 can become unattainable, except through the use of powerful narcotics. Does that also mean that the best you can ever hope to feel is mildly depressed, now that the bar has been set so high? My only hope is that my brain "resets" itself over time. The brain can downregulate parts that are overactive, in order to maintain equilibrium, so it can also upregulate... eventually. The big concern is neurotoxicity: have I irreversibly "burnt out" the reward centres of my brain?

6 months isn't long though. I'm going to see what happens if I can make it to a year. Presumably, there might be marginal improvements that have happened already, but are too subtle for me to perceive. The data actually bodes well: instead of spiking back up into hypomania, things have plateaued during the last couple of months.

This unethical self-experimentation doesn't yield any results worth publishing but it does give clues as to what could be worth researching. A sample size of one is not statistically significant, but it's important to me, because my life depends on it.

Tags: #bipolar #depression #mentalhealth #addiction

 This is a story about drug dealers...

The top image shows an official UK prescription. A doctor registered with the GMC prescribed me the medication and a pharmacist registered with the GPHC filled my prescription. The bottom image shows black market prescription drugs for sale on the Dark Web. When you buy from the Dark Web an anonymous vendor will sell you whatever you want, no questions asked.

In order to receive my official prescription, I had to answer 14 yes/no questions. One of the questions was "do you have high blood pressure?". How the hell should I know? The last time I had my blood pressure checked was 11 months ago, and I've gained loads of weight and have been drinking far too much since then.

According to my order tracking, a doctor spent 7 minutes deliberating my 14 answers - 30 seconds per answer - before writing my prescription. I never met this doctor, we never spoke and they never saw my medical records.

Some years ago, with a great deal of arm-twisting from my private psychiatrist, my GP agreed to prescribe me Bupropion for the depressive episodes of my bipolar disorder. In the UK, Bupropion is not licensed for the treatment of depression or bipolar disorder. NICE guidelines do not recommend the use of Bupropion for anything other than as a smoking cessation treatment. Basically, my GP faced being struck off the GMC register if I suffered some horrible medical complications because of an adverse drug reaction.

I've been back in London for 3 years and I've had 2 different GPs since then: one in Camden and one just across the road from where I live. Neither of them has prescribed me a single medication, but the Camden GP took it upon himself to phone me on my mobile in his personal time to see if I was still alive. My GP went out of his way to try and help me.

The average face-to-face GP consultation time in the UK is just under 9 minutes. Imagine having just 9 minutes to establish that somebody is suicidally depressed and then select a psychiatric medication for your patient. The medication could either save them or reduce their quality of life even more. It's not much time, is it?

And so, I became an educated well-informed patient. A doctor I spoke to some years ago said that I would be better off finding a "prescription pad psychiatrist" who would write me a prescription for whatever I wanted. These doctors exist. They're available online, without even having to meet them or speak to them on the telephone, it would seem.

I have no criticism of the ethics of what the doctor and the pharmacist who I obtained my official UK prescription from are doing. It doesn't seem unethical to me.

Interestingly, it cost me £90 for 60x 150mg Bupropion tablets. I could easily buy the exact same medication for less than half that price on the Dark Web. If I was to buy the medication from India, it would cost me less than £6 (plus postage).

On the NHS, a prescription costs £8.40 if you're working and not entitled to welfare benefits.

Basically, you pay for convenience. With the online pharmacy I had a short form to fill in and I got my medication delivered next day. With the Dark Web, I would have had to faff around with Bitcoins, but my medication would also have been delivered next day. With my doctor, I would have had to make an appointment, and there's every chance that they wouldn't have been prepared to take the risk of writing an off-label prescription. With the Indian medication, their postal service is appalling and it takes weeks for a delivery to arrive.

One reason not to order from the Dark Web though, is that you can get anything you want. It's easy to start window shopping. Once you've loaded up your account with some Bitcoins, it's easy to fill up your 'shopping basket' with all kinds of things that you're curious about, or things that you know you really shouldn't be buying because they're bad for you. It's a slippery slope.

One of the reasons why I don't have any drug dealers phone numbers and I've never bought drugs from a drug dealer, is because it's so convenient. I don't believe in the idea of a 'pusher'. People want drugs, plain and simple. The drugs push themselves.

One of the reasons I'm not using internet banking at the moment, is because it makes it too easy for me to buy some Bitcoins, transfer them to a Dark Web marketplace, and have a little jiffy bag containing deadly white powder, hitting my doormat the very next day.

I don't believe prohibition works, but certainly making things a little more inconvenient does offer some protection from temptation. I wouldn't even know where to begin, trying to find a drug dealer, unless I wanted to buy low quality cannabis or terrible quality imitation cocaine from one of the many dealers who hang around by Camden Lock.

Prohibition created legal highs. Prohibition created the Dark Web. Because I'm an IT expert and a sensation seeker, when I read about legal highs in the news I was tempted to give them a go. The rest is history. All of that "moral panic" crap in the media had precisely the opposite effect than intended. A naïve middle-class IT professional working for an investment bank, suddenly became exposed to a world that I would never have become part of, if it wasn't for the fact that prohibition lowered the barrier to entry.

As the legal highs started to get banned, I then took to Internet forums to find out where people who had stockpiled - like me - were supposed to go after we ran out of drugs. That was how I found out about the Dark Web. Yet again, prohibition moved me from a world that was legal, taxed and regulated, towards the dark and murky world of illegal drugs.

One day, in a pit of despair at my spiralling addiction, I decided to order all the drugs. I bought crack, heroin and crystal meth. I didn't even know what to do with them. You can snort heroin and meth, but not crack, as it turns out. How does a middle class homeowner even smoke crack? I didn't even own a cigarette lighter.

A couple weeks later, I had nailed my door shut and put newspaper all over the windows. It's remarkable how quickly a respectable middle-class rich person can turn the house they own into a crack den.

What's also remarkable is how quickly you figure out that you've bought a one way express ticket to an early death, if you have vast sums of money and a reasonable intellect.

One day, I smoked a pipe - I had bought a meth pipe off the Dark Web by this point - that had been filled with heroin, crack and meth. I thought "is this as good as it gets?". The room was bathed with a yellow light, even though it was barely lit. There was a calm serenity. I thought "this ain't even that great" and decided that I'd better stop before I decided that it was great.

It's the strangest thing, flushing rocks of crack and a big bag of heroin down the loo, not because you're addicted and you want to quit, but because you can see how easily you could become addicted.

People think that drug addiction is all about wanting drugs and taking drugs, but it's not that at all. Drug addiction is about identity, routine, habituation, ceremony, lifestyle... things that I even struggle to explain. If you're just locked in a room with a virtually limitless supply of drugs, because the postman keeps bringing your supply and you have lots of money in the bank... you'd think you'd just take drugs and more drugs until you died or ran out of money.

In actual fact, addictions are self-limiting. Given a clean pure supply of drugs, eventually, addiction becomes kinda boring or the downsides start to outweigh the upsides.

I'm lucky, because I'm wealthy and I'm not a total dumbass. I tried so many drugs, and eventually found one that was far better than crack, heroin or crystal methamphetamine, but cost less than £1 a day.

I used to buy a packet of capsules off the Internet for £27. This was a legal high called "NRG-3", which turned out to be MDPV: I've nicknamed it supercrack. The packet contained 20 capsules, and each capsule had 100mg of MDPV in it. I would hide these capsules all over the house, so that I would never have to hunt for very long to get my fix, when the cravings became unbearable.

I would divide the 100mg contents of a capsule into 3 equal piles. Then, I would divide one of the piles into 2 lines. I would snort one of the lines, which would weigh approximately 17mg.

17mg of MDPV is a very strong dose. Basically, it's enough to be bat-shit insane for 24 hours. I would pretty much always end up going back for the second line... so that's 48 hours of insanity, with no sleep. I would go back to work for a rest.

120 days of bat-shit insanity for £27.

Cheap.

Deadly.

You spread 120 days over the weekends, and you've got 2 years worth of hiding a drug habit. If you do anything for 2 years, it becomes an integral part of your life. It's hard to change the habits of a lifetime. Again, you've gotta be smart and spot the changes in your behaviour.

I started cancelling plans, because a 1-day drug binge turned into a whole weekend drug binge.

I started not making any plans, because I was planning on taking drugs all weekend.

How the hell I held down a job during this time, I have no idea.

My psychiatrist and my GP thought I was self-medicating for depression. They thought I was in control. They actually told me "don't stop what you're doing... just try to cut down gradually". My GP signed me off work for 5 weeks, and I thought "great! I can take drugs for 4 weeks and then spend a week recovering".

It's true that my clinical depression and abusive relationship had led me to self medication, but when it became drug experimentation, I lost control over the course of a year. I started with a legal drug called Methylone, which I took every day and it worked to alleviate my depression. Then, when I found NRG-3 during a messy breakup, I was completely hooked.

Less than a month after becoming addicted to NRG-3, I started carrying a letter with me and a £20 note in an envelope. The letter said:

"I am a drug addict. If you have found me with breathing difficulties or unconscious, please put me in a taxi to A&E".

In actual fact, the letter was far more detailed and contained some information that would have been useful for any medical professionals who had the misfortune of trying to look after me... but you get the idea. The penny had dropped. I knew I was in trouble. Self-medication had turned into experimentation, which had unleashed addiction.

For others, there are 3 valuable lessons I learned:

1. Depression, stress, relationship difficulties, money worries, housing worries: these are the things that create a festering swamp. Addiction will take hold, not because of the drugs, but because somebody's life is already awful. If you want to prevent addiction, you need to improve people's lives, not ban drugs.
2. Even though it sounds disingenuous, it does make sense to shop around. Think about all those Oxycontin addicts who haven't yet figured out that heroin is stronger and cheaper. They're going to one day. How much money are they going to 'waste' in the meantime?
3. Addictions are naturally self-limiting. People need to quit on their own terms. There's an oft-quoted line about how addicts and alcoholics "can never get enough of their drug of choice". In actual fact, very few people can actually afford to take as many drugs as they want. Look at the mega wealthy: aren't you surprised that so few of them drop dead from drug abuse?

Alcohol is a dumb choice of drug, because it's so damaging to the liver. In a way, benzos are the smart alternative. GHB/GBL makes you 'drunk' but it doesn't have the same hangover, and it's not so damaging to the body. You can buy 10 litres of "alloy wheel cleaner" from BASF in Germany for about £500. That's equivalent to 7,000 shots of vodka, and it won't give you cirrhosis of the liver.

Cocaine is a dumb drug of choice, because it's so expensive and the adulterants are highly damaging to the mucous membrane in your sinuses, to the point where you might lose your nose. You can buy nitracaine from China in bulk for just a few dollars per gram, and it'll be 99% pure.

Heroin is damn cheap. It's the injecting that causes the problems: collapsed veins, abscesses and dirty needles leading to blood-borne diseases. With an adequate supply of medical grade diamorphine, a heroin addict can live a long, healthy happy life, and will probably "grow out" of their habit in their 40s or 50s.

Crystal meth is cheap anyway. Smoking meth is undoubtably incredibly destructive to teeth and lungs. It sounds crazy to say this, but given an adequate supply, at least crime will go down and the need for prostitution goes away. With higher self-esteem because people are not selling their body to get drugs, surely a large number of addicts are going to stop using eventually?

I'm not saying "legalise all drugs and have your local supermarket stocking crystal meth". Drugs are so widely available and so cheap, we're at the point where prohibition is like a bad joke. Shutting the original Silk Road marketplace on the Dark Web just caused dozens more imitators to spring up and fill its place. You can't legislate to control human nature. It doesn't work. Supply and demand are the only forces that you need to understand.

If you have a loved one who you think is at risk of addiction, or struggling with addiction, you can prevent that journey from even starting by making their life vastly better so that addiction never takes hold. Once an addiction has started, you're not going to be able to cut it short by cutting off their supply of money or forcing them into some rehab program. An addict will simply go around any obstacle. An addict needs to quit on their own terms, when they've had enough.

Perhaps I will never have had enough, because perhaps my life will never improve. Certainly, when you're depressed, stressed, bored shitless by your job, worried about money, isolated and lonely... those things are perfect breeding conditions for addiction to take hold. Why the hell are you being clean & sober, if your clean & sober life is utter bullshit?

This is how I've arrived at the decision to start using drugs again.

Except, I'm being smart... I think. I think I'm smart. Correct me if I'm wrong. Am I smart?

What am I doing differently? Well, nothing really. I'm combining my experience from far too many years of ups, downs and dangerous self-experimentation. However, I have meticulously gathered data. I have documented pages and pages of details on my drug and medication use, and cross-correlated that with my mood diary, earnings, movement data and every other data source that I could harvest.

My conclusion: I need a fast-acting antidepressant that gives me a mood improvement.

So, I decided to prescribe myself Bupropion.

It arrived today.

I took it.

The experiment continues. It's a big relief to finally change something, after 6 painful months of controlling the variables, even though it was causing me untold mental anguish.

Actually, two things changed today, which is a shame, in terms of conducting a decent trial.

Today, I'm unemployed.

Anyway, I need to get another job, and it might just be a little easier, now that I have relented and I'm taking happy pills... let's see, shall we?

Tags: #drugs #addiction #mentalhealth #medication #depression

This is a story about unhealthy coping mechanisms...

I've been surviving on a combination of barely concealed loathing and contempt for my job, copious amounts of alcohol, occasional use of tranquillisers and a lot of passive-aggressive blogging. It seems to have worked, according to my bank balance and my CV.

In four months, I had one day off sick and a one-week holiday. That's not bad. Just 6 working days that I was unproductive. 1 out 82 working days unwell is only 1.2%.

It's been killing me in unusual ways though.

I've been comfort eating a lot. When I first started my contract, I was munching my way through loads of sweets and nuts at my desk. I was having a great big lunch. I was having cakes and pasties. I was having super-size meals at McDonalds. I was coming home and stuffing my face with crisps, ice cream and unhealthy meals.

I've been drinking far too much. To begin with, I was picking up a bottle of wine on my way home, every single day. I switched to beer because I could drink more of it, but there would be less alcohol in it. There's 94ml of alcohol in your average bottle of white wine. There's 75ml of alcohol in 3 cans of lager, even though the beer is double the volume. Then, things got out of control briefly. I was having two bottles of wine, or 6 cans of beer. The alcohol was a real problem, but then so was the job. Sobering up at my desk was a way of getting through the day.

Early on in my contract, I decided that I wasn't going to blog at work. I wanted to do my best to look busy. I didn't even want to surf the web and read the news websites that I like. I certainly didn't want to be looking at Facebook on my phone all day long. However, that just made things worse. Getting through the empty boring days was excruciating agony. By the time I got home, I was so relieved, but so stressed out, that I felt I needed alcohol to relax and face the next day.

Then, I started to read the news. I found myself constantly clicking refresh, willing something to happen. The summer months are fairly dreadful anyway. The politicians have gone off on holiday, the markets are quiet. Not a lot was going on. Brexit provided a very unhealthy obsession for a while, and I took great delight in trolling the closet racists and xenophobes. Post-Brexit was quite anti-climactic, and just tragic.

I decided that the only way that I was going to stay sane was to write 3 times a day. I was briefly mailing short stories that I was writing to a couple of friends. They helped to keep me sane by being the willing recipients of my bleak allegorical tales of wage slavery: read Alan the Alcoholic if you want to know what I mean.

Finally, I decided I would allow myself to blog at work. I had the additional problem of being told I could no longer use my personal MacBook and I would have to have some piece of shit PC "because data security" or whatever. Anyway, I then didn't have access to my photo library - I try to use images that I own the copyright for - and I didn't have Photoshop to be able to make high quality edits. There's also a slight worry about what kind of corporate spyware is watching what I'm doing.

Somehow, I've nearly limped through to the end of my contract, and I even managed to work my notice period, which is something I haven't done for 6 or 7 years. I'm even getting a couple of leaving dos, as opposed to being escorted off the premises by security (that's never actually happened, but things haven't been wrapped up 'neatly' in recent years).

Obviously, I'm on really dodgy ground, because I'm going to be looking for a new contract in a fortnight or so, and I suppose prospective new employers could stumble on my Twitter profile, Facebook page or this blog. So, to be sensible, I probably have to blog "nicey nicey" for a couple of weeks, so that all the juicy gossip is buried deeper than most miserable corporate drones would ever dig.

I'm not sure what the magic formula is for recovery from clinical depression / major depressive disorder, bipolar disorder, substance abuse (dual diagnosis), borderline personality disorder, functional alcoholism and all the other labels that get bandied around. However, I'm pretty sure that it looks like this:

• An absolute imperial fucktonne of cash. I mean LOADS.
• Rest & recuperation. I don't just mean a couple of weeks. We're talking months or years
• Surround yourself with addicts and people with mental health problems. Nobody else 'gets' it
• Cut horrible toxic people out of your life
• No compromise
• Force yourself to do things you don't like very much
• Do something that requires discipline and routine, and stick with it for months, if not years
• Set yourself some achievable goals, where you're in control

That last one is probably the most important. I absolutely love the fact that I've been blogging for over a year, and I'm on track to write 365 blog posts and 450,000 words in less than 13 months. I've blogged from psychiatric hospital. I've blogged from San Francisco. I've blogged from a desert island off the coast of North Africa. I've blogged through a couple of projects from hell. I've blogged through depression. I've blogged through addiction. I've blogged through isolation. I've blogged through loneliness. I've blogged through suicidal thoughts and self harm.

The only thing I haven't quite done yet is to blog through happiness and contentment, but either that's coming or blogging is keeping me trapped in a certain mindset and stopping me moving on with my life.

I don't think writing like this is keeping me stuck in a rut. I can't imagine my life without writing now. Writing has become such a part of me. I'm more a writer than anything else. There's nothing else I live for, as much as writing. There's nothing else that I put as much passion and energy into. There's nothing else I'm as enthusiastic about.

I guess for many people, work is what defines them. "What do you do?" is the classic middle-class party icebreaker question, when meeting new people. What do you even say if you hate what you do, or you're flailing around to find something new? What should I say, on Thursday, when I'm out of a job again?

If I tell people I'm an IT consultant, that's slightly misleading, because that's a thing that I do just to get money when I'm desperate, and I won't even be consulting for any clients on Thursday, or for at least a fortnight or so after that.

However, I'm not going to stop writing when I finish my contract. I can't see me ever stopping writing, now I've started. What would I do with myself? How would I structure my day, without writing?

Obviously, writing is not a panacea, and it's a dangerous strategy to turn yourself into an open book. So many people will gleefully abuse your honesty, in order to gain a competitive advantage over you, put you down. So many people are looking for an excuse not to hire you, or to sack you. I'm giving my enemies all the ammunition they could possibly want.

However, isn't there something poetically wonderful about loading the gun, handing it to your enemy and turning your back on them? If they choose to shoot you in the back, with the bullet that you loaded in the weapon that you gave to them, isn't that going to eat away at them for the rest of their life?

Isn't there something exciting about deciding to say things that you're not allowed to say because of the conspiracy of silence? People are so afraid about becoming unemployable, and tainting their professional reputations. I almost want to start linking to this blog from my LinkedIn. Of course, every time I write the word "LinkedIn" the higher up the Google search index I will climb when somebody types "nick grant linkedin" into the little search box.

I'm not sure how much the 9 to 5, Monday to Friday routine has given my life some useful structure. I think, on balance, it's been more damaging to my mental and physical health to have a shitty project and an offshore team, than any benefit that I have gained by forcing myself to get out of bed every morning. I have no difficulty getting up and getting on with being productive, when I'm working on something that isn't mind-numbingly boring and depressing anyway.

The suffering has been worth it, financially, and with money comes opportunity: the opportunity to find something better to do with my limited time on the planet. Life is short: too short to be working a job that's like death itself.

Who knows how I'm going to feel when I wake up on Thursday. Will I feel elated, depressed, motivated, anxious?

I'm not exactly in a rush to get my CV out into the marketplace and find myself in another shitty contract. I want some time out, and I want to be more picky about the project I choose next time, even if I am still in a precarious financial situation. It's unwise to become complacent about your employability. Catastrophic market events can happen at any moment, and work can dry up overnight.

Will I be able to cut down my drinking, eat less, exercise more, or will the task of job hunting loom large and make me unbearably anxious? I certainly lost a lot of sleep during the week that my contract was terminated early and my flatmate revealed that he didn't have any money to pay his rent & bills for the 4th month running. Life's never straightforward, is it?

Health vs. wealth. That seems to be the battle that is being fought. Is it possible to have it all? Watch this space.

Tags: #career #mentalhealth #addiction #depression #bipolar #alcohol

This is a story about IT projects...

I'm sorry steady eddies, but if you want to get anywhere with a big complicated project, you're going to need somebody who's a little bit of a madman. There's this idea that building a piece of software is a bit like building an aeroplane. Plan the work, work the plan. The idea is that the software architects will come up with a brilliant design specification, and then programmers can just come along and build it. Wrong.

Firstly, you have to plug together all the bits of tech, and make them work with each other. From the front end to the back end, you have the "full stack" and it takes a special kind of masochist to declare themselves to be a "full stack" developer, because you're liable to be asked to change the buttons to a slightly different shade of green far more often than you're likely to be asked to make a working piece of software.

For me, I'll start with a database design - a schema. I will model the data. Most applications have a CRUD element: create, read, update and delete data. If you think about the classic example of a database that holds all the data on your customers, most of it will be performing CRUD operations to keep the data up to date.

Then the next thing is the data abstraction layer. How is your software going to store and retrieve the data from the database? Software talks one language, databases talk another. Interfacing between them is easiest when you use a bit of software that does the 'translation' for you.

Then you're going to need a bunch of business logic. Sure, you have all this data stored, but you're going to want to do something interesting with it. Maybe you want a piece of code that tells you who all the customers who you need to contact today are. That's a bit of business logic, and you wrap it up in a service.

Then you're going to need APIs. APIs are Application Programming Interfaces. APIs let one bit of software talk to another bit of software, which can be done over the Internet. You need an API so that your website running in your Internet browser, can talk to the server to call the services that get the data to display, and call the services that have the business logic in them. When you click a button on a website, a request goes off to another computer somewhere in the world, which is processed, and then the response comes back. The API describes how this can happen: it's a contract.

Once you've built your APIs, you can build the user interface. The user interface is the pretty bit you see when you download an app from the App Store, or when you visit a website. When you visit a website, the user interface is actually downloaded and it runs on your computer, in your Internet browser.

With a website, the user interface will be built in code that's very different to the code that runs elsewhere. Because web servers execute millions of requests, their code is highly optimised. Because your Internet browser needs to support millions of different websites, developed by millions of different developers, the code is designed to run on almost any computer.

Then, when you've written all this code, you need to set up your infrastructure. You need a server, you need to connect it to the Internet, you'll need to connect your domain name to your server, you'll need to configure the server with website hosting software and the database, you'll need to protect your server against hackers, you'll need to deploy your code onto your server. Then, people can visit your domain by typing www.yourdomain.com and the user interface code will be downloaded to their computer's Internet browser, and then the API on your server will be called to get the data it needs. Bingo! Your software is live.

Just getting a basic website running requires you to be:

• A system administrator (a.k.a. "sysadmin") so you can configure the server
• A security specialist (a.k.a. "pentester") so you can protect yourself from hackers
• A networking specialist, so you can configure your domain name, load balancing, traffic routing
• A database administrator (a.k.a. "DBA") so you can configure the database
• A serverside developer (a.k.a. "backend dev") so you can write the service code
• An API designer, so you can define the interface contract between backend and user interface
• A web designer, so you can make the website look all pretty
• A front-end developer (a.k.a. "UI dev") so you can write the scripts that control the user interface
• A mobile developer so you can make an iPhone or Android app that does what the website does
• A QA engineer (a.k.a. "tester") so you can make sure the damn software works
• A release manager, so you can package up your software and deploy it
• An operational support engineer, so you can diagnose and fix problems when they occur

That's 12 different roles, or "hats" that you have to wear. Also, bear in mind that all your users care about is what colour the buttons are.

If you're a "full stack" developer, you're highly in demand, because you can take a piece of software from an idea, to something that actually works and can be used by people anywhere in the world, via the gift of the Internet.

Do you notice that none of those roles are "programmer". There is no such job as programmer anymore.

Back in the 1970s, you used to ring IBM up and they would wheel a dirty great big cabinet into your basement, and then a zillion wires would connect every "dumb" terminal in the building to it. The dumb terminals would just display on their screens what the mainframe would tell them. Essentially, it was just one computer that had hundreds of monitors, and hundreds of keyboards.

Programmers in the 1980s had everything they needed all in one box. User interfaces were just green text on a black screen. There weren't buttons to click on, that could be different colours, so nobody had to waste their time changing the colour of the buttons. There weren't pretty graphics for people to argue over. There was just green text on a black screen.

Because everything was on one box, everything was the same computer code. The data and the code and the different parts of the system were seamlessly interconnected. There wasn't computer code flying around over the Internet, being executed in billions of different Internet browsers all around the world. There was just one blob of code, running on one computer, with hundreds of users. That was programming: writing programs to run on one computer, not billions.

Programming's not even that hard: if this, then that. That's about the gist of it. If you know what the words AND, OR and NOT mean, you're well on your way to being a programmer. If you can write a list of instructions for another person to follow... that's how you become a good programmer. You just get really good at righting really good instructions for a really stupid person to follow.

IF you see some gold THEN go and pick up the gold

Looks pretty easy, right? Well, then you find that your program doesn't work very well when the gold is on the other side of a Plexiglas window. The automatons following your instructions are going to get stuck on the "go" part, and will find themselves just walking on the spot, with their nose pressed against the glass, trying to get to the gold that they can see.

Fast forward to the present day, and you might have the situation where your website looks absolutely awful because granny is still using Internet Explorer, but you only tested your code in Google Chrome. We have the situation where your website works perfectly fine when one person is using it at a time, but when millions of visitors are trying to access it at the same time, they're all treading on each other's feet and the whole thing falls in a heap.

A lot of techies want to be programmers, but programming is such a tiny part of anybody's job. If you hire a bunch of programmers, and they all insist that they only want to do programming, you're never going to have a website.

If you hire a bunch of web designers to build you a website, you'll have a very pretty looking thing, but it won't work very well. It'll be fake. It'll be window dressing. It'll be a film set, where the buildings don't actually have anything behind them: they're flat fronts, propped up from behind.

If you hire a bunch of back-end developers to build you an application, you'll have a beautiful set of services and APIs, but you won't have anybody to tell to change the colour of the buttons. If you tell the serverside developers how important it is that the button colour gets changed for the millionth time, they'll just say "yeah, yeah, yeah... I'm writing down on my invisible TODO list".

So, you hire a full-stack developer, because they can do everything. Trouble is, they're all a bit mental.

If you can do everything all on your own - you can wear 12 different hats and context-switch between them - then you're going to be driven mad if you have to work for somebody else.

Even though I can do everything, it's not like I should do everything. It's not healthy, to have constant interruptions, and to be pulled from one thing to another all the time. In fact, it's distinctly unhealthy.

The only way that a full-stack developer can make any progress is to work really, really quickly.

If you throw together a fully working application in the blink of an eye, you can get it done before anybody asks you to change the colour of the damn buttons. These herculean efforts are incredibly draining. Holding so many different competing tasks, and also the big picture, in your head, while working as fast as you can... that's exhausting.

Most software ends up in the bin anyway, so you might as well throw together these hastily built applications, that at least prove that things can be done, technically. There's already too much useless vapourware crap out there that doesn't actually do what it purports to be able to.

And so, I end up working on project after project that's clearly going wrong. I hastily cobble something together. I get something working end-to-end. Then, I'm burnt out and I have to take the money I've earned and go have a lie down in a darkened room.

I actually don't think software can be built without some nutter who's actually going to fill in all the blanks and prove out the concepts. Every important computer system that I've ever worked on has had one madman who's single-mindedly taken the project to the point of MVP - Minimum Viable Product.

It's unhealthy for your moods, to be expected to sprint as fast as you can, and then reap the rewards but be burnt out, but it's certainly lucrative and a good career strategy. The financial incentives can't be ignored. Also, if you're a complete-finisher personality type, it's the only way you're ever going to see a successful IT project, because so many people are happy to bumble along until the project eventually goes so far over budget and has spectacularly missed its deadlines, that it gets cancelled.

My current project - which is getting cancelled because it's over budget and late - has been slightly better for me than other projects have been in the past, because I just concentrated on making sure my team was on time and on budget, instead of thinking about the overall project. Net result, I'm out of a job again, but at least I've got a happy customer and a good reference, plus I'm not totally burnt out. It's a damnsight easier to only think about my 1/8th of the project, rather than feel responsible for the whole thing.

God knows how I'm going to reconcile my personality - a completer-finisher - with IT's staggeringly bad track record of ever successfully delivering projects on time and on budget. My health is suffering as I've tried to single-handedly get projects back on track, and I never get any thanks when I do that. I'm not saying I'm a hero. I'm just saying that I don't like to bumble along and fail.

Although I can do full-stack development, I don't think I should because it's just too much stress, being spread across 12 different roles. I reckon I'm going to look for some kind of development manager job, where I can have more management input into the way things are run.

It'd be interesting to know what my mental health would be like without the kind of external pressure to rush, rush, rush. It'd be nice to work on a project where I could take my time, take pride in my work, do the things I'm good at. Do those projects even exist?

I think it's the engineer's curse. "Can you do this?" is always answered honestly. Yes, I can probably fix your damn car, but should I really be doing that if my skill is as a software developer? "Yes I could, but I'm not sure I should" is the correct answer, but engineers aim to please. So few managers understand that it's a dumb idea to ask their capable engineers to do everything and anything, and expect them to spread themselves so thinly.

Even though management doesn't agree with me - too frustrating and boring - at least it gives me the opportunity to throw a bubble around my development team and protect them from bad managers. At least I can create the kind of culture that I'd like to have, as a developer, for my team.

It's hard to know how to balance your skills, your needs, your values, and the fact that life's a lot easier if you're paid a lot of cold hard cash.

Anyway, it's all rather academic until I've dug myself out of the debt hole.

Tags: #career #agile #computing #bipolar

This is a story about escape velocity...

A happy healthy life is a fairly simple prescription. It's not hard to look for slightly happier people and imitate their magic formula.

In essence, what I have distilled things down to is this:

• Home - so you can be warm and dry and your stuff isn't stolen
• Job - so you can pay your rent/mortgage, bills and buy food & clothes (yes, clothes wear out)
• Family - not blood relatives, but anybody who loves and cares about you
• Friends - social media doesn't count; you have to see friends face to face
• Disposible income - get deeper and deeper into debt and you'll lose your home
• Goal or passion - this can be work, this can be your kids, this can be a hobby; you need something.
• Girlfriend/boyfriend - everybody's gotta get laid, and it's important to have intimacy and companionship

At the moment I have 3 out of 7. Assuming that you need 50% or more to be OK, it's no wonder that I'm depressed as hell and have a lot of suicidal thoughts.

Yes, I have friends who I see less than once a week, so I do have friends. Yes, my sister and I do occasionally exchange text messages, even though we haven't seen each other for the best part of a year. Yes, my goal has been to get myself into a position of financial security, and I've been making great progress, but it's not really my goal... it's just a necessity because of needing to not be homeless and destitute.

So, all I really have is a home, a job, and I'm making more money than I'm spending, which is digging me out of debt.

I love my friends dearly, and it does help that people are in contact via social media, email, text message. I have the offer of speaking to a few friends on the telephone, which I'm grateful for. I also make the effort to travel as much as I feel able to, in order to see people face to face, and I'm glad when I do it, even though it's expensive, exhausting and time consuming to zoom all over the country, if not the world.

I just don't have a group of buddies you know? People to go to the pub with. People to go out for a meal with. People to play frisbee with in the park. I'm lacking a social group.

I'm also lacking that significant other. Somebody to just hang out with. Have sex with. Make food with. Watch movies with. Play games with. Go sightseeing with.

I've stitched together a patchwork quilt of whatever I can get, in order to just about cling to life with my fingernails, but it's inadequate. That's not to say I'm not ungrateful for those occasional invites to hang out and do stuff. It's just not enough. I thrive on face to face social contact, and I'm not getting enough.

To further compound problems, the team I've been managing at work are all in the Far East, so I don't even get proper face-to-face social contact at work. I sit at my desk, lonely and bored. I've helped to create a great culture in my team, but I don't really benefit from it, because they are quite literally 6,666 miles away (I just looked that up - I love that fact!).

In desperation, I made compromises that are just not acceptable, sustainable. I took a job that pays well and is very easy, but doesn't provide anything other than the money that I need. I made other choices because of the desperate need for something rather than nothing. There's an opportunity cost. If I'm in a job that I hate and drains my energy, then I don't have the time and the motivation to get something better.

In a way, it's good that a couple of things are coming to an end, because it's prompting me to go after the things I want rather than the things that I took through desperation. Of course, I'm grateful to have the money, and the support that I've received, but you make different choices when you're in deep shit.

So, on Thursday 22nd September, 2016, I will have completed a year of blogging, 6 months 'clean' and my 6 month employment contract will be over.

On Thursday 22nd September, 2016, I will have 1 out of 7 of the things that I need, with the threat that I will quickly lose even that one single thing.

Without a job, I'll have more expenditure than income. I need to pay rent, bills, service debts. I need to replace worn out clothes and things that break. I need to buy food and toiletries. Life is not sustainable in Western society without income.

I don't have savings, but I do have creditworthiness. Yet again, I will have to borrow money in order to keep my head above water. I have no financial safety net. What I have instead are commercial lenders who are prepared to extract their pound of flesh so that I can avoid homelessness and destitution.

If you think I could have saved more money than I have done these past months, you are mistaken. Without a short holiday, I would never have lasted the extra months. Without alcohol, I would never have coped with the stress and anxiety. I could have penny pinched on my accommodation, but can you imagine how awful it is living in a hostel when you're working full time? I worked, slept and ate. How far has it got me? Well. Probably about 50% of the way towards financial security.

I need to take a break, because my nerves are frazzled and I'm exhausted.

I doubt any contract could be as bad as the job I'm about to finish on Wednesday. For my next contract, I'm going to look for something where I'll be working with a team in London. I need a much more interesting workload. Being bored to death is no way to die.

With money comes the opportunity to travel, socialise, make the investment in a new hobby. With a more tolerable day job comes energy and enthusiasm for each day. With a more liveable life comes the freedom from drink, drugs and medication, in order to simply get through the day.

It's a fucking nutty strategy, to go for the big win. What you just don't understand is just how close to irreparably broken my life is. You just don't understand what it's like to not have so many of the elements that prop up your life. Look again at the bullet pointed list above, and score yourself. How many of the things you need do you have?

Look back at the last 4 weeks of your life and ask yourself this:

• How many nights were you homeless? - zero, I presume
• How many days did you work? - I'm guessing somewhere around 12, on average
• How many times were you in contact with your family? - I'm guessing at least 4
• How many days did you see friends face to face? - I'm guessing at least 8
• Did you make more money than you spent? - I'm guessing at least breakeven
• How many times did you do something 'fun'? - I'm guessing at least 4
• How many times did you have sex or snuggles? - I'm guessing at least 8

Those would seem like adequate answers to me. If you're hitting those numbers, your life is probably just about OK. Less than that in one area, maybe you can make up for it in another. For example, you might have been out of work and losing money, but at least you were surrounded by your loving family a lot more of the time, because maybe you were staying at home looking after the kids.

I'm certainly not saying it's easy being a stay at home mom or a househusband, but suicidal depression can come about through death by a thousand cuts. All the little things that are wrong in your life add up to an unbearably horrible situation.

In some ways I'm relishing next Thursday, because I can sleep and recharge my batteries. With spare time that's completely free from artificial structure, such as having to be in a certain office at certain times of the day, then I can start to relax and decide what I want to do next.

The obvious thing to do is to get another lucrative contract, and work for at least another 4 months, so that I can get a cushion of savings to support me in pursuing a passion. Without being able to underwrite my own risk, I have zero faith in my family or government to support me if I fall on hard times. I have a friend who's offered me some financial support, but I think it's unethical to accept it because then I'm borrowing from their safety net.

In this individualistic society, nobody parachuted in to rescue me when I was homeless, destitute. Nobody came to rescue me. Nobody came to my aid. Help was not forthcoming. Even when I had letters from my doctor, my psychiatrist, my social worker... all begging for the government to support me as a vulnerable person with mental health problems, the people I dealt with were unhelpful, obstructive and ultimately just wasted my time and effort even asking for the support that I was entitled to, because of their legal and moral obligations. Those public servants' salaries are paid for with my goddamn taxes. I've paid a lot in, and when I needed it, I could get nothing out.  It's down to me to support myself. I might as well be living in some developing world country, where at least the cost of surviving is lower.

People who warn me to stay within easy reach of the National Health Service for mental health reasons, are just naïve. I've been round and round the system many times since becoming clinically depressed in 2008. The system is bullshit. There is no safety net if you're a single man.

And so, I must play russian roulette with my life in order to support myself. The upside is OK: I might become wealthy and comfortable again, in a relatively short timescale of just a few years. The downside is horrible though. Can you imagine how much time I've spent thinking about how I'm going to kill myself? Can you imagine what it's like to spend a significant proportion of your waking hours feeling so awful that you pretty much want to die?

I swear if one more person tells me to go to my doctor and get some magic beans I'm going to scream. STOP MEDICALISING NON-MEDICAL PROBLEMS. The problem is clearly outlined above. I don't have broken brain chemistry. My brain has correctly identified the problems in my life. There are no short cuts. There's no way to cheat the sytem.

Of course, there is a short cut.

Drugs will tell your brain you feel loved. Drugs will make you feel relaxed. Drugs will make you feel happy. Drugs will make you feel contented. Drugs will tell you that you don't need friends. Drugs will tell you that you don't even need to eat or drink. Drugs will tell you that everything is fine.

Everything is not fine, so I don't want drugs - and by that I mean medication too - to tell me that things are fine. Things are not fine. I almost need these awful feelings to prompt me to get a better job, find some new friends, get a girlfriend, get a hobby. It's just that financial circumstances have constrained me more than you can possibly imagine.

Imagine if I'd declared bankruptcy at the start of the year. That would have been a stupendously dumb decision, in hindsight, wouldn't it? I'm presently not bankrupt. Presently, I have enough money to clear my credit cards, my overdraft.

Of course, my position can't last. You have to run just to stand still. I'm losing my job, and that means I will quickly go into debt again.

"Get another job then"

Guess what, Einstein... that's what I'm going to do. Even though I'm suicidally depressed, overcome with anxiety, I'm going to go and get another motherfucking job you c**t. Even though I'm technically entitled to disability benefits and a council house because my mental health is so debilitating, I am able to do these crazy raiding missions to go and gather nuts before my brain explodes and it all comes crashing down again. I'm locked into this boom & bust cycle. No wonder my bipolar disorder is so exacerbated.

And so, round and round I go. Up & down. Boom & bust. Highs & lows. It's not a medical problem. Its the motherfucking dance I'm forced to do by this farcical society. This is what you get when you don't support people. This is what you get when you isolate people. This is what you get when you only look out for number one.

"The pills will help you stabilise"

No, they won't. Have you looked at the long term studies? Have you studied the data, the clinical outcomes? Have you done the research? No. Of course you haven't. You just have this bullshit belief in the power of medical science. If I had an infection, I'd go to my doctor for antibiotics to treat it. I don't have a fucking infection. I have an allergy to shitty unbearable unliveable life.

I've tried all the meds under the sun. I know what life on medication is like. I've had tons of doctors and psychiatrists. I've tried tons of therapies. It's all a crock of shit. The fundamental problem is the fucking shitty world. Look around you; do you like what you see?

I'm not going to change the world begging on the street with a cardboard sign. I'm not going to change the world by impoverishing myself. I'm not going to change the world by trying the same things that people have tried for hundreds of years, without success. Only an idiot tries the same things expecting different results.

So, I'm on this crazy journey. I'm hoping that by next Wednesday I might have managed to write 365 blog posts, and probably around 450,000 words. That might not make a difference to you, but it's surely making a difference to me. It's probably making a difference to somebody, somewhere. I have visitors from around the world, reading what I write. Even if it's absolute garbage, it's better than just being a helpless spectator. Even if you think I'm an irrelevant bleeding heart lefty liberal who doesn't amount to a hill of beans, at least I'm composing my thoughts. At least I have a belief system. At least I have values and things that I passionately believe in.

It's very hard for me to come up with a reason why I'm struggling along at the moment. Why am I putting myself through this awful shit? Why don't I just kill myself, and then the pain will be over? Why don't I just give up, and relapse back into drug addiction?

Actually the second one is fairly easy to answer: somebody who dies of drug addiction is easy to discredit as a 'dirty' junkie. Somebody who's 'clean' and has just completed an important project for a major corporation, in a valuable role, and has set their financial affairs in good order, is a rather more inconvenient and difficult problem to find a soundbite to toss them into the gutter.

I want to be a thorn in the side of every selfish c**t out there who wishes their fellow humans dead. I want to shame people into action, from their comfortable existence where they don't even lose sleep over every homeless, hungry struggling person in pain and suffering out there.

Where the fuck are people when those around them are in distress? Who the fuck do you think is going to sort problems out, if it's not you?

Even though I could have put my tax money to far better use supporting myself, rather than paying the salaries of people who tell me they're not going to help me, I'm still glad to give away a substantial proportion of my income. However, I'm not buying a clean conscience. It's not like I pay my taxes so I can watch my friends become homeless and mentally ill, and assume that the council and some doctors are going to wave their magic wands and make it all better.

What the fuck happened to the empathy? I think I would offer to let somebody sleep on my couch, lend somebody money or go and visit somebody in distress, before I even experienced horrible things first hand myself. I had quite a comfortable existence up to the age of 32 or thereabouts, but I didn't think it was big OR clever to sit on my fucking arse not doing anything when people were suffering.

Those who have been kindest are those who have suffered the most, which makes me detest the comfortably off for their lack of empathy, their lack of humanity.

If humanity is destined for a situation where we let even our own family members and friends flail and drown, then I'm pleased that climate change is going to wipe you miserable c**ts out of existence. You don't deserve to survive, if your "I'm alright Jack" attitude is the prevailing one. I hope you and your kids and grandkids die slowly and painfully if you spawned more mouths to feed with not a single concern for anybody else.

Believe me, I do observe how happy and fulfilled my friends who are parents are, even if they complain how hard it is being a parent. Did you forget that we live in the age of birth control and abortion? You chose to have kids, and no matter what you say, you do get immeasurable benefit from having them. You have happiness and security, knowing you procreated. You have a flood of oxytocin when your cute kids throw their arms gleefully around you.

Believe me, I do observe how happy my friends are to own a dog, even if they complain about having to pick up the poop and hoover up the hair and other mess. You chose to have another carnivore on the planet, eating meat that meant that food for livestock was grown, rather than having more food for those who are starving, and depriving the planet of those extra trees that remove carbon dioxide from the atmosphere. Having a pet dog is selfish as fuck, but I do see how nice it is to have your dog playfully jumping with joy to see you, and throwing sticks in the park for them to fetch.

I can see that there are choices that benefit me as an individual hugely, but I choose not to take them, because I'm responsible for more than just myself. I don't believe that collective responsibility is something that naturally follows from individual responsibility. In fact, I see that the two things are naturally opposing.

Can't you see the fucking trends? Of course you do, but you just don't want to believe it.

You don't want to give up eating meat. You don't want to adopt instead of having your own biological children. You don't want to stop driving your precious little darlings around in a gas-guzzling 4x4 "because it's safer for our family". You don't want to plant trees instead of having a pet dog. You don't want to do anything different at all, in fact, even though you're fucking everything up for your kids and your grandkids.

That's why I'm depressed. That's why I'm suicidal. That's why I'm stuck in a hole I can't get out of. That's why I'm desperate and driven crazy by all this bullshit. That's why I'm doing things that are atypical... because the typical is what got us into this fucked up mess in the first place.

I don't care whether you're religious or not, but imagine some future judgement day, when it's obvious that the planet and the future survival of the human race is clearly doomed: will you say that you went along with things, supported the status quo, or did you try and change things? Did you at least act differently? Did you at least try and help in a way that's less pathetic than recycling your bottles? Did you help anybody other than the fucking clones you spawned to replace yourself?

Note: I'm not anti-parents. I don't hate my friends. I'm not some "wake up sheeple" fucktard. Dismiss me if you like using some convenient label that you were taught to use by those who wish to perpetuate the status quo.

If you're not acting with your conscience, or at least kept awake at night worrying about this shit, that's unconscionable.

You probably should worry about me. No doctor in a white fucking coat is going to make everything OK. It's not a medical problem. It's not a government problem. It's everybody's problem, including mine, but it's more than I can handle on my own.

Tags: #suicide #depression #mentalhealth #climate #politics #capitalism #homeless