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Lives of Quiet Desperation

5 min read

This is a story about the looking glass...

Mirror selfie

What do you see when you peer into somebody's life through the prism of social media and the mask they wear at work? How well do you think you really know somebody, from the things that they choose to tell you, and from the side they choose to show to the public?

What do you know about me? Director of my own company, lucrative consultancy contract, flat on the river in central London, under 40, own hair, own teeth, no obvious disabilities. Brilliant! Perfect! Spiffing!

I don't even want to ham up the whole invisible disability thing. It's true, you can't see my depression, anxiety, bipolar. You can't see what my childhood was like. You can't see what struggles I've had in the past, to reach where I am today. You can't see my finances. You can't see my family pressures. You can't see the emotional baggage I'm trying to deal with. You don't even know what my daily existence is really like.

I'm not saying whether those things are good or bad, what I'm saying is that you're in no position to sit in judgement.

It's not a competition. It's not like I need to show you videos of me as a little boy, being sexually abused by my uncle [not that he did that] just to prove to you that I'm a worthy cause. How can anybody really say who is struggling and suffering more than somebody else? There is so much that is invisible, imperceptible.

There is no way to measure our distress, and to gauge who is worthy and who is being some kind of spoiled bratty person who should just shut the fuck up and go away. Count your blessings! Just be grateful for what you have! Look on the bright side! Cheer up! Chin up! etc. etc. ad nauseam.

Do you really want to take the chance of browbeating somebody and making them feel guilty for being desperately depressed and overwhelmed by their situation, until the moment that they take their own life? Is that really your preference, that people should just shut up and try to count their blessings, force their chin up and put on a mask of fake happiness, until they finally crack and they're gone?

Oh yes, isn't this so terribly melodramatic. Oh isn't it so terribly attention seeking. Oh wouldn't we all like to complain about our lives, and our lot in life, and our stress and the competing demands for our time and our money, and how emotionally and physically drained we are, and how we can barely cope. Oh me too, and you don't see me going on about it blah blah blah.

Well go on then.

Go on. I'm not stopping you. In fact, I encourage you to speak up if you're having a hard time and I will listen. If you're really at your wits end, I will find you and I'll make time for you. I know what it's like. A cry for help is a cry for help. Would you ignore a drowning man? Oh! It's just a cry for help! If he was serious about drowning he would have sunk to the bottom of the lake and be dead!

Cry wolf. YOU LEFT A LITTLE BOY WITH WOLVES FOR FUCK'S SAKE!

You know what it is, when people tell people with depression and crippling anxiety to shut up? It's bullying, plain and simple. People are being bullied into not talking about their distress. The bullies don't like attention being diverted from their narcissistic selves, so they bully people who are in genuine distress, using insulting terms like "melodramatic" and "attention seeker".

You wanna know what's attention seeking? Demanding that attention not be shown to those who are crying for help. Implicitly, by saying "don't look at them" you are saying "look at me". Yes, that's right, you're saying "don't look at that person who is yelling for help, look at me instead, aren't I fabulous?".

Guess what? You're not fabulous for having your shit together and no problems. If you're fabulous and have got your shit together, then try helping others who are less fortunate than yourself. What is Facebook and social media for? "I'm so pissed off because you're filling up my news feed with all your depressing stuff" = "make room for more selfies of me having a wonderful time".

When somebody is casting out for connections on social media, they have probably reached the limit of isolation. Social media is the last toehold that a person has in the world. They probably don't have friends, family and other healthy relationships that they can turn to in their hour of desperation. There's a reason why they're turning to social media, and it's not because they're an attention whore, looking for 'likes' on their shit.

It's rather tragic that I even have to explain this, and I know that the people who I have in mind when I write this have already switched off, because they're not tagged in a photo of them, smiling in the sunshine in their perfect fucking lives.

Is this whole essay based on jealousy of those who made smart life choices? Is this whole essay ignoring the fact that there are starving African children? READ IT AGAIN YOU FUCKING A-HOLES.

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3 Graphs: My Mental Health

5 min read

This is a story about ups & downs...

Bipolar II

I used to quite enjoy my hypomanic episodes. I haven't had one for over 8 months though, and I'm beginning to miss the energy, focus, enthusiasm, fast-paced thinking, creativity and passion for something, anything.

When I average out the amount of time that I would spend hypomanic versus the amount of time I would spend depressed, you'd think that it's something you wouldn't want, because my episodes of depression were always far longer than my episodes of hypomania. However, I never wanted to give up those hypomanic highs, even though my episodes of depression have been brutal and I've nearly taken my own life.

Some people ask me "aren't you just experiencing what every human experiences? Joy and sadness?". Here is a graph that kinda explains the difference between Bipolar and 'normal':

Normal mental health

Do you see much difference?

The first thing I should draw your attention to is the range. The red line never reaches the dotted line that signifies hypomania and depression. In any given moment, you might be happy that your sports team just won a game, or you might be sad because somebody ate all the cakes, but this is a normal range of moods. In normal life, you're not spending every cent in your bank balance, taking crazy risks and undertaking insane projects at breakneck speed. In normal life, you're not unable to work or socialise, and on the brink of suicide.

The second thing that I should draw your attention to is the irregularity of it. It's unpredictable, because it's dictated by external events. Who knows when a friend is unexpectedly going to drop by and say "Hi!" which will lift your mood. Who knows when your boss is going to say something's wrong with your work, which will make you upset. These events are unpredictable, because they come from the world at large, which is also unpredictable. This is normal life. Normal life is unpredictable and exciting.

With my Bipolar II, I know that every episode of hypomania is going to be followed by a crash. I know that my hypomania is going to last a few weeks, maybe a month and a bit. I know that my depression is going to last anywhere between 6 weeks and 6 months. These episodes are monotonous. Sure, good stuff and bad stuff happens during those episodes, but it does little to affect my prevailing mood.

This year I seem to have had the longest depression of my life. It's given me somewhat of an appreciation for what it must be like for people with Unipolar Depression. Here is a graph of what my life looks like at the moment:

Unipolar Depression

Looks pretty bleak, doesn't it? Unrelenting depression, and only very brief moments where I feel OK. Look how sharp those spikes are. Surely my life can't be that bad?

Well, look at it in these terms: we are now in July. That means that in 2016, I have had 7 months of this shitty feeling. January to April, it was understandable that I was depressed, right, because it was shitty winter, I was unemployed and I was stressed about running out of money and being evicted out of my apartment onto the streets. You can surely empathise with that situation, and agree that it would be pretty depressing?

So what about May, June and July? Well, I've been working a job that I took out of desperation. My mental health really does not permit me to be working a shit job full time, because I'm exhausted and demotivated, due to the aforementioned depression. But what about all that cash I'm earning? Shouldn't I be happy - glad - to have a job again?

Well, I'm working to replenish my savings. I'm working to pay off debts that I ran up when I was unable to work. I'm working to literally stand still.

But what about fun time?

Well, look at it this way. There are 120 hours in the working week. Let's look at my lunch hour: that's about 4% of the time. So, 96% of the working week is not lunch hour. Another way of looking at it is Saturdays. Saturday is the only day of the week where I'm not working or anxious about going back to work. That means that only 1/7th of the week is somewhat free of anxiety. What about holidays? Well, 7 months have elapsed this year without a holiday. Let's say that I take a 1-week holiday. Leaving aside the fact that for the whole week I'll be dreading going back to work, we are only talking about 1 week in 30. That's right... I'm only on holiday 1/30th of the time.

Things will improve when I have money in the bank and I can afford to take more time off (I don't get paid holiday and I also have loss of earnings while I'm away) but predominantly, my life this year has been monotonous depression.

I'm dying for my mood to swing to the other 'pole' and to enter a hypomanic episode. Depression is literally killing me.

 

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Neuroplasticity

6 min read

This is a story about self healing...

Messed up

Does brain damage mean game over? Is it right to write off somebody who has suffered brain lesions, neurotoxicity, a stroke etc. etc.?

At one time, my left eyelid had started to droop and I had a pretty bad facial tic. My body jerked and shook with pseudo-Parkinsonian symptoms. My speech was slow and slurred. No wonder I was treated as if I was as good as dead, right?

But you know what? With good diet & sleep, you can quickly recover your heath, depending on the severity of your situation.

Bizarrely, I was able to get a job and get through an eventful and highly stressful re-entry into the working world, while my poor brain was busily trying to repair itself. How is that even possible?

I've done the same job for the best part of 20 years. In fact, my friend Ben taught me how to program a computer when we were 12 years old, and I'd been messing around with computers since my first forays onto my friend Joe's Dad's Apple Mac, in 1985.

With repetition, your brain lays down pathways that become more permanent with age. Neural pruning - the loss of less used connections between brain cells - makes your brain into something that has become well adapted for the common tasks you perform. Some people call this "muscle memory" but of course it's your brain, not your muscles, that has the memories. Practice makes permanent, as they say. Just like riding a bike.

So, I relied on instincts and techniques, knowledge and experience that has been unchanging for my whole working life. I still use the same job search technique, the same interview technique, and the job of developing software is unchanged, despite the constant creation of new acronyms and jargon for things that do exactly the same job in exactly the same way.

Just like riding a bike, I was able to navigate the corporate landscape and just about get away with a day job that involved my damaged brain pulling the levers to operate the battered mince-puppet that was my body, in a vaguely convincing way, to cover up the fact that I was basically at death's door.

With physiotherapy for the body, your recovery can be improved, and I'm sure that brain training exercises would be useful for those with brain injuries, but the stimulation of trying to get myself off the streets and escape bankruptcy and destitution was challenging and stimulating enough.

Fundamentally, time is the great healer. The brain is a homeostatic organ that will try to restore itself to a stable base state, once external forces are no longer pulling it hither and thither. I was able to have nearly 6 months abstinent from stimulants and over 3 months abstinent from alcohol, in order to give my brain a fighting chance of finding equilibrium again.

But, just as important as cessation of putting powerful narcotics into my body, was stopping drinking tea & coffee, as well as other caffeinated beverages. Even though my brain screamed out for stimulants, because it was going through withdrawal, they are terrible things when your brain needs to adapt and heal.

Caffeine is very bad for your neuroplasticity. That is to say, the ability of the remaining undamaged neurons in your brain to try to compensate for whatever trauma it has suffered, and repair itself. Caffeine impairs your ability to recover.

If you have some boring repetitive task to perform again & again, then caffeine is your drug. Once you've mastered the simple steps that most jobs require, the boredom becomes unbearable. Caffeine solves this problem, and allows us to maintain concentration on the most mind-numbing dumbarsery that ever disgraced the working world.

Most of the world is just doing stupid shit, time & again, because they're in a trance-like state performing repetitive actions and making the same old mistakes over & over, because they've medicated themselves up to the eyeballs with the powerful stimulant called caffeine.

By stopping my caffeine intake, I was able to recover from the symptoms of fairly harrowing neurological damage, spot patterns in my behaviour and even re-learn new healthy behaviour. I genuinely believe that this would not have been possible, with caffeine in my life.

I did supplement my diet heavily with amino acid building blocks:

  • 5-HTP to help my serotonergic system
  • L-Tyrosine to help my dopaminergic system
  • Phenylalanine to help my adrenal / epinephrine system

I ate vast quantities of biltong (dried beef) and other protein supplements, to give my body everything it could possibly need to repair itself, and replenish its stores.

In theory, I should have been left in a permanently psychotic state, with delusions, paranoia, inability to emotionally regulate, facial tics, poor concentration, poor memory, nerve damage on one side of my face etc. etc.

However, I put out the fire before it consumed me. When somebody is sick, you don't write them off and watch them wither and die. That's immoral!

I was watching a Louis Theroux documentary, and one hospital patient they followed was declared brain dead after he asphyxiated from a heroin overdose. The doctors were absolutely certain there was no hope, and that the life support systems should be switched off. I agreed, and I thought it was madness that the family were holding out any hope at all. After 37 days, the young man in a coma woke up. His family saved him from a premature and unnecessary death, by refusing to cut off his life support.

My life support has come in the form of kind strangers, policemen, nurses, doctors and indeed unwitting work colleagues, who have been willing to overlook the immediate situation and imagine that things can and will get better, given time and opportunity.

I'm physically, neurologically, a completely different beast to who and what I was a little over a year ago, when I was totally fucked.

 

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Hit & Miss Quality

4 min read

This is a story about writing stuff that people want to read...

Cartoon Doggo

Firstly, let's start with an apology. What I wrote yesterday evening was total rushed junk. I shouldn't bother writing if I only have a tiny bit of time sandwiched in-between other commitments, or if I've got somebody peering over my shoulder. I really dislike what I write when I'm pressured.

I was tired and cranky yesterday. I had planned to spend the day on the sofa watching the Wimbledon men's tennis final and the Euro 2016 final, while getting drunk. Instead I was at a restaurant where you had to stand and queue to order your food and watch it be cooked in front of you. There was limited novelty, when I would really rather have been sat down with a waitress bringing drinks to me.

Anyway, I've got a bunch of topics that I want to write properly about. I want to write directly about my experiences, rather than these long ranty opinion pieces that would bore almost anybody to tears.

Upcoming topics include:

  • The Dark Web
  • The paradox: hard work vs. high wages
  • My ongoing experiments with abstinence from caffeine and alcohol
  • The trials & tribulations of being unmedicated for Type II Bipolar Disorder
  • Will this damn depression ever lift?
  • Am I going to go hypomanic again?

Writing serves the purpose of giving my life meaning in an uncaring world and while working a day job that consists of endless pointless IT projects. Writing is my means of having some kind of insurance policy, in case I decide to suddenly end my own life. Writing is my mechanism for trying to articulate my distress and invite people to engage with me once again. Writing means that I'm an open book, and you can dip in or tune out, as you please.

My purpose has been very confused. Am I writing to shame and embarrass my parents, in retaliation for everything they inflicted on me? Am I writing because I'm lonely, depressed, suicidal and I've run out of ideas for how to connect with the world? Am I writing to have a soapbox, in order to broadcast my opinions? Or, am I writing in order to share my colourful life experiences, in the hope that others who are going through tough times might benefit. Hopefully, it's the latter.

So, as I now start to think about the final couple of months of daily writing, to round off a complete year, I'm starting to figure out when is a good time of day to write, to fit with my work schedule and other commitments. I'm starting to figure out things that I'd like to write about, not because I've got an ulterior motive, but because I've got some interesting experiences to share.

I might have totally turned off a bunch of people whose opinion I value very highly, and made this piece of writing into an impenetrable rat's nest of deeply troubling psychological issues, but perhaps I can start to shape and hone things.

I've prematurely declared that I'm going to turn over a new leaf and bury the hatchet too many times, so I'm not going to make any more proclamations of that nature. However, I don't regret going on this extremely eccentric journey, and the incredibly personal things I have revealed about my twisted psyche.

This could all be summed up as writing therapy that has been done in the public domain. But isn't it so much more interesting and a little exciting, to let it all hang out in the breeze? How more publicly could I wear my heart on my sleeve?

"For God's sake, don't encourage him" I imagine people saying. This makes me chuckle, and spurs me on to dredge the depths of my deeply repressed painful memories. Where will it lead? I have no idea.

 

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Alcohol as a Mood Regulator

3 min read

This is a story about counterintuitive results...

Pint in the pub

Conventional wisdom tells us that sobriety is the route to salvation. If you're being treated for substance dependency, most approaches are abstinence-based. But what if these approaches are totally wrong?

I had 'too much' to drink last night, but yet this morning I was on time to work for the first time in ages. I was also on top form during a 2 hour meeting that was highly pressured and intense. Clearly my work performance, my productivity, was improved by alcohol, rather than hindered.

Alcohol works for me as a substance that I can titrate the dose of to control my mood fluctuations. When I quit drinking last year, my anxiety levels became unbearable after 30 days sober, and I had to go into hospital and be on suicide watch. I then went hypomanic and quit a well paid job, and did a bunch of other mad shit, before finally relapsing onto hard drugs and slashing my forearms with a razor blade, after 101 days sober. Hardly an encouraging result.

The fact of the matter is: my job is boring and shit. My life is empty, unfulfilling and stressful. Of course I need something to help me cope with an intolerable daily existence. How the hell am I supposed to get through the crap I'm going through without a chemical crutch.

Just about everybody you know has some kind of substance that they depend upon to cope with modern life. Maybe it's antidepressants, sleeping pills, tranquillisers, opiates. Maybe it's cigarettes, tea, coffee, coca-cola, Red Bull, beer, wine, spirits. Maybe it's cannabis, cocaine, amphetamines, heroin, MDMA, GHB, M-CAT or any one of the myriad other legal and illegal drugs. Humans love drugs.

Clearly, I know what my 'drug of choice' is, and I know that there's no way that I can use it in moderation. Thankfully, alcohol is not something that I've struggled to live without, except where life choices that are forced upon me - such as having to work a shitty job - demand that I find some kind of coping mechanism.

I don't have any kids or pets, so I get no natural endorphins. I don't have any time or money to pursue sports or go to the gym, so I get no natural endorphins and adrenalin boosts. My job is dull as ditch water, so I don't even get any kind of thrill from my work.

But, good news! I've found a formula that worked for me for years & years & years & years: self-medication with alcohol.

Yes! Hurrah for alcohol. It kept the lid on my hypomanic episodes for years.

Basically, the reality that we must all face up to, is that modern life is so fucking shit that we've all got to be drugged up and drunk to get through it.

I could get my cat back from my parents, and get some plants to water and care for. I can soon get a car and some new kites, and go and get my adrenalin and endorphin fix at the beach. However, without those things, I'm forced into puting chemicals into my body, to allow me to keep my shitty job and keep functioning in this crazy society that values corporate profits more than mental health.

My life really sucks, but I'd rather drink a few bottles of wine and keep my highly lucrative contract, so I can escape the rat race at some point, rather than have another repeat of last year's failed experiment.

 

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Psychiatrists Hate This One Weird Trick

8 min read

This is a story about what happened next...

Shake your meds

Ordinary person discovers this one weird trick. When they saw what happened next, they were AMAZED!!!

So, I've been accused of being anti-psychiatry, but in fact I'm not. The discovery of chemicals that can cross the blood-brain barrier and affect your perception of the world, has been incredibly important for the understanding of neurological functions, as well as the pathology of mental illness. It's also true that pharmacological interventions are priceless during episodes that would otherwise be unmanageable.

For the record, my own diagnoses have included:

  • Clinical depression
  • Type II Bipolar Disorder
  • Anxiety
  • Stress
  • Borderline Personality Disorder (BPD)

I've been treated with:

  • Antidepressants
  • Antipsychotics
  • Mood stabilisers
  • Anxiolytics / hypnotic sedatives
  • Sleep aids

Then having read a meta-analysis of psychiatric treatment outcomes by Robert Whittaker in his books Mad in America and Anatomy of an Epidemic, I decided to embark upon an unethical study, with me as the test subject. I decided to go completely unmedicated.

The general public often associate unmedicated mental health patients with some wild-eyed looney, who has slipped their straightjacket, ducked the tackles of the hospital orderlies and legged it out of some mental health institution. There is an assumption that people with mental health problems are homicidal maniacs, and a danger to the public. I'm here to dispel that myth.

Going unmedicated is not something I would ever advocate. The withdrawal effects from psychiatric medication are likely to be severe and unpredictable. It's not something that should ever be done without consulting your doctor. However, I did it, and this is my account of what happened.

Firstly, coming off medication is hard. Really hard. I've had comedowns from drug abuse that haven't been as bad as coming off anxiety medications, for example. What goes up must come down, and there's no avoiding the fact that coming off a 'feel good' medication means that you are going to feel bad. Really bad.

Fundamentally, that's why many of us take medication, isn't it? To feel normal. To feel better than we would do without it. That's certainly how I got mixed up in the whole world of mental health in the first place... because I felt terrible. I was exhausted and suicidal and depressed and demotivated and I didn't enjoy anything. I needed happy pills, because all my happy had leaked away somewhere, and I was just spending 14 to 16 hours a day asleep, and the rest of it in bed hoping that the world would go away.

The thing is, the unnatural 'happy' pills destabilised me, and my mood then swung too happy, and entered a mood cycle of alternating periods of depression and hypomania. Enter the mood stabilisers. It's starting to sound like a story about the old woman who swallowed a fly, isn't it? For those who are unfamiliar with the story, she then swallowed a spider to catch the fly, and then something else to catch the spider and so on, until she swallowed something so large it killed her.

The problem with trying to treat human moods with medications is that the brain has evolved to be homeostatic. That is to say, the brain has evolved its own mechanisms to maintain stability, and anything you introduce artificially will quite naturally destabilise those systems.

Underpants on the head

The stability of your moods can also be destabilised by supposedly normal things. We are all supposed to be able to cope with the pressure of exams, work, domestic duties and so on, but for some of us, it will all become too much. Is this mental illness, or are these 'nervous breakdowns' actually something that threaten to blight the lives of every single person? Is it a lottery as to whether the stress will become overwhelming?

I self-medicated for stress for years, using copious amounts of alcohol. Of course, at work you then have to compensate for the foggy mind caused by a hangover, so you start to drink strong coffee. I was probably having the equivalent of about 12 shots of espresso every single day. The amount of caffeine contained in those shots was practically the same as being an amphetamine addict, and indeed my boss at the time - who got me into this destructive lifestyle - had the racing speech and fast jerky movements that you would associate with a speed freak.

When I moved onto harder stimulants, including a drug that would keep me awake for over a week at a time, I found that my mind was not as robust as I had assumed it would be. I managed to induce within myself, symptoms that were unmistakably schizophrenic.

Consumed with paranoid delusions, hearing and seeing things and with completely warped perceptions, I was very mentally unwell indeed. This divided medical opinion. Some professionals wanted to treat me as if I had permanently damaged my brain, and had now become a schizophreniac. Others could see that the symptoms were likely to abate, if I just got some sleep, had some food & drink and started to detox and let my frazzled brain recover. Thankfully, the latter was the correct opinion.

Does that mean that all schizophreniacs can recover and live normal unmedicated lives? No, sadly not. I've seen quite a lot of people who have been suffering acute episodes of mental illness as a result of circumstances or substance abuse, and these people have recovered as soon as they were removed from the situation that landed them in hospital. However, there are clearly some patients who are either too badly damaged, or have some other pathology that is driving their illness, and medication is necessary to control the psychosis & mania.

Hospital Note

For my own part, I have lived without caffeine for many years now, and I try to keep alcohol consumption to a minimum. I've been medication free for a few years, but I have dipped back into both sedatives, sleep aids as well as powerful stimulants, during times of crisis. It's been a few months since the last time I dabbled with anything psychoactive, and I'm still suffering rebound anxiety and depression.

Life is incredibly hard right now. I'm stalked by suicidal thoughts all the time, and stress is almost unbearable. I would dearly love the comforting embrace of a chemical security blanket. I long for intoxication. However, despite the hard, sharp edges of daily existence, at least my emotions aren't blunted and I feel like I have wonderful mental clarity.

Every day is a struggle, and my perception of time is completely warped. I feel like this depression is going to last forever, and I assume that everybody hates me and that I have nothing to offer the world, and I'm never going to be happy ever again. However, I'm able to be very rational, and I can see that my perceptions have merely been warped by my mood, which is partly because I'm still recovering from the abuse of sleeping pills, anxiety drugs and stimulants.

It would be easy to write off my tale as that of a drug addict, but that's not really the story. In actual fact, self medication with 'bad' chemicals was only very recently, and well after I was diagnosed with various mental health problems and had already been taking 'good' chemicals (i.e. medications). All psychoactive chemicals are inherently destabilising.

Self medication is a disastrous path to go down, but all attempts to force your moods to go one way or the other without changing the environment that you're in, will be doomed to failure. I wanted happy pills so that I could remain in the rat race, and maintain a standard of living that I had gotten used to. However, what I really needed was to escape that bullshit world.

Propping up my ailing mental health so that I could continue to work a job that I hated and that bored the shit out of me was a dumb choice. Mental health is too precious to fuck about with using pills and potions. If you're not feeling great, that's probably because you need to get out in green spaces more, eat healthier, get some new friends, ditch that mean abusive partner, disown those horrible parents who never congratulate you on your achievements and always give you a hard time, and quit trying so hard to impress people and be somebody you're not.

This is my prescription for life: be myself and tell everybody to shove their ill-informed opinions about my life up their arse. Nobody's an expert in my life and how to live it, and so many of the so-called experts are actually unhappy themselves, nor are they bringing happiness to the lives of the people they advise. Judge people on their results.

Fundamentally, there is an epidemic of mental health issues, and nobody is curing anyone, so trust nobody except for yourself, and do what feels right for you.

Discharged from hospital

I discharged myself, because I was in hospital voluntarily. I've had several 'section' assessments but never been sectioned under the Mental Health Act. However, I'm an unmedicated mental health patient on the loose, so look out!

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Thorn Tinted Glasses

11 min read

This is a story about viewing the world through the lens of a mood disorder...

Blue light filtering glasses

When I'm hypomanic, nothing seems impossible. Hypomania brings big ideas and grand ambitions, and the only thing standing in my way is the stupidity and myopia of other people. Nobody seems to have the guts to go for the glory, and nobody seems to be able to keep up with me. I get frustrated at a sense of dragging other people along in my wake, having to dumb things down and spoon-feed people at a painfully slow pace.

Obviously, when I'm hypomanic, I over-estimate my abilities and I'm rather rude and obnoxious about other people. Not exactly a team player. I tend to be pretty disrespectful of other people's opinions, believing that they've had their chance, and have failed to make any significant impact. Why should I listen to such gutless wimps? Why should I listen to anybody not firing on all cylinders, like I am, when I'm riding that hypomanic high?

Another thing that I overestimate when hypomanic is my stamina. I assume that I can continue at breakneck pace indefinitely. I feel like the enthusiasm and passion that I'm feeling will carry me along, despite the huge amount of energy that is being expended. I don't walk, I run. I don't speak, I shout. I don't discuss, I decide and act. It's a blur of activity, in single-minded pursuit of a goal, to the exclusion of everything else. There's no balance. There's no downtime. There isn't a second to spare: rush! rush! rush!

But, I'm not stupid. I've been through enough episodes of hypomania now to know what's happening. So why don't I modify my behaviour? Well, part of the big rush is the fact that I know that I'll hit a wall, and almost overnight, I'll hate everything and everybody, and I'll just want to curl up and die. I will have run out of energy, and suddenly be overwhelmed by the enormity of the task ahead, and with no gas left in the tank, I'll realise there's no way I can continue without sleeping off the work binge and catching up on those lost hours of rest.

Instead of trying to work at a steady pace that could last for years, instead I try to pack work into frantic periods of rushed and hectic activity, before I run out of steam and depression hits me like a sledgehammer. Instead of being discouraged from milking hypomania for all its creativity and productivity, I feel encouraged to try to achieve Herculean tasks.

When I'm in one of these moods, lots of stuff gets done, but there's lots of wastage. Instead of planning ahead or hesitating for a single moment, I'll just do whatever I can to minimise downtime and delays. If I unexpectedly need to work through the night, I'll do that and go out and buy a fresh shirt for the following day. If I need to get some rest, I'll book whichever hotel is quickest and easiest to book. If the project I'm working on needs something, I'll buy whatever I need, whatever the price, on the assumption that it would be a waste of time trying to penny pinch.

Step Count

Can you spot the pattern in my activity? Can you see any trend that would suggest ups & downs? This is actual movement data that has been gathered over a whole year. I would never have thought my mood fluctuations would look this obvious, with hard data.

I used to keep a mood diary, but of course, when you're hypomanic you can't be bothered with the faff of it, and besides, you're not sick when you're hypomanic... at least you're convinced that you're not anyway.

I'm not sure whether I'm mostly suffering from Seasonal Affective Disorder (SAD) or whether my Type II Bipolar Disorder has simply become aligned to the seasons. It's virtually impossible to unpick cause and effect anyway. There are so many seasonal factors, such as the stress of Christmas and the fact that nothing much gets done at work during the holiday season between late December and mid-January.

Anyway, I'm locked into this cycle, where I start to emerge from hibernation around March/April time. In May I start to begin to do normal things again, rather than just being completely decimated by a sense of malaise, exhaustion, demotivation and feelings of being totally overwhelmed by mundane trivial shit. By June time, I'm about ready to work again, but in danger of tipping into hypomania at any moment.

At the moment, I struggle to get out of bed in the morning. I have a feeling of dread throughout the working day. The continuous anxiety is matched only by crushing boredom and an inability to concentrate. I flit between looking at my phone and making trips to the toilet to look at Facebook and message my friends. I read documents, but the words don't sink into my head. The phrase "what the fuck am I doing here?" is on repeat in my head. I'm struck with regular impulses to commit suicide and end the relentless monotony and unending pursuit of a seemingly impossibly distant goal of my next potential holiday.

By contrast to my hypomanic state, I assume that something is going to go wrong, and I'm going to be plunged back into the stress and pressure of looking for some more work, while the bills pile up and imminent deadlines to pay my taxes and deal with debts that have built up during my winter depression. Everything looks impossible, and boring, and pointless.

When I'm depressed, I'm absolutely convinced that my skills and abilities and experience count for nothing, and that I'm only good for the scrap heap. Even when I get a job, I feel like a fraud and that I'm going to be found out. When I make a mistake, I beat myself up about it for days, weeks even. I grimace and groan at my desk as I replay something stupid I said, over and over and over again.

I sit at my desk, watching the clock, wishing I was busy, wishing I felt useful, wishing that the feeling that life was completely pointless would go away, and feeling like death wouldn't be so bad, because there's no way I'll be able to put up with months and years of just turning the pedals, over and over and over again. The same commute, the same routine, the same colleagues, the same game, the same formula.

Bipolar memory

How on earth am I going to cope with feeling so bored and unchallenged, and so uninspired and so lacking in passion and like such a fraud and like I'm wasting away, and like there's no way I can stand even the next few minutes, let alone the next few hours, let alone the whole day, let alone the whole week, let alone the whole project and the whole contract, and the whole career? How the hell am I supposed to keep doing what I do?

I could drink coffee, which aids my concentration and motivation, but as soon as I do that I'll start getting big ideas and getting really bossy and overconfident, and before you know it, I'll be hypomanic again. Coffee always stokes my hypomania up. Also coffee stops me from sleeping, so I start drinking alcohol to get to sleep... and before you know it I'm knocking back copious amounts of both caffeine and alcohol to get through the shitty work.

Once I start drinking alcohol, I start having days where I wake up massively hungover, but weirdly I can get up and go to work. I find it easier to get up with a massive hangover, and easier to sit quietly at my desk getting on with my work, when I'm just about holding down my breakfast and I've got a pounding headache.

I think that drinking lots of alcohol regularly means that I've always got booze in my system, and it works like a kind of anti-anxiety drug. I feel super sick and stuff, but it gets rid of that sense of dread. By the afternoons, I start to sober up and my hangover goes, and I'm really happy and productive. When I get home, then I start to get the sense of dread about going to work again the next day, so I start boozing all over again, and end up going to bed pissed again. The whole cycle repeats itself.

Alcohol and work seem to go hand in hand for me, and it seems to stop me from being such an obnoxious prick and pissing everybody off before finally chucking in the towel on a perfectly good job. I've gotten used to using alcohol to bring my hypomania and anxiety under control. It's a massive crutch for me, and the temptation to use it is massive, when there's such pressure on me to perform and earn money and not fuck up yet another job.

I know that I could quite easily return to a tried-and-trusted form of mood stabilisation, using caffeine to get me moving when I'm deep in an exhausted depression, and alcohol to bring my hypomania under control when my brain is starting to get a bit over-excited, or anxiety and boredom are threatening to make life unliveable. However, these things led me to a massive breakdown eventually, which I'm sure was caused in part by massive amounts of these two innocuous chemicals.

When you're drinking 12 espresso shots during the day and two bottles of wine at night, everybody's chuffed to bits with your work, but surely you're just screwing your body up for the sake of making some money while you're young enough to cope with that kind of beating.

I value my liver and my mental health now, not that I have much of the latter. I'm struggling virtually all year round with a mind that tends towards either suicidal depression or self-sabotaging and career-wrecking hypomania. I've trashed my financial security, meaning I now have extra added stress and hassle that I could really do without, but I don't think resorting to self-medication will be good in the long run.

So, I remain caffeine free and I'm trying to wean myself off alcohol. Today is my 3rd consecutive day without booze. It might not sound like much, but you probably can't imagine the kind of pressure I'm under, with life very much hanging by a slender thread.

My days pretty much start with deciding whether to kill myself or not, and they don't improve much from there. The evenings and weekends are good, when I can see friends, but possibly it's also been the excuse to drink that's also played a part.

I need to get a handle on booze, but I also want my moods to be manageable. However, I also need to earn money and be able to cope with work. It's a Catch 22.

My gut feel is that I'm just going to stick with my harsh regimen of zero caffeine and very moderate booze consumption - ideally no booze at all except on a Friday & Saturday night.

Coffee

Clearly, I'm just emerging from under the cloud of a very severe depression, especially as I slashed my own arm with a kitchen knife because the sense of hopelessness and relentless anxiety in the face of overwhelming odds stacked against me, was just so unbearable. Things look a little brighter, but now I'm starting to worry that hypomania will suddenly rear its ugly head, and I'll sabotage everything, like usual.

However, I do still refuse to medicate myself, merely to cope with the bullshit life that we're expected to live. I'll play the game as best as I can, but my brain is not for sale. Hopefully one day, I'll be able to better align my needs and my values with my work, but for now, I have to do some stuff that's pretty incompatible with good mental health.

One big thing I've learned from this rollercoaster ride, is to not expect change to happen quickly. Thinking things will change overnight has led to frustration and disappointment, which has either triggered further depression or has spurred me into regrettable actions. Thinking that I can use the blunt instruments of medication, drugs, legal highs, caffeine and alcohol to force my moods to bend to my will, has been very hard on my body and mind, and has only achieved very temporary effects, for horrific long-term costs.

Unfortunately, returning to stable mental health, a sense of wellbeing, comfort, happiness, security and an acceptable standard of living, has always required more luck, more time, more favourable conditions than I've ever been granted. I'm not complaining - we all face the same harsh and uncaring world, after all - but I recognise that modern society does little to allow people who get sick to ever re-enter the game.

Stop the world, I want to get off.

 

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Melancholy and the Infinite Madness

16 min read

This is a story about the descent into darkness...

Craft Motorbike

The first time I couldn't work due to depression, it came out of the blue. I had started a new job, and it was actually really interesting. I was quite enthusiastic about what I was doing, and empowered to grow into a new role. Spring was turning into summer, and so I had the seasons in my favour. What happened next was a surprise to everybody, including me.

One morning, I couldn't get out of bed. I'd had problems getting up early for work, but this was different... I couldn't face the day. As soon as I'd admitted defeat - that I definitely wasn't going to make it into the office that day - I was somehow a changed person. It was like a dam burst. This problem that I had been barely coping with was suddenly unleashed, after 11 years of steady 9 to 5 grind and reliable service in the name of the corporations I worked for.

People talk about nervous breakdowns, and I guess that's what had happened. All of a sudden, and with little warning, I was sick... but this was an invisible sickness. I felt it, and I couldn't overcome it, but I didn't believe it was real. I thought that it was fake. I felt like a fraud.

In the UK you can take up to 3 days off work without a doctor's note. After 3 days, I knew deep down that there was no way that I could possibly go back to work, but what was wrong with me? This was highly unusual for the dependable grey-suited regular 9 to 5, Monday to Friday office Joe Bloggs, that I was. 11 years of full time work and 13 years of full time education. All I knew was getting up and going to a dictated place, on the treadmill, in the rat race, following orders.

To summon the effort to go and see my doctor took the whole of those 3 days. I knew the problem was more severe than just not feeling very well. I knew it was more severe than a day off work was going to cure. I knew that something was seriously wrong, but I couldn't express it... I had no language to explain the brick wall that I'd hit.

It was so unlike me to be lacking in energy, in purpose, in motivation and to neglect my duties, my responsibilities. It was so unlike me to not do the work. I'd had a nearly 100% attendance record at work and at school and college. Bunking off wasn't in my vocabulary. Not doing things I didn't like wasn't something I ever considered as an alternative.

I went to the doctor. I sat down and explained that I was tired. I was more tired than I'd ever been in my life. I couldn't cope. I couldn't turn the pedals of the cycle anymore. I couldn't do what I'd always managed to do, which was to drag myself out of bed, and go to school, college or work, no matter what. It hadn't mattered whether the bullying was unbearable, or the stress was intolerable, the pressure relentless... I had been that guy, that perfect student or dream employee, who always turned up and did their work, like a good little boy.

Within a couple of minutes of me explaining my unexpected interruption in my perfect attendance record, and inexplicable fatigue, my doctor said "have you heard of Fluoxetine?". I had heard of Fluoxetine: it's the generic name for Prozac, which is an anti-depressant. Fluoxetine is a Specific Serotonin Reuptake Inhibitor (SSRI) which was supposed to increase levels of Serotonin in the brain, or so Eli Lilly - the manufacturer - thought, and told the world that depressed people had unnaturally low serotonin levels in their brain. They were wrong.

Tightrope Walk

The theory that depression is caused by a chemical imbalance in the brain, is ubiquitous. We are comforted to know that there is a medical problem with us, that can be corrected with medication. It's a neat little theory: depressed people don't have enough serotonin in their brain, and with medicine it can be topped up to 'normal' levels. Sadly, it's just not correct.

Measurements of the amount of serotonin metabolites in spinal fluid of depressed people who take Fluoxetine or other SSRIs are actually lower than supposedly healthy people. The theory was proven to be bunkum, but doctors and mental health professionals still share research that's 30+ years old and has been disproven. The theory was just too popular, as well as the SSRI medication, which millions of people had flocked to as their salvation.

I had read extensively in the field of psychopharmacology and had received unconditional offers of a University place at several prestigious institutions, to study psychology, pharmacology and psychiatry. I was probably better informed than my doctor.

I knew that SSRIs were associated with emotional blunting, anorgasmia (not being able to cum) and increased suicidal ideation (thinking about killing yourself). I knew that the long-term outcomes were actually worse than placebo, in several studies. I knew that an SSRI would take 6 weeks to take effect anyway, and that was no use to me. I needed to get back to work!

So, I declined the medication that was offered to me, within just a few minutes of talking to my doctor. I was shocked by how quickly I had been offered psychiatric medication from a general physician, which would take at least 6 weeks to take effect, and I could end up taking for a long time. I felt a little failed by the health services.

My doctor signed me off for a week, and I felt a little relieved to have some time to allow my body to hopefully revert to homeostasis, and I could hopefully get back to work. I felt like a real failure, and I started to feel anxious about the impression that my bosses and colleagues would have of me. Would I be seen as unreliable? Would my name be tainted?

The fatigue and lack of motivation, purpose, persisted and I spent a week in bed, sleeping for 16+ hours. I hardly ate. I didn't open the curtains. I turned my phone off and just curled up under the duvet. Where had this tiredness come from? I had always been in good physical shape and my body had never failed me like this before. I had always had plenty of energy.

I went back to the doctor after a week, and I was getting pretty desperate for an answer. I was looking for a diagnosis, a cure. I wanted the trusted men in white coats to make everything better again.

Moonlight Shadow

We did tests: blood tests, urine tests, thyroid function, kidney and liver function. We even did an AIDS test, as my doctor was at a loss to explain why I was so fatigued all the time. One week turned into three weeks. There was seemingly no end to my exhaustion and inability to cope with the thought of going back to work. There was no way I could face the day, for some reason. I had been housebound with the curtains closed, except for trips around the corner to the doctor's surgery.

My doctors remained convinced that I was suffering with Clinical Depression, and urged me to try an SSRI, but I still refused on the grounds that I didn't want another 6 weeks off work, while I waited for the medication to kick in. 9 weeks off work seemed ridiculous to me, and the side effects sounded unacceptable.

So I stopped going to the doctors. I stopped getting sick notes. I switched my phone off and went to bed, and I just tried to ignore the fact that I was going to lose my job. I didn't care because I couldn't care. There was no way I could go back to work, feeling so exhausted, so drained, so fatigued and unable to cope with even preparing food, getting dressed, having a shower. I just lay in my bed and slept two thirds of every day, and lay half-asleep, anxious about a knock at the door, with the curtains closed, for the rest of the time.

Everything seemed impossible, insurmountable. The idea of going to the shop seemed as insane as the idea of going on an expedition to the South Pole without any warm clothes or supplies. Clearly there was something wrong with me if I was misjudging the effort involved in things, but I also knew that I couldn't keep just doing the same shit, the same crappy 9 to 5 routine, and the same formula of working a job.

As the summer wore on, I started to get interested in the idea of doing some iPhone development work, and slowly I ventured outside into the sunshine in the afternoons, to learn how to develop software on the Apple platform. It seemed like a nice confidence-building exercise, as I had started to doubt that I'd ever be able to work again. I had started to feel like I'd be invalided out of the workforce for the rest of my days.

The more I worked, the more obsessed I became. My energy came back. Slowly at first. I would work for an afternoon, then an afternoon and an evening, and then soon I was doing full days of work again. But it didn't stop there.

By the time July had given way to August, I was working an 18 hour day. I was irritable and single-minded. Eating was a chore that would slow me down and get in the way of me working. I didn't want to waste time with my partner, my friends, my family. Nobody understood what I was working on and how important it was. Explaining anything to anybody was painfully slow and angered me to have to take time out from my work to even answer the simplest of questions.

I started to speak faster, in a rush to get the words out and not waste precious time speaking to people. I viewed other people as obstacles, standing in the way of my single goal, and as dimwitted fools who were sent to irritate and frustrate me. My thoughts raced, but I could follow them, but speaking was never fast enough to verbalise what was going on in my brain, so my speech was pressured... trying to will my tongue to be fast enough to keep pace with my thread of thought.

My work rang me up and insisted that we meet up. I saw my boss, and we agreed that I should give my notice. There was no way I was going back to that job. They were cool about things, but I didn't really have any explanation about what was going on with me.

Garden Office

I was free from the confines of the 9 to 5, Monday to Friday office routine. I was free from dimwitted bosses who had been promoted into positions of incompetence. I was free from bureaucracy and red tape and corporate bullshit. I just worked, and worked, and worked. I worked 7 days a week. I worked until I was falling asleep, and then I would start again as soon as I woke up.

At some point during this flurry of activity, I managed to get a couple of iPhone Apps to number one in the charts. Naturally, this brought in a lot of cash. I had done it. I had proven my point. I had unwittingly become a successful entrepreneur, off the back of becoming unwell and losing my job.

However, I failed to see it like that. What I saw instead was that office work wasn't good for me. I felt like office work had made me sick, and that I needed to find a new profession... well, a trade actually.

I decided to quit IT and software - the thing that I was really good at - and retrain as an electrician. I decided that the most important things to me were being self employed and working in a non-office environment. It took a couple of years before I finally realised I was wrong.

The same thing happened to me, except this time it was much, much faster.

The pressure on a small businessman, and a tradesman is immense. An electrician is responsible for the safety of everybody in the homes that you have installed an electrical system into. If anybody is electrocuted because of your shoddy workmanship, it's your fault. That's a lot of responsibility. Also, the public expect you to work for peanuts.

The sense of exhaustion and inability to cope with the pressure anymore, had hit me really hard in my cushy desk job. Now I had angry customers ringing me up because I had gotten sick. This was much, much worse, because they were ordinary people who I'd met and built a relationship with. Ordinary people were counting on me to wire up their homes, and I was personally failing them.

This depression was much deeper and darker, because I'd really run out of ideas. I felt completely useless, and that as a well known local tradesman, I'd ruined my reputation in my community. This was awful. I was actually afraid to leave the house, in case I bumped into somebody I knew, somebody who I'd let down.

I felt like I couldn't go backwards, and I couldn't go forwards. I was really trapped. How would people take me seriously as an IT professional if I'd previously been a lowly electrician? How would I ever work again as an independent businessman, when I had actually crashed a business due to my ill health? How could I ever be trusted again?

I started to think about suicide very seriously. I saw no way out of this cycle of depressions and failure. I couldn't see a way to earn money anymore, to work again. I couldn't imagine going back to my profession, or starting another business. Everything looked doomed to fail again and again and again.

I tried the medical route again, and finally got referred to a psychiatrist. It took a very long time before I actually met with the consultant, and the options were the same: SSRIs, SNRIs and NaSSAs. All serotonergic drugs. All with horrible side effects. All taking 6+ weeks to kick in.

I begged my psychiatrist to let me try Bupropion (sold as Zyban and Wellbutrin) which is very popular in France and is fast acting. He refused on the grounds that it was an off-label prescription in the UK and he'd have to get special permission from the NHS trust. It was more than his job was worth.

So, I resorted to self-medication.

Self medication worked... in the short term. I felt better, I could function. However, it took me down a path that led to the Dark Web, which led to drug window-shopping, and later to experimentation with just about every highly addictive hard drug known to man, including Heroin, Crack Cocaine and Crystal Methamphetamine.

Drugs don't work. The brain gets used to them, and then you have to increase the dose or switch to a more powerful drug. You can't artificially induce an organ that's designed to be balanced - homeostatically self-regulating - to be forced into an unnatural state.

What's the reason why those people who were taking SSRIs had lower serotonin levels in their spinal fluid? Well, it's because the brain realises that something is artificially out of kilter, and so it releases less serotonin to compensate, and puts you right back where you started.

In the words of The Verve: "the drugs don't work, they just make it worse".

Why do you think drugs from your doctor are good, and drugs from a drug dealer or the Dark Web are bad? Do you think your brain knows the difference? Of course it doesn't. Most of the drugs that are abused were developed by pharmaceutical companies originally, and used to be prescribed before newer 'safer' medications were developed. By 'safer' we tend to mean weaker and with such horrible side effects that taking bigger doses becomes unpleasant. In actual fact, the so-called 'drugs of abuse' have far less side effects than their 'safe' counterparts, at therapeutic doses. Anything becomes poisonous at high enough doses.

Does that mean I'm pro-drugs then? Am I soft on drugs, and one of these decriminalisation nuts?

Well, no, not really. Drugs are bad. They put your brain into an unnatural state and it's hard for your brain to achieve homeostasis when you are poking and prodding at it with the blunt instruments that are the chemicals that cross the blood-brain barrier.

Drugs can 'reset' your brain, in a similar way to electroconvulsive therapy (ECT) which is also known as 'shock' therapy.

Medicine of the brain is very early in its development. Psychiatry has only really been a medical field since the 1950's and the true mechanism of action of medications is only very poorly understood, especially as the true nature of mental illness has not yet been revealed.

My personal view is that the destruction of families, clans and villages in favour of ridiculously long working hours in an isolated urban setting, has destroyed everything we need as humans in terms of our relationships with other human beings. Mental illness is a perfectly sane response to modern life. It's a sane response to an insane world.

The thing that's been most beneficial to my mental health has been connecting with a group of friends, while being homeless. Being relieved of the isolated silence of the commuter train, and the pressure of horrible work and job insecurity, coupled with the financial pressures of paying ridiculous rent and unattainable material goals... it was sweet, sweet relief. Living in a kind of commune, with other people who were living in close quarters with each other, sounds unbearable, but it was actually nice. It was humanising. It felt natural, and a sense of calm, relaxation and connection with the world, flooded back into me. I felt a warmth within me that I'd never felt, except maybe with Heroin.

The question now on my lips is: how do I get that again? How do I recreate the sense of community I had, either with tons of kitesurfing friends, or with tons of similarly dispossessed and dislocated homeless people, all thrust together out of necessity to stick together?

The need to belong to a tribe, a group, a commune... it's undeniable, now that I've experienced it. I place an importance on it above financial security, because without it I just feel suicidal, so it's actually essential for life in a way that money just isn't.

Human connection is the answer to the riddle of depression, suicide and addiction.

Sunset

I'm halfway betwixt and between. Half in the dark, and half in the light. My brain doesn't know whether to be suicidally depressed or hypomanically fixated on a single goal.

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The Final Chapter

7 min read

This is a story about the hardest part of the journey...

Final Leg

People often give up when they're closer than they think they are to making a breakthrough. The first 80% of a task is always the bit that seems quite easy, like you're making really good progress. The final 20% is tough. Progress seems to slow to a snail's pace, and self-doubt creeps in. It's easy to quit in the final leg, believing you're never going to achieve your goal.

I'm racked with nervousness about whether I'm following the right path. There are lots of things that I feel somewhat full of regret about. There's lots of stuff that I feel a bit stupid and embarrassed about. There are plenty of things that, on reflection, look pretty dumb, arrogant, crazy.

In particular, I'm following a cyclical pattern. I keep repeating the same formula, because I know it sort of works. It's easy for me to stay living where I live, getting more work in the field I know best and pretty much acting the way I've always acted. The pressure to stay in this loop is undeniable.

I need to get my head above water. I'm not in any position to just sack off the western lifestyle and leave a smoking crater in my reputation, creditworthiness and ability to continue to function in the mainstream.

Believe me, I'm so tempted right now to just disappear. I would love to grab my tent, sleeping bag and a few other essentials, and just go off-grid. Suicidal thoughts have reached a crescendo in my head... they stalk me every waking hour of the day. It's clear what's driving this sinking feeling in my heart: the fact that life for the next 6 months is going to be very much a paint-by-numbers exercise.

I've done the commuting thing for 20 years. I've done the IT thing for 20 years. I've done the city living thing for 20 years. I've done the urban solitude thing for 20 years. There is no novelty, no joy, no challenge, no surprises... it's just a case of turning the pedals, and plodding along. The monotony, the drudgery, the formula, the routine... it's worse than a prison sentence.

Do I have a reason for living? Not really. What would it be? Is it a reason for living, to pay rent and service debts? Is work a reason for living, if you're just selling your brain and body to the highest bidder to work on bullshit projects? How can you take pride in your work when you've done the same thing, over and over and over again, for 20 miserable boring years.

I used to work to live. I had a nice lifestyle and I always took my full holiday allowance, travelling to exotic destinations and pursuing exciting activities, adventures. That was less than 10% of the time. The rest of the time was spent watching the clock. Two clocks actually: one that counted down until the end of the working week, and one that counted down until the day that I no longer had to do a job that I had nothing but contempt for.

Flight Computer

In truth, I hadn't really reckoned on living this long. Certainly in recent years I decided that things would be wrapped up neatly if I just shuffled off my mortal coil, and my life insurance would at least leave a small legacy for my sister and my niece. I don't really fancy growing old and infirm, and facing yet more of the same bullshit that's been such a chore.

I remember being in hospital, and I really wasn't at all scared that I was going to die, even though my prognosis was that I had about a 30% chance of surviving, such was the damage to my internal organs.

Things haven't really moved on much. I have no dependents. My family ditched me, so I've ditched them. I've not been able to rebuild my social life. I take no pleasure or satisfaction from doing the same job I've been doing for 20 years. I'm too trapped by the mechanisms of capitalism to be able to pursue travel and adventure. I'm too paralysed by fear of dropping out of the rat race and becoming unemployable, to do something gutsy, which would be a one-way ticket.

You see, I'm acutely aware that my perception of the world is coloured by my mood disorder. When I'm depressed, I see everything as pointless, relentlessly horrible and never going to improve. However, I'm able to be rational, and I know that it's foolish to make a permanent change for a temporary problem.

If I throw away the ability to be able to earn huge amounts of money very quickly, then I'm very much limiting my future options. As it stands, at the moment, I can potentially dig myself out of a financial hole and feather the nest very quickly. It seems churlish to not even be prepared to toe the line for 6 short months. However, if you've followed my story at all, you'll know that 6 months is a long time for me... a lot can happen in my life in that period.

My timescales are heavily compressed. Gains need to be shored up quickly or else the hard work will be undone. Things need to happen faster, not slower than normal. Asking somebody whose life is extremely fragile to work harder, longer and suffer more than their peers is likely to lead to the "fuck it" button being pushed. Whatever happened to supporting those who are weaker?

I can see now, where the cracks are. I can see why people slip through the nets and sink to the bottom. I understand where we are hindering, not helping. Life is pretty vicious and unforgiving.

It's true that I'm pretty resilient. It's true that it's remarkable that I've made it this far, and that I still apparently have the opportunity to fight my way back, to recover... and then to perhaps thrive and prosper.

Hopefully, this feeling will pass, but from experience, I think it's going to get harder before it gets easier.

It's like this blog. There are less people reading than ever before, and I'm getting less feedback and encouragement than ever before. I'm not sure why I'm even writing anymore. I've failed to shame my parents into acting with any common decency (although perhaps that was always doomed to fail) and I've as yet failed to feel better, using writing as some kind of shrink, a silent counsellor... to deal with my fucked up head.

But, my experience tells me that doubt always creeps in. I've written 240,000 words and I plan to write 300,000. I plan to write every day for at least a year. Who knows what it will achieve? Sometimes, you don't know until you do it.

When I wrote on a forum every day, it brought me friends, a sense of identity, self-respect and even a sense of achievement when I wrote something that a lot of people found useful. This is kind of like a repetition of that, except that this time I'm publicly dissecting my own psyche.

Is it useful to externalise my internal monologue? Is it useful to psychologically expose myself like this? I've found introspection and self-examination useful in the past, and there's no reason why 'open sourcing' the contents of my brain shouldn't be interesting to somebody somewhere sometime.

They say the most interesting writing is when people are raw & authentic. I'm not really trying to emulate any writers or follow any formula to gain an audience. I just need to get stuff out of my brain and onto paper. I need to pick things to bits and figure out what makes me tick, so I can hopefully begin to open a new, happier chapter in my life.

Watch this space.

Terminal

Travel doesn't have to mean jetting around the globe to me. I'd be happy in my tent in a muddy field, I think. I'm so sick of the global rat race.

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Am I a Bad Person?

7 min read

This is a story about how to lose friends and alienate people...

Primrose Hill

It's remarkable what we assume, and what we're unaware of. It's remarkable how our opinions can be coloured, and prejudices triggered, which completely change our impression of a person, and the way we treat them.

I had declared myself as "fighting mental health stigma" but in actual fact, things like Clinical Depression are so damn commonplace that nobody bats an eyelid if you say you're taking powerful psychiatric medication to stop you from killing yourself. In actual fact, I get more criticism for being medication free and letting my brain achieve its own homeostasis.

When I moved back to London, one of my oldest friends was incredibly sweet and understanding about the fact that I was struggling with my mental health. He took time out to read a bit about what Bipolar Disorder was, and was actively concerned with my wellbeing.

My friends are always playing catch up. By the time I was diagnosed with Clinical Depression, I was already having hypomanic episodes that were beyond the 'healthy' and 'normal' range of moods. Spending copious amounts of money, working ridiculously long hours, hypersexuality, risk taking... these things are not conducive to good health, wealth and stable relationships.

By the time I was diagnosed with Bipolar Disorder, I was already trying various forms of self medication. Depressions had gotten so severe that suicide was a very real risk, and hypomania had reached the point where I was starting to get delusions of grandeur, and was at risk of getting into money problems.

By the time I got free from the horrible relationship that was stoking my mood disorder, substance abuse was a big threat. When my divorce sapped my energy and sucked me back into the nightmarish world that I was trying to escape, I gave up and just decided to be a total junkie.

By the time I got cleaned up and back on my feet, word had been spread by my unpleasant family, that I was somehow untrustworthy, a waste of space, a lost cause.

So, I'm pre-empting all of that. This is a pre-emptive strike. I'm telling the world my very worst things, so everybody can get all that prejudice out of the way. I'm putting my worst foot forward.

I'm still here.

My friends and family are still stuck in the position of trying to deal with their prejudice, even though I've already moved on. I'm dealing with depression and suicidal thoughts, while people think I'm probably scoring heroin on a street corner and injecting drugs in some crack den.

This 'lag' is extremely annoying. It means I have to deal with a shocked silence. It means I'm isolated, alone, with people who should know me better, thinking terrible things about me. The culture of fear that we've grown up in is powerful, and all those images that the media has put into your mind are suddenly applied to me... it wouldn't surprise me if my own family has imagined me stealing car stereos or mugging grannies.

Eat Crack

There's a lag with me too. It messes with your mind, being homeless one minute, and then working for a massive bank on a really important project, all dressed up in your suit with people giving a shit about your opinion.

How can you go from being the lowest of the low, to the point where there are people who actually think that death's too good for you, to suddenly one of the highest paid people in one of the world's most profitable enterprises, because the market value for your skills and experience is so high?

Is it any wonder that it messes with your mind? Is it any wonder that your brain doesn't know whether you're a worthless piece of shit, and the world would be better off if you were dead, or if actually you deserve a 6-figure salary, and people are telling you that what you're doing is really important and you're a key figure in the delivery of a super important project. How are you supposed to reconcile that?

Just saying that I should remain "grounded" is ridiculous. I have no frame of reference. I have no evidence to suggest that any possible conclusion I could reach would be the right one. Everything that my experience has taught me has been counter-intuitive.

Working hard, being humble, keeping my head down has gotten me nowhere. It hasn't led to greater happiness, more stable mental health, nor has it repaired damaged friendships and improved my relationship with my family.

Equally, taking reckless risks with my health & wealth has brought surprising results. Instead of being dead or destitute, I actually ended up making a fantastic group of friends, as a result of winding up homeless on Hampstead Heath, just after my birthday in 2014. In actual fact, being chucked onto the street by Camden Council ushered in one of the happiest periods of my life in many recent years, probably since I was in Cambridge in 2011.

I don't see any of what I've done as wrong. I've not resorted to lying, cheating, stealing. I've not screwed people over, manipulated them or in any way committed any offensive act against anybody.

However, people seem to take it very personally, when I apparently screw up my opportunities. One of my closest friends was absolutely besides himself when I lost my contract one Christmas. He thought I had deliberately sabotaged it. He was angry that I had seemingly chucked away a golden opportunity.

Things aren't so clear-cut. I'm rarely in a fit state to work. Either I'm suffering from depression, hypomania, or the exhaustion and cognitive impairment of recovery from stimulant abuse. I just don't have the time and money to properly prepare my mind and body for work, so my colleagues and bosses get a rather fucked up version of me, with all the weird highs and lows associated with an extreme mood disorder.

It's not a moral choice, whether I work, whether I relapse, whether I just collapse in a heap and don't do anything.

I know that people like to judge, and I've given away so much ammunition that it's really easy to think you know my character, my morality. I'm very easy to label, to criticise, and to apply your prejudices to.

I'm fed up of feeling guilty, just because people are shocked and unable to see beyond their prejudice and preconceived notions. I'm fed up of having to carry the can for a load of blame and scapegoating that doesn't even apply to me.

In some ways, I'm tempted to rob, to steal, to lie, to cheat... I'm being treated as if I do those things already. If I'm already 'the bad guy' then I guess I should act the part?

Bipolar Memory

People are more sympathetic to mental health problems like depression and bipolar than they are to substance abuse, even though the latter can be a feature of both of the former. I think the problem is the fact that people try and view it as a moral issue

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