This is a story about warped perceptions...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Wish me luck. I'm going to need it.

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

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

This is a story about going round in circles...

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

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

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

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

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

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

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

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

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

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

It seems there's no cheating the system.

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

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

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

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

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

Things are getting worse before they get better.

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

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

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

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

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

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

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

This is a story about destructive relationships...

I stood up my most respected and one of my most sorely missed friends for the third time yesterday.

I was supposed to see him and his family just before Xmas, then we were going to have Tea at the Ritz, then we were going to travel to Heathrow, catch up on the train and in in the ample time before his flight.

WHAT'S GOING ON?

Well, I've never not had a girlfriend. I'm too addicted to sex. After the most almighty row at my ex-wife's brother's wedding, we took a break from each other for a few days. While she discussed my faults and possible solutions with her parents, I found a way out of one destructive relationship and into another.

I have written before about our unhealthy co-dependency on sex, and sex on drugs. "NRG-3" had no ingredients listed, but it was the last untried chemical on a legal high & research chemical website where each weekend, my ex and I would fuck on a different drug.

I would spend a bunch of spare time at Cambridge, reading about research chemicals, and then I would order one, ready for when I next saw my ex. I saw us like Alexander and Ann Shulgin, and had read their candid co-biographies about synthesising about 3,500 psychoactive drugs, and testing them all on themselves. The ones that seemed safe and interesting, as an aphrodisiac, Alexander took with Ann and they compared notes in their famous books PIHKAL and TIHKAL, which I read when I was 17/18 years old.

Only "NRG-3" was going in the bin. I did some snooping and found that "NRG-x" was the name for the old stock of unsold 'legal' highs that weren't legal anymore. Most people speculated that it was Methylenedioxypyrovalerone, which Crystal Meth and Crack users were switching to because it was 1/1,000th of the price per dose. Except MDPV had terrible extrapyramidal side effects in people not regularly abusing stimulants: panic attacks, palpitations, tachycardia, hyperthermia and said to be more addictive than the illegal drugs.

John McAfee, the famous billionaire software engineer became addicted to MDPV and started posting videos of himself pointing a loaded gun at his head on YouTube. The more I read, the more convinced I was that I needed to add the pyrovalerones to my 'never try' list (heroin, crack, crystal meth, PCP).

Only, in a suicidal state after the aforementioned temporary separation from my ex-wife, I thought "fuck it, what harm can 15mg do?" 15 milligrams is 10 to 20% of the size of a dose of 'most' stimulants. The line of white powder is more of a short, thin, hyphen. Your eyes can't believe that 15mg is so tiny.

My affair started immediately. I loved this drug. I loved the effects of this drug more than the pleasure I derived from my destructive relationship with my ex-wife. I had a mistress. I was having an affair. I was also free from the fear of losing my co-dependee.

I took 800mg over 4 days when I had intended to only take 15mg, for the duration of it's effects, which could be between 3 and 24 hours. It's not a stable and predictable compound. My behaviour had always been stable and predictable: I would take a single accurately measured dose, orally, and I had never ever broken my rule.

I had tried maybe 50 drugs up to this point, so I wasn't naïve, but I found myself saying and doing things I knew were addict clichés. "I'll just have a little bit more", "that looks underweight/small, I'll just increase the dose slightly", "I'm going to have one last dose then I'm going to stop", "OK, this really is the last one".

I didn't eat, I didn't sleep until the 3rd night. When I woke up I was having a terrible panic attack. Time inched by. My pulse and blood pressure were maxed. I was convinced I was going to die. I wasn't naïve though. I downloaded a computer game called Samorst, and played that for 12 hours. I felt a bit better.

This happened a few weeks after Springboard ended. I knew I had to pitch in London a month after demo day. I remember almost turning back home as I was almost on the train to London, because the thought of leaving my drugs for a few hours was scary. Way scarier than giving a pitch while high and hoping nobody from Springboard noticed I was high, sleep deprived and I had lost weight.

Everyone said that my London pitch was better than my Cambridge one (practice? home town?  drug-induced confidence? Smaller audience?).

Maybe I just didn't care so much. Jason Trost of Smarkets spotted the founder problem I had right away. I picked a startup that would be cashflow-positive, I could code in on my own in no time, and we already had a customer (5 or 6 household names by the time we started Springboard). The problem was this: I'd solved the problem in my head, written it: boring work only now, and I had no founder passion except pride in our startup.

David Hazell should have been the CEO from day one, and it took him well out of his ColdFusion comfort zone, but he can code Java and Objective-C as well as running a well administered business.

So how do you cure an MDPV addiction? Simple. Stop taking it. My ex took it as personal that I got addicted and she thought I wouldn't quit out of stubbornness  and I just needed shouting at and abusing.

I had a 'man cave' (office/lounge/bedroom) built in the summerhouse I built, but she would still walk down the garden path to shout at me there.

As if this wasn't enough, my parents were ordered to come and take me away. Things didn't get off to a flying start when my ex lets my Dad in and he's been primed to start shouting "you're a junkie" too, the moment he got in my front door. I was in the middle of an email about admission to a specialist drug clinic in London, and I should have told the hypocritical c**t to get the fuck out of my house that I paid for, back to his house which was bankrolled by my mum, and the money that came from the profit of the little cottage that my granny bought her.

My parents then insisted that we get some fresh air (it was January and I was not in a good state). Even though I wore dark glassess and a coat with a big collar, it was still mentioned at work that somebody had seen me out on the clifftop while I was off work sick.

My GP kindly gave me 5 weeks so I could attend the 28-day detox program at The Priory, where one of the country's best psychiatrists specialising in dual diagnosis (Bipolar & substance abuse) was based. A few white lies were told to protect my professional reputation and my health insurance would pick up the £12,000 bill.

My ex-wife said if I went into private hospital, she would divorce me. My psychiatrists said dual diagnosis mortality rates are very high, they disagreed that it was lack of willpower that had meant I hadn't quit by means of being shouted at, and professional care was needed, even just to see what was going on with my comorbid Bipolar II.

3 and a half weeks is what I lasted in hospital, before it dawned on me that I was going back to the same life. 3 weeks became a kind of benchmark. I could quit for 3 weeks, but never any longer. Ignorant people will say that proves a lack of willpower. Fuck you ignoramus.

When separation and divorce finally started to happen, my friend Will rescued me back to London, where I managed 2 months abstinence before my lazy ex wife insisted I travel 240 miles to get 3 valuations on a house she lived and worked less than a mile from.

I had just founded a new startup, was in advanced discussions about raising money, had built a working prototype, cycled to TechStars London every day, had a beautiful girlfriend and lived with one of my oldest friends and made new local friends as well as reconnecting with old.

Paying the mortgage on an empty property ate my savings, especially when she rejected a cash buyer who wanted to move in 6 weeks. Instead she chose an agent who didn't know the area or have any clients looking in that area, and accepted an offer from a couple in a chain who didn't even have an approved mortgage. They took 6 months.

When my parents refused to help ease the cashflow burden like they had repeatedly promised they would - not wanting stress to cause a relapse - it took me a hell of a lot of effort & distraction to raise money that I would have prepared in advance, if I knew their offer was just hot air.

I relapsed back in Bournemouth, with the idea of turning the house into a homeless shelter or something else to piss my ex off. Rang the family solicitor after all the other laughed at me, because I had trashed a hotel room in a drug-fuelled rage, and I wanted to prepare them before I handed myself in to the police.

Strangely my friend Tim turned up, got me out of there, then my Dad got me back to Oxford. Turns out the family solicitor had phoned my mum and begged them to help their son. I was very keen my dad contact the hotel and let me settle the matter with them directly. He didn't care. He doesn't have my ethics.

I had told Will (most innocent and naïve man ever) to chuck me out if I ever got any mail from Spain or Germany. Luckily I managed to find MDPV in the USA, but it still feels shitty using drugs in your friends house, even if you're trapped on the first floor with your leg in plaster in agony because the docs won't give you anything stronger than Tramadol (in case you abuse it).

Camden Town is not a good place to be a drunk or a drug addict. I would meet with Frank every day for weeks until he got a paid hostel bed. While I was making notes, to tell his story, I unwittingly took down the addresses and contacts of everywhere I had to go to try and get help from Camden.

Eventually Will did chuck me out, because of lies my Dad told him. Will did it very nicely, but my Dad destroyed the relationship we had. I remember lying in hospital, 2 canulas, torn liver, burnt abdomen, failing kidneys, and not only did Will ask for his keys back, he asked if I had made any other copies.

This is what happens when a drug addict hypocrite c**t like my Dad starts 'helping' instead of helping like he originally falsely offered to do with a modest bridging loan.

(as an aside my parents lied to my sister and said they'd lent me 250% More money than they actually did, and that I was 'emotionally blackmailing them' by being in hospital, even though they're not my next of kin anymore and I would never bother telling them if I was in hospital. No, my mum said it's ok because it's only worth making the coroner's if they need somebody to identify my body)

I survived homelessness and further hospital admissions, so I saved my mum that train fare, but Camden Council kept reneging on their promises. I got a one line email from Camden Council Housing, saying I couldn't even get a hostel bed

"On the basis of the information you have provided I am afraid that you do not meet the residence criteria to be considered for our Hostels Pathway Scheme."

What the fuck? Do you only accept people with money and houses and nice parents?

If you ever want to speak to a psychiatrist in hospital here's a little trick. Ask the the receptionist if you can borrow her phone and then dial the switchboard. Say "can I speak to the bleep holder for psychiatric liaison please?" Make sure you don't let on you're a patient until you absolutely have to. Saying "I'm trying to locate a bed in a psych ward or crisis house in London for a voluntary admission" doesn't actually contain any lies.

In this way, I was able to get 2 whole weeks of accommodation out of the council tax I pay Camden Council. I don't feel bad, because I had a massive wound in my leg and my penis was hanging off.

At the end of the two weeks, Camden Council said "here's a number for you to phone [if you haven't been mugged or stabbed, and still have your phone]  in the morning for us to come check on you". I said I wanted to stay in a a derelict tennis court maintenance shed to stay dry. They said, "we need you to stay where [muggers are and people have pissed]".

So I booked myself into a suite at the Royal Camden Golf & Spa Resort (a 14 bed dorm in a hostel) and proceeded to go into drug withdrawal. The think about London hostel dorms is, there's bunks, and there's a bathroom, and then outside there's the capital city of London, but if somebody is going through drug withdrawal in one of the bunks, fuck London, you should stay and watch them cos there's no privacy. It's like "Trainspotting" as a live play with one of the best actors you'll ever meet.

Fuck rehab at £430 a night... a hostel is a great place to get clean, provided you have a Laurence. Laurence could see that this was a dress rehearsal, and opening night would be never hopefully, and ushered a disappointed crowd of rubberneckers off around the sights of London. 

I'd managed to hang onto enough money to put myself through the cheapest rehab in the country, which is in Bournemouth believe it or not. I told my mum to hang on though (could hae been yet more lies anyway) because I needed to finish my round of golf and I had a massage booked for later [as in, hostels are like cheap rehab anyway].

Before long I had a group of friends. Laurence from the mountains. Rory the Lidl vodka stealer. Jody the poet. Definitely not French Jack. Psychic Laura. "I just want a baby" Priscilla. "Quite Old But You Still Would" Marla, Gorgeous Flavie, My later ex (banned) Antonella. DJ Kristos.... and many many more, including Paolo who had previously been acting tourguide, but with about 8 times as many years in the Big Smoke than him, I accidentally stole that role.

The thing about a hostel is, if you want drugs, everybody else wants to share, and you have to be high in public. Also, there's none of this pious "not a drop of alcohol shall pass my lips bollocks", and it's a lot easier to get clean with a beer in your hand than an herbal tea being told by some ex-junkie "drugs are bad mmmkay".

It took me a month to get clean and another month to get a job (and stay clean) and then I stayed clean until I dumped Antonella for being abusive, and then Laura got all mumpy that I didn't move onto her. Jody, who was in Love with Antonella, also was angry with me. My entire group of friends in London (except Rory) fell apart, and then my contract ended.

• Abusive relationship = multiple relapses
• No money + massive stress = relapse
• No job + no friends = relapse
• Innocent/naïve middle class person + lies about drug addiction = no friend

So I was nursed back to health by the nicest family in Ireland. The O'Riordan's of Killlavullen, Cork [The Rebel County]. I owe them my life.

The thing about the O'Riordans is that they're the smartest most hard-working and make do people you'll ever meet. Eddie, Laurence's dad's climbed 8,000m peaks and can sail, as well as repair just about anything. Breda, Laurence's mum is just so full of love & care, without all that œdipus complex bollox that my mum needs to deal with. There's sister Maria the nurse who all the boys in Magners drink in to look at and chat to, but they know they'd get the beating of a lifetime if they touched her. Then there's Danielle, with her scholarship, but she's practically already [unofficial] #2 in a company that's about to IPO. She's got Dublin culture but no arrogance.

Anyway, seeing and staying touch, and not falling out with friends is hard. Imagine if all your money just takes you deeper into debt, and keeping your mind quiet is harder than working any job... and it used to say lots of interesting things, but now it just says one: "MDPV"

Just about anything and anything that could have hurt my self esteem has happened. Showing a nurse your penis hanging off is a good one. How's about the police leading you out of a hotel, handcuffed, just wearing boxing shorts ["I'm sure you deserved it, you devil"].

And I keep having to go back to doing what I have done since the age of 17 to stop myself from going bankrupt, but I hate it and it's so easy I can type and have a conversation at the same time. And then when I've got just enough money, I'll walk into the boardroom and I'll tell the board exactly what I think, and I always get fired, but they're too scared I'm going to whistleblow to not give me a reference, so they just quietly sack whoever needs to actually go.

So, I came up with a couple of lists of things I like doing and don't like doing, and I've come up with a bunch of ideas that bring in money, keep me busy, and doing the things I like not the things I don't.

I'm sending it to Jakub, because he's the only man alive who can judge whether I'm talking pie in the sky bollocks or it might be worth a go (maybe with some discussion with his dad).

I have a practical speculative list too, which I might send to Rory, as he's the only man alive who'd come in on me with some mad scheme to stop both of our minds from driving us mad.

Jakub, it just remains to say, I'm so sorry for standing you up, but I was 6 months clean in San Francisco, but I had to ethically walk away from the HSBC corruption and incompetence. Since then, it's been promises, promises and false starts, but I'm waiting for the day when I either die cos I'm dumb enough to figure out how to get high for 14p a day, or smart enough to do something I can be proud of and it was my destiny.

So cute (9 October 2013)

P.S. - Sansa (Happy Birthday!), Lydia, Margaret, Nicola, David, Willian, Will, Jess, Cameron... I'm going as fast as I can. It's like trying to get a 10,000kg ball rolling.

Tags; #startup #addiction #friends

This is a story about two against one...

I'm fed up of being ignored and getting no respect from my Dad. This is a twofold problem. Now they don't take drugs anymore, they have  lost the only social bond to many freinds, and they don't know how to make new ones. They also live in a co-dependent abusive bubble, where my Mum has to agree with my Dad 0r else there will be arguing that my Dad always wins, because he puts ego ahead of relationships.

Growing up, I learned that making a reasoned argument, supported by evidence would get me nowhere. My most logical and intelligent statements would be put down with "smart arse" or "know-it-all", which is like an adult blowing a raspberry at a child because they can't think of a reply or they know they're wrong.

I'm writing two books, One on Bipolar Disorder and one on Legal Highs. I only have one literary agent at the moment, so if you know somebody who publishes non-fiction, please get in contact.

If you would like to read the first 12,000 words of my first book, please click this link and request access (I can't make it public, or else I can't sell it): https://drive.google.com/a/grant.gb.com/file/d/0B1Yzdy-TF4Z2WkczX28zVjRJNk0/view?usp=sharing

An advance would be really handy right now, because the thought of going back into a corporate environment again after 20 years of playing the game takes the saying 'deferred gratification' to an extreme level.

I would also like to borrow a vehicle of some sort, or be allowed to pitch my tent on your land. I'd like the option to change my environment. Marine Girl had offered her camper van but I guess she's away on half-term.

I'm going to keep my London base, because it's a gorgeous flat and my flatmate is such a great friend who really understands what I'm going through.

I have plans to keep a modest regular income, and I want a physical project too. I'm currently looking for derelict commercial property in London, that would be converted to house unaccompanied minors as part of Techfugees. If there's one thing I do well, it's the project that everybody else is too busy waiting for permission to do.

If anybody wants to 'buy' something from my company, I'm selling money-back guarantees. It also gives me an income of 4.5%. Also, if anybody wants to buy any 'nearly new' Macbooks etc off me, I'm offering a discount of up to 12.25%, but it'd be helpful if I could keep the whole 24.5%. Same goes for anything else that's VATable. Maybe you should buy that van (please lend it to me for a bit).

Also, I would like to sell some of my services, so I don't give the VAT man NO tax next quarter. Is there anything you have to do regularly on your computer, but the macro is just too hard? Do you want an ecommerce website or a forum or some graphic design work? Is there a data export/import task that takes you ages? See if you can get the purchase approval for the most IT experienced temp you've ever met in your life.

I do lecturing and pulic speaking too: London Business School, Bournemouth Business School and this little place called Cambridge.

If all else fails, I'm good at looking around a business, learning from your best people, and then shouting at everybody until things start going a bit better, if you're spending a lot but it all seems to be disappearing into a black hole. It's time for me to leave, which is normally when people return to their old habits or the management team think their failing project/company is just going to fix itself if everybody keeps the faith.

A leader should inspire confidence, the faith to follow them, but if that's up a dead-end then you're stuffed. Always remember this: leaders are promoted up to the level that they're no longer competent at their job.

So my parents will have a fantasy story about who I've 'become' and what I do with my time, and where my money goes. Why don't you get back in contact with me. I'll be pleased t0 hear fr0m you and I always appreciate advice and feedback. nick@manicgrant.com or @ManicGrant if you do that new-fangled Twitter thing.

If you hear something about me from my Mum or Dad, just say "with respect, you never email him, visit him and he ignores your calls after you only ever used them to guilt-trip him about his sister and niece, or say ignorant judgemental things". I need the family's help, not two ingnoramuses spreading inaccurate gossip about me.

I want my Mum & Dad in my life, but they need to grow up and learn that respect is a two-way-street. I'm still their son though, so if I'm in trouble and you've promised to help, then help, and help 100% not 50%, and certainly don't hinder by phoning all my relatives and telling them not to lend me any money because I became a drug addict devil overnight who complies with every stereotype.

Blame is a fruitless excercise. Just make good on your promises and help where you can, otherwise you inflict consequences which are not the same as blame.

I'm so exhasted, but I'm going to go look for buildings for unaccompnied minors. Guess where they mostly came from?

I always thought that drugs funded terrorism, but I feel so much safer already knowing that terrorism won't be getting any of its funds from pistachios and saffron.

Tags: #parents #childhood #politics #refugees

This is a story about living with a mood disorder...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

This is a story about rehab...

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

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

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

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

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

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

From my point of view, I had struggled for years and years with recurrent suicidal ideation, suicide plans. I have struggled all my life with mood instability. To be simply dumped in a bucket labelled 'lost cause addict' was a bit s**t to be honest, after 30 odd years of reliable good service, despite fairly debilitating mental health problems.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

It's important to respect people.

Just respect people.

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

This is a story about challenging your reasons for doing things...

If somebody said to me that Bipolar was an excuse to do whatever you want, whenever you want, I would find my position a little hard to defend. However, to fall into line, to fly straight, to conform, to bend my mood by sheer weight of will... that's not possible.

I'm a fairly liberated character. Since living with daily threat to my life and livelihood, my risk profile has rather altered from that of a normal rational individual. I tend to leap before I look, and certainly with very little premeditation.

To an outside observer, things look erratic, out of control, recklessly dangerous. To me, things look pretty much the same, but my actions do fit onto some kind of macro plan. Even when I backslide into something or somewhere I really don't want to go, it's a bit of a calculated gamble. It happens when there appears to be little else going on of importance, little other opportunity.

So, have I deliberately sabotaged my own life, at times? Yes, I probably have. But you might be surprised to learn that the motives are not always clear cut. I have become quite an uncompromising character, who finds it near impossible to live in a situation where my values, ethics and professional standards are being infringed.

When you have pushed yourself to the limit and beyond to deliver projects, to create cashflow positive businesses, you know the upper bound of what is possible, both personally and for a software team, and what the reward feels like. You start to get a sense of whether it's worth pushing yourself that hard, or not.

When you have sunk to unimaginable depths, in despair and abandonment of everything, you know the lower bounds of what is survivable. You know how low you can go before you will either shuffle off your mortal coil, or some shred of self-preservation instinct is finally activated. You know what it feels like to literally make a life or death decision. You start to get a sense of whether you really want to die, or not.

Above is a picture of me, 24 hours after having been discharged from the psychiatric ward of a hospital. I had been body surfing in Cornwall. Those powerful waves and strong currents. That thrashing violent cold winter sea.

There's little doubt that this extreme environment activated my self-preservation instincts far more effectively than a week-long stay in a locked Mental Health ward, where nurses checked on me every 30 minutes to make sure I hadn't topped myself. That's not to say I'm not extremely grateful to everybody in the NHS who helped me.

Teaching my friend Klaus to surf in Bude, I drifted into the river mouth, where a deeper channel has been cut into the sea bed. The water flowed faster there and I started to be pulled by a strong current, well out of my depth and into the path of breaking waves. I knew that it was going to take time, a load of stamina, and a certain amount of calmness, to swim out of that channel and back into safer waters, and body surf my way back into the shallows where I could stand on the sea floor again. I had no floatation aid, no surfboard of my own.

Drowning in the sea would be a much more unpleasant way to end your days than, say, clattering into the hard ground at 125mph from an aeroplane or a tall building, or slowly losing consciousness as your blood leaked away out of ruptured blood vessels. However, I still find it interesting that I was making game plans to save my own life. Was I going to try and attract the attention of the lifeguards, who would see that I was out of the safe swimming area and come and pick me up? Was I going to try the riskiest but less energy-consuming tactic of swimming for nearby rocks that waves were breaking onto?

It's weird how you can find yourself messing around with Sir Clive Sinclair's latest invention in Cambridge one minute, so full of passion and energy, optimism and enthusiasm. Then your mood seems to suck all the life out of you and you're not sure where or when it's going to bottom out. You're not sure if you're on a ride all the way to oblivion, or whether you'll pull up out of the nosedive at the last possible moment.

That's my true reaction to my moods, to pressure, to risk, to addiction, to unhappiness, to discomfort, to instability: I will do something extreme. I will actively seek out something that will challenge me to my very limits. I will push myself until I find the true edge of the abyss.

Sometimes you feel like you've tried your hardest, that you can't go on, that something's not possible. You've reached the limits. I'm regularly surprised by what reserves we seem to store up, as human organisms. The disparity between perception and reality is most pronounced, when it comes to strength, stamina and depression. When you come close to those limits, you realise that your fear is giving you a safety margin, a buffer, that keeps you a safe distance from the true edge.

However, my brain has been somewhat corrupted, warped, miscalibrated. I had little hesitation in attempting to climb up on a ledge on the 48th floor of a tower block, where there is a little outdoor area. It's only that my colleagues pulled me back that prevented me from standing there, on the ledge, eyeing up the drop.

As you can see, the ledge is quite wide, but there's still something that isn't quite wired up quite right in the head of somebody who would climb onto it, 48 floors above the pavement.

None of this quite compares with riding through central London, on a black bike, dressed from head to toe in black clothes. No lights, no helmet. Frankly, drivers quite often don't spot the cyclists who are wearing high-vis vests and covered in lights anyway, especially in the wet when London's many lights, and the reflection in puddles, make it virtually impossible for a driver to see what's going on around them.

I took an almighty tumble when a taxi driver who was indicating left and pulling over changed his mind in a fraction of a second, and decided to do a U-turn right in front of me. My rear brake was loose because of a buckled back wheel, and I was so quick and hard on the front brake that I went over my handlebars and busted my ribs, hip, ankle. The taxi driver didn't even see me. I jumped up and back on the bike, and carried on, and then this huge surge of pain hit me.

That could be a metaphor for my life, since losing my grip on stability in 2008. I take massive risks, but I jump up and carry on cycling after being completely obliterated. I push through the pain, knowing that stopping will only make it worse.

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

This is a story about maintaining a degree of freedom...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

This is a story about protecting the fruit of your loins...

I wouldn't blame you for jumping to the wrong conclusions about whether I'm safe to be around your family. You're programmed to protect. You're programmed to be paranoid, and act irrationally. The chances are that there isn't a Sabre-Toothed Tiger lurking outside your front door, but your DNA doesn't change fast enough for you to not at least subconsciously check for vicious predators outside your cave.

The assumption must be that everywhere I go, I leave a trail of used hypodermic needles infected with HIV/AIDS and Hepatitis, even though I've never injected drugs and I don't have any infectious diseases.

Perhaps my bags and coat pockets are full of highly toxic drugs and medications, which are not in child-safe containers? Perhaps your inquisitive child may go through one of my unattended bags or pockets and discover something that looks like sweets, only to be fatally poisoned. No, I don't carry things like that around with me.

But what about my influence? Perhaps I'm 'soft on drugs' and my laissez-faire attitude to narcotics will somehow rub off on your tiny tots, and just being within earshot of me will lead them to later experimentation with powerful narcotics, addiction and death. Well, actually, one of the main reasons for writing this blog is as a warning klaxon, to those who might venture up the same dead-end alleyway where I unfortunately found myself stuck.

I hope that nobody thinks I'm glorifying or making light of my numerous brushes with irreversible health damage and death, that I have sustained over the last few years. In fact, it's only been because of the published memoirs of some other unfortunates, that I've not abandoned all hope on the assumption that my own fallibility is some indictment of my character.

Certainly, it's easier to divide the world into good and bad, light and dark, virtuous and evil. Certainly, it's easier to condemn a character. Certainly, it seems somehow safer, prudent, to keep bad apples away from the rest of the harvest, lest infection spread.

However, that's not how human nature works. If you make something taboo, then you make something more interesting to people, but they will hide their curiosity and feel guilty for feeling drawn into a forbidden world, even though it's totally natural to be inquisitive. For the outcasts, the misfits, the eccentric family member who has been excluded, is shaped by the imagination of those unhappy children, into some kind of folklore figure. The family freak, the black sheep, can end up being far more influential than you had ever intended, just by your very refusal to acknowledge their existence.

Anyway, I'm soon going to reject all the labels, which I have been urged by most Psychiatrists and Psychologists to not apply to myself anyway. I push more and more of the actions of the past into the annals of history. To judge my character on a few select moments from 36 years on the planet seems like the real madness. To condemn my entire future based on some ageing evidence that is entirely outweighed by a mostly normal healthy life, is not exactly very fair or very kind, is it?

You would be shocked to learn that the whole private psychiatric/psychological treatment setup is driven to protect your professional image. You are encouraged not to use clinical labels. You are encouraged to maintain medical secrecy, privacy. I can see why, but I'm enjoying playing with people's prejudice. I'm enjoying seeing how close to unemployable I can get, before I step back from the brink of reputational ruin.

So, if you're keeping me at arm's length, at a safe distance, I do understand. I forgive your instincts to protect your family. It's only natural.

You should know that I would never venture anywhere near you or your home if I was in a mess though. I have no fear of living on the streets again. I choose suicide and destitution ahead of putting any of my friends or my sister and niece in any danger.

I choose suicide. I choose destitution.

Tags: #suicide #mentalillness #depression #addiction #bipolar #drugs

This is a story about self prescribing...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Sorry about that.

Tags: #bipolar #depression #mentalhealth