This is a story about working...

I work hard for long periods of time - very hard - and then I need a holiday. I don't mean sightseeing. I don't mean wandering round crowded cities. I don't mean rushing from place to place, catching planes, trains and automobiles. I don't mean having a packed itinerary of non-stop horse-riding, hiking, learning how to make stuff, guided excursions to sites of historical and cultural interest. What I mean is a holiday.

I work very hard and I get very tired.

It's very tiring working very hard.

If you do not work very hard, then you are not very tired, and you have plenty of energy to go off doing city breaks and travelling around, never staying more than one or two nights in any one place, taking local busses, doing lots of short internal flights. If you do not work very hard then you will have lots of energy to have a very complex itinerary and go off spending lots of money doing lots of things.

I work hard.

I get tired.

I need a holiday.

I cann't stress this enough: I AM VERY TIRED AND I NEED A HOLIDAY.

This is what a holiday is: go somewhere with nice weather, stay there, relax.

There. That's a holiday. A holiday is something you do so that when you go back to work you're less tired than when you started. I need a holiday. Is that clear?

Over the Christmas and New Year festive season, I did manage to lie on a beach lounger getting a nice tan and having drinks and snacks brought to me by a waiter. I did manage to relax. The weather was vastly better than it was in the UK and I was able to stay in the one place - no planes, trains, automobiles, busses, coaches, trams, timetables, itineraries, hassle, faff, stress, exhaustion - and I was able to go to the beach every day and enjoy the sun, sea and the sand.

It's been more than 6 months.

I'm exhausted.

I need a holiday.

I'm tired so I need a holiday. I do not need a complex multi-stop itinerary cultural activity tour with a thousand and one things to travel between, as some kind of non-stop torture for somebody who just needs to relax. That's not a holiday.

If I had tens of thousands of pounds and months and months without any rent or bills to pay, I could quite happily squander those tens of thousands of pounds ambling around doing activities, but I don't have that luxury. I work. I work very hard.

I don't get to sleep. I don't get to rest. I just work. I work really really hard. I cannot stress enough how tired I am.

I am tired.

Do you get this?

The solution to my tiredness is a holiday.

This is how I organise my life: I work hard and then I take a holiday.

That's how my life works: I use up my energy working very hard, and then I take a holiday to replenish my energy.

My energy is depleted - dangerously so - and I desperately need a holiday.

It's really quite simple when you understand these simple facts: I work; I work very hard; I work for very long periods without a holiday; I work on the basis that I will take a holiday when I need one, to recharge my batteries. My life does not and cannot function without the holidays which punctuate the periods of intense hard work. You cannot imagine how hard I work. You cannot imagine how tired I am.

I do not think you realise how tired I am.

Tags: #sleep #holiday #work #career #bipolar #exhaustion #fatigue

This is a story about living a lie...

I've been accused by a BBC journalist as being a fake - creating a contrived story - although she did come to visit me when I was held in a secure psychiatric ward, so I wonder whether she continued to suspect my authenticity after that. A recovering alcoholic from the South-West of England, who had recently started a blog, and a mutual friend of ours who had lost a child to suicide, decided that I was a journalist. Most recently, a person who I considered a friend who had once offered to accomodate me when I was facing homelessness, but then quite suddenly retracted that offer, said that they had considered my bipolar diagnosis "doubtful" and told me that they'd "lost faith in [me] as a real person". These are just some of the examples of people who have taken an interest in my story, only to later suggest that I'm a fictional character; a figment of my own imagination.

It would be quite nice to be a fictional character. Assuming that this blog is written by a human being and not an artificially intelligent Nickbot™ then it seems logical to further hypothesise that the author lives a pleasant life free from mental illness and the mood instability of bipolar disorder. It sounds really nice to be a fiction author or journalist, who has the time to create a character for the world to read about. It sounds like a super pleasant existence, being able to write a fake blog about a fake person and to inflict fictional unpleasantnesses upon that non-existent person, instead of a real human being having to experience terrible things. It sounds a lot better to me, that there should be a "real person" out there who is having a nice time, and that all the bad times never happened at all - they were all just stories.

Unfortunately, I feel pretty real. If I pinch my skin it hurts. If I slap my face it hurts. When things are going wrong, it hurts. When things are stressful, it's very unpleasant. When things go wrong, it's awful.

I really wish I wasn't a "real person".

It seems like a lot of effort to go to, spending 4 years of your life writing 1.2 million words, to create an artificial entity - a fictional person living in a fictional world - when it must be clear that I derive no monetary reward from this endeavour. Do you think I get paid a salary to write this blog? Do you see any adverts anywhere? Do you hear me promoting products? How does the "real person" make their money and why would anybody pay money to create a fictitious "Nick Grant" character?

The most disturbing and upsetting part of accusations that I'm not "real" is that I've been hospitalised 3 times with multiple organ failure as a result of trying to end my own life. I've spent months in secure psychiatric wards. I've spent years trying different medications and suffering their side effects. I've seen so many doctors, specialty doctors, mental health nurses, psychiatrists, social workers and various support workers who are part of community mental health teams and crisis teams. I nearly died a whole bunch of times... like, serious not messing around, major medical emergency, miracle I'm still alive kind of nearly died.

Am I supposed to be sorry that at the moment my job is going well, which has earned me a lot of money, such that I've been able to get a lovely big house, furnish it, get a gorgeous bengal kitten and meet a beautiful girlfriend? Am I supposed to be apologetic about that? Am I not supposed to have any of that?

Bipolar disorder has been destructive and destabilising and has caused me to have to start my life from scratch. Bipolar disorder has caused me years and years of dysfunctional behaviour, which stopped me from having a happy life and enjoying health, wealth and prosperity. Am I supposed to stay stuck eternally in that perpetual state of mood instability, which was so extreme that my life was ruined?

If I knew what the 'cure' was for bipolar, I'd gladly tell you what it is, but as I've written before, I don't think I'm cured at all. A lot of hard work goes into managing my mental health condition without medication. In fact, choosing to be unmedicated is one of very many difficult decisions I've made, along with choosing to work, when I would much prefer to abandon all responsibility and assume that there's a magic pill which will 'cure' me enough for me to be able to sit around watching TV collecting my government handouts.

I have episodes where I appear to be very functional. Am I supposed to be sorry about that? These episodes where I'm functional don't come for free: I work very hard to keep my mood as stable as I can.

You're right: I'm no longer sleeping rough. You're right: my circumstances have improved considerably. You're right: my life looks somewhat enviable. How many times have you slept rough? How many times have you been hospitalised with multiple organ failure? How many months have you spent under lock and key on a secure psych ward? How many different strong psychiatric medications have you tried? How many doctors have you had? How much have you lost? What's the lowest you've ever got - have you ever lost literally everything and had to start your life again from scratch?

If you think that somebody who's nearly died a bunch of times and who's slept rough, destitute, has no need or want for a nice house, a gorgeous kitten and a beautiful girlfriend, then you're a complete idiot. You think I'd settle for living in a tent? You think I'd settle for a few ragged dirty clothes? You think I'd settle for one meal a day from my local soup kitchen? Do you think somehow that I should have lowered my sights and curtailed my life ambitions, because I've experienced the very worst that life has to offer? Fool.

If I had the 'cure' for bipolar disorder then I'd share it for sure. In fact, maybe there are lessons to be learned. I've exhaustively documented every single gory detail of my life in the hope that it would be read, and that it might prove interesting and perhaps even useful to the general public. You're welcome.

As for those of you who think I should be sleeping on a piece of cardboard in a shop doorway, begging, because that seems more "real" then I'm sorry to disappoint you, but I like my life better, even if you think you have the right to tell me that I should be deliberately choosing to deprive myself of nice things. I like my nice house, I like my gorgeous kitten and I like my beautiful girlfriend, even if those things don't fit with the narrative which you invented. There's 4 years of my life and 1.2 million words if you want to go digging to find some of the really awful times from my past.

I continue, as ever, to write with unflinching candid honesty about the reality of my day-to-day existence.

Tags: #writing

This is a story about personal responsibility...

I often like to think that I'm 'cured' of bipolar, but the reality is that I can have incredibly functional periods, where it certainly appears to the outside observer as if I'm perfectly healthy. However, the stability of my life - and my mood - is not due to having received treatment, nor is it accident or pure good luck. There are a lot of choices, deliberately made, which keep me functional.

We must accept that whether I'm functional or not, I do experience a mood disorder: bipolar. I can be suicidally depressed but working productively at my desk, with my colleagues blissfully ignorant of my distress and the danger to my life. I can be fighting to control my hypomania with every fibre of my being, desperate to unleash the 'high' episode and experience a period of incredible creativity and productivity, but I know that my colleagues would bear the brunt of my irritability, and their suspicions would be raised by my fast speech and general intensity... I would be told to go home; I would be told I'm working too hard, and I would ignore them, only to subsequently crash.

I'm prone to taking huge risks. I'm prone to depressions that leave me unable to leave my bed or face the world for long periods. I'm prone to hypomanic episodes where I take on ridiculously huge projects, and somehow manage to complete them, but at great expense to my health and stability.

Nobody could say that I don't have to be aware of my bipolar disorder at all times, because it always threatens to plunge me into suicidal depression, or make my hypomanically high - neither state is compatible with a regular 9 to 5 Monday to Friday office job.

Luckily, nobody employs me because I'm a slow and steady guy; nobody employs me because I plod along doing nothing much in particular, keeping a low profile. The reason why I get employed is because I get stuff done. I get a lot of stuff done. I get things done that people say couldn't be done. Then, one day "I can't even" as the kids say. Yep. That's a complete sentence. I can't even finish a sentence properly when I'm having one of those episodes. I become dysfunctional if I don't manage my illness. There's no denying that I'm unwell when I get so sick I can't leave my bed, answer my phone or send an email: I go AWOL.

For years I struggled with the different episodes. I allowed too much of my hypomania to be conspicuously visible in the office. I allowed too much of my depression to overspill from my private life. I was in the office when I shouldn't have been and I wasn't in the office when I should have been. I allowed my mood to dictate my behaviour, as so many of us do, because it's virtually impossible to behave otherwise.

I tried being my own boss, so I could work as hard as I wanted when I was hypomanic, and sleep as much as I needed when I was depressed. Things got worse, not better. I tried tablets. I tried so many tablets. Things got worse. Things got so much worse and I became so dysfunctional that my life fell apart, but nobody believed me. I was sleeping rough in Kensington Palace Gardens - a complete mess - but because I sound posh and intelligent, and I've had a great career, nobody believed that I was losing my battle with my mental illness, and I was incredibly vulnerable. I desperately needed help, but to outside observers, I seemed to have some semblance of the self-reliance I'd always had... everyone assumed that I was as competent and capable as I'd ever been, and that I could take care of myself.

Things got very bad. I was hospitalised several times, both for medical emergencies due to physical health problems which threatened my life, and for the seemingly unending mental health crisis I was suffering. The fact I was alive was taken as evidence of my resourceful nature and self-preservation instincts - my ability to be responsible for myself - but it's pure blind luck that I'm not dead, along with a heck of a lot of skill, effort and energy by a vast number of medical professionals, who've saved my life during various organ failures, seizures and generally near-fatal awfulness which took place in high dependency hospital wards and intensive treatment units.

Today, my life gives few clues about the journey to this point. I have two large scars on my legs and a tattoo behind my ear. The tattoo is something that any observant person might see, as a tiny clue that I've been though some pretty appalling stuff, but the scars are usually hidden beneath my clothes.

The length of time that I've spent working closely with a close-knit group of colleagues, and what we've achieved together as a team, is the basis for the impression that people have of me, along with my general demeanour. I'm lucky enough to have retained my full faculties and suffer no impairment due to the horrors of the past. My colleagues see a competent and capable individual who they have come to depend upon - they trust me and the seek out my opinion. In this sense, you could be forgiven for thinking me 'cured' of bipolar.

I'm hoping that I will stay in my new home city for a long time, and I will build an ever-increasing circle of friends, neighbours and other acquaintances, who see me going about my daily business; who have pleasant normal interactions with me. My existence is clearly no longer full of crises; I'm obviously much more stable than I was, and that stability has proven reasonably reliable.

None of this is an accident. None of this is pure chance.

I don't have any caffeine. I know that alcohol is bad for me, and I avoided it for months, which was very beneficial to my health. I try to sleep as much as possible - 10 or 12 hours a night whenever I can. I keep to a routine... I keep to a REALLY STRICT routine if I can. Mealtimes, when I get up, what I wear, what I eat, writing every day, quiet time before bed, glasses to filter out blue light, dietary supplements... these are some of the things that are working well. I know I need to exercise more and I know I need to get more natural light too. It would be healthy to have regular social contact with people outside work. It would be good if I had a local support network.

My job often bores me, but I put up with it. I'm often too depressed and anxious to get out of bed and go to the office but I force myself. I often find there's not enough time to watch films and documentaries, or do anything other than write, eat and get ready for bed, after work, but I'm trying to do more.

I've gotten tired. Really tired.

Last week was incredibly exhausting. Work was immensely stressful and demanding. Some relationship difficulties cause me to lose a lot of sleep, as well as being very emotionally demanding and stressful. I got a kitten, which has been extremely rewarding and exciting, but also a disruption to my delicate routine and an additional set of responsibilities.

Adrenalin has carried me through the past few weeks and I've managed to skip almost entire nights of sleep on several occasions, seemingly without consequence, but it's all caught up with me.

I haven't been looking after myself.

I've broken my rules.

I've broken the rules which keep me safe, healthy, secure and stable. I've broken the rules which have kept me functional for a very long period of time. I've broken the rules which I invented to end the crises and the dangerous highs and lows. I've broken the rules and I've paid the price.

I'm not sick but I'm not well.

I underestimated the damage it would do to my health, drinking too much and staying up all night. I overestimated my ability to cope with extra stress and big changes. Suddenly I have a girlfriend and a kitten, where previously I had nothing but a big empty house. My life is immensely more pleasant and enjoyable, but it's also suddenly become incredibly fragile. I'm suffering bouts of insecurity and occasional outbursts of frustration that my comfortable stable security and safety margin of spare energy has been exhausted, leaving me irritable and impatient.

It's my responsibility to make sure that I'm getting enough sleep. There aren't enough hours in the day, but I can take some holiday. I've worked non-stop since I got home from Mexico at the start of January. Nobody can work so hard, move house, get a girlfriend, furnish a home and get a kitten, without having a holiday. I've been relentless. I've acted as if I've got limitless energy and a superhuman ability to achieve impossible feats at incredible speed. To all intents and purposes, I've pulled off almost everything, but the cracks are showing - I'm heading for disaster.

Whether I've already gone too far, allowing myself to become too tired and letting myself become unwell, remains to be seen. I was irritable and unpleasant last night, and there might be consequences. Who knows what damage I've done?

I'm going to sleep until lunchtime tomorrow. I'm going to recharge my batteries.

I know that a few extra hours sleep is not enough. I need a whole week of lie-ins. I need a whole week of afternoon naps. I need at least a whole week of being free from the relentless demands which I've faced this year. I desperately need another holiday. I've left it too long, as usual, but I hate going away on my own.

That's another part of the non-pharmaceutical treatment for my bipolar disorder: holidays. I genuinely need holidays for the sake of my health, but when my life was chaotic I would work as hard as I could for as long as I could when I was well, because I felt so much pressure to earn as much money as possible, to support me during episodes of illness. I've come to realise that it's incredibly unhealthy to have 6, 9, 12 and even 18 months without a proper holiday. I need a week away. I need a week of rest and relaxation, and ideally that would be with my girlfriend, if I haven't p*ssed her off and upset her with my unstable mood already.

I wonder if I'll make it - last long enough - to be able to go away on a nice holiday to recharge my batteries. I think that I need to start taking evasive action immediately. I need to be strict with my bedtime. I need to be strict with alcohol. I need to take some mornings off work to catch up on sleep. It might be advisable to take a whole week off and just do nothing for the sake of my health. I know that I've let my health get into a precarious state.

I haven't looked after myself and I need to act.

I could spend a week pottering around my lovely house, with my kitten to keep me company. I think my health would benefit significantly. I need to loosen my grip on my work. I need to relax. I need to rest and recuperate.

Burnout is not good. I'm so sick of burning out. I'm so sick of episodes of mood disorder. I can regain stability, but I need to recognise that I'm not well and I need to act immediately. Yes, I could cling on until the end of July for a holiday with my girlfriend, but there's a huge chance I could get really sick if I try to wait that long. I'm going to have to take some time off work, for health reasons, and it's not the end of the world.

I hope I write again soon that I did the sensible thing, and that I'm getting on top of managing my health. I hope to write that I'm regaining some safety margin, so that I can remain cool, calm and patient, and not be irritable and unpleasant. I hope to write that I'm treating my girlfriend nicely, not being an exhausted wreck, full of insecurity and instability.

I feel super bad that I've mismanaged my illness, but all I can do now is to try to look after myself.

Tags: #bipolar

This is a story about peaks and troughs...

My story begins exactly 8 years ago, on May 4th 2011. I was the CEO of a profitable startup with prestigious clients paying to use my product. It was my idea, I had designed & implemented the system and I had successfully done deals with big companies. I had just started a TechStars accelerator program in Cambridge, run by Jon Bradford and Jess Williamson, and I was about to meet 46 mentors in week of "mentor madness" which is like speed dating, to hook up startup founders with experienced successful people from the tech industry, who were kindly offering to help 10 lucky teams on the TechStars program, along with my co-founder and I.

I was surrounded by super-smart people in Cambridge. My startup was growing very fast and I had done a great job of getting the company to where it was with very little help. I was hot property - a pin-up for the UK startup scene.

My co-founder was a much more likeable and charismatic guy who once ran a karaoke bar and had a far better temprament for being CEO, but I wanted the glory of having that coveted job title for myself. I emphatically rejected the suggestion that it might be better for the company if we were to switch roles, and I was to take the position of CTO. Fundamentally I'm good at technology, but not necessarily the best people person: I had, for example, already managed to make my co-founder cry in front of a Google executive. As CEO, I was pretty vicious and ruthless, because I was so desperately ambitious.

This particular May 4th, in 2011, was a moment when my potential net worth was at its highest. This was my golden opportunity to make my millions.

This next picture is taken exactly 5 years ago, on May 4th 2014. I had just woken up in the Royal Free Hospital, Hampstead, London. This is the view from my hospital bed. I was surprised to be awake, because my kidneys were failing, my liver was damaged, there was a lot of fluid on my lungs and my heart was not functioning healthily - I had arrhythmias and my blood pressure was dangerously low. I hadn't expected to survive the night, so it was nice to be greeted by such a pleasant view in the morning.

By this point, I'd had to resign as CEO, sell my share of the company that I founded. The company still continued to trade very profitably without me and was getting big-name clients, but I had failed, personally. My co-founder stepped in and did a great job of smoothing things over with our investors and our clients, but my own reputation was damaged and I was heartbroken; ashamed.

I had just gotten divorced and sold my house.

My dreams were destroyed: I lost my company, my wife and my house. I tried to kill myself. That's how I ended up in hospital. I was lucky to survive.

Exactly 4 years ago, on May 4th 2015 it seemed like I was getting my life back on track. I had been doing consultancy work for Barclays, which was very lucrative. Jon Bradford - the guy who ran the TechStars startup accelerator in Cambridge - had written about how I'd "sold out" and gone back to the world of banking and the easy money that was to be made in the Square Mile and Canary Wharf, which was hurtful. I was not happy. I knew I had sold out, but I needed money to pay the bills. I was couch surfing and living in AirBnBs. My life was chaotic. I loved being in London, but it was tearing through my dwindling savings and I was still heartbroken about my divorce and losing my company.

This photo is interesting, because it predates one of the most insane moments of my life. I was so exhausted and sleep deprived, that soon after this photo was taken I started hearing voices and generally suffering a major psychotic episode. My mind completely capitulated and I was lost to madness, briefly. It seems very strange now, writing about it, when I consider myself to have pretty good mental health, but at the time - 4 years ago - I was extremely unwell.

Exactly 3 years ago, on May 4th 2016, I was skimming stones into the Thames on this little rocky 'beach' on the banks of the river, by my apartment. A lucrative contract with HSBC had allowed me to get an apartment with the most stunning views over London and my life was starting to improve.

I had been an extremely passionate kitesurfer, which had taken me all over the world, seeking out the best wind and waves. During my divorce, having to step down as CEO of the company I founded, and the period when I was very unwell, I hadn't been doing any kitesurfing. Living by the river on a part which was tidal gave me back the connection to water which had been missing from my life. A friend came to visit and was even brave enough to kitesurf from this 'beach' despite the Thames being a particularly treacherous waterway to navigate, especially without an engine - the wind was gusty and unpredictable, but he managed to kitesurf on a 'beach' right in the heart of Central London.

Soon after this pleasant evening skimming stones into the Thames, I went away on a kitesurfing holiday to a desert island off the coast of North Africa, and had a very enjoyable time. 2016 was a good year. I made a lot of money and I had some very nice holidays, as well as meeting the love of my life.

Exactly 2 years ago, on May 4th 2017, I managed to trick my doctor into prescribing me an antidepressant combo called California Rocket Fuel. I'd had a rough winter where I nearly died from DVT which caused my kidneys to fail, and consequently I had lost a lucrative contract with Lloyds Banking Group. My life had been miserable, with a great deal of pain from the muscle and nerve damage from the DVT. I hadn't felt well enough to be able to work.

The love of my life was doing amazingly well in her career - in politics - and was appearing on an almost daily basis on TV, while I was limping around on crutches and taking a lot of very powerful painkillers. I was depressed and I wanted the very most powerful antidepressant I could get, which I discovered was "California Rocket Fuel" by doing some internet research.

I have bipolar disorder. People with bipolar disorder are not supposed to take antidepressants without a mood stabiliser. Doctors are not supposed to prescribe antidepressants to people with bipolar disorder. I had to be extremely sneaky to obtain this prescription, and it was rather cruel how I manipulated the poor unsuspecting doctor into seperately prescribing me the two medications, which are combined to create "California Rocket Fuel".

The result was predictable: Mania.

I went incredibly manic and my behaviour became erratic. I broke up with the love of my life.

. . .

That's the end of the pictures

. . .

When I later regained my mental stability and reflected upon what I had done, I realised I'd made a terrible mistake and I tried to get back together with the love of my life, but my behaviour while manic had been so inexcusably awful that I had ruined any chance of that happening. Agonisingly, she said she still loved me and wanted to take me back, but her family, friends and work colleagues would've been apalled that we were back together again. "If you love them, let them go"... it's been devastatingly hard, but I've tried to come to terms with losing the love of my life, and acknowledge that it'd have been very unfair on her to pursue her after what I put her through.

I left London doubly heartbroken, having lost the love of my life, and leaving the city I've spent most of my adult life in. I love London, but it was time to leave.

Since leaving London, my life has been erratic and unstable at times, but putting the pieces of my broken heart back together again and rebuilding myself to a position of health, wealth and prosperity has been a lot easier than it was in the capital. London placed an enormous amount of stress and strain on me, to generate vast quantities of cash to maintain a high standard of living.

Today, May 4th 2019, I have a fabulous standard of living. Maybe I'm not going to be a millionaire CEO. I've loved and lost a wife and a love of my life. I've nearly lost my life during some very bad medical emergencies. I've nearly lost my mind. However, despite all the adversity, I'm wealthy, I live in a beautiful big house and I'm reasonably successful when I'm dating, so I see no reason why I'm not going to end up with a very enviable life. In fact, I already have a very enviable life.

We expect our lives to take a linear path; continually improving as we get older. My life has been chaotic and unpredictable. My life has been through boom times and and bust in the most extreme way imaginable. I'm 39 years old and I didn't expect to be alive this long. There have been devastating moments, which I thought would destroy me, but they haven't. I thought my bipolar disorder would make my life so unstable that I wouldn't be able to regain control and have a good quality of life, but my life is really awesome and it keeps getting better, although it does take a lot of hard work to maintain stability.

I suppose this overview of an 8 year period of my life, told using 5 pictures, is not going to do justice to the complete story, which is full of hair-raising gory details, as well as some moments of sheer delight, but this brief synopsis does at least give the reader a little insight into who I am, without having to read all the [literally] million words I've written and published on this website.

May the fourth be with you.

Tags: #career #startups #startuplife #london #banking #relationships #bipolar #apartment #medication

This is a story about making people better...

I remember the days when I thought that there were magic buildings full of magic people with magic potions who could make magical things happen. I remember the days when I was naïvely optimistic about the abilities of people, institutions and organisations who make highly alluring claims: we can cure you!

If I had ruptured a major blood vessel, or my body was losing its battle against a bacterial infection, you can be damn sure that I'd want somebody to stop the bleeding or give me some antibiotics. If I had an operable cancer, you can be sure that I'd want somebody to cut it out of my body.

Some areas of medicine are comparatively new. Some areas of medicine don't have a great deal of success - the data doesn't show significantly better outcomes for patients who are treated, versus those who are untreated. Medicine is actively losing its battle to save lives in some areas, such as suicide and opioid addiction. Mental health problems and addiction have been declared medical emergencies; epidemics.

Sometimes I wonder if it's useful to think of myself as having a chronic illness, and to expect that problems are just around the corner. I can have a good day, a good week, a good month... maybe even a good year. However, it's probably dangerous to start thinking of myself as "cured" or "recovered" and begin to consider myself "normal". Complacency will no doubt lead to repetition of past mistakes, which can result in an incredibly fast chain of disastrous events, destroying every semblance of a normal life, which was so convincing that I and other people were completely convinced that I'm just another ordinary bloke... not some ticking time bomb.

I fought very hard to get treatment. There was a great deal of reluctance to diagnose me as bipolar, and there was further reluctance to treat me. I seemed very functional. My problems seemed acute. Everybody hoped that I'd go away and get better without intervention.

I wanted treatment. I knew I was getting sicker. I knew that my situation was deteriorating. I could see the car crash that was about to happen.

I believed that treatment was effective.

I just had to find the right treatment.

I tried so many medicines. I also believed in the "magical healing powers" of hospitals and doctors. I was indoctrinated by the medical establishment's dogma: "we are the experts and we are the only ones who can cure you".

Of course, I'm not such a fool that I believe in alternative medicine. I critically examine all the claims of all charlatans, quacks, healers and others who promote themselves as miracle-workers. Desperate people are suckers. People are also lazy and gullible. Many of us will be scammed in our lifetimes, because we are so desperate to believe in the existence of things that are too good to be true.

It would have been good I could have avoided that period of my life when I was desperately searching to find the right specialist, hoping that a stay in hospital would be my salvation, or trying a heap of different medications in the hope that I would stumble upon the right one, but it was a necessary education. I needed to learn what was possible, and what was not possible. I needed to see with my own eyes and experience those things first-hand, to learn the limitations of psychiatric medicine.

Psychiatry is young. Mainstream psychiatry - the prescribing of psychiatric medications on a massive scale - is an experiment that's barely a few decades old, which is no time at all, when we consider that anatomical studies of the human body and surgery are parts of medicine which are hundreds of years old. The present-day situation, where at least half of us will take a pill for depression or anxiety at some point in our lives, and so many of us have been taking psychiatric medications for years and years... this would have been unthinkable before Prozac successfully normalised the practice of dispensing mind-altering drugs to tens of millions of people across the USA and Europe. Nobody really knew what the long-term consequences and long-term outcomes would be.

I've lost interest in having any contact with doctors now. I've lost interest in any new developments in the field of psychiatry. I've lost interest in the idea that there will ever be a miracle pill to cure depression, anxiety or to stabilise moods. The brain has proven a far more complex organ than the blunt instruments of psychoactive substances are able to have any precise effect on. Pills are useful for curing a bacterial infection, but they are of no use in an organ which has been evolved to specifically resist attempts to alter it - the brain's ability to maintain homeostasis is incredible, and all psychiatric medications are fundamentally flawed, because they affect a plastic organ, which can simply adapt itself and return to its original state.

Hospitals can offer welcome respite - sanctuary - from the unreasonable demands of the world. Hospitals have their place as a controlled, safe environment, full of caring people. However, psychiatric care has changed radically in the short time that we have been practicing it as a branch of medicine. Those who are ill-equipped to cope with life outside institutions cannot expect to live in an asylum forever, which might sound like a good thing for those who believe that people can be cured and rehabilitated. However, in my experience, it is the horror of the "real world" which is the very reason for the epidemic of mental health problems, and it's often infinitely preferable to protected with the safe confines of an institution than to be fending for oneself in the big wide world. The idea of losing your freedom might sound terrifying and unpleasant, but for those who are struggling to cope - struggling to be functional - freedom is a small price to pay, for the comforting reassurance of life inside an institution.

When you are a child and you hurt yourself, you run to your parents to "kiss it better" but often the injury remains painful for sometime and there is nothing that can be done to alleviate your discomfort. We learn that sticking plasters, stitches and plaster casts can help our bodies mend themselves, but there is nothing to be done to speed up the healing process. There is little that can be done to take away our pain. There is little that can be done when we are suffering mental anguish.

Although my life was very badly damaged, I'm now part of a large organisation where I'm known to a lot of people, and they'd be concerned if I went AWOL. My home city is still very new to me - and I know very few people locally - but I also think that somebody would ring my doorbell and check on me if I went AWOL. I have a routine. I have put things around myself that are structured and stable, even if that rebuilding process is very far from complete.

I've been here before... so very close to a fresh start; a complete life. About a year ago, in the blink of an eye I lost most of my new friends, my new girlfriend and my new job. The year before I nearly died, and I regained consciousness to find I'd lost my girlfriend, my home and my job. I'm aware that my life is very fragile. I'm aware that my existence is precarious.

I wrote positively yesterday about my life and how far I've come since the very deepest depths I sank to, but I know that I have a difficult job trying to stabilise myself and find a way of living my life that's sustainable, and tolerable... pleasant even, one hopes.

It's strange that I've been so much and ultimately reached the conclusion that I was doing a reasonably good job of looking after myself, but I simply had some very stressful life events to deal with. I thought that I could turn to doctors and hospitals to make me better - and indeed my life was certainly saved when my physical health was severely damaged - but now I feel much happier doing everything on my own: I prescribe my own medications, adjust my own dosages... but mainly I just try as best as I can to create a tolerable set of circumstances to allow myself to thrive; I've come to recognise that my family don't care about me and have abandoned me. I've been incredibly lucky to have very loyal, generous, kind, caring friends and wonderful girlfriends, who've believed in me, and looked after me, and stuck by me through the difficult times.

When you see the finished product - a functional man - then we might assume either that he never had any major difficulties in his life, or that treatment was a success. I'm grateful for the hard work, effort and dedication of those who work in psychiatry, but my ultimate conclusion is that it's a flawed branch of medicine. Things could have ended very badly, but those friends who bothered to come and visit me in hospital, check on me when I went AWOL, look after me when I was sick, believe in me, support me... that's the thing that was the key to giving me a chance at getting my life back. Those who've read my blog and are kind enough to reach out to me - to be in contact - have helped me to feel like I have some value, and to feel some self-esteem.

My colleagues don't know how sick I've been, and they don't know how much it means that I'm able to be treated like a normal person at work. My colleagues don't know how important it is that I have the structure and routine of office life. My colleagues don't know how great it is for my mental health to have the social interaction that we have, even if it's just office chit-chat.

We might conclude that the doctors I saw 11 years ago were right - I'm not really very sick and I'm quite capable of living a fully functional normal life - but they're also wrong, because everything had to get smashed to smithereens and rebuilt from nothing, before I could reach this point. I nearly died so many times. Was it avoidable though? Probably not.

That's my conclusion: I've learned a hell of a lot, but it would be wrong of me to start telling people that I have the answers, because what I discovered was that I had to learn everything first-hand. If I had a time machine and went back to tell myself everything I've learned up until now, I don't think I'd believe myself and I'd end up making exactly the same decisions, much like children have to make mistakes even though their parents warn them about everything and try to protect them.

Does this mean that I forgive my parents for abandoning me? Nope. If your kid is sick in hospital, you go and visit them. Period. No ifs. No buts. You don't abandon your children, no matter how old they are.

Tags: #hospital #mentalhealth #bipolar #medication #depression #anxiety

This is a story about open secrets...

A date asked me if she could read my blog. She already has enough information to be able to easily find it on Google: all you'd have to type would be "Nick bipolar blog Cardiff" and I pop up as both the 2nd and 3rd hits. I've decided to go "full disclosure" on my dating profile and tell people that I have bipolar disorder, because it's something pretty important to know about me. I also say that I write a blog and spend a lot of time on Twitter. That's quite a lot of information to give away, which easily leads to this absolute goldmine of everything you'd ever want to know about me, and a lot that you really would probably rather not know.

There's a great imbalance if somebody has access to a great big cache of totally candid and brutally honest writing, which confesses every single innermost thought, expresses every single insecurity and exposes all my vulnerabilities.

Usually, when getting to know somebody, each person reveals themselves little by little, and each person slowly forms an opinion - there's a limited amount of information available from which to form a judgement. Also, we present ourselves in either the way that we would like to be perceived, or in the way that we perceive ourselves. If we have pretentions, we present that image. If we have insecurities, we also make those known in subtle ways, or we attempt to hide them. If we wish to be insincere, we can lie and boast. If we wish for things from our past to be forgotten, we can omit those gory details from the account we tell.

Given that it is my well-practiced habit to write without self-censorship on a daily basis, and to use this blog as a coping mechanism during some very difficult times, I'm exposed in a way that most ordinary people are not. A glance at somebody's Instagram account is going to reveal very little about their state of mind. A glance at somebody's hand-picked photographs, selected to present an enviable glamorous adventurous lifestyle, does not in any way hint at what life's really like for the person who controls that account.

A glance at my blog reveals a fairly dismal picture of me at the moment. I'm quite overwhelmed with seemingly mundane things, such as administrative paperwork and other fairly simple tasks associated with getting a new home into good working order - assembling flat-pack furniture and suchlike. I complain about being single and lonely, and isolated: lacking in an adequate social life. I have also regularly mentioned suicidal ideation, usually triggered by minor inconveniences and frustration, borne of my unrealistic expectations of how quickly I should be able to restore my life to health, wealth and prosperity, complete with a new girlfriend, having only just very recently moved to a new city.

Because I never write with the mindset of "what if somebody from work or somebody who I wanted to date read this?" it means that I'm at risk of being judged harshly by people who might walk in on a particular chapter of my life and quickly gain an unflattering impression of me.

I don't write to impress work colleagues. I don't write to impress potential girlfriends. I write because writing is an integral part of my life, and writing publicly is now "normal behaviour" to me, although I'm well aware that most people wouldn't share what I share, because they'd see it as a risk to their reputation - it'd make them more vulnerable, less safe and secure, and they see privacy as something desirable.

I found privacy to be unhelpful. I found that privacy meant that nobody knew how close to suicide I was, which was a very dangerous state of affairs, and I found that privacy led to me becoming increasingly isolated and paranoid - I was terrified of anybody finding out that I was unwell, which spiralled out of control. The more I worried about people finding out that I was sick, the more sick it made me.

The answer, as it has turned out to be, was to write everything down and publish it so that anybody can read it. My illness was by no means "cured" overnight by taking that course of action, but over time, old friends and new ones have been able to engage with me and I've maintained a toe-hold in the land of the living. The most unusual thing - making my entire life an open book - has turned out to be one of the most important things to give my life stability, structure, routine and access to a vast number of supportive caring individuals, who've intervened at critical moments during the 4 years I've been writing... including one crucial moment which literally saved my life.

The question about whether I should allow prospective girlfriends to read this blog is perhaps bound up with the question about whether people who've had difficult life experiences are "broken" and are therefore "worthless". If you believe that people should suffer lifelong punishment for their mistakes, then perhaps this blog is perfect to share with prospective girlfriends, because I'd never want to date anybody who'd harshly judge me for things which happened in my past which I have no ability to change: my time machine is broken.

If anybody is looking to go digging for dirt with a negative mindset - hoping to discover that I'm a terrible person who's done terrible things - then I think that those people won't be disappointed. My behaviour has regularly fallen short of perfection and I'm deeply disappointed with things I've said and done in the past; I do carry regret and remorse; I've made innumerable mistakes.

I wonder how much I differ from, say, a man who abandoned his young children and wife to run away with a young woman who he was having an affair with - an utterly devastatingly despicable piece of behaviour, ruining innocent lives and making a mockery of solemn vows of lifelong monogamy and dedication to a spouse, plus the dereliction of dutiful responsibilities - versus my mistakes which bear no such hallmark of obnoxiousness. Yes, I've caused a great deal of distress during times when I was extremely sick, but I assure you that no amount of digging will unearth evidence that I'm some kind of selfish evil man, lacking in empathy and remorse. In fact, a thorough reading of my blog reveals that I often reflect upon events from my past and wish that I had acted differently, and I am critical of my own behaviour, attempting to acknowledge my own flaws and spot common mistakes, so that I might learn from them.

This is a highly defensive piece, but it's a highly stressful time. My job is going very well and I would dearly love to start another relationship. Having this vulnerability - in the guise of this blog - is highly inadvisable, but I'm loath to bury it, given how important it is to me as a coping mechanism and a way to keep concerned friends informed of my state of mind.

I might write another synopsis of "the story so far" for those who are dipping in for the first time, because it upsets me that it's impossible to see the bigger picture without reading approximately 1.1 million words, and I don't like the idea of being judged on a handful of skim-read recent blog posts, mostly complaining about mundane and trivial matters.

Of course, none of us wants to be misunderstood, and my writing is perhaps the most desperate attempt to avoid that situation, given that I've felt so close to death for so long. However, ironically, it's pretty damn hard to get to know me - to understand me - because I've written so much and for so long.

If you've read as far as this point, what can I say? Thank you. The comfort I get from knowing that my thoughts and feelings are not trapped inside my body, unseen, is immeasurably valuable to me.

Tags: #writing #privacy #socialmedia #relationships #dating

This is a story about the consequences of a mood disorder...

Having had a mood disorder - bipolar - all my life, with its symptoms perhaps becoming indisputably obvious from adolescence onwards, I've had a lot of time to reflect upon the regrettable consequences of things that I said and did when I was experiencing hypomania or mania.

As a child I had little opportunity to do anything which had any particularly negative consequences. I took risks I suppose and I established a pattern of frenzied activity followed by melancholic lethargy. The intensity of my early hypomania was triggered by the rare event of being able to spend time with friends, when so much of my childhood was spent bored while my parents took drugs and got drunk. The excitement of escaping the boredom and oppression of being trapped in a house or a car with drugged-up or drunk dribbling morons, was so great that I would talk rapidly, be unable to sleep and I exuded so much energy that my friends and their parents were alarmed by this behaviour, which was uncharacteristic of how I acted at school, for example.

School terms were long and they were unbearable. For whatever reason, I was bullied constantly. School was something to be endured and I treated it in very much the same way that I treated my parents' negligence - I lived inside my own head, bored but attempting to entertain myself with my own imagination. I was incredibly patient, given the unpleasantness of my school days and the time I was forced to spend with my parents, who were so incredibly selfish that they destroyed most chances I would've had to form meaningful long-lasting friendships. Every school holiday, and indeed many weeks and months of term-time, my parents would remove me from the company of my peers, because they wanted to get drunk and take drugs in an isolated rural location, where they thought they would be safe from the criticism which they would draw for the neglect they were showing me; they attempted to hide their disgusting disgraceful behaviour.

My parents' folie-a-deux, which I see now was a toxic co-dependency, motivated by their addiction to alcohol and drugs, was clearly very formative and shaped my character. I became a patient plotter, who could put myself into a trancelike disconnected state to endure the interminable boredom of being trapped with a pair of dribbling moronic drug addict drunks, with no friends to play with - deliberately isolated from my peers.

This is why I do not celebrate mothers' day - because my mother is nothing more than an alcoholic drug addict with bad taste in men, and I wish I had never been born.

Luckily, modern society reveres those who have bipolar tendencies. How would anybody be expected to pass their school examinations, university finals or write a dissertation, unless they were able to cram and work hard in short and intense periods, having the academic holidays to then collapse on the brink of a nervous breakdown, to recover? How would anybody be expected to undergo the the awfulness of attempting to get a foot on the first rung of the career ladder, and the dreadfulness of the 9 to 5 office grind, unless they could muster the manic energy to be enthusiastic in numerous interviews where you're expected to lie about how excited you'd be to join Acme Corporation and their widget manufacturing business? How can you get ahead in your career, when you are so thwarted by your colleagues and the dreadful bureaucratic nature of organisations - with their "can don't" attitude - except by having periods of intense focus and effort, which no stable level-headed person would ever undertake in their right mind? How could you quit your job, start a company and make it successful, unless you had some kind of screw loose, which drives you to work 100+ hours a week and not give up on something until the results are delivered?

Nobody much cares about the periods of depression that regularly occur in the life of a person with bipolar disorder, because we celebrate achievements and we hide our failures. We pretend that we never screwed up. We pretend that we never got sick. According to our CVs and our LinkedIn pages, we are perfect infallible human beings, who are completely flawless. Because people with bipolar disorder regularly have episodes of hypomania or mania which are full of boundless creative energy, they have an impressive list of achievements under their belt. Nobody ever lists their depressions on their CV or LinkedIn.

Moving house and breaking up with my last girlfriend has left me exhausted and all alone in a new city. I have a work colleague who is reasonably friendly, but a very busy family man, and I have met one new friend, although they don't live very nearby. It's hard to describe how lonely and isolated I am - physically - because few people ever reach this point in their life without taking some kind of evasive action. It's very unnatural for humans to go to strange places and leave themselves totally cut off from social contact, beyond the minimum necessary to get money and buy food.

The flurry of activity which pre-dated me moving house was prompted by stress, and it contributed to the exhaustion and depression I'm feeling now. Also, I feel embarrassed that my grand plans to work on projects presently lie abandoned and the people who I was in contact with have been neglected for quite some time. It's very damaging to my self-esteem to know that my behaviour is so conspicuously unpredictable and unreliable, which leads people to believe that there's little value in the investment of a deeper and more meaningful friendship. When I crash, I cannot face the pressure of maintaining contact, so I disappear and I'm overwhelmed with guilt over the people and projects which are being neglected.

Sometimes, mania prompts me to say regrettable things. I particularly use Facebook as a 'safe space' to rant when I'm struggling with my mental health, because at least it keeps my regrettable words contained in a place where they're not publicly accessible. My friends can respond and calm me down, and I'm not left scrabbling to delete things which were inadvisable to write and publish publicly. My friends - if they're real friends - would take my words with a pinch of salt and not unduly categorise me as a madman and a lost cause.

It's deeply worrisome, knowing that my mental health can collapse and I can act regrettably. It's an unsettling and insecure state of affairs, knowing that I could easily destroy the good reputation I have and the respect of my colleagues, if I was to show a little bit too much of my illness. I keep things relatively neatly partitioned: my blog is where I write honestly, but always mindful that my words are subject to public scrutiny. Facebook is where I write things which are almost always a cry for help, or in some way symptomatic of the very bad mental health problems I'm dealing with. Work is where I spend a great deal of effort "acting normal" and attempting to show a reliable consistent side of myself, despite dreadful inner turmoil and very difficult events in my personal life.

One might say that this entire blog is regrettable, given that it's easily discoverable by my work colleagues, but I do not speak ill of anybody or the organisations I'm involved with, and I do not bring my profession into disrepute - I think that my conduct is perfectly acceptable, and I'm prepared to defend it on the grounds that I find it immensely therapeutic to have this outlet, and the support of people who are kind enough to read my words and send me kind messages.

I have a lot of regret. I admit that I could have made much better choices in a lot of situations. I don't hide behind my mental illness as an excuse. I'm perfectly capable of accepting that my behaviour has been regrettable and that I should have handled things differently.

Why then continue to write like this? The answer is complicated: I have no idea what would happen if I didn't have this single thread of consistency in my life. Rightly or wrongly, I credit this blog with bringing me things which have saved my life: my guardian angel, the people who got the emergency services to save my life during my most recent suicide attempt, the family who looked after me when I was jobless and homeless, and some of the friends who I speak to on a regular basis, who all only know me because I put myself out into the public domain - they reached out to me and rescued me, in their own ways.

Tags: #writing #socialmedia #bipolar

This is a story about shouting...

I find myself in the thick of the action at work and I'm failing to keep my head down and my mouth shut. It would be better if I gave my opinion quietly and infrequently, after much careful consideration, but instead I shoot from the hip and engage my mouth before my brain. Most of what I say has a solid basis and imparts some useful expertise, but it would be better if my voice wasn't so often ringing out loudly across the open-plan office.

I'm not sure how received I am. I'm loud, outspoken, quick to respond, decisive, but I'm also like a flame sucking all the oxygen out of the room. I wonder how little room I'm leaving for other people.

I know that I'm not a bad manager - I'm not prone to micromanaging people or being too fussy about the details, such that there's no room for my underlings to think for themselves - but I wonder if I'm a bad team member at times. I know that I'm patient and forgiving with junior members of the team and I invest a huge amount of time in knowledge sharing and training, to help them, but I'm pretty scathing with my words when I see bad quality work done by people who call themselves fully trained and experience professionals. I sometimes wonder what my colleagues do with all their time - how do they entertain themselves if they're not busy?

I often wonder who has the right approach: my colleagues who don't do much so that their projects are never completed, or me finishing projects early? My colleagues would argue that you can make yourself redundant if you do a good job and finish your project to a high standard, such that it doesn't need much more ongoing work to maintain it. I would argue that you're not a good engineer if you never finish a project.

I went home yesterday feeling as though I'd been too outspoken and that I should apologise to one of my colleagues. My brain was badly affected by anxiety and flooded with thoughts about myriad things which needed considering. I bombarded my colleagues with a whole host of things to consider, which probably overwhelmed them and I certainly didn't make a single clear and concise point - I simply couldn't stop words from spilling out of my mouth.

This week, some ideas that I've been nursing for 6 months are coming together. A piece of work that I did in a flurry of manic activity is taking shape as something tangible, just the way I had planned it would. It seems unusual that I should have done all the hard work so long ago and then rested on my laurels, but I needed to have a holiday and move house, which were a huge distraction. The festive season is a bad time to try and do anything important. As it happens, the timing has worked out perfectly, although I have been very bored at times this year.

Having sat quietly at my desk for a very long time, thinking, I now find that I struggle to regulate the volume of my voice. I struggle to hold back in meetings. I struggle to remain quiet for the benefit of the whole team. I'm struggling not to be loud and overbearing.

I would be well advised to put my headphones in and confine myself to my own thoughts for a few days, to give my colleagues a break from the sound of my voice. It would be a good idea to make a promise to myself to say nothing in meetings, except the very bare minimum required, to make a bit more space for my colleagues. I'm like a liquid poured into a mould, filling every square inch of space and leaving no air pockets.

Having unmedicated bipolar disorder in an office environment is problematic. I trample on toes and speak too much, too loudly. I must be very annoying.

I'm aware that I can get carried away with my productivity and ability to solve hard problems, and I can start to see other people as deadweight, which can lead me to saying unkind things and being very rude and dismissive. I forget that people take pride in their work - even if it's rubbish - and can be offended when I bulldoze my way straight through it inconsiderately, in pursuit of my goals. I'm aware that my future employment depends on playing nice with others, and I should calm myself down during these periods of mania-like frenetic activity.

I forget that I'm no longer managing huge teams all across the world. I forget that I'm no longer CEO of a startup that I founded. I forget that I'm no longer the boss, but in fact I'm a consultant who's been hired for my expertise and opinions, which need to be tactfully given to the client. I forget I'm not in charge of the project. Often, my loud authoritative voice can lead to people getting into the habit of looking to me for leadership, when I'm not in charge of anything, which is a mistake on my part, because my strength is in my knowledge and experience, and my ability to solve hard problems - it's not my job to lead the team, but I always find myself naturally providing some degree of leadership, although I don't actively seek to gain power and control.

It's strange. Sometimes people are very relieved to have me working on their project, because I always have a clear sense of direction and I provide a reassuring level of seniority - people trust that I know what I'm doing - but I continuously jeopardise my job by doing things which could very badly backfire if they didn't work.

I have a colleague who's close to retirement who's been hired to do pretty much the same job as me. We couldn't be more different. He spends his days listening to the radio and reading the news. I think there's a lot I could learn from him about plodding along as slow as possible, without getting sacked. Sometimes I find the attitude to be loathsome, but what's the real harm in it - isn't he getting a lot better deal out of life than I am? What use is all my hard work? What good will it do?

I need to calm down. Arrogance will flare up and I'll start being disrespectful to people, and that will be the beginning of the end.

Tags: #career

This is a story about having a pity party...

My memory and perception of time are very badly affected by strong medication. Every day ends the same for me - swallowing 6 pills and falling unconscious - and every afternoon and evening the fog clears and I'm overwhelmed with anxiety, due to the medication effects wearing off. The routine is useful because it helps me stay functional and earning a lot of money, but I'm stuck in a loop which only contains working, sleeping and eating. Days are indistinguishable and time passes incredibly slowly.

I write repeatedly about suicidal thoughts because I'm very trapped. I've become physically dependent on medication and the withdrawal effects are intolerable. I struggle to recognise the pattern in my moods, because my memory is impaired. I function perfectly effectively at work because of the monotony of what I do, and the fact I'm using skills I grasped as a child, long since mastered and turned into muscle memory and reflex. Everything in my life is something I've done a million times before. There are no new and novel challenges in my life. There is nothing which I could embark upon as a voyage into the unknown, except for death I suppose.

I think about getting a girlfriend, making friends, finding a new hobby. I think about buying more furniture and generally making my home more comfortable. I think about getting on top of my mountain of administrative bureaucratic tasks. None of these things are new or interesting to me - they're simply chores.

I'm blessed with a large amount of people who I'm in contact with via the internet. I'm never short of somebody to talk to via message or email. Some friends have stayed in contact and I've even made some new friends quite by accident. Perhaps I take all this for granted, but I'm just stating the facts.

I see my situation as unavoidable. I see my choices as so limited that I actually have no choices at all. The claim might sound unlikely, but my analysis is invariably correct. I'm in the process of creating choices for myself, while the world works exceptionally hard to thwart, frustrate, delay and annoy me. I'm not so paranoid that I believe that anybody's "out to get me" but in my lifelong experience there are always setbacks which far exceed a person's capacity to insulate and protect themselves. We live with the constant peril of our car breaking down or some other unexpected financial disaster wrecking our carefully laid out plans.

In other ways, my life is frighteningly random. I was almost bankrupt when a friend recommended me for a job, which rescued me from certain ruin. One year later, that friend killed himself. Another friend recommended me for another job, which has led me indirectly to where I am today. My improving financial situation is entirely a fluke and it's likely to end up in financial disaster at any moment. I've been maximally leveraged for far more years than I care to remember. My avoidance of homelessness and destitution is thanks to blog readers who have offered assistance. These rescuers have appeared in my hour of need, not through any coherent cries for help which I've communicated, but instead through the randomness of life.

Similarly, I expected to die in September 2017. I had planned and premeditated my suicide attempt. I had been systematic. I had done my research and I was sticking to the script. Again, random people off the internet intervened in collaboration with old friends and I was saved... just.

I feel sorry for myself but I can't decide how much of my situation is of my own making and how much was preordained. It certainly seems that whatever I try to do, my life appears to be running on invisible rails. If I try to ruin my life, I cannot, and if I try to improve my life, I cannot expedite or hurry things along.

Every day at work earns considerably more money than I spend. Every month my financial situation improves. However, my risk and exposure are steadily constant. I live with zero security. I live with very real and tangible threats to my home and my income, which also threaten to then cause a catastrophic chain of events that would see me cast from my profession and barred from accessing everything which middle-class people take for granted: bank accounts, mortgages, car loans, house rentals and other things requiring a credit check. Even most jobs with big companies are barred to bankrupts nowadays.

Money ebbs and flows through my accounts. Vast amounts of my wealth is hoovered up by the idle and lazy, who arrogantly expect to be paid money because they already have money. The turnover of money is beyond my capacity to track it. To monitor my accounts would be an exhausting waste of time and energy. Instead I see the vast wastage as preferable to the miserly task of bean counting. At least I know that some of my money ends up in the pockets of people who need it - it flows to me and it flows outwardly again, but at least it is flowing. I have no time or respect for people who cling to money, denying it to the economy.

I've lost count how many times I've lost everything but earned it all back again plus interest. I must have spent several lifetimes' fortunes. The aggregate value of my productivity must be a very big number. I certainly haven't been idle.

My life is very straightforward. Get the money, spend the money.

The straightforward nature of my life is the root cause of my unhappiness. I feel like a rat who has had electrodes implanted deep into its brain, so that it can stimulate the reward pathways by depressing a lever. It's very easy to press the button and get the thing which I'm supposedly living for. Don't have sex, press the lever. Don't have children, press the lever. Don't eat, press the lever. Don't drink, press the lever. I can press the right buttons and get the things which everyone covets - money, houses, cars, boats... whatever.

When you've been in the situation where you can buy whatever you want, including a lifetime's unlimited supply of drugs, then you have become the rat who presses the lever until it dies, because it doesn't eat or drink - it just presses the lever, because the lever is the best that life can possibly be. If you've ever thought "I could die right now because I'm so happy" that's what the rat is thinking when it presses the lever. Nobody should ever experience that... it's too much to handle.

Ultimately, I have reduced life to its most fundamental and primitive components. I understand mortality. I understand the lever. Life has boiled down to a choice between three things for me: pressing the lever, killing myself, or seemingly interminable boredom and suffering; repetition.

I had to make the choice to stop pressing the lever. I did so because of guilt about not repaying a debt to a friend. I could see that I was going to die of thirst, like the rat pressing the lever, and that I would die with a considerable lack of dignity. I turn 40 this year and it's pure pride that drives me towards confounding all expectations that I should end up a dead homeless bankrupt junkie.

I repeat myself so endlessly, but this is how I keep myself on-track. The speed limit of the universe is maddening, because I can see where I want to end up and I can see the route I need to take, but there's no way I can make the journey pass any quicker. I'm very much wishing my life away because I can picture so clearly where I want to be. I see everything that's not on the critical path as superflous. I've jettisoned girlfriends, friends, hobbies and interests, intellectually stimulating work, social contact and - strangely - drugs and alcohol. My life is austere. My life is brutal simplicity personified.

I wonder if perhaps I am on the autistic spectrum. I have rigid and fixed routines. I wear certain clothes on certain days at work, from a pre-planned wardrobe. I eat the same things. I have a place for everything and everything must be in its place. I follow a sequence for everything. I have routes that I always follow. I have a single unwavering approach to life; a single way of getting money and getting what I want. My life is designed to fit a designated path; everything is controlled down to the level of minute details. I have memorised unusual things, such that my words and actions seem to flow out of me automatically, despite the complexity of a task or seeming impossibility of memorising a sequence of keystrokes.

I blend in well enough now in adulthood. It's been a while since anybody called me a weirdo. In fact, I portray a convincing facsimile of a normal person, outwardly.

For a person with a mood disorder, I appear to be remarkably stable, and all the more so considering that I'm not taking any mood stabilisers. I stabilise myself with self-medication and strict routine. It's hell, but it's an internal hell which I manage to hide from my work colleagues.

It pleases me that I've been able to blend in. It pleases me that I've been able to pretend to be normal for lengthy periods of time, and to prove that I can hold down a job, pay my bills and otherwise conform like a regular guy, for sustained periods. It pleases me that I stop and start drugs and alcohol whenever I want - I can be clean and sober whenever I choose, without difficulty.

Everything is a loop. Round and round I go.

The present loop is one of the most boring and most suicide-inspiring.

Tags: #bipolar #suicide #depression #career

This is a story about refusing help...

If you spend enough time with general practitioners, general psychiatrists, specialist consultant psychiatrists, registered mental nurses, specialty doctors and all the very many other mental health professionals who are part of inpatient and outpatient clinics, community mental health teams, crisis teams and all the other apparatus which is supposed to treat mental health problems, one begins to realise a rather unsettling truth: there aren't very many treatments and they don't work very well.

Psychiatry is a young branch of medicine and it doesn't have a lot to crow about. Since the days of asylums and lobotomies, psychiatry has been dogged by scandals, including the extrapyramidal side effects of medications which have left patients with lifelong irreversible unpleasant problems. The data do not show encouraging outcomes. In fact the outlook is dismal and appears to be worsening as the toxic conditions which create mental health problems, seem to be intensifying. Rates of depression, anxiety, eating disorders, OCD, autistic spectrum disorders, attention deficit and hyperactivity... these are all soaring. Treatments are not effective and vast numbers of people are condemned to suffer with their illnesses AND the side effects of the medications.

I've been lucky enough to have access to private medical care, at times, and even with the very best professionals and medications, there is not a vast difference between what's available from the public healthcare system. It's all pretty crap and it doesn't work very well.

This is not a damning indictment of those who dedicate their lives to trying to treat mental illness, but simply a cold hard rational analysis of the facts.

The conclusion I've reached has been that there's an over-medicalisation of non-medical problems. The bulk of my problems have stemmed from the collapse of my relationships. I got divorced. I am estranged from my family. I've been forced to move to cities where I have no friends - no social support network - in order to work jobs which have been unsuitable for my health. I have the enormous pressure of having to work full-time, to pay rent, bills and service enormous debts, which is unbearable for a person who's having a crisis.

My mental health would be vastly improved if I had a partner, a social support network of local friends, financial and housing security and a job with reduced hours, until this crisis is resolved. Healthy diet, sleep hygiene, exercise, sex, physical affection, sunlight, fresh air, social contact, hobbies and interests... these things are all essential for human wellbeing. None of those things can be prescribed by a doctor.

During the worst days of my addiction and rough sleeping, I noticed that my fellow homeless alcoholics and addicts were not without some routine and social lives. Romantic relationships are not the exclusive preserve of those who live in houses and have jobs. The life of a homeless drug addict might be chaotic to the outside observer, but a less prejudiced analysis reveals no less structure, no less need for comfort, no less humanity. Those who have fallen into habits of addiction and homelessness might find the community of drug addicts, alcoholics and homeless to provide the social support network and sense of community, which they'd struggle to find living anonymously behind a front door.

Does anybody really know I'm here... in this house... in this city? In many ways I have found my contact with hospitals and the police to be of great comfort. I have found the nonjudgemental members of the NHS and police force to be incredibly kind and compassionate people. It's nonsensical, but I've been happy to be hospitalised or arrested. I've been happy to be in a cell or on a hospital ward, with somebody checking on my welfare. Behind my own front door I could be hanging by the neck, dead, and nobody would discover me for days or maybe even weeks.

My problems are mainly attributable to unmet basic needs: hugs, face-to-face conversation and a sense of belonging.

Because of the obvious things which need to be fixed in my life, it seems wrong to seek medical help, when my mood could be radically different if all the broken things were fixed. It might sound like a fun adventure, going to new cities, but the reality is very miserable and lonely. The reality of my present life is that I don't pick up the phone to speak to anybody when I'm feeling dangerously depressed - who would I phone? What would they do? It's not like anybody can nip round to check I'm OK.

Humans are social creatures, but I live on the periphery. I live on the periphery of life itself, always in danger of death or medical emergency. The state of being suicidal should be considered a medical emergency, especially in men of age 20 to 40, where suicide is the biggest cause of death. My perception of the danger is not warped, given my history of suicide attempts and hospitalisations.

There isn't a pill or some psychological therapy which would be effective... especially not when so much of my life is broken. It's not a medical problem. Sure, I have an underlying mood disorder, but the highs and lows of bipolar don't make me as unhappy as my social isolation does.

How I set about fixing things, I have no idea. The task seems insurmountable.

Tags: #bipolar #medication #nhs #depression #suicide