This is a story about vicious cycles...

I think I'd prefer to be an artist or an academic. Working for a living sucks. I'd prefer to be a life coach or some other kind of person who doles out unwanted advice, pretending like I'm an authority on how life should be lived. I watched charity chuggers today, seized with self-righteous purpose; in love with themselves and foolishly believing their contribution to society is valuable in the face of overwhelmingly contradictory evidence. I'm bitter and twisted; resentful. My thoughts are chaotic. Disaster looms.

The absurdity of existence torments me. I see crowds of people and I see how similar they all are - they all have the same hopes & dreams; the same neuroses and weaknesses; the same vanities and flaws. I'm continuously reminded that we're all dying and we're destined to be forgotten. Every bead of sweat and drop of blood that's spilled will mean nothing. Entropy will destroy everything that's ordered and organised and structured and regular. Soon... nothing.

I'm aware that my mind is hunting for a change of mood; seeking out some relief from the relentless boredom, monotony and unbearable stress. Could there be anything worse than sitting and waiting to die, watching the onrushing freight train from many miles away. Inevitability is the worst. It's not difficult to extrapolate.

My thoughts seem jumbled and disorganised but friends tell me I'm becoming more lucid and expressing myself better than ever before. It's strange how my perception of myself contradicts others' observation. Some are desperate to declare me insane, while others are relieved that I seem cured. If there's any cognitive dissonance, it's external to me.

Either I'm about to make a breakthrough or I'm about to have a breakdown. I can't decide which, but I hear the familiar hysterical and frenzied voices, desperate to declare me mad & bad; desperate to say "told you so". The closer I get to some difficult to reach truth, the harder those who would thwart and frustrate me will fight. I'm spurred on by those who speak to me condescendingly, patronisingly; insult my intelligence and otherwise attempt to undermine my confidence and self-esteem. The attack is relentless, but I try to patiently bide my time.

If you want to win, you can't react to the bullies; you can't give anybody the satisfaction of allowing yourself to be distracted. The closer you get to escape velocity, the more people will try to shoot you down. Many people dislike seeing anybody getting ahead in life. Many people don't want to see you succeed. How can we imagine ourselves successful, without trampling on those underneath us?

The dam is bursting and I'm almost overwhelmed by the enormity of everything I've been through and the unpleasantness of the present and immediate future. I've reached the limit of what I can take.

Yes, this is cryptic, but I don't intend it to be.

I'm venting, of course.

Tags: #bipolar

This is a story about escaping...

I just realised that I couldn't tell you anything about how these wines tasted. I drank them without savouring the smell and the flavour. I drank all these bottles of wine on my own and I can't remember a thing about them. If I had to choose which one I enjoyed the most, I wouldn't be able to - I didn't drink them for enjoyment. I drank them to get drunk.

When I took a sip from my glass last night, I still had a very bad hangover from the night before. The wine tasted sour and unpleasant. I had been in two minds about drinking anyway, but something prompted me to drink - I think it was anxiety about fast approaching Monday morning and returning to the office; another agonising week doing a job I hate. There was anxiety about my financial situation too. I had run out of money and spent my final £10 on wine and a cheeseburger. I was skint.

Alcohol has become liquid diazepam for me. Alcohol is a very poor substitute for benzodiazepines though. At least with benzos you don't have dreadful hangovers. At least with benzos, you don't get a fat tummy from all the excess calories. At least with benzos, it's possible to be very precise with a dose. Benzos slotted pretty easily into my everyday life, in a way that alcohol doesn't. I would take a benzo to go to sleep, and another to be able to get up and go to work. I was functional on benzos. Alcohol is unhealthy. Alcohol is not going to lead anywhere except becoming unfit, overweight and suffering from various alcoholism-related illnesses. Taking my tranquillisers in pill form is far more preferable to having to guzzle gallons of booze.

Why would I be getting so intoxicated anyway? Surely my life is wonderful?

There's a little bit of loneliness and boredom. I'm working away from home and living in a hotel. There's nothing much to do except drink. I was running out of money, so it's not like I could go out and do things. Also, did I mention I was running out of money? When you know that you're running out of money, it's really stressful. Stress means that you can't relax and you can't sleep. Constant anxiety is a terrible thing. When you're running out of money, anxiety is constant. When you're not sleeping, anxiety is with you all night long, tormenting you. There are no easy solutions to my problems, but money's a good start. If you don't have any money, you might as well just get drunk.

"How do you afford to get so drunk if you've got no money?"

Well, it's about priorities. The six bottles of wine pictured above probably cost me about £42. How much would I spend on gym membership? How much would I spend on a night out seeing friends? How much would I spend wooing a girl? It's not possible to simply not exist, and still earn money. Earning money requires existence - nobody pays you unless you're in the right place at the right time. The only way to get me into a shitty situation that I hate - living out of a suitcase and working a job that makes me sick - is to oil me up with a load of booze or tip a packet of pills down my throat. It's completely necessary to have booze when I'm doing something that's otherwise incompatible with my mental health.

Thus, we arrive at my central theme: drinking myself sober. The route to sobriety does not just include abstinence. The route to sobriety also needs to include things that are compatible with life. Modern life requires money. The way to get money is to do a job that you hate. The more you hate your job, the more you'll get paid. I REALLY HATE my job, so they pay me LOADS AND LOADS of money.

I finally got paid today.

Now I have money but I also have a big booze habit. I was pissed out of my mind the whole of Christmas and New Year, because I really didn't want to go back. I'm quite an articulate fellow but I really struggle to quite convey just how unhappy my particular line of work makes me.

"Retrain! Be a famous pop singer! Drive Formula One cars! Be an astronaut! Be a professional footballer!" I hear you shout.

Yes, but there are economic fundamentals at play in the capitalist bullshit society we all live in. It makes far more sense for me to be paid absolutely bucketloads of cash, and suffer a very great deal, than to be paid absolute peanuts and suffer loads anyway for different reasons.

I got paid today.

An alcohol habit, I can deal with, I think. When I had a massive problem with sleeping pills and tranquillisers and painkillers, life was a different story. There was no way that I was going to be able to quickly and easily cut down my addiction to prescription medications. I was actually physically dependent on benzos to the point where I would have seizures and possibly die if I stopped taking them abruptly. I was trapped. Now I'm not trapped. I have a booze habit - I drink more than I want to - but it's manageable. I don't drink spirits. I don't drink every day. I don't drink in the morning. I don't get pissed at work. It's a much better situation than when I had such a bad benzo addiction that I was on diazepam around-the-clock.

Sleep is one of the reasons why I've historically had a problem with booze and benzos. Zopiclone is called a nonbenzodiazepine, but it's still a benzo. Zopiclone is addictive. I used to have a few glasses of red wine to help me sleep. When I discovered zopiclone it became my drug of choice for helping me to sleep. I took it for most of 2017.

Now, I'm doing all the right things for sleep. I practice good sleep hygiene. Lowering the lights, avoiding strong blue light, having breakfast, completely avoiding caffeine, having 5-HTP (a precursor to melatonin) and magnesium supplements. All of these things make a difference. I get a little exercise too.

But, on the flip side, when you stop taking diazepam, alprazolam, zopiclone, zolpidem, pregabalin, mirtazepine, lamotrogine and a whole heap of other sedative/hypnotic/tranquilising/sleeping-pill type drugs, you get a horrible amount of rebound anxiety and insomnia. Words can barely express how horrible it is to live with a constant gnawing sense of dread, doom and dismay. I'm not talking about a few nerves that can be waved away with bloody breathing exercises or yoga. I'm talking about living for 24 hours a day with the unshakable sensation that you're about to die. It's not something that's going to be fixed by your quack snake-oil cures, because it has a biochemical origin. What goes up must come down. If you take heaps of pills, they're really really hard to stop taking and you'll feel awful when you do stop taking the medication.

So, I've been self-medicating for the combined anxiety of running out of money, having to start a new job, doing work that I absolutely loathe and that makes me sick, having to live away from friends and family in a lonely isolating environment and not having any bloody money to spend to make it bearable, while withdrawing from bucketloads of addictive medications. I think £42 for six bottles of wine is a bloody bargain, when you consider that this unhealthy coping mechanism has actually helped me to cope. I've done it. I've bloody done it. I worked and I got paid - that wouldn't have been possible without chemical crutches to prop me up.

Hurrah for alcohol. Better the devil you know. It should be straightforward to now reduce my alcohol intake to healthier levels. Some moderate alcohol consumption is actually desirable. I can't imagine living on this shitty overcrowded rainy island, without wine and beer to drink. I can't imagine anything worse than living life completely sober.

Of course, there's a risk that I swing the other way, and my drinking worsens. There's a risk that I'll reach for the harder stuff - which I've never touched a drop of in my life. There's a risk that I'll lose control.

At the moment, I'm really chuffed with where I'm at with my addiction to substances. To have quit all those dangerously addictive drugs, and now be left with a very negligible habit is quite impressive. What does a couple of glasses of wine matter?

The next challenge is to try to stay off the zopiclone and taper off the tiny amount of pregabalin that I've been relying on. It's taken longer and it's been much harder than I thought it would be. I'm amazed just how terrible I still feel, as I reduce my dose of all the pills I was addicted to to almost zero. It's amazing just how much of a strong hold on my mind those pills had. I'd reach for those pills to go to sleep, and I'd reach for those pills just to cope with hideously horrible stressful shit, that made my life unbearably filled with anxiety. Now, I occasionally have some red wine. That's not bad is it?

I really can't decide which way to go at the moment. I'm not going to drink tonight, but I've had to take 50mg of pregabalin to be able to cope with anxiety. I shouldn't be stressed - I finally got paid - but it's going to take a little while for me to re-adjust to the new circumstances. I've been living with the threat of bankruptcy hanging over me for so long, I can't quite believe I dodged that bullet.

I'm not sure if anybody who's followed my turbulent ups and downs can detect any improvement or change from where I was at when I was under the influence of enough medications to tranquillise an elephant. It's really hard to gauge in myself whether I'm any different at all. Am I able to better perceive reality? Am I communicating with more clarity? Am I getting better? It's impossible for me to judge.

One thing that should be noted is that my decision to reduce and quit a whole host of highly addictive medications, alcohol and other substances, was my own. I also don't think I could have quit everything if I was forced to go cold turkey and quit abruptly. In fact, it would quite literally have killed me to do so - you can't just stop when you're physically dependent on substances. Alcohol, for all its faults, is at least available as a ubiquitous form of self-medication. If I'd had to rely on doctors to give me what I needed, I'd never have been able to get through such a torturous period of re-adjustment. It's inhumane to not offer any kind of substitute prescribing or realistic tapering of doses, to help people escape from the trap of addiction.

Yes, I laughed at the amount of effort that junkies will go to in order to get a tiny bit more methadone or subutex, but that's the point - you do you. You know what you can take and you go at the pace that means you succeed. You know what you need and you should damn well get it. Anything other than this is going to be doomed to failure, and cause undue suffering.

I've suffered and it's been hard. It's still hard. But, I got through something really tough and I still have the comfort of knowing there's a bottle of wine waiting for me in the off licence down the road if everything gets thoroughly unbearable. Hurrah for red wine.

Tags: #addiction #alcohol

This is a story about sequels...

Two years ago, I was experimenting with my blog. I thought it would be profound to write a public suicide note, record a video and go jump off the Golden Gate Bridge. I thought I would get sacked from my job and illustrate how the stress would push me into acts of extremism. I decided to sleep rough close to the skyscraper I had been working in. I thought I was going to starve myself for 25 days and spend Christmas Day in a tent. I thought I was going to kill myself by going on hunger strike.

For 25 days I wrote an advent calendar type series of blog posts. The whole thing was leading up to the punchline: boxing day. Really, what I was doing was building up to the revelation of the truth: that I'd had problems with addiction. It was a big admission. It took a lot of courage to be honest.

Why did it take me so long to acknowledge my problems with addiction?

Generally, addicts don't get a very favourable hearing. Addicts are amongst the most stigmatised people on the planet. If you're looking for a sympathetic non-judgemental ear, it's probably best if you don't mention any addiction problems you've had until somebody's got to know you.

So, people had to get to know me.

My friends, family and work colleagues knew me. Those people who've gotten to know me have seen that I'm an OK person. I'm not a monster.

But am I a monster?

It's surprising how little it takes for us to question everything we ever knew about a person. Sometimes, there's a revelation about a person that can completely shake our perceptions of them. Suddenly, it's as if a person we knew well is a stranger to us, and not just any stranger: a horrible nasty stranger who's going to rob us and kill our children and eat them. Everybody knows that addicts leave a trail of HIV-infected needles lying around everywhere they go, especially in areas where children play. Everybody knows that addicts enjoy nothing more than random acts of killing. Also, if you discover that somebody's had problems with addiction, you can pretty much forget everything you ever knew about them.

Hang on a second though.

How quickly can you completely re-evaluate an entire person and decide that they're a completely worthless hopeless junkie, who'd rob you without a moment's hesitation in order to score their next fix? How long does it take to write somebody off completely and dismiss everything you ever knew about them? Why are junkies just so damn easy to hate and what happened to the person you used to know?

While there are some very unfortunate people whose morals will be corrupted by their addiction, that's not the case for most addicts. Not every addict is a liar, a cheat, a thief and somebody who would recklessly endanger the lives of your precious children. Not every addict is flakey, unreliable, untrustworthy, unscrupulous and immoral. Not every addict is worthless, hopeless and doomed to forever seek and take drugs. Not every addict is a menace to society, and should be treated like a leper: shunned from work, friends, family and all the other things that give us a functional life. Not every addict should be marginalised and demonised.

Of course, I write with a vested interest. I don't want to be mistreated. I don't want the stigma attached to me.

So, why don't I share my stories of addiction anonymously? Why don't I join Alcoholics Anonymous and Narcotics Anonymous and Cocaine Anonymous and Crystal Meth Anonymous, and while I'm at it Gambling Addicts Anonymous and Sex Addicts Anonymous? Why don't I keep quiet and just pretend like I'm normal? I don't even take drugs.

Nobody thinks that gambling addicts inject packs of cards, so why is it that when you think of me - an addict - you immediately imagine dirty needles? Where did the OK Nick that you used to know go? Why did you eject the pleasant memories you had of me, and replace them with an imagined version of me, where I was mugging grannies for their life savings?

It's necessary for me to concentrate on the prequel to my story, in order to receive a fair hearing. I need to explain that adverse childhood experiences, an abusive relationship, stress, burnout and mental health problems, all created a fertile environment in which to grow a substance abuse problem. I need to explain that my mood instability - bipolar - predisposed me to reckless sensation seeking, such as substance abuse. I need to explain that my motivation was self-medication, not getting high. I sought relief from symptoms, not enjoyment. I was trapped and I needed a way out. I chose the wrong one. I made a mistake.

We might take a quick glance at a situation and utter the words "why don't they just...?". Why don't they just what? Leave their abusive partner? Stop moping around and get out of bed? Stop taking drugs? Move somewhere else? Sort themselves out?

When you're secure and happy, everything looks pretty easy. All people have gotta do is get a house, a job, a sexual partner, friends, hobbies and interests, a loving family, a supportive environment, a healthy lifestyle, coping mechanisms, substantial financial resources and favourable socioeconomic conditions. That's it. That's all. Just get on and do it!

For some, remaining addicted is not about the ongoing want for drugs, it's actually slow suicide.

That last point is worth re-iterating. One of the reasons why some people won't stop taking drugs, is because they don't want to live anymore. They literally don't care if they die. I would say that most addicts are very well aware that their addictions are going to kill them, but they carry on anyway - they're committing suicide, slowly.

Looking at teens and twentysomethings who smoke, we might see that there's a general belief that "it'll never happen to me". In our youth, we tend to believe we're pretty indestructible. By that same token, we might assume that a drug addict believes that they'll be one of the lucky ones, who addiction will spare. I don't think that's the case.

As an addict, it quickly becomes apparent that control has been lost and you're on collision course with health problems and early death. Repeatedly, the addict will have extremely aversive experiences which scream loud and clear that the path of addiction is going to lead to death and destruction. Do you think every lecture about what an addict is doing to themselves falls on deaf ears?

Equally, do you think that addicts just don't care? Do they want to die?

Committing suicide - including addiction - is not about wanting to die. Suicide is driven by hopelessness and inescapable awful feelings. If life only has pain and misery to offer, why wouldn't a person choose early death? If building any kind of liveable tolerable life is an insurmountable task, what hope is there? Who'd want to spend the rest of their life miserable, depressed, anxious and in pain?

It's easy to say "keep putting one foot in front of the other" or "take things one day at a time" because you don't have to live through that misery. It's easy to ask somebody else to tolerate the intolerable, because it's not you who has to suffer: it's them. Eventually, a person can conclude that there aren't going to be any good days, or that the few pleasant times don't outweigh the multitudinous bad times. On balance, one might conclude, life's not worth living.

When you've made that decision that life's not worth living, it's pretty hard to find any reason to not have that next hit of drugs, even when the drugs are killing you.

I write to you today clean, sober and with no intention of obtaining and taking drugs.

However, I think it's highly likely that I will take drugs again, both recreationally and abusively. The number of protective factors - friends, family, work, money - have increased, but my life is still very badly broken. There are innumerable things that predispose me to relapsing onto drugs, and on the flip side there is a huge list of things I've got to fix or get in my life in order to have enough on the other side of the scales to balance things out. I look to the year ahead: what do I have look forward to other than hard work, living out of a suitcase, paying off debts and otherwise scrimping and saving? I'm sorry, but I'm not exactly thrilled by the prospect of living off sandwiches that I've made in a hotel room, spreading the mustard with a shoehorn.

But, perhaps also there's a desperate desire to self-sabotage because life was simpler as an addict. Even the synthetic cannabinoids have enough of an attractive intoxication for addicts to jettison the stress and strain of paying rent and bills, and having to hold down a job, in favour of homelessness. The bureaucratic burden of civilised society is wearisome and ridiculous. The form-filling and pointless makework of bullshit jobs is absurd. It's not just about the drugs - it's also about dropping out.

You'd think that dropping out would be a terrible thing. You'd think that the shame of the loss of status would be unbearable, but it's liberating. You know that you have to work hard to keep up your mortgage or rent payments. You live in constant fear of losing your job, which would quickly lead to eviction. When you become homeless, it's a relief - a thing you feared the most has happened, and it's not as bad as you thought it would be; somehow you manage to cope.

I'm averse to the idea of a miserable dead-end McJob. I'm averse to the idea of spending any more time stressed out of my mind, helping my boss get richer; helping my landlord get richer. I'm averse to the idea that the peanuts that most people get paid, in any way compensates them for giving up the prime years of their lives. I don't see that society is working well for most people. I see that stress, anxiety, depression and other mental health problems are rife. I see that suicide is the biggest killer of the group of people who are our most productive members of society. That's not fair.

So, I need to find a middle way. I need to find a way that's not suicide, not drug addiction, but it's not a miserable dead-end job either. I refuse to get a bullshit job that pays peanuts. I'd rather die.

At the moment, I'm clean from drugs and I'm working a very well paid job. I'm learning stuff. It's stressful, but it's not boring. I'm increasing my value - my employability - as well as doing a good job. It feels fair.

I'm starting 2018 at a considerable disadvantage. I'm deeply in debt. I don't have a girlfriend. I don't rent or own a home. Why bother?

It's been 6 months since I had an addiction. I'm clean. Why would I even write about addiction? I've won, haven't I?

In fact, addiction is always there: a dependable companion. Very little effort is involved in resuming an addiction. Addiction will always be everything you expected it to be. Addiction never disappoints. Conversely, a happy functional life with all the components necessary to make it work, is very very far out of reach; almost unattainable. You might think that because I'm only 6 months away from putting a lot of the pieces in place, that it'd be easy. 6 months is no time at all, right? In fact, 6 months without all the things you take for granted, might as well be a billion years. It's never going to happen. Try getting in a bath filled with ice cubes. Try holding your hand over a naked flame. What you perceive as quick and easy is not quick and easy when you're in pain.

My present situation might look infinitely preferable to my life as an addict, but it's not. Addiction could last me forever - until the day I die - but what I have today is only temporary; it's fake. I can't stay where I am forever. My contract will come to an end and I'll have to find another job. I'll need to rent or buy a place to live. I need to keep moving around: 3 and a half hours on the train, one-way, and moving from hotel to hotel, AirBnB to AirBnB... always moving on. I'm tired, even though it looks like I should be well rested. I'm stressed, even if it looks like things are going in the right direction.

Addiction's there as a one-stop-shop. Addiction means that I can stop pedalling so damn fast. Addiction means relief. Addiction means there's an end in sight. I'd be a liar if I didn't admit that when I'm alone with my thoughts, I don't immediately think that addiction is infinitely preferable to the mountainous task ahead, to merely build a mediocre life of disappointment and depression; boredom and bullshit.

Going cold turkey doesn't prove anything.

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

This is a story about paralysis...

I'm never really unsure of what to do. I generally have a very certain idea of what I want to do and how I'm going to do it. I have a really big problem when I can see all the way to the end, and life seems to be a bit of a paint-by-numbers exercise. I really struggle when life is predictable and routine.

I went to see a psychiatrist on Wednesday. I knew what I wanted from the psychiatrist: to see a clinical psychologist. I also knew what the likely outcomes were if I was honest: to have pills thrown at me and put myself at risk of being locked up on a psych ward. It was a situation that was so predictable, that I was able to forecast exactly which medication the psychiatrist would suggest.

Instead of allowing myself to be sectioned and swallowing the prescribed medication, I ran away. I'm currently 1,200 miles away from home and by the time I get back the system will have forgotten all about me. If I really wanted to get what I need - which is some talk therapy - then I'd have played a completely different strategy. Frankly, I can't really afford to be sitting on a therapist's couch - I've nearly run out of money.

So, I find myself away from my friends and my new home, in a strange city, in a new job. It's very stressful. I'm very anxious. However, it's also novel and therefore a little exciting. Even though I've done similar work a million times before, I'm still a little challenged by meeting new people and learning the particular nuances of the organisation I've just joined. There's a little novelty in the experience, even if ultimately I'll realise that it's the same old shit, and I'll be on cruise control until the end of the assignment.

I'm presently thinking about eating pasta from a plastic pot, having poured boiling water over it from a miniature kettle in my hotel room. I will need to stir and eat the pasta with a shoehorn, in the absence of any cutlery. This is the glamorous life I live.

You may wonder whether the stress of homelessness, near-bankruptcy, drug addiction, brushes with the law and general dysfunction in every area of my life, is something that I regret. No. No I don't regret it. Having been an adrenalin-junkie extreme-sports enthusiast all my life, you can't get more of a rush than playing "go for broke" in real life. It seems inevitable that I would push everything to the limit, including taking life-or-death chances.

It is a little hard to see where the reward is, when my life seems mostly miserable. I've had unbearable anxiety and depression for long periods during the last couple of years. However, I'm not rushing to the doctor and begging for a miracle cure. The deeply distressing feelings I'm having are doing very little to change my behaviour. I almost guarantee that I'll find the urge to self-destruct almost irresistible, if I pull through my latest episode of adversity.

Having lived in a bush in a park, it seems rather more preferable to be living in a hotel like I am now. Having nearly run out of money, it seems preferable to have a well-paid job, like I do now. However, I can't make any sense of life when I swing between impending doom and intolerable boredom. What's the point of living if it all ends in misery and disaster? I'm too busy moving from certain destitution to probable financial stability at the moment, to stop and have suicidal thoughts, but I know that the absurdity of the rat-race existence is already something that I'm not able to ignore - I'm completely unable to relax and enjoy trivial distractions.

Existential angst paralyses me. I wake up and I want to go back to sleep, but I can't because I have to go to work. I get to work and I want to walk out, but I can't because I can't lose this job. I should work but I want to scream "THIS IS ALL JUST UTTER BULLSHIT". Everywhere I look, I see needless complexity; makework. Existence itself is just killing time before our eventual death. Why go through the stressful and exhausting bit in the middle? Why not take the short-cut and just commit suicide?

It's strange to write like this, given that I've overcome the incredible stress of getting this job, travelling over a thousand miles and facing my first nervous couple of days in the office. Given that I'll avoid bankruptcy if I just keep turning up and keeping my mouth shut, why would I be writing about suicide? I'm not even suicidal at the moment. I've entered a strange kind of state, where I'm incredibly anxious, but I know that suicide doesn't make sense anymore. I know that I've gone to strange cities, started new jobs and rescued myself from financial ruin enough times. Why am I even writing about death and disaster?

January.

It's been a very, very long time since I had a stable January. Potentially, I'll still have well-paid work in the New Year. Potentially, I don't have to start job hunting and worrying about money during the absolute shittest time of year. Potentially, I start 2018 with prospects rather than worries.

On the flip side, you might say that I'm stuck in a cyclical pattern and that I keep trying the same thing but expecting different results, except you'd be wrong. I'm trying something that's been staggeringly successful, and the circumstances are different each time. One of these days, there's going to be a combination of favourable factors, as opposed to badly-timed clusterfucks.

Money is a 'trigger' for self-sabotage, one might say. Also, finding myself trapped on a rainy miserable island in the middle of winter is also a 'trigger'. My coping strategy in the past was to jet off to Venezuela or Brazil for a couple of weeks. I had a long successful career doing that.

In order to survive, I'm going to have to orchestrate friends, work, money, a place to live, a passion and a girlfriend. You might scream with frustration at your screen, because we're all trying to get that perfect balance, and there's always one area of our life that's not going as well as we'd like it to. Erm, well... you don't know how good you've got it, actually. Try living in a bush in a park with none of the things I listed, then get back to me. This is not a boo-hoo story - I'm just explaining how dysfunctional my life got. If it helps you to say it's all my fault for making bad life choices or whatever, then knock yourself out, but I'm far too busy figuring out whether there's some way I can rediscover a reason to live to worry about shit like that.

I'm just writing now. I'm brain dumping. I'm trying to write without a filter.

It's possible that I got caught in some thought loops before, and I needed to take a break from my usual blogging topics. It's possible that my blog wasn't helping me at all. It's possible that I'd lost perspective, because I'd been doing too much navel gazing. I took a break and now I've come back.

Now, I'm writing mindful of the fact that I have friends who I've been living with in Wales. I'm mindful of the fact that I've got a friend who helped me get this job. I'm mindful of the fact that I can't afford to put a foot wrong. I'm mindful of the precarity of my situation. I'm mindful of the fact that writing is actually pretty exhausting, and I need to devote quite a lot of my energies into doing a good job and impressing the people I'm working with. I'm mindful of the fact that I have repeated the pattern of boom and bust, and it looks pretty obviously cyclical to a casual observer. I'm mindful of the fact that my consistent perseverance in the face of a headwind might look a bloody-minded and stubborn refusal to acknowledge reality. That's not the case.

There's a prescription for an antidepressant waiting for me at my doctor's surgery back in Wales. Given the chance, I would be institutionalised by the mental health services. Instead, I'm pursuing a ridiculously optimistic and hopeful, yet extremely risky strategy, of attempting to avoid medication and the dead-end of financial ruin and the mire of pathetically paid jobs that're just as soul-destroying as the very well paid job I've got. I'm not happy about being unmedicated, but I wouldn't be happy popping pills either. I'm not happy about having to work a bullshit job, but I wouldn't be happy doing a so-called 'fulfilling' one either (there are none).

"What if you're still depressed and anxious in 6 weeks time?" the psychiatrist asked me. "Wouldn't you regret not having started taking medication sooner?" he asked. What happens if I don't give up though? Wouldn't I regret never finding out what happens if I stick to my guns and persevere? What am I going to find out, that nobody else ever would, because it's too hard?

I didn't mean to write so much, but I've uncorked some of the stuff I've been holding back. I've never regretted writing, despite the seemingly dreadful consequences. Writing has been financially disastrous for me, but yet it's got to be a healthier coping strategy than drink or drugs, or even going to the gym excessively, where I'll strain my heart and give myself arthritic joints.

I imagine that I'll meet a nice girl soon enough, and the pleasure of tactile affection will change my mood. I imagine that my lengthy abstinence from mind-altering substances will pay dividends soon. Already, some feeling has returned to my nerve-damaged foot/ankle. I must surely be somewhat more sharp-witted, now that I'm not taking heaps of pills every day. I must surely be on course to return to a more normal life, since kicking my addiction to stimulants.

I'm going to give myself a big pat on the back for reducing my alcohol consumption to a moderate level, breaking my physical benzodiazepine dependence, reducing my sleeping pill habit to almost nothing, getting off powerful prescription painkillers, staying 'clean' from supercrack for 6 months and otherwise living a pretty damn healthy life. It might not seem like I've done very much this year, apart from work three contracts, survive double kidney failure, survive a suicide attempt and survive a bunch of very traumatic events, but I'm damn well going to go ahead and congratulate myself on having spent a couple of days in my new job in what must be the very best mental health that I've enjoyed all year, even if I'm diabolically depressed and anxious.

Thinking about my achievements a little more, I'm going to give myself an imaginary medal for 30 days of not drinking, 30 days of writing a novel and spending more days clean and sober than I've spent intoxicated by medications, drugs and alcohol. Quitting a whole host of highly addictive drugs and medications, while in the throes of depression and anxiety, is something I'm going to go ahead and actually feel really proud of - sorry, not sorry. While I'm at it, I'm going to give myself another imaginary medal for not writing my blog for 30 days too. That was harder than you'd think.

My verbal diarrea is pretty bad, so I'm going to stop now, but I hope you can see that I'm not idle, even if you think I've been unproductive, lazy and self-sabotaging all year. It pisses me off that anybody might think I don't have a work ethic.

I'm not going to give up on my crazy experiment to see how my mental health is affected by my circumstances by just damn well being patient, consistent and relentless. I'm controlling the variables.

Tags: #mentalhealth #suicide #medication

This is a story about being counter-productive...

95% of my fellow patients smoke cigarettes. There's nothing to do on the psych ward, so I can see why they would. Cigarettes are a way to pass the time; to deal with boredom; to relieve some of the stress of being locked up with a load of mentally ill people; to self-medicate for all manner of problems.

Nicotine is fiendishly addictive and a psych ward is not the right environment to kick the habit. As a non-smoker I'm well aware that I'm not involved in the activity that dominates the lives of my fellow patients - obtaining tobacco, rolling cigarettes and harassing the staff to be let outside to smoke.

There is a small outdoor area which can be accessed via some steps, enclosed in a cage so that nobody can jump and injure themselves, or attempt to escape. Every hour, the door to the steps is opened for 15 minutes, and the smokers all cluster around the top of the steps, getting their nicotine fix. Nobody goes down the steps into the outdoor area - they remain in the cage.

I challenge the staff - why don't they leave the door open the whole time? Nobody could escape from the outdoor area, because it's surrounded by high fences. The outdoor area is well covered by CCTV, and it's no harder to keep an eye on people than any other part of the ward.

The standard response from the staff is that it's "promoting health" to deny nicotine addicts access to the only place they're allowed to smoke. I call bullshit on this, because there's no data to support the hypothesis. "Look around - everybody smokes... nobody is smoking less because of this rule" I say. The staff argue that the NHS can't be seen to be "promoting" smoking. This is a completely ridiculous idea. The nurses and support workers hand out the cigarettes and cigarette lighters - the NHS is intimately involved in the whole process of smoking, far more than if the patients were given the choice as to how they dealt with their addiction.

I'm in a dorm with 3 other men. It's a lot quieter than the single room right next to the TV - the TV blasted out for 19 hours in every 24 at full volume. The noise was unbearable. My fellow patients in my dorm report that they're lulled off to sleep by the rhythmic tapping of my keyboard, as I pound out these words. I was concerned that I was being a noisy nuisance, but they reassure me that it's quite the opposite - it's a kind of white noise that's relaxing, like hearing raindrops falling on the roof or hitting the windows, driven by the wind.

A guy is coming out of my dorm, but he doesn't sleep in my dorm - he has his own room. What's he doing down at this end of the ward? Then, my nostrils are assaulted by the smell of smoke. I push the door to the bathroom open and it stinks - there isn't even a decent extractor fan to get rid of the smell. I write a note and secretly pass it to a nurse, pretending to pass her my laptop to be charged in the office. I scurry away down the corridor but she yells after me "tell XXXXX about the smoking in the toilet" waving the note, right in front of the guy I'm dobbing in. I cringe - does she not know that snitches get stitches?

Another nurse comes to our dorm and she starts accusing one of my dorm mates of smoking in the toilet. I leap to his defence. "Who was it?" she asks, and then bellows out his name when I whisper the answer. The fact that many of my fellow patients have a criminal past and have been in prison, does not seem to concern the staff members. Perhaps there aren't fights in here. Perhaps they never see any violence. Perhaps my fears are unfounded. Am I being paranoid?

The fire escape is padlocked shut, there are no fire extinguishers or sprinklers, the break-glass buttons are enclosed in plastic boxes that prevent the fire alarms from being set off - a fire in here would be catastrophic. Yet, I am certain that there are at least 2 cigarette lighters that are being used in my dorm. The patients smoke openly when the staff are doing their handover between shifts, when there's absolutely nobody around.

I make subtle enquiries with my fellow patients - how do they feel about the restrictions on smoking? Everybody agrees that the restriction on access to the outdoor area is more about control than it is about "promoting health" - they feel that the staff have created a system that allows them to exercise dominion over their inmates. "Smoke time!" demands one of the more aggressive patients, banging on the window of the office. "Calm down! Stop shouting!" yells back a staff member. This is an artificial and avoidable situation - why does it exist, when it's creating conflict between staff and patients, and making people stressed and unhappy?

When I was confined to the ward I would have made use of the outdoor area to walk around, get some fresh air and get some natural light. However, I couldn't get past the gaggle of smokers clustered around the top of the steps. To leave the door open all the time wouldn't create this ridiculous situation, where all the patients are fixated on this controlling aspect of their lives.

It's saddening, to see 19 men all hanging around waiting to be given a lighter and be let out, like they're animals; pets.

In defiance of the pointless draconian controlling bullshit, a handful of patients have smuggled cigarette lighters and tobacco into the ward - it's not hard when some patients are allowed unaccompanied leave from the ward. "Have you got any bottles or lighters on you?" a nurse asks me when I get back from an outing - I'm not breathalyzed or searched, even though I'm carrying a bulging bag.

I suppose the privilege of being allowed to leave the ward could be revoked, as a punishment for misbehaviour. The chance of being discharged early and allowed home is also under threat, for any patient who's troublesome. Most patients are here for a 6-month stay. It's up to 6 months, but it's more often longer, not shorter. The reaction to not being allowed to go home is rarely handled well - can you imagine that people who are unwell are able to remain calm and represent themselves clearly and articulately, when their liberty is at stake?

In terms of mental health, nothing could be more stressful, adversarial and paranoia-inducing, than having doctors and nurses discuss you behind your back, having been peeked at through the curtains every 15 minutes - patients are literally spied on and judged. Life, liberty and free-will are all interfered with in an institutional environment that's a cross between a prison and a school. Notices on the wall tell us they promote "independence and well-being" while also telling patients the very strict times that they need to be at the dispensary hatch to get their medications. At 8:54am I'm harassed by a nurse to go for my 9am meds... I'm well aware what the time is and also well aware that to be early is to be turned away empty handed. At 11:54am I'm harassed to go and stand in line for some food which is not even being served until 12 noon at the earliest, and is often delayed.

I'm aware that I'm lucky to have a sought-after psych bed - many people who are having a mental health crisis will have no access to inpatient care. To bite the hand that feeds me seems churlish, but I do feel sorry for my fellow patients who can't articulate their frustrations effectively.

The only patient I know to have attempted to file a complaint is the guy who's relentlessly trying to get 8mg more Subutex out of the doctors... unwilling to go along with the treatment that will wean him off his opiate addiction and quite determined to sabotage his recovery, perhaps.

Nobody's stopping smoking because of the "health promoting" rules around access to the outdoor area, but I'm certainly missing out on exercise and fresh air because of it.

It all looks rather counter-productive to me.

Tags: #addiction #hospital #mentalhealth #nhs

This is a story about pulling the wool over somebody's eyes...

Every day, between 6pm and 8pm, I get a visit from a different stranger. They all belong to Tower Hamlets' Community Mental Health Team, and specifically to the home treatment Crisis Team, but it must be a big team because I almost never see the same person more than once. Everybody's reaction is the same when I let them in: "wow! look at the view!".

The fact is, I have enough money to last me 2 more weeks, but then I'm not just skint... I'm actually insolvent. I have a lease that doesn't expire until September and I have to service various debts that I ran up, just trying to stay alive.

"Oh, you probably spent all your money on drugs" I hear you say.

Recently, I was on the dark web, looking for something for a friend - something to relieve pain that wasn't on offer on the NHS. Having located some vape oil, containing medical cannabis, I then couldn't resist the urge to continue window shopping. To my alarm, the worldwide supply of supercrack had dried up, due to the Chinese very effectively banning the production and sale of it.

There was one supplier - in the whole world - selling his remaining stock of supercrack. 10 grams. That amount of good quality cocaine might cost you £900. For 10 grams of supercrack, I paid the princely sum of $134.

How long do you think 10 grams of supercrack lasts? Well, we can work it out. A severe addiction might consume as much at 15 milligrams per day - that would be enough to not sleep for a whole day and night. So, easy maths then.... 10,000 divided by 15 = 667 days. One year and ten months, of daily drug abuse for $134. No. I did not spend my money on drugs.

So, back to the strangers in my home each evening. I sit them down on the sofa, next to the patio doors that lead onto the balcony.

Still somewhat wowed by the view, they can also see a number of expensive electronic trinkets lying around. The conclusion that is instantly drawn is that I'm not really in crisis, but in fact I'm wealthy, successful and totally in control of my life. They couldn't be more wrong.

I wrote about this the other day, but lurking behind the door into the kitchen, are a load of bottles for recycling. In theory, I've stopped drinking, but that's just a technicality. If you're in the grips of a mental health crisis or drug-induced behaviour, then you don't tend to have a glass of wine in front of the TV. Remarkably, I've had a bottle of white wine in the fridge, unopened, for over a week.

"Why don't you just have one glass and stop?" a psychiatrist asked me. I replied that oxygen would make the wine go off, so I needed to finish the bottle once it was open. She suggested a vacuum pump wine preserver, to which I replied that I bet I'd never be able to find one. The penny dropped, and she realised I was taking the piss. The reason why I don't stop is because I don't want to. Alcohol is an effective way of getting intoxicated, so you don't give a fuck about your problems... except I do seem to give a fuck in a strange way, because whenever I get ridiculously drunk, I punch my bathroom door so hard that it makes a hole in it. Then I wake up and think "why did I do that?" and I'm filled with regret.

Strangers who come in my house don't see my bedrooms. My main bedroom with the ensuite has got blood spots all over the floor from some accidental injury or something. There's lots of evidence that I imprisoned myself in that room, for some reason. In fact, there's lots of evidence outside the communal areas, that I've absolutely lost my mind at times.

Recently, being in possession of quite a good set of tools, as well as a box of screws, I set about attempting to screw a desk to the door of my spare bedroom, or something like that. The plan wasn't even clear to me. Once you lose more than about 3 nights of sleep, your priorities are quite corrupted. Instead of hydration, food and sleep, my focus switched to barricading the bedroom door. If you have a dark sense of humour, you may chuckle at the fact that as soon as I had completed my task, I then needed to undo my work because I needed to use the lavatory.

These are the kinds of things that are quite important if you want to understand just how sick I am, but the 'window dressing' which is my lounge, balcony and view, rather distracts from the piles and piles of dirty dishes, and overbrimming laundry baskets. The home visit team members walk away thinking "I must tell my colleagues about that awesome view", rather than "I must tell the doctor that the patient looked like he hadn't slept for days, or eaten much".

Can I fix things? I've pretty much given up hope. There just isn't time.

10 grams of supercrack certainly doesn't help, and I knew that a relapse would be one problem too many, on top of a giant shit sandwich. However, the things I've tried that are a sensible and realistic approach, have brought in way too little cash for way too much effort. I'd rather have my MacBook Air and iPad Pro, than a few pennies, even if they're surplus to requirements most of the time.

I could keep up appearances for friends and family, but I lived in fear of my work colleagues discovering that I suffered from mental illness for so long, that the exhaustion became unbearable. It was an open secret that I would be late to work during periods of depression, or not turn up at all. Everybody knew that I liked a drink, but I surrounded myself with other heavy drinkers. The problems worsened, and I had to run twice as fast to just to stand still. I came to London, knowing I could burn a bunch of bridges, and never exhaust all the options open to me, but it's bullshit, having to interview for jobs when you've got a 20 year career behind you and countless people who know you're good at what you do. Also, why shouldn't my friends know what's going on in my life. If they're true friends, they'll see that I'm still me, but I'm in crisis - they won't suddenly change their opinion of me, because of prejudice, although one close friend did and it broke my heart.

Don't lift up the rugs or look under anything: I've swept so many things under the carpet. Out of sight out of mind. I don't bear close scrutiny, but nobody looks very carefully anyway. First impressions count for everything.

After the insanity comes a further insanity - a paranoia that my flat is trashed and I'll never be able to bodge it up good enough to escape hefty bills for repairs that are completely over-inflated by the unscrupulous letting agents.

Where am I going to go? What am I going to do? The fact that you're asking those questions is the clue as to why I might wish to escape into alcoholic oblivion, or take supercrack. There are no easy answers. I know I keep going on about it, but the whole hospital/dialysis/job loss fiasco has left me questioning what the f**k I'm doing, working IT contracts in London, except for the staggering amount of money that it brings in. It doesn't compensate for the up-front stress, followed by the abject boredom and misery.

You'll probably find me sidling up to you in a bar in 20 years time - the known local drunk - and saying to you "I remember the time I lived by the River Thames and worked for the world's biggest companies" and you'll think that I'm some delusional twat.

I hope I just die before I suffer that indignity.

Tags: #mentalhealth #depression #alcohol #drugs #addiction

This is a story about mismatches...

Writing is hard. More specifically, writing well is pretty damn hard. To write well every day; to finish a book; to have the discipline - that's the hardest. Lots of people write - it's our preferred method of communication these days, rather than the phone. My Facebook friends are mostly what you'd term "well educated professionals". Some of my Facebook friends are people who used to write every day on the same discussion forum as me. When I step out of that bubble, I'm reminded that it was the general populace who invented 'text speak' and still use it to this day, because writing is just a means to an end for them - to send short colloquial messages about their banal lives, where the style, grammar and intangible beauty of a well-constructed sentence has zero value to them.

When I started my blog, I didn't know where I was going with it. Then, I remembered that a friend who aspired to be an author, and has now published three books, said that he was going to blog for a year, to test his discipline and hone his art. I copied that idea.

When I started my debut novel, the idea was to write at least 1,667 words a day, so that after a month, I would have achieved a 50,000+ word count.

This year, things started going wrong almost from the very outset.

In the blink of an eye, I found myself in hospital on a high-dependency ward, with acute kidney failure. My weight had gone from 77kg to 95kg, because I had stopped urinating: my bladder was empty. I was on dialysis and generally being poked and prodded by some very worried looking doctors. I didn't have my laptop or a means to connect to the Internet - those aren't the kinds of things you take with you when you get a phonecall from the doctor you saw in Accident and Emergency saying "how soon can you get back here? Do you need us to send an ambulance?"

Like dominoes, the pillars of my life started to collapse. First, I lost my job - they couldn't wait for me to get better, even though I discharged myself from hospital after two weeks, against medical advice. Then, rent, taxes, bills, insurances and everything else started to become a matter of imminent financial implosion. Depression tore through my mind like an inferno through a building. The strong opiate painkillers, that I needed for the leg injury which caused my kidney failure, made doing anything at all quite challenging - it might not have been heroin, but I sure as hell got sick if I forgot to take my 4-hourly dose. Writing and work were replaced with lying on the sofa in a drugged-up haze, half-aware of whatever was on TV.

You'd think that after I got off the painkillers and I could walk distances again, without it causing me agony, I would be ready to find another job. Anybody who followed my story through December and January, will know that Christmas and New Year scuppered my job search. Effectively, I went through the stress twice, and then lost the job anyway through no fault of my own. I wrote about how psychologically damaging that was, having argued with the doctors so much, discharging myself and getting angry phonecalls from doctors and consultants saying I needed to go back to hospital; I was risking my life and I was still critically ill.

I didn't need concerned doctors to tell me I was still ill and in no position to work - my commute to work, with my heavy ankle brace, caused me untold pain. How was I supposed to travel every day on overcrowded public transport, and walk the final part of the journey, when it would leave me exhausted and crying in pain when I got home. I was relieved when my boss told me to take some more time off to get well; only it was him being cowardly - my contract was terminated soon after leaving the building.

Everything else from that point has been measured by that yardstick.

If it's hard and stressful to get a job - and to start that new job - under normal circumstances, can you imagine pulling out a 25cm dialysis tube from a massive blood vessel in your groin, with blood everywhere, and leaving hospital when all the doctors are begging you to stay? Can you imagine your first day in the office, except that less than 48 hours ago you were considered so sick that you might need a kidney transplant, or even die because the dialysis wasn't working effectively? Can you imagine working those first few days in your new job, getting phonecalls twice a day from different doctors saying that if I turned up at any A&E and had a blood test, they would admit me to hospital as a critical case, because of the dangerous toxins circulating in my bloodstream? Can you imagine dealing with almost unbearable pain as well as doing your job? And then what happened? I went to all that effort and I lost the job anyway.

I've been a full-time IT professional for 20 years, and to be honest I lost the love for it very quickly. I spent most of 1999 recovering from weekends of all-night raves. I spent most of 2001 to 2005 chatting with my friends on a discussion forum and organising kitesurfing holidays and weekend trips away. 2005 through 2008 I worked very hard, but I surrounded myself with alcoholics, who were some of the very best people I've ever had the privilege of working with. 2008 I thought I was pissed off with JPMorgan, but it turned out that I had simply reached the limit of what I could take with IT jobs for big companies. Ever since then, I've made my money as an entrepreneur, independent developer and IT consultant, as well as speculating in emerging technology (e.g. iPhone apps, Bitcoin mining). I work about 5 months a year, and I hate it, but it pays the bills. My last contract paid £660 a day, so you can see, I don't have to work for very long to earn what I need.

So, now I'm in the situation where I was tipped over the edge. It's not normally very hard for me to find a new contract, and I find the actual work very unchallenging; easy. To have worked so hard to get well, get out of hospital, get to that job, and then to lose it... when I fucking hate IT work anyway. It was the last straw. The company said they'd have me back as soon as I was fully recovered, but the spell was broken - I used to put up with the boredom and the bullshit, because I was earning the equivalent of well over a hundred grand a year... if I ever worked a year. I can't go back to it. You could offer me £1,500 a day, start tomorrow, free rein to work on whatever project I want, and I don't think I could do it. It's like all that hatred of the job and the politics and the bureaucracy and the insanity and incompetence of people in positions of authority, suddenly hit me all at once.

I stopped caring that I'm going to be nearly £6,000 short on my tax bill, in 27 days time. I stopped caring that I'm not going to be able to pay my rent next month. I stopped caring that if I go bankrupt I'll never be able to work in financial services again, be a director of a company, have anything except the most basic bank account, which means I wouldn't be able to - for example - rent a car. I stopped caring that I'll never be able to get another mortgage or rent my own place. I stopped caring that I would lose my excellent credit score - I have borrowing facilities of £30 grand and no debt that shows up on those credit checks. I stopped caring that many of my possessions would be sold by bailiffs for a fraction of what they're worth. I stopped caring that I would lose things that I spent years and years choosing and customising: a mountain bike I bought when I was 18, with the lightest frame money can buy, handmade and hand painted - including my name - which I have added the very best of everything to, bit by bit, until the total cost of the bike is as much as a decent car... but it's not about the cost; it's about the pride in doing that - the pride in customising something with painstaking effort over 19 years.

Now, I'm a minimalist. I'm a digital nomad. I've used all my experience as a mountaineer and Alpinist to travel light, with clothes that pack small, but they're super warm and everything either dries quick or stays dry. I have a grab bag that weighs perhaps no more than 15kg, but I could sleep quite comfortably in an extremely cold winter. I learned through bitter experience, the discomfort caused by cheap equipment: blisters, wet feet, damp clothing, sleeping mats that don't stop the cold penetrating from frozen ground, tents that get flattened by gales, synthetic sleeping bags that don't keep you warm. Everything that I carry meets the three criteria: light, strong and expensive. There's also a fourth criteria: how effective something is in terrible weather. It might be subtle, but there really is a big difference between a 'good' waterproof jacket, and one that costs well over £400; for example, are you able to use the hood but still move your head to look around? How many drawstrings are you able to operate without having to unzip anything?

There's so much crap that I just want to dump. I've ended up with paperwork that goes back to 1997. I only ever wear a few different outfits and I wear my clothes until they're threadbare. I could lose 95% of my clothes and not even miss them. I have boxes of stuff that I rescued from my house before it was sold, during my divorce. It was a smash & grab - I was paying for the man & van by the hour plus we had to get back to London before my self storage shut. I literally took no more than an hour to grab anything of real value, and a mug that my sister hand-painted for me. Can you imagine that? I dumped my books, a summerhouse that I designed and built myself, stuffed full of gardening equipment, garden furniture, tools, mountaineering equipment like ropes, ice axes, crampons, a pile of kites that probably cost me many thousands of pounds when they were new. I dumped my hot tub. I dumped games consoles, games, DVDs. I dumped kitchen knives, Le Creuset cast iron casserole dishes. I dumped my Weber barbecue, my fire pit and patio heaters. I dumped the bed I bought when I moved to West Hampstead in 2000. I dumped the oak dining table and chairs I bought when I bought the house. I dumped an antique sash window that had been turned into a mirror by my dad, as a Christmas gift. I dumped the huge wardrobe that I built to go right to the bedroom ceiling - one side customised just how my ex-wife wanted it, and another side customised just how I wanted it. I dumped a garden that I had lavished hundreds of hours on, making the grass lush and green, weeding the path, mulching the beds and tending the mature shrubs and palm trees. I dumped my electric guitar and electronic drum kit. In fact, I dumped a whole band's worth of instruments for playing Guitar Hero. Where was I going to keep all this stuff, living in my friend's spare bedroom? It was going to be ages before the house was sold and I got the money to get a place of my own again.

Now, I have a place of my own, by accident. One friend thought he was going to live with me rent free, but he hadn't done the maths - the rent was more than his salary, and he was fucking useless. The one bit of work that he was supposed to do that would have brought in some money for my company he fucked up. He hassled me for an interview at HSBC, which I wangled for him... and then I had to deny I knew him very well, as he was exposed as inept. My next flatmate didn't pay his rent for 3 or 4 months and never paid me any bills. He was surprised when I told him that he was going to find his stuff dumped on the street if he didn't get the fuck out.

If I was going to cut & run, I'd want my two MacBooks (Air & Pro) and I guess I'd take my iPad Pro too - call them tools of the trade - plus 3 pairs of high-end headphones, and my grab bag (tent, sleeping bag, sleeping mat) with my good waterproof jacket and my down jacket. I'd wear my waterproof trainers, water-resistant trousers and my fleece, with a merino wool base layer. I'd take my passport and €500 in cash that I have lying around. I'd take phone and a battery pack that can charge it 12 times. There's not a lot more that I tend to travel with, except copious quantities of benzodiazepines and Z-drugs. When you live in a hostel for a year, you learn what you need and what you don't. When you live under a bush in a park or on a heath, you learn what you're prepared to have stolen, potentially. It took my fellow homeless in Kensington Palace Gardens over a month to find my hiding place - people don't really venture into massive thorn bushes. If you're smart, you can disappear from the world, despite living in a densely populated city. People's dogs would smell my food, but their owners couldn't see me in the gloom. Hampstead Heath is somewhat more of a challenge, because people like to fornicate in the bushes, but the general rules apply: people are lazy and stick to the paths mostly, so by choosing the remotest part of the heath, you very rarely see anybody.

My life is in the process of breaking up again; disintegrating. I don't care. I am so depressed.

Let it all burn down, I say.

Tags: #depression

This is a story about treating every day like it's your last...

My life plan was a fairly simple one: earn loads of money working in IT, marry an attractive & intelligent girl who was into outdoorsy stuff and live happily ever after. I lived by the seaside. I owned my own home. I had masses of savings. I owned everything outright: my car, my boat, the furniture... I paid cash for everything.

When it turned out that the girl I picked was, errr, 'incompatible' with living happily ever after - to phrase it delicately - I didn't really have a plan B.

To be honest, after my marriage went to shit, I hadn't really planned on living very long. I'm really rather surprised to find myself alive and in reasonable health today. I was warned that my new plan - to take copious amounts of drugs and die in a hedonistic blaze of glory - would drive me insane and I'd find myself permanently brain damaged and dying slowly and painfully as my organs shut down one by one, or perhaps I would just suddenly and unexpectedly drop dead.

"Suddenly and unexpectedly drop dead."

Isn't that a risk that we face every single day anyway? There's a certain chance that your heart is just going to stop pumping and go into cardiac arrest at any moment. If you have a cardiac arrest outside a hospital, you're 80% likely to die.

The biggest threat to my life at the moment, statistically - and this goes for any 37 year old man, not just the ones with bipolar disorder and substance abuse issues - is suicide. Suicide is the biggest killer of men under the age of 50.

If I made smart lifestyle choices like not taking copious amounts of dangerous drugs, riding my bike through central London in rush hour traffic with no helmet on, stopping eating and drinking to the point where my organs fail and I piss blood, you'd have thought that I'd be doing a pretty good job of minimising my risk of premature death. NOPE!

What about all those extreme hobbies of mine? Off-piste snowboarding, skydiving, mountain biking, kitesurfing, rock climbing and mountaineering. You'd have thought that it'd be a good idea to give up those dangerous sports, if I wanted to minimise my risk of premature death. NOPE!

I was trying to have this argument with the Royal London Hospital consultant in the Renal High-Dependency Unit, where I was being kept alive by dialysis. I basically said, look, you're going to have to discharge me and let me go and start my new job and I'll just have to take the risk that my kidneys get worse and I drop dead. "You're playing Russian Roulette with your life" she said. Not really. The biggest threat to my life is suicide, and it was inevitable that losing my job would leave me in a psychologically critical condition.

One thing I quite often hear is criticism of risk takers. "How can you climb that mountain and risk your life, when there are people who are terminally ill, who would give anything for just one more day alive?"

"Treat every day as if it's your last."

That fairly innocent sounding platitude actually backfires, when you realise that it's an incitement to maximise your risk in pursuit of hedonistic pleasures and thrillseeking.

Knowing that suicide is the biggest killer of men under 50 is just a meaningless statistic, until you lose a friend or a relative to suicide, or you become suicidal yourself.

That's me in the picture above. I'm stood on a pinnacle of rock that's nearly 3,000 metres above sea level. If I fell - and I'm not tied onto anything - then it would a very long freefall before I went splat into the ground. Why am I not tied on? Why haven't I taken the precaution of attaching myself to a rope? Is it because I was suicidal?

The more you climb; the higher you climb; the more steep and perilous things that you climb, you start to become used to the exposure. The constant threat of falling to your death is something that you just get used to. One slip and it's curtains... but you're not afraid anymore.

I've got rather a toxic mix of psychology. I've got the ability to manage my own fear, stress and adrenalin, so that I can throw myself out of planes or climb frozen waterfalls, but when I become suicidal, I'm acutely aware that I could act on a suicidal impulse very calmly and methodically.

What is this silly little dance we call life anyway? Is it about procreation? Is it about making money? Is it about looking after your grandparents and parents as they get old and die?

Do I 'owe' anybody anything? Do I 'owe' it to my parents to treat the fact I'm alive with respect because they 'gifted' me a life that I didn't ask for? Do I 'owe' it to terminally ill people, to treat my life with respect, because I'm lucky and they're not? Do I 'owe' it to my friends to struggle on through the misery, because they'd be a bit sad if I committed suicide?

There are a couple of families - one in Ireland and one in Bletchley/Suffolk - who have been there for me during my darkest moments. There's a friend who I would've seen over the Christmas break, except for an unfortunate bout of illness laying him low. There are a handful of people in the world who've seen what my friend Laurence calls 'The Horrors' and they've protected me; stuck by me; defended me and been loyal friends. There have been people who've appeared unexpectedly - most welcome - back in my life. I'm not the most predictable of people, having decided to visit an old school friend in San Francisco, booked a flight and boarded it, within the space of just a few hours.

That's how it goes. Here today; gone tomorrow.

The speed with which my kidneys failed was shocking, even for me. The fact I needed dialysis was shocking, even for me. The length of time it took my kidneys to start working efficiently again was shocking, even for me.

Does that sort of stuff make me think "oh wow! that was close!" and "I better be careful and treat my life with respect"? You're asking the wrong question. My suicidal thoughts drive my reckless risk taking behaviour. Suicide was, and still remains, the biggest threat to my life. The shitty stuff that happened was all a consequence of my flirtation with death. I don't quite have the nerve to take the active steps to 'pull the trigger' as it were, because I know that I'm psychologically strong enough to just do it, without hesitation.

My trip to the Golden Gate Bridge was a metaphor for just how quickly, impulsively and with single-minded determination I can reach the point of no return.

My friends who hosted me in San Francisco read some of my recent blogs and asked if there was anything they could do to help. These are some of the people I admire and respect most in the world. They have super busy stressful lives raising little kids on the other side of the Atlantic, on the West coast of America.

What can anybody do? Everybody's got their own problems. Everybody's got their own money worries. Everybody's got a lot of shit on their plate. We've built a society where we are isolated, alone, overstretched by ordinary life to the point where we're just about managing. Who can afford to shoulder part of the burden for somebody who's struggling? Who can afford the time? Where are you going to find the energy when life is already so exhausting? Who has the financial means to help every fuckup with their begging bowl held out?

More fundamentally, under what kind of terms am I prepared to help myself? Arguably, I've thrown away 3 very well paid IT contracts for 3 massive banks, doing work that I can do with my eyes closed. Why the fuck would I do that?

I'm a complex beast. I feel guilty about my role in building systems that were pivotal in the financial crisis of 2007/8. I hired a development team in Mumbai, India, and I led that team to create a trade confirmation system for derivatives that handled over a quadrillion dollars in volume, in its first year. That's immoral. I knew what I was doing. I was busily fixing my own mortgage rate, knowing that there was a credit crunch coming. I invested my money in physical gold, because I had so little faith in the banking systems that I helped build.

I also had a taste of what it's like to own and run my own company. I outsourced. I ran software projects. The only difference was that it was my money and nobody could tell me "no". I could do whatever I wanted, and the ego rub from holding the job title "CEO" is a hard place to come back from. I now wander from company to company, pointing out the things that are on fire, fixing them if they let me or otherwise getting into conflict or suffering incredible boredom and frustration as I try to keep my mouth shut about the impending disasters I can see unfolding. Sure, I get paid a buttload, but it upsets me. I still spend money like it's my own.

That last project I was working on had an annual budget of about £25 million and was handling 30 customers a day. Basically, the cost of customer acquisition was over £2,000. These were not high-net worth individuals. They were simply ordinary banking customers. The project was not very complicated, but the waste was incredible.

What the hell is wrong with me? Am I a prima donna? Am I Goldilocks? Everything's got to be 'just right' for me? Do I consider the kind of work that's available to me to be 'beneath' me?

Certainly, I struggle with the prospect of having to do the kind of job that I mastered 10 or 15 years ago. I sometimes laugh out loud in interviews when somebody asks a question that's the equivalent of asking a master builder if they know what a brick is. Is it arrogant? I don't give a fuck... it psychologically destroys me, running projects for dinosaurs who pay top dollar for the best consultants and then don't listen to them.

I remember quite distinctly in 2001, I was deciding whether to learn a new(ish) computer programming language. I read a book about it. I was already learning another programming language at the time. Then it hit me: I had become a polyglot, somewhat by accident. I was able to read any code and understand its function - its intent - no matter what the actual specific implementation technology was. I knew that me and software had reached the end of the road. I asked my boss for a sabbatical while I considered what I wanted to do with the rest of my life.

It's kinda hard to change career direction and it gets harder with age. You not only have to bankroll yourself through training and getting started in whatever new thing it is that you're doing, but if you're turning your back on one of the most lucrative careers there is, you'd better be pretty damn certain that you picked the right alternative.

I bump along the bottom, being dragged back into god-awful, boring, unambitious, ill-fated and badly run IT projects, whenever my bank balance reaches danger point. But the hardest thing is the dread: the dread about selling my soul; the dread about having to keep a straight face when people are panicking and running around like they've never seen some mundane issue before.

I can't escape. I'm in a deep hole. The hole isn't deep at all for an IT consultant, but for almost any other job, it's an inescapable pit of doom. The reason why I got in such deep shit is divorce, mental illness, and being smeared all over the streets of London, in and out of hospital. Like I said earlier, it's a miracle that I'm still alive.

I hadn't really planned on living this long and that's a bit of a problem. Because I'm so suicidal and trapped, I guess there's an easy decision to be made. I know that I have absolutely no problem following through and overcoming any psychological hurdle that might stop most ordinary people from killing themselves.

I wrote this, while I was working my last IT contract:

Once he had started, he knew there would be no stopping until it was done.

That's why it had taken him so long before he started his final journey; because he could picture every single step of it. He knew that he would just methodically follow the steps, and then it would be over. He could be cold and clinical when required; rational and calculated; measured in his approach. There would be no panic, no rise in pulse, no hyperventilation. To all outward appearances, there would be nothing that would cause alarm or alert suspicions in anybody, until he was at the very brink; in the final moments.

The imagery of the bridge was so ingrained in everybody's mind, because it was such a major landmark. The bridge had featured in so many films. The bridge had been photographed so many times. The bridge was a prominent part of company logos and corporate branding. The bridge was something you could close your eyes, and picture it in exquisite detail. If you were asked to draw the bridge from memory, you'd be able to make a passable sketch of it. Even if you'd never been to the bridge before, it felt like you had been there.

That's why he had never been to the bridge. He could never be sure if he was there just in his imagination - where there were no irreversible consequences - or if he was there in real life. It would be so easy to follow through with his day dream - his fantasy - in real life. He'd played it all through in his head so many times.

Staring up at the spot on the centre of the bridge, where it was highest above the river below, he could imagine himself walking up to that spot, knowing that when he reached that point, only the chest-high barrier would separate him from the edge. He knew that the hardest part would be the bold step of climbing over the barrier. It would be so easy to peer over the edge, while safely protected by the barrier, and then chicken out. That's why mental preparation was important. That's why visualising the whole thing in advance was important.

He wasn't unfamiliar with the psychological battle of overcoming your fears and hurling yourself over a mental obstacle. Stepping off an edge was something you did every time you stepped off the kerb and into traffic. Vaulting a barrier was something you did when you climbed over fences as a kid, playing with your friends. He had done bungee jumps, where it was up to you - free will - to actually jump. He had done skydives and parachute jumps, where it was up to you, whether or not you hurled yourself out of a perfectly good aircraft. He knew he could overcome the psychological challenge of cutting loose and falling. Falling, not attached to anything, tumbling free in space. Nothing to grab onto. No second chances. No way to change your mind once you throw yourself out into empty space.

People talked about cowardice, selfishness, but they missed the point. People didn't understand that have to be brave to choose to put your life in danger, especially when falling to your death is one of the obvious risks. You also have to be brave to choose death. Who knows what happens when you die? Fear of the unknown is why people cling to life: self-preservation instincts.

He'd been a leader in the mountains and on rock faces. The leader always took the biggest risk of falling. At some point, falling became inevitable. If you roll the dice enough times, your number is going to come up eventually. If you take risks, you have to accept the increased chance of injury and even death. He'd had friends who had been killed or permanently disabled. A certain amount of "it could never happen to me" bravado and gallows humour stopped people from losing their nerve. At funerals, people would say that "he/she died doing what they loved" which was true, but this was mainly to distract from the reminder of our mortality, while doing the things that we - the living - love.

Those psychological skills, as a rock climber, mountaineer, bungee jumper, skydiver... they all now worked against him. He knew what it felt like, to be on the edge of a perilous drop, with nothing holding him safe except his own grip, and his own sanity: to not hurl himself over the edge.
At the top of tall buildings, on a mountain, or at a cliff-top, it troubled him how easily he could just jump off. He had to stay away from the edge; not because he wanted to keep himself safe, but because he didn't know if he could trust himself to not just jump. It would be so easy. It was the ease of it that troubled him. The proximity to a fall that would deliver a swift death called to him like a siren. Instead of being appalled by the fear of death, there was an allure.

When learning to climb, people clung to the rocks with white knuckles. They kept their bodies pressed as close to the cliff face as they could, as if being flat against the surface would mean that they were somehow safer from the pull of gravity. Most people were not psychologically prepared to be climbers or mountaineers. People on mountains collapsed on the flat ground, when sheer drops to either side of them overwhelmed them. Our instincts tell us to lower our centre of gravity, but when you are up high, gravity can only pull you down. It doesn't work, putting yourself closer to the cliff or the ground. You will still fall to your death.

There was something different about him. Sure, he wasn't the only one with the strange mutation of the mind, that allowed him to overcome the self-preservation instincts, but it was rare. Most people dislike heights. Most people are scared of falling. Had he always had this ability to put himself in a position of peril, and to overcome the instinct to simply freeze, to overcome the instinct to not jump out of the aeroplane, or climb up high where you could fall.

Possibly through repeated exposure to perilous situations, he had become immune to the threat of death. He had become comfortable, being in situations that put your own mortality as the immediate and most pressing concern. Sure, you could die crossing the road, but most people aren't thinking about that. Those first few times that you jump out of a plane, you most certainly are thinking "what if my parachute doesn't open?".

But the what ifs can be set to one side. What if I end up in Hell? What if I change my mind, in the split second before I die, when I'm past the point of no return?

Death is the great unknown, and we intrinsically fear the unknown. He had become well practiced at entering the unknown, in mortal peril. Who knows how you're going to feel, plummeting towards the ground at terminal velocity? He knew.

In a way, he had answered too many questions that previously had comforting answers dreamt up by priests, shamen and witchdoctors. The answers of the unknown, and of the intrinsic fear of death that dwells within all mortal creatures, for the purpose of self preservation instinct, had been given by those who sought to profit from believable fairy-tales for simple minded idiots. His rejection of organised religion gave him little comfort, in an uncaring universe.

Science tried to give answers, but it could offer no meaning. Why was anything the way it was? It just was. Even science broke down at some point, demanding that those who studied it just accepted the cold hard equations that revealed themselves in the mathematical patterns that were observed in reality. However, science had nothing to say about how to adjust to the incomprehensible vastness of the universe, the insignificance of existence and the seeming finality of death.

Science demonstrably showed that there was nothing after death. After the neurons of your brain ceased in their electrical dance, you were gone. There is no soul. A person is nothing more than the quantum potential, held in a brain. Consciousness is nothing more than an illusion, an unintended consequence of the vast complexity of an organ belonging to an organism that was only intended to allow genes to replicate.

What had he done, opening Pandora's Box by studying theoretical physics, and all the applied sciences that were derived from the fundamental rules that governed the universe? It was if by pulling back the curtain, and shattering the illusion of the theatre that played out in front of his eyes, he had of course ruined the enjoyment of life.

The willing suspension of disbelief was necessary to get any enjoyment out of any theatrical presentation. For sure, the sets were made of wood, and the birds were painted onto the background and never flapped their wings. For sure, it wasn't really snowing when a stage-hand in the rafters tipped a bucket of white polystyrene balls from above, but the illusion was passable if you didn't pick it to pieces.

He had picked everything to pieces. By relentlessly asking "but why" until the question made no sense anymore, nothing made any sense anymore. When he had reached the realisation that he was nothing more than an insignificant speck in a universe that was as good as infinitely huge, and incalculably complex, it was hard to return to a simpler, happier time, when there was some mystery and joy in things. When you can reason everything from basic principles, there is no more magic in the world. When the magician's trick can be picked apart by logic and reason, he turns from an entertainer bringing joy and delight to his audience, to a con-man.

Everything had turned to shit for him. With a Midas touch, he now applied sharp reason and logic to everything he saw, and the curtain was permanently pulled back. He saw humanity's ugliness. He saw people fighting and fucking each other over, and just vast numbers of total idiots, everywhere he turned. His heart was broken. Where had the beauty and mystery all gone? What questions were there really left to ask, when it seemed like all could be answered on his own, using base principles.
Through extrapolation, he saw no more point in continuing his life, than a scientist would in repeating an experiment that has been proven beyond all reasonable doubt to yield the same results time and time again. Only a fool does the same things expecting different results, he was often fond of saying. If you keep putting garbage in, you'll keep getting garbage out.

The world had exhausted him. In love with ideas of building a utopia as a child and young man, he now accepted that there was no shortage of good ideas, but there was also no shortage of people who didn't want to see them implemented. There were too many vested interests. People had too much to lose. He couldn't fight the world anymore, with reason and logic, and arguments about the greater good. Nobody wanted the greater good. Most people just wanted to be at the top of the pyramid, king of the hill.

Perhaps that's why men climbed mountains, because for a brief moment when you stood on the summit, you could count yourself amongst just a handful of people who had faced great adversity to be higher than almost everybody else on the planet at that moment. Standing alone on the top of Mount Everest, anybody else you could see, with solid ground under their feet, would be literally beneath you. The air passengers and astronauts in the International Space Station don't count: they didn't walk there, on their own legs, and they're not standing on Earth.

That was a brave thing, to get into an aeroplane or a rocket. We have become desensitised to it, now that jet travel is commonplace, but imagine those first adventurers in space flight and aeronautics. Imagine again, how mad it is to put yourself in a position where you could fall to Earth.
So, he supposed it was apt, that he should end his life in this way: falling.

He walked up the steps, to where the bridge departed from the land, crossing the chasm below, held in space by the tensioned steel structure that towered above. He started to cross the bridge to the opposite side, that he had no intention of reaching.

In a dreamlike state now, his vision narrowed. His hearing was dulled. The fine detail of the universe around him seemed to fall away. He no longer noticed the cars driving across the bridge: their engine noise, and the rush of air as they went past. He no longer noticed the people, who were photographing themselves, talking to each other and headed to their own unknown destinations. He no longer noticed the rumble of a jet passing ahead, or the blast of a horn on a giant ship, that passed under the bridge, on the river below. He was now living his daydream, with everything playing out exactly has he had pictured it so many times before.

Reaching the centre of the bridge, he turned to the barrier. He couldn't hesitate for a single moment. If he hesitated, then doubt would enter his mind, and he would start to have thoughts: rational thoughts. He would start to re-analyse things. He would start to talk himself out of what he was going to do next. He would start to think about the "what if?"s He would start to enter some unknown situation, out of control from the destiny he had chosen. Things could easily get out of his hands. Some kindly good Samaritan could step in. The police could become involved. Psychiatrists. People to save him from himself.

He threw his leg over the barrier, and lowered his foot to the little ledge the other side without a pause. He then brought his other foot to meet the other on the ledge. He was now stood with his back to the river, facing onto the bridge, but on the outside of the barrier. He stared dead ahead for just a second, steeling himself to make the final moves.

He twisted his body 90 degrees, and swung his left foot out into space. Now, he swivelled on his other foot on the little ledge, and reached behind himself, grabbing the handrail of the barrier, with the bridge now at his back. He returned his left foot to the little ledge, with his feet now pointing outwards.

Pausing to look down, he didn't really see anything. His vision had glazed over. He knew that to focus on what was below him, and to consider the height that he was at, would be to invite a sense of peril into his mind. He had put himself into a trance-like state. All of the mental rehearsals beforehand had prepared him for this. All of the times he had pre-visualised these steps, meant that he was now following a dance routine, and his mind was quiet and calm. All he had to do was exhale, and make his final move.

His stomach rose in his chest, constricting in his neck, before he even released his grip. His body anticipated the weightlessness, before he had even stepped off the ledge. He knew he was going to jump, before he had even done it. He knew he had passed the point of no return - psychologically - before he had even physically started the process. The decision had been made in his brain, and the signals were being sent to his muscles, but he was already conscious that he had done it. He had jumped, even though his hand still gripped the barrier and his feet were still on the ledge.

Now, he was just a passenger. He felt himself let go of the handrail, and let his arms drop to his side. He felt himself squat slightly so that he could launch himself off the ledge. He felt himself straighten up, springing forward and away from the bridge. He brought his arms up, above him and pushed out his chest, forming a 'Y' shape with his body, as he cut through the air.
He didn't tumble. He fell fairly flat, with a slight incline towards the ground, as he gently rotated towards a head-first plummet to Earth.

He felt the air briefly rushing past his face, and heard the noise of wind get increasingly loud. He didn't see the ground coming towards him. It was all too quick, in the end.

Then, blackness and silence.

Stick that in your pipe and smoke it.

Tags: #suicide

This is a story about comfort zones...

Relax and put your feet up, I'm about to tell you the tale of two sedentary situations.

I'm institutionalised. Put me inside a hospital or a head office, and I'll feel right at home.

Most people don't like hospitals: they associate them with pain, death and stress. Most people don't find hospital relaxing; quite the opposite in fact. Hospitals are places of mysterious rhythms and routines that seem chaotic to most people. There are different sounds that all the machines make when they're working, and when they're making noises that indicate that something is going wrong. There are different NHS staff, in different roles, in different clothes, who appear at different times.

My week in hospital that I'm going to tell you about - although I spent the best part of two weeks in hospital  - sounds kinda nice, because I was never really afraid or outside my comfort zone. I find the functioning of complex organisations to be fascinating. I love observing the systems and the people, trying to second-guess what's going to happen next, and what's going on behind the scenes. I like asking loads of questions and adding whatever I can learn to my growing body of knowledge that allows me to feel more in control of my destiny and more able to know what to expect next, than the tense, anxious and extremely tedious waiting game that most patients face on the National Health Service.

Once one has resigned oneself to the maximum speed that a massive organisation can function at, the whole hospital experience becomes quite meditative. Sitting in Accident & Emergency, you can fill your time sneakily looking at the other patients in the waiting room, and trying to guess what symptoms they reported to the reception staff when they arrived. Shortness of breath, chest pains, numbness in one side, drooped face, earlier seizures, unconscious or otherwise delirious patients will normally arrive by ambulance, but any walk-in presentations will obviously jump to the front of the queue. Then, there are the people with minor injuries who have put up with their trivial ailments for days or even weeks. The reception staff aren't allowed to tell them to fuck off, so these idiots must sit for hours on end, only to be told off for wasting valuable NHS resources, quite rightly. In the middle, there are nasty workplace injuries, DIY accidents and total wildcards. You usually get seen by a triage nurse within an hour.

Having been admitted into Accident and Emergency, there is a brief flurry of activity while routine blood samples are taken, and perhaps you're hooked up to a drip. A barrage of questions is fired at you. Examinations seem to be probing and thorough. Surely these professionals are going to have this problem fixed in no time?

It's always a mistake to believe that important things are happening and it won't be long before the right diagnosis is reached and the right treatment is administered. One should be aware that the function of A&E is to rapidly assess whether you're about to die, whether you might need to be properly admitted to the hospital, or whether you can be discharged swiftly, suddenly and brutally.

Once on a ward, a certain amount of orientation and induction is necessary, but all wards function with great similarity. All nurses are grateful if you don't press the call button all the time, for trivial things, as well as being cantankerous and discourteous. Remembering one's Ps and Qs at all times is a pleasant distraction from boredom, pain and discomfort. There will be shifts, and it's important to be mindful of when these shift changes occur. The NHS staff see so many patients come and go, and many are lucky enough to only have a very short stay in hospital, so there will be a certain initial reluctance to absorb you into the system: the ward wants to spit you out undigested.

Having overcome some initial resistance, you can relax into hospital life. Your day begins with your vital signs being measured. Then blood samples are taken. Then there is the hullabaloo of breakfast, ridiculously early in the morning at 7am. Then, there is nothing. All of that disturbance keeps the night shift staff briefly busy before they hand over to the day shift. The day shift hope to be able to ease their way into the working day gradually. Consultants start to appear at around 10:30am, followed by a gaggle of registrars and junior doctors. The most important time of the day arrives: choosing your lunch and dinner for the next day. By the time that lunch is served, you can't remember what you're going to get because it wasn't long ago you had to choose what to eat tomorrow. The meals are pleasantly bland and easy enough to eat. Mealtimes are something to look forward to, even if the food is far from gourmet. Expecting much to happen during the day, in terms of treatment, is a mistake. Anticipation of treatment that has been promised can only lead to frustration and disappointment. The NHS does what the NHS does, and it does it at its own speed. Things cannot be rushed or expedited. Complaining or asking staff when things are going to happen or what's going on, will only piss them off and ruin their day. Dinner arrives surprisingly early. Treatment can be sprung upon you at the end of the day, just when you thought you were going to have a relaxing evening, or you can have a lengthy wait until you get your pain medication and anything to help you sleep. Dropping off to sleep is not easy, especially as the day shift will hand over to the night shift loudly at the end of your bed, and there will be more vital signs being measured before you'll be left in peace to try to get some rest.

And so, my week in hospital consisted of lying on a bed that had buttons that could make me sit up or lie down, with no effort required at all. I was able to elevate my bad leg, to reduce the swelling. I was brought paracetamol every 4 hours, tramadol every 6 hours, and 2 hot meals a day. There were few unexpected interruptions, and if I was well enough, I would have been able to read, listen to music, browse the internet and watch films & TV, pretty much all day, all evening and as late at night as I wanted. I could stake a piss without even having to get out of bed. Friends travelled to see me. Doctors came to my bedside, and I was wheeled to wherever I needed treatment, by hospital porters. I was under no obligation to do anything, except to get better, and all my basic needs were met. My lovely girlfriend augmented the hospital care, so I wanted for absolutely nothing. Blissful, right? I could have stayed for a month, and I would have even earned £676 (I pay myself minimum wage).

---

Why then was I in such a hurry to discharge myself? Why would I leave the lap of luxury, and risk my health and even my life, by leaving the safe confines of hospital?

Well, that's a topic of discussion I've covered at length in prior blog posts, so I invite you to peruse the archives.

---

People rarely change their bank. We open current accounts in our teens, and we keep them into adulthood. Some of us even opened special accounts when we were children, and we have a certain nostalgic brand loyalty for the bank that we've been a customer of since we were youths.

The 'big four' or 'big five' high-street banks have not changed for my entire lifetime. We have (in alphabetical order) Barclays, HSBC [Midland], Lloyds [TSB], Royal Bank of Scotland and Santander [Abbey National]. These banks hoover up 85% of all the current account banking customers in the UK.

Just like current account holders, people join these banks when they're young - often their first job - and tend to stay loyal. Many people who I deal with on a day-to-day basis have worked for 15, 20 or 25+ years for the same bank that's been so good to them that they've never felt compelled to leave. Everybody bitches about their job, but a bank employee knows that they're very well looked after and they'd be mad to go off in search of a better job.

I've worked for 3 of the big 5, and they're institutions that I feel very at home in. Some people might think that I work in a rather high-stress environment, where it's imperative that I'm up to date with the latest cutting-edge developments in my field, and I need to perform in an exceptionally demanding role. The truth is, once you're in the door, you're in for good. You get your feet under the desk, and adopt the right kind of jaded resignation, that everything is going to be slow, sloppy, shit and a massive festering pile of neglected crap that nobody gives two fucks about, and you'll fit in just fine. Moan as much as you want - everybody does - but for God's sake don't go on any crusades to change or improve anything. Just settle in, get comfortable and enjoy the masochistic experience of being in a world where not a lot gets done and the right answer is always "no".

A lot of people get into technology and engineering, because they like to fix things and make stuff that works. They like to build stuff. They like the feeling of completing a technical project, throwing the switch and seeing their hard work put into action. A bank is a terrible, terrible place to build anything that will ever see daylight.

Having come to terms with the fact that any ambitions you had of building useful things that people might actually use, will be forever thwarted by a bank, you can begin to enjoy the ridiculous game. You command millions of pounds of budget, and you will achieve nothing. When you estimate how long you think it will take you to do something, you double your original estimate, double it again, and then double it one final time for good luck, and it's still not long enough. When you are asked about the feasibility of doing something, or whether you have any spare bandwidth to perhaps do something extra, you instinctively say no; it can't be done; no chance. Nobody ever got fired for saying no. In fact, people start to love you and think you're great at your job, if you get really good at saying no.

Delivering pieces of important technology, 100% working and of high quality, in short timescales and with hardly any resources, is liable to cost you your sanity. "It can't be true" colleagues will proclaim, even as the results are staring them in the face. From denial, your colleagues will move to the belief that it's a one-off fluke, or they will hate you. Colleagues will mainly hate you for making them look like totally incompetent blundering slowcoach fools. Nobody ever made friends and got ahead in a bank, by doing a good job. Finding yourself burnt out from the exertions of persuading people of the merits of doing things properly, without pointless delays, you find yourself suddenly alone; isolated. You may create some kind of mythical; legendary; cult status around yourself and your achievements, but you have no future with the bank: the bank doesn't want your type, and it will unceremoniously eject you.

You can work for a bank for as long as you like, provided you just go along with things. Never challenge anything. Never push for change. Never go the extra mile. For sure, banking demands that you be seen to be going the extra mile, but it's all just for show; part of the act.

So, if you want to be really successful in your banking career, you learn the rhythm and routine of your department. You learn when your boss arrives at work, and you get to your desk before him or her, and leave with them in the evening, making pathetic small-talk. You learn who's got kids, what ages they are, and what stressful childcare arrangements are a pain in the arse for your colleagues. You learn how everybody gets to work. You learn whether they're morning people or night owls. You learn their interests: topics to get them talking; things that enthuse them. You learn who takes their job seriously; who's ambitious; who's jaded and demotivated. You learn who drinks heavily, smokes, gets stoned. You learn who's lived, and who's been insulated. You learn who's worked hard, and who's had advantages. You learn when to make yourself scarce and blend into the background, and when to promote yourself. You learn the things that need to regularly get done, and you discover many things that don't need doing. You learn how to do just enough to please the handful of important and influential people, and how to avoid having to do any pointless busywork.

You can't prepare yourself for boredom. There is nothing in the world worse than boredom.

My first week back in the office was 4 days of boredom. I've seen it all before, done it all before, and I'm the master of minimal effort. The only problem is that I need to look busy to make a good first impression. I forbade myself from reading the news on my laptop. I tried really hard to not look at my phone too much, and to pretend to be busy.

My boss and his boss, both sit right next to me. My boss is a nice guy who seems to have a paternal nature. The big boss talks too much and doesn't realise that I find him amusingly stupid. I listen, make the right noises and say some encouraging sounding things, but I'm completely failing to disguise my contempt for this fellow, but luckily he's the only one who fails to see my total lack of respect for him, except for my bosss. I endeavour to make my boss feel that my number one priority is in supporting him in making our team look good in the eyes of the big boss. I try to make the big boss feel in control, while diverting any respect he commanded away from him. There's a mutiny in progress, but nobody will realise until it's past the point of no return.

Virtually nothing can be achieved in 4 days in a bank, and I've achieved far more than anybody expects of me, even though I've spent a considerable amount of time in the toilets, browsing Facebook and writing amusing things for my friends to read. I invested as much time as I possibly could in developing a good relationship with my boss and my team, but I have nothing of value to contribute yet. Aside from dazzling my colleagues with my all-round technical knowledge, my main task is to stay the fuck out of their way and not disrupt things too much.

Regrettably, I've had to take Friday off work. Making a good first impression can only be done once, and the lasting image that my colleagues will have of me - the guy wearing the robocop ankle splint - will now be tainted with the fact that I had to take time off work, giving the impression that I'm unreliable and prone to sickness. Damage to your image like that can be irreparable.

Sometimes, it's desirable to be known for being unhelpful, regularly late to work and somebody who leaves on time in the evenings. Being somebody who walks out the office door, even when there's a major crisis, is the sign that you have become perfectly adjusted to bank culture. However, the clever ploy is to try hard at first, to develop an image of being a hard worker, but in actuality, you are avoiding work and responsibilities at all costs. In time, you will have the best of both worlds: being thought of as dedicated and useful, but actually adding no value at all.

My foot has been steadily getting more and more painful through the week, and I've been popping painkillers throughout the day. I've passed the week in a dreamlike state; heavily medicated. Having strong coffee in the morning to make me sharp and alert enough to make a good first impression, has meant that I've been able to stay awake in some horribly boring meetings, but it has made me a little hypomanic, causing me to be far too outspoken at times, but I think I've got away with it.

I've earned more in a single day in the office, than I would for almost a whole month of being in hospital. That kind of cash does motivate you to get out of bed in the morning, and to stay at your desk with your mouth shut, when really you can't stand being in the office.

You'd think it wouldn't be that hard, being a bit bored, going to a few meetings, talking to people, saying fairly standard things that are obvious. Having the exhaustion of being unwell, plus being in pain and discomfort, make things hard for sure, but in a way, it's been an excuse to be fucked up on drugs for 4 days and get paid an obscene amount of money for the privilege.

It seems fairly clear that if I can dial the intensity down to 4 or 5 from 11 - and the dial only goes to 10 - and ease my way into a gentle routine that I can just about cope with, then I'll be able to blend in for years. There's no reason why I wouldn't be liked and respected. There's no reason why I can't be perceived as doing a great job, even though I'm not doing anything useful. That's the main thing I need to remember: I'm specifically there to not do anything.

Saying the right thing at the right moment - being the smartest guy in the room (as someone I know once jibed) - comes easily to me, and it does unfortunately command a disproportionate amount of respect versus doing some real work instead.

---

I'm not sure which week was more comfortable. Certainly hospital was more physically comfortable, but I was highly stressed about losing my lucrative hard-won contract and being too tired to be able to function when I started work. My job is extremely easy and I anticipate no problems, except coping with boredom and my propensity to blow a fuse with frustration at the snail-like pace that everything moves at.

Sleeping in my own bed has been far superior to the hospital bed, but getting up in the morning is never pleasant. However, my lie-ins were so ruined in hospital - by irritatingly early breakfast and the like - that I have actually been getting ready for work, relatively painlessly.

Commuting is hell, but because I know it's hell, I'm able to impassively observe the shit that I'm going through; detach. Commuting is the price that one must pay, if you wish for your gross income to exceed a year's average salary in the space of just 8 weeks.

How can anybody handle such contrast? It's insane. It's surreal.

How can I walk out of a hospital, against medical advice, and go straight into a brand new job where they're oblivious of just how sick I am and how messed up my brain is by strong medication? Can't they see that they have an imposter in their mix? Obviously not.

That, effectively, sums up the bipolarity of my life. The ups and the downs. The highs and the lows. What more extreme example could I come up with?

Tags: #bipolar #hospital #NHS

This is a story about artistic integrity...

He who pays the piper calls the tune. Does the piper ever get to play, for their own amusement and freedom of expression?

If you look at my life strategy, it's pretty insane. I've picked a career that uses skills that I mastered as a child, and I now find the job mind-numbingly boring, easy and soul-destroying. I've picked an industry which is essentially just keeping a running total of who owes who what: simple addition and subtraction. I've chosen maximum income, for minimum effort. My life is constrained - certain rules have to be adhered to - but I have set things up so that I can jump through the pointless hoops as effortlessly as possible.

My theory is, that if I were to mix work and pleasure, then it would break my heart whenever I had to compromise. Let's imagine my passion in life is painting. I'd like to paint 1970's sci-fi inspired futuristic cityscapes, clinging to the rocky surface of distant planets. Those paintings are very intricate; detailed. The attraction of that art, for me, is the sense of scale that's given when you paint thousands of tiny windows on the buildings, and lots of tiny people in space suits, wandering around in their futuristic world. However, there's probably only a niché market for such paintings, and they'd take hundreds of hours to paint. Commercially, I'd be far better off splattering a canvas with bright primary colours and calling it abstract modern art - it would take far less effort and would have a much broader appeal. In order to pay my rent, I'd be economically incentivised to produce crap that I hated, because it would be much more profitable.

My strategy is to earn a lot and not work very hard, so I have lots of money and spare time to pursue whatever passions I have, without compromise.

Of course, there is always compromise.

Luckily, there is a Nick Grant who is a rapper, a Nick Grant who is a photographer, a Nick Grant who is an expert in sewerage processing, a Nick Grant who is a lecturer in American Studies at the University of East Anglia, a Nick Grant who's a toastmaster, a Nick Grant who's an expert in credit risk management, a Nick Grant who's a researcher in the Elementary Particle Physics department at the University of Warwick, a Nick Grant who's the CEO of Severn Trent, a Nick Grant who's a Labour Party candidate, barrister and head of legal services for Sainsbury's, a Nick Grant who's the concertmaster of the San Diego Symphony Orchestra, a Nick Grant who's the strategy director for Cancer Research UK, and there's even a series of fictional Nick Grant Adventure books by Jamie Dodson.

This means that I can pretty much write whatever I want on the public Internet, under my real name, without the fear that most salary earning wage slaves would have, that our employers will discover our deepest darkest secrets, prejudicing our career progression and perhaps even jeopardising our employment.

However, ex-colleagues from places like JPMorgan and HSBC occasionally visit this site, and pick up juicy tidbits about the implosion of my life and see the thrashing of my legs, beneath the surface of the water, when I'm swanning about trying to look as serene as possible in my professional capacity. I have old bosses as friends on Facebook and following me on Twitter.

I took an insane gamble. Instead of locking down my social media to only friends who can be trusted to not gossip with anybody connected with my former employers; instead of editing and censoring myself; instead of setting up a pseudonym - a pen name - I write under my real name, with real details that leave me no plausible deniability, to say "it isn't me" and "it must be another Nick Grant".

I guess there aren't that many people who leave the privileged and highly paid world of financial services and IT, in pursuit of the risky dream of doing something more rewarding in an intangible way. Earning bucketloads of cash is all the reward you'd want, right? Why would you want to earn less money being an electrician? Why would you want to have all that stress and risk your life savings, trying to start your own company? Why would somebody who's been a steady dependable 9 to 5 worker, with decades of dedicated service under their belt, suddenly lose their mind and end up in psychiatric hospitals, drug rehab and homeless?

So many of us dream of making a big change in our lives, but when we face up to the reality of the risks, sacrifices and effort involved, we decide that maybe the timing's just not quite right... maybe we'll do it next year, or the year after. We end up boring our friends and family with our grand plans that will never be implemented: forever on the drawing board.

When somebody is mad enough to unshackle themselves from the golden handcuffs and give something a proper go, it's big news. There are hundreds, if not thousands of bored office-working drones, who are fascinated to know the details of the trials and tribulations of anybody who had the guts to follow through on a plan to retrain in a completely different field, or start a business. When you quit your soul-destroying job, you're the underdog; David taking on Goliath - your former colleagues want to live your exciting life, vicariously. Former colleagues are rooting for you to succeed. Former colleagues want to know if you fail spectacularly, to re-affirm that they made the right decision, staying in their nice safe boring jobs.

Bootstrapping means taking on projects where you're not beholden to somebody for the funding. The whole point of me doing a job I hate, is that it's provided the dosh to do whatever I want without having to kiss ass, kowtow and do things in a way that they approve of. The whole point of founding my businesses with my own money, was so that I could run things exactly how I wanted, without investors and lenders breathing down my neck and making stupid suggestions about my business plan.

When it comes to a personal memoir type project, where I'm pouring my guts out, I'm somewhat burning the bridge back to the straight-laced world of boring jobs for boring people with boring lives. I have a CV that says I've worked for various companies and I have various qualifications. People who get salaried jobs by sending off their CV and going for interviews, are not allowed to have exciting lives where they do things that don't neatly fit into boxes. The world that provides my income has a strict rule: fit in or fuck off.

So, I made a decision. I decided FUCK IT. I decided that I would just write whatever I wanted, whenever I wanted. I would be myself, I wouldn't censor, I wouldn't edit and waste time considering what the drones of the corporate world of wage slavery would think about my unorthodox life.

And so, with practice, my passion and - dare I say - my skill, is to document my innermost thoughts and feelings, publicly. It might not be art and it might not be commercial, but it sure as hell isn't compromised. I have moments of fear, where I think that I need to hide my blog, put a sticking plaster over the semicolon tattoo behind my ear, find out just precisely what my former colleagues are prepared to say about me: put them on the spot and say "look, do you judge me on the good work that you saw, or on the secret life that I chose to reveal to you?"

It drove me paranoid and crazy, trying to maintain a squeaky clean perfect professional image, whilst also dealing with all sorts of awful things in my private life. It exhausted me to the point where I lost my mind, covering up the fact that life outside the office was chaotic and unstable, and I didn't want anybody to know that I was just about surviving in grotty student flats, hostels, hotels and friends' sofas. I didn't want anybody to know that my engine had run out of petrol and was running on fumes. I didn't want anybody to know that I had no margin for error, no safety buffer: my finances were on the brink of total disaster.

Why should anybody know these things? If I get stuff fixed up and pick up where I left off, then who would be any the wiser? What people don't know can't hurt them, can it?

However, it hurt me. It hurt me every time a friend thought it was hilarious to tell my ex JPMorgan colleagues things that considerably damaged my reputation. It hurt me every time the grape vine managed to spread gossip about my attempts to find job satisfaction. "I heard you're an electrician now!" a colleague from HSBC who I hadn't spoken to for 6 years, said to me when we connected on LinkedIn. How the fuck do people find this stuff out?

"Oh you were in The Priory... like some kind of rock star. So cool!"

Not cool. That kind of stuff colours people's opinion of you. They make assumptions and whisper behind your back. "Shall we invite Nick to the pub at lunchtime?" somebody says. "No, better not... he's a recovering alcoholic, isn't he?" [I'm not, by the way]

What I write is repetitive. I have no idea what chapter of my life you're going to walk in on. I have no idea what I'm going to be writing about when you dip into my private world. So, I cover the same theme over and over again: I am me.

I'm no longer the straight-laced perfect employee with the immaculate CV. What are those gaps in my employment history? Well, in the context of me being your wage slave, that's none of your fucking business. You don't pay me enough to bribe me to act a certain way and to gag me. You don't pay me enough for me to compromise my integrity, my identity.

I've suffered enough boredom and I've been patient for long enough to have earned the right to be myself; the right to be creative; the right to express myself without hesitation; the right to not have to wear a mask; the right to not live in fear of negative judgement.

What happens if and when the worlds collide? Well, I've set the challenge: it's up to other people to decide whether to judge me on what they see in the office versus what they discover through my candour, in a totally unrelated context.

I'd love to make it into print. I have a penchant for debate, and strong views about government and society. At some point, my ambitions to be an author and to get involved in politics are going to be realised. Every word I write on the public Internet makes me more discoverable to somebody, somewhere, on some topic or other. If I simply wanted a book deal or to raise my profile, I could compromise and conform; I could channel my energy into being commercial and popular.

What does it mean to be authentic? You think it's some fucking option that we all have? You think it's a fucking lifestyle choice?

To be authentic is a risk and it's a privilege. You could lose friends and fall out with your family. You could lose your job. How are you going to find your true voice? The voice that speaks with childlike honesty; fearlessness; tapping into your live stream of thoughts, rather than the lines you've memorised; the act you've learned to play. It takes practice, to be able to express what you feel, rather than say what you think people want to hear. Many of us are disciplined to engage our brains before our mouths: to hesitate, withhold and communicate in a manner that conforms to social norms. We are coached and bullied into hiding our unique outlook and personality.

If I make myself unemployable, I'll be forced to try and monetise the things that I have a natural aptitude for. At the moment, writing is effortless, but I could push myself to write with more purpose, spend time editing and reconnect with some literary agents I started conversations with last year.

If I find myself barred from the land of boring jobs and immaculate CVs, then my energy - my creative output - will have to be expressed in ways that come naturally to me, not just easily. In a way, I'll be unbounded; unleashed; unchained. Of course, it invites hypomania to come and destabilise everything, but at least my crazy projects usually result in cold hard cash in my pocket and something else to add to my portfolio.

I'm scared. I can't play the game any more. I have a contract - ink dried on paper - and I can do the job with my eyes closed. I've been in hospital enough times with kidney problems to know when I'm in trouble, and to know when I can look after myself. I can't humour everybody with this "my health comes first" bullshit anymore. I'm the guy who's pissed copious amounts of blood on more than one occasion, and done the calculations: how long have I got before total organ failure will kill me? I'm the guy who knows when I'm in deep shit, and when I can take a calculated risk.

What scares me more than anything is going through all the same old shit I've been doing since I was a teenager. What scares me more than anything is playing the same fucking games, wearing the stupid fucking mask, and acting and speaking the lines I've learnt and spoken a zillion times before.

I've got a fairly simple plan: conform and comply just enough to get what I want out of some rich fucking banks who I don't give two shits about. The last thing I want to be doing in the world is help some dinosaur of a bank run a simple software project at snail's pace, but they're going to pay me a king's ransom to do it, and it gives me a tiny taste of freedom... I put up, shut up, suffer the boredom, and the reward for my patience is that I keep a bit of integrity; a bit of dignity; a bit of identity.

Maybe I should do this job or that job, people suggest. Wouldn't I be great as a carpet salesman, or a tyre fitter? Isn't my natural calling in life to be a supply chain analyst or a fork lift truck driver?

Maybe it's the mission of the company that I need to get right. Selling people financial products they don't need or want, and profiting on the margin between the borrowing rate and the lending rate, using fractional reserve banking, is hardly going to give you a warm fuzzy feeling, is it? Perhaps I should work for a charity that's managed to help a handful of individuals and a large number of donors to feel better about how disgustingly wealthy they are and ignore the fact that the gap between the rich and poor is growing. Perhaps I should simply find my place in the whole fucked up mess, where I can delude myself into thinking I'm making a positive difference.

But, I've seen too much. I know too much. I know that things are rotten to the core and it sickens me to emotionally involve myself, when everybody wants you to just STFU, keep your head down, do what you're told, not rock the boat and don't for god's sake solve any problems at the root cause.

Writing's the only time I can let rip and not get bogged down by the wilful ignorance and DGAF attitude of those around me. I'm not saying I'm superior and I've got all the answers, but I'm saying that when I get a hunch and I set out to prove my point, I've got plenty of examples of things I've done that have worked, when I'm free from constraints and naysayers.

I love this quote:

"People who say it can't be done should not interrupt those who are doing it"

Somebody's gotta be positive. Somebody's gotta do the math, calculate the risks and take a chance. Somebody has to be brave and stick to their guns. Somebody has to persevere through the setbacks. Somebody has to keep going when the way ahead looks blocked, to figure out how to overcome the obstacles.

I also love this quote:

"It is not the critic who counts; not the man who points out how the strong man stumbles, or where the doer of deeds could have done them better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who errs, who comes up short again and again, because there is no effort without error and shortcoming; but who does actually strive to do the deeds; who knows great enthusiasms, the great devotions; who spends himself in a worthy cause; who at the best knows in the end the triumph of high achievement, and who at the worst, if he fails, at least fails while daring greatly, so that his place shall never be with those cold and timid souls who neither know victory nor defeat" -- Theodore Roosevelt

I feel gagged. I feel cheated out of the opportunity to demonstrate the best of my abilities; to tap into my creativity and problem solving skills. I feel jealous of those people with inherited wealth, trust funds and other advantages that allow them to dispense with the wearisome world of bullshit jobs, and instead they can flounce around reading interesting things, writing, debating & discussing, composing, painting, drawing, sculpting and generally expressing themselves.

To have those prizes just out of reach, because of the demands of societal conformity, is agonising to the point where it makes me want to give up. I've worked hard enough for long enough that I should be in a different position. I'm left miming the same actions that I've done a thousand times before, in order to keep the money flowing, the rent paid and the food on the table, which is like some kind of psychological torture.

I know it sounds ridiculous, but I knew I would get a contract fairly quickly, and I know that I will be able to run the project really well, very easily. I've seen it all before; done it all before. I can see all the way to the end: no surprises. Because it's all just a means to an end, it makes it that much harder. I've got nothing to prove, and the fact that I'm employed to solve the same old problems in the same old way, time & time again, simply proves that they might as well just give me the money and not bother with the project, if they're not going to listen to the experts who know how to build better systems than these follies; these white elephants.

I've got this easy money contract all lined up. I know what the hell is going on with my kidneys. I've been in hospital enough times with rhabdomyolysis to know when the numbers say I'm fucked, and when the numbers say I've dodged another bullet and I'm fine & dandy. I know when I'm in big trouble and in desperate need of assistance, and I know when my tough little body is patched up and working again.

It's been agonising, to string this client; this consultancy; this agent along, while I've been in limbo: who could have predicted that it'd take nearly 15 hours of dialysis before my kidneys rebooted? Was I ever worried about my life, my health? You're asking the wrong question. You'd have thought that if you pissed absolute jet black liquid and you couldn't feel your foot or your calf, you'd be straight over to A&E, but it doesn't work like that if you're already at the limit of what you can take.

I phoned my client and said I wasn't going to make the 30 minute induction and I was too sick to start work that week. Chances are, that was the end of that: they'd just cancel the contract.

Things in my life are either there to be endured, they're an adventure, something good that's happening, or I've had enough and I'm going to self destruct.

Being in hospital again has been part adventure - I've never had dialysis before - partly something good, in terms of her seeing first hand the shit that I've been through a bunch of times. But there's the actual boring work that has to be endured if I still have a contract by the time I get discharged. There's the self destruct threat, because I've solved all these problems before. Everything's been overcome, so far as I can see. My client will wait until Monday for me to start work, my blood tests are stable and my kidneys are definitely working.

I had no control over whether the client would wait for me to get well. I had no control over when my kidneys would reboot. To discharge myself would have been suicide, so it didn't matter whether I lost the contract or not.

Nobody can see that the recent acute kidney failure is not the root cause of the problem here. Why did I let the problem get so bad? Why am I not afraid of a catastrophic chain of life-changing or life-ending events? My kidneys are working AND the client says I can start work on Monday, but why would I trust my knowledge, experience and the blood test data, and discharge myself, when I could just get another job in a few weeks or months? Why don't I avoid all risk, act like a sensible normal person, and just do everything I'm told?

There's a delicate chain here: I was lucky that my client has waited this long for me to get well, I was lucky that my kidneys recovered quickly, I'm lucky that I have a job that's easy money, I'm lucky that I don't have to suffer more agents and interviews, I'm lucky that I've got a financial lifeline that fixes my cashflow, I'm lucky that this contract keeps me within touching distance of the day when things are stable again, and I have the opportunity to think about doing something rewarding, challenging, creative and everything else I need as the antidote to 20 years of office boredom.

The ticking time bomb exploded, but it was unseen. I couldn't hang on any longer. I couldn't take any more delays and setbacks. My patience for being depressed, stressed and running out of runway, without success at securing a job (that I didn't really want anyway) had expired. I'd been strung along too long. Christmas and New Year slowed everything down and stopped progress, so the agony was drawn out longer than I could take.

Somebody's going to end up not getting what they want.

The doctors want to discharge me with blood tests that show my kidneys are clearing the remaining backlog of toxic crap out of my blood on their own. They want me to have an operation to have a dialysis line put in my jugular vein. They want to do more observation, without dialysis, to know how my kidneys are doing without any assistance.

Her and our friends want me to follow the doctor's advice, and treat my health as if my life hangs by a thread. They care about me. They don't care about my client. They know that there will be other jobs.

I want good quality sleep in my own bed for a couple of nights. I want to try on my ankle splint and get used to getting around on crutches. I want to make a plan for how I'm going to get to work during the tube strike. I want to figure out my medications so I'm not fuzzy-headed and sleepy during the day. I need to not have to start all over again. I need to balance the small risk that my kidneys might take a long time to clear the backlog of creatinine, against the big risk that I can't be out of work any longer, and I can't face starting the job hunt all over again, without depression and stress destroying me.

Yeah, I'm going to feel shit. I was always going to feel shit. I'm going to wish I was more well rested. I'm going to wish things worked out differently. I'm going to wish I could just press the fast forward button and be 6 months further through the year, and everything's gone exactly how I know it's going to go, but I don't have to suffer the boredom, the monotony and the ridiculous deja-vu of solving the same problems in the same way, over and over again.

What's the alternative? I can't cut & run. I can't switch career. I can't chase some stupid pipe dream.

Some people think I'm a know-it-all. Some people think I'm reckless and stupid. Some people think the answer to all my problems is to do the things I've tried before: regular salaried jobs, doctor's advice, safe & sensible behaviour, conformity to the norm.

All I can tell you is, I can make dumb decisions and get myself into deadly situations, but I'm also a bit of an expert in recovering from some very harrowing shit.

It's a bit unfair to ask people who care about me - both loved ones and professionals - to allow me to take what they see as an unnecessary risk, but the flip side is a complex web of psychological risks and consequences that are almost too hard to explain.

If I seem impatient, foolish, arrogant, entitled or somehow like I deserve different treatment and life opportunities to everybody else, all I can say is this: at some point you can't keep trying anymore, you give up and you slip away. At some point, it doesn't seem worth the struggle and the stress, just to line somebody else's pockets and allow them the freedom to pursue their artistic creative ambitions and generally waft around having a lovely time.

If I get what I want, start my job tired and in pain, work for at least 6 months, bored out of my mind and upset that I wasn't well rested and properly prepared; but at least the cashflow hole is plugged, my stress starts to go down, I start to relax about the purse strings, I can show my love and appreciation for the people who I care about and who care about me, I can start to improve my work:life balance and I can start to dream about longer-term ambitions, without torturing myself because things are so far out of reach.

If you think I expect this to happen overnight, you're wrong. I'm forecasting 6 months to stabilise, 6 more months to build up a healthy safety cushion, and another year before I can even dare to dream and start to think about a less soul-destroying life.

As I wrote before, I've got some amazing pieces of the puzzle in place - more love and support than I've ever had in my adult life - but I still can't afford to have other important things slip away for the sake of an acceptably small risk and some short-term pain, discomfort, exhaustion and a bit of extra stress. There is no perfect solution.

There is one thing that nobody can take away from me right at the moment: I'm a penniless writer.

Tags: #writing #art #hospital #career