This is a story about a calorie controlled diet...

If there's one thing I like to do other than drink alcohol, it's to eat unhealthy food. In fact, I find the combination of both to be most agreeable.

Here's what I've eaten (and some of what I've drunk) in the last week:

Sunday

1. Tin of Heinz beans & sausages

Monday

1. Vegetable samosa
2. Chicken, bacon & mayonaise pre-prepared sandwich
3. Large bag of Skips crisps
4. Large bag of beef flavour crisps
5. 3 cheese strings
6. 1 bottle of white wine
7. 1 bottle of red wine
8. Peanut butter eaten straight from the tub

Tuesday

1. Nothing

Wednesday

1. Nothing

Thursday

1. 4x slices of toast with marmite on

Friday

1. 3x chicken drumsticks
2. 2x smoked mackerel fillets
3. 4x cheese strings
4. Tiny amount of Ben & Jerry's Karamel Sutra ice cream
5. 1 bottle of red wine
6. 1 bottle of white wine

Saturday

1. Nothing

In terms of drinking that I omitted, because it's been a bit more chaotic/unpredictable, and it's also fairly boring information, I have drunk a lot of apple & black-current, orange and lime flavour squash. It's 24 degrees celcius in my apartment and staying cool is a problem. I pre-mix the squash, speed chill it in the freezer and then transfer it to the fridge. In theory, there's always a cold drink I can grab, provided I'm not cornered in some part of my apartment.

Monday is representative of what I ate and drank most days while I was working full-time, although I'd try to keep to one bottle of wine only.

Friday I managed to stock my cupboards from a proper big supermarket on Friday. Not well communicated by this food diary, is the fact that my cupboards and fridge are now brimming with easy-to-make meals, which are far healthier than big bags of crisps, samosas, more crisps and other crap you can buy from a corner shop, along with 2 bottles of wine for just over a tenner.

I have a cornucopia of delicious foods to choose from right now, yet my life is still chaotic.

The vicious cycle goes like this: I start to feel stressed and anxious, which triggers an alcohol craving. I then buy 2 bottles of wine, 'planning' on only drinking one. I drink both bottles and wake up feeling awful, of course. The hangover triggers a stimulant craving, which can be temporarily alleviated with Red Bull, but that then causes me to feel anxious and jittery and crave alcohol. Allegedly, somebody identical to me but not me, tried taking Concerta (an ADHD medication) for a couple of weeks: it's often sold as Concerta, but that's because the previous brand - Ritalin - has negative connotations in patient's minds, like Prozac (tell the patient it's fluoxetine and they'll be much more likely to take it).

I think my health would benefit from:

• Not drinking 1 or 2 bottles of wine every day
• Not binging on unhealthy snacks while getting drunk
• Going to a proper supermarket once a week, so I have food that I want to eat in stock, as opposed to going to the corner shop every day because I'm "hungry" but really it's to buy 1 or 2 bottles of wine too.
• Not relapsing back into being a regular caffeine user
• Finding some kind of Concerta/Adderall slow-release formula type medication that can help me face the next 27+ years of soul destroying office job bullshit, which only keeps me busy & concentrating for 5% of the time and the rest is like torture
• Finding some kind of tolerable antidepressant, to help me through what I anticipate will be at least a year of feeling lifeless, joyless, demotivated and deriving almost no pleasure from the things I used to enjoy.
• Maybe if that pile of pills is making me a bit too enthusiastic and excitable, bordering on the manic, I might have to consider a light mood stabiliser too - perhaps a low dose of Olanzapine, although I'm loathe to suffer the weight gain.

Specifically my mental health would benefit from:

• Detoxing again from the sleeping pills, tranquillisers, sedatives and stimulants, which I've only used sporadically over the last 6 weeks - I have no benzodiazepine dependency, thankfully - but I need to 100% cease that ruinous vicious circle.
• Getting a hair cut and washing my favourite clothes; maybe even buying a couple of new things I like... I seriously only buy new clothes every 3 years
• Getting my apartment in a state where I'm not paranoid that the landlord might see a couple of bits of damaged decoration and freak out.
• Securing a new contract, but with enough time to physically rest & recuperate before starting
• Spending some time with my friends in Ireland, or going to a hostel where I can be around people, and socialise a bit, as well as sleeping lots, getting fresh air and generally having a long-overdue restorative holiday.
• Being realistic about where I'm really going to thrive, or where I'm going to be isolated and lonely. Swindon is a big no, I think. Newport, I have one friend, but he's super busy with his kids. So, it's got to be London really.
• Friends first - get a regular meetup sorted... a guaranteed one day of the week (minimum) where I'll see friend(s). The more friends the better. Concentrate on friends.
• Being more aware of how easily I fall in love and become relaxed and comfortable in domestic life. I'm quite content deciding on dinner, cooking, eating, watching TV or a film, kissing and cuddling, sex, spooning, then a kiss goodbye in the morning with a nice hug... and repeat, and repeat, and repeat. I've been so isolated and lonely for so long that FOMO and jealousy of my partner's social life isn't a problem, and I just spend the time on my own... drinking. It doesn't leave me in a very secure place though, if I don't have my own friends and events.
• Exercise. I put this on just because it's such an obvious suggestion, and one that I get all the time. It's not a bad suggestion. It's an impossible suggestion when all the other stuff listed above is broken. "You won't feel like doing it, but afterwards you'll feel more energised; it'll give you energy" - OK, what you're talking about are chemicals released to ease your muscle pain, which are actually opioids, so you get a literal 'high' after exercise, AND the fact that you're getting fitter. Energy cannot be created or destroyed, so to use energy does not give you energy. You're right, I don't feel like doing it, and I would benefit from being fitter, but as the Millennials are wont to say: "I literally can't even".
• Speaking to friends on the phone or Facetime etc - I live my life in text, through a browser or an app. I'm in contact with sometimes hundreds of people a day (19.5k Twitter followers presently, for example) and some friends are good enough to regularly message me, but it's not the same as a live conversation where you can hear somebody's voice.

Well, and just because I'm making lists, here's the practical stuff I've got to sort urgently:

• Car MOT on Monday morning
• Answer phone/emails from agents RE: contracts
• The world's biggest pile of stinky washing
• Making sure my back bedrooms are at least passable and not likely to cause alarm to uninvited visitors

Less urgent is the redecorating, just because it's going to be a pain to organise.

nAlso, I did an epic job of cleaning the bathroom(s) spotlessly and mopping the floors and otherwise making my apartment pretty presentable, A lot of my TODO list has been tamed.

So, a bit more than just my food diary, but it hints at why for 5 out of 7 days I ate virtually nothing. It also hints at the three ways things could go: 1) no more food diary cos I'm dead, 2) food diary of junk which is making me fat, and alcohol which is making me unwell, 3) food diary that might be a bit more interesting (although it'll probably start with sandwiches and soups and pre-cooked meats).

Also, related content if it's going to be the "no more food diary": The Supercrack Diet

NOTE: I think the muscle damage/breakdown causes weight loss (at the expense of your kidneys) and sweating and dehydration cause further weight loss, but your body goes into shock and you just end up weak and more or less the same weight once you've rehydrated... although my tummy is half the size of what it was 6 weeks ago. Any sport scientist will tell you not to run out of glucose or water when exercising, or else you'll lose muscle mass, while any doctor will tell you that artificially raising your metabolic rate and putting strain on your heart (such as using fat-burners like DNP) is quite likely to kill you or permanently f**k you up.

You can lose weight by 'fasting' but it's for people with sedentary jobs, and also there's no point if you're going to undo your good work by binging on junk and alcohol on the 'normal' days.

Anyway, there's a little glimpse into my unhealthy lifestyle.

Tags: #food #diet #fat #slimming #mentalhealth #depression #adhd #exercise #friends

This is a story about shelf life...

Objectively comparing feelings at different times in your life is a virtually impossible task. What you would have described as 'low' mood a few years ago might have now become your new standard for a 'good' day. All I can tell you is that I don't remember ever feeling as tired as I have felt today.

I spent 5 hours driving, 7 hours waiting around in airports and 5 hours flying, which was all exhausting. However, in the last week or so there's something else that's been quite different about my behaviour - I've been drinking coffee and energy drinks.

A couple of weeks I desperately needed an extra bit of 'get up and go' to get me through a tough couple of weeks. I reached for caffeine as a crutch. I gave up - although perhaps only temporarily - my many years of caffeine-free existence.

When I was away with my friend over the weekend, it was tempting to just move from bar to bar, restaurant to restaurant, café to café. We drank fizzy drinks, strong European coffee, had ice-creams and I drank quite a lot of beer. We guzzled sugar, caffeine, and I had plenty of alcohol.

Yesterday, because I had to drive home from the airport, I had to stay sober all day. I also didn't want to be wired and jittery from having loads of coffee. I was exhausted, so I wanted to sleep on the plane ride, so that I wouldn't fall asleep at the wheel while driving home.

I think to say "alcohol dependent" is an over-exaggeration, but having slept most of the day, and generally felt like everything was far too much effort, it was the lure of alcohol that finally managed to get me off the sofa and out of the house.

If you look at most of my behaviour, it's motivated by the tiny dopamine hits from sugar, caffeine and the mellowing effect of alcohol. I used to ride a dreadful chemical carousel when I was a lot younger, working in London: I would have 8 or more espresso shots a day, and then had to have a bottle of red wine at night in order to be able to sleep. It was a vicious see-saw of uppers and downers, that were quite legal and indeed the consumption of coffee and alcohol was quite ubiquitous amongst my friends and work colleagues.

I've felt like my sleep quality has improved and I find it a lot easier to get up in the mornings, since going caffeine-free.

I've never really managed to get rid of alcohol completely. I find that I suffer terrible anxiety and depression whenever I try to stop drinking.

Sugar is something I have a mixed relationship with. I crave it like crazy when I'm tired. When I'm well rested I don't have a very sweet tooth at all. I think I associate sugar with getting an energy boost, which in fact never happens. If I'm craving sugar I should probably take a nap.

There's nothing to say that caffeine is particularly bad for you, and in fact there's good evidence that it has a neuro-protective effect against dementia in older people, but anecdotally I can definitely report feeling improved mood, energy and sleep, since cutting my caffeine intake to zero.

Sugar is obviously fattening, and is very unhealthy, although an essential part of our diet - every cell in our body is powered by glucose, so any faddy sugar-free low-carb diets are pure idiocy.

Alcohol is fattening and seems to have a firm grip on me, even if I'm not physically dependent on it. The strength of the cravings I have for alcohol are quite shocking, and the regularity and quantity I consume is definitely unhealthy. I would like to cut down, or even quit for a while, but I'm never quite able to.

In short, I'm feeling really tired, old and unhealthy. My mood is dreadfully low, I'm lacking motivation and I seem to have lost all enjoyment of life.

I wonder if I'm past my sell-by date.

Tags: #alcohol #caffeine #health #diet #sugar #mood #depression #exhaustion #fatigue

This is a story about paying the penalty...

I thought this week was going to be impossible - I'd lost a lot of sleep over the weekend and I was freaking out that I'd never catch up. However, I seemed to get through 3 normalish days in the office somehow.

Something's screwy with my mood and body clock. All of my rules about early bedtimes and no caffeine have gone out of the window.

The net result has been 3 late nights, and 3 days when I've been quite manic, which is exhausting in and of itself.

It all caught up with me today, and all the exhaustion has seemed to hit me at once.

Frustrating, because it's my last chance to make a good impression at the old place, and possibly find a way so that I can carry on working locally. Also frustrating because I need to be sharp and at the top of my game tomorrow, first thing in the morning.

I've got so much to do tomorrow. It's going to be a horribly busy day.

Then, I'm seeing an old friend over the weekend, which I'm really looking forward to, but I'd hate to ruin it by being half-dead from exhaustion.

Things should be alright, but I really need that early night I keep talking about but never actually managing to get. Also, less wine. I've been drinking far too much.

Not been looking after my physical or mental health at all well.

Tags: #bipolar #mania #insomnia #alcohol

This is a story about predictable unpredictability...

I messaged a trusted friend at work: I'm sleep deprived and manic... can you sneak my laptop out of the building, should I make up an excuse to bunk off work, or should I just come in and pretend like everything's fine? He told me to message him in the morning.

I woke up at 4am, when presumably the deadly cocktail of sleeping pills, tranquillisers, sedatives and alcohol wore off enough that my mania re-asserted itself. Even my dreams hadn't been sweet dreams about nothing... my mind had been working overtime to find elegant solutions to hard problems.

By 7am - when I usually get up - I realised I could force myself out of bed and face the day if I wanted. However, the only restful part of any 24 hours for me, is the period when my intense dreams are done and I can have a second period of sleep, which is pure bliss. The alarm clock is perhaps responsible for more human misery than any other human invention, including bombs and guns and instruments of torture.

There were no small cans of Red Bull for sale at the office canteen, so I guzzled half a litre of high-glucose high-caffeine energy drink. As I feared, I spoke far too much; too loudly... I lost all subtlety, tact and ability to hold my tongue. In short: I was everything you don't want from a work colleague who you have to spend 40 hours a week in a small room with.

As with many engineers - or those with a tendency towards the technical - I started pulling things to bits. Something had been broken for a week or two and nobody knew how to fix it. People were losing sleep and the shiny shiny new system was starting to look like an unreliable heap of junk, not the perfect thing that everyone imagined they would create, given a blank canvas.

I skipped my lunch. I said "just give me 5 minutes" to so many people, while I continued to pursue my new obsession: I was going to be the hero who solved this problem which had defeated so many others.

Before I knew it, the cleaners were hoovering under my feet and the building was looking pretty dark and empty. I went out to the car park, where luckily my car wasn't parked, because the compound was fully secured - I was locked in.

In my mind, I achieved something noteworthy. I found and fixed the problem they said that nobody would ever be able to do - it was too hard; everything that could be thought of had already been tried.

I shared the news with my colleagues, all long-since departed home to their families. Most people write 1-liners "fixed the bug". I struggled to not write an entire essay on why the shiny shiny new system is actually a piece of shit that should be rebuilt; repainted on that blank canvas. Of course, nobody really wants to read a message with 6 paragraphs. Nobody really wants to be told that a fundamentally shit decision at the start of the project has flawed the whole damn thing. Nobody really cares that much, except me.

Actually, I'm being unfair. Some of my colleagues have been seized by manic moments and decided to embark upon one-man missions to reach that engineer's nirvana: the most elegant system imaginable. My colleagues kindly indulge me when I say "errr.... why hasn't this been done properly?" and they tell me the age-old tale of the decision to cut corners, because it's "tactical". We roll our eyes, and dream of the day when we're really given that elusive blank canvas.

A few years ago, I single-handedly rewrote an entire system - belonging to one of the UK's big 4 high street banks - over the course of about 4 days, mostly without sleep. I learned nothing. What I ended up with was elegant and beautiful, but it'd be like hanging a Monet in your 3-year-old's bedroom - it'll soon end up with crayon and felt tip pen scrawled all over it. It was an arrogant and stupid waste of time.

Today, I rebuilt what my colleagues had built, so that I could learn why they made the decisions they made. I put myself in their shoes, and I walked the same path that they must've walked, when they built the shiny shiny new system.

There's a short answer and a long answer. Tomorrow I can say: "I know where the bug is and I know how to fix it". That's the short answer, and that's the only one anyone cares about. Tomorrow I want to say: "I know where you took a wrong turn, and I know how we can make things perfect; elegant" but nobody cares... just get the damn thing running, no matter how flawed and unreliable; no matter how ugly it is when you peek behind the scenes.

It wasn't that long ago I was given a blank canvas for the first time in my career. You know what I opted for? Ugly simplicity. I built something that was the complete opposite of elegance. I built something where just about anybody could see what every nut, bolt and widget was there to do. You know what else I learned? When you've actually got to make a whole entire system from the ground up, you never ever anticipate the things that are going to ruin the perfection - the decisions that seem great at the time, but eventually mean you'll never achieve a completely elegant solution.

All I can say is, at least my mind is occupied on days like today. There hasn't been a moment to consider just how terrible I feel. There hasn't been a moment of boredom.

I'm glad I got up and went to the office, even if I've made it abundantly clear to my colleagues that I'm an unstable nutcase.

The world needs unstable nutcases.

Tags: #bipolar

This is a story about non-pharmacological interventions...

The word "choice" is a little unfair. To suggest that people could help themselves by making better lifestyle choices assumes that our choices are unbiased. It seems obvious that we'd choose low-fat, low-carb, low-salt options because they're better for our heath, but we're biased towards things that taste nice. It seems obvious that we'd cut alcohol, caffeine, drugs and medications out of our life, because they all have nasty side effects, but we're biased towards things which make us feel good. It seems obvious that we should work less, spend more time with our families and not commute so far, but sadly it's not easy to up sticks and move closer to our jobs and often we have to do jobs we hate because we need the money.

At my meeting with a psychiatrist today we essentially agreed that I can manage my disposition towards mood disorder using lifestyle choices, but it's going to take a lot of hard work. I need to exercise more, I need to change my job and I need to cut down or even quit my alcohol consumption. As well, I need to continue to have strict bedtimes, avoid caffeine, dim the lights after dusk, use a light box in the mornings and eat a balanced diet. I also need to resist the urge to spend money, take risks, be promiscuous and dabble with drugs. All fairly obvious stuff, but none of it is much fun.

Aside from some disagreement over whether I'm type 1 or type 2 bipolar, and the severity of my illness, I actually got on pretty well with the psychiatrist. To hear the words "you have a chronic condition that cannot be cured" is not very nice and my instinct was to argue that I don't have a condition at all - my symptoms have been a product of my environment; caused by the stress of my situations I've been in. In actual fact, I concede that I've had symptoms of bipolar for as long as I can remember... it's just that my bosses and work colleagues have always been very understanding of my highs and lows. A lot of people would get sacked for coming in to work two hours late every day, or shooting their mouth off and throwing a tantrum in the middle of the office, but there's a place in the workplace for somebody who can work for weeks without any sleep when there's a crazy deadline to meet. I agreed with the psychiatrist that I've got a lifelong condition, which will need careful management. It doesn't scare or upset me, because I managed my condition effectively for years before things got dangerously erratic.

To hear lithium and sodium valproate banded around as potential treatments is not what I wanted. I prefer to think that I've got a mild form of bipolar which can be managed with a medication like lamotrigine, or no medication at all. I consider that my 'high' periods have been hypomanic because I had no grandiosity, psychosis or paranoia. The psychiatrist considers me to be a fully blown manic depressive, because my manic phases have lasted more than a week. I think we'll have to agree to disagree, because my mania does not seem at all severe, except when exacerbated by drugs and sleep deprivation.

I asked about talk therapy. There's an 18 month waiting list. I'm being referred, but 18 months is a heck of a long time to wait for psychological therapy. Getting some kind of talk therapy has become a crusade to me, because I first sought treatment in 2008, so it's been 10 years since I asked and I still haven't received any therapy.

In short, I think I agree that I have a certain amount of risk towards becoming really unwell, but it's not destiny. I have a lot of hard work to do, and I have to continue to make so-called smart choices, when really my life's not a lot of fun and I still have to figure out how to pay the bills somehow. I do agree that there's something about me - call it an illness if you like - that means I have to pay a bit more attention to my lifestyle than others might, who don't share the same predisposition towards mood instability.

I went into the psych consultation feeling quite unique and special. I was feeling pretty proud of myself for being unmedicated and having dealt with a lot of things that were definitely wrecking my life. Then the psych helped me see that a lot of people who are bipolar have a similar story of reckless risk taking, money spending, hyper-sexuality, drug taking, getting into conflict with bosses, drinking too much and all the other things that lead to a point where lives get utterly screwed up. I suppose there comes a certain point where a person just can't continue to live their life a certain way - the end of the road. Where my inclination was previously to commit suicide, I'm perhaps slightly erring on the side of trying to mend my ways and crawl back into normal society over broken glass.

I can see the temptation of a chemical crutch to aid my 'recovery' but I'm still pretty adamant that I'm going to go medication free. Actually, the psychiatrist agreed with me that something like sertraline, or even lamotrigine, could push me into hypomania. Antidepressants have always had a mood destabilising effect on me in the past. There's something to be said for feeling miserable: it does somehow make you appreciate the better times, when they eventually arrive.

So, it seems like a rather well-behaved life beckons for me. I don't relish the prospect of having to always make sensible choices, but I guess I'm not a young man who can bounce back from anything anymore.

Hardly thrilling, but the saga continues. I'll keep you posted on how it goes, doing the boring mundane stuff.

Tags: #bipolar

This is a story about doing no harm...

Imagine that somebody says to you "you're so argumentative". What could you possibly say in return? You can't say "no I'm not" because then they'll say "yes you are and the fact that you're arguing proves it". There are lots of other quirks of the English language that allow you to box people in, such as asking questions like "so when did you stop raping children?" or some other kind of fallacy.

I'm not actually against psychiatrists and psychiatric medications. Every psychiatrist is different. Most psychiatrists who work in the NHS have to deal with society's very sickest and most dysfunctional cases. Every psychiatric bed in England is filled with somebody who is being detained against their will for 28 days, or more likely for 6 months. There aren't any spare psychiatric beds for people who are merely having a crisis and who are in danger of committing suicide - the NHS will call your bluff and leave you to die, as so many do, because mental health services are overstretched and underfunded.

The kinds of treatment on offer vary from snake-oil bullshit, such as CBT and other behavioural therapies, to chemical coshes that will put you into the drugged equivalent of a straightjacket. For sure, there are some very sick people who are psychotically disturbed, but powerful antipsychotics are not a panacea for all problems of the mind. In some countries, physical restraints are more commonplace. In the UK, we dope people up to the eyeballs.

If you've never lost your liberty you won't quite be able to comprehend how terrible it is. We're free-thinking individuals who move through the world according to our whims - the illusion of free will. When locked into an overcrowded psych ward, even if you asked to be hospitalised because you feared for your own safety, you might suddenly panic that you won't be able to get back out.

Ironically, you can't say "I'm not argumentative" when somebody wrongly accuses you of being argumentative, and it's equally impossible to say "I'm not mad" when you're trapped by psychiatry. The only strategy you can play is to be calm and patient and ignore the provocation, which is easier said than done. It's a very natural reaction to want to defend ourselves against unfounded allegations. To have our character criticised by somebody who doesn't know a damn thing about us, is incredibly insulting. When somebody who hardly knows us has the ability to detain us against our will, and even to have us forcibly medicated, then the situation is unbearable.

I don't doubt that psychiatrists believe they have their patients' best interests at heart, but there's no acknowledgement of the antagonisation, frustration, anger and upset that they provoke. Nobody should have godlike powers over any other human being. The line between sane and insane, sick and healthy, right and wrong thoughts... these are completely arbitrary. There can be no ultimate arbiter who decides who's normal and who's not - it's not right that anybody should sit in judgement.

Am I arguing that we should fling open the doors to our asylums and let the mental patients roam free? It's more complicated than that. A survey of the general public revealed that the vast majority of people wouldn't want to live next door to, work with or have their children play with a schizophrenic. It seems that those paranoid delusions are not so paranoid after all - no smoke without fire. Having had my case reviewed at mental health tribunal to decide whether to give me back my freedom or not, it appalled me how six people could sit and have a discussion about me as if I wasn't even present in the room. To button my lip and remain silent through proceedings; to maintain my polite and courteous façade - this was virtually impossible when my liberty was at stake.

Another thing that's deeply upsetting is the way that the patient is often mobbed. Ward rounds consist of sitting with a whole room full of people - usually a couple of psychiatrists and a couple of nurses - who sit stroking their chins while the patient explains the same thing for the millionth time: please stop ganging up on me and let me go. Of course, there are mental heath problems present, but the set-up is antagonising. Should we just let anorexics stop eating and die? Should we just let the psychotic do what the voices tell them to do? This isn't what I'm arguing for. I'm just pointing out that even the most sane amongst us would be driven mad by a jeering crowd, licensed to torment and keep their victims in captivity.

If you imagine that you might get to spend 10 minutes with the psychiatrist who has the power to set you free, once every week or every fortnight, all the decisions are more important than I can possibly express in words. If you're on a medication which is causing you intolerable side effects, in a psych ward setting which is causing you intolerable distress, you're going to have to wait a couple of weeks before you can have another go at trying to communicate your needs to the doctor... which you'll have to do through the foggy haze of powerful antipsychotic medication. "This man is making no sense" they'll say, because you've been drugged into a dribbling mess. What further proof could be necessary to show that you're an imbecile who could never survive outside the protective walls of an institution?

Experiments were conducted by investigative journalists, who deliberately got themselves committed to institutions, only to find they couldn't get out again - the system grabbed them. The harder you fight the system, the more you're giving the system the 'proof' that you really are mad. It's maddeningly self-perpetuating.

Very few of us have the ability to bring our racing pulse back under control, to lower our respiration rate, to relax our muscles. Very few of us possess the ability to react to incredible stress, by calming ourselves and being patient. The most antagonisingly provocative situation will elicit the most predictable response: people don't like having their freedom taken away, told what to do and being judged by strangers who pry into every aspect of their private life.

To have captive creatures to toy with as we please must make those men and women who wield godlike powers feel very full of themselves. "It's for your own good" is the well-worn defence for the indefensible. The very nature of the relationship is toxic to mental health. Mental health treatment cannot be imposed by those who know best, because they don't know best - psychiatry is such a young branch of medicine. Nobody really has a clue what they're doing. Long-term outcomes are abysmal and the mental health epidemic continues to grow apace. Clearly, evidence-based medicine is not being practiced.

Of course I don't think that psychiatrists and mental health nurses and all the other people who offer medical and complementary treatments for ailments of the mind, are bad people. Of course they're not bad people. I don't believe there's a Big Pharma conspiracy. The truth is though, people are sicker than ever before and the treatments aren't working. My objection is with those who talk authoritatively as if there are useful diagnoses and accompanying medications and therapies which are making a profound impact... it's just not the case at all. What's happening is abysmal, and nobody is admitting they've got it wrong - a lot of people aren't sick, they just hate capitalism and modern society.

Good science means controlling the variables. I've aggressively cut out all psychoactive substances. Tomorrow I shall tell my psychiatrist that I'm debt-laden and forced to work a job that conflicts with my values and needs. My malaise is a function of the conflict in my heart, knowing that banking is a morally bankrupt profession, loan-sharking and taking advantage of the most vulnerable. My prescription? The end of capitalism and the return to a society where we're intimately connected to our local communities... do you think they'll stock that in the chemist?

Getting my happiness and contentment back in the current economic climate looks to be an impossible task. However, to medicate myself because I'm having a sane reaction to an insane world is not a good course of action.

Of course, my psychiatrist doesn't have the ability to cure me of my intolerable situation. I've got to work. I've got to travel to where the jobs are. I've got to pay my bills and service my debts. But, I don't need medical solutions to a non-medical problem.

Why even go to see my psychiatrist, when I don't think they can help me? Well, it's obvious isn't it? If we keep sending people away with pills, then we keep proceeding with our delusion that they're working and things are going to improve one day. How many times a year do you suppose a psychiatrist meets somebody who's foresworn ALL psychoactive substances, including caffeine and nicotine, and is a functional high-achieving member of society, to all outward appearances? To say that a medical problem - suicidal depression and debilitating anxiety - doesn't have a medical solution is heresy, but somebody has to stand up to those who dogmatically decree that they have the solutions, when they demonstrably do not.

Being unmedicated is really horrible and I feel terrible, but I'm being a bit of a martyr because I've got a point to prove. One day I will escape from the burden of debt, the soul-destruction of bullshit jobs and the need to commute long distances, preventing me from forming social bonds and having a work:life balance. One day I'll get a girlfriend and a cat and a home of my own and all the other things that humans need to feel complete, and then we can re-examine the situation and ask if I need medication. Until such time as the major problems in my life still exist, then medication looks like a dangerous option, because medication is allowing our society to develop into a grotesquely unhealthy form. Just because medication allows you to do awful things, it doen't mean you should do awful things. If it feels wrong, it probably is wrong.

A certain proportion of society will always struggle to abide by its rules, its laws and its social contract. A certain proportion of society will be criminals and parasites - anti-social. However, when the vast majority of us are struggling and unhappy, then we've made a wrong turn somewhere; we've made a mistake and we need to retrace our steps.

I refuse to be labelled and drugged.

Tags: #mentalhealth #medication

This is a story about lethal combinations...

Those who are familiar with the more extreme end of Grindr casual sex shenanigans will know that there's an unholy trinity of club drugs - crystal meth, GBL/GHB and viagra - which provide the sexual stamina for outrageously debaucherous f**kfests. To arrange drug-fuelled sex parties via the Grindr app is shockingly quick and easy. Under the influence of these drugs, one's sexual appetites are rarely satiated.

My own unholy trinity is far more prosaic - sleeping pills, tranquillisers and alcohol.

I never intended on becoming hooked on 'downers' and indeed I was very well aware of the physically addictive nature of the benzodiazepines. There is absolutely nothing that appeals to me about being intoxicated on CNS depressants. I do not enjoy feeling under the influence of the GABA agonists. For me, it was all about wanting the absence of something: the absence of panic attacks where I felt like I was going to die; the absence of interminable insomnia; the absence of the skin-crawling feeling of anxiety; an escape from a life that was unbearably awful.

Alcohol was a taste I had to acquire. Getting drunk was a necessary part of getting laid - Dutch courage. Booze was ubiquitous at work and it was necessary to be a drinker to get ahead in my career. I would have been a suspicious outsider if I'd been sober during the many drunken lunches, after-work beers and meals where wine flowed liberally. Alcohol lubricates the world of investment banking and I fully embraced the culture.

Valium crept into my life as I searched for something to help me manage the undesirable side effects of stimulant abuse. I thought I could swallow a couple of pills and sleep off the worst of my addiction without any consequences. I knew that I was playing with fire - to use one addictive drug to combat the effects of another - but that's the kind of addict logic that I applied at the time. I knew that if I abused benzodiazepines for more than a few months, I'd end up with a physical dependency that would cause me to have seizures if I abruptly stopped taking the pills. I did what I felt I had to do.

Sleeping pills never held any appeal. If there's one thing I'm really good at, it's sleeping. I quickly figured out that the best way to escape an oppressive and unpleasant world is to be unconscious. I can put myself into a zoned-out trancelike state and sit quietly for hours. I can spend all day dozing in bed, even after 12 hours of restful sleep. I'm a master of sleep. Why would I dabble with sleeping pills?

Some of the benzodiazepines have a very long half-life. If you take benzos - like Valium - for a long time, they never really leave your bloodstream. If you're addicted to Valium, you're just topping up when you take the pills. Strangely, it's possible to have insomnia when you're on tranquillisers - you just lie there awake, not caring at all that you're not asleep. It's restful, but it's not refreshing, if you know what I mean?

During one of the most difficult periods of my addiction to a powerful stimulant - a drug that sends me completely psychotically insane - I could hear helicopters hovering over my apartment. All the traffic on the road had stopped - I couldn't hear any motorbikes, cars, lorries, buses or trucks. Then, I heard a lot of yelling. To my paranoid drug-addled and sleep-deprived mind, this was the thing I'd been dreading: the police and the army were coming to get me and drag me in front of a crowd of people, to shame and ridicule me. The 'enemy' were coming to get me. Then, I heard a commentator announce that the first runners of the London Marathon were about to come past my apartment block. Of course! It was the marathon, the route of which travels right past where I was living.

I was still fairly traumatised by the whole marathon thing, even though I quite quickly figured out that the helicopter wasn't there to deliver a SWAT team clad in black uniforms in through my bedroom windows. I turned to diazepam to soothe my jangled nerves. I swallowed about 20 high-strength 10mg blue tablets. That's a HELL of a lot of diazepam. It didn't touch the sides. What I really wanted was to be unconscious. Sometimes, being tranquillised up to the eyeballs just isn't enough.

Zopiclone and zolpidem entered my life as medications to allow me to have a seemingly normal sleep/wake cycle. When I was abusing a powerful stimulant, it would not be uncommon for me to spend four or five nights without sleeping at all. The most nights I ever went without sleep was about ten, which sent me completely barmy, of course. As you reach the outer extremities of an impossibly bad stimulant addiction, strangely you yearn to have a normal appetite and normal sleep. The tranquillisers helped me to stay on top of stimulant psychosis, but I needed sleeping pills otherwise I was just going to die from a low immune system, or otherwise go completely and permanently insane.

I can't stress enough how important sleep is. Without regular refreshing sleep, nothing else is going to fall into place. There's no hope of improvement and recovery without sleep.

The sleeping pills - such as zopiclone and zolpidem - don't actually give you normal sleep. Sometimes you can 'wake up' and feel a little bit like you've been asleep, but you haven't been - you've been drugged. Your body and your brain kind of knows the difference between sleep and unconsciousness. When you suddenly jerk awake and you say "what! where am I?" then that's usually an indication that you've been drugged, rather than sleeping.

I used sleeping pills for most of 2017. I almost don't know how to sleep without them. When you get habituated into using sleeping pills, you can get very anxious about trying to sleep without them. The anxiety around getting enough sleep builds and builds. You spend horrible days at work where you're trying to keep your eyes open, and then horrible nights awake because you desperately want to get enough sleep to catch up, but you can never get enough. Bedtime becomes super charged with nervous energy and you have an incredible longing for a night of refreshing sleep. The more you want sleep, the harder it is to get it. Sleeping pills are addictive, because they take away that anxiety and deliver some kind of dependable nightly rest, even if it's not very refreshing.

I abused my little toxic trio of chemicals because they gave me back my life. My life used to revolve around the highly potent and addictive stimulant drug which I had unfortunately become incurably hooked on. My life was going to hell in a hand cart. I was on collision course with permanent psychosis. I was definitely going to end up locked up in a mental institution for the rest of my days. To fight fire with fire was madness, but it worked. Although it was very dangerous and I nearly died as a result of poly-substance abuse, somehow I popped out the other side intact.

I didn't drink alcohol since last Saturday. Once I start drinking, I don't seem to be able stop when I want to. I don't seem to be able to drink in moderation. When I get the taste of beer or wine, I glug it down and I don't stop until I think "oh dear, I've had too much to drink". Because of all the occasions when I've thought "I wish I hadn't drunk so much" recently, I've decided that not drinking is the safest course of action.

I've been taking sleeping pills all week. I need some sort of crutch dagnammit! How am I supposed to cope in such unfavourable conditions without something to help make life a little more manageable. To lose sleep would be bound to push me back towards strange strung-out thinking, and make me liable to say or do something stupid.

One week from today I will see a psychiatrist. It's been 8 weeks or so since I last saw a psychiatrist. I haven't been taking any medication - except for the aforementioned sleeping pills - and I'm wondering if I should cut my pills down to absolute zero. It would be really wonderful to say that I'm not a drinker, not a smoker, I don't have tea, coffee, cola or energy drinks, and I don't take ANY medication at all. It's so rare that a psychiatrist would encounter somebody who's completely free from ALL psychoactive substances. I think I would really love it, to have the psychiatrist ask me "so, how do you feel?" and be able to answer, knowing that it's me and only me, and not some version that's twisted by caffeine, nicotine, drink, drugs and medications. How precious would that be, to be my real authentic unadulterated self?

To get to this point where I might be able to be completely free from all mind-altering substances has been an almost impossibly unbearably awful experience that's put my life at great danger, as well as my livelihood. Why the hell would I put myself through so much suffering? Why wouldn't I go a little more easy on myself?

What I find with substances is that they're insidious. Every time you say "one cigarette won't hurt" or "one glass of wine will be OK" you could be setting off down a road that leads to a whole bottle of wine, two bottles of wine, a bottle of vodka. I'm never going to be some boring teetotaller, but at the moment my life is so unbearable that I'll keep pouring myself glass after glass of booze until the pain and the anxiety is blocked out and I'm blacked out.

My nightly sleeping pill habit is comparatively healthy. I don't increase the dose. The dose is measured. There aren't any fattening calories in a sleeping tablet. Sleeping tablets don't give me awful hangovers. There could be much worse things to be hooked on. However, wouldn't it be awesome to look the psychiatrist straight in the eye and say "I haven't taken a single mind-altering substance for a week now".

This week has been awful without my little chemical helpers, but maybe next week will be better, and the week after will be even better still. Wouldn't it be awesome if I break free from chemical dependencies?

Of course, I will have to admit that I had unbearable anxiety and suffered suicidal thoughts that very nearly killed me. I will have to admit that it would have been sensible to take the sertraline (Zoloft in the USA or Lustral in the UK) instead of trying to tough it out without, and abusing things which I really shouldn't have done. It's true that I could have developed a sertraline habit by now - the withdrawal syndrome is pretty awful, so I'd be trapped onto yet another addictive medication. Yes, it would have helped me to get through some super stressful awfulness, but I'm going to end up like the old lady who swallowed the spider to catch the fly etc. etc.

My friend who's a doctor is incredibly frustrated that "Nick knows best" as usual. They're mad as hell that I'm doing my own thing; marching to my own beat. It seems patently absurd to reject a medication that could be a tiny bit better than placebo, in as little as 8 weeks. So, why is it that I feel a little bit better today? Seems rather coincidental, doesn't it?

My week at work was awful. In fact, I was too unwell to work for 3 out of 5 days. My week was almost unbearable. In the interests of being fair and honest, I must admit that this last week has made me question my stubborn decision. I've wondered whether I made a mistake. Then, I remember that I'm closer than I've ever been to proving my point: that I can be stable, contented and happy without pills. I plan on rejecting all my diagnoses at some point. I plan on declaring myself sane. I plan on being 'normal'.

How does somebody become normal if the paternalistic guardian class can always say "that's only because you're on the right medication"? When it says "medication takes 6 to 8 weeks to become effective" what would happen if you didn't take the damn pills? That's what I'm finding out. It was super telling to me that people were so quick to say "told you so" when the game wasn't even finished - the results aren't in yet.

It's been awful, but I'm winning. Bi-winning.

Tags: #depression #medication #mentalhealth #addiction

This is a story about being medicated...

It would substantially benefit my bank balance if I was to swallow substances that would remove my brain from my skull and place it into a jar - a chemical straightjacket. My doctors are falling over themselves to give me pills that will put me into a warped kind of reality - an altered state - where my perceptions are chemically changed.

If you put your hand in a fire and it's hurting because your hand is getting burnt, you have two choices. Firstly, you could remove your hand from the fire. Secondly, you could take a drug so that you don't feel the pain or care about your hand getting burnt.

I remain absolutely convinced that I'm in a state of depressive realism that's allowing me to perceive the madness of our late-capitalist society. I see suffering and injustice everywhere I look. I see the ridiculous situation where powerful incompetent men are paid millions of pounds, despite screwing everything up, while the people who do the most essential jobs in society are paid a pittance. The poor give every penny they earn back to the wealthy men for the privilege of being alive. It's a bitter pill to swallow.

Why have we defined "functional" to mean doing jobs that we hate? Why have we defined "functional" to mean not rocking the boat; not challenging the status quo? Why are our most "functional" members of society the ones who are causing the most human misery?

To decide not to take medication is a political statement. To decline to have my body violated - simply to conform with a political system that I don't agree with - makes me into a kind of political prisoner. I'm a victim of "fit in or f**k off" culture.

It seems to me like most people depend on substances - alcohol, tea, coffee, energy drinks, cigarettes, nicotine e-liquids, antidepressants, anxiolytics, tranquillisers, sleeping pills, painkillers - and very few of us are able to live life substance-free. What is it about modern life that pushes us onto these addictive substances and keeps us dependent on them? Why should it be mandated to use psychoactive substances, just to live my life?

It seems deeply immoral to have constructed a society that's unbearable except with something to 'take the edge off'. It seems like a complete car crash of a situation that we have to reach for chemicals just to be able to function and fit in. It seems like bullying and coercion to me. I have deep ethical objections to a world that forces me to put substances into my body against my will.

I fought hard to free myself from my dependence on caffeine. Quitting coffee was challenging. Quitting tea was relentlessly difficult. Avoiding caffeinated beverages is tricky.

I had the good fortune of never becoming addicted to nicotine, except when addiction was forced upon me by my parents breathing their second-hand smoke all over me in a confined space, which was wicked and immoral.

I deliberately spend lengthy periods without alcohol, to clear my mind of all substances. Alcohol is ubiquitous and hard to avoid. There's huge amounts of peer pressure to drink.

Finally, I find myself fending off prescription medications. Without prescribed pills, life is very hard. It's almost expected that modern life is going to induce anxiety and depression in most of us, and so it's us who must change rather than us changing the circumstances that produce the unbearable mental health problems - we consent to having mind-altering substances put into our bodies, because we have little choice in the matter.

If you want money - and I imagine that you probably need it - then you're going to have to slurp tea & coffee, suck on your e-cigarette, get drunk and pop pills. We've arrived at a state where life is so utterly depressing and shit that we need all these chemicals to pretend that it isn't.

In the face of so many obvious problems in the world, is the answer to take pills that allow us to be wilfully ignorant and carry on regardless? In the face of the whole shambolic mess threatening to crumble into dust at any moment, should we be so coerced and bullied into medicating ourselves?

We live with incredible insecurity. Our jobs are utter bullshit and we could lose them at any moment. Our wages barely cover our living expenses, and in many cases they don't. Payday lenders and other legal loan sharks put us into a constant state of debt-laden fear. Our livelihoods are under constant threat; our homes. Where's the security? Where's the comfort? Where's the contentment and relaxation and happiness going to come from, in this bullshit merry-go-round of horrible jobs and insufficient money to ever escape from the rat race?

Eventually, it's all too much and we capitulate. "Give me something to make me feel better, doc" we say. We swallow our antidepressants, anxiolytics, tranquillisers, sleeping pills and painkillers because we can't afford to take time off to get better. We can't afford to drop out of the rat race. We can't afford to show any weakness. We can't afford to catch our breath.

The capitalists have got us right where they want us - numb and dumb. We're so f**king doped up that we don't realise how awful we've let things get. We don't dare to imagine a better world. We just keep chasing that ever-elusive dream that one day we'll get to quit the rat race, but we never will because we're all doped up to the eyeballs with enough drugs to tranquillise an elephant.

That's why I don't take the damn pills. That's why I'm going through the shit I'm going through - I want to experience reality and I don't want to be yet another dull-eyed slave.

Tags: #capitalism #politics #depression #medication #alcohol #caffeine

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 arms races...

Being the only honest player in a game where everybody else is cheating is a fate worse than death. Where do you draw the line for cheating though?

When playing pool, it's a well known phenomenon that there's an optimal level of intoxication to be a better player. Alcohol relaxes you, which means your muscles are less tense and the action of your arm should be smoother, delivering a straighter strike to the cue ball. Is it cheating to have a cheeky couple of pints when you're playing pool down at the pub?

Computer programmers are machines that turn coffee into software. Stimulants like caffeine and the other amphetamines - caffeine being indistinguishable from amphetamines when given intravenously - are well known for improving concentration. If most programmers are gulping strong coffee all day long, how's anyone who's caffeine-free going to compete with the rest?

The combination of caffeine and glucose is proven to improve athletic performance by a remarkable amount. Given that energy drinks are not banned and can even be sold to children, how is anybody supposed to compete at sports unless they're guzzling Red Bull?

There's a great deal of pressure on me to perform at the moment. My entire future rides on me doing a good job at work. If I fail, I go bankrupt and I become a leper: unable to gain well paid employment or even have a mobile phone or broadband contract, let alone rent an apartment.

Therefore there's a temptation to use substances to help me perform at the top of my game. With a strong coffee in the morning, I'll be able to concentrate on writing code all day. With a few glasses of wine or a sleeping pill, I'll be able to unwind and relax after a day of hacking away at complex computer systems. Uppers and downers. Round and round. Highs and lows. This is the life that we should all lead, isn't it?

I'm staggeringly well paid for what I do. Why would I want a lower paid job? Why would I want to be on average Joe wages when I could earn five times as much doing the same job? Why would anybody deliberately impoverish themselves? However, my high-risk, high-reward strategy demands that I perform to the best of my abilities. Without substances, would I have been able to get my foot in the door and hang on to a highly sought-after job?

Thus, caffeine, alcohol, sleeping pills and tranquillisers circle like vultures. I need the effects of substances, in order to cope with the life that I'm built for - I've been in this career for over 20 years. How am I supposed to cope without the unhealthy coping tools that I used successfully... until I had a breakdown; a burnout.

What goes up must come down. The candle that burns twice as bright burns half as long.

It's better to burn out than fade away.

Even music has become performance enhancing. I listen to high-tempo dance music - blasting away at 130 beats per minute - in order to focus my mind and put myself into a trancelike state where I can concentrate on software code for hours and hours. What must the effect be, to be in such an unnatural state for so long?

What must it be like to have a job that brings you into the unpredictable chaotic world of people and human interactions? What must it be like to have a job that's full of intrigue and unexpected surprises? What must it be like to never have to fight your constant existential crises and suppress all invasive musings about the absurdity of existence, because you're just a rat waiting for the next food pellet: when's the next order going to arrive; the next email; the next patient; the next customer?

As I do battle with boolean algebra every single day, there is no comforting wiggle-room of the humanities - computer says yes or computer says no; true or false. There are no shades of grey in my world - there's a right answer and a wrong answer. I sit in front of three screens and I try to figure out the right answer. I can go for weeks without speaking to another person. It fills me with terror sometimes, thinking that the ultimate arbiter of whether I've succeeded or failed is a cold, rational and unthinking machine. It's like playing chess against myself.

Some would say I'm a success story. Isn't the whole reason for paying attention at school and trying hard during your exams so that you can land a good job and get promoted into a position of seniority? Aren't we all trying to climb the greasy pole and get a big fat wage packet at the end of the working week? Aren't we all trying to compete and win? I won... didn't I?

I wouldn't be so churlish as to say "it's tough at the top" and of course, I'm laughably far from the top, but I'm sure there would be a plenty long queue of people who'd swap their salary for mine, so let's not be too hasty. It's worth considering just how destabilising my career choices have been to my mental health: feast & famine, boom & bust and the ever-present pressure to perform. Alcohol and caffeine are ubiquitous - as they are everywhere - but you haven't seen alcoholism in the workplace to quite the extent I have, unless you've also worked in the City of London in investment banking.

They say that banking greases the wheels of capitalism. Alcohol greases the wheels of banking.

The most successful strategy that I could play right now would be to have have two or three strong cappuccinos every day at work, and at least a bottle of wine every night. I'm sure my career and my bank balance would benefit handsomely from such a strategy.

I do worry about my mental health, but in this capitalist society, who has the time & money to stop and think about such a trifling thing? I'm reminded of this time last year, when I had to discharge myself from hospital against medical advice, to go chasing a banking IT contract. Money, money, money. Find an edge. Do whatever it takes!

You understand, it's not greed that drives me. This is the world we live in. We all need a competitive edge. I have no idea how to function in a world where I'm not compelled to use uppers and downers to help me perform. What do people even do without their morning coffee and their evening wine?

I earned well over a thousand pounds for two days sitting in front of a computer screen thinking "what the f**k am I doing?". I'm winning aren't I? This is what winning looks like, isn't it?

I'm winning... aren't I?

Before I know it, I've had more than the magic two pints and I can't hit a ball to save my life. I've gone beyond the sweet spot. I've had too much to drink and I'm just drunk. There's a fine line between performance enhancing, and substance abusing. I wake up one morning and all I've got is a habit. A stimulant habit. An alcohol habit.

We can all reach for substances to give us an edge, but you're playing a high-stakes game. The bigger you are the harder you fall.

It's almost impossible to change the habits of a lifetime. Of course I'm going to reach for substances when I'm struggling. Of course I'm going to return to the same boom and bust lifestyle that's served me so well, and also threatened to destroy me.

Roll the dice.

Tags: #career #banking #computing #alcohol #caffeine