This is a story about neurotoxicity...

What's happened to the left hand side of my face? My eyelid has drooped; my face is no longer symmetrical. Why do I have a facial tic? Why is my speech slow and slurred? Aren't these all symptoms of cognitive impairment; brain damage?

I decided to read back through some of my blog - I read from February through to June, when I was very unwell. I was surprised that a lot of it was gibberish - I thought that I had written with lucidity, but I had mis-remembered things.

As is so often the case with me, I dice with death and I dodge bullets. I'm still very sick, but I'm getting better. I'm going to make a full recovery. My speech is normal; my face doesn't tic and my eyelid no longer droops. The brain is a remarkable thing, but I do need to stop abusing my body.

A month ago I was livid; I was unbelievably angry. I was fighting for my income, my home and my liberty - I was fighting for my legal rights - and I was spitting venom; I was furious at being abused; mistreated; taken advantage of.

I re-read the lengthy blog post I wrote a month ago, which started OK, but then I got plunged into repetitive thoughts - you can tell that my brain was stuck on a loop and I repeated myself several times. It's surprising that I could express myself fairly well, given the circumstances. I imagine that it took me a long time to compose what I wrote, and I clearly struggled to remember what I'd written at the start, as I reached the end.

It's tempting to edit and airbrush history, but it's much more interesting to maintain a public record of exactly what I was thinking and feeling at a certain point in time. Inadvertently I also capture other details about my state of mind in the way in which I express myself.

I've now been writing for long enough to capture two periods of total abstinence from all mind-altering substances, including alcohol, caffeine and nicotine. I'm a lifelong non-smoker. I stopped drinking caffeinated beverages in 2013. During this particular period of abstinence, I've not drunk any alcohol for 35 consecutive days.

What's the net result of all this?

Nah, I'm only kidding... that was me when I was twenty years old. However, I'm sure there's been a marked improvement now that all the crap is out of my system.

A few friends spoke to me soon after I arrived on the psych ward. Although I sounded like my old self and I was in good spirits, my recovery was only just beginning - friends who see me and speak to me on a regular basis report that I'm much improved from how I was a month ago.

My hair, my skin, my nails, my teeth, my breath, my sweat and most importantly, my brain - all of these things are completely different, now that I'm not glugging gallons of booze and popping loads of pills.

I cringe with shame a little bit, to think that I made myself very exposed and vulnerable at a time when I was very unwell - the public got a little bit of a behind-the-scenes peek at me when I was extremely poorly. You can go digging in the archives, if it pleases you, or you can take my word for it: there's no surprises and there should be no pleasure in gawping at somebody when they're sick.

If we've not spoken for a while, I highly recommend that you get in contact and we actually speak on the phone - my email is nick@manicgrant.com. You might be very surprised to learn that your friend is in possession of most of his marbles, and not the raving lunatic that you might have guessed I would be, after such a traumatic couple of years.

Here's another one for the photo album, taken only seconds ago. My left eye is not yet 100% and I'm still suffering a lot of brain fog and other recovery-related problems - it'll be a month or two before I'm fighting fit. My face still tics when I'm stressed, but it's less pronounced.

I'm struggling with horrible anxiety, depression and confusion; memory problems. None of this is a surprise to me - it's to be expected, given what I've been through and I'm still going through.

I've got no idea what I'm really writing about, or what my purpose is now. Is this still the world's longest suicide note, or am I now campaigning to end the stigmatisation and discrimination that our less fortunate members of society must face: the mentally ill, alcoholics, drug addicts and homeless people... the dregs that nobody wants to touch with a bargepole. I know that I want to be the voice of the voiceless, although I know how clichéd that sounds.

I'm swimming through a fog of confusion, but I know I'm slowly getting better.

Tags: #mentalhealth #recovery

This is a story about succession planning...

The British have always liked hot drinks.

Coffee shops were terribly trendy in the late 1600s, having been launched in Oxford before springing up across London, where ships that brought the crop of beans to English shores found many willing patrons for the roasted, ground and brewed end product.

Tea symbolises imperial Great Britain. The Indian town of Darjeeling - formerly part of the British Empire - is synonymous with the tender leaves that citizens of the United Kingdom douse with boiling water, infusing bitter plant alkaloids into the hot liquid. "Put the kettle on" are four words that will be said in millions of homes this evening, despite the stimulating effects of caffeine.

Cocoa beans have given rise to hot chocolate, also known as drinking chocolate. Even a small UK food & drink shop will offer all manner of flavourings for hot water. Nestled in amongst the other things that my fellow Brits would categorise as 'hot drinks' I found something that I think of as a powerfully concentrated and flavoured spread, ideally enjoyed on toasted slices of bread - a jar of Bovril beef extract.

The flavour of Bovril is closer to Marmite and Vegemite - or any other brand of yeast extract - than it is to beef, in my opinion. How exactly they "extract" Bovril from a cow is something that I don't really want to think about. I suppose it's a macroscopic version of what they do with microscopic yeast - microorganisms are just the same as cattle really... eating, shitting, reproducing and not doing much else.

In this Bovril-drinking Northern city, conspicuous by their absence are people with skin tones darker than my own and women wearing headscarves. I formerly lived in a region where the population is 46% Muslim. Surprisingly, the Bengali shopkeepers have no issue with selling pork and alcohol to those who are not forbidden - for religious reasons - from eating swine flesh and imbibing the intoxicating liquor created from fermented fruits and grains.

In this unfamiliar part of Northern England, there are innumerable drinking establishments in my local vicinity, as well a vast number of hot food outlets where a bacon or sausage "bap" can be procured as a traditional breakfast snack.

India - before she was partitioned in 1947 - was a nation where Muslims would respect the holiness of cows in the Hindu culture, and reciprocally the Hindus would respect the Muslim rejection of pigs as unclean animals, and alcohol as an addictive intoxicant that places a heavy burden on any society that permits its consumption.

Modern global society still holds strong religious views on the treatment of domesticated animals and the brewing and consumption of alcohol. When we examine the historical evidence using the scientific method, we can see that cows and pigs would not exist today as we know them, without human intervention spanning many more thousands of years than even the oldest religion. Furthermore, we can see that humanity has been intent on its own intoxication throughout the history of civilisation. The Mayans were chewing coca leaves at least 3,400 years before Islam had its golden age, and vastly predates Hinduism and Judaism. Ergo, we must conclude that excluding beef, pork, alcohol and other things from our diet and habits of consumption is a relatively recent 'fad'.

The Chinese are the biggest per capita consumers of pork, while America and the developed nations hoover up vast quantities of refined coca leaves in the form of white powder cocaine and rocks of freebase cocaine, known as crack. Opium, morphine and diamorphine (heroin) are endemic worldwide. Caffeinated beverages - hot or cold - are guzzled by the globe. Alcohol is cheaper than bottled mineral water from desirable brands like Evian or Perrier. Yet, only in the North of England - so far as I know - do people consume a hot drink made from Bovril.

I hate being spread thin. I'm adaptable and I can be sent all over the globe to work with people who observe different cultural traditions. I am relatively worldly-wise enough to not commit a faux-pas, such as eating food before sundown in front of those observing the Ramadan period of fasting. I can pretty much figure out whatever you want me to do, if you're paying me enough and you're not open to persuasion that your ideas are probably terrible in their original unmodified form.

Why have a dog and bark yourself?

Now I find myself juggling the essential task of finding a doctor who will keep me supplied with the medications that I have become physically dependent on, while also settling in a new home in an unfamiliar city. I must also meet the demands placed upon me in the pursuit of enough money to eat, service my debts and give myself more security and freedom of choice.

I'm withdrawing from Xanax (alprazolam), Valium (diazepam), Ambien (zolpidem), zopiclone and Lyrica (pregablin). All of these drugs work in a very similar way - mimicking the brain's own 'brakes' and calming neural activity. These medications cause a chemical called GABA to be released in the brain, block the brain from recycling any unused GABA, or imitate the 'signature' of GABA itself. The overall effect is tranquillising, stress relieving and aids sleep, but the withdrawal is quite the opposite. In fact, the abrupt withdrawal from any or all of the medications listed can cause life-threatening seizures.

I must juggle social drinking - alcohol is a mandatory social lubricant in most UK culture - with the need to use alcohol as a form of self-medication for the stress I'm under. I also use alcohol as a substitute for the powerful psychotropic medications that my body has become dependent on, like heroin addicts kick their habit using methadone. Alcoholics can break free from physical dependence using benzodiazepines such as Librium (chlordiazepoxide). I'm doing it the other way round, because I know I can stop drinking - I plan on doing so in October, when I will use the excuse that I'm going teetotal to raise money for charity (a.k.a. Stoptober) - as I have done successfully before.

How I ended up with so much on my plate is not really my intended subject of this lengthy diatribe, but in my dark and difficult moments, I am facing a clusterfuck of competing demands on my time and energy, while also dealing with panic attacks and a general feeling of uneasiness and discontent; a false perception of threat, danger and imminent disaster.

My perceptions are not completely warped. Earlier this year, both my kidneys completely failed. Very recently I narrowly escaped homelessness, bankruptcy, destitution and destruction. Unpleasant feelings are a harbinger of a genuine medical emergency - I am detoxing myself without the supervision of a doctor or nurse, while also working full time.

I've skippered yachts and kept my crew safe in stormy weather; I've led groups safely up and down dangerous mountains covered with snow and ice; I've become blasé about near-death experiences, because I've now had so many. I don't think I'm exaggerating or being hyperbolic when I say that I'm facing my life's toughest challenge so far.

The demands placed upon me in my day job seem unreasonable at the moment, but I was desperate for fast cash. I was drowning and I was thrown a lifeline - beggars can't be choosers.

Friends who have submitted themselves to the mercy of the state seem to have suffered greatly from the trials and tribulations of dealing with compassion fatigued bureaucrats. A great many nurses and doctors have told me that I'm 'entitled' to live at the expense of the government - i.e. my fellow citizens - because of the taxes I have paid in my life, and because my mental illness disqualifies me from being 'fit for work'. To put work as my priority, ahead of treatment is something that none of my doctors want, but equally there's a long queue of people who would prefer to sit at home smoking cannabis and playing on their Playstations, rather than flipping burgers or scrubbing toilets for the minimum wage.

Like concentrated beef extract, I'm intense; I'm focussed; I can achieve a lot very quickly. The terrifying truth is that the world applauds anybody who exhibits bipolar behaviours... what happened to all those 'overnight successes' and 'one-hit wonders'? They spent all their money on fast cars, beautiful women, drugs & alcohol, and the rest they just wasted, is the oft-repeated quote.

Once you've figured out a winning formula, all you can do is teach others to follow in your footsteps. If you can train an army of mini-mes to do the grunt work - the heavy lifting - then life becomes more sustainable. Only a fool repeats the same behaviour, expecting different results.

And so, I desperately need to find my successor - somebody to fill my shoes and shoulder some of the burden, allowing me to recover and stabilise, rather than being trapped in a cycle of just repeating things that I've done before a thousand times.

It's hard to find somebody who's willing to do a shitty job, and it's hard to find somebody who's able to navigate their way through the piles of shit and find the better way of doing things. I might be that diamond in the rough, but that doesn't mean it's a great idea to get me scrubbing toilets or flipping burgers, even though I will do if you ask me, pay me and I'm desperate enough.

Having a desperation-driven economy, with most of us spread thinly - stressed out and always on the brink of breakdown and ruin - is a terrible, terrible thing to do to people.

Hunger will drive ingenuity and industriousness, but it's not a sustainable strategy, no matter how much Bovril you have to eat and/or drink.

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

This is a story about decisive weapons....

Would I rather have the pilot of my plane, the driver of my bus, taxi or train, as a completely drug-free 'clean' individual, or would I rather that they had taken 5mg of dextroamphetamine before our journey? The answer is the latter, obviously, because they will be more alert, have improved ability to concentrate and faster reaction times.

US fighter jet pilots routinely use 'go' pills before a mission, which confer the abilities above, as well as allowing them to fly longer missions with less risk of dangerous sleepiness. Many road accidents are caused by people falling asleep at the wheel. Coffee will only give you a tiny fraction of the benefits of a 'go' pill.

Do you find that after a really important day at work, where you had to be at the top of your game, and you were firing on all cylinders; perhaps you had a bunch of coffee to keep you sharp.... do you find that you're still buzzing when you get home, and you have trouble switching off and going to sleep?

Coffee - especially the super-strong stuff we seem to drink in London and New York - can contain up to 300 to 400mg of caffeine, in for example a Pret-a-Manger strong cappuccino.

The problem with caffeine is that it's a bit of a crude stimulant with lots of extrapyramidal side effects. That is to say, as you increase the dose of caffeine, most people can't tolerate the way it makes them feel. Interestingly, intravenously, amphetamine addicts can't tell the difference between amphetamine and caffeine. Also, most intravenous amphetamine users believe they are being chased by 'them' - the police, men in black, shadow people, ninjas, whatever - but these side effects are just part of the fun.

So, the beauty of the 'go' pill is that it seems that I get all those desirable effects, with no side effects. You would be completely unable to tell that I was under the influence of 5mg of dextroamphetamine. Recreational use of amphetamines is normally quite obvious to spot: talking too fast, sweating, dilated pupils, restlessness, jerky unnatural movement. No side effects? Well, not quite.

US fighter jet pilots use 'no-go' pills at the end of a mission. Having been kept awake and alert for hours, it's now time to go to sleep or at least chill the fuck out. Sleep can be difficult without a 'no-go' pill.

My personal 'no-go' cocktail allegedly contains Xanax (alprazolam) and zopiclone, which have hypnotic, sedative, muscle relaxant and anxiolytic properties. To be honest, you could probably get to sleep naturally if you took your 'go' pill as soon as you got up, but it's pretty exhausting spending a full day in a highly alert state.

Isn't it madness, me taking all these pills? Shouldn't I just go 'clean'? Isn't it best that I'm completely drug-free?

Do you remember when you quit smoking? You chewed a lot of gum, ate a lot more, drank more tea and coffee. Do you remember when the kids were little and life was really stressful? You drank a lot more gin. Do you remember when there was that project with a really tight deadline and you were working really hard; drinking lots of coffee? You were drinking lots of wine in the evenings to relax. Basically, humans will compensate to make sure things remain balanced. If you hurt your foot, you might find your back is aching, because you've shifted your body weight to one side, to put less pressure on your injury.

My injury's a brain injury and the best thing you can do for the brain is to allow it to find its own equilibrium. However, life must go on. My brain's telling me to go to sleep in a dark room for a month or two, but I need to attend hospital appointments, do the administration for my company, line up my next IT contract, find a new flatmate, move money around and make sure the cash keeps flowing and doesn't run out.

A bit of dextroamphetamine is an effective antidepressant and helps fight any supercrack cravings. It's like methadone for a supercrack addict.

I'm on a mission to get back to coffee and wine as my 'go' and 'no-go' substances. I actually worked really hard to break my caffeine addiction, and now I only drink caffeinated drinks on extremely rare occasions. I'm certainly not habituated into having my morning coffee or cups of tea throughout the day, like the majority of adults are. This is how addiction works: you don't cure the addiction, you just replace it with something else. There was a time when I loved playing with toy cars. I had hundreds of them, and I played with them all the time. Then, I got a computer, and I loved playing computer games... and the process of swapping one addiction for another continued. I'll be just fine and dandy with some tasty food, wine to wash it down with, TV and film to distract me and a girl to put my arm around and take to bed for some rumpy-pumpy later on. That ought to just about tick all my boxes.

In the last two weeks, I broke my addiction to two opiates - tramadol & codeine - and I've obviously been off the supercrack for the best part of a week now. That's fairly impressive. Please forgive me for having the occasional G&T, glass of wine and my little 'go' and 'no-go' pills, just to keep the pedals turning.

I've got a torn muscle and ligament, damaged nerve and fractured ulna (bone in my arm) but I spend most of the day with no pain relief at all. It's only at night that for some reason all these injuries start feeling super painful and I might take a couple of co-codamol.

Interestingly, amongst the opiates, heroin was named because it was thought it would have military applications, making soldiers more heroic. Heroin addicts certainly do seem to be prepared to do almost anything to get their fix and not get junk sick. I guess the idea was perhaps to addict the soldiers, and then deny them their heroin until they had done their mission. I can't really imagine it'd be a great idea to have a platoon of men who are pretty much just dribbling and half-asleep. The Nazis had the better idea, giving their soldiers crystal meth. The nickname "marching powder" for cocaine is literally what it sounds like: cocaine was given to soldiers so that they could go on longer marches. You might think of the pharmaceutical industry as concerned only with the treatment of disease, but they have profited handsomely from military concoctions.

Adding fluoride to the water supply has made a major impact on the rates of tooth decay. Drug evangelists have touted LSD and MDMA as other candidate chemicals to be added to our drinking water. The idea being that criminal and aggressive behaviour might be replaced with love and empathy, or the 'sheeple' might have their consciousness expanded. For clarity: I do not endorse such ideas.

"Go to the doctor" is now a synonym for "go get some pills". People are extremely disappointed if they don't come away from a doctor's appointment with a prescription for some lotion or potion. The reflexive response of people if you ever say you are in pain, is to offer you aspirin, paracetamol, ibuprofen or preparations containing codeine (e.g. co-codamol and Solpadeine). People have looked at me in shock and horror, when I tell them that I don't take any medication for the incurable mutative virus: the common cold. What part of incurable didn't you understand?

Many people with mental health issues are asked "did you take your pills today?" or told "maybe you should up your dose" by people with no medical training or expertise, who they simply encounter in their day to day life, such as family members, friends and work colleagues.

We should be mindful that psychopharmacology is only 60 or 70 years old at most, as a fairly advanced field with the accompanying branch of medicine: psychiatry. Before psychiatry, chemists could offer preparations containing opium, cocaine, cannabis; all of which treat symptoms, not underlying issues. We will look back 50 or 100 years from now, and laugh at how primitive our medicine was... especially when it comes to addiction, mental health and the psychoactive compounds.

One final thought: if the majority of us are taking medication for depression, stress and anxiety, are we sick or are we actually victims of a sick society?

Tags: #drugs #addiction #medication #mentalhealth

This is a story about social lubricants...

This time last year, I was attempting 101 consecutive days of sobriety. I actually managed nearly 120 days without alcohol in the end. I'm pretty sure that the lack of 'crutch' meant that I wasn't able to self-medicate with booze when I needed it, which caused hypomania to flair up during a period of incredible stress.

I've been juggling the fine balance between stimulants and tranquillisers, in order to cope with a boring career that has lasted two decades. Tea, coffee, cola, wine and beer: it's a winning formula.

"An alcoholic is someone you don't like, who drinks as much as you do" -- Dylan Thomas

There are all kinds of middle-class rules that differentiate the right sort of people from those dreadful sorts who swig Special Brew in the park. No drinking before midday. Don't mix your drinks. Craft beers. Fine wines. Single malt whiskies. It's the snobbery of it that means that the wealthy can drink copious amounts and get away with it.

Of course, there are people who are alcohol dependent. If you consume huge amounts of alcohol every day, you'll suffer life-threatening withdrawal if you abruptly stop drinking. You might have a seizure and die.

I'm sure my liver was very grateful for that period of sobriety last year. I've gained a load of weight through drinking, which isn't healthy. My weight has fluctuated wildly this year. I was really thin and bony back in March. I drank loads to get through a dreadfully boring contract and I've been drinking heavily again to cope with the stress of evicting a flatmate, having to look for work again, worrying about cashflow, the pressure of Christmas and everything else that everybody in the entire world worries about too. I'm not unique and what about the starving Africans etc. etc.?

The big change in my consumption habits is that I no longer drink alone.

It's quite possible that I've entered into a kind of co-dependency, but equally there are safeguards when you drink with others: you know when you're drinking faster than everybody else and you know when you're drinking more than other people. It's remarkable how the social shame of guzzling booze when everybody else is sipping, means that you can moderate your behaviour somewhat.

"Do you want a drink?" my kind host asks.

"What's everybody else doing?" I reply. "I'll wait... don't open a bottle on my account."

It's clear from the size of the alcohol aisle in the supermarket and the clink of bottles being loaded into the back of cars, that a British Christmas is a boozy Christmas, for most households. Family traditions are varied, but everybody likes to pop a cork or two over the festive season. I can't imagine a sober Christmas, even though I had one last year.

The hardest thing about quitting booze was not the craving for alcohol - that subsided after only a few days - but how ubiquitous it is. My AirBnB host in San Francisco was visibly put out that I declined the offer of a drink at Halloween. On several occasions, there was relentless pressure on me to 'cheat'. I refused to even sip wine for the taste. If I was going to undertake the challenge, I was going to do it properly!

Go Sober for October was the charitable event that gave me a legitimate excuse to get through the first 30 days of sobriety. Without that, I'm sure I would have weakened under peer pressure. I'm sure I would have got into the habit of cheating.

That's why drinking alone is dangerous: once you pop you can't stop. So many times I say to myself "I'm just going to have one glass of wine/beer" only to then find myself finishing the bottle or the 4-pack. It's been a very successful strategy, to be a social drinker. I'm super self-conscious about being drunk or high, when those around me are 'straight' so I just don't do it. There's safety in numbers.

I drink too much and I'm alarmed by my weight gain, but I've made it to Christmas Day without total disaster. Things could be better, but they could be a lot worse.

Think about how much your day is structured around socially acceptable drugs: you want your morning coffee and then you're craving something to 'take the edge off' in the evening. Round and round we go, with our uppers and downers.

I'm embracing alcohol, because the desire to become intoxicated is inextricably bound up with the human condition. Coping with modern life is impossible without some kind of 'help'. Stress will drive you crazy: I can vouch for that.

There's an arms race - of course - where our employers expect us to be able to cope with unrealistic levels of stress and exhaustion, because they've gotten used to everybody being hopped up on coffee during the day, and drunk enough to sleep at night. However, that's not to say that alcohol and caffeine are bad, when used sparingly to cope with life's unpredictable peaks and troughs.

Anyway, I need to get on with Christmas Day. It won't be long before the Buck's Fizz starts flowing. The day will pass much more pleasantly with a warm alcohol glow and a fuzzy brain.

Habit of a lifetime.

Tags: #alcohol #christmas

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

25. The Scales

The crisis team - part of the community mental health team - social services and the police had all been quite helpful when Neil had originally gone missing. The police had quickly discovered that Neil had left his phone, wallet and passport behind. All the services were very concerned about Neil's welfare and had attempted to establish his last known movements as well as searching for him. Because Neil was considered a vulnerable person at risk of suicide, there had been a lot of initial effort, focus and attention on helping Lara, Colin and the family to make sure he was found safe and well.

With all avenues exhausted, there was little more that any of the services could do unless new information emerged. Lara and Colin were main points of contact, liaising with a police detective who was in charge of the ongoing - but parked - investigation.

Frustrated with a lack of progress, two highly regarded private investigators were contacted by Colin. After initial discussions they decided that there was insufficient evidence for them to be able to pursue the case. The truth was that nobody really wanted to touch the case, because of the number of government bodies already involved: National Health Service, mental health services, the police and social services.

Colin had eventually taken matters in to his own hands and gone to the house to look for more clues, when he found the transactions that had led him to the ongoing prosecution of the businesswoman and her associates. Once he'd found the names of the defendants, it was a simple case of searching the register of directors and finding the trading address of their company in the public records.

Now, he was back at the house once again. He regretted involving Lara so closely, but she wanted to play an active role and had discovered vital information that he himself - a grey-haired man in his sixties - would have been unlikely to have been able to extract from anybody embroiled in the court case.

Colin had sounded out friends - retired police officers, solicitors and even a judge - about bringing their own case to court. "Not a hope in hell" were the exact words of one former Justice of the Peace. His sentiments were pretty much echoed by everybody else Colin consulted informally.

"Imagine if a person was selling rat poison as heroin" said Bill, the retired judge. "Now, if that person was to sell rat poison in place of sugar, they might be convicted of murder or manslaughter. But as soon as they sell it as heroin, they'll be convicted for supply of a controlled substance, even though rat poison is not illegal to sell per se."

"But that's insane! Surely the charge of murder should take precedence over the charge of supplying a controlled substance" protested Colin.

"Well, it's about the buyer. If the buyer thought they were buying heroin, then nobody really cares whether that junkie dies. The seller will be convicted as a drug dealer, not a murderer."

"So the law really doesn't care whether you sell a junkie sugar, caffeine, heroin or rat poison?" asked Colin.

"Yep."

"What if the buyer didn't know what they were getting?"

"What did they actually buy?" Bill asked.

"A controlled substance."

"What was it sold as?"

"A chemical for laboratory research."

"There's no chance it could have been confused for a foodstuff? Was it marked as hazardous? Unfit for human consumption?"

"Yeah. It's not like it was sold as sugar or anything" Colin replied.

"Well then, the only conviction you could possibly get would be for supply of a controlled substance."

To make matters worse, everybody advised Colin not to mention the drug use to the police. One whiff of drug abuse and the case would be filed in a dustbin marked 'lost cause junkie'.

Back at the house searching for more clues, he looked high and low before finally he decided to search the attic. Boxes of Christmas decorations and long-neglected exercise equipment, the attic contained very little else except for a disused hot water cylinder and a galvanised metal cold water tank. There was a chipboard lid on the tank and Colin noticed that it was an inch or so out of place, overhanging on one corner. Lifting the lid, there was a green plastic box floating inside with a black plastic handle.

In the kitchen, Colin towelled off the green box so it was clean and dry and took it through to the dining room. Unclasping the two black plastic latches, the lid was stuck tight until the airtight and dust proof seal released the pressure. Inside the box was grey foam to protect the delicate instrument contained within: a laboratory-grade weighing scale.

Normal kitchen scales might tell you the weight of something in grams, but not very accurately. If you needed to weigh 10 grams - approximately the same as a one pound coin - then your kitchen scales would be woefully inadequate. Even fine balance scales with small weights would struggle to weigh anything lighter than a gram. Some digital scales could weigh one tenth of a gram with reasonable accuracy: 0.1g. The scales that Colin had found could weigh at a sub-milligram accuracy. Less than 0.001 grams. Even breathing on the instrument or standing too near the table on a wooden floor would cause measurement fluctuations, so there was a special stand, cover and calibration weights to ensure the readings were accurate. The "quick reference" instruction manual inside the case was a hefty pamphlet.

There were some spatulas and a metal dish inside the green box. A tiny amount of light brownish powder residue was visible on the foam that held the dish and the spatulas. There was also a very small plastic resealable bag which was almost empty except for the tiniest residue of powder in the corners.

Colin spent the whole next day searching the Internet and phoning testing facilities, before he finally located a laboratory that would be able to swab and test the tiny traces of drugs that he had found. Using gas chromatography mass spectrometry, the lab was able to then search the 'signature' of the chemical compounds and to find a match in their database.

After sending the scales by courier to the lab in the Netherlands, it took 3 weeks before he got the results emailed to him. There was no conclusive match, but there were several compounds that were 97% similar to chemicals that were held in their database. He had been warned that a 99% match was the highest that he could expect anyway, so it was a good start.

Searching the Internet, he found detailed online encyclopedia entries for two chemicals, as well as a brief summary of a third. The compounds were stimulants from three different families of drugs. Two had been developed and patented in the 1950's and 1960's, but had never been marketed to the public because of serious side effects. Colin found a shorter acronym form of the full chemical name of each of the three compounds and started to search the Internet for more information.

Quickly, Colin was immersed in a world of online discussion forums. Thousands of Internet users from around the globe were talking about their experiences of self-experimentation with chemical compounds that had been abandoned by pharmaceutical companies or not even patented. Some of the chemicals had only been thought of as theoretically possible, but a laboratory somewhere in the world was cooking up these drugs for people to buy and try on themselves.

He couldn't read any more. What he saw was immediately horrifying. Hundreds of stories of addiction and horrible psychotic episodes, health damage and hospitalisations. Internet users were swapping stories about how awful these chemicals were and that they were the most addictive drugs they'd ever tried. Many lamented the day they ever first experimented. One message stood out as clearly as the obvious warning to never take these substances: accurate measurement was the difference between desired effects and overdose.

Perhaps Neil had two sets of scales, but one set alone was worth almost £1,000. If he had overdosed at home, surely he would have been found there along with his scales?

From what Colin had read, a powerful dose of those drugs was just 0.005 grams. If Neil had half a gram delivered from China, that would be 100 doses. The effects would last well over 12 hours. That meant Neil would have been on a nonstop drug binge for 50 days with just one free sample, assuming he was measuring accurately.

He felt sick. His son had got mixed up with something so dangerous that it had overwhelmed him and taken his life in the blink of an eye. There was no way to sugar coat this. Was there even any point in telling Lara and the family that Neil had been completely consumed by addiction and stimulant psychosis? In less than 6 weeks these powerful Chinese drugs caused him to flee his home to his final resting place.

Next chapter...

This is a story about milestones...

There are so many people who either "don't smoke" or call themselves "social smokers". People say "I only smoke when I drink". There are so many people who claim that they are free from drink and drugs, but they're actually popping Xanax, antidepressants, Oxycontin, Solpadeine, Co-codamol (codeine), Vicodin and tranquillisers. There are so many people who sneer at substance abusers, but they drink, smoke and consume lots of tea, coffee and energy drinks, without realising they're dependent on alcohol, nicotine and caffeine, just to cope with normal everyday life.

In 6 months, I got through those 59 tablets - a combination of diazepam and nitrazepam - in an attempt to avoid a nervous breakdown and to survive an extremely stressful situation, where my whole career, solvency, home and life as a respectable member of society, hung in the balance.

If you take benzodiazepines continuously for over 3 months, you have probably become physically addicted. What that means is that you might have a seizure and die, if you were to abruptly stop taking the medication.

I've run out of benzodiazepines today.

I'm not worried about this.

59 tablets, of 2mg to 5mg strength, spread over 180 days, is a piss in the ocean. There's no way that I'm going to have withdrawal symptoms from stopping taking benzodiazepines. I might be a little anxious; I might have a little insomnia; I might feel a bit panicky. However, I'm not going to die.

A couple of years ago I took myself off to rehab. For over 3 months I had been swallowing a little cocktail: 6x 10mg diazepam tablets, 4x 2mg Xanax, 2x 10mg Ambien, 2x 15mg Zopiclone. Maybe it wasn't quite that much. I have no idea. Benzodiazepines cause amnesia. All I can remember is that I used to fill up the palm of my hand with various pills, and swallow them all in one go. Lights out. Wake up 2 days later.

You're in a hell of a mess when you're mixing uppers and downers; stimulants and tranquillisers; but that's what we do every day, when we have our morning coffee and a glass of wine when we get home from work. If you have a strong coffee after a boozy dinner, you're basically having the middle-class equivalent of a speedball (cocaine & heroin, injected).

Obviously, I'm irreverently mocking your self-delusion, when you tell yourself that you're not "hooked" on anything.

I've used alcohol and the occasional tranquilliser tablet, in order to limp through the last 6 months. I haven't been having tea, coffee or other caffeinated drinks.

I've actually tapered off the alcohol and the benzos, to the point where I only drank 2 days in the last 14. I didn't take any benzos all weekend.

The thing is, if you're smart and you're disciplined, addiction is something you can master. It is possible to give up anytime you want. It is possible to become really good at quitting drugs and booze. I'm a fucking expert in abstinence.

Almost like an alarm clock going off, my subconscious revealed that I had simply been waiting for 6 months.

School was absolute shit for me. Getting through the long school days of bullying was awful. Getting through the long terms of bullying was unbearable. Getting through year after year after year of bullying was absolutely dreadful. All I was doing was waiting for the end of school bell, the school holidays, and the day that I could finally leave school and get the fuck away from the bullies.

Family life was absolutely shit for me. I couldn't wait to move out of home, and get away from my arsehole parents. I've loved paying my own rent and bills. I've loved being independent. I do have all the fucking answers. I went out into the world, got a place to live, got a job, and never looked back. Up until then, I'd just been waiting for the day I could finally leave home, and it couldn't come a moment too soon.

So, I spent 17 years, just waiting. I was biding my time. I know how to suffer patiently. I'm an expert in suffering patiently.

Then, I applied my expertise in deferred gratification to the working world. I took shitty entry-level jobs and worked my way up. I stuck with shitty projects, and shitty companies, so that my CV would look good. I stuck with shitty bosses and put up with glass ceilings. I stuck with idiots who couldn't see my potential, and I just suffered because I had a game plan.

I can patiently wait anything out. I've had to spend about 16 weeks with very limited liberty, being treated as an inpatient. That's not including the time I've spent in hospital receiving emergency treatment. In theory, I could have discharged myself, but there would have been consequences. I spent 7 weeks with somebody who'd been in prison twice, and he acknowledges that I have a mindset that suggests I know how to do time.

I mean, Christ, I spent the best part of 5 years working for one damn company, in one damn building, with the same damn people. Day after day, month after month, year after year. I've done 19 bloody years on the IT gravy train, solving the same damn problems again and again and again, and seeing the same damn mistakes time after time.

And so, I wondered to myself, why didn't I have a packet of drugs to tear open, in celebration of the fact that I have so easily completed a 6-month period of abstinence?

What you'll find with many addicts, is that they're liars. When they say that they're abstinent, they're actually lying to themselves and others. I've done "6 months clean" before, but that hasn't counted "the occasional weekend" and one or two "lapses" (note: a lapse is a 'small' relapse). In actual fact, you're still addicted, but you're limping yourself along by hiding your habit, from yourself and others. You start to believe your own lies.

I've arrived at 6 months "clean" and it really is clean. As clean as anybody in the history of anything, ever.

Most people who quit smoking will drink more, have more coffee, eat more. Most people who quit anything, will find some way of compensating. It might be exercise; it might be work. Basically, humans need shit. We're not fucking robots. Humans have always had intoxicating substances. Wine was being made 6,000 years before Jesus Christ was even born... that's over 8,000 years ago!

Anyway, I started looking at websites of awful toxic Chinese "legal" highs. Then I had a look at the Dark Web. The amount of drugs that are available to order over the Internet is just staggering. Prohibition has spectacularly failed. The designer drug industry is enjoying such a boom time, thanks to ridiculous laws that force chemists to get creative. Technology's answer to the eternally insatiable human demand for mind-altering substances has created a whole swathe of online marketplaces stocking every drug under the sun.

There's something for everybody in the cornucopia that has been created by the war on drugs.

My finger hovered over the "Buy Now" button, because I've damn well proven my point. Pick some arbitrary milestone, and I'll hit it, easily. But, what do I have? My life is miserable. All I have ahead of me is stress and loneliness; insecurity and pain; suicidal thoughts and a sense of abandonment. Fairly easy to justify a relapse, isn't it, when you work so hard and you're not getting anywhere.

Then, I thought, what could I do that's slightly more sensible?

With a bit more searching around on the Internet, I found that you can consult a doctor online and have a prescription despatched next day. In the space of 7 minutes, a doctor agreed to prescribe me a fast-acting antidepressant called Wellbutrin. I needed something because I felt certain that I was either going to commit suicide quickly by cutting an artery, or commit suicide slowly by relapsing back into drug abuse.

Wellbutrin is a wonderful medication, because it's fast acting, it doesn't make you drowsy, and it doesn't ruin your sex life. Have you experienced the boredom of patiently fucking somebody who takes an SSRI antidepressant, waiting an absolute age before they possibly cum, but probably won't be able to? Who wants a sex life like that? I don't want my emotions blunted. I don't want 'brain zaps' and uncontrollable crying when I try and stop the damn medication.

Yeah, who knows what the fuck happens next. Tomorrow, I have a 2-month supply of a fast-acting antidepressant that you can't get on the NHS being delivered. Maybe life will look a bit less hopeless when I'm drugged out of my mind, like virtually everybody else I know.

It feels like selling out, but it's nearly killed me having to fight tooth and nail just to have a roof over my head and a job, while also being nearly stone cold sober. I don't have kids to remind me why I get up and go to work. I don't have pets to look after. I literally have no reason for living, except to achieve some arbitrary goals.

I thought, as an added bonus, that I would also be celebrating one year of blogging today, but it turns out that happened a couple of weeks ago. Today is my last day at work, and I've had a couple of leaving dos, which is nice, but I do of course have to go though all the stress and hassle of applying for new jobs, interviewing, making a good first impression etc. etc. How ironic that things seem to have conspired to happen today.

As luck would have it, a colleague has recommended me for another job, which I might end up interviewing for tomorrow and could even be asked to start a new contract as early as Monday. If I do that, I'm damnwell going to need a few happy pills to carry me through, because I had been thinking that I was going to have a minor nervous breakdown.

Anyway, a milestone of sorts. Nice to leave work with a few slaps on the back and "well done"s. Nice to know that I didn't 'cheat' with my 6 months of abstinence from addictive stimulants. Where's my fucking reward? Surely I should feel better than I do, but I'm depressed and anxious. I'm overwhelmed by the task of having to hustle again, to keep the momentum going.

But really, is there momentum, or did I just wait for 6 months, in order to have a well-earned breakdown?

Is that what life is? Just waiting to die, miserable as fuck?

Tags: #depression #suicide #addiction #drugs

This is a story about trying to stay ahead of the game...

The Olympics and the Tour de France have been full of sportsmen and women using a variety of drugs to enhance their performance. Doping in sport became so widespread that it was virtually impossible to compete without performance enhancing drugs.

We think that competition is linked to sport and that athletes are naturally competitive, but in fact competition is present in every aspect of our daily lives.

You want an attractive girlfriend or boyfriend, right? The more universally appealing a person is, the more potential suitors are vying to try their luck. The 'hotter' somebody is, the more people are trying to hop into bed with them. Attractiveness means few genetic defects: looking flawless, perfect. The pre-programmed urge to reproduce with the healthiest person who'll have you, is the reason why you're alive today.

We all know that alcohol is a social lubricant. "Dutch courage" means that after a few drinks we are disinhibited, and we can overcome the social awkwardness of talking to the objects of our affection. When we're drunk we take that chance of rejection, leaning in and kissing somebody for the first time.

It's pretty clear that those who are intoxicated will be braver and less anxious about rejection and humiliation, than those sober singles who are nervously hoping to be asked to dance, and trying to muster the courage to chat somebody up. Therefore, there's a pressure to get drunk, and get your date tipsy, if you're hoping to couple off and copulate.

Cocaine gives artificial confidence. Cocaine makes people talkative, gregarious and removes their self-conscious awkwardness, shyness. We tend to be very attracted to confident and outgoing people. The pack alphas are naturally the most confident, and we want to mate with the alphas, not the betas. Royal families are inbred as hell, but every girl wants to marry a prince. Cocaine can help you to talk and act confidently, which makes you more attractive, and cocaine is very likely to bring the affections of potential mates.

So, it's pretty clear that in order to compete with other blokes eyeing up the skimpily clad girls on a night out, being tanked up on alcohol and having snorted a couple of lines of cocaine is going to give you the competitive edge. There's a high incentive to be intoxicated with alcohol and cocaine.

At work, many of us are mandated to work longer hours than we are able to do with our normal sleep/wake cycle. 54% of adult Americans drink coffee every day. Anecdotally, so many people say "I can't function without my morning coffee". It's quite commonplace for people to joke on social media about homicidal tendencies before they've had their fix of caffeine. Many a true word is spoken in jest.

Because so many office workers drink coffee, the working hours take this into consideration. Without coffee, the 9am start time would have to be 10:30am. Without coffee, those late nights in the office would be pointless, because nobody would be able to concentrate and stay awake.

Caffeine is a wakefulness promoting agent, and it's a concentration aid. Caffeine is great for concentrating on laborious boring repetitive tasks for long periods.

However, when nearly everybody is drinking coffee, it becomes a necessity for coworkers to drink it too, in order to match the office hours and concentration span of their colleagues. If your workmates spot your eyelids getting heavy, somebody is bound to suggest to you "can I get you a coffee?". Nobody is likely to say "maybe we should all go home early, not work such long hours and stop drinking so much damn coffee".

There is a huge incentive to drink tea, coffee and energy drinks at work, in order to compete for the pay rises and promotions, and not be seen as a weak member of the team.

We live in a culture that fuels depression and anxiety. The news bombards us with all of the world's problems in full gory high-definition detail. The economy is tanking and we have to live with job insecurity, skyrocketing housing costs and little hope of ever being able to collect a good pension, let alone have our kids able to expect a good education and be able to live on a planet that hasn't been destroyed by climate change. It's depressing as hell. It's stressful as hell.

Instead of trying to change the world around us and improve things, instead we have medicated ourselves in vast numbers. 61 million antidepressant prescriptions were written for 65 million people in the UK, in 2015. Most people will take powerful psychiatric medication at some point in their lives, whether that's sleeping pills, tranquillisers or antidepressants. The very sickest will have to take antipsychotics and mood stabilisers.

Our jobs are stressful, and we're fearful of losing our jobs. If we lose our jobs we'll lose our houses. If we lose our houses, we'll be homeless. The number of homeless people has soared by 80% in a single year in some parts of the country. There is plenty of reason to live in fear of destitution.

Doctors hardly have any time to speak to their patients, and they hardly have any budget to prescribe talk therapy, so people who are stressed out get sent away with tranquillisers. People who can't sleep get sent away with sleeping pills. People who are miserable, exhausted and can't cope get sent away with antidepressants. There's a pill for every ill, but it could be a sane reaction to an insane world, in a great many cases.

When so many people who you work with are insulated from the stressful and depressing nature of the work, and the way that capitalism is raping the natural world and enslaving the poor, it's easy to see how they are able to keep working, because they're drugged up to the eyeballs.

If your job, your house, your family and everything depends on you keeping your job, of course you're going to drug yourself up with happy pills so you can keep trudging along on the treadmill. Who can afford to have a nervous breakdown? Who can afford the risk of losing their job, to take time out to rest and recuperate? Who wants to let their bosses know that they can't cope with the stress, when everybody else seems to be doing OK?

There is peer pressure to put up with shit at work and not complain. Put up and shut up. Fit in or fuck off.

Because of the hyper-competitive work arena, of course we need to mask our mental health symptoms with pills, even if the underlying issue is a deep unease with the bullshit jobs and the negative effects on the world.

"Everybody's got to work"... but what if you're a debt collector? What if you're price gouging your customers who need their gas & electricity, so that you can make more money for your bosses? What if you're manufacturing weapons? Honestly, have a think about what you do for a job, and ask yourself if it's improving the human condition, or not.

Collectively, we should stop and say "this is madness". We can't sit here in the UK where the economy is 80% service industries, and say that what we're doing is productive and useful. It's impossible that we should need so many lawyers and accountants. It's impossible that we should need so many bankers. It's impossible that we should need so much software. It's impossible that we should sit here idly counting beans, while some poor person is out in the beating sun growing our food, earning $1.50 a day.

For sure you don't want to end up in the field picking fruit and vegetables for a pittance of a wage, but that doesn't mean you have to prop up the status quo.

Acting with your conscience and with ethics as an individual is likely to hurt nobody but you, but it's also harmful to you to load yourself up with performance enhancing drugs, simply so you can compete.

It's only in the spirit of non-competition that we can end the rat race and smash the tables of the money lenders and other idle social parasites. The parasite class need to be cast out from society. The parasite class are antisocial. The parasite class are making billions of people's lives miserable.

There's no way to win a rigged game. The only thing you can do is not lose, by not taking part.

Tags: #addiction #drugs #mentalhealth #capitalism #politics #alcohol #caffeine

This is a story about office life...

Look closely at the image above. It appears like I already wrote this blog post. It certainly feels like that. Haven't we been here before? Deja vu?

When you get stuck into a cycle, how do you break out of it? When the loudspeakers scream with feedback, because the sound that the microphone captures is being amplified and re-amplified, how do you reset, without cutting the power?

My behaviour might look self-sabotaging, but I'm actually deliberately burning bridges so that I have no line of retreat back to the places that made me unhappy in the first place.

When I worked in the City the first time around, I used to have 3 or 4 strong macchiato coffees every day. That's 12 espresso shots. I used to get drunk most lunchtimes and after work. I needed 2/3rds of a bottle of red wine to get to sleep, after all that coffee.

Uppers and downers, round and round. We rode the rollercoaster nonstop until we were sick. Every day, every week, every month, every year... they were the same.

When I was in my early 20's it wasn't such a big deal. We used to tank up on caffeine, churn out a load of code that would form the backbone of the world's economy, and then go get drunk to try and calm down a bit. We thought we could carry on like that forever, with our uppers and downers.

I saw colleagues get sick with stress, anxiety, depression, alcoholism. Some of my colleagues needed liver transplants. Some of my colleagues died. The system chewed us up and spat us out.

By my mid 20s I'd owned a yacht, a speedboat, sportscars... for some reason no amount of material possessions and status symbols seemed to quench the massive insecurity and frustration with life. Take a socially awkward, unpopular geek, sprinkle in wealth and the illusion that you're being 'successful' in life, and you wind up with a pretty confused adult.

While my schoolfriends paired off with lifelong partners and started to have children, I would suddenly decide that a loving relationship would be my salvation. I moved to a Surrey commuter town with a girlfriend, and started to play golf and generally start to think & act like a middle-aged family man. That was a bit of strange thing to do for a 21 year old.

Back in London after my first experiment into becoming a happy adult had failed, I satisfied myself with extreme sports, Internet discussion forums and lots of holidays and weekends away with nice big social clan. The London Kitesurfers 'club' was a lovely thing to be part of for several years. However, I still felt that I was missing that 'love' piece of the puzzle.

Some nice scientist kitesurfer girl seemed to tick all the boxes, and I launched myself with great intensity at a long-distance relationship that was never going to work. Relocating to the South coast, I quickly got involved with a geek girl who was into adventure sports: she seemed ideal, on paper.

I set about building the framework for a comfortable family life: the house, the steady job, the sensible car. However, I ignored the massive red flag: my girlfriend was a mean person.

I'm not easily dissuaded from my goals. Whatever obstacles I encounter, I just go around them. I'm a completer-finisher. I try to fix, improve, change, rather than throw things away or start again.

Anyway, I was flogging a dead horse. No matter how many times I painted a perfect picture postcard of how life could be, I'd found somebody who was stubbornly resistant to the idea of being nice and kind and supportive of the person who potentiated a 5-star luxury lifestyle for both of us. There was plenty of space for us both to shine, but sadly, she wanted me to be subdued and subserviant. She had gotten used to being showered with praise and being top of her class. She wasn't used to sharing the stage. She wasn't prepared for both of us to be happy.

I abandoned that life. I lost my business, my reputation with the major employers in the local area, my house and a substantial chunk of my wealth. I was fighting for survival, so I didn't have the time to go and carefully unpick the things that I had spent years building. I had no need of a house and shedful of things. What was I going to do with all that stuff? It was an unncessary millstone around my neck.

Now I find myself following a tried-and-trusted formula for wealth and 'success'. I'm rapidly putting together a lovely home again. I'm rapidly rebuilding my cash position. I'm rapidly rebuilding my reputation. However, I've seen it all and done it all before. I'm just going through the practiced motions.

"How did you know that was going to happen?" my colleagues ask me, like I'm some kind of clairvoyant. My ability to 'predict' the future is nothing more than making educated guesses, because I've been seen it all before. It looks prescient, but it's no more amazing than somebody who's learned from their mistakes.

That means my day job is pretty dull. I finish people's sentences, and I take great delight in giving people things they need before they ask for them. I'm ahead of the game. In the oft-quoted words of Wayne Gretsky, I'm skating to where the hockey puck is going to be.

I'm aware that this seems very arrogant. I'm not delusional. I know I'm not special or different. I know I'm no smarter than your average Joe.

I've done a 'gap' analysis, of my unsatisfying, unfulfilling and depression-filled life, and it seems like I need a dog, a cat, some kids and a loving supportive partner. If you ask children to draw a picture, they'll normally draw a house, the sun, some clouds, their parents and brothers & sisters, their pets. It seems like a pretty tried-and-trusted formula for life.

However, I even feel guilty about my cat living with my parents because he comes from a broken home. My cat, Frankie, has had to move house once in his kitty life, and I feel bad about the disruption and stress I caused him. I would love it if Frankie could live with me, but it would be cruel to make him live in a 4th floor apartment in a busy city. Having Frankie adopted by my parents, with their generous garden and surrounding Cotswold countryside, was the least bad option, but I still feel guilty.

Can you imagine how bad I'd feel if I had kids and they had a stressful home life? Can you imagine how guilty I'd feel if I knew that I selfishly chose to have children because they would give my life purpose and meaning, but I failed to adequately consider that the world I bequeathed to them is dying?

I'm running in autopilot at work. My brain is on tickover, doing my job. This unfortunately leaves a lot of time to consider the plight of the world's poor and struggling people. I have a lot of time to think about war and preventable diseases. I have a lot of time to think about inequalities and morality. I seem to be like a sponge, sucking up all the pain, suffering, cruelty, anger, hostility, selfishness, greed and immorality that seems to characterise the human race.

I could cut myself off from reading the news, but what would I do all day while I'm bored at work?

I can read the news, and if I get caught then nobody's really that bothered because I'm on top of my work and performing well. If I write my blog and try to stay on top of these feelings that threaten to overwhelm me, then I'm always nervous that my mask is going to slip.

I'm flirting with disaster anyway, wearing a semicolon tattoo just behind my ear, that advertises my struggle with depression, anxiety, addiction, self-harm and suicidal thoughts and suicide attempts.

When you have a problem, you can try to solve the root cause, or you can find a workaround. I know what the workarounds are. I know what the root cause is. I'm just not really satisfied that I can either do much about human nature and a selfish race intent on destroying itself, and neither am I very happy to attempt to insulate myself from reality, using drugs and money to put myself into a protective bubble

Begging is illegal in the City of London. Canary Wharf is a private estate, so undesirable members of society can actually be thrown out of the rich little enclave. You can kid yourself that there aren't any problems in the world, because you don't see them - out of sight out of mind - but that's why we got in this mess in the first place.

What happens next is as much a question of morality as it is a question of personal survival. Is it better to have lived life with some values and standards, rather than just saying "I was just doing what everybody else was doing" as if that's some kind of defence.

I know this is very lecturing, and once you've got skin in the game you have no choice but to try and do the best for your tiny tots, but I have a choice. I actually choose not to get a dog, because they're polluting (dogs need to eat masses of meat) and I choose not to have a family, because I can't make any guarantees that there's going to be a liveable planet for them to grow up on.

It doesn't make me a morally superior person. It's just the way I personally think. I know parents are racked with worry about the kind of world that their kids are going to inherit. I do empathise with the stress and challenges faced by families. Doesn't mean that's an excuse for me to join in though.

Tags: #family #capitalism #climatechange #career #london #banking #computing

This is a story about euthanasia...

I need to cover what I'm about to write with a hefty preamble, full of caveats and other disclaimers, because there are so many considerations with this issue, but it's an issue I need to tackle.

Firstly, let's consider this: nobody really wants to die.

For people who are in pain and other kinds of physical discomfort, or are otherwise afflicted by diseases, injuries or genetic problems that mean their quality of life is terrible, or certainly going to end up terrible: these people do not want to die. Those people would dearly love for a cure or some kind of relief from their symptoms that doesn't come with intolerable side effects.

Clearly people who want to prematurely end their lives in a dignified manner, have exhausted all treatment options, and their future looks bleak: pain, discomfort, infirmity, senility and disability.

Alzheimers and other kinds of incurable degenerative brain diseases carry the added worry that the sufferer will no longer be of a sound and rational mind when the illness reaches its late stages, and they will burden their carers, while perhaps not even being able to recognise their loved ones any more.

Let's also consider this: some people have hope, while others do not.

Yes, there's always a chance of a miracle cure. Yes, there's always a 1-in-a-trillion shot that God might personally intervene to remove the horrible afflictions that he originally cursed you with.

Most people love life and can't bear the thought of being torn from the arms of their loved ones. Most people cry out in fear, when they think they're about to die. Most people fight to survive.

There are people who have gone through many bouts of surgery, chemotherapy, radiotherapy, transplants and who take bucketloads of medications with horrible side effects, and generally battle through awful sickness and pain, holding out hope that their ailments will be at least treated well enough to prolong their lives a little longer.

Some people might spend a long time on a transplant list, barely surviving, while oxygen and dialysis just about preserve them while they wait for a donor match. An agonising race against time happens: will a donor arrive before the illness kills the poor helpless person who can only sit and wait?

I feel like I should use softer language, to cushion the blows for every person who's lost a child, parent, friend, partner, relative. Death is painful, and all the more so knowing that a person had so much more life left in them. Death can be so cruel. People so deserving of more life can be snatched away, while others who are seemingly careless with the gift of life can seem so selfish and ungrateful for their good fortune to have been spared by the gods.

And it's the ungrateful ones I want to talk about.

What do you do with the alcoholic who 'wants' to drink themself to death? What do you do with a suicidal person?

The footballer George Best famously received a liver transplant, and then proceeded to court controversy when he was caught drinking again. Instead of demonstrating his gratitude for his stay of execution, by becoming teetotal, he was clearly the same person - ungrateful for life some might say - as he was before he received an organ donation.

What do you do with somebody who is determined to kill themself? Do you put them in a straightjacket and keep them in a padded cell indefinitely, just so that they can die of old age in an asylum?

It might be the case that a suicidal person is in perfectly good physical health and does not abuse drugs or alcohol, but they are nonetheless determined to end their own life prematurely.

There's a general belief that telling people that their lifestyle is much akin to suicide, will curtail their health-damaging behaviour. Doctors mostly seem to take the route of saying "if you keep drinking, you're going to die young" to alcoholics. While most people would think that this would shock somebody into cutting down their drinking, in fact there's little evidence that it has any affect at all.

Similarly, telling suicidal people "you've got so much to live for" and "it's just your depression telling you lies" and other statements that make perfect sense to people who are not suicidal, is also ineffective. The only thing that has proven somewhat effective - as far as short 12-week studies paid for by pharmaceutical companies can tell - is psychoactive medication.

Smoking causes many preventable diseases, and is a big killer, but yet people still choose to smoke even though it's expensive, makes you smell and stains your teeth. You would have thought that the large "SMOKING KILLS" health warnings on packets would cause people to stop smoking immediately, but no.

You know what one of the most effective smoking cessation treatments is? It's the antidepressant called Wellbutrin (marketed as stop-smoking drug Zyban and generically known as Bupropion).

Why would an antidepressant be a good treatment for smokers? Well, let's consider two things: firstly, people smoke because they're missing something. Take smoking away, and a smoker's life is now incomplete. Removing nicotine and the habit/ceremony of smoking leaves a void in that person's life. Also, you've got to be fairly depressed to do something that's clearly a threat to your health, and possibly your life.

Wellbutrin is a fast-acting antidepressant, unlike anything we can get on the NHS. Instead of making people feel sleepy and emotionally numbed, Wellbutrin has been proven to offer a number of improvements in the lives of patients, including their sex lives. Wellbutrin is France's most popular antidepressant.

What do you really want from an antidepressant, other than to relieve your symptoms of depression now when you're feeling it? Being told that a medication might take 6 to 8 weeks to become effective, and then having to suffer your symptoms that whole time while you're waiting is no use at all! Some depressions will lift naturally after a month or two anyway.

But what goes up must come down. After some weeks or months taking Wellbutrin, many patients experience panic attacks and insomnia. Plus there's the obvious problem of having to stop taking the medication at some point, and suffering the comedown (sorry, I mean withdrawal syndrome).

Yes, the difference between 'drugs of abuse' and 'prescribed psychoactive medications' is precisely zero. Every medication that has an upside also has a downside. Addiction and habituation with prescription medications is just as much of a problem as with street drugs. The only difference is medical oversight and quality control.

And so, I arrive at the situation where I'm perfectly well aware that I can get short-term relief for the symptoms of my depression, in the form of a pill from my doctor. However, I'm equally aware that to go down that road is to have a lifetime dependence on medication for my sense of wellbeing. Basically, do I want to be a medically sanctioned drug addict? None of the stigma, but all of the same behaviours.

You're right, I wouldn't have to lie, cheat or steal to feed my habit. I can wander into my pharmacist, and get my uppers over the counter, and carry on like I'm a fine upstanding member of the community. Did you know that even heroin addicts are completely functional members of society, when they can get a clean high quality supply of the opiates they need? When doctors in the UK used to prescribe heroin, there were none of the antisocial problems that we instinctively associate with drug abuse today.

Of course, I'm not advocating drug abuse, but then I'm also pointing out that the flaws that afflict a smoker, a drinker, a junkie and even a depressed person... they're all rooted in the same psychological need to cure an invisible illness.

Pretty soon, I will have spent a year where over 75% of the time I was using no psychoactive substances at all, except for alcohol. A period of 115 consecutive days - 32% of the year - I was completely teetotal. For the whole year I had no tea, coffee, cola, energy drinks, or caffeine containing headache pills (more common than you think). I'm completely unmedicated.

How do I feel? Awful.

It seems to me like I have a choice: suicidal depression, or drugs (i.e. medication, coffee & alcohol etc.)

I know that a scientific study with one participant tells us nothing, but equally I'm not a group, I'm me. You can't dismiss my individual findings, that are true for me. I've gathered the data during a 20 year career, and I've come to the conclusion that my life is unliveable in its current form.

When you are conducting a scientific study, you have to control the variables. Thankfully, I'm an ideal test subject for this.

Since the age of 17, I've been a very well paid software engineer. For sure, during the first couple of years it took me a while to get my salary up to a decent level, but since the age of 19 I've never had to worry about money. Also, I've done pretty much the same thing for all my career: sitting at a desk, tapping on a keyboard, making software.

I've had the same running crisis my whole career. When I was 19, I was bored so I applied to university and was offered places at some very prestigious institutions to study psychopharmacology. I decided to stick with the money, and keep selling my soul to the highest bidder.

When I was 28, depression had crushed me to the point I was on my knees and unable to turn up and do the same office bullshit anymore. I retrained as an electrician and started my own company.

As a self-employed tradesman, I loved what I did, but I was grossly underpaid for the level of responsibility I had. Ordinary members of the public think that tradesmen are out to rip them off. In reality tradesmen are highly trained professionals whose job it is to stop houses burning down and families being electrocuted or poisoned by carbon monoxide.

The freedom of not having a boss, not having a 9 to 5, Monday to Friday routine, and not having to sit in the same damn chair at the same damn desk, pushing the same damn 102 keys on the same goddam keyboard... all of those things are just as great as they sound. However, getting paid peanuts to do dangerous dirty work is also not great either.

And so, I returned to what I'm experienced and qualified to do.

I earn staggering amounts of cash for moving my mouse around and looking busy at a desk. However, I used to earn £470 per day when I was 20 years old, doing computer programming for Lloyds TSB back in the year 2000. My job is exactly the same today, doing the same damn computer code for HSBC, JPMorgan, Barclays or any other damn bank.

But maybe the problem's banking? Nope. I've written computer code for nuclear submarines, torpedos, school computer networks, trains, parking ticket machines, busses, security guards, shop assistants and just about every other weird and wonderful industry you can think of. I've written in dozens of programming languages, for dozens of operating systems, on dozens of form factors. It's all the fucking same binary 1s and 0s and boolean algebra under the covers. All code is made from the same nuts and bolts. It's fucking boring.

And so, I can be a miserable exploited worker on a low wage, doing something I take pride in but knowing that I'm undervalued. I can be an overpaid and underworked software developer / scrum master / development manager / IT director. I can be a stressed out startup founder working my arse off to line the pockets of the venture capitalists who are going to get filthy rich at the expense of my health. I can be a destitute bum, a tramp, a hobo. Which would YOU choose?

I particularly object to the idea that I have to drug myself up, just to fit in with the bullshit jobs economy. I object to having to be high on antidepressants just to be able to cope with the same bunch of fucktards making the same fucking mistakes I've seen a million times over, in the job that I've mastered and brings in obscene amounts of cash. I object to having to be high on anxiety medication, to cope with the insecurity faced by the underpaid and undervalued front-line members of society who build your houses, look after you in hospital, grow your food and perform every other truly useful function that we need.

Even to work in civil engineering would frustrate the hell out of me. Crossrail, the multi billion dollar project improve London's cross-capital transportation, is rather pointless because it will be at full capacity on the day it opens, because London is already packed full of idle fucktards like me, clogging up the world with pointless makework jobs. Do we really need any more offices and office workers? Do we really need any more service sector jobs? Do we really need such a bloated financial services sector, with its equally parasitic support industries of corporate law and accounting? It's all such utter bullshit.

And so, I'm damned if I do and I'm damned if I don't.

In my 20 years of full time work, I've become worn down with it all. I'm exhausted. I've tried a number of things, and I find that bullshit prevails everywhere I look. My heart is broken by all the bullshit that trumps everything else.

I'm exhausted, and I'm depressed and I'm suicidal.

Yes, I know some people are grateful for their lives and what little quality of life they can squeeze out of their existence. Yes, I know that I have good physical health and I'm reasonably young still. Yes, I know that there'd a queue that stretches around the planet, of people who would love to have my job.

So, if I choose to reject all that and end my life because I feel like I have no quality of life, is that morally wrong?

You can't even level the accusation of me that I don't know suffering, and I don't know poverty. I've lived homeless in a park, destitute, penniless and surviving on charitable food donations. I've woken up in hospital numerous times in pain and discomfort. I've had numerous scrapes with death. Shouldn't all that stuff make me grateful to be alive? Guess what? You have absolutely no idea. Guess what else, I have a very good idea, because it's already all happened to me.

I wasn't born with a silver spoon in my mouth. I went to state comprehensive schools. I wasn't gifted jobs by any friend or family member. I had no head start in life. It's true that I have no obvious disability or disadvantage either, unless you count a couple of drug addict alcoholic parents, but I still had other family members, teachers and friends who were nice to me. It's not a fucking competition. The point is that the variables are controlled. I neither had advantage nor disadvantage, but yet I arrived at this point, here, now, today.

It's not like we can say this is just a short-term crisis. Like this will fucking blow over.

It's not going to blow over. For 20 fucking years it's been the same. The same shit, different day.

Yes, there were times that were actually pretty good, but guess what... they weren't sustainable. I liked living in a hostel with a bunch of other homeless people. I liked not having a job and being a bum. I liked having no responsibilities. Who wouldn't? But that's not real life. We don't get to have a freebie just because 'real' life is killing us. It still cost £120 a week for my bunk bed in a dormitory that slept 15 people, with one fucking bathroom between us all. My current rent is only £240 a week and for that I get a double bedroom, an ensuite bathroom, a kitchen, a dining room, a dual-aspect lounge with panoramic views over London and a balcony overlooking the river Thames.

I should be happy, but I'm not. Happiness is not a choice, no matter what you read on some bullshit Internet meme inspirational quote.

All the right pieces are in place. My doctors are chuffed to bits that I don't drink, smoke, abuse drugs or in any way engage in health damaging behaviours. My blood pressure is amazing. My cholesterol is low. My eyesight, hearing, teeth, joints... all of it is perfect.

And yet, my mental health is in ruins. I'm so depressed. I'm so suicidal.

I'm doing everything right, and yet everything feels so wrong.

Of course I feel guilty for feeling like this. What the fuck am I supposed to do though?

Honestly, I feel like I want to spend the next 30 days convincing people that the most humane thing is to let me end my life. Honestly, despite the things that should be really great in my life, nothing feels great. Nothing feels good or nice. Nothing works. Nothing is working.

There's still the possibility of just running away and absenting myself from all responsibility, but then when I'm dirty and sick from a life of destitution... when I die then, will anybody understand? A tramp, a bum, a hobo, a junkie, an alkie... these people are all too easily dismissed by society.

What happens when highly paid banking IT consultants start dying? Well if they're white middle class thirtysomething men... not much. Who cares? Probably just a selfish socialite, having a tantrum because they can't do whatever they want, one newspaper article basically said, in the wake of one death.

What the fuck is anybody supposed to do about this fucked up life that we're supposed to live?

I really don't feel like I can live this bullshit rat race anymore, and the alternative is a long slow death, shunned by society and marginalised.

In the long run, we're all fucking dead anyway.

Apologies if I'm triggering raw and painful feelings about your beloved family member or friend who is busily fighting for survival, or who lost their battle. I really don't mean things disrespectfully, but I can't lie anymore. I feel this stuff and it's undeniable.

Call me narcissistic needy spoilt white middle class brat if you like, if it'll make you feel better. It certainly won't make me feel any worse, but isn't that so terribly melodramatic and attention seeking?

Can you understand, how exhausting it is, having to justify your feelings and apologise for wanting to be dead the whole fucking time?

It's a one-way ticket and for sure it needs careful thought, but aren't we being a bit unfair, shutting down the conversation by guilt-tripping people into hiding their feelings? Perhaps suicide is a smart choice for people who feel that they have no quality of life.

Tags: #suicide #depression #mentalhealth #addiction #alcohol #drugs #medication #nhs #hospital

This is a story about self healing...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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