This is a story about coping strategies...
The jury is out: do I have a medical problem, or don't I? It's so hard to control the variables in somebody's life, that it's almost impossible to know how circumstances are affecting your mental health.
One thing's for certain: psychoactive medications are extremely hard to stop taking once you've been taking them for a few months or years.
There's a simplistic view of addiction that says that the easiest way to not become a drug addict is to not take drugs in the first place. The simplistic view of addiction says that the easiest way to quit drugs is to simply stop taking them.
By extension, the same is true of psychiatric medication. The easiest way to not become dependent on medication for your sense of wellbeing is to not start taking the medication in the first place. The easiest way to live a happy drug-free life is to stop taking all drugs, including psychoactive medication.
This simplistic view ignores three things:
- How shitty was your life before you were driven to drugs or medication?
- When you stop taking drugs or medication, how shitty is withdrawal?
- How shitty will your life be when you're no longer taking drugs and medication?
If the answer to 1 & 3 is the same, then it's your life that's shit and nothing has changed. If your life is shit you're a dumbass for thinking about things as a medical problem. However, how many of us really has the opportunity to improve their life.
Many of us will feel duty-bound to stay near family members, because we are responsible for caregiving. It makes sense to stay near friends and in an area you're familiar with. Moving somewhere new, making new friends, being far away from family - these things are hard.
Huge numbers of people can barely miss more than one or two paycheques before they're in financial trouble. The need to work whatever shitty job we can get is the thing that dominates our shitty lives.
The welfare state is a myth. It can take months or even years before government support is forthcoming, and it's a one-way street. Once you're finally in the benefits system, it's hard to leave. If you work more than 16 hours a week, you can end up putting your home at risk, therefore there's no opportunity to work your way out of poverty.
Point 2 is extremely important.
Quitting benzodiazepines or alcohol can mean weeks of anxiety, insomnia, restlessness, indescribably horrible dread. However, it's doable, and I've done it. It's not easy, but it's not impossible.
Quitting opiates will leave you feeling sick and in pain. I've not had to go through junk sickness, but plenty of people do it 'cold turkey'. It's not life threatening at least, unlike benzos and alcohol.
Quitting stimulants will leave you tired, cloudy-minded, depressed, suicidal even. Quitting stimulants is hard because of the cravings, which some people might mistakenly mis-label 'psychological'. Is hunger psychological? If you reckon you could starve yourself for a month, and overcome those hunger pangs, by all means go ahead and belittle stimulant withdrawal as purely psychological.
From what I can tell, withdrawal from antidepressants and anxiety drugs is worst of all. Have you heard of "brain zaps"? Almost all antidepressant users who've been taking those medications for months or years will complain of absolutely intolerable withdrawal symptoms when they try to reduce their dose or stop taking the drugs altogether. Brain zaps are described as "imbalance, tremors, vertigo, dizziness, and electric-shock-like experiences" in what is being called antidepressant discontinuation syndrome.
You know what? I don't really like the sound of that. Antidepressant discontinuation syndrome sounds a lot worse than any drug withdrawal that I've ever been through, and you know what else? The easiest way to avoid withdrawal is to not take the drugs in the first place.
Sure, it's appealing the idea of taking drugs. "Take this... it'll make you feel good" is what the drug dealers and the doctors say. I desperately want to feel OK. Depression is a shitbag. Being suicidal is dangerous. However, I'm not prepared to have some medically sanctioned addiction to some drugs that are really hard to quit.
And so, I'm limping by on as little alcohol as I can get away with, but I'm still drinking too much and it's making me fat.
Alcohol is undoubtedly a terrible drug. I can see how much my health is suffering, just by the belly fat that's suddenly appeared in the last 4 months. I'm drinking myself to death.
However, I needed to put some money in the bank.
I work, I eat, I sleep, I drink, I moan about it on this blog. It's a financially successful formula. Even if I spent £20 a day on alcohol, just to struggle through, I'm going to finish this contract in a remarkably better financial position than when I started.
I've started to wean myself off the booze using a little diazepam. Tapering off the diazepam will be hard, but in less than a week my horrible contract will be over and I can allow my moods to self-regulate again. I'm imagining that I'm going to sleep for 12 to 14 hours a day. I'm imagining that I'm going to close the curtains and just hide under the duvet for a week or two... maybe even three.
If you think I'm over-sharing. If you think I'm whining about my job, my situation, too much... look at it this way: it's a healthy coping strategy, a cry for help and also a suicide note.
Anybody who says "get a therapist" or "go see your doctor" is just naïve. There aren't magic healers out there who can cure the fundamental problem: bullshit jobs.
In 2008 I quit one bullshit job, tried another, found it was exactly the same, so I became a technology entrepreneur. From 2008 through 2011, my depression was 'cured'. If I felt shitty, I just stayed in bed. Yes, my mood was up and down, but at least my life was liveable and I was healthy and happy overall. 2012 & 2013 were wrecked by divorce. 2014 & 2015 I was trapped back into the rat race. It wasn't even that bad at Barclays and HSBC, but they didn't let me reach escape velocity.
This year, I've suffered in silence, in the interests of maximising my earning potential and hopefully gaining freedom again, but I've damn well got a right to complain about it because it's killing me.
Therapy is a joke. What the hell is one hour a week going to achieve? Been there, done that.
Our antidepressant culture is fucked up. What? I'm supposed to dope myself up so that I can be an uncomplaining rodent in the rat race? Fuck that. I'm not depressed. I'm allergic to capitalism.
Yes, there are huge financial and societal pressures for me to medicate myself into blissed-out stupidity, so I can sit at my desk grinning. I'm not going to do that. It's morally outrageous that the only way to live in this society that we've built, is by drugging our workforce.
If I end up martyred in protest at the madness of the situation, it will have been worth it.
Tags: #depression #suicide #drugs #addiction #career #mentalhealth