Tag: drugs

Stick & Carrot

This is a story about how people respond to incentives…

The last time I was in the Accident & Emergency department of a general hospital, I got a ticking off from the consultant. It was almost as if he didn’t understand that the threat of kidney failure and early death was no disincentive to the path through life I was taking. It shouldn’t have been a surprise to him: I hadn’t gone to the hospital through choice, but instead the police had taken me there.

This was my life for a while: being passed from pillar to post by people who didn’t understand what I was going through or how to deal with me. One thing that everybody seemed to agree on though, was that tough love was probably the best option. I should be ridiculed, shamed, talked down to and ostracised until I “saw sense” and decided to change the course of my life. Why would anybody choose the life that I had?

Actually, the police were excellent, seeing as they deal with society’s dregs day in and day out. The well-to-do Royal Free hospital on the hills of London’s exclusive Hampstead, was perhaps less used to dealing with those who have lost their way in life. Certainly, those who were struggling with drink and addiction, that I met, were sent to more central hospitals, like UCLH on the Euston Road.

I certainly don’t see hospital as the first port of call, to rectify issues, and I bandaged my own massive leg wound and would have tried to avoid hospital, had paramedics not insisted that I was admitted, on another occasion.

It is only with regret that I have consumed NHS resources, but I certainly don’t feel that there was any choice in the matter. When I injured my leg one night on London’s streets, alone, I pulled out the broken glass and let it heal as I lay in agony in a bush for several days, with the blood-soaked wound sticking to my torn trousers. It needed stitches and I needed antibiotics to avoid infection, but I was lucky. I saved the NHS some money and I’ve got the scars to prove it.

Passing the buck, and driving somebody away from their home, family and friendship groups… making somebody feel ashamed, turning them into an outcast, demonising and villainising somebody… that’s ridiculous!

I picked the wrong life partner: somebody judgemental, violent, abusive. That’s my fault. I wasn’t equipped with the life experience to know that I should walk away. My own parents relationship was full of verbal abuse and psychological warfare, but they stayed together: commitment to a partner was all I knew. I was naïvely optimistic that things would finally work, if only I tried hard enough.

When depression worsened and became bipolar disorder, when bipolar was overshadowed by addiction… things were chaotic, and consumed my sanity, temporarily. I was heavily dependent, trusting, of my partner and my Dad, and my GP. They acted with ignorance and without consideration of my wishes. Later, my partner would act with spite and selfishness.

It’s hard to recover if your partner is working against you, and has your Dad in co-operation too. But, I’m going over heavily trodden ground. I don’t mean to re-iterate this. I mean instead to talk about another approach: carrot, not stick.

I was dealing with something, in technical terms, called a clusterfuck. A combination of mental health problems, an unsupportive partner, unsupportive and even obstructive family, sex addiction, drug addiction, having to find a new home, new friends, new job… it’s too much to ask of somebody. A breakdown, a major relapse, becoming completely dysfunctional: this was made inevitable by the circumstances around me.

Only the police acted with any restraint. The police see lives ruined, and people enter into the revolving-doors of criminal justice. The police know that slapping a criminal conviction onto somebody makes their life harder, rather than improving their chances of rehabilitation into society, so they are reluctant to condemn somebody to that fate. However, many in the rest of society are keen to label and ostracise and destroy their fellow human beings.

We are living in an increasingly isolated society, where we are mistrustful of each other. We avoid listening to anybody’s personal story, lest it instil some sense of sympathy within ourselves. To view every stranger as a potential murderer, rapist, paedophile, thief and dirty junkie, is easier than just seeing other human beings, and feeling compelled to hesitate in the rat race for a second and give somebody a hand up.

We are all competing with one another so fiercely, that we believe that it is only with intensely selfish and self-centred actions, to the detriment of society as a whole, that we can get ahead, that we can succeed. We believe that we are helping our family, by turning a blind eye to the beggars, the homeless, the poor and the addicts and alcoholics.

The welfare state is being dismantled. The sympathy of society and the basic human instinct for care and compassion is being eroded. Instead we have a culture of “every man for himself” and we’ll allow incredible human suffering to be perpetrated in our names, because we are sold good vs. evil fairytales by a wealthy elite, intent on turning us into scared, isolated consumers.

I feel with certainty that the depression that I feel – the dissatisfaction with what I see in the world – stems directly from an unpleasant attitude that’s prevalent everywhere I look: the collapse of social bonds, and the mistrust of strangers, neighbours, fellow human beings.

I’ve paid over £30,000 just to be treated like a human being, by some kind and compassionate, non-judgemental people. That’s all it takes to help somebody on the road to recovery: just don’t be an arsehole to them. Be consistently nice to each other, and the world won’t be such a shit place that people get depressed in, want to get intoxicated and want to kill themselves.

Yes, it’s true that when my life is absolutely appalling, I will probably run to drink & drugs. What’s the alternative? The razor blade and the noose.

They feed you in hospital. You could try starving people, to punish them for getting sick, but seeing as that’s how I ended up in hospital I can’t see why that would work. Carrot works. Stick doesn’t

Tags: #depression #suicide #bipolar #mentalhealth #nhs #addiction #drugs

4 May 2016
Legal Highs

This is a story about bath salts and plant food…

What the hell happened to me during the last few years, and am I a lost cause, doomed to a life of addiction, crime, health problems, before an early death? Are there ‘choices‘ you make in your life that cause irreparable damage, and turn you into a modern-day leper, who should be shunned by society?

For any parent, there must always be the worry that your kids are going to go off the rails, and destroy their lives. Whether it’s your teenaged daughters getting pregnant, or your unruly sons getting in trouble with the law… the number of things that are out to get your precious children are innumerable. It’s a wonder that you can sleep at night.

But what do you do once somebody has gone off the rails? Is it best to write them off, and concentrate on any offspring who have stayed on the straight and narrow, not wandered off the path and gotten lost in the murky mists and quagmire of addiction?

Chances are, somebody you know has had their problems with alcohol or some kind of mind-altering substance. They might be spending what little disposable income that they have on Cannabis and being stoned throughout their few waking hours, whilst playing mindless computer games and stuffing junk food into their mouths. They might be getting into a cycle of debt and crime, as they pursue the unquenchable thirst for Cocaine or Heroin.

It’s pretty clear that addicts can waste a lot of time and money, very quickly. But what does it mean, quickly, when time apparently runs at the same speed for all of us? “It all happened so quickly” friends and relatives wail, when a loved one slips away from them, into the depths of a destructive addiction.

Clearly, something doesn’t add up. Yes, it’s possible to become addicted very quickly, but does that mean that a person’s life is irretrievably lost, a personality is forever changed, and your son/daughter/brother/sister/friend is gone as soon as that needle hits their veins, as soon as that powder goes up their nose, as soon as that smoke hits their lungs?

The idea that a person is a lost cause as soon as drug experimentation turns into habit and abuse, is just as ridiculous as imagining that a person is dead as soon as they catch a cold. The human body is remarkably resilient, and the mind and brain can adapt in reverse, just the same way that damage was done in the first place.

The sooner that you label a person, ostracise them, marginalise them and give up on them, the less chance there is of their recovery. Standing back in the hope that things will get better is the very worst thing that you can do. Addiction is a fire that rages through a building. Put out the fire when it’s a few flames in a wastepaper basket, and a major disaster is averted, but if you wait until it’s a raging inferno, then there will have to be some major rebuilding work. It’s only a reluctance, a hesitation, from acting in a kind and compassionate way, that condemns addicts to an early grave.

I was able to buy this “China White” on the day that the the Government’s new drug legislation was supposed to be enacted as law in the United Kingdom. In theory, this law was supposed to ban the sale of any psychoactive substances, including the legal highs and research chemicals which are openly on sale in shops and on the internet.

For those who are unfamiliar with drug terminology, China White is the name of a particularly pure form of Heroin. From a glance at the ingredients list on the unopened packet of chemicals, pictured above, this legal high is more of a stimulant. It would not have any opiate-like effect.

When the people who are packaging and selling legal highs don’t even know the significance of the name they are giving to their product, such that a stimulant is sold under the name of a famous type of heroin, which would send you to sleep or even cause you to stop breathing and die if you overdosed… well, prohibition and ignorance are clearly the main risks to the public, not the availability of substances.

Cocaine & Cannabis are class A & B drugs, respectively, making them illegal to buy and sell. This has been the case for so many years that we surely have enough data to say whether the law is an effective way of curtailing drug consumption within the UK. I challenge anybody to take a walk over the canal bridge in Camden Town, London, on a Friday or Saturday night and not be offered both drugs at least once if you catch the eye of one of the shady characters hanging around in plain sight.

I’ve been offered Cannabis, Cocaine, Ecstasy (MDMA), Heroin and Crack on the streets of London, long before I dabbled with these illicit chemicals. There isn’t a flashing neon sign above my head that says “ADDICT“, so the only logical conclusion to draw must be that prohibition has done nothing to impact the sale and purchase of illegal drugs.

Rather than spending precious parliamentary time debating progressive drug policy that would save lives and reduce crime, following the model of Portugal, the UK has ramped up its prohibitionist stance, which clearly causes crime, misery and death. Drug addicts are convenient scapegoats, but surely as all experts agree that addiction is a medical condition, a courtroom is no place for a suffering individual to be treated.

Convenient scapegoats win political campaigns and sell newspapers, as well as giving simple-minded ignorant fools some kind of easy place to point the finger of blame and understand the complexities of a world that doesn’t break down into black & white, cowboys & indians, cops & robbers, right & wrong, good & evil etc.

Thinking that you know an addict’s story, by tarring every person with the same brush, is a shameful state of affairs. There is collective responsibility for the suffering of addicts, and the victims of crime that are created. They are two sides of the same coin, and victim-blaming the addicts is hurting some of the very people you are supposed to love and care for.

If you want your children to grow up in a safer, happier world, and to sleep a little easier at night, knowing that any of your children who do go off the rails can be shepherded back to the flock before you have to bury them… I suggest that everybody educates themselves a little more, before you are too quick to condemn, to make assumptions, and to fill in the blanks in your knowledge with tabloid ignorance.

If it can happen to me it can happen to anybody. I bought “NRG-3” off the internet, which turned out to be “bath salts” which turned out to be MDPV, which tipped internet billionaire John McAfee into temporary insanity

Tags: #addiction #drugs #politics

29 April 2016
Addiction and Libido

This is a story about an unholy trinity…

At a hotel I was given a voucher to connect to the internet. As you can see, it was foe pawn. I’m not sure if I used it foe pawn, but I possibly used it for porn, amongst my other general internet browsing.

Let me tell you about something that’s a fairly irresistible combination: drugs, pornography and masturbation. Drugs and sex – i.e. chemsex – are bad enough, but there’s a limitless supply of pornography out there on the internet, and given a limitless supply of drugs, you can get seriously messed up.

People who are dealing with the chemsex crisis talk about an unholy trinity of drugs: GBL/GHB, Crystal Meth and Meow Meow (M-CAT). These drugs are endemic amongst a group of promiscuous homosexual men, seeking to reach unimaginable highs from drug-fuelled sexual congress.

What happens when the secret is out? What happens when the wider, mostly heterosexual community finds out that having sex on drugs is many, many times more enjoyable than sex or drugs on their own?

Let me tell you, from bittersweet experience, that once you have tried chemsex, your ideas about pleasure and sexual ecstasy will be irreversibly corrupted. You can’t un-experience things like that. You can’t forget what you know. You can’t un-feel what you felt.

Of course, 99% of people know that drugs are bad, and dangerous and will kill you just from looking at them, right? Well, unfortunately, people are discovering that the hard-line propaganda just isn’t true, and the warning message is somewhat lost in the prohibitionist bullshit. So every cautionary tale is regarded with suspicion, or completely disregarded altogether.

In actual fact, there is so much taboo around drugs, sex, homosexuality, masturbation, fetishes… even just feeling horny is something we don’t talk about openly. We are almost stuck in the Dark Ages when it comes to feeling guilty about our sexual desires, and the fact that we are inescapably driven to satisfy them.

At the end of the day, you can’t fight hunger, you can’t fight thirst, and you can’t fight your libido. Those are the 3 things that ensure the survival of humanity as a species of animals. I know a small handful of us try to rise above the level of beasts, and act a little less like animals by using our higher brain functions, but we’ll still die if we don’t eat and drink, and we will actually devolve if the intelligent members of humanity don’t reproduce.

Masturbation and drugs are the ultimate ways to thwart nature though. Once an animal has found something it prefers to eating, drinking and fucking, it’s pretty screwed in terms of its survival prospects, and the likelihood of it passing on its genes. You could see this as a good thing: eventually addicts and wankers will die out. However, evolution is ridiculously slow, and chemistry is ridiculously fast. Checkmate, humans.

The above picture is an advertising campaign, suggesting that people don’t try Crystal Meth “even once“. The advice is quite reasonable. Meth is highly addictive, and the best way to not become addicted to drugs is to never take them in the first place.

By the same token, beating addiction sounds fairly simple. Just don’t take drugs “even once” and hey presto, your addiction is cured. But things aren’t that simple, unfortunately.

The brain is amazing at making connections between things. I would hope that everybody is familiar with Pavlov’s dog, that started to salivate whenever a bell was rung, because it knew it was going to get fed. The brain had connected the sound of a bell ringing with getting food, and something that is normally completely unconnected with food and eating, became linked in the brain of this dog.

I would hardly consider eating food to be an orgasmic experience, but small amounts of dopamine – the pleasure chemical – are released in the brain every time we eat. It’s natural that we should have evolved a brain that teaches us to eat… eating is what keeps us alive. Eating food is a kind of addiction, if you like. We eat because we get a pleasurable reward from doing it. We are satisfying a craving.

Sex and masturbation are a bit easier to understand. We get a much bigger dopamine hit every time we are sexually stimulated in a state of arousal, and another big hit of dopamine if we achieve an orgasm. It’s much easier to see that sexual behaviour is the same as any other addictive behaviour. We feel a craving for pleasure: we get horny, we want to fuck or masturbate. We then satisfy this craving, with sexual acts, and then we are rewarded with pleasure.

However, the brain has natural systems to curb our enthusiasm for round-the-clock eating, masturbation and sex. After food or orgasm, a protein called prolactin is released from the pituitary gland, which signals to the brain that it’s time to take a break from those pleasure-seeking activities. The amount of dopamine that’s released if you continue to eat or fuck, is virtually nothing… you get no pleasure out of it, until the prolactin levels drop again.

The problem with drugs is, that they’re almost always rewarding, provided you take enough of them. Sure, a tolerance builds up in your brain, but you can usually take bigger and bigger doses, and still get high.

If you combine drugs with sex/masturbation, you’ve got a problem… just like Aaron on his injected Crystal Meth, you might want to fuck or masturbate until the drugs wear off.

Now, if we imagine that Aaron is like that dog that salivates whenever the bell is rung… poor Aaron is going to want drugs whenever he gets horny, or he’s going to get horny whenever he gets high on drugs. It’s a vicious circle.

The only way that you’re not going to feel horny is if you have your sexual functions interfered with, by medication or surgery. Castration for a man, removal of ovaries for a woman… the elimination of the sex hormones: testosterone, oestrogen and progesterone. That goes some way to eliminating your libido, but then, what are you if you’re no longer a sexual being? You’re certainly no longer human.

Drugs produce a temporary and mostly reversible effect, but the longer that you abuse drugs for, and the more of a link that is made in the brain between drug-induced pleasure and other actions, the harder it will be to undo those drug cravings, given the same stimuli.

When the stimuli is your own libido, you probably don’t fancy becoming a eunuch. The only option is to de-link sex and drugs. That means having a lot of mediocre sex and joyless masturbation.

Once you start to realise how the brain works, you can start to disentangle why you do the things that you do. Why do you drink coffee? Because it contains the bitter plant alkaloid called caffeine, which causes dopamine to be released in your brain, which is pleasurable, rewarding. Why do you smoke cigarettes? Same reason. Why did you copulate for 30 seconds and produce a screaming shitting incontinent midget that can’t even feed itself? Same reason.

If you truly want to elevate yourself above the level of the beasts, you would have to make yourself asexual and release yourself from the tiresome bother of having to eat and drink. However, you’d probably get so engrossed in some interesting area of research that you’d forget to eat and die of starvation. Plus, you wouldn’t have any kids, so you’d just die in obscurity as some kind of eccentric hermit.

Of course you don’t have to take things to the other extreme, and test the very limits of human ecstasy, pleasure… to get as high as it’s possible to get. I really don’t recommend it. It’s bad for your health and probably pretty deadly. Everything else in life will be compared to that gold standard forever afterwards, and it’s hard to get over the disappointment that nothing in your life is ever going to be as enjoyable.

This is a cautionary tale, but it’s more an honest conversation that people are running screaming away from, because they’re prudish, repressed, uptight, shamed by taboos and social norms into a culture of silent guilt about normal, natural human things that every person feels.

But there’s another reason why some people go down the path of hedonism, while others go down the path of quiet family life: oxytocin. The bonding hormone is released when you stroke your dog or your cat. The hormone is released when you see your kids, and give them a cuddle.

Oxytocin is responsible for curbing our urge to seek pleasure, by giving us a warmer, longer-lasting kind of pleasure. If the dopamine hit you get from an orgasm is like injecting Crystal Meth, then the opioids that are released due to oxytocin are like injecting Heroin. You’re happy to sit around, monged out in your pyjamas all day with your kids, because you’re wrapped up in the cotton-wool opiate hit of a Heroin-esque oxytocin ride.

Nature wants you to change modes once you’ve reproduced, from the pleasure seeking fuck machine, into an obedient servant to your helpless infant(s). As a parent, your life is over. It’s time to concentrate on stuffing calories into the greedy mouths of your offspring until you finally expire from exhaustion. It’s a marathon, not a sprint, so having your brain calmed down and full of satisfying all-day pleasure chemicals while you’re fulfilling your parenting duties works perfectly.

The most tragic thing is when these world collide. When children are conceived in the middle of a period of drug abuse fuelled sexual activity, it’s going to be nearly impossible for your brain to switch modes. The amount of pleasure you get from your shitting, vomiting, snot-covered offspring is not going to be able to compete with powders and pills.

It might sound unpalatable, but if you’re going to be a drug addict, you should be gay or be a wanker. Becoming a parent might provide an incentive to get clean and sober, but you’re going to have a tough job kicking a habit and bonding with your child. That tiny bit of chest-swelling warm fuzzy feeling you get when you put your tiny baby on your chest… yeah, you’re not really going to notice that if you’re on a massive comedown.

It might seem like I’m a reckless risk-taker, and that I’ve come dangerously close to ruining my life, but that’s the whole point: I’ve got no dependents. I’ve actually been really careful. The main thing to be careful about is to not spawn any offspring you’re in no position to look after, because you’re struggling with addiction.

But this isn’t a lecture. This isn’t me being holier-than-thou. Actually, it’s me saying that I understand why families fall apart, why parents don’t love their kids enough, why babies get born to junkies and hopeless drug-addled fathers.

One of the main reasons I have such a high metabolism, I believe, is because my Mum wasn’t expecting to get pregnant with me, and when she found out she was pregnant, she then decided to lay off the booze and the fags. The withdrawal from nicotine and alcohol while I was in the womb would have meant that highly elevated levels of cortisol, a stress hormone, would have passed into my developing body, through the placental blood.

As an organism, whatever advantage we can get in our environment would have been crucial to our survival in a world that was out to kill us, 10,000 years ago. A baby that is going to be born into a world with little food and many predators should have a completely different metabolism from a baby that’s going to be born into a land of plenty. You can’t run away from the wolves very fast with a big fat blubbery baby, and there’s no point in having a baby that’s really good at storing energy in fat reserves if there aren’t any excess calories around.

Addiction is just the same as hunger or thirst, and so, babies that are born to mothers who are recovering addicts will be affected as if they were starving: low birth weight, and the epigenetic expression of genes that cause features to create a skinny scavenger, constantly in a state of nervous tension, high alertness.

While it’s easy to look upon me with ignorant, stupid eyes, and assume that my life has been directed by my choices, in actual fact, so much of what we think and say and do, and how our body and brain responds to circumstances which are very much out of our hands, is a result of a chain of causation that is far more impenetrable than a trite oversimplification.

What does it tell you that I’ve been able to take drugs like Cocaine, Heroin and Crystal Meth and not become addicted? What do your simplistic ideas about drug abuse tell you about that particular fact?

Drug addiction is a more complex relationship than simply a person and a chemical. Drugs are social. Drugs are sexual. Drugs are societal. Drugs are cultural.

Yes, it’s true that the right combination of a drugs and activities associated with drug taking can form a nearly unbreakable bond in your habits, behaviour and actual brain programming, to the point that escaping addiction will be virtually impossible.

However, only a fool would write people off and say that somebody can never change. One thing is for certain about the brain: it’s a plastic organ, that can adapt itself in amazing ways. One thing is for certain about humans: they’re adept at handling almost anything the world can throw at them.

To stigmatise a huge group of people, to ask them to hang their heads in shame, to ask them to shoulder other people’s guilt, to pay for crimes they’re not responsible for, to be the black sheep, to be the scapegoats… it’s a horrible thing to do, to sit in judgement over somebody who is 99.5% identical to you.

Ok, so you bought a dog, and a house, and copulated and made some kids and now you feel all smug and fulfilled, and you’d like to tell other people how they made bad choices and you’re morally superior. Well, guess what? You’re made of the same stuff. You’d respond just the same as the people you’re judging, if you were put in their situation. Your brain works in exactly the same way.

You should really learn about how to lead people back to the right path, rather than trapping them onto the path they’re on, which can only lead to their early death… a death that you share collective responsibility for.

I had to complain to the manager of this coffee shop that I couldn’t see my veins in the toilet. Caffeine good, Heroin bad, right?

Tags: #drugs #sex #addiction #parents #childhood

24 April 2016
Induced Amnesia

This is a story about impaired memory…

On the 6th of April, ‘legal highs‘ and research chemicals were about to become illegal in the UK. The legislation had been rushed, just like people who were dependent on these drugs. The criminalisation hasn’t happened yet, but it could still happen soon.

I actually have very patchy memories of the last 3 months, because I had unfortunately been consuming at least 255 strong Benzodiazepine type tablets. These would be commonly known as sleeping pills, or ‘downers‘. Amnesia is one of the known side effects.

If you’re suffering from stress-related anxiety, insomnia or a comedown from stimulant drugs, Benzos are manna from heaven. However, after a few months of taking them, you are risking a withdrawal syndrome that could kill you, if you abruptly stop. It’s important to taper off slowly if you have become physically dependent on these drugs.

I had no idea that I had taken so many pills: a common side effect being the fact you can’t actually remember taking them, so you end up taking more. In fact, the last few months are scarily patchy. I read many emails that I don’t even remember sending. I only have vague recollections of doing things that must, presumably, have required quite a bit of thought at the time, like publishing an eBook on Amazon Kindle.

Anybody who is familiar with junkie folklore will know about the speedball, which is a mixture of heroin and cocaine, injected, or basically the combination of an ‘upper‘ with a ‘downer‘. Combining Supercrack with Benzos is kind of a Speedball, and inflicts the same kind of problem on your brain: it makes you kind of sleepwalk, until either the stimulant or the depressant wins the fight.

It was not my intention to ever mix uppers and downers, but the mean elimination half-life of Benzos tends to be a lot longer than that of stimulants. You can still have a load in your system when you wake up and start using stims again.

This is how most overdoses happen. It’s not normally a single drug that’s found in the bloodstream, but polydrug abuse is by far and away the most common reason why addicts die of overdoses. The interaction between drugs can cause dangerous respiratory depression: shallow breathing and even stopping breathing altogether.

The life of a successful 34 year old barrister was destroyed when his boyfriend died of asphyxiation in his sleep. They had been fans of chemsex, and had taken Meow Meow (an upper; Methcathinone) with GBL/GHB (a downer; sometimes called Liquid Ecstasy). The fatal combination was with alcohol, and it is likely that the 34 year old legal star’s boyfriend choked on his own vomit, while he was unconscious.

BBC coverage of the news story is here: https://www.bbc.co.uk/news/magazine-35976705

Seeing as these drugs were already criminalised, I can’t see that the new laws would have had any effect to save the lives that are already being blighted by addiction and drug abuse.

There are a large number of men, in their 30s and 40s, who’ve come to drugs late and are now doing it regularly

There are so many things that sound like familiar echoes of the chemsex world that my ex-wife and me entered. There was a fairly long period where we wouldn’t have sex unless we were high on Ecstasy, amphetamines, cathinones or GBL/GHB. It became an accepted and normal practice to lose at least an entire day of the weekend to these kind of sexploits.

I say we were careful, because I have always educated and informed myself, and we used to use super accurate measuring pipettes and miligram scales, as well as following golden rules about not exceeding certain dosages, and definitely never mixing drugs.

When you enter the dark and deadly world of an all-consuming addiction though, you’re in things on your own. You’re fumbling around in your pit of despair and one packet of pills looks the same as any other bag of white powder, which you indiscriminately crush up and snort up your nose, rub on your gums or otherwise desperately try and shovel into your body somehow, chasing your lonely isolated high.

By making drugs illegal, we set up a division in society where the law-abiding middle class citizens go about their business in complete ignorance of the life experiences that are being racked up by those exposed to a degree of drug experimentation and use of ‘soft‘ drugs.

If one of these ignorant, drug naïve people gets caught up in the world of chemicals of abuse, then they are ill-prepared for the hard lessons ahead. The first comedown from Crystal Meth without anything to cushion the landing is something that you’re unlikely to forget.

In this dangerous new world that is being discovered by middle class professional thirtysomething gay men, and the occasional open minded hetro, we are likely to see many more tragedies like the one in the news story above, and many struggles and unexpected car wrecks like my own.

Who knows, maybe my own story ends with a fate that is unfortunately all too familiar to the coroner: drug overdose due to polydrug abuse.

All I’ve got in my favour is the fact that I remain well educated, well informed. I knew that this new legislation was coming, so I got myself off the little blue & pink pills that were threatening to become a physical dependency.

It’s not like a change in the law is going to make any difference to the easy availability of drugs of abuse though.

These are the Central London meetings of Crystal Meth Anonymous. The one time I went to attend one I ended up relapsing onto legal highs instead. Was never a Meth addict though, but there’s no Supercrack Anonymous, yet

Tags: #addiction #drugs #alcohol #politics

8 April 2016
Twelve Angry Steps

This is a story about not being anonymous…

I’m not powerless over drugs and/or alcohol. My life has become pretty unmanageable, but I don’t need a higher power to return me to sanity. I don’t consider myself an alcoholic or an addict and I don’t go to meetings.

I certainly have trouble turning down subsequent drinks, after I’ve had my first 2 pints of strong European lager and I’m enjoying the company of friends or work colleagues. It’s probable that I will keep drinking until I’ve had 6 or 7 pints and I’m reaching an intoxication limit where I’m starting to slur my words and be unsteady on my feet. I won’t keep drinking though… I’ll normally bolt for home & bed when I’ve hit my limit.

I don’t think I’ve had an alcoholic drink before midday on any day except Christmas Day, and even then, only a handful of times. I’m pretty sure I never went more than about 10 consecutive days where I got drunk. I know I did 115 days without a single drop of alcohol. I didn’t cheat once, even though there were times that I was very tempted to bend the rules.

There have been times when my drinking was getting out of control, with beer every lunchtime, long Friday afternoons in the beer garden, drinking again when I got home, drinking all weekend. I’m not sure it ever qualified as ‘problematic‘ though. Drinking was quite ingrained in the lifestyle of my friends and the work culture, to the point that despite many years of being half-cut in the office, nothing has ever been said, except for one day I was so hungover I didn’t make it to my desk until 2pm.

But alcohol really isn’t my problem. Supercrack is my poison of choice. Certainly if I have this drug in my possession, there is limited chance of me doing anything sane or rational. There’s the added problem of unplanned binges as well. Once you pop, you can’t stop.

When I am struggling with active addiction, I tell myself all sorts of lies. The main one is that I will act in some kind of reserved, controlled way. Once Supercrack is coursing its way through my drugstream, there is very little chance of me seeing onrushing death and health damage as any reason to curtail my foolish actions.

Do we think that the many relapses that I’ve had mean I’m an addict for life, and as such, should always attach that label to myself, even when I’m ‘clean‘? Well, it’s certainly true that once experienced, things cannot be un-experienced, and there is disappointingly little dissipation in the desire to continue to use a drug that one has been addicted to, if there were no consequences.

Aversion therapy, is using negative reinforcement to break the addiction to something. If you link and associate enough unpleasant experiences with your addiction, the downsides start to outweigh the upsides, and it’s not so difficult to stay ‘clean‘. Could you be said to no longer be ‘addicted‘?

Human memory is a strange thing though. Negative memories seem to fade faster than positive ones. When you recall some event that was extremely harrowing at the time, each time you think about it, it loses some of its pain and regret. Humans are programmed to be optimistic and take risks. Otherwise, we would never have risked leaving our caves to hunt and domesticate sharp-toothed & clawed predators.

Another lie that I tend to tell myself when I’m slipping back into active addiction, is that there will be some way to satisfy my addictive demands with some harm-reduced and risk-managed ‘lapse’ that will stave off a full relapse. In actual fact, this then gives the excuse for the next addict lie, which is that the use of drugs can then no longer cease until I’m fully satisfied that I have extracted the maximum possible from the experience, even though the trend is clearly destructively spiralling downwards.

This drive to end a period of addiction on your own terms is kind of laughable, if I look at myself with a harshly critical eye. I can see that there is never any recapturing the initial high that you experience when your tolerance is low and your body in a healthy state. Your days are literally numbered while you’re in the grip of a dangerous addiction, and refusing to acknowledge that continuing is futile and foolish.

Most people run out of money or run out of luck before they have exhausted their demand for their drug of choice. The common street drugs have been on the market for long enough to find a price point that has been optimised to fit the addictiveness of the drug to an affordability that ensures steady demand.

I feel very grateful that I never became addicted to Cocaine, Crack Cocaine, Heroin, Crystal Meth or other street ‘hard‘ drugs. They say a fool and his money are easily parted, and so, the street drug addict must be the biggest fool of them all.

Or is it so clear cut? With street drugs, at least you have some direct human contact with your dealer, who has a symbiotic relationship with you, and therefore a reason to not let you tip over the edge into total self annihilation. Often, social groups might form around drug use, and there’s a kind of safety in numbers. Even an addict might heed the advice of another addict when somebody says “I think you’ve probably had enough“.

Having essentially unlimited access to the drug you’re addicted to, with virtually zero oversight or social ties, is like playing a game of chicken where you’re invisible to an oncoming bus driver. Only you can jump out of the way of the bus. The drug will never blink, never back down.

And so it is, I find myself able to relate to most of the stories I hear addicts and alcoholics tell, but there is something terrifyingly unknown and isolating about being amongst the first addicts to have become ensnared by mass-produced Chinese legal research chemicals, and with unlimited access to the world’s hardest drugs, with a few mouse clicks on the Dark Web.

Governments have no idea what the consequences of trying to head off the cat & mouse game of criminalising novel chemical compounds will be. The invention of the Dark Web and the synthesis of these new ‘designer‘ drugs is surely a reaction to laws and prohibition. Who could have foreseen that this would create new drugs, new markets, trap unintended types of people into the horrors of addiction and criminal justice?

That’s a rock of Crack Cocaine that I was offered on the street soon after moving from North London to East London. Disruption in somebody’s life can expose them to things that they’ve never experienced before.

Tags: #drugs #addiction #notanonymous

3 April 2016
Ding! Ding! Round Two!

This is a story about comebacks…

I have very little memory of the last couple of weeks, or maybe even the last couple of months. I’ve basically been backed into a corner, shaking with the stress and feeling of being totally overwhelmed by the task of having to deal with all the things that couldn’t be put off any longer.

The ‘pinnacle‘ or culmination of this breakdown period, was when bailiffs entered my flat in order to cut off my gas & electricity, for non-payment of bills. The bills, naturally, had remained in a pile of unopened post, with me none the wiser as to the growing threat of this debt collection. Of course, I knew that the bills had to be dealt with sooner or later, but the crisis point happened to be reached just as I was sleeping off the ‘hangover‘ of the last three months silliness.

I’ve basically been asleep for about 2 weeks, because I started taking Mirtazepine, which is an atypical antidepressant which was prescribed to me years ago, and I thought was OK at the time, but addiction issues kinda derailed me from taking it on a proper regular basis. This time around, I found that it helped me to get to sleep, and then carry on sleeping as a stress avoidance tactic, for much of the following day, until there were only a few hours of evening to fill before I could take my next dose.

This medication was not prescribed to me for depression. It wasn’t prescribed to me at all in fact. I prescribed it to myself to treat drug withdrawal symptoms, after a hefty period of abusing legal benzodiazepines and Supercrack. I’m not exactly sure when this crazy new UK law comes into place, pretty much banning anything that’s psychoactive, but I don’t want to be trapped into being dependent on something that’s illegal.

As it stands at the moment, it has been over a year since I have accessed the Dark Web and I’d like it to stay that way. The Dark Web can end up being unhealthy window-shopping for a former junkie, and then eventually, in a moment of weakness, disguised envelopes containing all manner of disruptive troublemaking can be wending their merry way to you through the postal system. That’s a situation I definitely want to avoid.

Withdrawing from Mirtazepine was extremely unpleasant. I was overwhelmed with anxiety and insomnia. I’m hoping tonight will be better, but today, at least I didn’t have the daytime sleepiness and lethargy that allowed me to spend the best part of 2 weeks in bed. I even made the bailiffs come and collect a credit card from my grubby mitts, while I lay in my pit of despair.

You see that slight upswing at the end of March? Hopefully that delimits the end of months of depression and drug abuse, and the beginning of a period of productivity. I’ve tackled some of the most pressing stuff that had to be done today, and if I can steer clear of the medications/research-chemicals that seem to make all your troubles go away, then things can continue, provided I don’t become totally overwhelmed by stress and anxiety.

It feels like the Government is testing us, risking our lives, to discover what happens when they pull the rug out from under our feet. The shoddy, hole-filled ‘safety net‘ has finally been so undermined, that nobody could possibly consider it an option, no matter how dire their circumstances. Get better or die, is the Government’s unspoken mantra.

Personally, it is long overdue, me pushing myself to find more contract work or even something permanent, provided it isn’t going to grate and gnaw at my soul so intolerably, that there’s little point as the outcome would be entirely predictable.

I say “long overdue” but that’s a little unfair on myself. The winter, plus the timing of losing my contract were particularly hard on me, coupled with the fact I was completely exhausted from efforts expended on the doomed HSBC Customer Due Diligence project anyway. I did need some time to rest and recuperate. There were chances to get straight back on the horse, and I would have done if fortune had favoured those opportunities, but the optimism of November of last year quickly turned into resignation about the wasted 6 or so weeks of Xmas build up and early New Year ‘dead spot‘ in the recruitment calendar.

I actually feel reasonably awake and alert, and not totally overwhelmed when my thoughts turn to my todo list. I know that my suit and shirts are dry cleaned and shoes are shone, ready for action, and even that doesn’t worry me now that the clocks have sprung forward and the weather can surely only improve from this point (famous last words!).

I know that I’d dearly like to see my Sister & Mum, now that I’m a bit more well. Too many broken promises and wasted good intentions in the last few months, so I’m not going to rush at anything, especially as my sister was really cross at me recently, using my parents words. It’s easy to discredit and undermine a person’s character when they’re keeping themselves a safe distance away from yourself.

I know my blog has been my refuge and something solid to grab onto during some pretty wild storms, and it upsets my sister that I have seemingly had so much time to blog, but I hope you’ll be seeing a return to consistency and continuity that went awry during the turbulent first months of 2016. Let’s see where it takes me next, and I hope it’s informative and entertaining for those following at home.

So deep think. Much complicated. Very story to tell. Wow!

Tags: #recovery #depression #stress #anxiety #drugs #addiction

29 March 2016
Starting Recovery

This is a story about the day when things start getting better, not worse…

I took a bath in Supercrack. It was very dilute, but I still took a bath in my ‘drug of choice‘. Countless nights of sleep had been lost and psychosis had me in its grip. I was convinced the police were about to break down the bathroom door, it was time to destroy evidence.

I had been hiding in the bathroom all night, freezing cold, believing that the police were going to enter my bedroom through my window. As hypothermia was setting in and I was shivering uncontrollably, I ran a warm bath to bring my core temperature back to a safer level.

I had tried to use various reflective objects to look under the crack at the bottom of the door, and even shouted out “hello! do you speak English?” to the intruders I could hear. I saw various things: a pile of red boxes, a woman lying on her side, a man peeking around a corner. None of these things could be seen with much clarity, using a shiny chrome plug as a mirror.

I was kinda angry about my private room being invaded by people who didn’t say who they were or why they were there. I decided I would warm up a bit before confronting them. I was also considering the possibility that they were just visual disturbances due to sleep deprivation.

As I lay in the warm bath, I heard burly men in boots enter the reception of my building, and I was 100% certain that this was the police, and I heard one of them say “so the guy we want’s called Nick, right“. I heard purposeful, authoritarian, footsteps in the stairwell.

I decided I couldn’t risk my remaining Supercrack being found and lab tested. I washed the bag of it out in the bathwater, while I sat in the lukewarm water. Then I towelled myself off and came back into my bedroom. There was nobody there, and no evidence of any interference with the windows.

I was momentarily annoyed that I had destroyed my drugs unnecessarily, but it needed to be done as soon as possible anyway.

So, I woke up this evening after about 16 hours sleep, and I had something to eat rather than taking drugs. Almost like a normal person, sleeping, and then having breakfast. I spoke to a friend on the phone and we arranged to see each other. Normally I’m concerned whether the barricaded doors are strong enough to hold the World out.

I should have gone and seen my GP today, but I woke up at nearly 6pm, and I’m still freezing. Everything will happen sooner or later, provided I can resist the temptation to re-order any more Supercrack.

That was a full relapse, and I might possibly still be in its grip. I had ordered a 1 gram bag, used all of that (mostly doses that were so high that I spent 18 hours in complete psychosis) and this time I had ordered a 5 gram bag, and had been doing a lot better at remembering “less is more” when it comes to powerful psychoactive drugs.

Stimulant Psychosis is strange. You’re hypervigilent, so there is always a real seed for every strange thought that you have. You get ‘stuck‘ doing something repetitively, obsessively. Sometimes, you’ve succeeded at doing whatever it was that you were trying to do, but then you undo your own work, because you just can’t leave it alone. The skin on my hands is tough and calloused from the amount of manual work I’ve been doing during these psychotic episodes. My body fat has dropped to a few percent, but my core muscles have become more defined, more toned, from the strange physical activities that I have performed for hours and hours.

Sure, I need to wear a belt again, and even do it up an extra notch, but the self-neglect, the damage, is probably limited to my brain. I’ve been drinking plenty of isotonic fluid, keeping glucose levels topped up.

I don’t think you could ever combine Supercrack with a functional life. Taking an Ecstasy pill so you can dance all night at a rave on a Saturday night, and then going to work on a Monday morning can be done when you’re young enough. Because of the urge to binge, the lack of sleep & food still leaves you in a pretty shitty state after 3, 4, 5 days locked away somewhere, shovelling powder up your nose.

Some PTSD damage might have been un-done. Nobody broke into my room. Nobody shouted at me. My legs are undamaged, and I didn’t need to go to hospital. There was no police involvement. A couple of times, I even managed to say to myself “I bet I’m imagining that” and dare myself to come out of the bathroom.

I still have most of the things that I had on my todo list, plus a bunch more. I’ve also delayed being able to start interviewing and a full-time contract, until my weight and sleep are more compatible. I feel less overwhelmed than previously… a fatalistic philosophy has been forced onto me.

There’s a chance that something good could come of all this. If I get to become a published author, it increases my chances of being able to publish again. Ending an addiction in this way is much better than how it ended before: being dragged out of a hostel by police and dumped at a hospital where I got a massive telling off from the consultant.

I hate winter in the UK.

Tags: #addiction #drugs

21 March 2016
Self Medication (Part Three)
This is a story about being tired & depressed all the time…

As things start to get out of control with uppers and downers, you’re going to come across legal highs and the black market sooner or later. Let me describe my life to you, after it was ravaged by depression: I never left my bed except to go to the toilet. I never answered my phone. I never answered the door. What does a depressed person want? They want a life.

For the summary of what I’d tried myself to date, you can read:

https://manicgrant.com/2015/self-medication-part-one

and:

https://manicgrant.com/2015/self-medication-part-two

I was completely disillusioned with medications. The common antidepressants take 6 weeks before they kick in, and they’re a nightmare to stop taking: the withdrawal effects are horrible.

I went on a legal highs website, and I systematically worked though every chemical they had on offer:
- 5-IAI
- 6-APB
- MDAI
- Benzylpiperzine
- Ephenidine
- Ethylphendiate
- 3-Fluromethamphetamine
- 3-Flurophenmetrazine
- Methedrone
- Methiopropamine
- Methoxphenedine
- Methylenedioxypyrovalerone
- Mephedrone
- Methylone
- Pentedrone
- 4-MePPP
Those are just the ones I can remember. I have a spreadsheet somewhere that documents everything I bought, and all the dosages I took. I used a high accuracy measuring scale (down to 0.001 of a gram) which I calibrated before every use, and I was careful to do an ‘allergy test‘ before taking anything approaching a psychoactive dose.

The short version of the story is… all these designer drugs were a pile of pants. Complete rubbish. Waste of time & money.

With one exception: Methylone. The chemical name of Ecstasy (MDMA) is 3,4-methylenedioxymethamphetamine. The chemical name of Methylone is 3,4-methylenedioxy-N-methylcathinone. Basically, the clever chemists swapped out the crystal meth and replaced it with Meow Meow. The novel compound is known as βk-MDMA, instead of just regular MDMA.

If you were to try and take Ecstasy every day, you probably wouldn’t get much sleep, and people would think you were really weird. Your face would be gurning all over the place, and you’d keep telling strangers you loved them.

Methylone is not like that. It was as if I’d just gotten over a really bad sickness and I was back to my old self. I had energy and motivation. I could feel joy again. I was getting stuff done. I was functional.

I used to measure out my exact same dose every morning, and then I could feel the storm clouds part about 30 minutes later, and I could get on with a normal day, just like a normal person. I did my work. I did my chores. I socialised… I had re-entered the world.

This went on for the best part of 6 months, and then the government decided to make it illegal. I stockpiled as much as I could afford (about 2 months supply) but when that ran out I was screwed.

Prolintane and Pyrovalerone (sold as Jolly Green Granules) propped me up for a while, but I had pretty much lost my antidepressant. There was no more gas in the tank. The engine was spluttering to a stop. All the other stims I tried were just that: stimulants. They made me awake, alert and they stopped me sleeping. The best part of all about Methylone had been that I could sleep normally at the end of the day.

Out of a suicidal death-wish, I tried NRG-3, which sounded from anecdotal experience very much like MDPV (Supercrack). I was so terrified by this chemical that I diluted an entire gram in a litre of water so that I could measure a very precise 3ml (3mg) as a test dose, using an oral syringe. Turns out that water completely screws up the compound.

Anyway, after the car-crash that was my ex’s brother’s wedding, I decided “fuck it” and measured out 15 milligrams of the powder on my scale.

“Binge” was not a term that I had first-hand experience with. Not until that point.

When 3 or 4 days go by, you haven’t eaten, you haven’t slept, you’re just shovelling white powder up your nose… yeah I guess I had my baptism of fire.

When you wonder what day it is. When you wonder when the last time you checked the time or the date, or did any kind of reality check at all… you’re pretty deep into a binge.

It’s weird, how somebody who was always so self-disciplined, so self-controlled, even with coke and speed and pills… one day they find their drug of choice and they’re like an instant junkie. I did kinda panic a bit when I’d had 800mg of a 1000mg bag, because I’d read about somebody who suffered heart damage after 800mg of this potent stimulant, but you find yourself saying “ok, well I’ll make this the last one“…. until it’s all gone… and all you can think about is when can you get some more.

The reason it was so addictive, is because it broke my dependence on my girlfriend. We needed to break up, but I couldn’t see an alternative. I couldn’t imagine going backwards to go forwards. This stuff was powdered girlfriend. She no longer had any power over me anymore. I wasn’t afraid of us breaking up.

She didn’t like that very much.

Tags: #drugs #addiction #depression
6 February 2016
Inside The Priory

This is a story about rehab…

What’s the difference between detox, rehab and inpatient treatment for mental health disorders? Very little actually. Here’s my little exposé into being a patient of the UK’s most notorious private drug and alcohol abuse treatment provider.

As far as my medical records show, I was admitted to The Priory for treatment for Type II Bipolar Disorder, during an episode of acute illness. My private health insurance picked up the bill and JPMorgan gave me the time and the space to get better. They’re a great employer actually.

I had found a local private psychiatrist, as I was running out of ideas for how to deal with my Dual Diagnosis (Bipolar & substance abuse) and I knew that the stats weren’t good. Not many people recover from such a death sentence of a diagnosis.

I was very lucky to find the psychiatrist that I did. I had been trying to get in contact with a number of specialists directly, but things were very slow going during the Xmas/New Year period, when a lot of people suffer a big decline due to the bad weather and family pressure to put a jolly face on everything during the holiday season.

I contacted a general psychiatrist at the local private hospital, and he turned out to be one of the nicest, kindest people I could ever have hoped to meet. It was pure relief to meet somebody nonjudgemental who would hear my story without leaping to immediate conclusions. The first time I met him, he simply said “we can only play the cards we are dealt” which had me in floods of tears, as it was the first time that anybody had ever said something so kind to me.

I had been taking quite a kicking from my supposed loved ones – but I’m not going to go into that anymore – and been made to feel very guilty and a total failure for having gotten sick. It should be noted that I became clinically depressed and suicidal before any substance abuse entered the picture. Bipolar symptoms had always been present in my life, but it took a further 2 years to get diagnosed. Then, finally, substance abuse reared its ugly head and became the most pressing issue.

From my point of view, I had struggled for years and years with recurrent suicidal ideation, suicide plans. I have struggled all my life with mood instability. To be simply dumped in a bucket labelled ‘lost cause addict‘ was a bit s**t to be honest, after 30 odd years of reliable good service, despite fairly debilitating mental health problems.

Perhaps I’m complaining too much, making too much of a big thing of my struggles? Yes, yes, yes, there are people who’ve had it so much harder than me, blah, blah, blah. Ok, unless you’ve sliced your forearms multiple times, lengthways along your veins, with a razor blade, do me a favour and shut up? Some of my friends are wonderfully supportive and have gone out of their way to learn about mental health problems. Perhaps you could follow their example?

So you think this is attention seeking? Save it for the funeral.

It’s true that it’s taking me a while to work up the bravery to take the Final Exit. Ending your life is a big deal, and you’ve got to do it right, otherwise you’re just going to end up in hospital in pain.

I’ve had cans of inert gas to suffocate myself, 2 grams of Potassium Cyanide, enough barbiturates to slip into a coma and drown in my hot tub while unconscious, travelled to the top of tall buildings, cliffs and peered over the edge of high bridges. The most serious attempt I made was trying to open my veins with a razor blade. I must admit though, I was just testing the water. You want to make sure that you open some major veins, like the jugular, if you want to die quickly.

Stupidly, I still have hope and some faith in myself. I should write myself off for dead, like those-who-shall-not-be-named have done.

So it came to pass that I went into The Priory, with a referral to one of the country’s leading experts on Bipolar Disorder and Dual Diagnosis. JPMorgan were told that I was experiencing mental health problems (true) but the main objective was for me to detox for 28 days, so that there was a clearer clinical picture, and the treatment of my Bipolar and depression could begin.

That makes me an addict right? Don’t need to read the rest of the story. Skip to the end. Case closed.

Well, actually, The Priory and my psychiatrists were concerned with my mental health, and saving my life, not just labelling me as an addict and sticking me into the revolving doors of mistreatment and stigma that those suffering individuals endure. The Priory is actually a private hospital, and cares primarily for those suffering with various mental health disorders that are less controversial and stigmatised than substance abuse. There were ten times as many patients who were there because of depression, anxiety, schizophrenia, borderline personality disorder, eating disorders etc. etc.

It’s actually all part and parcel of the same group of problems. One fellow patient had been admitted with mental health issues, but out of some drive to self-destruct, she started filling up a mug with alcohol-based hand sanitising gel and flavouring it with orange squash, and drinking it to get drunk.

One of my fellow patients tried to commit suicide by climbing a high wall and hurling herself off, while I was there. Does it matter if she was being treated for depression, or for substance abuse? The fact of the matter is that she was suicidal at that moment. Mental illness of some kind had driven her to try and take her own life.

There was a game we used to play, when a car used to roll up to the house, and out would step the worried looking family members, dragging some dishevelled son, daughter or partner out of the back seat and into a meeting about admission. We used to try and guess what they would be admitted for. Sometimes it was obvious – if they had red wine all spilt down their clothes for example – but often it was nearly impossible.

But what’s it actually like, in private hospital? Are there rock stars and stuff? Well, my doctors had treated a number of high-profile sportsmen and women, but when I was there, there weren’t any rock stars. Couple of millionaires but no rock stars.

Really, it’s much like an NHS mental hospital, except a little more well appointed. Everything is bolted down and the windows don’t open and the doors don’t lock. The lights don’t dangle down and there are no curtains. Mirror glass is made of plastic, and pictures are screwed to the wall, not hung. Yes, there is quite a lot of anti-hanging thought that has gone into things.

When you arrive, you will hand over your razor, scissors, tweezers, solvent containing toiletries, shoelaces, belt etc. to the nurses to keep at their station. If you want to have a shave you’ll have to ask for permission, and you’ll only get a short amount of time to attack your face with something sharp.

Plus, it’s still a hospital, and people are very sick. One woman said to me “it’s OK, your secret is safe with me” and tapped her nose with a knowing wink. It later emerged that she thought I was a royal prince, and that my presence in hospital was a state secret. She also came into my room and stole all my underwear and my books, before the nurses tracked down her hiding place.

The rooms are actually as good as any 3-star hotel, with a writing desk, nice view of the gardens, an OK single bed and an ensuite with no shower curtain or plug (drowning is frowned upon). Once you’re off suicide watch, you might get to move to one of the double bedrooms that are further away from the nurse’s station.

Other than the slight refinement of having a TV and a telephone in your bedroom, there is little different from NHS mental health treatment. The food was very good, I have to say, but your days are generally structured around morning and afternoon trips to the dispensary hatch for your medications, and being regularly checked on by nurses if you’re not in some group activity.

Between art therapy, yoga, mindfulness, music therapy, table tennis, TV, movie night and generally socialising with the other patients, it all sounds like a thoroughly lovely spa break. There was a gym and quite big grounds that one could roam in, provided you told the nurses where you were going and how long you’d be gone for. Leaving the compound within my 28 days was forbidden.

Your partner can come and visit you, and you can give a knowing wink at the nurses station before you have sex, so that nobody barges in on you unannounced. Just don’t take too long. Visiting is only on a Sunday, so you’ll probably have a sack like Santa anyway. You have to hand over your mobile phone and laptop, and digitally detox, so pornography is hard to come by. Probably because sex addiction is also treated at the hospital.

We should remember that although people talk about ‘rehab‘ we need to be quite clear about the treatment route of substance abuse. There is first a detox. It’s necessary to break the body’s dependence on substances, and treat the withdrawal. If you are an alcohol or a benzodiazepine abuser, there’s a good chance that withdrawal could kill you, so the hospital will put you on tapered medication to get you off those substances. If you are an opiate abuser, you will get very sick from withdrawal symptoms, and these can be attenuated with substitute prescribing or by putting the patient into induced sleep. If you are a stimulant abuser, you will suffer cognitive impairment, exhaustion and suicidal depression.

After detox, which could take the whole 28 days, then comes rehabilitation. Depending on how dysfunctional a person has been, they could need 3 to 6 months of rebuilding their damaged life in a safe environment. Just breaking the cycle of chemical dependency is not enough. There’s a reason why a person entered that cycle in the first place. There’s a reason why that person stayed in that cycle.

We know that gambling addicts don’t inject packs of cards into their veins, so addiction can’t just be about chemical substances, can it?

So it was, as my time at The Priory drew to a close, the staff gave me the bad news that my treatment was incomplete. I would need another 3 months of rehab if I wanted to make the changes permanent. I flipped out. I discharged myself, went home for a day. Then I spoke to one of the staff on the phone and decided to go back for the remaining few days of treatment. She-who-shall-not-be-named decided that I had “failed” in my commitment to getting better. That’s simply a lack of understanding about the commitment that is needed to support somebody in recovery.

Recovery is not about abstinence, it’s about having people who love you trying to support you. Support does not mean hectoring, bullying, nitpicking and generally being obnoxious to a person. Your holier-than-thou drinking and smoking and generally behaving like it’s OK to do whatever you want and laughing in the face of the abstainer is not helpful, OK?

Abstinence doesn’t even work anyway. It’s just a continual reminder of what people want to believe: that you’re somehow a bad person, that you’re faulty, defective. People want to treat you differently, want to label you. Teetotallers are ridiculed, treated with contempt. Why bother being teetotal?

Certainly, not being a smoker was a problem in hospital. There would be long periods where I was left all on my own, because everybody was outside smoking. There is no real abstinence in the world. I found the nurse’s stash of caffeinated coffee in one of the more remote kitchens, and in some hospitals you are even allowed to have caffeinated drinks. ‘Addicts‘ are encouraged to not give up smoking and tea/coffee, because they will need those things as a crutch, during those early days of abstinence.

If you look a little more closely at human behaviour, you will see that people are self medicating in one way or another. You’ll see the hypocrites, dosing themselves up with stimulants in the form of caffeine. You’ll hear the hypocrites, being hypocritical about addiction inbetween puffs on their cigarette. You’ll suffer the hypocrites, swallowing their pills and liquids they have as government sanctioned, medically approved substitute addictions.

I could go to my doctor and get a prescription – called a script in addict parlance – for something to salve my addiction and turn it into something seemingly acceptable in society. It’s OK if my pills come in boxes from the pharmacy, with my name printed on them and with a prescription from my GP or psychiatrist?

If I had to go to work at the moment I would probably need some Dexamphetamine, or at least a gallon of super strong black coffee. Because I’ve used so many stimulants, I can drink heaps of coffee without having the anxiety, palpitations and sweats that you would get, but it’s a poor substitute for genuine amphetamines, even if the caffeine molecule is virtually identical.

There’s no magic in treatment. There’s no magic to recovery. It’s just time & space and being treated nicely by people, being respected as a human being.

It’s important to respect people.

Just respect people.

Tags: #addiction #alcohol #drugs #suicide #mentalhealth #nhs #bipolar #depression

22 January 2016
Narcissist’s Survival Guide

This is a story about unusual techniques to stay alive…

I once filled up a law firm’s email server with pictures of myself. I was quite concerned that I was dying and wanted to get the attention of the family friend who was mediating on a matter that was very stressful – an acrimonious divorce was threatening my life & livelihood. Still, very strange behaviour.

When I was getting completely nonsensical replies via email from somebody, I started CC’ing more and more people, so they could see that none of my questions were being answered and an ulterior motive was being pursued by this other person.

Obviously, letting people know when I was in hospital was a bit ‘attention seeking‘ apparently, but messages of support were gratefully received. I know I still have to reply to quite a few people who were kind enough to reach out, but you can believe me when I say your messages did really make a difference.

There was a guy in London who was going to kill himself, but he decided that if, as he walked along, one person looked him in the eye and smiled at him then he wouldn’t go through with it. The urban solitude of London had made him feel invisible, uncared for, alone. Thankfully, somebody did look him in the eye and smile. Human connection is important. Somebody saved that man’s life with the simplest of gestures that cost nothing.

Urban solitude is a problem for many new arrivals in the capital. People have their headphones plugged in, reading a book, or their kindle, watching a movie on their tablet or perhaps just idly playing with their phone. Especially in the morning rush-hour, nobody is talking or in any way acknowledging that you’re all crammed together like sardines in a stuffy tube carriage, on the way to that job that you all hate, from some far-flung flat that you can barely afford.

Anybody who shops in a town centre is probably expert at avoiding the people with clipboards who “just need a moment of your time” to fill in some survey or sign up to direct debit some regular donation to a particular charity. We have become experts in walking right through people giving out leaflets, who aggressively thrust them into areas of our body near our hands, but yet we avoid actually taking a damn leaflet. We can walk right past the beggar and the Big Issue seller without even acknowledging their existence. 1,000-yard stare, off into the distance, and pretend like you didn’t even hear them, didn’t even see them.

I was thinking today about the improvements that Frank made to his story he told me, in order to seem like a more worthy cause. He shaved 4 years off his age, and showed me his forearms and asked me to inspect for the track marks of an injecting drugs user. It makes me feel bad that I’ve told my own story of homelessness, if people are going to dismiss it because of my drug use that I’m being completely honest and open about.

When you meet homeless people, they are often very keen for you to know that drugs and alcohol play no part in their homelessness. To be honest, I was very surprised, when I sat down to have a chat with a homeless person, Matt, underneath the bridge outside Chiswick underground station. Matt was extremely articulate and erudite, and I owe him a big debt of thanks for some of the nuggets of information that were later to serve me well on my own journey through homelessness. I have to admit that although I believed him, I was extremely shocked when he told me he had no drug or alcohol abuse in his past. He was simply p**sed off with the system.

If it looks like I’m dropping all this stuff about getting to know the homeless, and trying to help Frank, into this narrative in order to big myself up as some kind of philanthropist, you’re wrong. Actually, I found it fascinating, informative, later useful and certainly helping Frank helped me to avoid dealing with my own life at the time, and feel better about myself. There was no alturism there. It was escapism.

Every fun-run that you go on. Every sponsored walk or abseil, or parachute jump or whatever it is… you probably did it because you wanted to do the activity, to feel part of the event, to feel like you made a difference. Sadly, you didn’t, except to your own sense of wellbeing and achievement. Yes, we salve our middle-class guilt by making paltry charity donations and taking part in fundraising. Charity doesn’t work. It’s failed.

We are arriving now at a situation where we are in the middle of a refugee crisis, a housing crisis, a benefits crisis, a pension crisis, an economic crisis, a mental health epidemic. Cancer, AIDS, Multiple Sclerosis and a heap of other diseases are still rife. Poverty has not been made history by any rock concerts.

I’m absolutely not discouraging you from getting involved with philanthropic work, and if you’re a volunteer or you’re doing your bit to directly help in the lives of others then I applaud you… not that you want or deserve such condescension. Sorry about that.

Everything’s just so damn broken. Life’s really not working well for the vast majority of people on Planet Earth.

If you’re not part of the solution, you’re part of the problem, and I feel very guilty indeed.

Here I am being driven to work through a massive slum in Mumbai from my 7 star hotel. I’m off to help JPMorgan process $1.16qn of Credit Default Swaps, with a team of underpaid Indians who travel for hours on dangerous and overcrowded busses and trains to get to the office. Do you think I was helping this nation of 1.1 billion souls?

I was there in the middle of Ganesh Chaturthi and the monsoon rains. The streets were crammed with trailers with idols and flowers being towed to the sea, with dancing neighbourhood groups beating drums and dancing in the road behind them. The roads are pretty much gridlock anyway, without some gawping tourist of an investment banker sitting in the middle of the chaos with his private driver.

We can feel very special being driven around in the developing world, and living like a king relatively speaking. Many people fall for it. Many people fall for the trick and start believing they actually are special and they deserve their place in the world. That, for me, is where a person can cross the line and stray into narcissism and a sense of entitlement.

Several friends have told me virtually the same story, about thinking they were a hit with the ladies in South Asia or South America, and having ‘pulled‘ a local girlfriend, they were surprised when later asked for cash. Just because you’re not obviously in a whorehouse, doesn’t mean that you’re not participating in prostitution. Just because you’re not obviously on a cotton plantation, doesn’t mean you’re not participating in slavery.

Economic slavery means using your hard currency (Dollar, Sterling, Euro, Yen etc.) in order to buy labour (and all labour’s fruits) far more cheaply than you would be able to in a country with a hard currency. You can’t get pedalled across a European city in a bicycle rickshaw for less than $1. In London it’s £10/minute to be ferried around in this manner, and you can be stung with a £200 bill for a journey that would take 3 minutes by bus.

So, I’m able to sit about on my arse writing the equivalent of two novels all about myself on a blog, peppered with photographs of me. This can only happen at the expense of everybody who grew my food, stitched my clothes and manufactured the expensive laptop on which I type these very words. You could say I’m the ultimate narcissist and profiteer from the hard labour of others.

However, modern life can make you very sick. My friend Klaus often says “it is no measure of health to be well adjusted to a sick society“. I think he’s right. Just because we are dry and warm and well fed and comfortable here in the UK, doesn’t mean that our island is now ‘full‘ and we should ‘look after our own‘.

We are beginning to pay the price for Imperial aggression and an unwillingness to share. That we don’t even redistribute enough wealth to end homelessness and poverty within our own borders, shows just how far we have taken small-minded ‘look after number one‘ attitudes. The tabloid reader’s belief that immigrants are not an integral part of our society, is ironic when a great many of Britain’s working class are clustered together on sink-hole estates that they can never escape. Nobody from higher social strata would ever have cause to venture into the isolated community of poor white Brits.

Do I think I’m better than those people? Am I above living in a council flat, claiming JSA and integrating with the [not] working class? Actually, I feel rather angry that these people have been manipulated by the media into scapegoating the wrong group of people. It’s the moneyed political elite who are the reason for economic inactivity and stressful hand-to-mouth existance of the ordinary British public, not the immigrants and refugees.

Yes, I’m privileged. Yes, I still have some shred of self-esteem. Yes, I’m somewhat conceited in writing so much about myself and plastering photos of me all over it. But am I unaware of my actions? Am I unable to perceive the self-absorption of it all? No.

The fact of the matter is that I just don’t want to be trodden underfoot, so I’m yapping like a little dog. I don’t want to end up dying young, with everybody wondering what happened and whether they could have helped at all, whether they could have intervened.

Suicide might be a sane response to an insane world, but I do appreciate that it’s not a pleasant thing for other people to have to deal with, when you’re gone. I’ve written before about compassion fatigue, and it must be hard when one of your friends or a family member becomes unwell with something so poorly understood as a mental disorder.

Drinking yourself to death, or slowly killing yourself with drugs… these things are clearly part of the spectrum of mental disorders. Substance abuse is just part of a complex picture of declining mental heath that is tightly bound up with prejudice and urban myths.

I had to quit drinking for 101 days, and all drugs and substances for 6 months, in order to be taken seriously. I suffered for my art and my cause: to draw attention to the plight of ordinary human beings who are suffering, not because they are corrupt and immoral, but because our very society is sick, and we are turning our back on our own friends and relatives, because of stupid media bulls**t.

Things have to be pretty bad in somebody’s life for them to take a risk with a deadly substance. Things have to be really bad in somebody’s life for them to be driven into the arms of a chemical dependency, in preference for choosing life.

Why did I choose not to choose life? Why did I choose something else?

Tags: #drugs #addiction #homeless #frank #career #divorce #politics

21 January 2016