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I'm a writer. I write about life with bipolar disorder - also known as manic depression - so my eponymous alter ego is MaNic Grant.

I've written more than 1 million words: it's the world's longest suicide note.

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nick@manicgrant.com

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Beach Body

6 min read

This is a story about going on a diet...

Flip flops

571 days ago I decided that I was allowed to drink heavily and eat whatever I wanted. I had at least a bottle of wine every day and ate mostly fast food. I decided that this was my reward for working virtually non-stop: to guzzle gallons of alcohol and devour mountains of fatty food. My evenings were spent in McDonalds, KFC, curry houses and pizza places. My evenings were spent drinking glass after glass of red wine.

Unsurprisingly, I put on weight.

I was living in a hotel for a while, which was next door to a gastropub. I lived on calorific food, like lasagne & chips, washed down with large glasses of red wine. When I got back to my hotel room, I would continue drinking large glasses of wine. I decided that it was my reward for the miserable life of living in a hotel, to eat and drink with gay abandon.

I put on more weight.

Then, I noticed that I was putting on weight. I noticed that I had a tummy. I got out of the shower one day and I saw my own reflection in the mirror, and I realised that I had gained a belly. I've never really had any problems with my weight, so I was kinda shocked, although by this point I had been gaining weight steadily for roughly 9 months.

I didn't change my behaviour.

I did stop living in the hotel. However, I lived on takeaways and beer. I had a takeaway almost every night of the week, and I washed all that fatty food down with vast quantities of beer. I was going to the supermarket on an almost daily basis to re-stock the fridge with beer.

Then I stopped drinking.

My alcoholic friend killed himself. He drank himself to death. His alcoholism had raged out of control for a long time and hadn't claimed his life, but health complications quickly began to create a compounding problem and he knew that he was going to die; his quality of life was rapidly deteriorating. This event, coupled with my unhappiness about being a little overweight, was enough of a catalyst for me to quit drinking.

I was teetotal for nearly 5 months.

Then, I started drinking heavily, eating restaurant food and having takeaways on a regular basis. I drank loads of white wine and ate lots of very rich gourmet food. I had lost some weight by simply being teetotal. I had reached a point where my weight was under control and I felt better about my appearance, but then I quickly undid that by drinking and eating so much.

Now, I'm trying to lose weight again.

I'm not trying very hard to lose weight. All I've done is cut my daily calorie intake. I've stopped drinking - mostly - and I've stopped having takeaways and restaurant food - mostly - and I've stopped having large lunches. I've stopped eating breakfast. I've stopped snacking. On average, my weekly calorie intake has been cut pretty drastically.

I still don't do any exercise.

I joined a gym at one point, but I never actually went. The circumstances of my job changed and I found myself living in the hotel. It was hard to motivate myself to go to the gym when I had the miserable existence of living in a hotel. The highlight of my evening was my gastropub meal and red wine, so I can't imagine that there'd have been much point going to the gym.

I should do some exercise.

I'm making some very big changes to my medication at the moment. I'm tapering off high doses of tranquilisers and sleeping pills, in order to be medication-free by the time I go away on holiday, the day before my 40th birthday. I have less than a month to rid myself of physically addictive benzodiazepines and highly psychologically addictive sleeping pills. I have a horrible month ahead of me, filled with rebound anxiety and rebound insomnia. It's not easy to stop taking medication and it's extremely unpleasant to rapidly stop. Going cold turkey is not even an option - I could have seizures.

I'm making good progress.

Apart from last night, where I got extremely drunk and ate a gigantic burger and chips, Friday night where I drank two bottles of white wine, and Monday evening when I had a takeaway, I've not been drinking, eating takeaways or eating in restaurants. I've also managed to reduce my sleeping pills by 33% and my tranquilisers by 50%. I'm changing a lot of things all at once. It's very difficult to change so many things all at once, especially while I'm going through a very stressful high-pressure period at work, with some very demanding tight deadlines.

It'd be wonderful if I was superhuman and I could work full-time, have very little sleep, write every day, look after my kitten, keep my house clean, quit drinking, go on a diet, stop taking addictive medication AND do some exercise, but I'm afraid that it's too much to ask - the exercise will have to wait until life gets a little easier.

I know that I'll get more enjoyment out of my holiday if I'm fitter and in better shape, but the holiday is the respite I desperately need; the rest and recuperation; the reward for 571 days of almost continuous work, with the exception of a week-long jaunt to Turkey and two weeks in Mexico. My last holiday was nearly 7 months ago, and I've been through a house move and a breakup, as well as working exceptionally hard.

The beach body will have to wait, although my small lifestyle adjustments will help. The weight isn't just going to magically disappear, but I shall have to content myself with stopping the rot - I simply haven't got the bandwidth to be able to exercise on top of everything else on my plate.

 

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Not Drinking Again

2 min read

This is a story about teetotalling...

Bottles

I have stopped eating breakfast, have stopped having large lunches, stopped snacking and have stopped drinking alcohol. This is all part of an effort to lose some weight before going on holiday.

It's surprising that a few simple lifestyle changes can cause me to lose weight, when I do no exercise whatsoever.

I've been hungry, but only in the evenings.

I've craved alcohol a little bit, but only occasionally.

There have been surprise bonuses, beyond the weight loss.

I have more energy. In fact, I have too much energy. I've been sent into hypomania. I've been staying up late at night, thinking about making random expensive purchases. I've been argumentative and combative. I've been short-tempered and impatient. I've been impulsive. However, on the whole I feel a lot better than I did last week.

Not drinking is, on balance, much better than drinking a lot on a regular basis.

My life had started to revolve around my next drink: where and when would I next be getting a glass of wine or beer?

Living my life alcohol-free, I've dealt with some pretty awful stuff this week, but I've managed. I've coped.

When I was mixing alcohol with sleeping pills and tranquillisers, I was getting into some very strange states where I was half-dreaming, but I was still somewhat interacting with the real world: I was talking, but usually it was nonsensical because it was related to what I was dreaming about. Sure, this was at bedtime - in bed - when I really should have been fast asleep, but my brain managed to fight the soporific effects of vast quantities of sleeping pills, tranquillisers, sedatives and alcohol. I have no idea how I'm able to maintain consciousness with so much crap in my bloodstream, but I can.

I think that going [almost] alcohol-free will help me to catch up on sleep and reclaim some energy. I think that being [almost] teetotal will enable me to do more than eat, sleep and work.

Anyway, it's early days, but I would very much like to be in-shape for my upcoming holiday. It's motivating me to "behave myself".

Change is hard and my life has a lot of stress, but alcohol is not a great crutch. I think I'll be better off without so much of it in my life.

 

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Managing Bipolar Without Medication

11 min read

This is a story about personal responsibility...

Handful of pills

I often like to think that I'm 'cured' of bipolar, but the reality is that I can have incredibly functional periods, where it certainly appears to the outside observer as if I'm perfectly healthy. However, the stability of my life - and my mood - is not due to having received treatment, nor is it accident or pure good luck. There are a lot of choices, deliberately made, which keep me functional.

We must accept that whether I'm functional or not, I do experience a mood disorder: bipolar. I can be suicidally depressed but working productively at my desk, with my colleagues blissfully ignorant of my distress and the danger to my life. I can be fighting to control my hypomania with every fibre of my being, desperate to unleash the 'high' episode and experience a period of incredible creativity and productivity, but I know that my colleagues would bear the brunt of my irritability, and their suspicions would be raised by my fast speech and general intensity... I would be told to go home; I would be told I'm working too hard, and I would ignore them, only to subsequently crash.

I'm prone to taking huge risks. I'm prone to depressions that leave me unable to leave my bed or face the world for long periods. I'm prone to hypomanic episodes where I take on ridiculously huge projects, and somehow manage to complete them, but at great expense to my health and stability.

Nobody could say that I don't have to be aware of my bipolar disorder at all times, because it always threatens to plunge me into suicidal depression, or make my hypomanically high - neither state is compatible with a regular 9 to 5 Monday to Friday office job.

Luckily, nobody employs me because I'm a slow and steady guy; nobody employs me because I plod along doing nothing much in particular, keeping a low profile. The reason why I get employed is because I get stuff done. I get a lot of stuff done. I get things done that people say couldn't be done. Then, one day "I can't even" as the kids say. Yep. That's a complete sentence. I can't even finish a sentence properly when I'm having one of those episodes. I become dysfunctional if I don't manage my illness. There's no denying that I'm unwell when I get so sick I can't leave my bed, answer my phone or send an email: I go AWOL.

For years I struggled with the different episodes. I allowed too much of my hypomania to be conspicuously visible in the office. I allowed too much of my depression to overspill from my private life. I was in the office when I shouldn't have been and I wasn't in the office when I should have been. I allowed my mood to dictate my behaviour, as so many of us do, because it's virtually impossible to behave otherwise.

I tried being my own boss, so I could work as hard as I wanted when I was hypomanic, and sleep as much as I needed when I was depressed. Things got worse, not better. I tried tablets. I tried so many tablets. Things got worse. Things got so much worse and I became so dysfunctional that my life fell apart, but nobody believed me. I was sleeping rough in Kensington Palace Gardens - a complete mess - but because I sound posh and intelligent, and I've had a great career, nobody believed that I was losing my battle with my mental illness, and I was incredibly vulnerable. I desperately needed help, but to outside observers, I seemed to have some semblance of the self-reliance I'd always had... everyone assumed that I was as competent and capable as I'd ever been, and that I could take care of myself.

Things got very bad. I was hospitalised several times, both for medical emergencies due to physical health problems which threatened my life, and for the seemingly unending mental health crisis I was suffering. The fact I was alive was taken as evidence of my resourceful nature and self-preservation instincts - my ability to be responsible for myself - but it's pure blind luck that I'm not dead, along with a heck of a lot of skill, effort and energy by a vast number of medical professionals, who've saved my life during various organ failures, seizures and generally near-fatal awfulness which took place in high dependency hospital wards and intensive treatment units.

Today, my life gives few clues about the journey to this point. I have two large scars on my legs and a tattoo behind my ear. The tattoo is something that any observant person might see, as a tiny clue that I've been though some pretty appalling stuff, but the scars are usually hidden beneath my clothes.

The length of time that I've spent working closely with a close-knit group of colleagues, and what we've achieved together as a team, is the basis for the impression that people have of me, along with my general demeanour. I'm lucky enough to have retained my full faculties and suffer no impairment due to the horrors of the past. My colleagues see a competent and capable individual who they have come to depend upon - they trust me and the seek out my opinion. In this sense, you could be forgiven for thinking me 'cured' of bipolar.

I'm hoping that I will stay in my new home city for a long time, and I will build an ever-increasing circle of friends, neighbours and other acquaintances, who see me going about my daily business; who have pleasant normal interactions with me. My existence is clearly no longer full of crises; I'm obviously much more stable than I was, and that stability has proven reasonably reliable.

None of this is an accident. None of this is pure chance.

I don't have any caffeine. I know that alcohol is bad for me, and I avoided it for months, which was very beneficial to my health. I try to sleep as much as possible - 10 or 12 hours a night whenever I can. I keep to a routine... I keep to a REALLY STRICT routine if I can. Mealtimes, when I get up, what I wear, what I eat, writing every day, quiet time before bed, glasses to filter out blue light, dietary supplements... these are some of the things that are working well. I know I need to exercise more and I know I need to get more natural light too. It would be healthy to have regular social contact with people outside work. It would be good if I had a local support network.

My job often bores me, but I put up with it. I'm often too depressed and anxious to get out of bed and go to the office but I force myself. I often find there's not enough time to watch films and documentaries, or do anything other than write, eat and get ready for bed, after work, but I'm trying to do more.

I've gotten tired. Really tired.

Last week was incredibly exhausting. Work was immensely stressful and demanding. Some relationship difficulties cause me to lose a lot of sleep, as well as being very emotionally demanding and stressful. I got a kitten, which has been extremely rewarding and exciting, but also a disruption to my delicate routine and an additional set of responsibilities.

Adrenalin has carried me through the past few weeks and I've managed to skip almost entire nights of sleep on several occasions, seemingly without consequence, but it's all caught up with me.

I haven't been looking after myself.

I've broken my rules.

I've broken the rules which keep me safe, healthy, secure and stable. I've broken the rules which have kept me functional for a very long period of time. I've broken the rules which I invented to end the crises and the dangerous highs and lows. I've broken the rules and I've paid the price.

I'm not sick but I'm not well.

I underestimated the damage it would do to my health, drinking too much and staying up all night. I overestimated my ability to cope with extra stress and big changes. Suddenly I have a girlfriend and a kitten, where previously I had nothing but a big empty house. My life is immensely more pleasant and enjoyable, but it's also suddenly become incredibly fragile. I'm suffering bouts of insecurity and occasional outbursts of frustration that my comfortable stable security and safety margin of spare energy has been exhausted, leaving me irritable and impatient.

It's my responsibility to make sure that I'm getting enough sleep. There aren't enough hours in the day, but I can take some holiday. I've worked non-stop since I got home from Mexico at the start of January. Nobody can work so hard, move house, get a girlfriend, furnish a home and get a kitten, without having a holiday. I've been relentless. I've acted as if I've got limitless energy and a superhuman ability to achieve impossible feats at incredible speed. To all intents and purposes, I've pulled off almost everything, but the cracks are showing - I'm heading for disaster.

Whether I've already gone too far, allowing myself to become too tired and letting myself become unwell, remains to be seen. I was irritable and unpleasant last night, and there might be consequences. Who knows what damage I've done?

I'm going to sleep until lunchtime tomorrow. I'm going to recharge my batteries.

I know that a few extra hours sleep is not enough. I need a whole week of lie-ins. I need a whole week of afternoon naps. I need at least a whole week of being free from the relentless demands which I've faced this year. I desperately need another holiday. I've left it too long, as usual, but I hate going away on my own.

That's another part of the non-pharmaceutical treatment for my bipolar disorder: holidays. I genuinely need holidays for the sake of my health, but when my life was chaotic I would work as hard as I could for as long as I could when I was well, because I felt so much pressure to earn as much money as possible, to support me during episodes of illness. I've come to realise that it's incredibly unhealthy to have 6, 9, 12 and even 18 months without a proper holiday. I need a week away. I need a week of rest and relaxation, and ideally that would be with my girlfriend, if I haven't p*ssed her off and upset her with my unstable mood already.

I wonder if I'll make it - last long enough - to be able to go away on a nice holiday to recharge my batteries. I think that I need to start taking evasive action immediately. I need to be strict with my bedtime. I need to be strict with alcohol. I need to take some mornings off work to catch up on sleep. It might be advisable to take a whole week off and just do nothing for the sake of my health. I know that I've let my health get into a precarious state.

I haven't looked after myself and I need to act.

I could spend a week pottering around my lovely house, with my kitten to keep me company. I think my health would benefit significantly. I need to loosen my grip on my work. I need to relax. I need to rest and recuperate.

Burnout is not good. I'm so sick of burning out. I'm so sick of episodes of mood disorder. I can regain stability, but I need to recognise that I'm not well and I need to act immediately. Yes, I could cling on until the end of July for a holiday with my girlfriend, but there's a huge chance I could get really sick if I try to wait that long. I'm going to have to take some time off work, for health reasons, and it's not the end of the world.

I hope I write again soon that I did the sensible thing, and that I'm getting on top of managing my health. I hope to write that I'm regaining some safety margin, so that I can remain cool, calm and patient, and not be irritable and unpleasant. I hope to write that I'm treating my girlfriend nicely, not being an exhausted wreck, full of insecurity and instability.

I feel super bad that I've mismanaged my illness, but all I can do now is to try to look after myself.

 

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Kiss And Tell

8 min read

This is a story about hookups...

Flowers

I'm not really experienced in the world of dating. I've had plenty of long-term relationships. I've been a serial monogamist for most of my adult life. Dating is not really I thing that I do. I don't enjoy it. I find it an unpleasant prelude to the ultimate aim, which is to be in a committed relationship with somebody.

Friends who have been married for decades tell me that I should enjoy myself and revel in the opportunity to go on dates with lots of different potential love interests. They tell me that I should see the whole process as a great chance to test the water with a whole bunch of different prospective girlfriends. They are somewhat jealous of what they perceive to be a pleasurable and fun exercise.

I don't struggle to cope with situations outside of my comfort zone. I don't struggle with new people and places. I don't struggle with having an unsettled, insecure life, where people come and go and I'm continuously in new and unfamiliar situations. In fact, I'm probably one of the more resilient folks you might come across - you can plonk me just about anywhere, and I'll cope.

However, I have a choice.

I don't really want to be dating. I don't really want to be single. I don't really want the things that people who've been married for decades think would be really fun and cool.

I want familiarity, comfort, security, routine, stability, normality... I want the ordinary and the everyday.

I want to wake up next to my long-term partner. I want to say "have a good day honey" and "hi honey I'm home". I want 95% of my conversations to be about what we're going to eat for dinner and watch on TV. I want that comfortable loveliness which comes from being in a secure monogamous regular relationship.

Dating as a long protracted affair, consuming a great deal of time and energy, is an exhausting and pointless exercise to me. Why would I take a torturously circuitous route to achieving the end result when there is clearly a straight-line from A to B? I see no value in the whole dating and courtship business.

"It's better to be single than in a bad relationship" is something that people in bad relationships tell me all the time. It's idiotic, because I've almost made an artform out of putting up with bad relationships; making things work. If anybody can tell you about whether it's better to be single, or better to try and make something work which is deeply flawed, it's me who is the goddam expert.

I'm exhausted by loneliness and isolation, in a way that most people cannot understand. Most people have their families, their friends, their partner, their children. Most people live lives which have a minimum amount of social contact, to make their existence tolerable. A quick glance at my mobile phone would confirm that my life is very different from that of ordinary people: who would I phone and discuss my day with? Who would I contact to tell my plans? Who would message me to ask me to run the most ordinary everyday errands? None of that is included in my life. My life is atypical in the extreme.

Who are the significant people in an ordinary person's life? If it's not their mum, their partner, their siblings, their best friends, then it's often their doctor or some other person who's otherwise involved in a caring/therapeutic profession. Humans are social animals and it's highly distressing for us find ourselves cut adrift from family ties and romantic bonds.

The demands of my job and my recent house move have consumed the lion's share of my energy, and I feel unable to apportion enough of my time to the task of binding myself back to humanity. If I lost my job I'd be done for. I'm lucky enough to have friends all over the world, but we need to interact with people face-to-face every day. We need hugs. We need tactile contact. We need the reassurance of knowing that there are people nearby who care about us.

My efforts to date local singles have not gone unrewarded, and I have more options than I'm able to actively pursue - life has been generous towards me as always - but ironically I deeply detest dating and the entire rigmarole, despite results being forthcoming with relative ease. To me, it seems as though I am still a million miles away from what I really want - a committed loving relationship - but I suppose the speed at which I live my life vastly exceeds what is considered ordinary and average.

Of the relationships I've had in the last 3 years, two of those girlfriends were unquestionably amazing people who I was very lucky to have had the opportunity to share a period of my life with. Even the 'worst' relationship during the period in question was what I wanted at the time, and it served its purpose - I'm no fool and I got exactly what I wanted out of it, which was to have a period of settled, secure, loving companionship. I can't share any of the details with you - it would be disrespectful and inexcusable given my current mental stability - but I can tell you that the worst moments were worth putting up with, at the time. Sadly, I can also see that a couple of very lovely girlfriends were unreasonably treated by me, as casualties of my dreadfully unstable life and unreliable mood.

What do I have to offer today? Perhaps I should be single and learn how to be perfect?

What a load of bullshit.

I'm not an inexperienced kid. I'm not an idiot. I know what's good about relationships and I know what's bad. I know red flags when I see them, and I know what my weaknesses and insecurities are. I know what I want.

I know that I'm happier being single, with the possibility of meeting somebody amazing, versus the situation I was in before where I was working very hard to make a relationship work, because it had marginal benefits at the time. The value of potentially meeting another love of my life is not something that should be underestimated, but neither should the misery of loneliness, especially considering my life circumstances: estranged from my family and without a group of local friends; dangerously isolated and alone.

Of course it's easy to say that I should be fixing my social life and getting back into my hobbies before I think about offering myself up as a prospective partner, but the people who suggest that are absolute fucking idiots who know nothing about how lucky they are to have their families, friends and every other part of the fabric of their lives. They know nothing about what it's like to live in such torturous isolation. They can fuck right off.

My life's stability and routine has been dangerously damaged by my need to form human attachment, so fundamental to liveable existence. I'm damned if I do and I'm damned if I don't, so of course I've ploughed time and energy into meeting somebody who might turn out to be a really great girlfriend. My life's experiences have taught me that having a partner has brought incredible joy in the past, and my behaviour is always driven by well-reasoned decisions which deliver the greatest possible return on investment.

I work hard, which brings me a great deal of financial income, and I am dating hard, which will hopefully bring me the emotional and otherwise intangible rewards of meeting a companion. It might sound like an all-or-nothing risky gamble, but you'd only think that if you enjoy the luxurious position of having a life filled with lots of things which I don't have. You are unable to empathise with the isolation of my situation.

It's late and I'm exhausted. My sleep routine is ruined. My stress levels are through the roof. The demands placed upon me are beyond sustainable limits, but I must plough onwards, because "if you're going through hell, keep going".

I have no idea how things are going to work out for me, given that I'm in a much more alien situation than I've been in previously, which undermines my confidence that "everything's going to work out just fine". I know that past experience has taught me that things always work out, but the unsettling and destabilising recent events, leaving me in strange and unfamiliar circumstances, cause me to redouble my efforts to seek the security I so desperately crave; the attachment that's so dangerously absent in my life.

It's a strange catch 22 situation. I need to invest energy to save myself, but by exhausting myself I put myself in great danger of reaching a limit which is not safe. I suppose I'm hoping for a well-timed lifeline, which life has often supplied, luckily.

I guess luck has always been in my favour, but I work very hard to manufacture that good luck.

 

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700 Words or Fewer

4 min read

This is a story about attention spans...

Flip flop

Counterintuitive though it may sound, it's harder to write less than more. That's not to say that it's hard to write infrequently or not at all - it's actually very hard to have the discipline to write every day - but writing something more than a journal of the day's events, and keeping it short and sweet is surprisingly difficult.

I used to keep a list of writing prompts, should I ever be short of an idea for something to write about. Once I had established the habit of thinking "what am I going to write today?" I find myself planning my writing from the moment I wake up, until the moment I finally have chance to get in front of a keyboard in a suitable environment.

I'm self-conscious about writing on a train, where a passenger might be sitting next to me, reading my words as they are formed. I'm self-conscious about anybody watching me produce these little essays - it's a private process, even if the end result is published publicly. Nobody ever gets to see the words I delete, or the sentences I restructure. Nobody ever gets to witness the pauses as I consider how I'm going to phrase a particular passage. Nobody knows how many times I doubt myself, and scurry for the dictionary to check that a particular word definitely means what I think it means.

My meandering thoughts could easily become jumbled and rambling. Often I do ramble and wander off at tangents, but I try to stick to a certain theme. I try to write an introduction, then an exploratory part, then a conclusion, or at least a wrap-up of some kind. I try to end with some degree of satisfactory summing-up instead of just petering off.

From the very outset, I decided that I would treat my blog as an exercise in expressing myself in the most straightforward language I could muster. I loathe clumsy, lengthy sentences, which are hard to follow and must be re-read by somebody who's determined to decipher what I meant, as precisely as they are able to. I have succeeded when I put across my points in simple, concise and unambiguous terms, which does not necessarily preclude using a manner of communication which is verbose and littered with words not in common circulation. However, I would very much feel that I had failed if I send my readers reaching for a dictionary every few paragraphs.

Of course I'm now very well practiced at expressing my inner monologue, which makes me a bit of a one-trick pony, but I do wish to communicate and not only record my thoughts for posterity. I'm keen that as many people as possible understand what goes through my head, and feel as if they know me intimately.

The intimacy and the honesty are vitally important to me. It's incredibly rewarding to have opened myself up in this way and been received so positively. On the rare occasions when I do catch up with friends on the phone, I'm so pleased when they are aware of what's going on in my life and I don't ever find myself answering the usual range of clichéd questions about how my job is going etcetera etcetera. We can cut to the chase and talk about the things which really matter, which is vital when I spend a lot of time contemplating suicide.

Meaningful close friendships - good relationships - are grounded in emotional intelligence and the willingness to talk about our true feelings and our values, rather than having superficial conversations about trivial distractions. I'm sure there are people who've known each other for their whole lives who have rehearsed a kind of social interaction protocol, which enables them to speak to each other at length while never really scratching the surface. This is how people kill themselves and their friends are left with nothing but shock and bewilderment, because they never saw it coming - all that talk about football and soap operas was never going to provide the scope for somebody to announce that their life is misery and they'd rather be dead.

I have eight words left now.

The end.

 

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Sex Doll

10 min read

This is a story about sex equality...

Wimmin

When thinking about sex, one must consider prostitution, pornography and sex tourism. I also think that one should consider InCels and men who are changing their bodies with hormones and surgery to emulate certain aspects of the female physical form.

I consider all these things, because my attempts at considering what it's like to be born in a female body would be nothing more than educated, well-reasoned, rational guesses based upon a lifetime of observation. When I've written about emotive topics in the past, my readers have defended my right to write freely on the topic and say unspeakable things in the name of being a free thinker, but I've been well aware that some of my most respected female friends have strongly rejected certain opinions which I volunteered.

I wrote about consent, which created considerable discussion, while not drawing anything other than loyalty from vocal Twitter followers who were obviously reluctant to do more than reserve judgement.

I think I was being deliberately provocative.

There wasn't really any need.

Why subject my female readers to provocation when I'm increasingly aware that every female friend has experienced some kind of unwanted sexual advances - in the best of cases - and in many cases has suffered a sexual assault and/or rape? It wasn't meant to be upsetting or even particularly insensitive to those survivors, but what I wrote was not particularly useful, given that my entire essay was based around the pleasant and charmed existence I live, where consent is often not given verbally but there's certainly no ambiguity: I was being disingenuous for the sake of poking holes in attempts to legislate with fuzzy imprecise language in a world which loves guessing games.

Let's talk about some subjects which I find difficult instead.

Firstly, an admission: I hate uncertainty. I hate ambiguity. This roughly translates as a combination of insecurity and some leftover unhappiness from adolescence, when I was more shy and awkward, and more of a social outcast; a creepy weirdo. My feelings towards the dating game are closer to the feelings which drive InCel thought patterns than I'm comfortable admitting. The words "guaranteed shag" are more attractive to me than repulsive. I know that the idea of a government-run girlfriend programme to ensure that every fat pimple-faced pale gamer who never leaves the house is paired up with a sexual partner, is clearly a somewhat terrifying idea, if we imagine that hordes of wimmin are going to have to be caught with nets or herded into pens to be then boxed up and delivered to the horny InCels.

I'm starting to feel a little old, approaching the age of 40, and I have little enthusiasm for going to the gym simply to make my superficial appearance more attractive. It would be a lie to say that I wasn't aware that sex tourism exists. It would be a lie to say that I wasn't aware that prostitution and escorting exist. The idea of travelling to a foreign country for sex is quite repulsive to me - I specifically reject it, because it seems like another form of colonialism and western exploitation to me; it seems like a form of economic modern slavery. The idea of paying for sex in the UK is not problematic for me, but it is not attractive - the act of coitus is not something which I can easily separate from my desire for intimacy and companionship. The most pleasurable part of lovemaking is spooning - the stroking, tickling and the warmth of each other's bodies in a bed - so paying for sex doesn't meet my needs. I would probably pay to support a wife or girlfriend, in order to guarantee my supply of love, but paying for sex seems like an extraordinary waste of money.

In many ways, I can agree that it's a great time to be a man. High quality pornography is available for free, with every extreme fetish imaginable catered for. Hookup apps provide free sex. Plastic surgery, makeup and the sexualisation of society provides constant titillation, and the media has sifted and sorted the world's women to find the very most beautiful to parade before my eyes. My greying hair and extra pounds of flesh pose no problems for me, despite my insecurities about my appearance.

But, in many ways I'm rich and successful and I've been told that I can have it all - I can have anything I want, whenever I want.

I do agree that I feel very entitled.

I'm privileged.

Probably the weirdest and least comfortable of my admissions is that I considered the merits of purchasing a sex doll. It seemed like a straightforward enough decision, given that it would undoubtedly be more pleasurable to penetrate an object which simulated a female body, than to stimulate myself with my hand. It seemed as though it posed no ethical quandary - nobody had to suffer for my pleasure; nobody was coerced into doing anything they didn't want to. Then, of course, I remembered that my primary needs are for intimacy and companionship. I have no difficulties in masturbating to temper my sex drive, without the aid of a sex toy. I can't think of a much worse feeling than having to clean and put away a sex doll after use, when the lust had been satiated and a more rational state of mind had returned. How awful to have the grim task of dealing with putting away a lifeless object, instead of the deliciousness of being wrapped in another person's arms postcoitally.

I considered that I live alone and there's perhaps no reason to even put away a sex doll, if I owned one. It would only be paranoia that somebody might be unexpectedly in my home and see the lifeless object in my bed, which would mean that I'd shamefully hide it away after use. What about having the sex doll in my bed to comfort myself when I'm alone at night, I wondered... what would it be like to put my arm around this object and cuddle it, like a child would cuddle a teddy bear, perhaps?

Is this the grim future which we inhabit: Where balding men with beer guts and grey pubic hair travel to Thailand and have sex with young women who are trying to financially support their families? Where the ugliest men have sex with the most attractive women, because of the coercion of capitalism? Where stripping and webcam work pay for university educations? Where sex work is normalised? Where computer games and the internet have left some of us lonely and isolated, while others hook up using apps and take their bedroom exploits to new extremes?

At the root of it all, I recognise something which I freely but uncomfortably admit to: that the certainty is exactly what I want. I want to be able to go to websites where I know there is a vast trove of free pornography. I want to be able to browse vast numbers of single women in my local area. On the matter of being able to buy sex, or to be able to travel to a country where the buying of it is more subtle, I suppose it disturbs me more than it comforts me. However, I would be more afraid of dying alone if sex tourism didn't exist. Perhaps I would have made a more serious attempt at securing myself a wife if there was no route open to me to leverage my wealth and privilege when I get desperate enough. There must be comfort in knowing that there are some guarantees in my privileged life.

On the topic of entitlement, I suppose I feel as though I should be able to get a girlfriend as easily as I would obtain any other thing that I want: I choose and I pay. I'm not such a monster that I objectify wimmin in the way my words seem to suggest. I'm very much looking for a life companion who I can shower with love and affection, but I must admit that I find the uncertainty of dating quite unpleasant, and I would much prefer to skip straight to the part where we're fully committed to each other and we figure things out from there. I instinctively reject things like arranged marriages, because they seem coercive and exploitative - mostly very young girls being married off to rich old men by their greedy selfish parents - but I watched a television program where people who'd never met each other got married as part of a very fascinating experiment.

I suppose these thoughts and these words are indicative of how dysfunctional I am and how incomplete my life is. It seems clear to me, writing this, that I am pinning my hopes on a relationship as a magic bullet to cure my unhappiness and distress, which is far more due to my lack of local friends than it is due to lack of a partner. Of course, having a lifelong companion is of great comfort and a source of much pleasure and happiness, but I do consider what I have to offer myself in return, and whether I would be a needy and clingy burden because my life is so empty.

The sex doll thing is a bit of a red herring. I wrote the title because I knew it would attract attention. Sex is of much lower importance than surrounding myself with people to talk to. Intimacy is important. Cuddles are important. Sex is just a fleeting itch to be scratched, and not worth being in a bad relationship for or sacrificing friendships for.

I write this somewhat aware that it makes it almost impossible for me to admit to any future object of my affections that I write this blog. I've been writing stuff which paints myself in a terribly unflattering light. I've been writing stuff which is very hard to read for even those who've gotten to know me over a considerable length of time, let alone those who are considering embarking upon a romantic relationship with me.

I wonder to myself if I should employ a cleaner to clean and tidy this gigantic house that I live in. I must admit that I have entertained - theoretically - the idea of financially supporting and housing a woman, in return for the guarantees which I feel entitled to as a member of the patriarchy.

Of course, you must understand that I feel repulsed by myself and I instinctively reject the idea of having servants - even if they're paid - so this has been somewhat of a hypothetical exercise, but I write with candid honesty, as I am wont to do.

 

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Microcosm

10 min read

This is a story about paranoid schizophrenia...

Bedroom

I've lost my mind in all kinds of places, but the place where my sanity most eluded me was in this bedroom. I moved into this almost-ready-made perfect home, which only required a few bits of bedding and storage boxes to turn it into one of the most tidy and well organised places I've ever lived. I had stability and eventually I had security. I had my own front door, which I could lock and double-lock and be safely protected from the outside world and anybody who wanted to intrude.

The story begins in the midst of an unhappy relationship, several years earlier. A toxic mixture of mental health problems and drug abuse combined with an abusive relationship, to leave me barricading myself into rooms for my own protection, while my long-term girlfriend and later wife screamed abuse, kicked and punched the door which was my flimsy defence from the onslaught, which was seemingly unending.

The situation got so bad that I retreated to my summer house, where I drank water from a hosepipe and defecated in a bucket. I had no food or access to anything other than cold water. I couldn't take a shower. I was cornered.

To her credit, my ex-wife relented and I was able to come out of the summer house unmolested, unharassed and somewhat reassured that she was a safe distance away. We separated, but I was badly traumatised. The psychological torture had lasted for nearly 2 years and I was deeply damaged.

The extent to which I had been traumatised was not apparent to me. I moved away from the area to be away from her, and I assumed that my mental health was intact enough for me to start a new life without any problems. I assumed that having escaped from that abusive situation where I was cornered, I would be quickly on the mend.

What I discovered was that I carried a kind of post-traumatic stress which was thinly concealed by my generally sunny and upbeat positive mental attitude. I set about rebuilding my life and didn't think too much about the past. However, stress, exhaustion and drugs all had the capability of plunging me back into flashbacks of those awful moments when I was cornered. I experienced episodes of extreme paranoia about the kicking and punching of the flimsy door that protected me, and the torrent of abuse and violent anger which was a constant source of threat on the other side of whatever barrier I could find to protect myself.

It seems obvious that drugs are bad, and certainly the problems I had with drugs unleashed the very worst of the psychological trauma I had sustained. One might be tempted to say that the paranoia was caused by the drugs, but in fact the origin of my paranoia was much easier to explain. Few people would be psychologically strong enough to withstand the torment of being trapped somewhere with only one exit, and an angry violent abuser screaming and hammering on the single door with punches and kicks. Few people would escape without post-traumatic trauma from such events.

It seemed obvious in my perfect safe protected stable microcosm that nobody was going to hurt me. It seemed obvious that my front door was sufficiently robust to resist kicks and punches, and that I had escaped my abuser. It seems perfectly obvious in retrospect, but you have to understand that the trauma was deeply ingrained in my subconscious.

While I was able to function reasonably effectively and act mostly normal, I struggled with paranoid thoughts, unusual beliefs and strange behaviour, when I came under great financial pressure and and had a great deal of stress in my job. When I became exhausted, physically and mentally, I began to form paranoid beliefs. I struggled to maintain my ability to be objective and grounded in reality. My sanity suffered during moments of great difficulty.

I had a long period of drug abuse which demonstrated to me - beyond any reasonable doubt - that my original paranoia was no longer grounded in any past trauma, but instead had grown into something which was self-fuelling. While the original seed of my traumatised behaviour - barricading myself into rooms - was well understood, I had a lengthy period of time where I would suffer dreadful paranoia, only to eventually have to face the fact that my feared abuser was never going to turn up.

Strangely, that period I spent barricaded into my bedroom, hundreds of miles away from my abuser, did actually 'cure' me of my paranoid psychosis. Every time I desperately piled up furniture against the door and could never quite manage to create enough of a barrier to satisfy myself that I was safe, I eventually realised that nobody was battering on the door. I took down my barricades and I was surprised to find that my tormentor was nowhere to be found.

It was incredibly dangerous, and it cost me very dearly, but eventually I was left with nothing except drug-induced paranoia, which went away as soon as I stopped taking drugs.

I'd had periods where I'd been clean and sober, but they'd never cured me of my paranoia. My post-traumatic stress was still very much unresolved and the psychological damage was a deep and bloody wound. Even after long periods where I had been abstinent from booze and drugs, my mental health was fragile as hell and I could be tipped into insanity by relatively trivial stressors.

Two years in my lovely apartment, barricading myself into my bedroom and my ensuite bathroom, and I was cured by the most unusual and unlikely of things. The very behaviour which an outsider might assume was the root cause of all my problems, turned out to be a cathartic exercise which rid me of both the paranoia and the drug addiction.

I expect today if I were to spend several days and nights abusing powerful stimulant drugs, I would begin to suffer from paranoia, but I have been through some incredibly stressful events lately and my mental health has been reasonably robust. In comparison with the many days which I would spend not eating or drinking, barricaded in a room with only one exit, fearing for my safety, the few problems I've had in the last year have been nothing... hardly worthy of consideration.

A breakup and a house move were enough to unseat my sanity and cause me to be absent from work for a week. My brain chemistry was messed up for a couple of weeks following that episode, but the damage was contained and I've been able to hold onto the substantial progress that I've made, without slipping too far back down the greasy pole.

The demands placed upon me are almost unthinkable. I live amongst unpacked boxes of my stuff and furniture that needs to be assembled. I live with all my suitcases of clothes strewn around my bedroom, because I haven't built the furniture to put things away yet. My mail piles up and administrative chores are left ignored, because it's taken an unimaginable amount of effort to get myself from the point where I was homeless, jobless, penniless and detained against my will on a psychiatric ward, to where I am today, with a house, a car, a job, money in the bank, my reputation and my liberty preserved. The tasks which still lie ahead, such as making new friends and finding a girlfriend, plus putting in place the hobbies and interests and weaving the social fabric which will make my life worth living, is not something that should be underestimated.

Not all those who wander are lost, and I have decided that I wish to make this city my home, but it's not as simple as just deciding. There is considerable effort involved in surrounding yourself with the things which meet your human needs, such as the web of relationships which support you.

I'm convinced that the very worst of my mental health problems were caused by the circumstances of my existence. Psychiatrists would refer to my condition as adjustment disorder which is just a fancy way of saying that human beings will struggle under incredibly stressful conditions. My problems have been acute - not chronic - and can clearly be seen and understood in the context of the extremely toxic circumstances of my life. Certainly, quitting drugs and staying clean are essential to any hopes I have of continuing to rebuild my life and improve my circumstances, but drugs are just a small piece of the puzzle, which is mostly about having secure housing, financial security and a support network. Anybody would crumble to pieces if they were put under the kinds of stresses and strains that I've had to endure in recent years.

I now live in a brand new place. I've had a clean break. My home is untainted. This city gives me a fresh start.

London is big enough that you can lose your mind and nobody will notice or remember. London is big enough that you can go completely crazy and you'll never manage to screw up your life, because there are so many people that you get lost in the noise. It was good to be in London during those difficult years where I was barricading myself into rooms for no reason, except that I was so post-traumatically traumatised that I simply had to do it as part of my recovery.

I face the difficulty of starting afresh from almost nothing, but I don't carry a single bit of paranoia that somebody knows about my difficult past. I really feel like I have a chance to totally start anew without anybody knowing anything which might prejudice me. I'm judged totally as the man I am today, not at all on who I was during the dark moments I endured in the past.

It might seem crazy to write and publish this, given my opportunity to escape my past and re-invent myself, but I don't want to run away from my own history. I need to acknowledge that bad things happened in my life, and they have shaped me. I need to acknowledge that even though I am healthy and functional today, I will carry a lifelong risk of problems if I become complacent. I need to make sure that I keep my stress levels and energy levels within safe ranges, and I need to put in place the things that will help and protect me when there are inevitable hiccups in life.

My bedroom looks nothing like the neat and tidy bedroom in London, pictured above, but my mind is far more neat and tidy, ordered and robust. I feel far more in control of my behaviour and my thoughts. I feel far less troubled by anything even remotely like paranoia. To all intents and purposes, I have very good mental health, but still very poor life circumstances, but at least there are practical remedies for things like my lack of local friends.

It's a somewhat positive outlook, especially considering how frequently I suffer from suicidal thoughts, but despite my tendency to become depressed and overwhelmed by the enormity of the task ahead, at least most things seem to be within my control. I can choose between going on dates or trying to make new friends. I can do things to get the stuff I need in my life. I feel relatively safe from traumatic events that are beyond my control.

 

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Antipsychiatry

5 min read

This is a story about refusing help...

Pharmacy

If you spend enough time with general practitioners, general psychiatrists, specialist consultant psychiatrists, registered mental nurses, specialty doctors and all the very many other mental health professionals who are part of inpatient and outpatient clinics, community mental health teams, crisis teams and all the other apparatus which is supposed to treat mental health problems, one begins to realise a rather unsettling truth: there aren't very many treatments and they don't work very well.

Psychiatry is a young branch of medicine and it doesn't have a lot to crow about. Since the days of asylums and lobotomies, psychiatry has been dogged by scandals, including the extrapyramidal side effects of medications which have left patients with lifelong irreversible unpleasant problems. The data do not show encouraging outcomes. In fact the outlook is dismal and appears to be worsening as the toxic conditions which create mental health problems, seem to be intensifying. Rates of depression, anxiety, eating disorders, OCD, autistic spectrum disorders, attention deficit and hyperactivity... these are all soaring. Treatments are not effective and vast numbers of people are condemned to suffer with their illnesses AND the side effects of the medications.

I've been lucky enough to have access to private medical care, at times, and even with the very best professionals and medications, there is not a vast difference between what's available from the public healthcare system. It's all pretty crap and it doesn't work very well.

This is not a damning indictment of those who dedicate their lives to trying to treat mental illness, but simply a cold hard rational analysis of the facts.

The conclusion I've reached has been that there's an over-medicalisation of non-medical problems. The bulk of my problems have stemmed from the collapse of my relationships. I got divorced. I am estranged from my family. I've been forced to move to cities where I have no friends - no social support network - in order to work jobs which have been unsuitable for my health. I have the enormous pressure of having to work full-time, to pay rent, bills and service enormous debts, which is unbearable for a person who's having a crisis.

My mental health would be vastly improved if I had a partner, a social support network of local friends, financial and housing security and a job with reduced hours, until this crisis is resolved. Healthy diet, sleep hygiene, exercise, sex, physical affection, sunlight, fresh air, social contact, hobbies and interests... these things are all essential for human wellbeing. None of those things can be prescribed by a doctor.

During the worst days of my addiction and rough sleeping, I noticed that my fellow homeless alcoholics and addicts were not without some routine and social lives. Romantic relationships are not the exclusive preserve of those who live in houses and have jobs. The life of a homeless drug addict might be chaotic to the outside observer, but a less prejudiced analysis reveals no less structure, no less need for comfort, no less humanity. Those who have fallen into habits of addiction and homelessness might find the community of drug addicts, alcoholics and homeless to provide the social support network and sense of community, which they'd struggle to find living anonymously behind a front door.

Does anybody really know I'm here... in this house... in this city? In many ways I have found my contact with hospitals and the police to be of great comfort. I have found the nonjudgemental members of the NHS and police force to be incredibly kind and compassionate people. It's nonsensical, but I've been happy to be hospitalised or arrested. I've been happy to be in a cell or on a hospital ward, with somebody checking on my welfare. Behind my own front door I could be hanging by the neck, dead, and nobody would discover me for days or maybe even weeks.

My problems are mainly attributable to unmet basic needs: hugs, face-to-face conversation and a sense of belonging.

Because of the obvious things which need to be fixed in my life, it seems wrong to seek medical help, when my mood could be radically different if all the broken things were fixed. It might sound like a fun adventure, going to new cities, but the reality is very miserable and lonely. The reality of my present life is that I don't pick up the phone to speak to anybody when I'm feeling dangerously depressed - who would I phone? What would they do? It's not like anybody can nip round to check I'm OK.

Humans are social creatures, but I live on the periphery. I live on the periphery of life itself, always in danger of death or medical emergency. The state of being suicidal should be considered a medical emergency, especially in men of age 20 to 40, where suicide is the biggest cause of death. My perception of the danger is not warped, given my history of suicide attempts and hospitalisations.

There isn't a pill or some psychological therapy which would be effective... especially not when so much of my life is broken. It's not a medical problem. Sure, I have an underlying mood disorder, but the highs and lows of bipolar don't make me as unhappy as my social isolation does.

How I set about fixing things, I have no idea. The task seems insurmountable.

 

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Misuse of Drugs

21 min read

This is a story about fit for purpose...

Prescription medications

Here are a range of prescription medications. Three of them are illegal to possess without a prescription under the Misuse of Drugs Act, because they are scheduled as "class B" and "class C", respectively carrying a 5 year prison sentence, a 2 year prison sentence and an unlimited fine.

So, 3/5ths of the medicines pictured here could see me locked up for somewhere between 2 and 5 years, if I didn't have a prescription.

The medication at the top of the picture is lamotrigine, which treats bipolar depression, as well as epilepsy. It has no abuse potential, but it does carry a high risk of causing a fatal skin rash.

The medication in the middle of the picture is bupropion, which treats addiction to nicotine. It has no abuse potential, but it also carries a high risk of causing seizures, which might be fatal.

The medication in the bottom-left of the picture is pregabalin, which treats neuropathic pain. It is addictive and can be abused. Pregabalin is a "class C" controlled substance, and anybody caught in possession without a prescription, will receive 2 years imprisonment and an unlimited fine.

The medication in the top-right of the picture is methlyphenidate, more commonly known as Ritalin®, which treats Attention-Deficit-Hyperactivity Disorder (ADHD) and Attention-Deficit Disorder (ADD). It is addictive and can be abused. Methlyphenidate is a "class B" controlled substance, and anybody caught in possession without a prescription will be imprisoned for 5 years and receive an unlimited fine.

The medication in the bottom-right of the picture is zopiclone, which treats insomnia and other sleep disorders. It is addictive and can be abused. Zopiclone is a "class C" controlled substance, and anybody caught in possession without a prescription, will receive 2 years imprisonment and an unlimited fine.

So, if I didn't have a prescription for all the medications on this table, I could be facing 9 years in prison and an unlimited fine, should the judge decide that my sentences should run consecutively, not concurrently, due to the gravity of my crime.

Yet, millions of UK citizens receive the medicinal benefits of pregabalin, methylphenidate and zopiclone, and the quality of their lives is greatly improved. These tablets were developed as medicines by pharmaceutical companies, to treat medical problems. Substantial empirical evidence was gathered in many controlled trials, to prove that these medicines were safe and effective at treating the medical problems they have been licensed for.

Indeed, these medicines have unexpected benefits beyond the purpose they were licensed for. Lamotrigine improves sleep quality. Bupropion is a fast-acting non-drowsy antidepressant, which also increase libido and enjoyment of sex. Pregabalin reduces anxiety and aids sleep. Methylphenidate improves concentration, allowing students to study harder and for longer periods. Zopiclone can prophylactically prevent psychosis and mania, by preventing sleep deprivation.

It is very hard to argue that the Misuse of Drugs Act and the Psychoactive Substances Act are successful laws, because the evidence shows that the use of mind-altering substances remains entirely unaltered by legislation which seeks to discourage that behaviour, and harshly penalises those who break the law.

If I approached my GP and asked for zopiclone to help me sleep, methylphenidate to help me concentrate at work, pregabalin (or any benzodiazepine) to treat my anxiety and zopiclone to treat my depression, they would flatly refuse all my requests.

My GP would tell me that zopiclone is too addictive, despite my insomnia ruining my life. My GP would tell me that methyphenidate is too addictive, despite my inability to concentrate impairing my ability to be productive at work. My GP would tell me that pregabalin is not licensed to treat anxiety, and it's too addictive, despite my poor quality of life due to anxiety. My GP would tell me that benzodiazepines are too addictive, despite my life-ruining anxiety. My GP would tell me that zopiclone is not licensed to treat depression.

Instead, I would be offered sertraline, which would allegedly treat my depression and reduce my anxiety. Sertraline is very slow to take effect and it has an emotionally-blunting effect, as well as affecting sex drive and ability to orgasm. Sertraline is not an effective treatment for anxiety. Sertraline is not an effective sleep aid. Anybody who has ever tried to quit sertraline will tell you that it is very addictive and the withdrawal side effects are intolerable.

In short, doctors would offer me nothing.

In short, doctors would tell me to go away, even though their medicine cabinets are stuffed full of medicines which have been extensively proven to treat the ailments which ruin my quality of life. The medications exist, but I would be denied a prescription to access those medications.

This much like a man who is dying from a bacterial infection being told that he's not allowed any penicillin, because a small number of people have a penicillin allergy.

Then, there are medications such as diacetylmorphine and ketamine, which are considered essential medicines. Diacetylmorphine, more commonly known as heroin, is scheduled as "class A" which carries a 7 year prison term and an unlimited fine, if possessed without a prescription.

How can we have a Misuse of Drugs Act which puts diacetylmorphine - a medicine routinely prescribed - into the same category as crack cocaine. Crack cocaine is fiendishly addictive and has zero medicinal use. Crack cocaine is so addictive, that it might even be considered to be "instantly addictive" and the vast majority of its users commit acquisitive crimes - muggings, thefts, burglaries - to raise money to pay for their drug addiction. Addiction is a medical condition, not a crime.

How can we have a Misuse of Drugs Act which puts mushrooms into the same category as crack cocaine? In fact the law states that it's magic mushrooms which are a "class A" controlled substance, which implies that the government believes in magic. Is that not utterly terrifying? Is it not utterly terrifying that our lawmakers are so mentally impaired that they would make specific reference in law to a certain type of mushroom which is "magic". Like, are you for real? We actually have laws criminalising magic, in the 21st century.

What would be a fitting punishment for anybody possessing a "magic" mushroom? Perhaps they should be made to climb a beanstalk grown from "magic" beans. Perhaps they should be lashed to a dunking seat and immersed underwater until they drown. Perhaps they should be burnt at the stake. These are the punishments that are most ususal for involvement in "magic".

We also know that behaviours such as sex and gambling can be addictive, but nobody imagines that gambling addicts inject decks of playing cards into their veins. In fact, gambling is widely permitted, advertised and promoted throughout society, despite its addiction potential. We are allowed to have sex, even though there is a risk of contracting sexually-transmitted diseases, and there is addiction potential.

Terrifyingly, the government has now passed an Act of Parliament which criminalises:

Things that cause hallucinations, drowsiness or changes in alertness, perception of time and space, mood or empathy with others

Obviously, eating a big meal might cause you to feel drowsy. Being tired will make you drowsy and less alert. Being tired will affect your mood and make you more 'snappy' with others. It seems pretty obvious that children are a thing that causes drowsiness, changes in alertness, mood and empathy with others. Many mothers get post-natal depression (mood change) and many parents feel a great deal of empathy towards their children. Is the production of children going to carry the 7 year prison sentence, as the law states?

The law helpfully tells us that:

Food [doesn't] count as psychoactive substances.

But, hang on a second... aren't mushrooms food? If I'm a mushroom producer or supplier, am I exempt from the 7 year jail sentence?

Let us imagine that I cross-breed a "magic" mushroom with a regular mushroom, not thought of as "magic" by government lawmakers, I must surely be able to produce a non-magic mushroom, which I can supply as food, even though it might cause hallucinations, changes in perception of time and space and mood. Clearly if I used gene editing, I could produce a mushroom that was not "magic" at all - no witchcraft or wizardry necessary - and this could be bought and sold in the supermarkets as food.

Fundamentally, the Misuse of Drugs Act and the Psychoactive Substances Act are flawed pieces of legislation, which are not protecting citizens of the United Kingdom, reducing crime, reducing antisocial behaviour, saving lives or reducing the burden on public services. In fact, it is categorically clear that the UK's approach to mind-altering substances is a gigantic waste of money, which is also ruining countless lives, by criminalising people with medical conditions.

The fact that we have the word "magic" in our statute books, criminalising mushrooms that are alleged to have "magical" properties, in the 21st century, is quite absurdly ridiculous. The fact that we have put "magic" mushrooms, diacetylmorpine and crack cocaine into the same "class A" schedule, carrying the harshest punishments. Diacetylmorhine is an essential medicine, administed every day by up to 130,000 doctors and countless nurses. Picking "magic" mushrooms to share with my friends is punishable by life imprisonment.

I can understand that crack cocaine is an instantly addictive drug that drives most of its users to commit a very great deal of crime, because they are suffering from an illness. Therefore those who supply crack cocaine are committing a terrible crime, because crack cocaine exists for no other purpose than its abuse, and it's abuse is so devastating that it ruins the life of the sick person and creates very many victims of crime. I can understand why supply of crack cocaine is punishable by life imprisonment.

I cannot understand that "magic" mushrooms, which are not addictive, and its users commit no antisocial nuisance nor cause any burden on the state, and are an incredibly safe thing to eat with no fatalities attributed to their consumption, are seen as the same as crack cocaine in the eyes of the law. Those who supply magic mushrooms are no more guilty than a person who obtains a crate of beer, with which to share with their friends. 

The antisocial behaviour of people intoxicated by alcohol, the addictiveness of alcohol and its adverse health effects, makes suppliers and producers of alcohol culpable for a very serious crime, which deserves harsh punishment, if we follow the logic applied to other mind-altering substances.

To sell packs of cigarettes is possession with intent to supply an addictive harmful substance. The health damage caused by cigarette smoking and the antisocial nature of it, because of the harm caused to passive smokers by second-hand smoke, as well as the unpleasant smell of cigarette smoke, which also harms items of clothing and other property. Cigarette smoking places considerable burden on the state, who must invest significant sums of money into smoking cessation treatments, smoking prevention programs and treat the many smoking-related diseases. Smoking-related diseases shorten lives, cause early death and reduce the productive capacity of those who suffer from cigarette addiction. Cigarettes have a high economic cost to society. Suppliers and producers of cigarettes, cigars and loose tobacco are culpable for a very serious crime, which deserves harsh punishment.

When the esteemed neuropsychopharmacologist Professor David Nutt was adviser to the government on its drug policy, he suggested - based on overwhelming empirical evidence - reclassifying all drugs based upon the health risks they posed, the harms they cause to society, and the economic cost of their use and abuse. He was forced to resign. Drugs are a politcal pawn and the government has no interest in the wellbeing of its citizens, with respect to drug use.

We only need to look at Portugal, which took a scientific data-driven approach to its drug policy and has achieved:

  • 60% increase in uptake of addiction treatment programs
  • 90% drop in the rate of drug-injection related HIV infection
  • 45% decrease in the murder rate
  • Drug-related deaths dropped to 3 per million (in comparison to the EU average of 17.3 per million)

The most [un]surprising thing of all is that drug use remained the same. People like to take drugs. LOTS of people like to take drugs. Alterations to the law do not affect people's desire to take drugs. Drug laws are not a disincentive to drug taking, because drug taking has been a feature of human life since pre-historic times. People want to take drugs, hence why alcohol, cigarette and coffee consumption is ubiquitous and legal.

2.5 million Xanax tablets were purchased on the black market in the UK. At least half a million people in the UK are using MDMA (ecstasy) on regularly, and on a single weekend, a million tablets could be consumed. Almost one million UK citizens are using powder cocaine, and most of them are affluent professionals.

What we can learn from Portugal is that punitive drug laws have no affect on citizen's behaviour. The criminalisation and harsh punishments are not a disincentive to illicit drug purchase and consumption.

Legislation to criminalise the sale of alcohol - prohibition - was tried in the USA from 1920 to 1933, and it was an abysmal failure. Industrial alcohol was deliberately made extremely poisonous in 1927, causing innumerable deaths and making people blind. But people drank it anyway, getting literally "blind drunk". Moonshine was responsible for vast numbers of speakeasy customers being poisoned: 33 people in Manhattan, NY died in just three days, for example.

We can see from all historical evidence, worldwide, that every culture has used mind-altering substances extensively. Coca leaf chewing is common in South America. Tobacco smoking and chewing originated in North America. Betel nuts and areca leaves are chewed all over Asia. Khat leaves are chewed in Africa. Tea leaves a brewed in hot water in China and India. Coffee beans are roasted, ground and brewed in South America. Cannabis has been drunk as Bhang in India for more than 3,000 years, and the Egyptians were smoking cannabis 3,600 years ago. Opium was being consumed 5,400 years ago, by the Mesopotamians. Alcohol wins the top prize though, because it's been brewed for at least 13,000 years - since the goddam stone age.

The invention of distillation apparatus is a relatively recent phenomenon, but we should accept that human desire for intoxicating alcoholic beverages has been unwavering since the discovery of the fermentation process, and the invention of brewing methods. The body of archeological evidence overwhelmingly proves that beer and wine were present in human lives, continuously. Mass production of cheap distilled spirits pose new challenges, but we must remember that society does not adapt to scientific and technological advances with sufficient speed to avoid difficult periods of re-adjustment.

The isolation of psychoactive molecules responsible for psychoactive effects, and the laboratory synthesis of those naturally occurring compounds, has resulted in highly refined and pure chemicals. The investment in high-volume chemical production for industrial and agricultural uses, makes the precursor ingredients for synthesised compounds extremely cheap, and therefore, drug supply can inexpensively meet drug demand, through mass-production. The very poorest people in the world are often able to afford to buy very potent and pure drugs.

In 1804 Friedrich Sertürner isolated the morphine molecule from opium. In 1804 the world's population was 1 billion and the average global income was $3 a day (adjusted for inflation). Today, 3.4 billion people live on approximately $3 a day, which means that there are 340% more people living in poverty on an increasingly overcrowded planet.

We know from animal studies that stress and overcrowding affects behaviour adversely - "the behavioural sink" - and experiments have produced compelling evidence. Animals whose living conditions are intolerable, will prefer water laced with alcohol, cocaine, heroin and other addictive drugs. When the experiment is repeated with better living conditions, such as having other animals to socialise and have sex with, more comfortable bedding, exercise wheels and toys to interact with, then the rats prefer to drink the water without any mind-altering substances.

Findings from experiments with overcrowding in rat colonies found the following disturbing results:

Many female rats were unable to carry pregnancy to full term or to survive delivery of their litters if they did. An even greater number, after successfully giving birth, fell short in their maternal functions. Among the males the behavior disturbances ranged from sexual deviation to cannibalism and from frenetic overactivity to a pathological withdrawal from which individuals would emerge to eat, drink and move about only when other members of the community were asleep.

The animals would crowd together in greatest number in one of the four interconnecting pens in which the colony was maintained. As many as 60 of the 80 rats in each experimental population would assemble in one pen during periods of feeding. Individual rats would rarely eat except in the company of other rats. As a result extreme population densities developed in the pen adopted for eating, leaving the others with sparse populations.

Infant mortality ran as high as 96 percent among the most disoriented groups in the population.

Translated into human terms, we see that the majority of the world's population live in overcrowded cities. We see neglected and abused children taken into foster care. We see high infant mortality rates in the developing world. We see sexual deviancy. We see widespread manic-depressive symptoms and other psychiatric illnesses. We see men living lives of quiet, desperate isolation, withdrawn from the world and spending most of their time in their bedrooms, emerging only to grab a microwave pizza or use the toilet.

One must remember that in the rat overcrowding experiments, there were no drugs or alcohol. The behaviour of the rats was a spontaneous response to their living conditions.

Thus, we must conclude that the problems we see in society are not caused by drugs and alcohol, but the abuse of drugs and alcohol is caused by intolerable living conditions.

In the west, the social problems we have are due to industrialisation and mass-production, which required high-density housing in close proximity to the factories, mills, textile manufacturers and steel works. The social problems were compounded by the service industries building tall office blocks in the business districts of major metropolitan areas. Property developers built high-rise housing blocks in cities which were already densely populated.

Manhatten had a population of 60,000 people in 1800. Today it has a population of 1.7 million people who each earn $378,000 per annum, on average.

Hong Kong Island had a population of about 3,000 people in 1842. Today it has 1.3 million people and a 2-bedroom city centre apartment would cost about $2 million to buy.

Those are the affluent places.

In the developing world, the social problems are due to the purchasing power of "soft" currencies. Only the US dollar, Japanese yen, European euro, Swiss franc, Canadian dollar, Australian dollar, New Zealand dollar and British pound, are considered to be "hard" currencies.

Developing world nations need to build factories, mills, mines, railways, ports, power stations, which can only be paid for in hard currency, along with hospital and a university, fully equipped, staffed. The university needs a library full of books. Almost everthing has to be imported, and the suppliers want to be paid in hard currency.

The developing world nations take out loans from the World Bank, issued in hard currency to buy what they need. The crop harvest, manufactured products and natural resources are exported to buyers who pay with soft currency. Labour is also sold using soft currency .

$1 can purchase 8.3 minutes of labour in the USA. $1 can purchase 36 hours of labour in Ethiopia. The poorest and hungriest Ethiopians get paid 10 Ethiopian birr for 12 hours labour. A day's wage is the same as the cost of the day's food.

$1 is exchanged for 30 Ethiopian birr. The dollar seller can pay 3 Ethiopians their daily wage, after they complete 12 hours labour. The Ethiopian birr seller can purchase $1 of specialist goods, specialist services, or hire a highly-qualified and experienced expert, from the richest nations. $1 could purchase 1 minute of time from a prospecting geologist to survey Ethiopia's stone, ores, minerals, metals and gemstones. When the data is gathered, Ethiopia can then calculate the capital expenditure to purchase land, build processing facilities, buy equipment, and build supply infrastructure. Then they consider the cost the cost of paying for supply chain services. They calculate how soon they can be ready to start exporting. They calculate a sustainable export capacity and work out the anticipated lead time from initial purchase order, legally binding supply contract, agreed.  The operating costs are deducted from the expected income from the exports. It's pretty easy maths:

(Capital expenditure + operational costs + transport costs) - (average raw material market price x quantity of raw material available)

This equation gives three numbers,

1. How much money do we need spend before we see a single dollar

2. How much money will be earned until all the natural resource is gone

3. Proft (if any)

Wheat to make flour with is $0.46 in the US commodities exchange. Coffee beans are $0.94/kg. Orange juice is $1.17/litre. Cotton is $0.71/kg. Raw sugar from sugar cane has by far the lowest market price, of $0.13/kg.

Processing makes little difference: Alcohol made from cane sugar trades at $1.34/litre and refined white sugar trades at $348.

So we can forget growing crops. The US and EU subsidise their farmers by purchasing their harvest, then dumping it in huge silos, or otherwise paying farmers a subsidy for not growing their crop, which is greater than the amount the farmer could expect to earn by selling the harvest. That's economic warfare by the wealthy west on the impoverished developing world nations. The game is rigged.

Then stone, ores, metal, precious metal and gemstones are worth considering.

Iron ore trades at $89/kg. If you invested in heavy machinery and a processing plant: Copper trades at £3/lb, Aluminium at $1/lb. Nickel at $6/lb and Zinc is at $1/kg.

This is because $1 can purchase at least 1kg of flour, which will feed a mother and child for a day. The hungriest poorest people will exchange 12 hours labour . Therefore $1 buys 87 times more labour in the poorest parts of the developing world, than it does in the USA. So $1 is offered in exchange for enough local currency to buy 1kg of flour. It costs 30 Ethiopian birr to buy 1kg of flour,

The densest population on the planet is Tondo - a district in Manila - where you are never more than 2 metres away from another person. I'm 1.83 metres tall, so if I lay down to sleep, I would have 17 centimetres between me and the nearest person That's disturbing.

The developing world population has increased dramatically in the last 200 years, which is a lot of hungry mouths to feed, in countries which might not have clean drinking water, medicine, sanitation systems, and people live with a lot of hunger. See below:

World pop growth

Can you see the trend? Poor nations are getting more populated, which drives down the value of their labour drives down the value of the crops they produce, and drives down the price of the the other commodities they can produce. In a system of global free-market capitalism: A hungry person will work harder for longer, than a well-fed one. A person who lives in a country with high infant mortality rates will have more children that a person with great well-equipped hospitals and doctors, in every city.

It's ludicrous to be criminalising things which would never exist if we paid more for our edible crops. For example, 1kg of opium resin is worth $2,506 if you buy it wholesale directly from the farmers in Afghanistan. That heroin has a market value of $6,600 in the USA.

The drug problem is the inevitable conclusion of exploiting the developing world's labour, crops and raw materials.

I should really have written this as a series of blog posts, but I might is this in a non-fiction book I plan to write if I can convince somebody I like to co-author it with me. Or at least get a literary agent to find me a publisher and give me an editor.

Side note: I started writing this on Saturday and it's now Monday (well, Tuesday, technically) and I've hardly slept. I must publish this now, and proof-read and edit tomorrow.

I hope you find these 4,000 words entertaining.

 

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Bipolar Medications

8 min read

This is a story about tailored medicine...

Different tablets

It's a subject I've written about at length before, but I was writing about my experiences with different mood stabilisers earlier today and I thought I would re-purpose that content for my blog, because I'm tired and I'm stressed, and it seems like a logical thing to do: To take something I wrote earlier and re-use it.

What I've written is in the style of advice given to somebody who's perhaps newly diagnosed as bipolar, or perhaps suspects that they have bipolar disorder. What I've written is from my own personal experiences. What I've written is not meant to be completely authoritative and factually correct, but I'm aware that it's my general writing style to present my opinions in a persuasive manner.

So, without further ado, let's get onto the list of bipolar mood stabilising medications I have known and loved (or hated, more like).

Quetiapine (Seroquel)

Horrible side effects, including weight gain, daytime sleepiness, dry mouth and constipation. When it takes effect, it's so strong that it's very hard to get to bed, or use the toilet in the middle of the night. Cannot be mixed with alcohol - the alcohol makes you feel very unwell.

Overall, this medication feels like being "heavily sedated" and it would be very difficult to carry on a normal life at dosages above 200mg. At dosages of 300mg or more, you'll be sleepy and dopey all the time. At dosages over 400mg, you'll be a shuffling zombie, good for nothing except dribbling in front of daytime TV.

Not compatible with having a job.

Aripiprazole (Abilify)

This medication had a strange side effect, where I lost fine motor control of my lips and seemed to produce excessive amounts of saliva. It was impossible to have a conversation with somebody without spraying them with spit, which was a horribly degrading experience for me.

Aripiprazole is very long-lived in the body, so it can take a week or more to wear off and get back to normal, even after taking this medication for only a couple of days (i.e. if you try it and you get bad side effects immediately, you'll have those side effects for a whole week at least).

Because of its very long half-life, I would have serious reservations about trying this one, except as a last resort.

Lamotrigine (Lamactil)

No side effects at first, but the dosage has to be increased very slowly with this one. Migrane headaches are a very common side effect, which I got, so I decided to stop taking it. The headaches are tolerable, I guess, because this is the medication with the fewest side effects.

Some psychiatrists might not consider lamotrigine to be a mood stabiliser, but in fact more of an antidepressant which is safe for bipolar people to take. It improves sleep quality so I think it's a good choice from amongst the fairly bleak options.

Also a good choice if you plan on attempting to have a normal job and work.

Olanzapine (Zyprexa)

Side effects include weight gain, daytime sleepiness and a general feeling of being drugged, but nowhere near as bad as quetiapine.

Very good at quickly stopping a manic episode, so it could arguably be used only when entering a manic phase, and then stopped a short while later, but this would require discipline.

Not recommended to take on a long-term basis.

Not compatible with having a normal job.

Sodium valproate (Depakote)

Dreadful side effects. Will turn you into a total shuffling, dribbling zombie and eventually you will get an irreversible kind of brain damage, which will cause you to make involuntary facial movements (a bit like a tic).

This is an awful drug, given to paranoid schizophrenics who are very severely sick (paranoia, hearing voices, hallucinations etc).

If you're on this, it's probably forcibly injected into you in a psychiatric institution. The injections last for 3 months. Don't ever let yourself get so unwell that this becomes necessary. Exhaust all the other options first.

Lithium

Very hard to get the dose right, and requires regular blood testing, which is annoying and inconvenient. Very effective and side effects are tolerable if you can get the dose perfect but it might take many years to find exactly the right dose, and it will be very destabilising if you start going too low with your dose - i.e. you might end up triggering manic episodes when you're simply trying to avoid side effects.

Lithium causes irreversible health damage when used long term, and is therefore "life limiting" in a way - it might reduce your lifespan by 5 years or more, which is obviously a high price to pay.

General Comments

Psychiatrists will tell you that you need to commit to a medication for at least 3 months, in order to feel the therapeutic effects and for the side effects to wear off. I have tried all the medications listed above for 3 months or more, and the side effects never wore off. The side effects were intolerable for all the medications, except lamotrigine.

If you take these medications for longer than a few weeks (with the exception of lamotrigine) then you cannot stop taking them abruptly. If you suddenly stop taking these medications, you will have horrible rebound mania and possibly psychosis too (hearing voices etc). However, I have successfully 'weaned' (i.e. tapered) myself off all these medications, without too many problems.

The worst manic episodes I've had have been when stopping quetiapine and olanzapine abruptly. When I've tapered off the medications slowly, my mood has been fine and I've not had any problems. In fact, every time I've stopped taking a medication, I've felt much better, because the side effects are so awful.

I would advise you to consider olanzapine as a treatment for acute episodes of mania... i.e. you should have some ready to take, and when you start to go manic then start taking it to make sure your mania doesn't spiral out of control.

I would also advise you to consider lamotrigine as first or second choice. I believe many busy working professionals with bipolar disorder find lamotrigine to be a good medication, because it has few side effects.

Psychiatrists will probably pressure you to be on a stronger medication, which is likely to be an atypical antipsychotic (quetiapine, aripiprazole, olanzapine, sodium valproate, risperidone, clozapine) but all of these will have very profound side effects, most notably making you feel tired and sleepy, lethargic, foggy-headed, confused, increasing your appetite and reducing your sex drive. It's personal choice, but I find those side effects unacceptable.

Alternatives to Medication

Alternatively, you can use good lifestyle choices to manage bipolar: no alcohol, no caffeine, strict bedtimes, strict work:life balance, exercise, good diet. You will probably need some trusted people around you who can let you know when your speech is becoming more pressured, you're getting irritable, perhaps you're getting a little obsessive about projects, becoming more impulsive and taking more risks... essentially, when you're heading into a manic episode, which could escalate. I find that getting 8 to 10 hours sleep each night, no more and no less, helps me to keep my mood stable. I also find that my manic episodes are much less of a problem since I quit caffeine. Recreational drugs are a terrible terrible idea, and completely incompatible with bipolar, unfortunately, especially the stimulants: legal high powders, speed, coke, crystal meth, meow meow, M-CAT, mephedrone, monkey dust etc. etc.

Stressful life events can be very triggering for mania, as well as the temptation to work hard because of a job change, promotion or exciting project. It takes a lot of careful planning to ensure that stress is kept to a minimum and work:life balance is preserved. If you want to get obsessed with anything, make it exercise and the great outdoors.

In Conclusion

I'm living a functional and complete life, with a full-time job, managing to have good relationships, managing my money, not engaging in risky behaviours or otherwise suffering many problems with my bipolar disorder. I have depressions, which are sometimes bad enough to cause me to take some time off work, but only a few days here and there. I have hypomanic episodes, where I can spend a lot of money and make impulsive decisions. However, considering that I don't take any mood stabilising medications for my bipolar disorder, my mood is remarkably stable and almost everybody would consider me to be successfully managing my condition, without having any particularly adverse effects on my quality of life.

I can highly recommend trying to go medication free, or spending a lot of time trying different medications and tweaking the dosage, because life is so much better when you're not drugged up to the eyeballs with powerful psychiatric chemicals, which radically alter you and your personality, with horrible side effects.

I'm not antipsychiatry per se, but I would advise people to make very well informed decisions and remind your clinicians that it's your body, so it's your rules, and like with every profession, there are people who are brilliant at their jobs and there are people who are not so great. You need to educate yourself so that you know whether you're getting good advice or not. You can't just trust everybody who calls themselves a doctor.

Mental health is complex. Bipolar disorder is complex. People are complex. We are all individuals and we have individual needs and individual unique circumstances. Tailor your solution to meet your needs.

 

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