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

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

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

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

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

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

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

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

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

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

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

Tags: #bipolar

This is a story about being at the top of the bell curve...

The world has pushed you one of two directions. Either you feel like the smartest guy or girl in the room, or you feel distinctly average; part of the herd. For some of us, society conspires to make us feel like the top dog and that we can lord it over our fellow humans because we're oh-so smart and important; a big cheese. For others, we take our comfort in knowing that we're just the same as our peers - ordinary and unremarkable.

You might notice a habit of the perennial committee sitter to offer unwanted advice and solutions to solve problems you didn't even know you had. You may observe that the person who believes they have risen above the masses is rather keen to take you down a peg or two - they'll take every cheap shot they can to undermine your self-confidence, lest you start to believe in yourself.

Likewise, you might notice an excessive humbleness - bordering on the pathologically self-critical and self-doubting - that holds back those capable members of society who actually do the work, not seeking to idly sit in judgement over others. You'll hear people giving credit where credit's not due, to those who have cheated and sharply elbowed their way to the front of the queue. A kind of weak-kneed deference is given to the great and the good that is wholly undeserved.

We are all mediocre. Whether we have millions of adoring fans or apparently none, there is no human being who is thousands of times better than another. No man or woman deserves praise and adulation that is manyfold greater than given to their peers. Although we have a tendency to hero-worship, revere men of letters and fetishise those who hold coveted job titles or wear uniforms, we sometimes forget that these are just ordinary people who are role playing - abusing the human psychological weakness towards those in authority.

Any one of us might purchase a fluorescent jacket and start bossing our fellow citizens around, and people will be surprisingly compliant. Any one of us can buy our way into a position of fame and influence, and people will attach a surprising amount of gravitas to our words. "Oooh, what a great leader! How wise they are!" people coo with approval as they unthinkingly accept the artificial social status that was conferred by something bizarre and abstract, such as a metal badge pinned to somebody's chest.

There's a confidence trick that propels ordinary mediocre people into becoming little Hitlers who believe they have a god-given right to exercise dominion over their peers. Those who believe - mistakenly - that they have risen above mediocrity start to believe their own bullshit and fall in love with their own reflection. Buoyed by the unearned respect that's been shown, the pompous little twats start thinking that they can solve everyone's problems and do anything - they start to think they can do any job and know everything there is to know; they believe their opinion and contribution is always valuable, when demonstrably it is not.

In order to support the delusions of grandeur, the world has to be simplified so that trite and painfully obvious solutions to the oversimplified problems can be thrust upon the lower orders. "Have you tried not being poor? Maybe you should try having money like I do. I'm great!" say those who have become rich and powerful by fluke of birth and other circumstances beyond anybody's control. It's impossible to measure anybody's value as a person versus their peers, because sheer blind luck gifts us vastly different advantages in life.

Virtue signalling by those who are succeeding in life is something which turns my stomach. I abhor those who believe that the reason why they're fitter, healthier, happier, richer, more academically qualified and in jobs of higher social status, is somehow due to smarter choices and harder work, or worse, genetic superiority. We can only play the cards we're dealt.

If we consider our place in the universe we should be humbled. If we consider our net contribution we should not be so pleased with ourselves. Everybody is distinctly average and we live meaningless lives. We are all destined to be forgotten.

Of course, fame and positions of high social status lead some of us to believe we're not far from the top of the pyramid, but this is stupidity. You might only be 3 promotions away from becoming the president, prime minister, CEO or other apex member of society, but you haven't done the maths. If each person has 15 people who report to them - such as the prime minister's cabinet - then you'll be competing with at least 3,375 other eager little Hitlers vying to get onto the next rung of the ladder. You're not special, unique, different or in any way making a contribution other than your 1/7,600,000,000th as a distinctly average member of the human race, despite your job title, qualifications, underlings, followers and other vanities.

The indoctrination into a society where we must kowtow to the least qualified and capable begins at an early age - people who aren't able to do jobs or command the respect of their peers take charge of groups of infants and instruct them to believe every word they say. "Respect my authority!" demand teachers as they exploit humanity's predisposition towards filial obedience. What kind of a person is so insecure that they need to find a vulnerable group of young children in order to provide them with an unwilling audience?

Those who wish to judge, police, lead or instruct others are unqualified by reason of insanity, in my opinion. To crave authority and power disqualifies those who have the mental affliction of believing they're better than their peers. Power should never be given to those who want it.

Personally, I want to hear the opinion of the person who thinks their opinion is worthless. I want to find out how those who don't think they're qualified to make decisions want to run the country. I want to be led by somebody who doesn't want to be a leader. This is not anti-intellectualism or a tirade directed against experts, but in fact a desire to solve the real problems; the hard problems, and not just have a society that exists to massage the egos of the little Hitlers who are completely incompetent, incapable and lacking in enough humility to pipe down and listen; lacking enough intellect to even comprehend their own stupidity.

How much productivity and ingenuity is squandered because we have constructed a society which seeks to tell most people that they're stupid and useless, and they'll never amount to anything? What kind of educational system have we got, when it tells most people that they're shit and they should give up - studying is not for the likes of them. Why would we actively discourage people from furthering their education, by slapping a label on them that says "average"? What's an education for, anyway, if it's just a means of attaining a job of high social status... the right to sit in sneering judgement over your peers.

As we reach the inevitable endgame of late capitalism, where we were told that competition would give us the very best results, are we not now able to see that we've squandered all our most precious resources? We've ruined childhoods and lives in the pursuit of academic excellence, but all we've produced is a tiny handful of impractical fucktards who've had every ounce of free thinking thrashed out of them by the system, who rule over the rest - the vast majority of us have been told we have nothing of any value to contribute to society.

Of course, the ruling elite, the scientists, engineers, teachers, doctors, university lecturers and those who hold all the other positions of high social status, are not bad people, provided they haven't been irreversibly corrupted into believing that they truly are better than the rest. To kill, imprison and re-educate the sneeringly arrogant guardian class - as has happened in so many revolutions - would be to squander the expertise that this group undoubtably has. The trick is going to be to wrestle power away from this group; to humble them - they should be servants of society, and not believe themselves to be gods.

People don't like to be patronised. The masses don't mind doffing their hat, so long as the bread and circuses continue unabated, but in a world of austerity and economic depression, why the hell should anybody show any respect to a jumped-up self-important little twat who thinks they're a big deal? Why should those of lower social status continue to humour their superiors; continue to massage their egos?

We're seeing multiple groups who have been patronised and marginalised now becoming discontent in this depressingly fucked up world. Women are fighting the patriarchy. The young are fighting the baby boomers. The practical are fighting the impractical. The workers are fighting the idle. The competent are fighting the incompetent. The have-nots are fighting the haves. The many are fighting the few.

It seems inevitable that the systems of societal control would collapse under the sheer weight of human misery. If you want to oppress a group of people, you should select one of their member at random and give them an elevated social status (imaginary) and they will brutalise their peers, believing that they are suddenly better than the rest and have a preordained right to abuse their fellow men, women and children. It seems inevitable that the oppressed group - who vastly outnumber the oppressors - would strike back eventually. The beaten dog sometimes bites back.

Of course, doom-mongers have regularly foretold of revolution and riot; popular revolt, only to be repeatedly disappointed when the people haven't risen up in anger and corrected social injustices. I am extremely unoriginal in putting forth an opinion on the inequalities of society, and pointing at the classes who consider themselves to be superior as the cause of the problems. However, I'm not wrong.

As the internet democratises publishing and broadcasting, such that we can all be journalists, TV presenters, politicians and add our voices to the discussion, we see the traditional power bases shifting. Unqualified people who have no right to an opinion are having an opinion anyway and sharing it, and they are getting readers, viewers and followers. Information which was restricted to those who had been moulded into loyal gatekeepers, has now been given to everyone, such that we can all become experts - there's no longer a monopoly on knowledge and education. This must surely be the final coffin nail for those who have sought to cling to power.

The net result, if the plutocracy is to unwind itself without too much violence, is that the hero-worship of the CEOs and politicians and celebrities and professionals and academics and journalists and other powerful men and women, is going to falter. We'll start to realise that we can't kowtow to these people any more, because it's too costly for society. We can't accept enslavement to those who are supposed to serve society any more.

Three cheers for mediocrity.

Tags: #politics

This is a story about escaping...

I just realised that I couldn't tell you anything about how these wines tasted. I drank them without savouring the smell and the flavour. I drank all these bottles of wine on my own and I can't remember a thing about them. If I had to choose which one I enjoyed the most, I wouldn't be able to - I didn't drink them for enjoyment. I drank them to get drunk.

When I took a sip from my glass last night, I still had a very bad hangover from the night before. The wine tasted sour and unpleasant. I had been in two minds about drinking anyway, but something prompted me to drink - I think it was anxiety about fast approaching Monday morning and returning to the office; another agonising week doing a job I hate. There was anxiety about my financial situation too. I had run out of money and spent my final £10 on wine and a cheeseburger. I was skint.

Alcohol has become liquid diazepam for me. Alcohol is a very poor substitute for benzodiazepines though. At least with benzos you don't have dreadful hangovers. At least with benzos, you don't get a fat tummy from all the excess calories. At least with benzos, it's possible to be very precise with a dose. Benzos slotted pretty easily into my everyday life, in a way that alcohol doesn't. I would take a benzo to go to sleep, and another to be able to get up and go to work. I was functional on benzos. Alcohol is unhealthy. Alcohol is not going to lead anywhere except becoming unfit, overweight and suffering from various alcoholism-related illnesses. Taking my tranquillisers in pill form is far more preferable to having to guzzle gallons of booze.

Why would I be getting so intoxicated anyway? Surely my life is wonderful?

There's a little bit of loneliness and boredom. I'm working away from home and living in a hotel. There's nothing much to do except drink. I was running out of money, so it's not like I could go out and do things. Also, did I mention I was running out of money? When you know that you're running out of money, it's really stressful. Stress means that you can't relax and you can't sleep. Constant anxiety is a terrible thing. When you're running out of money, anxiety is constant. When you're not sleeping, anxiety is with you all night long, tormenting you. There are no easy solutions to my problems, but money's a good start. If you don't have any money, you might as well just get drunk.

"How do you afford to get so drunk if you've got no money?"

Well, it's about priorities. The six bottles of wine pictured above probably cost me about £42. How much would I spend on gym membership? How much would I spend on a night out seeing friends? How much would I spend wooing a girl? It's not possible to simply not exist, and still earn money. Earning money requires existence - nobody pays you unless you're in the right place at the right time. The only way to get me into a shitty situation that I hate - living out of a suitcase and working a job that makes me sick - is to oil me up with a load of booze or tip a packet of pills down my throat. It's completely necessary to have booze when I'm doing something that's otherwise incompatible with my mental health.

Thus, we arrive at my central theme: drinking myself sober. The route to sobriety does not just include abstinence. The route to sobriety also needs to include things that are compatible with life. Modern life requires money. The way to get money is to do a job that you hate. The more you hate your job, the more you'll get paid. I REALLY HATE my job, so they pay me LOADS AND LOADS of money.

I finally got paid today.

Now I have money but I also have a big booze habit. I was pissed out of my mind the whole of Christmas and New Year, because I really didn't want to go back. I'm quite an articulate fellow but I really struggle to quite convey just how unhappy my particular line of work makes me.

"Retrain! Be a famous pop singer! Drive Formula One cars! Be an astronaut! Be a professional footballer!" I hear you shout.

Yes, but there are economic fundamentals at play in the capitalist bullshit society we all live in. It makes far more sense for me to be paid absolutely bucketloads of cash, and suffer a very great deal, than to be paid absolute peanuts and suffer loads anyway for different reasons.

I got paid today.

An alcohol habit, I can deal with, I think. When I had a massive problem with sleeping pills and tranquillisers and painkillers, life was a different story. There was no way that I was going to be able to quickly and easily cut down my addiction to prescription medications. I was actually physically dependent on benzos to the point where I would have seizures and possibly die if I stopped taking them abruptly. I was trapped. Now I'm not trapped. I have a booze habit - I drink more than I want to - but it's manageable. I don't drink spirits. I don't drink every day. I don't drink in the morning. I don't get pissed at work. It's a much better situation than when I had such a bad benzo addiction that I was on diazepam around-the-clock.

Sleep is one of the reasons why I've historically had a problem with booze and benzos. Zopiclone is called a nonbenzodiazepine, but it's still a benzo. Zopiclone is addictive. I used to have a few glasses of red wine to help me sleep. When I discovered zopiclone it became my drug of choice for helping me to sleep. I took it for most of 2017.

Now, I'm doing all the right things for sleep. I practice good sleep hygiene. Lowering the lights, avoiding strong blue light, having breakfast, completely avoiding caffeine, having 5-HTP (a precursor to melatonin) and magnesium supplements. All of these things make a difference. I get a little exercise too.

But, on the flip side, when you stop taking diazepam, alprazolam, zopiclone, zolpidem, pregabalin, mirtazepine, lamotrogine and a whole heap of other sedative/hypnotic/tranquilising/sleeping-pill type drugs, you get a horrible amount of rebound anxiety and insomnia. Words can barely express how horrible it is to live with a constant gnawing sense of dread, doom and dismay. I'm not talking about a few nerves that can be waved away with bloody breathing exercises or yoga. I'm talking about living for 24 hours a day with the unshakable sensation that you're about to die. It's not something that's going to be fixed by your quack snake-oil cures, because it has a biochemical origin. What goes up must come down. If you take heaps of pills, they're really really hard to stop taking and you'll feel awful when you do stop taking the medication.

So, I've been self-medicating for the combined anxiety of running out of money, having to start a new job, doing work that I absolutely loathe and that makes me sick, having to live away from friends and family in a lonely isolating environment and not having any bloody money to spend to make it bearable, while withdrawing from bucketloads of addictive medications. I think £42 for six bottles of wine is a bloody bargain, when you consider that this unhealthy coping mechanism has actually helped me to cope. I've done it. I've bloody done it. I worked and I got paid - that wouldn't have been possible without chemical crutches to prop me up.

Hurrah for alcohol. Better the devil you know. It should be straightforward to now reduce my alcohol intake to healthier levels. Some moderate alcohol consumption is actually desirable. I can't imagine living on this shitty overcrowded rainy island, without wine and beer to drink. I can't imagine anything worse than living life completely sober.

Of course, there's a risk that I swing the other way, and my drinking worsens. There's a risk that I'll reach for the harder stuff - which I've never touched a drop of in my life. There's a risk that I'll lose control.

At the moment, I'm really chuffed with where I'm at with my addiction to substances. To have quit all those dangerously addictive drugs, and now be left with a very negligible habit is quite impressive. What does a couple of glasses of wine matter?

The next challenge is to try to stay off the zopiclone and taper off the tiny amount of pregabalin that I've been relying on. It's taken longer and it's been much harder than I thought it would be. I'm amazed just how terrible I still feel, as I reduce my dose of all the pills I was addicted to to almost zero. It's amazing just how much of a strong hold on my mind those pills had. I'd reach for those pills to go to sleep, and I'd reach for those pills just to cope with hideously horrible stressful shit, that made my life unbearably filled with anxiety. Now, I occasionally have some red wine. That's not bad is it?

I really can't decide which way to go at the moment. I'm not going to drink tonight, but I've had to take 50mg of pregabalin to be able to cope with anxiety. I shouldn't be stressed - I finally got paid - but it's going to take a little while for me to re-adjust to the new circumstances. I've been living with the threat of bankruptcy hanging over me for so long, I can't quite believe I dodged that bullet.

I'm not sure if anybody who's followed my turbulent ups and downs can detect any improvement or change from where I was at when I was under the influence of enough medications to tranquillise an elephant. It's really hard to gauge in myself whether I'm any different at all. Am I able to better perceive reality? Am I communicating with more clarity? Am I getting better? It's impossible for me to judge.

One thing that should be noted is that my decision to reduce and quit a whole host of highly addictive medications, alcohol and other substances, was my own. I also don't think I could have quit everything if I was forced to go cold turkey and quit abruptly. In fact, it would quite literally have killed me to do so - you can't just stop when you're physically dependent on substances. Alcohol, for all its faults, is at least available as a ubiquitous form of self-medication. If I'd had to rely on doctors to give me what I needed, I'd never have been able to get through such a torturous period of re-adjustment. It's inhumane to not offer any kind of substitute prescribing or realistic tapering of doses, to help people escape from the trap of addiction.

Yes, I laughed at the amount of effort that junkies will go to in order to get a tiny bit more methadone or subutex, but that's the point - you do you. You know what you can take and you go at the pace that means you succeed. You know what you need and you should damn well get it. Anything other than this is going to be doomed to failure, and cause undue suffering.

I've suffered and it's been hard. It's still hard. But, I got through something really tough and I still have the comfort of knowing there's a bottle of wine waiting for me in the off licence down the road if everything gets thoroughly unbearable. Hurrah for red wine.

Tags: #addiction #alcohol

This is a story about cyclical patterns...

In 2014 I was homeless and addicted to drugs. I got myself a job at a bank, got myself a place to live and paid off all my debts. Then, I lost my contract. I went to a shop in Soho and bought two packets of a legal high powder and proceeded to undo all my hard work. Within a matter of weeks, I was back on the supercrack.

In 2015 I was homeless and addicted to drugs. I got myself a job at a bank, got myself a place to live and paid off all my debts. Then, I lost my contract. I went online and bought two packets of legal high powder and two packets of legal benzodiazepine tablets. Within a month, I was back on the supercrack.

In 2016 I had a lovely apartment. I was clean all summer. I went on holiday. I met an amazing girl who I was totally in love with. I wrote my first novel. I had a brilliant Christmas with my girlfriend and her family. Then, I got myself a job at a bank. My left leg swelled up to twice the size of the right leg, both my kidneys failed, I was put on emergency dialysis and I had to be admitted to hospital for a couple of weeks, on a high dependency ward. Then, I lost my contract. Within a fortnight I was back on the supercrack.

In 2017 I had a lovely apartment. I took supercrack. I tried to quit the supercrack. I got depressed. I tricked my doctor into giving me California rocket fuel - a combination of venlafaxine and mirtazepine antidepressants. I went hypomanic and split up with my amazing girlfriend. I bought enough supercrack to last me two years. I went insane with stimulant psychosis and was thoroughly beastly towards my amazing girlfriend. I ran out of money. I moved to Manchester. I got another girlfriend. We broke up. I tried to kill myself. I spent a couple of days with a machine breathing for me in intensive care. I got sectioned and got locked up on a secure psych ward. I moved to Wales. I wrote 42,000 words of my second novel. I got myself a job at a bank. There isn't enough time left in 2017 to get back on the supercrack. I'm worried I'm going to relapse in January. I haven't lost my contract yet.

If we dip into each year a little bit more closely, 2014 was a really dreadful one. I was an inpatient for about 14 weeks. I lived in a bush in Kensington Palace Gardens and slept rough on Hampstead Heath. I was in two rehabs. I lived in a 14-bed hostel dorm, but that was actually one of the highlights. I abused a lot of benzodiazepines and amphetamines, as well as the supercrack. I got in trouble with the police. Twice.

2015 looks tame by comparison. Although I abused stimulants and 'downers', I had a couple of visits to a lovely family in Ireland, who looked after me. Strangely, it was working 12 hour days and working 7 days a week that exhausted me and tipped me into hypomania. I spent a week suicidal on a psych ward then suddenly decided to fly to San Francisco. I went straight to the Golden Gate Bridge, which I had contemplated jumping off. I was sober for 120 consecutive days. I deliberately got my contract terminated, because I had ethical objections to what the bank I was working for was doing. I started blogging.

2016 is unusual - perhaps there is no easy pattern we can spot - because I got myself clean and into work much earlier than I'd managed in previous years. I worked a whole contract - notably not for a bank - without going mad and getting sacked. I got a good reference and my team were really pleased with the way I ran the project. My life was quite stable. However, I was a sneaky bastard. I was using supercrack and benzos in secret, and lying to my amazing girlfriend to cover up my drug abuse.

2017 was off the charts. I've never been so sick. I've never been so close to death. For the first half of the year I had binge after binge after binge. I abused opiates, sleeping pills, tranquillisers, club drugs and stimulants. My drug abuse was definitely going to kill me. I had a physical dependency on benzodiazepines that looked impossible to cure - how was I going to escape from the death trap? I decided I couldn't escape, so I took a massive overdose. The hospital gave me a 50:50 chance of pulling through.

I'm worried that I'm repeating old patterns of behaviour. I always go back to the banks when I need money, because they pay so well and it's the quickest way of digging myself out of debt. I'm living out of a suitcase, moving from AirBnB to AirBnB. It's exhausting and stressful: factors that tipped me into hypomanic insanity back in 2015.

What is unusual is that I'm going into the New Year with a contract in place: I have my job and it's going well. I'm starting 2018 with money on the way, as opposed to the fear of bankruptcy and eviction. I'm going into next year with far fewer stresses than I've had for a very long time. Perhaps it's good that there aren't even any girls in the picture at the moment. Love and sex always have a bit of a destabilising effect on me.

Writing this summary of my hit-and-miss boom-and-bust crazy life, I wonder if I'm doomed to forever repeat the pattern.

One thing that's notably different this year is living with a family. I care about them. I imagine what it'd be like if the kids asked "where's Nick?" and the answer was that I was dead, or as good as dead because I'd relapsed onto supercrack.

This year, I quit supercrack, tramadol, codeine, dihydrocodeine, diazepam (Valium), alprazolam (Xanax), zolpidem (Ambien), zopiclone and pregabalin. I was prescribed venlafaxine, mirtazepine and lamotrogine, but I don't take any of them now. I had 30 consecutive sober days during October. In fact, I was sober from more or less the start of September to early November. My brain has been completely drug-addled at times, but I'm clean as a whistle at the moment - I'm unmedicated and I'm not taking any mind-altering substances. I don't drink caffeinated beverages.

I'd like to tell you that I feel wonderful, but I don't. I have a cold. It's winter. Winter is shit.

You might look at all the times I've tripped up and conclude that I'm bound to trip up again. However, you might look at all the things I've fixed and conclude that I'm pretty good at fixing up my life when it's fucked. All I've got to do is bring together all the different elements: friends and family, work and home, money and rest and relaxation, stability and exercise and hopes and dreams, love and romance and sex. Easy, right?

If you're wondering what my drug of choice is, and thinking that it's supercrack, you're wrong. Look more closely at the picture at the top of this blog post. What's that thing in-between my legs? It's not my male member, it's a wine glass.

With closer examination of my entire adult life, we can see that alcohol features heavily. In fact my latest job came about as a result of being friends with a lovely guy who's an alcoholic. We spent a week getting pissed, when I was supposed to be finding my feet with the new job. Somehow, I've managed to drink my way through a very successful career. Without booze I'm somewhat out of kilter. Without booze, how would I self-medicate for my mood fluctuations?

Yes, without booze, my bipolar disposition rages out of control. I work too hard. I take everything too seriously. I fly off the handle.

I'm not genuinely suggesting that booze is harmless or the cure of all ills, but it's been such a big component of my adult life that I don't really know how to cope without it. How would I have survived the recent stresses and strains of a 2,500 mile round-trip, to go and gather money from the latest bank I'm working for, without alcohol? How would I square away my deep unhappiness with the work I do, with the need to earn money, if it wasn't for drowning my sorrows? Alcohol might be a terrible solution, but it's the one I've got and I know it works.

Is it lunchtime yet? I'm not an alcoholic, because I don't drink in the morning. I just make sure I lie in bed until it's after midday.

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

This is a story about paralysis...

I'm never really unsure of what to do. I generally have a very certain idea of what I want to do and how I'm going to do it. I have a really big problem when I can see all the way to the end, and life seems to be a bit of a paint-by-numbers exercise. I really struggle when life is predictable and routine.

I went to see a psychiatrist on Wednesday. I knew what I wanted from the psychiatrist: to see a clinical psychologist. I also knew what the likely outcomes were if I was honest: to have pills thrown at me and put myself at risk of being locked up on a psych ward. It was a situation that was so predictable, that I was able to forecast exactly which medication the psychiatrist would suggest.

Instead of allowing myself to be sectioned and swallowing the prescribed medication, I ran away. I'm currently 1,200 miles away from home and by the time I get back the system will have forgotten all about me. If I really wanted to get what I need - which is some talk therapy - then I'd have played a completely different strategy. Frankly, I can't really afford to be sitting on a therapist's couch - I've nearly run out of money.

So, I find myself away from my friends and my new home, in a strange city, in a new job. It's very stressful. I'm very anxious. However, it's also novel and therefore a little exciting. Even though I've done similar work a million times before, I'm still a little challenged by meeting new people and learning the particular nuances of the organisation I've just joined. There's a little novelty in the experience, even if ultimately I'll realise that it's the same old shit, and I'll be on cruise control until the end of the assignment.

I'm presently thinking about eating pasta from a plastic pot, having poured boiling water over it from a miniature kettle in my hotel room. I will need to stir and eat the pasta with a shoehorn, in the absence of any cutlery. This is the glamorous life I live.

You may wonder whether the stress of homelessness, near-bankruptcy, drug addiction, brushes with the law and general dysfunction in every area of my life, is something that I regret. No. No I don't regret it. Having been an adrenalin-junkie extreme-sports enthusiast all my life, you can't get more of a rush than playing "go for broke" in real life. It seems inevitable that I would push everything to the limit, including taking life-or-death chances.

It is a little hard to see where the reward is, when my life seems mostly miserable. I've had unbearable anxiety and depression for long periods during the last couple of years. However, I'm not rushing to the doctor and begging for a miracle cure. The deeply distressing feelings I'm having are doing very little to change my behaviour. I almost guarantee that I'll find the urge to self-destruct almost irresistible, if I pull through my latest episode of adversity.

Having lived in a bush in a park, it seems rather more preferable to be living in a hotel like I am now. Having nearly run out of money, it seems preferable to have a well-paid job, like I do now. However, I can't make any sense of life when I swing between impending doom and intolerable boredom. What's the point of living if it all ends in misery and disaster? I'm too busy moving from certain destitution to probable financial stability at the moment, to stop and have suicidal thoughts, but I know that the absurdity of the rat-race existence is already something that I'm not able to ignore - I'm completely unable to relax and enjoy trivial distractions.

Existential angst paralyses me. I wake up and I want to go back to sleep, but I can't because I have to go to work. I get to work and I want to walk out, but I can't because I can't lose this job. I should work but I want to scream "THIS IS ALL JUST UTTER BULLSHIT". Everywhere I look, I see needless complexity; makework. Existence itself is just killing time before our eventual death. Why go through the stressful and exhausting bit in the middle? Why not take the short-cut and just commit suicide?

It's strange to write like this, given that I've overcome the incredible stress of getting this job, travelling over a thousand miles and facing my first nervous couple of days in the office. Given that I'll avoid bankruptcy if I just keep turning up and keeping my mouth shut, why would I be writing about suicide? I'm not even suicidal at the moment. I've entered a strange kind of state, where I'm incredibly anxious, but I know that suicide doesn't make sense anymore. I know that I've gone to strange cities, started new jobs and rescued myself from financial ruin enough times. Why am I even writing about death and disaster?

January.

It's been a very, very long time since I had a stable January. Potentially, I'll still have well-paid work in the New Year. Potentially, I don't have to start job hunting and worrying about money during the absolute shittest time of year. Potentially, I start 2018 with prospects rather than worries.

On the flip side, you might say that I'm stuck in a cyclical pattern and that I keep trying the same thing but expecting different results, except you'd be wrong. I'm trying something that's been staggeringly successful, and the circumstances are different each time. One of these days, there's going to be a combination of favourable factors, as opposed to badly-timed clusterfucks.

Money is a 'trigger' for self-sabotage, one might say. Also, finding myself trapped on a rainy miserable island in the middle of winter is also a 'trigger'. My coping strategy in the past was to jet off to Venezuela or Brazil for a couple of weeks. I had a long successful career doing that.

In order to survive, I'm going to have to orchestrate friends, work, money, a place to live, a passion and a girlfriend. You might scream with frustration at your screen, because we're all trying to get that perfect balance, and there's always one area of our life that's not going as well as we'd like it to. Erm, well... you don't know how good you've got it, actually. Try living in a bush in a park with none of the things I listed, then get back to me. This is not a boo-hoo story - I'm just explaining how dysfunctional my life got. If it helps you to say it's all my fault for making bad life choices or whatever, then knock yourself out, but I'm far too busy figuring out whether there's some way I can rediscover a reason to live to worry about shit like that.

I'm just writing now. I'm brain dumping. I'm trying to write without a filter.

It's possible that I got caught in some thought loops before, and I needed to take a break from my usual blogging topics. It's possible that my blog wasn't helping me at all. It's possible that I'd lost perspective, because I'd been doing too much navel gazing. I took a break and now I've come back.

Now, I'm writing mindful of the fact that I have friends who I've been living with in Wales. I'm mindful of the fact that I've got a friend who helped me get this job. I'm mindful of the fact that I can't afford to put a foot wrong. I'm mindful of the precarity of my situation. I'm mindful of the fact that writing is actually pretty exhausting, and I need to devote quite a lot of my energies into doing a good job and impressing the people I'm working with. I'm mindful of the fact that I have repeated the pattern of boom and bust, and it looks pretty obviously cyclical to a casual observer. I'm mindful of the fact that my consistent perseverance in the face of a headwind might look a bloody-minded and stubborn refusal to acknowledge reality. That's not the case.

There's a prescription for an antidepressant waiting for me at my doctor's surgery back in Wales. Given the chance, I would be institutionalised by the mental health services. Instead, I'm pursuing a ridiculously optimistic and hopeful, yet extremely risky strategy, of attempting to avoid medication and the dead-end of financial ruin and the mire of pathetically paid jobs that're just as soul-destroying as the very well paid job I've got. I'm not happy about being unmedicated, but I wouldn't be happy popping pills either. I'm not happy about having to work a bullshit job, but I wouldn't be happy doing a so-called 'fulfilling' one either (there are none).

"What if you're still depressed and anxious in 6 weeks time?" the psychiatrist asked me. "Wouldn't you regret not having started taking medication sooner?" he asked. What happens if I don't give up though? Wouldn't I regret never finding out what happens if I stick to my guns and persevere? What am I going to find out, that nobody else ever would, because it's too hard?

I didn't mean to write so much, but I've uncorked some of the stuff I've been holding back. I've never regretted writing, despite the seemingly dreadful consequences. Writing has been financially disastrous for me, but yet it's got to be a healthier coping strategy than drink or drugs, or even going to the gym excessively, where I'll strain my heart and give myself arthritic joints.

I imagine that I'll meet a nice girl soon enough, and the pleasure of tactile affection will change my mood. I imagine that my lengthy abstinence from mind-altering substances will pay dividends soon. Already, some feeling has returned to my nerve-damaged foot/ankle. I must surely be somewhat more sharp-witted, now that I'm not taking heaps of pills every day. I must surely be on course to return to a more normal life, since kicking my addiction to stimulants.

I'm going to give myself a big pat on the back for reducing my alcohol consumption to a moderate level, breaking my physical benzodiazepine dependence, reducing my sleeping pill habit to almost nothing, getting off powerful prescription painkillers, staying 'clean' from supercrack for 6 months and otherwise living a pretty damn healthy life. It might not seem like I've done very much this year, apart from work three contracts, survive double kidney failure, survive a suicide attempt and survive a bunch of very traumatic events, but I'm damn well going to go ahead and congratulate myself on having spent a couple of days in my new job in what must be the very best mental health that I've enjoyed all year, even if I'm diabolically depressed and anxious.

Thinking about my achievements a little more, I'm going to give myself an imaginary medal for 30 days of not drinking, 30 days of writing a novel and spending more days clean and sober than I've spent intoxicated by medications, drugs and alcohol. Quitting a whole host of highly addictive drugs and medications, while in the throes of depression and anxiety, is something I'm going to go ahead and actually feel really proud of - sorry, not sorry. While I'm at it, I'm going to give myself another imaginary medal for not writing my blog for 30 days too. That was harder than you'd think.

My verbal diarrea is pretty bad, so I'm going to stop now, but I hope you can see that I'm not idle, even if you think I've been unproductive, lazy and self-sabotaging all year. It pisses me off that anybody might think I don't have a work ethic.

I'm not going to give up on my crazy experiment to see how my mental health is affected by my circumstances by just damn well being patient, consistent and relentless. I'm controlling the variables.

Tags: #mentalhealth #suicide #medication

This is a story about editing...

I decided to re-read my first novel. It surprised me just how well it starts - I was prepared to cringe with embarrassment at something that had not stood the test of time well, but it was OK. Later in the book, I fumbled with a couple of things - perhaps I was hurriedly bashing out a chapter, without a clear plan of how the scene should unfold. Towards the end of the book, there was a glaring error that was due purely to a lack of research: I had been a little lazy. The ending tried very hard to be enigmatic, but I imagine that it would have been confusing for many readers, and a little underwhelming.

Wouldn't it be arrogant to assume that I would be able to sit down one day and pen a good novel? Of course my first full-length story was going to be a learning exercise, and I was going to make mistakes. All I had was the first scene, the general plot outline and a twist - I had no idea how I was going to end the story. Writing dialogue is not something I'd done a lot of, so I had to develop that skill as I went along. I would spend quite a long time trying to remember what I had and hadn't told the reader, so that I wouldn't contradict myself or spoil the surprises I had planned. As a learning exercise, it was brilliant.

As November 1st approaches, I'm getting increasingly excited about starting my second novel. My first book explored an individual, and the other characters were purely set dressing in a story which was about loneliness and isolation. My second book will study relationships; societies - my mind buzzes with ideas, because there's so much scope to play around with multiple actors in my new story.

The opening scene is very important, to set the tone for the rest of the story I'm telling. I keep adding little bits to the image I'm creating in my mind - it's so much more than an image. I think about the textures, the mood, the sounds and importantly, the smells. I want to make the book as much an olfactory experience as is possible to do without having to impregnate the pages with scratch-n-sniff chemicals.

It seems amateurish to break the fourth wall, and to be 'so meta' as to talk directly to you, the reader, about the process of writing a work of fiction. To have hijacked my blog to talk about my next book project, is an indication of just how overexcited I am about writing another novel, such that I can't quite contain myself. I'm terribly afraid that I'll be suddenly overwhelmed by the challenge when I start on Wednesday - the blank page in front of me will intimidate me, and I will be afraid to make the first mark.

As I did last year, I plan on publishing my first draft live, as I go along. I'm thinking that I might publish on medium.com this year, so that I'm sharing a popular writing platform with other authors who are partaking in National Novel Writing Month (NaNoWriMo 2017).

Many publishers will tell you to shove your manuscript up your arse, if you are foolish enough to tell them that you wrote it during NaNoWriMo. There's quite a glut of crappy unedited manuscripts that gather in the inboxes of literary agents, during December. Like people who join a gym straight after the Christmas holiday season, as a New Year's resolution, those fat unfit faces soon disappear as the year wears on. I know that if have serious intentions of becoming a bestselling author, I will need to become a better editor.

Like I did last year, I'm inviting edits, improvements and suggestions, as the new novel emerges from the depths of my imagination. It was immensely pleasurable, to have my friends trying to guess what was going to happen next, and to be then able to gauge whether the pace that I was telling the story was too fast, too slow, and whether the twist in my tale was too obvious or not.

I had a wonderful girlfriend and her incredibly supportive family, egging me on to complete my book last year. This year, I'm living with friends on a lovely peaceful farm in the Welsh countryside - the kind of environment which would leave most aspiring authors green with envy.

Completing the project - 53,000 words - was the name of the game last year. To actually finish a novel is very hard - many budding writers won't have the discipline to keep up the word count. The initial excitement and energy can quickly dissipate, to be replaced by a sense of dread, when one thinks about returning to the neglected manuscript. This is the brilliance of NaNoWriMo, which encourages you to finish the project within the month of November, and then worry about going back and editing the damn thing. As a completer-finisher, it suits my personality perfectly: what point is there in an unfinished book? Perfectionism will get you nowhere, if you never get to the point of publishing.

Tomorrow I have boring chores to do and I will write an ordinary blog post, which is a deliberate demarkation between "Nick the blogger" and "Nick the novelist". I'm thinking that I'm going to pause my blog, partly because I want to divert my readers to my draft manuscript, and partly because I don't think that I can context-switch between storytelling mode, and blogging mode.

I'm afraid to lose the comfort of writing my blog. I'm afraid that I'm going to fail. However, it's a really exciting time: I'm like a kid before Christmas.

The working title for my next novel is High Dependency.

Tags: #writing #nanowrimo

This is a story about aide-memoires...

I've been blogging for 779 days, including a period of 120 consecutive sober days and the current stretch of 45 sober days, which totals 165 days. I worked for approximately 300 days (including weekends). I spent circa 60 days in hospital. I had two major periods of drug abuse, six girlfriends, wrote a novel and I attempted suicide seriously once. I've written 702,412 words on the pages of this website.

So, where's it gotten me?

Nowhere and everywhere.

I had no idea I had so much to say; so much stuff that I needed to write about. When I uncorked the bottle, all this stuff just came flooding out - bitterness, resentment, bad memories, as well as strong opinions on myriad subjects. Of course, there was a lot of toxic filth which spewed from my mouth - not everything I've written has been kind and eloquently put. Do I regret what I've written? Sometimes, yes, but on the whole I feel glad I spoke up. I feel ashamed that I wrote some absolute gibberish when I was messed up, but there it is: my soul laid bare for all to see.

To have poured time and effort into sharing stuff on Facebook or Twitter would have left me horribly invested in those walled gardens. To have ingratiated myself with another online community - a discussion forum - would have perhaps been a useful exercise, to give me social contact and a clear purpose, but in some ways I'm glad that I've learned how to work in isolation; to keep up the discipline and routine even when I don't know why I'm writing or what good will come of it.

If nothing else, I can proudly say I'm a writer, of a sort: I'm an eccentric hermit who's lost in his own thoughts. I've got 200 blog posts planned and my next novel to write in November - my mind buzzes with ideas. I'd write long rambling posts that jump around from topic to topic, running to many thousands of words, except that I feel like I've had enough practice of sentence construction and finding my natural voice. Now I'm starting to enjoy a kind of delicious frustration, knowing that I only allow myself to write once a day, and I aim to keep my daily word count to around 700.

As a barometer of my mood, there is nothing finer than writing. I can see all my insecurities, anxieties and my propensity to become obsessive or consumed by things, as clear as day. Of course I fear egocentricity, narcissism, navel gazing and other undesirable labels that might be hurled at me, but frankly the process of writing is an essential pressure-release. Not having this blog made me unspeakably frustrated, because I was grotesquely misunderstood. "Oh, bless you poppet... so full of teenaged angst!" you might patronise me. LOL says I.

My maturing process has been unorthodox, due to relentless bullying and a generally unpleasant start to life that robbed me of my self-esteem and opportunities to be a child, a teenager and a student. I now take my chances where I find them, and delight in acting like a great big kid. Being a late starter in life has its advantages, even if there is a general presumption that I should be better at handling life events, when I actually have not had the benefit of experience - how was I supposed to, for example, get any good at relationships if I didn't have stable friendships, childhood sweethearts or good role models in my parents?

Entering my third year of daily writing, this could be considered my "finals". I've had a few jobs which have stretched to the 4+ year mark, and enjoyed a little more stability with friends and homes in my adult life, than I did through the 8 different schools I had the misfortune of attending. This writing project has provided stability and structure, when my world was blown to bits by divorce.

While the backdrop to my story has changed from hostel to hotel room, to a few different apartments, hospital wards and psychiatric institutions, I've somehow managed to keep writing on a regular basis. I feel like the same person, when I sit down in front of the keyboard, even if there has been a huge variation in the state of my mental health. I know that I have written during periods stimulant & sleep-deprivation induced mania, causing me to pour out thousands upon thousands of words in a confused jumble. However, my mind still makes a surprising amount of sense, despite circumstances which should have tipped me into out-and-out insanity.

I am fearful that the pages of this blog might chart my final decline into a state where I'm rendered permanently useless to the world. I often wonder if I have caused so much trauma to my fragile brain, that it can never recover. If I'm at all paranoid, it's that I'm talking complete nonsense, and everybody is just humouring me while snickering behind my back. "Why didn't anybody tell me I'm writing utter crap?" I sometimes think.

Watching a friend or a stranger careen towards imminent disaster, in a slow-motion car-crash, is something that holds our gaze while also somehow stunning us into silence. I'm vaguely aware that many will be thinking "what can I do?" and be paralysed, without a clear cry for help or call to action. Not only is this the world's longest suicide note, but it's also the world's slowest ongoing crisis, for anybody following along in real-time. It took me a long time to find the guts to finally make a decent attempt at killing myself.

I'm aware now that the burden of responsibility shifts back to me, having received an outpouring of support from unexpected corners, in the wake of my suicide attempt. To resort to self-murder again, would be churlish.

As my mind begins to un-fog from the painkillers I had been taking for most of this year, I wonder whether I have learned anything from the events of the past. I hope I have developed and I'm in a better position than I was, when I was rather trapped in some most unpleasant circumstances, although I find myself in a never-ending cycle - rushing back to work before I'm fully recovered, in order to service debts and otherwise line the pockets of the rich.

Stress keeps me wired, and I wonder when the last time I cried was. Surely, there's a lot of tears that I'm holding back.

I'm tense; agitated; nervous; anxious; hypervigilant.

Tags: #writing #anxiety

This is a story about being counter-productive...

95% of my fellow patients smoke cigarettes. There's nothing to do on the psych ward, so I can see why they would. Cigarettes are a way to pass the time; to deal with boredom; to relieve some of the stress of being locked up with a load of mentally ill people; to self-medicate for all manner of problems.

Nicotine is fiendishly addictive and a psych ward is not the right environment to kick the habit. As a non-smoker I'm well aware that I'm not involved in the activity that dominates the lives of my fellow patients - obtaining tobacco, rolling cigarettes and harassing the staff to be let outside to smoke.

There is a small outdoor area which can be accessed via some steps, enclosed in a cage so that nobody can jump and injure themselves, or attempt to escape. Every hour, the door to the steps is opened for 15 minutes, and the smokers all cluster around the top of the steps, getting their nicotine fix. Nobody goes down the steps into the outdoor area - they remain in the cage.

I challenge the staff - why don't they leave the door open the whole time? Nobody could escape from the outdoor area, because it's surrounded by high fences. The outdoor area is well covered by CCTV, and it's no harder to keep an eye on people than any other part of the ward.

The standard response from the staff is that it's "promoting health" to deny nicotine addicts access to the only place they're allowed to smoke. I call bullshit on this, because there's no data to support the hypothesis. "Look around - everybody smokes... nobody is smoking less because of this rule" I say. The staff argue that the NHS can't be seen to be "promoting" smoking. This is a completely ridiculous idea. The nurses and support workers hand out the cigarettes and cigarette lighters - the NHS is intimately involved in the whole process of smoking, far more than if the patients were given the choice as to how they dealt with their addiction.

I'm in a dorm with 3 other men. It's a lot quieter than the single room right next to the TV - the TV blasted out for 19 hours in every 24 at full volume. The noise was unbearable. My fellow patients in my dorm report that they're lulled off to sleep by the rhythmic tapping of my keyboard, as I pound out these words. I was concerned that I was being a noisy nuisance, but they reassure me that it's quite the opposite - it's a kind of white noise that's relaxing, like hearing raindrops falling on the roof or hitting the windows, driven by the wind.

A guy is coming out of my dorm, but he doesn't sleep in my dorm - he has his own room. What's he doing down at this end of the ward? Then, my nostrils are assaulted by the smell of smoke. I push the door to the bathroom open and it stinks - there isn't even a decent extractor fan to get rid of the smell. I write a note and secretly pass it to a nurse, pretending to pass her my laptop to be charged in the office. I scurry away down the corridor but she yells after me "tell XXXXX about the smoking in the toilet" waving the note, right in front of the guy I'm dobbing in. I cringe - does she not know that snitches get stitches?

Another nurse comes to our dorm and she starts accusing one of my dorm mates of smoking in the toilet. I leap to his defence. "Who was it?" she asks, and then bellows out his name when I whisper the answer. The fact that many of my fellow patients have a criminal past and have been in prison, does not seem to concern the staff members. Perhaps there aren't fights in here. Perhaps they never see any violence. Perhaps my fears are unfounded. Am I being paranoid?

The fire escape is padlocked shut, there are no fire extinguishers or sprinklers, the break-glass buttons are enclosed in plastic boxes that prevent the fire alarms from being set off - a fire in here would be catastrophic. Yet, I am certain that there are at least 2 cigarette lighters that are being used in my dorm. The patients smoke openly when the staff are doing their handover between shifts, when there's absolutely nobody around.

I make subtle enquiries with my fellow patients - how do they feel about the restrictions on smoking? Everybody agrees that the restriction on access to the outdoor area is more about control than it is about "promoting health" - they feel that the staff have created a system that allows them to exercise dominion over their inmates. "Smoke time!" demands one of the more aggressive patients, banging on the window of the office. "Calm down! Stop shouting!" yells back a staff member. This is an artificial and avoidable situation - why does it exist, when it's creating conflict between staff and patients, and making people stressed and unhappy?

When I was confined to the ward I would have made use of the outdoor area to walk around, get some fresh air and get some natural light. However, I couldn't get past the gaggle of smokers clustered around the top of the steps. To leave the door open all the time wouldn't create this ridiculous situation, where all the patients are fixated on this controlling aspect of their lives.

It's saddening, to see 19 men all hanging around waiting to be given a lighter and be let out, like they're animals; pets.

In defiance of the pointless draconian controlling bullshit, a handful of patients have smuggled cigarette lighters and tobacco into the ward - it's not hard when some patients are allowed unaccompanied leave from the ward. "Have you got any bottles or lighters on you?" a nurse asks me when I get back from an outing - I'm not breathalyzed or searched, even though I'm carrying a bulging bag.

I suppose the privilege of being allowed to leave the ward could be revoked, as a punishment for misbehaviour. The chance of being discharged early and allowed home is also under threat, for any patient who's troublesome. Most patients are here for a 6-month stay. It's up to 6 months, but it's more often longer, not shorter. The reaction to not being allowed to go home is rarely handled well - can you imagine that people who are unwell are able to remain calm and represent themselves clearly and articulately, when their liberty is at stake?

In terms of mental health, nothing could be more stressful, adversarial and paranoia-inducing, than having doctors and nurses discuss you behind your back, having been peeked at through the curtains every 15 minutes - patients are literally spied on and judged. Life, liberty and free-will are all interfered with in an institutional environment that's a cross between a prison and a school. Notices on the wall tell us they promote "independence and well-being" while also telling patients the very strict times that they need to be at the dispensary hatch to get their medications. At 8:54am I'm harassed by a nurse to go for my 9am meds... I'm well aware what the time is and also well aware that to be early is to be turned away empty handed. At 11:54am I'm harassed to go and stand in line for some food which is not even being served until 12 noon at the earliest, and is often delayed.

I'm aware that I'm lucky to have a sought-after psych bed - many people who are having a mental health crisis will have no access to inpatient care. To bite the hand that feeds me seems churlish, but I do feel sorry for my fellow patients who can't articulate their frustrations effectively.

The only patient I know to have attempted to file a complaint is the guy who's relentlessly trying to get 8mg more Subutex out of the doctors... unwilling to go along with the treatment that will wean him off his opiate addiction and quite determined to sabotage his recovery, perhaps.

Nobody's stopping smoking because of the "health promoting" rules around access to the outdoor area, but I'm certainly missing out on exercise and fresh air because of it.

It all looks rather counter-productive to me.

Tags: #addiction #hospital #mentalhealth #nhs

This is a story about therapy...

Everybody's an expert on my mental health, it seems. I need to be exercising more, eating a balanced diet, abstaining from alcohol and mind-altering substances BUT not the ones the doctors want to give to me. But which doctors? Every doctor has a different idea of how I should be treated - which doctor should I listen to? Perhaps somebody else knows, because people have some very strong opinions on what I should be doing, considering that only a handful of individuals with whom I am still in contact, have known me for any length of time and have followed along. Only I know what I've tried before and what I haven't - what works and what doesn't.

Here, there's a student nurse whose dissertation investigated the benefits of exercise, in terms of potentiating - that is to say improving - the efficacy of medications. Not considered for a single second, was the control study which would have investigated the efficacy of exercise alone. This student nurse, who I find passionate and intelligent, was eager to suggest that I tried sodium valproate or lithium - both life-shortening medications prescribed to people who have regular episodes of mania where they believe they're Jesus reincarnated etc. Everybody thinks they've got a cure to a problem I might not even have - it was under a very dark cloud that I entered hospital, one must remember.

Externally, the perception of a psychiatric ward is that it must be a place of therapeutic activities and meetings with doctors to fine-tune my medications and cure me of my madness, making me safe to release back into the community again. Internally, my fellow patients perceive staff members as persecutors, jailers and masters of everything from food & drink, to bedtimes and bathtimes - a cross between a policeman, a teacher and a parent. Certainly, to have a blackboard on the wall is an incredibly dated nod to the classroom days of our youth. Note that the list of activities for the ward is completely blank, which I find quite accurate... not that I'm complaining.

The UK's stringent fire regulations for institutional buildings - hospitals, schools etc - mean that they look very similar. A company that manufactures and supplies the fixtures and fittings for a school will probably also supply those same items to a hospital. Everything needs to be built to last in this incredibly abrasive environment, where the footfall in the corridor would destroy even the most hard-wearing of floors, laid by a contractor who normally worked in regular houses. The finish is not just high standard, but the selection of the materials used has been honed over the years to create an interior that is easily mopped and wiped down, and very hard to damage.

As a patient, I find myself recalling my schooldays, as a dinner lady ladles goo onto plastic plates and I sip juice from containers that are identical to those that I had in my boyhood. Just like school, nothing much really happens except for crowd control. There is a little sifting and sorting, so the naughtiest boys end up in the shittest parts of the hospital, and the golden child will find themselves in the top class. However, it must be remembered that staffing a hospital is a job to quite a lot of people, and over the many years that they will work their job, any ill-founded notions of making a difference, will be thrashed out of them by the system. Nothing changes very much or very fast in massive organisations - you can't fight the system, or else you will drive yourself insane... that goes for both patients and staff.

It's very hard to not be driven mad by being hospitalised. It's a chicken and egg situation. For sure, nobody gets hospitalised without putting some effort into it. It's very hard to get a psych bed in the UK, unless somebody's gonna pay £5k/week for you to go into a private place. Of course, the patients here are here for a reason, but I have also experienced the terrifying moment where I realised that my liberty has been restricted. I just heard the jangling of a massive bunch of keys, carried by one of the staff members, as she passed my bedroom door. If I was to draw back my curtains, I would see bars on my window, to stop anybody climbing in or out. There are constant reminders that I'm here under lock & key, and to escape would require a little more social engineering (or climbing) than another secure ward that I was on in 2015, where I could have just walked out behind somebody who was leaving the ward, and then run away. To run away now, I would need to request an escort off hospital premises, and then I would simply get an Uber or perhaps I might have arranged a local cab company to have my getaway car waiting. I came into hospital with £1,150 in crisp £50 notes, so I have the financial means to grease whatever palms I need to.

Why would I want to escape though? Yes, you're right - to discharge myself prematurely would be a mistake. This isn't a very therapeutic environment, because staff spend so long spying - quite literally - on patients, which is absolutely dreadful for mental health: creating an us & them culture and exacerbating even the slightest hint of paranoia. If you value your dignity, privacy and liberty, psych hospital is not for you. There aren't any therapeutic activities. However, it is a safe place where my rent and bills are paid, I get 3 free hot meals a day, I get my own bedroom/office type thing which is quite generously proportioned and has an ensuite bathroom, and I don't need to cook, clean or otherwise worry about the responsibilities that burden nearly every other creature that was unfortunate enough to have been born.

Sounds nice, doesn't it? Perhaps you too would like a stay - mandated for up to 28 days on a section 2 - in the hotel "psych ward". Perhaps you imagine that it's a calm and restful place, where I get to sleep lots and read books. I think perhaps you're getting confused with that holiday you took to Tuscany last year. On a psych ward, you get woken up in the middle of the night by alarms going off, staff running in the corridors, yelling and screaming. On a psych ward, music blasts at top volume from patients' bedrooms, because headphones are not allowed lest we strangle ourselves with the cables. On a psych ward, one must evaluate the level that one's fellow patients are intoxicated by their cocktail of medications, and whether one has the energy to engage in their psychoses that are extremely repetitive - I've been here a week and I've learned a little of everybody's "thing"... their particular identity on the ward, which is characterised by an apparent madness, which is why we must remain here. I wonder what mine is? The staff tell me that I'm lazy - always just sitting with my laptop. Yes, that must be me right? Probably just watching mindless Netflix rubbish on it, right?

Ward rounds - when important decisions about "leave" are made - happen on Fridays and nothing else happens apart from waiting and hoping. Most patients here are hoping to get some leave. Some have not left the ward for nearly 6 months - considered too much at risk of running away, if they were allowed out of this super secure part of the hospital, accompanied by a staff member.

Gossip is rife, and everybody on the ward knows that I arrived with a wad of cash and was granted leave from the hospital almost immediately. I try to downplay these things, and now people have forgotten. When takeaways or shop orders are being placed, I feign not having any money, in the hope that I can alter my perception in the eyes of my fellow patients and the staff. I remember being called into the office, simply because some of the senior staff members wanted to have a look in my envelope, containing all those fifty pound notes. It's totally vulgar, and an accident of the illness that was stimulated into existence by the ridiculous sleep deprivation, stress and disruption to my medications and routine, over Tuesday / Wednesday / Thursday of last week, which followed my near-fatal suicide attempt... it should be expected that my behaviour would have gone a bit haywire, under the crushing pressures I faced.

Perhaps I will be "stepped down" to a less restrictive ward today. I had to pack my bags last night, because I thought I was being moved. I should have remembered that nothing happens very quickly in the National Health Service, but sometimes if you're quick, you can nip in before the system decides that actually you're getting ahead far too fast. I'm not really in a rush to go anywhere though - this ward is perfectly decent and I know the two spots where I can get 3G signal.

I'm here to recover, but I'm not here to feel completely isolated. Who do I know in the local area who can come visit me? Two months ago I'd never set foot in this city, and the company I've been working for has cut all contact and has been skulking around in a most unusual manner. I have nobody - it's a real ball-ache for any of my friends to travel, just for a 2 hour visiting slot. Even my fellow patients, who are locals, do not have visitors - the hospital environment is not exactly somewhere people would like to spend their free time.

Should I immerse myself in the daily rhythms and routines of the hospital? Should I hang around by the door to the kitchen, looking for food scraps to be tossed out? Should I hang around by the door to the yard, hoping to be let outside? I'm not a fucking dog. I find it immensely useful to maintain contact with those who are still in full possession of their marbles, while I'm in an environment where staff humour the patients - "is it Tuesday today?" one asks, and is told that yes it is, even though it isn't... is that useful, helpful, therapeutic?

I was very sick when I was brought in, without a doubt. Some incredibly stressful things still hang over me, like Damocles' sword. I have little power to influence the speed of my recovery, nor the speed with which those who have wronged me are forced to offer recompense. At least I'm in a safe place to pursue what is rightfully mine: to get money that is owed to me and recover my possessions. I'm in a safe place to make arrangements for housing and income, so that I don't fall flat on my face, as soon as I leave.

I'm glad I'm here, at the moment.

Tags: #mentalhealth #bipolar #suicide #depression #hospital

This is a story about inconvenience...

Being an independent man is not all it's cracked up to be. The trash that is strewn throughout my apartment is there to greet me when I get home, exactly where I left it all. Despite my best efforts to streamline my life and create an efficient existence, the daily demands of basic living outpace my ability to stay ahead.

Upon my coffee table are empty beer and cider cans, a used fork, mug and wine glass, half a pint of lime cordial, €50, a cigarette lighter and two candles, baby wipes, two rechargeable batteries, a rubber band, the plastic wrapper from a piece of cheese, a red ribbon and a roll of kitchen towel.

On the floor lies the plastic that held a 4-pack of cans together; the cans having since been separated from each other; no doubt their contents now consumed.

This is - in the English vernacular - my 'living' room. If I was going to do any withdrawing it would be to my bedroom, not my drawing room. I am not lucky enough to be blessed with a drawing room. My minuscule city centre apartment only has one reception room, which must double as both a place to sit and a place to eat - a 'lounge-diner' in the parlance of an estate agent (also known as a realtor, for my North American readers).

As well as clearing away the trash and doing my recycling, I also have the glamorous job of putting away my dried laundry. As you can see, my kitchen is not capacious enough to accomodate my trashcan, recycling AND leave me able to open the door to access my washer/dryer. Everything serves at least a dual purpose in this microcosm.

Gone is the luxury of the Nick Grant patent Floordrobe™ which allowed me to dump clean clothes into a number of boxes in a pseudorandom manner. Underpants and socks would be slowly sorted towards the rightmost boxes. Jeans and hoodies would be slowly sorted leftwards. Other garments would find themselves in whichever box they could fit in. Getting dressed would be a kind of rummaging exercise.

Now, I must carefully pair my socks and put my undergarments away in one of the three drawers that I store my clothing, bedding and towels within.

My life is pretty much indistinguishable from that of a successful multimillionaire pop star, as you can see.

Somebody has not been following the Operating Procedure Manual correctly. Used orange juice cartons should be discarded, as the waxed paper is not recyclable. The beer can should be in the recycling bin, ready to be emptied into the communal store. The plate and other cutlery should go into the sink, in the absence of any other space in which to temporarily queue these used implements, in preparation to be washed by hand.

The backlog of washing up is slowly accumulating. In order to fill this sink with hot soapy water, it may become necessary to remove the dirty items beforehand. I admit, this is an inefficiency, but I have not yet managed to find a convenient gathering place for the things that I will need to clean at some future time.

Living alone, I feel slightly better that I don't have to fill my dishwasher before I run it, in order to make energy-efficient usage of the household appliance. It's no hardship to wash a few plates, glasses, cutlery and utensils, but a dishwasher serves as a place to neatly stack the dirty dishes while one waits for the critical mass to be reached to justify the electricity, water and detergent that will be used.

I'm pleased that my refrigerator is not overbrimming with things that I am unlikely to consume before they are rendered inedible through mould and bacteria. It might be a sad sight, to see a fridge that belies such a pitiful existence, but at least there is nothing rotting or smelling bad in here.

If there appears to be a system, you are mistaken. By accident, all the alcohol has been concentrated on the top shelf, while the door contains the milk and orange juice as one might expect. However, the discrepancy between the position of the ketchup and the mayonaise shows that this is perhaps the most randomised of all areas which might be covered under my Operating Procedure Manual.

Now, we may look upon the systematic and rigorous thinking of an engineer and marvel. Upon the top shelf is bicarbonate of soda, which is useful for baking as well as making crack cocaine. The middle shelf is where my favourite crisps and biscuits are stored. The bottom shelf contains freeze-dried meals for breakfast, lunch and dinner - oats, pasta and noodles - which can be prepared with the simple addition of boiling water and only require stirring once or twice, to prepare a modest quantity of food within just 5 minutes.

Although the food in this larder has extremely high salt and carbohydrate content, there are actually some nutrients contained in these convenient packages.

I prefer to look to my fridge for a meal which can be microwaved, containing a mixture of meat and vegetables. The 'ready meals for one person' that I purchase - two for £5 - are the mainstay of my evening diet, excepting alcohol and crisps. I am supposed to consume 2,500 calories on a daily basis, as an average adult man - my breakfast starts healthily with orange juice, strawberry compote, a banana and porridge; my lunch marks the beginning of a downward spiral, as I devour a heated buttery flakey pastry with rich meaty filling; my dinner is largely a liquid diet of either beer or wine - I'm not fussy as long as alcohol makes up the bulk of the remaining calories that are the source of my sustenance. I imagine that I am consuming more calories than I need, given that my flat stomach now lurks somewhere beneath a modest covering of fat.

With my belly now full of wine and cottage pie - eaten directly from the plastic container in which I microwaved it - I eagerly anticipate spending the remainder of my waking hours restoring my tiny oasis of calm to a state of good order. Actually, I'm being sarcastic as fuck. I'm appalled by the idea that I now have to make several trips to the trashcan and recycling box, put away my clean laundry, wash my dishes and clean down the surfaces.

The more astute reader will have picked up on references to objects that seem out of character with a life of singledom. What, pray tell, would I be doing with a red ribbon and candles? On closer inspection of photographs, one can see strange objects like a hairbrush which looks like a penguin, were it to be turned over. It's not uncommon for hair straighteners, hairdryers, women's shoes and handbags, as well as other feminine accessories, to be seemingly randomly distributed throughout my apartment. In the course of courtship, visits seem to bring a shower of objects that would have no place or purpose in my normal day-to-day existence.

What should I do with the talcum powder on my dining table and hairbrush that I found buried deep in my couch?

My own life is barely manageable. I'm upset that I haven't found the time, energy or space to write for over a week. Some of my most beloved friends in the Twittersphere have written to me with concern that I have disappeared, fearful that perhaps I have relapsed and disappeared into some kind of institution, or perished.

When I set out to write a blog two years ago, I said to myself that I would try to write every single day; to be disciplined and give my life some purpose, even if I didn't understand what that purpose was at the time.

Now, as I slowly approach the million word mark, I'm pleased that I have written so much and so regularly, but the thing that I always wanted to avoid - mundane writing about my day-to-day life - has imposed itself upon me to such a great extent that I share with you, my beloved reader, the intimate details of a somewhat lonely and desperate existence. Of course, my blog charts the ups and downs of bipolar disorder, substance abuse and functional alcoholism, along with the journey from homelessness to somewhat more stable living arrangements.

The most perceptive amongst you will have detected the subtle undertones of a cry for help. How is it that a grown man can collapse under the trivial weight of some unopened mail and the other detritus of daily life? I don't know, but I can tell you with certainty that the effect on my sense of wellbeing is nontrivial, when I arrive home to an apartment in some state of minor disarray.

I'm happier than when my life was unencumbered by dating and women - as well as meeting new friends - but I'm also disproportionately freaked out by my delicate system being disturbed by tiny things that have seismic impact, psychologically. Is this hyperbole? Yes, it seems like it when I have tackled the list of easy tasks to put things back in good order. But my priorities are somewhat perverse: work, sleep, eat... and write. To say that the domestic duties are beneath me is wrong. I clean as I go. I tidy, wash and organise as an integral part of my movements. The left hand washes the right.

The minimalism with which I live my life - everything I own that's important to me fits in one large suitcase - is encroached upon by other lives which are messy and hard to integrate with my own systemic approach. Why would you leave that THERE? I wonder to myself, attempting to reverse-engineer the thought processes that probably don't exist.

A place for everything and everything in its place.

Tags: #dating