This is a story about viewing the world through the lens of a mood disorder...

When I'm hypomanic, nothing seems impossible. Hypomania brings big ideas and grand ambitions, and the only thing standing in my way is the stupidity and myopia of other people. Nobody seems to have the guts to go for the glory, and nobody seems to be able to keep up with me. I get frustrated at a sense of dragging other people along in my wake, having to dumb things down and spoon-feed people at a painfully slow pace.

Obviously, when I'm hypomanic, I over-estimate my abilities and I'm rather rude and obnoxious about other people. Not exactly a team player. I tend to be pretty disrespectful of other people's opinions, believing that they've had their chance, and have failed to make any significant impact. Why should I listen to such gutless wimps? Why should I listen to anybody not firing on all cylinders, like I am, when I'm riding that hypomanic high?

Another thing that I overestimate when hypomanic is my stamina. I assume that I can continue at breakneck pace indefinitely. I feel like the enthusiasm and passion that I'm feeling will carry me along, despite the huge amount of energy that is being expended. I don't walk, I run. I don't speak, I shout. I don't discuss, I decide and act. It's a blur of activity, in single-minded pursuit of a goal, to the exclusion of everything else. There's no balance. There's no downtime. There isn't a second to spare: rush! rush! rush!

But, I'm not stupid. I've been through enough episodes of hypomania now to know what's happening. So why don't I modify my behaviour? Well, part of the big rush is the fact that I know that I'll hit a wall, and almost overnight, I'll hate everything and everybody, and I'll just want to curl up and die. I will have run out of energy, and suddenly be overwhelmed by the enormity of the task ahead, and with no gas left in the tank, I'll realise there's no way I can continue without sleeping off the work binge and catching up on those lost hours of rest.

Instead of trying to work at a steady pace that could last for years, instead I try to pack work into frantic periods of rushed and hectic activity, before I run out of steam and depression hits me like a sledgehammer. Instead of being discouraged from milking hypomania for all its creativity and productivity, I feel encouraged to try to achieve Herculean tasks.

When I'm in one of these moods, lots of stuff gets done, but there's lots of wastage. Instead of planning ahead or hesitating for a single moment, I'll just do whatever I can to minimise downtime and delays. If I unexpectedly need to work through the night, I'll do that and go out and buy a fresh shirt for the following day. If I need to get some rest, I'll book whichever hotel is quickest and easiest to book. If the project I'm working on needs something, I'll buy whatever I need, whatever the price, on the assumption that it would be a waste of time trying to penny pinch.

Can you spot the pattern in my activity? Can you see any trend that would suggest ups & downs? This is actual movement data that has been gathered over a whole year. I would never have thought my mood fluctuations would look this obvious, with hard data.

I used to keep a mood diary, but of course, when you're hypomanic you can't be bothered with the faff of it, and besides, you're not sick when you're hypomanic... at least you're convinced that you're not anyway.

I'm not sure whether I'm mostly suffering from Seasonal Affective Disorder (SAD) or whether my Type II Bipolar Disorder has simply become aligned to the seasons. It's virtually impossible to unpick cause and effect anyway. There are so many seasonal factors, such as the stress of Christmas and the fact that nothing much gets done at work during the holiday season between late December and mid-January.

Anyway, I'm locked into this cycle, where I start to emerge from hibernation around March/April time. In May I start to begin to do normal things again, rather than just being completely decimated by a sense of malaise, exhaustion, demotivation and feelings of being totally overwhelmed by mundane trivial shit. By June time, I'm about ready to work again, but in danger of tipping into hypomania at any moment.

At the moment, I struggle to get out of bed in the morning. I have a feeling of dread throughout the working day. The continuous anxiety is matched only by crushing boredom and an inability to concentrate. I flit between looking at my phone and making trips to the toilet to look at Facebook and message my friends. I read documents, but the words don't sink into my head. The phrase "what the fuck am I doing here?" is on repeat in my head. I'm struck with regular impulses to commit suicide and end the relentless monotony and unending pursuit of a seemingly impossibly distant goal of my next potential holiday.

By contrast to my hypomanic state, I assume that something is going to go wrong, and I'm going to be plunged back into the stress and pressure of looking for some more work, while the bills pile up and imminent deadlines to pay my taxes and deal with debts that have built up during my winter depression. Everything looks impossible, and boring, and pointless.

When I'm depressed, I'm absolutely convinced that my skills and abilities and experience count for nothing, and that I'm only good for the scrap heap. Even when I get a job, I feel like a fraud and that I'm going to be found out. When I make a mistake, I beat myself up about it for days, weeks even. I grimace and groan at my desk as I replay something stupid I said, over and over and over again.

I sit at my desk, watching the clock, wishing I was busy, wishing I felt useful, wishing that the feeling that life was completely pointless would go away, and feeling like death wouldn't be so bad, because there's no way I'll be able to put up with months and years of just turning the pedals, over and over and over again. The same commute, the same routine, the same colleagues, the same game, the same formula.

How on earth am I going to cope with feeling so bored and unchallenged, and so uninspired and so lacking in passion and like such a fraud and like I'm wasting away, and like there's no way I can stand even the next few minutes, let alone the next few hours, let alone the whole day, let alone the whole week, let alone the whole project and the whole contract, and the whole career? How the hell am I supposed to keep doing what I do?

I could drink coffee, which aids my concentration and motivation, but as soon as I do that I'll start getting big ideas and getting really bossy and overconfident, and before you know it, I'll be hypomanic again. Coffee always stokes my hypomania up. Also coffee stops me from sleeping, so I start drinking alcohol to get to sleep... and before you know it I'm knocking back copious amounts of both caffeine and alcohol to get through the shitty work.

Once I start drinking alcohol, I start having days where I wake up massively hungover, but weirdly I can get up and go to work. I find it easier to get up with a massive hangover, and easier to sit quietly at my desk getting on with my work, when I'm just about holding down my breakfast and I've got a pounding headache.

I think that drinking lots of alcohol regularly means that I've always got booze in my system, and it works like a kind of anti-anxiety drug. I feel super sick and stuff, but it gets rid of that sense of dread. By the afternoons, I start to sober up and my hangover goes, and I'm really happy and productive. When I get home, then I start to get the sense of dread about going to work again the next day, so I start boozing all over again, and end up going to bed pissed again. The whole cycle repeats itself.

Alcohol and work seem to go hand in hand for me, and it seems to stop me from being such an obnoxious prick and pissing everybody off before finally chucking in the towel on a perfectly good job. I've gotten used to using alcohol to bring my hypomania and anxiety under control. It's a massive crutch for me, and the temptation to use it is massive, when there's such pressure on me to perform and earn money and not fuck up yet another job.

I know that I could quite easily return to a tried-and-trusted form of mood stabilisation, using caffeine to get me moving when I'm deep in an exhausted depression, and alcohol to bring my hypomania under control when my brain is starting to get a bit over-excited, or anxiety and boredom are threatening to make life unliveable. However, these things led me to a massive breakdown eventually, which I'm sure was caused in part by massive amounts of these two innocuous chemicals.

When you're drinking 12 espresso shots during the day and two bottles of wine at night, everybody's chuffed to bits with your work, but surely you're just screwing your body up for the sake of making some money while you're young enough to cope with that kind of beating.

I value my liver and my mental health now, not that I have much of the latter. I'm struggling virtually all year round with a mind that tends towards either suicidal depression or self-sabotaging and career-wrecking hypomania. I've trashed my financial security, meaning I now have extra added stress and hassle that I could really do without, but I don't think resorting to self-medication will be good in the long run.

So, I remain caffeine free and I'm trying to wean myself off alcohol. Today is my 3rd consecutive day without booze. It might not sound like much, but you probably can't imagine the kind of pressure I'm under, with life very much hanging by a slender thread.

My days pretty much start with deciding whether to kill myself or not, and they don't improve much from there. The evenings and weekends are good, when I can see friends, but possibly it's also been the excuse to drink that's also played a part.

I need to get a handle on booze, but I also want my moods to be manageable. However, I also need to earn money and be able to cope with work. It's a Catch 22.

My gut feel is that I'm just going to stick with my harsh regimen of zero caffeine and very moderate booze consumption - ideally no booze at all except on a Friday & Saturday night.

Clearly, I'm just emerging from under the cloud of a very severe depression, especially as I slashed my own arm with a kitchen knife because the sense of hopelessness and relentless anxiety in the face of overwhelming odds stacked against me, was just so unbearable. Things look a little brighter, but now I'm starting to worry that hypomania will suddenly rear its ugly head, and I'll sabotage everything, like usual.

However, I do still refuse to medicate myself, merely to cope with the bullshit life that we're expected to live. I'll play the game as best as I can, but my brain is not for sale. Hopefully one day, I'll be able to better align my needs and my values with my work, but for now, I have to do some stuff that's pretty incompatible with good mental health.

One big thing I've learned from this rollercoaster ride, is to not expect change to happen quickly. Thinking things will change overnight has led to frustration and disappointment, which has either triggered further depression or has spurred me into regrettable actions. Thinking that I can use the blunt instruments of medication, drugs, legal highs, caffeine and alcohol to force my moods to bend to my will, has been very hard on my body and mind, and has only achieved very temporary effects, for horrific long-term costs.

Unfortunately, returning to stable mental health, a sense of wellbeing, comfort, happiness, security and an acceptable standard of living, has always required more luck, more time, more favourable conditions than I've ever been granted. I'm not complaining - we all face the same harsh and uncaring world, after all - but I recognise that modern society does little to allow people who get sick to ever re-enter the game.

Stop the world, I want to get off.

Tags: #bipolar #depression #suicide #mentalhealth #caffeine #alcohol #drugs #addiction #career

This is a story about the descent into darkness...

The first time I couldn't work due to depression, it came out of the blue. I had started a new job, and it was actually really interesting. I was quite enthusiastic about what I was doing, and empowered to grow into a new role. Spring was turning into summer, and so I had the seasons in my favour. What happened next was a surprise to everybody, including me.

One morning, I couldn't get out of bed. I'd had problems getting up early for work, but this was different... I couldn't face the day. As soon as I'd admitted defeat - that I definitely wasn't going to make it into the office that day - I was somehow a changed person. It was like a dam burst. This problem that I had been barely coping with was suddenly unleashed, after 11 years of steady 9 to 5 grind and reliable service in the name of the corporations I worked for.

People talk about nervous breakdowns, and I guess that's what had happened. All of a sudden, and with little warning, I was sick... but this was an invisible sickness. I felt it, and I couldn't overcome it, but I didn't believe it was real. I thought that it was fake. I felt like a fraud.

In the UK you can take up to 3 days off work without a doctor's note. After 3 days, I knew deep down that there was no way that I could possibly go back to work, but what was wrong with me? This was highly unusual for the dependable grey-suited regular 9 to 5, Monday to Friday office Joe Bloggs, that I was. 11 years of full time work and 13 years of full time education. All I knew was getting up and going to a dictated place, on the treadmill, in the rat race, following orders.

To summon the effort to go and see my doctor took the whole of those 3 days. I knew the problem was more severe than just not feeling very well. I knew it was more severe than a day off work was going to cure. I knew that something was seriously wrong, but I couldn't express it... I had no language to explain the brick wall that I'd hit.

It was so unlike me to be lacking in energy, in purpose, in motivation and to neglect my duties, my responsibilities. It was so unlike me to not do the work. I'd had a nearly 100% attendance record at work and at school and college. Bunking off wasn't in my vocabulary. Not doing things I didn't like wasn't something I ever considered as an alternative.

I went to the doctor. I sat down and explained that I was tired. I was more tired than I'd ever been in my life. I couldn't cope. I couldn't turn the pedals of the cycle anymore. I couldn't do what I'd always managed to do, which was to drag myself out of bed, and go to school, college or work, no matter what. It hadn't mattered whether the bullying was unbearable, or the stress was intolerable, the pressure relentless... I had been that guy, that perfect student or dream employee, who always turned up and did their work, like a good little boy.

Within a couple of minutes of me explaining my unexpected interruption in my perfect attendance record, and inexplicable fatigue, my doctor said "have you heard of Fluoxetine?". I had heard of Fluoxetine: it's the generic name for Prozac, which is an anti-depressant. Fluoxetine is a Specific Serotonin Reuptake Inhibitor (SSRI) which was supposed to increase levels of Serotonin in the brain, or so Eli Lilly - the manufacturer - thought, and told the world that depressed people had unnaturally low serotonin levels in their brain. They were wrong.

The theory that depression is caused by a chemical imbalance in the brain, is ubiquitous. We are comforted to know that there is a medical problem with us, that can be corrected with medication. It's a neat little theory: depressed people don't have enough serotonin in their brain, and with medicine it can be topped up to 'normal' levels. Sadly, it's just not correct.

Measurements of the amount of serotonin metabolites in spinal fluid of depressed people who take Fluoxetine or other SSRIs are actually lower than supposedly healthy people. The theory was proven to be bunkum, but doctors and mental health professionals still share research that's 30+ years old and has been disproven. The theory was just too popular, as well as the SSRI medication, which millions of people had flocked to as their salvation.

I had read extensively in the field of psychopharmacology and had received unconditional offers of a University place at several prestigious institutions, to study psychology, pharmacology and psychiatry. I was probably better informed than my doctor.

I knew that SSRIs were associated with emotional blunting, anorgasmia (not being able to cum) and increased suicidal ideation (thinking about killing yourself). I knew that the long-term outcomes were actually worse than placebo, in several studies. I knew that an SSRI would take 6 weeks to take effect anyway, and that was no use to me. I needed to get back to work!

So, I declined the medication that was offered to me, within just a few minutes of talking to my doctor. I was shocked by how quickly I had been offered psychiatric medication from a general physician, which would take at least 6 weeks to take effect, and I could end up taking for a long time. I felt a little failed by the health services.

My doctor signed me off for a week, and I felt a little relieved to have some time to allow my body to hopefully revert to homeostasis, and I could hopefully get back to work. I felt like a real failure, and I started to feel anxious about the impression that my bosses and colleagues would have of me. Would I be seen as unreliable? Would my name be tainted?

The fatigue and lack of motivation, purpose, persisted and I spent a week in bed, sleeping for 16+ hours. I hardly ate. I didn't open the curtains. I turned my phone off and just curled up under the duvet. Where had this tiredness come from? I had always been in good physical shape and my body had never failed me like this before. I had always had plenty of energy.

I went back to the doctor after a week, and I was getting pretty desperate for an answer. I was looking for a diagnosis, a cure. I wanted the trusted men in white coats to make everything better again.

We did tests: blood tests, urine tests, thyroid function, kidney and liver function. We even did an AIDS test, as my doctor was at a loss to explain why I was so fatigued all the time. One week turned into three weeks. There was seemingly no end to my exhaustion and inability to cope with the thought of going back to work. There was no way I could face the day, for some reason. I had been housebound with the curtains closed, except for trips around the corner to the doctor's surgery.

My doctors remained convinced that I was suffering with Clinical Depression, and urged me to try an SSRI, but I still refused on the grounds that I didn't want another 6 weeks off work, while I waited for the medication to kick in. 9 weeks off work seemed ridiculous to me, and the side effects sounded unacceptable.

So I stopped going to the doctors. I stopped getting sick notes. I switched my phone off and went to bed, and I just tried to ignore the fact that I was going to lose my job. I didn't care because I couldn't care. There was no way I could go back to work, feeling so exhausted, so drained, so fatigued and unable to cope with even preparing food, getting dressed, having a shower. I just lay in my bed and slept two thirds of every day, and lay half-asleep, anxious about a knock at the door, with the curtains closed, for the rest of the time.

Everything seemed impossible, insurmountable. The idea of going to the shop seemed as insane as the idea of going on an expedition to the South Pole without any warm clothes or supplies. Clearly there was something wrong with me if I was misjudging the effort involved in things, but I also knew that I couldn't keep just doing the same shit, the same crappy 9 to 5 routine, and the same formula of working a job.

As the summer wore on, I started to get interested in the idea of doing some iPhone development work, and slowly I ventured outside into the sunshine in the afternoons, to learn how to develop software on the Apple platform. It seemed like a nice confidence-building exercise, as I had started to doubt that I'd ever be able to work again. I had started to feel like I'd be invalided out of the workforce for the rest of my days.

The more I worked, the more obsessed I became. My energy came back. Slowly at first. I would work for an afternoon, then an afternoon and an evening, and then soon I was doing full days of work again. But it didn't stop there.

By the time July had given way to August, I was working an 18 hour day. I was irritable and single-minded. Eating was a chore that would slow me down and get in the way of me working. I didn't want to waste time with my partner, my friends, my family. Nobody understood what I was working on and how important it was. Explaining anything to anybody was painfully slow and angered me to have to take time out from my work to even answer the simplest of questions.

I started to speak faster, in a rush to get the words out and not waste precious time speaking to people. I viewed other people as obstacles, standing in the way of my single goal, and as dimwitted fools who were sent to irritate and frustrate me. My thoughts raced, but I could follow them, but speaking was never fast enough to verbalise what was going on in my brain, so my speech was pressured... trying to will my tongue to be fast enough to keep pace with my thread of thought.

My work rang me up and insisted that we meet up. I saw my boss, and we agreed that I should give my notice. There was no way I was going back to that job. They were cool about things, but I didn't really have any explanation about what was going on with me.

I was free from the confines of the 9 to 5, Monday to Friday office routine. I was free from dimwitted bosses who had been promoted into positions of incompetence. I was free from bureaucracy and red tape and corporate bullshit. I just worked, and worked, and worked. I worked 7 days a week. I worked until I was falling asleep, and then I would start again as soon as I woke up.

At some point during this flurry of activity, I managed to get a couple of iPhone Apps to number one in the charts. Naturally, this brought in a lot of cash. I had done it. I had proven my point. I had unwittingly become a successful entrepreneur, off the back of becoming unwell and losing my job.

However, I failed to see it like that. What I saw instead was that office work wasn't good for me. I felt like office work had made me sick, and that I needed to find a new profession... well, a trade actually.

I decided to quit IT and software - the thing that I was really good at - and retrain as an electrician. I decided that the most important things to me were being self employed and working in a non-office environment. It took a couple of years before I finally realised I was wrong.

The same thing happened to me, except this time it was much, much faster.

The pressure on a small businessman, and a tradesman is immense. An electrician is responsible for the safety of everybody in the homes that you have installed an electrical system into. If anybody is electrocuted because of your shoddy workmanship, it's your fault. That's a lot of responsibility. Also, the public expect you to work for peanuts.

The sense of exhaustion and inability to cope with the pressure anymore, had hit me really hard in my cushy desk job. Now I had angry customers ringing me up because I had gotten sick. This was much, much worse, because they were ordinary people who I'd met and built a relationship with. Ordinary people were counting on me to wire up their homes, and I was personally failing them.

This depression was much deeper and darker, because I'd really run out of ideas. I felt completely useless, and that as a well known local tradesman, I'd ruined my reputation in my community. This was awful. I was actually afraid to leave the house, in case I bumped into somebody I knew, somebody who I'd let down.

I felt like I couldn't go backwards, and I couldn't go forwards. I was really trapped. How would people take me seriously as an IT professional if I'd previously been a lowly electrician? How would I ever work again as an independent businessman, when I had actually crashed a business due to my ill health? How could I ever be trusted again?

I started to think about suicide very seriously. I saw no way out of this cycle of depressions and failure. I couldn't see a way to earn money anymore, to work again. I couldn't imagine going back to my profession, or starting another business. Everything looked doomed to fail again and again and again.

I tried the medical route again, and finally got referred to a psychiatrist. It took a very long time before I actually met with the consultant, and the options were the same: SSRIs, SNRIs and NaSSAs. All serotonergic drugs. All with horrible side effects. All taking 6+ weeks to kick in.

I begged my psychiatrist to let me try Bupropion (sold as Zyban and Wellbutrin) which is very popular in France and is fast acting. He refused on the grounds that it was an off-label prescription in the UK and he'd have to get special permission from the NHS trust. It was more than his job was worth.

So, I resorted to self-medication.

Self medication worked... in the short term. I felt better, I could function. However, it took me down a path that led to the Dark Web, which led to drug window-shopping, and later to experimentation with just about every highly addictive hard drug known to man, including Heroin, Crack Cocaine and Crystal Methamphetamine.

Drugs don't work. The brain gets used to them, and then you have to increase the dose or switch to a more powerful drug. You can't artificially induce an organ that's designed to be balanced - homeostatically self-regulating - to be forced into an unnatural state.

What's the reason why those people who were taking SSRIs had lower serotonin levels in their spinal fluid? Well, it's because the brain realises that something is artificially out of kilter, and so it releases less serotonin to compensate, and puts you right back where you started.

In the words of The Verve: "the drugs don't work, they just make it worse".

Why do you think drugs from your doctor are good, and drugs from a drug dealer or the Dark Web are bad? Do you think your brain knows the difference? Of course it doesn't. Most of the drugs that are abused were developed by pharmaceutical companies originally, and used to be prescribed before newer 'safer' medications were developed. By 'safer' we tend to mean weaker and with such horrible side effects that taking bigger doses becomes unpleasant. In actual fact, the so-called 'drugs of abuse' have far less side effects than their 'safe' counterparts, at therapeutic doses. Anything becomes poisonous at high enough doses.

Does that mean I'm pro-drugs then? Am I soft on drugs, and one of these decriminalisation nuts?

Well, no, not really. Drugs are bad. They put your brain into an unnatural state and it's hard for your brain to achieve homeostasis when you are poking and prodding at it with the blunt instruments that are the chemicals that cross the blood-brain barrier.

Drugs can 'reset' your brain, in a similar way to electroconvulsive therapy (ECT) which is also known as 'shock' therapy.

Medicine of the brain is very early in its development. Psychiatry has only really been a medical field since the 1950's and the true mechanism of action of medications is only very poorly understood, especially as the true nature of mental illness has not yet been revealed.

My personal view is that the destruction of families, clans and villages in favour of ridiculously long working hours in an isolated urban setting, has destroyed everything we need as humans in terms of our relationships with other human beings. Mental illness is a perfectly sane response to modern life. It's a sane response to an insane world.

The thing that's been most beneficial to my mental health has been connecting with a group of friends, while being homeless. Being relieved of the isolated silence of the commuter train, and the pressure of horrible work and job insecurity, coupled with the financial pressures of paying ridiculous rent and unattainable material goals... it was sweet, sweet relief. Living in a kind of commune, with other people who were living in close quarters with each other, sounds unbearable, but it was actually nice. It was humanising. It felt natural, and a sense of calm, relaxation and connection with the world, flooded back into me. I felt a warmth within me that I'd never felt, except maybe with Heroin.

The question now on my lips is: how do I get that again? How do I recreate the sense of community I had, either with tons of kitesurfing friends, or with tons of similarly dispossessed and dislocated homeless people, all thrust together out of necessity to stick together?

The need to belong to a tribe, a group, a commune... it's undeniable, now that I've experienced it. I place an importance on it above financial security, because without it I just feel suicidal, so it's actually essential for life in a way that money just isn't.

Human connection is the answer to the riddle of depression, suicide and addiction.

I'm halfway betwixt and between. Half in the dark, and half in the light. My brain doesn't know whether to be suicidally depressed or hypomanically fixated on a single goal.

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

This is a story about how to lose friends and alienate people...

It's remarkable what we assume, and what we're unaware of. It's remarkable how our opinions can be coloured, and prejudices triggered, which completely change our impression of a person, and the way we treat them.

I had declared myself as "fighting mental health stigma" but in actual fact, things like Clinical Depression are so damn commonplace that nobody bats an eyelid if you say you're taking powerful psychiatric medication to stop you from killing yourself. In actual fact, I get more criticism for being medication free and letting my brain achieve its own homeostasis.

When I moved back to London, one of my oldest friends was incredibly sweet and understanding about the fact that I was struggling with my mental health. He took time out to read a bit about what Bipolar Disorder was, and was actively concerned with my wellbeing.

My friends are always playing catch up. By the time I was diagnosed with Clinical Depression, I was already having hypomanic episodes that were beyond the 'healthy' and 'normal' range of moods. Spending copious amounts of money, working ridiculously long hours, hypersexuality, risk taking... these things are not conducive to good health, wealth and stable relationships.

By the time I was diagnosed with Bipolar Disorder, I was already trying various forms of self medication. Depressions had gotten so severe that suicide was a very real risk, and hypomania had reached the point where I was starting to get delusions of grandeur, and was at risk of getting into money problems.

By the time I got free from the horrible relationship that was stoking my mood disorder, substance abuse was a big threat. When my divorce sapped my energy and sucked me back into the nightmarish world that I was trying to escape, I gave up and just decided to be a total junkie.

By the time I got cleaned up and back on my feet, word had been spread by my unpleasant family, that I was somehow untrustworthy, a waste of space, a lost cause.

So, I'm pre-empting all of that. This is a pre-emptive strike. I'm telling the world my very worst things, so everybody can get all that prejudice out of the way. I'm putting my worst foot forward.

I'm still here.

My friends and family are still stuck in the position of trying to deal with their prejudice, even though I've already moved on. I'm dealing with depression and suicidal thoughts, while people think I'm probably scoring heroin on a street corner and injecting drugs in some crack den.

This 'lag' is extremely annoying. It means I have to deal with a shocked silence. It means I'm isolated, alone, with people who should know me better, thinking terrible things about me. The culture of fear that we've grown up in is powerful, and all those images that the media has put into your mind are suddenly applied to me... it wouldn't surprise me if my own family has imagined me stealing car stereos or mugging grannies.

There's a lag with me too. It messes with your mind, being homeless one minute, and then working for a massive bank on a really important project, all dressed up in your suit with people giving a shit about your opinion.

How can you go from being the lowest of the low, to the point where there are people who actually think that death's too good for you, to suddenly one of the highest paid people in one of the world's most profitable enterprises, because the market value for your skills and experience is so high?

Is it any wonder that it messes with your mind? Is it any wonder that your brain doesn't know whether you're a worthless piece of shit, and the world would be better off if you were dead, or if actually you deserve a 6-figure salary, and people are telling you that what you're doing is really important and you're a key figure in the delivery of a super important project. How are you supposed to reconcile that?

Just saying that I should remain "grounded" is ridiculous. I have no frame of reference. I have no evidence to suggest that any possible conclusion I could reach would be the right one. Everything that my experience has taught me has been counter-intuitive.

Working hard, being humble, keeping my head down has gotten me nowhere. It hasn't led to greater happiness, more stable mental health, nor has it repaired damaged friendships and improved my relationship with my family.

Equally, taking reckless risks with my health & wealth has brought surprising results. Instead of being dead or destitute, I actually ended up making a fantastic group of friends, as a result of winding up homeless on Hampstead Heath, just after my birthday in 2014. In actual fact, being chucked onto the street by Camden Council ushered in one of the happiest periods of my life in many recent years, probably since I was in Cambridge in 2011.

I don't see any of what I've done as wrong. I've not resorted to lying, cheating, stealing. I've not screwed people over, manipulated them or in any way committed any offensive act against anybody.

However, people seem to take it very personally, when I apparently screw up my opportunities. One of my closest friends was absolutely besides himself when I lost my contract one Christmas. He thought I had deliberately sabotaged it. He was angry that I had seemingly chucked away a golden opportunity.

Things aren't so clear-cut. I'm rarely in a fit state to work. Either I'm suffering from depression, hypomania, or the exhaustion and cognitive impairment of recovery from stimulant abuse. I just don't have the time and money to properly prepare my mind and body for work, so my colleagues and bosses get a rather fucked up version of me, with all the weird highs and lows associated with an extreme mood disorder.

It's not a moral choice, whether I work, whether I relapse, whether I just collapse in a heap and don't do anything.

I know that people like to judge, and I've given away so much ammunition that it's really easy to think you know my character, my morality. I'm very easy to label, to criticise, and to apply your prejudices to.

I'm fed up of feeling guilty, just because people are shocked and unable to see beyond their prejudice and preconceived notions. I'm fed up of having to carry the can for a load of blame and scapegoating that doesn't even apply to me.

In some ways, I'm tempted to rob, to steal, to lie, to cheat... I'm being treated as if I do those things already. If I'm already 'the bad guy' then I guess I should act the part?

People are more sympathetic to mental health problems like depression and bipolar than they are to substance abuse, even though the latter can be a feature of both of the former. I think the problem is the fact that people try and view it as a moral issue

Tags: #depression #bipolar #suicide #homeless #career #banking #friends #family

This is a story about pounding the mean streets...

Here's a map of the fun run route that I followed. I wasn't actually following a route or a map, as you will see from the tale I'm about to tell.

Picking up again, where we left part two of this story, yesterday. I had just left my hotel bedroom, in pursuit of the woman and her family, who had been antagonising me all day. In my mind, this had become a game of hide & seek.

I dashed down the back staircase of the hotel, and found myself in the kitchen. Everything was dark and deserted. I went to the front windows and looked out. The police helicopter was still there, shining its light onto the front of the hotel. I decided to try and get out the back of the hotel.

At the back of the hotel was a room full of building materials, as well as the fuseboard controlling all the electrical circuits in the building. Everything was falling to pieces, with plaster hanging off the walls, doors hardly on their hinges, and some kind of makeshift extension on the back of the building. The back door wasn't locked.

Going out of the back door led me into a kind of car park, that was also a bit of wasteland. I started heading away from the hotel, but then noticed that there was a security guard at the gates. I pretended not to have seen him and to be looking for my car. Then, the lights from the police helicopter shone over the top of the hotel, and I rushed towards the back wall so as not to be seen. I explored the other end of the car park, where it was just overgrown and derelict, but there wasn't anything there of interest.

I spotted another entrance into the hotel, but that seemed to be serving a function room and I didn't want to freak any other guests out, so I headed back to the back door where I had originally come out from, turning my jacket inside out as I went, as some kind of 'disguise' as I planned to try and come out of the front entrance and I didn't want to be recognised by the police.

I was scared that I might have been spotted by the security guard, going in and out of the back entrance, so I hid myself behind a big stack of rolled up insulation and other building materials and waited for 20 or so minutes to see if I would hear anybody coming looking for me. I heard nothing.

I made my way out of the hotel, where there was a man on a scooter, talking incessantly on the radio and watching me. I walked down a side street, changed my jacket again, and went back into the hotel. This time, I went to the other side of the building, down a ground-floor corridor.

I descended a staircase into the basement and found a stack of plasterboards which I hid behind. I wanted to know if the hotel staff had been spooked out by me acting all weirdly, and if I was being followed. I tried to hide myself in the gap between the plasterboard sheets and the wall, but it wasn't easy. I was making a lot of noise and generally acting extremely strange, and felt sure that I was going to get in trouble with the hotel or the police. Surely I was disturbing other guests? It had been about 45 minutes of running around already.

I came out of hiding and found another corridor, this one had guest bedrooms on it. I heard somebody talking in what sounded like a bad German accent, and followed the sound. I decided that I was sure to be confronted by hotel staff though, and near the sound of the voice I decided to hide in a maintenance cupboard. Strangely, none of the maintenance cupboards were locked.

This particular cupboard I hid in didn't have a proper floor: it was just the floor beams. There were also two water tanks for 2 bedrooms' ensuite bathrooms, plus various pipes. It was also really dusty and cobwebby in there. I struggled to hold the door shut and regulate my breathing. I must surely have been overheard by guests, hiding in this cupboard.

I bumped into the girl who had been speaking in the German accent. She didn't seem shocked to see a dust-covered man, hiding in a cupboard right outside her room. She appeared to be beckoning me inside her bedroom, but I couldn't be sure exactly what her body language was saying. She certainly wasn't freaked out. I had no idea what to do. I was receiving no clear communication, and my thoughts were jumbled, confused.

I decided to go back to my room, but on the way there, I freaked out about somebody seeing me and decided to hide in another cupboard. This one was much the same. However, it sounded as if my noises had upset a guest. I could hear them phoning somebody. I imagined that they were freaked out by the sounds emanating from the flimsy walls, which were probably very clearly audible in the ensuite bathroom of their room. It certainly would have freaked me out.

I marched up to reception, and explained that I might have disturbed a guest, and that I was very sorry. I must have been quite a sight, covered in dust and cobwebs. There was a man sat in the lounge near reception, and he muttered something about "what a disgusting state" when he saw and overheard me, and wandered off when I made eye contact with him, and agreed with his sentiments.

I returned to my bedroom, and wasn't sure what to do. I was sure that the police would surely arrive at any minute. I didn't want the police to think that I had tampered with any evidence or anything, so I went to the window, and sat on the sill with my hands behind my back, so they could be clearly seen from the helicopter, if it was still there. I waited there a long time.

The night passed with much confusion. There was no sign of the police and I even rang the non-emergency number to see if there was anything they could tell me: was I in trouble? Things seemed to quieten down.

As it got light, I got changed and made my way outside. There were some young lads hanging around. They offered me drugs, which I declined "I don't do that anymore" I told them. I'd never encountered open drug dealing in a suburban residential area. Perhaps it was because I looked a wreck, or perhaps it was a setup, I mused.

I went back inside the hotel, to my room. The noise of other guests moving around was starting to rise. I heard a big group leaving, and looked out of my window to see a large family party getting on board a coach. A girl saw me looking out of the window and she waved and beckoned me. I was very confused about what to do.

Then, there was a voice. "Are you coming down?" it said. There then ensued a kind of argument, between me and a couple of voices, where I basically said I'd had enough... I'd been running around playing this silly game all night, and I still didn't know what I was supposed to be doing or why. I started to say "do your worst, you can't hurt me anymore, I've been bullied loads and some more won't matter" but these people, these voices, threatened to 'tell' everybody I knew what a disaster area I was.

It seemed I was being ransomed in some way. The footage from the spy camera, and perhaps other things, was going to be used against me in some way.

I sat down on the bed and decided that I wasn't going to play anymore. I was sulking. I was fed up of being bullied. I'd had enough.

Then, I thought, sod it, I'll go and see what they want me to do. I grabbed all my bags and went down to reception, where I put them into left luggage, except for my backpack which had my laptop and my mobile phone which was plugged into an external battery pack, for extra charge. I then left the hotel.

I heard somebody shout "wanker!" and I made my way down the street towards where I thought I had heard the voice from. As I walked down the street, I heard other catcalls of abuse. "Tosser" I heard, as I went past another house. I noticed that some windows were open on the top floors, but there wasn't anybody to be seen.

I walked up and down the road, noticing that the yelled abuse would come from a few of the same places, but nobody was showing their face. I was very confused about what I was supposed to be doing.

I started walking further and further along the road. There was lots of building and decorating work going on at various houses, and I would hear clanging that was much more like somebody trying to get my attention rather than somebody doing some work. I went to investigate these noises.

Eventually, I started to feel like I was being directed by these clangs and bangs. Somebody clanging, hammering or shutting a car door seemed to be my cue to cross the road, or to turn 90 degrees right. Two slams would see me do a U-turn.

As I made my way up and down the road, I noticed that as I passed somebody, they would run off down the street or get on a bike and ride past me. As I came and went, making several trips, it seemed like I was being made to walk a circuit so that I would see a bunch of people face to face. I started to say "thank you" to the people who I saw, who were all looking for my eye contact for some reason.

I started to jog along, and the vehicles got larger and larger. Starting first with a stream of bicycles, then cars, then vans, then lorries... I seemed to have to greet a larger and larger number of people with a "thank you" while I was running in circles, directed by people slamming doors and banging on scaffolding.

I realised that a huge number of people were involved in this dance, and I could be holding up their day. I wanted to show that I cared that they'd all got involved in 'helping' me and that I was going to put in as much effort as I could. I tried to run as much as I could, with my heavy backpack.

There appeared to be co-ordinators. People would jump on their mobile phones as soon as I passed them and they'd say "yeah, he's just gone past" and other things to suggest that I was running late, behing schedule. I tried to pick up my pace.

I had been hoping to get the ordeal over with quickly, and had assumed that it was only the road that the hotel was on that was involved, but it soon became clear that I was then starting a much bigger circuit. I started being directed through roads taking me away from the hotel. How big was this route and how long was it going to take me?

I kept kind of hoping that I would run into the usual crowds of commuters and normal London life, and this strange experience would be over... I'd just be mingling with everyday Londoners and there would no longer be this sense that I was being guided on a pre-planned journey around Islington, choreographed by people banging on building sites and slamming doors.

I ran, and I ran, and I ran, hoping that I would soon be done, hoping that I would have seen and been seen and said "thank you" to everybody I needed to, and the route would turn back towards the hotel, and I could collapse in a heap with exhaustion. However, the route seemed to be taking me nowhere near the hotel. I had no idea where I was going or how far I had to run for.

I started to feel really dehydrated and that I was getting dangerously tired. The backpack with the expensive and heavy electronics was a real burden, and the shoes that I was wearing, although they were waterproof, were really heavy - designed for walking, not running. There was a bottle of isotonic fluid in my backpack, but I felt bad stopping to drink it.

Eventually, after many miles, I decided I needed to stop and drink the half-bottle that remained. I heard jeering as I paused to get it out of my bag, but I couldn't go on without something. I was drenched in sweat, and I put away the fleece I had been wearing and carried on running.

As I ran down a big wide open road, with a park in the middle, and large grand Georgian terraced houses either side, I noticed that I was being followed by an ambulance. Whatever I was part of, it was certainly well organised. I started to get the idea that I was being tracked by GPS, so that I wouldn't be lost, and there was a little restraint being shown by the organisers. I wasn't going to be hounded to my death. I had to trust these people, I told myself.

I ran down one road, and a girl and her boyfriend stopped me. "My boyfriend did this too, and it helped him get better" the girl told me. They were a sweet looking young couple and were linked arm-in-arm, and looked very happy and in love. I was touched that they told me this, and it spurred me on to continue.

I ran down another road, past a school playground, and all the kids yelled "Nick! Nick!" I thought I really had lost my mind, so I went back and ran past again. "Nick! Nick!" all the kids yelled in unison, once again as I ran past. This was getting pretty surreal.

I then ran into a less residential area. There were people there that were clearly minding their own business. I was starting to get into ordinary London, and it was clear that nobody was paying a blind bit of notice to me. I started to think that perhaps it was over. Then I realised where I was... I ran right past my bike, where it was locked up on the road, where I had gotten into a bit of trouble, and really upset somebody, about 4 or 5 days before this whole weird fiasco.

I looked around, as I ran past my bike, to see if I could see the injured party, who had perhaps been the trigger for this entire event, but I could see no sign. I kept running. At times I assumed that I had perhaps reached the limit of the 'zone' where I was supposed to be, and I was outside the influence of the people who were directing me, but then surprising things happened...

Whenever I needed to cross the road, there was always a gap on both carriageways, opened up by the cars, vans, lorries and busses. This was uncanny. Also, the ambulance was always there, somewhere nearby, presumably on hand in case I collapsed. The traffic thing was really spooky though. London traffic rarely parts like the waves to make way for you.

I kept running and running, but I was getting tired and dehydrated. It had started to drizzle with rain, but it wasn't doing much to keep me cool. I tried to scoop up the water as it settled on railings and benches, to put on my face, to cool down. I really needed some more water as I had run a long way and quite fast with a heavy backpack.

I started to get dizzy and my balance was getting dubious. I started to wonder where the 'finish' line was likely to be for this crazy event. I imagined that it would probably be right at the top of Finsbury Park, where I knew there were some large function halls. I imagined that there was probably going to be an 'intervention'-like event up there, with me having to face the people I'd somehow upset.

I decided to get my phone out and look at a map to see where I was. I could hear groaning and jeering. People in cars started to toot their horns at me and yell at me. I knew I was quitting something too soon, but I didn't know how far I had left to go. I didn't feel like I could carry on any longer, without water, without a break.

Using my phone, I made my way to the top of Finsbury Park. There were lots of hostile yells now, mainly coming from people in cars. The drizzling rain got more persistent and there was a real air of disappointment in the air. I felt like I'd let people down, but at the same time, I felt in my heart-of-hearts that I'd given it my best shot, and to continue would mean passing out from exhaustion and dehydration.

I reached the buildings at the top of Finsbury Park, and there were lots of people milling around. I looked to see if there was any acknowledgement of me, but there was only hostility. It looked like whatever was happening there was being packed up. I heard things being yelled at me.

There was a water fountain in the park, and I greedily guzzled water down, and splashed my face and neck. My feet were in agony and my muscles ached. I was also soaked through with drizzle now.

I set off in the direction of the hotel, or so I thought, but I emerged onto the Holloway Road by accident. I had taken a wrong turn. I decided that I couldn't carry on by foot and tried to hail an Über using the app on my phone. It said the wait time was 35 minutes. I went into a local cab office and waited there for ages, but there didn't seem to be any cabs.

Lots of people were hanging around, sheltering under shop awnings and under the eaves of buildings from the rain. Holloway Road seemed to have reached gridlock. The traffic was bumper to bumper. People still seemed to be yelling abuse at me from cars and vans though. There were occasionally people who passed me on the pavement, and gave me a withering stare, as if I'd personally failed them somehow.

As I stood, sheltering momentarily from the rain, I heard the familiar voices of the woman and the main man I had been talking to. I looked around. Where the hell were they? How the hell did they get here? "We're in your phone" they cackled with laughter. I felt like such a fool... how obvious it suddenly seemed, that these voices had been coming from my phone, which had done the entire journey with me, in my backpack with a 12,000 mAh battery backup pack attached.

The GPS data from my phone confirms the precise route I followed, on this crazy caper. I plotted the GPS data onto Google Maps, which is shown in the image above.

I phoned my friend Cameron, who lived nearby, and left a message saying I really needed his help. I realised that I had left my wallet back at the hotel, and besides, I was exhausted.

I started to wander up the road aimlessly. I was sure that I was still a long way away from the hotel. Then, miraculously, I bumped into Cameron. He hadn't got my message, we just happened to be crossing paths. Anyone who knows London will tell you that this is a very unlikely occurrence.

I begged Cameron to get me something to eat and drink, and help me get a cab back to the hotel. Cameron got me fed & watered, and then into a black cab, to collect my bags and get me back to the hostel in Camden, where I collapsed and went straight to sleep for 24 hours.

I tried explaining to Cameron what had happened, and had imagined that he might have even been involved, as it seemed so co-incidental that I'd bumped into him at that moment. I also knew that he was very interested in street theatre and had organised a kind of zombie apocalypse 'run away from the undead' type event, as well as attending a couple of these events put on by professional outfits in London and Bristol. I thought that his sister, an actress, could perhaps have provided the 'voices' for this personalised event that I had just experienced. He listened to my wild theories, but didn't seem to be doing anything other than humouring me.

The next day, in Camden, I went on a similar long run, where I tried to respond to the slamming of doors and clangs from building sites. I think I was just insane though... completely freaked out by what had happened, and exhausted.

My feet were screwed: two bloody stumps, covered in blisters and with my toenails black and hanging off. I'd completely soaked two sets of clothes with sweat. I'd been through a physical ordeal, to match the mentally horrific things I'd been putting my brain and mind through with powerful stimulant drugs.

It's hard to know what the hell happened. I've looked back at emails and messages I sent from around this time, and it's clear that my brain was barely functioning, and what it was spewing out was total gibberish. I had been through some fairly stressful stuff and I was definitely losing my grip on reality.

However, I know what I saw. I know that I interacted with people. I know that it's pretty hard to go absolutely bat-shit insane and not attract some attention to yourself. The fact I didn't end up in trouble with the police or in hospital is either a miracle, or there's something fishy about the whole mad caper.

In a way, I came back to London so I could let an episode of insanity work its way out of my system. The anonymity of the place, and the fact that most people turn a blind eye to even the most alarming behaviour, means that you can go stark-raving bonkers without causing a scene. Perhaps this was just the ultimate realisation of that urban solitude, and me pushing that envelope of insanity to the very limit.

I often think that in all the parallel Universes where I have died or gone insane, I'm obviously not able to tell the story. Therefore, at that moment when I should have died of a drug overdose, or my mind should have finally splintered and collapsed from all the abuse, chaos and trauma... at that point, the only possible outcome was for something incredible to happen to stop me in my tracks.

I've got to say I'm incredibly grateful to this fantastic city - London - for being everything I have ever seemed to need. I have no idea how I've managed to scrap through such ordeals as I've been through, but I seem to be pretty much unscathed, which is not the case for the crappy things that have happened to me outside London.

I guess it's fairly clear to me, in retrospect, that my sanity is hanging by a very slender thread. Another bout of addiction would be sure to finish me off, either physically or mentally, I'm sure.

It bugs me, not knowing what was real and what was in my mind, but in practical terms, it's given me a sense that I owe it to those who helped me on that day, to see that lots of people want to see me stay clean from the powerful stimulants that I was hopelessly addicted to. I have no idea who they are, or what brought them together, but there was kindness and compassion there. That girl and her boyfriend will always stick in my mind.

I wish somebody would reach out and tell me that they were there, they know what happened, but I know it's unlikely to happen for whatever reason.

Anyway, sorry it's so long and there aren't any pictures. I hope you've managed to read the whole story and been able to follow it, even though it does sound every bit as crazy as it was.

Hopefully, I'm well and I'm sane at the moment. I certainly feel fit and healthy and in OK mental health, apart from a bit of anxiety and depression. Anxiety and depression are nothing compared with a talking mobile phone.

By the way, I don't recommend you getting a Google Android phone or using the Google Gear watch... I've been very suspicious of these devices, and a lot of the apps on the Google Play app store... I suspect that one of the many many free apps that I had installed had some kind of ransomware software in it, but that's just a hunch.

I'm just praying I'm not mad.

Tags: #mentalhealth #addiction #drugs #london

This is a story about being bored to death...

I've had enough of alienating people. I even bore myself with my repetitive themes, labouring the same points over & over again. I know I wrote once before about changing the scratched record, but I've struggled to do it yet.

If you've stuck with me this far, I'm amazed, and I'm grateful. I will try my hardest to make it worthwhile, as the narrative hopefully turns in a positive direction. I decided that I was going to blog for at least a year, every day if possible, and I've stuck pretty true to my original objective. I'm about 8 months into this whacky project.

When I think back to some of the weird and (not very) wonderful stuff that has spewed out, during some rather strung out periods, it's a bit cringeworthy. Having all this brain dump out there for all to see is quite embarrassing, shameful, but who cares? The genie is out of the bottle.

I'm far more self aware than you probably think I am. I'm aware how bitter & twisted I come across. I'm aware how much I'm grinding my axe, and refusing to bury the hatchet. I'm aware how stuck in the past I am. I'm aware how absolutely bat shit insane I've been at times.

It's going to take months before I have most of the pieces that build a stable life. I currently have a place to live and a couple of friends that I see regularly, so that's more than I had in July 2014, homeless on Hampstead Heath, but it's still a pretty incomplete picture. I don't have a lot of control over how long it's going to take to get another job, and rebuilding a social network is going to take ages. Who knows if I'll ever patch things up with my family?

I wrote before about compassion fatigue, and besides, don't my problems look self made anyway? Doesn't it look, to all intents and purposes, that I'm a spoiled little rich brat, wailing about first world problems, or things that I shouldn't have to fix up anyway? How can I talk about being fortunate at one time, and then talk about being down on luck another time?

When I'm starting a sentence, I notice how often I'm using a personal pronoun. It's all "I" and "me". This hasn't escaped my notice. As a proportion of the world that I inhabit, I'm alone with my thoughts far more than most. No job, no work colleagues, only one friend that I see regularly, apart from my one flatmate.

If you think I've become self absorbed... or maybe that I'm always self absorbed... that's perhaps a function of isolation, loneliness, being an only child up to the age of 10, being bullied & ostracised, being moved around the country away from friends, switching schools 6 times, isolated in a tiny village in France every school holiday.

I try and fight the self-absorption, but it's a fact of where I am right now. I'm broke, unemployed and I don't see anybody face-to-face on any kind of regular basis. I have no passion at the moment, nothing to live for, nor the money to pursue a passion.

There's a bird I photographed, when I was living up on Hampstead Heath. Perhaps I seem free as a bird to you, seeing as I don't have any kids to feed & clothe, seeing as I don't have a partner to buy handbags and shoes for, seeing as I don't have a mortgage to pay anymore.

Certainly, I felt free when I didn't have rent to pay, debts to service. It was exciting, an adventure, sleeping rough in London. But, I'm not stupid. Sleeping rough is no fun when the weather is bad. Sleeping rough is no fun when your luck turns, and you get robbed or in trouble with the police or park wardens.

Rejecting the rat race can only be done for so long, before you are unemployable and so far outside the system that you can never re-enter it. People and their neat little pigeon holes can't cope with a gap in a CV where you were a no-fixed-abode hobo. When you have no address to fill in your last 5 years of address history, the forms just aren't set up for that. Computer says no.

There's a very real lack of excitement and adventure in my life at the moment. The more that you play chicken with the grim reaper, the more the humdrum daily existence becomes anathema. My whole childhood and career was mostly boredom, so the chaos of even traumatic and stressful events holds more interest than yet more rat race game playing.

In a way, I want to fix up things in my life, only so that I can burn them down again. To chuck things away at the moment would be an insult to two people who've helped me not lose everything that we consider vitally important in the world of the rat race. It's a shame to admit how depressed I am at the moment though.

Am I supposed to be happy about the prospect of brown-nosing bosses and dressing up in a fancy suit every day, trying to make a good first impression with new work colleagues? Am I supposed to be excited about having the money to wipe out my debts, and to feather the nest of my landlord? Am I supposed to be pleased that while death rushes headlong towards me, I'm saving up towards some imagined future time when hopefully I have enough health & wealth left to fuck the whole thing off?

During periods of exhaustion and particularly poor mental health due to extreme stress and pressure, I've talked about wanting to teach deprived kids physics, write a book, solve the riddles of the Universe, set up a hostel for refugees... basically jack in the rat race and do something worthwhile. There's a social conscience and a curious mind that are completely unfulfilled, and 36 years of trying to keep it at bay is just as damaging as anything you can do to yourself with drink & drugs.

But, when I'm well, I'm a realist. I will choose the path of least resistance. I won't burn every bridge.

However, I do worry that the day has finally come when I've burnt every bridge. This website, where my entire psyche and darkest secrets are out on display for all to see... it could be the end of my professional reputation. It could derail my gravy train. If it does, I'll feel guilty for those who tried to protect me from myself, but I'll probably be happy, deep down. The rat race is a miserable existence.

There's a Lego gravy train. Adults like playing with kids toys. What does that tell you about how pointless and boring most jobs are?

Tags: #homeless #career #mentalhealth #depression #bipolar #parents #childhood

This is a story about an unholy trinity...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

This is a story about rehab...

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

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

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

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

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

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

From my point of view, I had struggled for years and years with recurrent suicidal ideation, suicide plans. I have struggled all my life with mood instability. To be simply dumped in a bucket labelled 'lost cause addict' was a bit s**t to be honest, after 30 odd years of reliable good service, despite fairly debilitating mental health problems.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

It's important to respect people.

Just respect people.

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

This is a story about self prescribing...

If you know what medication you want, you can cut out the middlemen and just buy it yourself direct from a country that doesn't have a rigid system of prescriptions, provided it's not a controlled substance, and therefore illegal to import.

I wrote about self medication through non-pharmacological mechanisms in a previous blog post entitled Self Medication (Part One) if you wish to refresh your memory.

Going GP -> Psychiatrist -> Pharmacist is actually quite a slow process when you're trying to find a medication that works for you. Also, many medications are only licensed to treat certain illnesses, but there is sometimes a strong body of research that proves they are effective on other illnesses. Because of concerns about medical malpractice lawsuits, it's quite hard to get an 'off label' prescription, even if there is good data to support the use of a particular medication in your individual case.

So it was that I came to be experimenting with medications like Pramipexole (Mirapex), Bupropion (Wellbutrin), Cabergoline (Dostinex), Aripiprazole (Abilify) and even crazy ones like Piribedil (Trivastal). Results were a mixed bag.

The bottom line is this: you probably don't want to f**k with medication. Aripiprazole left me uncontrollably dribbling, and unable to speak without an unintended spray of saliva. Piribedil would cause me to fall asleep randomly, like a narcoleptic.

But, Bupropion works. It's a very effective, fast-acting antidepressant. However, it raises your anxiety levels, causes insomnia, panic attacks and exacerbates hypomania. It's not a good medication for somebody with Bipolar, unopposed by a mood stabiliser.

Messing around with medications was very dangerous, and I may have even put myself at risk of early-onset Parkinson's disease. Certainly, my later messing around with L-DOPA was on a trajectory leading to complete disaster.

It's about harm reduction though. Tea and coffee are on a stimulant continuum that leads to amphetamines and even stronger stimulants. Alcohol is on a depressant continuum that leads to benzodiazepines and even stronger 'downers'. If you have been using coffee & alcohol to self-medicate for your mood fluctuations, you will be driven to seek out stronger alternatives, when those substances no longer work anymore, or face a breakdown.

Eventually, you'll find that heroin is really great to help you sleep, and crystal meth is really great when you need to be awake and get stuff done. You don't want to end up there. Don't go there.

There are modern sleep aids like Zopiclone & Zolpidem, and newer wakefulness and concentration promoting agents like Methylphenidate (Ritalin) and Modafinil. Naturally, I experimented with these.

Ritalin, I found to be very much like cocaine. You want to take more but you're not sure why. You don't really feel like you're getting anything out of it, but you strangely find yourself taking loads of it. Dangerous. Elizabeth Wurtzel wrote a book called More, Now, Again which is amongst the literature that inspires my writing. However, it's simply not possible to snort 60 Ritalin pills, like she claims. That volume of powder will simply not fit into your nasal sinuses. She's right about one thing though: Ritalin is addictive.

Modafinil simply makes you awake, not happy. More time awake, unhappy, is really the very last thing that you want if you're depressed, so I discontinued its use and find no function for this wakefulness promoting agent, personally.

Zolpidem doesn't keep you asleep for long enough to be of any use. Sure, you fall asleep, but then you wake up again and spend the whole night with your usual insomnia. Useless.

Zopiclone works but it's a little too brilliant. Again, for somebody with Bipolar, waking up feeling totally refreshed simply stokes your hypomania to dangerous levels. It delays an inevitable crash, when the drug ceases to be effective at acceptable dosages, and insomnia leads to exhaustion, which leads to depression.

It's all available, out there on both the public internet and the Dark Web. It's a few clicks away for a middle class person with a computer and a postal address.

My parting advice is this: don't go there. Don't even look. Don't tempt yourself. Don't give yourself false hope. Don't experiment. I've done the experiments, and found nothing good there. The side effects just aren't worth it. The downsides outweigh the upsides.

There are no medicinal cures. There are no medications that 'fix' Unipolar Depression and Bipolar. It's an avenue not worth pursuing.

Sorry about that.

Tags: #bipolar #depression #mentalhealth

This is a story about my best friend...

The first 10 years of my life were pretty lonely. Then along came my best friend in the whole world.

Naturally, my parents were harshly critical of me for not being some male nanny, perfect parent type figure. I was, strangely, more of a brother to my sister. That was a disappointment to them. They thought that having more children meant more free time to get drunk and take drugs.

Anyway, let's ignore my parents. They were very much of the Victorian mindset that children should be not seen and not heard. Maybe it would have been better if children were not born, but I'm very glad that my sister was. Having a sister is the reason why I'm clinging onto life with my fingernails.

Having a 10 year age gap is a bit strange, but I think it's kinda got advantages. My parents can't be bothered to imagine how hard it is being a young person today, and they get a particularly warped view because I was always very independent and a high-earner from the age of 17. Sadly, the opportunities for the majority of young people are rather bleak.

Yes, the challenges faced by me and my sister in day to day life are really chalk and cheese. While I battle with my mental health, in order to be able to work, my sister also has to battle a highly competitive job market and low pay. While I have to ensure that I earn enough during my hypomania in order to survive during my depression, my sister has to stretch her budget beyond any feasible limit.

Yes, our parents generation really screwed things up, and life is very hard for my sister. I went through a horrible divorce that nearly killed me, but that was due to a single vicious and mean person who had not a care in the world for human life, and couldn't act with a single shred of decency. My sister not only has to deal with a horrible divorce, but her rent & bills as a proportion of her income are totally unmanageable. That's not her fault. She works 6 days a week.

So, tomorrow, during the Chancellor's Autumn Statement, tax credits and other benefits are going to be cut. People like my sister are going to be horribly affected, and there's no way she could possibly work any harder to fix her own finances. She rents a very modest property for her & my niece, she works 6 days a week, she's very dedicated to her job, there are no better paid jobs... she is being shafted by politicians and society.

As a working mum, who did nothing wrong and is doing everything right, why should she have even more financial woe and stress heaped on top of her? She's working her arse off but she is being destroyed through exhaustion and stress, by a government that just doesn't care about the wellbeing of its citizens.

The net result is pretty much what the Tories want. My parents will have to work for longer and have less money in retirement, in order to support their daughter and granddaughter, despite the fact that they've worked hard all their life and their daughter is already working 6 days a week. That's bullshit.

Our family has not racked up huge debts buying crap. Our family has saved money and bought property and done all the things we were supposed to do. We've played by the rules of society, and my parents and sister have ended up diddled by the system. They paid in, with their income tax and their national insurance and their council tax... they're not acting like they're entitled.

My parents just want to have their pension. My sister just wants to work. My niece just wants to be a toddler. It's outrageous that my parents' pension goes to pay my sister's bills. My sister's 6-day-a-week job is not enough to pay for her bills. My niece hardly gets to see my sister because she's working so hard. Is that the kind of society you want, Tories?

Throughout Britain we see examples of how people are being asked to fend for themselves. While the richest members of society contribute a pittance of their net wealth, so many are having to dip into their life savings, their pensions, just to survive. I actually phoned JPMorgan's pension scheme administrator to ask if I could have any money released for hospital treatment I desperately needed, when Camden council bungled my case yet again.

I've managed to limp through and get myself to the point where I have survived an ordeal that would have killed most people. However, I had to borrow money to do that. Why am I borrowing money to pay for lifesaving treatment, when I have paid staggering sums in tax and National Insurance? It's all been pissed away on tax breaks for the wealthy.

Why should the National Health Service be facing a funding crisis, because we wanted to line the pockets of the super-rich? Why should state schools suffer? Why should our brightest children be cutting short their eduction and looking for crap jobs because we wanted to make the rich richer?

We are asking each generation to work a lot harder than the last. Our grandparents lived through a war, so they knew about austerity. They knew about make do & mend. Unfortunately, too few of those people are in positions of authority now. Their kids - my parents generation - think that life is easy, because they lived through the post-war boom. They are wrong. Life is hard.

So, take a note of the date and remember that today was the day that the government went too far. They cut too deep and they hurt people who were already hurting. They scapegoated the wrong people.

Anger will rise up. It will start with the young people who have been frozen out of the job market, who are marginalised and demonised by the media. It will spread to the hard working mums who are struggling to balance the books already, struggling to stretch their budgets. Then it will hit the grannies who are providing free childcare and cash handouts from their pensions in order to keep their kids and grandkids afloat.

There will be a groundswell of public opinion against being told how to live our lives with more frugality from some vintage wine swilling toffs who like nothing more than to admire each other's art collections, and ponce around the country telling the great unwashed masses to stop complaining. Let them eat cake, right?

Things are a lot worse than you can see from within the echo-chamber. Get your head out of the statistics. Get your arse out of your Tory party circle of friends. You're out of touch with reality and it will come and bite your ass.

The problems in society are being masked and things will come crashing down quicker than you can say "Poll Tax Riots".

That is all.

Tags: #politics #childhood #parents #civildisobedience

This is a story about chronic fatigue...

Smart bosses have figured out that happy employees are more productive. If you don't have the right culture in your organisation, you will make people very sick. You will be burning people out in order to achieve your unrealistic targets.

Forward thinking organisations are letting people have dogs at work. They are promoting more flexible working arrangements. They are seeing their employees as people and not just numbers in a spreadsheet.

I wrote an IT Roadmap for a company which had just been spun off by its parent company, and sold. I took one look around the little company, and I knew immediately that they had got the culture spot on. I wrote my roadmap with this culture as the guiding principle.

I urged the new CEO of the spin-off company to preserve the culture, in order to maintain the high productivity and excellent morale of the staff. I tried my best to pursuade him of the benefits of investing in technology that would support the staff, that would preserve the brilliant working environment. He ignored my advice.

I quit that job, because my opinion wasn't valued. You can't pay me enough to rubberstamp the wrong decisions. If you're looking for a "yes" man, a sycophant, then you've got the wrong guy.

So, after I left, the culture was destroyed, money was burnt on stupid vanity projects, all the good people left. The profits dropped 90% and naturally, the CEO was fired. I take no pride, only sadness, in saying "I told you so".

But one cool thing happened. At a conference a little over a year later, the CEO of the parent company presented my ideas. They had implemented them. Ideas are worthless, and the implementation must have been very hard - although I had done a proof of concept with my team - so I can take no credit. But it was so nice to be vindicated that I had to pinch myself to see if I was dreaming.

I've been bumping along like this for quite a few years now. The problem is, that I'm exhausted. I've got enough energy to do the job, but not enough energy to endure the idiots. I tend to get the important stuff done, and then I have to bow out and allow the sacking of the egotistical dead wood to happen.

Fundamentally, I burnt out in 2008, working on JPMorgan's #1 project. Instead of going off work sick, I decided that I needed to change jobs and as soon as I did the wall of exhaustion that I had been holding back hit me like a steamroller.

I was so flattened by it, that my doctors thought I might have AIDS. We tried every test under the sun, but fundamentally, I now believe that I was simply overworked. I had worked hard and played hard for far too long. My body & brain just couldn't cope anymore.

I was a bit of 'swan'... looked very serene and calm on the surface, but my legs were going like crazy beneath the surface of the water. During some 'time out' I remember playing golf, trying to putt with my phone jammed to my ear while I attempted to resolve some issue a team member was having.

I am so passionate about my work that I tend to dream about it. I even have 'eureka' moments sometimes and wake up and start writing code or an email. There is no switching off when I'm in the 'on' position.

My commute to the office (September 2007)

It's not very healthy, but my parents, school, partners, lazy friends, bosses, society and the surrounding culture has driven me to this unsustainable level. People say 'take it easy, slow down' but as soon as I do back off the gas, they soon start complaining. People get used to a certain level of contribution. They start taking you for granted.

What am I living for, if it's not for work? Nothing is ever good enough for my parents. I haven't had a nice caring kind girlfriend for far too long. I haven't got any kids. What's the point of life if it's not to make some kind of epic contribution?

It's not about heroics, and I really don't expect anybody to get the violins out and say "ooh, poor you". It's literally that work fills an otherwise empty void in my existence. Without work to dedicate myself to, do I really exist? My day to experiences would suggest not.

Yes, I know that work is a dangerous addiction that is damaging my health, but it's the only place that I ever hear "well done" or "thank you". My parents and ex-girlfriend/ex-wife would never sink so low as to actually show me any respect. It's expensive, apparently, to show somebody some appreciation.

During seemingly interminable periods of fatigue, depression, you can obviously reflect and see that you are repeating the same vicious cycle. It doesn't mean that you can beat it though. Nobody stops the world so that you can get off the rollercoaster.

So, everybody will be very relieved when I'm 'recovered' from a crash, but the fact of the matter is that recovery actually only starts when the exhaustion and depression have passed. All that time in bed is not recovery... it's staying alive. It's surviving, not thriving.

Yes, I'm surviving, but I'm not thriving. Nobody will let me get that far. When I have an opportunity to thrive, everybody says "Oh, you're fine now. We don't need to help you, we can go back to taking from you" not that I really receive help anyway.

My friend Klaus brought me a bag of stuff in hospital. That was one of the kindest things that anybody has ever done for me in a couple of years. Does that mean I owe him a favour? Well, he was already living rent free on my couch so I guess we can call it quits!

I do keep a very careful eye on my karma balance. I have paid it forward big time, and I always want to run a net karma surplus. If you do your accounting with some surpluses, with contingency, then you don't have to sweat the small stuff.

There are some people who feel hard done by at my hands. My friend John who thought it was OK to use me for free rent, spending money and as a personal life coach to help him over his gambling addiction and general idleness, for example. When life became unmanageable, I chucked him off my back to save myself. Am I supposed to be sorry about that? Why was I carrying him in the first place?

I don't really understand why I attract klingons. I guess it's because I'm a kind and generous person who gives off an aura of success and I make what I do look quite easy, so other people think there's not much effort required to achieve the same things. That's the thing about being good at what you do. You make it look easy.

I certainly have suffered from the "I could do your job" mistake. When CxOs and managers have been fired because they didn't listen to my expert advice, I certainly wouldn't want to take their place. I'm not trying to steal anybody's job. When I was younger, for sure I thought I could do my manager's job, and do it better. The fact that I have proved it, does not actually mean anything... I hated doing those managerial jobs!

Yes, management really is not for me. Somebody else can have the pressure and stress and responsibility. I think it's a vocation, not a job title. I think it's a demotion not a promotion. Those who can, do. Those who can't, must depend on others to do for them, and must be more organised themselves to compensate for the fact that they can't both be both organised and productive.

So, I'm exhausted by having to design, build, lead, argue with idiots who don't know what they're talking about and make dead wood losers look good.

I'm laid low with depression, fatigue.

Sorry about that, klingons.

That is all.

Frankie loves being tucked up warm in bed. We all do during winter. Fatigue and depression are much more serious. I'm suicidal and I can barely get out of bed (November 2007)

Tags: #career #banking #depression #suicide #mentalhealth #frankie