This is a story about feeling overwhelmed...

Four days is not enough time to rebuild an entire life from scratch. Four days is not enough time to get all the little pieces that make a complete life into place. Four days is not enough time to cope with the stress and upheaval and not have a nervous breakdown.

In my kitchen sits a washer/dryer which needs unpacking, plumbing in and sliding into place. It's heavy. I'm not sure if I can move it on my own without scratching the kitchen tiles. I don't feel well enough to tackle this job today.

Also in my kitchen sits an enormous pile of cardboard, which needs to be taken to the recycling centre. There's too much here to leave outside my house, getting soggy and wet in the rain. I don't even know on which days the bins get collected anyway.

In my hallway sits a load of Ikea flat-pack furniture which requires assembly. In my haste to order the basic things that I need, I chose a chest-of-drawers that does not fit in my bedroom very well, so this will have to be returned. There's nothing here that I urgently need... I just wanted to try and get this part of the moving in process done and dusted, but I rushed it and screwed up. Now I have created more problems for myself.

In my dining room are the assorted boxes and bags in which I moved my possessions I've managed to hang onto over the years. I've rummaged in the boxes to pull things out which I needed - like saucepans, plates etc. - and otherwise just left this room as a total bombsite, because I don't have any furniture in which to store any of my things yet.

In the space of four days, I've had the heating fixed, the electrics fixed and the telephone and broadband installed. I've had two Ikea deliveries, two deliveries of white goods for the kitchen, plus some other visits that I've probably forgotten in the melee.

Theoretically, I go back to the office tomorrow and act as if nothing has happened. Tomorrow I have to carry on as if everything is normal and under control in my life.

Things do not feel under control.

I want to hide under the duvet for a month.

But I can't afford the time off.

Theoretically now I can begin to find a bit of rhythm and routine. As soon as my washing machine is hooked up, I'm pretty much self-sufficient - I'll be able to cook, clean, sleep and somewhat relax. I have a comfy couch and a comfy bed. I have figured out how to operate the central heating and I've had a couple of log fires.

I am not at all happy about going back to work. I feel very unwell. I feel certain that I'm going to have a panic attack and have to leave, shortly after arriving at the office.

My stable settled secure little world has been rocked by mighty forces and I'm quite disturbed by it. I feel sick.

My feelings are perhaps illustrative of why people don't move house very often and prefer to stay in their comfort zone. It might sound like an enviable ambitious exciting adventure, but the reality has been that most of the time I've felt extremely stressed and anxious.

I guess I hoped to have two settled sorted things in my life - my home and my job - which would allow other things to fall into place, like my mental health, my social life, my physical health and my love life. In reality, I have nothing settled and secure at the moment, but perhaps going back to the office tomorrow will instantly restore a bit of normality to my shattered life.

There are many enviable things about my situation at the moment, so please don't think I'm churlishly complaining... I just bit off a lot more than I could chew.

Tags: #moving #house

This is a story about mechanical failure...

How I expected to feel - physically - and how I am actually feeling, are out of alignment. There is considerable discrepancy between my anticipated relief from fatigue and discomfort, and the aches and pains which are unexpectedly and unpleasantly asserting their presence.

I suppose my mind has erased the memories of the suffering I went through repeatedly as a drug addict. I know that the comedowns and withdrawals must have been terrible, but my memories are very patchy. Perhaps mercifully, I can't recall that pain.

My body feels poisoned; toxic. I suffered plenty of hospitalisations when my organs were struggling and failing. There is a very real and tangible muscle memory that tells me that this unpleasant experience is not a new one. Indeed, I can rationalise that I've survived countless periods of immense dehydration, starvation, insomnia and physical exertion, beyond that which anyone of sound body and mind could and would withstand. I know that my addiction drove me to repeat the same stupidity countless times, always with more-or-less identically awful outcomes.

To my mind, I've done nothing to deserve this physical suffering, knowing what dreadful things I've put my body through in the past. Instead of being cautious and avoiding that pain, perhaps I came to regard myself as indestructible. Certainly, I had gathered a lot of evidence that my body could take a great deal of punishment and seemingly suffer no long-term consequence. Perhaps I have learned to take my body's resilience for granted.

I don't feel like I did anything particularly excessive, but my body tells me otherwise: My muscles and joints all give me a great deal of pain and I'm extremely fatigued.

It's distressing, but I have to accept the evidence as I see it. My body is telling me that I'm very sick. My body is telling me that I need to rest and recuperate.

I know that to proceed as if my body weren't signalling its distress, has led in the past to near-catastrophic medical emergencies, and lengthy hospital stays. It's only by the skill and hard work of the medical teams that so much of me has been preserved. I was under the impression that I was not in too bad shape; that my organs were functioning OK and that I'd somehow dodged a bullet.

Perhaps the doctors were just being kind - sparing my feelings. Perhaps it was kinder to tell me I'd been lucky and that I should take better care in future, as opposed to telling me that I'd inflicted irreparable damage upon myself. I heard what I wanted to hear anyway: I thought I got away with it again and again.

It was more or less 2 years ago that I realised that I had to pump the brakes.

The accomplishment of going cold turkey and completely rebuilding my life, is not something I've achieved just once. In fact, it's remarkable that from the supposed apogee of my life - a wealthy homeowner with a wife - I should have had multiple periods of homelessness and almost total destitution, at the hands mainly of drug addiction intermingled with mental health problems in the most destructive way; and also multiple periods of repairing the damage and attempting to rebuild my shattered existence, which have been successful but not for very long.

Each attempt to rebuild my life consumes considerably more time and energy than the last, and I suppose I never accounted for the wear and tear that the boom and bust existence must have been having on my poor broken body.

I'm disoriented. A breakup and moving house coincided with a very bad episode of mania, which resulted in a brief period when my body was very harshly abused. I seem to have survived, but I haven't been truly tested yet: I need to go back to work and pick up where I left on. There's a lot of hard work left ahead of me, and I will need to work with consistency and stability, and continue to attempt to be very conservative and cautious in the workplace.

I don't know whether I'm winning, or actually I already lost but I just didn't realise it yet: I'm waiting for overwhelming evidence that my fate is sealed, and that my body is giving up on me.

That's honestly how I feel right now - that my body has been pushed too hard for too long, and there's not much life left in me. I would not be in the least bit surprised to be told that some vital organ is failing and my days are numbered.

It's a little frustrating, because I made some health decisions that have not been easy to follow-through with, such as stopping drinking and eating more healthily, but I accept that it's probably too little too late.

I'm probably being a little melodramatic, but I do have an annoying habit of knowing the difference between a serious medical emergency and what is merely severely life-threatening but survivable outside of a clinical environment.

A couple of concerned friends are encouraging me to get blood tests done etc. but I can't see it changing the outcome much. If I've done myself in, then I've done myself in and I'm done for, and that's that.

I think I'm more optimistic than I'm perhaps letting on. I can imagine that I'll go easy on myself for a couple of weeks - ease my feet back under the desk - and then I'll start feeling a lot better. It does seem understandable that a very short sharp shock would cause me considerable pain and suffering. Perhaps I've just been over-optimistic about how quickly I could recover.

I plan on working from home tomorrow, which is part of my strategy of going easy on myself. I still literally bear the scars of the recent ordeal on my face and hands, so I'm not being entirely hyperbolic.

I think if my body does pack up, that would be an entirely fitting end, and I would probably have a good chuckle about the irony of it, given my body's refusal to give up the ghost at any point when I have been acting far less sensibly.

It's funny how people perceive me. They ask me whether I'm going to go jogging or cycling in the park, when in fact climbing a flight of stairs is an unpleasant ordeal at the moment. It's hard to comprehend what I've been through - many many lifetimes worth of boom and bust, replete with the agony and the suffering. You can't see that stuff from the outside - all you can see is a 39 year old body that's not in particularly terrible shape, on first inspection. I dread to think what my internal organs must look like, but I've got a lot of scars on my skin, which each tell a pretty gruesome story.

I'm going to look pretty silly if I'm full of the joys of spring and zooming around like a young man in a few weeks, full of energy, but anyhoo... this is the way I write; this is what I do.

Tags: #health #addiction

This is a story about fit for purpose...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

In short, doctors would offer me nothing.

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

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

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

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

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

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

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

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

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

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

The law helpfully tells us that:

Food [doesn't] count as psychoactive substances.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Those are the affluent places.

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

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

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

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

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

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

This equation gives three numbers,

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

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

3. Proft (if any)

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

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

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

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

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

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

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

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

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

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

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

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

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

I hope you find these 4,000 words entertaining.

Tags: #economics #politics #drugs #addiction  #politics #law #criminal

This is a story about the stuff dreams are made of...

These our actors as I foretold you, were all spirits and are melted into air, into thin air. We are such stuff as dreams are made of and our little life is rounded with a sleep.

Apparently there are 125 identical bedrooms in the hotel where I've lived for most of the last year. There are always 5 pillows: Two soft ones, two firmer ones and a stupid little red one, which serves a purely decorative purpose. There's an ironing board, iron, hairdryer and kettle. There's a writing desk. There's a sofa. There are reading lights which shine directly into your eyes if you don't take the time to move them away from the position they're always left in by the housekeepers. There's a plug in the sink that always need to be pulled out and set aside, otherwise the water won't be able to drain away properly when you wash your hands. There are small pieces of information throughout the room that tell me that I can choose whichever pillows I find comfiest, that there's a place to charge my phone by my bed, and various things that tell me how much they [the hotel] cares about my stay. A place for everything and everything in its place.

How many IKEA beds have I owned? How many have I destroyed? How many have I slept in without mishap? How many times have I found myself discovering that IKEA mattresses are different from the standard UK sizes of double and king-size? How many times have I struggled to squeeze an IKEA mattress into a non-IKEA fitted sheet?

How many different beds have I slept in, during the past 5 years?

I can tell you everything about every kind of bed you're likely to encounter in the National Health Service. There are the beds in the crisis houses and psychiatric wards. There are the beds in ordinary hospital wards. There are the beds in intensive care and high dependency wards. I can tell you how to make yourself comfortable in places where somebody will shine a torch in your face every 15 to 30 minutes at night. I can tell you how to make yourself comfortable somewhere that your blood pressure, body temperature and blood oxygen saturation is being measured every hour. I can tell you how to make yourself comfortable when you have 5 canulas, a catheter and a massive femoral veinous catheter in your groin, which literally has taps you can just twist when you want to empty all the blood out of your body.

I can tell you everything about every kind of bed you're likely to encounter in a hostel full of homeless people. I can tell you about bed bugs and other human parasites. I can tell you about snoring. I can tell you about being in a room with 13 people in various states of drink and drug intoxication, and with the entire spectrum of mental health problems. I can tell you what it's like to realise that somebody rummaged under your pillow, stole your wallet, removed the cash, and replaced it back where they took it from, while you were asleep. I can tell you what it's like to have your bags regularly rummaged through in search of anything valuable. I can tell you what it's like to live for more than a year like that, with no fixed dormitory, no fixed bunk... to get woken up at 8am and told that you've got to move to another room, with another bunch of seemingly randomly-selected people who you'll be spending an unknown number of nights with.

After a while it gets tiresome.

Eventually, you figure out that when you sleep rough, if you're smart about it, then you can stay away from other homeless people, drunks, muggers, rapists and anybody who fancies doing pretty much whatever they want to you at 4:30am, because it's dark and nobody's around. Eventually, you figure out that you can have more consistency and control over your life if you find yourself some bushes or an overgrown back garden of an empty house to set up camp in. You get used to the noise of the dog walkers and the joggers. You get used to the noise of the commuters. You get used to the noise of the students and the tourists. You get used to the do-gooders, who will make their rounds to check on the junkies and the alcoholics, who cluster together in obvious places. You get used to the official-looking vehicles with their headlights, and the people wearing uniforms with their torches. You start to realise that they have absolutely no idea that you exist, because you are so inconspicuous and under their radar.

Then, you decide that it'd be nice to return to civilised society. You get a bit old to be sleeping rough. It seems somehow shameful, to reach a certain age and have dropped out.

So, you rent a series of dreadful places to live. Each one of those places has a dreadful bed: A bottom-of-the-range IKEA bed with a mattress which doesn't quite fit and slats which randomly fall off their supports, causing part of the bed to collapse unexpectedly; mattresses with a range of stains in varying hues indicating, shit, piss, vomit and blood... as well as perhaps some food stains.

You buy your own IKEA brand-new furniture, and you buy slightly better quality stuff. You buy the bed sheets that are the right size to fit, because you know exactly what size mattress you've bought. You buy a the right size mattress for the bed frame.

Then, you have to move.

How many times have I had to move?

Every time I move, I have to leave the bed behind, because I throw away the old terrible bed, which was unfit as anything more than set-dressing for a property that's being rented out as "furnished". Where would I store a shitty old bed? Where would I store a shitty old mattress? It would cost me more in storage costs, and the transportation costs of moving the shitty bed out and back, than it costs me to simply leave the replacement beds behind.

How many IKEA flat-packs have I assembled and how many have I destroyed?

How many times have I flopped down onto a newly assembled bed, exhausted?

How many times have I had to abandon any attempts at nest-making, because I have to choose my battles carefully?

It might sound like I'm sloppy, careless and perhaps have little respect for the expense and environmental impact of treating material possessions as so disposable. However, none of this stuff disappears. The problem is, that there's no shortage of supply of mattresses covered with blood, piss, sick and vomit stains. There's no shortage of damaged bed frames which do not sturdily support the bed's occupants.

What you have to understand is that I have to prioritise my survival, ahead of the pleasant choices that normal happy healthy stable people get to make. I don't choose to change my bed because I'm remodelling my bedroom. I'm not in the business of doing interior decoration for aesthetic purposes. I don't choose the colour of the paint on my walls. I don't choose my curtains. I've been grateful to have the comfort of a thin foam mattress, in a hostel dorm, on a bunk bed. I've been grateful if my bunk has happened to be close to a power socket so I can charge my phone. I've been grateful if my bunk has been near a window, so I can enjoy the ventilation. I've been grateful if my bunk has been away from the dorm entrance/exit, so people can enter and leave without disturbing me. I've been grateful if I'm not sharing a dorm with dickheads who get up at 5am and start noisily rummaging in their bags, or people with severe mental illness who have unpredictable outbursts just at the moment when you're falling asleep.

What you have to understand is that every different bed I sleep in is slightly different. There might be a family deciding to have an argument in the hotel corridor at 6am. There might be a central heating system where the pipes creak and clang at unusual times. There might be a car alarm that decides to go off all night long. There might be a fire alarm. There might be heavy traffic in the morning and evening commuter rush. There might be patients on a psych ward who want to watch TV at full volume at 7am. There might be patients on a psych ward who are kicking off, and having to be restrained, sedated and moved to 'safe seclusion', which is the modern version of a padded soundproof cell.

What you have to understand is that every bed I sleep in has a different 'vibe' in terms of how private it feels. Ground-floor bedrooms are strange to me, especially when the window coverings - blinds and curtains - aren't very good. Can people hear me masturbating? Can people see me sleeping? How much privacy do I really have? I've spent a substantial time in places where there are observation windows which can be opened by staff members, to check on the room occupant. I've spent a substantial amount of time in places where the furniture is heavy, indestructible and even bolted to the floor. I've spent a substantial amount of time where the windows don't open more than a few inches and have bars on them, and the mirrors are made out of plastic - places designed to be safe places for the care of vulnerable sick people.

Those places have been my home.

I'm about to get the keys to have a house that has 4 bedrooms, 3 reception rooms, 2 bathrooms, a garden and a shed. It's all for me. It's a blank canvas.

If I had the money, I'd have it painted.

If I had the money, I'd buy the furniture I wanted.

If I had the money, I'd buy rugs and lamps, and curtains and coffee tables and occasional tables, and a dining table and chairs and a breakfast bar and bookcases and wardrobes and chests-of-drawers and sideboards and cabinets and desks and organiser systems, where all my stuff could be neatly hidden out of view in little boxes - a place for everything and everything in its place.

If I had the money, I'd just grab the IKEA catalogue and order everything in the rooms, exactly like their designers have displayed them.

It won't be long now.

Soon, I'll have a buttload of money.

But. It's been a long journey, and some really shitty stuff has happened, like my kidneys failing.

So, I'm about to have my millionth billionth IKEA bed, and there's nothing new or novel about it. I've bought the most basic model, with plans to upgrade in future, when I can afford it. I will continue to live out of suitcases, in a house which could comfortably accomodate 2 adults and 4 children. In fact, when I have friends with kids visiting, my house should provide comfort for perhaps 3/4 adults and 2/3 children, plus 0/1 dogs.

Sorry for going on about it, but it's been a helluva journey.

Imagine all those homeless people I met when I was sleeping rough. Imagine all those people who I met when I was sleeping in those hostels. I was just like them: No money, drink problems, drug problems and mental health problems, along with the accompanying police problems.

Imagine all those people who've seen me have false-starts and almost-but-not-quite get my shit together. Imagine how much they want me to succeed. Imagine how many people I've got rooting for me, because it's supposed to be true: It's supposed to be true that we can drag ourselves out of the gutter to become rich and successful, if we work hard enough. If I can do it, can you imagine how pleased all the people - the lifelong friends I made - will be to see me doing well. I owe it to them to aim higher than sleeping inconspicuously in a bush. I owe it to them to be one of the success stories that we're told about, but in reality don't really seem to exist.

I'm pulling an incredibly high-risk manoeuvre, to get myself into a special place. What would be the point of all the hard work, suffering, deprivation and disappointment, if all it resulted in was a totally mediocre end result?  That's not a very inspiring story for my friends who've suffered disproportionately badly at the hands of fate. How awful it would be for those people who had next-to-nothing - like we all did - to see the golden boy smashed to smithereens and getting absolutely nowhere in life. Why bother, if there's no chance of a better life? Why bother, if there's no pot of gold at the end of the rainbow?

My actions might seem to have a hint of profligacy to them, and indeed some showmanship and insecure vulgar displays of wealth, but I assure you that if I was such a fool as to simply want to flaunt the fact that I can get rich 'quick' when I need to, I would simply purchase a highly desirable sports-car with a car loan, and rent the most extravagant city centre penthouse I could find, and then flaunt my materialistic lifestyle in Instagram, which would be most vulgar, crude and an insult to every value that a hard working person has.

You also have to remember that my self-esteem was very badly damaged by those years when I was sick, vulnerable and virtually penniless. Psychologically, I do not want to be living with daily reminders that I screwed up my life. For me to feel as though I've left that unfortunate period of my life behind me, it's important that I'm not dragging around 'baggage' which continuously reminds me of what might have been if only I hadn't gotten sick. I think it's a worthwhile investment, to spend a relatively small amount of cash on a home which makes me feel like I'm starting to live the life I always wanted; picking up my life again as if there was no interruption.

If you detect a hint of entitlement then you're probably not mistaken. It's my firmly held belief that hard work should result in commensurate rewards. It's my unshakeable opinion that those who have known suffering and deprivation should not suffer prejudice and disadvantages because of those misfortunes.

If we believe in a fair and just world, where hard work and dedication will allow anybody to achieve their dreams, then we must surely also believe that it's OK for my life to be good... perhaps even enviably good; desirable. Isn't it a good thing that my friends might look at me and say: He's done well and there are some parts of his life that I would like to have for myself. Isn't it a good thing that my friends who never quite escaped the life of sleeping rough, hostels and bedsits, can see that one of their own - a man ruined by divorce, drink, drugs, debt and mental health problems - could clean himself up and return to civilised society, and prosper?

If this piece has a boastful tone, I apologise. If this piece seems premature, given the amount of hard work that still lies ahead, you'd be right to caution me against complacency. If this piece is too much about me, and not enough about those who get left behind, abandoned by society, those criticisms are valid.

As it stands, I've lined up my ducks, but the journey hasn't even started yet. My bed is still in pieces in an IKEA warehouse, with my mattress rolled up tightly in the plastic which it will be delivered in. The task still remains outstanding for me: to assemble my bed, or else sleep on the floor, provided I manage to even get the keys to this dream home without a hitch, which I presently don't have enough money to be able to afford.

Tags: #homeless #housing #house #apartment #renting #rent #moving #roughsleeping #hostel

This is a story about overcompensation...

I wrote yesterday about having a sex problem. Not a sex addiction, or anything kinky, but that I have too much sex because my fragile self-esteem depends upon it. I use sex as a form of reassurance, that I've banished my unhappy adolescent and late teen years, as well as my early twenties, safely into the past. I use sex as a form of proof that those bad times are never going to come back to bite me. I can never go back to those unhappy times.

There's something I need to talk about.

There's something I need to mention.

I'm not a fool.

I'm not so stupid and gullible that I believe every boast and every lie that was told, at school and at college, about how much sex everyone was getting. I'm not swayed by the common misconception that everybody else was at it [fucking] like rabbits. I'm not convinced by the gossip and the bragging and the boasts of sexual conquests, which circulated widely in the pressure-cooker of the school and college environment.

What I know are the facts.

I only care about the facts.

I don't really give a shit how much sex, how many blowjobs and how many hand-jobs were being had by my peer group. I don't really care how many sexual acts were actually carried out. These are facts that I'll never truly know.

What I DO know, without a shadow of a doubt, is that the vast majority of people's adolescent schooldays included having boyfriends/girlfriends, and all the associated relationship learning and development that's associated with that. The vast majority had crushes, thought they'd fallen in love, sent love notes, asked each other out, declared themselves to be couples, were known to be couples, called each other boyfriend and girlfriend, and had at least kisses and cuddles... intimacy and a relationship status.

What I DO know for a fact is that the vast majority of my peers learned about jealousy, cheating, breakups, reconciliations, relationship arguments and all the other things which turned them all into well-rounded average people: One giant homogenous mass of people who've all had a more-or-less identical experience of teenage love.

What I DO know for a fact is that my parents blocked my opportunity to go to university, where I might then have had the opportunity to start playing catch up. At school, there were too many thick-skulled knuckle-draggers, but at university I would have been amongst my own kind: The academic high-achievers; the bookworms; the geeks and the ones who were bullied outcasts, because our brains were highly developed, but something about us painted a target on our backs, making our lives a living hell, when mixed in with a vast number of no-hopers, with no aspirations.

School was simply a holding pen, before prison for the guys, or pram-pushing for the girls. Those savages needed to be left behind, and university would have been my opportunity to heal some of the trauma, but my parents blocked and sabotaged my attempts to go, despite the ease with which I obtained generous offers from very highly regarded academic institutions.

I'm incredibly bitter that I was separated from my dear friends in Oxford - a hyper-intelligent bunch who have achieved great things - and I was dumped into a school in the middle of fucking nowhere, where the best career opportunity was some kind of unskilled minimum-wage seasonal employment. The place we moved to from Oxford was a backwater dead end, because my parents are selfish dead-end loser alcoholic junkies, who never gave a shit about the consequences they were inflicting on my life; the opportunities they were actively denying me.

The picture of me is of me aboard my yacht, age 21, with my girlfriend.

Yeah, that's right, I bought a yacht when I was 21 years old.

I worked for a bank in Canary Wharf, London, earning £470 a day. I was 21 years old and I was earning £2,350 a week, and I owned a yacht, and I had a girlfriend. I was earning over £10,000 a month and I had a red sports car, a yacht... and most importantly, I had a girlfriend.

Can you see how insecure I was?

Can you see how materialistic I was?

For Christmas presents I used to buy people Fortnum & Mason luxury hampers. I flew business class and stayed in 5-star hotels. I was 21 years old.

I was a massively insecure, damaged, insecure person. I overcompensated by spending vast amounts of money on status symbols and living a making vulgar demonstrations of my wealth, because I was still a bullied kid... I was still a lonely bullied kid. I was still the kid who didn't have those kisses behind the bike sheds at school. I was still the kid who didn't ever have a girlfriend at school. I never asked anyone out, got asked out, fell in love, cheated, broke up.... I never had any of that, unlike almost everybody else in the whole entire world.

I used my brain to get a good job. Then I used by brain to get a better job. Then I used my brain to get an even better job, until the point where I was earning six-figures annually and I got all the status symbols to pro-up my fragile self-esteem. I got a "penis extension" red sportscar. I got a yacht. I ate in fancy restaurants and went on luxury holidays. All of it was a massive "FUCK YOU" to those awful years when I felt so unlovable; so unwanted... so rejected.

I don't even care about the sex, but it's symbolic for me. I have sex when I'm not horny - not in the mood - because it's a test... I want to know I can always have it, because it proves that I'm sexually attractive. It proves that without the sportscar, the yacht, the luxury holidays and the other status symbols, that somebody loves me. I need proof beyond all reasonable doubt that I'm now a person who people want in their lives, as a lover, as a boyfriend... as a husband.

Becoming a homeless, bankrupt, alcoholic, drug addict with mental health problems was a bit of a problem, but do you know what happened? I had some great relationships. I was homeless and living in a 14-bed hotel dormitory when I got together with an extremely attractive Italian girl, and we had a passionate romance. I was sleeping rough in a park when a wealthy Parisian woman fell in love with me and took me back to her fancy home in Notting Hill and nursed me back to health, despite my chronic drug addiction and incredibly unstable mental health.

I present myself now as exactly what I am: a penniless, mentally ill, recovering alcoholic, recovering drug addict, who lives a very precarious existence. I'm never far away from becoming homeless again, or being consumed by drug or alcohol abuse. I have no wealth anymore. I have nothing to offer. I'm not a 'catch'.

Because I feel so insecure about being 39 years old and not owning a luxury home, full of expensive furniture, with a sportscar parked on the driveway and a speedboat moored in the marina, all I'm left with is some kind of physical proof that I'm loved: does somebody want to fuck me, even though I'm a loser. I'm not even young and hot anymore. My hair is going grey and I'm carrying a few extra pounds of weight. I feel like I'm every woman's idea of a worst nightmare date: No cash, no assets, no flash car, no house... nothing to show for my 39 years on this planet. Why would anybody fall in love with me?

Sex is the only thing that gives me any certainty at the moment. Sex is the only thing that props up my fragile self-esteem, because my life has fallen to pieces.

I don't care that I missed out on sex as a teenager. I care that I missed out on love.

Tags: #sex #childhood #bullying #career #insecurity

This is a story about life on the wagon...

At more-or-less the same time as one of my best friends drank himself to death, I stopped drinking. I'd like to say that I decided to stop drinking because it seemed like the right thing to do, given how alcoholism had destroyed the health of my friend and pretty much killed him, but it was actually due to more complicated, and much less noble reasons.

Alcohol comes in 'portions' more or less: Beer comes in cans or bottles and wine comes in a bottle. Portion control with beer seems like it should be easy enough, because one or two beers don't contain very much alcohol. Portion control with wine is a little harder, because a bottle of wine contains the same amount of alcohol as six and a half cans, as pictured.

The calculations, if you're interested, are based on the 750ml bottle of red wine, which has 14.5% alcohol by volume (ABV) and the 330ml cans of beer, which have 5% ABV.

I bought all this alcohol, even though I don't drink.

I bought the red wine, because it's an ingredient in a dish I make with red cabbage. The alcohol is evaporated during the cooking process.

I bought the beers, because I needed to replace some that I had 'borrowed' from somebody, back when I was drinking. The reason why the carton is open and some of the cans have gone is because my girlfriend also 'borrowed' some cans - she drinks whenever she wants, unlike me.

I want to drink.

I get home and I see this bottle of wine and these cans of beer, and it's very difficult not to allow myself a single glass or a single can, at the end of a long working day, or perhaps as a weekend treat. It's very difficult to justify my sobriety to myself.

I must remind myself of why I stopped drinking.

I stopped drinking because I couldn't stop drinking. One evening I drank all the beer I had bought for myself, then I drank all the beer I had bought for my girlfriend, then I drank some of the beer that didn't even belong to either of us. Then I smashed some stuff up and passed out. Apparently I did other stuff too, but I don't remember many of the details. I was blackout drunk. My memory has holes in it, although I do remember that it was enough for me to decide that I shouldn't drink anymore.

I didn't drink at all, except Christmas Day and New Year's Eve, and then I went on an outing to the beautiful Georgian spa town of Bath. In this picturesque setting, a group of us proceeded to embark upon an all-day drinking session. I was careful to only have one alcoholic drink for every three that they had, but later on in the evening they stopped drinking, while I carried on. I didn't drink much, but I was a little hung-over.

It's probably no co-incidence that I had little patience and a short temper following that drinking session, and while I was nursing my hangover I lost my cool and broke up with my girlfriend. I struggled to emotionally regulate and stay calm, while being somewhat provoked. I completely failed to defuse and de-escalate the situation, and instead I found myself packing my bags and storming off into the night.

I'd like to say that I've felt the benefits of sobriety, but I don't think I have. I've lost weight and I feel better about my appearance because of that weight loss, but I don't feel much healthier or that I have more energy and enthusiasm to be fit and active. I don't feel like my mood is improved. I don't feel like my sleep is improved. However, if I had continued to drink heavily every day, I expect that I would have continued to put on a lot of weight, and that my health would have slowly deteriorated.

It's the middle of winter, so it's hard to measure the benefit of being sober. Perhaps come the summertime, I will feel my mood lift and my energy levels will be elevated, such that I feel like getting out and about. Certainly, if I was drinking heavily, I would be in no mood to make any travel plans or spend any time doing anything except watching TV and films, with a steady supply of alcoholic drinks.

Another thing to consider is that I heavily sedate myself with Xanax and use sleeping pills, so that I can remain functional and cope with the demands of my job, while also dealing with a mood disorder and a hatred for my profession which dates back as far as the very beginning of my life in corporate hell, over 20 years ago.

Perhaps when my debts are paid off, my housing is more secure, I'm more financially comfortable and I feel more settled at work and in the place where I'm living, then I'll be able to give up my chemical crutches and feel a lot healthier and happier. However, for the time being, I am getting what I need to cope in the form of a handful of calorie-free pills, which do far less health damage than the gallons of toxic alcoholic liquid which I used to guzzle.

Temptation is less of a problem than you'd think it would be, having realised that my body's natural thirst could be quenched with non-alcoholic fluids. I had programmed myself to associate wanting a drink, with wanting an alcoholic drink.

I successfully de-programmed my brain, so that I no longer craved hot drinks, which was surprisingly difficult but I managed it.

I suppose if I was very strict and disciplined I could completely de-program my craving for alcoholic beverages, but I know that it was a very long and hard process to eliminate tea and coffee from my life, as well as energy drinks and even coca-cola, which all contain caffeine.

I've even been slightly tempted to try fasting, allowing myself only water to drink for a period of a few days, because I often eat when I'm not really hungry, and I'd like to lose even more weight.

Ultimately, it might be vanity which provides the motivation for healthy living. I don't want to be fat with red-wine stained teeth and lips. I don't want to have a beer belly.

I'm happy knowing that I've "stopped the rot" to some extent, but I must admit that it's very hard to resist allowing myself to have a glass of red wine or a can of beer, after a long hard working week, on a Friday night. Would I be able to stop after just one though? Historically, I've never been able to drink in moderation.

As an epilogue, it should be noted that at my friend's funeral, a group of us, who used to drink heavily with the deceased, all got absolutely blind drunk until the hotel we were staying in refused to serve us any more alcohol. It's what my friend would have wanted.

Tags: #alcohol

This is a story about tailored medicine...

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

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

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

Quetiapine (Seroquel)

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

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

Not compatible with having a job.

Aripiprazole (Abilify)

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

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

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

Lamotrigine (Lamactil)

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

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

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

Olanzapine (Zyprexa)

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

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

Not recommended to take on a long-term basis.

Not compatible with having a normal job.

Sodium valproate (Depakote)

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

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

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

Lithium

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

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

General Comments

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

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

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

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

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

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

Alternatives to Medication

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

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

In Conclusion

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

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

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

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

Tags: #bipolar #medication #mentalhealth

This is a story about the wilderness...

Why am I not more rich and comfortable? Why don't I have financial security and a home which nobody can evict me from? Why do all my years of experience and all the massive multinational corporations on my CV assure me a comfortable standard of living?

Conversely, why haven't I ended up with a criminal record? Why haven't I ended up in jail? Why am I not dead?

Why am I not bankrupt? Why am I not sleeping rough? Why am I not an alcoholic or a drug addict?

Why is my physical health OK? Why is my mental health OK?

I've picked up my life and carried on as if nothing happened, but something very major did happen.

Luckily I had a head-start of 3 or 4 years on my peer group, at least in terms of career progression and the accumulation of wealth. When we do the math, it seems I'm no more than 1 or 2 years behind where I should be, and I'm rapidly catching up again.

I get frustrated that it's going to take a couple of years before I'm back in the position - in material terms - which matches my skillset and experience. I get frustrated that there's no way that I can accelerate the process of clawing my way back to the position in society which I used to occupy.

I could have arrived back at a position of health, wealth and prosperity much sooner, but my experiences during my wilderness years have altered me for life. Most people live in terror of loss: Losing money, losing assets, losing relationships and damaging their reputation. I learned during the difficult wilderness years that the world is a big enough place that even the most madcap escapades go entirely unnoticed.

It is with great pleasure and pride that I am returning myself to a position of status which gradually begins to approach the status I held before my fall from grace.

Is it shallow and vain and pretentious, to wish to maintain our status in society?

Bullshit.

At first, it was an adventure to sell my house, sell my car, give away all my possessions, sleep rough and truly start my life all over again. I felt a great sense of relief that I was unburdened by the constant worry that what I had worked so hard to get and to achieve, would be stolen or damaged. It was liberating and I had the time of my life, truly free from any sense of responsibilities or duties. I entrusted my fate to good fortune, and a healthy dollop of my own wit and ingenuity.

Then, I realised that my wide-eyed innocence and trust in people laid me wide open to exploitation. I'm sure I hardly had any money stolen off me by other homeless people, but as I began to get my life back on track, I found that there are an entitled, spoiled, brattish, immoral group of people who've never known suffering or deprivation, and they see it as their birthright to dip their hand into my wallet, instead of paying their own way. I attracted a lot of freeloaders, who had no guilt or conscience, when it came to stealing from me - these were people who've never slept rough; these were people who've never known what it's like to lose everything, and they never will, because they're spoiled brats who can telephone their mothers and fathers and receive massive cash handouts. Those freeloaders will never have setbacks in their lifetimes, because they're from wealthy, generous, loving families.

It's a source of great shame and damage to my self-esteem that I drive a very battered and rusty old car, and that I live in rented home in one of the poorest areas of the country. It's a source of great shame and embarrassment that I have indebted myself in order to pay my rent and bills, simply to house myself and feed myself. It's a source of constant worry and anxiety that my work colleagues might wonder why one of their "superstar" consultants dresses in worn-out clothes and gives away other clues which hint that the wealth they would expect me to have, is not present: I'm poor.

It's shit being poor. It's shit being poor when you work in a world where everybody who does my job as well as I do is not poor. The loss of status should not be underestimated.

When a man loses status, he is highly likely to lose his life.

It's one of the hardest things to do, to recover from a major setback, which has ruined your finances, your secure housing, your material possessions, like your new car and your nice clothes. The hard thing is knowing that everybody can see that you fucked up and it takes years and years and years to put things right. Some people will never be able to recover.

My recovery is not about mental health. My recovery is not about alcohol. My recovery is not about drugs. My recovery is about self-esteem, which is damaged so drastically, and is so hard to repair, that for most people they will just give up and kill themselves. It's a fatal blow.

One of the reasons I keep trying and I keep writing, is because I want to be one of the few people who's lived to tell the tale of coming back from such a major setback. Plenty of people have survived, but few have gone on to thrive. I want to tell the story of regaining my pride and my dignity, and of being indistinguishable from a person who didn't spend 5 lost years in the wilderness.

This is our little secret. Every day I pay off a little bit more of my debt and I fix up a little bit more of my life. Every day I become a little bit more like the person I would've been, if it hadn't been for my missing 5 years. This is our secret, because the joke is on those people who have absolutely no idea what I've been through.

At work, I feel so proud that I'm doing valuable work and I'm almost back to being as good as I always thought I was going to be, by the time I reached the age I am. I'm so proud of the work I do. I'm so pleased that my brain and my natural aptitudes and the talents I was fortuitously given, are being put to good use and I feel as competent and capable as anybody. I don't feel damaged, and that's so important for my self-esteem.

This isn't about pride. This isn't about regret. This is about the damaging effect that loss of status can have on a man, with fatal consequences.

Tags: #career #suicide

This is a story about life at the limits...

I suppose that it's a regular complaint of mine that I'm feeling overwhelmed, and it's a regular boast that I've been through some substantial periods of adversity. I'm also aware that the picture I've selected to accompany today's blog post is not exactly very stormy, but it's the best I could come up with in the circumstances.

I stopped writing for a while, which was because my friend killed himself, and also an enormous project kicked off at work, and also I had plans to get myself across the Atlantic Ocean and back again in one piece... plus all the many other important things to numerous to list. In short, I didn't make the time to write and there were a number of very good reasons why I took a break from writing every day.

Now, my friend's funeral is done, my transatlantic jaunt is done and the enormous project at work isn't going to be finished any time soon, so I must resume my daily writing duties, even on days when I don't feel like writing.

This morning I woke up and I felt terrible. I considered not going to work. I got to the office and several of my colleagues told me that I looked awful and said that I should go home. There was snow forecast and local schools were closing. My colleagues weren't doing anything except staring out of the window and/or talking about stockpiling food. I came home early and worked from my bed.

Unfortunately, I have my 'day job' plus my company to run, plus this website, which I have started to attempt to migrate from one place to another, although all these things are behind the scenes. I also treat my writing a bit like a job, in that I sometimes force myself to write even when I'd much rather be doing something else, or I've got a lot on my plate.

The things that get neglected are my sister and my niece, my friends, all the phone-calls I never answer, all the messages and emails I never reply to, and all the tasks which can be deferred for as long as possible. I need a haircut. My car needs servicing. Today is the final day that personal taxes are due to be paid in the UK, and I was close to the deadline as usual. I need to find a new place to live. I need to renew my car insurance. I need to see if my former friend's mum still has my stuff - the majority of my stuff - still stored in her garage, or whether she's disposed of it, since the fallout with the friend.

I quit drinking back in early December, although I did have a couple of drinks on Christmas Day and New Year's Eve. Quitting drinking helps, actually. I feel fitter, healthier and I've lost some weight. I find my life to be much improved versus the recent period when I was drinking heavily every single day.

Something's gotta give though.

Today it was my health. Sunday, Monday and Tuesday, it was also my health. Every day I take too many sleeping pills and too many tranquillisers.

Eventually, the weather will improve, my finances will improve, my routine will stabilise, I will get the housing security I need, I will have the regular social contact I need, I will get the exercise I need, I will replace my run-down old car with a newer nicer one, I will replace my worn-out clothes, I will pay off my debts and I will get a haircut.

Not today though.

Tags: #work #sick #alcohol #medication

This is a story about slow motion...

"He looks respectable..." began a work colleague of mine, talking about me. I deliberately walked away and somehow closed my ears, managing not to hear what he was about to say. I'm well aware that I do a very good job of keeping up appearances. It takes a lot of hard work to project a professional image, hide my mental health problems and leave any personal life problems at the entrance to my office. It's incredibly exhausting maintaining the illusion that everything is A-OK in my world.

The last thing I need is extra problems. The last thing I need is something or somebody, throwing a spanner in the works.

"He looks respectable, but underneath..." my colleague managed to say, before I successfully got myself far enough away to not hear the end of that sentence. I don't need anybody chipping away at me right now. I have plenty of reasons to feel like an imposter, without anybody actually calling me out as one.

I stopped writing.

I need to write.

I was at work when my friend phoned me to tell me how he was going to kill himself. He called me to say goodbye. He called me to thank me for keeping his secret. He thanked me in advance for not calling the emergency services. He thanked me for bearing the dreadful burden of knowing what he was going to do.

I was at work when I made the phonecall... the phonecall to have his door kicked down and his body taken away to the morgue. I was at work when I received the phonecall back: "We have his body".

I went back to my desk and carried on as if nothing had happened.

I've carried on for more than a month like nothing has happened.

Finally, my friend's funeral is going to be on Friday.

On Friday it will have been 50 days in-between my friend first calling me to tell me that he was planning on committing suicide, and the day of his funeral. That's a long time to wait for some kind of conclusion.

I've been waiting to grieve.

I've been waiting to cry.

At work, everybody thinks I'm just fine. At work, everybody thinks that everything is A-OK in my personal life. At work, everybody thinks I'm "normal".

I've been having a manic episode most of the last week. I've been letting my mask slip a little. I've been unable to completely cover-up my inner turmoil. However, nobody really knows or appreciates how much effort and energy goes into wearing my mask. Nobody really knows how hard it is for me to turn up at work, day after day, and to hold myself together.

The world is a shitty place. Shitty things happen every day. People are born into shitty lives. People have shitty luck.

I am by no means claiming to have the shittiest life out of anybody on the planet.

By all relative measures, my life is pretty peachy. If I were able to directly compare my life with the most unfortunate wretch in the entire world, it would be pretty obvious that I've got relatively little to complain about.

I can't write. I can't grieve. I can't move.

I just need to get to my friend's funeral. I owe him that.

What I've written about the past few times has been about me as much as it's been about my friend. So what? This is where I come to work stuff out when I'm hurting and/or confused. This is where I come to say all the things I can't say anywhere else. Writing is my therapy. Writing is my healthy outlet.

I said to myself I wouldn't write any more of "the world's longest suicide note" until after my friend's funeral, because it seemed disrespectful.

I've often asked myself if my words perhaps made it easier for people who were feeling suicidal, to feel less guilty about ending their lives. I've often wondered whether I'm being irresponsible. I've had to face accusations that I glorify, glamourise and romanticise suicide. I've had to defend my actions and my beliefs. I've had to defend my words.

When another person who crossed my path committed suicide and I wrote about it, I wondered whether I was co-opting his story. I wondered whether I was using that young man's name in vain. I questioned the legitimacy of writing about another person's suicide.

My friend was close. My friend expressed his wishes clearly and concisely. I know with certainty that I'm not a grief tourist and I take no ghoulish sensationalistic sick pleasure, or derive perverse benefit from writing about suicide. I'm not morbidly fascinated by suicide. I'm not reckless or careless. I'm not thoughtless or inconsiderate.

I started writing so that I would not die misunderstood, and an unexpected consequence has been that suicidal friends and strangers have contacted me to have frank, candid and brutally unflinchingly honest conversations about ending their lives. I've intervened - calling the emergency services - and I've advised - on therapy and medical help - and I've listened and I've responded appropriately. In the three and a half years I've been writing this blog, it's kept me alive and it's played a minor role in keeping some friends and strangers alive, where otherwise we would have perished: We'd have killed ourselves.

I haven't been able to write. I need to write to look after myself. If I'm not writing, I'm not looking after myself.

I haven't been writing.

It will be a relief when the funeral is over.

I hope I will be able to write again, after the funeral.

I need to write.

Tags: #suicide #writing