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

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

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All Is Lost - A Photo Story

12 min read

This is a story about lost causes...

Brushes up well

Look at that well-presented man: a professional on his way to work for Barclays at their head office in Canary Wharf as an IT consultant earning £600 a day. Look the attractive Georgian façades of the London townhouses of Camden, where he lives. The major high-street bank he works for has conducted extensive background checks on him and found him to be a fine upstanding member of the community: a model citizen.

Look again.

What you are actually looking at is a homeless man. That's right. This man is no-fixed-abode. This man lives in a hostel with other homeless people. This man was sleeping rough until very recently.

Hostel room

Look at this hostel dorm. It's got brand new beds and clean linen. It's empty. This looks like a pretty nice hostel dorm, doesn't it? Perhaps you wouldn't mind sleeping here. This would be tolerable for a while, perhaps if you were backpacking, wouldn't it?

Look again.

What you are actually looking at is a hostel dorm I stayed in when I was travelling - for leisure purposes - and the people who stay at this hostel are wealthy backpackers. This is not the hostel I stayed in when I was homeless. When I was homeless I stayed in hostel dorms that were full of drug addicts, alcoholics, people with severe mental health problems, thieves, violence, sexual assault, and they were exceptionally dirty and disgusting. The hostels I stayed in when I was homeless were full of everybody's crappy possessions which we carried around with us - we didn't live out of small backpacks, because we were homeless. When you're homeless you carry everything you possibly can: all your possessions. Try to imagine 14 people in a single room along with every single thing that they own. Try to imagine that's where you live - you're not just having a jolly old time doing some backpacking. That's WHERE YOU LIVE and you have to go to work, in the midst of all that chaotic s**t.

Hampstead heath

That's a nice view isn't it? That's Hampstead Heath. It's a nice place to walk your dog or go for a run. It's a nice place for a picnic. Hampstead Heath is a lovely place to go when the sun's shining. Perhaps you'd like to take a swim in one of the bathing ponds?

Look again.

What you are actually looking at is near the spot where I slept rough, to avoid being robbed, beaten up and/or raped. What you are actually looking at is a place where a homeless person can hide themselves in the undergrowth at night and avoid the perils of sleeping rough. What you are looking at is where I slept for a couple of months. Guess what? It's not always sunny. Sometimes it rains. When it rains you get wet. Very wet. A tent is conspicuous. It's hard to sleep rough, stay dry and avoid becoming a victim of crime when you're so vulnerable. Try to imagine not having a proper bed or any kind of security for you and your stuff - you're totally out in the open, in a remote area.

Psych ward

What's this? Is it a prison cell? I haven't been in a prison cell, but this definitely looks a bit like a prison cell to me. There's a window so that people can look into the room, which clearly has a bed, so this must be a place where I slept. What kind of place has windows in the doors so that people can see in when you're sleeping? That doesn't sound great for privacy, does it?

Look again.

What you are looking at is a room in a secure psychiatric ward. The window is there so that the staff can check you're not attempting to kill yourself. The staff check on you every 15 minutes. At night they sometimes come into your room and shine a torch in your face. You can't have a belt, shoelaces, scissors, razor, cables (e.g. mobile phone) or anything else that you could cut yourself with, or strangle yourself with. You can't lock the door to the shower room or the toilet.

Hampstead view

Oh look! There's a view of Hampstead from a tall building. Perhaps we could see the heath from here. This is quite a nice view, except it's kind of in the wrong direction to see any London landmarks. Perhaps this this is the view from an ugly brutalist concrete monstrosity which has now perversely become a desirable place to live as the capital city's property prices have soared.

Look again.

This is the view from the Royal Free Hospital. The emergency services brought me here. I was nearly dead. I was here a long time, while the medical team fought to save my life.

Private room

That's a pretty nice room for an NHS hospital. It's a private room. I must have some pretty good private medical insurance. Perhaps I've come to hospital for an elective cosmetic procedure. This certainly doesn't look like the kind of place where a sick patient would be looked after - it's more like the kind of recovery room that somebody with private healthcare would receive.

Look again.

This is the room at The Royal London which was dedicated to my treatment because my kidneys had failed due to a horrific DVT and I was receiving emergency dialysis for many many hours a day. To my left, out of shot, is a dedicated dialysis machine which I was connected to for day after day. I couldn't have dialysis in the main dialysis ward because my blood was so full of potassium that I was at risk of having a cardiac arrest at any moment. My blood was so toxic that many of the measurements were beyond the capability of the equipment to actually measure how toxic my blood was. I was very sick indeed.

Killavullen

Aha! This must be another trick. That pleasant view of a valley filled with low-lying fog, and mountain tops poking out, in pleasant rural surroundings must hide a darker secret. Why don't I just tell you the terrible truth?

Look again.

This is actually a good moment in my life. One of my friends had invited me to stay with his family in Ireland. I was half-dead so the opportunity for some rest and recuperation in rural Ireland was exactly what I needed. I meant to stay only for a short while, but ended up staying longer because I was very poorly and needed looking after, which is exactly what the kind family who took me in did: they nursed me back to health.

Canary Wharf skyline

Ooooh skyscrapers! We know from the first photograph that I worked in one of those skyscrapers. I also used to live in Canary Wharf and it's actually possible to see my apartment from this picture. I was also working for Lloyds Banking Group at this time, so this must be another good picture, right? Why would I be able to see my apartment and the head office of the bank I was working for though? Where the hell am I?

Look again.

I didn't show you the view out of the window from the private hospital room, did I? This is the view. I didn't really get to see the view much, because I was constantly hooked up to a dialysis machine which was sucking my blood out of me and squirting it back into me, but I did manage to take this photograph. All I can say that's positive about this period of my life is that I didn't die: I was saved [again] by a brilliant NHS medical team.

Hotel room

What now? A hotel room? Not too different from the psych ward room, but with a TV and better lighting. I was living here while working as an IT consultant for HSBC on their number one project, earning £600 a day. Sounds like my life was going pretty well, huh?

Look again.

What have I shown you so far? Homeless people's hostels, sleeping rough, hospitals. I showed you one picture when things were a little better - I was being looked after by my friend and his family - and my life was not in imminent danger. My life is not in peril at this moment, it's true, but I'm clearly staying in a hotel room for a reason. The reason is that I'm homeless. That's the theme of this story: homelessness.

Prince of Wales

This must be the door to the room that I showed you in the secure psychiatric ward. Somebody's written my name on a little whiteboard strip. That was thoughtful of them. Also, making sure that I'm not killing myself, by checking on me every 15 minutes is pretty damn caring. I'm pretty lucky to have this room all to myself and caring staff members to make sure I stay alive.

Look again.

This is not the same room. This is not the same psychiatric ward. This is not the same hospital. This is not the same city. In the first photograph, I had voluntarily gone to hospital because I couldn't keep myself safe. At the time this photograph was taken I have been sectioned and am being held against my will. At the time the first photograph was taken - in London - I could leave whenever I wanted. At the time this photograph was taken - in Manchester - I cannot leave, which is kind of like being in prison: involuntary internment. I was being held in a psychiatric intensive care unit (PICU) which is where the very most unwell psychiatric patients are held, and this type of unit is highly secure and can only care for 8 patients with a vast number of staff.

Why would I end with this photo?

I was asked to write down in detail where I had been living for the last 5 years of my life, for the purposes of government security vetting, which is a highly invasive process which will rake over every detail of my private life: my divorce, my psychiatric problems, my homelessness, the involvement of the emergency services. The government has access to every single piece of data about me held on every single database, and they are permitted to look at things - like private and confidential medical records - which nobody else is allowed to look at or even ask about, by law.

Why would I publish this?

Do you remember the photograph of the hotel room? That's where I started writing this blog, approximately 4 years ago. I've written 1.2 million words. I've thoroughly documented my life with the kind of candid honesty that the government expect from me when they ask questions like "where have you been living during the last 5 years?". The answer is far more complicated than could be filled in on their forms, so they can read about every detail which doesn't neatly fit into any of their computer systems. I could have asked for extra paper to complete my security vetting forms, but how many pages should I ask for if there are 1.2 million words written down right here and the story is not even fully told?

I chose that final photo because I shouldn't have been alive to take it.

On Saturday 9th September 2017 I attempted to end my life. My suicide attempt should have been successful. Even though I didn't die as quickly as I should have done, and even though the emergency services were able to intervene rapidly, when I believed that nobody knew where I lived or would be able to locate me, I was still having seizures and multiple organ failure. I was unable to breathe on my own. I was very much going to succeed in killing myself, which is exactly what I wanted. I had planned and executed my suicide attempt with precision.

Now, today, I am making an exceptional contribution to one of the government's highest profile projects - the number one project for the particular government organisation who I work for. I have been singled out for special commendation on multiple occasions by very senior government employees. I have worked incredibly hard to make the biggest possible contribution as part of a gigantic team of colleagues. I have busted my balls to go above-and-beyond and exceed all expectations. I have put an enormous amount of effort into delivering valuable skill, expertise, knowledge, effort and energy. I would expect that a significant number of my colleagues would speak very highly of me. In fact, I know that I am held in very high regard.

Also, during the last 5 years, I've slept rough, slept in homeless hostels, slept in hospitals and slept in psych wards. The sum total of the amount of months that I've spent in such places is very significant, but somehow it was hard to articulate this on a security vetting form that's not designed for somebody like me.

Either you believe I'm exceptional or you don't. If you think I'm an exceptional person, you have to decide whether that's a good thing or a bad thing. What cannot be disputed is my contribution to the teams, organisations and wider society, despite the great adversity I've faced.

Here is some of the information that couldn't be captured on a government security vetting form. Judge me however you want - end my career if you must. What you must understand is that I am not afraid, because I have already died a thousand deaths, so I do not fear one more.

 

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Cake And Eat It

9 min read

This is a story about a completed jigsaw puzzle...

Summer house cake

When I was 28 I was so depressed that I couldn't work. I couldn't face the outside world. I couldn't face the office 9 to 5 Monday to Friday routine. I couldn't face the glacial pace that projects moved at. I couldn't face the lack of productivity. I couldn't face the wastefulness of large organisations. I couldn't face the dead wood, being dragged along by those of us who wanted to actually create some f**king software.

My behaviour became erratic. The symptoms my my mood disorder - bipolar - made me a dysfunctional individual for long enough to cause problems in an ordinary office type environment: mainly my lengthy absence due to to the aforementioned depression. Nobody had ever much cared about me being hypomanic in the office, because it allowed me to deliver very complicated projects on time, to a high standard of quality.

I quit my job in 2008 and sat in my garden making iPhone Apps - mainly games. They sold very well and I was number one in the App Store charts for a brief time. Suddenly, I was earning a lot of royalties and I was comparatively wealthy.

I decided that I hated office work and corporate IT work - I hated big software projects - but that I should start a small business. I retrained as an electrician. I did all the training, bought a van and started trading.

Electrician

My electrician business traded profitably, but I kept getting asked to do freelance software work, which paid twice as much as my electrical work, and I was obviously much better at it, given that I've got 20+ years of commercial software experience and about 18+ months of commercial electrical experience. It's a lot less stressful being a software consultant than it is being an electrician.

I decided to combine my entrepreneurial side - the iPhone Apps and the small business - to create a startup which would have a software product which could be licensed, so that I could make money while I slept: it was a scalable business model.

During all this erratic behaviour, I was making a ton of money, I designed a built a beautiful summer house in my garden, I had a wakeboarding boat, I threw lavish garden parties. I was having the time of my life, except I was in a very toxic, abusive relationship.

I ended the relationship and my life continued to improve. In fact, my life kept on improving.

Soon, I was enrolled on a prestigious startup accelerator program which takes 8,000 applicants for every place, and only offers 10 teams the chance to be mentored by senior executives from Google, Facebook, Microsoft, Amazon, Paypal and a bunch of other great tech companies, plus the opportunity to pitch on "demo day" to a packed auditorium full of venture capitalists and angel investors, and raise a huge amount of investment.

My company was already profitable enough to pay my co-founder and I a decent salary and hire our first full-time employee. That was entirely bootstrapped: the company was built from nothing. My co-founder and I built a profitable startup without taking a single cent from any member of friends or family, or risking any of our own money.

This was my cake and eat it moment.

I worked too hard for too long. On the accelerator program mentor madness was fine for the teams who just had an idea, but my co-founder and I had a profitable business to run. We had customers who needed supporting. We had sales deals which needed to be closed. The rest of our cohort were happily burning the money they'd raised - making a loss - while our startup was living within its means and growing organically... in fact it was growing rapidly organically.

The problem was that toxic, abusive relationship.

She wasn't kind. She wasn't supportive. She didn't want me to succeed. She was just plain mean and totally inflexible; uncompromising. It wasn't fair, because I had supported her when she wanted to change career, and I had also been a very loyal loving boyfriend. Of course I could have split up with her and run off into the sunset with a lovely girl from the tech startup scene who could see the potential in me and the potential of my startup, but I let loyalty and a sense of "doing the right thing" get the better of me.

Since then, there hasn't been a lot of cake eating.

Divorce became extremely acrimonious in 2013, after a harrowing period when the abuse and the trauma was sufficient to give me PTSD - I was barricaded in rooms and defecating in a bucket to avoid physical harm and at least give myself what little protection I could. Verbal abuse and violent kicking and punching of the door was so frequent it was literally torture. My abuser was keeping me trapped with threats of violence, and I starved, I was thirsty and I had to sh*t and piss in a bucket.

Mercifully, we separated in August 2013.

Trauma doesn't heal overnight.

The divorce dragged on into 2014, ruining my second startup and depriving me of all my liquid capital - my money - which I needed to start another business. The divorce ruined me every bit as much as the toxic relationship and abusive marriage did. The divorce left me so physically drained, traumatised, financially taken advantage of, exhausted and stressed, that I broke down completely. I ended up sleeping rough. I ended up homeless. I was wrecked.

Briefly, at the end of 2014 I had a nice apartment in Swiss Cottage, a lovely commute on the Jubilee line to Canary Wharf and a well paid consultancy contract with Barclays. Was I having my cake and eating it? No. The divorce and the separation had caused me such horrible PTSD and financial distress that for almost that whole year I had been sleeping rough and in a homeless hostel. My life was very fragile; my recovery was only green shoots.

In 2015 I had an amazing apartment overlooking the Thames with panoramic views of all the London landmarks. I had a great consultancy contract with HSBC. Was I having my cake and eating it? No. I was so distressed by the financial troubles I'd had that I worked unsustainable hours and got very sick, and had to be hospitalised. I had to be kept in a secure psychiatric ward for my own safety.

In 2016 I had the same apartment. I had a great consultancy contract. I was less stressed about the erratic nature of my life and the financial boom and bust, but I certainly didn't feel comfortable spending money.

In 2017 I had the same apartment and a great consultancy contract with Lloyds Banking Group. A large blood clot - a deep-vein thrombosis (DVT) - formed in my leg and it caused the complication that my kidneys failed. I nearly died. I was sick for months with agonising nerve and muscle damage. Out of desperation I took a short contract in Manchester. It was so miserable that I tried to kill myself. I very nearly succeed - I was in a coma for 4 or 5 days in intensive care. I was sectioned and kept in a secure psychiatric ward for my own safety.

By the end of 2017 and into 2018 I had recovered enough to be consulting for an investment bank in London. I was commuting from Wales and staying in crappy AirBnBs. I was well paid but it was the most miserable life. I was homeless, single and coming to terms with having survived a suicide attempt which should definitely have killed me.

Then I got a consultancy contract in Wales. I had a nice girlfriend in Wales, I had a job in Wales and I had a very nice home in Wales with panoramic sea views. I was about to have my cake and eat it.

Then, soon after booking a short holiday, my consultancy contract ended early because the project was finished - I worked very hard and delivered early.

I got another consultancy contract in Wales. I still have that consultancy contract in Wales. I have a girlfriend who I think is amazing and I'm crazy about her. I have very serious feelings for her. I was about to have my cake and eat it.

Now my consultancy contract is ending prematurely. I worked hard and managed to rescue a very important project which was running late. I was working very hard to deliver our project early.

Clearly I work very hard. Clearly, I'm lucky enough to create these opportunties where I could have my cake and eat it but so far nothing's worked out for me.

It may well be possible for me to still have that amazing holiday we've got planned, but it will always be slightly spoiled by the stress of knowing that I don't have secure income when I get home, which makes me worried about money.

You can understand why I'm worried about money, can't you?

You can understand why it's so terrible that my holidays get ruined by having my consultancy contracts unexpectedly cut short, especially when I work so hard and make such a big contribution.

Of course, I could throw caution to the wind and take that luxury holiday anyway. If there's one repeating theme in this story, it's that I always bounce back from adversity. I could risk it all and go ahead with that holiday, which I desperately need and want.

I've been lucky. I got to go to Turkish Disneyland on my own. I got to go to Tulum in Mexico. My luck ran out eventually I guess. I have a beautiful girlfriend who is kind and loving and supportive, I have a gorgeous bengal kitten, I have a very nice great big house. I have a little financial security, but paying for a luxury 2-week holiday has a major negative impact on my meagre financial resources, seen in the context of how bad things can get: months in hospital, sleeping rough and nearly dying on several occasions.

Perhaps it's just not my destiny to have my cake and eat it.

 

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Managing Bipolar Without Medication

11 min read

This is a story about personal responsibility...

Handful of pills

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

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

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

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

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

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

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

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

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

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

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

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

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

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

I've gotten tired. Really tired.

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

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

I haven't been looking after myself.

I've broken my rules.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

 

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8 Years Of My Life In 5 Pictures

9 min read

This is a story about peaks and troughs...

Cambridge

My story begins exactly 8 years ago, on May 4th 2011. I was the CEO of a profitable startup with prestigious clients paying to use my product. It was my idea, I had designed & implemented the system and I had successfully done deals with big companies. I had just started a TechStars accelerator program in Cambridge, run by Jon Bradford and Jess Williamson, and I was about to meet 46 mentors in week of "mentor madness" which is like speed dating, to hook up startup founders with experienced successful people from the tech industry, who were kindly offering to help 10 lucky teams on the TechStars program, along with my co-founder and I.

I was surrounded by super-smart people in Cambridge. My startup was growing very fast and I had done a great job of getting the company to where it was with very little help. I was hot property - a pin-up for the UK startup scene.

My co-founder was a much more likeable and charismatic guy who once ran a karaoke bar and had a far better temprament for being CEO, but I wanted the glory of having that coveted job title for myself. I emphatically rejected the suggestion that it might be better for the company if we were to switch roles, and I was to take the position of CTO. Fundamentally I'm good at technology, but not necessarily the best people person: I had, for example, already managed to make my co-founder cry in front of a Google executive. As CEO, I was pretty vicious and ruthless, because I was so desperately ambitious.

This particular May 4th, in 2011, was a moment when my potential net worth was at its highest. This was my golden opportunity to make my millions.

London panorama

This next picture is taken exactly 5 years ago, on May 4th 2014. I had just woken up in the Royal Free Hospital, Hampstead, London. This is the view from my hospital bed. I was surprised to be awake, because my kidneys were failing, my liver was damaged, there was a lot of fluid on my lungs and my heart was not functioning healthily - I had arrhythmias and my blood pressure was dangerously low. I hadn't expected to survive the night, so it was nice to be greeted by such a pleasant view in the morning.

By this point, I'd had to resign as CEO, sell my share of the company that I founded. The company still continued to trade very profitably without me and was getting big-name clients, but I had failed, personally. My co-founder stepped in and did a great job of smoothing things over with our investors and our clients, but my own reputation was damaged and I was heartbroken; ashamed.

I had just gotten divorced and sold my house.

My dreams were destroyed: I lost my company, my wife and my house. I tried to kill myself. That's how I ended up in hospital. I was lucky to survive.

Single speed

Exactly 4 years ago, on May 4th 2015 it seemed like I was getting my life back on track. I had been doing consultancy work for Barclays, which was very lucrative. Jon Bradford - the guy who ran the TechStars startup accelerator in Cambridge - had written about how I'd "sold out" and gone back to the world of banking and the easy money that was to be made in the Square Mile and Canary Wharf, which was hurtful. I was not happy. I knew I had sold out, but I needed money to pay the bills. I was couch surfing and living in AirBnBs. My life was chaotic. I loved being in London, but it was tearing through my dwindling savings and I was still heartbroken about my divorce and losing my company.

This photo is interesting, because it predates one of the most insane moments of my life. I was so exhausted and sleep deprived, that soon after this photo was taken I started hearing voices and generally suffering a major psychotic episode. My mind completely capitulated and I was lost to madness, briefly. It seems very strange now, writing about it, when I consider myself to have pretty good mental health, but at the time - 4 years ago - I was extremely unwell.

London beach

Exactly 3 years ago, on May 4th 2016, I was skimming stones into the Thames on this little rocky 'beach' on the banks of the river, by my apartment. A lucrative contract with HSBC had allowed me to get an apartment with the most stunning views over London and my life was starting to improve.

I had been an extremely passionate kitesurfer, which had taken me all over the world, seeking out the best wind and waves. During my divorce, having to step down as CEO of the company I founded, and the period when I was very unwell, I hadn't been doing any kitesurfing. Living by the river on a part which was tidal gave me back the connection to water which had been missing from my life. A friend came to visit and was even brave enough to kitesurf from this 'beach' despite the Thames being a particularly treacherous waterway to navigate, especially without an engine - the wind was gusty and unpredictable, but he managed to kitesurf on a 'beach' right in the heart of Central London.

Soon after this pleasant evening skimming stones into the Thames, I went away on a kitesurfing holiday to a desert island off the coast of North Africa, and had a very enjoyable time. 2016 was a good year. I made a lot of money and I had some very nice holidays, as well as meeting the love of my life.

California rocket fuel

Exactly 2 years ago, on May 4th 2017, I managed to trick my doctor into prescribing me an antidepressant combo called California Rocket Fuel. I'd had a rough winter where I nearly died from DVT which caused my kidneys to fail, and consequently I had lost a lucrative contract with Lloyds Banking Group. My life had been miserable, with a great deal of pain from the muscle and nerve damage from the DVT. I hadn't felt well enough to be able to work.

The love of my life was doing amazingly well in her career - in politics - and was appearing on an almost daily basis on TV, while I was limping around on crutches and taking a lot of very powerful painkillers. I was depressed and I wanted the very most powerful antidepressant I could get, which I discovered was "California Rocket Fuel" by doing some internet research.

I have bipolar disorder. People with bipolar disorder are not supposed to take antidepressants without a mood stabiliser. Doctors are not supposed to prescribe antidepressants to people with bipolar disorder. I had to be extremely sneaky to obtain this prescription, and it was rather cruel how I manipulated the poor unsuspecting doctor into seperately prescribing me the two medications, which are combined to create "California Rocket Fuel".

The result was predictable: Mania.

I went incredibly manic and my behaviour became erratic. I broke up with the love of my life.

. . .

That's the end of the pictures

. . .

When I later regained my mental stability and reflected upon what I had done, I realised I'd made a terrible mistake and I tried to get back together with the love of my life, but my behaviour while manic had been so inexcusably awful that I had ruined any chance of that happening. Agonisingly, she said she still loved me and wanted to take me back, but her family, friends and work colleagues would've been apalled that we were back together again. "If you love them, let them go"... it's been devastatingly hard, but I've tried to come to terms with losing the love of my life, and acknowledge that it'd have been very unfair on her to pursue her after what I put her through.

I left London doubly heartbroken, having lost the love of my life, and leaving the city I've spent most of my adult life in. I love London, but it was time to leave.

Since leaving London, my life has been erratic and unstable at times, but putting the pieces of my broken heart back together again and rebuilding myself to a position of health, wealth and prosperity has been a lot easier than it was in the capital. London placed an enormous amount of stress and strain on me, to generate vast quantities of cash to maintain a high standard of living.

Today, May 4th 2019, I have a fabulous standard of living. Maybe I'm not going to be a millionaire CEO. I've loved and lost a wife and a love of my life. I've nearly lost my life during some very bad medical emergencies. I've nearly lost my mind. However, despite all the adversity, I'm wealthy, I live in a beautiful big house and I'm reasonably successful when I'm dating, so I see no reason why I'm not going to end up with a very enviable life. In fact, I already have a very enviable life.

We expect our lives to take a linear path; continually improving as we get older. My life has been chaotic and unpredictable. My life has been through boom times and and bust in the most extreme way imaginable. I'm 39 years old and I didn't expect to be alive this long. There have been devastating moments, which I thought would destroy me, but they haven't. I thought my bipolar disorder would make my life so unstable that I wouldn't be able to regain control and have a good quality of life, but my life is really awesome and it keeps getting better, although it does take a lot of hard work to maintain stability.

I suppose this overview of an 8 year period of my life, told using 5 pictures, is not going to do justice to the complete story, which is full of hair-raising gory details, as well as some moments of sheer delight, but this brief synopsis does at least give the reader a little insight into who I am, without having to read all the [literally] million words I've written and published on this website.

May the fourth be with you.

 

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Mount Cardboard

6 min read

This is a story about packaging...

Cardboard pile

My house has high ceilings but I've still managed to reach the ceiling with my mountain of cardboard packaging, mostly from all the Ikea furniture I've bought. Arguably, I'm getting by with the bare minimum amount of furniture. What's the minimum amount of furniture that you could have, and lead a fairly normal life?

I lived out of suitcases and holdalls for a long time, so it seems reasonable to want a wardrobe - for hanging garments - and a chest of drawers for my other clothes. I'm sick of rummaging in bags to find the clothes I want.

I have a guest bed. It might seem like a real luxury to have a guest bedroom at all, but what was the point of working so hard for so long, if I'm not able to accomodate guests in my own home? Sure, I could rent a room in a shared house, share a kitchen, share a bathroom... but I spent enough years putting up with other people's disgustingness and inconsiderate behaviour. I think I'm entitled to a place of my own, with some space for friends and my sister to come and stay with me.

I have two sofas and a coffee table. I could probably get along alright with just one sofa but at some point I was going to want a matching pair and there's no guarantee that Ikea would have kept manufacturing the model I bought, so it made sense to buy the second sofa. Also, it does mean I can seat guests without us all having to be cramped onto the one sofa. I don't think it seems particularly profligate to own two sofas.

I managed to live for about 18 months without a microwave, iron, vacuum cleaner and various other domestic items, but it is rather tiresome not having these household basics. Yes, I did manage to survive without those things, but I could hardly be accused of being a spendthrift for purchasing such mundane objects.

In amongst the packaging pile of Mount Cardboard are some large lumps of polystyrene, which protected my washer/dryer during delivery. I'll accept that the dishwasher - which I did not purchase - is a luxury item that I could easily live without, but I refuse to wash my clothes by hand using a washboard and mangle. Using the dryer is horrendously energy inefficient and I have been good at taking advantage of nice weather to hang my washing out to dry, but sometimes it's incredibly nice to fill the machine with dirty laundry, push a button, and then have dry clothes ready to wear some hours later - requiring virtually zero effort.

The sum total amount of money I've spent vastly exceeds what I expected, even though I have bought bottom-of-the-range items most of the time. One must remember that I was starting my life afresh - a clean slate - with virtually no possessions, and the innumerable items which you use in normal daily life shouldn't be underestimated.

I bought items which could be seen as serving a purely decorative purchase, like lamps for my lounge and bedrooms, and shelves for the bathroom. I bought a bath mat and some pillows. I bought a pair of curtains. I bought some little organiser boxes. I even bought a couple of outdoor chairs to sit in the sun and read my book, in the privacy of my own garden. My life would function without these things, or I could make do with what I've got, but there's an intangible value to having a house with some finishing touches which make it feel homely; inviting.

If things should go horribly wrong somehow, with the benefit of hindsight some might criticise me for having set up my home relatively quickly - in under two months - instead of being much more cautious about the rate I have been spending money. I would counteract that argument by saying that this lovely home is my reward for having struggled through the years in shared houses, hostels, sleeping rough, months in hospital and generally unsettled existence which led me to the point of having no furniture, and very little else which is necessary to make a house a home.

It pleases me when I open a cupboard to find that I had the foresight to buy tea and coffee for the benefit of any visitors, because I do not drink tea or coffee myself. It pleases me when I'm able to offer a guest a hot beverage of their choice, with milk and/or sugar too. It might sound laughable, the idea of living a life where I simply wasn't in a position to have friends or my sister stop and visit, but that's what my life has been like - we quickly take our lives for granted and get used to our surroundings.

It will be a relief to take Mount Cardboard to my nearest recycling centre. It will be great to reclaim that space and not have the ugly eyesore, but I do have a final wave of Ikea furniture, which I have delayed for now because I have the bare minimum to be able to comfortably accomodate one guest or a couple. At some point, I would like to be able to have the space to have visitors and their kids too, given that most of my friends have children, and I have a young niece.

To say that having a great big house that's empty most of the time is hugely wasteful is a valid criticism, but this is my reward for working hard and making good sensible choices. This is how I'm making sense of the world, because I was struggling to see the point of being alive, if I was not seeing any benefit from my efforts.

I guess for most ordinary people, they get a "treat" occasionally - they have to spend their meagre income little by little - but I've gotten an entire furnished house suddenly overnight, but that's not really a fair comparison. I assure you that when you have no bed to sleep on at all, getting a bed seems like a necessity, not a treat.

I'm beginning to live very well, and I am grateful; I am happy. I am beginning to feel contented and settled.

 

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Treatment

10 min read

This is a story about making people better...

Ward

I remember the days when I thought that there were magic buildings full of magic people with magic potions who could make magical things happen. I remember the days when I was naïvely optimistic about the abilities of people, institutions and organisations who make highly alluring claims: we can cure you!

If I had ruptured a major blood vessel, or my body was losing its battle against a bacterial infection, you can be damn sure that I'd want somebody to stop the bleeding or give me some antibiotics. If I had an operable cancer, you can be sure that I'd want somebody to cut it out of my body.

Some areas of medicine are comparatively new. Some areas of medicine don't have a great deal of success - the data doesn't show significantly better outcomes for patients who are treated, versus those who are untreated. Medicine is actively losing its battle to save lives in some areas, such as suicide and opioid addiction. Mental health problems and addiction have been declared medical emergencies; epidemics.

Sometimes I wonder if it's useful to think of myself as having a chronic illness, and to expect that problems are just around the corner. I can have a good day, a good week, a good month... maybe even a good year. However, it's probably dangerous to start thinking of myself as "cured" or "recovered" and begin to consider myself "normal". Complacency will no doubt lead to repetition of past mistakes, which can result in an incredibly fast chain of disastrous events, destroying every semblance of a normal life, which was so convincing that I and other people were completely convinced that I'm just another ordinary bloke... not some ticking time bomb.

I fought very hard to get treatment. There was a great deal of reluctance to diagnose me as bipolar, and there was further reluctance to treat me. I seemed very functional. My problems seemed acute. Everybody hoped that I'd go away and get better without intervention.

wanted treatment. I knew I was getting sicker. I knew that my situation was deteriorating. I could see the car crash that was about to happen.

I believed that treatment was effective.

I just had to find the right treatment.

I tried so many medicines. I also believed in the "magical healing powers" of hospitals and doctors. I was indoctrinated by the medical establishment's dogma: "we are the experts and we are the only ones who can cure you".

Of course, I'm not such a fool that I believe in alternative medicine. I critically examine all the claims of all charlatans, quacks, healers and others who promote themselves as miracle-workers. Desperate people are suckers. People are also lazy and gullible. Many of us will be scammed in our lifetimes, because we are so desperate to believe in the existence of things that are too good to be true.

It would have been good I could have avoided that period of my life when I was desperately searching to find the right specialist, hoping that a stay in hospital would be my salvation, or trying a heap of different medications in the hope that I would stumble upon the right one, but it was a necessary education. I needed to learn what was possible, and what was not possible. I needed to see with my own eyes and experience those things first-hand, to learn the limitations of psychiatric medicine.

Psychiatry is young. Mainstream psychiatry - the prescribing of psychiatric medications on a massive scale - is an experiment that's barely a few decades old, which is no time at all, when we consider that anatomical studies of the human body and surgery are parts of medicine which are hundreds of years old. The present-day situation, where at least half of us will take a pill for depression or anxiety at some point in our lives, and so many of us have been taking psychiatric medications for years and years... this would have been unthinkable before Prozac successfully normalised the practice of dispensing mind-altering drugs to tens of millions of people across the USA and Europe. Nobody really knew what the long-term consequences and long-term outcomes would be.

I've lost interest in having any contact with doctors now. I've lost interest in any new developments in the field of psychiatry. I've lost interest in the idea that there will ever be a miracle pill to cure depression, anxiety or to stabilise moods. The brain has proven a far more complex organ than the blunt instruments of psychoactive substances are able to have any precise effect on. Pills are useful for curing a bacterial infection, but they are of no use in an organ which has been evolved to specifically resist attempts to alter it - the brain's ability to maintain homeostasis is incredible, and all psychiatric medications are fundamentally flawed, because they affect a plastic organ, which can simply adapt itself and return to its original state.

Hospitals can offer welcome respite - sanctuary - from the unreasonable demands of the world. Hospitals have their place as a controlled, safe environment, full of caring people. However, psychiatric care has changed radically in the short time that we have been practicing it as a branch of medicine. Those who are ill-equipped to cope with life outside institutions cannot expect to live in an asylum forever, which might sound like a good thing for those who believe that people can be cured and rehabilitated. However, in my experience, it is the horror of the "real world" which is the very reason for the epidemic of mental health problems, and it's often infinitely preferable to protected with the safe confines of an institution than to be fending for oneself in the big wide world. The idea of losing your freedom might sound terrifying and unpleasant, but for those who are struggling to cope - struggling to be functional - freedom is a small price to pay, for the comforting reassurance of life inside an institution.

When you are a child and you hurt yourself, you run to your parents to "kiss it better" but often the injury remains painful for sometime and there is nothing that can be done to alleviate your discomfort. We learn that sticking plasters, stitches and plaster casts can help our bodies mend themselves, but there is nothing to be done to speed up the healing process. There is little that can be done to take away our pain. There is little that can be done when we are suffering mental anguish.

Although my life was very badly damaged, I'm now part of a large organisation where I'm known to a lot of people, and they'd be concerned if I went AWOL. My home city is still very new to me - and I know very few people locally - but I also think that somebody would ring my doorbell and check on me if I went AWOL. I have a routine. I have put things around myself that are structured and stable, even if that rebuilding process is very far from complete.

I've been here before... so very close to a fresh start; a complete life. About a year ago, in the blink of an eye I lost most of my new friends, my new girlfriend and my new job. The year before I nearly died, and I regained consciousness to find I'd lost my girlfriend, my home and my job. I'm aware that my life is very fragile. I'm aware that my existence is precarious.

I wrote positively yesterday about my life and how far I've come since the very deepest depths I sank to, but I know that I have a difficult job trying to stabilise myself and find a way of living my life that's sustainable, and tolerable... pleasant even, one hopes.

It's strange that I've been so much and ultimately reached the conclusion that I was doing a reasonably good job of looking after myself, but I simply had some very stressful life events to deal with. I thought that I could turn to doctors and hospitals to make me better - and indeed my life was certainly saved when my physical health was severely damaged - but now I feel much happier doing everything on my own: I prescribe my own medications, adjust my own dosages... but mainly I just try as best as I can to create a tolerable set of circumstances to allow myself to thrive; I've come to recognise that my family don't care about me and have abandoned me. I've been incredibly lucky to have very loyal, generous, kind, caring friends and wonderful girlfriends, who've believed in me, and looked after me, and stuck by me through the difficult times.

When you see the finished product - a functional man - then we might assume either that he never had any major difficulties in his life, or that treatment was a success. I'm grateful for the hard work, effort and dedication of those who work in psychiatry, but my ultimate conclusion is that it's a flawed branch of medicine. Things could have ended very badly, but those friends who bothered to come and visit me in hospital, check on me when I went AWOL, look after me when I was sick, believe in me, support me... that's the thing that was the key to giving me a chance at getting my life back. Those who've read my blog and are kind enough to reach out to me - to be in contact - have helped me to feel like I have some value, and to feel some self-esteem.

My colleagues don't know how sick I've been, and they don't know how much it means that I'm able to be treated like a normal person at work. My colleagues don't know how important it is that I have the structure and routine of office life. My colleagues don't know how great it is for my mental health to have the social interaction that we have, even if it's just office chit-chat.

We might conclude that the doctors I saw 11 years ago were right - I'm not really very sick and I'm quite capable of living a fully functional normal life - but they're also wrong, because everything had to get smashed to smithereens and rebuilt from nothing, before I could reach this point. I nearly died so many times. Was it avoidable though? Probably not.

That's my conclusion: I've learned a hell of a lot, but it would be wrong of me to start telling people that I have the answers, because what I discovered was that I had to learn everything first-hand. If I had a time machine and went back to tell myself everything I've learned up until now, I don't think I'd believe myself and I'd end up making exactly the same decisions, much like children have to make mistakes even though their parents warn them about everything and try to protect them.

Does this mean that I forgive my parents for abandoning me? Nope. If your kid is sick in hospital, you go and visit them. Period. No ifs. No buts. You don't abandon your children, no matter how old they are.

 

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Suddenly Everything is OK

5 min read

This is a story about overnight recovery...

Flip flops

One day you can't feel your leg. One day a leg is twice the size of the other one. One day your kidneys have stopped working. One day you're in agony from muscle and nerve damage caused by DVT. One day you're in hospital on dialysis and you're very sick. One day you're physically dependent on a medication which you've been buying on the black market, and you'll have seizures if you stop taking it. One day you're so addicted to a drug that you won't sleep, eat or drink, because you don't want to stop your binge for a single second. One day you're virtually bankrupt. One day you're homeless. One day you're jobless. One day your mental health is so bad that you're hearing voices, seeing things and you're paranoid about everybody and everything, to the point where you think even the person who loves you the most in the world is your enemy.

Then, overnight, you recover.

Overnight, all your physical health problems are cured.

Overnight, your mental health problems are cured.

Overnight, all your substance dependency - addiction - problems are solved.

Overnight, you have a house.

Overnight, you have a job.

Overnight, your debts are repaid.

Overnight, you have lots of money.

Nope.

Just nope.

I was rummaging in the boxes of stuff which managed to survive the chaotic years of my life and I found a pair of flip-flops with a piece of string tied to them. The string is there because I couldn't feel my foot and I couldn't control its movement - I couldn't walk properly. When I was walking in flip-flops, the left one would just fall off after ten or twenty steps, because I didn't have enough feeling in my toes to be able to 'grip' the flip-flop properly. The string was my improvised attempt to be able to wear my beloved flip-flops during some nice weather.

My attempt at using a piece of string to fix my inability to wear flip-flops was a lovely metaphor for the attempts I was making to solve all my problems, overnight.

That was two years ago.

Things got a lot worse before they got better.

Things were so bad that on the very worst day of my life, I woke up in an hospital intensive care ward, with a tube down my throat forcing air into my lungs, a tube up my nose and into my stomach, forcing activated charcoal and other things into me, 6 canulas all for pumping me full of various things, an arterial canula for measuring my blood pressure with incredible accuracy, plus I was attached to an 8-cable ECG machine, a clip on my finger measured my blood oxygen and I had been catheterised - I noticed that a tube coming out of my penis had been taped to the inside of my leg. The worst thing was that I was alive.

I did not want to be alive.

I had tried very hard not to be alive.

Physically I was alive, but I was still very sick - my kidneys and other organs had shut down and I had been in a coma - and I was also going through benzodiazepine withdrawal, which is both life-threatening and thoroughly unpleasant.

I was alive, but it turned out I didn't have a job or a home anymore.

I was single and without any friends. I was in a strange city where I didn't know anybody. I didn't have enough money to rent a place to live and support myself until I got my first paycheque. I was utterly screwed.

So, of course I still very much wanted to be dead.

Now, I have a nice house, full of nice things. I've made some friends and I've met some women. I go on dates. Sometimes those dates go really well. I have a job. I earn a lot of money. My finances are sorted out. I'm no longer addicted to drugs or physically dependent on medication. I hardly even drink - perhaps once a week, socially.

I can wear flip-flops.

Weirdly, the nerve damage repaired itself enough so that I have enough sensation in my foot to be able to wear flip-flops, run, go kitesurfing and do the other things I always used to do.

I don't know if I'm happy - there's still a lot of insecurity in my life; I live with an unacceptable amount of jeopardy for a person to have to suffer. I don't have enough friends in the local area. I don't have a girlfriend. I haven't established myself in my new home city. I've barely even started to unpack my stuff.

Compared with two years ago, my life does look like an overnight success. I'm good at my job and my colleagues are grateful for my contribution to the team and the project. The pieces of the puzzle are starting to fit together, and my life is beginning to look viable.

It's strange how people expect to be able to 'save' people who - on closer examination - have such a clusterf**k of issues that it's easy why some would think they're a "lost cause" and abandon them.

I'm grateful to that handful of people who didn't give up on me; who didn't write me off and abandon me.

 

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I Love My Job

6 min read

This is a story about having a métier...

Hospital bed

It feels strange to be writing this, but I'm really loving my job at the moment. I've always been a bit of a workaholic, but I often get depressed and demotivated when I'm not empowered to do my job effectively. I have often complained about being bored and unchallenged - a common consequence of working for very large organisations - but after a difficult 'bedding in' period I usually find myself in a role where I'm adding a lot of value, which I find very rewarding.

I've written so often in the past 15+ months about how much I detest the rat race and the coercion of capitalism, forcing me to work when I'm very sick. Not long ago, my kidneys failed on more-or-less the day I was supposed to start a new job. My life hung in the balance, as the amount of toxins in my bloodstream put me at continuous risk of cardiac arrest. Whether my kidneys would ever function again was doubtable and I had weeks of emergency dialysis, lasting several hours a day.

I discharged myself from hospital against medical advice, because of the coercion of capitalism. I need to work. I can't afford not to work.

That period in hospital was a major setback. I exhausted myself, persuading the company I was about to start working for to wait for me to leave hospital, which they did... but I had to leave hospital at least a week before it was safe to do so. My recovery from such a traumatic medical emergency was not straightforward - my left leg was not working properly due to nerve and muscle damage and I was in immense pain. It took months before I was able to walk very far without it causing me a great deal of agony. Work was impossible.

A company asked me to build an app for them, with a very tight deadline, which I did, but my financial situation was precarious and I was still very unwell. The pressure was too much and I tried to end my life.

A friend recommended me to the company he was working for, to build an application for them, which I did. I had a tight deadline, which I easily met. Strangely, the company decided to extend my contract, but the work was finished so I was incredibly bored. My colleagues worked in Warsaw and I was in London, so I had nobody to talk to - I was very isolated. I was still recovering from the suicide attempt.

Another friend recommended me to another organisation. Again, there was a project with a deadline, which I completed early. I enjoyed that project, but I'd had to move house and I was rebuilding my life in a new city. The preceding events had left me in a very financially precarious situation, as well as isolated from friends. I finished the project, but my life was unstable - I got sick, broke up with a girlfriend and my personal life fell apart, although I managed to minimise the impact at work.

I started work with the current organisation. I did so out of desperation, because I was in danger of losing all the progress I'd made to getting back to health, wealth and happiness.

I lived in a hotel for months. It was awful.

It was quickly apparent that there were people I enjoyed working with, and there were plenty of challenges to keep me busy, but my personal life was very badly broken. The work was good at times, but my brain chemistry was not healthy, and some days were very torturous. I struggled to find pieces of work which would keep me entertained and motivated. My mental health was a hit-and-miss affair.

I struggled onwards, setting myself some major milestones: I wanted to take a holiday in October, to beat the winter blues. I wanted to take a holiday during Christmas and New Year, to get some more winter sun and because my relationship with my family is irreparably broken. I wanted to come back from holiday and carry on working, to cement my gains. I knew that I had to move house and settle somewhere - to have some security and put down roots.

I suppose I always manage to make myself useful in any organisation, given enough time to get my bearings and manoeuvre myself into a role where I'm empowered to make a difference. The place where I currently work seems to have gleefully put my skills to good use, and I feel like I'm in the right place at the right time. I do stuff that I think will be useful and I'm rewarded for it, even though I'm rarely doing what I'm 'supposed' to be doing.

I worry that disaster will strike. I worry that my big mouth will get me in trouble. I worry that the personal risks that I take - staking my reputation on my decisions - will backfire one day, if I make a mistake. I know that my employment is precarious; temporary. I'll be kicked out as soon as I've served my useful function.

I have a great deal of extra pressure on me now that I've made a commitment to a new city. My financial security would quickly collapse if I lost my source of income. My mental health would be likely to deteriorate very badly, with a major setback.

I'm not sure why I'd lose my job when I am enjoying it, being very productive, doing useful work and being seemingly well received - well liked - by my colleagues, but I do have a propensity for getting carried away and doing stupid stuff. The springtime has often proven difficult for me in the past. I need to work very hard to keep my mood as calm and regulated as I possibly can.

On a Sunday night when I'm usually dreading Monday morning, I'm actually feeling very happy to be starting a new working week. I feel motivated. I feel like I have a purpose. I feel empowered to do a good job.

 

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Antipsychiatry

5 min read

This is a story about refusing help...

Pharmacy

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

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

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

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

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

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

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

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

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

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

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

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

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

 

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The Achievements of One Week

6 min read

This is a story about post-traumatic stress...

Fire

Tuesday was a very bad day. Tuesday was a constant panic attack. Tuesday held nothing for me but relentless anxiety. Tuesday passed very slowly.

Tuesday is past.

Today is Friday.

Today is almost OK.

When I look back on today at some point in the future, I'll probably realise that today was pretty bad, in the grand scheme of things, but compared to Tuesday, today has been a doddle.

It might seem like I was making a lot of fuss about nothing, earlier in the week, but I assure you that I was suffering a very real medical emergency, which would have seen most people hospitalised.

The brain can render us very sick and needy, when it malfunctions. My brain was badly on the blink and even in a hospital I would have been very uncomfortable. Doctors could have eased my suffering with powerful tranquillisers administered intravenously, which would have been the ethically correct thing to do, but on Tuesday I went to the office, which was torturous beyond my capability to describe.

There simply are no words for the things which are at the limit of human survivability. Torture can make us lose our sanity. Trauma can lead to loss of life.

It might look on the face of it as if I'm an ordinary person doing ordinary people stuff, but the fact is that few of us live in perpetually precarious situation. We either fail and fall, or else we stabilise. We tend towards stable outcomes: Stable failure and stable success. I'm relatively unique in having not yet failed sufficiently to block my path from achieving desirable outcomes. Despite drug addiction, alcoholism, near-bankruptcy, homelessness, brushes with the police and debilitating mental health problems, I remain persistently employable and able to access goods and services which are normally denied to a whole swathe of society, to which I belong.

Nobody has realised I'm not supposed to be here.

Nobody has realised that all their vetting procedures and gatekeepers have failed to send me packing, back to the hell hole I crawled out of. Nobody has realised that I'm one of the ones that we're supposed to spurn and turn our backs on. Nobody has realised that I look, sound and smell like I'm one of the "OK" ones, when in fact I'm very much one of the "not OK" ones.

The longer I'm allowed to stay and warm myself by the fire, the stronger I get and the more chance is there is of me achieving stable success.

That's not supposed to happen.

Every societal system has in-built measures to toss people to the wolves. I'm not supposed to be in a big house with a wood fire and a fridge full of food. I'm not supposed to work in a fancy office doing brain-work. I'm not supposed to have any financial security, housing security or prospects. Society would like to see me dead in a ditch.

Society does however worry selfishly a lot about its own sons and daughters. Because I suppose I exude somewhat of a heady mix of intellectual poshness, combined with whatever youthful vulnerability still remains in a 39-year-old man with grey hair at his temples, I guess I confound expectations of what a junkie looks like. I'm not what anybody expects a homeless bankrupt to look like. I do not embody what anybody thinks of when they think of a psych ward patient. I do not look, sound or smell like the thing which I so obviously am, if we scratch beneath the surface.

Of course, my ruse is premeditated. I know that if I keep my mouth shut and my head down, nobody will pay me much notice, and I'll slowly be able to recover from the horrors of my past. I know that if I can go unnoticed and unfettered for long enough then I'll be able to have regained firm footing, to better enable me to flourish.

I'm aware that any period I look back upon as a period when I considered myself to be doing OK, with retrospect has turned out to be a false summit. Everything I've ever achieved has crumbled. It would be foolish to imagine that I'm doing OK at the moment, simply because I'm doing better than I was a week ago, a year ago or 5 years ago.

That's the really terrifying thing for me: 5 years ago I was very much beginning the descent. I attempted to dab the brakes, but then found that the brakes weren't working. I knew that I had to avoid long-term irreversible health damage, criminal convictions, damage to my credit rating, bankruptcy and damage to my professional reputation, but I still managed to find myself looking down the gun barrel of a heap of problems that were going to see me destitute on the street.

I'm not sure how I've managed to face down the threats to my life and livelihood and emerge from the thicket relatively unscathed, at least on the surface. I suppose it's all down to a handful of people who've conspired to assist me, in ways which run contrary to the conduct we consider ordinary and normal. A handful of people have taken risks with their lives and their money, to see me live with continued opportunities, as opposed to lasting and disastrous consequences.

I suppose in the popular parlance, I've been "enabled".

I hate that negative phraseology, to stigmatise those who help addicts and alcoholics. I hate the idea that an act of kindness is actually something bad; something foolish. I find the whole concept detestable.

I feel bad about how unwell I have been feeling this week, which should have been a celebration of how much the help I've received was a worthwhile investment. I feel bad about feeling bad.

The reality is that through the awful panic attacks, I still have a lovely house and a well-paid job, so I just need to stick to the plan - "home stretch" as my guardian angel said to me today.

My life follows a very nonlinear path. Of course I remember how bitterly I complained about living out of a suitcase, how pleased I was with a new relationship, how much invested I was in my Christmas and New Year holiday, how quickly my opinion changed about the relationship and how anxious I was to secure my housing situation. Of course I remember the highs and lows. I remember the devastation and the jubilation at many points along the way, with crystal clarity.

This is my very weird life. Suicidal depressed anxious thoughts, then white sand beaches and blue skies, luxuriating on holiday, then darkest blackness, then roaring log fires in a large period home, then more blackness. Why should this not be the case? Why would we expect any different?

Things were dire earlier in the week. Things are dire now, but dramatically less so.

 

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