This is a story about succession planning...

The British have always liked hot drinks.

Coffee shops were terribly trendy in the late 1600s, having been launched in Oxford before springing up across London, where ships that brought the crop of beans to English shores found many willing patrons for the roasted, ground and brewed end product.

Tea symbolises imperial Great Britain. The Indian town of Darjeeling - formerly part of the British Empire - is synonymous with the tender leaves that citizens of the United Kingdom douse with boiling water, infusing bitter plant alkaloids into the hot liquid. "Put the kettle on" are four words that will be said in millions of homes this evening, despite the stimulating effects of caffeine.

Cocoa beans have given rise to hot chocolate, also known as drinking chocolate. Even a small UK food & drink shop will offer all manner of flavourings for hot water. Nestled in amongst the other things that my fellow Brits would categorise as 'hot drinks' I found something that I think of as a powerfully concentrated and flavoured spread, ideally enjoyed on toasted slices of bread - a jar of Bovril beef extract.

The flavour of Bovril is closer to Marmite and Vegemite - or any other brand of yeast extract - than it is to beef, in my opinion. How exactly they "extract" Bovril from a cow is something that I don't really want to think about. I suppose it's a macroscopic version of what they do with microscopic yeast - microorganisms are just the same as cattle really... eating, shitting, reproducing and not doing much else.

In this Bovril-drinking Northern city, conspicuous by their absence are people with skin tones darker than my own and women wearing headscarves. I formerly lived in a region where the population is 46% Muslim. Surprisingly, the Bengali shopkeepers have no issue with selling pork and alcohol to those who are not forbidden - for religious reasons - from eating swine flesh and imbibing the intoxicating liquor created from fermented fruits and grains.

In this unfamiliar part of Northern England, there are innumerable drinking establishments in my local vicinity, as well a vast number of hot food outlets where a bacon or sausage "bap" can be procured as a traditional breakfast snack.

India - before she was partitioned in 1947 - was a nation where Muslims would respect the holiness of cows in the Hindu culture, and reciprocally the Hindus would respect the Muslim rejection of pigs as unclean animals, and alcohol as an addictive intoxicant that places a heavy burden on any society that permits its consumption.

Modern global society still holds strong religious views on the treatment of domesticated animals and the brewing and consumption of alcohol. When we examine the historical evidence using the scientific method, we can see that cows and pigs would not exist today as we know them, without human intervention spanning many more thousands of years than even the oldest religion. Furthermore, we can see that humanity has been intent on its own intoxication throughout the history of civilisation. The Mayans were chewing coca leaves at least 3,400 years before Islam had its golden age, and vastly predates Hinduism and Judaism. Ergo, we must conclude that excluding beef, pork, alcohol and other things from our diet and habits of consumption is a relatively recent 'fad'.

The Chinese are the biggest per capita consumers of pork, while America and the developed nations hoover up vast quantities of refined coca leaves in the form of white powder cocaine and rocks of freebase cocaine, known as crack. Opium, morphine and diamorphine (heroin) are endemic worldwide. Caffeinated beverages - hot or cold - are guzzled by the globe. Alcohol is cheaper than bottled mineral water from desirable brands like Evian or Perrier. Yet, only in the North of England - so far as I know - do people consume a hot drink made from Bovril.

I hate being spread thin. I'm adaptable and I can be sent all over the globe to work with people who observe different cultural traditions. I am relatively worldly-wise enough to not commit a faux-pas, such as eating food before sundown in front of those observing the Ramadan period of fasting. I can pretty much figure out whatever you want me to do, if you're paying me enough and you're not open to persuasion that your ideas are probably terrible in their original unmodified form.

Why have a dog and bark yourself?

Now I find myself juggling the essential task of finding a doctor who will keep me supplied with the medications that I have become physically dependent on, while also settling in a new home in an unfamiliar city. I must also meet the demands placed upon me in the pursuit of enough money to eat, service my debts and give myself more security and freedom of choice.

I'm withdrawing from Xanax (alprazolam), Valium (diazepam), Ambien (zolpidem), zopiclone and Lyrica (pregablin). All of these drugs work in a very similar way - mimicking the brain's own 'brakes' and calming neural activity. These medications cause a chemical called GABA to be released in the brain, block the brain from recycling any unused GABA, or imitate the 'signature' of GABA itself. The overall effect is tranquillising, stress relieving and aids sleep, but the withdrawal is quite the opposite. In fact, the abrupt withdrawal from any or all of the medications listed can cause life-threatening seizures.

I must juggle social drinking - alcohol is a mandatory social lubricant in most UK culture - with the need to use alcohol as a form of self-medication for the stress I'm under. I also use alcohol as a substitute for the powerful psychotropic medications that my body has become dependent on, like heroin addicts kick their habit using methadone. Alcoholics can break free from physical dependence using benzodiazepines such as Librium (chlordiazepoxide). I'm doing it the other way round, because I know I can stop drinking - I plan on doing so in October, when I will use the excuse that I'm going teetotal to raise money for charity (a.k.a. Stoptober) - as I have done successfully before.

How I ended up with so much on my plate is not really my intended subject of this lengthy diatribe, but in my dark and difficult moments, I am facing a clusterfuck of competing demands on my time and energy, while also dealing with panic attacks and a general feeling of uneasiness and discontent; a false perception of threat, danger and imminent disaster.

My perceptions are not completely warped. Earlier this year, both my kidneys completely failed. Very recently I narrowly escaped homelessness, bankruptcy, destitution and destruction. Unpleasant feelings are a harbinger of a genuine medical emergency - I am detoxing myself without the supervision of a doctor or nurse, while also working full time.

I've skippered yachts and kept my crew safe in stormy weather; I've led groups safely up and down dangerous mountains covered with snow and ice; I've become blasé about near-death experiences, because I've now had so many. I don't think I'm exaggerating or being hyperbolic when I say that I'm facing my life's toughest challenge so far.

The demands placed upon me in my day job seem unreasonable at the moment, but I was desperate for fast cash. I was drowning and I was thrown a lifeline - beggars can't be choosers.

Friends who have submitted themselves to the mercy of the state seem to have suffered greatly from the trials and tribulations of dealing with compassion fatigued bureaucrats. A great many nurses and doctors have told me that I'm 'entitled' to live at the expense of the government - i.e. my fellow citizens - because of the taxes I have paid in my life, and because my mental illness disqualifies me from being 'fit for work'. To put work as my priority, ahead of treatment is something that none of my doctors want, but equally there's a long queue of people who would prefer to sit at home smoking cannabis and playing on their Playstations, rather than flipping burgers or scrubbing toilets for the minimum wage.

Like concentrated beef extract, I'm intense; I'm focussed; I can achieve a lot very quickly. The terrifying truth is that the world applauds anybody who exhibits bipolar behaviours... what happened to all those 'overnight successes' and 'one-hit wonders'? They spent all their money on fast cars, beautiful women, drugs & alcohol, and the rest they just wasted, is the oft-repeated quote.

Once you've figured out a winning formula, all you can do is teach others to follow in your footsteps. If you can train an army of mini-mes to do the grunt work - the heavy lifting - then life becomes more sustainable. Only a fool repeats the same behaviour, expecting different results.

And so, I desperately need to find my successor - somebody to fill my shoes and shoulder some of the burden, allowing me to recover and stabilise, rather than being trapped in a cycle of just repeating things that I've done before a thousand times.

It's hard to find somebody who's willing to do a shitty job, and it's hard to find somebody who's able to navigate their way through the piles of shit and find the better way of doing things. I might be that diamond in the rough, but that doesn't mean it's a great idea to get me scrubbing toilets or flipping burgers, even though I will do if you ask me, pay me and I'm desperate enough.

Having a desperation-driven economy, with most of us spread thinly - stressed out and always on the brink of breakdown and ruin - is a terrible, terrible thing to do to people.

Hunger will drive ingenuity and industriousness, but it's not a sustainable strategy, no matter how much Bovril you have to eat and/or drink.

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

This is a story about changing beyond recognition...

This 25 year old Londoner was hopelessly addicted to kitesurfing, and had secured a job in Bournemouth, where he would work mornings and evenings, leaving his afternoons free to go to the beach. Working for a huge international organisation, he had secured a ludicrously good deal - salary and relocation allowance - and the Human Resources (HR) people who he negotiated with had no idea that the real prize was to be able to kitesurf every day.

Despite being confident and outgoing, he was hiding crushing insecurities about his attractiveness to the opposite sex - a complete lack of self-esteem - and was struggling to find the girl of his dreams, who would be the cherry on top of a lovely cake. Being a hopeless romantic, and pretty inexperienced despite his 25 years on this Earth, he could fall in love at the drop of a hat and be heartbroken when a simple fling didn't turn into anything more serious.

Overcoming his ineptitude with women, he got together with a girl who looked perfect on paper and she was a pretty and petite blonde. He was smitten. She was a science graduate and a computer programmer. She even worked for a client that he'd worked for 6 years before, and he knew many of her colleagues.

In the words of one of his best friends, she was a "conversion project". He would teach her to kitesurf, and then they could travel the world together, chasing warm wind, soft sand and water that was mirror flat or had perfect waves. Brazil, Venezuela, Cape Verde, South Africa, The Canary Islands... there was an endless list of exciting countries to visit with this beautiful girl, and kitesurf together.

There she was, giving it a damn good go in Poole Harbour, under his tuition. Why she was wearing a buoyancy aid in water that's so shallow you can stand up in it, was anybody's guess, but I guess it made her feel more confident. Kitesurfing in those days was super dangerous - the emergency release mechanisms were just being developed, and if you let go of the bar, you'd be dragged along out of control, like being tied to the back of a speedboat being driven by a maniac, until you crashed into one of those harbourside houses.

After a year, he decided to propose. He asked her dad's permission. He did all the things that he thought he should do: buy a house, get married, get a pet, have kids. Thankfully - for the kids' sake - they stopped short of doing that last one. Just looking after their a cat had a very strong bonding effect. Their cat is probably the reason they stayed together as long as they did.

They got married in Hawaii, of course. He was allowed to wear flip flops, but not board shorts. In fact, he had a tough time from bridezilla for almost the whole trip until he put his foot down and said he just wanted to sit by the pool or on the beach, drinking ice cold beverages. She wanted to be sightseeing in a decrepit camper van that they weren't insured to drive. He checked them into a luxury hotel, which cost a small fortune - it was Christmas time after all - and finally, for a brief moment, he had a tiny bit of holiday relaxation.

Notably, they didn't take their kites or kiteboards. Travelling with a wedding dress and linen suit was a teeny bit difficult, but not as hard as lugging a 30kg bag that's nearly as tall as person. However, Hawaii has wind, waves. warm water and beautiful sandy beaches. Barely a few hundred metres from where Barack Obama was spending his holiday break, our missing young man was forced to try pole dancing (windsurfing) for the first time, in desperation to get his 'fix'. There was the shame and indignity of being a beginner windsurfer he was an experienced kitesurfer in a paradise location, who could have been having the time of his life.

After landing at London Heathrow, after over 20 hours of flight time, it turned out that his new wife had used an online booking website to arrange the taxi home, but had not accounted for the fact that they would be away over New Year's Eve. An innocent mistake, but it left them stranded, exhausted, in the middle of the night.

Within a month, he was in private hospital. It was all too much for him. She would rage and throw tantrums when things didn't go her way. He would bite his tongue and try to fix everything. The pressure to please her was unbearable... but it was never enough. He'd bought her a hot tub because she said she had loved having one in California. He'd shown her the world, staying in the best hotels and eating in the best restaurants. He'd married her in one of the most romantic destinations you could ever choose, and he'd even agreed not to wear board shorts. She was threatening divorce while he was sending her a different flower every day, from hospital, to show he still loved her. Despite him being a generous lover, she was on 'no strings attached' dating websites, looking for sex.

If crêpes Suzette, flambéed at your table, with the best views of any restaurant in Malta, is not enough to whisk a girl of her feet, he was left bamboozled as to how he could possibly please her. He was completely naïve, believing that if he treated her like a princess, she would love him as much as he loved her. He was wrong. It hurt and he was heartbroken.

It made no sense. People would come to their summer garden parties and be served home-made burgers and marinated chicken, plus endless varieties of sausages hot off the barbecue, while a range of delicious salads that she had prepared, were laid on for the vegetarians and to garnish the plates with. Fire pits and patio heaters kept people warm after the sun went down, and there was the hot tub kept at a toasty 38 degrees (100 degrees Fahrenheit).

It made no sense. People would come out for trips on his boat to see one of the largest natural harbours in the world. Him and his wife were a natural host and hostess. They were a great team when they were entertaining guests.

For her birthday one year, he took her in his boat up the Wareham River, moored up outside The Priory Hotel, and they ate lunch on the patio, which was some of the finest dining in Dorset - cooked by Michelin star standard chefs - with beautifully manicured lawns leading down to the river bank.

Why they quarrelled and grew apart is a mystery. She wanted to learn to sail and he was an RYA dinghy sailing instructor and experienced yacht skipper. She wanted to rock climb and he had the qualifications and experience to teach her. She wanted to climb mountains, and he had spent months in the high Alps and was a mountain leader (guide) experienced in dealing with emergencies, working with groups of varying ability, and acclimatising to altitude. He taught her how to snowboard and was grinning from ear to ear when she followed him off piste without a moment of hesitation.

However, he was baffled and slightly insulted that she spent a lot of money to go and learn from other people. He'd taken her sailing multiple times, and taught her a lot. He'd taken her rock climbing, and shown her the ropes; pardon the pun. He'd taken her into the mountains and shown her the basics of navigation, safety, route planning and even how to retreat when things don't go to plan. That's our missing man and his ex-wife, in every picture above except the mountain one. where he's the one taking taking the photo.

He was, undoubtably, looking for the love of his life, but married the wrong person. Friends warned him that him & her weren't a good match. "The poison dwarf" was too hot to handle, especially for a sensitive guy who was relatively inexperienced with women and still nurtured the Disney "happily ever after" idea of finding true love. He mounted a kindness offensive - an attempt to satisfy her every whim, her every ambition, but yet it still wasn't enough. He was delicate. She was aggressive.

It made him sick - mentally unwell - all this arguing and rejection. He wanted to just grab her and squeeze her tight until she felt safe and loved. Maybe that was the problem: she felt trapped and smothered. They met when she was only 23, which I guess is quite young, considering that he proposed when she was only 24. For their parents' generation, that would not have been unusual, and he did things the old fashioned way: buying a house to start a family. However, she complained she hadn't seen enough of the world; experienced enough of life's adventures. He set out to rectify this, but what she was really saying is "I'm not ready to be a one-dick woman just yet".

His best friend coined the phrase "conversion project", which is to take a girl and turn her into a kitesurfer; a sailor, a climber; a mountaineer. This friend literally asked "are you ready to be a one vagina man?". Soon after that, this friend went on a trip to sow his wild oats across Scandinavia, before coming home to marry the poor girl who'd had to tolerate this temporary break-up in the full knowledge that his motive was completely unreasonable. They're a happy couple with twins and a lovely house now, so maybe he was right. At the time, his wife wanted to punch his friend in the face or testicles, or probably both.

Before his petite blonde wife, the happy smiling 25 year old - pictured when our story began - had tried to make it work with a kitesurfer who lived 186 miles away, and nowhere near the sea. He'd tried to make it work with other kitesurfer girls too. An incredibly beautiful Burmese kitesurfer girl seemed to be flirting with him when she was on holiday with him in Sardinia, but he was so shy and inexperienced, he didn't dare try to kiss her.

Our missing man tried to make it work with his wife, again and agan and again and again, and eventually it broke him. He broke down and sank into depression, bipolar disorder, alcohol abuse and made a stupid mistake which was his ultimate demise: the abuse of legal highs. This was the beginning of the end.

In the chaos, confusion, stress and trauma of divorce, selling his house, saving his most precious possessions, leaving the town he'd called home for 8 years and all his friends... all mixed in with toxic additives like mental health problems, addiction and alcoholism, he was a little lost boy. He's been missing for nearly 11 years. There have been times when somebody who appeared to be him popped up briefly, but like an apparition, he melted away into nothingness again.

Is it any wonder that he disappeared? He gave so much of himself away - his love - trying to make relationships work; trying to make girls feel special and cherished and loved and like princesses; trying to please; loving unconditionally.

This blog contains the bitterness; the accusations of wrongdoing - the evidence of the inexcusable and terrible behaviour that was perpetrated against the author. This blog tells the story of why that young man went missing, and why he's still missing. Perhaps why he'll never be found. If he's missing, perhaps, you shouldn't search for him.

Perhaps there's no place in this world for a naïve little boy who has so much love to give, but nobody to give it to. So many times in life he was left reeling, hurt and wondering what he did wrong, when all he tried to do was to be as nice as he could possibly be. Perhaps that silly little boy got it all wrong, and life's not about being nice and kind to people; it's about using people and getting what you want at all costs. The boy was not made for this world - he was like an alien from another planet.

Look at this old man. Look at the sadness that he tries to hide, but something in his eyes betrays him. He knows he's nothing like that happy smiling 25 year old young man, photographed 12 years ago. He knows that all the kings horses and all the kings men couldn't put him back together again. He knows that whatever it was that happened, it damaged him badly. Unconditional love, infectious happiness, a sense of contentment and the enthusiastic exuberance that characterised our missing little lost boy, are qualities that this old man doesn't possess - they're completely different people.

It's a tragedy when we lose somebody who brought fun & excitement, adventure & exhilaration, thrills & spills, into people's lives. It's a tragedy when many lives are touched - improved - and then we lose that person.

I don't think we'll ever find him though. He's gone forever.

Tags: #relationships #depression #bipolar #mentalhealth #alcohol #drugs #suicide

This is a story about home treatment...

This is what the Conservative government's 1990's Care in the Community policy looks like, in practice. An extremely low-paid NHS worker, who isn't trained as a mental health nurse, is dispatched on public transport to travel across the London borough of Tower Hamlets, to bring me a bag of medication. They're supposed to check that the old packets are empty, which 'proves' I've been taking my medication. They're supposed to escalate any problems to nurses and doctors, back at base. If they can't find me or get in contact, they're supposed to ring the police.

It's that final point that's the important one: the police got co-opted into this half-baked scheme. Of the people the police deal with - the front-line officers - most of them will have mental health issues. The police are picking up the pieces of the mental health epidemic. When somebody is truly having a mental health crisis, the police will be the ones who get that sick person to the place where they should have been in the first place: a psychiatric institution.

There are nurses, psychiatrists, social workers and the like, who are involved in assessing whether you need to be detained under the Mental Health Act - what's known colloquially as a 'section'. If you're seriously mentally ill and out in the community, it's down to the police to find you, catch you, detain you and get you to that assessment where you get 'sectioned'.

Also, the police are out there, picking up body parts off the train tracks and underground railway. The police are there when somebody has jumped off a bridge and landed in a river or on some mud flats, or maybe gone splat into something harder below - perhaps a road. The police are there when somebody looks like they're about to jump under a train or off a bridge - CCTV operators are trained to look out for agitated members of the public, who look like they're about to top themselves.

Around the time of Care in the Community, there was an explosion in prescribing of psychiatric medication by our ordinary general practitioners (GPs) - our regular family doctors - there were 9 million prescriptions for Prozac in the UK in 1991. This is the principle behind Care in the Community: put people in a chemical straightjacket, and they can be safely released back into the general population. Ten years later, there were 24 million prescriptions for Prozac and another ten or so years later again, and London alone gets through over 60 million prescriptions for Prozac. These are almost all issued by a GP, not a psychiatrist.

When it comes to "serious" mental illness - anxiety disorders, bipolar disorder (a.k.a. manic depression), schizophrenia, personality disorders - the NHS kicks you out of the bit where you get various therapy options (e.g. CBT) and instead you're referred to a psychiatrist, who will prescribe some fairly brutal medication. In the case of schizophrenia, you could have a risperidone implant, injected underneath your skin, which will keep you in a chemical straightjacket for up to 6 months.

The other people who got co-opted into this Care in the Community policy were the general public. An average member of the public is fairly fearful of a schizophrenic, believing them to have multiple personalities and a propensity for violence. Several murders that received significant media attention, focussed on the fact that they were committed by formerly institutionalised schizophrenics. Depression is now such a common feature of people's lives, that any stigma has gone, but most people would be fearful of living near, working with, or having their children around a schizophrenic, surveys have found. Lock your doors - there might be a madman lurking nearby.

If I was in hospital, I'd have somebody checking on me every 30 minutes to an hour - making sure I hadn't found some way to harm myself. With the Crisis Team (a.k.a. Home Treatment Team) who are tasked with keeping me safe at home, I see them every other day. I could take a fatal overdose 2 hours before they were due to arrive, and by the time an ambulance got to me, I would be well and truly dead as a dodo.

I had stockpiled 336 tramadol tablets (16.8 grams) which is enough for two people to commit suicide, easily. As part of their responsibility to help keep me safe, they asked me for the tramadol back. I gave them 112 tablets (one box) which was a tick in their box. In hospital, I would never be able to hide the remaining 224 tablets from the nurses. If I took an overdose, I'd be fed activated charcoal, have my stomach pumped, be put on a respirator and given various medications to counteract the deadly effects of a tramadol overdose, in plenty of time to save my life.

I can't tell you what the cause and effect is. I can't tell you whether Care in the Community is the reason for the mental health epidemic, or whether it's something else, such as the collapse in living standards and precarious lives we live now, with our income and housing under constant threat.

Most people don't like to lose their liberty. In fact, it's distressing to be locked up somewhere, and not allowed to leave. There are crisis houses, where you can come and go as you please during the day, but you have to be back by nightfall and sleep there or else the police will be sent out to find you. This seems like a compromise that would suit most people who are having a mental health crisis, who pose no danger to the general public.

With the false security of Care in the Community, the number of beds available for those having a mental health crisis, has been slashed dramatically. You can attempt suicide and be hospitalised - in intensive care - and then discharged out onto the streets, simply because there isn't a free bed on a psych ward or in a crisis house, where you could more safely transition back to normal life. You can be suicidal, and the best the NHS can offer you is to come check that you're still alive once a day.

As a man, I'm many times more likely to commit suicide than a woman, but far less likely to seek help. This means that I have had the good fortune of being looked after once in a crisis house and once under a voluntary 'section' on a psych ward. Not many people receive lifesaving treatment like that - the resources just aren't there anymore.

So, what's the solution? Pharmaceutical companies tell us their medications are better than ever. More and more of us are taking powerful psychiatric medication. But, yet, the percentage of the population suffering from mental health issues is ever-growing; suicide rates keep climbing - there is, undoubtably, a mental health epidemic. My personal opinion is that it's not a medical problem: it's a problem created by insecurity: jobs and housing; it's a problem created by declining living standards and soaring levels of stress.

No amount of pills are going to fix the mental health epidemic, even if you bring them to my door.

Tags: #mentalhealth #suicide #depression #bipolar

This is a story about pulling the wool over somebody's eyes...

Every day, between 6pm and 8pm, I get a visit from a different stranger. They all belong to Tower Hamlets' Community Mental Health Team, and specifically to the home treatment Crisis Team, but it must be a big team because I almost never see the same person more than once. Everybody's reaction is the same when I let them in: "wow! look at the view!".

The fact is, I have enough money to last me 2 more weeks, but then I'm not just skint... I'm actually insolvent. I have a lease that doesn't expire until September and I have to service various debts that I ran up, just trying to stay alive.

"Oh, you probably spent all your money on drugs" I hear you say.

Recently, I was on the dark web, looking for something for a friend - something to relieve pain that wasn't on offer on the NHS. Having located some vape oil, containing medical cannabis, I then couldn't resist the urge to continue window shopping. To my alarm, the worldwide supply of supercrack had dried up, due to the Chinese very effectively banning the production and sale of it.

There was one supplier - in the whole world - selling his remaining stock of supercrack. 10 grams. That amount of good quality cocaine might cost you £900. For 10 grams of supercrack, I paid the princely sum of $134.

How long do you think 10 grams of supercrack lasts? Well, we can work it out. A severe addiction might consume as much at 15 milligrams per day - that would be enough to not sleep for a whole day and night. So, easy maths then.... 10,000 divided by 15 = 667 days. One year and ten months, of daily drug abuse for $134. No. I did not spend my money on drugs.

So, back to the strangers in my home each evening. I sit them down on the sofa, next to the patio doors that lead onto the balcony.

Still somewhat wowed by the view, they can also see a number of expensive electronic trinkets lying around. The conclusion that is instantly drawn is that I'm not really in crisis, but in fact I'm wealthy, successful and totally in control of my life. They couldn't be more wrong.

I wrote about this the other day, but lurking behind the door into the kitchen, are a load of bottles for recycling. In theory, I've stopped drinking, but that's just a technicality. If you're in the grips of a mental health crisis or drug-induced behaviour, then you don't tend to have a glass of wine in front of the TV. Remarkably, I've had a bottle of white wine in the fridge, unopened, for over a week.

"Why don't you just have one glass and stop?" a psychiatrist asked me. I replied that oxygen would make the wine go off, so I needed to finish the bottle once it was open. She suggested a vacuum pump wine preserver, to which I replied that I bet I'd never be able to find one. The penny dropped, and she realised I was taking the piss. The reason why I don't stop is because I don't want to. Alcohol is an effective way of getting intoxicated, so you don't give a fuck about your problems... except I do seem to give a fuck in a strange way, because whenever I get ridiculously drunk, I punch my bathroom door so hard that it makes a hole in it. Then I wake up and think "why did I do that?" and I'm filled with regret.

Strangers who come in my house don't see my bedrooms. My main bedroom with the ensuite has got blood spots all over the floor from some accidental injury or something. There's lots of evidence that I imprisoned myself in that room, for some reason. In fact, there's lots of evidence outside the communal areas, that I've absolutely lost my mind at times.

Recently, being in possession of quite a good set of tools, as well as a box of screws, I set about attempting to screw a desk to the door of my spare bedroom, or something like that. The plan wasn't even clear to me. Once you lose more than about 3 nights of sleep, your priorities are quite corrupted. Instead of hydration, food and sleep, my focus switched to barricading the bedroom door. If you have a dark sense of humour, you may chuckle at the fact that as soon as I had completed my task, I then needed to undo my work because I needed to use the lavatory.

These are the kinds of things that are quite important if you want to understand just how sick I am, but the 'window dressing' which is my lounge, balcony and view, rather distracts from the piles and piles of dirty dishes, and overbrimming laundry baskets. The home visit team members walk away thinking "I must tell my colleagues about that awesome view", rather than "I must tell the doctor that the patient looked like he hadn't slept for days, or eaten much".

Can I fix things? I've pretty much given up hope. There just isn't time.

10 grams of supercrack certainly doesn't help, and I knew that a relapse would be one problem too many, on top of a giant shit sandwich. However, the things I've tried that are a sensible and realistic approach, have brought in way too little cash for way too much effort. I'd rather have my MacBook Air and iPad Pro, than a few pennies, even if they're surplus to requirements most of the time.

I could keep up appearances for friends and family, but I lived in fear of my work colleagues discovering that I suffered from mental illness for so long, that the exhaustion became unbearable. It was an open secret that I would be late to work during periods of depression, or not turn up at all. Everybody knew that I liked a drink, but I surrounded myself with other heavy drinkers. The problems worsened, and I had to run twice as fast to just to stand still. I came to London, knowing I could burn a bunch of bridges, and never exhaust all the options open to me, but it's bullshit, having to interview for jobs when you've got a 20 year career behind you and countless people who know you're good at what you do. Also, why shouldn't my friends know what's going on in my life. If they're true friends, they'll see that I'm still me, but I'm in crisis - they won't suddenly change their opinion of me, because of prejudice, although one close friend did and it broke my heart.

Don't lift up the rugs or look under anything: I've swept so many things under the carpet. Out of sight out of mind. I don't bear close scrutiny, but nobody looks very carefully anyway. First impressions count for everything.

After the insanity comes a further insanity - a paranoia that my flat is trashed and I'll never be able to bodge it up good enough to escape hefty bills for repairs that are completely over-inflated by the unscrupulous letting agents.

Where am I going to go? What am I going to do? The fact that you're asking those questions is the clue as to why I might wish to escape into alcoholic oblivion, or take supercrack. There are no easy answers. I know I keep going on about it, but the whole hospital/dialysis/job loss fiasco has left me questioning what the f**k I'm doing, working IT contracts in London, except for the staggering amount of money that it brings in. It doesn't compensate for the up-front stress, followed by the abject boredom and misery.

You'll probably find me sidling up to you in a bar in 20 years time - the known local drunk - and saying to you "I remember the time I lived by the River Thames and worked for the world's biggest companies" and you'll think that I'm some delusional twat.

I hope I just die before I suffer that indignity.

Tags: #mentalhealth #depression #alcohol #drugs #addiction

This is a story about home visits...

I went to my GP. I forget why I went, but one of the main reasons was because I'd been depressed for so long that I wanted to try antidepressants again, but a really powerful combination called "California rocket fuel". One of the provisos of me getting the prescription at that visit, was that I would see a psychiatrist to review my case.

The first time I saw this new psychiatrist, the rocket fuel wasn't having much of an effect, and I offered to swap my stockpiled tramadol, in order to remain on the same antidepressants. She was really pretty worried about me though, and I was supposed to see somebody once a week.

I got a surprise text message from the Mental Health Crisis Team home visitors. That wasn't what I had agreed with the psychiatrist, and I felt let down by mental health services, again, so I ignored their requests to come visit.

By the time I went back to the psychiatrist for a second time, about a week after the first, I had become unwell, broken up with my girlfriend quite spectacularly and I had abruptly stopped the rocket fuel.

I didn't feel suicidal. I felt confused. I knew that the breakup had been done hastily, and that I didn't have the love and support that I needed. I knew that without her, my future was pretty bleak. I really had very few ideas about what to do next. My psychiatrist's concern - from the beginning - was to stabilise my mood. I'm not taking a therapeutic dose of anything at the moment, because it takes so long to safely start my new medication.

In some ways, the breakup prompted me to act with urgency - trying to sell high-value items and asking contacts for work. My energy has been low for as long as I can remember, and I still can't face the open jobs market. I've stopped even taking the recycling out or doing any washing. I started out well enough, but a couple of minor setbacks and I was discouraged

I was safe at her place. Safe from reminders of all the places where I cut myself, or put a knife to my throat and tried to find my jugular vein with the point of the blade. I was safe at hers, from self-sabotage and making an already long list of jobs even longer.

Back at my place I sank like a stone.

The thing about the Home Teeatment Team, is that you never see the same person twice. They all get distracted by the view and they have no idea if I'm deteriorating or not, which I most definitey am. If they saw me more than once, they'd notice the untidy beard, the dirty clothes, the weight loss, the extreme exhaustion.

My alternatives to home treatment are a crisis house or hospital. I'll be forced to leave my home, if I stop seeing the home treatment team. Come to think of it, I'll probably be forced to leave my home anyway.

I slept on the sofa last night, because my two bedrooms are in such a mess.

Ironically, the home treatment team will see a much better-presented version of me, this evening, because I had a shave. What they don't understand is that the reason I shaved was to make myself presentable for going to the shops. I don't really want my neighbours or my concierge to know that "unwell" is an understatement. I eat one meal a day, if I'm lucky. The only reason I'm showering is because of keeping up appearances for the home treatment team. I either don't sleep, or I pass out for a few hours. I wish I could sleep right now, but sleeping suddenly became really hard.

Tower Hamlets is at least well funded versus Camden, so I've got far more options. However, having a home visit from somebody different every day, really doesn't tell them that I'm sinking, fast. The pile of recycling is jut one of many clues that I'm in a bad way, and the downward spiral is getting beyond critical.

Bloody disaster.

Tags: #mentalhealth

This is a story about habituation...

What a surprise! There's a small glass of wine left in the bottle today. How did I end up missing that? I normally drink the house dry, every single night. I've stopped buying gin, Pimms and other spirits, to avoid the temptation of a strong early-evening drink, to take the edge off the day; the nightcap that sends me to bed completely sozzled.

I'm not saying I've become some pious teetotaler who rather too proudly proclaims their abstinence, as if it makes them a better person somehow. I respect former alcoholics who know that once they pop they can't stop, but anybody who chooses not to eat or drink something because of their beliefs and values can bloody well keep it to themselves.

The French - during a water shortage - put up public notices saying "SAVE WATER: DRINK WINE". I fucking love the French.

I've been having my rocket fuel antidepressants for a few weeks now, but I'm sleeping 14 hours a day and I'm almost completely incapacitated by depression. The doc told me to take two pills a day, so I'm taking four, trying to speed things along a bit. The timing could not be worse. I need to be up and about, earning money, enjoying our all-too-brief British summer. Instead, I'm in bed with the curtains closed.

The friend who challenged me to 100 days of sobriety now takes 3 day breaks from drinking. I can't remember the last day where I didn't have any alcohol. Probably when I was in hospital, or maybe the day of the London Marathon, when I momentarily relapsed onto the really hard stuff: supercrack.

Perhaps that's one of the main reasons why I'm still depressed - it was only a month ago that I was convinced the sound of helicopters and yelling crowds, was an angry mob and the police, out to get me. Paranoia like that is awful. Supercrack is a Hell of a drug.

What a year. Starting well with a contract for Lloyds, but then suddenly my foot was numb and swollen. By the time I made it to Accident & Emergency, my whole left leg had swollen up. Acute kidney failure meant two weeks on dialysis and an operation to put a 25cm long rubber tube into a vein in my groin. Managed four days work then lost the contract - too sick to work. My flatmate had buggered off and owes me thousands of pounds in rent & bills; made a complete mess of my spare bedroom. Nobody knew why my foot was numb and I couldn't move it very much, despite being poked and prodded by various doctors. I was taking huge doses of opiates to manage the pain, and had to endure horrible withdrawal - nausea, cold sweats, diarrhoea - when I decided to try and get off the painkillers.

Gawd knows how long I've been taking Xanax and Valium for. I probably need a benzo detox. Opiate withdrawal is unpleasant but benzo withdrawal can kill you.

But, one step at a time. I'm going to try and only drink half a bottle of wine tonight. She wants to drink early and then stop; I want to drink late and then go to bed. It's going to be a test of my willpower, which is severely compromised by alcohol.

If tonight goes well, I'll try and do three consecutive days with no booze; see if it helps my mood. I'm sure my liver will thank me - it's already pretty busy trying to process all those chemicals I put into my body; all those pretty pills.

It's true, the more someting is ubiquitous, the harder it is to abstain from it. I hadn't dabbled in drugs for a decade, when the Dark Web brought a drug superstore right into my living room. Little packages of joy coming through the letterbox, allegedly. It's easier to get booze though. If you really have the thirst for it, you can nip to your local convenience store or even have it delivered to your door in London, 24 hours a day.

They tell recovering addicts to delete all their dealers' numbers from their phone; avoid friends who are still using drugs; change your lifestyle to avoid reminders of the places you used to use drugs. But what if you only ever did drugs on your own? What if you never met a dealer in your life? What if you could never forget the steps to access the Dark Web?

Why am I so hard on myself when I'm dealing with so much? Addiction, hospitalisation, psychiatric wards, mental health conditions, painful injuries, money worries, people owing me lots of money, need to get another contract, need to get a new flatmate, need to fix stuff up, need to stabilise and get into a sustainable position.

Alcohol's probably the most health-destroying drug; the most dangerous to quit if you're dependent; the most ubiquitous; the drug I've been abusing for the longest.

One step at a time.

Tags: #alcohol #drugs #addiction #mentalhealth

This is a story about infidelity...

Yo ho ho and a bottle of Xanax. We're off to take a sailing trip across the Atlantic to New York. I'm nervous, but she's with me - she's also an experienced sailor - so I'm excited and I'm sure that between us we can manage the voyage. At first we are heading towards Dover. Why are we travelling East when we need to be sailing West? Then, we are becalmed and a fog descends. The water is glassy and flat and the sails flap uselessly. A road sign appears and it becomes apparent that we are in London, on a road. We are towing the yacht on a trailer. I rack my brains, trying to think of the best marina with a hoist to lift our yacht into the sea. I can't think straight.

This is a dream, obviously.

Next, I'm approaching a nightclub, skipping the queue outside and heading straight for the entrance. I present my left hand to the bouncer, who shines a torch on it. I brush past him so confidently, and he's not really paying attention, so he doesn't notice that I don't have an ink stamp that says I'm allowed in. Nobody challenges me. I go past the dance-floor and into another room. I notice somebody sucking on a glass tube with what looks like shards of gold, or maybe honeycomb, being ignited with a lighter. Then, an old schoolfriend wants to show me something he's making. He's pouring chemicals into a large jam jar. He's making shake-and-bake methamphetamine. The crystals aren't perfect shards of ice, but instead they're a milky mess. I know the drug will be potent, but the solvents and other chemicals used are deadly. I'm afraid, but also drawn to it, like a moth to a flame. Somebody has prepared some lines of a white powder; it's being passed around. I wake up.

My doctor warned me that my new depression treatment - California rocket fuel - would lead to vivid dreams, but I've always had a lot of dreams.

In a way, my new dreams are better than the old ones. When I used to dream before, they were basically all the same: I have some supercrack and I'm trying to find a private place to take it, but every time I think I'm safe from intrusion, and I'm about to snort a line, somebody interrupts me. Then begins a stressful game of hide-and-seek where I'm trying to escape the voyeurs who wish to intrude on my private drug use. I never actually manage to get any drugs up my nose before I wake up.

Of course, drugs are still my mistress. I've got a virtually unlimited supply of opiates, in the form of tramadol and codeine. I've got stacks of benzodiazepines, in the form of diazepam and Xanax. I've got loads of Z-drugs in the form of zopiclone and zolpidem. I've got pregablin, venlafaxine and mirtazepine. I've got Viagra and Cialis. None of these chemicals seem to make the blindest bit of difference to my depression, and they're certainly not my drug of choice: supercrack.

I go to the chemist, and I have to give two signatures, because they're giving me medications that are controlled substances - they're illegal to possess without a prescription. I'm handed a carrier bag that's bulging with boxes packed full of blister strips containing capsules full of chemicals, or pills that have been pressed into certain shapes and sizes, with numbers and letters imprinted on them. Everything is so colourful. If I lose a pill on the floor by accident, I can identify exactly what it is.

I get confused at night, as I swallow 6 pregablin capsules (white with black lettering), 2 venlafaxine tablets (round and dark orange), 2 mirtazepine tablets (small lozenge shaped, light orange), 2 zolpidem tablets (tiny white lozenges) and a Xanax (an oblong with "XANAX" imprinted on one side). Sometimes I also take a zopiclone if I can't sleep (round white tablet). When my leg was in pain, I would also take 2 co-codamol with 30mg of codeine in each tablet (large white lozenges) and 2 tramadol capsules (green and yellow). Trying to remember if I took everything, and make sure I don't take anything twice, is quite difficult. I'm almost at the point where I should prepare all my tablets and check I've got everything before I greedily gulp them down. I can now swallow 6 tablets at once, easily.

My real mistress, and the beast that's out to kill me - supercrack - is tamed at the moment. I know that a lapse would be disastrous in my financially precarious situation, but I'm also so doped up that my libido and craving for supercrack is under control... for now. I'm not a superstitious person, but I feel like I'm tempting fate just writing these words.

I don't bother keeping a tally of how long I've been 'clean'. It's a ridiculous idea. If a person quits one thing, they start doing something else. A former gambling addict might become obsessed with fitness and go to the gym 7 days a week. A smoker who quits will probably start eating more, to compensate for the loss.

It might seem logical that the longer you're addicted to something, the harder it will be to quit and stay 'clean' but nobody seems to realise that the more times you quit and have periods of abstinence, the better you get at quitting and resisting temptation. Medically, the binge & quit cycle of drug taking is the most damaging, because the binges are so extreme: days and days without sleep or food, and huge doses of really harmful drugs, when your poor body has just about recovered and was starting to get back to normality.

Of course, the really harmful stuff is to relationships. She doesn't mention it very often, but she's worried about the next time I just disappear off the face of the Earth, and reappear skinny, sleep-deprived and suffering from all the nasty side effects of supercrack: paranoia, obsessive-compulsive behaviour and panic attacks; not to mention tachycardia, malignant hyperthermia and rhabdomyolysis. I'm no stranger to hospitals and psych wards.

If you meet me in person, I seem polite, well presented, somewhat smart and certainly confident and self-assured. I can make smalltalk and feign interest in other people's lives. I remember the tiny details that people tell me, which I can see are important to them, so that I can bring them up if ever there's a lull in conversation; an uncomfortable silence. There's no chance you'd peg me as a 'druggie' or a 'stoner' or a 'junkie'. I take perverse pleasure in contradicting and confounding the stereotypes.

Despite my ability to confidently bullshit my way through life, I do wonder if I'm as seriously sick as my doctors tell me I am. They can't make their mind up whether I have treatment-resistant major depressive disorder, bipolar disorder, borderline personality disorder or some dual or triple diagnosis of all of them, plus the substance abuse, of course.

On top of the chemical cocktails, there's a bottle of wine every night, just like every other middle-class professional. Lots of people would say that alcohol is part of the problem, but the last time I quit I quickly went hypomanic and lost my contract. Seems to be the story of my life: losing my contracts through ill-health. All the evidence points to chronic illness that makes me unfit to work, but my confident and upbeat attitude - plus my employability - has got me stuck in a groundhog day loop, where I work enough to pay the bills for a year, but then implode spectacularly and find myself without gainful employment, yet again.

Undoubtedly, my affair with supercrack wreaks havoc across every area of my life, but what about the depression? What about the hypomania? What about the fact I see everything in black and white, and I either love you or hate you? Even when I'm 'well' and functioning, I've still gotta be right: intellectual pride and arrogance.

I've committed to a new regimen of antidepressants, for the first time in years, so maybe my mood will improve if I can keep taking the pills regularly for 4 to 6 weeks... then we'll see if these blunt instruments of brain manipulation actually fucking work for once.

Meanwhile, money pours out of my bank account and the end of the runway gets ever closer, but the wheels of the aeroplane are still on the tarmac. If I can't psych myself up to overcome the depression, stress and anxiety enough to hide my problems and tackle the arduous task of getting another contract, I'm fucked. The house of cards will collapse quicker than you can say "fuck my life".

It's remarkable how much time I spend thinking about setting my affairs in order: making sure my life insurance pays out to my sister, making sure I've left instructions so that friends who've helped me out get repaid, making sure I've thrown away everything that's of no value, making sure that I've listed the details of all my bank accounts and creditors, making sure I've left enough money in my company so that my accountant can wind up the business and he gets paid, and also making sure that at least a teeny bit of my legacy is preserved: I've written a novel and this blog has about 600,000 words, plus photos. I always said I wanted to leave a smoking gun, in case anybody wanted to investigate how stress - mainly financial worries - can destroy a person and drive them to suicide. My biggest fear is being written off with a simple throwaway label: "mentally ill" or "substance abuse" or whatever... things are never as simple as that.

While most people are planning summer holidays and extended weekend breaks over the bank holiday weekend, I'm paralysed by the ever-approaching end of the runway, combined with debilitating stress and depression. Things look straightforward, because I've made life look like a walk in the park so far, but in fact I'm just very good at hiding the deteriorating situation, when my back's against the wall. Just because I can rescue myself in the nick of time, doesn't mean I can always do it, forever. I feel physically sick at the thought of the effort involved in doing what I do, all over again, even though it's a well-practiced tried-and-trusted formula.

Time just gets frittered away, which is fine when you're getting your regular salary and you spend most of your time at your desk just counting down to the weekend or your next holiday, but when you're in my situation, in a way, I'm dying. How do you think you'd feel if you were left penniless, homeless and with a bunch of vultures trying to take the clothes off your back? How do you think you'd feel if you know you can make everything alright again, if only you were well enough to work, but you feel sick and the thought of going back to the office caused you severe stress, anxiety and paralysed you; unable to cope or deal with the situation?

Tick tock goes the clock, and it doesn't stop. You have to run just to stand still. This is why it's so attractive to run away with my mistress and pretend my problems don't exist: escapism.

I want to escape this invisible prison.

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

This is a story about decisive weapons....

Would I rather have the pilot of my plane, the driver of my bus, taxi or train, as a completely drug-free 'clean' individual, or would I rather that they had taken 5mg of dextroamphetamine before our journey? The answer is the latter, obviously, because they will be more alert, have improved ability to concentrate and faster reaction times.

US fighter jet pilots routinely use 'go' pills before a mission, which confer the abilities above, as well as allowing them to fly longer missions with less risk of dangerous sleepiness. Many road accidents are caused by people falling asleep at the wheel. Coffee will only give you a tiny fraction of the benefits of a 'go' pill.

Do you find that after a really important day at work, where you had to be at the top of your game, and you were firing on all cylinders; perhaps you had a bunch of coffee to keep you sharp.... do you find that you're still buzzing when you get home, and you have trouble switching off and going to sleep?

Coffee - especially the super-strong stuff we seem to drink in London and New York - can contain up to 300 to 400mg of caffeine, in for example a Pret-a-Manger strong cappuccino.

The problem with caffeine is that it's a bit of a crude stimulant with lots of extrapyramidal side effects. That is to say, as you increase the dose of caffeine, most people can't tolerate the way it makes them feel. Interestingly, intravenously, amphetamine addicts can't tell the difference between amphetamine and caffeine. Also, most intravenous amphetamine users believe they are being chased by 'them' - the police, men in black, shadow people, ninjas, whatever - but these side effects are just part of the fun.

So, the beauty of the 'go' pill is that it seems that I get all those desirable effects, with no side effects. You would be completely unable to tell that I was under the influence of 5mg of dextroamphetamine. Recreational use of amphetamines is normally quite obvious to spot: talking too fast, sweating, dilated pupils, restlessness, jerky unnatural movement. No side effects? Well, not quite.

US fighter jet pilots use 'no-go' pills at the end of a mission. Having been kept awake and alert for hours, it's now time to go to sleep or at least chill the fuck out. Sleep can be difficult without a 'no-go' pill.

My personal 'no-go' cocktail allegedly contains Xanax (alprazolam) and zopiclone, which have hypnotic, sedative, muscle relaxant and anxiolytic properties. To be honest, you could probably get to sleep naturally if you took your 'go' pill as soon as you got up, but it's pretty exhausting spending a full day in a highly alert state.

Isn't it madness, me taking all these pills? Shouldn't I just go 'clean'? Isn't it best that I'm completely drug-free?

Do you remember when you quit smoking? You chewed a lot of gum, ate a lot more, drank more tea and coffee. Do you remember when the kids were little and life was really stressful? You drank a lot more gin. Do you remember when there was that project with a really tight deadline and you were working really hard; drinking lots of coffee? You were drinking lots of wine in the evenings to relax. Basically, humans will compensate to make sure things remain balanced. If you hurt your foot, you might find your back is aching, because you've shifted your body weight to one side, to put less pressure on your injury.

My injury's a brain injury and the best thing you can do for the brain is to allow it to find its own equilibrium. However, life must go on. My brain's telling me to go to sleep in a dark room for a month or two, but I need to attend hospital appointments, do the administration for my company, line up my next IT contract, find a new flatmate, move money around and make sure the cash keeps flowing and doesn't run out.

A bit of dextroamphetamine is an effective antidepressant and helps fight any supercrack cravings. It's like methadone for a supercrack addict.

I'm on a mission to get back to coffee and wine as my 'go' and 'no-go' substances. I actually worked really hard to break my caffeine addiction, and now I only drink caffeinated drinks on extremely rare occasions. I'm certainly not habituated into having my morning coffee or cups of tea throughout the day, like the majority of adults are. This is how addiction works: you don't cure the addiction, you just replace it with something else. There was a time when I loved playing with toy cars. I had hundreds of them, and I played with them all the time. Then, I got a computer, and I loved playing computer games... and the process of swapping one addiction for another continued. I'll be just fine and dandy with some tasty food, wine to wash it down with, TV and film to distract me and a girl to put my arm around and take to bed for some rumpy-pumpy later on. That ought to just about tick all my boxes.

In the last two weeks, I broke my addiction to two opiates - tramadol & codeine - and I've obviously been off the supercrack for the best part of a week now. That's fairly impressive. Please forgive me for having the occasional G&T, glass of wine and my little 'go' and 'no-go' pills, just to keep the pedals turning.

I've got a torn muscle and ligament, damaged nerve and fractured ulna (bone in my arm) but I spend most of the day with no pain relief at all. It's only at night that for some reason all these injuries start feeling super painful and I might take a couple of co-codamol.

Interestingly, amongst the opiates, heroin was named because it was thought it would have military applications, making soldiers more heroic. Heroin addicts certainly do seem to be prepared to do almost anything to get their fix and not get junk sick. I guess the idea was perhaps to addict the soldiers, and then deny them their heroin until they had done their mission. I can't really imagine it'd be a great idea to have a platoon of men who are pretty much just dribbling and half-asleep. The Nazis had the better idea, giving their soldiers crystal meth. The nickname "marching powder" for cocaine is literally what it sounds like: cocaine was given to soldiers so that they could go on longer marches. You might think of the pharmaceutical industry as concerned only with the treatment of disease, but they have profited handsomely from military concoctions.

Adding fluoride to the water supply has made a major impact on the rates of tooth decay. Drug evangelists have touted LSD and MDMA as other candidate chemicals to be added to our drinking water. The idea being that criminal and aggressive behaviour might be replaced with love and empathy, or the 'sheeple' might have their consciousness expanded. For clarity: I do not endorse such ideas.

"Go to the doctor" is now a synonym for "go get some pills". People are extremely disappointed if they don't come away from a doctor's appointment with a prescription for some lotion or potion. The reflexive response of people if you ever say you are in pain, is to offer you aspirin, paracetamol, ibuprofen or preparations containing codeine (e.g. co-codamol and Solpadeine). People have looked at me in shock and horror, when I tell them that I don't take any medication for the incurable mutative virus: the common cold. What part of incurable didn't you understand?

Many people with mental health issues are asked "did you take your pills today?" or told "maybe you should up your dose" by people with no medical training or expertise, who they simply encounter in their day to day life, such as family members, friends and work colleagues.

We should be mindful that psychopharmacology is only 60 or 70 years old at most, as a fairly advanced field with the accompanying branch of medicine: psychiatry. Before psychiatry, chemists could offer preparations containing opium, cocaine, cannabis; all of which treat symptoms, not underlying issues. We will look back 50 or 100 years from now, and laugh at how primitive our medicine was... especially when it comes to addiction, mental health and the psychoactive compounds.

One final thought: if the majority of us are taking medication for depression, stress and anxiety, are we sick or are we actually victims of a sick society?

Tags: #drugs #addiction #medication #mentalhealth

This is a story about a year in review...

Are you sitting comfortably? Good. Then I'll begin.

For anybody following along at home, there are a few highlights buried in the 600,000+ words I've written to date. There's some required reading for anybody making a study of my psyche.

I decided I wanted to write something more popular and so I drew some graphs explaining mood disorders, like bipolar. It was my most read blog post of 2016.

Along the same lines, I wrote about the onset of depression and attempts to treat it.

I wrote a letter to myself.

I was an inpatient on a secure psychiatric ward, so naturally I came up with a bizarre thought experiment. I even did a drawing of my quantum suicide experiment.

When I was bored out of my mind at work one day, I wrote a short story called The Factory.

If you ever wondered why I have a semicolon tattooed behind my ear, this is half the story.

Everything you never wanted to know about addiction.

But, is it art? This is a good example of me rambling while strung-out. I'm surprised I could even see the keyboard. I just like the title and it's a bit of a private joke, sorry.

There's a 3-part account of the time I lost my mind and started hearing voices.

That'll probably do. There's a lot to get through there.

Of course, there's also the first draft of my novel if you have time to read 53,000 words. I'm going to start editing it tomorrow, so any feedback would be gratefully received.

I've slightly bent the rules, because I have a bit of a warped sense of time, but these are all significant pieces of writing for me, that I associate with the events of 2016.

Happy New Year's Eve.

Tags: #writing #bipolar #depression #suicide #physics #addiction #mentalhealth

This is a story about data collection...

Here's a graph of my daily step count for the last 18 months, as recorded by my iPhone. I practically always have my iPhone in my pocket, so it should be fairly accurate.

As you can see, there are big gaps.

I've added a 14-day moving average to the graph too, which is the dotted line.

How do I interpret this?

The optimistic interpretation is that I was overdoing it last year and had a big crash. There's a little gap in the graph that you can hardly see at the end of October. I was in hospital then. This year got off to a shit start and then improved and stabilised, but I still had a hiccup at the start of October. The graph is much flatter on the right hand side - on average - than it is on the left hand side. Perhaps the volatility in my life has been reduced.

The pessimistic interpretation is that there's a strongly downward trend. There are also signs of repeated periods of inactivity: shit times. Perhaps there's a cycle that would be clearer to see with more years of data.

I could bring in my Android phone data which covers the period before this, and maybe some other data sources too, but it was a pain just to produce this. 

Interestingly, if you own a smartphone, you should be aware just how much it's tracking you all the time you carry it around!

Tags: #bipolar #mentalhealth #depression #computing