This is a story about therapy...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

This is a story about mass consumption...

"I need to stop drinking so much" I think to myself ridiculously frequently. Alcoholic drinks are very fattening and I'm not doing enough exercise. A combination of a sedentary job, depression and a physical injury, have conspired to give me every possible excuse I need, to spend my spare time in a state of intoxication. Banks grease the wheels of commerce - so we are taught in economic theory - and alcohol is the oily lubricant for every kind of social situation imaginable: births, weddings, celebrations & commiserations. I doubt the United Kingdom would achieve a fraction of its productivity, without the motivation of knowing we can have a beer or a glass of wine, when the working day is done.

It should come as no surprise to you that having lived on the ragged edge my whole live - an adrenalin junkie and extreme sport enthusiast - I would turn every knob and dial up to "11", give it 110% and to take things TO THE MAX, yeah!

The UK's chief medical officer recommends that I drink no more than 140ml of alcohol per week, which is 20ml per day. A conservative estimate for my current alcohol consumption would be 100ml per day, which is 5 times the recommended healthy limit. Each week, instead of drinking 140ml, I am drinking 700ml at least.

I have 3 pints of 4.8% strength beer after work, with my colleagues. An imperial pint is 568ml, and 4.8% of 568ml is 27ml. My daily allowance is 20ml of alcohol, so a single pint of beer already exceeds my daily drinking allowance by 35%. By the time I've drunk all three pints, I've had 82ml out of my weekly allowance of 140ml - 59% gone in a single social outing, and just 41% left for the rest of the week.

I have a bottle of wine at the weekend - a two glasses on Saturday, and a glass with my Sunday lunch. Wine bottles contain 750ml, and wine is around 13% ABV, so therefore that adds up to 98ml more alcohol, on top of the the 82ml I already drank, making a total of 180ml for the week - an excess of 40ml versus my recommended weekly allowance, which is 29% more than I'm supposed to consume.

The reality is that I easily drink two pints of beer or ⅔ of a bottle of wine each day. 14 pints of beer contains 382ml of alcohol. 3.5 litres of wine contains 455ml of alcohol.

Does that make me an alcoholic, you must be wondering.

My psychiatrist accused me of being an alcoholic, to which I replied "pish and fibble; what flabbergasting nonsense". We can do some easy calculations, to work out if I am an alcoholic or not.

Let's take the worst-case scenario where I consume 100ml of alcohol per day. Ethanol is metabolised at a constant rate in the human body. That is to say, the quantity of blood in your alcohol-stream does not follow some kind of exponential decay calculation. Assuming I drink for 4 hours each evening, by around 6am in the morning, I'm completely sober. This means that I'm stone cold sober for 13 hours out of 24, which is 54% of the time. This simple mathematics shows that I'm not an alcoholic, quod erat demonstrandum.

My psychiatrist is clearly not capable of recalling her basic medical training, which would have taught her that alcohol is metabolised by the liver in a completely different way to more complex molecules. Very specific proteins and enzymes are required to chemically decompose inorganic (i.e. invented in a laboratory) medications. We can do a simple test, to again prove whether I'm an alcoholic or not.

Again, taking the worst-case scenario where I consume 100ml of alcohol per day, if I was to abruptly stop drinking alcoholic beverages, we should expect me to exhibit alcohol withdrawal syndrome within a few days of sobriety. Assuming that I suddenly ceased all alcohol consumption, I should - at the very bare minimum - get shaky hands and other physical symptoms that would prove that my body has become physically dependent on alcohol. The fact of the matter is that I can stop drinking for 2 or 3 days, and suffer no ill effects beyond a psychological craving for intoxicating liquor. This simple test, again shows that I'm not alcoholic, QED.

Despite the failings of my highly qualified physician - my psychiatrist - who has specialised in the alteration of brain function through the blunt instruments of psychoactive medications, she unarguably stumbled upon a truth in amidst her lazy and untrue accusations of alcoholism: I do drink too much.

Another definition of an alcoholic or an addict, is somebody whose life is adversely affected by drink or drugs, but who does not respond to the negative consequences in a rational manner. If you put your hand in a fire it hurts, right? So, why would you put your hand in the fire again? The perverse behavioural pattern of continuing to act in a way that is undeniably harmful, has also come to be recognised as another definition of alcoholism and addiction.

One only needs to consider the question "why do people smoke?" to see that there is grey between the lines. Smoking is expensive, makes you smell, stains your teeth and makes your mouth taste unpleasant to any non-smoker whom you kiss [with tongues and stuff] - these are the immediate consequences of smoking tobacco. In the medium term, smoking will give you a revolting phlegmy cough as well as literally burning enough cash to purchase a reasonable quality second-hand motor vehicle, or enjoy several foreign holidays. In the long-term, emphysema and lung cancer will bury smokers in an early grave.

It's oft-quoted that "the liver is the only organ in the human body that can repair itself" but this is patently untrue. Chronic cirrhosis - scarring of the liver - will not heal itself. Conversely, many drug addicts who have overdosed and been declared "brain dead" have gone on to make full recoveries, despite a consensus of medical opinion that life support should be withdrawn. The BBC commissioned Louis Theroux to make a series of documentaries about life in Los Angeles, and the episode entitled "Edge of Life" recorded the 'miraculous' recovery of a man whose brain was deprived of oxygen for at least 12 minutes, which is well beyond the limits of what we believe any human to be able to withstand.

Many of those who have been unfortunate enough to be a victim of a stroke, will go on to recover the ability to speak, walk and recover other functions that were lost as a result of brain injury - this is underpinned by the inherently plastic nature of the brain. Plasticity does not mean 'made of plastic' - it means adaptable to change, including the ability to recover from trauma.

An alcoholic may easily consume a litre of vodka per day - perhaps some 400ml of alcohol - which would equate to 2,800ml of alcohol per week. Given that the recommended weekly intake for a man or woman is just 140ml, alcoholics - of whom there are very many - consume at least 20 times as much alcohol as they should do, according to the UK's top doc.

It seems unsurprising that somebody who drinks to an incredible level of excess - where they are intoxicated from the moment they wake up to the moment they lay their head to rest - should sustain an injury to their liver, rendering the organ irreparably damaged.

This essay does not seek to argue that I would not benefit - in terms of my physical and mental health - by abstaining from alcohol consumption. However, one must be mindful that drinking is endemic in UK culture and to be a non-drinker would impose significant societal pressures and judgements upon me. I have, in the past, been falsely accused of being a "recovering alcoholic" merely for the reason that I chose to be teetotal for a period of over a hundred consecutive days. I decided to be alcohol abstinent for a competitive challenge - one of my best friends had completed a period of 100 days of sobriety. In the end, I beat his sober-streak by 20 days.

If you're concerned about your alcohol consumption, drug habit or the quantity of psychoactive medications that you guzzle into the cavernous hole in your face every day, then you should simply ask yourself this one question:

Are you shovelling more and more mind-altering substances into your body each day, or have you found a steady quantity that satiates your want and need for intoxication?

While you fret about eating a 'balanced' diet and being 'healthy' you forget that for 4,000,000,000 years, organisms - just like us - have had to cope with a world that's too hot, too cold, too acidic, too alkaline, too oxygen rich, too carbon-dioxide rich, too sulphurous, too contaminated with arsenic & other toxins, and generally fucking hostile to anything that we define as 'alive'. Humans inherit all of the many abilities to deal with everything from the icy wastes of the frozen poles to the dry & scorching sandy deserts.

The ubiquity of alcohol represents the antidote to the curse of becoming self-aware; the torment of perceiving our own mortality; the torture of realising that life is fucking bullshit, and we all die alone. If we don't go crazy we'll lose our minds.

I do not seek to dissuade alcoholics from seeking treatment, nor do I encourage anybody to recklessly endanger their health. I would hope that any reader who has been able to follow the thread of my thesis to this point, would be able to see that I'm mounting a robust attack on those who seek to perpetrate alarmist & sensationalistic nonsense, onto a populace who have been harmlessly intoxicating themselves since well before any form of any recorded history.

If you are teetotal, I applaud you and I advise you to maintain your alcohol-free existence, but you probably possesses some characteristics that predispose you towards abstinence, not shared by your brethren who imbibe intoxicating liquor. Please; do not smugly think of yourself as morally superior.

By happy accident, I never addicted myself to nicotine, so I look upon smokers with a detached sense of amazement that tiny quantities of a plant alkaloid - in the order of a grain of salt - can induce antisocial behaviours in those who are in the vice-like grip of nicotine: a chemical compound whose psychoactive properties are formidable. I apply a cool objective reasoning that I am able to enjoy, to other addictions that I do and do not partake in.

It's Friday, and in the time that it has taken me to compose this essay, I have consumed 35% of my weekly alcohol allowance.

Cheers!

Tags: #alcohol

This is a story about irony...

So, I've had a busy week or so. Predictably, my rocket fuel sent me loopy - mixed state, to use the technical term, which is both high & low - which meant the sensible thing was to stop taking it. Me being me, that meant immediately, without the advice of my doctor. Pain is only temporary, right? You might say that this weird psychological state was the reason I made some pretty big life decisions; took extreme action; said some regrettable things. I have 3 big gashes down my forearm, I was seen by two Metropolitan police - who are always brilliant, even when they're arresting you (no arrest this time though) - and my psychiatrist, who wants to put me in hospital (i.e. section me) if I don't agree to daily home check-ups, but she's very nice about it.

The time was about right to get obsessive about something that's going to put pounds in my pocket. I was supposed to leverage a bit of hypomania to get the hell out of bed and either get a new contract, or work on a super cool project that might be really profitable. However, trying to harness the beast is crazy idea - when it works it works; when it doesn't, the destruction can be devastating. I did not harness the beast.

I've gone from 14 hours sleep a night to an average of 2. That can't be helping matters.

In 3 weeks time I hit zero: £0.00. No more money for rent next month, no more money for bills, no more money for anything that can't be put on a credit card, and even then, it's hardly a solution, is it? Also, I'm £6k short on my tax, due at the end of the month. Basically, I'm now insolvent.

So, what does one do in such a situation? If I could start back at work on Monday, or a week later, with the company I was contracted to in Jan/Feb, I could just about escape, by the skin of my teeth. What are the chances of them placing me with a client, within 9 working days? Slim to none, I'd say. Also, I'm sick again and I've got doctors hassling me for daily shit - dialysis & blood tests then, home visits from the Community Mental Health Team, this time. Doesn't this all sound rather like deja-vu?

My instincts tell me to box my stuff up, move out, preserve my cash and let the landlord keep my deposit. My instincts always tell me, that when shit goes bad, cut your financial commitments and retire to a safe distance. I would have done that in November 2015, when HSBC terminated my contract, but I felt responsible for a sofa-surfer and a flatmate. Big mistake. My instincts are usually correct.

My financial situation will continue to deteriorate, but at least I'm not careening headlong into a massive bankruptcy, provided I can borrow some (or all) of the £6k I need to pay my tax.

I'm now free to work anywhere in the country, if not the world. I had an offer of contract work in Poole in Dorset, from a friend. I have other friends in the area, who might be able to put a roof over my head while I find my feet again. It's one plan, at least.

What's the alternative? Go deeper in the hole and try and get a flatmate ASAP, to cut the speed with which my finances crumble to shit? I'm not sure I really want the pressure of the financial commitment; responsibility for an expensive central London flat. You know, I've ticked my "live by the River Thames" box, and I've even fallen out of love with London, or at least Canary Wharf and the touristy bits. The last time I felt wowed by my home city again, was when I interviewed for a government contract, on the first working day of the New Year. I would see Big Ben every day, and work in HMRC's impressive building, next door to the Churchill War Museum, St James Park and Horse Poo Parade. I've never worked in public services, let alone the posh bits, down the road from Bucky Pee and round the corner from the Palace of Westminster. That was 6 months ago, and I've been stressed and depressed the whole time since then.

Everything is probably going to come tumbling down - the landlord will sue me; I might not be able to borrow the £6k for my tax; who's to say that offer of work is still there? Should I just freeze, like a rabbit in the headlights of an oncoming vehicle?

Did I precipitate this, or was it destiny; fate? I've certainly been depressed for a long time - could that be to do with not wanting this life any more: the high rent, the pressure to get well paid contracts, the 'quick and painful' strategy, the limitation of how far you can realistically commute in London. It's depressing, feeling trapped. It's depressing, having so few options.

I have more options now, but less support. Was I too hasty? Yes, of course. Did I make bad decisions because I'm unwell? Yes, of course. On further analysis, am I freer now, more flexible, more able to consider almost any option? Yes, notwithstanding my dire finances and the fact I have far less assistance.

Perhaps it's time to admit defeat and prostrate myself at the feet of those who demand money with menaces. Sometimes, when the thing you fear most happens, it's liberating. I remember walking home from the police station once, in gym pumps they'd managed to find for me, having been led barefoot in handcuffs to a police van, in busy central London, then locked in a cell. As I walked along, looking like absolute shit, I thought "this has been literally the worst thing that could have ever happened to me". In actual fact, something about human nature means that we slowly deal with traumatic incidents, and they lose their venom; their potency.

You know, I worry about bankruptcy, but if it's only a barrier to jobs I don't want anyway - not in the sour grapes sense - then I get to do whatever I want anyway, unencumbered by the need to maintain a certain image & income. Maybe it'll suit me and I'll be happy. There are numerous successful entrepreneurs who've had bankruptcies in the past - it's part & parcel of taking risks.

I've always been financially responsible and met my obligations to my creditors. I've actually been very financially prudent, although you wouldn't think it from the last couple of years. I don't spend money before I've earned it, and I always kept money in reserve - I never overstretched myself. However, I'm now deep in the shit, and the stress has been there for so long, I think I'm worn down, and it's contributed to my ill health.

There was briefly discussed, potential salvation: a generous philanthropic liberator from my prison of financial misery and jobs that I detest and make me unwell. However, when it's personal, you feel differently than with a faceless bank that makes billions in profits. I've worked in banking a long time, so I know it's a victimless crime to take money that they just magicked out of thin air anyway: fractional reserves and the money multiplier. It's all just a game, and money isn't real... except when you borrow from friends & family. When you borrow from a partner who you're planning on spending the rest of your life with, it's a bit different: that's more like pooling your resources. However, your partner might have stipulations that are life-limiting: needing to or insisting on staying in one location, for example.

I do feel suddenly terribly alone, and that I need to act almost immediately; to take evasive action. I have a friend who's been a godsend; a guardian angel, but I am mindful that I've already ended up depending on her, far more than I am comfortable with or intended to do. I'm highly indebted to her, in so many ways - more than was ever supposed to happen between two friends. We perhaps share the same predisposition for trusting people and ending up pouring good money after bad. Where, for example, is my ex-flatmate who owes me thousands? Ironically, another friend who owes me a 4-figure sum, has mentioned his expertise in the field of, erm, debt recovery. But, that's a murky area I'd rather not get involved in.

Anyway, I have some new summer shoes, but it's absolutely lashing it down outside and I wanted to change the laces too. This might seem like the most ridiculously trivial thing to have elevated to a position of ultimate importance, but when the big stuff reaches incomprehensible proportions - squashing me like a giant boulder - having something that's shiny and new, improves my self-esteem, and feels like winning the lottery.

I seem to have been living life somewhat in reverse. Starting as a rich, responsible, reliable salaryman. Then around age 32, there was a veritable orgy of sin and debauchery; I cut loose from mainstream society and was homeless, in and out of hospital and in trouble with the police (although I escaped court and criminal charges). Now, I'm looking at my respectable life being shredded irreparably and who knows where that leads: flipping burgers? I can't see it. Selling the Big Issue? Quite possibly.

From where I'm sitting, I can see the river and the boats. But I can also see a top-of-the-range Vox valve guitar amp, with Korg effects head and Gibson Les Paul guitar. I can see a pro-grade racing simulator, with the seat, pedals, gear lever and an Oculus Rift virtual reality headset, for a fully immersive experience, plus a very high-spec gaming PC. I can see my Macbook Air (core i7 processor and 512Gb SSD) unused while I tap away on my Macbook Pro (core i7 and 512Gb SSD) - both the best that money can buy. Next to me is my Panasonic Lumix camera, with Leica lens. Oh, and let's not forget my HD projector that can do 120" screen, in 3D. There's my iPhone, of course... almost the newest model. That's just what I can see. I could asset strip, but I'd be lucky to raise £4 or £5 thousand pounds, and I need £6 thousand for my tax alone. Second-hand electronic goods are worth very little.

What should I do? Bankruptcy and bailiffs seems like folly, but then so does staying where I am, racking up a huge chunk of debt while I search for a contract that I might be too unwell for anyway. Cut my main expense - rent - and head for guaranteed work, if it's still on offer in a cheaper part of the country; seems to make sense. I have more friends in Dorset than I do in London too. I could be stubborn - determined to make London work on the 4th attempt - and move back into a hostel, find work and then find a cheaper place to live. Certainly, I need to act now. Depression has taken me to the brink of ruin.

Ho hum. In a way, I like it when I'm forced into action, and I like it when I'm busy with a mission.

Other wild ideas I've considered are running away to France - my colloquial French was once close to fluency - or further afield: Poland, Czech Republic? I could actually just disappear right here in the UK: get a new identity off the Dark Web and abandon the old one. Then, either be a hobo for a bit, a vagrant, a native backpacker; or set up shop somewhere new, unencumbered by the vultures who circle over my current identity, and my prized plump carrion flesh they hope to feast upon... they know I'm rich pickings, and they eye me greedily.

Oh, I thought about buying a boat, but I might just as well buy a van, cross the channel and head south.

All of these options are infinitely more attractive and more realistic than landing a contract in London in the next 2 weeks, and getting paid by the end of the month. Besides, it was only Sunday that I sliced 3 deep cuts the length of my forearm, with blood running out from the capillaries, and tiny punctures in the veins. I stopped short of slicing any veins open - they're very hard to close if you do it lengthways... that's the point.

Choices, choices, so many choices, but not a one you'd want to take.

Fuck.

Tags: #career

This is a story about getting old and fat...

Are you getting a belly? Does your tummy wobble? What about bingo wings? Trousers feeling a bit tight? Can't get into that old outfit you used to wear? Try The Supercrack Diet!

If you are already in the pro-athlete body fat range of 1 to 3% body fat, do not try The Supercrack Diet, because your muscles will be used to keep you alive, and the myoglobin contained in the muscles will be released into your bloodstream and cause your kidneys to fail. You will stop urinating and your heart will fail because of elevated potassium that can't be flushed from your body. Basically, you'll die.

Do you enjoy drinking the best part of two bottles of wine a night, eating runny camembert and other high-fat soft cheeses, cooking everything in butter and goose fat, having chips and other deep-fried delicacies to accompany every meal and believe that any meal can be improved with lashings of cream? Do you have cupboards full of crisps and biscuits where you go to for regular snacks in-between meals? Do you have a second stomach, for dessert, and a third stomach, for cheese?

At the ripe old age of 37 and injured (foot/ankle and wrist) I've noticed that my eating and drinking habits combined with my complete lack of exercise, are now causing me to gain weight. Putting on the suit I wore for TechStars demo day in 2011, I noticed that I could barely do the button up. When I went to get a new suit - admittedly straight after Christmas - my waist had grown not one, but two sizes!

Obviously, I don't want to be a fattie, so I invented The Supercrack Diet.

The diet goes like this:

1. Obtain Supercrack

2. Take Supercrack

3. Repeat step 2 until desired weight loss has been achieved

4. Present yourself at your nearest hospital Accident & Emergency department if you are experiencing one of the many deadly side effects* of The Supercrack Diet

* Side effects requiring hospital treatment may include psychosis, heart damage or irregular rhythm, poor co-ordination, injuries resulting from poor co-ordination, injuries resulting from psychosis, tachycardia, panic attacks, hyperventilation, malignant hyperthermia, rhabdomyolysis, acute kidney failure.

You might notice the lack of any steps between 2 and 3. That's because you're not going to eat anything. You might drink a little, but often not. You're definitely not going to sleep. You may find yourself quite physically active, especially when psychosis sets in and 'they' are out to get you - this is the exercise that you should have been doing, except now you have the added motivation of people who are out to get you. You might find yourself climbing into attics without using a ladder, picking up heavy pieces of furniture and trying to balance them in improbable places and generally rearranging your environment - all of this burns a lot of calories.

Something that you should know about supercrack: it doesn't contain any calories so you can eat as much as you want!*

* If you eat more than half a gram, you may lose control of your motor cortex and be rendered immobile, or your heart may simply explode from a sudden blood pressure increase. Hospitalisation will be necessary. Do not eat more than half a gram at any one sitting. The recommended maximum daily dose is 0.005 grams. You will need laboratory grade scales.

So-called 'malignant' hyperthermia is where you are hot and sweating profusely, just like when you're at the gym. The Supercrack Diet will give you so-called 'malignant' hyperthermia, without you having to move a muscle, except your heart, which will be at 100% of your MHR (Maximum Heart Rate). Remember not to go to the gym while doing The Supercrack Diet, or your heart will be damaged irreparably. Don't worry about that 'malignant' thing... they'll explain that to you in hospital.

If you have high blood pressure, you might be surprised to learn that regularly doing The Supercrack Diet can cause your heart to enlarge (called athlete's heart) and arteries to grow. The net result is that your blood pressure and even your resting heart rate can be remarkably improved. My resting heart rate was 41 and I had "the lowest blood pressure I've ever seen in somebody who's conscious" according to a doctor who examined me. However, you could also damage your heart or die. Just concentrate on the upsides.

Other similar diets can cause teeth grinding and a tendency to pick at your own skin (called 'tweaking') but The Supercrack Diet does not have these undesirable side effects. Just the addiction. And the damage to your relationships, work and property. And all the time and money you'll lose while you're dieting.

Diets such as The Crack Diet, Diet Coke[aine] and The Meth Diet can be very expensive, costing £250 a day or more. You won't believe how cheap The Supercrack Diet is. 200 days of dieting can be purchased for less than £30. The price you pay is not for the supercrack though. The price you pay is in the damaging addiction. You may find that you want to diet more regularly than work, education, socialising and normal healthy activities permit.

Experienced dieters may find that vast quantities of tranquillisers are the only way to curtail a diet, several days after they had originally intended to stop. Also, a stock of isotonic fluids, amino acids, high protein and glucose drinks, is good to have on hand for the lengthy recovery period. Expect crying, severe depression and suicidal thoughts.

It's good to be thin though, right?

Tags: #drugs

This is a story about nonlinear progression...

There's my bedroom door. As you can see, you can bolt it closed, which is a security feature I added myself. Later, I decided to slide a knife behind the wooden surround and screw that into the wood that surrounds the door. Then I decided that a second knife was probably needed, in case the first one snapped as the blade flexed. Then I decided that I needed something else and finally arrived at the decision to dismantle one of my crutches and part of my bed, so that I had a wooden slat and an aluminium tube, which in theory provided some kind of extra security.... I don't know. I'd been doing this for hours by this point, completely exhausted.

What you're really looking at is the mind, after losing five or six nights of sleep, skipping fifteen to eighteen meals, and being confined to one room, with all the windows obscured.

Who would want to come and do me any harm? Well, when you attempt to balance a crutch and a bed slat on a door handle at 4am - in total darkness - I imagine anybody within earshot would probably want to see me lynched.

I used to go and hide in the bathroom, because it had a proper lock, but then my flatmate unlocked it from outside with a butter knife. Luckily I was right by the door so I locked it again. He was only checking if I was alive, but it's strange how nobody talks to you when you descend into one of these periods of isolation.

In my mind, the lock on my balcony door had been picked. Then, the large glass patio door had been noiselessly slid open, and men clad in black wearing stealth shoes had been able to cross my wooden floor without alerting me to their presence. Meanwhile, more men clad in black, had entered my spare bedroom through a window. These men removed the 'security' features from my front door - for example, a hammer that falls on the floor if the door is opened, which is a kind of improvised intruder alarm - allowing more of their team to enter my flat and prepare to batter down my bedroom door.

Hiding in bathrooms is awful. The floor is freezing tiles and that's about it. There's plenty to drink and you can answer the call of nature, but other than that, it's just cold and boring. I spend half my time barricading the bathroom door and the other half looking through the crack under the door, to see if I can see the men in black in my bedroom. It's a really narrow crack and you can hardly see anything, so you start to imagine that you've seen things. This is why I've stopped hiding in bathrooms.

I have a bed that lifts up so you can store stuff underneath it. If you didn't know, you'd just think it was regular Ikea bed. I actually slept under there for 8 hours or so. It's fucking roasting and I'm sure there's inadequate air recirculation, but I seemed to survive.

Every time I get so hungry or thirsty or just fed up with the bullshit of it all, I take down the barricades and say "come on then, men in black, do your worst!". Then I usually just collapse in bed and sleep for hours and hours. Nothing bad has happened in my home, ever. The police have kicked the bedroom door in a couple of times at my parents', which is what triggered this whole paranoia. That's my parents for you: they'd rather have a door smashed off its hinges than talk to their son. I've tried the basics, like saying "use your words" but that's obviously too much effort for them.

That's the thing about paranoia: it doesn't come from nowhere. There are seeds and they grow into nightmares. Doesn't it creep you out, the idea of some twisted sick voyeur watching you while you take a shit or even just sleeping peacefully in bed? Doesn't it creep you out, the idea of your bedroom becoming a viewing gallery, where people come and go as they please, to watch whatever you're up to?

I haven't written in a while, and that's because I'd given up hope. I'd given up hope that my foot/ankle could be fixed and I could stop the massive doses of painkillers, that were making me so doped up I couldn't work. I'd given up hope that I had enough runway left, to be able to get another IT contract, especially after HSBC lowered my overdraft limit by the best part of £2,000. None of the sums added up. None of the calculations could show that there was a way that I could make my money last until I got some more income.

Then, a windfall from an investment I was managing on somebody else's behalf. A gift from a kind and caring person. Some help getting my spare bedroom ready to rent out to a flatmate - it had been left in an awful state by the last guy, who owes me approximately £6,000 - which will bring deposit money and cut my burn rate by half. Finally, I managed to get a bridging loan, which is getting paid into my account today. Turns out my credit rating is pretty awesome. One of my non-HSBC credit cards just had its limit doubled, so I can live on that to some extent. My interest bill is awful, but put in the context of what I can earn as an IT contractor, it don't mean shit.

I'm crashing at my girlfriend's so that I'm in a different environment. Also, because there are workmen replacing the planking on my balcony, but the amount of noise they're making, you'd think they were demolishing the entire block of flats.

The lounge/diner/kitchen massive room in my flat - with patio doors onto the balcony at one end and a dual-aspect panoramic view of the River Thames - is fucking awesome, but when I'm depressed I only go in there to get more unhealthy snacks, which I take back to my stinky bedroom, with the curtains drawn, to watch endless amounts of on-demand TV.

I don't like it when alcoholics describe themselves as 'in recovery' when they've been teetotal for years and years. I'm 'in recovery' in that I lost at least 14kg in body weight, since my peak (although that was somewhat skewed by fluid retention). I lost more sleep and skipped more meals than you'd ever believe. I need to recover. I need to catch up on sleep. I need nutrients and to allow my body to lay down a bit of fat. I need to have some time where I'm not worried about men in black kicking the door in, and where I can have sex with my girlfriend without worrying that some sicko voyeur is watching through a tiny gap in the curtains.

Working so hard, with such enormous effort and stress, to get out of hospital and get to the first day of my new job, was one of the most difficult, challenging and against-the-odds things I've ever done. I did it. I fucking did it. Then, to have it snatched away was a cruelty that broke me. It broke me. It broke my will to live. It broke my will to keep trying. I had to hide from the world for an entire week, just in shock, unable to allow myself to think, because my thoughts would have turned straight to suicide. I had to get through a week without a single bit of thinking, otherwise I was dead; it hurt me that badly and left me in such a shitty situation.

Since then, I've been careless with my life and everything in it. I've got an amazing girlfriend, but I risked losing her. I've got a super helpful friend who's always there for me, but I risked pushing them away. I know people are monitoring the situation through this blog and social media, and would act if they were worried, perhaps to send the police round to find my corpse. It'd be a better idea to just reach out and ask if I'm OK and say you're worried, using any of the tech communication channels we have - SMS, iMessage, Whatsapp, Facebook Messenger, Twitter DM... the list is endless.

My long-suffering girlfriend ended up speaking with somebody I know through my blog and Facebook, because he was quite rightly concerned. I'm really touched when I find out about these little webs of people who are like a safety net. Nets have holes and I might fall through one - as I have fallen through many of the cracks in life - but it does feel like I have more to live for, knowing that people care enough to speak to each other; share information; discuss what to do.

I'm now admiring my newly flat stomach (but seriously, don't do the supercrack diet) and feeling a little bit more relaxed about having some runway to get back to work once my foot/ankle is fixed... although ironically, I stopped taking the painkillers, but I broke my wrist, so go figure.

You'd seriously hate me if you knew everything about my charmed existence. I left my apartment which faces West - a view of almost every famous London landmark: Shard, London Eye, Tower Bridge, St Paul's Cathedral, Walkie Talkie, Cheesegrater, Gherkin, BT Tower etc. etc. - and I'm now recovering in my girlfriend's apartment which faces East, so I can look at the cable cars going over the Thames, the O2 Centre (a.k.a. the Millennium Dome), the Cutty Sark and Royal Naval College and other parts of beautiful old Greenwich.

I'm off most of the meds now. Coming off a high dose of Tramadol, I wondered why I was itchy, nauseous and sweaty, and realised I was junk sick. Opiate withdrawal ain't that bad really.

I've had an MRI scan of my foot/ankle, and on Friday somebody is going to test the nerve wiring from my foot all the way up my leg, to check for any broken connections. Then, there'll be another consultation and possibly an operation. Things are going quite quick because the NHS outsourced me to a private hospital.

Just need to remember not to get too relaxed at the moment!

Tags: #addiction #london #career #relationships

This is a story about what happens when the slender thread that holds Damocles' sword dangling above, is severed...

I live a highly leveraged life. When things go well, I can find my savings replenished, debts repaid and the threat of destitution lifted. When things go badly, I can quickly find myself in distress.

Something went 'twang!' in my leg. I'm not sure whether it was muscle tearing, tendon snapping, or something else, but I stood up from where I had been seated on the floor for a couple of hours, and my foot and calf were partially numb and I had lost some range of movement.

That injury - or perhaps damage to an old injury - happened two days before I was due to start a new contract. I needed that new contract. I needed the income from that new contract to pay the rent, bills, service debts, pay friends back who lent me money and generally get on top of a deteriorating financial situation. I was very close to running out of money.

Unfortunately, my leg and foot got worse, not better. There was lots of swelling and I stopped urinating. It was pretty clear that my kidneys had shut down. I had to go to hospital.

The company that hired me said they'd delay my start date by one week. I thought that would be adequate, if I could be quickly discharged. Then, I realised that it was going to take more than a week of treatment to get my kidneys going again. I delayed my start date by another 3 days, and then 2 more days. In the end, there was a total delay of just two weeks, which doesn't sound too bad to me, considering just how sick I'd been in hospital.

I had to discharge myself against medical advice on the weekend before I started my new job. My foot was still swollen and I was taking a lot of painkillers. My kidneys still weren't working efficiently, and the hospital wanted to keep me on dialysis.

I clomped into that new job, wearing an ankle splint that held my floppy foot in place, and expanded enough to not put pressure on the swelling. I worked a couple of days with the ankle splint, and then switched over to a slipper and a crutch. A slipper was the only footwear I could find that would stretch enough to accomodate the swelling.

I worked 4 days and made a good first impression. I put in a lot of effort into hitting the ground running. Unfortunately, I had to go back to hospital for blood tests and potentially more dialysis. I got the all clear from the hospital, which was a big relief. However, nobody had done anything to fix my leg/foot and I hadn't even been able to get my painkiller prescription refilled.

The following Monday morning, I was taking a cocktail of whatever medication I'd managed to get my hands on. We had a meeting where we all stood up. I was unsteady on my feet. My mind was cloudy. It was fairly obvious that I was unduly affected by medication, right at that unfortunate moment. My boss suggested I take another week off work, to recover properly. I was incredibly grateful for that.

I spent a week in bed, popping painkillers. My foot improved to the point where I could wear a normal shoe and I didn't need a crutch, although my walking was rather ungainly. On the Monday I went back again, the adrenalin of the situation carried me through that all important first meeting and everything seemed to be going OK.

Then, nausea surged up inside me. I spent the whole morning, feeling like I was about to throw up at any minute. I had all kinds of meetings to attend and I had to sit there, feeling sick, just keeping my mouth shut about it and pretending to be OK.

At lunchtime, I forced down a can of cola, knowing it contained some anti-emetic chemicals that might calm my nausea.

Things were not improving and a colleague asked how things were going. I said that the day had started OK, but I'd been struggling a bit. I said I'd be OK.

My boss called an informal meeting with me and asked if everything was OK. I explained that I felt everything was fine in the morning, but then I'd been having waves of nausea. I said that I really didn't need to go home or anything and that everything would probably be OK. I really didn't feel fine. I felt sick and I wanted to lie down. My boss suggested I take some more time off, and come back when I was feeling better. I had secretly wanted to go home and lie down that afternoon. I was grateful to not have to sit bolt upright at a desk, feeling so sick. I said I'd be back the next day, or the day after at the latest. Colleagues cheerily waved goodbye.

When I got outside the office, I didn't feel relieved. I felt like I might have been tricked into taking the bait. I felt like I had fallen at the final hurdle. I felt like I had failed a final test. I should have toughed it out. It felt like I gave up too easily. It felt wrong.

I got home and collapsed into bed. By this point I was sweating hot & cold as well as overcome by nausea. It was a slight relief to be able to lie down in a quiet darkened bedroom. Then, I noticed a bunch of missed calls from my agent. I immediately knew what that would be about.

I wanted to put it off but I decided to face speaking to the agent right away. Using the layers of complexity of end-client, consultancy and agency arrangements, they cooked up some cock-and-bull story that was basically: "Whatever your boss said about going back to work when you're feeling better, that's not the case. You're not going back to work. Your contract is terminated".

I earned 4 days money. That was enough to pay for a month's rent & bills.

There's no way I can apply & interview for another another contract, get the legal and accountancy things set up, start working, submit my invoices and get paid, before I run out of cash.

My foot's still busted and I'm still taking painkillers - albeit at a much lower dose now - and I'm not exactly in much of a fit state to start work, let alone face another gruelling battle to find and win a new contract.

There's just no way the numbers add up. There's just no way I can be lucky enough to pay this month's rent - which is due in 4 days time - and get my cashflow moving again fast enough to not run out of money entirely.

I need to move all my stuff into storage and leave my apartment. I need to try and get the lettings agent to find somebody to take over the apartment from me, or else lose my deposit.

I need to box up all my stuff, and get the hell out of my home. I just can't afford it. I've run out of runway.

Where I'm going to live, I don't know. What I'm going to do next, I don't know.

My confidence has taken a huge dent, and I can't see myself facing gruelling interview panels anymore. I can't see myself suffering the highs and lows of the job market, after such a horrific recent ordeal. I can't see any kind of way that things are going to get sorted out, without total collapse and destruction.

Suffice to say, depression and suicidal thoughts stalk me at every turn. Of course I just want to die. Of course I don't want to lose my home and suffer the indignity of being destitute. I can't face the stress of fighting back from nothing again. I've been to the bottom and back, and I know I can do it, but do I want to repeat that? No way. I'm exhausted. I'd rather just lay down and die.

I was touched by the outpouring of support on Facebook, during my acute kidney failure. I'm aware that there's someone in my life who's grown very close to me. I have a sister, a niece. However, I can't picture any kind of recovery from this point. I just can't see a route forward, to any kind of position that I'll be able to tolerate. Things are going to get wrecked, and things are going to be almost impossible to repair and replace. That kind of devastating blow is a hard one to take and come back from.

Right now, I'm just avoiding dealing with reality. I'm sleeping, watching feature length documentaries and generally trying to bury my head in the sand.

Everything is far too overwhelming, and I know that my thoughts will automatically leap to the conclusion that suicide is the best option.

She was amazing while I was in hospital. In fact she's been amazing full stop. But, it's been exhausting and stressful for her, and it's negatively impacted her life, her health and her great career. I'm dragging her down. I'm bad news. She's genuinely going to be better off without me, now that I lost that contract and all hope is sunk.

I'm not going to make the argument anymore today, but that's what I'm going to make my next few blog posts about: an attempt to persuade you that the humane thing to do is to let me escape any further pointless suffering, and to spare the drawn-out pain that those who care about me will witness, as my life gets ripped to pieces by the vultures.

Fine margins. Things can come down to the finest of margins. One little thread goes snap, and a whole life comes crashing down.

It's the beginning of the end.

Tags: #suicide

This is a story about treatment for drug addiction...

Having been to four different rehabs, I feel fairly qualified to give a few insights into what happens behind closed doors. Residential rehabs often hide away in leafy suburbs, where there are large houses that can accommodate human trash: dirty junkies and nasty alcoholics.

"Death's too good for 'em! String 'em up!" I hear you say.

Yes, yes, don't worry. We'll get to the idea that an addict will always be an addict, and that we should just write them off as a lost cause.

Boscombe in Dorset - an area of Bournemouth - is where many councils choose to send their difficult members of society, from all over the country. Supposedly, being by the seaside will be good for recovering alcoholics and former drug addicts. There are certainly plenty of rehabs in the area. Even Paul Gascoigne has found himself shuffling around Boscombe's streets, buying bottles of gin from the local off-license.

Ironically, many years after moving to Bournemouth, I became addicted to drugs and found myself in the perfect place to get treatment for my addiction.

Let's talk a little bit about drug addiction.

Having a 'drug habit' is not the same as drug addiction. 'Experimentation' is not the same as addiction. Partying is not the same as addiction. Addiction will rapidly destroy your health, wealth and prospects. Hospitals, police cells and prisons are the institutional stomping grounds of the addict, on their rapid descent into the fires of Hell. If you're successfully hiding your habit from your friends, partner and boss, then addiction hasn't fully taken hold. Addiction is destructive.

What about detox?

You can't really rehabilitate while the drugs and alcohol have got their hooks in you. If you abruptly stop drinking, you might get the shakes, become delirious, have a fit and maybe even die. If you stop taking heroin, you're going to feel sick and in pain. If you stop taking cocaine or amphetamines, you're going to be unbelievably exhausted and depressed, to the point where you're in real danger of killing yourself.

"You should kill yourself if you're a junkie" I hear you say.

What you haven't understood is that drug addiction is slow suicide. Do you think the addict or the alcoholic isn't aware that their body is getting utterly fucked up, and they're going to go to an early grave?

Detox is about breaking the physical addiction that the body has to drugs and/or alcohol. Detox is about suffering the worst of withdrawal, in an environment where substitute drugs can be administered to make the process safe, humane and tolerable. An alcoholic literally risks death if they stopping drinking without Librium. Is it ethical to ask people to die just because you're hung up on ideas like "willpower"?

There's the term "psychological addiction" that needs to stop being used. It's better to think about addiction like this: why did somebody get addicted in the first place?

"Because drugs are fun" I hear you say.

There are shitloads of people who take drugs all the time but they aren't addicts. Every weekend, raves and nightclubs are packed full of people taking Ecstasy (MDMA). Vast quantities of cocaine gets hoovered up by the eager nostrils of young professionals in cities around the world. Every day, a huge proportion of humanity smokes cannabis or drinks alcohol. Why aren't all these people raging addicts and alcoholics?

If you ever feel like quitting, remember why you started.

Most addicts' lives were truly appalling before their addiction took hold. For sure, addiction doesn't improve anybody's life, but it's not like there's any hope of a better life just because an addict quits drugs. The cycle of petty crime, scoring drugs, getting sick, being hospitalised and being locked up... it doesn't look great, does it? But what's the alternative? Flipping burgers and still not having enough money to make ends meet?

So, it's obvious that the rehabilitation process will only be successful if it can return a person to a better life than the one they were trying to escape from with drugs and drink.

The first rehab I attended was in Bournemouth, situated in a grand house at the end of a sweeping driveway, surrounded by mature pine trees, on a road of millionaires' mansions. The place was full of people from Greater London and the surrounding counties, ejected by their councils to make room for more rich middle-class people.

The biggest issue amongst my fellow rehab residents was housing. Boscombe has vast numbers of crappy bedsits that can just about be afforded with housing benefits. London and the South-East has no cheap housing for undesirable members of society. My fellow rehabbers were gleefully pushed away from where they were born and bred - and their families - because they were written off.

A typical day at the Bournemouth rehab would consist of a breakfast of baked beans, white toast and cheap sausages, followed by many rounds of tea, coffee and biscuits, until the 'therapeutic' day began. There were two or three sessions a day, where everybody sat in a big room, slouching on comfy sofas, vaping on e-cigarettes and slurping drinks. It was supposed to be group therapy, but it was basically just listening to heartbreaking tales of people's children being taken into foster care.

Most of the day in Bournemouth rehab was given over to matters of court appearances, housing office appointments, social worker visits and attempts to obtain various forms of welfare benefits. Almost everybody in rehab was in poor physical health, due to a life of drug abuse. Almost everybody in rehab had some underlying mental health disorder.

Those were the dregs of society, but they were warm and welcoming and they accepted me as one of their own. I was warned by staff to leave my iPhone at home and watch my wallet, but I never felt for a single moment as if my peers were going to rob or take advantage of me. I was somewhat appalled by the staff members' low opinion of their service users, but I suppose there's an element of the gamekeepers and the poachers: anybody who's keeping you under lock and key is kind of fair game, because resentment is going to build about the power that staff exercise over people in treatment.

Over the course of the 28-day program, my fellow rehabbers and I would build up special privileges for good behaviour, such as being allowed to go to Alcoholics Anonymous, Narcotics Anonymous or Cocaine Anonymous meetings. Being allowed to go into town, accompanied by a staff member, was the next privilege that accrued. Then, trips to town were permitted when accompanied by a peer who had attained 3 weeks of good behaviour. Finally, you might prove yourself to be trustworthy enough to go into town alone or as a chaperone.

Transgressions could include: not getting up in the morning, not doing your assigned chores, not attending group therapy, being caught with contraband, failing a drugs test and - most serious of all - going somewhere without permission.

Being expelled from rehab for going into town on your own might not sound like a terrible consequence, but almost everybody was there because treatment was mandated by the courts, as part of parole or an attempt to retain contact with children. Being chucked out of rehab could result in going back to prison, or never seeing your children again. The line between treatment and punishment was rather blurry.

My next rehab was 5-star luxury by comparison. You might have heard of it. It was The Priory.

If you're paying £12,000 for a 28 day stay in the countryside, you'd expect it to be pretty nice, wouldn't you? The Priory certainly delivered on making me feel special and cared after... for a high price. Therapists outnumbered patients, the bedrooms were very well appointed and comfortable, the food wasn't bad and there were luxuries like a gym and grounds to take a stroll around. Nobody was made to feel like a prisoner under house arrest.

Unsurprisingly, my fellow Priory rehabbers were rich compared to the Bournemouth lot. There were six-figure salary earning executives and heirs to multimillion-pound fortunes. Alcohol was also the predominant poison, as opposed to heroin.

One girl was so desperate for a drink, that she filled a mug with hand sanitising gel - which contained alcohol - and sweetened it with orange squash.

Therapeutic days were packed full of yoga, mindfulness, art therapy, educational videos, as well as group therapy. Supposedly following the 12-step program we only had enough time to complete the first two steps. AA and 'aftercare' meetings were held in the evenings at The Priory, which we were encouraged to attend, but most of us just watched DVDs in our bedrooms.

In my final week at The Priory, I asked "what next?"

Turns out that 28 days just isn't long enough to turn your life around. 28 days is just about long enough to get over the worst of the drug withdrawal and start thinking about how awesome the drugs are going to feel after a little break and three square meals a day. Aftercare programs are almost as expensive as rehab and last 3+ months: who's got that kind of money and can afford to take that long off work?

Having been through an acrimonious divorce, sold my house, rescued a tiny fraction of my most treasured possessions, boxed my life up, put everything into storage and suffered a horrible family Christmas, I was pretty fucked up by the whole ordeal. I needed to get cleaned up and straightened out again.

The next rehab I booked, I asked for a detox. I didn't want to have to get up in the morning and go to stupid group therapy. I hadn't slept or eaten properly for weeks. I'd been taking benzodiazepines for months and it was possible that I'd developed a physical dependency that could be life-threatening. I needed professional medical care.

The rehab I ended up in was like an alternative therapy spa break. There was a hot tub - called the sex pond - and a vibrating massage table, with whale music playing in the pitch black room. The main thing I was there for was sleep, food and a doctor on hand in case I had a seizure. Reluctantly, I consented to have acupuncture and to do some mindfulness: both of which I fell asleep during.

Most of the staff were kind and caring, but the guy who owned and ran the rehab was a complete egomaniac who clearly wanted his own cult. This idiot tried to force me to attend 'group' therapy, which was basically him giving interminable boring monologues about the time when he went into a Native Indian sweat tent. Believe me, the last thing you want when you're recovering from a near-fatal toxic combo of drugs, is to be a captive audience for some total moron.

While I was at that third rehab, a man was brought in, smashed out of his mind and covered in red wine. He'd been transferred up from the first rehab I'd been in down in Bournemouth. He'd walked out and gone into town to get pissed. Revolving doors.

I had to get away from that place. It wasn't therapy. Fuck knows what it was. Probably just a bit of respite for both family and addict alike.

Finally, I achieved what I wanted: I got back to London. Bullshit family Christmas was over. Divorce and house sale was over. I was free from horrible destructive relationships and nasty people, but I had picked up an addiction and failed to deal with it. My life to that point had been dictated by people who didn't care about my welfare.

I got myself into my fourth and final rehab: a 13 week residential treatment program in Kensington, West London.

Immediately, the place felt right. Rehabs are supposed to be run by former addicts and alcoholics. The guy who I met on my initial assessment had gold teeth and mean tattoos. The guy who ran the place had a massive scar across his face. These were people whose opinion an addict could respect, because they'd been all the way to rock bottom and back again: they'd seen friends die from overdoses and a lot of other rough shit too.

My most important lesson in rehab was how to do time. I had already been heavily institutionalised by working my whole career for massive corporations - with the limits that full-time work and education imposes on your freedom - but I still had lessons to learn about liberty. It helped a great deal that one of my fellow rehabbers was a young lad who'd been in prison twice by the age of 21.

Rehab is literally a kind of house arrest. You can leave anytime you want, but there will be consequences. It was fun to walk up to the gate (pictured above) and put a foot out over the pavement... just stopping short of taking a single step off the property.

It's not too hard to white-knuckle 3 or 4 weeks of abstinence. The first couple of weeks you'll feel awful, but your body is so abused that it's grateful for the sleep and the food. The next week or two are hard, but you know there's light at the end of the tunnel: you'll soon get your fix. You just have to count down the hours, minutes and seconds.

I don't believe you can rehabilitate somebody in just 3 months. So many things get fucked up when you're an addict. You need to get a job and go back to work, pay your bills and any debts that got racked up, repair and replace broken stuff and get a place to live. Everything got fucked up by my addiction: my shoes and clothes were wrecked and everything in my life was in total disarray.

Imagine being a company director through a period of addiction. My accounts and taxes were all messed up, and important paperwork was lost or misplaced.

What about my CV? How could I explain those periods of absence from work?

What about my routine?

Do you realise how much of your life runs itself on autopilot? You pay your rent/mortgage, council tax, electric, gas, water, sewerage, broadband, mobile phone, home insurance, life insurance, car insurance, road tax, MOT, TV license and a zillion other things. You get up every day, have breakfast and go to work. People know and respect you at work and you know how to do your job. You see your friends and socialise. You have your hobbies and you exercise. Do you think you can put all that stuff back together, running smoothly, overnight?

When you're an addict, everybody distances themselves from you. It's obvious that if you even so much as speak to an addict, they're going to steal your newborn baby and sell it to buy crack cocaine. It's obvious that anybody who injects marijuana or sniffs glue is a worthless selfish nasty person who's out to kill you.

Rehabs are necessary because family and friends are judgemental gossips who offer you useless advice like: "have you tried not taking drugs?" or "maybe you should just stop".

Rehab was a holiday from being judged to be an evil failure, morally weak and simply lacking in willpower.

Rehab showed me that I do have the willpower to stop taking drugs whenever I want. Rehab showed me that I'm not weak and I'm not powerless.

By the time I finished my four stays in rehab, I still hadn't run out of money, I had never been arrested, locked up, hospitalised or homeless. I had been nowhere near rock bottom.

I never actually reached rock bottom though. I experienced things that were awful at the time, but I needed to have those experiences.

Stopping drugs is the least of anybody's concerns. Drugs actually help when your life is unbearably shit. Just ask anybody who suffers from depression or anxiety if they'd like to give up their antidepressants or tranquillisers.

Obviously, I'm glad I never got a criminal record or sustained any life-changing injuries, but maybe I needed to come close. Being locked up in a police cell a couple of times and spending weeks in hospital, were not things on my bucket list, but I think they were necessary experiences to complete my adventure.

When the time was right, I got a place to live, a girlfriend and a job. Without those things, life isn't worth living, but equally, those things don't create recovery.

Bullying was relentless and intolerable at school for 11+ consecutive years. Nothing I did was ever right or good enough for my parents. My parents' relationship was appalling - full of verbal abuse and hostility - and I got involved with a girl who physically and mentally abused me, who I stayed with for many years. I got so used to broken, abusive relationships. Do you think that kind of stuff can get healed by 28 days in rehab? Do you think that all my problems came about just because I sniffed a bit of white powder?

You might think I act normally and sound perfectly reasonable, rational and able to string a sentence together, but it's the opinion of the medical professionals who've treated me, that I'm dealing with depression, bipolar and even borderline personality disorder. Clearly, I've had many episodes of mental health issues... including a period of many years before drugs even entered the picture.

This is called dual-diagnosis: the clusterfuck that is both addiction and mental health issues combined. The tail that wags the dog.

I've cherry-picked the best treatment and the most humane and compassionate approach to fixing my addiction and now I've arrived at the situation where - joy of joys - I'm 'just' dealing with depression and anxiety.

I'm itching to press the 'fuck-it button' because life is intolerably stressful, unrewarding and my depression is refusing to lift. What's the solution? Drugs? Been there, done that.

Rehab taught me how to quit drugs cold turkey. Rehab taught me that I'm in control, so long as my life seems worth living.

Addicts and alcoholics are taught on the 12-step program that they're powerless. I'm certainly powerless, but it's over things like whether I get offered a decent job that pays enough money to be able to live. Being powerless to influence the things that really matter to me in life, such as whether I can live with dignity or not, creates incredible stress and anxiety.

I can choose to stop drinking or taking drugs, but why would I, if the alternative is ESA assessments and having my inadequate welfare benefits cut off by somebody who's not even a qualified doctor? Why would I quit, if I have to prostitute my mind and body, to go and work some pointless bullshit job for somebody promoted into a position of incompetence, if I'm 'lucky' enough to be offered a pittance to do the job?

It's so hard to escape the things that drove us to drink & drugs in the first place.

Rehab was important for me to forgive myself for things that weren't even my fault. I didn't make a mistake, getting addicted to drugs: it was a deliberate act and I'd live my life exactly the same if I got to start over from scratch. Rehab was respite from those who wish to scapegoat sick people.

Fundamentally, rehab connected the 'clean' and the 'dirty' world and allowed me to see that they're two sides of the same coin.

Every saint has past and every sinner has a future.

Tags: #addiction #drugs #alcohol

This is a story about insecurity...

Where does your sense of self worth come from? Are you good at your job? Are you a good parent? Do you do good deeds? Do you consider yourself virtuous, or at least not a bad person? Does the fact that you're loved by friends and family somehow make you see yourself as valuable?

What happens when you lose faith in yourself?

I lied as a kid. I lied about having a Game Boy. It was a strange thing to lie about, but I lied. I lied about having Sky TV and having videotaped a music video off MTV. How curious.

I didn't lie about being a doctor, causing deaths as I bungled patients' healthcare. I didn't lie about being a pilot, killing every passenger and crew member on board my plane. I didn't lie about being a financial whizz, building an elaborate ponzi scheme and lining my own pockets.

Why would I lie about such mundane stuff?

I stopped lying. I was happy with who I was. I was good at my job. I was good at some sports. I had girlfriends. I was getting paid what I was 'worth' and people valued my opinion... they sought it out. I was just me.

Then, shit happened.

Bizarrely - to me at least - I managed to pick up where I left off. It shouldn't have come as such a surprise, but the things that I was good at - before shit happened - I was still good at. The job that I'd been doing capably before shit happened... it turned out I could still do it.

Then, even more shit happened.

Digging myself out of that hole looked like such a long shot that I didn't even think it was possible to stay alive, to preserve hope, to go on. I didn't lie to dodge another bullet. I was a little economical with the truth, but I didn't lie. When my situation started improving, it was impossible to reconcile with where I'd come from. I went insane with the ridiculousness of the situation.

Then, yet more absolutely terrible shit happened.

This was starting to become routine. There was a magic formula that seemed to work time and again. This time I played to my strengths, kept my mouth shut when needed, kissed the right asses. Depressingly, it worked. Is that who I am now? The guy who's just stuck in a never-ending cycle of near-disaster and recovery? Bust and boom. Over and over and over again, ad nauseam.

Stop the world. I want to get off.

Who am I? I had a plan, coming back to London, and it's worked... in a way. As a friend said though, I can never quite get my head above water. I can get my nose just high enough to inhale enough oxygen to stay alive, but I'll never get my chin out of the depths beneath, let alone start to rise even higher.

I know who I was at times. There are identities that I can successfully emulate from the past. There are identities that don't seem to be me anymore. Perhaps I was never the person I thought I was at times. Perhaps I believed my own bullshit at certain times.

I know I should just let go of the past, forget about former achievements, status, comforts. Does it seem easy to just let your entire identity go and re-invent yourself... from nothing? Worse than nothing, in fact. If you let go of your advantages, nobody's going to let you off your disadvantages. My advantages are only just cancelling out my disadvantages, so I'd be screwed if I had to start over from 'nothing'. There's no such thing as nothing. Everybody wants a piece of me. So long as I have an address, somebody will be trying to track me down and suck the life right out of me.

Run to stand still.

It's amazing how hard you gotta work just to break even. Just to go nowhere. Fuck it's exhausting because it's not going anywhere. Hard work doesn't pay. Period.

Yes, I can look back on this or that achievement in the past. Yes, I can extrapolate from my potential. But neither thing is meaningful. Look around. Do you see anyone getting ahead?

I wrote a book. A whole novel. I don't even think it's terrible. Does that make me a writer, a novelist? In theory, yes, but if I was to commit to it, it would also make me a tramp, a vagrant, a bum, a loser. Is that what I am anyway? Is my true destiny catching me up?

No. Art is for the rich and spoiled.

Tags: #writing #depression #career

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

26. Descent

She could hear the car crawl to a slow and follow her at walking pace. She had grown accustomed to the sensation of being stalked, stared at. She could feel a pair of eyes burning a hole in the back of her head. With the subtlest of movements she looked out of the corner of her eye at the road. She didn't recognise the vehicle or the driver. There seemed to be somebody in the passenger seat too. The car drew level with her and the passenger wound down their window. She glimpsed short hair full of styling gel, a white tracksuit and prepared herself for unwelcome sexual advances from a dimwitted numbskull.

"Hey!" came a surprisingly hushed call.

"Psst!"

This was not how things usually went. Normally lecherous creeps would lead with their best line, full of false flattery and often beer-induced bravado.

"Hey you!"

It was irritating, but a different and more measured approach from what she was used to. She was sure that as soon as she even acknowledged their existence, they would launch their full chat-up offensive. This was just the preamble.

"Hey!"

She was sure that their patience would quickly evaporate and she would be loudly cursed as a "stuck up bitch" and the car would roar off into the distance with its loud exhaust and bass-heavy music thumping out from their souped-up boy-racer chariot.

"Nah, she doesn't want to know" said the passenger. It looked as though he was addressing somebody in the back seat. Lara risked another glance backwards and sure enough, there was another passenger, slumped low with their coat pulled up high around their face as if they were trying to hide.

"He says he knows you" the passenger tried again.

"Who?" asked Lara, now looking in through the car window and surveying the scene, while keeping walking.

"Sam" said the passenger, pointing his thumb at the back seat. "He's sick. He needs some help getting into his flat."

"Why can't you do it?"

"We're just giving him a lift home. We've got to be somewhere else, pronto. We ain't got time."

"Some friends, you are." Lara mocked.

"Look, just help make sure he gets in OK, can you? We could just dump him nearby, but there's no telling if he'll get into his place on his own in the state he's in."

"What's wrong with him?"

"He's just had too much to drink."

"That's a really shitty thing to do to your friend. To just dump him like that."

"He's not exactly a friend. We hang out, but it's not like that. We're doing him a big favour driving him home."

"Yeah, BIG favour" said Lara sarcastically.

She couldn't help herself peering in the back windows at Sam. He was very dimly aware of what was going on. His head drooped and his eyes were closed, but he wasn't asleep. He didn't look boisterously drunk or like he was going to throw up. He was just intoxicated.

"Alright how far away is it?"

"Just down in the town centre. Jump in."

Sam was reasonably well co-ordinated and not slurring his words. He didn't even smell of alcohol. He could walk and talk without staggering, but he kept slipping into a catatonic state. His sentences would tail off and he would be half-asleep on his feet. As long as she kept repeatedly reminding him where they were and what they were doing, she could coax him towards his front door.

"Come on, Sam. Nearly home!"

"What? Eh? Oh" he said, as he seemed to remember what he was doing and take a few more steps, opening his eyes a fraction. He leant on the front door, dozing.

"Get your keys out, Sam. We're at your flat. This is where you live, right?"

"Yeah, uh. Right" he fumbled in his pockets and unsteadily directed his key at the lock.

With the door flung wide open, Sam made a bee line for his day bed and collapsed on it face down, before rolling into a slightly more comfortable position. Lara was still stood at the threshold, gazing into the large loft apartment, taking it all in.

"OK, I'm going to close this door and go home now."

"Don't go. I need you" Sam said, holding up a hand and beckoning her in.

Lara took a few steps towards the day bed.

"What do you need me here for? You're home now."

Sam patted the bed next to him. Lara didn't get the sense that he was trying to get her to sleep with him, but that he wanted her to sit. She sat awkwardly on the edge of the futon.

"You're home safe now. You can go to sleep. You'll feel better when you wake up."

Sam now opened his eyes much wider and tried to look at her. There was a kind of fear that played across his face.

"You can't let me sleep. I'll die" he said.

"What are you talking about."

"If I fall asleep, I'll stop breathing."

"If that's true it sounds like you need an ambulance."

"No!"

"Why not? What's wrong?"

"Overdose." he said, with the effort of his honest admission seemingly causing him to slump. He relaxed. His face was tranquil. Lara leant over him. He was breathing, but very shallow.

"I'm going to go phone 999. You need to go to hospital" Lara stood up and walked towards the door.

"Nooo! Stay with me" Sam called out, reaching towards her from where he lay. She hesitated at the door and looked back. "I'll be OK soon. Just stay with me a little while."

Babysitting him while he fought through a near-fatal overdose, Lara was torn. She could see his lips getting slightly purple as she fought to keep him conscious enough to keep breathing. In waves, he would get so relaxed and comatose that he would sleep peacefully and could barely be roused. She would be close to running for help. Then, he would come round a little, gasping for air and she would plead for him to stay alert and keep breathing. She knew instinctively that in the time it took her to go away, find a phone and give the address, he could very easily slip away. It took little more than an hour before he started to come round, but it felt far longer.

The experience shook them both and Sam said that he never wanted to risk dying like that again. At first, he was resolute that he needed to quit heroin and that the close call was the wake-up call he needed. He was so grateful to Lara for keeping him alive and for avoiding a hospitalisation. Then, he explained that his body would start to go into a painful withdrawal and he would feel like he "needed" his next fix. Quitting wasn't so easy and he'd need to wean himself off. Would she help him?

He genuinely meant everything he said.

In reality, Lara became his regular babysitter, so that Sam could shoot up big doses of heroin, knowing that there was somebody there to keep him safe if he overdosed. At first, Lara didn't know it. She felt that she was helping him to get cleaned up and off the dope, but after months going round to his apartment almost daily, it was clear he wasn't giving up any time soon.

She adored his tortured soul and his fascinating life. She loved their asexual relationship, which still had a kind of comfortable intimacy. Sam's first love was heroin, but Lara didn't mind being his mistress. She felt like she could make a difference.

Eventually they quarrelled. He had no intention of ever quitting, she said. He did, but it was hard, he explained. He said he'd try harder, but he started to be more secretive. He hid his habit and Lara knew it.

"You'll always keep using if I stay with you" were the last words she ever said to him. He didn't even reply. His eyes were filled with tears, but he knew the truth. Perhaps he would quit one day, but that wasn't the path that their relationship had followed. He used and she was there to keep him safe. That was the way it had been since day one and that was the way it was always going to stay.

She'd gone back to the apartment on the pretence of picking up some things she'd left there, but really she was checking up on him. Making sure that he was OK. He was so alone. His mum had left when he was little and his dad had died leaving him the inheritance that paid for his apartment and his drug habit, but he had no real friends: only drug dealers and addicts hoping to mooch off him. He was no fool, so he didn't indulge the parasites. He had nobody.

Lara knew right away that it was different from the other overdoses that she'd witnessed. There was no life left in his body. He'd been dead for some time.

Poor little rich boy. He had a kind of infamy amongst the local drug users, with many plotting to rob and cheat him out of money. He was even known to the police as a tragic addict: a dead man walking.

By the time she had left him, she was prepared for the worst. Or at least, she thought she was. Of course his death was more traumatic than she could ever have imagined, but she knew that the burden of his life was more responsibility than she should ever have been asked to shoulder. She could forgive herself, but always wondered if things could have turned out differently.

Neil's behaviour was completely different. He seemed in control, even though he was unhappy. It was Neil's desperate wish to be happy and productive again that made him so different from Sam. The addiction that she'd known had no end to it. Without a doubt, Sam would take heroin forever, given an unlimited supply and no consequences. Neil was different. He only ever took his pills begrudgingly and always talked about "recovery". His mental health problems were just a blip, in his eyes. Medication was a means to an end: like a plaster cast on a broken limb, helping it heal.

It seemed unthinkable to Lara, the idea that Neil had lost control and was slumped somewhere, dead from an overdose. She'd known so many years of him being steady and dependable. She'd seen him go through depression and psychotic episodes. However, he didn't seem to be hiding a drug habit and it seemed unimaginable that he could have been consumed by an addiction so quickly that she would never have seen it creeping up. The evidence suggested that somebody flicked a switch and her fiancée went insane. It was impossible to know somebody so well and for them to hide a whole other side of their personality. She knew what addicts were like when they hid their habits.

She confronted Colin.

"You're not telling me everything."

He sighed. "What you don't know can't hurt you."

"If there's stuff you've found out, I want to know."

"I think we just need to let Neil go and keep our best memories of him intact."

"What do you know?" asked Lara, now looking horrified.

"It's a lot worse than we thought" replied Colin with a grim expression.

"I really do want to know absolutely everything."

"He was taking some highly addictive drugs. I'm sure he's gone now. We should probably talk about some kind of memorial service."

"I guessed as much. I've been reading about those legal highs and they're nasty. Not many deaths though."

"Yes, but he was getting some really dangerous ones direct from China at 99% purity. I'm almost certain he overdosed."

"How do you know?"

"I found some traces at the house. I'm so sorry, Lara. I've been waiting and hoping that the body will be found, so we can grieve properly, you know?" said Colin, his eyes pricking with tears.

"You're a good man, Colin. I don't blame you for not telling me" replied Lara, hugging him.

Next chapter...

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

10. Waiting Room

"Do you want me to come and see the doctor with you?" Lara asked.

"No, it'll be difficult for you to take the time off" replied Neil.

"I don't mind. It's important. I can do it if it will help" she said.

Neil was now in his third week off work and he was starting to get anxious about returning to his job.

"I just wish I felt better, but I think I feel worse than I did a few weeks ago" he complained.

"Try not to stress about things. Go and see the doctor again and see what they say" she said in a comforting tone.

He'd left it almost to the last minute - Thursday - but Lara was now coming home expecting to find out what had happened at the doctor's. Neil was sat on the sofa as she came in the front door and hung up her coat. There was no new prescription on the coffee table in front of him.

"So, how'd it go?" she asked.

"They're referring me to a psychiatrist."

"Well that's good. You'll get a specialist's opinion" she said.

"Yes, but it could take weeks, months even before I get an appointment to see a consultant."

"What's the plan for the interim?" she asked.

"The doctor's signed me off for another two weeks. I said I was getting very stressed and anxious about going back to work. He said I should contact my HR department who can involve occupational health."

"He?"

"Yes. I saw a different doctor this time."

"Doctor Hughes?" she asked.

"I can't remember. It'll be written on the sick note, I guess."

"How do you feel about things?" asked Lara.

"I'm anxious about what it's going to be like, going back to work after five weeks off. It's a long time, you know?" he replied.

"People get sick. It happens all the time" Lara said as reassuringly as she could.

"Yes. But not me. And hardly ever anybody else at work" said Neil.

"Everybody will be happy that you're feeling better again when you go back to work. It'll be fine" she soothed.

"We agreed I would keep taking the same antidepressants. It's too early to tell if it's going to have a positive effect yet. It could be weeks before it helps my mood improve" he said. "I've got enough to last me a couple of months now" he continued.

"You refilled your prescription?"

"Yeah. I felt embarrassed in the chemist. All those pills. All those sick people and then there's me" he replied.

"Lots of people have to take medication for all kinds of reasons. There's no shame in it"

"Yes, but I still felt ashamed. I didn't want anybody we know to see me, walking home with that paper bag full of pills from the chemist" he said.

"Awww. You'll feel better soon" she said, pulling his head into the crook of her neck and cradling him slightly. His eyes were downcast and sad.

"The doctor said to keep an eye on things. Go back if there's any problems. There's not going to be any follow-up appointments or anything. I've just got to wait for a letter with an appointment date to see the psychiatrist" Neil said with a resigned tone.

Psychiatry. Lara's only real first-hand experience with psychiatry was helping patients with their prescriptions when they were on the ward. The patients were often quite difficult to deal with, but not because of behaviour that she understood as classical mental illness. She would be pestered all the time by the patients - "Nurse, it's time for my medication" - who would get extremely upset about the disruption to their normal routine. There were endless arguments about their prescriptions.

On the ward, the nurses would do three medication rounds per shift, plus respond to patients who were allowed a certain amount of pain medication on request. Unless otherwise indicated in the patient's notes, Lara could only dispense small doses of paracetamol, taken orally. The patient's own medications were usually locked away in a bedside cabinet that only the nurses had the key to. Any medication that the hospital's doctors had prescribed would be dispensed by the nurses at set times and that was when they usually unlocked the cabinet if there was something else that the patient was taking.

Psychiatric inpatients had their usual medications meticulously recorded in separate notes. Although the patients often knew which pills they had to take and how often, Lara had to follow the notes to the letter. The routine of the general hospital was different from the psychiatric wards the patients were used to and they could get very agitated if they felt they were overdue getting their pills.

It was surprising just how many medications some patients had to take each day. There were mood stabilisers and antipsychotics. There were antidepressants and anxiety drugs. There were sleeping pills and tranquillisers. The night shift would start with two hours of hell, as patients begged for their sleeping pills. The first dispensing round of the night shift wasn't until 9pm, so the nurses would get no peace until then. Mercifully, the psychiatric patients were often knocked out cold until the next morning though, which meant they were less trouble through the night than the others.

When on night shift, trying to sleep during the day was hard. Slamming car doors, traffic noises, people yelling in the street below, children screaming in the back gardens. The world was set up for the 9 to 5, Monday to Friday worker. Nearby builders and roadworks could mean a week with barely any sleep at all. Lara often longed for some sleeping pills herself and she knew that some of her colleagues did use medications to help them get some quality sleep during the day.

The few psychiatric patients Lara came into contact with were the most extreme. She saw the aftermath of self harm, suicide attempts and psychotic episodes. However, on the general ward the patients were heavily medicated. They were dazed and confused, with cloudy minds. They shuffled around. Some of them had uncontrollably dribbling mouths and involuntary tics.

She knew that Neil was going to see a psychiatrist - as an outpatient - but Lara made no association between him and the kind of extreme cases of mental illness she occasionally encountered at work. Neil seemed perfectly healthy and normal to all outward appearances, although she could tell that he was lethargic and more anxious and negative than she'd ever known before.

Later that Thursday evening, Lara attended an engagement party for a couple they distantly knew through other friends. Lara had started to socialise again, but on her own. She could see an expression of exhaustion and stress spread over Neil's face when the topic of going out was ever discussed. It was clear that he really wasn't up to socialising yet.

"How's Neil?" asked Katie.

Katie was Russ' new girlfriend. She was still slowly ingratiating herself with everybody and Lara felt sorry for her, as she struggled to become included in the group. Katie was young and pretty and the other girls treated her as if she wasn't worth getting to know. "She'll just be another casual fling" the girls said behind Katie's back.

None of the other girls had really asked about Neil. They had decided to just ignore the issue. If anybody else had asked, Lara would have dismissed the question with a cheery "he's fine". However, Katie was somehow disarming and approachable. Lara drew her to one side. The rest of the group were engrossed in their usual comfortable conversational routines.

"He's ever so depressed. It's sad to see him like that. I don't know what to do" Lara confided.

"There's not much you can do. Don't beat yourself up. Is he taking anything?" Katie asked.

Lara was taken aback by Katie's directness, but it was good to talk to somebody who seemed to immediately understand what the couple were going through.

"He started antidepressants a couple of weeks ago" said Lara.

"Well, it can take time to find the right one. Don't lose hope if you don't see any quick improvements" said Katie.

"Do you?..." Lara tailed off, worried her question was too personal.

Katie gave a little chuckle.

"It's fine. You can ask. Yes, I've been on antidepressants for a few years now. They do help, when you find the one that works for you" said Katie.

"But you seem. You seem so..." Lara stumbled, not knowing how to finish her question.

"Normal? Happy?" Katie said, grinning.

"Yeah" said Lara, nervously.

"Well, I have my bad days like everybody, but life is mostly OK now. A few years ago I just closed the curtains and didn't get out of bed for what felt like forever. I couldn't face the world"

"That sounds like the stage Neil's at" said Lara.

"Well, it does get better; easier. Recovery can be slow and nonlinear. Or it was in my case, anyway" said Katie, with as much reassurance as she could muster.

"He's just so desperate to get back to work, but at the same time I can see he's anxious. I know he can't face it at the moment. He's barely left the house in weeks" said Lara.

"There's no rushing these things. Tell him there's no rush. It can be a long road"

There was something harsh and brutal about this, even though it was spoken kindly. Katie spoke directly, truthfully, sympathetically. Lara had read things like this on websites, but it hadn't sunk in until now. There had been a sense of denial; there had been false hope.

"Look. Phone me. We'll meet up, just the two of us. You need support. You need to think about yourself too" said Katie.

Lara felt strong emotions welling up inside. She had been holding it all down, holding things together, acting like everything was going to get back to normal overnight. She was worried she was going to cry but she didn't. She was stronger than that.

Katie reached down and squeezed Lara's hand and made a sympathetic face. Lara was grateful to have made a friend who talked so openly, so freely, so directly.

The party was starting to disband and Russ was making his way over to the girls. Katie's face immediately switched to the bright happy expression she usually wore. It didn't seem fake to Lara. It made sense, to present a front and avoid discussing things that most people wouldn't understand.

Next chapter...