This is a story about disadvantages...

There are a number of ways to get a black mark against your name. Every exam grade that's lower than a "C" is not going to be looked upon favourably. A degree of class 2:2, a third or - heaven forbid - a pass, is something that's going to follow you around like a bad smell. Any gaps on your CV are all damning indictments of your character. These are some of the least bad disadvantages that could be working against you in life.

Police cautions become spent on the day they're issued so you don't have to declare them to any prospective employer - unless you are subject to enhanced checks, because you work with children or vulnerable adults - but a criminal record has to declared up-front. Bankrupts are often compelled to admit to their financial misconduct and being a former bankrupt is often grounds for not employing a person. It even seems commonplace to perform credit checks on people now, as part of vetting for a job.

These are the disadvantages that people have, arguably because they're victims of circumstances beyond their control. The education we had, the friends we made, the wealth we've enjoyed... these are luck, not good judgement. We don't choose our parents. We don't choose to be born into poor uneducated families with a history of criminality, living in poor neighbourhoods - council estates and the like.

Then, we come to matters that are more obviously in our control - the choices we make as an adult.

What are all the things you'd think about when considering whether to get a tattoo or not? If you're a sensible chap or chapess, you'd think about all the bad fashion decisions you've made over the years, and rationally you would think that you wouldn't be able to choose a design that you'd be happy to wear for the rest of your life. Many 'tattoo fixers' are asked to erase the name of an ex - the ink was committed to skin when the relationship seemed as if it was going to last forever, but it didn't.

If you were still intent on making a permanent mark on your skin, you might consider where you're going to do it. If you get something on your foot, it's going to be visible when wearing summer shoes. If you get something on your arm, it might be visible when you roll up your sleeves. Why would anybody get a tattoo on their neck or face?

To all intents and purposes, I come up smelling of roses when the usual background checks are done. I have a fine set of academic qualifications, I have an all-star cast of multinational corporations on my CV, I don't have a criminal record, I've never been bankrupt. I enjoy a considerable advantage over many hopeful job applicants, who are paying a hefty price for something that happened years and years ago. To look at me, to study me on paper and pore over the vetting checks that are routinely done, you would see no evidence of any problems that the checks are supposed to find.

Did I say "look at me"? The careful observer might detect one little clue that I've not led an entirely blemish-free life. I have a black mark that clearly advertises that I've had problems. I write this blog, but you'd have to search for it to find it - you'd have to cyberstalk me - but there's a mark on my body in a totally visible place that you should be able to see, whatever clothes I'm wearing... I can't cover it up.

What the hell is a 35-year-old man who works in offices for prestigious organisations doing getting a tattoo in a visible place? Surely it would be career suicide? Everybody knows that people with visible tattoos don't get hired into positions of professional responsibility. Everybody knows that people with visible tattoos are not made of the right kind of stuff to enjoy positions of senior management responsibility. Everybody knows that people with visible tattoos are trash; scum; the dregs of society.

Getting a tattoo was stupid, of course, but it was also brave. Getting a tattoo was direct action: a protest about my sister having a hard time from my parents about her inked body. Getting a tattoo has been the best way to thumb my nose at bosses who desperately want my skills and experience, but who would never dream of giving an opportunity to somebody who's been less fortunate in life. Getting a tattoo is a running gag - a joke - which attacks all the gatekeepers who are seeking to keep the riff raff from getting ahead in life. When I sit down for an interview, my tattoo can't be seen face to face - it's behind my ear. It's usually too late - I've been hired - when the bosses first notice it. So many people don't get their foot in the door, because there's a black mark that causes them to be dismissed out of hand as an unsuitable candidate.

Why a semicolon?

If I was ever asked by a colleague, my answer would be that it's a programmer thing - I finished every line of computer code I've ever written with a semicolon.

The truth is that I'd been trying various ways to restabilise my life, which mainly revolved around earning bucketloads of cash as an IT contractor. The pressure and stress of one particularly nasty IT contract had pushed me to the brink of what I could survive. I'd asked to be hospitalised for my own safety. I flew to San Francisco, leaving myself just 4 hours to get to the airport from the time I booked the tickets, and went directly to the Golden Gate Bridge. I was erratic. I had no idea what to do, so I did everything. There was one thing that was constant: writing. The idea of the semicolon has come to mean that my story - this suicide note - could have come to an end, but I chose not to end it and keep writing. I jumped on a popular bandwagon. I joined a movement. I copied something that other people were doing. I tend to zig when everybody else zags, so getting a tattoo like other people's felt really good; it felt right.

Everything seems to piece together and make sense when seen as a whole. Writing under my real name and writing without a filter - completely candidly - and declaring my every fault is career suicide. Having a visible tattoo is career suicide. Those things together are the only way that I was going to cope when constantly dealing with gatekeepers who want to check my criminal record, check my credit rating, check if I'm a bankrupt, check my academic qualifications, check my references, check my passport and birth certificate. If the gatekeepers could, they'd pry into every single part of my private life... so I'm letting them. Here it is - come and fill your boots!

Who knows where this experiment's going to lead me. Perhaps I will suffer more discrimination. I've already lost two lucrative contracts as a direct result of living my life as an open book. Perhaps the disadvantages will continue to stack up and I'll be derailed from the fast track and shunted into the sidings, like so many people who've had the misfortune of accruing a black mark against their name.

If I seem at all disrespectful towards those who don't have any choice - they have criminal records, bad exam grades, a CV full of gaps and roles that don't have fancy job titles - then I apologise. Perhaps my little game can only be played by me because I'm so privileged.

I hope that what's going to happen is a move towards a more open society, where we can be honest about our past transgressions.

Tags: #tattoo

This is a story about the bitter end...

For a devout atheist, I can be surprisingly superstitious. I seem to have survived Jinxed January without losing my job, becoming homeless, going bankrupt, being hospitalised, getting sectioned, getting arrested, getting anybody pregnant, committing any crimes, taking any illegal drugs, contracting a terminal illness or dying. Epic win.

I looked in my photo archives to see what I was doing this time last year. Apparently I was pissing in a bottle, hospitalised on a high dependency ward with kidney failure. On my blog, I was writing about "what would Jesus do?" so I was clearly pretty deranged, but then I was on dialysis for several hours a day, which was not exciting so I'm sure my mind must have been wandering a lot. On Facebook I was jabbering about a cocktail of painkillers, sleeping pills and tranquillisers I was taking to try to get some sleep on the ward. I feel relatively sane and happy by comparison - my life looks quite peachy compared to that unfortunate period.

I looked back two years ago to see what was going on at the end of January and there's a gap. I simply ceased to exist for a few days, before popping up and writing over 3,000 words about all manner of things. It looks pretty conclusive that I was in the vice-like grip of madness and shenanigans.

I can't look back three years on my blog, because I only started two and a half years ago, but I do know that three years ago today I was staying with friends in County Cork, Ireland. My contract with Barclays had been terminated early, I'd broken up with my girlfriend, lost loads of friends because of the breakup and I had been evicted from my apartment in Swiss Cottage. I needed to escape from London for a bit, because I couldn't take any more, and so my friends looked after me in rural Ireland. Not so jinxed, but pretty jinxed because my life was still totally messed up.

I can see from an email that four years ago I was receiving inpatient treatment for dual diagnosis - bipolar and substance abuse - after the messiest and most acrimonious divorce you can imagine. My life was profoundly dysfunctional - I'd only just managed to escape "the poison dwarf" and the relationship that nearly killed me. My stuff was in storage and I was living with friends in Kentish Town. My new business had been put on hold because the divorce and house sale had been too much for me to handle. I'd been surviving by mining bitcoins, but the price had crashed and I was in big trouble, even though I'd managed to cash in at $1,100 per bitcoin.

I can't see my email from five years ago, because I lost my original Google Mail account, which I'd had since soon after GMail launched for public beta testing. I can see that I was late for my appointment to see a psychiatrist who I'd found (albeit a week later) so I imagine that things were pretty dire... although I clearly had the presence of mind to find a private psychiatrist and arrange my own treatment, so I'm guessing this was the beginning of the descent into Hell. This time five years ago - roughly - my new wife told me that she wanted to be a widow and that she wouldn't let me have the treatment I needed. This time five years ago, I was trying to find people to help me, while my wife and my parents broke my heart. This time five years ago, I realised that I needed to get my parents and my wife out of my life at all costs - I realised they're toxic people and that if I wanted to have any kind of future, they couldn't be part of it.

Five years of insanity is a hell of a long time. In those five years, things got a lot worse before they got any better. In those five years, I sorely missed my house and my cat. In those five years, I sorely missed the life I'd built for myself, with my friends and my good reputation and my good job. I threw away a lot, taking a gamble that I'd be better off in the long run. The last five years have been insane, but I don't see how I could have extricated myself from the situation any better. I've played the best I could with the cards I was dealt.

I'm sick and tired of Jinxed January, and I hope I've seen the back of it; I hope I've broken the curse.

Of course I tempt fate by saying that now I've had one un-jinxed January then I've got things sussed and it'll all be plain sailing from here. Of course there are going to be Foul Februarys and Miasmic Marches but January has been my nemesis for so long. I don't want to get cocky and complacent, but it's a big deal that I've beaten this dratted month. February and March are going to be dreadful, but at least I have a few quid in my pocket, no imminent threat of homelessness and nothing particularly awful on the horizon. I have another month of paid work ahead of me. For once, I have a few things going in my favour.

You might see that my biggest fight is with myself. Of course, there's work available year-round and my skills mean that I'm never going to go hungry and homeless, except through spectacular self-sabotage. It seems obvious that I should just quietly and obediently pop the pills and behave myself. It doesn't look that hard to just get my head down and concentrate on working hard to get myself back into a position of financial security. To say that by the end of the year I could be well and truly wealthy again, seems like no time at all to you. However, you must remember that I march to a different beat. My timescales are not the same as your timescales.

I'm not going to get paid for the whole of February. A very Frugal February beckons. The weather's just as dark and miserable in February and my job will be just as isolating, lonely and boring. The unfavourable conditions very much remain unpleasant and unconducive to any mood improvement. However, the so-called short month of February does seem like a less daunting proposition than Jinxed January was. I'm cautiously optimistic.

Another month without an almighty fuck-up is a huge achievement, in the context of my messed up 5 years of Jinxed Januarys. If I'm being superstitious, so be it, because it's helped me to avoid going off the rails.

I'm really pleased with where I'm at actually. Drink and drug free, unmedicated, as sane as I'll ever be, relatively settled in my home life, regular(ish) income and gainful employment. There aren't too many loose ends to tidy up. I'm on top of my taxes and my paperwork. To be in this position, at this dreadful time of year, where I don't have anything looming that's of major concern, is a really big deal.

I submitted another invoice to my client, and even though I lost over £4,000 of potential earnings this month, I'm still in profit after expenses. The money's not in the bank yet, but it's on its way. Perhaps it will be good to spend another month being a little thrifty - money after all, can be something that's triggering.

Of course, I'm getting ahead of myself. I'm imagining that by the end of February, my financial woes will be mostly ended. I'm imagining that by the end of March I'll be feeling positively wealthy again. I'm projecting into the future, and that's bound to end up making me miserable. I still have a whole month more of my miserable boring contract to do. I need to start looking for the next job, at some point sooner rather than later. I can't make tomorrow come any sooner, and I shouldn't wish away today.

What can I say, except I'm slightly glad that I didn't throw away a perfectly salvageable situation. I'd still rather be dead, because it's been a lot of stress and hassle, but I'm alive so I'll carry on for a bit longer and see what tomorrow brings.

Tags: #depression #suicide #divorce #career #mentalhealth #bipolar

This is a story about music...

The only things that seem to be capable of making me cry at the moment are Disney movies and a 90-second passage from The Tempest, which is about dreams and sleep. I quote it now for your interest, and as I write this big salty tears are rolling down my cheeks:

Our revels now are ended. These our actors,
As I foretold you, were all spirits and
Are melted into air, into thin air: 
And, like the baseless fabric of this vision, 
The cloud-capp'd towers, the gorgeous palaces, 
The solemn temples, the great globe itself,
Ye all which it inherit, shall dissolve
And, like this insubstantial pageant faded, 
Leave not a rack behind. We are such stuff 
As dreams are made on, and our little life 
Is rounded with a sleep.

It seems remarkable to me that I'm not able to resist the mawkish and emotionally manipulative thrust of the Disney movies, and I blub in all the right places and even some of the wrong ones. To accuse me of being emotionally unstable or having a tendency towards inappropriate emotional responses to situations, is grossly inaccurate and untrue. I would agree that I'm unguarded; trusting... a little vulnerable and certainly quite naïve, although I would argue that I prefer to be naïve than cynical and guarded.

In terms of protecting myself from whimsically falling in love and getting hurt, I would say that I don't protect myself at all. My emotions go where they want to go and I let them. I use the "L" word very sparingly and tend to distrust strong emotions, viewing them as transient; fleeting. I favour loyalty above everything else. I've got no time for game playing and wimpy wusses who are afraid of getting hurt.

Under a railway arch in Vauxhall, I experienced what the children of doting parents must experience their whole lives - to be loved, cared for; adored. I felt a sense of contentment and security that had been absent throughout my bullied childhood. I felt the warm embrace - the hug, if you like - that had been absent in my life and had turned me into an insecure person who completely lacked self-confidence and a sense of identity. I'd been through 8 schools and lost countless friends due to my druggie alkie loser parents not giving a shit about the damage they were doing. The experience of clubbing under the railway arches was curative - this was the love that had been sorely absent in my life. The catalyst? MDMA.

Fifteen years later, my marriage was collapsing. I needed to go to hospital. I was admitted to The Priory thanks to my private health insurance.

It's actually unremarkable that I grew out of a brief period where I dabbled with recreational drugs - ecstasy - and went on to have a 15-year blemish-free career, before the stress of a toxic and abusive relationship tipped me back into the very state I was in when I was a child: in desperate need of some unconditional love. It seems obvious that depriving a person of their identity and security, and bullying them, would result in trauma and psychological damage. It seems obvious that the same negative stimuli would elicit the same negative response.

While I was in The Priory, I handed in my iPod after a couple of weeks. I had decided that I was using music as a way of manipulating my moods, in a similar manner to people drinking, smoking and using drugs, in response to stress and other negative situations. I decided that if I was going to take treatment seriously, I would have to avoid things which I could use and abuse to alter my mood.

Presently, we seem to think it's virtuous to deny ourselves all the things we enjoy. Cream cakes (too fatty), fizzy drinks (too much sugar), beer and wine (alcoholic), masturbation ("wanker", "tosser" etc.), spending money (too fun) and all the other things that make life mildly bearable are given up for January, while we run on a treadmill in a gym, or lash ourselves with a bunch of nettles or whatever the f**k it is that 'virtuous' people do these days.

When I was seized with the notion that pure devotion to a 'natural' life would lead to happier, healthier times, it became as obsessive as anything else that might be characterised as an addiction. I became addicted to making every single tiny health tweak in my life that I could. I cut out dairy and gluten. I washed out my sinuses with saline. I probably would have done colonic irrigation if I'd thought about it at the time. The whole thing was dumb - pure superstition and pseudoscience.

Today, I take dietary supplements - 5-HTP, tyrosine and magnesium - which are supposed to provide my brain with the building blocks it needs to restore normal mood and improve my sleep. However, I've also abused simple amino acids and even pure dopamine - in the form of L-DOPA - to put my brain into a completely unnatural state, with the intention of achieving an otherwise unattainable euphoria or level of performance.

I've abused stimulants to stay awake and give me the energy to dance all night. I've used prolactin-suppressing medications to allow me to have multiple orgasms. I've used erectile dysfunction medications to allow me to sustain an erection for priapic lengths of time. I've used drugs to move my mood up, down and sideways - attempting to 'play god' if you like.

How many drugs and medications have I tried? Two hundred? Three hundred? More? This is not hyperbole - I had the time, the money, the determination and the means.

If you think I'm an idiot who makes bad choices, I ask you to look again. Imagine what my upbringing was like before I discovered that there was this chemical - MDMA - that unlocked me from that miserable prison. Of course I was going to mistakenly believe that it was a trick that could be repeated. In my desperation to escape a toxic abusive relationship 15 years later, I tried heroin, crack and crystal meth - amongst innumerable others - and none of them grabbed me. I methodically worked my way through everything I could get my hands on - illegal drugs, legal highs and black-market prescription medications.

The net result was not a predictable one. Instead of being dead in a ditch due to poly-substance abuse, I'm now quite averse to any psychoactive substances. I'm one of the few people you know who doesn't drink caffeinated beverages. That I'm unmedicated for my mental health problems is not because I think I'm "well" but because I know that I prefer to suffer the symptoms - very few people you know are prepared to tolerate depression and anxiety, but I do so on a daily basis without medication to assist me.

There's a part of me that wants to quit carbs, quit booze and join a gym, but frankly I've got enough shit on my plate just trying to get up in the mornings and not kill myself.

I loosened the purse strings and bought a few new clothes at the weekend. I went on a couple of dates. I'm listening to euphoric dance music, eating what I want to eat and drinking quite a lot. Fuck it. Life's too short to be miserable.

Last night, a woman ran up behind me as I was crossing the road and started asking for money. I said "sorry". She launched into an escalating level of abuse, accusing me of saying "no" and for toying her when she was "begging [for my] help". She was too busy yelling and screaming horrible names at me to be interested in the fact that I would've helped her, absolutely. In fact I still would. Fuck it, even if she was just rattling for "B and white" (heroin and crack, also known as "dark and light") and she was short for the score, I'd have helped. You've got to acknowledge the complexities of life and human nature if you want to help anybody. Expecting everybody to be gym-going, kale-eating, alcohol and drug free totally fucking ridiculously 'virtuous' people is absurd. Most of us have a vice.

When I think about how long I lived without my cat to stroke, and without the pleasure of snuggling with a girl I'm really into, I'm surprised I made it this far. What's the point of life without a good healthy dose of oxytocin? Is life even liveable without the bonding hormone? I really don't think it is.

So, as we approach the end of Jinxed January, I'm throwing caution to the wind little by little. I'm buying myself new clothes and having a haircut, because it's great for my self-esteem. I'm dating and having sex because it's fucking awesome. I'm letting myself do a million little things that just make my day a little bit more bearable, because that's what life's all about if you don't want it to be suicidal misery.

There's a chance that all the little changes in my life will destabilise me. It's all quite stressful, even if it's also fun. I'm quite well aware that something as simple as a late night can throw my world into quite a lot of chaos, but sod it, life's too short and I've waited and been sensible for long enough.

I don't think I'm going to go clubbing and take any MDMA any time soon though.

Tags: #relationships #sex #bipolar

This is a story about non-pharmacological interventions...

The word "choice" is a little unfair. To suggest that people could help themselves by making better lifestyle choices assumes that our choices are unbiased. It seems obvious that we'd choose low-fat, low-carb, low-salt options because they're better for our heath, but we're biased towards things that taste nice. It seems obvious that we'd cut alcohol, caffeine, drugs and medications out of our life, because they all have nasty side effects, but we're biased towards things which make us feel good. It seems obvious that we should work less, spend more time with our families and not commute so far, but sadly it's not easy to up sticks and move closer to our jobs and often we have to do jobs we hate because we need the money.

At my meeting with a psychiatrist today we essentially agreed that I can manage my disposition towards mood disorder using lifestyle choices, but it's going to take a lot of hard work. I need to exercise more, I need to change my job and I need to cut down or even quit my alcohol consumption. As well, I need to continue to have strict bedtimes, avoid caffeine, dim the lights after dusk, use a light box in the mornings and eat a balanced diet. I also need to resist the urge to spend money, take risks, be promiscuous and dabble with drugs. All fairly obvious stuff, but none of it is much fun.

Aside from some disagreement over whether I'm type 1 or type 2 bipolar, and the severity of my illness, I actually got on pretty well with the psychiatrist. To hear the words "you have a chronic condition that cannot be cured" is not very nice and my instinct was to argue that I don't have a condition at all - my symptoms have been a product of my environment; caused by the stress of my situations I've been in. In actual fact, I concede that I've had symptoms of bipolar for as long as I can remember... it's just that my bosses and work colleagues have always been very understanding of my highs and lows. A lot of people would get sacked for coming in to work two hours late every day, or shooting their mouth off and throwing a tantrum in the middle of the office, but there's a place in the workplace for somebody who can work for weeks without any sleep when there's a crazy deadline to meet. I agreed with the psychiatrist that I've got a lifelong condition, which will need careful management. It doesn't scare or upset me, because I managed my condition effectively for years before things got dangerously erratic.

To hear lithium and sodium valproate banded around as potential treatments is not what I wanted. I prefer to think that I've got a mild form of bipolar which can be managed with a medication like lamotrigine, or no medication at all. I consider that my 'high' periods have been hypomanic because I had no grandiosity, psychosis or paranoia. The psychiatrist considers me to be a fully blown manic depressive, because my manic phases have lasted more than a week. I think we'll have to agree to disagree, because my mania does not seem at all severe, except when exacerbated by drugs and sleep deprivation.

I asked about talk therapy. There's an 18 month waiting list. I'm being referred, but 18 months is a heck of a long time to wait for psychological therapy. Getting some kind of talk therapy has become a crusade to me, because I first sought treatment in 2008, so it's been 10 years since I asked and I still haven't received any therapy.

In short, I think I agree that I have a certain amount of risk towards becoming really unwell, but it's not destiny. I have a lot of hard work to do, and I have to continue to make so-called smart choices, when really my life's not a lot of fun and I still have to figure out how to pay the bills somehow. I do agree that there's something about me - call it an illness if you like - that means I have to pay a bit more attention to my lifestyle than others might, who don't share the same predisposition towards mood instability.

I went into the psych consultation feeling quite unique and special. I was feeling pretty proud of myself for being unmedicated and having dealt with a lot of things that were definitely wrecking my life. Then the psych helped me see that a lot of people who are bipolar have a similar story of reckless risk taking, money spending, hyper-sexuality, drug taking, getting into conflict with bosses, drinking too much and all the other things that lead to a point where lives get utterly screwed up. I suppose there comes a certain point where a person just can't continue to live their life a certain way - the end of the road. Where my inclination was previously to commit suicide, I'm perhaps slightly erring on the side of trying to mend my ways and crawl back into normal society over broken glass.

I can see the temptation of a chemical crutch to aid my 'recovery' but I'm still pretty adamant that I'm going to go medication free. Actually, the psychiatrist agreed with me that something like sertraline, or even lamotrigine, could push me into hypomania. Antidepressants have always had a mood destabilising effect on me in the past. There's something to be said for feeling miserable: it does somehow make you appreciate the better times, when they eventually arrive.

So, it seems like a rather well-behaved life beckons for me. I don't relish the prospect of having to always make sensible choices, but I guess I'm not a young man who can bounce back from anything anymore.

Hardly thrilling, but the saga continues. I'll keep you posted on how it goes, doing the boring mundane stuff.

Tags: #bipolar

This is a story about doing no harm...

Imagine that somebody says to you "you're so argumentative". What could you possibly say in return? You can't say "no I'm not" because then they'll say "yes you are and the fact that you're arguing proves it". There are lots of other quirks of the English language that allow you to box people in, such as asking questions like "so when did you stop raping children?" or some other kind of fallacy.

I'm not actually against psychiatrists and psychiatric medications. Every psychiatrist is different. Most psychiatrists who work in the NHS have to deal with society's very sickest and most dysfunctional cases. Every psychiatric bed in England is filled with somebody who is being detained against their will for 28 days, or more likely for 6 months. There aren't any spare psychiatric beds for people who are merely having a crisis and who are in danger of committing suicide - the NHS will call your bluff and leave you to die, as so many do, because mental health services are overstretched and underfunded.

The kinds of treatment on offer vary from snake-oil bullshit, such as CBT and other behavioural therapies, to chemical coshes that will put you into the drugged equivalent of a straightjacket. For sure, there are some very sick people who are psychotically disturbed, but powerful antipsychotics are not a panacea for all problems of the mind. In some countries, physical restraints are more commonplace. In the UK, we dope people up to the eyeballs.

If you've never lost your liberty you won't quite be able to comprehend how terrible it is. We're free-thinking individuals who move through the world according to our whims - the illusion of free will. When locked into an overcrowded psych ward, even if you asked to be hospitalised because you feared for your own safety, you might suddenly panic that you won't be able to get back out.

Ironically, you can't say "I'm not argumentative" when somebody wrongly accuses you of being argumentative, and it's equally impossible to say "I'm not mad" when you're trapped by psychiatry. The only strategy you can play is to be calm and patient and ignore the provocation, which is easier said than done. It's a very natural reaction to want to defend ourselves against unfounded allegations. To have our character criticised by somebody who doesn't know a damn thing about us, is incredibly insulting. When somebody who hardly knows us has the ability to detain us against our will, and even to have us forcibly medicated, then the situation is unbearable.

I don't doubt that psychiatrists believe they have their patients' best interests at heart, but there's no acknowledgement of the antagonisation, frustration, anger and upset that they provoke. Nobody should have godlike powers over any other human being. The line between sane and insane, sick and healthy, right and wrong thoughts... these are completely arbitrary. There can be no ultimate arbiter who decides who's normal and who's not - it's not right that anybody should sit in judgement.

Am I arguing that we should fling open the doors to our asylums and let the mental patients roam free? It's more complicated than that. A survey of the general public revealed that the vast majority of people wouldn't want to live next door to, work with or have their children play with a schizophrenic. It seems that those paranoid delusions are not so paranoid after all - no smoke without fire. Having had my case reviewed at mental health tribunal to decide whether to give me back my freedom or not, it appalled me how six people could sit and have a discussion about me as if I wasn't even present in the room. To button my lip and remain silent through proceedings; to maintain my polite and courteous façade - this was virtually impossible when my liberty was at stake.

Another thing that's deeply upsetting is the way that the patient is often mobbed. Ward rounds consist of sitting with a whole room full of people - usually a couple of psychiatrists and a couple of nurses - who sit stroking their chins while the patient explains the same thing for the millionth time: please stop ganging up on me and let me go. Of course, there are mental heath problems present, but the set-up is antagonising. Should we just let anorexics stop eating and die? Should we just let the psychotic do what the voices tell them to do? This isn't what I'm arguing for. I'm just pointing out that even the most sane amongst us would be driven mad by a jeering crowd, licensed to torment and keep their victims in captivity.

If you imagine that you might get to spend 10 minutes with the psychiatrist who has the power to set you free, once every week or every fortnight, all the decisions are more important than I can possibly express in words. If you're on a medication which is causing you intolerable side effects, in a psych ward setting which is causing you intolerable distress, you're going to have to wait a couple of weeks before you can have another go at trying to communicate your needs to the doctor... which you'll have to do through the foggy haze of powerful antipsychotic medication. "This man is making no sense" they'll say, because you've been drugged into a dribbling mess. What further proof could be necessary to show that you're an imbecile who could never survive outside the protective walls of an institution?

Experiments were conducted by investigative journalists, who deliberately got themselves committed to institutions, only to find they couldn't get out again - the system grabbed them. The harder you fight the system, the more you're giving the system the 'proof' that you really are mad. It's maddeningly self-perpetuating.

Very few of us have the ability to bring our racing pulse back under control, to lower our respiration rate, to relax our muscles. Very few of us possess the ability to react to incredible stress, by calming ourselves and being patient. The most antagonisingly provocative situation will elicit the most predictable response: people don't like having their freedom taken away, told what to do and being judged by strangers who pry into every aspect of their private life.

To have captive creatures to toy with as we please must make those men and women who wield godlike powers feel very full of themselves. "It's for your own good" is the well-worn defence for the indefensible. The very nature of the relationship is toxic to mental health. Mental health treatment cannot be imposed by those who know best, because they don't know best - psychiatry is such a young branch of medicine. Nobody really has a clue what they're doing. Long-term outcomes are abysmal and the mental health epidemic continues to grow apace. Clearly, evidence-based medicine is not being practiced.

Of course I don't think that psychiatrists and mental health nurses and all the other people who offer medical and complementary treatments for ailments of the mind, are bad people. Of course they're not bad people. I don't believe there's a Big Pharma conspiracy. The truth is though, people are sicker than ever before and the treatments aren't working. My objection is with those who talk authoritatively as if there are useful diagnoses and accompanying medications and therapies which are making a profound impact... it's just not the case at all. What's happening is abysmal, and nobody is admitting they've got it wrong - a lot of people aren't sick, they just hate capitalism and modern society.

Good science means controlling the variables. I've aggressively cut out all psychoactive substances. Tomorrow I shall tell my psychiatrist that I'm debt-laden and forced to work a job that conflicts with my values and needs. My malaise is a function of the conflict in my heart, knowing that banking is a morally bankrupt profession, loan-sharking and taking advantage of the most vulnerable. My prescription? The end of capitalism and the return to a society where we're intimately connected to our local communities... do you think they'll stock that in the chemist?

Getting my happiness and contentment back in the current economic climate looks to be an impossible task. However, to medicate myself because I'm having a sane reaction to an insane world is not a good course of action.

Of course, my psychiatrist doesn't have the ability to cure me of my intolerable situation. I've got to work. I've got to travel to where the jobs are. I've got to pay my bills and service my debts. But, I don't need medical solutions to a non-medical problem.

Why even go to see my psychiatrist, when I don't think they can help me? Well, it's obvious isn't it? If we keep sending people away with pills, then we keep proceeding with our delusion that they're working and things are going to improve one day. How many times a year do you suppose a psychiatrist meets somebody who's foresworn ALL psychoactive substances, including caffeine and nicotine, and is a functional high-achieving member of society, to all outward appearances? To say that a medical problem - suicidal depression and debilitating anxiety - doesn't have a medical solution is heresy, but somebody has to stand up to those who dogmatically decree that they have the solutions, when they demonstrably do not.

Being unmedicated is really horrible and I feel terrible, but I'm being a bit of a martyr because I've got a point to prove. One day I will escape from the burden of debt, the soul-destruction of bullshit jobs and the need to commute long distances, preventing me from forming social bonds and having a work:life balance. One day I'll get a girlfriend and a cat and a home of my own and all the other things that humans need to feel complete, and then we can re-examine the situation and ask if I need medication. Until such time as the major problems in my life still exist, then medication looks like a dangerous option, because medication is allowing our society to develop into a grotesquely unhealthy form. Just because medication allows you to do awful things, it doen't mean you should do awful things. If it feels wrong, it probably is wrong.

A certain proportion of society will always struggle to abide by its rules, its laws and its social contract. A certain proportion of society will be criminals and parasites - anti-social. However, when the vast majority of us are struggling and unhappy, then we've made a wrong turn somewhere; we've made a mistake and we need to retrace our steps.

I refuse to be labelled and drugged.

Tags: #mentalhealth #medication

This is a story about immigration...

My journey home this evening took me from the western side of the Square Mile, along London Wall and past Moorgate, past Liverpool Street and into the East End. Suit-clad city workers scurried with their briefcases and brollies, desperate to return home to their families after a long day at the office. Overcoats were all navy blue, black and grey, in conservative styles designed not to attract attention; sensible haircuts, no piercings or visible tattoos.

The crappy vegetable market that used to be virtually derelict now houses every designer brand and label that you could possibly imagine, from Barbour jackets to pairs of jeans which cost in excess of £200 a pair. Money is no object in the very place where a friend of mine used to sell knock-off copies of Calvin Klein underwear, three pairs for a fiver.

The council flats - social housing - have all been sold off as part of Thatcher's right-to-buy scheme, and all that money has flown off to the Spanish Costas, where the weather is better and the cost of living has remained lower.

The East End boozer that I used to love because it was cheap and virtually empty except for a few local alcoholics, is now brimming with hipsters and charges more than £6 for a pint of beer. Instead of looking closed and disused the pub has had an expensive makeover and its customers are spilling onto the streets - standing room only.

The pie and liquor shop, which sells jellied eels, is now a tourist attraction and there are people queuing out of the door, because it represents the very epitome of East London, despite the fact that East London is now epitomised by overpaid hipsters who do a bit of web development in trendy offices that used to be warehouses used by the cloth trade.

Everything that the the slum-dwellers and council tenants wished to escape has now become fashionable and extremely expensive. To live in an overcrowded city that's noisy and full of crime and pollution, seems like utter insanity. Why do people pay a premium to live in Central London?

A hundred languages are spoken in London, which is double the number spoken in the next most multicultural city: New York. Within a ten minute walk of where I'm staying, I can eat food from at least 30 different countries. Away from the homogeny of the City of London, traditional dress indicates that there are ghettos where people are living very much as they would have done in the countries where their families originated - entire communities have been lifted and shifted to the centre of the UK's capital.

The Crossrail engineering project - the new Elizabeth line - will be jam-packed with commuters as soon as it opens. London cannot keep pace with the demands of its residents and workers. Infrastructure is creaking at the seams. Tube stations regularly have to be closed because of overcrowding. The roads are virtually at gridlock. The congestion charge and T-charge are doing nothing to change anybody's habits. Deliveroo and Uber vehicles compete with black cabs and red double-decker buses, and more lorries than ever must deliver a relentless amount of ready meals and pre-prepared sandwiches for busy office workers who are too tired and stressed out of their minds to be able to cook for themselves.

In a desperate struggle for space, gone is the spare bedroom. Gone is the place of your own. Gone is your own kitchen and bathroom. Airbnb makes every inch of spare space pay its way. Hostels and hotels are no longer viable business models. Everybody has to pay big bucks for barely enough space to sleep - we're all living on top of each other; piled high.

The official statistics say that London's daytime population is ten or even twelve million. The truth is that nobody really knows. Every runaway goes to London. Every asylum seeker; every economic migrant. All roads lead to London, and London is where everybody ends up - the gravity is inescapable.

I was working on a project which needed to work out how many people the company employed. The company who employed me thought they had about 700,000 people working for them, but the truth is that nobody really knew. You'd think such a thing would be easy, but it wasn't. We had to use biometric data - fingerprints and facial recognition - just to stand a chance. Turns out, there are always more people on the payroll than you thought; more hands in the till.

I work 0.3 miles from the Bank of England. You can never work more than half a mile from the Bank of England in the Square Mile, because it's pretty much in the middle. It's the feeding trough. All of us little piggies come to the feeding trough, because that's where they make the money, and we get to gorge ourselves on it until we are fat.

I keep coming back the City of London because capitalism keeps clinging onto power, and that means I need money. Where do you get money? The Bank of England and the City of London, of course - go and fill your pockets at the source of all the wealth in the country. The streets are paved with gold.

One thing I notice when I keep leaving and coming back, is that there are always more and more people. There are huge skyscrapers springing up everywhere. I try to walk from one place to another via the same route I would have taken prior to the year 2000 and I find my way is barred. The shitty old office I worked in on Bevis Marks got replaced by a tower block that was supposed to accommodate 8,000 people, but has 12,000 working in it. There's an insatiable appetite for financial services workers. I remember going home after the 9/11 attacks in 2001 and I'm pretty sure I had a seat on the tube. Things were civilised. There weren't crowds of people. What I witnessed tonight - and every night - is far more harrowing in terms of sheer numbers of people competing with each other to get home; to get away from this place.

When those two planes struck those two towers, we were convinced there were more planes headed for London. We were convinced that capitalism had had its day and that the subsequent stock market collapse had marked a changed mood - our appetite for the unrestrained free market had reached its limit. It seemed like the insanity of house price inflation and the asset bubble was going to burst. It didn't.

Now, we're living in a strange type of dystopia. German bombs are not falling on London, but there's a kind of resigned expectation that at some point terrorists are going to attack us. We go about our daily business with posters that constantly remind us to stay vigilant in the face of inevitable violence that will be perpetrated against the capital and its people. We are no longer living in Victorian Britain, but the slums are just as bad. Air pollution and overcrowding are terrible, and high stress jobs with long working hours has been proven to be a toxic health combo as bad as smoking cigarettes.

For some, there will be a pot of gold at the end of the rainbow. London still holds the possibility of fame and fortune. Dreamers from all over the world beat a path to London, to attempt to make a name for themselves and line their pockets with money. If you can cope with the sensory overload, the invasion of your personal space, the danger and the stress, then you can get a real buzz out of pounding these mean streets. Fortune favours the bold.

I had to get a tube train this evening, but the first one that arrived was too crowded for me to board. People behind me were pressed into my back and I was teetering on the edge of the platform. I asked if I could move back away from the edge, and one of the men who were shoving at my back looked at me like I'd asked if I could take a shit in his mouth. We gave each other an impassive non-aggressive stare, of course. Grudgingly, people allowed me to take half a step back from the brink of certain death. Reluctantly, I was given a few inches to spare between myself and the speeding trains and electrified rails.

This is the world we live in. If you're not living on the edge, you're taking up too much space.

Tags: #london #career #banking #capitalism

This is a story about vicious cycles...

I think I'd prefer to be an artist or an academic. Working for a living sucks. I'd prefer to be a life coach or some other kind of person who doles out unwanted advice, pretending like I'm an authority on how life should be lived. I watched charity chuggers today, seized with self-righteous purpose; in love with themselves and foolishly believing their contribution to society is valuable in the face of overwhelmingly contradictory evidence. I'm bitter and twisted; resentful. My thoughts are chaotic. Disaster looms.

The absurdity of existence torments me. I see crowds of people and I see how similar they all are - they all have the same hopes & dreams; the same neuroses and weaknesses; the same vanities and flaws. I'm continuously reminded that we're all dying and we're destined to be forgotten. Every bead of sweat and drop of blood that's spilled will mean nothing. Entropy will destroy everything that's ordered and organised and structured and regular. Soon... nothing.

I'm aware that my mind is hunting for a change of mood; seeking out some relief from the relentless boredom, monotony and unbearable stress. Could there be anything worse than sitting and waiting to die, watching the onrushing freight train from many miles away. Inevitability is the worst. It's not difficult to extrapolate.

My thoughts seem jumbled and disorganised but friends tell me I'm becoming more lucid and expressing myself better than ever before. It's strange how my perception of myself contradicts others' observation. Some are desperate to declare me insane, while others are relieved that I seem cured. If there's any cognitive dissonance, it's external to me.

Either I'm about to make a breakthrough or I'm about to have a breakdown. I can't decide which, but I hear the familiar hysterical and frenzied voices, desperate to declare me mad & bad; desperate to say "told you so". The closer I get to some difficult to reach truth, the harder those who would thwart and frustrate me will fight. I'm spurred on by those who speak to me condescendingly, patronisingly; insult my intelligence and otherwise attempt to undermine my confidence and self-esteem. The attack is relentless, but I try to patiently bide my time.

If you want to win, you can't react to the bullies; you can't give anybody the satisfaction of allowing yourself to be distracted. The closer you get to escape velocity, the more people will try to shoot you down. Many people dislike seeing anybody getting ahead in life. Many people don't want to see you succeed. How can we imagine ourselves successful, without trampling on those underneath us?

The dam is bursting and I'm almost overwhelmed by the enormity of everything I've been through and the unpleasantness of the present and immediate future. I've reached the limit of what I can take.

Yes, this is cryptic, but I don't intend it to be.

I'm venting, of course.

Tags: #bipolar

This is a story about the hands of time...

I have a breadcrumb trail of images that allow me to retrace my steps and understand where I've come from and attempt to estimate whether I'm spiralling downwards or slowly recovering. If I look through my photo library at the images and videos that I captured exactly one year ago, there are three strange videos that I recorded, which clearly indicate that I'd had a major relapse. Three days later both my kidneys had failed, my left leg had ballooned to twice its normal size due to DVT and my blood was toxic enough to kill me at any moment.

Every year for the past four, I've had a Jinxed January. It's true that depression, hypomania and addiction have reared their ugly heads year-round, but January is a particularly awful time. I cured the November wobbles by writing novels. I cured the December wobbles by cutting my toxic parents out of my life. The next problem I've got is how to solve Jinxed January.

My present strategy is to shackle myself to my desk, doing a job that I absolutely hate and is completely incompatible with my mental health. If I can survive this January without doing anything stupid and self-sabotaging, I should have the wind behind me and a downhill stretch of road to help me coast into the spring. The odds will be increasingly in my favour as the days get longer and the weather improves.

I'm emerging from the fog of addiction, intoxicating medications and copious quantities of alcohol. It was impossible for me to really comprehend how bad things had gotten, while I had so much toxic crap in my body. I'd lost all perspective and ability to perceive reality. I struggle to relate to a lot of what I've written in the last few years, because that person who was under the influence of such vast quantities of drink and drugs feels like somebody else. I can read my own words, I can see the distress and I can remember the things that were driving my thoughts and emotions at the time, but not everything in my world was entirely real and grounded in reality. I'm not seeking to distance myself from the things that my body did - including saying and writing things - but it's a little bit hard to imagine that it was me. If you want to get obsessive about blame and responsibility, then f**k you, buddy... go read somebody else's blog you tiresome bore.

Of course, I feel very bad about the way I treated - for example - my lovely girlfriend who gave me a wonderful Christmas with her family, cared for me when I was in hospital, and was extremely nonjudgemental and understanding when addiction got its hooks back in me. I didn't treat her well in the end. I regret it and I'm sorry. I did that. I'm to blame. I'm responsible.

However, in the context of unpicking everything, I can see that there are repeating patterns and things that trigger other things - cause and effect are very complicated to understand. To fully understand the likely consequences and plan ahead, like playing a thousand simultaneous games of chess against grandmasters, is a completely unreasonable and unrealistic thing to expect of me.

Searching back through my photo archives, I can see that I obtained a prescription for an antidepressant - bupropion - shortly before one relapse. I can see that I obtained another - California rocket fuel - shortly before an episode of hypomania where I broke up with the aforementioned brilliant girlfriend. In fact, whenever I seek chemical relief from depression, that's usually an indication of a desire to feel better at any costs, having suffered weeks and months of suicidal thoughts. Am I to blame for seeking relief from my intolerable feelings of depression?

Scanning through my library of images, I can see how I become obsessive over sleeping tablets and tranquillisers, as I rely upon the pills in order to cope with dreadfully stressful situations, which would send even the least-anxiety prone amongst us running screaming in the opposite direction from the source of the stress.

This time last year I was about to start work doing yet more IT consultancy for yet another bank. I was not incredibly enamoured at the prospect, but I needed the money. Circumstances conspired to force me back into an unhealthy environment.

Sadly, I'm not rich enough to do whatever I want, and I'm not even financially comfortable enough to do something tolerable - I've got to do the thing which pays the bills, and that's IT consultancy for banks, unfortunately. It's a fact of life that sometimes we have to do things we don't like very much.

So, I've avoided the antidepressants this time, because they always seem to send me loopy. I'm white-knuckling it to the end of Jinxed January, because I just need to get through this god-awful month, come hell or high water. I'm constantly reminding myself that even to dabble with so-called recreational drugs or get mixed up with girls in a big way, is likely to be destabilising. I live like a monk - work, eat, sleep, repeat.

Because of the extraordinary quantity of benzodiazepines I was abusing, I have huge holes in my memory. It feels like such a short time ago that I was hooked up to my own dedicated dialysis machine, on a high dependency ward. It feels like only yesterday that I regained consciousness with a machine breathing for me in intensive care. I managed a spectacularly terrible sum total of just 11 weeks at work in 2017, and virtually all the rest was pure insanity. I spent about 7 weeks in hospital, so with that 11 versus 7 ratio, you can see that my year was pretty messed up.

This year is brutally drug-free and medication-free. My brain screams in agony at the unbearable levels of depression and anxiety, but I've seen that to reach for any kind of substance for relief is opening the flood gates to fully-blown addiction. I'll convince myself that whatever chemical I'm using to feel better is not effective, and I need to take more, more, MORE! Before I know it, I'll be back on the supercrack.

It might seem obvious to an outside observer that my cyclical life is due to bipolar disorder, and I should rush to my psychiatrist and beg to be given mood stabilisers immediately. However, those who superficially observe me would remark that I'm very stable: I get up, shower, get dressed, have breakfast, go to my job, spend my evening watching TV and writing and get eight hours sleep. To the casual observer, I seem like the most functional and stable person who you could possibly hope to ever meet.

The reality of my existence is one of continuous battle with depression, anxiety and a craving to spectacularly self-sabotage with addiction. Getting out of bed in the morning and overcoming debilitating anxiety are comparatively easy, having built up the mental strength to overcome the urge to take one of the most addictive substances known to man. I'm not meaning to compete with those who find their lifes to be completely unliveable due to depression and anxiety, but merely to say that I've found it easier to overcome things which would have kept me bed-bound, after having been through what I've been through. Every cell of my body screams in protest at the bullshit I'm putting myself through at the moment. Every bit of my brain yells in agony at the daily punishment I suffer, but what does an extra bit of suffering matter compared with the endless comedowns and drug withdrawals I've been through?

As I look back on the last year, I realise I've been through opiate withdrawal from tramadol, codeine and dihydrocodeine; through benzodiazepine withdrawal from diazepam and alprazolam; through stimulant withdrawal from crystal meth and supercrack; through withdrawal from pregabalin and alcohol; through withdrawal from sleeping tablets like zopiclone and zolpidem. In terms of detoxes, I've had the detox from hell. In terms of quitting addictive medications, I'm a Guinness World Record holder. I really do deserve a medal.

As I look back on the last year, I realise I've been through so many health issues, housing issues, financial issues, legal issues, employment issues, relationship issues and everything else that would wreck your head and rob you of your sense of stability, comfort, contentedness and happiness. I'm surprised I'm not sleeping in a cardboard box, just to escape the clutches of a society that wants its pound of flesh at any costs. I'm exhausted by the constant stress of it all.

If I make it through Jinxed January, I have little to look forward to. There's nothing jump for joy about. Anybody who tells you you'll feel better if you quit the booze and the drugs and the pills is a fucking idiot. Anybody who tells you that you'll have improved self-esteem and all the other good stuff, if you get yourself off the streets and into a job, is a fucking idiot. I'm an extremely rare example of a judge, policeman and a social worker's wet dream - a bankrupt homeless mentally ill junkie who's got themselves scrubbed down and gone back to civilised society, but I've got to tell you in no uncertain terms that it's awful and I hate it. My life is a living hell.

Perhaps this is the ultimate comedown. Perhaps all the chickens are eventually coming home to roost. Perhaps this is the payback, given that I somehow miraculously avoided prison, a criminal record, bankruptcy and permanent health damage. Perhaps I'm finally paying the price for all that partying.

But, I haven't been partying. It's not like I haven't paid the price every time I fucked up. It's not like I haven't tried hard to do the all the right things and contribute to society. It's not like I've robbed, and manipulated and been a parasite on society. I've already paid for my transgressions. Where's the reward for getting myself sorted out? Why did I bother?

As I look back, I have rose-tinted glasses. As I look forward, I see the world through a blue filter. The past wasn't so bad and the future looks bleak. Perhaps this is the final stage of recovery from addiction, when my memory of the horrors of the past is becoming faded and I fondly reminisce about the few moments that were OK in all that insanity. It was certainly an easier life, to be on a rocket-ride to hell.

I try to look back and remind myself just how bad things were, but I find myself smiling and laughing in a way that I just don't when I think about the eight hours I spent going through hell at my desk today. In my mind, I perceive the present unpleasantness as far greater than anything else I've been through in the last year. That's strange, isn't it? To have suffered multiple organ failure, loss of my home, loss of my job, a suicide attempt, incarceration, getting sectioned, psych wards, addiction, loss of my girlfriend and all the other atrocious things that I went through in the last year, and the very worst thing is my current working arrangements.

Obviously, I think that my perceptions must be warped by my state of semi-recovery from addiction and other mental health problems, but I don't think it explains everything. There is something awful about being all alone in an AirBnb, working a job I hate because it's boring, easy and doesn't bring me into contact with a single soul... it's so lonely and isolating.

I'm churning words out into the ether, because I'm in such discomfort and I'm so afraid.

It's strange that I'm not afraid of ending up back in hospital, isn't it?

Tags: #addiction #recovery #mentalhealth #depression #bipolar #medication #career

This is a story about lethal combinations...

Those who are familiar with the more extreme end of Grindr casual sex shenanigans will know that there's an unholy trinity of club drugs - crystal meth, GBL/GHB and viagra - which provide the sexual stamina for outrageously debaucherous f**kfests. To arrange drug-fuelled sex parties via the Grindr app is shockingly quick and easy. Under the influence of these drugs, one's sexual appetites are rarely satiated.

My own unholy trinity is far more prosaic - sleeping pills, tranquillisers and alcohol.

I never intended on becoming hooked on 'downers' and indeed I was very well aware of the physically addictive nature of the benzodiazepines. There is absolutely nothing that appeals to me about being intoxicated on CNS depressants. I do not enjoy feeling under the influence of the GABA agonists. For me, it was all about wanting the absence of something: the absence of panic attacks where I felt like I was going to die; the absence of interminable insomnia; the absence of the skin-crawling feeling of anxiety; an escape from a life that was unbearably awful.

Alcohol was a taste I had to acquire. Getting drunk was a necessary part of getting laid - Dutch courage. Booze was ubiquitous at work and it was necessary to be a drinker to get ahead in my career. I would have been a suspicious outsider if I'd been sober during the many drunken lunches, after-work beers and meals where wine flowed liberally. Alcohol lubricates the world of investment banking and I fully embraced the culture.

Valium crept into my life as I searched for something to help me manage the undesirable side effects of stimulant abuse. I thought I could swallow a couple of pills and sleep off the worst of my addiction without any consequences. I knew that I was playing with fire - to use one addictive drug to combat the effects of another - but that's the kind of addict logic that I applied at the time. I knew that if I abused benzodiazepines for more than a few months, I'd end up with a physical dependency that would cause me to have seizures if I abruptly stopped taking the pills. I did what I felt I had to do.

Sleeping pills never held any appeal. If there's one thing I'm really good at, it's sleeping. I quickly figured out that the best way to escape an oppressive and unpleasant world is to be unconscious. I can put myself into a zoned-out trancelike state and sit quietly for hours. I can spend all day dozing in bed, even after 12 hours of restful sleep. I'm a master of sleep. Why would I dabble with sleeping pills?

Some of the benzodiazepines have a very long half-life. If you take benzos - like Valium - for a long time, they never really leave your bloodstream. If you're addicted to Valium, you're just topping up when you take the pills. Strangely, it's possible to have insomnia when you're on tranquillisers - you just lie there awake, not caring at all that you're not asleep. It's restful, but it's not refreshing, if you know what I mean?

During one of the most difficult periods of my addiction to a powerful stimulant - a drug that sends me completely psychotically insane - I could hear helicopters hovering over my apartment. All the traffic on the road had stopped - I couldn't hear any motorbikes, cars, lorries, buses or trucks. Then, I heard a lot of yelling. To my paranoid drug-addled and sleep-deprived mind, this was the thing I'd been dreading: the police and the army were coming to get me and drag me in front of a crowd of people, to shame and ridicule me. The 'enemy' were coming to get me. Then, I heard a commentator announce that the first runners of the London Marathon were about to come past my apartment block. Of course! It was the marathon, the route of which travels right past where I was living.

I was still fairly traumatised by the whole marathon thing, even though I quite quickly figured out that the helicopter wasn't there to deliver a SWAT team clad in black uniforms in through my bedroom windows. I turned to diazepam to soothe my jangled nerves. I swallowed about 20 high-strength 10mg blue tablets. That's a HELL of a lot of diazepam. It didn't touch the sides. What I really wanted was to be unconscious. Sometimes, being tranquillised up to the eyeballs just isn't enough.

Zopiclone and zolpidem entered my life as medications to allow me to have a seemingly normal sleep/wake cycle. When I was abusing a powerful stimulant, it would not be uncommon for me to spend four or five nights without sleeping at all. The most nights I ever went without sleep was about ten, which sent me completely barmy, of course. As you reach the outer extremities of an impossibly bad stimulant addiction, strangely you yearn to have a normal appetite and normal sleep. The tranquillisers helped me to stay on top of stimulant psychosis, but I needed sleeping pills otherwise I was just going to die from a low immune system, or otherwise go completely and permanently insane.

I can't stress enough how important sleep is. Without regular refreshing sleep, nothing else is going to fall into place. There's no hope of improvement and recovery without sleep.

The sleeping pills - such as zopiclone and zolpidem - don't actually give you normal sleep. Sometimes you can 'wake up' and feel a little bit like you've been asleep, but you haven't been - you've been drugged. Your body and your brain kind of knows the difference between sleep and unconsciousness. When you suddenly jerk awake and you say "what! where am I?" then that's usually an indication that you've been drugged, rather than sleeping.

I used sleeping pills for most of 2017. I almost don't know how to sleep without them. When you get habituated into using sleeping pills, you can get very anxious about trying to sleep without them. The anxiety around getting enough sleep builds and builds. You spend horrible days at work where you're trying to keep your eyes open, and then horrible nights awake because you desperately want to get enough sleep to catch up, but you can never get enough. Bedtime becomes super charged with nervous energy and you have an incredible longing for a night of refreshing sleep. The more you want sleep, the harder it is to get it. Sleeping pills are addictive, because they take away that anxiety and deliver some kind of dependable nightly rest, even if it's not very refreshing.

I abused my little toxic trio of chemicals because they gave me back my life. My life used to revolve around the highly potent and addictive stimulant drug which I had unfortunately become incurably hooked on. My life was going to hell in a hand cart. I was on collision course with permanent psychosis. I was definitely going to end up locked up in a mental institution for the rest of my days. To fight fire with fire was madness, but it worked. Although it was very dangerous and I nearly died as a result of poly-substance abuse, somehow I popped out the other side intact.

I didn't drink alcohol since last Saturday. Once I start drinking, I don't seem to be able stop when I want to. I don't seem to be able to drink in moderation. When I get the taste of beer or wine, I glug it down and I don't stop until I think "oh dear, I've had too much to drink". Because of all the occasions when I've thought "I wish I hadn't drunk so much" recently, I've decided that not drinking is the safest course of action.

I've been taking sleeping pills all week. I need some sort of crutch dagnammit! How am I supposed to cope in such unfavourable conditions without something to help make life a little more manageable. To lose sleep would be bound to push me back towards strange strung-out thinking, and make me liable to say or do something stupid.

One week from today I will see a psychiatrist. It's been 8 weeks or so since I last saw a psychiatrist. I haven't been taking any medication - except for the aforementioned sleeping pills - and I'm wondering if I should cut my pills down to absolute zero. It would be really wonderful to say that I'm not a drinker, not a smoker, I don't have tea, coffee, cola or energy drinks, and I don't take ANY medication at all. It's so rare that a psychiatrist would encounter somebody who's completely free from ALL psychoactive substances. I think I would really love it, to have the psychiatrist ask me "so, how do you feel?" and be able to answer, knowing that it's me and only me, and not some version that's twisted by caffeine, nicotine, drink, drugs and medications. How precious would that be, to be my real authentic unadulterated self?

To get to this point where I might be able to be completely free from all mind-altering substances has been an almost impossibly unbearably awful experience that's put my life at great danger, as well as my livelihood. Why the hell would I put myself through so much suffering? Why wouldn't I go a little more easy on myself?

What I find with substances is that they're insidious. Every time you say "one cigarette won't hurt" or "one glass of wine will be OK" you could be setting off down a road that leads to a whole bottle of wine, two bottles of wine, a bottle of vodka. I'm never going to be some boring teetotaller, but at the moment my life is so unbearable that I'll keep pouring myself glass after glass of booze until the pain and the anxiety is blocked out and I'm blacked out.

My nightly sleeping pill habit is comparatively healthy. I don't increase the dose. The dose is measured. There aren't any fattening calories in a sleeping tablet. Sleeping tablets don't give me awful hangovers. There could be much worse things to be hooked on. However, wouldn't it be awesome to look the psychiatrist straight in the eye and say "I haven't taken a single mind-altering substance for a week now".

This week has been awful without my little chemical helpers, but maybe next week will be better, and the week after will be even better still. Wouldn't it be awesome if I break free from chemical dependencies?

Of course, I will have to admit that I had unbearable anxiety and suffered suicidal thoughts that very nearly killed me. I will have to admit that it would have been sensible to take the sertraline (Zoloft in the USA or Lustral in the UK) instead of trying to tough it out without, and abusing things which I really shouldn't have done. It's true that I could have developed a sertraline habit by now - the withdrawal syndrome is pretty awful, so I'd be trapped onto yet another addictive medication. Yes, it would have helped me to get through some super stressful awfulness, but I'm going to end up like the old lady who swallowed the spider to catch the fly etc. etc.

My friend who's a doctor is incredibly frustrated that "Nick knows best" as usual. They're mad as hell that I'm doing my own thing; marching to my own beat. It seems patently absurd to reject a medication that could be a tiny bit better than placebo, in as little as 8 weeks. So, why is it that I feel a little bit better today? Seems rather coincidental, doesn't it?

My week at work was awful. In fact, I was too unwell to work for 3 out of 5 days. My week was almost unbearable. In the interests of being fair and honest, I must admit that this last week has made me question my stubborn decision. I've wondered whether I made a mistake. Then, I remember that I'm closer than I've ever been to proving my point: that I can be stable, contented and happy without pills. I plan on rejecting all my diagnoses at some point. I plan on declaring myself sane. I plan on being 'normal'.

How does somebody become normal if the paternalistic guardian class can always say "that's only because you're on the right medication"? When it says "medication takes 6 to 8 weeks to become effective" what would happen if you didn't take the damn pills? That's what I'm finding out. It was super telling to me that people were so quick to say "told you so" when the game wasn't even finished - the results aren't in yet.

It's been awful, but I'm winning. Bi-winning.

Tags: #depression #medication #mentalhealth #addiction

This is a story about quick fixes...

January is traditionally jinxed for me. I haven't had a problem-free January for many years. I seem to be stuck in a never-ending cycle of recovery and disaster. So far, this January has not been a complete disaster but we're only just over halfway through.

The thing that's causing me most distress at the moment is my job. I'm very lonely and isolated. I don't have anybody to talk to or any real reason to interact with anybody in the company. I've got my list of deliverables and I just have to sit down and churn out the results - easy, huh?

I really don't think my job is my problem. Although my job doesn't give me much of what I need except for money, it's not a bad job. My job is not aligned with my values or my personality and it provides no distraction from my crisis, but it's an OK job. My job doesn't motivate me to get up and go to work, but whose does? When I've thought that my job is causing me problems in the past, I quit, only to find that I didn't realise how good I had it until after I left.

I think the problem lies elsewhere.

I'm certainly unfulfilled at the moment. I have very little scope to influence my day, my week, my month or my year - it all looks like a solid unrewarding slog to get nowhere. All I'm doing is my easy job that I can do with my eyes closed, in order to get money to pay off debts. That's hardly a reason to jump for joy, is it?

So, is it that my expectations are unrealistic? We can't all be bouncy castle testers or cake tasters. We can't all be puppy dog strokers and lifestyle bloggers. Somebody's got to scrub the toilets and empty the bins.

2017 might have been unhealthy but it was certainly action-packed. There are no surprises in my day-to-day existence. If this year is going to be considered healthy and productive then I need to turn down the dial from 11 to somewhere around 3 or 4. Last year was off the charts insane. However, how am I supposed to find any motivation when 2018 is going to be one of the dullest on record? I thrive on adrenalin.

I thought about the two things that would get me out of bed today. The first was the complete self-sabotage of my life with a drug binge that would be likely to kill me and destroy everything I hold dear. The second was the purchase of a deadly poison with the intention of killing myself. They're pretty much the same thing, aren't they?

I've been signalling my suicidal intent for a long time now. I've written this blog since 2015. I've been sending up distress flares. I've been sounding the alarm. I've been yelling at the top of my lungs. What the hell am I playing at? Why don't I crack on and do it already?

When I made my most serious suicide attempt I was probably at my most unstable. I was taking a potent mix of benzodiazepines and sleeping pills in combination with copious amounts of alcohol and prescription painkillers. I had destabilised myself with sleep deprivation, recreational drugs and a toxic relationship, living in a city I'd never been to before, with no friends or family nearby, and working an incredibly stressful high-pressure job. I'd just escaped from certain homelessness, bankruptcy and being sued into oblivion by my landlord and creditors. It was an unstable time.

Now, I'm possibly at my most stable. I have the support of friends. I don't have the pressure of high monthly rent and bills. I have a job. I've quit all the medications and drugs, and cut my drinking right down. It's been months since I did something utterly insane.

So, why do I keep having suicidal thoughts? Why am I so depressed that I can't go to work?

I definitely feel very trapped. I'm trapped into making the smart choice, which is to travel hours away from my home to stay in depressingly shit AirBnBs in crap parts of London, and go to a job that pays fabulously well but is incredibly stressful and isolating. It's heaps of pressure on me with not a lot of excitement. I know exactly what I need to do and how I'm going to do it, but I know that it's going to bring unbearable levels of anxiety. I'm just counting down the hours, minutes and seconds until I'm free.

I feel like I'm holding my breath. I feel like my lungs are burning and my eyes are bulging and my throat is gulping, but I can't suck air into my lungs. I know that it makes sense, rationally, to hold my breath like this, but life must go on even though my situation is thoroughly incompatible with my mental health.

I'd love to quit my job and think about what's next, but I know I'll regret it. I know that my life is in danger by putting myself in such a horrible situation, but I know that the longer that I do it, the more glad I will be in future. Pain now for future gain. Pay now, benefit later.

So I vent: I whine and I whinge and I complain. I try to get out all the negative stuff that's threatening to sink me. If I sound bitter and cynical and hate-filled, it's because I'm trying to dump out all the emotions that could destroy me. It isn't working though.

I've had three days off work and I feel incredibly guilty. What the hell am I doing turning down well-paid work? What the hell am I doing bunking off?

What the hell am I doing putting myself in a situation that's exacerbating my suicidal thoughts to dangerous levels?

It seems patently obvious that I should go back home, to where I have the love and support of my friends and I plan to make a long-term life for myself. It seems absurd to put myself through so much suffering. It's plain to see that I need to find some work that's compatible with a liveable life, doesn't it?

I'm aware, however, that the combination of the stress of a new job and Christmas, combined with the depression and superstition that Jinxed January always brings, would drive me to suicidal depths. Everything looks awful when you're at the bottom of a very deep hole. I could so easily throw away a perfectly decent opportunity, just because I'm so sick that I want to curl up in a ball and die. I really don't think the job's the problem - it's my mental health, although the two are somewhat related.

Yes, I'd love to retrain as a juggler or an ice sculpter, but that'll bring a whole raft of other problems. Better to concentrate on problems I know I can solve.

I remain resolutely committed to my chosen path. When you're going through hell, keep going etc. etc.

Tags: #depression #suicide