This is a story about the odd one out...

How's your Christmas shopping going? How was your office Christmas party? Have you bought all the food you need for Christmas dinner? Have you put up the Christmas tree and decorated it? Have you wrapped all your Christmas presents? Are you looking forward to seeing friends and family, and having a nice get-together? Are your kids really excited about Santa coming down the chimney in a few days time?

Poor me. Poor me. Pour me another drink.

I'm in a totally different mindset - job hunting and fretting about cashflow - and I'll keep working right up until the enforced 4-day break. I wish I could get into the festive spirit, but it's not part of my personality to take a break from something until I reach my goal: I'm a completer-finisher.

I'm not a Scrooge and I like that London's streets are quieter (except for the shopping precincts, of course) and people are in a more jolly mood. I see men and women in their business outfits, wearing Santa Claus hats. I see pissed up people swaying merrily in the streets, staggering home after a fun night out with friends and work colleagues.

What are you going to do? Turn on your out-of-office email responder and switch off your work phone, I expect. No work is getting done and everything can wait for 2017, can't it? It's the festive season. It's holiday time.

The strange thing is that I can relate but I'm a few years out of practice. Christmas has literally fucked me up for several years. When you're on the limit of the stress you can handle, the very last thing you want is the extra stress of having to worry about Auntie Sue's banana allergy and whether your nephew likes books or socks. Travelling to see people who refuse to leave the comfort of their own homes. Putting up with the shit you normally keep at bay by living far enough away from your family that you can ignore their calls when you're not in the mood.

There's also the enforced holiday.

You'll be enjoying your holiday, because you've got secure income. For me, not working means not getting paid. Boo hoo, right? Yes, it's my choice to be a contractor and not have some shit-paid permie job. Yes it was my choice to write a novel instead of looking for work in November. I'm not complaining: I'm just marching to a different beat from you.

My routine is structured around quarterly dividends, VAT returns, corporation tax, self-assessment and the turbulent market for financial services IT contractors, and of course my own unstable mental health and propensity for self-sabotage. Also: crazy projects.

Most people's lives are structured much the same as a fruit fly's: eat, fuck and sleep... producing yet more clones of yourself in order to swarm all over the fucking place like a plague. Merry Christmas, you happy consumers. May the shopkeeper's festival be forever the highlight of your year. Bah! Humbug!

Those of an insecure nature will probably read that last part and think "what do you know about being a parent? It's really hard but it's really awesome too" or some variation thereof.

Point being: you fell in love (or at least lust) and some baby-batter, love snot or man yoghurt was involved in the insemination of an unprotected womb... millions of years of human evolution did the business and your DNA won the day. You were successfully tricked into doing the evil deeds of your selfish genes, and you replicated those dastardly protein chains. Did you know that there's a specific type of spider, that gets stung by a specific type of wasp, driving it mad, so it spins a web cocoon for the wasp and then sacrifices itself as a tasty snack when it's done. Basically, that's the same thing.

"But Christmas!"

Yes. More than anything I want to give some puppies to my cute young children for Christmas. Somebody I know on Facebook has given his kids a couple of kittens. I've never met his family, but it makes me smile, thinking about them all playing with the kittens. I'm not a fucking monster. I do get this stuff, OK? I'd love to be sowing my wild oats all over the place and fathering a litter of little snot-faced shits. I'd love to adopt a bunch of animals and live in happy squalor. Nothing would make me happier than being a totally useless father who provides absolutely nothing except for a tiny bit of DNA, a string of broken homes, disappointed children with no male role model and a bunch of struggling mothers with fannies all ripped to bits from childbirth.

Seriously, I'm at the point now <condescending> where I don't see anybody else acting responsibly </condescending> so I might as well say fuck it and start a family without giving two fucks for the consequences. I know it'll be good for me so fuck the welfare of the children who didn't ask to be born. Fuck the happiness of the poor wretches who have a bloated belly, bad back, squashed internal organs, incontinence and then 36 hours of agony as an alien tears their groin to shreds and wrecks their sex life forevermore.

Women seem to divide into four camps: those who don't want kids, those who want kids, those who have an unplanned pregnancy and those who get talked into motherhood by the father. Men are in one camp: love their kids, but they're so fucking noisy and annoying and life was so much simpler and fun before the kids and for God's sake woman come and get your son because he won't stop screaming and our daughter's hanging out with the wrong crowd and I'm going to beat up all her boyfriends until she's 30 and I can let her out of the tower where we keep her safe and ah fuck I'm going to work and then out for beers with the boys and I'll be back late smelling of alcohol and looking for a drunken fuck at 3am.

Anyway, as you can tell, I think I'm oh-so smart don't I? I'm better than you and I've got everything all figured out. I'm an insufferable know-it-all.

Actually.

I'm jealous of all you lot who had childhood sweethearts and had your kids when you were young and you've now got wonderful families of your own and you're going to have a fabulous family Christmas with your spawn. I hope you got them kittens and puppies. I hope your Christmas is filled with lots of hugs and smiles. I really do. I do get it... maybe a little bit, don't I?

Maybe I'm just a monster.

Tags: #christmas

This is a story about unhappy endings...

When things come to an end, it's hard to re-adjust. Our lives have almost perfect continuity: we segue from school to university to job to job to job... and then we die.

My life's been a bit different.

The conventional wisdom is that any gaps on your CV show that you're lacking moral fibre. You're flawed. You're a failure. You're malingering. You're going to be hauled in front of the authorities and be asked to give a good explanation for why you didn't shackle yourself to your desk, in some dead-end career that barely pays the bills.

Is it fear or is it poverty that keeps people working full-time, when really it would be a lot better if we could stop and smell the roses? Why is nearly every job a 5-day a week full time one, with at least 7 hours a day doing some dull pointless shit, keeping a chair warm? Surely we could get all the actual work done in 4 hours and then take the rest of the week off?

I decided to take the whole of November off so that I could write my first novel.

Now, I'm hunting for a new role in December. It's hard to find work in December: everybody is in holiday mode. No work is getting done. People are thinking about seeing their families, drinking too much and eating luxurious festive food.

My last contract finished prematurely when the commercial terms of the project failed to be agreed between consultancy and client. Everybody got the boot. I needed that money to get myself back on a good financial footing. My flatmate had to be kicked out because he was thousands of pounds in debt to me and showing no intention of getting a job.

Then I finished my novel.

I loved inhabiting that fictional world. I loved that people were reading and would ask me where the next chapter was, if I didn't publish one every day. I loved doing something creative. I loved having a goal; a project. I was master of my own destiny, and I achieved what I set out to do. I proved that I can set my mind to a task and be disciplined enough to keep working until it was done.

Now, I have absolutely no control of my destiny.

I fire my CV off into the ether, and I have no idea whether the right people are getting to look at it. Agents might filter it. HR people might filter it. Project managers might filter it. Until my CV gets in front of somebody technical, they have no idea what they're looking at. It's literally an exercise in writing the right things to get through the dumbasses that stand in between you and the person who's qualified to make a decision.

I'm not happy when I don't have a project; a mission; a goal; a target.

I'm a completer-finisher and it will be painful for me to have to down tools and spend the Xmas break impotently waiting for the working world to start up again in the New Year. I want ink dried on a contract. I want to work. I guess it's my fault for spending November writing a novel though, rather than speaking to agents and doing interviews.

My life goes like this: morning speaking to a procession of agents who phone me up asking if they can put my CV forward to their clients. Afternoon speaking to agents about roles that I've already been put forward for... trying to get some feedback and see if the roles are still actively hiring. Evening spent sending my CV out for every contract that looks any good. I also have phone and face-to-face interviews. I can't keep track of everything. It's disruptive, having to wait by the phone and speak to agents and interviewers. I'm glad I'm not trying to write my novel while I'm doing this. I hate being interrupted when creativity is in full flow.

The other thing I miss though, is the time and the space set aside for writing. Friends were excited that I was writing a novel and they would ask "do you need to write your chapter today?"

People were helpful, making sure I had space to be a novelist, even if it was just for a month. It was fun, to call myself a writer.

Sometimes surprising things can pay the bills. If I can edit my novel in January, I might be able to circulate it with some literary agents and see if it has any commercial potential. I can't see why my debut novel would be up to the required standard of a publisher, but it's worth a punt. I can always Kindle it as a plan B. It's just nice knowing that I did that: knowing that I have another achievement to be proud of. How many people can say they've written a novel in their lifetime? It's way cooler than saying that I've written computer games or business critical software. It's way cooler than saying I'm blogging. Everybody blogs, don't they?

My identity is bound up in whatever I'm doing. I had purpose when I was a writer. I had purpose when I was a scrum master, or a developer or whatever. Now, I'm nothing. Just another unemployed loser. Just another guy stuck at home on the sofa, circulating his CV hopelessly.

Overcome with depression and frustration, I snipe at the whole bullshit system and flirt with disaster by linking my professional identity and my nom de guerre. I don't like pseudonyms and I don't like living a double-life. I'm not a keyboard warrior. I'm not a troll. I feel happier - after some initial trepidation - having as much of a unified identity as possible. Even an old colleague at HSBC - who I haven't seen for 12 years - somehow knew that I was briefly an electrician. What the actual fuck? I knew gossip travels faster than light, but that's ridiculous.

Is it that we are all applauding our colleagues who are brave enough to say "fuck the system" and go off and chase crazy dreams? We want to live a more exciting life - vicariously - through the people who quit the rat race. I'm that nutter who did iPhone apps, dot com tech startups, retrained as an electrician, was a whistleblower, became a novelist. People in offices with good 9 to 5 jobs just don't do anything that exciting or cool.

But, the reality is a lot more grim.

It's tough at the top. Being your own boss sucks. Dealing directly with customers sucks. Doing the right thing sucks. Being the odd one out sucks.

Alright, it doesn't suck, but the stress and the loneliness outweigh the financial rewards. Life is a constant battle when you're trying to do something different. Everybody's got 99 reasons why you're going to fail, why you should give up and why what you're doing is wrong and shit and useless and pointless. People goad you into trying, but then they secretly think "I'm glad I didn't try that myself" when things go wrong. I am glad I tried though. I am glad I've got those experiences, even if I'm left a little fucked up by it all.

So now, I've got this collection of awesome experiences. I've proven to myself that I can achieve awesome things. Problem is, it doesn't fit the mould. I haven't approached things from the usual angles. I've turned my hand to things that I thought I could do, and I did them. I succeeded, but nobody gives a shit. Nobody's ever going to ask me in an interview "how many profitable businesses have you founded?" or "how many books and computer games have you written?".

What now? What next?

When you do something different in society, you get a taste of freedom. You realise that things can be done. You realise you are capable. But... it will ruin you forever. The system doesn't want you back, because you're an independent thinker and you trust your own abilities. You don't need to prove yourself to anybody. You answer back. You're a dangerous inspiration to the drones in the hive: what if other people start questioning whether the 9 to 5 bullshit they do for five days a week is how they want to spend the best years of their life.

What's my plan? Milk the system for some more easy money and then go write more books. Buy a yacht and sail away. So crazy. So romantic. So unrealistic. But, what's the alternative?

Wage slavery and waiting for a retirement you'll never get to enjoy because you'll probably drop dead from stress before you get to spend that stockpiled lucre.

Tags: #career #writing

This is a story about being well presented...

It was gone two o'clock in the afternoon and I was woken up by my phone ringing.

"You've forgotten haven't you?"

It transpired I had an interview in the tower of broken dreams for a contract with Megabank Plc. I was late and I had to get from Camden to Canary Wharf. A journey that would take at least 40 minutes.

"Get going and I'll make an excuse for you."

There was no way I was going to be able to get showered, put on my suit and get across London in an acceptable amount of time. There's only so long that a recruitment agent can stall for. There's late and there's ridiculously late. I went back to sleep.

The phone rang again.

"OK, they're going to wait for you. Are you on your way?"

I lied, saying that I was. I collapsed back on my bunk. How had I managed to keep my suit pristine? How had I managed to have a neat line pressed into my trousers? How had I managed to keep a shirt freshly laundered and uncreased? How had I managed to keep a pair of leather shoes so shiny? My interview outfit was hanging on the bunk bed in the hostel dormitory, ready to go. Reluctantly, I hauled myself off to the communal shower, shared with 13 other people. It was the middle of the day, so at least I didn't have to wait.

How long have I been doing this for?

Surviving by the skin of my teeth.

When you get ejected from the system, it doesn't know how to cope with you. There are valves, barriers, gatekeepers. It's a one way street. You can fall from grace, but there's no way back. Entrepreneurs brag about their bankruptcies. Startup founders brag about the mistakes they made. The world of career, reputation, CVs, references, credit checks, proof of address and security clearance doesn't have any way of coping with somebody who's going through hell. You're doomed to slide all the way down the greasy pole to the bottom, and stay there.

You literally have no idea how hard it is to get yourself off the streets and back into the system.

I've papered over the cracks pretty well. It's remarkable how beneficial it is having a place to live, but it still takes a huge amount of time to restabilise. You might take it for granted that you've got all your Direct Debits set up, your stuff all in one place and unpacked, and your life running fairly smoothly, but my life was smeared all over London's streets. I moved around so many times. So many things were lost or damaged.

Just renting an apartment was exhausting and destabilising. Living out of a suitcase and working on an incredibly stressful project, I was skating on thin ice. The added stress of the London rental market and dealing with a letting agent tipped me over the edge. I had a place to call home, but it cost me my health and my job.

Anyway, this isn't a sob story.

The point is, that when I pulled my overcoat out of the wardrobe for an interview, I could see very visually just how worn down I am: I'm in need of replacement parts. There are scars and war-wounds. The evidence of a very shit few years is still there, if anybody examines my life with any close scrutiny.

I'm wondering, just how obvious is it that I'm out of place? I'm not supposed to come back from the dead. People who've gone through what I've been through are not supposed to dust themselves down and resume their careers.

My suit -- that I proudly wore on Demo Day at the end of the Springboard technology accelerator program in Cambridge -- is now so threadbare that the dry cleaner told me they couldn't wash it more than a couple more times. I need a new pair of black shoes. I need a new overcoat. I need some new shirts.

I'm banking on the fact that scruffy engineers usually have their mind on the job rather than their appearance. I'm banking on my skills and experience carrying the day. I'm banking on people not looking too closely, and seeing that I'm looking a little worn out.

My fatigued business attire is a metaphor for me: past it; has-been; burnt out wreck; failure; loser.

Obviously, I don't believe that. It's nothing that a shopping trip couldn't solve, but if I'm doomed to failure, splashing cash on fancy clothes and shoes would be a waste of money. I can't quite bring myself to have the double-whammy of having the office doors slammed in my face, and having to look at a lovely new suit and overcoat gathering dust in the wardrobe.

I managed to get a good contract earlier in the year, despite my shitty business attire. I considered covering up the semicolon tattoo behind my ear with a sticking plaster, but I risked it. Nobody ever commented on my tattoo for that whole project. Perhaps we only see what we want to see. The superficiality making smalltalk and pretending to get along with our work colleagues: we barely take in what we're seeing.

Why on earth would anybody suspect that I have some secrets? Why would they think I have a dark past? What reason would they have to believe that the man in a suit and a 19+ year career in IT might have had a troubled period?

"So, tell me about mental illness, divorce, drug addiction, homelessness, near-bankruptcy, the loss or destruction of nearly everything you own and the other shit that doesn't seem to have made it onto your CV."

That just hasn't come up... yet.

Tags: #career

This is a story about the box...

Why did you come here? What were you hoping to discover? How are you going to categorise me, sift me, sort me, pigeon-hole and label me? Do you want to grade me, score me, rank me?

You want to know my date of birth, but you don't ask me what time zone I was born in. I was born pretty close to midnight, so does that mean I'm lying about my age when I apply for jobs in Australia and New Zealand?

Where do I write down the shit I've been dealing with on my CV? Where do I apply for bonus points because I've managed to keep working through all kinds of adversity? How do I make you understand that I will make your organisation better, because I don't fit the mould? It's precisely because I've done things that don't qualify as a 'job' - like running my own business - that gives me the experience to get shit done.

What do you want me to write when you ask me for my address history? Should I put "no fixed abode" or "homeless"?

Your credit checks are going to show that I have a great credit score. I've got a huge overdraft agreement and credit cards with really high limits. Will your credit check show that I used borrowing facilities to narrowly avoid bankruptcy, when I was too sick to work? Am I a good credit risk because I've managed my cashflow so effectively, or am I a bad credit risk because I'd be fucked if I couldn't get a job?

Where do I answer the question you really want to know?

"Do you drink?"

What's the correct answer? You want somebody who drinks. You want boozy social nights out occasionally. You want somebody who can work hard and play hard. I guess you're implicitly asking if I can handle my beer. You want somebody who can get drunk, but won't be swigging vodka at their desk. That's me, but where do I write that on my CV? Also, you should probably know - if we're being completely honest - that I drink to cope with the stress of being unemployed, homeless, destitute, doomed... does that make me an alcoholic, or just somebody with a very unhealthy coping mechanism?

"What about those gaps on your CV?"

What about the gap on your CV where you don't have any of the skills and experience that I do? That's why you're hiring me you dumbass: because you have a gap that you need filling and I'm the guy with the smarts to fill it.

Where do I write about my ethical stance on the use of public money? Do you know what the "P" in "PLC" even stands for? Do you know about the Sarbanes-Oxley act? Are you hiring people to help you bury the bodies, or do you really stand by the bollocks in the mission statement of the corporation you're employed by? Doing the right thing doesn't make you a lot of friends, but at least I can sleep at night.

 "I'm just going to hire somebody I can wrap my head around."

Yes, that's right. B players hire C players. Only A players hire A players. Horribly arrogant, conceited, but that's what we encourage in our bullshit pyramid scheme. There are limited slots at the top, so we all have to trample and shit on each other to bag a decent job.

So you're doing some due diligence are you? Well, it would take quite a lot of effort to fake 20 years of full time employment and the technical expertise that's been gathered in two decades. You could read this whole blog, as I'm sure it has all the gory detail you want. There's only 600,000 words, so it shouldn't take you long. I'm sorry, did you say you were looking for an IT contractor or you were interested in studying my entire life history?

Do you feel like you're being mocked?

Yes, that's right. I'm mocking you.

I'm fucked off and stressed out with jumping through stupid hoops. School. College. University. Aptitude tests. Personality tests. Technical tests. I've been measured and not found wanting. Did you actually read my CV? Why did I even bother writing it? Why do I even bother doing anything, like being a fucking expert in my fucking field and doing a good fucking job at it?

Do you want your company to be some fucking dinosaur? Extinct. That's right. Only an idiot does the same thing over and over again, expecting different results. You pay peanuts, you get monkeys. You hire the dullest box-ticking twats and you wonder why you're not competitive versus startups. Just saying that you're switching to a "lean" business model is bullshit if your entire organisation is 100% dead wood losers like you.

You can only rest on your "too big to fail" laurels for so long. The challengers won't be the challengers forever. You'll be undercut and usurped. Time to start hiring some talent. Time to start listening to the experts. You don't know the right answers because you don't even realise how dumb the questions you're asking are. If the question is dumb and there's only one answer box, where do I write "this test is utter bullshit that will tell you nothing about whether I'm a good candidate, except that if I answered your question, that would make me a dumbass like you."

Where do I write about how I'm not like you and that's a good thing?

Is this concept whizzing over your thick skull?

"Fit in or fuck off."

Yes. You see. You don't get it. The challengers come in and they take away your position of dominance because they embrace the misfits, the odd ones out. What's the world's biggest company and who said that? Bzzzt! Wrong answer. Time's up. Your turn is over and now it's time for talent to trump everything.

What have you found out about me? Did you get your tick in your box?

Does. Not. Compute.

Tags: #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

18. Psychosis, Madness, Insanity and Lunacy

"How did it go at the hospital?" Lara asked.

"Dr Asref has written me a prescription for two medications and he's made the referral to the crisis team" Neil replied.

It was the third time he'd visited the small community hospital as an outpatient and the second time he'd met the psychiatrist. Lara had never even heard of the hospital, even though it wasn't far from their home. The hospital mainly dealt with mental health patients.

The first appointment Neil had as an outpatient was for an assessment with a mental health nurse, 8 weeks after his doctor had made the referral to psychiatric services. He'd spoken to the nurse for about 90 minutes, while a trainee listened in and furiously scribbled notes. The nurse was kind and easy to talk to. He seemed to know exactly what kinds of things Neil was going through and was able to second guess what Neil was about to say, which made Neil relaxed and chatty for the first time in months.

The second appointment was with the consultant psychiatrist. He was not particularly conversational and seemed to be almost rambling to himself about various diagnoses and treatment regimens. He had presented Neil with a stack of photocopies of information on various medications and the consultation was suddenly over. Neil was confused and a little cut adrift. Asking what happened next, he was told to wait for another appointment where he could say which medication he'd like to try.

"Did you get the mirtazepine?" asked Lara.

"Yeah, but the consultant said I should take venlafaxine with it"

"Two medications?"

"That's right" said Neil, rattling two boxes of pills at Lara with a grin.

He seemed happier but his behaviour was worryingly erratic and childish. He would say and do regrettable things with no care for the consequences, or he would burst into tears and leave things in a mess if anything didn't go well.

One day, Neil had suddenly decided to demolish the garden shed with the supposed intention of building another one, but he hadn't purchased any materials to construct a replacement. Lara found him in bed when she got home, dreadfully upset and stressed about what he had done. That evening, she had to move the contents of the shed that could be damaged by rain and store them in the spare bedroom, while Neil cowered under the duvet.

His energy levels had improved, but often he would stay awake all night on the Internet. When Lara came home he would want to tell her about all the things he'd found out about UFOs, conspiracy theories, quantum physics, stock market trading and chaos theory. Neil's eyes would be flashing wide with wonder and excitement, but his thoughts were jumbled up and he was talking so fast she could only pick up every third word. He would get frustrated that she wasn't understanding and storm off in a huff.

"Did you get a new diagnosis?"

"He can't make up his mind. He said he's still convinced that it's major depressive disorder, but he also mentioned borderline personality disorder and bipolar disorder. He wants to treat me as if it's treatment resistant depression" Neil replied.

"Who are the crisis team?"

"Well, it's a number to phone if I'm thinking about hurting myself"

"Are you still having suicidal thoughts?"

"Not really. I'm too busy with my project"

Since losing his job Neil had been obsessed with the idea of creating an out-of-the-box security system bundle that would include wireless CCTV and motion sensors. The house had become increasingly full of equipment from Far-East manufacturers that Neil was tinkering with. Lara worried about how much it was all costing. How did he intend to sell this system if he could even make it work?

"Can I have the crisis team number?"

"Yeah. I'm supposed to give it to you and family so they can phone if they're worried about me" he replied. "And to any employer, but I don't want work sending round their goons to spy on me" he spat.

Neil's employer had become concerned that he hadn't turned up for work and had called his emergency contact - Lara - to see if he was OK. Lara was working and hadn't been able to answer her mobile, so the police had been phoned out of concern for Neil's welfare.

Neil had ignored the knocking on the front door, hoping that the police would just go away. A neighbour let the police into the back garden and they jumped over the fence. Neil heard the officers shouting at the back of the house and knocking on the back door. Yelling from the back windows, the police had insisted he come to the door so they could see he was OK. Neil had begrudgingly complied.

Lara was weary from constant worry about how Neil. She was very much relieved that there was now somebody else to contact in an emergency.

"People care about you, Neil." said Lara.

"Why are you using my name?"

"What do you mean?"

"Is there anybody else here? Why have you got to refer to me by name?"

"I don't know what you mean"

"You're so fucking patronising" said Neil, storming off.

Lara could hear him go into the box room upstairs. She knew he would be pretending to fiddle with stuff, brooding angrily. He would probably sleep in the guest bedroom again, even though it was packed with junk and the bed was covered with stuff from his project. Perhaps he would be awake all night surfing the Internet, following some thread that captivated his interest. They were definitely not going to have any further cordial discussion tonight.

Picking up the tablet on the coffee table - an impulse purchase that Neil had made - Lara searched the Internet. Typing "borderline personality disorder" she wondered what borderline meant. Did it mean that it was a milder form of the illness? As she read the symptoms she decided that it didn't really seem like Neil at all. They'd been together for so many years and they were engaged to be married. The part about unstable relationships didn't seem to fit at all.

Searching for "bipolar disorder" she came across a number of symptoms that sounded much more like Neil's recent behaviour. Rapid speech and disordered thinking, irritability, spending money and risk taking. She read the word "hypersexuality" and felt a knot in her stomach. He'd shown relatively little interest in her recently, but she knew he was watching more and more pornography. With a kind of shamelessness she heard him masturbating at night and found discarded tissues littering the floor. He made little effort to hide his Internet browsing history.

"Delusions of grandeur" and "psychosis" were things that were a little hard to place. Lara had worked a night shift and she heard him on a phone conference call during the day with his boss and human resources. Neil had ended up yelling about how he knew more than "all of you put together" and how he would create a competitor company that would "crush you like a bug". She knew that he had become frustrated and enraged by the conversation which had been ostensibly about sacking Neil, but his crazed response was completely out of character. She put it down to the extreme stress of the situation.

He was withdrawn and distant. It seemed inconceivable that he would be hearing voices or suffering with hallucinations. In her eyes, Neil was still strong, rational, intelligent and in control. She trusted him. They had always been open with each other about household finances and shared the burden of balancing the books. Even though she was cross that he'd thrown away his job, she thought that it was necessary for Neil's health and that he'd easily get more paid employment when he was ready to go back to work. They had enough savings to cushion their loss of earnings in the short term.

Two days later, Neil had disappeared.

"What do you think I should do?" Lara asked on the telephone.

"Have you rung the crisis team?"

"No. I don't know what the best thing to do is"

"Well, he didn't like it when the police got involved" Neil's dad replied.

Neil's dad was a practical man and had become a useful person to phone when she didn't know who else to speak to. Lara's parents were very sympathetic towards Neil, but it meant that they tended to share and exacerbate her worries rather than offering simple clear-cut advice.

The crisis team had promised to arrive within an hour. That was early on a Saturday morning. Neil had returned home in the afternoon, but had barricaded himself in the box room and refused to talk to Lara. Some eight hours after she had originally got in contact, there was a knock at the door.

"Hello, Lara?" asked a balding man, slightly overweight and wearing rimless spectacles. A mousey woman waited nervously behind him in the darkness, clutching a bulging ring binder.

"Yes, Hi"

"I'm Dan. This is my colleague Sue. Can we come in?"

"Please. Please do. I've been waiting all day" said Lara, ushering the two visitors into the hallway. "Neil, there are some people here to see you" she called upstairs.

Dan and Sue stood awkwardly and Lara gestured towards the snug, where they entered and sat down.

"Sorry... Lara was it?" Dan said.

"Yes, Lara"

"We had a number of urgent calls come in."

"That's fine."

"I'm a social worker and my colleague Sue is a nurse. We're here to make an initial assessment and see how we can help. Can you tell me what's been going on? It's Neil isn't it?"

"Yes, it's Neil I phoned about."

Lara noticed that Neil was hovering by the door.

"Ah Neil. These people are from the crisis team. They're here to see if you're OK."

"I'm not" said Neil, half entering the room but not sitting down, surveying the scene with distrust.

"Hi, Neil. I'm Dan. This is Sue" said the social worker, leaping to his feet and offering his hand. Neil took it and shook it. Sue half stood up, but remained quietly in the background. "Can you tell us what's been happening with you?"

"I can't cope anymore. I feel desperate. Suicidal"

"I'm sorry to hear that, Neil. How long has this been going on for?"

"On and off for months. It got really bad this week."

"OK, I need to ask you some basic questions." said Dan, now looking at Sue. Sue opened her binder and readied her pen.

"Do you know what day it is today?"

"Yes. It's Saturday the 20th of August, 2016."

"Do you know who the Prime Minister is?"

"David Cameron. No, er, I mean Theresa May"

"OK, and where are we?"

"We're in my house"

"Are you hearing or seeing anything unusual. Any voices?"

"No"

"Are you receiving any instructions, do you believe you are able to make people say or do things you want?"

"No"

"Is there anything you're anxious or concerned about right now?"

"I'm worried I'm going to kill myself"

"OK. Thanks, Neil" said Dan, glancing at his colleague. "It says in my notes that you've never been in hospital, because of your illness. Is that right?"

"Yeah, that's right. I've never been in hospital in my life except as an outpatient."

"Well, I think the safest place for you right now is at home. Where your partner and family can keep an eye on you. The crisis team can come and check on you, to make sure you're OK. How does that sound?"

"I want to die"

"OK well psychiatric hospitals are pretty crazy places. You wouldn't get a lot of rest there. The staff don't have a lot of time to help everybody. You'll be much better looked after at home. Do you have anything to help you sleep?"

"I've got mirtazepine. That makes me really sleepy"

"That's great. Do you know where it is?"

"It's on my bedside table."

"Lara, do you want to get it for Neil? And a glass of water" Dan prompted.

While Lara was gone, Dan and Sue sat quietly smiling and then Sue's mobile phone rang. She stepped out of the room and let herself out of the house while taking the call.

Lara returned with the medication and a drink.

"OK, Neil. What you're going to do is take your usual medication and then we're going to come and see you tomorrow and the day after. We're going to come and visit you here at home every day until you're feeling better."

Sue now let herself back into the house and popped her head around the door.

"Dan, we've got to go."

"Alright, sorry it was such a flying visit, but we have to attend to an emergency situation" said Dan, standing up and smiling. Pausing for a moment and taking on a more serious expression he said "everything's going to be OK. Hang tight. We'll be back tomorrow."

"OK, thanks" said Lara, following Dan to the door. Sue was already outside, eagerly wanting to get away. Neil was sat on the sofa, a little dumbstruck by the whole experience.

The front door closed, Lara returned to the snug.

"That went OK. There'll be somebody coming to check on you every day. That's reassuring isn't it?"

Neil simply looked at her blankly and then went upstairs to bed.

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...

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

4. Prosaic

Senility seemed to reveal hidden racism inside some of the sweetest old men. Every Friday evening at the hospital, the last weekday shift would hand over to the first weekend shift. Weekend shifts were mostly covered by agency staff. Many of the agency nurses were of African descent, which was a fact that failed to escape the notice of otherwise unobservant geriatric patients.

"I am a nurse. I am a fully qualified, registered nurse" one of the agency nurses stated calmly to an irate patient. This was not an uncommon situation she had to deal with.

"How can you be a nurse? You're not even English" said a man, his voice raised.

Lara could hear the conversation between nurse and patient from down the corridor. She had her coat on and was carrying her handbag. She was now making her way out of the building to the car park. Her working week was over. She had a tough decision to make: did she continue taking the most direct route to the lifts, or did she turn around and take the back staircase down to the basement, and walk round the hospital to the staff car park? She decided to press on. Her uniform was mostly covered by a long coat.

"Nurse! Nurse!" shouted the old man, as Lara scurried past an open door, keeping her eyes fixed straight ahead. Glass windows either side of the door allowed anybody walking along the corridor to be easily be seen from the ward.

Lara knew that the old man was trying to get her attention, but she also knew that nothing could be achieved by involving herself in the altercation. The old man would never accept that not all nurses looked like Florence Nightingale and Britain had become a multicultural society during his long lifetime. Tragically, it was part of the job description, that agency nurses would have to deal with this kind of mistreatment over the weekend, when the familiar weekday staff were mostly not working.

Stepping out of view into the lift lobby, Lara felt a twinge of guilt for not taking the stairs, but this was outweighed by the sense of relief that the weekend was beginning and she could start to relax. A pair of metal doors slid open and Lara squeezed into the lift. Leaving the building at this time was always busy. Every lift going down would be packed full of people.

The hospital was a modern monolithic white cube, 5 storeys high. It was the largest hospital in the county. Built on the outskirts of town, the hospital was surrounded by a sprawling car park, divided into short stay, long stay, and far away from the main building, a car park for the general staff members. Near the staff car park was a second building in the same architectural style as the hospital, but much smaller. This was the accommodation block where many of the younger nurses lived.

As Lara reached her car, a group of young women spotted her and started calling her name and waving for her to join them. One of the group sprinted over to where Lara stood, frozen, car keys in hand.

"Will you join us for a drink?" asked Lara's friend, Anne.

"I'm sorry, Anne, I've really got to be getting home. Neil's not well" Lara replied.

"Still?" Anne asked, slightly shocked.

"Yeah. Don't know what's wrong with him. I hope he's been to see the doctor today"

"Oh dear. Well, maybe you'll come out another time?" Anne asked brightly, clearly not wanting to stress Lara out any more and slowly backing away to rejoin the group.

"Sure" said Lara, relieved that Anne could see she was keen to get going.

Anne skipped back to her other friends. Lara knew most of them. They were all a little younger than Lara and they had bonded through living together in the staff accommodation block. They had been very welcoming and friendly and Lara was grateful for the opportunity to socialise outside the group of familiar couples that she and Neil spent the majority of their time with.

Jumping in her car as quickly as she could to avoid any further attempts to pressurise her to go out for a quick drink, Lara gave an apologetic wave as she drove past the group on her way out of the car park. Young and carefree, full of energy, all her workmates waved back enthusiastically. Lara's heart sank a little, because she knew how much fun and refreshing it was to spend time with them.

Pleased to find a parking space quite near her house, Lara was also pleasantly surprised to see that there were lights on downstairs. This was the first time this week that she'd returned home to any signs of life.

Opening the front door and stepping into the hallway, Lara hung her coat on the coat rack and dumped her handbag on the floor. The door to the snug was open and Neil was sat on the large sofa, studying a large piece of paper covered with tiny print. The paper had many creases in it from having been folded up very small. On the coffee table sat a small white cardboard box with a printed prescription label on it. There was also a small white paper bag, emblazoned with the logo of their local chemist, open on the coffee table too.

Neil seemed engrossed in reading the tiny print on the piece of paper. It had also become their custom that week for Lara to have to initiate any conversation.

"So, I take it you went to the doctor?" she asked.

"What? Er, yeah. I got this" Neil distractedly replied, as if the rest of the story was implicitly clear.

Lara stifled a sigh and went upstairs to get changed out of her work clothes. Clearly she was going to have to drag the rest of the details out of him. Frustration replaced a sense of relief that Neil was up and about and had finally sought a doctor's opinion.

Unhurriedly making her way back downstairs, Lara sat down next to Neil on the sofa. She was close, deliberately invading his personal space in the hope of waking him from his trancelike state, studying the leaflet that must have accompanied the medication that he had been prescribed. Neil paused and looked her in the eye for a fraction of a second, but then feigned continuing to read his leaflet.

"So, what happened, at the doctor?" Lara patiently asked.

Neil went to answer but then held his words back. He opened his mouth as if to speak but then froze and it became clear he didn't know how to begin. After a moment, his face flushed and he started to blurt out words.

"They called my name. I sat down. Asked how she could help. Burst into tears. Couldn't stop crying" Neil haltingly said. He was emotional, but he didn't seem like he was on the verge of tears. He seemed somewhere between embarrassment and confusion.

After a moment, he seemed to calm himself down and he began again, more relaxed than before.

"The doctor said it was OK and I should take my time. I started to tell her that I couldn't get up in the mornings. I couldn't face going to work. I couldn't face the world. I was tired. So very tired"

He took a breath. He was blurting his words out very quickly.

"She asked how long it had been going on for and I told her a few weeks..."

"A few weeks?" Lara now interjected, even though she was clearly cutting Neil off mid-sentence. Her mouth hung partly open, further betraying her shock.

"I mean the tiredness. Not the getting up" Neil replied.

"Yes, but why didn't you say something before?" said Lara in a tone that was concerned, not angry. She was reacting reflexively, but she knew she had to try to control herself if she wanted to avoid upsetting Neil.

"The doctor. She said I sounded as though I was depressed and anxious" said Neil, ignoring the question. "She asked me if I had heard of flux-o-tin" he said.

"Fluoxetine?" asked Lara, enunciating the syllables - flew-ox-ah-teen - with a little emphasis, but not so much that she would sound patronising.

"Yeah, that one" replied Neil. "She said that many patients found that it helped them when they were feeling anxious about things, like work stress, as well as low mood. She said that my symptoms could be caused by an imbalance in my brain chemistry, and fluoxetine often helped to balance it out" Neil continued.

"Yes, I know fluoxetine. At work I have to help patients take their prescriptions that they bring from home. Quite a lot of them take fluoxetine. It's the same as Prozac" Lara said.

"Prozac? Well why doesn't it say that on the box or any of the leaflets?"

"Sometimes the pharmacy gives you a branded medication, sometimes they give you a generic version. At work we have to learn both the brand name of the medications as well as the active ingredient" Lara explained.

"But everybody's heard of Prozac" Neil stated, his voice now tinged with a degree of frustration.

Neil sat forward on the sofa and cast the leaflet he had been holding onto the coffee table with a dismissive flick of the wrist, before slumping back, looking away from Lara and staring up at the ceiling. Lara had seen this kind of reaction before at work when she saw doctors speaking to patients; normally young men. It was a kind of shock and disbelief; denial even. Lara couldn't understand why Neil was having this reaction now, with her, rather than earlier with the doctor.

"So I'm on Prozac. Great!" said Neil, his voice dripping with sarcasm.

"You know I've got to take this stuff for at least 6 weeks?" he said, now shaking the small white box at Lara, which rattled with the sound of the pills inside in their blister packaging. The question was rhetorical. He needed to vent.

"I felt relieved when the doctor signed me off sick for another two weeks, but now I don't know what to feel. Can you believe that the doctor even asked me what she should write on the sick note? Stress, anxiety, depression or just mental health problems. I didn't know what to say. She put me on the spot. I said she should write stress"

Lara reached for his hand and squeezed it. She made a sympathetic face.

"They're doing some blood tests too. Could be an under-active thyroid. Won't know until next week, but that's more what I was expecting, you know? Something physically wrong with me"

"I hate to bring this up, but we had planned to have dinner with Russ and Katie tonight. Do you want me to cancel? I'll ring them and come up with some excuse" Lara gently offered.

"I don't know. I don't know anything anymore. I'm confused. I'm upset. I'm frustrated" said Neil, standing up.

Looking down into Lara's eyes as she sat on the sofa, she sensed Neil's care for her and his awareness of her feelings too, but his thoughts were in turmoil. He turned and went upstairs. She heard him kick off his shoes and get into bed.

Neil was asleep, fully clothed, when she joined him in bed a little later. She guessed that it must have been an emotionally exhausting day for him. Perhaps it was side-effects from the medication.

Next chapter...

This is a story about the undead...

I got sick. I stopped blogging. I'm sad I broke my daily writing routine. I would have hit 365 blog posts by now, if I had kept going just a little longer.

When people say "keep going, you're doing really well" the sentiment is lovely. Keep going where though? Have I been there before? Is it a good place to keep going to? Also, what does it mean to be doing really well? Does it mean superficially? Is the most important thing to look like you're doing really well, on the outside? Are you doing really well even if it's all an act?

I'm no faker; no actor.

I do however have to do something that I can keep going with, while genuinely doing really well. My last contract could not keep going. I was not doing very well.

Perhaps getting sick wasn't an inevitable consequence, but it takes more than letting off steam through personal writing to harmlessly neutralise the 'toxic' build-up, due to months of stress, boredom, lack of stimulation, lack of social interaction, no new challenges, no creative outlet etc. etc.

Equally, my solo hack-a-thons have been challenging and creative, perhaps a little over-stimulating, and have made me sick through social isolation and stress.

There must be a cool project with a team here in London that ticks the other boxes.

Anyway, I need to get well again first.

Tags: #career

 This is a story about drug dealers...

The top image shows an official UK prescription. A doctor registered with the GMC prescribed me the medication and a pharmacist registered with the GPHC filled my prescription. The bottom image shows black market prescription drugs for sale on the Dark Web. When you buy from the Dark Web an anonymous vendor will sell you whatever you want, no questions asked.

In order to receive my official prescription, I had to answer 14 yes/no questions. One of the questions was "do you have high blood pressure?". How the hell should I know? The last time I had my blood pressure checked was 11 months ago, and I've gained loads of weight and have been drinking far too much since then.

According to my order tracking, a doctor spent 7 minutes deliberating my 14 answers - 30 seconds per answer - before writing my prescription. I never met this doctor, we never spoke and they never saw my medical records.

Some years ago, with a great deal of arm-twisting from my private psychiatrist, my GP agreed to prescribe me Bupropion for the depressive episodes of my bipolar disorder. In the UK, Bupropion is not licensed for the treatment of depression or bipolar disorder. NICE guidelines do not recommend the use of Bupropion for anything other than as a smoking cessation treatment. Basically, my GP faced being struck off the GMC register if I suffered some horrible medical complications because of an adverse drug reaction.

I've been back in London for 3 years and I've had 2 different GPs since then: one in Camden and one just across the road from where I live. Neither of them has prescribed me a single medication, but the Camden GP took it upon himself to phone me on my mobile in his personal time to see if I was still alive. My GP went out of his way to try and help me.

The average face-to-face GP consultation time in the UK is just under 9 minutes. Imagine having just 9 minutes to establish that somebody is suicidally depressed and then select a psychiatric medication for your patient. The medication could either save them or reduce their quality of life even more. It's not much time, is it?

And so, I became an educated well-informed patient. A doctor I spoke to some years ago said that I would be better off finding a "prescription pad psychiatrist" who would write me a prescription for whatever I wanted. These doctors exist. They're available online, without even having to meet them or speak to them on the telephone, it would seem.

I have no criticism of the ethics of what the doctor and the pharmacist who I obtained my official UK prescription from are doing. It doesn't seem unethical to me.

Interestingly, it cost me £90 for 60x 150mg Bupropion tablets. I could easily buy the exact same medication for less than half that price on the Dark Web. If I was to buy the medication from India, it would cost me less than £6 (plus postage).

On the NHS, a prescription costs £8.40 if you're working and not entitled to welfare benefits.

Basically, you pay for convenience. With the online pharmacy I had a short form to fill in and I got my medication delivered next day. With the Dark Web, I would have had to faff around with Bitcoins, but my medication would also have been delivered next day. With my doctor, I would have had to make an appointment, and there's every chance that they wouldn't have been prepared to take the risk of writing an off-label prescription. With the Indian medication, their postal service is appalling and it takes weeks for a delivery to arrive.

One reason not to order from the Dark Web though, is that you can get anything you want. It's easy to start window shopping. Once you've loaded up your account with some Bitcoins, it's easy to fill up your 'shopping basket' with all kinds of things that you're curious about, or things that you know you really shouldn't be buying because they're bad for you. It's a slippery slope.

One of the reasons why I don't have any drug dealers phone numbers and I've never bought drugs from a drug dealer, is because it's so convenient. I don't believe in the idea of a 'pusher'. People want drugs, plain and simple. The drugs push themselves.

One of the reasons I'm not using internet banking at the moment, is because it makes it too easy for me to buy some Bitcoins, transfer them to a Dark Web marketplace, and have a little jiffy bag containing deadly white powder, hitting my doormat the very next day.

I don't believe prohibition works, but certainly making things a little more inconvenient does offer some protection from temptation. I wouldn't even know where to begin, trying to find a drug dealer, unless I wanted to buy low quality cannabis or terrible quality imitation cocaine from one of the many dealers who hang around by Camden Lock.

Prohibition created legal highs. Prohibition created the Dark Web. Because I'm an IT expert and a sensation seeker, when I read about legal highs in the news I was tempted to give them a go. The rest is history. All of that "moral panic" crap in the media had precisely the opposite effect than intended. A naïve middle-class IT professional working for an investment bank, suddenly became exposed to a world that I would never have become part of, if it wasn't for the fact that prohibition lowered the barrier to entry.

As the legal highs started to get banned, I then took to Internet forums to find out where people who had stockpiled - like me - were supposed to go after we ran out of drugs. That was how I found out about the Dark Web. Yet again, prohibition moved me from a world that was legal, taxed and regulated, towards the dark and murky world of illegal drugs.

One day, in a pit of despair at my spiralling addiction, I decided to order all the drugs. I bought crack, heroin and crystal meth. I didn't even know what to do with them. You can snort heroin and meth, but not crack, as it turns out. How does a middle class homeowner even smoke crack? I didn't even own a cigarette lighter.

A couple weeks later, I had nailed my door shut and put newspaper all over the windows. It's remarkable how quickly a respectable middle-class rich person can turn the house they own into a crack den.

What's also remarkable is how quickly you figure out that you've bought a one way express ticket to an early death, if you have vast sums of money and a reasonable intellect.

One day, I smoked a pipe - I had bought a meth pipe off the Dark Web by this point - that had been filled with heroin, crack and meth. I thought "is this as good as it gets?". The room was bathed with a yellow light, even though it was barely lit. There was a calm serenity. I thought "this ain't even that great" and decided that I'd better stop before I decided that it was great.

It's the strangest thing, flushing rocks of crack and a big bag of heroin down the loo, not because you're addicted and you want to quit, but because you can see how easily you could become addicted.

People think that drug addiction is all about wanting drugs and taking drugs, but it's not that at all. Drug addiction is about identity, routine, habituation, ceremony, lifestyle... things that I even struggle to explain. If you're just locked in a room with a virtually limitless supply of drugs, because the postman keeps bringing your supply and you have lots of money in the bank... you'd think you'd just take drugs and more drugs until you died or ran out of money.

In actual fact, addictions are self-limiting. Given a clean pure supply of drugs, eventually, addiction becomes kinda boring or the downsides start to outweigh the upsides.

I'm lucky, because I'm wealthy and I'm not a total dumbass. I tried so many drugs, and eventually found one that was far better than crack, heroin or crystal methamphetamine, but cost less than £1 a day.

I used to buy a packet of capsules off the Internet for £27. This was a legal high called "NRG-3", which turned out to be MDPV: I've nicknamed it supercrack. The packet contained 20 capsules, and each capsule had 100mg of MDPV in it. I would hide these capsules all over the house, so that I would never have to hunt for very long to get my fix, when the cravings became unbearable.

I would divide the 100mg contents of a capsule into 3 equal piles. Then, I would divide one of the piles into 2 lines. I would snort one of the lines, which would weigh approximately 17mg.

17mg of MDPV is a very strong dose. Basically, it's enough to be bat-shit insane for 24 hours. I would pretty much always end up going back for the second line... so that's 48 hours of insanity, with no sleep. I would go back to work for a rest.

120 days of bat-shit insanity for £27.

Cheap.

Deadly.

You spread 120 days over the weekends, and you've got 2 years worth of hiding a drug habit. If you do anything for 2 years, it becomes an integral part of your life. It's hard to change the habits of a lifetime. Again, you've gotta be smart and spot the changes in your behaviour.

I started cancelling plans, because a 1-day drug binge turned into a whole weekend drug binge.

I started not making any plans, because I was planning on taking drugs all weekend.

How the hell I held down a job during this time, I have no idea.

My psychiatrist and my GP thought I was self-medicating for depression. They thought I was in control. They actually told me "don't stop what you're doing... just try to cut down gradually". My GP signed me off work for 5 weeks, and I thought "great! I can take drugs for 4 weeks and then spend a week recovering".

It's true that my clinical depression and abusive relationship had led me to self medication, but when it became drug experimentation, I lost control over the course of a year. I started with a legal drug called Methylone, which I took every day and it worked to alleviate my depression. Then, when I found NRG-3 during a messy breakup, I was completely hooked.

Less than a month after becoming addicted to NRG-3, I started carrying a letter with me and a £20 note in an envelope. The letter said:

"I am a drug addict. If you have found me with breathing difficulties or unconscious, please put me in a taxi to A&E".

In actual fact, the letter was far more detailed and contained some information that would have been useful for any medical professionals who had the misfortune of trying to look after me... but you get the idea. The penny had dropped. I knew I was in trouble. Self-medication had turned into experimentation, which had unleashed addiction.

For others, there are 3 valuable lessons I learned:

1. Depression, stress, relationship difficulties, money worries, housing worries: these are the things that create a festering swamp. Addiction will take hold, not because of the drugs, but because somebody's life is already awful. If you want to prevent addiction, you need to improve people's lives, not ban drugs.
2. Even though it sounds disingenuous, it does make sense to shop around. Think about all those Oxycontin addicts who haven't yet figured out that heroin is stronger and cheaper. They're going to one day. How much money are they going to 'waste' in the meantime?
3. Addictions are naturally self-limiting. People need to quit on their own terms. There's an oft-quoted line about how addicts and alcoholics "can never get enough of their drug of choice". In actual fact, very few people can actually afford to take as many drugs as they want. Look at the mega wealthy: aren't you surprised that so few of them drop dead from drug abuse?

Alcohol is a dumb choice of drug, because it's so damaging to the liver. In a way, benzos are the smart alternative. GHB/GBL makes you 'drunk' but it doesn't have the same hangover, and it's not so damaging to the body. You can buy 10 litres of "alloy wheel cleaner" from BASF in Germany for about £500. That's equivalent to 7,000 shots of vodka, and it won't give you cirrhosis of the liver.

Cocaine is a dumb drug of choice, because it's so expensive and the adulterants are highly damaging to the mucous membrane in your sinuses, to the point where you might lose your nose. You can buy nitracaine from China in bulk for just a few dollars per gram, and it'll be 99% pure.

Heroin is damn cheap. It's the injecting that causes the problems: collapsed veins, abscesses and dirty needles leading to blood-borne diseases. With an adequate supply of medical grade diamorphine, a heroin addict can live a long, healthy happy life, and will probably "grow out" of their habit in their 40s or 50s.

Crystal meth is cheap anyway. Smoking meth is undoubtably incredibly destructive to teeth and lungs. It sounds crazy to say this, but given an adequate supply, at least crime will go down and the need for prostitution goes away. With higher self-esteem because people are not selling their body to get drugs, surely a large number of addicts are going to stop using eventually?

I'm not saying "legalise all drugs and have your local supermarket stocking crystal meth". Drugs are so widely available and so cheap, we're at the point where prohibition is like a bad joke. Shutting the original Silk Road marketplace on the Dark Web just caused dozens more imitators to spring up and fill its place. You can't legislate to control human nature. It doesn't work. Supply and demand are the only forces that you need to understand.

If you have a loved one who you think is at risk of addiction, or struggling with addiction, you can prevent that journey from even starting by making their life vastly better so that addiction never takes hold. Once an addiction has started, you're not going to be able to cut it short by cutting off their supply of money or forcing them into some rehab program. An addict will simply go around any obstacle. An addict needs to quit on their own terms, when they've had enough.

Perhaps I will never have had enough, because perhaps my life will never improve. Certainly, when you're depressed, stressed, bored shitless by your job, worried about money, isolated and lonely... those things are perfect breeding conditions for addiction to take hold. Why the hell are you being clean & sober, if your clean & sober life is utter bullshit?

This is how I've arrived at the decision to start using drugs again.

Except, I'm being smart... I think. I think I'm smart. Correct me if I'm wrong. Am I smart?

What am I doing differently? Well, nothing really. I'm combining my experience from far too many years of ups, downs and dangerous self-experimentation. However, I have meticulously gathered data. I have documented pages and pages of details on my drug and medication use, and cross-correlated that with my mood diary, earnings, movement data and every other data source that I could harvest.

My conclusion: I need a fast-acting antidepressant that gives me a mood improvement.

So, I decided to prescribe myself Bupropion.

It arrived today.

I took it.

The experiment continues. It's a big relief to finally change something, after 6 painful months of controlling the variables, even though it was causing me untold mental anguish.

Actually, two things changed today, which is a shame, in terms of conducting a decent trial.

Today, I'm unemployed.

Anyway, I need to get another job, and it might just be a little easier, now that I have relented and I'm taking happy pills... let's see, shall we?

Tags: #drugs #addiction #mentalhealth #medication #depression

This is a story about milestones...

There are so many people who either "don't smoke" or call themselves "social smokers". People say "I only smoke when I drink". There are so many people who claim that they are free from drink and drugs, but they're actually popping Xanax, antidepressants, Oxycontin, Solpadeine, Co-codamol (codeine), Vicodin and tranquillisers. There are so many people who sneer at substance abusers, but they drink, smoke and consume lots of tea, coffee and energy drinks, without realising they're dependent on alcohol, nicotine and caffeine, just to cope with normal everyday life.

In 6 months, I got through those 59 tablets - a combination of diazepam and nitrazepam - in an attempt to avoid a nervous breakdown and to survive an extremely stressful situation, where my whole career, solvency, home and life as a respectable member of society, hung in the balance.

If you take benzodiazepines continuously for over 3 months, you have probably become physically addicted. What that means is that you might have a seizure and die, if you were to abruptly stop taking the medication.

I've run out of benzodiazepines today.

I'm not worried about this.

59 tablets, of 2mg to 5mg strength, spread over 180 days, is a piss in the ocean. There's no way that I'm going to have withdrawal symptoms from stopping taking benzodiazepines. I might be a little anxious; I might have a little insomnia; I might feel a bit panicky. However, I'm not going to die.

A couple of years ago I took myself off to rehab. For over 3 months I had been swallowing a little cocktail: 6x 10mg diazepam tablets, 4x 2mg Xanax, 2x 10mg Ambien, 2x 15mg Zopiclone. Maybe it wasn't quite that much. I have no idea. Benzodiazepines cause amnesia. All I can remember is that I used to fill up the palm of my hand with various pills, and swallow them all in one go. Lights out. Wake up 2 days later.

You're in a hell of a mess when you're mixing uppers and downers; stimulants and tranquillisers; but that's what we do every day, when we have our morning coffee and a glass of wine when we get home from work. If you have a strong coffee after a boozy dinner, you're basically having the middle-class equivalent of a speedball (cocaine & heroin, injected).

Obviously, I'm irreverently mocking your self-delusion, when you tell yourself that you're not "hooked" on anything.

I've used alcohol and the occasional tranquilliser tablet, in order to limp through the last 6 months. I haven't been having tea, coffee or other caffeinated drinks.

I've actually tapered off the alcohol and the benzos, to the point where I only drank 2 days in the last 14. I didn't take any benzos all weekend.

The thing is, if you're smart and you're disciplined, addiction is something you can master. It is possible to give up anytime you want. It is possible to become really good at quitting drugs and booze. I'm a fucking expert in abstinence.

Almost like an alarm clock going off, my subconscious revealed that I had simply been waiting for 6 months.

School was absolute shit for me. Getting through the long school days of bullying was awful. Getting through the long terms of bullying was unbearable. Getting through year after year after year of bullying was absolutely dreadful. All I was doing was waiting for the end of school bell, the school holidays, and the day that I could finally leave school and get the fuck away from the bullies.

Family life was absolutely shit for me. I couldn't wait to move out of home, and get away from my arsehole parents. I've loved paying my own rent and bills. I've loved being independent. I do have all the fucking answers. I went out into the world, got a place to live, got a job, and never looked back. Up until then, I'd just been waiting for the day I could finally leave home, and it couldn't come a moment too soon.

So, I spent 17 years, just waiting. I was biding my time. I know how to suffer patiently. I'm an expert in suffering patiently.

Then, I applied my expertise in deferred gratification to the working world. I took shitty entry-level jobs and worked my way up. I stuck with shitty projects, and shitty companies, so that my CV would look good. I stuck with shitty bosses and put up with glass ceilings. I stuck with idiots who couldn't see my potential, and I just suffered because I had a game plan.

I can patiently wait anything out. I've had to spend about 16 weeks with very limited liberty, being treated as an inpatient. That's not including the time I've spent in hospital receiving emergency treatment. In theory, I could have discharged myself, but there would have been consequences. I spent 7 weeks with somebody who'd been in prison twice, and he acknowledges that I have a mindset that suggests I know how to do time.

I mean, Christ, I spent the best part of 5 years working for one damn company, in one damn building, with the same damn people. Day after day, month after month, year after year. I've done 19 bloody years on the IT gravy train, solving the same damn problems again and again and again, and seeing the same damn mistakes time after time.

And so, I wondered to myself, why didn't I have a packet of drugs to tear open, in celebration of the fact that I have so easily completed a 6-month period of abstinence?

What you'll find with many addicts, is that they're liars. When they say that they're abstinent, they're actually lying to themselves and others. I've done "6 months clean" before, but that hasn't counted "the occasional weekend" and one or two "lapses" (note: a lapse is a 'small' relapse). In actual fact, you're still addicted, but you're limping yourself along by hiding your habit, from yourself and others. You start to believe your own lies.

I've arrived at 6 months "clean" and it really is clean. As clean as anybody in the history of anything, ever.

Most people who quit smoking will drink more, have more coffee, eat more. Most people who quit anything, will find some way of compensating. It might be exercise; it might be work. Basically, humans need shit. We're not fucking robots. Humans have always had intoxicating substances. Wine was being made 6,000 years before Jesus Christ was even born... that's over 8,000 years ago!

Anyway, I started looking at websites of awful toxic Chinese "legal" highs. Then I had a look at the Dark Web. The amount of drugs that are available to order over the Internet is just staggering. Prohibition has spectacularly failed. The designer drug industry is enjoying such a boom time, thanks to ridiculous laws that force chemists to get creative. Technology's answer to the eternally insatiable human demand for mind-altering substances has created a whole swathe of online marketplaces stocking every drug under the sun.

There's something for everybody in the cornucopia that has been created by the war on drugs.

My finger hovered over the "Buy Now" button, because I've damn well proven my point. Pick some arbitrary milestone, and I'll hit it, easily. But, what do I have? My life is miserable. All I have ahead of me is stress and loneliness; insecurity and pain; suicidal thoughts and a sense of abandonment. Fairly easy to justify a relapse, isn't it, when you work so hard and you're not getting anywhere.

Then, I thought, what could I do that's slightly more sensible?

With a bit more searching around on the Internet, I found that you can consult a doctor online and have a prescription despatched next day. In the space of 7 minutes, a doctor agreed to prescribe me a fast-acting antidepressant called Wellbutrin. I needed something because I felt certain that I was either going to commit suicide quickly by cutting an artery, or commit suicide slowly by relapsing back into drug abuse.

Wellbutrin is a wonderful medication, because it's fast acting, it doesn't make you drowsy, and it doesn't ruin your sex life. Have you experienced the boredom of patiently fucking somebody who takes an SSRI antidepressant, waiting an absolute age before they possibly cum, but probably won't be able to? Who wants a sex life like that? I don't want my emotions blunted. I don't want 'brain zaps' and uncontrollable crying when I try and stop the damn medication.

Yeah, who knows what the fuck happens next. Tomorrow, I have a 2-month supply of a fast-acting antidepressant that you can't get on the NHS being delivered. Maybe life will look a bit less hopeless when I'm drugged out of my mind, like virtually everybody else I know.

It feels like selling out, but it's nearly killed me having to fight tooth and nail just to have a roof over my head and a job, while also being nearly stone cold sober. I don't have kids to remind me why I get up and go to work. I don't have pets to look after. I literally have no reason for living, except to achieve some arbitrary goals.

I thought, as an added bonus, that I would also be celebrating one year of blogging today, but it turns out that happened a couple of weeks ago. Today is my last day at work, and I've had a couple of leaving dos, which is nice, but I do of course have to go though all the stress and hassle of applying for new jobs, interviewing, making a good first impression etc. etc. How ironic that things seem to have conspired to happen today.

As luck would have it, a colleague has recommended me for another job, which I might end up interviewing for tomorrow and could even be asked to start a new contract as early as Monday. If I do that, I'm damnwell going to need a few happy pills to carry me through, because I had been thinking that I was going to have a minor nervous breakdown.

Anyway, a milestone of sorts. Nice to leave work with a few slaps on the back and "well done"s. Nice to know that I didn't 'cheat' with my 6 months of abstinence from addictive stimulants. Where's my fucking reward? Surely I should feel better than I do, but I'm depressed and anxious. I'm overwhelmed by the task of having to hustle again, to keep the momentum going.

But really, is there momentum, or did I just wait for 6 months, in order to have a well-earned breakdown?

Is that what life is? Just waiting to die, miserable as fuck?

Tags: #depression #suicide #addiction #drugs