suicide – Page 15 – Nick Grant

Nick Grant

Tag: suicide

  • The Closest I’ve Come to Suicide

    This is a story about the straw that broke the camel’s back…

    Skullface

    You’d think that the closest I ever came to finishing this suicide note – and ending my life – would have been the time both my kidneys failed and an old ankle injury made it almost impossible to work. I also lost one of the best IT contracts I’ve ever had and became hooked on legally prescribed pain medication, which pretty much scuppered my ability to get another contract. I was running out of money fast, but struck down with physical and psychological problems – depression – I could barely function.

    My girlfriend at the time was exhausted after spending weeks in hospital with me, while the survival of my kidneys was in doubt. She came to all my outpatient appointments. She helped me hobble around and get my prescriptions for my pain. Then, I dumped her. She was exhausted and she’d just been to Cornwall – Land’s End – to meet her new nephew. I had a crisis while she was away and in her state of tiredness, she couldn’t think straight. In the state I was in, I needed her help, but to me she didn’t seem to care – that was my warped perception, at least. I immediately broke up with her, because what seemed like life or death to me didn’t seem to matter to her due to compassion fatigue and physical tiredness. To my messed up mind it seemed as if she didn’t care about me, when I desperately needed her help.

    Having no girlfriend, no job, no money, bad health and a ridiculously expensive riverside apartment to keep up the rent & bills payments on, losing a loan that had been promised to me by my girlfriend, further compounded a dreadful situation.

    I sold a lot of my most precious things, even though I knew that the money would barely cover a month’s rent. Being a high earner, most welfare benefits were inaccesible to me and to have a black mark on my credit score would preclude me from ever working in banking again.

    I became hopeless, resigned to a fate of eviction, bailiffs, debt collection agencies and destitution. The best option was to spend 28 days in hospital, said my psychiatrist – at least I would be safer there.

    My trigger finger was itchy, but I knew that if I could beg a sofa or spare bed to sleep on, I would at least avoid another period of homelessness. One of my Twitter followers offered her spare bedroom and things briefly looked up, but then she changed her mind. One old friend offered to put me up in a bed & breakfast for 2 weeks, which would have been welcome respite. An old schoolfriend said if I was desperate I could couch-surf in his 1-bedroom apartment, where he has a 4-year-old daughter. Three offers, which gave me a momentary boost, but at the same time, it’s somewhat depressing that of all the people I know on Facebook and Twitter who have generously proportioned houses, nobody else even offered to let me pitch my tent in their back garden… my experience of dealing with the local council and government benefits system means that you’re just plain wrong if you think all those taxes you pay mean you won’t end up sleeping rough, if life doesn’t treat you well.

    I always had a plan – 336 tramadol tablets – that would virtually assure me a swift and painless death, but I always felt a few steps removed from actually following through with it.

    I’m so exhausted and unwell at the moment, in a stressful (but rewarding) job that it took hardly anything to push me over the edge to the most suicidal I’ve ever been. Losing my new local girlfriend and the accompanying social group, would be too much to bear, when I haven’t the energy to grieve the loss and to pick myself up again.

    There was no doubt in my mind about what the plan was. I could visualise the steps. It took every ounce of effort and willpower to overcome the urge to simply empty the 336 capsules into a small glass, add some other opiates that would cause respiratory arrest, and them simply get drunk until I passed out… probably less than 60 minutes, and I’d have departed from this world.

    It might seem rash; an overreaction, but the rollercoaster ride I’ve been on has left me without a single percent of spare capacity. Even something minorly inconvenient or unexpectedly going wrong, can cause a seemingly disproportionate reaction.

    I wasn’t scared. I wasn’t hesitant. It would have been done, and that would have been that. Call it a strength if you like – I can take bold fearless actions, even if they would certainly cause my life to be ended.

    The scary thing is just how quickly I would have acted, having started the process. Less than an hour, to be a cold white corpse with purple lips and rigor mortis setting in. “Will I feel differently in an hour?” I asked myself, hypothetically supposing that I delay my deadly potion in order to see if my mood changed.

    Luckily, I acted positively and pursued a more favourable resolution to what was almost certainly going to be a breakup. She said she wasn’t going to pick up the phone or reply to my messages, which would perversely have only accelerated the commencement of my death ritual.

    While it looks like a sudden thing to do over a very trivial trigger, things have to be seen in the wider context. I know how depressed and lonely I was before I met this girl and her friends. I know that the effort involved in courting her almost cost me my sanity, stability and job. I know how hard things have been at times during the umpteen years I’ve been diagnosed with clinical depression. At some point, you’re so sick of a miserable life, that you’ll gladly welcome the end of the suffering.

    I felt a little bad about leaving the project I was working on unfinished, but I’d done the hardest bits, so most of it that was left to do was copy & paste.

    I didn’t feel any sadness or guilt, for depriving friends and family of the living version of me. Less than 1% of the people I’m in contact with, offered any kind of assistance when I was in a crisis. Basically, I mean fuck all to anybody, no matter what they say.

    I’m sleep deprived and my brain chemistry just isn’t right at the moment, but still, I know when it’s time to go – you get sick of all the bullshit of living, Being alive is over-rated. It’s been mostly suffering for me (boo hoo! get the violins out).

    So, that was the time I nearly killed myself, deliberately… a close shave.

     

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  • Crater

    This is a story about key performance indicators…

    Box of bottles

    Most of us have salaried jobs and most of us have line managers. We sit down once or twice a year with our manager – the boss – and we agree some performance objectives for us to try and meet. When we have an appraisal of how well things have been going at work, we look at whether or not we managed to achieve what we were supposed to do.

    I hate to have to break it to you, but what you’re doing is complete and utter bollocks.

    In hierarchical organisations, your pay rise and promotion prospects are decided by somebody who’s been promoted into a position of total incompetence. Intrinsic to their very existence, organisations have a pyramid structure, where there are vast numbers of people trying to reach the next rung on the ladder; the next layer of middle-management.

    You would hope that hard work and rhetoric about meritocratic culture would help you get ahead in life, but you’ve been playing the game by the wrong rules.

    Work is a popularity contest. If you want to get the best pay rise and the best promotion, you have to be liked by people who are more senior than you are, and you have to make your boss look good: those are the only two rules.

    If you are not liked by your boss and you didn’t do any of the things that you were supposed to do, it doesn’t matter at all, so long as you did things that make your boss look like he or she is ‘managing’ you effectively. If you are liked by multiple senior people, then your boss will not be able to block any ambitions you have for promotion, which is pretty much all your boss is trying to do – bosses are promoted until they can no longer be promoted, and then they block their subordinates from progressing in their careers.

    Being liked by your peers and/or your subordinates is completely unimportant. Nobody gives a shit about the underlings’ opinions. Nobody is ever going to ask your peer group what they think about you. Therefore, to be popular amongst people at the same level as you – or below – is only to waste precious time that you could spend impressing more senior people.

    It is notable, that at no point have I mentioned doing any work. This is because doing work is a complete waste of time. Nobody ever got a pay rise or a promotion for doing actual work. If you’re busy doing work, then how are you going to have any time to make yourself popular or do things that make your boss look good? If you do the things that you agreed with your boss, how can your boss take any credit for doing anything other than just doing their basic job?

    Thus, organisations have disincentivised work and incentivised spending time kissing asses and yelling loudly about how great we are, while we attempt to get promoted into positions of incompetence.

    Seriously, if you think you’re good at your job, you’re stuck at a dead-end – you’re going nowhere.

    Pictured above is a plastic crate full of empty wine bottles, beer bottles and beer cans. When the plastic crate is full, I can count the empty containers, read the ABV (Alcohol By Volume) off each one, and total up the aggregate amount of alcohol that I have consumed in a given time period. This gives me a data point, which I can record in a spreadsheet.

    You might assume that there would be an inverse correlation between my alcohol consumption and my monthly take-home pay, but in fact, the very opposite is true – the more I drink, the more I earn.

    I’m not going to argue with the data. The facts are the facts. My consumption of alcohol is the best predictor of my income. I can’t tell you what the causality is, but I can tell you for certain that there is a correlation. However, I will tell you what my hypothesis is though.

    Drinking is a social lubricant. I’m prone to saying and doing regrettable things while under the affluence of incahol, but the lunchtime ‘sesh’ or the after-work beers are not subject to any organisational hierarchies – we are all equals when inebriated. Being drinking buddies with the bosses never did any harm to anybody’s career, provided you are not sick on anybody’s shoes.

    Being hungover compromises your ability to function, forcing you to find creative excuses for your lack of productivity. Hanging around the water-cooler or coffee machine – nursing a sore head – you often encounter your partners in crime from the previous night’s drinking escapades, many of whom will be senior managers. When later questioned “what the f**k have you been doing all day?” you have a absolute watertight excuse that you have been talking to some highly respected member(s) of your organisation.

    Over time, the objective of achieving tangible productive output is replaced by the skill of being drunk or hungover for most of the time that you’re at work, while also looking busy and making influential friends.

    If we consider a hypothetical scenario. Subject A works hard and drinks very little, but subject B works very little and drinks very hard. We then plot the salaries and alcohol consumption onto a comparative graph. When we do this, we can see that subject A is badly paid, whereas subject B’s wages are significantly higher and climb steadily – well above the rate of inflation.

    Furthermore, if we measure our hourly wage, based on the amount of sober and productive time that we give to our employers, we can see that the heavy drinkers – at least in my own case – are paid an astonishing amount of money for their work.

    One caveat: drinking a bottle of vodka every night alone at home, is out of proportion with the amount of alcohol being consumed with members of your organisation. When social drinking metamorphosises into pure alcoholism, your hourly sober wage becomes infinite. You are swigging from a bottle hidden in your desk or your gym bag, in order to maintain your state of intoxication throughout the working day… you are not making your boss look good or increasing your popularity with senior managers. In short, your days are numbered.

    Great companies are built on the foundations of alcohol & coffee. Some of the most amazing people I’ve ever met are ‘functional alcoholics’ but the pejorative term seems to be an oxymoron. It’s impossible to decide whether alcohol gives us the ‘Dutch courage’ to tackle horribly stressful things, or whether people who shoulder great responsibility, are reaching for the bottle to salve their anxiety.

    Of course, I am not encouraging you to drink intoxicating liquor, but it would be dishonest of me to deny the facts contained in the data and perpetuate the myth that sobriety and productivity are virtuous, in the amoral world of business.

    One must question one’s motives for continuing existence. Are you here to pass on your genes – to rear your progeny – and if so then why are you not having unprotected sex at every opportunity? Are you here to maximise the amount of time that you are drunk or high, and if so then why are you not drinking morning, noon and night?

    Some of the more conceited individuals who walk amongst us – including myself – talk about leaving their “mark” on the world. I imagine leaving a fucking great big smoking crater, like the one from that huge asteroid that struck the Earth, wiping out the dinosaurs. That’s not to say I want to commit mass murder, but simply that I’m on a trajectory travelling at high speed, and I have absolutely no idea what I’m going to smash into and what damage I’m going to cause.

    To avoid the difficult questions and the certainty that you will die and leave a hole in people’s lives, is folly.

    Why is it that I gravitate towards brilliant individuals, who are never teetotal vegans who abstain from sex, masturbation and everything else that might be vaguely enjoyable? Why is it that when you scratch the surface of anything that glitters like gold, there’s a strangely alluring stench of debauchery?

    If I wanted to die in obscurity, written off as an addict and an alcoholic, would I not have just allowed society to label me and blame me for everything that’s fucked up and has no other convenient scapegoat? How can we hold William S. Burroughs and Ernest Hemingway in such high regard, when they epitomise alcoholism, heroin addiction and suicide?

    To say I’ll die a meaningless death is apparently untrue (“you’d be missed”) but to say that my death will have repercussions – like ripples in a pond – is conceited and a dreadful cliché… many suicides are motivated by the idea that it’s the grandest of gestures.

    We must all confront our own mortality, and every day that you spend ‘doing your job’ is just a waste of fucking time.

     

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  • Suicidal Intent: Part 2

    This is a story about irreversible decisions….

    Tramadol capsules

    Nearly 400,000 people killed or injured themselves using a gun, in the United States in 2016. That’s 1 one 1,000 Americans, who them will shoot themselves each year.

    In the United Kingdom, the only way for me to get a gun is to buy one on the dark web. For me to possess a firearm without a license and keep such a weapon without a locked gun cabinet, contravenes many British laws. In short, deadly weapons are outlawed in the United Kingdom and to ‘bear arms’ could see me imprisoned.

    For £8.40 I obtained 112 tramadol capsules, which are contained in the brightly coloured box pictured above. The aggregate weight of the deadly opiate within this box is 5.6 grams. An overdose of tramadol is considered to be anything above 0.4 grams. Therefore, this box contains 14 times the maximum ‘safe’ dose. Death would be a certainty, if I was to swallow little more than a couple of mouthfuls of this medication.

    Perhaps, you are thinking, that I procured this deadly substance through the dark web. In fact, I had been prescribed this pain relief treatment by my doctor, and I had collected three of these boxes quite legally and within my rights as a British citizen.

    For £25, I had stockpiled enough pills to end my own life several times over.

    In a deal I struck with my psychiatrist, I surrendered two out of three of the boxes that I was entitled to possess. My general practitioner (GP) had authorised a pharmacist to dispense this controlled substance to me… little did they know that I had already weaned myself off these addictive opiates and had amassed a total of 336 capsules, which contained approximately 17 grams of tramadol in total.

    For many citizens of the USA, they consider it an inalienable right to own guns. Equally, I reserve the right to end my own life peacefully, painlessly and without undue suffering.

    In the UK, people throw themselves under trains or hang themselves. If you are kiled on the railway, the driver of that locomotive will have to live with the recollection of seeing you hurl yourself onto the tracks; somebody will have to collect your body parts, put them into a body bag and take them to a hospital morgue. If you hang yourself, somebody will find your lifeless body suspended by whatever cord you chose to make a noose out of… they will have to cut your lifeless corpse down, and there will be clear evidence that your final moments of life were not at all pleasant for your body: your bowels and bladder may well have been involuntarily emptied and the ligature to your neck will have caused significant trauma.

    The smallest amount of blood, semen, faeces or urine, seems to spread out far more than any other substance. A person who has chosen to evacuate the contents of their veins and arteries will be as white as a sheet, and there will be a shocking contrast with the dark red life-giving substance – their blood – that has been deliberately emptied from their body. 

    Does it not seem better that if one has to deal with a cadaver, that it should be less physically mutilated? Does it not seem humane that people should die with the most peaceful expression that’s possible in the circumstances?

    What should I say about the sudden darkness that descended on me yesterday? There’s little point in offering fake reassurances that everything’s OK. The truth of the matter is that I live life with daily precarity, and with only a few bare bones of a social skeleton around me – seemingly inconsequential events lead to a disproportionate response. “It’s not the end end of the world” somebody might say, and they’re right, but when you’re already close to the tipping point, it doesn’t take much for it to be the end of your life.

    I’ve done a zillion things impulsively in my life. None of those rash decisions have led me up a dead-end alleyway, yet.

    There’s something tantalisingly alluring about swallowing a couple of handfuls of pills and then slipping peacefully into unconsciousness. Even if I was to have seizures before I finally gave up the ghost, I would be completely unaware of my body’s struggle to keep itself alive. How wonderful, to have the option to end the suffering on a whim.

    To think that I’m being flippant or making light of the final decision that I’d ever make is not true.

    One of the reasons I quit drinking a couple of years ago – for 120 consecutive days – is that I was afraid of acting impulsively while intoxicated. It’s one thing to wake up with a hangover, thinking “why the fuck did I say/do those things?” but it’s quite something else to not wake up at all.

    I live with a toxic combination of a high-stress job, financial pressures and limited social support. Beyond Facebook and Twitter. I’ve retreated into a world of technology. The few close friends that I have are hand-picked because they’re loyal and sympathetic towards my circumstances, which – I assure you – are not a result of free-will choices or preplanning. To have a seemingly minor setback might cause irrational behaviour, but so fucking what? Please show me the contract that my brain has signed up to, saying that it will always think rational things.

    This blog was supposed to be a short and sweet message of reassurance, after a ‘cry for help’ yesterday. It was not nice wandering around the city centre for a few hours, hoping that the awful imperative to hurt myself, would pass harmlessly.

     

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  • Hacked: I’m not one of the bad guys

    This is a story about hurt feelings…

    WhatsApp message

    Let’s just be nice to each other. We’re all soft and squishy and vulnerable on the inside.

    I’m one of the good guys – I value friendships & loyalty, and I wouldn’t abuse my tech superpowers for malicious purposes. I just want us all to get along, man. Peace out, brother.

     

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  • Concentration

    This is a story about depression and burnout…

    Lime cordial

    If there’s one thing I hate, it’s a long drawn out journey to the grave. I really don’t want to be on my deathbed, remembering the past, but unable to distinguish one day from any other. So many of us are in a routine of waking up, pressing the “snooze” button, having a shower, getting dressed, going to boring bullshit jobs, coming home, watching TV, preparing some food, loading the dishwasher, doing washing & ironing, and having joyless sex or masturbating to pornography – all purely to relieve the animal urges to copulate, eat, drink, piss, shit and sleep.

    Life offers very few opportunities for memorable experiences, especially if you have made the ethical decision not to clone your genes through the impregnation of yourself or somebody else. This does not automatically mean that I consider myself morally superior or in a position to hand down judgements from my high horse. To write emotively on one topic does not logically confer that I hold negative views on those who have embarked up the one-way street that is motherhood or fatherhood. Please; do not send me your protestations that being a parent is both tough and rewarding. I KNOW that parenthood is something that I have no first-hand experience of. I DO respect everyone’s unique set of life decisions – everyone’s gotta live their own life as best as they see fit, and are able to do, playing the cards that have been randomly dealt to them.

    My approach to life remains very much the same as it’s always been: high risk, high reward.

    I joked with a girl – mocking her – that I had fathered a string of illegitimate bastard children, and was being mercilessly pursued by the Child Support Agency (CSA) for money to pay for the upkeep of these offspring that I had carelessly brought into the world. She thought I was being serious.

    So, where is all my wealth hidden? I’ve been a top-bracket taxpayer for most of my working life. Surely I can’t have squandered so much disposable income on drink & drugs, and also been able to have a successful career. This is either unthinkable, or grossly unfair that I’ve had such a surplus, but yet still managed to snatch defeat out of the jaws of victory.

    I’ve paid for convenience whenever I’ve been able to. Why would I clean my toilet, when I could pay somebody less than I earn per hour? While the cleaner has the close encounter with the porcelain throne, I could be working on a more glamourous project that pays very handsomely. It’s a false economy to clean your own toilet, just as it is to do all of the many household chores, which can be done by a professional housekeeper.

    When you apply this cost:benefit analysis to your entire life, you end up spending 37.5 hours a week reading news websites and planning your next holiday; enjoying a lifestyle that is approaching the much vaunted “age of leisure”.

    If you think I’m lazy, you’re wrong. Only a crazy person would do the same repetitive tasks that they could easily automate, or train somebody who’s prepared to do the work – subcontracted or outsourced – for less money, which leaves you with a net profit AND you don’t have to do the shitty job. Repeat this process, because it is scalable, and you’re on the right path… assuming you want to be rich and have lots of spare time. Perhaps you LIKE punching meaningless numbers into spreadsheets. Perhaps you WANT to clean toilets.

    I looked at a list of the seven deadly sins, and realised that I could be a poster boy for Christian immorality.

    If you’ve ever taken an interest in astrology and the signs of the zodiac, then you’re easily fooled by writing that is deliberately ambiguous, leaving the interpretation to the reader, to apply to his or her own life. Religion has made a healthy living out of contrived platitudes that are completely meaningless in the context of the realities of human existence. The Bible, the Qu’ran, the Torah and all the other religious texts are so written as to be [mis]interepreted by the faithful flock.

    One might as well say that if you breathe air, drink water, consume fats, proteins, carbohydrates, salts, amino acids and other vitamins and minerals, as well as trace amounts of every element & chemical compound, then you’re a doomed sinner. If you urinate, defecate, ejaculate and perspirate, you’re going straight to Hell. The demons that walk amongst us, corrupting our innocence and threatening to plunge society into chaos and destruction, are those who fornicate, copulate and enjoy fellatio or cunnilingus. The fact that all of these things are encoded into the very fabric of our corporeal vessels – the DNA of almost every cell in our body – is a fact that seems to have escaped the notice of those who are so easily conned by priests, vicars, preachers, witch doctors, shaman, tarot card readers, astrologers and other snake-oil salesmen and women.

    I imagine I’d be pretty bummed if I found out I had an incurable terminal illness that was going to cut my life short, versus my expected lifespan. What would I do about it though? Which god should I pray to?

    As a wise friend of mine said, you can be tricked by your genes into believing that love and hormonal bonding are real and tangible. If you think that parents, grandparents, great grandparents – and so on – are somehow going to end up ‘less dead’ than the people who didn’t try to clone themselves, you’re wrong. Even in the most anthropocentric & egocentric of interpretations of theoretical physics, you will have to witness the death of everybody you know, as well as the destruction of the planet, the solar system and the galaxies. Eventually entropy will be victorious over the entire universe, with time itself ceasing to be a meaningful concept and nowhere for you – or indeed anything – to exist.

    If you believe in god(s) capable of making man and a world fit for human habitation, then you must also accept that this power is equally capable of destruction. He taketh away as much as He giveth – you can surely see this with your own eyes. This is the other side of the same coin that says that an infinitely small point, with infinite density and infinite energy, suddenly exploded into a universe. Following the same reasoning, either the universe will eventually collapse back into itself, by the force of its own gravitational pull, or it will expand until it is so uniformly cool and sparse that it is indistinguishable from the most perfect of vacuums – absolute nothingness.

    I look at the world through a madman’s eyes – I’ve read so much and delved so deep into the realm of the theoretical, proven in physical experiments as well as experiments that one can conduct through logical thought alone. I’ve seen, in my mind’s eye, things that cannot be unseen. As Douglas Adams joked, if you see too much of the universe all at once it will destroy you – it’s the ultimate torment; the ultimate death.

    In an uncaring universe, I can see why people would seek comfort in the fairytale worlds of sky monsters and star signs, but it’s pure childishness and immaturity. However, I envy the blissfully ignorant; I envy the blindly faithful, unshakable in their wilful stupidity.

    I’ve worked very hard to master the machines of pure logic and reason – the computers – as well as spending most of my hard-earned wealth on lengthy periods, where I have absented myself from the demands of menial day-to-day existence. I told you that you were wrong about me having squandered my money on drink and drugs. The vast bulk of my conscious waking hours have been spent in startling sobriety; completely crystal clear thinking.

    I carved three deep gashes the length of my forearm, with blood gushing out aplenty, before the arrival of two Metropolitan Police officers interrupted me. I can give you the long and exact chain of decisions that led me to do this, which were robustly defended by a logical thesis. That the police arrived was not a surprising outcome for me; in fact I had already anticipated everything that happened that day. The only thing that surprised me was that I was able to bandage my self-inflicted injuries using an actual first aid kit, which I discovered by chance, rather than having to resort to sanitary towels, kitchen roll and sellotape.

    You would think that I would be completely insane, completely alcoholic, completely drug addicted or perfectly healthy, contented and conspicuously rich. Scratch the surface, and every saint has a past and every sinner has a future.

    If you think the world’s gonna end, why hasn’t it already? If you think everything’s held in stable equilibrium, you simply haven’t looked outside your front door: it’s fucking war out there and nothing is stable at all. Civilisations destroy themselves and species go extinct – there’s evidence of it everywhere.

    Thus, you discover me – a distilled and concentrated form of sinner; completely unrepentant and embodying everything you were told in church to fear and shun; the very epitome of evil. Yet, I’m made of the same stuff as you.

    I invite you to judge me; to critiqué me. I invite this criticism, because how can good exist, without evil?

     

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  • Glitch

    This is a story about panic attacks…

    This way up

    Am I thirsty or do I just want to get pissed? I feel like my world is falling apart, but maybe I just want to numb myself with medication. I feel like I can’t cope, or is it that I crave soothing chemicals? I feel like the tasks ahead are impossible but my perceptions are clearly warped – I don’t know which way is up and which way is down.

    If somebody was to burgle my home, I’m not sure whether they’d be more pleased with the expensive consumer electronics that they could resell, the wad of Euros that they could convert into pounds or the massive bag of opiates, benzodiazepines, sleeping pills and other highly coveted medications, which would probably be the reason for their criminal trespass in the first place.

    I stopped taking opiate painkillers earlier in the year. It was hard, but it wasn’t that hard. Sweating and nausea and pain; constipation and loose bowel movements; sleepiness and blunted emotions – withdrawal was over eventually and I don’t even remember it being that bad, in hindsight.

    How long have I been drinking a bottle of wine every day for? Tonight I’ve had a tiny bottle of beer and that’s it, but my drinking has raged out of control, as I’ve sought to calm my nerves and self-medicate for incredible stress and emotional pain in my life.

    How long have I been taking tablets for? Certainly long enough that if I abruptly stopped, I would have a seizure. It’s a miracle that I haven’t had a fit, but the gaps I’ve had in-between handfuls of pills – lasting two or three days – could have killed me in a multitude of other ways anyway.

    Almost every day, I wonder why my optimism and hope has turned to fear, doubt and despair – I become convinced that I’m unable to function; unable to face the future.

    Like many addicts any alcoholics, I’m overwhelmed by negative feelings and I become convinced that the only way to ease my suffering would be to kill myself – quickly by suicide, or slowly with drink & drugs.

    Without structure & routine – social contact and the prospect of a happy & contented life – it’s a miracle that I’ve not plunged into the deep depths of fully blown alcoholism and an ever worsening drug problem. Today was a sink or swim day, but I made it through.

    No bottle of wine today. No Xanax. My situation is improving. My unhealthy consumption patterns of alcohol, drugs & medication, continue to abate, despite the protestations of my brain. I was in two minds about committing suicide tonight. I was tempted by alcohol – of course – but the urge to drink was relatively easily resisted.

    If you wished to categorise me as an alcoholic and/or a drug addict, I’m afraid your attempt would be thwarted by the facts. Alcoholics can’t stop drinking and drug addicts can’t stop taking drugs. Guess again, sucker.

    I’m suffering unspeakable discomfort at the moment, but I’m forcing my body – including my brain – down a path that it’s reluctant to take, but it’s for its own good. It will be weeks, maybe even months before I feel the benefits of what I’m putting myself through, but I know that if I don’t do it, the alternative outcomes are very undesirable, to say the least.

    Eventually, I will sleep without sleeping pills, feel free from panic & anxiety without tranquillisers, be able to cope with my neuropathic pain without painkillers… perhaps my body will even repair its damaged nerves, without the interference of artificial compounds not found in nature. Two and a half million years of human evolution, and you think we got everything right in the last 70 years?

    Would I take antibiotics for an infection? Yes. Would I edit my genes if I could get rid of any faulty ones? Yes. However, psychiatry doesn’t have a lot of triumphs to crow about – if superbugs don’t kill you, then mental illness will probably ruin what little quality of life you had anyway.

    My brain tells me I’m about to die or that I should kill myself. I know – rationally – that my brain is feeding me unreliable information, and that I should ride out the storm, however, knowing this doesn’t make me feel any different at all.

    Eventually, it’s too much.

     

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  • MISSING PERSON

    This is a story about changing beyond recognition…

    Missing boy

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

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

    Hot blonde

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

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

    Poole harbour

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

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

    Hawaii wedding

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

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

    Pole dancing

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

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

    Crepe suzette

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

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

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

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

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

    All the things

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

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

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

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

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

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

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

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

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

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

    Paddling

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

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

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

     

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  • Hypercapnic Alarm Response

    This is a story about a peaceful death…

    Little piglets

    Try this at home if you like: it’s impossible to hold your breath until you pass out. Even if it were possible, your conscious decision to hold your breath would then be overridden when you were unconscious, so you would start breathing again.

    Don’t try this at home, because it’s dangerous, but it probably won’t kill you: if you take a plastic bag with no holes in it, and tape it around your neck so that no air can get in or out, pretty soon you’ll start to hyperventilate. You’re going to panic, and you’re going to know that the plastic bag is stopping you from getting the fresh air you need, so you’re going to tear a hole in that plastic bag. It’s possible you could control that urge until you passed out, and then you’d soon die of asphyxiation, but if you remain conscious you’ll find that the urge to take a breath of fresh air is overwhelming.

    You’d think that it was a lack of oxygen that was causing this panicked desire to take a breath of fresh air, but you’d be wrong. What governs your overwhelming desire – panic – to take a breath after you’ve been deprived of fresh air, is something called the hypercapnic alarm response. It’s actually elevated levels of CO2 that are causing your brain to say “oh, shit, I’m about to suffocate”.

    If you were going to gas people to death, you could use chlorine. Chlorine gas will burn the lungs from the inside, when inhaled. The chlorine will combine with water in your lungs, to make hydrochloric acid, which will cause fatal internal chemical burns – your lungs will be so damaged, they’re rendered useless. The pain would be excruciating, as the chlorine attacks your lungs, throat, larynx, eyes and other parts of your body that have some dampness. Death would be slow and painful, as you struggled to breathe with lungs that were being disolved by acid.

    If you were going to gas people to death, you could use a nerve agent, like sarin or venomous agent X. These potent nerve agents interfere with muscular control. Without control of the muscle of your diaphragm, you are unable to breathe in and out. Dying with a nerve agent, you would be fully conscious of the fact that you couldn’t breathe: that is to say you couldn’t actually suck any air into your lungs, even though you desperately wanted to. You may lose other muscular control, and drop to the ground, twitching, but you would be fully conscious until you asphyxiated. More of a painless death than chlorine, but pretty awful to be unable to breathe in and out, even though you want and need to.

    If you were going to gas people to death, you could use pure nitrogen. The air we breathe is 78% nitrogen, which is inert and innocuous. Food manufacturers fill your bags of crisps with pure nitrogen. So, if we breathe nitrogen all the time, how can you use it to gas people to death? Well, obviously in a room that’s filled with 99% nitrogen, there’s hardly a trace of oxygen – certainly not enough to keep you conscious and alive. Worryingly, the brain has no way of knowing that it’s not getting enough oxygen, so you’d just pass out and asphyxiate rather unexpectedly. You’d start to get confused as your brain was deprived of oxygen. Your ability to think would be so impaired, you’d never figure out – through logic – that you were suffocating, before you passed out and died. In a way, you’d die stupid and ignorant.

    If you were going to gas people to death, you could use carbon dioxide. CO2 is readily available in the form of fire extinguishers. An over-zealous demonstration of a fire extinguisher in a small unventilated room, could leave you gasping for air, which is the effect intended on a fire: to deprive it of oxygen. You might unwittingly deprive yourself of oxygen. In a death chamber filled with CO2 you would be hyperventilating – gasping for breath – until you eventually passed out and then finally asphyxiated after a few minutes. This to me, is the very worst kind of death. With the nerve gas, you’d want to gasp for air, but you wouldn’t be able to. With nerve gas the other effects on your motor functions would be a distraction, as you twitched uncontrollably on the floor. However, with the CO2 you’d be hopelessly sucking in lungfuls of gas, but feeling a rising sense of panic as you were acutely aware that you were in the process of suffocating. For most people, it would be the worst two or three minutes of their life: a terrible torturous way to die; cruel and unusual.

    I’ve spent plenty of time in the high Alps and been to the summit of many mountains over 4,000 metres, which is about 13,000 feet. This altitude is classified as being “very high” which is the grade below “extreme”. At the summit of Mont Blanc the percentage of available oxygen drops from 21% to 11%, which is roughly half what you normally breathe. You can breathe twice as fast to try and compensate, but there’s a limit to the speed with which your body can absorb a lungful of oxygen. If you’re breathing twice as fast, your body has half as long to absorb the available oxygen from that air. I know what it’s like to be gasping for air, when my muscles were burning with lactic acid because they’ve not been able to get enough oxygen. I know what it’s like to be slightly lightheaded and giddy, because my brain is not getting all the oxygen it needs. However, if you sit still and calm, lower your heart-rate and your respiration rate, you can soon get the oxygen levels in your blood back up to a safe percentage.

    Deep sea divers know that to panic could be deadly. Panic is a fight-or-flight mode where your heart-rate and breathing increase, getting your blood full of oxygen so that your muscles can use it if you have to make a run for it. However, with only a finite amount of compressed gas to breathe and the necessity to ascend to the surface slowly, it’s imperative that divers maintain a relaxed metabolic state, to preserve the precious oxygen in their tanks. To swim like crazy to the surface might mean you can take as many deep breaths of fresh air as you like, but bubbles of nitrogen in your bloodstream will have nucleated, and they will cause excruciating pain as they work their way through your body and can even kill you if they reach the brain – this is called “the bends”.

    I just found out that in Denmark, where most of our bacon comes from, they euthanise pigs using CO2 which I find distressing, thinking that pigs have the same hypercapnic alarm response that we do. The pigs spend 4 minutes in a chamber filled with CO2 and then they are unconscious or they have asphyxiated. They don’t feel their throats being slit, which causes a massive drop in blood pressure, immediately rendering the brain as good as dead. However, I want to know if those pigs spent some of those 4 minutes, hyperventilating, panicking, trying to breathe in and out enough to not suffocate… hopelessly.

    Genocide, ethnic cleansing, euthanasia and to some extent, animal slaughter, all raise questions about the suffering in the final moments before death. If I was going to rank the ways I’d choose to die, this would be my choice:

    1. Massive laceration to the carotid artery – the drop in blood pressure would cause instant unconsciousness, and death would swiftly follow
    2. Diamorphine or fentanyl overdose – while this effectively kills through respiratory arrest, which is the same as asphyxiation, you would almost certainly die quickly and painlessly, unconscious
    3. Nitrogen (or other inert gas – e.g. helium) – to breathe this gas until you lost consciousness would require a certain amount of steely resolve, to not tear off the bag or mask. Completely painless, but requiring 2 or 3 minutes that would be psychologically unpleasant.
    4. Potassium cyanide – this would produce a relatively swift and certain death, but there may be some minutes of pain and discomfort

    The poisons arsenic, ricin and strychnine, along with the nerve agents botulinum, sarin and venomous agent X, would all have undesirably slow or indirect ways of killing you – for example, inhibiting your ability to breathe. To die by these deadly agents would be most undesirable, given the suffering in your final moments.

    Point blank gunshots to the head can miss major blood vessels and parts of the brain that control your vital organs, and as such, very many people have survived attempted suicide using a gun. This is probably largely to do with Hollywood portrayals of suicides being committed by putting the gun in your mouth: liable to result in the bullet missing the spinal cord and anything else important, and just leaving a hole in the back of your head/neck. Painful, but not fatal.

    Therefore, without the assistance from a person with anatomical and surgical knowledge, to sever your carotid artery, and without the access to the controlled (illegal) substances of diamorphine and fentanyl, your best option is to obtain a canister of wine preserver gas, a large plastic bag and some duct tape. Filling the bag with the gas, you would place it over your head, top up the gas as much as possible and then tape it airtight around your neck. You should lose consciousness within minutes and die soon after that – completely painlessly. A home remedy to euthanise yourself.

    Many dentists who commit suicide breathe nitrous oxide – laughing gas – through a mask until they lose consciousness and asphyxiate.

    The problem with a home made pill cocktail – opiates to stop your breathing and benzodiazepines and Z-drugs (zopiclone, zolpidem) to keep you unconscious – is that your stomach needs to break down many many pills and for their contents to enter your bloodstream rapidly, without you vomiting. Augmenting with alcohol may increase the ability of the opiates to stop you breathing, and assist in keeping you unconscious, but there is a fairly big time window where you might be discovered and there are a number of variables that make the result more unpredictable than is acceptable, if you’ve made the final decision to euthanise yourself.

    As you can see, those who are thinking about ending a life have much to consider, even if it’s just a pig to make bacon out of. I would prefer my pigs to be killed with pure nitrogen gas, than pure CO2. In actual fact, even though the halal practice of slitting an animal’s throat looks barbaric, it’s very humane, for the reasons explained above – it would be my first choice, for myself.

    Gas chambers, animal and human euthanasia – you’re welcome.

     

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  • So Lonely

    This is a story about isolation…

    One Shoe

    I’ve had 3 attempts at living in domestic bliss in my lifetime.

    The first attempt, I was way too young. At just 21 years old, what the hell did I think I was doing living in a Surrey commuter town? Taking the old slam-door train into Waterloo every day and having to ride “the drain” which is the packed tube that carries you directly into the heart of the City of London. I played golf on summer evenings and at weekends. I generally acted as if I was 50, not 21. Also, I was with the poor girl out of a desperate desire not to be alone, rather than because I was attracted to her, which is never a good reason to be with somebody. Our flat was nice enough, but somehow bland; faceless; soul-destroying. Leaving central London for that life, was a huge mistake.

    The second attempt, I picked the wrong girl. I was certainly attracted to her, and she was smart – a science graduate from a good university – so she ticked almost every box. However, she was mean; just plain mean. There was a vicious aggressive streak to her and she managed to rub most people she met up the wrong way. My friends called her “the poison dwarf”. We bought a suburban house and tried to make it work. Getting a kitten was the only thing that was successful – we bonded over looking after our cat. Perhaps – although reckless – there’s something to be said for doing what my parents did, which is to have a child even though your relationship is a load of dog shit. I ended up marrying this girl. It did not last long. You can’t pair a mean aggressive person with somebody who’s a sensitive needy soul like myself: I’m fragile; I’m easily hurt, if you want to hurt me; I’m a pretty easy target – I’m open and unguarded.

    The third attempt happened very naturally. Perhaps it’s an age thing – we were both getting to the point where, how did she put it? “It’s time to shit or get off the pot”. She was very committed and I loved that – it made me feel so loved and secure; wrapped up in cotton wool. I’d look for her hand, and hers would be there, ready to hold mine. If I felt like I was going to fall, she’d reassure me that she was going to catch me. The thing is, I was broken and sick – there was so little left of me to love. I was ridiculously needy, but she seemed to take that in her stride and make incredible allowances and forgivenesses for all kinds of transgressions.

    How it came to pass that my latest attempt at domestic bliss fell apart, I shan’t go into the detail of out of respect for her, and an agreement to leave each other in peace. However, there are a couple of things that I need to write about, just because I need to clarify them in my own mind. There’s a certain amount of lunacy that led to the downfall of that relationship, and I need to unpick it a bit… to untangle the mess.

    We hadn’t had an argument for months. We got along so well. We were best friends and we were mostly inseparable. She had social engagements, and I didn’t suffer FOMO or jealousy. We got through a family Christmas and some other stressful times, without so much as a cross word. In a way, that made me feel uneasy. We were not well practiced at resolving conflict.

    As my health failed and my career faltered, all of our optimistic dreams of the future were under threat. She was supportive, but I was losing what little identity and self esteem I had; I was becoming ever more dependent on her. It emerged that I was full of bitter regret that my path through life had led me away from interesting things, smart people, daily challenges: my career had become little more than stoically watching projects get bollocksed up by total morons, in return for obscene amounts of money – a bribe, if you like, to rubberstamp the wrongdoing I had to witness. Her career reminded me of everything I had ever aspired to do with my life – to make the world a better place.

    I became deeply insecure. Not insecure because she left me with any doubt that she would be committed, loyal and supportive, no matter how bad things got. No… I was insecure about my worth; my value as a person; my contribution; my career choice; my ability to deliver on my end of the bargain of the domestic bliss dream. I was on a hair trigger.

    She didn’t know how to debate; how to argue, as it turned out. We still live in an age where sexism is working out its kinks, and our intellectual women have been excused from having to back their assertions with evidence or logic, or refute a point with a well constructed counter-argument. Contradiction was all she knew, and I had to walk away in frustration, the first few times we argued.

    Because of my loneliness; my isolation, when we argued – over something that was deeply distressing to me – I turned to social media to arbitrate. I didn’t know where else to turn. When you have the evidence in front of you, but somebody is arguing that black is white and refusing to back down, what do you do? To post up the transcript of an argument on Facebook, and let the crowd decide is not a great thing to do, but I was being tormented; driven mad.

    I’m not really sure what happened afterwards. I was completely isolated and completely exposed. I had laid out my position: the irrefutable evidence. Maybe I needed the strength of the crowd behind me, to follow through and end a relationship with somebody who would put their intellectual vanity ahead of my feelings – be prepared to lie and twist the truth just to ‘win’ [in their mind, at least]. Maybe what I really wanted was this misbehaviour to end, and for the relationship to be repaired.

    We finally reached a point of communication where the unjustified contradictions, the lies and the twisting of the truth was replaced by apologies and kind words, but I’m not sure whether I was just being humoured – this was the endgame. Having gut-wrenchingly lost my best friend, my lifelong companion, the love of my life – albeit a whirlwind romance – I briefly thought that these words of contrition showed a willingness to try and fix the relationship. Alas, no… I was mistaken. She swallowed her pride privately, for my benefit, but to do so publicly was unthinkable for her.

    She might not understand that I resorted to social media, because I have no sycophantic courtiers to prop up whatever ill-founded notions I want to believe – I have no “yes” men who tell me I’m right, even when they only know half the story. I’ve lived most of my life feeling isolated and alone. I couldn’t be much more alone than now: estranged from my family for over 2 years and all my contact with my friends is through social media. When I’m not working, I have almost zero face-to-face human contact. Social media is the only place where my side of the story gets told. Social media is the only place where my friends can give me support, making me feel a little less isolated, alone, and vulnerable. It’s easy to beat up a person who has nobody sticking up for them.

    She’s not a bully, unlike my ex-wife. She’s a nice person and we were best friends. It’s just that I became very fragile when I lost everything – my family, my regular social contact with friends, my job, my financial security. Her inflated ego brutally squashed what little security and happiness I had, as she foolishly boasted about being a public figure; a minor celebrity; at the centre of the universe.

    There were periods of humility, and I thought we would get through the problems we’d had, but instead, she has thrown herself back into her career with some gusto, and I must satisfy myself with the sole and unintended benefit of now being at liberty to consider opportunities outside London.

    I write this, largely driven by fear. Fear of being alone, but also knowing that loneliness and isolation are deadly. It’s more fear of death – through suicide, obviously – that’s caused me to write this today. I feel alone and I’m mourning the loss of that all-to-brief period where I felt I’d met my lifelong companion. It’s taking longer to come to terms with and comprehend how it all fell apart so quickly, than one might intuitively believe would be necessary: to grieve for the loss and move on. Isolation breeds isolation, and I’ve had almost nobody to talk to about the breakup; nobody supporting me; nobody on my side.

    Having learned from my mistakes of the past, I don’t want to be with somebody, just because I’m afraid of being alone, but I had to write this today, because my last relationship was as close to perfect as I’ve ever imagined it possible to achieve… but yet it still ended, and it ended badly. I guess the lesson I learned is that there are really great girls out there, but there’s going to be irreconcilable conflict where their delusions of grandeur unfortunately collide with a collapse in my own self-esteem.

    Feeling as alone and isolated as I do – connected to the world almost exclusively through social media – makes it frighteningly easy to seriously consider suicide as an option. I think about a handful of people who regularly ask how I am, on Twitter and Facebook, and a friend who has helped me immensely with a number of practical matters: these are the fragile little hooks on which I hang, suspended over the precipice. Many suicides will be a result of a failed relationship, but the effect of my latest breakup was counter-intuitive: now I feel safe to discuss the complete collapse in my self-esteem, without somehow laying blame at the feet of my ex. I don’t want people to feel responsible. I wouldn’t kill myself to spite a person. I don’t even want to die angry with the world.

    My ex’s productive output is out there in public and it causes me great pangs of pain, as it reminds me what I loved about her, but also I am able to see that I was damaging her career… an unwelcome distraction at a time when big opportunities were presenting themselves for her to demonstrate her very best work. “If you love them, let them go” is an oft-quoted platitude, and I wish I were able to claim in all honesty that I was acting so selflessly. In truth, it’s more like “I can see that she’s better off without me”.

    This is the seed of the suicidal: “the world is better off without me”.

     

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  • Care in the Community

    This is a story about home treatment…

    Meds bag

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

     

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