This is a story about three years of my life...

I was living in an ultra-modern hotel in Canary Wharf and working for HSBC at their head office. I was a member of the team working on the bank's number one IT project. Shortly beforehand I had been living in a 14-bed hostel dorm and I'd narrowly escaped bankruptcy and destitution. I was working 12 hours a day, 6 or sometimes 7 days a week. I was exhausted and the tiredness, stress and unsettled life was driving me literally insane. I was suffering with delusions of grandeur, paranoia and my behaviour was erratic and unpredictable; I was extremely tense and irritable. I was on the brink of having a breakdown.

I rented an apartment on the River Thames near the office. The rent was obscene - £500/week - but I was earning great money working for HSBC and I was working very hard, so it seemed affordable at the time; it seemed like a nice reward for all the hard work. It felt like justice that I'd been able to get myself off the streets and into such a lovely place to live; to have gone from homeless and sleeping rough in a park, to having a luxury Thameside apartment with panoramic views over London.

I was dating a BBC journalist. I was rapidly gaining a Twitter following. I felt like everything was happening for a reason. I felt like it was my destiny to do something important. I was consumed with mania; I was obsessed with the idea of a grand gesture. I had been deeply affected by my homelessness and near-bankruptcy and destabilised by the exhaustion of sleeping rough and in hostel dorms. The IT project was very stressful and I was under a great deal of pressure from HSBC management. My mind was a mess. I was very severely mentally ill.

I woke up one morning and I couldn't go on. I couldn't face the office. I wanted to kill myself. I went to my doctor who sent me to hospital. 13 hours later I was admitted to a secure psych ward. I explained that I was financially distressed and very stressed at work. The psychiatric team recommended I stay in hospital for at least 2 weeks, but I needed to be back in the office if I was going to keep my job, to be able to afford the rent.

I discharged myself from hospital after a week and flew to San Francisco. I figured that if I was going to kill myself I might as well do it somewhere iconic. A friend picked me up from the airport and I borrowed a bike. I cycled straight to the Golden Gate Bridge. Seeing old friends, however, made me change my mind about committing suicide.

I lost my job with HSBC and I "slept rough" in the shadow of the head office skyscraper in Canary Wharf. I thought that this would be the pinnacle of my journey. I thought that having been used and abused by HSBC then unceremoniously dumped out onto the streets to suffer bankruptcy and homelessness - having managed to get myself a job at the bank while of no fixed abode and living in a hostel - would be deliciously poetic. It was, but my journey had barely begun.

I quit drinking for 121 consecutive days. I starved myself. I thought that I would go on hunger strike. I thought that I would sleep rough on Christmas Day. I was really angry and upset with the world. Self harm and substance abuse dominated my life for several months. I got into heaps of debt just staying alive.

I survived the winter. I got another job. My life was OK except for persistent suicidal thoughts. I hated the project I was working on but I persevered because I was in a lot of debt. I loved where I was living - every day in my apartment was like Christmas Day because the view was so awesome. Living by the river was an incredible privilege. I took a holiday and went kitesurfing. My quality of life was improving slowly.

I met somebody very special and fell totally in love. She accepted me for who I was, including the all the bad bits, such as my prior issues with substance abuse. She was the first person I'd been in a relationship with who'd been able to read everything about me on my blog and to understand my flaws. We had a good relationship. The project I had been working on came to an end and I was jobless again. I wrote and published my first novel - she proofread it and helped me with the ending and other ideas. She was very supportive and I was confident I'd find work again easily.

New Year's Eve watching the fireworks over London, sipping champagne on my balcony with the woman I loved - it seemed like the New Year was full of promise, but I was worried about getting another job and I was still in a lot of debt. There was a lot of pressure.

Disaster struck. I got deep vein thrombosis (DVT) in my left leg, which swelled up to twice the size of my right leg. My kidneys failed and I ended up in hospital on a high dependency ward having many hours of dialysis every day. The potassium in my blood spiked to a life-threatening level and I was constantly at risk of cardiac arrest. I was very sick.

My stay in hospital caused me to lose my job. Losing my job caused me to collapse psychologically and become very depressed and despondent. The DVT had caused terrible nerve damage and I had a lot of neuropathic pain, as well as a numb left foot. I started to become dependent on painkillers. I sought powerful antidepressants for my low mood. Pictured on the table are: codeine, dihydrocodeine, tramadol, diazepam, alprazolam, mirtazapine, venlafaxine, dextroamphetamine, zolpidem, zopiclone and pregabalin, which are all highly addictive. Because of this cocktail of prescription drugs I suffered an episode of medication-induced mania - temporary insanity - and broke up with the love of my life.

I ran out of money. I had to pay a huge tax bill and I had to go even deeper into debt. I was virtually bankrupt. Out of desperation I was forced to put all my worldly possessions into storage and leave London to take a job in Manchester. The job in Manchester included an apartment as part of the package, which was lucky because I didn't have enough money to pay rent or a deposit - I was totally broke. Moving house and leaving London was incredibly upsetting and traumatic. The new job was extremely demanding and exhausting. I was very lonely and isolated in an unfamiliar city with no friends or family; no local connections.

I tried to commit suicide. I took a massive overdose: I'd been stockpiling my prescription painkillers and I knew that 8+ grams of tramadol was likely to be fatal. I sent a tweet when I believed I was beyond the point of no return. I thought nobody knew where I lived. I thought there was no chance anybody would get to me in time. I was wrong. I regained consciousness a few days later in a hospital's critical care ward on life support. I was later sectioned for 28 days and admitted to a Psychiatric Intensive Care Unit (PICU).

A doctor from Wales discovered my blog and invited me to live on their farm in a converted garage. I had no money, no car, no job. I had nothing.

I almost went bankrupt but a friend got me some work in Warsaw and in London. I was living in AirBnBs and working in the Square Mile from Monday to Friday and living in Wales at the weekends.

I bought a car, I got a local job, a local girlfriend and I rented an apartment. Briefly, I had everything I wanted and needed, although I went even deeper into debt. The pressure, stress and turmoil which I'd endured to get to this point was unimaginable; just to get to a position which most people would take for granted as the minimum acceptable things for a normal ordinary liveable life.

The local project ended and I was jobless again. The relationship ended. I papered over my bedroom windows and withdrew from the world. The journey had destroyed me. I was spent.

An obscene amount of money flows through my hands, but it all ends up in the pockets of those who I owe money to. I'm desperately trying to keep my head above water. The financial pressure is immense; unbearable. The journey has been incredibly long and arduous. There's still a very long way to go before I reach security and stability; before I'm comfortable, happy and content.

In the last year alone, I've managed to move house 3 times, work 4 different jobs, travel to 4 different countries, date 2 girls, survive a suicide attempt, be admitted to 3 different hospitals, quit addictive painkillers, sedatives, tranquillisers and sleeping pills, be arrested and locked in a cell, buy a car, rent a place to live, stay in 17 different hotels and AirBnBs, and somehow stay on top of my mountainous debts, not go bankrupt and even pay some of that crippling amount of money back. My only remaining vice is wine. I'm completely unmedicated and I don't abuse any substance other than alcohol. It's a remarkable journey for just 12 months, but the journey has been much, much longer than that.

In the last three years, I've written and published a million words and connected with thousands of people all over the globe.

To be precise, to date I've written exactly 1,001,020 words and counting, on this blog.

It's the world's longest suicide note.

If you want to understand why I'm suicidal you just have to read it all - it's all written down in exquisite detail. To save you the trouble of reading all 1 million words I've summarised the last 3 years for you right here.

The pressure; the stress; the exhaustion. Where is my reward?

I've travelled so far and I've achieved so much but yet I feel like it's gotten me nowhere. I should be rich but in fact I'm up to my eyeballs in debt. If you want to know where that debt came from, I just explained it to you. I didn't get into debt buying frivolous things and being profligate. I didn't make particularly bad choices. I'm not stupid. Where's the payoff for working so hard? Why did I bother?

My name's Nick Grant and I drink too much but otherwise I'm an ordinary regular guy. I do my job to a high standard and I'm liked and respected by my colleagues. I pay my taxes. I pay my rent and bills. I contribute to society as a productive member. I do ordinary stuff and have ordinary needs.

I'm 39 years old and I have nothing but debt. I have nothing much to show for my 39 years on the planet.

I'm lonely. I live a double life. The person I am in the office is different from the person I am in the comfort of my own home. Nobody at work would ever suspect that I've slept rough, been in trouble with the police, been hospitalised many times, been sectioned and had horrific problems with addiction. Nobody would suspect that my mental health has caused me horrendous difficulties when exacerbated by stressful life events, like divorce, moving house, losing jobs and everything else that's happened to me in the past 5 or so years.

My solution to the instability in my life was to create a backbone that has run consistently through my ups and downs: my daily writing. To have been able to write a million words has been immensely stabilising and has brought me into contact with so many wonderful kind and caring people. I quite literally owe my life to those who've followed me and my blog, especially via Twitter. Without this connection to the world I would be dead.

Today, I've crossed a seemingly arbitrary imaginary finishing line, in having written and published a million words in less than 3 years. It might seem ludicrous and pointless, but if you consider it in the context of the journey I've been on, you can see why I've wanted to document it.

If you've followed me on some part of this journey, I'm really grateful to have had your support. Thank you.

Tags: #writing #career #friends #socialmedia #publishing #homeless #mentalhealth #bipolar #london #suicide #depression #debt #addiction #drugs #nhs #hospital

This is a story about marathon running...

I'm quite pleased that I have this blurry photo capturing the moment when a stranger borrowed my iPhone charger in an airport. That stranger became my accountant and he's been on the journey with me, from a newly incorporated business to the point where I'm now turning over a 6-figure sum of money and making decent profits. My accountant has been one of the few constants in my life during a period which has been extremely wild and erratic.

Another particularly notable feature of the 5-year journey which has brought me - finally - closer to the point of getting back on my feet, is that I've never stopped moving. Through frantic and frenetic activity I've managed to avoid death, bankruptcy and a million and one other dreadful fates. By persevering with a very simple plan - to earn a lot of money as a consultant - I've managed to weather some pretty dreadful storms.

I admit that I did try to have myself declared unfit for work and to obtain the state welfare support I'm entitled to, but most people I meet seem to quickly form the opinion that I'm perfectly fine and healthy. Most people think I'm entirely capable of rescuing myself from even the most diabolically awful situations. It's pretty obvious that I haven't been enabled by anybody, although I'd be dead as a dodo if it wasn't for my guardian angel, who helped me move from London to Manchester, then Manchester to Wales, as well as being there for me during various hospitalisations and wotnot. To say I've arrived at the point I'm at today all on my own is not true at all. Of course I wouldn't have lasted 5 minutes without help and support, but I haven't received any of the help and support from the government that you'd think would be available to a vulnerable person - the safety net simply doesn't exist.

You would think that all your taxes which you pay would give you some kind of insurance, so that you wouldn't be penniless and homeless if you couldn't work. You would think that all that tax would mean that you'd be looked after if you were incredibly sick and vulnerable. Unfortunately, the welfare state is not at all kind to anybody who appears - with a lazy glance - to be of sound body and mind. Despite letters from GPs, psychiatrists and social workers, there are gatekeepers who are so compassion-fatigued and have so few resources to dispense to so many needy people, that there's no safety net at all.

Early intervention would have saved me a lot of near-death experiences, hospitalisations, contact with the police, wasted money, wasted time, wasted energy and health damage. Early intervention would have been far more cost effective than dealing with the consequences of assuming - incorrectly - that I'd cope just fine if I was simply left to my own devices; made homeless and otherwise abandoned by a nanny state which always promised to protect me, in return for the vast sums of taxes I've paid. I wasted a lot of time and effort on the mistaken middle-class belief that the welfare state exists for the sole purpose of protecting the vulnerable members of society. I thought - as so many middle-class people do - that I simply needed to ask for help from the relevant services charged with doling out lifesaving support and I would received what I needed.

It turns out that the UK operates what can only be described as a hostile environment for anybody who falls on hard times. It turns out that vast swathes of the civil service - with a mission statement to supposedly to help society's most vulnerable - are actually acting as gatekeepers and making it almost impossible to access any kind of help or support. Instead, the rigmarole is intended to frustrate, annoy and exhaust until you become disillusioned, disheartened, discouraged and generally lose faith in a government which promised to look after you in the event of an unfortunate turn of events, in return for a hefty portion of your income. The safety net turned out to be a lie and you'd better not waste too much time being angry and disappointed, because you're still broke and homeless... you have to find your own way to survive. No wonder so many people in the UK grow and sell cannabis or peddle other drugs - the black market economy provides much needed cash to society's most vulnerable, impoverished and desperate.

I suppose the argument would be that I could walk into a job quite easily, but that's pure stupidity. It's impossible to get a job and keep it if you're homeless and you have severe mental health problems. It's impossible to get a job when you're hamstrung by addiction and alcoholism. It's impossible to get a job and keep it when you're flat broke. It's a catch 22 situation. There are plenty of people who could theoretically get back on their feet, but they'll never be able to without some initial help and support - they need somewhere to live and some money; they need treatment for their addictions and alcoholism; they need time to stabilise their medication and get counselling for their mental health issues. Allowing people to become homeless - destitute - and to commit suicide is barbaric. Yes, it might seem to the wealthy ultra right-wing conservatives like it's some brutal form of social justice - survive or die; fit in or fuck off. Personally, I want my taxes to be spent on people who can't work, even if it means that I have less money to selfishly spend on myself. I want to pay into a national insurance scheme which creates a safety net for the most vulnerable and impoverished members of society.

In the second half of 2014 it dawned on me that I was wasting my time asking for help from the state, so I complied with exactly what the hostile environment was designed to do: I tried to go back to work. Naturally it was a disaster. You can't force sick people to work. Sick people can't work.

I've struggled along working for 4 hit-and-miss years. I've had a rollercoaster ride. I have periods where I'm working out of sheer desperation, which of course makes me incredibly sick, so I crash and burn every time. Because I seem blessed - or cursed - with the appearance of a man who's got his shit together and is doing just fine, I end up quickly embedded in huge organisations doing very important project work. Because of past achievements I'm given responsibilities which nobody in their right mind would dream of giving to a homeless, bankrupt, alcoholic junkie with mental health problems. The projects are hard enough, without also having to worry about where I'm going to sleep, whether I've got enough money to survive from day to day, and of course dealing with my mood disorder and all the of the problems associated with substance abuse.

Imagine doing an opiate, benzodiazepine and alcohol detox while working a full-time job. Imagine doing drug rehabilitation while working a full-time job. Imagine undergoing psychiatric treatment for severe mental health problems while working a full-time job. Imagine living in a 14-bed hostel dorm while working a full-time job. Imagine not knowing whether you'll be able to afford to keep travelling to work until payday - the ultimate catch 22, where you can't even afford to work your full-time job. That's been my life.

Some of the practical difficulties have been eased in the short-term with vast quantities of debt. I've borrowed heavily to be able to make my living and travel arrangements more compatible with working. I've gone deep into debt on the presupposition that it will enable me to earn enough money to dig myself out of the hole. In addition to the hard problem of working when seriously unwell, I've also had mountainous debts threatening to destroy me.

All of this is exactly what the government wants. The government wants us all to be heavily-indebted wage-slaves who live incredibly insecure lives, so we're easy prey for the capitalists. The government doesn't want us to get fat, happy and lazy. The government doesn't want us secure enough to be able to demand fair and reasonable working conditions and remuneration commensurate with the value of our labour.

I've worked incredibly hard, especially so during the last 9 months. I've earned a lot of money, but none of it has flowed into my pockets - it's all gone to pay the capitalists for their loans, which was the only way I could stay afloat and keep playing the game. If I'd declared bankruptcy I'd never be able to earn a decent wage ever again, rent an apartment or buy a house. The system's set up to screw you whichever way you go; you're forced to become a slave.

With gritted teeth and dogged determination it's been possible to struggle through 9 dreadful non-stop working months and get to the point where it looks as if I'm getting on top of things. I've had a period of what appears to be stability. You could be easily fooled into thinking that forcing me to work when unwell has actually proven the right-wing ultra-conservatives to be correct - that it's OK to economically enslave people; that it's OK to tell society's most vulnerable that they have to choose between starving on the streets, or a minimum wage McJob which won't even cover the cost of incredibly frugal living.

It might not look like it but I've actually done an incredible marathon run and I'm doing a sprint finish. It might not be immediately apparent but it's quite remarkable that I've survived what I've been through and I'm still going. I need to keep going. If I can't keep going then all I'll fall back into the hole as soon as I collapse exhausted in a heap. Every time I'm forced to push myself beyond the point which is sustainable and healthy there's always a price to pay. There's a price to be paid for forcing vulnerable needy people into work.

It might not seem like things have been very hard for me if we extrapolate backwards, but we need to think about where I've come from and what I've been through, not what my current situation and prospects are. My current situation is still pretty dire - there's a long way to go before I can retain my gains permanently; I'm a long way from escaping the debt trap and being free from tyranny. My health is not reliable. My future is incredibly uncertain.

I'm having a difficult time adjusting to the present paradigm. My brain and body are built for crisis mode. I'm able to deal with an endless precession of catastrophic events and survive disaster, but I'm struggling to adjust to the present situation, where I simply need to coast along now that I've re-established myself somewhat. I'm finding it incredibly hard now that I'm no longer in the danger zone - I'm on high alert and super tense, but the worst of my troubles seem to have passed. It's been a living hell but I've beaten the odds. However, I have absolutely no ability to cope with ordinary pedestrian, plodding, slow-paced and hazard-free life. I don't think I'm able to deal with boring daily routine, because my life has been in non-stop crisis for so many years.

So, I'm sprinting to the finish line. I never manage to find steady sustainable consistent marathon pace.

Tags: #homeless #debt #career #mentalhealth #bipolar #politics #capitalism #depression #suicide

This is a story about preferential treatment...

If you Google Translate "Very Important Person" (VIP) into Portuguese, you get "Pessoa Muito Importante" (PMI). It seems like the Portuguese prefer the acronym CIP, but I can't find a definition of what that stands for.

Anyway, as well as getting to spend a couple of days with my friend, I also get to be his guest in the airport lounge reserved for frequent fliers. The big advantage of this is a comfy seat near a power socket, where I can do a bit of work, write this blog post, and otherwise kill time until my flight starts boarding, which won't be for a few hours.

Most of the conversation with my friend during Saturday, Sunday and today, has revolved around middle-class guilt and social conscience. Is it right, for example, that the most wealthy are able to hide their money in Swiss bank accounts and offshore, to shield it from taxation? As a proportion of a person's income or net worth, it's the poor who shoulder the biggest burden in taxes, fees and other things - such as exorbitant interest rates on loans - which prejudice the opportunities of the most disadvantaged members of society, to escape from poverty.

A friend who's a chartered accountant has decided to become an independent consultant, like me. We discussed the tax efficiency of owning and operating our own companies versus paying full income tax and National Insurance on our gross income. Surprisingly, we pay slightly more tax than those who are PAYE (Pay As You Earn) and have their taxes deducted at source by their employers.

Also surprising is the laudable decision of some of my friends who have been lucky enough to become wealthy, to not hide their wealth offshore or in Swiss bank accounts - they're paying their fair share and playing by society's rules; they're giving back to the economies which they profited from. You might say that "laudable" is the wrong word, but there is a considerable burden involved in the administration of complex tax affairs, and the bureaucracy of ensuring that governments receive all the taxes which they are due. Often times, it would be far easier to avoid taxes than to pay them, because there's a whole industry which profits from providing simple and convenient services to the wealthy.

Are we being philanthropic; altruistic? No, of course not. The thing that's driving our behaviour is guilt. We feel guilty that we have been lucky when others have not been. Paying taxes doesn't absolve a person of that guilt, but deliberately avoiding taxes is something extra that the lucky ones should feel guilty about.

What about giving money to charity? Does that absolve a person of the guilt they feel about their fortune in life?

The problem is that a clean conscience can be bought very cheaply. A seemingly large charitable donation might actually be only a tiny fraction of a person's net wealth; a bit of 'disposable' income that wouldn't be missed at all. Even more perversely, tax rules can make a rich person's donation of "pocket change" look like a significant act of philanthropy, while a poor person's unavoidable tax burden is by the far the greater contribution, and yet not recognised as such.

Then, there's the protective bubble problem. If you work on a secure campus or private estate and live in a gated community, you're largely insulated from seeing poverty, homelessness and disproportionately protected from becoming a victim of crime. In fact, just living in a wealthy country, you're insulated from the global wealth disparity created by the subsidies, import tariffs and other economic weapons which are employed to keep the rich rich, and the poor poor.

After 3 days of chatting, my friend and I arrived at the conclusion that we'd have to go through 3 generations of misery to reach a state of global equality and social justice. When I say "we" I mean mostly the wealthiest 2% of people on the planet, which my friend is convinced we can count ourselves amongst; he and I.

How can I disagree with him that I enjoy a life of wealth and privilege which 98% do not, when I'm sitting in a leather chair typing these words on one of my 5 laptops, enjoying free electricity, free food & drink as well as having the leisure time to craft this valueless contribution to the internet's quadrillions of webpages.

It's OK though: I'm a CIP. I deserve preferential treatment.

Tags: #politics #economics #friends

This is a story about being unhinged...

A highly paid civil servant decided to doodle this cock onto a poster which was affixed to the toilet door, at a government agency which is responsible for the collection of £6bn in taxes per annum. You'd have thought that the kind of people who clear the stringent security vetting wouldn't be the types to do graffiti in toilets, especially the toilets at the highly secure office.

There's nothing in writing yet, but I'm getting the shove... services no longer required. Project delivered, happy client, but there isn't another project at the moment, and I'm quite expensive to have sitting around doing nothing, although the banks I've worked for have never seemed to care much about that.

It's the worst-case scenario. Contract has finished early and no extension. Nothing that's very appealing in the local area; not a lot of choice... in fact, pretty much just one contract I could apply for, which I'm pretty sure I'd hate.

If I go on my holiday instead of working, I'll lose £3,000 of potential income. That's a helluva expensive holiday, when I could just write off the £600 it cost me for the flights and accommodation. Should I work that week, and use the extra money to go on a holiday which'd be much more suitable for me now I'm single? Should I work that week and simply go on a better holiday, to cheer myself up? Should I work that week and be sensible, and save the money, given that I'm about to lose my income?

What have I got now? No girlfriend. My car is about to be declared unroadworthy. No job. I've only got 2 friends in the local area, and one of them I haven't seen for 6 months and the other I've only met twice. All my money is earmarked for debts, rent and bills. I have no surplus which I can use to have an unplanned break from work - I need another contract.

Wind back to September 9th 2017 when I tried to kill myself. Why did I go through that hospital treatment to save my life and restore me to physical health? Why did I go through that psychiatric treatment, to make me safe to release from hospital? Why did I go though the stress of moving to yet another city where I don't know anybody? Why did I work my arse off and have the misery of living out of a suitcase, staying in a different AirBnB every week? Why did I work my arse off getting security vetted and landing a cushy public sector contract? Why did I spend every spare penny I had getting a car and an apartment? Why did I wine and dine and generally woo and wow a girlfriend? Why did I bother? Why did I think that I'd get anywhere; that I'd make any progress; that I'd ever be able to get ahead in life? Why did I think I'd ever be happy; content?

I'm not sure if I'm a danger to myself, others or both. I'm unhinged. I'm mad. I'm deranged, demented and disturbed. What the hell am I going to do? How the hell am I going to react? Who or what am I going to blame?

Desperate people who believe they have nothing to live for - that their lives are not worth living - are dangerous, aren't they? Can you think of anything more dangerous than somebody who's got nothing to lose?

Fear of consequences is the thing that keeps our behaviour 'in check'. What possible consequence could be used to threaten me or control my behaviour? Why on earth should I behave myself? What reason have I got to give a damn about consequences? I've got nothing to lose.

I've played by society's rules and it's gotten me nowhere because the game is rigged. I've conformed and complied and it's been to my detriment, because there are so many who lie and cheat and break the rules. I had hope and I had things that I didn't want to lose, but now I don't. That's a dangerous situation. That makes me a dangerous person.

I'm liberated. Too liberated. Too liberated for society to tolerate... depending on my completely unpredictable behaviour.

Should I be locked up?

Tags: #suicide #career

This is a story about primary care...

Primum non nocere is in and of itself a non sequitur because the use of Latin and other languages of classical antiquity is primarily intended to deter the hoi polloi from becoming educated. The number of doctors who are able to train, qualify and practice, is something that is tightly controlled in order to maintain high salaries - artificial scarcity - as opposed to allowing the unrestricted proliferation of medical knowledge which might improve the health of the nation.

Those who profess the Hippocratic Oath might be able to stay true to the vow they have sworn if they practice the treatment of acute illness in a hospital - dealing with curable disease and injury - but in the treatment of chronic illness in the community, as General Practitioners (GPs), can we say the same?

If we look at a few obvious statistics, we can see that medicine is failing. Average life expectancies have started to fall and chronic illness has seen a dramatic rise. There is an epidemic of mental health problems, and suicide is the biggest killer of men under the age of 45.

Of course, one might say that the root causes of these conditions are non-medical.

It occurred to me that a significant piece of the NHS has already been privatised, in that many general practice surgeries are owned and operated as private profit-making enterprises. This seemed to present a significant conflict of interest, so I decided to conduct an experiment.

I asked a GP a simple question: when you're treating a patient, do you think about their healthcare needs, or do you think about other things? The reply was shocking.

"It's not about [the patient] it's about everybody else"

I'd had my suspicions for a while - gathering plenty of evidence - that those who profess to do no harm might actually have been corrupted into serving other purposes; into betraying their profession and failing in their duty of care. This was the final confirmation that my worst fears were realised, and there are powerful actors within the healthcare system who place other things above the health of their patients.

By co-opting doctors into the capitalist profit-driven sector of the economy, and by co-opting them into the welfare system, we are asking doctors to choose between their luxury cars, the private school fees for their children, and other trimmings associated with their high social status, versus increased taxes to pay for the welfare state. By placing the most vulnerable people in society in front of the doctors, when seeking incapacity benefit, the government is pitting one group against another.

If the study of economics has taught us anything, it's that people respond to financial incentives. While a GP might argue that they're saving valuable taxpayer money, which might be spent on the NHS, by denying incapacity benefit to a vulnerable member of society, one must also admit that the GP acts in rational self-interest. Less money spent supporting society's most vulnerable means a lower tax burden and more money in the pockets of the profiteers, which include GPs who are partners in their practice.

The first principle of do no harm forbids a doctor from weeding out malingerers based on their best guess. To cut off somebody's incapacity benefit is definitely harmful, and there is no diagnostic test which could decide with a high degree of accuracy who is the malingerer and who is genuinely unable to work. If the doctor in question truly cares about their patients, they would have no option but to choose the option which gives most benefit and inflicts least harm.

We see so many suicides because patients are fobbed off with inferior treatment options, because it's a cheaper alternative to give somebody pills than to give them psychological therapy. While I understand that being cost-conscious might be seen as being pragmatic, it again violates the principle of do no harm. To fob a desperate and vulnerable person off with ineffective medication, when better treatment options are available, is tantamount to negligence. If a doctor has a consultation with a man under the age of 45, they must surely be well aware that suicide is the thing that is most likely to cause their death, and they should therefore treat it as a serious threat to their life. To call people's bluff and knowingly prescribe ineffective treatment is obviously the reason why suicide rates are so scandalously high.

I imagine that some doctors - although egotistical and in love with themselves - have a tiny piece of them that wants to make a difference and save lives. I think that exhaustion and the pressures that are felt by ordinary people are imposing themselves on doctors now, who are struggling to send their children to the best private schools (boo hoo) and are feeling compassion fatigued because of burnout. If we can relieve the pressure on GPs, they may become more willing and able to work in support of their patients' needs, as opposed to "everybody else" (read: being the government's job police).

I strongly believe that we have an urgent need to change primary care, so that it becomes not-for-profit, and patient healthcare can become the primary objective. Perhaps profits are not the primary motivator, but money has a corrupting influence which can be clearly seen when you speak to a GP who is/was a partner of a practice. Co-opting healthcare professionals into the job of coercing vulnerable people into bullshit McJobs, where they are exploited by the capitalists, has absolutely nothing to do with healthcare and is most certainly harmful.

I've witnessed first-hand how this care for "everybody else" - instead of patients - has become shorthand for the compassionless, sympathy-lacking, bullying, hectoring and suicide-inducing grotesquely twisted vision of so-called medicine, inflicted on society's most vulnerable people.

If you want to be the job police, and you think that suicides are an acceptable price to pay, so you can feel superior and send your kids to private school, perhaps medicine is not for you.

Tags: #nhs

This is a story about doing things you dislike...

Pretty soon I'm going to have to start turning up at work on time, because I have a good first impression to make. Pretty soon I'm going to be commuting to work along with lots of other miserable people, clogging up the roads and getting stressed out of our minds. Pretty soon I'm going to have to pretend like I'm a regular office worker, and suffer the cold early mornings - getting out of bed when it's a really miserable time of year, defrosting the car and pretending like it makes perfect sense to be acting the same as if it was the middle of summer.

I'd worked really hard so that I could start to take it easy, maybe switch careers or maybe reconfigure my life so that I work less and get paid more, or at least I'd be somewhat my own boss. Everything went to hell in a handcart, so instead I'm still stuck in the rat race. It's not that I haven't worked hard and achieved a lot... it's that I went backwards rapidly for quite a few years. Instead of just wiping the slate clean, I'm trying to do the honest decent thing and live my life the hard way - to pay the price for those years I lost in the wilderness, where everything I'd worked so hard to build ended up getting messed up and destroyed, and I got in a right old mess.

I could just say "screw it" because I've rebuilt myself from nothing a couple of times already. I've already proven the point - that I know how to get my life sorted out when it's in a mess. It's been really disheartening to fight back and rebuild my life, only to have it fall to pieces again - a lot of the reason being that working hard to achieve something is one thing, but working hard and achieving nothing is soul destroying. All my hard work amounts to nothing - I still don't have health, wealth and prosperity, so why did I bother? All of my hard work hasn't even managed to get me back to zero yet - I'm still stuck in a very deep hole.

You might think that the hole I'm in is because I made really bad choices, and there's some justice, but what you don't realise is how vulnerable people can get when they're unwell. I've been ripped off for thousands of pounds by people who've sought to take advantage of me when I've been sick. I don't really begrudge it, because that's the kind of society we've built, where we trample on each other to get ahead, but it's pretty hard to accept that - for example - one guy doesn't even think he's done anything wrong, even though he owes me thousands of pounds.

To live life with honesty and integrity is really hard work and I don't think that there's enough appreciation of that fact. While there are lots of rich people who are financially reckless, leave their staff members unpaid and declare bankruptcy owing millions and billions of pounds. While we say that a 'self-made' successful entrepreneur must be really smart and totally deserves their fortune, we fail to give acknowledgement to all the smart hard-working people who've led lives with more risk-aversion and prudence because they simply couldn't afford to fail - they had rent and bills to pay, and no wealthy family to bail them out of any financial difficulties.

It would be lacking in humility to claim that I'm a hard worker, and dishonest to say I don't have some element of my risk underwritten. My risk is underwritten in strange ways - I know that I do a very good impression of a well-mannered posh person, which seems to be quite endearing... I seem like a worthy cause to those who are charitably minded. I think it would be unfair to say that I've ever mooched off anybody's kindness or otherwise taken assistance without the intention of using it to improve my life as intended, but I've definitely had help that would never be forthcoming for less fortunate members of society who are easily identifiable as "undesirables". Nobody wants to help a white trash football hooligan drug addict, for example, which is why I can't begrudge any wealth that's been redistributed from my pocket into the pocket of somebody who nobody else would help.

Wealth has flowed through me and into other hands. I'm a model citizen in a way, because wealth really has trickled down in my world. A lot of money has come my way, but I haven't hoarded it - it's all gone back into the economy, and you'll be very glad to hear that only the teeny tiniest fraction was spent making enterprising drug dealers on council estates any richer, and most of the dosh has been spent making the rich richer - rent, interest, taxes etc.

The future that lies ahead is going to involve a lot of the same crap I was doing 20+ years ago when I started my career - it's practically the same job. My future is going to involve working just as hard as I did back when I was trying to escape from the rat race. My future is incredibly disappointing, because I should have been very comfortably wealthy by now, and it's only because I was abandoned when I was at my most vulnerable that so much stuff got ruined and I'm having to rebuild from a position that's *WORSE* than starting over. I'm starting from a *HUGELY* disadvantaged position.

The only slight comfort is the fact that it's seemingly quite "quick" for me to get back to a position where I'm doing OK. It might take most ordinary people a hell of a long time to dig themselves out of the kind of hole I've got myself in, or even leave them with no option other than to declare bankruptcy and start again from the bottom rung of the ladder, but I'm "lucky" enough to get to "quickly" recover, although you don't realise just how exhausting it's been to be flirting with disaster for so long.

So, I have to put up and shut up for a while longer. Even though I'm taking the fast-track it feels like it's lasting an eternity, because it's so unbearably nasty to be going through an all work and no play struggle, with horrible stuff hanging over me. This isn't my comeuppance - this is me paying the price for all the people who've gleefully come and picked my pocket when I was vulnerable. I haven't lived beyond my means - it's a miracle I've lived at all... I should be dead.

The main message I've been receiving in life is "hard work doesn't pay" and "give up and kill yourself" because every attempt to work my way out of poverty has burnt me out and not got me anywhere. Every attempt to play by the rules of the game has been futile. Every attempt to act with honesty, integrity and personal responsibility has made me feel mugged off.

I don't really know how to give up. I don't really know how to accept defeat. Maybe I'm a bad loser, but the game's not over, so I'm playing on. That might sound really positive, but I'm not going to need much of an excuse to throw in the towel - it wouldn't take much to make me decide that all the effort and the stress just hasn't been worth it, and that everything's hopelessly ruined.

Friends think they see repeating patterns in my behaviour, but don't they see that there are patterns everywhere? Sleep and wake. Work and leisure. Feast and famine. Sprint and coast. Yes I've tried the same strategy quite a few times, but it's always had different results. Yes there are things I've tried before, but don't you think that the remarkable thing is that I've avoided bankruptcy, destitution, permanent debilitating mental illness, chronic drug addiction... and an early death, of course. If anything, I've been trying some of the 'same' things because they work very well - for example, I would have thought that being well paid is far better than being really badly paid, but it's true... I've never tried the latter - maybe that's where I've been going wrong all along!

Maybe I have been making bad career choices, but most jobs all involve the same things: desks, offices, email and meetings, plus horrible commutes to work. Most jobs seem to involve being awake when you don't want to be and doing things you don't like doing. If two jobs are more-or-less identically horrible, why would I choose the underpaid one?

So, I'm sticking with offices and 9 to 5 and Monday to Friday and desks and computers and emails and water-coolers and all the other shit that goes with the territory. I'm sticking with having to get up even though I want to stay in bed, going to a place I hate and doing work that I hate, because it's essential if I'm going to have another shot at trying to build a more pleasant life - we can't do anything we want, until we have a shitload of money in the bank, and my only source of money is selling my brain and body to the highest bidder.

It sucks, but it's always sucked.

Tags: #career

This is a story about the bitter end...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

This is a story about free will...

Having spent the best part of a month in hospital, I am now convalescing in the Welsh countryside. It's remote, rural, peaceful and therapeutic, which is exactly what I need. Why on earth wouldn't I stay here, when this is the very best place I could be for my health and wellbeing?

If you believe in free will, then I'm afraid you're quite deluded. Every decision we make is heavily biased by circumstantial factors.

Having experienced the stress of moving to new places, getting jobs, making friends and otherwise climbing the greasy pole, I've got nothing to prove - I know exactly what to do and exactly what to expect. I have very little motivation to repeat the same well-worn moves that I learned a long time ago - I'm sick of playing the same old game. Rebuilding my life holds no surprises; only stress and misery.

Thus, I arrived at the decision to die, some time ago.

When you've decided to die, there isn't any fear of failure, shame, embarrassment or any of the other things which would usually predispose your behaviour towards more risk-averse choices.

If you look at my life choices through the prism of depression and defeatism - I have no desire to play by fucked up rules - things make a lot more sense than any stupid over-simplifications. Perhaps you think I'm infantile, immature and irresponsible? In actual fact, I'm not inflicting this shit on children who didn't ask to be born. I'm terminating the cycle of pain: somebody's gotta stand up to the relay-race of human misery, where fathers fuck up their sons.

I'm not critical of parenthood per se, but it would be irresponsible of me to spawn offspring of my own when my kid(s) might ask me one day "if you had a miserable life, then why did you bring me into the world?". Given that my children might ask about my own unhappy childhood, it seems unconscionable to take the chance that I could perpetuate that misery.

In a world of war, famine, climate change and spiralling problems, we are clearly on collision course with disaster. I don't want to add to the world's woes. To be yet another sharp-elbowed parent, concerned with the propagation of my genes at the expense of everything else, does not seem like a good idea when there's another option: to not do that.

I can end the male lineage and bury the surname "Grant" which I inherited from a heroin addict. I can do my bit and act in accordance with a conscience that encompasses more than my animal instinct to rut like a beast and impregnate willy-nilly.

Fucked up ungrateful entitled rich spoiled know-it-all brat says my shattered brain. I think about the people who've tried to help me; who care about me. I feel guilty that I feel so bad; still feel suicidal. Countless opportunities seem to be open to me - am I rejecting them? Am I throwing the 'gifts' that I have received back in the faces of the bearers? If I am ungrateful, so what?

My charmed existence has led me to a situation that's quite wonderful, but also exquisitely painful because of it - this isn't real life I think to myself. I can't stay here. The need to earn money to pay for debt and taxes will force me back onto the treadmill. The misery of the rat race is inescapable, except through suicide.

Tags: #suicide #depression #career

This is a story about slipping through the safety net...

Exactly one month ago was World Suicide Prevention Day and exactly one month ago I was in a critical condition, on life support in intensive care. I was given a 50/50 chance of living or dying, following an overdose the night before. It seems sickeningly ironic that if the emergency services had reached me just a little bit later, I wouldn't be writing this. If I didn't live in the United Kingdom, where we have the best healthcare system in the world, I would probably not be writing this.

It was 9 years ago that I first sought help for my mental health. "Have you heard of fluoxetine?" asked my doctor, within 30 seconds of me explaining my symptoms: suicidal thoughts, low mood, low energy and an inability to get out of bed and go to work like normal. I was disappointed to be offered patent-expired generic medication, without a moment's hesitation. I walked away empty handed.

Clinical depression was where I started my mental health journey. Having the label "clinical" made a huge difference. To add that word - clinical - onto how I was feeling, was necessary to defend myself from anybody who might say "just snap out of it" or "pull yourself together". In my case, having a label was desirable - it wasn't an excuse; it was a diagnosis.

Every time I've gone to my doctor, I've been hoping to receive some counselling, but instead I got referred into psychiatric services as an outpatient in 2010. I was referred for Cognitive-Behavioural Therapy (CBT) treatment, but by the time I was assessed, my mood disorder had been diagnosed as type II bipolar disorder. The assessment concluded that my mood disorder was too severe to be treated with CBT. I was left with no psychological treatment. "What am I supposed to do?" I asked. "Go back to your doctor" came the reply. It was a devastating disappointment.

By 2011 I was so unwell that I was assessed under the Mental Health Act, to see if I needed to be detained in hospital - what is colloquially referred to as a "section". I begged to be hospitalised as I was suicidal. I repeatedly said the classic cliché that so many people will say when they are desperate for help: "I'm going to kill myself". Community Mental Health Teams (CMHTs), crisis teams and home treatment teams must hear those words so often.

With a shortage of psychiatric beds, there's a huge reluctance to "section" anybody. At the time of my first section assessment, my girlfriend and my dad were present, so the assessment concluded that I could be kept safe at home. In fact, I sawed a hole in the back of my shed, climbed over a neighbour's fence and ran away. The police were called to look for me because I was a danger to myself.

Soon after that, I was seen by a private psychiatrist, referred and admitted for 4 weeks of inpatient treatment at a private hospital. The cost was over £12,000.

There was some debate with my medical insurance company as to whether my bipolar disorder was acute or chronic. The insurance company said it was a chronic condition, and therefore not covered by the policy. The consultant whose care I was under, managed to argue - over the course of a couple of nail-biting weeks - that my presentation was acute.

Having to resort to the private sector; having disputes with an insurance company - none of this was conducive to getting better. In fact, having to find my own psychiatrist, get approval from the insurance company to even speak to the doctor and then having the stress of thinking that I might need to spend £12,000 of my dwindling savings, was an awful ordeal when I was clearly very unwell.

At the end of 2012 I got married and 8 months later I separated from my wife. She didn't care about the incredible stress that divorce and selling our house would put me under. I moved to London to live with supportive friends while my life was ripped to pieces. I lost my job.

By 2014, I completely slipped through the safety net. I took an overdose and lay dying of multiple organ failure on the floor. I managed to phone a friend who got me to hospital. After a week, the hospital discharged me to a hotel. I had two weeks to organise my own accommodation because no bed on a psychiatric ward could be found for me. My muscles were horribly damaged by the overdose and I was in agony. With a bundle of documents to prove that I was a priority case for emergency housing, I visited the local council housing department. The officer I saw promptly disappeared on holiday, abandoning my case. I became homeless.

After living in cheap backpackers' hostel, I reached my two week limit, which is a rule that most hostels have. I then started living in a bush in Kensington Palace Gardens. When it became apparent that living in a bush was not a long-term solution, I stumbled into nearby Paddington - St Mary's Hospital - and presented myself at Accident & Emergency. 12 hours later, I was given two weeks respite in a "crisis house". I tracked down the housing officer who I'd spoken to before. At the end of two weeks, I received a one-line email: I wasn't eligible for any help from the local council. Why? What now?

I was homeless on Hampstead Heath. It was very beautiful, but it was still summer. What was I supposed to do when the weather turned bad?

How had this situation come to be? I'd been a highly functional, productive and fine upstanding member of society: I'd had a successful career, paid taxes all my working life, bought a house, gotten married and done all the things we're supposed to do. What the heck was I doing homeless and abandoned by the state when I was obviously a vulnerable adult? My doctor had written a letter saying I was a vulnerable adult, and my psychiatrist had done the same. These letters had been presented to the local council housing officer, but yet it had made no difference. What have you got to do to get help in this country?

Eventually, I came to be living in the North of England, in an apartment which was a perk of a job I'd taken out of desperation. The apartment was miserable, dark and dingy, and I was terribly lonely. On the 9th of September 2017, I took a massive overdose, which I had researched on the internet to make sure it was likely to be fatal. I regained consciousness after having been in a coma, in hospital, on the 11th of September 2017 - I had completely missed World Suicide Prevention Day. A machine was breathing for me and I was put back to sleep. I didn't leave the intensive care and high dependency wards until the 12th of September 2017.

On the 13th of September 2017, I found myself discharged from hospital and left to flounder all on my own. I didn't want to go back to the apartment where I'd tried to kill myself. I've not been back there. I'll never go back there.

I was sectioned - a section 136 - after being taken to hospital by police. I had to make a massive public nuisance of myself in order to get help. The hospital upgraded me to a section 2, which meant I was going to be kept on a psychiatric ward for up to 28 days. Why now? I'd had two near-fatal overdoses, which had hospitalised me in a critically ill condition, but yet I hadn't been considered enough of a risk to myself to receive inpatient psychiatric treatment. Why did it take so long to finally get the treatment I'd been begging to get for 6 years?

The psychiatric ward discharged me from my section after 12 days, and another week later I was discharged from hospital - a good samaritan has taken me into their home. Again I wonder why no temporary housing was forthcoming, given the fact I am so vulnerable - I lost my job and my apartment due to mental health discrimination. I'm being victimised again & again.

I'm in a safe place now, but my food & accommodation comes from a charitable family who have taken pity on me, after reading my story on my blog - we clearly don't have a system that works for the whole of society. We can't all turn to Twitter every time we're having a mental health crisis.

My Twitter followers brought the emergency services to my door, saving my life. Through my blogging and social media presence, a stranger read about my desperate plight, and kindly offered to take me into the family home.

Today, I feel OK, but why have I been subjected to such a horrific ordeal? I very nearly succeeded in ending my own life, because no help was forthcoming when I really needed it - we're locking the stable door after the horse has bolted.

Using myself as a case study, the safeguards we have in place to prevent suicides are woefully inadequate. My first-hand experience of NHS mental health services, is that they're desperately underfunded and overstretched.

There will be so many tragic preventable deaths if we allow the current situation to persist.

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

This is a story about the straw that broke the camel's back...

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.

Tags: #suicide #depression